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<br />PC I Summary Statement of Contributions and Expenditures <br />Rev. 11/99 <br />Please type or print legibly in black ink. Page lof2 <br />Candidate or Political Committee Name: ( I <br /> ~'-1 f.t, r j;;- C.~ {CJVIA. e~ <br /> I <br />Address (street or route, city, state, zip code): I <br /> .2 C; ~ <;; A t( ~-i...- Sf EtA. '7 <./A-t- oIL f71o~ <br /> I <br />Treasurer's Name: I Telephone Number (day): <br /> /tU/r"et-r (). Err c--f=?o t.-<. 6717-056 ( <br />Committee ID Number: _ I Committee Type, Measure Number or Office: <br />D Original D Primary 20_ ~GeneraI20~ o Other ~ S'p"mb" S'pp',m,",,' I <br />D Amendment D I st Pre-election D 2nd Pre-election- o Post~election <br /> A-TOTALS FOR THIS B-CUMULATIVE TOTALS I <br /> ACCOUNTING PERIOD FOR THIS ELECTION <br /> CONTRIBUTIONS I <br />1. Cash Contributions I <br /> (Accounting Period Total from PC 2) + 3~b + II, 'nbO I <br />2. Loans Received (Non-Exempt) i <br /> (Accounting Period Total from PC 2) -- - - - +- -- U + L/oo <br />3. Total Cash Contributions <br /> (lines 1+ 2) = 3'10 = l?, 2-bO <br />4. In-Kind l,'362.5rs-- <br /> (Accounting Period Total from PC 2) + + <br /> 0 <br />5. TOT AL CONTRIBUTIONS I~ 61. 2 .5i <br /> (lines 3 + 4) = ~~O = <br /> .. <br /> EXPENDITURES <br />6. Cash Expenditures 3/ ~"S 'if"_ I ~ I <br /> <Accounting Period TOlal from PC 3) + {oO + / I, I <br />7. Loan Payments (Non-Exempt) <br /> (Accounting Period Total from PC 3) + (;J + t..(00 <br />8. Total Cash Expenditures J <br /> (lines 6 + 7) = '3, /00 = /2.; 2-'S~. fC( <br />9. In-Kind <br /> (Accounting Period Total from PC 2) + f/ + ( , 90 Z. S-?l <br />10: TOTAL EXPENDITURES <br /> (lines 8 + 9) = 3 /00 = I If / CJ t.{o . 7 7 <br /> I <br /> CASH BALANCE <br />11. Beginning Cash Balance ?-/711,~( FOR OFFICE USE ONLY <br /> (Ending Cash Balance from previous report) <br />12. Total Contributions 310 <br /> (line 5) + <br />]3. Other Receipts <br /> (Accounting Period Total from PC 4A) + (7 <br />14. Loans Received (Exempt) <br /> (Accounting Period Total from PC 4A) + v <br />15. CONTRIBUTION SUBTOTAL 3 l~tf.31 <br /> (lines 1.1 + 12 + 13 + 14) = <br />]6. Total Expenditures RECEIVED <br /> (line 10) + 3, (OO.dO <br />17. Other Disbursements <br /> (Accounting Period Total from PC 4B) + 0 SEP 0:8 2005 <br />18. Loan Payments (Exempt) v <br /> (Accounting Period Total from PC 4B) + <br />19. EXPENDITURE SUBTOTAL 'CITY RECORDER <br /> (lines 16 + 17 + 18) = 3( I tl 0 <br />20. ENDING CASH BALANCE 'B'.f. 3 / <br /> (line 15 minus line 19) = <br />