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HomeMy WebLinkAboutPost-Election ReportPOLITICAL COMMITTEE C�'j'�(/'j �yVN QF Fauntain Hilis, Arizona CAMPAIGN FINANCE REPORT 2011 November Special Election � Dennis Brown far Town Council Full Nmne al Committee 8624 E MonteRey, Ste. E ,u�, Fountain Hills, AZ 852fi8 �Y 2 Dennis Brawn for Town Cauncil �a�+�q � a Ca�ta m�a �e Dennis Brown, Town Council Nmne o1 Cuna�aota mcd Ofrxe SaiGM (if a�1 votedennisbrown2012@yahao.co E�Mod Adrtreu ZlP CoQe Camry Phone m (480) 837-5559 Fw� f 4. RERORTING PERIOD � a+� �m o�� DUE BETWEEN � January 31 Report -�� P�oa or ' thru DecemDer 31, 2010 ............ January 1, 2011 and January 31, 20» � June 30 Report - F� P�a a �an�ry,. 2017 lhru May 31. 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . June 1. zo� � ar�d ��� so. so» � Pre-Election Report - Fo� PeR�a or ��� �, zo» a,n, oao�� �s. 20» . . . . . . . . . . . . . . . . . . . . . . oao�e� 20, 2011 and �ctober 27, zo» aPost-Election Report - Fo� Pe�Qa af oaone� 20, 2011 thru November 28, so» ............ r�o�m�� 2s, 2011 and Deoember 8, za» � January 31, Report � For Period of Novemtrer 29, 2011 thru December 31, ........ Jarsuary 1, " artd Jarsuary 31, 5. SUMMARY 5a Surplus from Pre�ious Campaign (or at time Statement of Organization was filed for the new cammittee) 5b Cash on Hand at the Beginning of this Reporting Period 5c Totat Receipts (from oorresponding columns on Detailed Summary Page, Line 8) 5d Subtotal [add Lines b and c for Column A and add lines a and c far Column B] Column A Total This Reporting Period o.oa �.Ol.� :il 1 :li 11 6a Total Debts and Obligations from Previous Campaign Committee at Beginning of this Election Periad (or at time Staternent of O.00 Organization was filed for the new oommittee} [po not add or subtract this line from the othe� lines] 6b Tatal Disbursements {from oorresponding c�lumns an Detailed Summary Page, Line 18) 7. Cash on Hand at Close of Reporting Period [Subtract Line 6b from Line 5d1 o.oc� :il MI FOR OFFICE USE ONLY �►. ics PC2011-07 i, l � Column B Election Period Total To Date o.00 �.�� $��.�� 80�.0� �.00 o.00 8��.�� 'Insert date which is 21 days after date af last election (A.R.S. §16-913). "This will depend on the year next election is held. The 'due between" year will be the year of an eledion and the date fallowing 'December 31" will be the immediately prior year. DETAILED SUMMARY PAGE OF RECEIPTS AND DISBURSEMENTS �. comm;nee Narne: Dennis Brown for Town Cauncil 3. Report covering period irom � �/O%IZOi ') rnru 11/28/2011 RECEIPTS 4. ConUibutions uther tnan loans and En-kind: (a) Individuals - rtscre than E25 (Total hom Schedule A) (b) Individuaks - aggregate S25 w lesa (Total hom Schedule A-1) (C) Politipl ComtrulEees (Tatal hom Schedule 8) (d) Subtotal CantriOutions (8dd 4(a), 4(b), Snd 4(t)] (e) Ref�rtd o( ccrttriCutions (Total hom Schedule F-2) (� Total ConlriDu6ans Other than Loans and In-kirtd (subtraG 4(e) Bam 4(d)) 5. (a) Loans made or guaranteed by candidate (Total hom ScAedule C) (b) All other loans (Tobl hom Schedule Gt) (c) Total Loana (add 5(a) and 5(b)J 8. Imk�rtd oontriGirtio�s (Total from Schedule � 7. Dividends, interest, artd other (onr�a o1 receipts (Total from Schedule F-1) 8. Total Receipb [add 4(�, 5(Cj. 8, and 7j QUALIFYINO CONTRIBUTION RECEIPTS Qualitying Contritrutiona of S5 fram Indivtduals {Totel from Schedule AZ). DISBURSEMENTS Page 2 z. ioa PC2011-07 C�)LUMN A THIS PERIOD 0.�0 0.a0 �.�0 0.�0 0.40 �.�� 0.00 800.00 �.�0 800.Q0 0.�0 0.00 :11 11 1 11 COLZIMN 8 CAMPAIGN TO DATE 0.�� �.�� �.�� �.�0 0.�0 �.�0 D.dO 800.00 0.4� 800.00 0.�0 0.a0 800.00 1 11 9. Expenditures for operaUng expenses (Total irom Schedule D) O.Q� 0.�0 10. Irtdependent Expenditures (Total from Schedule 0.1) O.QO 0.00 t t. vaiue or �n-�und exaendrtures (rata� rrom scnedute � 0.00 0.00 12. Loans made Dy reporting committee (Total hom ScheGule D-2) 0.00 0.00 13. (a) Repayment of loans made or guaranteed by cars�ida�e (Tatal f�¢m Schedufe O-4) 0.00 0.00 (b) Repayment af ail alher loans (Tatal hom Schedule 0.5) �.�0 0.�0 (c) Total Loan Repayrtsents (add 13(a) and 13(b)] �.�� �.�� 14. Transfers to other polit[cal oommittees (fotal trom Schedule D-6) 0.00 0.00 15. My other disDurseme�t (Tatal from Schedule D-7) 0.00 0.00 16. SuGi6tal disburserttents (add lines 9, �o. ��. �s. �s�c>, �a. ar� �s� 0.00 0.00 t 7. Rebates. rehinds artd � atfsets to aperatlng expenses (Total tram Schedule D-3) 0.00 0.00 18. ToffiI diSDursements (subtrett line 17 hom line 18] �.0� �.�0 19. Total Outstandi� DeDb owed by RepoAing Cartdidate or Political Cortunittee (SChedule F-3) 8��.�� 80�.�� 20. I certify, under penalty of per�ury, thal I heve examined the contents of this carttpaign ff�ance repoA and to the best cf my knowledge and beElet R is bue artd oamplete. Phillip Blackerby T a e Trea 12/08/2011 Signature of T surer ar Candidate w Nng Irtdnridual Date CONTRIBUTIONS more than $25 - from INDIVIDUALS* ,. commm� Neme Dennis Brown for Town Council 3. RepoA oavering period from 11/0T/2011 4 CONTRIBUTIONS NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR 4a IAST FIRST MI N!A STREETADORESS N/A CtTY STATE 21P N/A OCCUPAT�ON I �MA 1IER N/A NI b, LAST FIRST MI STREET ADQRESS CITY STATE ZIP