HomeMy WebLinkAboutCC2021-05 - Hannah Toth for Town Council - 2021 Annual ReportSTATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
COMMITTEE INFORMATION (required):
CANDIDATE INFORMATION (only if filing as a candidate committee):
Office Sought: County Office:
City/Town Office:
Special District Office:_________
School Board District:_________
Cumulative Report:
Check here if this is the candidate committees first, cumulative report for the election cycle. Also select appropriate Reporting Period below.
Cumulative reporting period start date (which supersedes the start date for the Reporting Period selected below):
REPORTING PERIOD (check one):
REPORTING PERIOD REPORT DUE
2020 4th Quarter Report: October 18, 2020 to December 31, 2020 January 1, 2021 to January 15, 2021
2021 March Pre-Election Report (Local Only): January 1, 2021 to February 20, 2021 February 21, 2021 to February 27, 2021
2021 March Post-Election (Q1) Report (Local Only): February 21 to March 31, 2021 April 1, 2021 to April 15, 2021
2021 Quarter 1 Report: January 1, 2021 to March 31, 2021 April 1, 2021 to April 15, 2021
2021 May Pre-Election Report (Local Only): April 1, 2021 to May 1, 2021 May 2, 2021 to May 8, 2021*
2021 May Post-Election (Q2) Report (Local Only): May 2, 2021 to June 30, 2021 July 1, 2021 to July 15, 2021
2021 Quarter 2 Report: April 1, 2021 to June 30, 2021 July 1, 2021 to July 15, 2021
2021 August Pre-Election Report (Local Only): July 1, 2021 to July 17, 2021 July 18, 2021 to July 24, 2021
2021 August Post-Election (Q3) Report (Local Only): July 18, 2021 to September 30, 2021 October 1, 2021 to October 15, 2021
2021 Quarter 3 Report: July 1, 2021 to September 30, 2021 October 1, 2021 to October 15, 2021
2021 November Pre-Election Report (Local Only): October 1, 2021 to October 16, 2021 October 17, 2021 to October 23, 2021
2021 November Post-Election (Q4) Report (Local Only): October 17, 2021 to December 31, 2021 January 1, 2022 to January 15, 2022
2021 Quarter 4 Report: October 1, 2021 to December 31, 2021 January 1, 2022 to January 15, 2022
2022 March Pre-Election Report (Local Only): January 1, 2022 to February 19, 2022 February 20, 2021 to February 26, 2022
2022 March Post-Election (Q1) Report (Local Only): February 20, 2022 to March 31, 2022 April 1, 2022 to April 15, 2022
2022 Quarter 1 Report: January 1, 2022 to March 31, 2022 April 1, 2022 to April 15, 2022
2022 May Pre-Election Report (Local Only): April 1, 2022 to April 30, 2022 May 1, 2022 to May 7, 2022
2022 May Post-Election (Q2) Report (Local Only): May 1, 2022 to June 30, 2022 July 1, 2022 to July 15, 2022
2022 Quarter 2 Report: April 1, 2022 to June 30, 2022 July 1, 2022 to July 15, 2022
2022 Pre-Primary Election Report: July 1, 2022 to July 16, 2022 July 17, 2022 to July 23, 2022
2022 Post-Primary Election (Q3) Report: July 17, 2022 to September 30, 2022 October 1, 2022 to October 15, 2022
2022 Pre-General Election Report: October 1, 2022 to October 22, 2022 October 23, 2021 to October 29, 2022
2022 Post-General Election (Q4) Report: October 23, 2022 to December 31, 2022 January 1, 2023 to January 17, 2023*
Final Campaign Finance Report Prior to Committee Termination: End of Previous Period through Today’s Date Same Date of Termination
*Reporting deadline extended to next business day. A.R.S. §§ 1-243(A) and 1-303.
FINANCIAL SUMMARY (required):
Activity Cash Activity This Reporting Period Election Cycle to Date (a) Committee value at the beginning of this reporting period (i.e. ending balance from the
previous reporting period)
(b) + Total receipts (from “Summary of Receipts,” line 13 (cash column) for this reporting period)
(c) - Total disbursements (from “Summary of Disbursements,” line 16 (cash column) for this reporting period)
(d) = Balance at close of reporting period
Check here if filing no financial activity during the reporting period. Lines (a)-(d) still must be completed, but only this cover page and thefollowing page need to be filed.
Committees with financial activity must file the cover page, summary of receipts, summary of disbursements, and any schedules that contain financial activity.
Arizona Secretary of State Revision 7/31/21 (fillable format)
Committee Information: Committee Name:
CC2021-05
Amended report receivedelectronically 01/29/22 - EAK
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
Under A.R.S. § 16-926(B)(5), a campaign finance report must be certified by the committee treasurer under penalty of perjury that the contents of the report are true and correct.
By filing this report, you certify that, under penalty of perjury, you
have examined the contents of this report, and the contents are true and correct.
