STATE OF ARIZONA - Prescott AZ

22

Transcript of STATE OF ARIZONA - Prescott AZ

Page 1: STATE OF ARIZONA - Prescott AZ
Page 2: STATE OF ARIZONA - Prescott AZ
Page 3: STATE OF ARIZONA - Prescott AZ

COMMITTEE ID NUMBERSTATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

MONETARY CONTRIBUTIONS FROM POLITICAL ACTION COMMITTEES: SCHEDULE A(1)(d)

Political Action Committee Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Committee ID Number Date Contribution Received

2

Committee Name

Street Address

City State ZIP

3 City State ZIP

4

Committee Name

Street Address

City State ZIP

Committee ID Number Date Contribution Received

5

Committee Name

Street Address

City State ZIP

Committee ID Number Date Contribution Received

Enter total only if last page of schedule“Summary of Receipts,” line 1(d))

Schedule A(1)(d), page of

Committee Name

Street Address

City State ZIP

Committee ID Number Date Contribution Received

Committee Name

Street Address

Committee ID Number Date Contribution Received

Arizona Secretary of State Revision 1/03/17

2019-001

Prescott Firefighters PAC

PO Box 26045

Prescott Valley AZ 86312

200802891 01/30/2019

$ 1,500.00 $ 1,500.00 $ 1,500.00

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Page 4: STATE OF ARIZONA - Prescott AZ

COMMITTEE ID NUMBERSTATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

IN-KIND CONTRIBUTIONS FROM CANDIDATE’S PERSONAL ASSETS OR PROPERTY: SCHEDULE A(5)(i)

Candidate Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Asset or Property Contributed

2

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Asset or Property Contributed

3

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Asset or Property Contributed

4

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Asset or Property Contributed

5

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Asset or Property Contributed

Enter total only if last page of schedule “Summary of Receipts,” line 5(i))

Schedule A(5)(i), page of

Arizona Secretary of State Revision 1/03/17

2019-001

Billie Orr

1401 Claiborne Dr

Prescott AZ 86301

Invitations & Envelopes

$ 190.26 $ 190.26

01/03/2019

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Page 5: STATE OF ARIZONA - Prescott AZ

COMMITTEE ID NUMBERSTATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

IN-KIND CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(5)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Occupation Employer

2

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Occupation Employer

3

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Occupation Employer

4

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Occupation Employer

5

Name Date In-Kind Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule “Summary of Receipts,” line 5(a))

*If in-kind contributions of $50 or less are listed on Schedule A(5)(b), do not include them on Schedule A(5)(a).

Schedule A(5), page of

Arizona Secretary of State Revision 1/03/17

2019-001

Margaret Travers 01/03/2019

4691 Sharp Shooter Wy

Prescott AZ 86301

Retired Retired

$ 150.00 $ 150.00 $ 150.00

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Page 6: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Jim Lee 01/04/2019

300 N Lee Blvd

Prescott AZ 86303

Retired Retired

$ 1,000.00 $ 1,000.00 $ 1,000.00

Linda Lee 01/04/2019

700 Cloud Crossing Cir

Prescott AZ 86303

Retired Retired

$ 1,000.00 $ 1,000.00 $ 1,000.00

Martha Bernatz 01/16/2019

1573 Donamire Cir

Prescott AZ 86301

Retired Retired

$ 100.00 $ 100.00 $ 100.00

Jim Lee 01/29/2019

300 N Lee Blvd

Prescott AZ 86303

Retired Retired

$ 2,000.00 $ 3,000.00 $ 3,000.00

Justin Scott 01/29/2019

PO Box 10000

Prescott AZ 86304

CEO Hoamco

$ 500.00 $ 500.00 $ 500.00

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Page 7: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Cecelia Jernegan 01/31/2019

833 Prescott Heights Dr

Prescott AZ 86301

Marketing Self

$ 50.00 $ 50.00 $ 50.00

Roberta Larson 01/31/2019

245 Kendall Ct

Chino Valley AZ 86323

Retired Retired

$ 50.00 $ 50.00 $ 50.00

Bette Borst 01/31/2019

1802 Pinon Dr

Prescott AZ 86301

Nurse YRMC

$ 50.00 $ 50.00 $ 50.00

Katherine Schulte 01/31/2019

814 Golden Hawk Dr

Prescott AZ 86301

Retired Retired

$ 50.00 $ 50.00 $ 150.00

Denise Nicklaus 01/31/2019

828 Trail Walk Cir

Prescott AZ 86301

Retired Retired

$ 50.00 $ 50.00 $ 50.00

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Page 8: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Jennfer Hubley 01/31/2019

