CANDIDATE OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The Instruction Guide explains how to complete this form. MS 1 MRS MR FIRST MI 3 3:333:35ng OPACEUSEONLY NAME . . MKNICKNAME LAST SUFFIX 4 CANDIDATE ADDRESS APT I SUITE It; ZIP CODE OFFICEHOLDER MAILING 301 5 MA- ADDRESS 7: 5 El Change of Address a??m I 781?20 5 AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER Date Hand-delivered or Date Postmarked PHONE (6IL (502/ I a CAMPAIGN MS FIRST MI ReceiPI Amount TREASURER NAME . MIC . . . . . . Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO Po Box APT I SUITE ZIP CODE TREASURER t, ADDRESS 3'28 5 - ml 1W6 (Residence or Business) Qefotefrwu i \o 11,24; 3 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE (51L 2/5 602? 9 REPORT TYPE January15 July15 8th day before election I3, 30th day before election 15th day after campaign treasurer appointment (Officeholder Only) ?3 Runoff Exceeded $500 limit Final Report (Attach - FR) 1O PERIOD Month Day Year Month Day Year COVERED 0I/l6/Zot? THROUGH 01/0"! 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year '3 Primary '3 Runoff I: Other Description A4 IZ/General El Special 12 OFFICE OFFICE HELD litany) 13 OFFICE SOUGHT (if known) 6WC-ngww Wee 0L- I (an 'rn CANDIDATE FORM CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 NAME 15 ID (Ethics Commission Fiters) 15 NOTICE FROM nus am: IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OS EXPENDITURES MADE 3T POLITICAL To POLITICAL SUPPORT THE ll OFFICEHOLDEFI. EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE DH COMMITFE (S) KNOWLEDGE OH CONSENT. CANDIDATES AND OFFICEHOLDEHS ARE REQUEH ED TG HEPDFIT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE CIF SUCH EXPENDITURES. COMMITTEE TYPE I COMMITTEE NAME DGENERAL COMMITTEE ADDRESS [:lspecmc COMMITTEE OAITPAION TASASOAEA NAPS Additional Pages COMMITTEE CAMPAIGN THEASUREH ADIJHESS 17 1. TOTAL POLITICAL OF 550 on LESS (OTHER THAN TOTALS PLEOSES, LOANS. on GUARANTEES OF UNLESS ITEMIZED ?50 2. TOTAL POLITICAL CONTRIBUTIONS 7 (OTHER THAN PLEDGES. LOANS. 0R GUARANTEES OF LOANS) 8 GD 3. TOTAL POLITIGAL EXPENDITURES OF 5100 OR LESS. UNLESS ITEMIZED c: 4. TOTAL POLITICAL EXPENDITURES 5 I CONTRIBUTION 70" BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 58 (O 0F REPORTING PERIGD 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE 0 LOAN TOTALS LAST DAY OF THE REPORTING PERIOD TS AFFIOAVIT I swear, or af?rm, under penalty of perjury, that the accompanying report is true and correct and includes all information re ulrad to be re cried ?0 me CARMEN . underTItlS 15. Electton Cod m- 1 1 88.888?: 4? can. Signature Ol?didate OT Of?ceholder AFFIX NOTARY STAMP I SEALABDVE . . - - LL) 10? IA - Sworn to and before me. by the satd thus the day Of ?@331 20 '1 i" . tO certify which. witness my hand and seal Of Officewag, Wit/I 7 ?15 i Signature OI Officer administering oath Printed name at o?icar administering oath 11th oath ?nds-"r . .L- MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 The instruction Guide explains how to complete this form. 1 Total pages Schedule At. 2. FILER NAME \mou rm sum gritty-unfo? 3 Filer ID (Ethics Commission Filersi Date 5 Full name oi contributor Jams. Muir-4. 6 Contributor addroso: City: Lax/Mug) State; eat-abstata PAC i who?re 7 Amount oi contribution i5) 250.353 Zip Gooe- Principal occupation Idob title (See Instructions} 9 Employee (See Instructions) Full name at contributor mm west-f Date Contributor address: State: Wim- CI out-ol-slato PAC IIDH 1 ?aunt?) Each, 753 781381 Amount oi contribution (S) m. 99 Zip Code Principal occupation I Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ?Emmet Contributor address; State: out-ol-state PAC {IDrt Amount oi contribution Zip Code 1613? We. 9490.193) Emu) ?a Principal occupation Job title (See Instructions) Employer (See Instructions) Date Contributor address; City; State; Full name OI contributor -ol- slaw PAC ?up 3 r? Mm dew mun-I 09132. [Audi @M?d?fonw Tan 7802.? Amount of contribution .99. 50 . Zip Code Principal occupation 1 Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED It contributOr is out-oi-state FAG, please see instruction gulde for additional reporting requirements. MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 The Instruction Guide explains how to complete this form. 1 nag? swam"? A1 FILER NAME 3 Filer ID (Ethics Commission Fliers) Wm sum Swimme- Date 5 Full name of contributor our of slow pm: gm.? . 7 Amount oi contribution (S) Kw I 6 Contributor address: City. State; Zip Code '61) 707, manhole Wmdi 7% Principal occupation I Job title (See InsIructions) 9 Employer (Soc Instructions} Date Full name oi contributor out-oI-stalo PAC :nr Amount of contribution (3) Contributor address; City; State. Zip Code Principal occupation I Job title (See Instructions) Employer (See instructions} Date Full name of contributor out?oI-state PAC non .3 Amount of contribution (5) Contributor address: City; State. Zip Code Principal occupation {Job title (See instructions) Employer (See Instructions) Date Full name 0' cut-oi slain PAC H5. Amount oi contribution IS) Contributor address; City: State. Zip Code Principal occupation I Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED ll contributor is out-obstate PAC, plelse see Instruction guide for additional reporting requirements.