Loading...
HomeMy WebLinkAboutRural Metro Employee PAC - Pre General - 5/4/2000 • • - . POLITICAL COMMITTEE FOR OFFICE USE ONLY CITYITOWN OF Oro valley • • CAMPAIGN FINANCE REPORT (March/May Regular Election) 4'130Am113:32 TOV . 1• Rural/Metro Employee PAC for Cost Effec. Gov. MAY Full Name of Committee ' 8401 E. Indian School Rd. Acs Scottsdale 85251 . 480-606-3 Ci:y /JP Code County Phone 2. 3A. ID# • Sponsoring Organization or Candidate and office �- Applied for Name of Candidate and Office Sought(if applicable) . 6Q CC: -- Ck t O d d E-Mail Address Fax# 4. ' REPORTING PERIOD (Please check appropriate box) - DUE BETWEEN • . January 31 Report-For Period of June 9,1998 thru December 31,1999 January 1,2000 thru January 31,2000 Pre-Primary Election Report-For Period of January 1,2000 thru February 23,2000 February 24,2000 thru March 2,2000 Post-Primary Election Report-For Period of February 24,2000 thru April 3,2000 April 4,2000 thru Apnl 13,2000 EIPre-General Election Report-For Period of April 4,2000 thru April 26,2000 April 27,2000 thru May 4,2000 Post-General Election Report-For Period of April 27,2000 thru June 5,2000 June 6,2000 thru June 15,2000 January 31 Report-For Period of June 6,2000 thru December 31,2001 January 1,2002 thru January 31,2002 5.. SUMMARY Column A Column B Total This Election Period • , Reporting Period Total To Date - - 5a Surplus from Previous Campaign(or at time Statement of Organization was filed for the new committee) .�. =a $6582.48 • 5b Cash on Hand at the Beginning of this Reporting Period $6249.41 ti.• y_ :. 5c Total Receipts(from corresponding columns on Detailed . Summary Page,Line 8) $929.57 $4246.50 5d Subtotal [add Lines b and c for Column A and add lines • a and c for Column B] $7178.98 • $10828.98 • • • • • }�.lys.s C'`� . +�i� ;fit. 6a Total Debts and Obligations from Previous Campaign Committee at rr;���.� z -;� ;R, ; •r • s eats.ar., �}f�'�:''Y.,•«"��k.:;i:;F,;. Beginning of this Election Period(or at time Statement of $0.00 Organization was filed for the new committee)[Do not add orZit „=Y « subtract this line from the other lines] 6b Total Disbursements(from corresponding columns on Detailed Summary Page,Line 18) $300.00 • $3950.00 7. Cash on Hand at Close of Reporting Period[Subtract $6878.98 Line 6b from Line 5d $6878.98 , , DETAILED SUMMARY PAGE OF RECEIPTS AND DISBURSEMENTS Page 2 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3. Report covering period from April 04, 2000 thru April 26, 2000 RECEIPTS COLUMNA COLUMN B THIS PERIOD CAMPAIGN TO DAT OM1;,;{;., MMXI:Y 4.Contributions other than loans and in-kind: ... `` •:k :Ar %';•�•iY•tc?.:>`i $•?:kF•sY� b. :i` x..:4:.r�S.:'.M1.�?.,',....' �: ':;:4Yaix'�::':N::.:PIF,>'.+�t';:?':Esq{ •,.$�:€Y�a•::•:'?�:Y..z3Q ..r',?k:'ks:Y:•,cr$.'�'• .� �.�'},;4: • off,. , ' (a)Individuals-more than$25(Total from Schedule A) 585.00 1825.00 (b)Individuals-aggregate$25 or less(Total from Schedule A-1) 328.00 2371.00 (c)Political Committees(Total from Schedule B) 0.00 0.00 (d)Subtotal Contributions[add 4(a),4(b),and 4(c)] 913.00 4196.00 (e)Refund of contributions(Total from Schedule F-2) 0.00 0.00 (f)Total Contributions Other than Loans and in-kind[subtract 4(e)from 4(d)] 913.00 4196.00 5.