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PC 1 Summary Statement of Contributions and Expenditures ~e~ 12/{}3 Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: [ Committee ID Number: [] Original [] Primary 20Or{ [] General 20 [] Other [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20 September Supplemental LOAN SUMMARY 21 Beginning Outstanding Loans FOIl OFFICE USE ONLY (hne 29 of prewous report) 22. Loans Received (Non-Exempt) + (line 2) 23. Loans Received (Exempt) + (line 14) 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) = 25. Loan Payments (Non-Exempt) (line 7) 26. Loan Payments (Exempt) + (line 18) 27. Forgiven Loans + (Total loans tbrglven dunng th~s accounting period) 28. LOAN PAYMENT SUBTOTAL (hnes 25 + 26 +27) 29. TOTAL OUTSTANDING LOANS (line 24 minus hnc 28) = PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (hne 36 ofprevwus report) 31. Personal Expenditures + (Accounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 w~th purpose code R) 34. Forgiven Personal Expenditures + (Total personal expen&tures forgiven th~s acctg permd) 35. REIMBURSEMENT SUBTOTAL (hnes 33 ~ 34) 36. OUTSTANDING PERSONAL EXPENDITURES = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance(hne 20) 38. Accounts Receivable (Accounting Period Total from PC 5) + 39. SUBTOTAL (hnes 37 + 38) : 3,~30. --'"' RECEIVED 40. Total Outstanding Loans (hne 29) 41. Outstanding Personal Expenditures + o APR ~, 0 2004 (line 36) 42. Accounts Payable (Accounting Period Total from PC 6) + c> CITY RECORDER 43. SUBTOTAL (lines 40 -~ 41 + 42) = 44. BALANCE/DEFICIT = 3t 3 ~0. '---' (line 39 minus line 43' indicate + or - balance) , I, ~ C6~ 'lM.~.~la~.~" (name ~or treasurer), hereby certlfy that the above statement and the attached supporting reports are true and correct. Signature of c~easurer Date signed