f` PIzE - Cave Creek

FOR OFFICE USE ONLY
POLITICAL COMMITTEE
CITY/TOWN OF
CAMPAIGN FINANCE REPORT
2009 November Special Election
f' P.I.z. E.
,''
Full Name of Commillee
0 111.
12
,u' CroSS & t
Address
Cd-v^. r ^. X533!iS
City
ZIP
Code
County
f
; 1 ?lf19
TOWN OFICAVE CREEK
cz34
Phone
3A. ID#
2.
Sponsoring Organization of Candidate and office
PAC. Zy
Name of Candidate and Olllce Sought ( if applicable)
E-Mail Address Fax a
4. REPORTING PERIOD
DUE BETWEEN
( Pleasecheck appropriate box)
January 31 Report - For Period of ' thru December 31, 2008 .................... January 1, 2009 and January 31, 2009
M line 30 Report - For Period of January 1 , 2009 thru May 31 , 2009 .................................. June 1 , 2009 and June 30, 2009
F1 Pre-Election Report - For Period of June 1 , 2009 thru October 14, 2009 ....................... October 15. 2009 and October 22. 2009
Post- Election Report - For Period of October 15, 2009 thru November 23, 2009 ............ November 24, 2009 and December 3, 2009
fl
January 31
, Report - For Period of November 24, 2009 thru December 31,"' ......................... January 1, " and January 31, "
5. SUMMARY
5a Surplus from Previous Campaign (or at time Statement of
Organization was filed for the new committee)
Column A
Total This
Reporting Period
0
5b Cash on Hand at the Be g innin g of this Re p ortin g Period
5c Total Receipts (from corresponding columns on Detailed
Summary Page, Line 8)
0
Column B
Election Period
Total To Date
a
0
da
4L'
5d Subtotal [add Lines b and c for Column A and add lines
/9c
a and c for Column B]
6a Total Debts and Obligations from Previous Campaign Committee at
Beginning of this Election Period (or at time Statement of
Organization was filed for the new committee) [Do not add or
subtract this line from the other lines]
0
6b Total Disbursements (from corresponding columns on
Detailed Summary Page, Line 18)
7. Cash on Hand at Close of Reporting Period [Subtract
Line 6b from Line 5d ]
D
6
C
/ O
*Insert date which is 21 days after date of 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 election and the date following
"December 31" will be the immediately prior year.
DETAILED SUMMARY PAGE
OF RECEIPTS AND DISBURSEMENTS
Page 2
1 Committee Name : (. j\. Z - 2. - C,
3 Report covering period from
/-Q2 Thru
2 ID1f
S J / ^
,"4c .2c
0
Q J
RECEIPTS
COLUMN A
THIS PERIOD
COLUMN B
CAMPAIGN TO DATE
4. Contributions other than loans and in-kind:
(a) Individuals - more than $25 ( Total from Schedule A)
(b) Individuals - aggregate $25 or less ( Total from Schedule A-1)
(c) Political Committees (Total from Schedule B)
(d) Subtotal Contributions [add 4 ( a), 4(b), and 4(c)]
(e) Refund of contributions ( Total from Schedule F-2)
(f) Total Contributions Other than Loans and In-kind [subtract 4(e) from 4(d)]
5. (a) Loans made or guaranteed by candidate ( Total from Schedule C)
(b) All other loans (Total from Schedule C-1)
(c) Total Loans (add 5( a) and 5(b)]
6. In-kind contributions (Total from Schedule E)
7. Dividends . interest , and other forms of receipts ( Total from Schedule F-1)
9 P
8. Total Receipts [add 4( f), 5(c), 6, and 71
QUALIFYING CONTRIBUTION RECEIPTS
Qual ifying Contributions of $5 from Individuals ( Total from Schedule A2).
DISBURSEMENTS
9. Expenditures for operating expenses (Total from Schedule D)
10. Independent Expenditures (Total from Schedule D-1)
11. Value of In-kind expenditures (Total from Schedule E)
12. Loans made by reporting committee (Total from Schedule D-2)
13. (a) Repayment of loans made or guaranteed by candidate ( Total from Schedule D-4)
(b) Repayment of all other loans (Total from Schedule D-5)
(c) Total Loan Repayments [add 13( a) and 13(b)]
14. Transfers to other political committees ( Total from Schedule D-6)
15. Any other disbursement (Total from Schedule D-7)
16. Subtotal disbursements [add lines 9, 10. 11 , 12, 13( c), 14, and 15]
17. Rebates , refunds and other offsets to operating expenses (Total from Schedule D-3)
18. Total disbursements [ subtract line 17 from line 16]
19. Total Outstanding Debts owed by Reporting Candidate or Political Committee ( Schedule F-3)
20. I certify, under penalty of perjury, that I have examined the contents of this campaign finance report and to the best of my knowledge and belief it is true and
complete.