(a)Loans made or guaranteed by candidate(Total from Schedule C) 0.00 0.00 (b)All other loans(Total from Schedule C-1) 0.00 0.00 (c)Total Loans[add 5(a)and 5(b)] 0.00 0.00 6.In-kind contributions(Total from Schedule E) 0.00 0.00 7.Dividends,interest,and other forms of receipts(Total from Schedule F-1) 16.57 50.50 8.Total Receipts[add 4(f),5(c),6,and 7] 929.57 4246.50 QUALIFYING CONTRIBUTION RECEIPTS ...Y * .:.•: 4 . Er � . . y,-0w : 77x Qualifying Contributions of$5 from Individual(Total from Schedule A2). 0.00 0.00 r.: �,;w •� yFm,...:.'aa:vt"rE,�•''•�,: fiii•#::,�•',*,?AtYhx� �: \,'•:k,...i-,.-•• •. �:. �DISBURSEMENTS {s�,,citiTia.4¢ uyC$4h'n' l N ry ,,,,,?C3 . r.,♦4� ; ,,, y .:. CVi : : ,<::o � sy •,.',,44.041‘.,,• 3:.4' ?,v4Y,: 9.Expenditures for operating expenses(Total from Schedule D) 0.00 0.00 10. Independent Expenditures(Total from Schedule D-1) 0.00 0.00 11.Values of in-kind expenditures(Total from Schedule E) 0.00 0.00 12.Loans made by reporting committee(Total from Schedule D-2) 0.00 0.00 13.(a)Repayment of loans made or guaranteed by candidate(Total from Schedule D-4) 0.00 0.00 (b)Repayment of all other loans(Total from Schedule D-5) 0.00 0.00 (c)Total Loan Repayments[add 13(a)and 13(b)] 0.00 0.00 14.Transfers to other political committees(Total from Schedule D-6) 0.00 0.00 15.Any other disbursement(Total from Schedule D-7) 300.00 3950.00 16.Subtotal disbursements[add lines 9, 10, 11, 12, 13(c), 14,and 15] 300.00 3950.00 17. Rebates,refunds and other offsets to operating expenses(Total from Schedule D-3) 0.00 0.00 18.Total disbursements[subtract line 17 from line 16] 300.00 3950.00 19.Total Outstanding Debts owed by Reporting Candidate or Committee(Schedule F-3) 0.00 0.00 20. I certify,under pennalty 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,correct and complete. Type or Print Name of Treasurer 5131.00Edward J. Sanchez Signature of Treasurer or Candidate(if candidate campaign committee and treasurer un ailable) Date REVISED 10/99 CONTRIBUTIONS more than $25 - from INDIVIDUALS* SCHEDULE A 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3.Report covering period from April 04, 2000 thru April 26, 2000 CONTRIBUTIONS AMOUNT CUMULATIVE DATE RECEIVED TOTAL THIS RECEIVED THIS CAMPAIGN NAME,ADDRESS, OCCUPATION AND EMPLOYER OF CONTRIBUTOR PERIOD TO DATE LAST FIRST MI John R. Abarca STREET ADDRESS 04/14/2000 W 1912 16th Place CITY STATE ZIP Yuma AZ 85364- 5.00 45.00 OCCUPATION EMPLOYER FF/Paramedic Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Theodore Beam STREET ADDRESS 8731 E. Turney04/14/2000 CITY STATE ZIP Scottsdale AZ 85251- 10.00 80.00 OCCUPATION EMPLOYER Chief Operating Operations Rural/Metro Corporation Payroll Deduclion p 9 P p LAST FIRST MI Scott Butler STREET ADDRESS 2725 W. Cindy Lou Lane 04/14/2000 CITY STATE ZIP Yuma AZ 85365- 5.00 40.00 OCCUPATION EMPLOYER General Manager Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Jayson Calhoun STREET