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HomeMy WebLinkAboutNancy Nathanson for Mayor PC Summary Statement of Contributions and Expenditures Please type or print legibly ~n black ~nk. Page 1 of' 2 Can&date or Polmcal Comrmttee Name (use full name): Nancy Nathanson for Mayor Marling Address as ,t Appears on Statement of Orgamzation (street, route or box number, mty, state, z~p code): 2516 Hawkins Lane, Eugene OR 97405-1203 Treasurer's Name: Telephone Number (day): Steve Robinson 541-345-8683 Comrmttee ID Number } Comrmttee Type, Measure Number or Office: Mayor, City of Eugene [] Original [] Pr,mary 200__44 [] General 200_3_4 [] Other [] Amendment [] 1st Pre-elecnon [] 2nd Pre-elecnon E~ Post-elecnon [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) 24360.00 24360.00 2. Loans Received (Non-Exempt) + 0.00 + 0.00 (Accounting Period Total from PC 2) 3. Total Cash Contributions = 24360.00 = 24360.00 (hnes 1- 2) 4. In-K~nd + 0.00 + 0 00 (Accounting Period Total from PC 2) 5. TOTAL CONTRIBUTIONS = 24360.00 = 24360.00 (hnes 3 + 4) EXPENDITURES 6. CashExpen&mres 5992.52 5992 52 (Account,nc Period Total from PC 3'} 7 Loan Payments (Non-Exempt) + 0.00 + 0.00 (Accounting Period Total from PC 3) 8. Total CashExpen&tures = 5992 52 = 5992.52 (hnes 6 + 7) 9 In-Kind + 0.00 + 0.00 (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES = 5992.52 = 5992.52 (hnes 8 + 9) CASH BALANCE 11. Beginning Cash Balance (En&ng Cash Balance from prewous report) 649.53 FOR OFFICE USE ONLY 12. Total Contnbuhons + 24360.00 (hne 5) 13. Other Receipts + 1.99 (Accounhng Period Total from PC 4A) 14. Loans Recmved {.Exempt) + 0.00 (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL = 25011.52 (hnes 11 + 12+ t3+ 14) 16. Total Expert&lures 5992.52 (hne 10) 17. Other Disbursements (Accountm~z Period Total from PC 18. Loan Payments (Exempt) + 0.00 ;" '~ ~ : (Accounting Period Total from PC 4B) ~'2 ' ~', 19. EXPENDITURE SUBTOTAL = 5992 52 (hnes 16+ 17+ 183 20. ENDING CASH BALANCE = 19019.00 (hne 15 minus hne 19) PC1 Summary Statement of Contributions and E×penditures Please type or print legibly in black ink~ Page 2 of 2 Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor [~ Original [] Primary 200~4 [] General 2004 [] Other [] Amendment [] I st Pre-election [] 2nd Pre-election [] Posbelection [] September Supplemental LOAN SUMMARY 21. Beginning Outstanding Loans FOR OFFICE USE ONLY (Total Outstanding Loans ti'om previous report) 0.00 22. Loans Received (Non-Exempt) (hne 2 ) + 0.00 23. Loans Received (Exempt) (line 14} + 0 00 24. LOANS RECEIVED SUBTOTAL = 0 O0 (lines 21 + 22 + 25. Loan Paymems (Non-Exemp0 0.00 (line 7) 26. Loan Payments {Exempt) 4- 0.00 (line 18) 27. Forgiven Loans + 0.00 (Total loans £org~en during this accounting pcriod~ 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 -~27) = 0 00 29. TOTAL OUTSTANDING LOANS = 0 00 (line 24 minus tine 28) PERSONAL EXPENDITURE SUMiVlARY 30 Begkming Outstanding Personal Expenditures 0 00 (hne 36 of pre, lees report) 31, Personal Expenditures + 0 00 (Accounting Period Total from PC 3A} 32. PERSONAL EXPENDITURE SUBTOTAL = 47 30 (lines 30 + 31 / 33. Personal Expenditure Reimbursements 47 30 (Total expenditures on PC 3 wi~h pm~pose code R) 34. Forgiven Personal Expenditures + 0 00 (Total persona( expenditures ~brgtven this acctg, perMd( 35. REIMBURSEMENT SUBTOTAL = {lines 33 + 34) 36. OUTSTANDD{G PERSONAL EXPENDITURES = 0 00 (line 32 minus hne 35) F)NANC~AL STATUS AT CLOSE OF ACCOUNTING PER~OD 37. Ending Cash Balance 19019 00 (tine 20~ 38. Accounts Receivable + 0 00 (Accounting Period Total from PC 5t 39~ SUBTOTAL = 19019~00 (lines 37 + 38) 40. Total Outstanding Loans 0.00 ' '~ ' ~ ~ ,; ) (line 2% 41. Outstanding Personal Expendkures + 0 00 (line36) ~ :~" """ ' ~i" 42. Accounts Payable + (Accounting Period Total from PC 6} 43, SUBTOTAL = 19019 00 (lines 40 + 41 v 42) 44, BALANCE/DEFICIT = 19019 O0 (line 39 minus line 4Y indicate + or - balance) L £+c eve RoD ±risen (name of c~ndidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct. Signature of candidate or treasurer Date signed PC 2 Cash Contributions, Loans Received and n-Kind kev ,:J0, Can&date or Polmcal Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 1 of 18 Election: [] Primary 200_A4 [] General 200.A4 I~ Other Report: [] 1 st Pre-electron [] 2nd Pre-electron [] Post-elect~on [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Poht~cal Comvmttee (includes business and umon PACs) CO Cosigner Obligatmn F Can&date's Immedmte Famaly (mcktdes candidate) IK In-Kind I In&vldual LR Loan Recmved L Labor Orgamzatlon O Other P Pohtlcal Party Comrmttee Line # Name and Address of Corltnbutor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codas) Occupational Information, Contributing Contributor } Date Received Code ¢ Code 2 Committee's IDg, or Description ~ Code ~ is "0' Aggregate Miscellaneous Contdbubons $50 and under 1. $ 800.00 12/1/03 - 4/1/04 $ 100.00 F CA Steve Robinson 2. 2516 Hawkins Lane $ 50.00 Eugene OR 97405 12/31/03 Research Manager $ 50.00 F CA Maxine Nathanson 3. 6417 Joyce Way $ 1000.00 Dallas TX 75225 1/31/04 Retired $ 1000.00 F CA Adell McMillan 4. 55 W. 39th Ave $ 100 00 Eugene, OR 97405 2/11/04 Rebred $ 100.00 CA Paul Nathanson 5. 1408 Currant Way $ 100.00 Flower Mound TX 75028 2/19/04 Cost Accountant $ 100.00 F CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not ~nclude aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 2~ 50 00 Cash (CA) $ in Campaign Enter on Summary Statemem, Colmm~ A LInc 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) Manual Enter on StmTamrs, Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ PC 2 Enter on Summary Statement, Column A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Can&date or Pohtmal Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page J~of 1_~8 Electron: [] Primary 200~4 [] General 200~4 [] Other Report' [] 1 st Pre-elecnon [] 2nd Pre-electron ~ Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Poht~cal Comrrfittee 0ncludes bus~ness and umon PACs) CO Cosigner Obhganon F Candidate's Immediate Fanuly (includes can&date) IK In-Kind I Individual LR Loan Received L Labor Orgamzatmn O Other P Polmcal Party Cormmttee Amount of In-Kind Purpose Line # Name and Address of Contnbutor Contribution (see manual for suggested purpose codes) Occupatlonal Information, Contributing Contributor Date Received Committee's IDg, or Descnptlon ¢f Code 1 ¢s "O" Aggregate Code ~ , Code 2 The Ulum Group 1. 941 Oak Street $ 100.00 Eugene, OR 97401 2110/04 $ 100 00 B I CA Acterhof, Inc 2. 2652 Terrace V~ew Drive $ 250.00 Eugene, OR 97405 2119/04 $ 250 00 B CA Janet W. Chdds 3 1287 Frogs Leap Lane $ 200.00 Eugene OR, OR 97404 2119/04 retired $ 200,00 I CA Warren Wong 4. 3303 Stoney Ridge Rd. $ 150.00 Eugene OR, OR 97404 2/24/04 Fairgrounds Manager $ 150.00 I CA Willamette Crushing Co. 5, PO Box 7428 $ 500.00 Eugene, OR 97401 3/6/04 $ 500.00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and contrlbutmn type. Do not include aggregates ) transfer these amounts to the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $ ~ 200 00 Cash (CA) $ ~n Campaign Enter on Sanm~ary Statement, Colunm A, L~ne 1 Finance ImKind (IK) $ 0 00 In-Kind (IK) $ Manual Enter on Sum2nary Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Recmved (LR) $ PC 2 Enter on Sunxmar¥ StatemenL Column &,Ltne 2 PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Cormmttee ID Number: Nancy Nathanson for Mayor Page 3 of 18 Electron. [] Primao' 2004 [~ General 2004 [] Other Report' [] 1 st Pre-elecnon [] 2nd Pre-electron [] Post-electron [~ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE t: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohncal Committee (includes business and union PACs) CO Cosigner Obhgation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Orgamzation O Other P Polmcal Party Cornrmttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupatlonal Information, Contributing Contributor Code 1 Code 2 Committee's ID#. or Description tf Code 1 ~s "0" Aggregate Ahce Allen 1. 2008 Oakpoint Ct $ 150.00 Columbia MO, OR 65203 2/24/04 library manager $ 150.00 I CA Ruth South 2. 697 Crest Dr. $ 100.00 Eugene OR, OR 97405 2/27/04 retired $ 100 00 I CA Sterling Heidegger 3. 28t0 Warren St. $ 100.00 Eugene OR, OR 97405 2~27~04 retired $ 100.00 I CA Katnna Wester 4. 3550 Sterling Woods $ 100.00 Eugene OR, OR 97408 2/28/04 homebuilder $ 100.00 I CA Dawd McDaniels 5. 2365 W. 23rd Avenue $ 100.00 Eugene OR, OR 97405 2/28104 university professor $ 100.00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions conta'ibut~on type. Do not mclude aggregates.) transfer these amounts to the Summary Statement, PC I.) on Back and Casl~ (CA) $ 550.00 Cash (CA) $ in Campaign Enter on Sm~m~ary Statement, Cokmm A, Line Finance In-K~nd (IK) $ 0 00 In-K~nd (IK) $ Manual Enter on Staranary Statement~ Colunm A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ PC 2 Enter o~ Smnnxtry Statement, Colnmn &, Line 2 Cash Contributions, Loans Received and In-Kind Rev Can&date or Political Cormmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 4 of 18 Elect~on: [] Primary 2004 [] General 2004 [] Other Report' [] 1st Pre-election [] 2nd Pre-electron [~ Post-elect~on [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE ~1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Polmcal Cormmttee (includes business and umon PACs) CO Cosigner Obhgatmn F Can&date's Immedmte Family (includes can&date) IK In-Kind I In&wdual ER Loan Received L Labor Orgamzatmn 0 Other P Polmcal Party Comrmttee Amount of In-Kind Purpose bne ¢~ Name and Address of Contributor Contributton (see manual for suggested purpose codes) Occupational Information, Contnbuttng Contributor Code 1 i Code 2 Date Received Commtttee's ID¢¢, or Description if Code I ts "0" Aggregate Kathy Wittwer 1. 90035 Power Lane $ 100.00 Elmira, OR, OR 97437 3/3/04 Gemstone Dealer $ 100.00 I CA McKenzie Properties 2. PO Box 7428 $ 500.00 Eugene, OR 97401 3/6/04 $ 500.00 B CA Bruce Mulligan 3. 3056 Hendricks Hill Dr. $ 500.00 Eugene OR, OR 97403 3/3/04 General Manager $ 500.00 I CA John Halgren 4. 2050 Lomond Ave $ 100.00 Springfield, OR 97477 3/5/04 Retired $ 100.00 I CA Wildish Sand & Gravel 5. PO Box 7428 $ 500.00 Eugene, OR 97401 3/6/04 $ 500.00 B CA See Page Totals (Add all amounts w/th the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1 ) on Back and Cash (CA) $1700 Cash (CA) $ in Campaign Enter on Smnmary Statement, Column A, Line 1 Finance In-Kind (IK) $ 0 00 In-Kind (IK) $ Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0 00 Loans Received (LR) $ PC 2 Enter on Sunmury Statement, Coltmm A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Rev ,2 0, Candidate or Pohucal Comtmttee Name: Committee ID Number: Nancy Nathanson for Mayor Page 5 of 18 Elect~on' [] Primary 200_A4 [] General 2004 [] Other Report: [] 1 st Pre-elecnon [] 2nd Pre-election [~ Post~electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Poht~cal Comrmttee (includes business and umon PACs) CO Cosigner Obhgatmn F Candxdate's Immediate Farmly (includes candidate) IK In-Kind I Ind~wdual LR Loan RecelYed L Labor Organizatmn O Other P Polmcal Party Comrmttee Amount of In-Kind Purpose bne # Name and Address of Contributor Conlribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code ~, Code 2 Committee's ID'CC, or Description ~f Code '1 is "0" Aggregate W~ilamette Crushing Company 1. PO Box 7428 $ 500.00 Eugene, OR 97401 3~6~04 $ 500.00 B CA Chnstine Lewandowski 2. 2475 Park Forest Dr. $ 100 00 Eugene OR, OR 97405 3/7/04 Homemaker $ 100.00 I CA Larry Warlord 3. 2375 Panorama Way $ 10,0.00 Eugene OR, OR 97405 3/7/04 Education Consultant $ 100.00 I CA Giustina Resources 4. PO Box 529 $ 250.00 Eugene, OR 97401 3/8/04 $ 25,0.00 B CA Frances Dyke 5. 1540 W. 28th PI. $ 100 00 Eugene OR, OR 97405 3/8/04 Professor $ 100.00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer 'these amounts to the Summary Statement, PC 1,) on Back and Cash (CA) $1050.00 Cash (CA) $ in Campaign Enter on Surmmry Statement, Colttrrm A, Line 1 Finance In-Kind (IK) $ 0.00_ In-Kind (IK) $ Manual Enter on Sunm~ary Statermnt Colmm] A, L~nes 4 and 9 Loans Recmved (LR) $ 0.00 Loans Received (LR) $ PC 2 Enter on Summary Statement, Colm~m A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Potitmal Comrrfittee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 6 of 18 Elect~on. [] Prrmary 200__~4 [] General 200_3_4 [] Other Report: [] 1st Pre-elect~on [] 2nd Pre-elect~on [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Poht~cal Comm/ttee (includes business and union PACs) CO Cosigner Obhgatmn F Candidate's Irmnedmte Farmly 0ncludes candidate) IK In-K~nd I Ind~vtdual LR Loan Received L Labor Organization O Other P Poht~cal Party Comrmttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupattonal Information, Contributing Contnbutor Date Recetved Code 1 Code 2 Commtttee's IDf¢, or Descnption if Code '1 ts "0" Aggregate Craig Smith 1. 2611 Suncrest $ 150.00 Eugene, OR 97405 3/8/04 Attorney $ 150.00 I CA Cadore Timber Co. 2. PO Box 529 $ 250.00 Eugene, OR 97440 3/8/04 $ 250.00 B CA Lynn Kahle 3. 2685 Bowmont $ 100.00 Eugene, OR 97405 3/8/04 Professor $ 100.00 I CA Debra Ehrman 4. 645 Elwood Ct $ 100.00 Eugene OR, OR 97401 3/9/04 Attorney $ 100.00 I CA David Davmi 5. PO Box 529 ' $ 100.00 Eugene OR, OR 97440 3/9/04 Executive $ 100.00 I CA Page Totals (Add all amounts wlth the same Accounting Period Totals (Complete only for last page and See contribution type, Do not include aggregates,) transfer these amounts to the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $ 700,00 Cash (CA) $ in Campaign Enter on Summary Statement, Coinrrm Finance In-K~nd (IK) $ 0.00 In-Kind (IK) $ Manila[ Enter on Sunm~ary Statement, Colutm~ A, L~nes 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ PC 2 Emer on Sumnury Statement, Colmnn A, Linc 2 PC 2 Cash Contributions, Loans Received and In-Kind Can&date or Political Committee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 7 of 18 Electron. [] Primary 200~4 [] General 200_3.4 [~ Other Report. [] 1 st Pre-election [] 2nd Pre-electron [] Post-elecnon [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE[ 2: Contribution Type B Bus/ness Entity CA Cash C Poht,cal Comrrfittee (mcludes business and umon PACs) CO Cosigner Obligat~on F Can&date's Immedmte Farmly (includes can&date) IK In-Kind I Ind, vtdual LR Loan Recmved L Labor Orgamzanon 0 Other P Polmcal Party Comn2ttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Date Recelved Committee's ID#, or Descriptton if Code 1 is "0' Aggregate Code 1 , Code 2 Sandra Brokaw 1. 