/ REPORTING PERIOD REPORT DUE th Quarter Report: October 28, 2016 to December 31, 2016 January 1, 2017 to January 15, 2017
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1 COMMITTEE INFORMATION (required): Committee Information: committee Name: Maricooa Citizens Protectina Tax Pavers CANDIDATE INFORMATION (only if filing as a candidate committee): Office Sought: D Statewide Office: D State Legislature: D County Office: CityTown Office: Mririrnn;i REPORTING PERIOD (check one): REPORTING PERIOD REPORT DUE th Quarter Report: October 28, 216 to December 31, 216 January 1, 217 to January 15, 217!\ 217 March Pre-Election Report (Local Only): January 1, 217 to February 25, 217 February 26, 217 to March 4, Quarter Report (Local Only): February 26, 217 to March 31, 217 April 1, 217 to April 15, st Quarter Report: January 1, 217 to March 31, 217 April 1, 217 to April 15, May Pre-Election Report (Local Only): April 1, 217 to April 29, 217 April 3, 217 to May 6, nd Quarter Report (Local Only): April 3, 217 to June 3, 217 July 1, 217 to July 15, nd Quarter Report: April 1, 217 to June 3, 217 July 1, 217 to July 15, August Pre-Election Report (Local Only): July 1, 217 to August 12, 217 August 13, 217 to August 19, rd Quarter Report (Local Only): August 13, 217 to September 3, 217 October 1, 217 to October 15, rd Quarter Report: July 1, 217 to September 3, 217 October 1, 217 to October 15, October Pre-Election Report (Local Only): October 1, 217 to October 21, 217 October 22, 217 to October 28, th Quarter Report (Local Only): October 22, 217 to December 31, 217 January 1, 218 to January 15, th Quarter Report: October 1, 217 to December 31, 217 January 1, 218 to January 15, March Pre-Election Report (Local Only): January 1, 218 to February 24, 218 February 25, 218 to March 3, st Quarter Report (Local Only): February 25, 218 to March 31, 218 April 1, 218 to April 15, Quarter Report: January 1, 218 to March 31, 218 April 1, 218 to April 15, May Pre-Election Report (Local Only): April 1, 218 to April 28, 218 April 29, 218 to May 5, nd Quarter Report (Local Only): April 29, 218 to June 3, 218 July 1, 218 to July 15, nd Quarter Report: April 1, 218 to June 3, 218 July 1, 218 to July 15, August Pre-Election Report: July 1, 218 to August 11, 218 August 12, 218 to August 18, rd Quarter Report: August 12, 218 to September 3, 218 October 1, 218 to October 15, 218 J End of Previous Period through Today's Date 218 October Pre-Election Report: October 1, 218 to October 2, 218 October 21, 218 to October 27, th Quarter Report: October 21, 218 to December 31, 218 January 1, 219 to January 15, 219 Final Campaign Finance Report Prior to Committee Termination FINANCIAL SUMMARY (required): Activity Cash Activity This Election Cycle to Reporting Period Date (a) Committee value at the beginning of this reporting period (i.e. ending balance from the previous reporting period) + Total receipts (from summary of Receip1s: line 13 (cash colurm) for this reporting period) 5,68 5,136 (c) - Total disbursements (from summary of Disbursemenls,- line 16 (cash colurm) for lhis reporting period) 5, = Balance at close of reporting period D Check here if no financial activity during the reporting period. Lines (a)- still must be completed, but only this cover page need be filed. Committees with financial activity must file the cover page, summary of receipts, summary of disbursements, and any schedules that contain financial activity. All reports are deemed to be filed under penalty of perjury by the committee treasurer (all committees) and candidate (candidate committees only). Arizona Secretary of State Revision 1317