ADDRESS 645 W. Orange Grove Rd. #1011 04/14/2000 CITY STATE ZIP Tucson AZ 85741- 5.00 40.00 OCCUPATION EMPLOYER Firefighter Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Daniel Caudle STREET ADDRESS 04/14/2000 13106 W. Alvarano Circle CITY STATE ZIP Goodyear AZ 85338- 5.00 40.00 OCCUPATION EMPLOYER District Fire Chief Rural/Metro Corporation Payroll Deduclion 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A[if last page of Schedule A,transfer total to `ve Detailed SummaryPage Line 4(a), . Column A] `. �• ,. a *If contributions of$25 or less are listed with contributor's name,address,occupation 1 6 and employer on Schedule A,do not include them on Schedule A-1. Schedule A Page of List$5 Clean Election qualify contributions separately on Schedule A-2 Revised 10/99 CONTRIBUTIONS more than $25 -from INDIVIDUALS* SCHEDULE A 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3.Report covering period from April 04, 2000 thru April 26, 2000 CONTRIBUTIONS AMOUNT CUMULATIVE DATE RECEIVED TOTAL THIS RECEIVED THIS CAMPAIGN NAME,ADDRESS, OCCUPATION AND EMPLOYER OF CONTRIBUTOR PERIOD TO DATE LAST FIRST MI Charles Fitzgerald STREET ADDRESS 04/14/2000 2454 S. 30th Drive CITY STATE ZIP Yuma AZ 85364- 5.00 40.00 OCCUPATION EMPLOYER Fire Captain Rural/Metro Corporation Payroll Deduction LAST FIRST MI James Ford STREET ADDRESS 04/14/2000 8991 E. Friess CITY STATE ZIP Scottsdale AZ 85260- 5.00 35.00 OCCUPATION EMPLOYER Fire Chief Rural/Metro Corporation Payroll Deduction LAST FIRST MI Curt Foster STREET ADDRESS 04/14/2000 3687 W. Co 17th St. CITY STATE ZIP Somerton AZ 85350- 5.00 40.00 OCCUPATION EMPLOYER Fire Marshal Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Shannon Gagnepain STREET ADDRESS 7727 E. Entrada De Ventana 04/14/2000 CITY STATE ZIP Tucson AZ 85715- 5.00 40.00 OCCUPATION EMPLOYER Marketing Manager Rural/Metro Corporation Payroll Deduction LAST FIRST MI Kirby Hamby STREET ADDRESS 04/14/2000 3413 W. Evening Star Ct CITY STATE ZIP Tucson AZ 85741- 5.00 40.00 OCCUPATION EMPLOYER Fire Chief Rural/Metro Corporation Payroll Deduction 5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A[if _><.> <> <:h<>`> <>.'.k_z<>_.>' last page of Schedule A,transfer total to �.�, , {,,.• Detailed Summary Page Line 4(a) Column Al °* �:.:�,L�ng�... ``�`�"�`' � ti•:x.+cS'C�: tY,•���fi'k�?ri�cti:��tii'7«;$:+wc *If contributions of$25 or less are listed with contributor's name,address,occupation 2 6 and employer on Schedule A,do not include them on Schedule A-1. Schedule A Page of List$5 Clean Election qualify contributions separately on Schedule A-2 Revised 10/99 CONTRIBUTIONS more than $25 - from INDIVIDUALS* SCHEDULE A 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3. Report covering period from April 04, 2000 thru April 26, 2000 CONTRIBUTIONS AMOUNT CUMULATIVE DATE RECEIVED TOTAL THIS RECEIVED THIS CAMPAIGN NAME,ADDRESS, OCCUPATION AND EMPLOYER OF CONTRIBUTOR PERIOD TO DATE LAST FIRST MI Jim Hayden STREET ADDRESS 04/14/2000 18809 N. 59th Lane CITY STATE ZIP Glendale AZ 85308- 5.00 40.00 OCCUPATION EMPLOYER Manager Rural/Metro