HomeMy WebLinkAboutJanuary 31 ReportPOUTICAL COMMITTEE
CITY/TOWN OF Fountain Hilfs
CAMPAIGN FINANCE REPORT
2012 March/May Regular Election
� Dennis B�own far Town Cauncil
Futl Namo of Comirtrttoa
9624 E Monterrey, Ste. E
aaamu
Founlain Hills, AZ 85268, Maricopa, (480) 616-1244
�M LIP CoCo Co�anty
2 Dennis Brown for Town Counal
���«�a��
Qennis Brown, Town Council
Name af CanC�doto an0 aKxe Sougnt P� QOWKa07e)
votedennisbrown2012@yahao.com (480) 837-5599
E•Alnd AdCrose Fa� 0
4. REPORTING PERIOD �PbosothoGoppropnotobox)
Phono
DUE BETWEEN
� January 31 Report - For Per;od or Nov. 29, 20� �• thry December 31, 2011 ,lanuary 1, 2012 and January 31, 2012
� Pre-Primary Election Report - Fw Pe�wa or �a��,ary �, zo�z mti Fe�,ry 2s, zo�2 February s3, so�2 a�d �narcn �. 20��
� Post-Primary Election Report - Fw Pe�od or Feen,ary zs, zoiz mn, ��i s, zo�2 �i 3, zo�2 mn, �i �z. 20��
� Pre-General Election Report - For PeRod or �r;i a, 2012 thru Apn125, 2012 ........... . Apnl 26, 2012 lhru May 3, 2012
� Post-General Election Repo�t - For Penod orAPr;i 2s, 20�2 �nn, �urte o, 2012 . . . . . . . . . . . . . . . . . . . . . . . Jurse 5, 2012 and June 14, zo�z
���January 31 Repart - Fo� Pe�od oi ��ne s, 2012 thtu December 31, 2013 January 1, 2014 and January 31, 2014
N�
SUMMARY
5a Surplus from Previous Campaign (or at time Statement of
Organization was filed for the new committee)
5b Cash an Hand at the Beginning of this Reporting Period
5c Total Receipts (from conesponding columns on 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 Obliga6ans from Previous Campaign Committee at
Beginning of this Election Periad (or at time Statement of
OrganizaGon was filed for the new committee) [Do not add or
subtract this line from the other IinesJ
6b Total Disbursements (from corresponding columns an
Detailed Summary Page, Line 18)
FOR OFFICE USE ONLY
sa i[�t
Pc2o� �-o�
Column A
Total This
Reportinq Period
�.��
800.00
�.�Q
8�0.��
0.00
285.00
Column B
Election Periad
Total To Date
�.��
0.00
8��.��
800.00
0.�0
285.00
7. Cash on Hand at Close of Reporting Period [Subtract 515. 00 515. �0
Line 6b from Line 5dj
•Insert date which is 21 days after date of last election (A.R.S. §16-913).
"Other reports will be due before this repoRing period if a special ar recall eledion is held prior to the ne�ct general eledian.
DETAILED SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
� comm;nee Hame: Dennis Brown for Town Council
3. Report oovering period hom � �/29/2�1 � Thru 12/31/2011
RECEIPTS
4. Cantnbulians other than loans and in-kind:
(a) Irtdividuals - more than S25 (Tatal from Schedule A)
(b) Individuals - aggregate S25 or less (Tatal from Schedule A-1)
(c) Po�itica� Committees (Tota� tram Schedule B)
(d) Subtotal Contributions (add 4{a), 4(b), and 4(c)j
(e) Refund of cantributians (Tatal from Schedule F-2)
(� Total Conlrihutians Other than Loans and In-kind [subtract 4(e) frem 4(d}J
5. (a) Leans made or guaranteed by candidate (Tolal irom Schedule C)
(b) All other loans (TOWI from Schedule C-t)
(c) Total Loans (add 5(a) and 5(b)]
6. In•kind Contnhutions (Tatal from Schedule E)
7. Dividends, interest, and other torms of receipts (Total from Schedule F-1)
8. Total Receipts [add 4(Q. 5(c). 6, and 7]
QUALIFYING CONTRIBUTION RECEIPTS
Quahfying Contributions ai 55 fram Irtdividuals (Total fram Schedule A2).
