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PC 1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name): Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): Treasurer's Name: Telephone Number (day): Committee ID Number: Committee Type, Measure Number or Office: [] Original [] Primary 20 ~ q [] General 20~ [] Other [] Amendment [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20 ......September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounhng Per]od Total from PC 2) 3 000. oD I I J 9 ~ 2. Loans Received (Non-Exempt) + + (Accounting Per]od Total from PC 2) ~ 3. Total Cash Contributions (hnes 1+ 2) = 3000.00 = I I I tS~'.Oo 4. In-Kind + + ~..~ ~ (Accounting Per]od Total from PC 2) 5. TOTAL CONTRIBUTIONS (hnes 3 +4) = 2o OoO.~o = EXPENDITURES 6. Cash Expenditures (Accounting Per]od Total from PC 3) ff ~' 0 q, O~ .5 I°J 5'. O O 7. Loan Payments (Non-Exempt) + + (Accounting Per]od Total from PC 3) ~ 8. Total Cash Expenditures (hnes 6 + 7) = ,9 5'0 q. O~'- = 91 9. In-Kind + + (Accounting Per]od Total from PC 2) ~ ~ ~, 10. TOTAL EXPENDITURES = 8~;Oq.og' = 5zZ o. (hnes 8 + 9) CASH BALANCE I I. Beginning Cash Balance (line 20 of previous report) ~ 5"0 q.~ FOR OFFICE USE ONLY 12. Total Contributions (line 5) + ~ o o o. o o 13. Other Receipts + (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) + (Accounting Per]od Total from PC 4A) 15. CONTRIBUTION SUBTOTAL (hnes 11 + 12 + 13 + 14) = 16. Total Expenditures (h'a~ 10) RECEIVED 17. Other Disbursements + (Accounting Per]od Total from PC 4B) JUN 0 9 18. Loan Payments (Exempt) + (Accounting Period Total from PC 4B) 19. EXPENDITURE SUBTOTAL CITY RECORDER (lines 16 + 17 + 18) = 8'~0~. Ot~' 20. ENDING CASH BALANCE = (hne 15 minus hne 19)