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HomeMy WebLinkAboutPre-Primary Election ReportPOLITICAL COMMITTEE CITY/TOWN OF Fo��ta�n H�us CAMPAIGN FINANCE REPORT 2012 March/May Regular Election � 2. 4. Dennis Brown for Town Council f¢0 Nmne of Comndaee 8624 E MonteRey, Ste. E aoa�. Fountain Hills, AZ 85268, Maricopa, (480) 816-1244 GtY ZlP CoQo Cpouy Dennis Brown for Town Council SponwAnB Og�� w Canmdate mb � Dennis Brown, Town Counal Mome a canm�m mia oenro sou�� ta oaoticane� vatedennisbrown2012�yahoo.com (480) 837-5599 E�1 AOdre�ss Fm t REPORTING PERIOD �enu�w�.,me� DUE BETWEEN � January 31 Report - Fo► PeRod or • mti oe�ner s�. 2011 . . . . . . . . . . . . . . . . . . . . . January 1. 2012 and January 31, za�2 � Pre-Primary Election Repart - For Pe�oa or ranuary �, 2012 Ihru February 22, 2012 ............... FeGuary 23, 2012 and March 1, 2012 � Post-Primary Ele�ction RepaR - For Reriod ai February 23. 2012 thru A�uil 2. so�s . . . . . . . . . . . . . . . . . . . . n�i s, zo�z mru n�ii �s. so�2 � Pre-General Election Report - Fw Pe�oa arnp�i 3. �o�s mru ��i ss, zo�z . . . . . . . . . . . . . . . . . . . . . . . . . np�i ss. Z0121�tu May 3. zo�2 � Post-General Election Report - For Per�od or�r�i ss, za�2 mn, ��ne a. 2o�z . . . . . . . . . . . . . . . . . . . . . . . . ��Re s, 2072 and June 14, zo�z � "January 31 Report - Fw Permd or �w�e s. zo�z aw �ner 3�. 2013 . . . . . . . . . . . . . . . . . . . . . . . January 1. 2014 artd Jenuery 31. 20/4 5. SUMMARY 5a Surplus from Previous Campaign (ar at time Statement of Organizatian was filed far the new committee) 5b Cash an Hand at the Beginning of this Reporting Period 5c Total Receipts (from oonesponding columns an Detailed Summary Page, Line 8) 5d Subtotal [add Lines b and c for Column A and add lines a and c for Column BJ 6a Total Debts and Obligations Nom Previous Campaign Committee at Beginning of this Eledion Period (ar at time Statement of Organization was filed for the Rew cammittee) (Do not add o� subtraci this line fram the ather lines) 6b Total Disbursements (from oarresponding calumns an Detailed Summary Page, Line 18} Plrone FOR OFFICE USE ONLY �►. �at PC2011-07 Column A Total This Reportinq Period 0.�� 515.00 500.00 1,015.00 �.�0 1,007.18 ; Column B Election Period Total To Date 0.�� 0.00 1,300.00 1,300.00 �.