HomeMy WebLinkAboutCC2021-02 - Smith - 2022 Termination StatementReceived Electronically
on 05/25/22 - EAK
STATE OF ARIZONA
COMMITTEE CAMPAIGN
. .
FINANCE REPORT
COMMITTEE INFORMATION (required):
ICommfKee in(ormatfon: Committee Name: Ke��y Smlth F01' M2y0C
CANDIDATE INFORMATION (only ff fling as a candidate commitlee):
OKce Sought ❑ County Oflice:
� City(fown OfOce:
Cumulative Report
❑ Check here it ihis is ihe candidate committees frsf, cumulalive repod for the eleclion cycle. Also select appropriate Repoding Period beiow.
Cumuletive reporting period slart date (which supersedes ihe sfart date for the Reporling Period selected below):
REPORTING PERIOD (check one):
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REPORTINC� PERIOD
2020 4'^ Quarter Report: October 18, 2020 to December 31, 2020
� 2021 March Pre-Election Report (Local Only): January 1, 2021 to February 20, 2021
2021 March PosEElecqon (Qt) Reporl (local Only): Febmary 21 to March 31, 2021
2021 Quarler 1 Reporl: January 1, 2021 to March 31, 2021
2021 May Pre-Eleclion Report (Local Only): April 1, 2021 to May 1, 2021
, 2021 May Posl-Electlon (Q2) Report (Local Only): May 2, 2021 to June 30, 2021
2021 Quarler 2 Report: April 1, 2021 to June 30, 2021
2021 August Pre-Election Report (Local Only): July 1, 2021 to July 17, 2021
❑ Speclal Distdct Office�
❑ School Boafd Disttict:
COMMITTEE ID NUMBER
CC2021-02
REPORTDUE
January 1, 2021 to January 15, 2021
February 21, 2021 to February 27, 2021
April 1, 2021 to April 15, 2021
April 1, 2021 to April 15, 2021
May 2, 2027 to May 8, 2021"
July t, 2021 lo July 75, 2027
July 1, 2021 (o July 15, 2021
July 18, 2021 to July 24, 2021
2021 August Post-Elec�ion (Q3) Reporl (Local Only): July 18, 2021 (o September 30, 2021 October 1, 2021 to October i5, 2021 (
2021 quarter 3 Report: July 1, 2021 to September 30, 2021 October 1, 2021 lo October 15, 202t I
2027 NovemBer Pre-Election Report (Local Only): October 1, 2027 to October 16, 2021 October 17, 2021 to October 23, 2021 I
2021 Novembar Posl-Election (q4) RepoA (local Only): October 17, 2021 to December 31, 2021 January 1, 2022 to January 15, 2022 I
2021 Quarter 4 Reporf: October 1, 2021 to December 31, 2021 January 1, 2022 to January 15, 2022 I
2022 March Pre-Electlon Report (Local oNy): January 1, 2022 to February 19, 2022 February 20, 2021 to February 26, 2022'
2022 March Post-Election (Qi) Report (Local Only): February 20, 2022 to March 37, 2022 April 1, 2022 to April 15, 2022 I
2022 Quarter 1 Report: January 7, 2022 to March 37, 2022 April 1, 2022 to April 15, 2022 (
2022 May Pre-ElecUon Report (Locei Only): April 1, 2022 to AprII 30, 2022
2022 May Posl-Electlon (Q2) RepoA (Local Only): May 1, 2022 to June 30, 2022
2022 Quarter 2 Report: April 1, 202210 June 30, 2022
2022 Pre-Primary Elecfion Report: July i, 202210 July 16, 2022
2022 PoshPrimary Election (Q3) Repori: July 17, 2022 to Sepiember 30, 2022
2022 Pre-General Eleclion Report: Oclober 1, 2022 to Ociober 22, 2022
May 1, 2022 to May 7, 2022 �
July 1, 2022 to July 15, 2022 I
July 1, 2022 to July 15, 2022 I
July 17, 2022 to July 23, 2022 I
October 1, 2022 to October 15, 2022 I
October 23, 2021 to October 29, 2022 �
I 2022 Post-Generel Electlon (Q4) Report: October 23, 2022 to December 31, 2022 January 1, 2023 to January 17, 2023' I
\I ✓ Final Campaign Finance Report Prior to Commillee Terminalion: Same Date of Termination
End of Prevlous Perlod throuqh Today's Date �
\ �'Reportinp deadiine exlended to next business dev. A.R.S. 66 1-243fA) and 1-303. � /
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FINANGAL SUMMARY (requlred):
/ Aciivity I Cash AcUvity This Electlon Cycla to
Reportinp Period Date
I(a) Committee value at the beginning of thls reporting perlod p.e. ename taian�e rmm ma .,!' 1 y� �' I �
pmvlous tepotling pedod) �� J� / D
I(b�+TOf31fBCBIj1l5(from'SummaryoiRecelp(s,"IIna13(ceshcdumn)�orlhlsrepaNngpedod) $ Q.QQ I� %,350.00 I
I(C)-T0121d15611�58100f115(Irom'Summeryof0lsbursemenis,'linei6(cashcolumn)forlhisrepotlingpenod) $ �,357.61 I� 7,350.00 I
(d) = Balance a� close of reporling period
y �.��
\ I O Check here if filing no Tnancial activiry during the reporting period. Lines (a)-(d) still must be completed, bul only this cover page and the I/
followinp paqa need io pe flled.