1123 Barber Dr. $ 100.00 Eugene OR, OR 97405 3/10/04 Office Manager $ 100.00 I CA Ehrman Giustina 2. 85086 P~oneer Rd. $ 250.00 Eugene OR, OR 97405 3/10/04 Retired $ 250.00 I CA Lloyd Helikson 3. 2440 Suncrest Ave. $ 60 00 Eugene, OR 97405 3/10/04 Attorney $ 60 00 I ] CA Lost Creek Timber 4. PO Box 529 $ 250.00 Eugene, OR 97440 3/10/04 $ 250.00 B CA Tom Herrmann 5. 975 Oak Street, Ste 800 $ 100.00 Eugene OR, OR 97401 3/10/04 Attorney $ 100.00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1 .) Instructions on Back and Cash (CA) $ 760.0Q Cash (CA) $ in Campaign Enter on Sm~m~ary Statement, Column A, Line 1 Finance In-K/nd (IK) $ 0.00 In-Kind (IK) $ Mallllal Enter on Stmlmary Statement, Co[tram A, Lines 4 and 9 Loans Received (LR) $ 0 00 Loans Rece:wed (LR) $ PC 2 Enter on Sunm~ary Statement, Coltmm A, Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Candidate or Poht~cal Corrm~ttee Name: Comnuttee ID Number: Nancy Nathanson for Mayor Page 8 of lB Electron: [] Primary 200.44 [] General 2004 [] Other Report: [] 1 st Pre-elect~on [] 2nd Pre-electron [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE ~1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Polmcal Comma~ee (mcludes business and umon PACs) CO Cosigner Obhganon F Candidate's Immedmte Farmly (includes candidate) IK ImKmd I Ind~mdual LR Loan Recmved L Labor Orgamzatmn O Other P Polmcal Party Cornrmttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code ~ Code 2 Committee's ID#, or Description if Code ~ ¢s "0" Aggregate R~chard Gates 1. 2530 Highland Oaks Drive $ 100.00 Eugene, OR 97405 3110104 Software Engineer $ 100.00 I CA Dan Giustina 2. PO Box 529 $ 250.00 Eugene, OR 97401 3~9~04 Managing Partner $ 250.00 I CA Giustina Woodlands 3. PO Box 529 $ 250.00 Eugene, OR 97401 3110/04 $ 250.00 B CA Hult & Associates 4. PO Box 1341 $ 500.00 Eugene, OR 97440 3Ill/04 $ 500.00 B CA Doily Woolley 5. 1275 Barber Drive $ 500.00 Eugene OR, OR 97405 3112104 Execubve $ 500.00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contr~butmn type. Do not include aggregates.) transfer these amomxts to the Summary Statement~ PC 1.) on Back and Cash (CA) $1600.00 Cash (CA) $ ~n Campaign Er~ter on Sunmlary Statement, Colunm A, Line 1 Finance In-Kind (IK) $ 000 In-Kind (IK) $ Manual Enter on Sunnnary Statement, Cukmm A, Lines 4 and 9 Loans Received (LR) $ 000 Loans Received (LR) $ PC 2 Enter on Smmnary Statement, Column A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind l: Ol Candidate or Poht~cal Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 9 of 18 Election: ~ Prmmry 200_44 [] General 2004 E~ Other Report: ~ 1st Pre-electron [] 2nd Pre-elecnon [] Post~election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohtical Comrmttee (includes business and union PACs) CO Cosigner Obligation F Can&date's Immediate Family (includes can&date) IK In-Kind I Individual LR Loan Received L Labor Orgamzatmn O Other P Pohtical Party Comn~ttee Amount of In-Kind Purpose L~ne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contnbuttng Contributor Code 1 Code 2 Committee's Il)C, or Description ~f Code ~ is "0" Aggregate Delta Sand & Gravel 1. 999 Division Ave $ 1000.00 Eugene OR, OR 97404 3/13/04 $ 1000.00 B CA Everett Moreland 2. 2845 Central Blvd $ 100.00 Eugene OR, OR 97403 3/13/04 Attorney $ 100.00 I CA Arthur Clark 3. 2680 Terrace View Drive $ 100.00 Eugene OR, OR 97405 3/13/04 Attorney $ 100.00 I CA Jack Holcomb 4. 224 Wedgewood Drive $ 100.00 Eugene OR, OR 97404 3/15/04 Retired $ 100.00 I CA Larry Bradley 5. 2510 Brittany Street $ . 200.00 Eugene OR, OR 97405 3/16/04 Salesman $ 200.00 I CA Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts To the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $1500.00 Cash (CA) $ in Campaign Enter on Smnm~a~' Statement Colmnn A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ mantlal Emer on Sunm~ar~. S~atement, Column A, Lines 4 and 9 Loans Recezved (LR) $ 0.00 Loans Received (LR) $ PC 2 Enter on Stmm~ary Staten, ent. Column A, Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Candidate or Political Commattee Name: Comrmttee ID Number' Nancy Nathanson for Mayor Page 1_9_0 of 1__8_8 Election: [] Primary 200_44 [] General 200_~4 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-electron E~ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Cornmattee (includes business and umon PACs) CO Cosigner Obliganon F Can&date's Immediate Family (includes can&date) IK In-Kmd I lndlwdual LR Loan Received L Labor Organ/zatlon O Other P Pohtmal Party Conm~ittee Amount of In-Kind Purpose Line ¢¢ Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Date Received Committee's ID¢C, or Description if Code I is "0" Aggregate Code 1 , Code 2 Galina Groza 1. 1778 Sylvan Street $ 250.00 Eugene OR, OR 97403 3114104 Retired $ 250.00 I CA Dorothy Anderson 2. 939 E. 21 st Ave, $ 100.00 Eugene OR, OR 97405 3/16/04 Homemaker $ 100.00 I CA Richard Forrest 3. 1011 McKinley Street $ 50.0 00 Eugene, OR 97402 3/17/04 Paint Compnay Executive $ 50,0.00 I CA Jack Courtemanche 4 2154 K~mberly Circle $ 100.00 Eugene OR, OR 97405 3/17104 Retired $ 100.00 CA Industrial Source 5. PO Box 2330 $ 1000.00 Eugene OR, OR 97402 3/17/04 $ 1000.00 B CA See Page TotaLs (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $1950.00 Cash (CA) $ in Campaign Enter on Sumnkary Statement, Coltmm A, Line 1 Finance In-Kind (IK) $ 0 00 In-K~nd (IK) $ Marltlal Enter on Stmwaary Statement, Coltmm A, Lines 4 and 9 Loans Received (LR) $ 000 Loans Received (LR) $ PC 2 Enter on Summary Statement, Colunm A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Rev Can&date or Polmcal Committee Name: Committee [D Number: Nancy Nathanson for Mayor Page 11 of 18 Elect~on: [] Prmaary 200_3_4 [] General 2004 [] Other Report: [] 1st Pre-electron [] 2nd Pre-electron [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Bus~ness Entity CA Cash C Political Committee (includes bus~ness and umon PACs) CO Cosigner Obhgatmn F Can&date's Irnmed~ate Farmly (includes can&date) IK In-Kind I In&wdual LR Loan Received L Labm Orgamzatmn O Other P Polmcal Party Commtttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contdbuttng Contributor Code 1 I Code 2 Date Recetved Committee's IDg, or Description if Code '1 is "0" Aggregate Jun Anderson 1. 31620 Pruett Road $ 100.00 Eugene OR, OR 97405 3/18/04 Publisher $ 100.00 I CA Bob Balhn 2. 2045 Potter St. $ 250.00 Eugene, OR 97405 3/18/04 Insurance Agent $ 2561.00 I CA Ellen Booth 3. 2687 Terrace V~ew . $ 250.00 Eugene, OR 97405 ,. 3/18/04 Consultant $ 250.00 I CA Ed Anderson 4. 621 Spyglass Drive $ 100.00 Eugene OR, OR 97401 3/19/04 Rebred $ 100 00 I CA Laurence Hughes 5. 1045 Willagfllesp,e Rd $ 200.00 Eugene OR, OR 97401 3/19/04 Orthodonbst $ 200.00 I CA Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $ ,900.00 Cash (CA) $ in Campaign Enter on Stmm~ary Statement, Colmnm A, Line 1 Finance [n-Kmd (IK) $ 0.00 In-Kind ([K) $ Manual Enter on Sunwnary Statement, Column A, L~nes 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ PC 2 Enter on Sunm~ary Statement, Colunm A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Can&date or Polmcal Comrmttee Name: Comm/ttee ID Number: Nancy Nathanson for Mayor Page ~ of 18 Electron: [] Pr/mary 200._44 [] General 200_44 [] Other Report' [] 1 st Pre-elect~on [] 2nd Pre-electron [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Poht~cal Corramttee 0ncludes business and umon PACs) CO Cosigner Obhgatmn F Candidate's Immedmte Fanuly (includes candidate) IK In-K~nd [ In&wdual LR Loan Recewed L Labor Orgamzatmn O Other P Pohbcal Party Comnnttee Amount of In-Kind Purpose Line Cf Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code 1 I Code 2 Date Recewed Committee's tDCf, or Description ~f Code ~ is "0" Aggregate Ada Lee 1. 1'169 Spyglass Drive $ 100.00 Eugene OR, OR 97401 3/20~04 consultant $ 100.00 I CA Hamilton Construcbon Company 2. PO Box 659 $ 1000.00 Springfield OR, OR 97477 3120104 $ 1000,.00 B CA Peggy Hoyt 3. 460 Palomino Dr. $ 100.00 Eugene OR, OR 97401 3120104 Management Consultant $ 100.00 I CA T.P. Associates 4 PO Box 269 $ 500 00 Spnngfleld, OR 97477 3/20/04 $ 500,00 B CA Alan Evans 5, 40198 Little Fall Creek Rd. $ 200.00 Fall Creek OR, OR 97438 3/20/04 real estate broker $ 200.00 CA Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1 Instructions on Back and Cash (CA) $ J 900.00 Cash (CA) $ in Campaign Enter on Surmmry Statement, Columa~ A, Line 1 Finance In-Kind (IK) $ 0.00 In-K~nd (IK) Manual Enter on Sm~rary Statement Coktrrm A, Lines 4 and 9 Loans Received (LR) $ .0.00 Loans Received (LR) $ PC 2 Enter on Sm~mary Statement, Colurm~ A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Candidate or Pohtlcal Comnnttee Name: CorrLrmttee ID Number: Nancy Nathanson for Mayor Page 1_~3 of Election: [] Primary 200_~4 [] General 200_44 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Cornnnttee (includes business and umon PACs) CO Cosigner Obhgatmn F Can&date's Immedmte Farmly (includes can&date) IK In-Kind I Individual L Labor Organizatmn LR Loan Received O Other P Political Party Committee Line # Name and Address of Contributor Amount of in-Kind Purpose Contributton (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Date Received Code 1 I Code 2 Committee's IDg, or Descr/phon if Code 1 is "0" Aggregate Charles Warren 1. 1158 High Street $ 250.00 Eugene OR, OR 97401 3/20/04 Retail Business Owner $ 250.00 I CA Greg Demers 2. PO Box 1042 $ 1000.00 Veneta, OR 97487 3/22/04 CEO, Timber Company $ 1000 00 I CA WGBS Architects 3. 72 W Broadway $ 100.00 Eugene OR, OR 97401 3/22/04 $ 100 00 B CA Mike Drennan 4. 2574 W. 28th Ave $ 250.00 Eugene OR, OR 97405 3/23/04 Banker $ 250.00 I CA DucoLam American Laminators 5. PO Box 297 $ 250.00 Drain, OR 97435 3/23/04 $ 250.00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contnbutaon type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $1850 00 Cash (CA) $ in Campaign Enter on Summary Statement, Colurm~ A, L~ne 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ Manual Enter on Sunmnry Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.0Q Loans Received (LR) $ PC 2 Enter on Summary Statement, Colurmi A, L~ne 2 PC 2 Cash Contributions, Loans Received and In-Kind Rev Candidate or Political Comtmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 14 of 18 Election. [] Primary 200_3_4 [] General 200~4 [~ Other Report: [] 1 st Pre-electron [] 2nd Pre-electron [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Polmcal Committee (includes business and umon PACs) CO Cosigner Obligation F Candidate's Immediate Famaly (includes candidate) IK In-Kind I Ind~wdual LR Loan Received L Labor Organization O Other P Political Party Cormnittee Amount of In~Ktnd Purpose L~ne # Name and Address of Contnbufor Contribution (see manual for suggested purpose codes) Date Recewed Occupational Information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Description cf Code I rs "0" Aggregate John Ebedy t. 2647 Terrace View Drive $ 100.00 Eugene OR, OR 97405 3/23/04 Restaurant Owner $ 100.00 I CA Paul M. Redhead Red Estate 2. 2445 Lincoln Ave $ 500.00 Eugene OR, OR 97405 3/24/04 $ 500.00 B CA Al Emnck, Jr. 3 655 Goodpasture Island Rd #36 $ 250.00 Eugene OR, OR 97401 3/24/04 CFO, Timber Products Co. $ 250.00 I CA Alan Thayer 4. PO Box 1268 $ 100~00 Eugene OR, OR 97440 3/24/04 Attorney $ 100.00 I CA H~gh Street Building 5. PO Box 529 $ 250.00 Eugene, OR 97401 3/26/04 $ 250.00 B CA See Page Totals (Add all amounts wtth the same Accounting Period Totals (Complete only for last page and Instructions contrtbution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $1200 00 Cash (CA) $ in Campaign Enter on Stmm~ary Statement, Coltmm A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ Manual Enter on Summary Statement, Colunm A Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ PC 2 Ente~ on Smmmary Statement, Colmm~ A, Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Candidate or Political Comtmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 1--5 of 1__8.8 Election' [] Prnnary 200___4 [] General 200__&4 [] Other Repro1' [] 1 st Pre-erection [] 2nd Pre-elecUon [~ Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohtlcal Comrmttee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Farmly (includes candidate) IK In-Kind [ Individual LR Loan Received L Labor Organization O Other P Poht~cal Party Comrmttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Date Received Committee's ID#, or Description if Code I is "0" Aggregate Code I , Code 2 Merle Bottge 1. 1777 W. 24th Ave. $ 250.00 Eugene OR, OR 97405 3/26104 Retired $ 250.00 I CA Patterson Tower Associates 2. PO Box 529 $ 250.00 Eugene, OR 97440 3/26/04 $ 250.00 B CA John E. Jaqua 3. 825 E Park $ 1000.00 Eugene OR 97401 3/26/04 Attorney $ 1000.00 I CA Gregory Lee Giustina 4. PO Box 529 $ 250.00 Eugene, OR 97440 3/26/04 Educator $ 250.00 I CA John Sheppard 5. 