-e- RECEIVED. eo BO'X 5'11. c2d/t ~0 b -0- C:::zCU1tulOj A Z- ~fo50s crz8-3(3 -~91( City Zip Code Phone. l35 \ SEP \35l

Transcription

1 STATE OF ARZONA APACHE COUNTY POLTCAL COMMTTEE CAMPAGN FNANCE REPORT 1. J)Oy\ildson L, ~ u)jn Full of Committee eo BO'X 5'11 Address C:::zCU1tulOj A Z- ~fo50s rz8-3(3 -~91( City Zip Code Phone 2.! / k?8 (,..P Sponsoring (frqanization (if appliale) 3.D# RECEVED FOR OFFCE USE ONLY SEP APACHE COUNTY ELECTON TME: 2D/t ~0 of Can idate and Offie SouQht (if appliale) o 6. O.S. 1)tf)h-\ of Address Fax # Primary Eletion: August 3D, 2016 General Eletion: Novemer 8, orlin Period (Please Chek Appropriate Box) JANUARY 31ST REPORT- For Period of Novemer 25,2014 through Deemer 31,2015 JUNE 30TH REPORT - For Period of January 1, 2016 through May 31, 2016 PRE-PRMARY ELECTON REPORT - For Period of June 1, 2016 through August 18, 2016 POST-PRMARY ELECTON REPORT - For Period of August 19, 2016 through Septemer 19, 2016 PRE-GENERAL ELECTON REPORT - For Period of Septemer 20,2016 through Otoer 27,2016 POST -GENERAL ELECTON REPORT - For Period of Otoer 28,2016 through Novemer 28,2016 Due Between Jan. 1,2016 and Fe. 1,2016 June 1,2016 and June 30, 2016 Aug.19, 2016 and Aug. 26, 2016 Sept. 20, 2016 and Sept. 29, 2016 Ot. 28, 2016 and Nov 4,2016 Nov. 29, 2016 and De. 8, a Summary Total Surplus from Previous Campaign (or at time Statement of Organization was filed for the new ommittee) Column B Eletion Period Total to Date 5 Cash on Hand at the Beginning of this Reporting Period (ending alane from the previous reporting period) 5 Total Reeipts (from orresponding olumns on Detailed Summary Page, Line 8) l35 \ \35l 5d Sutotal (add lines and for olumn A and add lines a and for olumn B) \ 0.00 l351 6a Total Dets and Oligations from Previous Campaign Committee at Beginning of this Eletion Period (or at time Statement of Organization was filed for the new ommittee) [Do not add or sutrat this line from the other lines] 6 Total Disursements (from orresponding olumns on Detailed Summary Page, Line 18) -0- -e- 7. Cash on Hand at Close of Reporting Period (Sutrat Line 6 from Line 5d) Mailing Address: Apahe County Eletions Department - PO Box 428, St. Johns, AZ 85936

2 DETALED SUMMARY PAGE OF RECEPTS AND DSBURSEMENTS 1. Committee -=D CA V dl.o:5::..1d.:.jol..!-_..;:.l-----:..:,.h CD=...o...! Report overing period of AuS' (q La {p +0 S.e.p-r,.\ g W {p PAGE 2 RECEPTS 4. Contriutions other than loans and in-kind: (a) ndividuals - more than $25 (Total from Shedule A) () ndividuals ~aggregate $25 or less (Total from Shedule A-1) () Politial Committees (Total from Shedule B) (d) Sutotal Contriutions [add 4(a), 4(), and 4()] (e) Refund of ontriutions (Total from Shedule F-2) (f) Total Contriutions Other than Loans and n-kind [sutrat 4(e) from 4(d)] ColumnA This Period / 'Z.qq 5'Z -er?'?, 135/ 5. (a) Loans made or guaranteed y andidate (Total from Shedule C) () All other loans (Total from Shedule C-1) () Total Loans [add 5(a) and 5()] 6. n-kind ontriutions (Total from Shedule E) 7. Dividends, interest, and other forms of reeipts (Total from Shedule F-1) 8. Total Reeipts [add 4(f), 5(), 6, and 7] /3 '31 1"3 '5 / DSBURSEMENTS 9. Expenditures for operating expenses (Total from Shedule D) 10. ndependent Expenditures (Total from Shedule D-1) 11. Value of n-kind expenditures (Total from Shedule E) 12. Loans made y reporting ommittee (Total from Shedule D-2) 13. (a) Repayment of loans made or guaranteed y andidate (Total from Shedule D-4) () Repayment of all other loans (Total from Shedule D-5) () Total Loan Repayments [add 13(a) and 13()] 14. Transfers to other politial ommittees (Total from Shedule D-6) 15. Any other disursement (Total from Shedule D-7) 16. Sutotal disursements [add lines 9,10,11,12, 13(), 14, and 15] 17. Reates, refunds and other offsets to operating expenses (Total from Shedule D-3) 18. Total disursements [sutrat line 17 from line 16] 19. Total Outstanding Dets owed y Reporting Candidate or Politial Committee (Shedule F-3) ~'-fl -;;'Lff 'J.-L/ J ~ ff 1';)..'11 (:ll! 20. ertify, under penalty of perjury, that have examined the ontents of this ampaign finane report and to the est of my knowledge and elief it is true and omplete.. Signature of Treasurer or Candidate or Designating, ndividual Date revised 11/2003