Committees with Mandal aclivity musl file ihe cover page, summary of recelpts, summary of disbureements, and any schedules that contain financial activity.
Arizona Secrelary of Slale Revision 7/31/21 (Illlable formal)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
.
FINANCE REPORT
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.
Linda Lull
Printed Name of Committee Treasurer
�a, ��1/
Sig a�Committee Treasurer
COMMITTEE ID NUMBER
CC2021-02
S��s/�D��
Date �
Adzona Secretary of Stale Revislon 7/37/21 (fillable format)
STATE OF ARIZONA
� , COMMITTEE CAMPAIGN
. �
FINANCE REPORT
SUMMARY OF RECEIPTS (Schedule A):
� Receipts
1. Monetary Contributions Received
(a) In-Stale Individuals - More lhan $100
(b) In-Stale Individuals - $100 or Less �nyyregaie�
(c) Outmf-Staleindividuals
(d) Gandidate Committees
(e) Polilical Actlon Committees
(� Politicai Parties
(g) Partnerships
(h) Corporations & Limiled Liability Companies (Pncs a ad�ccai rames o�iy�
(I) Labor Organizalions �vacs a aa�ucei Pemas oniy)
Q) Candidate's Personal Monies (cendmatacommmeeaody)
(k) Monetary CoNdbulions Subtotal (edd t(a) mrou9n tp))
(I) Re(unds Given Back to CoNributors
(m) Net Monelary ConVibutions �:�ntre�i i(p rrom i(k))
2. Loans
(a) Loans Received
(b) Forgivaness on Loans Received
(c) Repayment on Loans Made
(d) Inleresl Accmed on loans Made
(e) Loans Sublotal (castr eaa s�e�, z�o� a z(ap
3. Rebates and Re(unds Received
4. Interest Accrued on Commlltee Monles
5. In-Kind Contribulions Received
(a) In-State Individuals - More Ihan $'100
(b) In-State Individuals - $100 or Less (apyre9a�a)
(c) Out-of-Stalelndividuals
(d) Candldate Committeas
(e) Political Action Committees
(f} Political Parlies
(g) Partnerships
(h) Corporations & Limited Liability Companies (aacssPonncei Pam�soniy)
(f) Labor Organizatlons �Pncs s aoi�u�� raru� omy>
Q) Candld8te's Personal Assets ot Prope�ty �cana�dateComm�newOniy)
(k) In-Kind Contdbulions Subtotal (equuy: aad 5(a) mm�en spp
6. In-Kind Donalions Received (Non�conmbwons) (PW�uwi Perues oniy)
7. Extensions of Credit
(a) Extensions of Credit Received
(b) Payments on Eztensions of Credil Received
(c) Net Extenslons ot C�edit �:uno-aoi ��n�eom ��ap
8. Jolnl Fundreising / Shared Expense Payments Received
9. Payments Recelved fo� Goods / Servlces
10. Outslanding Accounts Recelvable / Debls Owed to Commitlee
11. Transfer In Surplus Monies / Trensfer Out Debt (use cesn enmorequ�y es�Pecawe)
12. Mlscellaneous Receipls (�:acesna�a�orequ�ryazenWi�eoie)
13. T0121 R2C2�PfS (cash: ndd i(m), 2(e), 3-4, &9. H-12: equity. edd 2�b), 6(k), 6](c),10.12)
Cash
1100.00
5250.00
1000.00
7350.00
700.00
7250.00
7250.00
COMMITTEE ID NUMBER
CC2021-02
Equily
Arizona Secretary of State Revision 7/31121 (flllable format)
STATE OF ARIZONA
COMMITTEE CAMPAIGN
. .