2102 Lakewood Dr

Prescott AZ 86301

Retired Retired

$ 50.00 $ 50.00 $ 50.00

Annette Baity 01/31/2019

1018 Rough Diamond Dr

Prescott AZ 86301

Consultant Self

$ 50.00 $ 50.00 $ 50.00

Linda Nichols 01/31/2019

2287 Sequoia Dr

Prescott AZ 86301

Retired Retired

$ 75.00 $ 75.00 $ 75.00

Gary Nichols 01/31/2019

2287 Sequoia Dr

Prescott AZ 86301

Retired Reitred

$ 120.00 $ 120.00 $ 120.00

Pat Lorenzen 01/31/2019

5885 W Tita Rd

Prescott AZ 86305

Retired Retired

$ 100.00 $ 100.00 $ 100.00

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Page 9: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Taylor Hicks 01/31/2019

1371 Barranca Dr

Prescott AZ 86303

Retired Retired

$ 100.00 $ 100.00 $ 100.00

Maryann Gallagher 01/31/2019

940 Custer Ln

Prescott AZ 86305

Retried Retired

$ 100.00 $ 100.00 $ 100.00

Elaine Earle 01/31/2019

PO Box 11190

Casa Grande AZ 85130

Account Mgr ROX Media

$ 100.00 $ 100.00 $ 100.00

Rose Savona 01/31/2019

7915 Silver Wy

Prescott Valley AZ 86314

Receptionist Yavapai Tribe

$ 100.00 $ 100.00 $ 100.00

Ray Newton 01/31/2019

941 Lupine Ln

Prescott AZ 86305

Jorunalist Self

$ 100.00 $ 100.00 $ 100.00

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Page 10: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Theodore Leonard 01/31/2019

1436 Sierra Vista Dr

Prescott AZ 86303

Sound Engineer Self

$ 100.00 $ 100.00 $ 100.00

Steve Sischka 01/31/2019

1054 Hyland Cir

Prescott AZ 86303

Manager Olsen Grain

$ 100.00 $ 100.00 $ 100.00

Craig Brown 01/31/2019

13240 N Iron Hawk Dr

Prescott AZ 86305

Supervisor Yavapai County

$ 100.00 $ 100.00 $ 100.00

Cairrie Simons 01/31/2019

2515 Country Park Dr

Prescott AZ 86305

Hair Stylist Self

$ 100.00 $ 100.00 $ 100.00

Marilyn Popka 01/31/2019

1499 Northridge Dr

Prescott AZ 86301

Retired Retired

$ 100.00 $ 100.00 $ 100.00

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Page 11: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Jodi Rooney 01/31/2019

1795 N Swayback Rd

Prescott Valley AZ 86314

City Council Prescott Valley

$ 200.00 $ 200.00 $ 200.00

Donna Werking 01/31/2019

911 Old Stage Rd

Prescott AZ 86303

N AZ Social Media Self

$ 200.00 $ 200.00 $ 200.00

Jason Fann 01/31/2019

5154 Iron Stone Wy

Prescott AZ 86301

Manager Fann Contracting

$ 200.00 $ 200.00 $ 200.00

Alex Vakula 01/31/2019

PO Box 3500

Prescott AZ 86302

Attorney Self

$ 200.00 $ 200.00 $ 200.00

Leland Moreno-Hilburn 01/31/2019

PO Box 27237

Prescott Valley AZ 86312

Realtor CLA Real Estate

$ 200.00 $ 200.00 $ 200.00

6 14

Page 12: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Donna Walter 01/31/2019

