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PC 1 <br /> Summary Statement of Contributions and Expenditures ,:J03 <br />Please type or print legibly in black ink Page 2 of 2 <br />Candidate or Polmcal Committee Name I Committee ID Number <br />Andrea Ortiz for City Council [ N/A <br />D O lgma } Prim<,, 20 D 20 [] Other <br />J~Amendment{ bJ let Pre-elecaon ~1 2nd Pre-elect~on [] Post-election [~ 20 September Supplemental <br /> LOAN SUMMARY FOR OFFICE USE ONLY <br />21 Beginning Outstan&ng Loans <br /> (line 29 of previous report) 0.00 <br />22 Loans Received kNon-Exempt) <br />(hne 2) + 745.00 <br />23 Loans Received (Exempt) <br />(line 14) + 0.00 <br />24. LOANS RE~CEIVED SUBTOTAL <br />(lines 21 + 22 + 23) = 745.00 <br />25. Loan Payments (Non-Exempt) <br />(line 7) 0.00 <br />26 Loan Payments (Exempt) <br />(tine 18) + 0.00 <br />27 Forgiven Loans <br />(Total loans forgiven during this accounting period) + 0 00 <br />28 LOAN PAYMENT SUBTOTAL <br />(lines 25 +26 +275 = 0 00 <br />29 TOTAL OUTSTANDING LOANS <br />(line 24 minus hne 28) = 745.00 <br /> <br /> PERSONAL EXPENDITURE SU[VlMARY <br /> 30. Beginning Outstanding Personal Expen&tures 879.00 <br /> (line 36 of previous report) <br />31 Personal Expen&tures + 0.00 <br /> (Accounting Period Total from PC 3A) <br />32 PERSONAL EXPENDITURE SUBTOTAL <br /> (lines 30 + 31) = 879.00 <br /> <br /> 33 Personal Expenditure Reimbursements <br /> (Total expenditures on PC 3 with purpose code R) 879.00 <br /> <br />34 Forgiven Personal Expenditures + 0.00 <br /> (Total personal expenditures forgiven this acctg period) <br />35 REIMBURSEMENT SUBTOTAL <br /> = 879.00 <br /> (lines 33 + 34) <br />36 OUTSTANDkNGPERSONAL EXPENDFFURES <br /> (line 32 minus line 35) = 0.00 <br /> <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37 Ending Cash Balance <br /> (line 20) '1,555 28 <br /> 38 Accounts Receivable <br /> + 500.00 <br /> (Accounting Period Total from PC 5~ <br /> 39 SUBTOTAL <br /> = 2,055.28 <br /> (lines 37 + 38) <br /> 40 Total Outstanding Loans <br /> (hne 29) 745 00 <br /> 41 Outstanding Personal Expenditures + 0.00 <br /> (line 36) <br /> 42. Accounts Payable + 0.00 <br /> (Accounting Period Total from PC 6) <br /> 43 SUBTOTAL <br /> = 745.00 <br /> (lines 40 ~- 41 + 42) <br /> 44 BALANCE/DEFICIT <br /> = 1,310.28 <br /> (line 39 minus line 43 indicate -1- or - balance) <br /> ~* 4~-- . V'* ~ ~f.~ ~ '~i!~- !~ - ~, ~ (name of candidate o~ ....... tma.s~Eer), hereby cerhfy th,it the above <br /> statement and the attached supporting reports are true and correct <br /> of candidate o(t~ie_as~gr- Date <br /> Signature <br /> signed <br /> <br /> <br />