�� 1,292.18 7. Cash an Hand at Close of Reporting Period [Subtrad 7.82 7.82 Line 6b from Lirse 5d1 'Insert date which is 21 days after date of last eledian (A.R.S. §16-913). � "Other reports will be due before this repoAing period if a sp�cial ar recall eledion is held prior to the next general eledion. DETAILED SUMMARY PAGE OF RECEIPTS ANO DISBURSEMENTS �. comm�nee Harrte: Dennis Brown for Town Council 3. Repwtooverirtgperiodhom O'I/O�IZO'I? rnru 02/22/2012 RECEIPTS 4. Cantributio�s ather than loons ertd in-kind: (o) lrtdivufuala - more U�an E25 (Tatal from Schedule A) (b) Individuals - aggregate E25 or less (Total hom Schedule A-1) (c) Pclitiql Commiltees (TWaI hom Schedule B) (d) Subt�l Caitributons (udd 4{aj. 4(D), arsd 4(c)J (e) Refund af contributions (Total from Schedule F-2) (n Total Contributions OMe� than Losns artd In-kind [subtrad 4(e) hom 4(d11 5. (o) Loans made or guaronteed by candidate (Tofal from Sched�le C) (b) All atlterloans (Total fram Sdtedula G1) (c) Tomt Loana [atld 5(a) artd 5(b)J 6. tn-kirtd conbibu6ons (Tatal fiom Schedule E) 7. Qividertda, interes� artd other (orms ot receipffi (Totaf ftom Schedule F-1) 8. Tot81 Receipts [add 4(Q. 5(t1. 8. and 7J 4UAL[FYIKG CQNTRIBUTION RECEtPT9 Page 2 z. ioo PC2011-07 COLUMN A COLUMN 8 TFI�S PERtOD CAMPAIGN TO OATE Q.�O 0.0� �.�� �.�� �.�� �.QD 0.�0 soo.00 o.00 500.00 0.0� �.�0 500.00 Q.�O 0.�� �.�� 0.0� �.0� �.�� 0.�� 1,300.00 o.00 � ,3ao.00 O.Qd 0.�� 1,300.00 �uolirying Contrikutions ot S5 from Individuals (Totel from Schedule A2). 0.00 �.OQ DISBURSEMENTS 9. Expet�diturea ia opem6n8 e�enses (Totel hnm Schedule D) 285.00 � 1,292.18 10. Indapettdent Expertd�lurea (To1a1 from Schednle D-1) 0.00 I 0.00 11. Value of In-kind expertCitures (ToffiI irom ScAedule Ej �.a� �.QD 12. Loans made by reportirtg commitme (Total from Schedule D-2) �.�� Q.�O �a. �o� Repaymenc or �oana msoe o� g�,aranoeea by cana� Roa� r� sa�ea�e o-a� 0.00 � 0.00 (b) Repayment of a[I other loans (Total (rom Sch�ule 0.5) 0.00 � 0.00 (c) Total toan Repaymente [adtl 13(a) and 13{b)j 0.0� �. QD 14. Transfera tc oC�er poli0cul committeea (Total from ScReQule O-8) 0.00 0.00 15. My atl�er disbursement (Total (rom Sched�le 0.7) 0.00 � 0.00 �s. suooas� er.,o�rsemenm �Qaa i�nes s. �o. i i. �z. ��c). �a. a�a �sl 1,007.18 � 1,292.18 17. Rebates, refunds and otltier oflsets to operating expenses (Totel hom Schedule D-3) �.�� � �.0� 18, 7otal dfstrursements [suCtrttct lirts 17 from I'rne 18J 1,007.18 � 1,292.18 19. Total Outsffinding Debta owed by Reportirtg Candidate ar Ralitical Commiltee (Schedule F-3) r3Q�.00 � 1,3�0.�0 Z0. I certAy, unCer penalty af perjury, that I have e�mirtsd tha eeMeota of this eampnign f�narxe mport nnd Do the bast ef my knv�Aedge and 6elief N in true and complate Phillip Blackerby T�l ri���� 0 � � 03/01/2012 Signatum of Treawror w Cs�dda6o or o tlng Irtdivquol Dam CONTRIBUTIONS more than $25 - from INDIVIDUALS* ,. comm;m� Neme Dennis Brown for Town Cauncil 3. Repart oovertnp period trom 01101/2012 �N 02/22/2012 4 CONTRIBUTIONS DATE � RECEIVED NAME, AOORESS. OCCUPATION ANO EMPLOYER