1423 Northridge Dr

Prescott AZ 86301

Retired Retired

$ 200.00 $ 200.00 $ 200.00

Ron Fain 01/31/2019

3001 Main St, Ste 2B

Prescott Valley AZ 86314

Rancher Fain Land & Cattle

$ 250.00 $ 250.00 $ 250.00

Stephen Nathenson 01/31/2019

4995 E Rupert Rd

Prescott AZ 86303

Retired Retired

$ 250.00 $ 250.00 $ 250.00

Michael Rethman 01/31/2019

1233 S Lakeview Dr

Prescott AZ 86301

Retired Retired

$ 300.00 $ 300.00 $ 300.00

Patrick Galassi 01/31/2019

854 Tom Mix Trl

Prescott AZ 86301

Project Manager Yavapai County

$ 300.00 $ 300.00 $ 300.00

7 14

Page 13: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Pamela Jones 01/31/2019

PO Box 191

Prescott AZ 86302

Retired Retired

$ 500.00 $ 500.00 $ 500.00

Nancy Fain 01/31/2019

10875 E Hwy 69

Dewey AZ 86327

Retired Retired

$ 500.00 $ 500.00 $ 500.00

Mike Fann 01/31/2019

132 N Montezuma St

Prescott AZ 86301

Contractor Fann Contracting

$ 500.00 $ 500.00 $ 500.00

Ron James 01/31/2019

4985 N State Rte 89

Prescott AZ 86301

Rancher Deep Well Ranch

$ 500.00 $ 500.00 $ 500.00

Jim Thomas 01/31/2019

681 Driftwood Ct

Prescott AZ 86305

Contractor Self

$ 1,000.00 $ 1,000.00 $ 1,000.00

8 14

Page 14: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Perry Massie 01/31/2019

1822 Starview

Prescott AZ 86305

Retired Retired

$ 1,000.00 $ 1,000.00 $ 1,000.00

Jim Chamberlain 01/31/2019

1050 W Washington St, Ste 214

Tempe AZ 85281

Builder Sun State Homes

$ 2,500.00 $ 2,500.00 $ 2,500.00

Hojat Askari 01/31/2019

764 Vista Del Sol

Prescott AZ 86303

Physician Thumb Butte Medical

$ 2,500.00 $ 2,500.00 $ 2,500.00

Susan Cohen 01/31/2019

2182 Ewon Dr

Prescott AZ 86305

Realtor Keller Williams

$ 40.00 $ 40.00 $ 40.00

Daniel Schwan 01/31/2019

1621 Gettysvue Wy

Prescott AZ 86301

Retried Retired

$ 20.00 $ 20.00 $ 20.00

9 14

Page 15: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Nicole Kennedy 01/31/2019

455 High Chaparral Loop

Prescott AZ 86303

Development Boys and Girls Club

$ 200.00 $ 200.00 $ 200.00

Steve Blair 01/19/2019

1802 Northside Dr

Prescott AZ 86301

Owner Blind Brorthers

$ 100.00 $ 100.00 $ 100.00

Phyllis Robinson 02/07/2019

4669 Sharp Shooter Wy

Prescott AZ 86301

Retired Retired

$ 250.00 $ 250.00 $ 250.00

James Robb 02/09/2019

6162 Thayer St

Prescott Valley AZ 86304

Consultant Self

$ 100.00 $ 100.00 $ 100.00

Erik Reinhardt 03/01/2019

3284 S Evergreen Dr

Prescott AZ 86303

Manager Blind Brothers

$ 150.00 $ 150.00 $ 150.00

10 14

Page 16: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Edward Reilly 02/08/2019