DISBURSEMENTS
Page 2
2. �D#
PC2011-07
COLUMN A
THIS PERIOD
COLUMN 8
CAMPAIGN TO �ATE
�.�0
�.d�
0.00
Q.00
�.0�
Q.00
0.��
0.�0
�.�0
0.0�
� ��
1 11
1 11
1 1 1�
1 11
0.��
�.�Q
0.00
�.��
�.��
Q.�Q
8��.4�
Q.QO
800.��
a.00
�.00
800.��
1 11
9. Expenddures for operaGnq expenses (Total from Schedute D) 285.00 285.00
10. Independent F�cpendRures (Total from Schedule D-1) 0.0� Q.Q�
11. Vatue of In-kind expenditures (Total hom Schedule E) 0.�� Q.QQ
12. loans made by reporting committee (Total trom Schedule 0-2) 0.�� �.��
13. (a) Repay�nent of loans made ar guaranteed by candidate (Total from Schedule D-A) 0.�� �.�0
(b) Repayrtsent of all other loans (Total from SChedule D-5) �.�� 0.��
(c) Total Loan Repayments (add 13(a} and 13(b)j �.�� 0.0�
14. Transfers to other palitical committees (Total from Schedule D-6) 0.00 0.00
15. My atner dishursement (Total hom Schedule D-7) Q.QQ Q.Q�
16. SubtoWl disbursert�ents (add lines 9, 10, 11. 12, 13(C), 14, and 15J 2$�J.�� �.��
17. Rebates, refunds and other oHsets to operating expenses (Total from Schedule D-3) �.0� �.��
18. Total diabursements [subtract line 17 from Iine 16) ?8r'J.�� �.0�
19. Total Outsfanding Debts owed by Reporting Candidate nr Rolitical Cammittee (Schedule F-3) �.�� 8��.��
20. I ceRdy, under penalty of pequry, that I have examined lhe contents of this campaign f�nance report antl to the best of my knaMedge and belief it is true and
complete.
Phillip Blackerby
Ty�a qr y//'�t7 ,/�1� ��pf T aw r
� V � �� ��� 01/31/2012
0 �� �� i
Sigrtature of �t�asurer ar Candidate or Des na6ng Individual Date
CONTRIBUTIONS more than $25 - from INDIVIDUALS*
1 Committee Name Dennis Brown for Town Council
3 Report covermg penod hom ���9�201 �
4 CONTRIBUTIONS
NAME. ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
4a IAST FIRST MI
N/A
STREET ADDRESS
N/A
CITY STATE ZIP
N/A
OCCUPATIQN I �AOYER
N/A
b LAS7 FIRST MI
SIREETADORESS
CITY STATE ZIP
OCCUPATION I EMPLOYER
c LAST FIRST MI
STREET ADURESS
CITY STATE ZIP
OCCUPATION I EMPLOVER
d IAST FIRST A71
SiREET ADDRESS
CITY STATE 21P
OCCUPATION I EMPLOYER
e LAST FIRST t�Sl
STREET ADDRESS
CITY STATE ZIP
OCCUPATION I EMPLOVER
SCHEDULE A
2. io a
PC2011-07
thru 12/31/2011
DATE AMOUNT CUMULATIVE
RECEIVED RECEIVED TOTAL THIS
N/A
THIS CAMPAIGN
PERIOD TO DATE
N/A N/A
5 I ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A fll Jaaf poge ol Schedule A, translertafallo Ilefeifed � p,d� I �.Q�
Summory PeQe L�ne 4/z), Column AJ
•n conv�,:�wss ot szs w bss are ustoa w�tt, ca+v�eusors nume, uamoee. ooaraat�on a+,a en,vx�r a, sa�acum A ao �a mca,ao Page�of 19
ttiem on SCw�ub A•1 L�st ES CM�n Eteqmn qual�tW�9 mnlnDul�arss scavutey on SdmCufo A-2
CONTRIBUTIONS of $25 or less - AGGREGATE TOTAL" SCHEDULE A-1
�. comm�aee Name Dennis Brown for Town Council
3. Report oovering period from 11/29/2011
a. Aggregate Total of Contributions of $25 or I�ss
DESCRIPTION
N/A
2. ID #
PC2011-07
thru � 2�31/2(111
AMOUNT CUMUTATIVE
RECEIVED THIS TOTAL THIS CAMPAIGN TO DATE
PERIOD
N/A N/A
5. TOTAL THIS PERIOD (Transfer total to Detailed S�mmary Page, line 4(b), 0.00 6. CUMMULATIVE TOTAL THIS
Cofumn A) CAMPAIGN TO DATE O.00
(Transier total to Detailed
Summary Page, Line 4(b),
Cotumn B�
'If contributions of $25 or less are listed with contributor's name arsd address on Schedule A, do not inGude them on this schedule.