4023 Southpointe Drive $ 150.00 Eugene OR, OR 97405 3/27/04 Auto Dealer $ 150.00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contnbutmn type. Do not include aggregates.), transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $1900 00 Cash (CA) $ ~rl Campa~gll Enter on Stm?anary Statement, Colun~ A, Line i Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ Manual Enter on Sunmoary Statement, Colm~m A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ PC 2 Enter on Sumnmry Statement, Colun~t A, Line 2 PC Cash Contributions, Loans Received and n-Kind Candidate or Political Committee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 1_~6 of 1~8 Election. [] Primary 200._44 E~] General 200~4 [] Other Report' [~] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohttcal Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind [ ln&v~dual LR Loan Received L Labor Organization O Other P Polmcal Party Committee Amount of In-Kind Purpose bne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code I Code 2 Date Received Committee's ID¢, or Description ~f Code ~ rs "0" Aggregate Northgreen Partners 1. PO Box 529 $ 250.00 Eugene, OR 97440 3~27~04 $ 250.00 B CA Broadway & Pearl Associates 2. PO Box 529 $ 250.00 Eugene, OR 97440 3/27104 $ 250 00 B CA Don Tykeson 3. 447 Spyglass Drive $ 250.00 Eugene OR, OR 97401 3~30~04 Private Investor $ 250.00 I CA Tim Campbell 4. PO Box 10066 $ 100.00 Eugene, OR 97440 3/31/04 Commercial Real Estate Broker $ 100~00 I CA Peps~ Bottling Company 5. PO Box 10728 $ 500.00 Eugene OR, OR 97440~2728 3/31/04 $ 500.00 B CA Page Totals (Add all amounts with the same iccountiwg Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Surmnary Statement, PC 1,) Instructions on Back and Cash (CA) $1350,00 Cash (CA) $ in Campaign Enter on Finance In-Kind (iK) $ 000 In-Kind (IK) $ mannal Enter on Sm~lmary Statement, Coluam A, Lines 4 and 9 Loans Received (LR) $ O,00 Loans Received (LR) $ PC 2 Eater on Stm~rnary Statement, CoMm~ A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Re, ,:/0, Candidate or Pohtmal Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 1_Z7 of 1__~8 Elecnon: [] Primary 200__44 [] General 2004 [] Other Report' [] 1 st Pre-electmn [] 2nd Pre-electron [~ Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Enbty CA Cash C Political Comrmttee (includes bus~ness and tmion PACs) CO Cosigner Obhgat~on F Can&date's Immedmte Family (includes can&date) IK In-K~nd I Individual LR Loan Received L Labor Organization O Other P Polmcal Party Conm-fittee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupattonal Information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Description tf Code I is "0" Aggregate Whittier Wood Products 1. 28828 Raven Oaks $ 200.00 Eugene OR, OR 97402 3/31/04 $ 200.00 B CA Musgrove Family Mortuary 2. 1152 Olive Street $ 100.00 Eugene OR, OR 97401 3t31104 $ 100.00 I CA Eugene Chamber PAC 3. 1401 Willamette Street $ 1500.00 Eugene, OR 97405 3131/04 $ 1500.00 C CA Falcon Food Enterpnses 4. 111 W 7th Ave, Ste 320 $ 100.00 Eugene, OR 97401 3/31/04 $ 100.00 B CA Staton Companies 5. PO Box 7515 $ 250 00 Eugene OR, OR 9740 4/1/04 $ 250.00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 2150 00 Cash (CA) $ 0 in Campaign Enter on Sunm~ary Statement, Colmm~ A, L~ne 1 Finanee In-K/nd (IK) $ 0.00 In-Kind (IK) $ 0.00 Manual Enter on Summary Statement, Colmnn A, L~nes 4 and 9 Loans Recmved (LR) $ 0.00 Loans Received (LR) $ 0 O0 PC 2 Enter on Sumnmry Statement, Coltmm A, Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Candidate or Pohtical Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 18 of 18 Election: [] Primary 200_~4 [] General 200_3_4 [] Other Report: [] 1 st Pre-election [] 2nd Pre-electron [] Post-elecuon [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contdbutor Type CODE 2: Contribution Type B Business Entit-y CA Cash C Poht~cal Comwnttee (includes business and union PACs) CO Costgner Obhgatton F Candxdate's Immediate Farmly (includes candidate) IK In-Kind I Individual LR Loan Recetved L Labor Orgamzatton O Other P Pollt~cal Party Comrmttee Amount of In-Kind Purpose L~ne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupat~onaf Information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Description ¢f Code '1 is "0" Aggregate Ronald Bates 1. 10171 Kings Street $ 100.00 Los Alamltos CA, OR 90720 411/04 $ 100.00 I CA Von Klein &Assoc. LLC 2. 111 W. 7th Ave, Ste 320 $ 100.00 Eugene, OR 97401 411/04 $ 100 00 B CA 3. $ 4. $ 5. $ $ See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 200 00 Cash (CA) $ 24360.00 in Campaign Enter on Sunm~ry Statement, Co]unto A, Line I Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ mallnal Enter on Stanmary Statement, Coltmm A, Lines 4 and c) Loans Received (LR) $ 0.00 Loans Received (LR) $ Pc 2 Enter on Surmnary Statement, Colmnn A, Line 2 PC 3 Cash Expenditures and Loan Payments ,:/0, Candidate or Pohtlcal Comrmttee Name: Cornnuttee ID Number: Nancy Nathanson for Mayor Page ~_ of_2 Election: [] Primary 200_44 [] General 200__44 [] Other Report' [] 1st Pre-electron [] 2nd Pre-election [~ Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Permdlcal Advertising CA Cash B B~oadcast Advertiskng (Radio, TV) O Other Adverbsing (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Ftmdraislng Event Expenses R Rmmbursement G General Operatmnal Expenses (describe S Surveys and Polls ~fover $50) T Travel Expenses (describe if over $50) [ Interest Payment U Utihties L L~teramre, Brochures, Pnntmg W Wages, Salaries, Benefits M Management Ser¥~ces Z Preparatmn and Production of Advertming Payee's Name and Payee's Committee ID#, Exp. Amount of Dne # Date Check # ~f applicable Purpose Type Expenditure Pa~d (as it appears on ~nvo~ce, receipt or check) to A/P 1. 3/13/04 1034 Qwest U CA $ 77.30 [~ 2. 3/13/04 1033 Modulus U CA $ 82.00 3 2/11/04 Clarke American Check G CA $ 10.50 [~ 4 3/9/04 1029 Willamette Stationers G CA $ 4.20 E~ 3/10/04 visa Charge G CA $ 16.00 6. 3/31/04 1005 Steve Robinson R CA $ 47.30 7. 3/13/04 1035 Instaprint L CA $ 206.00 E~ 8. 3/13/04 1036 Thru Air Design L CA $ 362.75 9. 2/8/04 1002 Chff Coles Photography L CA $ 150.00 10. 3/9/04 1032 Kmko's L CA $ 25 00 E~ Page Totals (Add all expenchtures with the same Accounting Period Totals (Complete only for last page and See expenditure type.) transfer these amounts to the Sunm2ary Statement, PC 1.) Instructions on Back and Cash (CA) $ 98102 Cash (CA) $ in Campaign Enter on Sunmury Statement, Colmnn A, Line 6 Finance Manual Loan Payment (LP) $ 0 00 Loan Payment (LP) $ Enter on Sm~m,.ary Statement, Cokmm A, Line 7 PC 3 PC 3 Cash Expenditures and Loan Payments Candidate or Political Comrmttee Name: Comrmttee ID Number' Nancy Nathanson for Mayor Page 2 of 2 Electron: [] Primary 200~4 [] General 200_~_4 [] Other Report: [] 1 st Pre-electron [] 2nd Pre-electron [] Post-electron [] September Supplernental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITLnRE TYPES A Agent N Newspaper and Other Periodmal Advemsmg CA Cash B Broadcast Advemsing (Radm, TV) O Other Advems~ng (yard signs, buttons, etc ) LP Loan Payment C Cash Contr~butmns P Postage F Fundrmsmg Event Expenses R Reimbursement G General Operatmnal Expenses (describe S Surveys and Polls ~f over $50) T Travel Expenses (describe ~f over $50) I Interest Payment U Utilmes L L~terature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparatmn and Productmn of Advemsing Payee's Name and Payee's Committee IlY~, Exp. Amount of [] Line # Date Check # if apphcable Purpose Type Expendlture Pa~d (as it appears on tnvo~ce, receipt or check) to A/P 1. 3~2~04 1003 Peter Bartel M CA $ 1000.00 ~ 2. 3/13/04 1004 Peter Barte~ M CA $ 1500.00 3. 3~9/04 1030 Secretary of State O CA $ 300.00 4. 3~25/04 1037 Cambria Sportswear O CA $ 141.00 [~ 5. 3~25/04 1038 Tower Marketing O CA $ 1637.00 E~ 3/25/04 1039 Eugene Fastener O CA $ 46 10 E~ 7. 3~25~04 1040 Goodwill O CA $ 225.77 E~] Peter Barrel P CA $ 21.00 E~ 8. 2/8~04 1001 PO Box rental 2/04 1026-27 U SPS P CA $ 118.40 10. 3~9~04 1031 USPS P CA $ 22,20 [~ Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and See expenditure type ) transfer these amounts to the Surmmary Statement, PC 1.) Instructions on Back and Cash (CA) $ 5011 50 Cash (CA) $ 5992.52 in Campaign Emer on Sumn~ry Statement, Colmnm A, Line 6 Finance Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0 00 Enter on Smnmary Statement, Colmnn A, L~ne 7 PC 3 PC3A Persona Expenditures for Reimbursemen Candidate or Political Committee Name: Committee ID Nurnber: Nancy Nathanson for Mayor Page ~_ of.l_ Election: [] Primary 20~4 [] General 20~___ [] Other - Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions} A Agem N Newspaper and Other Periodical Advertising B Broadcast Advertising (Radio. TV) O Other Advertising (yard signs, buttons, etc.} C CaSh Contributions P Postage F Fundraising Event Expenses S Sarveys and Polls G General Operational Expenses (describe if over $50) T Trauel Expenses (describe if over $50) i Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Amount o~ L~e # Date Payee's Name Purpose Expenditure 2/29/04 Staples L $ 1.75 2. 3/I 9/04 Staples G $ 9 56 3. 3/21/04 Staples G $ 35.99 $ $ $ $ 8. $ 9. $ 10 $ Page Totat Accounting Period T(¢tal (Complete only for last page and See transfkr this amount to the Smnmao~ Statement, PC I ,) Instructions Pe~onal Expen~tures $ 47 30 on Back an~ Personal Expendi~res $ ~7.30 Campaign Eh[el o~ S~m~%, Smt=mem, Lille 3l Finance Maaaal PC 3A Summary Statement of Contributions and Expenditures R~, ~_0~ Please type or print legibly in black ink. Page I of 2 Candidate or Political Committee Name (use full name): Nancy Nathanson for Mayor Mailing Address as it Appears on Statement of' Organization (street, route or box nmmber city, state, zip code): 2516 Hawkins Lane, Eugene OR 97405-1203 Treasurer's Name: Telephone N[tmber (da5,): Steve Robinson 541-345-8683 Committee ID Number: } Commiltee Type, Measure Number or Office: Mayor, City of Eugene [] Original [] Primary 200_4_4 [] General 200__4.4 [] Othe~ __ [] AmendmentS- [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental ^-TOT^LS ~'Oa TInS S-CUMUL*T~VE TOT*kS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUT)ONS 1, Cash Contributions 24360.00 24360.00 fAccounting Period Fotal from PC 2t 2. Loans Received (Non-Exempt) + 0 00 + 0 00 (Accounting Period Total from PC 2) 3. Total Cash Contributions = 24360 00 = 24360 00 (lines 1+ 2} 4. In-Kind + 0.00 + 0 00 (Accounting Period Fotal from PC 2) 5. TOTAL CONTRIBUTIONS = 24360.00 = 24360 00 (lines 3 * 4) EXPENDITURES 6. Cash Expenditures 5992.52 5992 52 (Accounting Period Total from PC 3) 7. Loan Payments (Non-Exempt) + 0.00 + 0.00 (Accounting Period Fotal from PC 3 8. Total Cash Expenditures = 5992.52 = 5992 52 (lines 6 *- 71 9. la-Kind + 0.00 + 0.00 {Accounting Period Total fi'om PC 10. TOTAL EXPENDITURES = 5992 52 = 5992 52 (lines 8 + 9} CASH BALANCE 11. Beginning Cash Balance 654 53 FOR OFFICE USE ONLY (Ending Cash Balance from previous report) 12. Total Contributions + 24360 00 t hne 5) 13. Other Receipts + I 99 (Accounting Period Total from PC 4A 14. Loans Received (Exempt} + 0 00 (Accounting Period Tutal from PC 15. CONTRIBUTION SUBTOTAL = 25016 52 ti(nos 11 + 12 + 13 + 14) 16. Total Expenditures 5992.52 {line 10) 17. Other Disbursements + 0 00 (Accountm~ Period Total from PC 4B 18. Loan Payments (Exempt) + 0.00 {Accounting Period Total from PC 4B) 19. EXPENDITURE SUBTOTAL = 599252 CiTY hE~,,,iDEa (lines 16 + I7 + 20. ENDING CASH BALANCE = 19024 O0 (line 15 minus tine 19~ PC Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: I CoTmnittee ID Number: Nancy Nathanson for Mayor ~l [] Primary 200_¢_4 [] General 200~4 [] Other __ _~ Amendment~SkzT% [] 1st Pre-election [] 2nd Pre-election [] Post-election E] September Supplemental LOAN SUMI~ARY FOR OFFICE USE ONLY 21. Beginning Outstanding Loans 0 00 (Total Outstanding Loans from previous report) 22. Loans Received (Non-Exempt) (hue 2) + 0 00 23. Loans Received (Exempt) {hue 14) + 0.00 24. LOANS RECEIVED SUBTOTAL dines 2l ,~ 22 + 23) = 0.00 25. Loan Payments (Non-Exempt) 0 00 (linc 7) 26~ Loan Payments (Exempt) + 0 00 (line 27. ForgNen Loans + 0 O0 (%otal loans fbrgiven during this accounting period/ 28. LOAN PAYMENT SUBTOTAL = 0 O0 (lines 25 + 26 ~-27) 29. TOTAL OUTSTANDING LOANS = 0 O0 (tine 24 minus hnc 28l PERSONAL EXPENDITURE SUmmARY 30~ Beginning Outstanding Personal Expenditures 0 O0 ( tine 36 o f pre v it)us report ) 3 l. Personal Expenditures + 47.30 (Accounting Period Total from PC 3Al 32. PERSONAL EXPENDITURE SUBTOTAL = 47 30 dines 30+ 31l 33. Personal Expenditure Reimbursements 47 30 (qfotal expen&tures on PC 3 with purpose code R) 34. Forgiven Personal Expenditures + 0.00 ITotal pcn4onal expenditures forgiven this acctg, period) 35. REIMBURSEMENT SUBTOTAL = 47 30 (lme~ 33 + 34) 36. OUTSTANDING PERSONAL EXPENDITURES = 0.00 {,line 32 minus hne 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PER~OD 37. Ending Cash Balance 19024.00 (hne 20) 38~ Accounts Receivable + 0 00 (Accounting Pcrmd Fetal from PC 5) >9, SUBTOTAL = 19024 00 (lines 37 + 3g) 40.(hneTOta129;Outstanding Loans 0.00 **'~, ~ .P*: 17. 