OCCUPATION I EMPLQYER c. lAST fiRST ktl STREET AODRESS CITY STATE ZIP QCCUPATiON I EMPLOYER d IAST FfRST MI STREET ADDRESS CIN STATE ZEP OCCUPATION I EMPLOYER e- LAST FIRST MI STREETAOORESS CITY STATE ZIP �ti 11/28/2011 DATE RECEIVED N/A OCCUPATION I EMPLOYER 5. IENTER TOTAL ONLV IF LAST PAGE OF SCHEOVLE A(l/lest page ol Sdredufe A, trar+slertofa! to Defailed Summery Pege li� 4(z), Column AJ •tt contr�butiorts of S25 a less ere tisted wdh oonVibutars rmma. uddress, occuDation artd empbyer an Sdmdula A do rrot vice�de m�n on sa,e� a-�. �is� as C�an e�a, a+��ra+s �+��+s sevar�e�r an sa�ea�� n-2. SCHEDULE A 2. ID # PC2011-07 AMOUNT RECEIVEO n�is PERIOD N/A CllMULATIVE TOTAL THIS CAMPAIGN TO DATE N/A I 0.a� �.�� Page�of 19 CONTRIBUTIONS of $25 or less - AGGREGATE TOTAL* �. comm�ae� Na� Dennis Brown for Town Council 3. Report coverirsg period trom � 1/07/2011 a. Aggregate Total of Contributions of $25 or less DESCRIPTION N/A AMOUNT RECEIVED THIS PERI00 N/A th�u 11/28/2011 SCHEDULE A-1 2. io # PC2011-07 CUMULATiVE TOTAL THIS CAMPAIGN TO OATE N/A 5. TOTAL TFlIS PERIOD [Trenster total to Detailed Summary Page, Lirte 4(b), O.00 6. CUMMULATIVE TOTAL THIS Calumn A) CAMPAIGM TO DATE O.00 (Transter tctel to Detaited Summary Pnge, LEne 4(b), Calurrtn Bj •ff conVibuGons of $25 or less are listed with cc�tributor's name and addtess on Schedule A, do not indude them on this schedule. List S5 Clean Eledion qualitying contributions separately on Schedule A-2. , CONTRIBUTIONS FROM POLITICAL COMMITTEES SCHEDULE B �. comm�ee Na�eDennis Brown for Town Council 3. Repart covering period nam 11/07/2U11 4 aa � N/A N/A RECENED b. 10 # DATE RECEIVED C. ID # DATE RECEIVED d. ID # DATE RECEfVED e. ID # OATE RECEIVEO f. ID # DATE RECEIVED g. ID # DATE RECEIVEQ h. ID # DATE RECEIVED i. ID tf DATE RECEIVED CONTRIBUTIONS IDENTITY OF CONTRIBUTOR AND DATE RECEfVED NAME, ADDRESS, CITY, STATE AND ZIP N/A NAME, ADDRESS, CITY, STATE AND ZIP NAME, AODRESS, CITY, STATE ANO ZIP NAMiE, ADDRESS, CITY, STATE ANU 21P NAME, ADDRESS, CITY, STATE AND ZIP NAME, ADORESS. CITY, STATE ANO ZIP NAME, ADDRESS, CITY, STATE ANU ZIP NAME, ADDRESS, CITY, STATE AND ZIP NAME, ADDRESS, CITY, STATE AND ZIP z. i° # PC2011-07 �,�, 11/28/2011 AMOUNT F2ECEIVED THIS PERIOD Nl�i 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE B jlllast page of Schedule 8, transfertotal M O.O� Detailed Summary Page, Line 4(c). Colamn AJ CUMULATIVE TOTAL THIS CAMPAIGN TO DATE N/A 0 1 11 ScRedule B Page r ot,� CANDIDATE LOANS �. committee Nar►►e Dennis Brown for Town Cauncil 3. RepoR oovering period fram 11/(17/�f111 4� LOANS MADE OR GUARANTEED BY CANDIDATE NAME ANO