OR CONTRIBUTOR 4a IAST FIRST AAI N/A N/A STREET ADDRESS N/A GTY STATE DP N/A OCCtlPATtON I �ju�PLOYER N/A n��A b- LAST FIRST MI STREET ADORESS GTY STATE Zt? OCCLtPATiON � EAAPLOYER c LAST FIRST M� STREETADORESS CITY STATE LP OCCUPATION I EAIPLOYER a. LAST FIRST Atl STREETAOORESS CITY 5TATE ZIP OCCIlPATION I EAAPLOYER e- U�ST FIRST Adl STREETADDRESS CITV STATE DP OCGU?ATION I EAIPLOYER S. IENTER TOTAL OHLY IF LAST PAQE OF SCHEDULE A(i/lest pege o/ Sehedule A, hanste� rota! fo QetaifeQ Summary PeQe Urte 4(t), Cofumn AJ •tl can�ns d f25 a lesa mo �WO wW� �s nsu�co. adQ�esa. ocaepaCon an0 amproyer m SCieC+Ao A. Co not h�duQo Cem an Sd�eEido A-t. Ltaf SS Clam� ElncLon qua4t�rtrg cas�LtG�oro sepurstey m SCiomdo A•2- SCHEDULE A 2. ID It PC2011-07 AMOUNT RECEIVEO THIS PERI00 N/A cuMuv+nve TOTAL THIS CAMPAIGN TO DATE N/A I 0.00 �.4� Page�of 19 CONTRIBUTIONS of $25 or less - AGGREGATE TOTAL* �. com�n� Neme Dennis Brown for Town Council 3. Report covering period f�om 01/01/2012 a. Aggregate Total of Contributions of $25 or less DESCRIPTION N/A AMdUNT RECENED THIS PERIOD N/A thru 02/22/2012 SCHEDULE A-1 2. io � PC2011-07 cuenuwnve TOTAL TFIS CAMPAIGN TO DATE N/A 5. TOTAL THIS RERI00 jfranafm latm W Dst�ed Surttmary Pege, Lirte 4(D). O.00 B. CUIdMUTATIVE TOTAL THIS CWumn A) CAAIPAIGN TO OATE O.00 (Trenafer tovl to Dolailed Summary Page. Ltrre 4(b►. Cotumn B� 'If conUibutions ot S25 or tess are Gsted with contributor's name artd address on Sc�►edule A, do not indudc them on this schedule. List S5 Clean Elec6on quati(�rirtg oontributio� separately an Scfiedule A-2. CONTRIBUTIONS FROM POLITICAL COMMITTEES SCHEDULE B �. c�m�m� NameDennis Brown for Town Council 3. Repart covering period trom 01/01/2012 4 40 ' N/A DATE RECEIVED N/A .b. IDO DATE RECEIVED c. ID R DATE RECEIVED d. ID 0 DATE RECEIVEO e. ID p OATE RECEIVED (. ID 0 DATE RECENED g. ID 0 DATE RECEIVED h. IO R DATE RECEIVED i. ID 0 OATE RECENED CONTRIBUTIONS IDENTITY OF CONTRIBUTOR AND DATE RECEIVEO NAME, AODRESS. CITY. STATE AND ZIP N/A NAME. ADORESS. CITY. STATE ANO ZIP NAME. ADDRESS, CITY, STATE AND ZIP NAME. ADORESS, CITY. STATE AND LP NAME. ADDRESS, CITY. STATE AND ZIP NAAdE. ADORESS, CITY, STATE AND ZIP NAME, ADDRESS, CITY, STATE AND ZIP NAME, ADDRESS. CITY, STATE AND ZIP NAME. ADDRESS. CITY, STATE AND LP 2� 1D � PC2011-07 thru 02/22/2012 f,MOUNT RECEIVED rf+is PERIOD N/A 5. ENTER 70TAL ONLY IF LAST PAGE OF SCHEDULE B [f/lasf page ol Schedufe 8, hansferrola! fo O.O�i Qetaifed Svmmary Page. Llne 4(c), Column AJ CUMULATIVE TOTAL THIS CAMPAIGN TO DATE N/A 1 11 Sd�ed�de B Page�_W�_ CANDIDATE LOANS �. commmee Name Dennis Brown for Town Council 3. Report covering penod irom �p1 � thru 02/22/2012 4� LOANS MADE