3 CONTRBUTONS 1. Committee -UtMad~n more than $25 - from NDVDUALS* L--J ht:o n. SCHEDULE A 3. Report overing period from <g'_-_t "1_-_' fe, thru 4. a r..e City CONTRBUTONS AMOUNT DATE RECEVED THS RECEVED NAME, ADDRESS, OCCUPATO~ AND EMPLOYER OF CONTRBUTOR PEROD "n;/'j ~ State /CfL-.- Employer ~ 7"Y'~ S-- CUMULATVE TOTAL THS CAMPAGN TO DATE q -1-1 '- 5~~ 5&-~ tjo ~'2~) StJ~ Zip q--t -(0 ~S5~ CJ (!3D 0 f":!-' oe» 01"7-'(p WO~ $O&O~ ") +td?) d q-3-1~ 00 $ 0 td? ~ l,"'~? C:t ;;') e C(-q-fp ~ O~ fs ~~ q~~ 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE A [Transfer total to Detailed Summary Page, Line 4(a), Column A] 'f ontriutions of $25 or less are listed with ontriutor's name, address, oupation and employer on Shedule A, do not inlude them on Shedule A-1. List $5 Clean Eletion qualifying ontriutions separately on Shedule A-2. Shedule A Page _1_ of ~

4 CONTRBUTONS of $25 or less - AGGREGATE TOTAL* 1. Committee 7/a;Vld5~11 Lin LJ?;J SCHEDULE A # 3. Report overing period from 91-- tt.-!~ thru 9"--i?_- / / 4. Aggregate Total of Contriutions of $25 or less DESCRPTON AMOUNT RECEVED THS PEROD CUMULATVE TOTAL THS CAMPAGN TQPATE '- eandet /7. po /7. CO St)At:l S 3..,;::.E- 1'3, 00 Wa-re-v "2-"2-. eo z.'2. 00,., /, - '\ - 5Q~ 00 '5~.OO CfoMPA~GN TO DATE [Tr~nsfer total to Detailed Summary Page, Line 4(), Column B] 5. TOTAL THS PEROD [Transfer total to 6. CUMULATVE TOTAL THS Detailed Summary Page, Line 4() Column Al f ontriutions of $25 or less are listed with ontriutor's name and address on Shedule A, do not inlude them on this shedule. List $5 Clean Eletion qualifying ontriutions separately on Shedule A-2.

5 ," CONTRBUTONS FROM POLTCAL COMMTTEES 1. Commitlee '[;)e/lafot'! &n~1 JC! 3. Report overing period from 5'- Cj-J thru q SCHEDULE B 1 2. D # AMOUNT CUMULATVE CONTRBUTONS RECEVED TOTAL THS THS CAMPAGN TO DENTTY OF CONTRBUTOR AND DATE RECEVED PEROD DATE 4. a 10# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED iv/a- 10# NAME, ADDRESS, CTY, STATE AND ZP if -() DATE RECEVED 10# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED d 10# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED e 10# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED f 10# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED g D# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED h 10# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED i 10# NAME, ADDRESS, CTY, STATE AND ZP DATE RECEVED 5. ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE B [if last page of Shedule B, transfer -e- -0 total to Detailed Summary Page, Line 4(), Column Al Shedule B Page

6 CANDDATE LOANS 1. Committee Pal/A~/J &nuf)/~: 3. Report overing period from' 8"- 5.- J e thru SCHEDULEC DATE AMOUNT CUMULATVE LOANS MADE OR GUARANTEED BY CANDDATE RECEVED RECEVED TOTAL THS THS PEROD CAMPAGN NAME, ADDRESS, FROM WHOM RECEVED TO DATE 4. 4a Last First nitial ~, /" City.... ~ /1/ f)fv t-- -t}- f"sl Zip "-../ Last First nitial Last First nitial, d Last First nitial e Last First nitial ~ ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDDATE ONLY F LAST PAGE OF SCHEDULE C [f last page ~ - of Shedule C, transfer total to Detailed Summary Page, Line 5(a), Column Al L/ Shedule C Page