List S5 Clean Electian qualifying contributions separately on Schedule A-2.
CONTRIBUTIONS FROAA POLITICAL COMMITTEES SCHEDULE B
�. camm�n� Name Dennis Brown for Town Council
3. Report cove�ing periad from 11/29/2011
4
aa � N/A
DATE RECENED
N/A
b. 10 t1
QATE RECEIVED
c. ID �
DATE RECEIVED
d. ID it
DATE RECEIVED
e. ID tt
QATE RECENED
f. 10 A
DATE RECEIVED
g. ID �
DATE RECEIVEO
h. ID ii
DATE RECEIVED
i. I ID tt
I DATE RECEIVEO
CONTRIBUTIONS
IDENTITY OF CONTRIBUTOR AND DATE RECEIVED
N/IME, AODRESS, CITY, STATE AND ZIP
N/A
NAME, ADORESS, CITY, STATE AND ZIP
NAME. ADDRESS, CITY. STATE AND ZIP
NAME, AODRESS. CITY, STATE AND 21P
NAME, ADDRESS, CITY, STATE AND ZIP
NAME, ADDRESS, CITY, STATE AND ZIP
NAME, ADQRESS, CITY, STATE ANO ZIP
NAME, ADDRESS. CITY, STATE AND ZIP
NAME, ADDRESS. CITY, STATE AND ZIP
2. i° # PC2011-07
tnru 12/31/20'11
AMOUNT
RECEIVEO
THIS
PERIOD
N/A
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE B (l/ last page of Schedule B, transfer total b Q. 00
Detaifed Summary Page. Line 4(c). Column A)
CUMULATIVE
TOTAL THIS
CAMPAIGN TO
DATE
N/A
1 11
Schedule B Page � of�_
CANDIDATE LOANS
1. Committee Name Dennis Brown for Town Council
3. Report covering period irom 11/?q/,7f111
4� LOANS MADE OR GUARANTEED BY CANDIDATE
NAME AND ADORESS FROM WHOM RECEIVED
4a. NAME. ADDRESS. CITY, STATE, AND ZIP N/A
Dennis Brown
9624 E. Monterrey, Ste. E, Fountain Hills, AZ 85268
QESCRIPTION
Loan
b. NAME, AODRESS. CfTY. STATE, AND ZIP
OESCRIPTION
C. NAME. ADORESS, CITY, STATE, AND 21P
DESCRIPTION
d. NAME, ADDRESS. CiTY, STATE, ANO ZIP
DESCRIPTION
e. NAME, AODRESS. CITY. STATE. AND ZIP
DESCRIPTION
f. NAME, AODRESS, CITY, STATE, ANO ZIP
DESCRIPTION
1 11
5. ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDIDATE ONLY If LAST PAGE OF SCHEDULE C
[If Iast page ol Schedule C, Vanster totai lo Detailed Surt�mary Page, Line 5(a), Column AJ �.�0
SCHEDULE C
2� �� # PC2011-07
thru 12/31/2011
DATE AMOUNT
RECEfVEO RECEIVED
CUMULATIVE
TOTAL THIS
CAMPAIGN
TO DATE
8�0.00
:11 11
Schedute C Page 6 of 19
OTHER LOANS
1. Comm�ttee Name Dennis Brown for Town Council
SCHEDULE C1
IZ 1D ° PC2011-07 �
3. Report covenng period from � 1/29/201 � �N 12/31/2011
4 ALL OTHER LOANS
NAME AND ADDRESS OF EACH INDIVIDUAL (OR NAME, ID# AND ADORESS OF
THE POLITICAL COMMITTEE) OR LOAN, ANO ANY ENDORSER OR GUARANTOR
OF LOAN.