FINANCE REPORT
SUMMARY OF DISBURSEMENTS (Schedule 8):
Disbursements
1. pisbursements tor Operating Expenses
2. ConVibutions Matle
(a) Candidale Committees
(b) Poll�lcal AcUon Commltlees
(c) Polltical ParUes
(d) Partnerships
�
4.
(e) Comorations & limited LlabiliN Comoanies taac s vd�ucm Panies onm�
(� LBbOf Otg8Mz8(IO�S (PAC & Poli6pl PaNes Ony)
(g) MonelaryConlributionsSublolal(aedz(a)mr«�qn2(p)
(h) CoNribulbn Refunds Provided lo the Reporting Committee
(i) Monetary Contributions Total (suctramz(n)rromz(y))
Loans
(a) Loans Made
(b) Loan Guarantees Made
(c) Forgiveness on Loans Made
(d) Repayment of Loans Received
(e) Accrued Interest on Loans Received
(Q Total loans (cesn: add 3(e), a(d) a a(e); eqmry: ade z�o) a z(c))
Reba�es and Re(Unds Made (NomCon�ibu�ons)
5. Value of ImKind Contribullons Provided
(a) Candidale Committees
(b) Poli{ical Action Committees
(c) Political Parties
(d) Parinerships
{e) Corporaflons & Llmited Liablllty Companles �pqc a pdmcd aemas onry�
(fl LaborOrganizallons�ancsPonu�iparoesoory)
(g) CoNributionsSubtotalcaaeafalimo�enefnl
6. Intlependenl ExpendiWres Made
7. Ballot Measure Expendilures Mada
8. Recall Expenditures Made
9. Supporl Provided lo Party Nominees (aom�ai Pa�ues onry)
10. Joint Fundraising / Shared Expense Payments Made
71. Relmbursemenls Made
12. Oulstanding Accounts Payable / Debts Owed by Commillee
13. TransferOulSurplusMonies/TransferinDebt��sa�e:neomorequnyasappiioade)I
14. Miscelianeous Disbursemenls
\15. Aggregate of Disbursements -$250 or Less
'16. TotalDisbursemenls(casn:aad�,z(q,s�p,s-ns�a-is;equ�ty:aada(p,s(q),stz-te) I
\
Cash
7250.00
100.00
7350.00
COMMITTEE ID NUMBER
CC2021-02
Equity
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Adzona Secretary of Siate Revision 7/31/21 (flilable format)
y�u+s��
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ti� 7� • •
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MONETARY CONTRIBUTIONS RECEIVED FROM IN-STATE INDIVIDUALS - MORE THAN $100 DURING ELECTION CYCLE:`
Individuai Contributor Information
Nama
Steven & Yvonne Vargo
Oa�e ConlnbWion RttA�nd
10/07/2021
s„ea��,e,a
13835 N Mesquite Lane
� ���y s�r�a z�P
Fountain Hills AZ 85268
o«�oa�o� Emwora,
Real Estate/Housewife Self Employed
Name Dale CunlnbW on Recnvetl
Phillip Gaziano 03/04/2022
StreelAddress
16111 E Kingstreet Blvd
� �,�Y s�a�a ��P
Fountain Hills AZ 85268
Ottupa[on Emv,oyer
Real Estate Agent Self Employed
Name
SUeetAtlaress
� Qty Stale
o«�vnoo� Emoime�
Nama
SlreelAddress
� Gry Siete
Occupatw Employer
Name
SlreelAddross
y Cily Slale
OccupatOn Employef
Enter total only if last page of schedule
Qrensfer the b�al received this period lo "Summary o( Recelpts,
�ala ConNbNion Rxs�etl
ZIP
Dale ConinbWion RxR�eO
ziv
DaleConNbWonRecenre0
ZIP
line 1(a))
SCHEDULE A(1)(a)
Cumulative Cumulative `
Amount this Amount this
Reporting Period Election Cycle
COMMITTEE ID NUMBER
CC2021-02
1000.00
'�� ��
1100.00 1100.00
9f irnstate individual contributions of $100 or less are listed on Schedule A(1)(b), do nol include them on Schedule A(t)(a).