41. Outstanding Personal Expenditures + 0.00 (hne 36) ~,?i ;'~ ~' i 42. Accounts Payable + 0 00 tAccounting Period Total from PC 6) (lines40+41 442) ,J~ , ~ 44. BALANCE/DEFICIT = 19024 00 (line 39 minus hue 43 indicate + or- balance) i, St eve R 3b x n s on (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct. ' Signature of candidate or treasurer Date sigmed PC Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use fall name): Nancy Nathanson for Mayor Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): 2516 Hawkins Lane, Eugene OR 97405-1203 Treasurer's Name: I '1 elephone Number (day): Steve Robinson I 541-345-8683 Committee ID Number: I Committee Type, Measure -Number or Office: Mayor, City of Eugene El Original [] Prin~ary 200_!4 [] General 200_!4 [] Other __ [] Amen&merit [] 1 st Pre-election [] 2nd Pre-election ~ Post-election [~3 September Supplemental A-TOTALS FOR THIS B-CVMULATDCE TOTALS CONTRIBUTIONS l, Cash Contributions 24360 00 24360.00 (Accounting Period Total from PC 2) 2. Loans Received (Non-Exempt) + 0 00 + 0.00 (Accounting Period Total from PC 21 3. Total Cash Contributions = 24360.00 = 24360 (lines 1,- 2) 4. In-Kind + 0.00 + ~Accounting Period Total from PC 2) 5. TOTAL CONTRIt~UTIONS = 24360.00 = 24360.00 (lines 3 + 4) EXPENDITURES 6. Cash Expenditures 5992.52 5992 52 ( Accounting Period Total from PC 3) 7. Loan Pasrnents (Non-Exempt) + 0.00 + 0 00 (Accoanting Period Total from PC 3) 8. Total Cash Expenditures = 5992.52 = 5992 52 thnes 6 + 7/ 9. In-Kind + 0.00 + 0 00 (Accounting Period Total from PC 2) 10~ TOTAL EXPENDITURES = 5992.52 = 5992 52 dines 8 + 9) CASH BALANCE 11. Beginning Cash Balance 654 53 FOR OFFICE USE ONLY (Ending Cash Balance l?om previous report) 12. Total Contributions + 24360.00 ( hue 5 } 13, Other Receipts + 1.99 (Accounting Period 7otal from PC 4A) 14. Loans ReceiYed (Exempt) + 0,00 (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL = 24361.99 (lines ii + 12 + 13 + 14) 16. Total Expenditures 5992.52 (line I0) 17. Other Disbursements + 0.00 (Accountm~ Period Total from PC 46t 18. Loan Payments (Exempt) + 0.00 j~;~'3 ; ;. (Accounting Period Tota! from PC 46~ · (lines 16 ~- 17 + 18) = 599252 0i7~' = 19019.00 /tine 15 minus line 19~ PC Summary Statement of Contributions and Expenditures Please type or print legibly in black imk Page 2 of 2 Candidate or Political Committee Name: I Cormnittee ID Number: Nancy Nathanson for Mayor [_~,Original [] Primao' 2004 [] General 200_~4 [] Other _ _ ~Amendment [] 1st Pre-e[ection [] 2nd Pre-election [] Post-election [ii] Sepmmber Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 2 l. Beginning Outstanding Loans {Total Outstanding Loans from previous report) 0 00 22. Loans Received (Non-Exempt) (line 2l + 0.00 23. Loans Received (Exempt) (line t4l + 0.00 24. LOANS RECEIVED SUBTOTAL dines 21 + 22 + 23) = 0.00 25. Loan Payments ~on-Exempt) (line 7) 0.00 26. Loan Payments (Exempt} (line t81 + 0 00 27. Forgiven Loans + (Total loans forgiYen during this accounting period} 28. LOA-N PAYMENT SUBTOTAL (lines 25 + 26 *27) = 0~00 29. TOTAL OUTSTANDING LOANS = 0.00 (line 24 minus line 28) PERSONAL EXPENDITURE SU~It~ARY 30. Beginning Outstanding Personal Expenditures 0.00 (line 36 of previous report) 31. Personal Expenditures + 47.30 (Accounting Period Total from PC 3Al 32. PERSONAL EXPENDITURE SUBTOTAL = 47 30 {lines 30 + 31 } 3A Personal Expenditure Reimbursements 47 30 (Total expenditures on PC 3 with purpose code R) 34. Forgiven Personal Expenditures + 0.00 (Total personal expendilures forgiven this acctg, period) 35~ REIMBURSEMENT SUBTOTAL = 47.30 (lin~ 33 4- 34} 36. OUTSTANDING PERSONAL EXPENDITURES = 0.00 (line 32 minus tine FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Endk~g Cash Balance 19019.00 {line 20) 38. Accounts Receivable + 0.00 (Accounting Period Total from PC 5) 39. SUBTOTAL = 19019.00 (lines 37 + 38) 40. Total Outstanding Loans 0.00 (line 2% 41. O~tstanding Personal Expenditures + 0.00 {line 42. Accounts Payable + 0.00 l, Accouming Period Total from PC 6} 43. SUBTOTAL = 19019.00 {lines 40 * 41 + 42) 44. BALANCE/DEFICIT = 19019.00 dine 39 minus line 43: indicate -~ or - balance) l, Steve Robip~son (name of candidate or treasurer), hereby certify that the above statement and hhe attached supporting reports are trne and correct. Signature of candidate or treasurer Date signed PC 2 ~Aal~cndment Amendments-Cash Contributions, Loans Received and n-Kind Re, Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 1_erg Election: [] Primary 2004 [] General 20__ [] Other __ Report: [] 1st Pre-election [~] 2nd Pre-election [] Post-election E~ 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Irmnediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee AmenOng Page # Name and Address of Contributor Amount o~ In-Kind Purpose a~d Line # Contribution (see manual for suggested purpose codes) Occupattonat Information or Contributor Code '~ I Code 2 Date Received Contributing Committee's iD# Aggregate Page_._]¢~ Line Bruce Mulligan [] New Enw 3056 Hendncks Hil~ Dr $ 500.00 [] Correcting El Deleting Eugene OR 97403 3/3/04 General manager, health insurance $ 500 00 I CA company Page Line ~: Dav,d Dawm [] New Entry PO BOX 529 $ 100 00 [~ Correcting [] Deleting Eugene OR 97440 3/9/04 CPA $ 100 00 ~ CA Page~ Line ~.-' Dan Giustma [] New Entry PO Box 529 $ 250 00 [] Correcting BI Deleting Eugene OR 97440 3/10/04 Property manager $ 250.00 ~ CA Page ~_ Line; Doily Wootiey [] New ~n~ 1275 Barber Dr~ve $ 500 00 [] Correcting [] Deleting Eugene OR 97405 3/12/04 Property manager $ 500.00 ~ CA Page ', Line ' Larry Bradley El ~ewEnW 2510 Brittany St. $ 200 00 [] Correcting [] Deleting Eugene OR 97405 3/16/04 Photocopier sales¢:' ....... $ 200.00 ~ CA See FOR OFFICE USE ONLY Instructions : ~ "~ TM on Back and ~'."c % / ''~ . :' ?'- : ?: in Campaign "' Sign~wxe ofcandMate or treasurer Finance ~ Manua~ PC 2 ~*' ; ~ ~ Amendment Date signed PC 2 ,~endment Amendments-Cash Contributions, Loans Received and n-Kind Candidate or Political Committee Name: Committee -ID Number: Nancy Nathanson for Mayor Page 2_of:~ Election: ~ Primary 200~4 [] General 20__ [] Other ~ Report: ~ 1st Pre-election [] 2nd Pre-election [] Post-election [] 20 September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Commitlee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Part>, Committee Amending Page # Name and Address of Contributor Amount of tn-Kind Purpose and Line # Contribution (see manuai for suggested purpose cedes) Occupational Information Contributor 0£ Code 1 I Code 2 Date Received Contributing Comm~ee's IDA Aggregate Page~ Line ~ Ellen Booth [2 New Entry 2687 Terrace View $ 250.00 [] Correcting [] Deleting Eugene OR 97405 3/18/04 homemaker $ 250.00 I CA Page, ¢ '~'~ Llne__L_~Ada Lee [] New Entry 1169 Spyglass Dr. $ 100 00 ~ Correcting [] Delebng Eugene OR 97401 I 3~20~04 private investor $ 100.00 I CA Page , :" Line ~ DucoLam Amedcan Laminators [] New Entry PO Box 297 $ 100 00 ~1 Correcting [-I Deleting Dram OR 97435 3/23/04 [note - reported in error as $2501 $ 100.00 B CA Page._~..~ L~ne" Ronald Bates El ~ew~,try 10171 Kings St. $ 100.00 [] Correcting ~ Deleting LOS Atamitos CA 90720 i 4/1/04 Financial analyst $ 100.00 ~ CA , ? Page Line ~ Musgrove Family Mortuary E] New Entry 1152 Olive St. $ 100.00 [] Correcting [~ Detetmg Eugene OR 97401 3/31/04 $ 100.00 B CA See FOR OFFICE USE ONLY Instructions ~' ,, , on Back and / / ' ' (' - [ in Campaign 4ignature of candidate or treasurer Finance Manual PC 2 Amendment Date signed PC' 2 Amendm~m Amendments-Cash Contributions, Loans Received and n-Kind Candidate or Political Comanittee Name: Comm~ee ID Number: Nancy Nathanson for Mayor Page 3 of 3 Election: ~ Pr~a~ 200~ ~ General 20~ ~ Other Repo~: ~ 1st Pre-elect[on ~ 2nd Pre-election ~ Post-election ~ 20~ September Supplemental SEE YACK FOR ~STR~CTIONS A~D CODE DEFLNITIONS CODE ~: Contributor Type CODE 2: Contribution Type B Business Enfi~' CA Cash C Political CommJEee (~c}udes bus,ness and ~ion PACs} CO Cosi~er Obligation F Candidate's l~edJate F~ly (Lncludes c~date) ~K ~-K~d ~ IndivMua[ LR Lo~ Received L Labor Organ~zatio~ O Other P Polk[cai Pa~y Corm[~ee Amending Page ~ Name and Ad~ress o~ Contributor Amount o~ [n-Kind Pu¢ose and L~no ~ ~;~tfibu~on (s~ manual for suggest~ pu~se codes) Occupationa~ ~nformation Contributor or ~de ~ ~ Code 2 Date Received Contributing Commi~ee~ [~ A~mgote P~ge~L~ne ~ Correcting page I tota{ (original 2150) D New Ent~ $ 2,050.00 ~ Corre~mg ~ Deleting P~e~bne Correcting page 13 total (original 1850)' ~ New Ent~ $ 1,700.00 ~ Corr~tmg ~ Deleting $ ~ Correcting ' - - ~ Deleting bne .... ~ Corre~m9 ~ Deleting Page~ Line_ ~ Correcbn9 ~ Deleting $ See ?] : ..... ¢ ..... ~) , FOR OFFICE USE ONLY oD Back ~d ~ ~L~_ Campaign ~ ~gnat~e of candidate or treasurer FJn~ce M~ual Amendment Date si~ed ~ 3 Amen~mcm Amendments-Cash Expenditures and Loan Payments Candidate or Political Comm~ee Name: Comrni~ee [D N~ber: Nancy Nathanson for Mayor Page I of 1 Election: ~ Primary 20~ ~ General 20__ ~ ~her ~ Repom ~ 1 st Pre-election ~ 2nd Pre-decfion ~ Post-election ~ 20~ September Supplemental PU~OS~ CO~[S (see [~c~ of form for ~nstracfi~ns and code definitions) EXP[NDIT{~ TYP[S A Agent O ~Adve~s~(y~d si~s~ bu~, e~.) CA Cash B Broadcast Adve~isJng (Radio~ TV) P Postage LP Loaa Payment C Cash Con~bufions R Re~bmement for P~onal Expendk~es F F~tdra[s~ng Event Expe~es S S~veys and Polls G Gene~ ~mfional Ex. ms (de~ ~over $50) T Travel Expenses (describe if over $50) [ lnteres~ Payment U Utilities L Lkerat~e. Broch~es. Printing W Wages. Salades~ Benefits M Management Services Y Petition Ckculatom N Newspaper ~d O~er Periodical Ad~e~is~g Z ~mtion ~d ~odu~Jon of Adve~s~g Amending Page ~ ~ Payee% Name and Payee's ~mm~eo ~. Exp. Amount of and Line ~ Check ~ ff applicable Purpose Pard Date (as it appears on mvotce, receipt or check) Type Expenditure to ~P Line ~ New Entry ~ Corm~,ng V~sa (bank charge - d~scount charged ~ Delet, ng - for online contnbution received) G CA ~ 1600 ~ 3/10/04 Page ~ Line [] New Entry ~ Correcting Correcting page 1 total (or,gJnal $ 981 O5 [] Detetlng 981 C~ Page__ Line__ [] New Entry [] Correcting Correcting page 2 total (original $ 5,01 t .47 [] Deleting 5011.50) L2 Page. Line [] New Entry [-1 Correcbn9 [] Deleting Page~ [] New Entry [] Correcting ~ Deleting See FOR OFFICE USE ONLY ,nstructions } ~ _~'~ in Cmpa~ F~ance , Si~ature of candidate or ~easurer M~ual ~¢ndment Date si~ed PC 4~ O her Receipts Candidate or Political Committee Name: Committee ID Nmnber: Nancy Nathanson for Mayor Page 1 of 1 Election: [] Primary 2004 [] General 200__44 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFLNIT~ONS Other Receipt Transaction Type Cedes EL Exempt Loan Proceeds FM Items Sold at Fair Market Value IN Interest/Investment Income OM Miscellaneous (provide a descfption) RF Refunds, Rebates and Returns Date Name Other Receipt Line # Received (required for codes EL, OM and RF; Transaction Type Other Rece(pt Amount optionel for codes FM and IN) Code 12/31103 Oregon Commumty Credit Union (OCCU) IN $ 0.30 2. It31-3/31/04 OCCU IN $ 1.69 $ $ 5. $ $ 7. $ 8 $ 9. 10 $ See Page Totals (Add all OCher Receipt Transaction Accounting Period Totals (Complete onb for last page and Instraetions Type Codes specified,) transfer these amotmts to the Summary Statement, PC on Back and Codes FM, IN, OM~ RF $ ~ 9~ Codes FM, IN, OM, RF $ in Callllpaign Eater on Finance Maaaal Code EL $ 0.00 Code EL $ 0.00 Ente~ on Stttruma.~ Sta~-~ent. Coiurm~ A~ Line 14 PC 4A pc Summary Statement of Contributions and Expenditures Please type o~ print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name): Nancy Nathanson for Mayor Mailing Address as it Appears on Statement of'Organization (street, route or box number, city, state, zip code): 2516 Hawkins Lane, Eu§ene OR 97405-1203 Treasurer' s Name: Telephone Number { day): Steve Robinson 541-345-8683 Committee tD Number: } Committee Type, Measure Number or Office: Mayor, City of Eugene [] Original [] Primary 2004 [~] General 200~4 [] Other __ [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULATIYE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS I. Cash Contributions 26574 O0 50934 O0 (Accounting Period Total from PC 2) 2. Loans Received (Non-Exempt) + 0 00 + 0 00 {Accounting P~riod Total from PC 2) 3. Total Cash Contributions = 26574.00 = 50934 00 tlines 1+ 2) 4. In-Kind + 46 12 + 46 12 (Accounting Period Total from PC' 21 5. TOTAL CONTRIBUTIONS = 26620 12 = 50980 ~ 2 (Jmes 3 + 41 EXPENDITURES 6. Cash E,~penditures 43318 54 49311.06 (Accounting Period Feral from PC' 3 ) 7. Loan Payments (Non-Exempt) * 0 00 + 0.00 (Accnunting Period Total from PC 3) 8. Total Cash Expenditures = 433~8 54 = 49311 06 (hnes ~ + 7) 9. hq-Kind + 46 12 + 46 ~ 2 (Accounting Period Total fi-om PC 2~ 10. TOTAL EXPENDITURES = 43364.66 = 49357.18 (lines 8 ~- 9) CASH BALANCE 11. Beginning Cash Balance 19024 00 FOR OFFICE USE ONLY (Ending (_ ash Balance from previous report) 12. Total Contributions + 26620 12 (hne 5~ 13. Other Receipts + 117 47 (Accmmting Period Total from PC 4At 14~ Loans Received (Exempt) + 0 00 ~ [~ (Accounting Period Total from PC 4/\) ~%,,,~ } j i iff 15. CONTRIBUTION SUBTOTAL = 45761.59 dinesll+~2+13+14} i<. t_' '<~ 16. Total Expenditures 43364.66 {line 10~ 17. Other Disbursements + 0 00 (;[ [ ~ ~' re ;'" :~ {Accountm~ Period l'otal ~rom PC 4BI ~8. Loan Payments (Exempt) + 0 00 (Accounting Period Total ti'om PC 19. EXPENDITURE SUBTOTAL = 43364 66 (lines 16 + 17-t- 20. ENDING CAS}t BALANCE = 2398 93 (hne 15 mmu~ line 1% PC Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: [ Committee ID N umber' Nancy Nathanson for Mayor [] Original [] Primary 200_!4 [] General 200_~4 [] Other__ [] Amendment [~ 1st Pre-election [] 2nd Pre-election [] Post-election [~ September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 21. BeginNing Outstanding Loans 0 00 (Total Outstanding Loans from previous reporrt 22. Loans Received (Non-Exempt1 (tine 2) ' + 0 O0 23. Loans Received (Exempt) + 0.00 (line 14) 24. LOANS RECEIVED SUBTOTAL )lines 2t + 22 + 23) = 0 00 25. Loan Payments (Non-Exempt) 0 00 (line 7) 26. Loan Payments (Exempt) + 0 00 (tine 18) 27. Forgiven Loans + 0 00 (Total Mans lbrg~ven during this accounting period} 28. LOAN PAYMENT SUBTOTAL = 0 00 (lines 25 + 26 +27) 29. TOTAL OUTSTANDING LOANS = 0.00 (hne 24 minus line 28) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures 0 00 (line 36 of previous report) 3 t. Personal Expenditures + 118,68 (Accounting Period Total t?om PC' 3Al 32. PERSONAL EXPENDITURE SUBTOTAL = 118 68 (lines 30 + 31 ) 33. Personal Expenditure Rehnbt~sements 118.68 (Total expenditures on PC 3 with purpose code R) 34. Forgiven Personal Extxmditures + 0.00 (Total persona) expenditures forgiven this acctg, period) 35. REhMBUnRSEMENT SUBTOTAL = 118 68 (lines 33 + 34) 36. OUTSTAJNDING PERSONAL EXPENDITURES = 0 O0 (line 32 minus hne 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance 2396~93 (line 20~ 38. Accounts Receivable + 0 00 (Ac~.otmting Period ~l otal l~om PC 5 ) 39. SUBTOTAL = 2396 93 (hnes 37 + 38) 40. Total Outstanding Loans 0 00 (line 2% 41, Outstanding Personal Expenditures + 0 00 (line 36) 42, Accounts Payable + 0 00 (Accounting Period Total from PC 6l 43, SUBTOTAL = 0 00 (lines 40 + 41 ~- 42) 44. BA LANCE/DEFICIT = 2396 93 (line 39 minus line 43: indicate -~ or - balance) i, St eve Rob 2~n s on (name of candidate or treasurer), hereby certil~~ that the above sm~c,~-~ent and the attached supporting reports are true and correct. :Signature of candidate or treasurer Date signed PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Political Commtttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 1 of 18 Election: [] Prnnary 2004 [] General 200~4 [] Other __ Report' [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohbcal Comrmttee (includes business and union PACs) CO Cosigner Obhgatmn F Candidate's Irmnedlate Farmly 0ncludes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Pohtical Party Cornnnttee Line # Name and Address of Contributor Amount of In-Kind Purpose Contributlon (see manual for suggested purpose codes) Date Received Occupattonal Information, Contributing Contributor Code 1 Code 2 Commtttee's ID#, or Description if Code I is "0" Aggregate Oak Leaf Property Managemen I 2350 Oakmont Way, Ste. 204 $ 1000.00 Eugene, OR 97401 4/5/04 $ 1000.00 B CA Tim Campbell 2. PO Box 10066 $ 46.12 O Eugene OR 97440 4/6/04 real estate sales $ 146.12 I IK Larry Campbell Rental Account 3. 