OR GUARANTEED BY CANDIDATE NAME AND ADDRESS FROM WFiOM RECEfVED 4a. NAME, ADDRESS. CITY. STATE. AND ZIP Dennis Brown 9624 E. Monterrey, Ste. E, Fountain Hills, AZ 85268 DESCRIPT{ON Loan b. NAlNE, ADORESS, CITY, STATE. AND 21P DESCRIPT{ON c. NAfdE. AOORESS. CITY, STATE, AND ZIP DESCRIPTION d. NAME, ADDRESS. CITY, STATE, AND 21P DESCRIPTION e. NAME, ADDRESS. CITY. STATE. AND ZIP DESCRIPTIQN (. NAME. ADDRESS. CITY. STATE. AND ZIP OESCRIPTION SCHEDULE C z. io � pC2011-07 DATE RECEIVED AMOUNT RECEIVED CUMULATIVE TOTAL THIS CAMPAIGN TO DATE 1,300.00 02/06/2012 500.00 S. ENTER T�TAL OF LQANS MAOE OR GUARANTEED BY CANDIDATE ONLY IF LAST PAGE OF SCHEDULE C t�r ie8t �Qe �r s�nea�ta c, Uansler fotsl to Oetailed 5ummary Page, Line 5(a), Column A) 500.00 1,300.00 sa,eaWe c Page 6 or 19 OTHER LOANS Dennis Brown for Town Council 1. Cammittee Name 3. RepoA oovedng period from 01 /01/2012 �ti �2/22/2� � 2 4 ALL OTHER LOANS NAME AND AODRESS OF EACH INDIVIDUAL (OR NAME, �0lI AND AQORESS OF THE POLITICAL COkIMITTEE) OR LQAN. AND ANY ENDORSER OR GUARANTOR OF LOAN. qp NA4tE OF PERSON OR COMMfTTEE hLWIMs LOAN. AOONESS. CITY, STATE. IIP, A/tO 1pt N/A NAYE OF ENDORSER OR GUARANTOR OF LOAN. ADURESS. C1TV. STATE, DP. A/i� IQJ N/A Q�$CRIPTION I�l A 4b NAME OF PERS�I OR COMASfTTEE !lAlattG LOAN. ADORESS. GTY. STATE. ZIP. ANO IW NAAtE OF ENOORSER OR GUARAHTOR OF LOAN. AQORESS. GTY, STATE, Z1P, AlID 10� OESCRIPilCN q� NAME Of FERSON OR CAMAARTEE AAAIQN6 LOAN. AOORE68, CITY, STATE, LP. AND IDl NM[E Of ENDORSER OR GUARANTON OF LOAN. ADORESS, CITY, STATE, IIP, ANO IW QlSCRiPi10N qd NAYE Of PERSOH OR C6d1:tITTEE MAqHG LOAN. AODRESB, CITV, STATE, IIP, AND [D� NAISE OF EHOORSER OR GUARANTOR OF LOIW. ADORESS. CITV. STATE ZtP, AltD l0� DESCRIPtiON SCHEDULE C1 2. io' PC2011-07 CUMULATIVE DATE AMOUNT TOTAL THIS LOAN RECEIVED Of LOAN CAMPAIGN TO DATE N/A N/A N/A 5. IENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE G1 (tf losl page of SdmE�Ee G7, trrtmtet taml fn Dotuaa� Sununary I O.00 � O.00 Pcqo. luw Slul. CoLa�v� A� Poge% of 19 EXPENDITURES FOR OPERATING EXPENSES* SCHEDULE D 2. IDO �. comM�e Nar�e Dennis Brown far Tawn Counal PC2011-07 3. RepaA covering pertad hom Q 1/01/201 ? thru Dy�20 � 2 4 EXPENDITURES NAAdE AND ADDRESS TO WHOM EXPENDITURE (OISBUR3EMENn WAS 6fADE 3o NAME, ADORESS, pTY, STATE Al1D Z[P Magnets on the Cheap, 11525-A Stone Hollow Dr., Ste. 100 Austin, TX 78758 (paid to VISA on 01/30/2012) OESCRIPTiQN OF ITEMS OR SERVICES PURCHASED Magnetic campaign signs D NAME, ADORESS, qTY, STATE ANO DP Fountain Hills Times, 16508 E. Laser Drive, Suite 101 Fountain Hills, AZ 85268 QE&CRtPTtON OF ITEA7S OR SER1/ICES PURCHASED Newspaper advertising e. NAME, AOQRESS. CITV. STATE AND21P Postmaster Fountain Hills, AZ 85268 I�os�'age s�amps �E`rnc�s �rRc.