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PETITION FUND REpORT

Statewide Referendum Petition to: The Secretary of State Public Local Law Referendum to: The Secretary of State Charter Board Petition to: County Commissioners Charter Amendment Petition to: Mayor of the City of Baltimore or President of the County Council Local Referendum Petition to: Appropriate County Authority

Entity Name

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Mailing Address Report Period: From: __ ~~' ,_i_I_·_1+~_2. __

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(date)

Type of Report:

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Petition Follow-up Petition No .. ...,--_ _ Final Report - Surplus funds were distributed to

_

Bank Name and Branch Location

Account Number

1. 2. 3. 4. 5. 6.

Cash Balance - Beginning of period Receipts from Schedule 1: Column D Total Cash Available (line 1 plus line 2) Disbursements from Schedule 2: Column E Cash Balance - End of Period (line 3 minus line 4) Total Outstanding Debts from Schedule 3: Column C

$

$
$ $

$
$

Under penalty of perjury, I declare that I have examined this report, incl din ccompanying schedules and the best of my knowled e and belief it is true, correct, and complete.

OFFICE USE ONLY Report received: Received by: , _ Time _

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SCHEDULE 1 • RECEIPTS Entity Name: MDPetitions.com Report Period: From April 18, 2011 to May 31, 2011 (A) Date Received 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/20/11 5/6111 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/6/11 5/26/11 5/26/11 5/26/11 5/26/11 5/26/11 5/26/11 5/26/11 5126111 5/26/11 5/26/11 5/26/11 5/26/11 5/26/11 5/26/11 5/26/11 Francis and Elaine Kevin and .Joanne Mary .Joseph and Susan William and Patricia .Jay and Karen Thomas and .Joan Larry Howard and Ann .John and Linda Diane Anita David and Frances .James Lloyd Charles Emie Russ Russ Michael Susan Nick Neil Tonya Mike and Kathy Marjorie Dee .Jim and Gloria Terry Robert and Marilyn Wyett George and Patricia Douglas and .Janelle Dennis and .Julienne Howard and Rose Karen Cindy Brad Klaus and Valerie Charles Charles and Susan Frank and Maria Nancy Keith Paul and Pamela Frances .Joseph and .Jane Kenneth Ray and Lillian .Jeannie Sue Stephanie Glen Kathy .Jeff Ann .Judy Czajkowski Hanlon Stottlemyer Snyder Wentworth Efird Bodie Davis Corcoran (B) Complete Name and Principal Residence Address of Payer 495 Tulip Rd. 2034 Homewood Rd. 14116 Tarheel Ct. 451 Broadneck Rd. 2302 Killoran Rd. Annapolis, MD Annapolis, MD Annapolis, MD Timonium, MD

Page 2 of 5 Pages

(C) Code 21403 C 21409 C 21409 C 21093 C 20832 C 19958 C 17331 C MD 21756 C

(C) Check check check check check check check check check check check check check check check check check check check cash cash cash cash cash cash cash cash cash cash cash cash check check check check check check check check check check check check check check check check check check check check check check cash cash cash cash cash cash cash cash

(D) Amount Received $25.00 $100.00 $20.00 $20.00 $25.00 $50.00 $50.00 $20.00 $100.00 $25.00 $20.00 $20.00 $100.00 $100.00 $50.00 $50.00 $100.00 $50.00 $15.00 $150.00 $10.00 $10.00 $10.00 $20.00 $30.00 $20.00 $20.00 $10.00 $20.00 $20.00 $100.00 $60.00 $100.00 $200.00 $10.00 $10.00 $100.00 $50.00 $25.00 $50.00 $25.00 $25.00 $20.00 $25.00 $10.00 $10.00 $10.00 $100.00 $200.00 $10.00 $10.00 $5.00 $20.00 $40.00 $20.00 $10.00 $20.00 $20.00 $30.00 $10.00 $2,585.00

ReceiptCash or

Hagerstown, MD 21742 C

18130 Headwaters Driv' Olney, MD 109 Henlopen Shores Ci Lewes, DE 16 Skylite Dr. 5564 Porterstown 209 Cheshire Rd. Bridgeville Rd. PO Box 61 8482 Byrd Rd. 1103 Chukker Lane 9 Perine Ct. 9700 Glenkirk Way 558 Glen Ct. 132 East Main St. 8141 Tamar Dr. 7240 Sharpsburg Pike 143 Fiona Way 20626 Emerald Dr. 209 S. Carolina Ave. 20005 Lindenhurst Ct. 10702 .Judy Lane 4164 Southbond Lane 1110 Moller Ave. 311 Woodbury Ave. 13609 Daisy Circle 12912 Woodbum Drive 16 Bittersweet 2433 Pickwick Drive Rd. 1730 Morse Rd. Rd. Hanover, PA Keedysville,