7 OTHER LOANS SCHEDULE C-1 \h L J, # 1. Committee -':"PA" A l!j5]q V\ _1f_Vl_tiJ_L fv, ' 3. Report overing period from Z" -1q..-{ thru C( ---( 1-( (p ALL OTHER LOANS DATE LOAN AMOUNT CUMULATVE NAME AND ADDRESS OF EACH NDVDUAL (OR NAME, 10# AND ADDRESS RECEVED OF LOAN TOTAL THS OF THE POLTCAL COMMTTEE) OF LOAN, AND ANY ENDORSER OR CAMPAGN GUARANTOR OF LOAN TO DATE a NAME OF PERSON OR COMMTTEE MAKNG LOAN AND 10#, \ ~ ~ J7T1\-} Lr k)--?\,7) City, State, Zip V~~ NAME OF ENDORSER OR GUA,... OF LOAN '-../ City, State, Zip NAME OF PERSON OR COMMTTEE MAKNG LOAN AND 10# City, State, Zip NAME OF ENDORSER OR GUARANTOR OF LOAN City, State, Zip NAME OF PERSON OR COMMTTEE MAKNG LOAN AND 10# City, State, Zip NAME OF ENDORSER OR GUARANTOR OF LOAN City, State, Zip d NAME OF PERSON OR COMMTTEE MAKNG LOAN AND 10# City, State, Zip NAME OF ENDORSER OR GUARANTOR OF LOAN City, State, Zip 5. ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE C-1 [f last page of Shedule C-1, transfer total to Detailed Summary Page, Line 5(), Column Al [ :t9::-= :fr=1 Shedule C-1 Page

8 -_--o'' ~ thru 9 ~T1~/~ SCHEDULE D _~._D#--_---' EXPENDTURES NAME AND ADDRESS TO WHOM EXPENDTURE (DSBURSEMENT) WAS MADE DATE EXPENDTURE MADE AMOUNT OF THE EXPENDTURE of tems or Servies Purhased TOTAL ONLY F LAST PAGE OF SCHEDULE Summary Page Line 9, Column A] D [f last page of Shedule D, transfer total to Detailed Shedule D Page

9 NDEPENDENT EXPENDTURES* SCHEDULE Committee Report overing period from thru _ 4. a NDEPENDENT EXPENDTURES DENTFY RECPENT OF EXPENDTURE AND CANDDATE WHO S BENEFTED OR OPPOSED DATE EXPENDTURE MADE AMOUNT OFTHE EXPENDTURE City State li P Purpose and of Purhase Benefited LJ Opposed W Candidate Offie Sought Year of Eletion City State lip Purpose and of Purhase Benefited U Opposed U Candidate Offie Sought Year of Eletion City State lip Purpose and of Purhase Benefited W Opposed ~ Candidate Offie Sought Year of Eletion 5. ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE D-1 [f last page of Shedule D-1. transfer total to Detailed Summary Page Line 10, Column Al * SEE A.R.S. ~16-901(14) D ertify, under penalty of perjury, that the aove stated independent expenditure(s) was not made in ooperation, onsultation or onert with or at the request or suggestion of any andidate or any ampaign ommittee or agent of that andidate. ::Z??r.~~~ Signature of Treasurer NAMES, OCCUPATONS AND EMPLOYERS AND AMOUNT CONTRBUTED BY EACH OF THE THREE TOP CONTRBUTORS WTHN THE LAST SX MONTHS AMOUNT J)~~OY1 ~/'1t..DN( ( dr(c«a4j/ --t'hfde;;'r.e.srnpf+~ g'""zr~' e-o Ortuze.- L-1'1~//V/ ~Pnv&1/ hr/.4rl"/ve..''1r,,,0 Shedule D-1 Page of _

10 4. LOANS MADE BY REPORTNG COMMTTEE 1. Committee 1).Cvlf/dr:DtJ L--f/llW!n 3. Report overing period from <6 -q-{ thru q- )q~ k:? LOANS MADE BY THE REPORTNG COMMTTEE NAME, ADDRESS AND 10# OF COMMTTEE TO WHOM LOAN (DSBURSEMENT) WAS MADE a Committee Address 1-::\/. - City Committee Address ~ JJA L;; 1 10 # lstate Zi P 1 10 # SCHEDULE 0-2 /2.10# ] DATE LOAN MADE -0 ~ AMOUNT OF LOAN '----" City Committee Address State -'ZiP 1 10 # d City State JZi P Committee 1 0 # Address, City State lzi P e Committee Address 1 10 # City State YiP f Committee Address 1 10 # City State ZiP g Committee 1'0# Address City State ZiP h Committee 1'0# Address City State ZiP. AGE OF SCHEDULE 0-2 [if last p~ge of Shedule 0-2, transfer total 10 Detailed Summary Page, Line 12, Column Al 5 ENTER TOTAL ONLY F LAST P ; Shedule 0 2 Page of