4a NAME OF PERSON OR COMAdiTTEE 0.WKiNG LOAN. AQORESS. CiTY, STATE, ZIP, AND IW
N/A
W1ME OF EHDORSER OR GUARANTOR OF LQAN, AODRESS. CIiV, STATE, ZIP. AND IQD
N/A
,Q�$CRIPTION
��) f�
4b wAneE OF PERSON �t CWeAtITTEE AAaKING LOAH. AODRESS CtTY, STATE DP. Ma0 I�
NAME OF ENDORSER OR GUARAl1TOR OF LOAN. ADORESS, ClTY. STATE ZIP. AIiD 109
OESCRIPTtdN
4C NAME OF PERSON OR C0.HMITTEE htAK[NG LOAN. AOQRESS, qTV, STATE, LP, AND tDa
NAME OF ENDORSER OR GUARANT�t OF IWN, AQORESS, qTY. STATE 21P. AND I W
QESCRIPTION
� NAME OF PERSON Oit CWRMITTEE htAKIkG LQAN, ApORESS. CITY. STATE, ZIP. AND lW
NAME Of EHOpRSER OR GIJARANTOR OF LOAN, ApORESS, CITY. S1ATE, ZIP. AND ID9
DESCRIPT�ON
DATE AMOUNT
LOAN RECEIVED OF LOAN
CUMULATIVE
TOTAL THIS
CAMPAIGN
TO DATE
N/A N/A
N/A
5, IENTER TOTAL ONLY IF LAST PAGE OF SCHEOULE C•7 �II laet pngo af Schodulo C-1, trnnstur totnl lo Dotnilod Summary I O.00 I O.00 �
Page. Une 5(0). Cotumn Aj
Page7 of 19
EXPENDITURES FOR OPERATING EXPENSES*
� comm�nee Name Dennis Brown for Town Council
3 Repon covenng period tram 11/�A/?(111
4 EXPENDITURES
NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMEN� WAS M1ADE
4a NAME, ADORESS. CfTY. STATE AN021P
Moxie Creative Design Group
9430 E. Jerome Ave., Mesa, AZ 85209
N/A IPjION OF REMS OR SERVICES PURCNASED
b NAME. ABDRESS. CtTY. STATE AND ZlP
DESCRIPTIQN OF REMS OR SERViCES PURCHASEO
c NAME. ADDRESS. CITV. STATE AND ZIP
DESCRIPTION OF REMS OR SERVICES PURCHASED
d NAME. AODRESS, Cf7Y, STATE ANO LP
DESCRIPTION OF REMS OR SERVICES PURCHASED
e NAktE. ADORESS, CITY. STATE AND ZtP
DESCRIPTION OF REMS OR SERViCES PURCMASED
f NAME. ADDRESS, CITY, STATE MfD 21P
DESCRIPTtON OF REMS OR SERVICES PURCHASED
�,�„ 12/31/2011
5 I ENTER TOTAL ONLY iF LAST PAGE OF SCHEDULE 0(JI last pege al ScRedulo D, frans/er totaJ to Oefs+l Summary Page Grte
9, Column A)
•Expenddures, ather than a conVact, promise w agreement to make a� e�ertditure resuiUng m aedd
SCHEDULE D
s io 0
PC2011-07
DATE AMOUNT
EXPENDITURE OF THE
MADE EXPENOITURE
12/8/2011 285.00
285.00
P�e$ � �9
INDEPENDENT EXPENDITURES*
1 Comm�ttee Name Dennis Brown for Town Council
3. RepoR cavering penod from � � �29/2011
a INDEPENDENT EXPENDITURES
u,�, 12/31/2011
IDENTIFY RECIPIENT OF EXPENDITURE AND CANDIDATE WHO IS BENEF(TTED OR OPPOSED
a� NAAAE. ADORESS CfTY. S7ATE ANO 21P
N/A
PURPOSE AND DESCRIPTION OF PURCHASE BenetMod � Opposed �
CANOIDATE OFFICE SOUGHT YEAR OF ELECTION
N/A
4b NAME, ADDRESS. CITV, STATE AND ZIP