Edward and Bernadin Geary Wojcik Baybick Holstein Hayes Greenfield Mendez Wetterer Swatek Wingerd Hough Bittle Kipke Parrott Tiffany Fasulo Cartwright Ficklin Coyle Shepherd Wood Colclasure La Noue Hovermale Mullaney Norseth Laumann Krankowski Botwin Loquasto Kenney Urban Decesare Rouse Consani .Jarosinski Duignan Duffy Phillips Weed Haddaway Krebs Cooper Glass Afzali Werner Corcoran Wamer

Severna Park, MI 21146 C Federalsburg, MI 21632 C Hillsboro, MD Pasadena, MD Crownsville, Bowie, MD Glen Burnie, MD Sharpsburg, MD Columbia, MD Boonsboro, MD Knoxville, MD Pasadena, MD Columbia, MD Sharpsburg, MD Martinsburg, WV MD Baltimore, MD 21641 C 21122 C 21032 C 21234 C 20721 C 21061 C 21782 C 21045 C 21713 C 21758 C 21122 C 21044 C 21782 C 25404 C

Baumgaertne28360

Diane Riley and Lisa Andercyk

12693 English Orchard I Silver Spring, MI: 20906 C

Hagerstown, MD 21742 C Hagerstown, MD 21742 C

Hagerstown, MD 21740 C Hagerstown, MD 21742 C Hagerstown, MD 21742 C Hagerstown, MD 21740 C .Jarrettsville, MD 21084 C 21207 C 21222 C 21234 C 21012 C 20855 C 21784 C 21601 C 21122 C Mil 21157 C Baltimore, MD Baltimore, MD Westminster, Arnold, MD Rockville, MD Winfield, MD Easton, MD Pasadena, MD Westminster, Baltimore, MD

13152 Independence R~Clear Spring, MD 21722 C 6837 Duluth Ave. 2317 Carrollton Rd. 6900 Old Harford Rd. 996 Clausen Ln. 15704 Kanawha Ct. 1389 Buckhorn Rd. 28441 Cedar Point Rd. 764 222nd Street 837 Fairfield Ave. Mil 21157 C

13059 Little Hayden Clr, Hagerstown, MD 21742 C 13864 Crosstie Dr. 9213 Oak Tree Circle Germantown, ME 20874 C 20832 C 21701 C 20854 C 21771 C 21048 C 21653 C 21784 C 21001 C 21769 C 21756 C Frederick, MD

17328 Blossom View Dr Olney, MD 10919 Larkmeade Lane Potomac, MD 16436 Old Frederick Rd.Mount Airy, MD 2198 patapsco Rd. 7331 Station Road 1696 Spring Mount Dr. 555 Cattail Run Rd. 307 Fords Lane 6806 Sarazen Drive 14114 Tarheel Ct. 5564 Porterstown Rd. 20511 Bent Willow Rd. Finksburg, MD Newcomb, MD Eldersburg, MD Aberdeen, MD Middletown, Keedysville, MD MD

Pok Sun Kim and FreePeters

1461 Old Manchester ReWestminster, Mil 21157 C

Charlestown, M 25414 C

Hagerstown, MD 21742 C Rohrersville, MD 21779 C Total This Page

SCHEDULE 1 - RECEIPTS Entity Name: Report Period: MDPetitions.com From April 18, 2011 to May 31,2011