Schedule A(1)(a), page_ of _
Amount Received
,1000.00
100.00
Arizona Secretary of State Revislon 7/31/27 (fillable format)
STATE OF ARIZONA
,� ' COMMITTEE CAMPAIGN
. � .
FINANCE REPORT
MONETARY CONTRIBUTIONS RECEIVED FROM OUT-OF-STATE INDIVIDUALS
Cumulative
AmountReceived Amountthis
Reporting Period
Individual Contributor Information
N e o le cunlnbwan aecelvea
Idol & Jill Mitchell 10/21/2021
SVoolAtldrms
21 Granview Dr
� qiv s�ate zia
Macomb IL 61455
OUupaOon Empl%'e�
Doctor/Retired Nurse Blessing Health Sys
Namn Oa�e ConNbWon RecNvetl
Douglas T Mergenthaler 12/08/2021
SVeelAtldress
1201 Monster Rd SW Ste 350
- G�Y s�a�a z�P
Renton WA 98057
occuvaaon emqoyer
President Ashton Capital
Name �ala ConlnbW on HtteNed
54eetAddress
Ory Slale ➢P
OcwOaAon Emplayer
Namo Dale CanlhbW on RecNved
ISUee�Atltlress
4 City Slala 21P
Occupation ' EmD�oyer
Name I �am CanmbWon Rxeived
SireelAtlOress
a
City Slele LIP
Occapeton Emp�oye�
IEnler total only if last page of schedule
(transfer Ihe total received ihis period to "Summary of Recaip�s;' line 1(cj)
\
250.00
.��� ��
Schedule A(1)(c), page_ _.
SCHEDULE A(1)(c)
Amount this
Eleclion Cycle
250.00
.��� ��
5250.00 5250.00 /
/
Arizona Secretary of State Revision 7/31/21 (fillable formal)
COMMITTEE ID NUMBER
CC2021-02
STATE OF ARIZONA
COMMITTEE CAMPAIGN
. � »
FINANCE REPORT
MONETARY CONTRIBUTIONS FROM CANDIDATE'S PERSONAL MONIES:
Gandidate Iniormation
r+ame Dale ConlnbNlon RecNvetl
Kelly Smith 11/7/2021
StreelAtltlress
16537 Arroyo Vista Dr
1 c,ry s���e zia
Fountain Hills AZ 85268
occupauon employer
Realtor/Candidate Independent Contractor
Namn oale ConlribW on RecHved
SVee(Ptldress
i
City Sla(0 ZIP
Occupa0on Employor
Name Dale ConlnbWon Recolv¢d
'sveelAddress
3
Q�y Stale 21P
�Ocwpa�on Employor
( Neme I �ab ConlhbWon Recelved
SUootAddross
Q
Gty Slale 21P
OccupaGon Employer
Name pale ConNbNlon RecNvetl
SVaolAddrass
5
Qty S�efa ZIP
Ocarpaeon Employer
Enler total only if last page of schedule
(trans(er Ihe total received �his period to "Summary of Receipis; lina 1Q))
Schedule A(1)Q), page_ of _
COMMITTEE ID NUMBER
CC2021-02
SCHEDUIE A(1)(j)
Cumulative Cumulative �
AmountReceived Amountihis Amountthis
Reporting Period Election Cycle
1000.00
1000.00
1000.00 1000.00
�
Arizona Secretary of Stale Revision 7/31/21 (fillable formaQ
REFUNDS GIVEN BACK TO CONTRIBUTORS:
Neme
Phillip Gaziano
S400lAddross
16111 E Kingstreet Blvd
� ��ry s�a�e
Fountain Hilis AZ
10 Nomher(R»ppllcab!a)
Real Estate agent
Name
� SVeotAdtlr�s
ConUibutor In(ormation
` Qly
I I� NvmburQf applkeble)
I Namo
SVeelAMress
Cily
io Numbar(fapplrcab�e)
Name
sveeinderess
4 c�ry
IDNumber(Rappllcable)
Enter tolal only If lasl page of schedule
(transfer the total received this period to `Summary o( Receipts;' line 1Q))
Ci�y Sle�e ZIP
10 Num�or pfxppllcetW) Oxte otOtlginal ConNbullon
sveeinaer�s
0
8
STATE OF ARIZONA
,� ' COMMITTEE CAMPAIGN
. , .