2 SUMMARY OF RECEIPTS (Schedule A): Receipts 1. Monetary Contributions Received (a) Individuals - More than $5 cl (e) (f) (g) (h) Individuals - $5 or Less (Aggregate) Cash Corporations & Limited Liability Companies (PACs & Only) Labor Organizations (PACs & Only) Candidate's Personal Monies ( Only) Ul Monetary Contributions Subtotal (add 1(a) through 1) (k) Refunds Given Back to Contributors (I) Net Monetary Contributions (subtract 1(k) from 1)) 2. Loans la\ Loans Received lb\ Foraiveness on Loans Received cl Reoavment on Loans Made Interest Accrued on Loans Made el Loans Subtotal (cash: add 2(a), 2(c) & 2) u 3. Rebates and Refunds Received 4. Interest Accrued on Committee Monies 5. In-Kind Contributions Received (a) Individuals - More than $5 le) el If) (g) (h) Individuals - $5 or Less (Aggregate) Corporations & Limited Liability Companies (PACs & Only) Labor Organizations (PACs & Only) Candidate's Personal Assets or Property ( Only) U) In-Kind Contributions Subtotal (equity: add 5(a) through 5) 6. In-Kind Donations Received (Non-Contributions) ( Only) 7. Extensions of Credit (a) (c) Extensions of Credit Received Payments on Extensions of Credit Received Net Extensions of Credit (subtract 7 from 7(a)) 8. Joint Fundraising Shared Expense Payments Received 9. Payments Received for Goods Services 1. Outstanding Accounts Receivable Debts Owed to Committee 11. Transfer In Surplus Monies Transfer Out Debt (use cash andor equity as applicable 12. Miscellaneous Receipts 13. Total Receipts (cash: add 1(1), 2(e), 3-4, 8-9, 11-12; equity: add 2, 5), 6-7, 1-12) Eq" 5,68 5,68 5,68 Arizona Secretary of State Revision 1317
3 SUMMARY OF DISBURSEMENTS (Schedule B): Disbursements Cash 1. Disbursements for Operating Expenses 2. Contributions Made (a} Equity \ (c) (d} (e} Corporations & Limited Liability Companies (PAC & Only) 3. (f) Labor Organizations (PAC & Only) (g) Monetary Contributions Subtotal (add 2(a) through 2(1)) (h} Contribution Refunds Provided to the Reporting Committee Monetary Contributions Total (subtract 2(h) from 2(g)) Loans (a} Loans Made Loan Guarantees Made (c} Forgiveness on Loans Made (d} Repayment of Loans Received (e} Accrued Interest on Loans Received (f) Total Loans (cash: add J(a). J & J(e); equity: add 2 & 2(c)) 4. Rebates and Refunds Made (Non.Contributions) 5. Value of In-Kind Contributions Provided (a} (b} (c} (e) Corporations & Limited Liability Companies (PAC & Only) (f) Labor Organizations (PAC & Pot,tical Parties Only) (j) Contributions Subtotal (add 5(a) through 5(1)) 6. Independent Expenditures Made 7. Ballot Measure Expenditures Made 8. Recall Expenditures Made 5,68 9. Support Provided to Party Nominees ( Only) 1. Joint Fundraising Shared Expense Payments Made 11. Reimbursements Made 12. Outstanding Accounts Payable Debts Owed by Committee 13. Transfer Out Surplus Monies Transfer In Debt (use cash andor equity as applicable 14. Miscellaneous Disbursements 15. Aggregate of Disbursements - $25 or Less 16. Total Disbursements (cash: add 1, 2(1), J(f), 6-11 & 13-15; equity: add J(f), 5), & 12-1 s) 5,68 Arizona Secretary of State Revision 1317
4 IN-KIND CONTRIBUTIONS FROM CORPORATIONS AND LLCs: SCHEDULE A(5)(g) Corporation I LLC Contributor Information CO<poraHonlllC Name Sovereign Land Assets, LLC 312 W CAREFREE HWY STE City 2 C,ty Phoenix Ccwporatton Ccmmission F"lle Na-nbef State AZ 1;586 Dale!.-..Kind Contnbution Received R Corporaliavl.LC Name Sovereign Land Assets, LLC 312 W CAREFREE HWY STE Corporation SSIOn File Number CorporationlllC NM\O Stato Phoenix AZ 1 p 8586 Date ln-kmd Contnbution Received R Cumulative Cumulative Amount Received Amount this Amount this Reporting Period Election Cycle , 5,68 5,136 3 C,ty State ZIP ' Cofporation CommSSIOn Filo Numt>et Doto In-Kind Contribution Roccivad Corporationlll.C Nome 4 c;1y Stato IZIP Corp:,ration Commission Filo Number Dato In-Kind Contribution Recoivod c«porationllc Nomo 5 C,ty Stnto 'ZIP Corporation Commission Fite Number Date In-Kind Contribut1on Recocved Enter total only if last page of schedule l'tr.\nsfer the total reoened this nnrfoct lo "Summarv of Receiots." hne S(nll 5,68 5,136 Schedule A(5)(g), page _1_ of _1 Arizona Secretary of State Revision 1317
5 Sign Here Petitions W. Chisholm Dr , 5, 5, Maricopa AZ x petition signature gathering 5,68 5,136
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