Page 3 of 5 Pages

(A) Date Received 4/20/2011 4/22/2011 4/23/2011 4/23/2011 4/26/2011 4/27/2011 4/27/2011 4/28/2011 4/28/2011 4/28/2011 4/29/2011 4/29/2011 4/29/2011 4/29/2011 4/29/2011 4/30/2011 4/30/2011 5/2/2011 5/2/2011 5/3/2011 5/4/2011 5/4/2011 5/4/2011 5/4/2011 5/5/2011 5/5/2011 5/5/2011 5/6/2011 5/8/2011 5/10/2011 5/10/2011 5/10/2011 5/11/2011 5/11/2011 5/11/2011 5/12/2011 5/13/2011 5/16/2011 5/19/2011 5/19/2011 5/21/2011 5/23/2011 5/23/2011 5/23/2011 5/24/2011 5/25/2011 5/26/2011 5/29/2011 PayPal VerifyBank Robert Fireovid Edward Appiah James Blondell Derek Root laura andrews Kevin Lawson Joel Friedman mary alter aaron gray William Cornell Pamela Placek Paul Wolf Emily Vojtech Jeffery Kordela Bill Jones John Rynn Joseph Korczynski John Sullivan Bradford Andrew Sharpless Lissitz Patricia McD Bucci Mike Pitarra Sr susan rodbell Jeffrey McNeal david collins Leonard Magsamen Eric Fiterman Brian Pritt gregory Michael Gregory lawrence Margaret Thomas sheppard Crawley Eck schiavi Zins Redding Mark Hancock Complete

(B) Name and Principal Add ress of Payer Paypal 2211 North 114 Julian Court 6203 Summerhill 6509 S Charter 10932 Sasha Blvd 11515 cedar lane 114 south jefferson 1902 Alexander 20 wilelinor drive ave 1720 tarrytown Dr. st Rd Rd Apt F First Street San Jose Greenbelt Marlow Heights Glen Burnie Hagerstown kingsville middletown Fallston edgewater crofton Baltimore Rohrersville Laurel Abingdon Forest Hill Hampstead Rd Rock Way Apt B Columbia Glen Burnie Edgewood Odenton Bel Air Columbia Bel Air dr st Crossing Ln #311 bethesda Severn hyattsville NOTIINGHAM Chantilly Whiteford Rockville Indian Head Lane Apt. 44 Rockville Bowie catonsville reisterstown Towson Pike Apt. C Ellicott City Washington Ln Court Hughesville Laurel Laurel Pasadena Drive Island Rd Lane Bel Air Severn Edgewater Ellicott City McMinnville Berlin CA MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD NJ MD MD MD MD MD VA MD MD MD MD MD MD MD MD MD DC MD MD MD MD MD MD MD MD OR Residence

(C) Receipt Code 95131 C- Other 20770 C 20748 C 21061-3152 C 21742 C 21087 C 21769 C 21047-2260 C 21037 C 21114 C 21209 C 21779 C 20723 C 21009-1437 21050-3107 C C

(C) Cash or Check Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/Pay Pal Cash/PayPal Cash/PayPa I Cash/PayPal Cash/PayPal Cash/Pay Pal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PaYPa I Cash/PayPal Cash/PayPal Cash/Pay Pal Cash/PayPal Cash/PayPa I Cash/PayPal Cash/PayPal Cash/Pay Pal Cash/PayPal Cash/PayPal Cash/PayPal Cash/Pay Pal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPa I Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/Pay Pal Cash/PaYPal Cash/PayPal Cash/PayPal Cash/PayPal Cash/PayPal

(D) Amount Received

1703 South Road 3694 Stone Row Ln. 7814 Belgaro Road 4000 E Baker Ave 211 Cartland 718 Spotters Way Ct.

$ $ $ $ $ $ $ $ $ $ $ $ $

0.13 50.00 5.00 10.00 25.00 5.00 4.99 25.00 10.00 10.00 25.00 10.00 20.00 15.00 100.00 10.00 25.00 25.00 12.00 20.00 20.00 15.00 20.00 25.00 25.00 20.00 25.00 50.00 10.00 25.00 10.00 25.00 20.00 25.00 10.00 50.00 25.00 25.00 60.00 50.00 20.00 20.00 20.00 50.00 5.00 50.00 150.00 5.00 1,262.12 2,585.00 3,847.12

s

21074 C 21044 C 21060 C 21040 C 21113 C 21014 C 7832 C 21014 C 20814 C 21144 C 20781 C 21236-4212 21160-1417 C C 20151 C 20853 C 20640 C 20851 C 20715 C 21228 C 21136 C 21286 C 21042 C 20024 C 20637 C 20723 C 20708 C 21122 C 21014 C 21144 C 21037 C 21042 C 97128-9512 C

4935 Columbia 1721-D Fountain 522 Icy Run Ter.

202 Su nset Drive

205 Kings Crossing Cir #lA 86 Walnut 416 ellis In. 5713 greenlawn 4113 hamilton 14408 Chantilly 4402 Jupiter St. 8036 Fair Breeze Dr. 228 ELINOR AVE 1411 Eagles Grove Ct. 3910 Cindy Ct. 13001 Crookston 6352 frederick 1021 Valewood 10406 Baltimore 237 G Street, SW 16901 Tidewater 10631 Delfield 8781 Oxwell 634 Laurel dr. 521 Applewood 2612 Solomons 2808 Bethany 201 Burns Crossing Road Lane 12408 Skylark Lane road ave Road National 4117 worthington Valley Rd