FINANCE REPORT
COMMITTEE ID NUMBER
CC2021-02
SCHEDULE A(1)(I)
OaleCAnNbWon Refuntletl
3/4/2022
Cumulative Cumulative`
Amounl Refunded Amount ihis Amount this
Reporting Period Election Cycle
Z1P ' 1 OO.00
85268
oa�eofotlginalcomm�uiion
self-employed
oaie comm�won aef,�,aea
Slale 21P
Date o� Orglnai ConNbulron
�ale ConlribMon ReNndM
Slate
slab
ZIP
�ato ol Origlnal CqnNbulion
�ale G n�ibNion Refwdetl
ZIP
Oate ol On91�1 ConNbullan
Name DaleC4nNbWrn ReM1mded
ScheduleA(1)(I),page5 of5
Arizona Secrelary of Stale Revision 7/31/21 (fillable format)
� �� ��
100.00 100.00
STATE OF ARIZONA
� _ COMMITTEE CAMPAIGN
FINANCE REPORT
. ,
DISBURSEMENTS FOR OPERATING EXPENSES;
Recip ie nl I nformatio n
Neme olsbursement oate
Green Leaf.Video 1/5/2022
s4eelAaaress
Oriando Brown 480-221-8594
� c�ry sisie � zia
TypeofOperetingEryensePnlG NomEkcbralPuiposei(PACsandPo5�realPa�resOnly�
Video & drone service a
name oisnursemem oa�e
Prime Source 1l11/2022
sUeo��a,o=,
685 W Elliot Rd
� Cily Slele ZIP
Tempe AZ 85284
TypaofOperzVngExpensePalO NomElecloralPwposei(PACsentlPo6pcalPaNesOnly)
Stationery ❑
namo oi:n�rsamem oa�a
Harland Clarke 1/18/2022
Sveo�Address
P O Box 351220
, Q�y SlalB ZIP
New Braunfels TX 78135
TypeofOpere4ngEpensePa!J NomEleUoralPoryose4(PACsentlPo4pcalPaNesOnly)
Bank checks ❑
Name oisbvrsemenioale
Mellomotive 2/24/2022
SVeelAddress
3930 E Illini St
Qty Slate ZIP
Phoenix AZ 85040
TypeofOpeatinBE�pensePaJ NonEletloralPuryo5e4(PACsandPo4JcalPaNesOnty)
Campaign wrap ❑
Namo �Isbursemant0am
USPS 3/4/2022
SUeetAtldress
�
16605 E Ave of the Fountains
Clly Slefo 21P
Fountain Hills AZ 85268
TypeofOpealmBEtpensePaid NomEledotalWryose4�PACsentlPoGticalPaNesOnly)
Stamps ❑
Enter total only If last page of schedule
(transfer the total dishursed this pedod to "Summary o( Dlsbursements; line 1J
SCHEDULE 8(1)
Cumulative Cumulative\
AmounlPaid Amountthis Amount ihis
Reporting Period Election Cycle
1000.00
� Cash
� ❑ Credit
1000.00 2000.00
414.76 414.76 414.76
O Cash
� � Credit
23.66 23.66 23.66
O Cash
❑ Credil
I 3163.97
O Cash
� � Credit
3163.97 3163.97
290.00 2g0.00 290.00
O Cash
❑ Credit
4892.39 5892.39
Schedule B(1), page � of�
COMMITTEE ID NUMBER
CC2021-02
Arizona Secretary o(State Revision 7/31/21 (fillable formai)
DISBURSEMENTS FOR OPERATING EXPENSES:
Name
Ink Birdz LLC
S4eelMk�as9
3930 E Illini Street
CM
Phoenix
ry� aovoreo�s ��e aeia
Remove campaign wrap
Name
SVaetAtlOr¢s
� Ciy
Type al OpemGng 6yaree Peld
Name
SUeeIACCmza
� C�ty
Tpre MOpereing Evpervse Pd0
�Name
Recipient Informalion
� Gry
TYPa al OOeaMB ��e Pa�tl
Name
ISlreelAtlOresa
oI�M
STATE OF ARIZONA
COMMITTEE CAMPAIGN
. .