PURROSE ANO OESCRIPTION OF PURCHASE Bm�sfatoe � Opposed �
CANOIDATE OFFtCE SOUGHT YEAR OF ELECTION
4c WWtE. ADQRESS. CITY. STATE ANO 21P
PURPOSE AND DESCRIPTION OF PURCHASE BanatAted � Opposad�
CAPlDIDATE OFFICE SOUGHT YEAR OF ELECTION
SCHEDULE D-1
2 ID ii
PC2011-07
DATE AMOUNT
EXPENQITURE OF THE
AAADE EXPENDITURE
N/A N/A
5 ENTER TOTAL ONLY IF LAST PAGE Of SCHEDULE O-1 plles! pag6 01 Sd�e�ue a1, hansbr fotol fo Deta:led Surrvr+ary Page �ne f0. Column AJ O.00
'SEE A-R.S § 1&901(14).
I oertify, under pendy of pery'ury, that the above stated independent expenditure(s) was not made in cooperation, consultation or conceR with or at the
request or suggestion of any candidate or any campaign committee or agent of that candidate.
� �
Signature of Tr surer �
NAhtES. OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP CONTRIBUTORS WITHIN THE LAST AMOUNT
SIX MONTHS
N/A N/A
Schedule0-1 Page9 of 19
LOANS MADE BY REPORTING COAAMITTEE
� ��� H� Dennis Brown for Town Council
3, Report cove�ng penod fram ���29/2011 thN 12/31/2011
4 LOANS MADE BY THE REPORTING COMMITTEE
NAME. ADDRESS ANO IDtt OF COMMITTEE TO WHOM LOAN (DISBURSEMENn WAS MADE
da NAbtE, ADORESS. CITY. STATE, 21P. AND IDO
N/A
b � NAME. ADDRESS, CITY, STATE. LP. AND IQA
c NAME, AODRESS. CITY, STATE. ZIP, MiD ID8
d NAME. ADDRESS, CITY. STATE. 21P, AND IDA
o � NAME. ADDRESS, CtTY, STATE. 21P. AND IQt+
f I NAME. ADDRESS. CITY, STATE. ZtP. AND lQA
g � NAME. ADDRESS, CITY. STATE. ZIP. AND IW!
h NAAAE, AODRESS. CfTY, STATE, ZIP, AND IQo
� NAlAE, AODRESS. CfTY. STATE. Z1P, Mi0107
5 I ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D•2 /T�ansle�lotaf to Deter! Summary Paga Lne i2, CWumn Aj
SCHEDULE D-2
2. ID S
PC2011-07
DATE AMOUNT
L�AN MAOE OF THE LOAN
N/A N/A
� �.�0
P��o�19
OFFSETS TO OPERATING EXPENSES * SCHEDULE D-3
� comminee Name Dennis Brown for Town Council
Z 1D# PC2011-07
3 rtepon covenng penoa rrom 11/29/2011 thN 12/31/2011
REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES DATE AMOUNT
REFUND OFTHE
RECEIVED REFUND
NAME AND ADDRESS FROM WHOM REFUND OR REBATE WAS RECEIVED
4a NAME, AdDRESS. CfTY, STATE. AND ZIP
N/A N/A
N/A
DA;� RIPTION QF REFl1N0
IV �1
b NAhtE. ADORESS. CITY. STATE. AND ZIP
DESCRIPTiON OF REFUND
c NAA4E. AdDRESS. CfTY, STATE. iWD ZtP
DESCRtPTIQN OF REfUNU
d NAME. ADDRESS. CITY. STATE, AND ZIP
DESCRIPTION OF REFUND
e NAME. ABDRESS CITY, STATE, AND 21P
DESCRIPTtON OF REFUND
f NAME. AODRESS. CITY. STATE. AND 2lP