111 W. 7th Ave. $ 100.00 Eugene, OR 97401 4/5/04 $ 100.00 B CA Neurehus LLC 4. 32910 E. Pearl St. $ 1000.00 Coburg OR 97408 4~5~04 $ 1000.00 B CA J.P. Hammer Property Account 5 PO Box 529 $ 250.00 Eugene OR97440 4~5~04 $ 250.00 B CA See Page Totals (Add all amounts with the same Accounting Period TotaLs (Complete only for last page and contribution type. Do not include aggregates.) transfer these amounts to the Surmnary Statement, PC 1,) Instructions on Back and Cash (CA) $ 2350.00 Cash (CA) in Campaign Enter on Summary Statement, Cokmm A Line Finance In-Kind (IK) $ 46.12 In-K~nd (IK) $ - Manual Enter on Summary Statement, Colunm A, Lines 4 and 9 Loans Recmved (LR) $ __ Loans Received (LR) $ ~ PC 2 Enter on Stmnnary Statement, Coltmm A, Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Rev Can&date or Pohncal Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 2 of 18 Electron: [] Primary 2004 [] General 2004 [] Other __ Report: [] 1 st Pre-elect~on ~ 2nd Pre-election [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Polmcal Comnuttee (includes business and union PACs) CO Cosigner Obhganon F Candidate's immediate Family (includes can&date) IK In-Kind I Individual LR Loan Recmved L Labor Orgamzation 0 Other P Poht~cal Party Comrmttee Amount of In-Kind Purpose Ltne# Name and Address of Contributor Contributton (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code f ] Code 2 Date Received Committee's ID#, or Description if Code I rs "0" Aggregate Campbell Commercial Real Estate 1. 111 W. 7th Ave Ste. 320 $ 250.00 Eugene, OR 97401 4/5/04 $ 250.00 B CA Emerald Buildings 2. 28346 Briggs Hill Road $ 150.00 Eugene OR 97401 4/8/04 $ 150.00 B CA Sanipac 3. PO Box 10928 $ 125.00 Eugene OR 97440 4/8/04 $ 125.00 B CA Liberty Financial Group 4. 355 Goodpasture Island Rd. $ 750.00 Eugene OR 97401 4/8/04 $ 750.00 B CA Garfield Associates 5. PO Box 529 $ 500.00 Eugene OR 97440 4/12/04 $ 500.00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not mclude aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $1775,00 Cash (CA) $ ~ in Campaign Enter on Stm:wnary Statcment, Colunm A, Line 1 Finance In-Kind (IK) $ ~ In-K~nd (IK) $ ~ Manual Enter on Sun,anary Statement Column A. Lines 4 and 9 Loans Received (LR) $ __ Loans Received (LR) $ ~ PC 2 Enter on Stm-nmry Statement, Coltmm A. Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Political Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 3 of 18 Election: [] Primary 200_~_4 [] General 200~4 [] Other Report: [] 1 st Pre-election ~[ 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohttcal Cornnnttee (includes business and umon PACs) CO Cosigner Obligation F Candidate's Immediate Farmly (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Orgamzat~on O Other P Political Party Comrmttee Amount of In-K~nd Purpose Line # Name and Address of Contributor Contnbutton (see manual for suggested purpose codes) Date Recetved Occupattonal information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Descnpt¢on if Code 1 ts "0" Aggregate Fn-Jos, Inc. 1 4125 Hilyard St. $ 100.00 Eugene OR 97405 4/13/04 $ 100.00 B CA EcoSort 2. 3425 E. 17th Ave. $ 125.00 Eugene OR 97403 4/15/04 $ 125.00 B CA CW Walker & Assoc. 3. PO Box 1338 $ 250 00 Eugene OR 97440 4/15/04 $ 250 00 B CA Terra Buono Properties IV 4 PO Box 989 $ 250.00 Eugene OR 97440 4/19/04 $ 250.00 B CA CW Walker Construction LLC 5. PO Box 1338 $ 250 00 Eugene OR 97440 4/19/04 $ 250.00 B CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and contribution type. Do not include aggregates.) transfer these amounts to the Sun-unary Statement, PC 1.) Instructions on Back and Cash (CA) $ 975.00 Cash (CA) $ __ in Campaign Enter on Summary Statement, Colmnm A, Line I Finance In-Kind (IK) $ __ In-Kind (IK) $ __ mannaI Enter on Smnmary Statement, Colun:m A, Lines 4 and 9 Loans Received (LR) $ __ Loans Received (LR) $ __ PC 2 Enter on Smranary Statement Column A, L~ne 2 PC 2 Cash Contributions, Loans Received and In-Kind Re¥ ,?o, Candidate or Political CorrLrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 4 of 18 Electron: [] Prwnary 2004 [] General 2004 [] Other __ Report: E~ 1st Pre-elecnon [~ 2nd Pre-elect~on [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Bus~ness Entity CA Cash C Polmcal Comrmttee (includes bus~ness and umon PACs) CO Cosigner Obhgat~on F Candidate's Immediate Farmly 0ncludes candzdate) IK ln-Kznd I Ind~wdual LR Loan Received L Labor Orgamzatmn O Other P Poht~cal Party Comwnttee Dne# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Occupattonal Information, Contnbuttng Contributor I Date Received Code '/ Code 2 Committee's IIY,¢, or Description ~f Code 1 is "0" Aggregate 1 Milland Properties 1. PO Box 989 $ 500.00 Eugene OR 97440 4/20/04 $ 500 00 B I CA Curtis Investments, inc. 2. PO Box 7307 $ 100.00 Eugene OR 97401 4/22/04 $ 100.00 B [ CA Huntiey Court LLC 3. 1810 E. 27th $ 300.00 Eugene OR 97403 4/22/04 $ 300.00 B I CA Edman Furniture Co. 4. 110 Oakway Rd $ 200.00 Eugene OR 97401 4/22/04 $ 200.00 B CA The Infinity Group 5. PO Box 51611 $ 500.00 Eugene OR 97405 4/22/04 $ 500.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and contribution type. Do not ~nclude aggregates.) transfer these amounts to the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $1600.00 Cash (CA) $ in Campaign Enter on Summary Statement, Colm~m A, Line 1 Finance In-K~nd (IK) $ __ In-Kind (IK) $ __ Manual Enter on Suwwoary Statement, Colunm A, Lines 4 and 9 Loans Recmved (LR) $ __ Loans Received (LR) $ ~ PC 2 Enter on Sumnmry Statement, CoILmm A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Candidate or Pohncal Comrmttee Name' Committee ID Number: Nancy Nathanson for Mayor Page 5 of 1.8_8 Elect~on: [] Primary 2004 [] General 200_~4 [] Other Report [] 1st Pre-elect~on ~] 2nd Pre-election [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Busmess Ennty CA Cash C Polmcal Comrmttee (mcludes buaness and umon PACs) CO Cosigner Obhganon F Candzdate's Immediate Family (mcludes candidate) IK In-Kmd I Individual LR Loan Received L Labor Organization O Other P Political Party Comrmttee bne # Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Occupattonal Informatton, Contributing Contributor Date Received Committee's ID#, or Description ~f Code 1 ~s "0" Aggregate Code l I Code 2 EG Gardner Co. 1. 764 Lincoln St. $ 250.00 Eugene, OR 97401 4/22/04 $ 250.00 B CA Downtown Athletic Club 2. 999 Willamette St. $ 250.00 Eugene OR 97401 4/22/04 $ 250 00 B CA Bennett Management Co. LLC 3 980 Willamette St. Ste 200 $ 750.00 Eugene OR 97440 4/22/04 $ 750.00 B CA Industrial Finishes 4. PO Box 2824 $ 500.00 Eugene OR 97402 4/22/04 $ 500.00 B CA Poage Engineering & Surveying 5. PO Box 2527 $ 50.00 Eugene OR 97402 4/22/04 $ 50 00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contnbutmn type. Do not mclude aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $1800.00 Cash (CA) $ in Campaign Enter on Summary Statement. Colmnn A, Lme Finance In-Kmd (IK) $ __ In-Kind (IK) $ Manual Enter on Summary Statement, Coltmm A, Lmes 4 and 9 Loans Received (LR) $ __ Loans Received (LR) $ __ PC 2 Enter on Summary Statement, Coltum~ A, L~ne 2 PC 2 Cash Contributions, Loans Received and In-Kind Rev Can&date or Political Corntmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 6 of 18 Elect~on: [] Pnrmry 200__44 [] General 200_4_4 [] Other __ Report [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entaty CA Cash C Political Comrmttee (includes business and umon PACs) CO Cosigner Obhgation F Candidate's Immedmte Farmly (includes can&date) IK In-Kind I Individual LR Loan Received L Labor Organrzatmn O Other P Pohtlcal Party Committee Line # Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Recetved Occupational Information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Description if Code I is "0" Aggregate Properties NW I PO Box 51611 $ 100000 Eugene OR 97405 4/22/04 $ 1000.00 B CA FarwestSteeICorp. 2. 2000 Henderson $ 500.00 Eugene OR 97403 4/22/04 $ 500.00 B CA Western Properties 3. 66 Club Rd $ 100.00 Eugene OR 97401 4/22/04 $ 100.00 B CA RLJ Investments LLC 4. PO Box 5042 $ 1000.00 Eugene OR 97402 4/22/04 $ 1000.00 B CA Willamette Crushing Co. 5 PO Box 7428 $ 250.00 Eugene OR 97401 4/22/04 $ 500.00 B CA See Page Totals (Add all amotmts with the same Accounting Period Totals (Complete only for last page and Instructions contnbutmn type. Do not ~nclude aggregates.) U'ansfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 2850.00 Cash (CA) $ __ in Campaign Emer on Summary Statement, Cokmm A, Line 1 Finance In-Kind (IK) $ ~ In-Kind (IK) $ __ Manual Enter on Summary Staternent, Colunm A, Lines 4 and 9 Loans Received (LR) $ __ Loans Received (LR) $ ~ PC 2 Enter on Smnmary Statement, Colmm~ A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind , ev Candidate or Polmcal Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 7 of 18 Electron: [] Primary 2004 [] General 200.4_4 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Comrmttee (includes bus~ness and umon PACs) CO Cosigner Obhgatmn F Candidate's Immediate Farmly (includes candidate) IK In-Kind I Indlwdual LR Loan Recmved L Labor Orgamzation O Other P Poht~cal Party Comrmttee Amount of ln-g~nd Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 'I Code 2 Committee's ID#, or Description if Code 1 ¢s "0" Aggregate Cascade Concrete 1, PO Box 7428 $ 250.00 Eugene OR 97401 4~22~04 $ 500.00 B CA Tyree Oil 2 1355W 1st Ave. $ 1000.00 Eugene OR 97402 4~23~04 $ 1000.00 B CA ML Coburg LLC 3. 1810 E. 27th Ave, $ 200.00 Eugene OR 97403 4/27/04 $ 200.00 B CA M~scelianeous Contributions $50 and under 4 $ 574,00 4/2/04-5/2/04 $ 1374.00 I CA Dennis Ray Hyatt 5 1205 Brookside Dr. $ 100 00 Eugene OR 97405 4~5~04 hbranan $ 100,00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Surmmary Statement, PC 1,) on Back and Cash (CA) $ 2124.00 Cash (CA) $ __ in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $ __ In-Kind (IK) $ __ Manual Enter on Stmm~aW Statement, Coltmm A, Lines 4 and 9 Loans Recmved (LR) $ __ Loans Recmved (LR) $ __ PC 2 Enter on Sunwnary Statement. Coltmm A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Poht~cal Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 8 of 18 Election: [] PrzmaW 200_54 [] General 2004 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-electron [] Post-electton [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Ennty CA Cash C Pohtmal Comn'uttee (includes business and union PACs) CO Cosigner Obligation F Can&date's Ima'nediate Fam21y (includes candidate) IK In-K~nd I In&wdual LR Loan Recetved L Labor Orgamzanon O Other P Pohtmal Party Comrmttee Amount of In-Ktnd Purpose Line # Name and Address of Contributor Contnbutmn (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Date Received Committee's ID#, or Description if Code '~ m "0" Aggregate Code 'l , Code 2 W, Scott Bartlett 1. 1445 E. 1 st Ave. $ 100.00 Eugene OR 97403 4/5/04 retired $ 100.00 I CA Marvin J. Porter 2 471 Covey Lane $ 100.00 Eugene OF( 97401 4/8/04 rebred $ 100.00 I CA John Harrison 3. 2920 Summit Terrace. $ 200.00 Eugene OR 97405 4/8/04 wood products manufacturing $ 200 00 I CA Rob Lllley 4. 86441 Homestead RD $ 100.00 Springfield, OR 97478 4/8/04 cIty p)anner $ 100.00 ~ CA Heinz Sehg 5. 28346 Briggs Hill Rd. $ 100.00 Eugene OR 97405 4/8/04 Consultant $ 100.00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete mtly for last page and Instructions contnbuuon type. Do not mclude aggregates.) transfer these amounts to the Sunzmary Statement, PC 1.) on Back and Cash (CA) $ 60000 Cash (CA) $ __ in Campaign Enter on Sun-,mary S~atement, Colunm A, Line Finance In-K~nd (IK) $ __ In-Kind (IK) $ Manual Enter on Stmm~ary Statement, Column A, Lines 4 and 9 Loans Recezved (LR) $ Loans Received (LR) $ ~ PC 2 Enter on Sunvnary Statement, Column A, Line 2 PC 2 Cash Contributions, Loans Received and n-Kind kev Candidate or Pol~t~cal Comtmttee Name: Committee ID Number: Nancy Nathanson for Mayor Page 9 of 18 Elecnon: [] Primary 200_44 [] General 2004 [] Other Report: [] 1st Pre-electron [] 2nd Pre-election E~ Post-elect~on [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Polmcal Comrmttee 0ncludes business and umon PACs) CO Cosigner Obhgatmn F Candzdate's Immedmte Fanmly 0ncludes candidate) IK In-Kind I Ind~wdual LR Loan Received L Labor Orgamzatmn O Other P Polmcal Party Contrmttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor I Date Received Committee's ID#, or Description if Code 1 is "0" Aggregate Code 1 , Code 2 John F. Helmet 1. 33925 Seavey Loop $ 100.00 Eugene OR 97405 4~8/04 d~rector, hbrary consortium $ 100.00 I CA Donald G Moyer 2. 2869 Taylor St $ 100.00 Eugene OR 97405 4/13~04 retired $ 100.00 I CA Otto Glausi 3. 