►wseo C NAA7E. A�tESS, CITY, STATE M!D LP OESCRIPTION OF ITEAtS OR SERVICES PURCHASED e NAME. ADORESS, p7Y, STATE M!D LP DESCRIPTION OF ITEMS OR SERViCES PURCHASEO f NAb1E, ADORESS. GTY. STATE AND ZIP OESCRIPTION OF REMS OR SERVICES PURCHASEO 5 I ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D(p 10st psge W Sdradulo D, trsnalar t�af b DetAt! Summary Paga IJrse 0, Cdumn AJ 'F�er�4utes. other than o oo�trad. Ptomise at ugreert�ent to malce an e�ertdihire resuttinp in vedR DATE AMOUNT EXPENOITURE OF THE AAADE EXPENDITURE 1/10/2012 383.30 (VISA Charge date) 2/08/2012 531.88 2/22/2012 92.00 1,007.1 S ��$ � �9 INDEPENDENT EXPENDITURES" 1. Cammitoee Narrte Dennis Brown for Town Council s. Report caverirsg period (rom 01/01/2012 4 INOEPENDENT EXPENDITURES �n, 02/22/2012 IDENTIFY RECIPIENT OF EXPENDITURE AND CANDIDATE VYHO IS BENEFITTEO OR OPPOSED Ca NAME. AOORESS, dTY, STATE AN02[P N/A PURPOSE ANO DESCRIPiIQN OF PURCHASE &mtAYEoO � Opposea � CANDtDATE OFFiCE SOUGHT YEAR OF ELECTION N/A 4b. NAME, ADDRESS, GTY. STATE AND21P PURPOSE AND DESCRIPTION OF PURCHASE Ba�ftttad � OpposeC � CAMDIDATE OFFiCE S011GHT YEAR OF ELECTION 4c NAME. ADORESS. dTY. STATE AHD ZIP PURP08E AND DESCRIPTION OF PURCHASE BawIltted � Opposed � CAN�DATE OFFICE SOt1GHT VEAR OF ELECTION SCHEDULE D-1 s. io a I PC2011-07 DATE AMOUNT EXPENDITURE aF THE MADE EXPENaITURE N/A N/A 5 ENTER TOTAL ONLY IF LAST PAGE Of SCMEDUIE D-1 (plazt pepa ol SC�d+Ce D� 1, trFrnsl�r tnttd to Dete�Otl S�+mmary Pape Lrre f 0. Codrmn AJ O.00 •SEE A.R.S. § t8-901(14). I ceriify, under pently of pe�jury, that the above stated irsdependent expenditure(s) was nat made in cooperation, consuttatian ar cancert witt� or at tt►e request s gestion uf any car�idate or any campaEgn camrttittee or agent of fhat candidate. Signature of Treb9urer NAMES, OCCUPATIONS AND EMPLOYERS AND AMOtlNT CONTRIBUTED BY EACH Qf THE THREE TOP CONTRIBUTCRS NATHIN THE LAST AMOIJNT SiX MaNT)!S N/A N/A Schedula D-i Pttge9 af 19 LOANS MADE BY REPORTING COMMITTEE �. comm� Ne�e �ennis Brown for Town Council 3. Repert ooveRng period from O'I /Oi IZO12 thru 02/22I2012 4 LOANS MADE BY THE REPORTING COMMITTEE NAME, AQORESS AND ID# OF COMMITTEE TO V1MOM LOAN (OISBURSEMENn WAS MADE 4a NAAAE. ADDRESS, G7Y, STATE. 21P. AND ID7 N/A b � W1A1E. ADORESS, CITY, STATE. ZIP. AND tOC c NAME, ADDRESS, CITY, S7ATE. 21P, ANO IDp d- NAME. AQDRESS, GTY. STATE, ZIP. ANO IQtJ a NAA1E. ADORESS. CfTY. STATE, LP, AND IQ1J 1. NAME, ADDRESS. GTY, STATE, ZIP, AND IQp q NAME, ADORESS, CITY, STATE, ZIP, AND IDp h NAbAE, AODRESS, CITY, STATE. 