11 OFFSETS TO OPERATNG EXPENSES* 1. Committee U()Al!4"5lJy/ 2;no/N SCHEDULE D # 3. Report overing period from thru 4. a REBATES, REFUNDS AND OTHER OFFSETS TO OPERATNG EXPENSES DATE REFUND AMOUNT OF THE NAME AND ADDRESS FROM WHOM REFUND OR REBATE WAS RECEVED RECEVED REFUND "l() f\f~ =() -e-- Desrplion of Refund Desrption of Refund Desrption of Refund d Desrption of Refund e Desrption of Refund f Desrption of Refund 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0-3 [if last page of Shedule 0-3, transfer total to Detailed Summary Page, Line 17, Column A] * nludes return of ontriutions made y reporting ommittee -D Shedule D-3 Page

12 REPAYMENT OF CANDDATE LOANS 1. Committee.]:'X1!l!?,L5OJ1. Lin o /J 3. Report overing period from.f? -;e>;r-lfo thru SCHEDULE D # 4. a REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDDATE DATE AMOUNT OF REPAYMENT THE NAME AND ADDRESS TO WHOM REpAYMENT (DSBURSEMENT) WAS MADE MADE REPAYMENT 1\ t /)Af~ -- -e- e-, d e f 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0-4 [if last page of Shedule 0-4. transfer totai to Detailed Summary Page, Line 13(a), Column AJ -0 Shedule D-4 Page

13 4. a 1. Committee 3. Report overing period from REPAYMENT OF OTHER LOANS -VO[J fe 011 L-;nr Jid ~ -[C:Z=flo thru- -10/'-16 REPAYMENT OF ALL OTHER LOANS DATE REPAYMENT NAME AND ADDRESS OF NDVDUAL (OR NAME, D# AND ADDRESS OF THE POLTCAL MADE COMMTTEE) TO WHOM REPAYMENT (DSBURSEMENT) WAS MADE A)f)A) - SCHEDULE D # AMOUNT OF THE REPAYMENT ~ -(J "---"" rj d e f 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0-5 [if last page of shedutransfer total to Detailed Summary Page, Line 13(), Column A] ~ ~ - Shedule D-5 Page

14 4. TRANSFERS TO OTHER POLTCAL COMMTTEES 1. Committee j)(lfkt/xj4 Lt2Cd 3. Report overing period from?(-/1=7 thru TRANSFERS MADE BY THE REPORTNG COMMTTEE NAME, ADDRESS AND D# TO WHOM TRANSFER (DSBURSEMENT) WAS MADE SCHEDULE 0-6 DATE TRANSFER AMOUNT OF THE WAS MADE TRANSFER a -- "'{J1J1!Z:- r\ ~ -;;;::::::::::: ~' J ~ d, e f 5 ENTER TOTAL ONLY F LAST PAGE OF SCHEDULE 0-6 [Transfertotal to Detailed Summary Page, Line 14, Column A] C) Shedule D-6 Page

15 ANY OTHER DSBURSEMENT 1. Commitlee j)(j)~ k/ldfi SCHEDULE D # 3. Report overing period from $' r-(t:{rrt(? thru--1--/-7_/!e'-. _ DATE ANY OTHER DSBURSEMENT 4. DSBURSEMENT NAME, ADDRESS AND 10# OF COMMTEE TO WHOM DSBURSEMENT WAS MADE; DESCRPTON MADE a AMOUNT OF THE DSBURSEMENT J( J()))7Z-, --- :::::::::::= r:::::j ~ '\...-/ B d Street Add ress e f 5 ENTERTOTALONLYFLASTPAGEOFSCHEDULE0-7 [~astpageof Shedule0-7, transfertotalto DetailedSummaryPage,Line15, ColumnA] ~ -/ Shedule D-7 Page