712 Kimwood PI. $ 100.00 Eugene OR 97401 4115/04 rebred $ 100.00 I CA Mark C. Johnson 4. 2284 Lakeview Dr. $ 100.00 Eugene, OR 97408 4/15/04 banker $ 100.00 I CA Deborah Walker 5. 361 Spyglass Rd. $ 250.00 Eugene OR 97401 4115104 homemaker $ 250.00 ~ CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 650.00 Cash (CA) $ __ in Campaign Enter on Sunxmary Statement, Colm~m A, Line 1 Finance In-Kind (IK) $ ~ In-K~nd (IK) $ __ manllal Enter on Sunanary Statement, Colm~m A, Lines 4 and 9 Loans Received (LR) $ ~ Loans Received (LR) $ PC 2 Enter on Smnmary Stateroom, Column A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Rev ,:J0, Candidate or Pohncal Cormmttee Name: Committee ID ?,[umber: Nancy Nathanson for Mayor Page 1_9_0 of 1__~8 Electron: [] Primary 2004 [] General 200_&4 [] Other Report: [] l st Pre-electron [] 2nd Pre-election [] Post-electaon F-~ September Supplememal SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohtmal Comrmttee (includes business and tmmn PACs) CO Cosigner Obligation F Candidate's Irmned~ate Farmly (includes candidate) IK ln-K~nd I Indiwdual LR Loan Recmved L Labor Orgamzation O Other P Poht~cal Party Cormmttee Amount of In-Kind Purpose Ltne# Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupattonal Information, Contributing Contributor Code I Code 2 Committee's ID#, or Description if Code I is "0" Agqregate Michael E. Wolfe 1. 3561 Vernon Way $ 100.00 Eugene OR 97401 4/15/04 teacher $ 100.00 I CA Jamon Kent 2. PO Box 1499 $ 100.00 Springfield, OR 97477 4/15/04 government services consultant $ 100.00 ~ CA Ph,hp W. Speers 3. 3733 Quail Meadow Wy $ 100.00 Eugene OR 97408 4/15/04 manager auto dealership $ 100.00 I CA Carole Chenkin 4. 2044 Eastwood Ln. $ 100.00 Eugene, OR 97401 4/15/04 rebred $ 100.00 I CA Kent Jenmngs 5. 2170 Ironwood St. $ 250.00 Eugene OR 97401 4/17/04 property manager $ 250.00 ~ CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contrtbution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 650,00 Cash (CA) $ __ in Campaign Enter on Summary Statement, Colmnn A, Line 1 Finance In-Ktnd (IK) $ ~ In-K~nd (IK) $ - Manual Enter on Summary Statement Column A, Lines 4 and 9 Loans Recmved (LR) $ __ Loans Received (LR) $ ~ PC 2 Enter on Summary Statement, Cokmm ~, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind ,:J0, Candxdate or Polmcal Comnuttee Name: Cormmttee ID Number* Nancy Nathanson for Mayor Page 1_21 of 1~8 El¢ct~on: [] Primary 2004 [] General 2004 [] Other ~ Report [] 1st Pre-elecnon [] 2nd Pre-elecnon [] Post-elecnon [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entzty CA Cash C Poht~cal Comrmttee (includes bus~ness and umon PACs) CO Cosigner Obligation F Can&date's Immedmte Farmly (includes candidate) IK In-K~nd I Individual LR Loan Received L Labor Organization O Other P Poht~cal Party Corramttee Amount of In-Kind Purpose brio # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Cede 1 Code 2 Committee's IDle, or Description ~f Code '1 ~s "0" Aggregate John Murphy 1. 3993 Spring Blvd. $ 500.00 Eugene OR 97405 4/17/04 Plywood Manufacturer $ 500 00 I CA James Wfldish 2. 2390 McLean Blvd, $ 500.00 Eugene OR, 97405 4/17/04 Construction $ 500.00 I CA Virginia Schwartzrock 3. 2082 Eastwood Ln. $ 100.00 Eugene OR 97401 4/17/04 retired $ 100.00 I CA John Perkins 4. 3234 Saint Crolx St. $ 100.00 Eugene OR 97408 4/19/04 Optometrist $ 100.00 I CA Randy Pape 5. 3693 North Shasta Lp $ 500.00 Eugene OR 97405 4/20/04 equipment dealer $ 500,00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contribution type, Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ ~ 700.00 Cash (CA) $ ~ in Campaign Enter on Sunmmry Statement, Colmm~ A, Line 1 Finance In-Kind (IK) $., In-Kmd (IK) $ __ MannaI Enter on Surmnary Statement, Coltmm A Lines 4 and 9 Loans Recmved (LR) $ ___ Loans Received (LR) $ ~ PC 2 Enter oil Smmmary Statement, Col,anm A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Candidate or Poht~cal Comrmttee -Name: Comrmtiee I'D Number: Nancy Nathanson for Mayor Page 1_~2 of 1__8_8 Election [] Prrmary 2004 [--] General 2004 [] Other __ Report [] 1st Pre-electron [] 2nd Pre-electaon [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Poht~cal Committee (includes bus~ness and union PACs) CO Cosigner Obhgatlon F CaI~d~date's Immediate Farmly (includes candidate} IK In-Kind I Individual LR Loan Received L Labor Organizatmn O Other P Polmcal Party Conmuttee Dne # Name and Address of Contributor Amount of In-Ktnd Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational information, Contributing Contributor Code 1 Code 2 Commtttee's ID#, or Description ~f Code ~ ~s "0" AggrecJate John AIItucker I 88855 Lynette LN. $ 1000.00 Veneta OR 97487 4/20/04 retired $ 1000.00 I CA Stun Potter 2. 89939 Greenwood Dr. $ 100.00 Leaburg OR 97489 4/20/04 attorney $ 100.00 I CA Cordy Jensen 3. PO Box 10242 $ 250 00 Eugene OR 97440 4/20/04 restaurant owner $ 250.00 I CA Jane Moshofsky 4, 1240 E. 22nd Ave. $ 200,00 Eugene, OR 97403 4/20/04 owner, Newood Display Co, $ 200.00 I CA Paul Ehinger 5. 2565 W. 23~d $ 100.00 Eugene OR 97405 4/20/04 independent consultant $ 100.00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contnbutmn type. Do not mclude aggregates.) transfer these amounts to the Summary Statement, PC 1. on Back and Cash (CA) $1~50.00 Cash (CA) in Campaign Enter on Sunm~ary Statement, Colmnn A, Line 1 Finance In-Kind (IK) $ ~ In-Kind (IK) $. Manual Enter on Stmmury Statement Colunm A, Lines 4 and 9 Loans Received tLR) $ ......... Loans Received (LR) $ __ PC 2 Enter on Summary Statement, Colmrm A, Lme 2 PC 2 Cash Contributions, Loans Received and In-Kind :J0, CandMate or Polmcal Cornnuttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 13 of 18 Election: [] Primary 200__~4 [] General 200_~4 [] Other __ Report' [] 1 st Pre-election [] 2nd Pre-electron [] Post-electzon [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohtlcal Corrmuttee (includes business and umon PACs) CO Cosigner Obhgatmn F Candidate's Immediate Farmly (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of In-Ktnd Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational information, Contributing Contributor Code ir Code 2 Committee's ID#, or Description if Code I is "O" Aggregate Paul Skillern 1. 4325 Spring Bird $ 250,00 Eugene OR 97405 4~22~04 automobile dealer $ 250.00 I CA David Lyons 2. 433 Spyglass Dr. $ 200.00 Eugene OR 97401 4/22104 retired $ 200,00 I CA Mike Solomon 3 2005 Lemuna $ 250.00 Eugene OR 97402 4/22/04 manager Farwest Steel Co. $ 250.00 I CA Betty Roberts 4. PO Box 7007 $ 1000,00 Eugene OR 97401 4/22/04 retired $ 1000.00 I CA D~ane Geiger 5 87183 Kellmore St, $ 500.00 Eugene OR 97402 4/22/04 auto tire sales $ 500,00 I CA See Page Totals (Add all amounts wtth the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates,) transfer these amounts to the Sumznary Statement, PC 1.) on Back and Cash (CA) $ 2200.00 Cash (CA) $ in Campaign Emer on Summary Sutement, Colunm &, Line 1 Finance In-Kind (IK) $ ~ In-Kind (IK) $ ~ Manual Enter on Sunmqary Statement, Column A, Lines 4 and 9 Loans Recmved (LR) $ Loans Received (LR) $ PC 2 Enter on Sun. nary Statement. Column A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Rev 12/01 Can&date or Pohttcal Comrmttee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 14 of 1___8 Election: [] Primary 2004 [] General 2004 [] Other ~ Report. [] 1 st Pre-election [] 2nd Pre-election [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entzty CA Cash C Pohtmal Comrmttee (includes business and union PACs) CO Cosigner Obhgatmn F Candidate's Immediate Family (includes candidate) IK In-Kind I In&wdual LR Loan Received L Labor Orgamzatmn O Other P Poht~cal Party Comnmtee Amount of In-Kind Purpose Dne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's IDf¢, or Description ¢f Code ~ is "O" Aggregate Tim Kelly 1. 1220 Fir Acres Dr. $ 500.00 Eugene OR 97401 4~22~04 Recreation Vehicle Dealer $ 500.00 I CA Kay Toolsen 2. 87180 Oakdale Dr. $ 500.00 Eugene OR 97402 4~22~04 owner, RV manufacturer $ 500.00 I CA Steven J. Ward 3 84434 Pheasant Ln $ 300.00 Pleasant Hill OR 97455 4/22/04 insurance agent $ 300.00 I CA Sharree Strausbaugh 4. 3642 River Pointe Dr. $ 250.00 Eugene OR 97408 4~22~04 auto repair $ 250.00 I CA Rohn Roberts 5. 1234 Crenshaw Rd. $ 250.00 Eugene OR 97401 4~22~04 attorney $ 250.00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contnbutmn type. Do not include aggregates.) transfer these amounts to the Stm2nary Statement, PC 1.) on Back and Cash (CA) $1800.00 Cash (CA) $ __ in Campaign Enter on Sunm~ary Statement, Coltmm A, Lme 1 Finance In-Kind (IK) $ __ In-Kind (IK) $ __ mannal Enter on Sunm~ary Statement, Coltm'al A, Lines 4 and 9 Loans Received (LR) $ __ Loans Received (LR) $ __ PC 2 Enter on Sthmmary Statement, Colunm A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Rev Can&date or Poht~cal Committee Name. Comrmttee ID Number: Nancy Nathanson for Mayor Page 15 of 1__~8 Elect~on [] Primary 200~4 [] General 200_~4 [] Other __ Report [] 1st Pre-electron [] 2nd Pre-electron [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Bus~ness Entity CA Cash C Polmcal Cormmttee (includes business and umon PACs) CO Cosigner Obhgatmn F Can&date's Immediate Farmly (includes candidate) IK In-Kind I Ind~wdual LR Loan Received L Labor Orgamzat~on O Other P Poht~cal Party Committee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code I Code 2 Committee's lINC, or Description if Code ~ is "0" Aggregate Frederic W~ttkop 1. 195 Madison St. $ 500.00 Eugene OR 97402 4~22~04 engineer $ 500.00 I CA Dan Dunnmgton 2, 2140 Norwood $ 250.00 Eugene OR 97401 4~22~04 stockbroker $ 250.00 I CA Thomas McMahon 3. 811 Willamette St. $ 500.00 Eugene OR 97401 4/22~04 title agent $ 500.00 I CA Erven Kmcaid 4. 955 Oakway Rd, $ 200.00 Eugene OR 97401 4~22~04 medical supplier $ 200.00 I CA Gary Pierpoint 5. 2059 Musket St. $ 100 00 Eugene OR 97401 4/22104 banker $ 100.00 I CA See Page Totals (Add all amounts wath the same Accounting Period Totals (Complete only for last page and contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $1550.00 Cash (CA) $ __ in Campaign Enter on Sunmklry Statement, Colunm A, L~ne 1 Finance In-Kind (IK) $ __ In-K~nd (IK) $ ~ Manual Enter on Summary. Statement, Colunm A, Lines 4 and 9 Loans Received (LR) $ __ Loans Received (LR) $ __ PC 2 Enter on Summary Statement, Colunm A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Can&date or Polmcal Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 16 of 18 Electron. [] Primary 200_4 [~ General 2004 [~] Other __ Report. [] l st Pre-electron [] 2nd Pre-electron [] Post-electron [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE ~t: Contributor Type CODE 2: Contribution Type B Bus~ness Ennty CA Cash C Polmcal Comrmttee (includes business and umon PACs) CO Cosigner Obhgatmn F Can&date's Immedmte Farmly (includes candidate) IK In-Kind I In&wdual LR Loan Received L Labor Organizatmn O Other P Polmcal Party Comrmttee Amount of In-I~'nd Purpose bne # Name and Address of Contr~butor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code 1 I Code 2 Date Received Committee's IDg, or Descnptton if Code ~ is "0" Aggregate Jack Roberts 1. 2330 Park Grove Rd. $ 500.00 Eugene OR 97408 4~22/04 director, Lane Metro Partnership $ 500,00 I CA Wi~ham Martin 2 1165 E 21st St. $ 10000 Eugene OR 97403 4~22~04 attorney $ 100.00 I CA Glenn Munro 3 1976 Garden Ave $ 250.00 Eugene OR 97403 4~22/04 accountant $ 250 00 I CA Richard Briggs 4. 80 W. 23rd Ave $ 100.00 Eugene OR 97405 4~23/04 retired $ 100.00 I CA He~d~ Pollack 5. 1478 Willamette St. $ 100.00 Eugene OR 97401 4~23~04 insurance agent $ 100.00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement~ PC 1.) on Back and Cash (CA) $1050.00 Cash (CA) $ in Campaign Enter on Summary Statement, Colurrm A, Line Finance In-Kind (IL) $ ~ In-Kind (IL) $ __ Manual Enter on Stmwnary Statement, Colunm A, Lines 4 and 9 Loans Recmved (LR) $ - Loans Received (LR) $ ~ PC 2 Enter on Summary Statement, Coltmm A, L~nc 2 PC 2 Cash Contributions, Loans Received and In-Kind ,,_,0, Can&date or Pohncal Comrmttee Name: Comnuttee ID Number: Nancy Nathanson for Mayor Page 17 of 18 Elect~on: [] Prnnary 200__44 [] General 200_Z4 [] Other __ Report: [] 1st Pre-elecnon [] 2nd Pre-elecnon [] Post-elecnon [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohtmal Comrmttee (includes bus~ness and tmmn PACs) CO Cosigner Obhgatlon F Can&date's Irnme&ate Farmly 0ncludes can&date) IK In-Kind I In&wdual LR Loan Received L Labor Orgamzanon O Other P Pohncal Party Comrmttee Line # Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupationa/ Informat/on, Contributing Contributor Code ? Code 2 Committee's ID#, or Descnptton tf Code 1 is "0" Aggregate J H. Gonyea II 1. PO Box 269 $ 300.00 Spnngfield OR 97477 4/27/04 wood products manufacturing $ 300.00 I CA Donna Hukill 2. 1740 W. 34th Ave $ 100.00 Eugene, OR 97405 4/27/04 retired $ 100.00 I CA Mary Leu Rohl 3. 24678 ButLer Rd $ 100.00 Juncbon City, OR 97448 4/30/04 accountant $ 100.00 I CA Thomas Palmer 4. 220 W 7th $ 100.00 Eugene OR 97402 4/30/04 vehicle financing manager $ 100.00 I CA Kay Holbo 5 2090 Broadview $ 100.00 Eugene OR 97401 4/30/04 retired $ 100.00 I CA See Page Totals (Add all amounts w~th the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 700.00 Cash (CA) $ ~ Campaign Enter on Sttmmary State~nent Column A Line t Finance In-K~nd (IK) $ ~ In-Kind (IK) $ __ Manual Emer on Summary Statement, Coltmm A, Lines 4 and 9 Loans Recmved (LR) $ __ Loans Received (LR) $ ~ PC 2 Enter on Stmm~ary Statement Coltmm A, L~ne 2 PC 2 Cash Contributions, Loans Received and in-Kind ,:,o, Can&date or Poht~cal Committee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 18 of 18 Elecnon: [] Prnnary 2004 [] General 200__44 [] Other __ Report: [] 1st Pre-elecnon [] 2nd Pre-elecnon [] Post~elecnon [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Bus~ness Entzty CA Cash C Polmcal Cormrnttee (includes bus,ness and umon PACs) CO Cosigner Obhgatlon F Can&date's Immediate Farmly (includes can&date) IK In-Kind I Indiwdual LR Loan Received L Labor Organization O Other P Pohtlcal Party Comrmttee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's IDle, or Description ~f Code 1 is "0" Aggregate Ward Beck 1. 