FINANCE REPORT
DiaWrtemenl0e�e
5/11 /2022
Slnte LP
AZ 85040
Non�EkUo�d 4Lqpsei (PACs eM Pol�kel PaNes Chy)
❑
Oi9bJBBIneM Od�B
SNIe LP
Non�Eledo�Wiposei(PACaandPollkelPaNeatTl�)
❑
DisWrsamaM�as
SI916 ]JP
NamEbawel Purymna �PA� and Pdnid Pdrlrea Only)
❑
oiewrsomemoa�e
Sle�e ZIP
Non-FJedarei PUP�ei lPAfa anC POLtictl PaNes Oniy)
❑
O'�9WRBIIIEMOB�B
S�ale ZIP
TypeMOpereWgE�e�saPatl Non�FkdaralPuryoso4�PACsenEPolAk.aiPaNwOnly)
❑
Enter tolal only it lasf page ot schedule
prens(ar Ihe tolal disbursed this period lo "Summary of Oisbursemenls,° Iine 1)
COMMI't-I"EE ID NUMBER
CC2021-02
SCHEDULE 8(1)
Cumulative Cumulative
AmountPald Amounllhis Amount Ihis
Reporting Pedod Election Cycie
I
315.00
O Cash
� 0 Credil
315.00
315.00
❑ CeSh
❑ Credit
❑ Cash
❑ Credit
❑ Cash
0 Credil
I� Cash
❑ Credil
Schedule 8(7), page r�. of �
315.00
Arizona Secretary of State Revlslon 7/31/21 (fiilable formal)
6207.39
STATE OF ARiZONA COMMITfEE ID NUMBER
COMMITTEE CAMPAIGN CC2021-02
, .
FINANCE REPORT
MONETARY CONTRIBUTIONS TO CANDIDATE COMMITTEES:
Candidale Commitlee Recipient Informallon
Cammltlee Neme
Hannah Toth for Town Council
s„�,�,�,
16923 E Lost Trail Dr
� Cify Slele ZIP
Fountain Hilis AZ 85268
co�u�io�u�ca� oaiecon�newmMaaa
CC2021-05 5/19/2022
Commnle9 Name
Brenda Kalivianakis for Town Council
SVeBINGdres6
16441 E Arroyo Vista Dr
� Qry ' S�ele ZIP
Fountain Hills AZ 85268
co�iw ro rvM,ee� oaia co�mawo� Mme
CC2021-03 5/19I2022
Commd�eeNeme
Team Skillicorn
s���,�,
16936 E Trojan Ct
`� Gty Slela LP
Fountain Hills AZ 85268
Commilbe ID Niunbet Da�e ConNbWan Matle
CC2021-06 5/19/2022
CommMleoNemo
$V¢B(Atl0259
Gry Stelo ZIP
cammmee io n�nmr oxie comm�wm nfeue
Commll�ea Neme
SUeetAdtlress
� ary sw�e Inr
commn�ee io N�uneer oa�e conmewm Meae
Enter tolal only iF last page of schedule
(lransfer ihe tolal disbursed Ihis periotl to "Summary of �isbursemenis; Iine 2(a))
Schedule 8(2)(aj, page_ of _
1042.61 1042.61
Adzona Secretary of Stale Revislon 7/31/21 (fillable format)
SCHEDULE B(2)(a)
Amounl Cumulalive CumulatWe
Contdbuted Amountthis Amount (his
Reporfing Periotl Eleclion Cycie
347.00 347.00 347.00
O Cash
❑ Credit
347.00 347.00 347.00
O Cash
❑ Credit
348.61 348.61 348.61
� Cash
❑ Credl�
I
I O Cash
� O Credit
❑ Cash
❑ Credil