21P. AND IOtl i, � NAfdE, AQDRESS. CITY. STATE, 21P, AND IOt1 5. � ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D�2 (7ronslbr total to Detail Summary Psge Une 12. Cofumn A/ SCHEDULE D-2 z. io u PC2011-07 DATE AMOUNT LOAN MADE OF THE LOAN N/A N/A I �.�� pe� 10 � 19 OFFSETS TO OPERATING EXPENSES • �. comm�aee Ne�ne Dennis Brown for Tawn Counal 3. RepoR ooverinp pertod (mm O'I /O'I IZOi Z wN 02122/2012 REBATES, REFUNOS AND OTHER OFFSETS TO OPERATING EXPENSES NAAdE ANO ADDRESS FROAd WHOM REFUND OR REBATE WAS RECEIVED 4a W1AAE, ADORESS, dTY. STATE. AN�ZIP N/A pE�C�RIPTtON OF REFUNO �/'1 b- NAME. AODRESS, CITY, STATE, ANO ZIP pESCRIPTEQN OF REFIiND c NAME. ADDRESS. GTY. STATE, AI<02tP DESCRIPTlON OF REFUNO d. NA1dE, AODRESS. GTY, STATE, AHD ZlP DESCRIPTION OF REFUND e- NAME. AO�tESS. CITY, STATE. AND LP DESCRIPTtON OF REFUND f NAME. ADDRESS, CITY. STATE. AND 21P DESCRIPTION OF REFUKO 5 ENTER TOTAL OHLY IF LAST PAGE OF SCFtEDIfLE W f11 bsf pBge o! SdceG�Re OJ. Uanslertotd ln Dotm1[id Su+rtmery Pa9e curo , 7 cotun,n AJ ' Indudes retum of ooniriDutions made by reportirtg committee SCHEDULE D-3 Z 1D $ PC2011-07 DATE AMOUNT REFUNO OFTHE RECEIVED REfUND N/A N/A � � � � sa,oa�a w P�11 � 19 REPAYMENT OF CANDIDATE LOANS SCHEDULE D-4 1. CommitEee Name Dennis B�own for Town Council 2� 1D ° PC2011-07 s. Report cavering period �rom 01/01/2012 thni,_Q7/?7/7f11? REPAYMENT OF LOANS MADE OR GUARANTEEO BY CANDIDATE oA7E AINOUNT REPAYMENT Of THE MADE REPAYA7ENT NAME ANU ADDRESS TO VYHOM REPAYMENT (OISBURSEMENn WAS MADE 4u NNNE, ADORESS, dTY, STATE. AND LP N/A NIA N/A b NAME, ADDRESS, CITY. STATE, ANDZIP c NAME, ADDRESS. pTY. STATE. AHD LP d. NAME, ADDRESS, CITY, STATE, ANO ZIP o NAME. ADOftESS. GTY. STATE, AND LP f NAME, ADORESS. CITY, STATE, AND ZIP 5 ENTER TOTAL ONLY IF LAST PAGE OF SCMEDUIE 0-4 (Tmnatar mal ro Dattd S�anmvp PaSe. Lme 19(0l. CoAurm AI O.00 sa� o, P�]�� 19 REPAYMENT OF ALL OTHER LOANS Dennis Brown for Town Council 1. Committee Name 3. Repart oovertng period (romO'I IO� /ZO� 2 �nti 02/22/2012 4 REPAYMENT OF ALL OTHER LOANS NAME AND ADDRESS OF INOfVIDUAL (OR NAME. IQIt AND ADDRESS OF THE ROUTICAL COMMfTTEE) TO WHOM REPAYMENT (OISBURSEMENn WAS MADE 4a. NAME, AOQRESS. GTY. STATE, ZIP AND lDll N/A b- NAAAE, ADDRESS. GTY. STATE. LP MtD [DO a NNdE, ADORESS, GTY, STATE. ZtP AND IDtt d. NAME, ADDRESS, CITY, STATE. 21P APlD IQp e. NAME, AQORESS. CITY. STATE. ZIP M!D IQO f. NAME. ADDRESS. GTY, STATE, DP AND tW 5 I ENTER TOTAL ONLY !F LAST PAGE Of SCHEDt1LE 0.S (Transfer tntal Oo Dotmt�d Summary Paga. Urro 1�(DJ, Cdurrtn A) SCHEDULE D-5 Z� 1D ° PC2011-07 DATE AMOUNT REPAYMENT QF THE MADE REPAYMENT N/A N/A � � � P�,13 �, 19 TRANSFERS TO OTHER POLITICAL COMMITTEES SCHEDULE D-6 z. �o s PC2011-07 1. Cammittee Name Dennis Brown for Town Council 3. RepoR oovering period from O'I IO'I IZO'I 2 �,�, 02/22/2012 4 TRANSFERS MADE BY THE REPORTING COMMITTEE NAME AND ADORESS OF INOMOUAL (OR NAME. IDS AND ADDRESS Of THE POUTICAL COMMITTEE) TO WHOM REPAYMENT (DISBURSEMENn WAS MADE 4a NAASE, AD�tESS. GTY, STATE, LP AND IQY N/A b, NAME, ADDRESS, CITY. STATE. 