83727 Hwy 100 $ 250.00 Florence OR 97439 4/30/04 commencal real estate $ 250.00 i CA Roger Saydack 2. 800 Willamette Ste, 900 $ 100 00 Eugene OR 97401 4~30~04 attorney $ 100.00 I CA Richard Hansen 3. 2744 Tomahawk Ln $ 100.00 Eugene OR 97401 4~30/04 retired $ 100.00 I CA Madeleine Smith 4, 320 Grove Ave. $ 100.00 Falls Church, VA 22046 4~30/04 health policy analyst $ 100,00 I CA 5, $ $ See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and contribution type. Do not include aggregates,) transfer these amounts to the Summary Statement, PC 1,) Instructions on Back and Cash (CA) $ 550.00 Cash (CA) $ 26574.00 in Campaign Enter on Summary Statemem, £ oltmm A, Line 1 Finance In-Kind (IK) $ In-K~nd (IK) $ 46 12 Manual Enter on Sunmz2ry Statement, Coltmm A, Lme~ 4 and 9 Loans Recmved (LR) $ Loans Received (LR) $ ~ PC 2 Enter on Sunm~ary Statement, Column A, Line 2 PC Cash Expenditures and Loan Payments Candidate or Political Committee blame: Committee )D Number: Nancy Nathanson for Mayor Page 1 of 3 Election: [] Primary 200_44 [] General 2004 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of ~brm for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio. TV) O Other Advertising {yard signs, buttons, etc./ LP Loan Pa5mqent C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G Genera) Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) i Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries. Benefits M Management Services Z Preparation and Production of Advertising Payee's Name and Payee's Committee ID¢, Exp Amount of [] Due ¢¢ Date Check ¢¢ ~f apphcable Purpose Type Expenditure Pagd (as ~t appears on invoice, rece¢ or check) to A,;P I 4/4/04 1006 Peter Barrel M CA $ 1500.00 2 4/5/04 1041 The Lindhoim Company LLC B CA $ 5000.00 E~] 3. 4/6/04 1042 Cambria Sportswear O CA $ 144.00 E~ 4. 4/8/04 1043 The Lmdholm Company LLC B CA $ 3500 00 E~ 5 4/8/04 1044 USPS P CA $ 7 86 E~ 4/14/04 1045 Goodwill O CA $ 83 93 7 4/14/04 1046 Instapnnt L CA $ 1273.50 E~ 8. 14114/04 1047 Qwest G CA $ 31 37 E~ 4/16104 1048 Peter Bartel R CA $ 15.00 E~] 10. 4/17/04 1007 The Lmdhotm Company LLC S CA $ 5000 00 Page Totals (Add all expenditures with the same Accounting Period Totals {Complete only for last page and See expenditure type.) transtkr these amounts to the Summa~ Statement, PC t. Instructions on Back and Cash (CA) $1655566 Cash (CA) in Campaign Enter on Su,~mry Stateroom, Cohmm A, Line 6 Finance Loan Payment (LP} $ ~ Loan Pa)wnent (LP) $ Man~l~ Enter on Smmnar5 Stmement, Colmmn PC 3 P~ Cash E×pendilures and Loan Payments se, Candidate or Political Commi~ee N~e~ Com~i~ee ID Nm~ber: Nancy Nathanson for Mayor Page 2 of 3 Repom ~ 1st Pre-election ~ 2nd Pre-election ~ Post-election ~ September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspape~ and Other Periodical Adve~ising CA Cash B Broadcast Adve~ising (~dio. TVi O Other Adve~ising (y~d si~s~ buttons~ etc.) LP Loan Payment C Cash Con~ibutions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S S~veys ~d Polls ifove~ $50) T Travel Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures, Printing W Wages. Sallies. Benefits M Management Sen, ices Z Preparation ~d Production of Adve~ising Payee's N~me and Payee's ~mm~ee 1~ Exp. Amount o~ ~ Dne ~ D~te Ohoc~ ~ ,f ~ppl~cable Purpose Tgoe Expenditure Pa~O (as ~t appeam on mmtce, mce~pt or check) to ~P I 4/21/04 1051 Cambria Spodswear O CA $ 36 00 ~ 2. 4/22/04 1052 USPS P CA $ 29 60 E~ 3. 4/23104 4050 The Lindholm Company LLC B CA $ 11700 00 4 4/26/04 1049 I P-Koke Pnntm§ L CA $ 1771 00 E~ 5 4/27/04 1053 Accessible Data O CA $ 1232 40 ['~ 6. 4/27/04 1054 U S P S P CA $ 112 20 [~ 4/27/04 1055 Towers Marketm9 O CA $ 320.00 8 4/30/04 1056 Cmdee Lee Graphics Z CA $ 1920 00 ~ 9 5/1/04 1061 Peter Barrel R CA $ 8 00 [~1 10. 5/1/04 1060 Edgewater Strategies M CA $ 3000.00 E~ Page TotaLs (Add all expenditures with the same Accounting Period Totals (Complete only for last page and See e.xpenditure t.¥pe.) transfer these amounts m the Summaazc Statement. PC 1 .) Instructions on Back and Cash (CA) $ 20129.20 Cash (CAI $ _ in Campaign t:mer on Suramary StdtemPrtL (oltatm A Line (, Finance Loan Payment (LP) $ _ Loan Payment (LP) $ __ [~1[2tlllJta~ Enter on Stnnmao Stateroom. Colmrm A, Line 7 PC 3 PC 3 Cash E×penditures and Loan Payments Candidate or Political Committee Name: Committee iD Number: Nancy Nathanson for Mayor Page 3 of 3 Election: [] Primary 200__~4 [] General 200_~4 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions} EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) O Other AdYertising (yard signs, buttons, etc.} LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Payee's Name and Payee's Committee lOg, Exp, Amount of Lae # Date Check # tf apphcable Purpose Type Expendtture Paid (as ~t appears on ~nvoice, receipt or check) to AlP 1. 511/04 1059 }nstapdnt L CA $ 1488 00 E~ 2 5/1/04 1058 99 Productions Z Cg $ 2475 00 E~] 3 5/1/04 1057 Modulus G CA $ 20 00 [~ 4 5/1/04 1009 Instaprmt L CA $ 555 00 E~ 5 5/1/04 1011 steve Robinson R CA $ 95 08 E~ 6. 5/2/04 1008 Peter Bartel M CA $ 2000 00 E~ 9. $ [~ 10. $ Page Totals (Add all expenditures with the same Accotmting Period Totals (Complete only ~br last page m~d See expenditure type.) transfer these amounts to the Summary Statement, PC 1.} instructions on Back and Cash (CA) $ 6633 68 Cash (CA) $ 43318.54 ill Canlpaign Eater on SummaL~ Statement Column A, Line 6 Finance Manual Loan Payment (LP) $ _ Loan Payment (LP} $ _ Enter on Sm~ma-o StatemenL Coluam A Linc 7 PC 3 PC tA- Persona Expenditures for Reimbursement ,_,,,, Candidate or Political Committee Name: Committee iD Number: Nancy Nathanson for Mayor Page 1 of Election: [] Primary 200_4 [] General 200_¢_4 [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instrnctions and code definitions) A Agent N Newspaper and Other Periodical Advertising B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.~ C Cash Contributions P Postage F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) [ Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Amount of Dne # Date Payee's Name Purpose Expendtture 1 4/16/04 Kinko's L $ 15.00 2 4/10/04 Staples G $ 17.56 3. 4/10/04 USPS P $ 59.20 4 4/19/04 Staples G $ 3.98 5. 4119/04 Staples L $ 2.30 6 5/1/04 Kmko's L $ 8 00 7. 4/11/04 Kmko's L $ 12.56 8. $ 9 $ 10. $ Page Total Aeeoantiag Period Total (Complete only ~br last page and See transfer this amount to the Smmmacy Statement, PC 1 .) Instructions Personal Expenditures $118 68 on Back and Personal Expenditures $118 68 in Campaign E,,~r on Smnraa~ Statement Line 3 [ Finance PC 3A PC 4A Other Receipts Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 1 of Election: [] Primary 200_A4 [] General 200~4 [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFI[NITIONS Other Receipt Transaction Type Codes EL Exempt Loan Proceeds FM Items Sold at Fair Market Value [N Interest/Investment Income OM Miscellaneous (provide a description) RF Refimds, Rebates and Returns Date Name Other Receipt Line # Received (required for codes EL, OM and RF, Transachon Type Other Recmpt Amount optsona/for codes FM and IN) Code 1. 4/30/04 Oregon Commumty Credit Umon (OCCU) IN $ 2447 4/2/04-5/2/04 Cash T-shirt sales at fair market value FM $ 115.00 $ 4. $ 5. $ 8. $ $ 9 $ 10 $ See Page Totals (Add all Other Receipt Transaction Accounting Period Totals/Complete only fbr Fast page and Instructions Type Codes specified. ~ transfer these amounts to the Summary Statement, PC 1. ~ on Back and Codes FM, IN, OM, RF $117 47 Codes FM, iN, OM, RF $117.47 in Campaign gm~ o~ Summary Stalemem Colunm A. Line 13 Finance Manual Code EL $ 0,00 Code EL $ 0 00 Enter ot~ Sarmnary Sta;erncnt, Cdmm~ A. Line I4 PC 4A PCl Summary S a ement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: I Connnittee iD Number: Nancy Nathanson for Mayor [] Original [] Primary 200_&4 [] General 200_A4 [] Other __ [] Amendment [~] 1st Pre-election [] 2nd Pre-election [] Post-election [~] September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 2 l. Beginning Outstanding Loans 0.00 Fl'otal Outstanding Loans from previous report} 22. Loans Received (Non-Exempt} ~ line 2) + 0 O0 23. Loans Received (Exempt) + 0 00 thnc 14) 24. LOANS RECEIVED SUBTOTAL {lines 21 + 22 + 23) = 0 00 25. Loan Payments (Non-Exempt) 0 00 (line 7) 26. Loan P%ments (Exempt) + 0.00 {tine 18) 27. Forgiven Loans + 0 00 (Total loans tbrgiven during this accounting period) 28. LOAN PAYMENT SUBTOTAL = 0 00 (lines 25 + 26 +27) 29° TOTAL OUTSTANDING LOANS thne 24 minus line 28) = 0.00 PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal gxpendm~res 0 00 dine 36 of previous report) 31. Personal Expenditures + ~ ~ 8 ~8 (Accounting Period Total from PC 32. PERSONAL EXPENDITURE SUBTOTAL = 118 68 (lines 3~+ 3~) 33. Personal Expenditure Reimbursements 118 68 (Total expenditures on PC 3 with purpose code R) 34~ Forgiven Personal Expenditures + 0 00 tTt,tat personal expen&tures lbrg~en this acctg period} 35. REIMBURSEMENT SUBTOTAL = 118.68 (hnes 33 + 34) 3& OUTSTANDLNG PERSONAL EXPENDITURES = 0 O0 (line 32 minus line 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PER~OD 37. Ending Cash Balance 3796 93 (hne 38. Accotmrs Receivable + 0 00 (Accounting Period ~[otat from PC 5 ~ 39, SUBTOTAL = 3796 93 (hnes 37 ~- 38) 4(I. Total Outstanding Loans (linc 2% 0.00 41, Outstanding Personal Expenditures {l~ne 30} 42. Accounts Payable + 4770.2~ fAccountmg Period Total fi:om PC 6) .,"/ ~[' ¥ [~ F f7 ¢ '5> F} ¢' f3 43. SUBTOTAL = 4770 21 (hncs 40 + 41 + 42) 44. gALANCE/DEFICIT = -973 28 (line 39 minus line 4% re&cate ~ or - balance> I, St eve Robinson/name of candidate or treasurer}, hereby certify that the above statement and the attached supporting reports are true and correct, Signature of candidate o~ treasurer Date signed PC 1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page I of 2 Candidate or Political Committee Name (use full name): Nancy Naihanson for Mayor Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code}: 2516 Hawkins Lane, Eugene OR 97405-1203 Treasurer's Name: Telephone Number (day }: Steve Robinson 541-345-8683 Committee ID Number: t Committee Type, Measure Number or Office: Mayor, City of Eugene [] Original [] Prknary 200_~4 [] General 200_~4 [] OCd, er __ [5~ Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS [~OR THIS B-CUML LATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions 27974 00 52334 00 {Accounting Period Total I¥om PC 21 2. Loans Received (Non-Exempt) + 0.00 * 0 00 (Accounting Period Total from PC 2} 3. Total Cash Contributions = 27974.00 = 52334 00 (lines 1+ 2) 40 In-Kind + 46.12 * 46 12 tAccountmg Period Total from PC 2) 5. TOTAL CONTRIBUTIONS = 28020 12 = 52380 12 (lines 3 + 4) EXPENDITURES 6. Cash Expenditures 43318 54 49311.06 (Accounting Period Total t?om PC 3 ~ 7. Loan Payments (Non-Exempt) + 0~00 + 0.00 (Accounting Period Total iko~n PC 3 } 8. Total Cash Expenditures = 43318 54 = 49311.06 (lines 6 + 7~ 9. in-Kind + 46 12 + 46 12 (Accounting Period Total from PC 2} 10. TOTAL EXPENDITURES = 43364.66 = 49357.18 {lines 8 + 9) CASH BALANCE 11. Beginning Cash Balance 19024 00 FOR OFFICE USE ONLY (Ending Cash Balance from pre5 urns report} 12. Total Contributions + 28020 12 (tine 5} 13. Other Receipts + 117 47 (Accounting Period Total from PC 4A} 14. Loans Received (Exempt) + 0 00 (Accounting Period Total 1?om PC 4A} 15, CONTRIBUTION SUBTOTAL = 47161 59 thncs ll + 12 + 13 + 14) [C -V 16. Total Expenditures 43364 66 i7. Other Disbursements + 0 00 (Accountma Period Iotal from PC 4B} ,~, ,; 18. Loan Pa3~ents (Exempt) + 0 O0 (Accounting Period Total from PC 4B~ 19. EXPENDITURE SUBTOTAL .... 43364 66 (?t I ¢ ~5{ ¢ {lines 16 + 17 + 20. ENDING CASH BALANCE = 3796.93 (linc 15 minus line 191 9C 2 ~nendment Amendments-Cash Contributions, Loans Received and n-Kind Rev Candidate or Political Committee Name: Committee iD Number: Nancy Nathanson for Mayor Page 1 of 2 Election: [] Primary 2004 [] General 20__ [] Other _ Report: [] l st Pre-election [~ 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR IINSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACsl CO Cosigmer Obligation F Candidate's lrnmediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Commtttee Amending Page # Name and Address of Contributor Amount of In-~nd Purpose and Dne # Contribution (see manual for suggested purpose codes) Occupational Informat~on or Contributor Code ~ I Code 2 Date Received Contributing Commtttee :s ID# Aggregate Page ...... Line Ruby L. Brockett BI Ne~ ~nvv 485 Spyglass Dr $ 100 00 [:l Correcting U] Deleting Eugene OR 97401 4/22/04 Real estate sales manager $ 100 00 I CA Page. Line Contnbubon $50 and under [] New Entry' $ 50 00 ~ Correcting ~ Deletmfl 4116104 $ 50 00 I CA Page ~ Line____ Peterson ~ NewEntry PO Box 2218 $ 1,000.00 [] Correctm9 [] Deleting San Leandro CA 94577 I 4/23~04 $ 1,000.00 B CA Page _ Line John W Ward ~l New Entq/ 689 Spyglass Dr. $ 250.00 El Correcting O Deleung Eugene OR 97401 4/23/04 retired $ 250 00 ~ CA Page~ Line '> Heinz Sehg [] New Entry 28346 Bnggs Hill Rd. $ 100 00 [gl Correcting [] Deleting Eugene OR 97405 4/8/04 Private investor $ 100 00 ~ CA See F~ ~l~fi ~ ~,NLY Instructions ?~; _~ ~ .,, ~.t.