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HomeMy WebLinkAboutBohen 4 OV - Termination Statement - 10/28/2024OCT 272*12:4? 1.0V Finance — Can&dare Gidde APPENDIX D - SAMPLE LOCAL TERMINATION STATEMENT Ora. • nlun.�__= COMMITTEE INFORMATION: STATE Of ARIZONA COMMITTEE TERIMINATION STATEMENT tannrleee n.me' BOWn 4 OV NI.Nry.aa."a.. 2268 W Vaoo Street. Oro VaNeV. AZ 85742 Emrl.aMw. hntwn4am (anmld.mm Rrme nuMa: 514.7.13.ml ntcps:/MIWW.i?01121140V•Com Ct1.N..l.m n.me: Tint�tl�n_. --- Tm.e.m Tim Bohen. - DECIMATION AND SIOW RES. COMMmu ID NUMBER OVTC 20-o5 I a.dae ala.! F.N.IIy ar P.�em Mr ae wWouq wowurbiw ury imaer0wuldaewo0egarwmnMeBW.m mJar4lemsoemmaINaIernM1: M(2w) YeYarmm.a eItma.e etlwcemre(qd wI Iu m: wuWwdwmq tlwe ooMo ryg¢m w Wa b) .ero'e M swma W e ob%# we pam (3)wU.re we aa=Voa rTe ma roam s'ew omva. Mg6wreror r.uw CArrpw..aDre namlaw.mMg .ks Tme.Vv'. e10fmNa Ds19 1 1`C rz�t rraar.'a swwae (I wpKrlm): D.m. I C fl Q' z A2I7 r .�rre .ienrrary or _hare t C/ecrion J enicea Limmon i45 STATE OF ARIZONA COMMITTEE ID NUMBER COMMITTEE CAMPAIGN ` OVTC 20-05 *. FINANCE REPORT COMMITTEE INFORMATION (required): Committee Information: Committee Name: Bohen 4 OV CAN )IDATE INFORMATION (only if filinq as a candidate committee): Office Sought. ❑ County Office: ❑ Special District Office: Ei Cityrrown Office: Oro Valley Town Council ❑ School Board District: Cumulative Report: ❑ Check here if this is the candidate committee's first, cumulative report for the election cycle. Also select appropriate Reporting Period below. Cumulative reporting period start date (which supersedes the start date for the Reporting Period selected below): REPORTING PERIOD (check one): REPORTING PERIOD REPORT DUE FINANCIAL SUMMARY (required): Activity I Cash Activity This I 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) $ 16.35 (b) + Total receipts (from "Summary of Receipts," line 13 (cash column) for this reporting period) $ 16.00 $ 6,067.33 (c) - Total disbursements (from "Summary of Disbursements," line 16 (cash column) for this reporting period) $ 32.35 $ 7,855.72 (d) = Balance at close of reporting period $ 0.00 f , ❑ Check here if filing no financial activity during the reporting period. Lines (a)-(d) still must be completed, but only this cover page and the following page need to be filed. Committees with financial activity must file the cover page, summary of receipts, summary of disbursements, and any schedules that contain financial activity. Arizona Secretary of State Revision 9/28/23; League Update 03/25/24 (fillable format) Tim Boren 1� STATE OF • FINANCE REPORT Under A.R.S. § 16-926(B)(5), a campaign finance report must be certified by the committee treasurer under penalty of perjury that the contents of the report are true and correct. By filing this report, you certify that, under penalty of perjury, you have examined the contents of this report, and the contents are true and correct. Timothy Bohen Oxea"202410,281742`0000-0 o0 COMMITTEE ID NUMBER Cii 20-05 10/28/2024 Printed Name of Committee Treasurer Signature of Committee Treasurer Date Arizona Secretary of State Revision 9/28/23 STATE OF ARIZONA COMMITTEE CAMPAIGN FINANCE REPORT SUMMARY OF RECEIPTS (Schedule A): COMMITTEE ID NUMBER OVTC 20-05 / Receipts Cash Equity 1. Monetary Contributions Received (a) In -State Individuals -More than $100 (b) In -State Individuals - $100 or Less (Aggregate) (c) Out -of -State Individuals (d) Candidate Committees (e) Political Action Committees r (f) Political Parties (g) Partnerships (h) Corporations & Limited Liability Companies (PACs & Political Parties only) (i) Labor Organizations (PACs & Political Parties Only) (j) Candidate's Personal Monies (Candidate committees only) (k) Monetary Contributions Subtotal (add 1(a) through 1(j)) (1) Refunds Given Back to Contributors (m) Net Monetary Contributions (subtract 1(l) from 1(k)) 2. Loans (a) Loans Received (b) Forgiveness on Loans Received (c) Repayment on Loans Made (d) Interest Accrued on Loans Made (e) Loans Subtotal (cash: add 2(a), 2(c) & 2(d)) 3. Rebates and Refunds Received 4. Interest Accrued on Committee Monies 5. In -Kind Contributions Received; (a) In -State Individuals -More than $100 (b) In -State Individuals - $100 or Less (Aggregate) (c) Out -of -State Individuals (d) Candidate Committees (e) Political Action Committees (f) Political Parties (g) Partnerships (h) Corporations & Limited Liability Companies (PACs & Political Parties only) (i) Labor Organizations (PACs & Political Parties only) Q) Candidate's Personal Assets or Property (Candidate committees only) (k) In -Kind Contributions Subtotal (equity: add 5(a) through 50) 6. In -Kind Donations Received (Non -contributions) (Political Parties Only) 7. Extensions of Credit (a) Extensions of Credit Received - (b) Payments on Extensions of Credit Received (c) Net Extensions of Credit (subtract 7(b) from 7(a)) 8. Joint Fundraising / Shared Expense Payments Received 9. Payments Received for Goods / Services 10. Outstanding, Accounts Receivable / Debts Owed to Committee z 11. Transfer In Surplus Monies / Transfer Out Debt (use cash and/or equity asappllcable) 12. Miscellaneous Receipts (use cash and/or equity asapplicable) $16.00 13. Total Receipts (cash: add 1(m), 2(e), 3-4, 8-9, 11-12; equity: add 2(b), 5(k), 6-7(c), 10-12) $16.00 Arizona Secretary of State Revision 9/28/23 STATE OF ARIZONA a COMMITTEE CAMPAIGN FINANCE REPORT SUMMARY OF DISBURSEMENTS (Schedule B): COMMITTEE ID NUMBER OVTC 20-05 / Disbursements 1. Disbursements for Operating Expenses Cash Equity \ 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 & Paitical Parties only) (g) Monetary Contributions Subtotal (add 2(a) mmugh 2(f)) (h) Contribution Refunds Provided to the Reporting Committee (i) Monetary Contributions Total(sul*aa 2(h) from 2(c)) 3. Loans (a) Loans Made (b) Loan Guarantees Made (c) Forgiveness on Loans Made (d) Repayment of Loans Received (a) Accrued Interest on Loans Received (1) Total Loans (cash: add 3(a), 3(d) & 3(e); equity: add 2(b) & 2(c)) 4. Rebates and Refunds Made (Non-C nanbutio* 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 Panes only) (Q Labor Organizations (PAC & Poetcai Pames only) Contributions Subtotal (add a though r)) 6. Independent Expenditures Made 7. Ballot Measure Expenditures Made 8. Recall Expenditures Made 9. Support Provided to Party Nominees (Pascal Parties only) 10. 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 roan and or equity as apWlcable) 14. Miscellaneous Disbursements 15. Aggregate of Disbursements - $250 or Less $32.35 16. Total Disbursements (cash, add L 2(1), 3(A. &-11 Is 1315, equity: add 3(n), 5(9), & 12-13) $32.35 Arizona Secretary of State Revision 9/28/23 VCNS!,,P "Ne• MISCELLANEOUS RECEIPTS: COMMITTEE ID NUMBER OVTC 20-05 SCHEDULE A(12) Cumulative Cumulative Source Information Amount Amount this Amount this Reporting Period Election Cycle Name Schedule A(12), page_ of 1 $16.00 $16.00 $16.00 100 N Tyron Street Ctf Charlotte Sreh NC ZIP 28255 Rxeiq ivpa Reverse October 2024 Bank Fee Racept Dare 10/13/24 2 Name StreM FbJrtee Cily %h ZIP Receipt Type Receipt Date 3 Nerve Street REbw CRY 6rete ZIP Reulpl type Receipt Dah 4 Name Street AJdeaa CAy Slere 21P Receipt Type Reaeiq Date lame' ZIP LEnter Receipt Dah ast page of schedule$16.00 ivetl this period to 'Summary or Receipts,' line 12) $16.00 Arizona Secretary of State Revision 9/28/23 AGGREGATE OF DISBURSEMENTS — $250 OR LESS: STATE OF ARIZONA COMMITTEE ID NUMBER COMMITTEE CAMPAIGN OVTC 20-05 FINANCE REPORT SCHEDULE B(15) Cumulative Amount this Reporting Cumulative Amount this Election Period Cycle $32.35 $5,422.73 Cumulative of Disbursements - $250 or Less $32.35 $5 422.73 Enter total only if last page of schedule (transfer Me total received this period to "Summary of Disbursements; line 15) 1 1 Schedule B(15), page_ of Arizona Secretary of State Revision 9128/23 Bohen Campaign Pre -General Election Finance Report 10-19-24 Table of Contents Page Subject Committee & Candidate Information, Reporting Period, Financial Summary 2 Treasurer Certification 3 Summary of Receipts 4 - Summary of Disbursements 39 Miscellaneous Receipts t 69 Aggregate of Disbursements - $250.00 or Less Bohen Pre -General Election Table of Contents 10-19-24 10/29/2024