Type or Pnpt Name of Treasurer
_ IrA
` I tl
l
l
Signature of Treasurer or Candidate or Designating Individual
Date
CONTRIBUTIONS more than $25 - from INDIVIDUALS*
SCHEDULE A
2. ID # PAc gZrV
6y
1. Committee Name
3. Report covering period from
thru
1- 1-61
DATE
RECEIVED
CONTRIBUTIONS
4
3 3 I"'U
NAME , ADDRESS . OCCUPATION AND EMPLOYER OR CONTRIBUTOR
4a
LAST
FIRST
AMOUNT
RECEIVED
THIS
PERIOD
CUMULATIVE
TOTAL THIS
CAMPAIGN
TO DATE
MI
r e be_cC-C'STREETADDRESS
90 Y S N
CITY
STATE
ZIP
/.^__'^. /i
ur ^
V
^D
a
Cr - K c3.
Ca\J
OCCUPATION
EMPLOYER
Nr
b.
LAST
FIRST
MI
STREET ADDRESS
X y u
i? S G. •
CITY
C
STA
E
1
ZIP
C(e
t^V
)9
EM P LOYER
OCCUPATION
V ^.7
rn^A \S S. P•^b1 c tea
C.
LAST
FIRST
MI
STREET ADDRESS pI^(
E.0
CITY
rS e••.
t5t.
ZIP
STATE
4--v Crce, z S 33 !
EMPLOYER
OCCUPATION
d
6
LAST
FIRST
MI
r^ \.L',. A IJl!' L4J ,
STREET ADDRESS
CITY
D
- C Z ^ 33/
l2Av
r EMPLOYER
OCCUPATION
a
ZIP
STATE , n
^
LAST
FIRST
MI
STREET ADDRESS
CITY
STATE
OCCUPATION
5
ZIP
EMPLOYER
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A (It lase page of Schedule A. transfer total to Detailed
Sunmary Page Line 4(z). Column A/
it contributions of $25 or less are listed with contnbutof s name , address , occupation and employer on Schedule A. do not include Page jor.,
them on Schedule A-1 List $5 Clean Election qualifying contributions separately on Schedule A-2.
CONTRIBUTIONS more than $25 - from INDIVIDUALS*
2. IDS
,
T CoffvnM a Name P R
/-/-0?
tnru
'
CONTRIBUTIONS
/--c)
DATE
RECEIVED
NAME , ADDRESS , OCCUPATION AND EMPLOYER OR CONTRIBUTOR
4a
LAST
FIRST
l
l
Q#L
.240 9-DY
1 r iZ . E.
3 Report covenng period from
4
SCHEDULE A
AMOUNT
RECEIVED
THIS
PERIOD
CUMULATIVE
TOTAL THIS
CAMPAIGN
TO DATE
MI
^'
STREET ADDRESS
ST z
C
Ue^
.
X323
EMPL R
OCCUPAT
_++
_l
0
LAST
O
.
FIRST
MI
STR ET ESS
v
ST E ZIP
3 l
OCCUPATION
0
LAST
EMPLOYER
FIRST
MI
(D-6 0
V
ST ET ADDA ESS
3 C r o^
CrTY
TE
ZIP
vl)
0
/
EMPL OYE R
OCCUPATION
I
=
ILL A^L
LAST
FIRST
l
n`
STREET ADDRESS
Ml,
I
F-/^
1c>0
STAT
ATION
E
YER-
FIRST
MI
STREET ADDRESS
SATE g 7
ye
t
'%^^
%/v//
CC
3
G ,
EMPLOYER
TION O
bp=
5.
I
=:::I
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A /N leaf pipe a Scn.dule A. Uaniler roiW to DerMed
Sumnvy Pepe Len 4 (z). Calm , N
O
i
'11 connwu ono 0( 925 or Iau we listed wilt oorrarl0uM. s native. adores. , ocwpabon and ernpayer on Saadule A. do not inaude
them on ,SaleOHle A-t. LiN 65 Clean Electron WAD" m * hAxim eeparelely on Schedule A,2.
Page aT,.
ANY OTHER DISBURSEMENT
1. Committee Name
a
SCHEDULE D-7
Y - ^, -T. 6.
ANY OTHER DISBURSEMENTS
DATE
DISBURSEMENT
AMOUNT
OF THE
NAME , ADDRESS AND ID# OF COMMITTEE TO WHOM
DISBURSEMENT WAS MADE : DESCRIPTION
MADE
DISBURSEMENT
NAME , ADDRESS . CITY, STATE, ZIP AND It
I
o.ne1
E F coq-0
4, -
DESCRIPTION
b
NAME. ADDRESS . CITY. STATE, ZIP AND IDe
DESCRIPTION
c
NAME , ADDRESS . CITY, STATE. ZIP AND IDS
DESCRIPTION
d
NAME . ADDRESS . CITY, STATE. ZIP AND IDS
DESCRIPTION
a
NAME , ADDRESS . CITY. STATE, ZIP AND IDa
DESCRIPTION
5 ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 fTransfer total to Detailed Summary We Una 15 Column Al
/
5a+
M
PageJot