Laserfiche WebLink
<br /> PC 1 <br /> Summary Statement of Contributions and Expenditures Rev. 12/03 <br />Please type or print legibly in black ink. Page 1 of2 <br />Candidate or Political Committee Name (use full name): <br />Andrea Ortiz for City Council <br />Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): <br />189 Foch Street Eugene, OR 97402 <br />Treasurer's Name: I Telephone Number (day): <br />Tamara Miller (541) 521-5855 <br />Committee 10 Number: I Committee Type, Measure Number or Office: <br />N/A Eugene City Council, Ward 7 <br />IKI Original D Primary 20_ IKI General 20~ o Other <br />D Amendment D 1 st Pre-election D 2nd Pre-election o Post-election 1K120~ September Supplemental <br /> A-TOTALS FOR THIS B-CUMULA TlVE TOTALS <br /> ACCOUNTING PERIOD FOR THIS ELECTION <br /> CONTRIBUTIONS <br />1. Cash Contributions 0.00 520.00 <br /> (Accounting Period Total from PC 2) <br />2. Loans Received (Non-Exempt) + 0.00 + 0.00 <br /> (Accounting Period Total from PC 2) <br />3. Total Cash Contributions = 0.00 = 520.00 <br /> (lines 1+ 2) <br />4. In-Kind + 0.00 + 0.00 <br /> (Accounting Period Total from PC 2) <br />5. TOTAL CONTRIBUTIONS = 0.00 = 520.00 <br /> (lines 3 + 4) <br /> EXPENDITURES <br />6. Cash Expenditures 40.00 453.00 <br /> (Accounting Period Total from PC 3) <br />7. Loan Payments (Non-Exempt) + 0.00 + 0.00 <br /> (Accounting Period Total from PC 3) <br />8. Total Cash Expenditures = 40.00 = 453.00 <br /> (lines 6 + 7) <br />9. In-Kind + 0.00 + 0.00 <br /> (Accounting Period Total from PC 2) <br />10. TOTAL EXPENDITURES = 40.00 = 453.00 <br /> (lines 8 + 9) <br /> CASH BALANCE <br />11. Beginning Cash Balance 317.92 FOR OFFICE USE ONLY <br /> (line 20 of previous report) <br />12. Total Contributions + 0.00 <br /> (line 5) <br />13. Other Receipts + 0.10 <br /> (Accounting Period Total from PC 4A) RECE\VED <br />14. Loans Received (Exempt) + 0.00 <br /> (Accounting Period Total from PC 4A) <br />15. CONTRIBUTION SUBTOTAL = 318.02 SfP 2 0 2005 <br /> (lines II + 12 + 13 + 14) <br />16. Total Expenditures 40.00 CiTY RECORDER <br /> (line 10) <br />17. Other Disbursements + 0.00 <br /> (Accounting Period Total from PC 4B) <br />18. Loan Payments (Exempt) + 0.00 <br /> (Accounting Period Total from PC 4B) <br />19. EXPENDITURE SUBTOTAL = 40.00 <br /> (lines 16 + 17 + 18) <br />20. ENDING CASH BALANCE = 278.02 <br /> (line 15 minus line 19) <br />