TED URBAN Richard Magnani

James Morgan Sharon Gilbert John August Sean Samblanet Robert Lyon Raejean Imler French Samuel Cullis Russell Sloan Elizabeth K. Van Staavere ToniAnne Reagan

1008 NW Cascade Way #7 High Sherriff Trail

MD

21811 C

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Total This Page, Page 3 Total From Page 2 Total Receipts

SCHEDULE 2 - Disbursements Entity Name: Report Period: (A) Date
4/22/2011 4/23/2011 4/23/2011 4/26/2011 4/27/2011 4/27/2011 4/28/2011 4/28/2011 4/28/2011 4/29/2011 4/29/2011 4/29/2011 4/29/2011 4/29/2011 4/30/2011 4/30/2011 5/2/2011 5/2/2011 5/3/2011 5/4/2011 5/4/2011 5/4/2011 5/4/2011 5/5/2011 5/5/2011 5/5/2011 5/6/2011 5/8/2011 5/10/2011 5/10/2011 5/10/2011 5/11/2011 5/11/2011 5/11/2011 5/12/2011 5/13/2011 5/16/2011 5/19/2011 5/19/2011 5/20/2011 5/21/2011 5/23/2011 5/23/2011 5/23/2011 5/24/2011 5/25/2011 5/26/2011

Page 4 of 5 Pages

MDPetitions.com From April 18, 2011 to May 31, 2011 (B) (C) Payee & Address
PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 The Columbia Bank 7168 Gateway Drive Columbia, MD 21046 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131 PayPal 2211 North First Street San Jose, California 95131

(D) Code
G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G E G G G G G G G G

(E) Amount
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
(1.75) (0.45) (0.59) (1.03) (0.45) (0.44) (1.03) (0.59) (0.59) (1.03) (0.59) (0.88) (0.74) (3.20) (0.59) (1.03) (1.03) (0.65) (0.88) (0.88) (0.74) (0.88) (1.03) (1.03) (0.88) (1.03) (1.75) (0.59) (1.03) (0.59) (1.03) (0.88) (1.03) (0.59) (1.75) (1.03) (1.03) (2.04) (1.75) (19.50) (0.88) (0.88) (0.88) (1.75) (0.45) (1.75) (4.65)

Check #
None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None None

5/29/2011

(0.45)

Total This Page

$ (70.29)

·

,
3 - OUTSTANDING MDPetitions.com Debts as of May 31, 2011 (A) Name & Address (B) Description MD 21742 MD 21743 MD 21744 MD 21745 MD 21746 MD 21747 MD 21748 MD 21749 MD 21750 MD 21751 MD 21752 MD 21753 MD 21754 MD 21755 MD 21756 MD 21757 MD 21758 MD 21759 MD 21760 MD 21761 MD 21762 MD 21763 MD 21764 MD 21765 MD 21766 MD 21767 Server Server Server GrovelWebsite supplies GrovelWebsite GrovelWebsite supplies Staples/office of Debt Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, Ct., Hagerstown, DEBTS Page 5 of 5 Pages Name:

SCHEDULE Entity Report

End Date:

(C)
Amount $70.00 $24.34 $50.00 $41.67 $169.60 $3.92 $1,995.00 $49.00 $75.00 $60.01 $402.53 $24.89 $116.98 $882.00 $220.27 $46.40 $18.65 $70.00 $73.64

Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Nell C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott, Neil C. Parrott,

20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005 20005

Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst Lindenhurst

TMG Studios/Banner Lowes/Banner Internet Server Design GrovelWebsite

MD Dept. of Assessments Staples/supplies Newegg.com/printing Staples/supplies Newegg.com/scanner GOPShoppe/shirts USPS/postage Amazon.com/phone Vonage/telephone Server GrovelWebsite Staples/supplies Walmart/computer Staples/supplies Sams Club/supplies Newegg.com/printing Office Depot/printing Papa Johns/volunteers Subway/volunteers Total This Page

& telephone

supplies

$58.67 $73.64 $28.50 $189.66 $41.69 $40.96 $14.84 $4,841.86

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