OESCRIPTION OF REFUND
i
5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEdULE DJ /Il/ast page ol Sd�edule D-3, Na,sye� rota/ ro Dete�bd Surtrmury Pego O.00
Lrire 17 Cotumn AJ
' InGudes return of oontributfons made by reporting cammittee
su,aaua o3 P�11 �r � 9
REPAYMENT OF CANDIDATE LOANS SCHEDULE D-4
� �a��n� �� Dennis Brown for Town Council
2 10 $ PC2011-07
3, Report covenng periad hom 11 /29/2011 tnru,l �/�1 /�f111
REPAYMENT OF LOANS MADE OR GUARANTEED BY CANOIDATE DA7E AMOUNT
REPAYMENT Of THE
MADE REPAYMENT
NAME AND AODRESS TO WHOM REPAYMENT (DISBURSEMEN� WAS MADE
4a NAhlE, AOORESS. CfTY. STATE. AND ZtP
N/A
N/A N/A
b NAME, AODRESS, CIN. STATE. AND ZIP
c NAME. ADORESS. CtTY. STATE. APtD Z[P
d NAME. ADDRESS, CITY, STATE, ANO ZIP
a NAME. ADDRESS, CITY. STATE. AND ZIP
f NAAtE, AOdRESS, CITY, STATE. AND ZIP
5 ENTER TOTAL ONLV [F LAST PAGE OF SCHEDULE D�4 [Truns}er tatal to DeWn S�munary Page. Lum 13(0), Co4ann AJ O.00
su,aa��o o.n Psaa� 2 a, 19
REPAYMENT OF ALL OTHER LOANS
Dennis Brown for Town Council
1 Commdtee Name
3 Report covenng penoa trom � 1/29/2011
cnti 12/31/2011
4 REPAYMENT OF ALL OTHER LOANS
NAME AND AODRESS QF INDMDUAL (OR NAME, IDit AND ADORESS OF THE POLITICAL COMMITTEE)
TO WHOAA REPAYMENT (OISBURSEMEN� WAS MAOE
4a NAME. ADDRESS. CfTY, STATE. ZIP AND IQO
N/A
b NAME. ADDRESS, CITY. STATE. ZIP ANO IDp
c NAPdE. AODRESS CfTY. STATE. ZiP A1�0 IDa
d NAME. ADDRESS, CITY, STATE, ZIP AND ID1t
o NAAAE. AIIDRESS. CI7Y, STATE. LP ANO IDe
1 MAktE. ADORESS. CITY. STATE, ZIP AND IDtI
5 I ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE DS [Trana}or tatal to Deta��ed Summary Page, Une 13�b), Column A)
SCHEDULE D-5
2. �o tt PC2011-07
onrE nnnouNr
REPAYMENT OF THE
MADE REPAYMENT
N/A N/A
� � �
P�13 �, 19
TRANSFERS TO OTHER POLITICAL COMMITTEES
,. comm�nee Name Dennis Brown for Town Council
s. Report covering period From 1 1 /291201 1
�n�, 12J31/2011
4 TRANSFERS MADE BY THE REPORTING COhAMITTEE
NAME AND AOORESS OF INDIVIDUAL (OR NAME, �D# AND ADORE3S aF THE POLITICAL
COMMITTEE)
TO NMOM REPAYMENT (OISBURSEMEN� WAS MADE
4a NAME, ADDRESS. CITY, STATE, 21P AND IDtt
N/A
b, NAME, ADORESS. CITY, STATE, ZIP AND l0#
c NAME. ADDRESS. CI?Y, STATE. Z[P AND IDtt
d NAME, ADDRESS. CITY, STATE, ZIP ANO IDA
e. NAME, ADDRESS, CITY, STATE, ZIP AND ID#
f NAME, ADDRESS. CfTY, STATE. ZIP ANO IOtl
SCHEDULE D-6
2. io tt PC2011-07
DATE TRANSFER AMOUNT OF THE
MADE TRANSFER
PI/A N/A