ADDRESS FROM WHOM RECEIVED 4a. fVAME. ADDRESS. Clll', STATE, AND IIP Dennis Brown 9624 E. Monterrey, Ste. E, Fountain Hills, AZ 85268 oescaiPriaN Loan b. NAME, ADDRESS, CITY, STATE, AND ZIP DESCRIPTION C. NAME. ADORESS. CITY, STATE, AND ZIP DESCRIPTION d. NAME, AODRESS, CITY, STATE, AND ZIP DESCRIPTION e. NAME, ADDRESS, CITY, STATE, ANO 21P DESCRIPTION t. NAME. ADDRESS, CITY, STATE, AND ZIP DESCRIPTION 5. ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDIDATE ONLY IF LAST PAGE OF SCHEDULE C 800.00 (If last page of Schedule C, transfer total to Detatled Summary Page, Lirse 5(a), Column A] 8�0.�0 thn, 11/28/2011 SCHEDULE C 2. i�# pC2011-07 DATE AMOUNT CUMULATYVE RECENED RECEIVED TOTAL THIS CAMPAIGN TO DATE 11/14/2011 800.00 800.00 Schedule C Page 6 oi � 9 OTHER LOANS 1. Committee Name Dennis Brown for Town Council 3. RepoR oovering period ham � 1 /1 41201 1 �N 11/28/2011 4 ALL OTHER LOANS NAME AND ADDRESS OF EACH INDIVIDUAL (OR MAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR OF LOAN. 4a NAME OF PERSQN OR COMMITfEE MAK[NG LOAN. ADORESS, CITV, STATE, LP. AND IQlI N/A NAAtE OF ENDORSER OR GUARANTOR � LQAN, ADORESS, CITY, STATE, ZIP, AND 100 N/A ,q�c�iPno►� IV/A ap NNkE OF PERSON OR COhiMtTTEE MAKIHG LOAN. ADORESS. CITY. STATE, IIP, AND IQi NfW E OF ENDORSER OR GUARANTOR OF LOAN. ADDRESS, GTY. STATE, LP. AND IDC OESCRIPfiON 4C �E OF PERSON OR COMMITTEE MAKING LQAN, ADORESS. CITY, STATE. LP, AND lQ0 NAME Of ENOORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND IQA DESCRIPi1QN qd NAME OF PERSON OR CddM�TTEE ANWNG WAN, ADORESS, CRY, STATE, IIP. AND IQD NAAIE OF F1t00RSER OR GUARANTOR Of LQAN, ABORESS, CITY, STATE, �P, AND iQ0 OESCRIPTiON DATE IOAN RECEIVED I \ ►[_, SCHEDULE C1 � 2. io# PC2011-07 � CUMULATIVE AMOUNT TOTAL THIS OF LOAN CAMPAIGN TO OATE N/A N/A $, IENTER TOTAL ONLY fF LAST PAGE OF SCHEDULE C-1 jtf last pttge af Sd� G1, Lansfer tatal to Detailed Swnmary I O.00 I O.OU Pego, Line 5(0�, Calumn A� Page7 of 19 EXPENDITURES FOR OPERATING EXPENSES* �. ccr�m�nee Name Q�nnis Brown far Town Council 3. RepaA coverinp period from u(Q7/�f111 4 EXPENDITURES NAME AND ADDRESS TO WHOM EXPENDtTURE (DISBURSEMEN� WAS MADE 4a. NAME. ADDRESS. CITY, STATE AND ZIP N/A N/A IpTIdN OF fTEMS OR SERVICES PURCHASED b. NAME, AdORESS, CtTY, STATE AI�iD Z[P DESCRIPTION OF ITEMS OR SERVICES PURCHASED n NAME. ADDRESS. CITY, STATE AND ZIP DESCRIPTION OF ITEMS OR SERVICES PURCHASED d- NAME. ADDRESS, CITY. STATE AND ZIP DESCRIPTiON OF ITEMS OR SERVICES PURCHASED e NM/E, ADQRESS, CfTY, STATE AND Z1P DESCRIPTION OF ITEMS OR SERVICES PURCHASED f. NAME. A�DRESS, CI7Y, STATE AND ZIP DESCRIPTiON OF ITEMS OR 3ER1/iCES PIiRCMASED �,�,11/28/201 'I 5 I ENTER TOTAL OkLY If LAST PAGE OF SCHEDULE O pllast psge al SdceduEe D, trartster fada! to Oetm! Summery Page Line 9, CoPumn AJ •E�enditures. other than a cnntrad, pramise or agreement to m�ake an expenditure resultirtg in «edit SCHEDULE D z. io � PC2011-07 OATE AMOUNT El(PENDITURE OF THE MADE EXPENOITURE N/A N/A �.