21P M!D IQAI e NAAAE. ApDRESS. GTY. STATE. LP AND 10.M d NAME, ADORESS, CITY, STATE, ZIP AND IOq o NAAAE, ADORESS. GTY. STATE, LP ANO 1pa f. NAME. ADDRESS, CITY, STATE, LP AND IQll DATE TRANSFER AMOUNT OF THE AAADE TRANSfER N/A N/A 5 ENTER TOTAL OKLY IF LAST PAGE OF SCHEOIiLE Q8 (Trmsafw mw1 tn DetmNd Sununmy Fago. Lcri 1A, Cdumn A� � O.00 po90 �4 � �9 ANY OTHER DISBURSEMENT , co�m� N� Dennis Brown for Town Council 3.RepaRoovertnpperiodhom 01/01/2��2 ANY OTHER DISBURSEMENTS NAME, ADQRESS AND 100 OF COAlMITTEE TO WHOM DISBURSEhOENT WAS bdADE; DESCRIPTION a NAME. ADOR£SS. GTY. STATE, LP MtD tOi N/A oEscairr�or+ N/A D NAAAE, AODt�SS. GTY, STATE, LP AND tDR DESCRIPTION c NAAAE, ADORESS. GTY. STATE, LP AND IW DESCRIPTION E NAA1E, ADDRESS, CITY. STATE. 21P AND IQA OESCRIPTION a NAbAE. AOORESS. GTY. STATE. ZIP MiD IQtf DESCRIPTION SCHEDULE D-7 � 2. 1D' pC2011-07 � thru O�I�I2��2 DATE AMOUNT OISBURSEMENT OF THE MADE DISBURSEb1ENT N/A N/A 5. ENTER TaTAL ONLY IF LAST PAGE OF SCHEOULE D-7 /Tiansler fotsl to DetarAad Summary Pege Urto 15 CWumn AJ o.o0 1 �15�, �s IN-KIND CONTRIBUTIONS and EXPENDITURES ,. c�mm� NBmg Dennis Brown for Town Council 3. RepoR oove�rtg pedod from O') /O') /ZO12 �,ti 02/22/2012 4 IN-KIND CONTRIBUTION3 ared EXPENDITURES NAME ANO ADDRESS OF INDNIDUAL (OR NAME, ADDRESS AND IDit OF THE POLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO VIMOM GIVEN 4a. NAME, AODRESS, CITY. STATE, ZIP AND IDM N/A ��►«,❑ �� � DESCRIPTION N1A N/A ATION b. NAME, AOQRESS, CITY. STATE, ZIP AND !Dp OESCRIPTION OCCUPATION c. NAME. AOORESS, CI7Y. STATE. LP AND IDp DESCRIPTION OCCUPATION d NAME, ADDRE55, CITY, STATE, ZIP AND Ipq EMRLOYER N!A cONTwButwlD EXVEIWITUNE � IEbARLOYER CONTRtHIlfIONLJ EXPf)mITUR� � IEMPLOYER ����allo �� ❑ SCHEDULE E s. io a PC2011-07 I I DATE FAIR MARKET VALUE � N/A N/A DESCRIPTION QCCIlPATION I Eb1PLOYER 5. ENTER TOTAI IN-KINDCONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDIlLE E(H1ast pageolScAedufe E, fronsle�tcla! fo Ort.gi�edSummaryPage O.00 Lir�e 8, Cotumn A] 8 ENTER �0�0.1 IN-lOND CONTR{BUTIONS ONIY fF I.AST PAGE OF SCkEDULE E(f/fast pege Gl SCA9Citle E. frBrtNertOt31 fo OvrB�Led Summary Page O.oO Lr� 1 f. Cofurror A) Page��af ,12_ DIVIDENDS, INTEREST, AND OTHER RECEIPTS �. commaree Name Dennis Brown far Town Counal 3. Report cavering period tram 01 /01/2012 �N ��/2ti2� � 2 4 OMDENDB, INTEREST AND OTHER