Transcript
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
1 1
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
1 1
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
1 1
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
1 14
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
2 14
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
3 14
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
4 14
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
5 14
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
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
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
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
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
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
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
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
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
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
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
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
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