�0 Pase 8 or 19 INDEPENDENT EXPENDITURES" 1. Committee Name Dennis Brown for Town Council 3. Report coverirtg period trom � 1107/2011 �ti 11/28/2011 a INDEPENDENT EXPENDITURES IDENTIFY RECIPIENT OF EXPENDITURE AND CANDIOATE WHO IS BENEFITTED OR OPPOSED 4a NAA1E. ADORESS. CfTY, STATE AND ZIP N/A PURPOSE AND QESCRIPTION OF PURCHASE BenefMed � Opposed � CANDIDATE OFFICE S011GHT YEAR OF ELECTION N/A 4D. NAME, ADDRESS, CIN, STATE AND ZIP PURPOSE AND DESCRfPTION OF PURCHASE Bertafdtad � Oppo�e0 � CAPiDIDATE OFFlCE SOUGHT YEAR OF ELECTION 4c. NAbtE, ADDRESS, CITIf. STATE At�O ZEP PURPOSE AND DESCRIPTION OF PURCHASE Benef�tad � Opposed � CANDIDATE OFfICE SOUGHT YEAR OF ELECTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE O-/ fNlest page o1 Schedule flJ, bansferloteJ fo Deteiled SummBry Page Li�g f0, Column AJ O.00 •seeaR.s. § �s-soi�ia�. I certify, under pentiy of perjury, that the above statetl independent expenditure(s) was not made in caoperatian, consuttalion or concert with or at the request r suggesUan of any candidate or any pmpaign cammittee o� agent of that candidate. Signature af'I�udasurer NAMES, OCCUPATIONS AND EMPIOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WfTHIN THE LAST SIX MONTHS N/A SCHEDULE D-1 2. ID R PC2011-07 DATE AMOUNT EXPENDITURE OF THE MADE EXPENDITURE N/A N/A AMWNT ll' I[�7 Sched�le D-1 Page9 af 19 LOANS MADE BY REPORTING COMMITTEE 1. Committee Name Dennis Brown for Town Council 3. Report covedng period trom 11/07/2011 thru 11/28/2011 4 LOANS MADE BY THE REPORTING COINMITTEE NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENn WAS MADE 4a. NAkiE, ADDRESS, CfTY, STATE, ZIP, AND ID# N!A b. NAME, AaDRESS, CfiY, STATE, ZIP, ANO ID# a � NAME, ADDRESS. CITY, STATE. ZIP. AND IDA d. � MAME, ADDRESS, CITY, STATE, 2[P, ANO [D# e. NAME, ADDRESS, CIT/, STATE, Z�P, AND [Dli f. � NAME, AO�RESS, CI7Y, STATE, ZIP, AHD Ipl/ g. NAAAE, AdDRESS, CfTY, STATE, ZIP. ANU ID# h. NAME, ADDRESS, CITY, STATE, 21P, AND t�Ji i. NAME, ADDRESS, CI7Y, STATE. ZIP, AND [D# 5. I ENTER TOTAL ONLY IF LAST PAGE OF SCHE�ULE D-2 (Trans/e� total to Detai! Summery Pege Lirre 12, CWumn AJ SCHEDULE D-2 2. ID # PC2011-07 DATE 14MOUNT LOAN MADE OF THE LOAN NIA N/A / � � P�e �o m 19 OFFSETS TO OPERATING EXPENSES * �. Cammittee