Corporation Payroll Deduction 9 p LAST FIRST MI Dean Hoffman STREET ADDRESS 04/14/2000 4613 E. Waltann Lane CITY STATE ZIP Phoenix AZ 85032- 5.00 35.00 OCCUPATION EMPLOYER Vice President Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Timothy Johnson STREET ADDRESS 04/14/2000 3025 E. Villa Maria Dr. CITY STATE ZIP Phoenix AZ 85032- 5.00 40.00 OCCUPATION EMPLOYER Analyst Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Karl Keierleber STREET ADDRESS 04/14/2000 8632 E. Montecito CITY STATE ZIP Scottsdale AZ 85251- 5.00 40.00 OCCUPATION EMPLOYER Fire Chief Rural/Metro Corporation Payroll Deduclion LAST FIRST MI John Lane STREET ADDRESS 04/14/2000 330 S. Sonoran Heights Dr. CITY STATE ZIP Tucson AZ 85748- 5.00 40.00 OCCUPATION EMPLOYER Fire Captain Rural/Metro Corporation Payroll Deduclion 5.ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A[if last page of Schedule < <?'?'.•'.?`•?';"•.U:`r''•t;.,';`.?\:+'ta>�c^: p g A transfer total to ..;.x::..::::::.:::::.�:...x;A. ,> �.:: Detailed SummaryPage Line 4(a),Column A] '. r.;.......:;K:<>:_ *If contributions of$25 or less are listed with contributor's name,address,occupation and employer on Schedule A,do not include them on Schedule A-1. Schedule A Page 3 of 6 List$5 Clean Election qualify contributions separately on Schedule A-2 Revised 10/99 CONTRIBUTIONS more than $25 - from INDIVIDUALS* SCHEDULE A 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3.Report covering period from April 04, 2000 thru April 26, 2000 CONTRIBUTIONS AMOUNT CUMULATIVE DATE RECEIVED TOTAL THIS RECEIVED THIS CAMPAIGN NAME,ADDRESS, OCCUPATION AND EMPLOYER OF CONTRIBUTOR PERIOD TO DATE LAST FIRST MI Eric Merrill STREET ADDRESS 04/14/2000 4046 W. Morrow Dr. CITY STATE ZIP Glendale AZ 85308- 5.00 40.00 OCCUPATION EMPLOYER Fire Lieutenant Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Brian Murray STREET ADDRESS 04/14/2000 1903 N. Tamarisk St. CITY STATE ZIP Chandler AZ 85224- 5.00 40.00 OCCUPATION EMPLOYER Fire Lieutenant Rural/Metro Corporation Payroll Ded ucl ion LAST FIRST MI Sandra Nygaard STREET ADDRESS 04/14/2000 P O Box 4125 CITY STATE ZIP Cave Creek AZ 85331- 5.00 40.00 OCCUPATION EMPLOYER Fire Lieutenant Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Lance Parker STREET ADDRESS 04/14/2000 5536 W. Monona Dr. CITY STATE ZIP Glendale AZ 85308- 5.00 40.00 OCCUPATION EMPLOYER Fire Marshal Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Fred Roof STREET ADDRESS 04/14/2000 14223 N. Del Cambre CITY STATE ZIP Fountain Hills AZ 85268-2427 5.00 40.00 OCCUPATION EMPLOYER District Fire Chief Rural/Metro Corporation Payroll Deduclion ..,;::::;..:::.:t:t.:tG::..4k::,.;,,: ;.:•..;.fay::...,?•:•.:::::: 5.ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A[if last page of Schedule A,transfer total to �.,ti �-_.t:. ... ., .:•. Detailed SummaryPage Line 4(a),Column A] � �� ��� *If contributions of$25 or less are listed with contributor's name,address,occupation and employer on Schedule A,do not include them on Schedule A-1. Schedule A Page 4 of 6 List$5 Clean Election qualify contributions separately on Schedule A-2 Revised 10/99 CONTRIBUTIONS more than $25 - from INDIVIDUALS* SCHEDULE A 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3.Report covering period from April 04, 2000 thru April 26, 2000 CONTRIBUTIONS AMOUNT CUMULATIVE DATE RECEIVED TOTAL THIS RECEIVED THIS CAMPAIGN NAME,ADDRESS, OCCUPATION AND EMPLOYER OF CONTRIBUTOR PERIOD TO DATE LAST FIRST MI Edward J. Sanchez STREET ADDRESS 3431 E. Clark Rd. 04/14/2000 CITY STATE ZIP Phoenix AZ 85024- 10.00 80.00 OCCUPATION EMPLOYER Director Rural/Metro Corporation Payroll Deduclion LAST FIRST mi Jennifer Schultz STREET ADDRESS 04/14/2000 15757 N. 90th PI. #1177 CITY STATE ZIP Scottsdale AZ 85260- 5.00 40.00 OCCUPATION EMPLOYER Manager Rural/Metro Corporation Payroll Deduclion 9 p LAST FIRST MI Michael A. Sucher STREET ADDRESS 04/14/2000 P 0 Box 2243 CITY STATE ZIP Scottsdale AZ 85252- 10.00 80.00 OCCUPATION EMPLOYER Vice-President Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Roderick Thompson STREET ADDRESS 04/14/2000 5126 E. Redfield Rd. CITY STATE ZIP Scottsdale AZ 85254- 5.00 40.00 OCCUPATION EMPLOYER District Fire Chief Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Czapranski Timothy STREET ADDRESS 04/26/2000 4499 River Rd. CITY STATE ZIP Scottsville NY 14546- 425.00 425.00 OCCUPATION EMPLOYER General Manager Rural/Metro Corporation Payroll Deduclion 5.ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A[if last page of Schedule A,transfer total to :::fi�• Yo5d+3••.,`)'# nr»a':::-.... lo-'••;':. Detailed Summary Page Line 4(a) Column A] ....,... �,...' •. •_..{. .v *If contributions of$25 or less are listed with contributor's name,address,occupation and employer on Schedule A,do not include them on Schedule A-1. Schedule A Page 5 of 6 List$5 Clean Election qualify contributions separately on Schedule A-2 Revised 10/99 • • CONTRIBUTIONS more than $25 -from INDIVIDUALS* SCHEDULE A 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3. Report covering period from April 04, 2000 thru April 26, 2000 CONTRIBUTIONS AMOUNT CUMULATIVE DATE RECEIVED TOTAL THIS RECEIVED THIS CAMPAIGN NAME,ADDRESS, OCCUPATION AND EMPLOYER OF CONTRIBUTOR PERIOD TO DATE LAST FIRST MI Robert Underdown STREET ADDRESS 8030 E. GaryRd 04/14/2000 CITY STATE ZIP Scottsdale AZ 85260- 5.00 40.00 OCCUPATION EMPLOYER Director Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Robert Videan STREET ADDRESS 722 W. Nido Circle 04/14/2000 CITY STATE ZIP Mesa AZ 85210- 5.00 40.00 OCCUPATION EMPLOYER Supervisor Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Theodore White STREET ADDRESS P 0 Box 4272 04/14/2000 CITY STATE ZIP Cave Creek AZ 85327- 5.00 40.00 OCCUPATION EMPLOYER District Fire Chief Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Charles Williams STREET ADDRESS 11707 N. Mineral Park Way04/14/2000 CITY STATE ZIP Oro Valley AZ 85737- 5.00 40.00 OCCUPATION EMPLOYER FF/Paramedic Rural/Metro Corporation Payroll Deduclion LAST FIRST MI Peter Zick STREET ADDRESS 17030 N. 15th St. #31001 04/14/2000 CITY STATE ZIP Phoenix AZ 85022- 5.00 40.00 OCCUPATION EMPLOYER FF/Paramedic Rural/Metro Corporation Payroll Deduclion :a;;<.C22:+'r`K:w`.C'.