16 1. Committee N-KND CONTRBUTONS and EXPENDTURES 2:vwJfLW ~k SCHEDULE 3. Report overing period from s:,..-{cf 20 thru 9~_t_f_-~6~0~ _ N-KND CONTRBUTONS and EXPENDTURES 4. NAME AND ADDRESS OF NDVDUAL (OR NAME, ADDRESS AND D# OF THE POLTCAL COMMTEE) DATE FROM WHOM RECEVED OR TO WHOM GVEN a, Address, City, State, Zip, and D# CONTRBUTON U ~ EXPENDTURE 0 E FAR MARKET VALUE. 1"\ r) \.../ '---'" Oupation Employer, Address, City, State, Zip, and 10# CONTRBUTON U EXPENDTURE D Oupation Employer, Address, City, State, Zip, and D# CONTRBUTON U, EXPENDTURE D Oupation Employer d, Address, City, State, Zip, and D# CONTRBUTON U EXPENDTURE D Oupation Employer 5 ENTER TOTAL N.KND CONTRBUTONS ONLY F LAST PAGE OF SCHEDULE E [if last page of Shedule E, lransfer lolal to Delalled Summary Page, Line 6, Column A] ~- 6 ENTER TOTAL N'KND EXPENDTURES ONLY F LAST PAGE OF SCHEDULE E [if lasl page of Shedule E, transfer total to Detailed Summary Page, Line 11, Column AJ ~ - Shedule E Page

17 DVDENDS, NTEREST, AND OTHER RECEPTS SCHEDULE F Camm_N.m. ~\!ld7011!44dtj 1 0# 3. Report overing period from 15: :10 thru --1_-=l_q_---.. /-(pf DVDENDS, NTEREST AND OTHER FORMS OF RECEPTS AMOUNT DATE 4. OF THE NAME AND ADDRESS OF NDVDUAL (OR NAME AND 10# OF THE POLTCAL COMMTTEE) RECEVED RECEPT FROM WHOM THE RECEPT WAS RECEVED a and 10 Numer City of Reeipt ~ate i\ r/'\~ \~ \\JVV\J~ - j?r\. r\ Zip "'C../ \..- and 10 Numer of Reeipt and 10 Numer of Reeipt d and 10 Numer Street Add ress of Reeipt e and 10 Numer of Reeipt f and 10 Numer of Reeipt 5 ENTER TOTAl ONLY F LAST PAGE OF SCHEDULE F-1 [if last page of Shedule F-1, transfer total to Detailed Summary Page, Line 7, Column Al A --7 Shedule F-1 Page

18 OFFSETS TO CONTRBUTONS RECEVED* 1. Committee ~PCAJVtd~olL Lt 2fi!;J 3. Report overing period from 8:~{q,--lf;z thru SCHEDULE F-2 4. a REFUNDS AND OTHER OFFSETS TO CONTRBUTONS RECEVED DATE REFUND AMOUNT OF THE NAME AND ADDRESS OF NDVDUAL (OR NAME AND 10# OF THE POLTCAL COMMTTEE) TO WAS MADE REFUND WHOM THE REFUND WAS MADE; DESCRPTON and 10 Numer ~\) U Y\l L City of Refund and 10 Numer ~ Zip B 0 of Refund and 10 Numer of Refund d and 10 Numer of Refund e and 10 Numer of Refund f and 10 Numer of Refund 5 ENTER TOTAL ONLY f LAST PAGE OF SCHEDULE F-2 [if last page of Shedule F-2, transfer total to Detailed Summary Page, Line 4(e), Column A] * nludes return of ontnutlons reeived y reporting ommittee AtA~r""- -{)- Shedule F-2 Page.

19 1. Committee yt1 DEBTS AND OBLGATONS (Exluding Loans) SCHEDULE F-3 1 f. ) 1 2. D# Vtll22.:...Ln---4«"""-4+-<ln... (.. 'f2,f--!lv----- ' ' 3. Report overing period from g --t1.:=l thru Cj -{ q -1((2 OUTSTANDNG AMOUNT PAYMENT THS OUTSTANDNG DEBTS AND OBLGATONS BALANCE NCURRED THS PEROD BALANCE AT 4, BEGNNNG THS PEROD CLOSE OF THS NAME AND ADDRESS OF NDVDUAL (OR NAME. ADDRESS AND D# OF PEROD PEROD THE POLTCAL COMMTTEE) TO WHOM DEBT S OWED a, Address, City, State, Zip, and 10# of Det No 71 r'\ r'l A N~ \:.:./ C7 \::.../ \... " ~ -, Address, City, State, Zip, and D# of Det, Address, City, State, Zip, and 10# of Det d, Address, City, State, Zip, and 10# of Det e, Address, City, State, Zip, and 10# of Det RENTER TOTAL OUTSTANDNG BALANCE AT CLOSE OF THS PEROD ONLY F LAST PAGE OF SCHEDULE F-3 [if A last page of Shedule F-3, transfer total to Detailed Summary Page, Line 19, Column Al -...J Shedule F-3 Page