Office of the Secretary of State 325 Don Gaspar Suite 300 Santa Fe, New Mexico 87503 (800) 477-3632/(505) 827-3600 Political Committee FORM A SECRETARY OF STATE Dianna J. Duran 1. FILING DEADLINES (Check the box that indicates the report being filled) X 4/8/2013 Before 5PM 10/14/2013 Before 5PM Political Committee Complete Name 3. 4. Mailing Address City, State & Zip Code 2400 Louisiana Blvd NE Albuquerque, NM 87110 Phone # Fax # (505) 883-7676 Name of President/Chairperson, if any, or Contact Person Phone # Fax # Mailing Address City, State, Zip Code Fax # Full Name of Treasurer Phone # 5. Padilla, Carlos 505-235-2790 Mailing Address City, State, Zip Code Fax # PO Box 3115 Corrales, NM 87048 Name & Street Address of Financial Institution Where bank account is mantained (Bank Account Located in New Mexico) First National Bank of Santa Fe. 2400 Louisiana Blvd NE, Albuquerque, NM 87110 6. FINANCIAL SUMMARY a. OPENING BALANCE for reporting period $14,807.84 ("0" If first report, or CLOSING BALANCE FROM LAST REPORT) b. Total Monetary Contribution this Reporting Period (Form B1 + Form B3) $3,500.00 c. Total Expenditures this Reporting Period (Form C + Form C1) $0.00 d. Closing Balance this Reporting Period (6a + 6b - 6c) $18,307.84 e. Total Loans To the Committee this Reporting Period (Forma A1) $0.00 f. Total unpaid Campaign Debt (Form A1) $0.00 g. Total In-Kind Contributions this Reporting Period (Form B 2) $0.00 7. Special Event Work sheet Attached Yes X No Page 1 of 9
1. DEBT CARRIED FORWARD $0.00 2. LOAN CONTRIBUTIONS $0.00 3. DEBT PAID $0.00 4. LOANS FORGIVEN $0.00 5. UNPAID DEBT $0.00 Page 2 of 9
FORM B 1 MONETARY CONTRIBUTIONS DATE NAME and ADDRESS of CONTRIBUTOR OCCUPATION (of any contributor who makes a contribution of $250 or more in an election) 11/14/2012 Studio Southwest Architects, Inc. - 2101 Mountain Road, NW, Albuquerque NM 87104 11/13/2012 Wells Fargo Bank - 90 South 7th Street, Minneapolis MN 55479 11/13/2012 Bixby Electric - 521 Wheeler SE, Albuquerque NM 87102 11/9/2012 Huitt Zollars - 1717 McKinney Avenue, Suite 1400, Dallas TX 75202 11/1/2012 Baker and Taylor - 2550 West Tyvola Road, Charlotte NC 28217 11/1/2012 Geltmore LLC - 6211 San Mateo Blvd, NE, Suite 130, Albuquerque NM 87109-3534 10/31/2012 Parametrix, Inc. - 1002 15th Street, SW, Suite 220, Auburn WA 98001 10/31/2012 Coldwell Banker Commercial - 4801 Lang Avenue, NE, Suite 100, Albuquerque NM 87109 10/26/2012 Cauwels & Stuve Realty - 8814 Horizon Blvd., NE, Suite 400, Albuquerque NM 87113 10/26/2012 Cauwels & Stuve Construction and Design - 8814 Horizon Blvd., NE, Suite 400, Albuquerque NM 87113 10/25/2012 Studio Southwest Architects, Inc. - 2101 Mountain Road, NW, Albuquerque NM 87104-1468 AMOUNT Architects $250.00 Bank $1,000.00 Electrician $250.00 Research and Investment $500.00 Book Distributors $250.00 Real Estate $250.00 Architects $400.00 Real Estate $250.00 Real Estate $200.00 Construction and Design $50.00 Architects $100.00 $3,500.00 Page 3 of 9
FORM B 2 IN-KIND CONTRIBUTIONS DATE NAME and ADDRESS of CONTRIBUTOR OCCUPATION (of any contributor who makes a contribution of $250 or more in an election) VALUE Page 4 of 9
FORM B 3 LOAN CONTRIBUTIONS DATE TRANSFER DATE NAME and ADDRESS of CREDITOR AMOUNT Page 5 of 9
FORM B 4 LOANS FORGIVEN DATE NAME and ADDRESS of CREDITOR AMOUNT Page 6 of 9
FORM C EXPENDITURES DATE NAME and ADDRESS of PAYEE PURPOSE PRC Exp AMOUNT Page 7 of 9
FORM C 1 LOAN REPAYMENTS DATE NAME of CREDITOR AMOUNT Page 8 of 9
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