1150 Linwood Ave

Prescott AZ 86305

Owner Bronzesmith Gallery

$ 100.00 $ 100.00 $ 100.00

Suzanne Cook 02/13/2019

2200 Lone Oak Wy

Prescott AZ 86305

Retired Retired

$ 100.00 $ 100.00 $ 100.00

Tracey Horn 03/01/2019

3284 S Evergreen Dr

Prescott AZ 86303

Owner Helkin & Horn

$ 100.00 $ 100.00 $ 100.00

Kim Spiria 03/23/2019

1716 Alpine Meadows Ln

Prescott AZ 86303

Retired Retired

$ 25.00 $ 25.00 $ 25.00

Linda Nichols 03/23/2019

2287 Sequoia Dr

Prescott AZ 86301

Retired Retired

$ 20.00 $ 95.00 $ 95.00

11 14

Page 17: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

TeriAnn Neigel 03/23/2019

3015 Pamela St

Prescott AZ 86305

Retired Retired

$ 25.00 $ 25.00 $ 25.00

Cecelia Jernegan 03/23/2019

833 Prescott Heights Dr

Prescott AZ 86301

Social Media Consultant Self

$ 25.00 $ 75.00 $ 75.00

JoAnn Coppage 03/23/2019

863 City Lights

Prescott AZ 86303

Retired Retired

$ 100.00 $ 100.00 $ 100.00

Jade Riley 03/23/2019

711 S Lakeview St

Prescott AZ 86301

Retired Retired

$ 100.00 $ 100.00 $ 100.00

Karin Weiler 03/23/2019

532 Lodge Trail Cir

Prescott AZ 86303

Retired Retired

$ 100.00 $ 100.00 $ 100.00

12 14

Page 18: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Cynthia Nyman 03/23/2019

4706 Sharp Shooter Wy

Prescott AZ 86301

Retired Retired

$ 25.00 $ 25.00 $ 25.00

Genanne Davis 03/23/2019

2890 Trail Walk

Prescott AZ 86301

Retired Retired

$ 50.00 $ 50.00 $ 50.00

Karol Mate 03/23/2019

1716 Alpine Meadows Ln #1003

Prescott AZ 86303

Retired Retired

$ 50.00 $ 50.00 $ 50.00

Tinamarie Newman 03/23/2019

1470 Northridge Dr

Prescott AZ 86301

Consultant Self

$ 50.00 $ 50.00 $ 50.00

Bette Borst 03/23/2019

1802 Pinion Dr

Prescott AZ 86301

Nurse YRMC

$ 20.00 $ 70.00 $ 70.00

13 14

Page 19: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

MONETARY CONTRIBUTIONS RECEIVED FROM INDIVIDUALS - MORE THAN $50 DURING ELECTION CYCLE:* SCHEDULE A(1)(a)

Individual Contributor Information Amount ReceivedCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name

2

Name

City State ZIP

3

Name Date Contribution Received

Street Address

Occupation Employer

4

Name

City State ZIP

Occupation Employer

5

Name Date Contribution Received

Street Address

City State ZIP

Occupation Employer

Enter total only if last page of schedule(transfer total to “Summary of Receipts,” line 1(a)

*If contributions of $50 or less are listed on Schedule A(1)(b), do not include them on Schedule A(1)(a).

Schedule A(1)(a), page of

Date Contribution Received

Street Address

City

Occupation Employer

Date Contribution Received

Street Address

Occupation Employer

City State ZIP

Date Contribution Received

Street Address

ZIPState

Arizona Secretary of State Revision 1/03/17

2019-001

Linda Lee 03/23/2019

700 Cloudcrossing Cir

Prescott AZ 86303

Retired Retired

$ 1,000.00 $ 2,000.00 $ 2,000.00

Peggy Ricker 03/31/2019

1675 N Deer Trl

Prescott AZ 86305

Retired Retired

$ 75.00 $ 75.00 $ 75.00

Jan Simmons 03/31/2019

3520 S Pinehurst Dr

Prescott AZ 36303

Retired Retired

$ 250.00 $ 250.00 $ 250.00

Robyn Chance 03/31/2019

1600 N Shoupe St

Prescott AZ 86305

Owner Arrowhead Lodge Recovery

$ 150.00 $ 150.00 $ 150.00

14 14

Page 20: STATE OF ARIZONA - Prescott AZ

STATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

COMMITTEE ID NUMBER

SUMMARY OF DISBURSEMENTS (Schedule B):

Disbursements Cash Equity

1. Disbursements for Operating Expenses

2. Contributions Made

(a) Candidate Committees

(b) Political Action Committees

(c) Political Parties

(d) Partnerships

(e) Corporations & Limited Liability Companies (PAC & Political Parties Only)

(f) Labor Organizations (PAC & Political Parties Only)

(g) Monetary Contributions Subtotal (add 2(a) through 2(f))

(h) Contribution Refunds Provided to the Reporting Committee

(i) Monetary Contributions Total (subtract 2(h) from 2(g))