Printed Name of Committee Treasurer Signature of Committee Treasurer Date
CC2021-05
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
SUMMARY OF RECEIPTS (Schedule A):
Receipts Cash Equity
1.Monetary Contributions Received
(a)In-State Individuals - More than $100
(b)In-State Individuals - $100 or Less (Aggregate)
(c) Out-of-State Individuals
(d)Candidate Committees
(e)Political Action Committees
(f)Political Parties
(g)Partnerships
(h)Corporations & Limited Liability Companies (PACs & Political Parties Only)
(i)Labor Organizations (PACs & Political Parties Only)
(j)Candidate’s Personal Monies (Candidate Committees Only)
(k)Monetary Contributions Subtotal (add 1(a) through 1(j))
(l)Refunds Given Back to Contributors
(m)Net Monetary Contributions (subtract 1(l) from 1(k))
2.Loans
(a)Loans Received
(b)Forgiveness on Loans Received
(c)Repayment on Loans Made
(d)Interest Accrued on Loans Made
(e)Loans Subtotal (cash: add 2(a), 2(c) & 2(d))
3.Rebates and Refunds Received
4.Interest Accrued on Committee Monies
5.In-Kind Contributions Received
(a)In-State Individuals - More than $100
(b)In-State Individuals - $100 or Less (Aggregate)
(c) Out-of-State Individuals
(d)Candidate Committees
(e)Political Action Committees
(f)Political Parties
(g)Partnerships
(h)Corporations & Limited Liability Companies (PACs & Political Parties Only)
(i)Labor Organizations (PACs & Political Parties Only)
(j)Candidate’s Personal Assets or Property (Candidate Committees Only)
(k)In-Kind Contributions Subtotal (equity: add 5(a) through 5(j))
6.In-Kind Donations Received (Non-Contributions) (Political Parties Only)
7.Extensions of Credit
(a)Extensions of Credit Received
(b)Payments on Extensions of Credit Received
(c)Net Extensions of Credit (subtract 7(b) from 7(a))
8.Joint Fundraising / Shared Expense Payments Received
9.Payments Received for Goods / Services
10.Outstanding Accounts Receivable / Debts Owed to Committee
11.Transfer In Surplus Monies / Transfer Out Debt (use cash and/or equity as applicable)
12.Miscellaneous Receipts (use cash and/or equity as applicable)
13.Total Receipts (cash: add 1(m), 2(e), 3-4, 8-9, 11-12; equity: add 2(b), 5(k), 6-7(c), 10-12)
CC2021-05
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
SUMMARY OF DISBURSEMENTS (Schedule B):
Disbursements Cash Equity
1.Disbursements for Operating Expenses
2.Contributions Made
(a)Candidate Committees
(b)Political Action Committees
(c)Political Parties
(d)Partnerships
(e)Corporations & Limited Liability Companies (PAC & Political Parties Only)
(f)Labor Organizations (PAC & Political Parties Only)
(g)Monetary Contributions Subtotal (add 2(a) through 2(f))
(h)Contribution Refunds Provided to the Reporting Committee
(i)Monetary Contributions Total (subtract 2(h) from 2(g))
3. Loans
(a)Loans Made
(b)Loan Guarantees Made
(c)Forgiveness on Loans Made
(d)Repayment of Loans Received
(e)Accrued Interest on Loans Received
(f)Total Loans (cash: add 3(a), 3(d) & 3(e); equity: add 2(b) & 2(c))
4.Rebates and Refunds Made (Non-Contributions)
5.Value of In-Kind Contributions Provided
(a)Candidate Committees
(b)Political Action Committees
(c)Political Parties
(d)Partnerships
(e)Corporations & Limited Liability Companies (PAC & Political Parties Only)
(f)Labor Organizations (PAC & Political Parties Only)
(g)Contributions Subtotal (add 5(a) through 5(f))
6.Independent Expenditures Made
7.Ballot Measure Expenditures Made
8.Recall Expenditures Made
9.Support Provided to Party Nominees (Political Parties Only)
10.Joint Fundraising / Shared Expense Payments Made
11.Reimbursements Made
12.Outstanding Accounts Payable / Debts Owed by Committee
13.Transfer Out Surplus Monies / Transfer In Debt (use cash and/or equity as applicable)
14.Miscellaneous Disbursements
15.Aggregate of Disbursements - $250 or Less
16.Total Disbursements (cash: add 1, 2(i), 3(f), 6-11 & 13-15; equity: add 3(f), 5(g), & 12-15)
CC2021-05
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS RECEIVED FROM IN-STATE INDIVIDUALS - MORE THAN $100 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)
Individual Contributor Information Amount Received
Cumulative
Amount this Reporting Period
Cumulative
Amount this Election Cycle
1
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
5
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
Enter total only if last page of schedule
(transfer the total received this period to “Summary of Receipts,” line 1(a))
*If in-state individual contributions of $100 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).