Name Oennis Brown for Tawn Council s. rtePort oovenn9 period trcm 11/07/2011 �ti 11/28/2011 REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES NAME ANO AODRESS FROM WHOM REFUND OR REBATE WAS RECEIVED 4a NAME. AODRESS. CITY. STATE, AND ZIP N/A OE�C�AIPTtON OF REFUND N/n b. NAME, ADDRESS, CITY, STATE, Mf0 ZIP DESCRIPT�ON OF REPUND c NAME, ADORESS, CtTY, STATE, AND ZIP OESCRIPTION OF REFUND d. NAME, ADDRESS, CIN, STATE, AND ZIP DESCRIPTION OF REFUND a. NAME, ADDRESS. CfiY, STATE, AND Z1P DESCRIPTION OF REFUND t. NAME, ADDRESS, CfTY, STATE, AND 21P DESCRIPTION OF REFUND 5, ENTER TOTAL pNLY IF LAST PAGE OF SCFIEDULE OJ (i!lesf pege of Sd�eCu�e 0.3, Uaruler Mtel fo Defmled SumrtfBry Pe�e Urre !7 Cdumn � ' InGudes retum af oontributions made by reporting committee SCHEDULE D-3 z. io a PC2011-07 DATE AMOUNT REFUN� OF THE RECEIVEO REFUND N/A N/A 1 1 1, Sehedub D� PoQo� � ar 19 REPAYMENT OF CANDIDATE LOANS ,. cammm� Na� Dennis Brown for Town Council 3. RepoA cavering period from 11/0712f111 thni 11/9A'J?n11 REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE NAME AND AOaRESS TO WHOM REPAYMENT (DISBURSEMEN� WAS MAOE 4a NAME, ADDRESS, CfTY. STATE. AND Z1P N/A b. NAME, ADORE6S, CtTY, STATE, AND ZIP c NAkIE. ADDRESS, CfTY, STATE, AN� ZIP d NAME, AOORESS, CITY. STATE, M[D ZlP a NAA1E, AQQRESS, CfTY, STA7E, AND ZIP f. NAME, AODRESS, CITY, STATE, MID 2[P SCHEDULE D-4 2. io � PC2011-07 DATE AMOUNT REPAYMENT OFTHE MADE REPAYMENT N/A N/A 5, ENTER TOTAL ONLY IF IAST PAGE OF SCFiEDULE D� [Transter total to Detail Summary Paga. Lina 13(ej, Copann A] O.00 Schgdule Dr3 Poge�ar 19 REPAYMENT OF ALL OTHER LOANS SCHEDULE D-5 Dennis Brown for Town Council 2� 1D# PC2011-07 1. Committee Name 3. Report co�ng penod trom11/07/2011 mru 11/28/2011 4 REPAYMENT OF ALL OTHER LOANS DATE ANIOUNT REPAYMENT OF THE MADE REPAYMENT NAME AND ADORESS OF INDMOUAL (OR NAME, ID�! AND AODRESS OF THE POLITICAL COMMITTE� TO WHOM REPAYMENT (DISBURSEMEN� WAS MADE 40- NAME. ADDRESS, CITY, STATE, Z[P AND ID�1 N/A N/A N/A b. NAA1E, AODRESS, CITY, STATE, Z[P AND IOM � NAME. AQORESS. CRY. STATE. ZIP AND lD0 d. NAME, ADDRESS, CITY, STATE. ZIP ANU IDt1 e NAAIE, ADORESS, CITY, STATE. LP AND i00 f. NAME, ADDRESS, CITY, STATE, ZIP AND IDf1 5 I ENTER TOTAL ONLY IF LAST PAGE Of SCHEDULE DS [Trmtsfer taeal ro Oeta�ad Summary Page, Line 13(b�, Cotwnn A] I O.00 1 P�13 � 19 TRANSFERS TO OTHER POLITICAL COMMITTEES SCHEDULE D-6 z. io tt pC2011-07 ,. ca�m;tt� Name Dennis B�own for Tow� Council s. Report cavering period eam 11/07/2011 �N 11/28/2011 4 TRANSFERS MADE BY THE REPORTING COMMIITEE NAME AND ADORESS OF INOIVIOUAL (OR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTE� TO WHOM REPAYMENT (DISBURSEMEN� WAS MAOE 4a. NAME, ADDRESS, CITV, STATE, 2lP AND IDM N/A b- NAME, ADDRESS, CITY, STATE, 21P AND IQO c. NAME, ADDRESS, CITY. STATE, 21P Mf0 [DY d- NAME, AODRESS, CITY, STATE, Z[P ANO IDt! e. NAME. ADDRESS, CITY. STATE, ZIP AND IDit f. NAME, ADDRESS. CfTY, STATE, ZIP ANO 100 C)ATE TRANSFER AMOUNT OF THE MADE TRANSFER N/A N/A 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE DB (Trans(er total W Detailed Summary Page, Line 14, Cohrmn AJ � O.00 P� 14 a 19 ANY OTHER DISBURSEMENT ,�,,,�� �e Dennis Brown for Town Council 3. RepCR Coverirtp period irom � �/07�20� � ANY OTHER DISBUR3EMENTS NAME, ADORESS AND IDt! OF COMMITTEE TO WMOM DISBURSEMENT WAS MADE; OESCRIPT'ION a- NAME. ADDRESS, CIIY. STATE. ZIP AND IDl1 N/A DESCRIPTION NIA b. NAbSE, ADDRESS, CITY, STATE, ZIP AND �0# OESCRIPTION c NAME. ADDRESS. CfTY, STATE, Z[P ANO IQA DESCRIPTION d, NAME, ADDRESS. CITY, STATE, ZIP AND [D# QESCRIPTION e NAME. AOORESS. C1TY, STATE, Z[P AND lQ0 DESCRIPTION 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 (Trena/er total to Detailed Summery Page Urte 15 Column AJ � O.00 SCHEDULE D-7 � 2� 1D ° PC2011-07 �,�, 11/28/2011 QATE AMOUNT DISBURSEMENT OF THE MADE D136URSEMENT N/A N/A 0 P� 15 � 19 IN-KIND CONTRIBUTIONS and EXPENDITURES ,. c�,,;n� N�,e Dennis Brown for Town Council 11/07/2011 11/28/2091 3. Repart covering period from lhru a IN-KIND CONTRIBUT{ONS and EXPENDfTURES NAME ANO ADDRESS QF INDIVIDUAL {OR NAME, AODRESS AND ID# OF THE POLITICAL COMMIITEE) FROM WHOM RECEIVED OR TO WHOM GIVEN 4a. NAME. ADDRESS, CfTY, STATE, Z[P ANO IDfI N/A ���� ��� � DESCRIPTION N/A N/A ATION b. NAME, AOORESS, CITY. STATE, Z[P AND IDII DESCR[PTION OCCUPATtON c WNiE. AODRESS, CITY. STATE, ZIP AND IDO DESCRIPTEON OCCUPATION d- NAME. ADDRESS. CIlY, STATE, LP AND IDO IEMPLOYER WA coNta[sur� exaEKamr� � � EMPLOYER ��o �� � IEMPLOYER CArm+feirtmH❑ �a DESCRIPTION OCCUPATION I EMPLOYER 5. ENTER TOTAL IN•K1ND CONTRIBUTtONS ONLY lF LAST PAGE OF SCHEDULE E(1/lastpaga ol Schedule E, freos/ertotalto LtetailedSummeryAage O.00 Line 8, CWumn AJ 6. ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEOUIE E pl(ast page of Schedule E, lrensfe� totel to Dute�Aed Summary Pege O.00 ilne f f. Carumn AJ P�1�°t � SCHEDULE E 2. iou PC2011-07 � DATE FAIR MARKET VALUE N/A N/A DIVIDENDS, INTEREST, AND OTHER RECEIPTS �. comm�cc� Nar�e Dennis Brown for Town Council s. RePort caverirtg period tram 11/07/2011 �ti 11/28/2011 4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS NAME AND ADDRESS FROM INDIVIDUAL (OR NAME, ADDRESS AND 10# OF THE POLITICAL COMMITTEE) FROM WHOM