3. Loans

(a) Loans Made

(b) Loan Guarantees Made

(c) Forgiveness on Loans Made

(d) Repayment of Loans Received

(e) Accrued Interest on Loans Received

(f) Total Loans (cash: add 3(a), 3(d) & 3(e); equity: add 2(b) & 2(c))

4. Rebates and Refunds Made (Non-Contributions)

5. Value of In-Kind Contributions Provided

(a) Candidate Committees(b) Political Action Committees

(c) Political Parties(d) Partnerships

(e) Corporations & Limited Liability Companies (PAC & Political Parties Only)

(f) Labor Organizations (PAC & Political Parties Only)

(j) Contributions Subtotal (add 5(a) through 5(f))

6. Independent Expenditures Made

7. Ballot Measure Expenditures Made8. Recall Expenditures Made

9. Support Provided to Party Nominees (Political Parties Only)

10. Joint Fundraising / Shared Expense Payments Made

11. Reimbursements Made12. Outstanding Accounts Payable / Debts Owed by Committee

13. Transfer Out Surplus Monies / Transfer In Debt (use cash and/or equity as applicable)

14. Miscellaneous Disbursements15. Aggregate of Disbursements - $250 or Less16. Total Disbursements (cash: add 1, 2(i), 3(f), 6-11 & 1 -15; equity: add 3(f), 5(j), & 12-15)

Arizona Secretary of State Revision 1/03/17

2019-001

$ 3,595.60

$ 0.00

$ 0.00

$ 0.00 $ 0.00

$ 0.00

$ 3,595.60 $ 0.00

Page 21: STATE OF ARIZONA - Prescott AZ

COMMITTEE ID NUMBERSTATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

DISBURSEMENTS FOR OPERATING EXPENSES: SCHEDULE B(1)

Recipient Information Amount PaidCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

2

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

3

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

4

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

5

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

Enter total only if last page of schedule “Summary of Disbursements,” line 1)

Schedule B(1), page of

Arizona Secretary of State Revision 1/03/17

2019-001

Helkin & Horn 01/04/2019

PO Box 13123

Prescott AZ 86304

Design

$ 199.00

$ 199.00 $ 1,700.67

Hassayampa Inn 01/31/2019

122 E Gurley St

Prescott AZ 86301

Fundraiser

$ 2,015.63

$ 2,015.63 $ 2,015.63

PayPal 02/10/2019

2211 N 1st St

San Jose CA 95131

Transaction Fees

$ 14.45$ 14.45 $ 14.45

EMI Printworks 01/02/2019

165 Plaza Dr

Prescott AZ 86303

Rack Cards & Petitions

$ 177.72$ 177.72 $ 362.80

EMI Printworks 01/31/2019

165 Plaza Dr

Prescott AZ 86303

Cards & Envelopes

$ 193.82$ 371.54 $ 733.84

1 2

Page 22: STATE OF ARIZONA - Prescott AZ

COMMITTEE ID NUMBERSTATE OF ARIZONACOMMITTEE CAMPAIGN FINANCE REPORT

DISBURSEMENTS FOR OPERATING EXPENSES: SCHEDULE B(1)

Recipient Information Amount PaidCumulative Amount this

Reporting Period

Cumulative Amount this

Election Cycle

1

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

2

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

3

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

4

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

5

Name Disbursement Date

CashCredit

Street Address

City State ZIP

Type of Operating Expense Paid Non-Electoral Purpose? (PACs and Political Parties Only)

Enter total only if last page of schedule “Summary of Disbursements,” line 1)

Schedule B(1), page of

Arizona Secretary of State Revision 1/03/17

2019-001

Yavapai Republican Committee 03/20/2019

112B Union St

Prescott AZ 86303

Event Table

$ 25.00

$ 25.00 $ 25.00

Helkin & Horn 02/08/2019

PO Box 13123

Prescott AZ 86304

Graphic Design

$ 435.00$ 634.00 $ 2,135.61

Helkin & Horn 03/03/2019

PO Box 13123

Prescott az 86304

Graphic Design

$ 520.00$ 1,154.00 $ 2,655.61

PayPal 03/31/2019

2211 N 1st St

San Jose CA 95131

Service Fees

$ 14.68$ 29.13 $ 29.13

2 2