5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEdULE D8 (Trunsier total to Uetailed Summary Pago, Luw 14, Cnlumn A� � O.00
P� 14 � 19
ANY OTHER DISBURSEMENT
1. Committee Name Dennis Brown for Town Council
3 Revart covering period trom 11 /29/2011
ANY OTHER DISBURSEMENTS
NAAAE, ADDRESS ANO IDAt Of COMMITTEE TO WIiOM
DISBURSEMENT WAS MADE; DESCRIPTION
o NAME, AQQRESS, CtTY, S7ATE. 21P AND IDo
N1A
DESCRIPTION
N/A
D NAME. ADDRESS, CITY, STATE, ZiP AND IQtI
DESCREPTtON
c NAME. ADORESS. CfTY, STATE. ZtP AND IDO
DESCR�PTION
4 NAME, ADDRESS, CITY. STATE, ZlP AND IOq
oescRirr�oN
o NAME. ADDRESS, CITY, STATE. LP ANO IDQ
DESCRIPTION
SCHEDULE D-7
� 2 10� PC2011-07
�,N 12/31/2011
DATE AMOUNT
DI56URSEMENT OF THE
MADE QISBURSEMENT
N/A N/A
5 ENTER TOTAL ONLY IF LAST PAGE QF SCHEDULE D-7 (Translar tota/10 Oefafed Summery Poge l.irte 15 Co/umn AJ I Q.QD
P� 15 �, �9
IN-KIND CONTRIBUTIONS and EXPENDITURES
t. Commdtee Name Dennis Brown for Tawn Council
� � �29/2011 12/31 /2011
3. Report coverirtg period hom thru
4 IN-KIND CONTRIBUTIONS and EXPENDITURE3
NAME AND ADDRESS OF INDIVIOUAL (OR NAME. ADDRESS AND IDA OF THE
POLITICAL CQMMITTEE) FROM WHOM RECENED OR TO WMOM GIVEN
4o NAA1E. ADDRESS, CITY, STATE, ZIP AND IQO
N/A ������,p
���� �
DESCRIPTION
N/A
OCCUPATlON
N/A
b NAME, ADDRESS. CfTY, STATE, 21P AND IDfI
DESCRIPTION
OCCUPATION
c NAME. ADDRESS. CITY. STATE, ZIP Af�iD IOu
DESCRIPTION
OCCUPATION
d NAME. ADDRESS, CITY. STATE, ZlP AND IDt!
DESCRIPTION
IEMPLOYER
N/A
corirateuno�
exv�rcomrae �
( E[ti[PLOYER
���0
F�(PENDfTUHE �
IEMPLOYER
carrnisurwN❑
�cv�rtuA� �
SCHEDULE E
z. ioa PC2011-07 I
DATE FAIR
MARKET VALUE
N/A N/A
OCCUPATION I EMPLOYER
5 ENTER TOTAL IN•KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E pllast page oJ Schedu/e E, fronsferfofa! fo CH3larfed Summery Poge O.00
Urte 6, Column AJ
6 ENTER TOTAL IN•KIND CONTRIBUTfONS ONLY lF LAST PAGE QF SCFiEDULE E(tf tasf pogo ol ScAeWde E, hansfer fota! fo Ovtaded Summary Poge O.00
Lrne f f. Cdumn A/
Paga�af re
DIVIDENDS, INTEREST, AND OTHER RECEIPTS
�. commmee r�ame Dennis Brown for Town Council
3. Report covering peRod irom � � �29/2011 �N 12/31/2Q11
4 DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS
NAME AND ADORESS FROM INDIVIDUAL (OR NAME, ADORESS AND ID# OF THE POLITICAL
COMMITTEE) FROM WHOM RECEIPT WAS RECEIVED
4a NAME. ADDRESS, CtTY, STATE, ZIP ANO lQA
N/A
DESCRIPTION OF RECEIPT
N/A
b- NAME. ADDRESS. CtTY. STATE, 21P AND tDo
DESCRIPTION Of RECE�PT
c NAME. AODRESS. CITY. STATE. LP AND iDp
