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HomeMy WebLinkAboutCC2021-06 - Team Skillicorn - 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: TEAM SKILLICORN 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 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) 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) 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 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 Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER MONETARY CONTRIBUTIONS TO CANDIDATE COMMITTEES: SCHEDULE B(2)(a) Candidate Committee Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 2 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 3 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 4 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 5 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 2(a)) Schedule B(2)(a), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER MONETARY CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES: SCHEDULE B(2)(b) Political Action Committee Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 2 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 3 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 4 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 5 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 2(b)) Schedule B(2)(b), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER MONETARY CONTRIBUTIONS TO POLITICAL PARTIES: SCHEDULE B(2)(c) Political Party Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 2 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 3 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 4 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made 5 Committee Name Cash Credit Street Address City State ZIP Committee ID Number Date Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 2(c)) Schedule B(2)(c), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER MONETARY CONTRIBUTIONS TO PARTNERSHIPS: SCHEDULE B(2)(d) Partnership Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Partnership Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 2 Partnership Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 3 Partnership Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 4 Partnership Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 5 Partnership Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 2(d)) Schedule B(2)(d), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER MONETARY CONTRIBUTIONS TO CORPORATIONS AND LLCs: SCHEDULE B(2)(e) Corporation / LLC Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Corporation/LLC Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 2 Corporation/LLC Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 3 Corporation/LLC Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 4 Corporation/LLC Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 5 Corporation/LLC Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 2(e)) Schedule B(2)(e), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER MONETARY CONTRIBUTIONS TO LABOR ORGANIZATIONS: SCHEDULE B(2)(f) Labor Organization Recipient Information Amount Contributor Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Labor Organization Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 2 Labor Organization Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 3 Labor Organization Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 4 Labor Organization Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made 5 Labor Organization Name Cash Credit Street Address City State ZIP Corporation Commission File Number Date Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 2(f)) Schedule B(2)(f), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER CONTRIBUTION REFUNDS RECEIVED: SCHEDULE B(2)(h) Contributor Information Amount Refunded Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Date Refund Received Street Address City State ZIP Committee ID Number Date of Original Contribution 2 Committee Name Date Refund Received Street Address City State ZIP Committee ID Number Date of Original Contribution 3 Committee Name Date Refund Received Street Address City State ZIP Committee ID Number Date of Original Contribution 4 Committee Name Date Refund Received Street Address City State ZIP Committee ID Number Date of Original Contribution 5 Committee Name Date Refund Received Street Address City State ZIP Committee ID Number Date of Original Contribution Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 2(h)) . Schedule B(2)(h), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER LOANS MADE: SCHEDULE B(3)(a) Borrower Information Amount Loaned Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Borrower Name Street Address City State ZIP Guarantor/Endorser Name Date Loan Made 2 Borrower Name Street Address City State ZIP Guarantor/Endorser Name Date Loan Made 3 Borrower Name Street Address City State ZIP Guarantor/Endorser Name Date Loan Made 4 Borrower Name Street Address City State ZIP Guarantor/Endorser Name Date Loan Made 5 Borrower Name Street Address City State ZIP Guarantor/Endorser Name Date Loan Made Enter total only if last page of schedule (transfer the total received this period to “Summary of Disbursements,” line 3(a)) Schedule B(3)(a), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER LOAN GUARANTEES MADE: SCHEDULE B(3)(b) Guarantor Information Amount Guaranteed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Guarantor Name Street Address City State ZIP Borrower Name Date Loan Guaranteed 2 Guarantor Name Street Address City State ZIP Borrower Name Date Loan Guaranteed 3 Guarantor Name Street Address City State ZIP Borrower Name Date Loan Guaranteed 4 Guarantor Name Street Address City State ZIP Borrower Name Date Loan Guaranteed 5 Guarantor Name Street Address City State ZIP Borrower Name Date Loan Guaranteed Enter total only if last page of schedule (transfer the total received this period to “Summary of Disbursements,” line 3(b)) Schedule B(3)(b), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER FORGIVENESS ON LOANS MADE: SCHEDULE B(3)(c) Borrower Information Amount Forgiven Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Borrower Name Date Forgiveness Made Street Address City State ZIP Original Amount of Loan Amount Still Outstanding 2 Borrower Name Date Forgiveness Made Street Address City State ZIP Original Amount of Loan Amount Still Outstanding 3 Borrower Name Date Forgiveness Made Street Address City State ZIP Original Amount of Loan Amount Still Outstanding 4 Borrower Name Date Forgiveness Made Street Address City State ZIP Original Amount of Loan Amount Still Outstanding 5 Borrower Name Date Forgiveness Made Street Address City State ZIP Original Amount of Loan Amount Still Outstanding Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 3(c)) Schedule B(3)(c), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER REPAYMENT ON LOANS RECEIVED: SCHEDULE B(3)(d) Lender Information Amount Repaid Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Lender Name Date Repayment Made Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 2 Lender Name Date Repayment Made Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 3 Lender Name Date Repayment Made Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 4 Lender Name Date Repayment Made Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 5 Lender Name Date Repayment Made Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 3(d)) Schedule B(3)(d), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER ACCRUED INTEREST ON LOANS RECEIVED: SCHEDULE B(3)(e) Lender Information Amount of Interest Accrued Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Lender Name Date Interest Accrued Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 2 Lender Name Date Interest Accrued Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 3 Lender Name Date Interest Accrued Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 4 Lender Name Date Interest Accrued Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding 5 Lender Name Date Interest Accrued Street Address City State ZIP Original Amount Borrowed Amount Still Outstanding Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 3(e)) Schedule B(3)(e), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER REBATES AND REFUNDS MADE (NON-CONTRIBUTIONS): SCHEDULE B(4) Recipient Information Amount Rebated / Refunded Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Name of Original Payor Date Rebate/Refund Made Street Address City State ZIP Corporation Commission File Number (if applicable) Original Payment Amount Date of Original Payment 2 Name of Original Payor Date Rebate/Refund Made Street Address City State ZIP Corporation Commission File Number (if applicable) Original Payment Amount Date of Original Payment 3 Name of Original Payor Date Rebate/Refund Made Street Address City State ZIP Corporation Commission File Number (if applicable) Original Payment Amount Name of Original Payor 4 Name of Original Payor Date Rebate/Refund Made Street Address City State ZIP Corporation Commission File Number (if applicable) Original Payment Amount Name of Original Payor 5 Name of Original Payor Date Rebate/Refund Made Street Address City State ZIP Corporation Commission File Number (if applicable) Original Payment Amount Name of Original Payor Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 4) Schedule B(4), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER IN-KIND CONTRIBUTIONS TO CANDIDATE COMMITTEES: SCHEDULE B(5)(a) Candidate Committee Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 2 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 3 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 4 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 5 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 5(a)) Schedule B(5)(a), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER IN-KIND CONTRIBUTIONS TO POLITICAL ACTION COMMITTEES: SCHEDULE B(5)(b) Political Action Committee Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 2 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 3 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 4 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 5 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 5(b)) Schedule B(5)(b), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER IN-KIND CONTRIBUTIONS TO POLITICAL PARTIES: SCHEDULE B(5)(c) Political Party Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 2 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 3 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 4 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made 5 Committee Name Street Address City State ZIP Committee ID Number Date In-Kind Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 5(c)) Schedule B(5)(c), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER IN-KIND CONTRIBUTIONS TO PARTNERSHIPS: SCHEDULE B(5)(d) Partnership Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Partnership Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 2 Partnership Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 3 Partnership Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 4 Partnership Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 5 Partnership Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 5(d)) Schedule B(5)(d), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER IN-KIND CONTRIBUTIONS TO CORPORATIONS AND LLCs: SCHEDULE B(5)(e) Corporation / LLC Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Corporation/LLC Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 2 Corporation/LLC Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 3 Corporation/LLC Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 4 Corporation/LLC Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 5 Corporation/LLC Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 5(e)) Schedule B(5)(e), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER IN-KIND CONTRIBUTIONS TO LABOR ORGANIZATIONS: SCHEDULE B(5)(f) Labor Organization Recipient Information Amount Contributed Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Labor Organization Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 2 Labor Organization Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 3 Labor Organization Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 4 Labor Organization Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made 5 Labor Organization Name Street Address City State ZIP Corporation Commission File Number Date In-Kind Contribution Made Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 5(f)) Schedule B(5)(f), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER INDEPENDENT EXPENDITURES MADE: SCHEDULE B(6) Expenditure Recipient Information Expenditure Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Recipient Name Mode of Advertising (TV, mail, etc) Cash Credit Street Address City State ZIP Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year 2 Recipient Name Mode of Advertising (TV, mail, etc) Cash Credit Street Address City State ZIP Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year 3 Recipient Name Mode of Advertising (TV, mail, etc) Cash Credit Street Address City State ZIP Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year 4 Recipient Name Mode of Advertising (TV, mail, etc) Cash Credit Street Address City State ZIP Candidate(s) Supported (including % supported) Candidate(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year Office Sought Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 6) Schedule B(6), page of Office Sought Office Sought Office Sought Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER BALLOT MEASURE EXPENDITURES MADE: SCHEDULE B(7) Expenditure Recipient Information