��.,.�'',,•h�A r:..v:•a.•::•1� n••w�•;,g:: 5.ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A[if last page of Schedule A,transfer total to ' >`:.•`..;_:�� •�.: 3 585.00 tailijitli•Detailed Summa Pae Line 4 a Column A *If contributions of$25 or less are listed with contributor's name,address,occupation 6 6 and employer on Schedule A,do not include them on Schedule A-1. Schedule A Page of List$5 Clean Election qualify contributions separately on Schedule A-2 Revised 10/99 • r CONTRIBUTIONS of$25 or less -AGGREGATE TOTAL* _ SCHEDULE A-1 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3.Report covering period from April 04, 2000 thru April 26, 2000 4. Aggregate Total of Contribuof$25 or less AMOUNT CUMULATIVE DESCRIPTION RECEIVED TOTAL THIS THIS PERIOD CAMPAIGN TO DATE 328.00 2371.00 5.TOTAL THIS PERIOD 6.CUMULATIVE TOTAL [Transfer total to detailed Summary Page, Line 4(b), 328.00 THIS CAMPAIGN TO DATE 2371.00 Column A] [Transfer total to detailed Summary Page, Line 4(b), Column B] *if contributions of$25 or less are listed with contributor's name&address on Schedule A,don't include them on this schedule Schedule A-1 List$5 Clean Election qualify contributions separately on Schedule A-2 Revised 10/99 ANY OTHER DISBURSEMENT SCHEDULE D-7 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3. Report covering period from April 04, 2000 thru April 26, 2000 OTHER DISBURSEMENTS MADE BY THE REPORTING COMMITTEE DATE AMOUNT DISBURSEMENT OF THE NAME,ADDRESS AND ID#OF COMMITTEE TO WHOM DISBURSEMENT WAS MADE DISBURSEMENT MADE;DESCRIPTION NAME,ADDRESS,CITY,STATE, ZIP AND ID# Committee to Elect Wayne Bryant 9421 N. Raleigh Place 04/24/2000 Tucson, AZ 85737- 300.00 NAME,ADDRESS,CITY,STATE, ZIP / / NAME,ADDRESS,CITY,STATE, ZIP / / NAME,ADDRESS,CITY,STATE, ZIP / / NAME,ADDRESS,CITY,STATE, ZIP / / NAME,ADDRESS,CITY,STATE, ZIP / / ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7[Transfer total to Detailed Summary Page, Line 15,Column A] 300.00 Schedule D-7 Page 1 of 1 Revised 10/99 DIVIDENDS, INTEREST, AND OTHER RECEIPTS SCHEDULE F-1 2. ID# 1.Committee Name Rural/Metro Employee PAC for Cost Effec. Applied for 3. Report covering period from April 04, 2000 thru April 26, 2000 DIVIDENDS, INTEREST AND OTHER RECEIPTS DATE AMOUNT RECEIPT OF THE NAME AND ADDRESS FROM INDIVIDUAL(OR NAME,ADDRESS AND ID#OF THE POLITICAL RECEIVED RECEIPT COMMITTEE) FROM WHOM RECEIPT WAS RECEIVED NAME,ADDRESS,CITY,STATE, ZIP AND ID# AZ Federal Credit Union 04/04/2000 3396 N. Hayden Rd. Scottsdale, AZ 85251- 16.57 DESCRIPTION OF RECEIPT NAME,ADDRESS,CITY,STATE, ZIP / / DESCRIPTION OF RECEIPT NAME,ADDRESS,CITY,STATE, ZIP / / DESCRIPTION OF RECEIPT NAME,ADDRESS,CITY,STATE, ZIP / / DESCRIPTION OF RECEIPT NAME,ADDRESS,CITY,STATE, ZIP / / DESCRIPTION OF RECEIPT NAME,ADDRESS,CITY,STATE, ZIP / / DESCRIPTION OF RECEIPT ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-1 [If last page of Schedule F-1,transfer total to Detailed Summary Page Line 7,Column A] 16.57 Schedule F-1 Page 1 of 1 Revised 10/99