DESCRIPTION OF RECEIPT
d, NAME, ADDRESS, CITY, STATE. ZIP AND IQft
QESCRIPTION OF RECEIPT
e' NAAAE. ADDRESS, CITY. STATE. ZIP AND IDtt
DESCRIPTION OF RECEIPi
f NA[NE. ADdRESS, CITY, STATE, 21P ANO l0it
DESCRIPTtON OF RECEfPT
5 ENTER tOTAL ONIY IF LAST PAGE OF SCHEDULE F•t (Illast page d ScAOCute F-f, tmnsfe� tota/to Deta+Ee�d Surrt,r�ry Page
Lure 7 Ca'umn A
SCHEDULE F-1
2 1D ° PC2011-07
DATE AMOUNT
AMOUNT OFTHE
RECEIVED RECEIPT
N/A N/A
� � �
P�17 Q, 19
OFFSETS TO CONTRIBUTIONS RECEIVED *
� camm�n� Name Dennis B�own for Town Council
3. RepoR covering period hom � � IZ9IZO� 'I thN 12/31 /2011
4 REFUNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED
NAME AND ADDRESS OF INDiVIDUAL (OR NAAAE, ADDRESS ANO IDtt OF THE POLITICAL COMMITTEE)
TO WHOM REFUND WAS MADE
a NAkE. ADDRESS, CITY. STATE. 21P AND IQp
N/A
DESCRIPTION OF REFUND
N/A
b NAhtE. ADORESS. CtTY. STATE. ZIP ANO IDo
DESCRfPTION OF REFUND
c NAME. ADDRESS. CITY. STATE. 21P AND IDA
OESCRIPT{ON dF REFUND
d NAME, AddRESS, CtTY. STATE. ZIP AND iDa
DESCRIPTtON OF REFUNO
o NAME. ADDRESS. CfTV, STATE. ZIP AND iQa
uc$�nir i ivir vF nc�iiiiu
/ NAME. ADDRESS. CITY. STATE. Z[P AND IQD
DESCRIPTION OF REFUNO
5 ENTER TOTAL ONLY IF IAST PAGE OF SCHEDULE F-2 fllla5t pa$e N ScAeQale F-2, transd¢� rotiV to Dete�fed Summery Pogo. Lrte I(E). Column AJ � O.00
• Includes return oi cantribuUans received by reporting committee
SCHEDULE F-2
z. io a PC2011-07
OATE AMOUNT
REFUND OF THE
MADE REFUND
N/A N/A
Page �S of 19
DEBTS AND OBLIGATIONS (Excluding Loans)
,. commm� r,a� Dennis Brown for Town Council
3. Report covering period from � 1/29/2011
4 DEBTS AND OBLIGATIONS
OUTSTANDING
BALANCE
NRME AND ADDRESS OF INDIVIDUAL (OR NAME, BEGINNING
AQORESS ANO �D# OF THE ROLITICAL THIS PERiOD
COMMITTEE) TO WHOM DEBT IS OWEO
a. NAME, ADDRESS, CITY, STATE. ZIP ANO IDtt
N/A N/A
DESCRIPTION OF DEBT
N/A
b. NAME, ADDRESS, CtTY, STATE, ZIP AND ID�
DESCRIPTION OF DEBT
c. NAME, AQORESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF DEBT
d. NAME, ADORESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF DEBT
e. NAME, ADDRESS. CITY, STATE, ZIP AND ID#
DESCRIPTION OF DEBT
�,ti 12/31/2011
SCHEDULE F-3
2. �°# PC2011-07
AMQUNT INCURRED PAYMENT THIS OUTSTANDING
THIS PERIOD PERIOD ��NCE AT CLOSE
OF THIS PERIOD
N/A N/A
N/A
5. ENTER TOTAL OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD ONLY IF LAST PAGE OF SCHE[)ULE O.00
F-3 (Transler total lo Detail Summary Page Line 19. Column AJ