Expenditure Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Ballot Measure(s) Supported (including % supported) Ballot Measure(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year 2 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Ballot Measure(s) Supported (including % supported) Ballot Measure(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year 3 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Ballot Measure(s) Supported (including % supported) Ballot Measure(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year 4 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Ballot Measure(s) Supported (including % supported) Ballot Measure(s) Opposed (including % opposed) Date of First Publication, Display, Delivery, or Broadcast Election Month/Year Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 7) Schedule B(7), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER RECALL EXPENDITURES MADE: SCHEDULE B(8) Expenditure Recipient Information Expenditure Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Supporting or Opposing Issuance of Recall Order? Candidate Sought to be Recalled Date of First Publication, Display, Delivery, or Broadcast Office Held 2 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Supporting or Opposing Issuance of Recall Order? Candidate Sought to be Recalled Date of First Publication, Display, Delivery, or Broadcast Office Held 3 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Supporting or Opposing Issuance of Recall Order? Candidate Sought to be Recalled Date of First Publication, Display, Delivery, or Broadcast Office Held 4 Recipient Name Mode of Advertising (TV, mail, etc)  Cash  Credit Street Address City State ZIP Supporting or Opposing Issuance of Recall Order? Candidate Sought to be Recalled Date of First Publication, Display, Delivery, or Broadcast Office Held Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 8) Schedule B(8), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER SUPPORT PROVIDED TO PARTY NOMINEES (POLITICAL PARTIES ONLY): SCHEDULE B(9) Benefitted Candidate Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Candidate Name Date Benefit Provided Street Address City State ZIP Type of Benefit Provided Notes: 2 Candidate Name Date Benefit Provided Street Address City State ZIP Type of Benefit Provided Notes: 3 Candidate Name Date Benefit Provided Street Address City State ZIP Type of Benefit Provided Notes: 4 Candidate Name Date Benefit Provided Street Address City State ZIP Type of Benefit Provided Notes: Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 9) Schedule B(9), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER JOINT FUNDRAISING / SHARED EXPENSE PAYMENTS MADE: SCHEDULE B(10) Recipient Committee Information Payment Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Committee Name Payment Date  Cash  Credit Street Address City State ZIP Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable) 2 Committee Name Payment Date  Cash  Credit Street Address City State ZIP Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable) 3 Committee Name Payment Date  Cash  Credit Street Address City State ZIP Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable) 4 Committee Name Payment Date  Cash  Credit Street Address City State ZIP Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable) 5 Committee Name Payment Date  Cash  Credit Street Address City State ZIP Date of Joint Fundraising Event (if applicable) Type of Shared Expense (if applicable) Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 10) Schedule B(10), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER REIMBURSEMENTS MADE: SCHEDULE B(11) Recipient Information Reimbursement Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Name  Cash  Credit Street Address City State ZIP Services or Goods Reimbursed Reimbursement Date 2 Name  Cash  Credit Street Address City State ZIP Services or Goods Reimbursed Reimbursement Date 3 Name  Cash  Credit Street Address City State ZIP Services or Goods Reimbursed Reimbursement Date 4 Name  Cash  Credit Street Address City State ZIP Services or Goods Reimbursed Reimbursement Date 5 Name  Cash  Credit Street Address City State ZIP Services or Goods Reimbursed Reimbursement Date Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 11) Schedule B(11), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER OUTSTANDING ACCOUNTS PAYABLE / DEBTS OWED BY COMMITTEE: SCHEDULE B(12) Debt Information Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Name Street Address City State ZIP Type of Account Payable or Debt Owed Date that Debt Accrued 2 Name Street Address City State ZIP Type of Account Payable or Debt Owed Date that Debt Accrued 3 Name Street Address City State ZIP Type of Account Payable or Debt Owed Date that Debt Accrued 4 Name Street Address City State ZIP Type of Account Payable or Debt Owed Date that Debt Accrued 5 Name Street Address City State ZIP Type of Account Payable or Debt Owed Date that Debt Accrued Enter total only if last page of schedule (transfer the total received this period to “Summary of Receipts,” line 12) Schedule B(12), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER TRANSFER OUT SURPLUS MONIES / TRANSFER IN DEBT: SCHEDULE B(13) Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle Recipient of Surplus Monies / Source of Transferred Debt Recipient of Surplus Monies / Source of Transferred Debt Recipient of Surplus Monies / Source of Transferred Debt Recipient of Surplus Monies / Source of Transferred Debt Recipient of Surplus Monies / Source of Transferred Debt Total (transfer the total disbursed this period to “Summary of Disbursements,” line 13) Schedule A(13), page of Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER MISCELLANEOUS DISBURSEMENTS: SCHEDULE B(14) Recipient Information Amount Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle 1 Name Cash Credit Street Address City ZIP Disbursement Type Disbursement Date 2 Name Cash Credit Street Address City ZIP Disbursement Type Disbursement Date 3 Name Cash Credit Street Address City ZIP Disbursement Type Disbursement Date 4 Name Cash Credit Street Address City ZIP Disbursement Type Disbursement Date 5 Name Cash Credit Street Address City State ZIP Disbursement Type Disbursement Date Enter total only if last page of schedule (transfer the total disbursed this period to “Summary of Disbursements,” line 14) Schedule B(14), page of _ State State State State Arizona Secretary of State Revision 7/31/21 (fillable format) STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT COMMITTEE ID NUMBER AGGREGATE OF DISBURSEMENTS – $250 OR LESS: SCHEDULE B(15) Cumulative Amount this Reporting Period Cumulative Amount this Election Cycle Cumulative of Disbursements - $250 or Less Enter total only if last page of schedule (transfer the total received this period to “Summary of Disbursements,” line 15) Schedule B(15), page of ______