Schedule A(1)(a), page of
$500
CC2021-05
Deborah J Toth
16923 E Last Trail Dr
Fountain Hills AZ 85268
Embassy Suites Scottsdale
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM CANDIDATE’S PERSONAL MONIES: SCHEDULE A(1)(j)
Candidate Information Amount Received
Cumulative
Amount this Reporting Period
Cumulative
Amount this Election Cycle
1
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
5
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
Enter total only if last page of schedule (transfer the total received this period to “Summary of Receipts,” line 1(j))
Schedule A(1)(j), page of
$413.16
$468.16
$538.28
$567.28
$697.00
11/05/2021
$413.16 $413.16
11/08/2021
$75 $468.16
11/08/2021
$50.12 $538.28
Hannah Toth 11/16/2021
$29 $567.2816923 E Last Trail Dr
Fountain Hills AZ 85268
Learning Specialist fieldXperience
Hannah Toth 11/17/2021
16923 E Last Trail Dr
Fountain Hills AZ 85268
Learning Specialist fieldXperience
$129.72 $697.00
CC2021-05
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
Arizona Secretary of State Revision 7/31/21 (fillable format)
MONETARY CONTRIBUTIONS FROM CANDIDATE’S PERSONAL MONIES: SCHEDULE A(1)(j)
Candidate Information Amount Received
Cumulative
Amount this Reporting Period
Cumulative
Amount this Election Cycle
1
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
5
Name Date Contribution Received
Street Address
City State ZIP
Occupation Employer
Enter total only if last page of schedule (transfer the total received this period to “Summary of Receipts,” line 1(j))
Schedule A(1)(j), page of
$1197.00
$1247.12
$1276.12
11/30/2021
$500 $1197.00
12/4/2021
$50.12 $1247.12
12/16/2021
$29 $1276.12
$1276.12 $1276.12
CC2021-05
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
IN-KIND CONTRIBUTIONS RECEIVED FROM IN-STATE INDIVIDUALS - MORE THAN $100 DURING ELECTION CYCLE:* SCHEDULE A(5)(a)
Individual Contributor Information Amount Received Cumulative Amount this Reporting Period
Cumulative Amount this
Election Cycle
1
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
2
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
3
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
4
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
5
Name Date In-Kind Contribution Received
Street Address
City State ZIP
Occupation Employer
Enter total only if last page of schedule (transfer the total received this period to “Summary of Receipts,” line 5(a))
*If in-kind contributions of $100 or less are listed on Schedule A(5)(b), do not include them on Schedule A(5)(a).
Schedule A(5)(a), page of
$325 $325
CC2021-05
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
DISBURSEMENTS FOR OPERATING EXPENSES: SCHEDULE B(1)
Recipient Information Amount Paid Cumulative Amount this Reporting Period
Cumulative Amount this Election Cycle
1
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
2
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
3
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
4
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
5
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 1)
Schedule B(1), page of
Rush Order Tees 11/05/2021
2727 Commerce Way
Philadelphia PA 19153
Advertising-t-shirts
x
$413.16 $413.16 $413.16
UPS Printing
13771 N Fountain Hills Blvd Ste 114
Fountain Hills AZ 85268
administration-printing
x
$50.12 $463.28 $463.2811/08/2021
Campaign Partner 11/16/2021
x
16 Dudley Street
Fitchburg MA 01420
administration-website
$29 $492.28 $492.28
AZ Banners 11/17/2021
advertising-banners
738 S Perry Ln #4
Tempe AZ 85281 x
$129.72 $622 $622
UPS Printing 12/04/2021
13771 N Fountain Hills Blvd Ste 114
Fountain Hills AZ 85268
administration-printing
x
$50.12 $672.12 $672.12
CC2021-05
Arizona Secretary of State Revision 7/31/21 (fillable format)
STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT
COMMITTEE ID NUMBER
DISBURSEMENTS FOR OPERATING EXPENSES: SCHEDULE B(1)
Recipient Information Amount Paid Cumulative Amount this Reporting Period
Cumulative Amount this Election Cycle
1
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
2
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
3
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
4
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
5
Name Disbursement Date
Cash
Credit
Street Address
City State ZIP
Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)
Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 1)
Schedule B(1), page of
Stripe 12/07/2021
185 Berry Street Suite 550
Fountain Hills AZ 85268
administration-Donation Platform
x
$14.80 $686.92 $686.92
Campaign Partner
16 Dudley Street
Fitchburg MA 01420
12/16/2021
administration-website
$29 $715.92 $715.92
Fountain Hills Times 12/29/2021
16508 E Laser Dr Suite 101
Fountain Hills AZ 85268
advertising
$257.25 $973.17 $973.17
Midfirst Bank 12/31/2021
13771 Fountain Hills Blvd
Fountain Hills AZ 85268
administration-statement fee
x
x
x
$5.00 $978.17 $978.17
$978.17 $978.17
CC2021-05