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<br />'RIGINAC <br /> <br /> Summary Statement of Contributions and Expenditures PC I <br /> Rev. 12/03 <br />Please type or print legibly in black ink. Page I of2 <br />Candidate or Political Committee Name (use full name): <br />Kitty Piercy for Mayor <br />Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): <br />P.O. Box 23301, EUQene, OR, 97402 <br />Treasurer's Name: I Telephone Number (day): <br />C. Michael Arnold 541-338-9111 <br />Committee ID Number: Committee Type, Measure Number or Office: <br />n/a Candidate for Mayor <br />[gJ Original D Primary 20_ [gJ General 2004 D Other _ <br />D Amendment D I st Pre-election D 2nd Pre-election D Post-election [gJ 20_ September Supplemental <br /> A-TOTALS FOR THIS B-CUMULATlVE TOTALS <br /> ACCOUNTING PERIOD FOR THIS ELECTION <br /> CONTRIBUTIONS <br />I. Cash Contributions 0.00 20,075.00 <br /> (Accounting Period Total from PC 2) <br />2. Loans Received (Non-Exempt) + 0.00 + 2,000.00 <br /> (Accounting Period Total from PC 2) <br />3. Total Cash Contributions = 0.00 = 22,075.00 <br /> (lines 1+ 2) <br />4. In-Kind + 0.00 + 803.57 <br /> (Accounting Period Total from PC 2) <br />5. TOTAL CONTRIBUTIONS = 0 = 22,878.57 <br /> (lines 3 + 4) <br /> EXPENDITURES <br />6. Cash Expenditures 1,025.00 8,044.41 <br /> (Accounting Period Total from PC 3) <br />7. Loan Payments (Non-Exempt) + 0 + 13,769.87 <br /> (Accounting Period Total from PC 3) <br />8. Total Cash Expenditures = 1,025.00 = 21,814.28 <br /> (lines 6 + 7) <br />9. In-Kind + 0.00 + 803.57 <br /> (Accounting Period Total from PC 2) <br />10. TOTAL EXPENDITURES = 1,025.00 = 22617.85 <br /> (lines 8 + 9) <br /> CASH BALANCE <br />II. Beginning Cash Balance 2,000.00 FOR OFFICE USE ONL Y <br /> (line 20 of previous report) <br />12. Total Contributions + 0.00 <br /> (line 5) <br />13. Other Receipts + 0.00 <br /> (Accounting Period Total from PC 4A) <br />14. Loans Received (Exempt) + 0.00 <br /> (Accounting Period Total from PC 4A) <br />15. CONTRIBUTION SUBTOTAL = 2000 <br /> (lines II + 12 + 13 + 14) <br />16. Total Expenditures 1,025.00 RECEIVED <br /> (line 10) <br />17. Other Disbursements <br /> (Accountin!! Period Total from PC 48) + 0.00 <br />18. Loan Payments (Exempt) 0.00 SEP 0 7 2005 <br /> + <br /> (Accounting Period Total from PC 48) <br />19. EXPENDITURE SUBTOTAL = 1,025.00 CITY RECORDER <br /> (lines 16 + 17 + 18) <br />20. ENDING CASH BALANCE = 975.00 <br /> (line 15 minus line 19) <br />