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PC 1 <br /> Summary Statement of Contributions and Expenditures <br />Please type or prmt tegzbly m black n4: Page 2 of 2 <br />Can&date or Poht,cal Comm,ttec Name Cormmttee ID Number <br />Andrea Ort~z for C~ty Council N/A <br />Igl Or,gmal [] Pr,ma~, 20~ [] Oeneral 2004 [] Other_ <br />[] Amendment [] 1st Pre-elect,on [~l 2nd Pre-elect,on [] Post-elect,on [] 20 September Supplemental <br /> LOAN SUMMARY <br />21 Begmmng Outstanding Loans FOR OFFICE USE ONLY <br /> (line 29 of' previous report) 0.00 <br />22 Loans Recetved (Non-Exempt) <br />(hne 2) + 0.00 <br />23 Loans Recmved (Exempt) <br />(hne 14) + 0 O0 <br />24~ LOgANS RECEIVED SUBTOTAl.. <br />(hnes 21 ,-22 + 23) = 0 00 <br />25. Loan Payments (Non-Exempt) <br />(hne 7) 0 00 <br />26. Loan Payments (Exempt) <br />(hne 18) + 0.00 <br />27 Forgiven Loans <br /> + 0.00 <br />(Total loans forgiven dunng th~s accounting period) <br />28 LOAN PAYMENT SUBTOTAL <br />(hnes 25 + 26 +27) = 0.00 <br />29 TOTAL OUTSTANDING LOANS <br /> (hne 24 m~nus hne 28) = 0.00 <br /> PERSONAL EXPENDITURE SUMMARY <br />30 Beginning Outstand,ng Personal Expen&tures <br /> (hne 36 ofprewous report) 0.00 <br />31 Personal Expen&tures <br /> (Accounting Period Total from PC 3A) + 0.00 <br />32 PERSONAL EXPENDITURE SUBTOTAL <br /> (hnes 30 + 31) = 0.00 <br /> 33 Personal Expen&ture Rmmbursements <br /> (.Total expen&tares on PC 3 w~th purpose code R) 0.00 <br /> 34 Forgiven Personal Expen&tures <br /> + 0.00 <br /> (Total personal expen&tures ~org~en th~s acctg period) <br /> 35. REIMBURSEMENT SUBTOTAL <br /> (lines 33 + 34) = 0.00 <br />36 OL~STM~DDIG PERSONAL EXPENT~ITURES <br /> (hne 32 nnnus hne 353 = 0.00 <br /> FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD <br /> 37 En&ng Cash Balance <br /> (hne 20) 724 91 <br /> 38 Accounts Recmvable <br /> + 0.00 <br /> (Accounting Period Total from PC 5~ <br /> 39 SUBTOTAL <br /> (hnes 37 - 38') = 724 91 <br /> 40 Total Outstan&ng Loans <br /> (hne 29) 0 00 <br /> 41. Outstan&ng Personal Expend,tm es <br /> (hne 36') + 0.00 <br />42 Accounts Payable <br /> (Accounting Period Total from PC 6) + 0.00 <br />43 SUBTOTAL <br /> (hnes 40 + 41 + 42) = 0.00 <br />44 BALANCE/DEFICIT <br /> = 724.91 <br /> (hne 39 minus hne 43' ~ndmate + or - baldnce) <br /> <br />I. Tamara Miller (name of can&date o~treasurcr~/herebv certify that the above <br /> statement and the attached supporting reports are true and correct ............. · " <br /> <br /> .::- ....... ~O.'.~-~c~ / '--.' ........ i C.~ '~-~ i <br /> Signature of can&date or treasurer Date s,gned <br /> <br /> <br />