RECEIPT WAS RECENED 4a. NAME. ADDRESS, CITY, STATE, ZIP AND lD# N/A OESCR[PTION OF RECEIPT N/A b. NAME, ADDRESS, CITY, STATE, ZIP AN� ID# DESCRIPTION OF RECEIPT c. NAME, ADDRESS, CffY, STA7E, ZIP AI�D IbA DESCR[PTION OF RECEIPT d. NAFAE, ADDRESS. GIY, STATE, 21P AND IDp DESCRIPTION OF RECEIPT a. NAME, ADDRESS, CfTY, STATE, Z1P ANO ID# DESCRIPTION pF RECEIPT f. NAME, ADDRESS, CITY, STATE, ZIP AN� 10t1 DESCRIPTION Of RECEIPT 5. ENTER TOTAL ONLY IF LAS7 PAGE OF SCHEOULE F-1 /f/last pege ol Sdredute F!, har�sfertotal ro Detaifed Svmmary Page l.irre 7 Cofumn A SCHEDULE F-1 2. �°# PC2011-07 DATE AMOUNT AMOUNT OFTHE RECEIVED RECEIPT N/A NIA � � � P�17 a 19 OFFSETS TO CONTRIBUTIONS RECEIVED * SCHEDULE F-2 2' 1D # PC2011 07 �. comm�nee Na�eDennis Brown far Town Council - 3. Report co�ering period fram 11/07/2011 tnru 11/28/201 � 4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED NAME ANO AODRESS OF INDiVIDUAI(OR NAME, ADORESS AND ID# OF THE POLITICAL COMMITTEE) TO WHOM REFUND WAS MADE a. NAME, ADDRESS, CITY, STATE, 21P AND 1D11 N/A DESCRIPTION OF REFUND N/A b. NAME. AODRESS, CRY, STATE. 21P AND IQit dE&CR[PTIdN OF REFUND c. NAME, ADDRESS, CITY. STATE, LP AHD IDAt �ESCR[PTION OF REFUND d. NAME. AO�RESS, CITY, STATE, ZIP AND IQl1 DESCRIPTION OF REFUND e. NMiE. AODRESS, CfTY. STATE, ZIP ANO IDO 4ESCRIPTION OF REFIiND t, NAAtE, ADDRESS, CfT1f. STATE, ZIP AND IQiI DESCRIPTION OF REFUND DATE AMOUNT REFUNO OF THE MADE REFUND N/A \ 1l�1 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-2 p/lasf page ol Sdredule F2, hsnsler fotel fo Detaifed Summary Pege, Lrre 4(E), Column AJ � O.00 • Includes re0um oi canUibutlans reoeEved by reporting oommittee Page � S ot 19 DEBTS AND OBLIGATIONS (Excluding Loans) , c�,;� N� Dennis Brown for Town Council 3. RepoA covering period from � �/07�20� � 4 DEBTS AND OBLIGATION3 OUTSTANDING BALANCE NAME AND ADDRESS OF INDMDUAL (OR NAME, BEGINNING ADORESS AND EDC OF THE POLITICAL THIS PERIOD COMMITTE� TO WHOM DEBT IS OWED a NAME. ADORESS, CITY, STATE, ZIP AND ID�T N/A N/A DESCRIPTION OF DEBT N/A b. NAME, ADDRESS, CITY, STATE, ZIP AND IDIf DESCRIPTION OF DEBT c NAME. ADORESS, CITY, STATE, ZIP AND IDiI DESCRIPTION OF DEBT d. NAME. ADORESS, CITY, STATE, Z1P AND IDtt DESCRIPTION OF DEBT e. NAME, ADDRESS, CITY, STATE, ZIP AND IOtf DESCRIPTION OF DEBT �,ti 11/2812011 SCHEDULE F-3 z. io a PC2011-07 AMOUNT INCURRED PF.YMENT THIS OUTSTANDING THIS PERIOD PERIOD ��CE AT CLOSE OF THIS PERtOD N/A N/A N/A 5. IENTER TOTAL OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD ONLY IF LAST PAGE OF SCHEDULE I O.00 F-3 (Transle� fataf to Detei/ Summery Page Line f 9, CoGrmn A)