FORMS OF RECEIP7S NAklE AND ADDRESS FROM �NDIVIDUAL (OR NAME. ADDRESS AND IDO OF THE POLITICAL COMMITTEE) fROM WHOM RECEIPT WAS RECENEO 4o NAAlE, ADORESS, qTY, STATE, Z!P ANO f0a N/A OESCRIPTlON OF RECEIPT wA b NAME. AOQRESS, CITY, STATE, ZIP AND IDp DESCRIPTION OF RECEIPT c NAAAE. AOORESS. GTY. STATE. Z1P ANO IDa DESCRIPTtON OF RECEIPT tl. NAME, ADDRESS, CITY. STATE. ZIP AND IDfI OESCRIPTION OF RECEIPT o NAAAE. ADORESS. GTY. STATE. LP ANO 109 OESCRIPTION OF RECEIPT f, NAME. ADDRESS, CITY. STATE. ZIP ANO IQtl DESCRIPTION OF RECEIPT 5 ENTER tOTAL ONLY IF IAST PAGE OF $CHEDULE F-7 ([Ilast pogo W Sd�edule Fi, 6anslpr total t0 Deta9e0 Summery Papa Line 7 Cofumn A SCHEDULE F-1 Z� 10 ° PC2011-07 DATE AldOUNT AMOUNT OfTHE RECEIVED RECEIPT N/A N/A � � � P��7 �, 19 OFFSETS TO CONTRIBUTIONS RECEIVED * , cQmmm� Na� Dennis Brown fo� Town Council 3. RepoA ooverinp periad fiom 01 /01/2012 �,�, 02/22/2012 4 REFUNDS AND OTHER OFFSETS TO CONTRI6UTION3 RECEIVED NAME ANO ADDRESS OF INDfVIQUAL (OR NAME, ADDRESS AND 109 OF THE POLITiCAL COMMITTEE) TO V1iHOM REFUNO WAS MADE o NAAAE. AQ6TtESS, GTY. STATE, Z1P ANO fDa N/A OESCRIPTION OF REFUNO N/A b. NAME. ADDRESS, CITY, STATE, ZIP AND IDM pESCRtP1lOH OF REfUNO c NAAAE. AODRESS. GTY. STATE, ZIP AHD IDo DESCRIPTION OF REFUNO d NAAAE. ADORESS, CITY. STATE. ZIP AND I W DESCRIPTIQN OF REFUNO e NAA1E. ADORESS. GTY, STATE, ZIP AND IDR DESCRIPTION OF REFUND t NAME. ADORESS, CITY. STATE. DP AND IQY DESCRiPTlOt1 OF REFUtiO 5 ENTER TOTAL ONLY IF IAST PAGE OF SCMEDUIE F•2 /f!last pop9 W Sdt�B F2, trunslCrfOQd/ tc DatOdad S�tmmary Pd$9, Ltn9 4(EJ, COprmn AJ � O.00 • Indudes retum af co�tributians received by ieporting commitDee SCHEDULE F-2 2. io ° PC2011-07 oA� AMOUNT REFUND OFTHE MADE REFUNO N/A N/A Pe� � 8 �r 19 DEBTS AND OBLIGATIONS (Excluding Loans) ��� Dennis Brown for Town Council �. Report ca�rering period harn 0 � �� �/20 � 2 4 OEBTS ANO OBLIGATIONS QUTSTANDING BALANCE NAAlE AND ADDRESS OF lNDMDUAL (OR NAME, BEGlNNING ADDRESS ANO IDa OF THE POLITICAL THIS PERIOD COMMITTEE) TO YVHOM DEBT IS OWEO a. NAME, ADDRESS. CITY, STATE. ZIP ANO IDi1 N/A N/A DESCRIPTION OF DEBT N/A b. NAME, ADDRESS, CITY. STATE. ZIP ANO IDit DESCRIPTION OF OEBT a NAME. ADDRESS. CITY, STATE, ZIP AND IOiI OESCRIPTION OF DEBT d. NAME. ADORESS, CITY. STATE. ZlP AND IDa DESCRIPTION Of DEBT e. NAME. AOORESS, CITY, STATE, ZIP AND IDit OESCRIPTiON OF DEBT ihru U2/22/2U12 SCHEDULE F-3 2. 1D � PC2011-07 AMOUNT INCURREO PAYMENT THIS OUTSTANDING THIS PER{OO RERIOD �NCE AT CLOSE OF THIS PERIOD N/A N/A N/A 5 I ENTER TOTAL OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD ONLY IF LAST PAGE OF SCHEDULE I O.00 F-3 (TrBnsler totel to Detad Summary PaQe Liae 19. Cclumn AJ