~tjL,~ ¥ in Carnpaign Signature of candidate or treasurer "-" Finance PC2 ' L ¥ Amendment Date signed PC 2 Amendment Amendments-Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page~of2_ Election: [] Primary 200_44 [] General 20__ [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE t: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Comnfittee (includes business and union PACs} CO Cosigner Obligation F Candidate's Irm~nediate Family (includes candidate) IK In-Kind [ Individual LR Loan Received k Labor Organization O Other P Political Party Committee Amending Page # Name and Address of Contributor Amount of In-K~nd Purpose and Dne # Contribution (see manual for suggested purpose codes) Date Received Occupational Information or Contributor Code I Code 2 Contributing Committee's ID# Aggregate Page~Dne ~¢~ James Wildish [] NewEntry 2390 McLean Blvd $ 500.00 [] Correcting [] Deleting Eugene OR 97405 4/17/04 Owner, Wfld~sh Sand & Gravel, Eugene OR $ 500 00 I CA Page_,! ~ Line~~' Paul Ehlnger [] New Entry 2565 W. 23¢~ Ave $ 100 00 [] Correcting [] Deleting Eugene OR 97405 4~20~04 Wood products consultant $ 100.00 I CA Pa§e~ 4 Line ¢¢ Sharree Strausbaugh [] New Entry 3642 R~ver Pakrite Dr $ 250.00 [] Correcnng [] Detetm9 Eugene OR 97408 4/22/04 Owner, auto repair shop $ 250 00 t CA Page__/ ~ Line JH Gonyea II [] ~ew Entry PO BOX 269 $ 300.00 [] Correcting I~] Deleting Spnngfield OR 97477 I 4/27/04 Owner, plywood manufacturer $ 300.00 I CA Page / ;5,,_Lme~ Ward Beck El New Entry 83727 Hwy 100 $ 250.00 [] Correcting [] Deleting Florence OR 97439 4/30/04 Commercial real estate broker $ 250 00 I CA See FOR OFFICE USE ONLY on Back and ~? ...... in Campaign Signature of candidate or treasurer Finance ; ~, Manual Amendment Date signed PC 3 Amen4ment Amendments-Cash Expenditures and Loan Payments ,2 0, Candidate or Political Committee Name: Committee 1D Number: Nancy Nathanson for Mayor Page I of 1 Election: [] Primary 200_~4 [~ General 20__ [] Other__ Report: [] 1st Pre-election [~ 2nd Pre-election [] Post-election [] 20__ September Supplemental PURPOSE CODES (see back of form for instructions and code definitions} EXPENDITURE TYPES A Agent O Other Advertising (yard signs, buttons, etc.) CA Cash B Broadcast Advertising (Radio. TV) P Postage LP Loan Payment C Cash Cont~:ibutions R Reimbursement l~br Personal Expenditures F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses {describe if over $50) T Travel Expenses tdescribe if over $50} I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries. Benefits M Management Services Y Petition Circulators N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising Amending Page # Payee's Name and Payee's Committee ID#, Exp. Amount of ~ and Dne # Check # ff apphcable Purpose Paid Date (as ~t appears on ~nvo~ce, receipt or check) Type Expenditure to NP Page Line [] New Entry [] Correcting [~ Deleting 1041 The Lmdholm Company LLC A CA $ 5~000 00 [~ 4~5~04 Page__ L~ne [] New Entry I~ Correcting [] Deleting 1043 The Lmdholm Company LLC A CA $ 3,500 00 [~ 4/8/04 Page~ L~p¢3 [] New Entry [] Correcting 1050 The Lmdholm Company LLC A CA $ 11,700 00 E~ [] Deleting 4/23/04 Page_ E] New Ent~' [] Correcting $ 1--1 [] Deleting Page Line [] New Entry [] Correcting [] Deleting See on Back and in Campaign Finance gi~nature of candidate or treasurer Manual Amendment Date si~ed PC Accounts Payable Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 1_ufA_ Election: [] Primary 2004 [] General 200_~4 [] Other __ Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back for instructions and code definitions} A Agem N Newspaper and Other Periodical Advertising B Broadcast Advertising {Radio, TV) O Other Advertising (surd signs, buttons, etc.) C Cash Contributions P Postage F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $503 T Travel Expenses (describe if over $50) I Interest Pas~ment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Note: Accounts Payable must include all amounts not paid by the end of the accounting period. See back of fbrm for instructions, Amount of bne # Date Payee's Name Purpose Account PayaNe I 5/2/04 The Lmdholm Company LLC t3 $ 1024.68 2. 5/2/04 The Lmdholm Company LLC M $ 3745.53 $ 4 $ 5. $ 6. $ 7 $ 8, $ 9 $ 1o $ Page Total (Add all accounts payable on this Accounting Period Total (Complete only ~rbr last page a~d See form. ~ transfer these amounts to the Summao~ Statement, PC 1.} Instructions on gack and Accounts Payable $ 4770 2'1 Accounts Payable $ 4770.2q in Campaign Enter o~ S~u~aw Stateroom Colu~ ~ Line 42 PC 6 PC 9 Repor of Expenditures Made by an Agent Candidate or Political Commitlee Name: Committee 1D ;N umber: Nancy Nathanson for Mayor Page ~_ of__ Election: [] Primary 2004 [] General 20__ [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplememal SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Complete the information in this box for each pal, merit made to an agent and then provide the detail of expenditures made by the agent in the spaces below: Fhe following expenditures were made by LINDHOLM COMPANY LLC (rtame of agent). The paymems m the agent are listed on: Form (circle oriel Page # Line # Check # Amount PC 2, ~}.~or PC 6 ~_ _2 1041 5,000.00 PC" ~C~ 6 ~ ..... or PC i 4_ 104__3. 3,500 00 PC 2~fC') orPC 6 _2 _3 '!050 11,700 O0 PC 5 (of prior report) ~ Purpose Amount of Payee's Name (see purpose codes Expend~lure Line # Date (as ~t appears on invoice, recetpt or check) on back of form) I 4/5/04 McKenz~e River Broadcastin9 B $ 81 60 4/7/04 Ctear Channel B $ 803 25 3. 4/7/04 Cumulus B $ 2,983.50 4. 4/9/04 McKenzie River Broadcastm9 B $ 3,383.00 5. 4~22/04 Comcast B $ 1,771 58 6 4/23/04 KVAL TV B $ 6,035.00 7 4/27/04 KEZI TV B $ 1 644 75 8 4/29/04 KMTR TV B $ 56t 00 9 4/30/04 KMTR TV B $ 1,870 00 10. 4/30/04 KEZI TV B $ 2,091 00 See instructions Page Total of Agetlt E~pendimres: $ 21224 68 on Back and in Campai~ Complete this box only for last page of the detail of expenditures made by this agent. Finance Manual Total Amount of Agent Expenditures: $ 21224 68 Unexpended Balance (if any}: $ __ PC 9 (report this amount as an account receivable on form PC 5l PC 8A Supplement to Second Pre/Post-Election - Contributions Candidate or Political Committee Name: Committee 1D Number: Nancy Nathanson for Mayor Page 1 of 2 Election: [] Primary 200_~4 [] General 2004 [] Other __ Report: [] 1 st Suppl. to the 2nd Pre-election [] 2nd Suppl. to the 2nd Pre-election [] Suppl. to Post-election SEE BACK FOR INSTRUCTIONS AND CODE DEFllNITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee {includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I individual LR Loan Received L Labor Organization PC Pledge of Cash 0 Other Pi Pledge of In-Kind P Political Party Committee PL P~edge of Loan Line # Name and Address of Contnbutor Amount of Amount of Account Recetvable Contribution Date Received Occupational Information, Contnbut~ng Code 1 Code 2 ln-K~nd Purpose Committee's ID~, or Description if Code I ~s kO" (see manual for suggested purpose codes) Stephame M Conner 1~ 4040 Sunndge Dr. $ 1000 00 $ Eugene OR 97405 5/5/04 hotel operator I CA Randall Pape 2. 3693 North Shasta Lp $ 1500 00 $ Eugene OR 97405 5/4/04 equipment dealer ~ CA Vernon Egge 3 90520 Coburg Rd. $ 1000.00 $ Eugene OR 97408 5/5/04 mmmg I CA Chambers Construction 4. 2295 Coburg Rd~ Suite 100 $ 1000.00 $ Eugene OR 97401 5/7/04 B CA Oregomans for AffordaNe Housing 5 375 Taylor St. NE $ 2000 00 $ Salem OR 97303 5/8/04 C CA See L Steve Robinson, (name of candidate or treasurer) hereby certit5 FOR OFFICE USE ONLY instructions that the above statement is true and correct. ,, , ,¢ ~ : on Back and Finance _,~. PC'xA Signature of candidate or ~easurer Date signed PC 8A Supplement to Second Pre/Post-Election - Contributions Re,, Candidate or Political Con'hmittee Name: Comrmttee ID Number: Nancy Nathanson for Mayor Page 2 of 2 Elect~on: [] Primary 200_~4 [] General 200_4_4 [] Other __ Report. [] 1st Suppl. to the 2nd Pre-election [~] 2nd Suppl. to the 2nd Pre-elect~on [] Suppl. to Post-election SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Pohtical Comrmttee (includes business and umon PACs) CO Cosigner Obhgatmn F Can&date's Immediate Farmly 0ncludes candidate) IK In-Kind I Indlwdual LR Loan Received L Labor Orgamzation PC Pledge of Cash O Other PI Pledge of In-Kmd P Political Party Comrmttee PL Pledge of Loan Dne # Name and Address of Contributor Amount of Contributton Amount of Account Recetvable Date Received Occupattonal Information, Contributing Code 'l Code 2 In-Kind Purpose Commtttee's ID#, or Description if Code '1 ts "0" (see manual for suggested purpose codes) Triad Good Government Fund 1 5800 Tennyson Pkwy $ 1000.00 $ Piano TX 5/7/04 B CA Oregon Realtors Political Action Committee 2. PO Box 351 $ 2000.00 $ Salem OR 97308 5/6/O4 C CA Eugene Chamber Political Action Committee 3. 1401 Wdlamette Street $ 1179.84 $ Eugene, OR 97401 5/5/04 C I K P Eugene Chamber Political Action Committee 4. 1401 Willamette Street $ 937.89 $ Eugene, OR 97401 5/5/O4 C IK L 5. $ $ See I, Steve Robinson, (name of candidate or treasurer) hereby cel~lfy ~ OFFICE USE ONLY Instructions that the above statement is true and correct. Finance ,2 .... ' '; .... ?C gA S~g~e o~ ca~d~da~e o~ ~easure~ Date s~g~ed / PC 8B Supplement to Second Pre-Election = Expenditures Candidate or Political Committee Name: Committee iD Number: Nancy Nathanson for Mayor Page 1 of 1 Election: [] Primary 200_44 [] General 200~4 [] Other__ Report: [] 1st Suppl. to the 2nd Pre-election [] 2nd Suppl. to the 2nd Pre-election PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV ~ O Other Advertising (yard signs, buttons~ etc.) LP Loan Pa.vment C Cash Contributions P Postage AP Account Payable F Fundmising Event Expenses R Reimbursement PE Personal Expenditures G General Operational Expenses (describe S Surveys and Polls if over $5% T Travel Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures~ Printing W Wages~ Salaries, Benefits M Management Services Z Preparation and Production of Advert/sing Payee's Name Exp. Amount of L~ne # Date Check # (as ~t appears on ~nvo~ce, rece~p! or check) Purpose Type Expendtture 5/9/04 1013 The Lmdholm Company LLC B CA $ 12197 20 $ $ 4. $ 5 $ 6 $ $ 8. $ 9 $ 10. $ See I, Steve Robinson, (name of candidate or treasurer)hereby certify ~ ~F.,~3~B~ ~J~tqLY instructions that the above statement is true m~d correct. in Campaign ~ Manual ~ ' -,- : ~'~ ~ . ~ pc 8B ' Signature of candidate or treas~er Date signed P£ 8B Supplement to Second Pre-Election - Expenditures Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page I of 1 E~ection: [] Primary 200~4 [] General 200_~4 ~'l Other __ Report: [] 1 st Suppl. to the 2nd Pre-election [] 2nd Suppl. to the 2nd Pre-election PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Ad'~ertising CA Cash B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage AP Account Payable F Fundraising Event Expenses R Reimbursement PE Personal Expenditures G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $501 I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Payee's Name Exp, Amount of Line # Date Check # (as it appears on ~nvolce receipt or check) Purpose Type Expendtture I 5/13/04 1019 The Lindholm Company LLC 13 ~ CA $ 10132 02 2 5/13/04 1017 Boudand Printing L CA $ 1393.38 3. 5/13/04 1018 Accessible Data Services, Inc. O CA $ 1750.92 4 $ 5 $ $ 7 $ 8 $ $ 10. $ See 1, Steve Robinson, (name of candidate or treasurer) hereby certify FOR OFFICE USE ONLY instructions that the above statement is true and correct. on Back and in Campaign Finance Manaal PCSB ~ignature of c~didate or treasurer Date si~ed P( 8A Supplement to Second Pre/Post-Election Contributions ,:0, Candidate or Political Committee Name: Committee iD Number: Nancy Nathanson for Mayor Page I of 1 Election: [] Primary 2004 [] General 200__4_4 [] Other __ Report: [~ 1st Suppl. to the 2nd Pre-election ~ 2nd Suppl. to the 2nd Pre-election [] Suppl to Post-election SEE BACK FOR INSTRUCTIONS AND CODE DEFINI[TIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Farnily (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization PC Pledge o£Cash O Other PI Pledge of In-Kind P Political Party Committee PL PLedge of Loan Dne # Name and Address of Contnbutor Amount of Amount of Account Receivable Contributton Date Rece¢ved Occupational Information, Contnbut~ng Code I Code 2 In-K¢nd Purpose Commtttee's IDg, or Description if Code ~ ts "0' (see manual for suggested purpose codes) Hult & Associates, LLC 1 PO Box 1341 $ 1000.00 $ Eugene OR 97440 5/11/04 B I CA I 2 $ $ 3 $ $ 4. $ $ 5 $ $ See I, Steve Robinson, (name of candidate or treasurer) hereby certify FOR OFFICE USE ONLY Instructions that the above statement is true and correct. R ~ ,~ il¢I ~[ ~ ~l on Back and in Campaign , ~ ~ ,. ~; Pt'*A ¢ Signa~re of candidate or treasurer Date si~ed CiX'~J ¢;'( PC 1 Summary Statement of Contributions and Expenditures Please type m print legibly in black imk. Page 1 of 2 Candidate or Political Committee Name (use Full name): Nancy Nathanson for Mayor Mailing Address as it Appears on Statement of Organization (street, route or box number, cit~, state, zip code}: 2516 Hawkins Lane, Eugene OR 97405-1203 Treasurer' s Name: Telephone N umber t day ): Steve Robinson 541-345-8683 Corpanittee tD Number: t Committee Type, Measure Number or Office: Mayor, City of Eugene [] Original [~] Primary 200~4 [] General 200__~4 [] Other __ [] Amendment E~] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUT)ONS 1. Cash Contributions 31533 00 83867 00 {Accounting Period Total from PC 2} 2. Loans Recei'~ed (Non-Exempt) + 0.00 + 0400 (Accounting Period Total from PC 2) 3. Total Cash Contributions = 31533.00 = 83867.00 (lines 1+2) 4. In-Kind + 0 00 + 46 12 tAccoundng Period Total l?om PC 2} 5. TOTAL CONTRIBUTIONS = 31533.00 = 83913 12 /hnes 3 T 4} EXPENDITURES 6. Cash Expenditures 3443Z78 83743.84 I Accounting Period Total from PC 3 I 7. Loan Payments (Non-Exempt) + 0 00 + 0 00 {Accounting Period Total from PC 3 t 8. Total Cash Expenditures = 34432 78 = 83743 84 dines 6 4- ?l 9. In-Kind + 0 00 + 46.12 ~Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES = 34432 78 = 83789 96 {line~ 8 + 9) CASH BALANCE 11. Beginning Cash Balance 3796 93 FOR OFFICE USE ONLY { Ending Cash Balance (rom pre,mug ~cport) 12. Total Contributions Omc 5) + 31533 O0 13. Other Receipts + I 65 tAccounnng Period Total from PC 4A) 14. Loans Received (Exempt) + 0.00 {Accouming Period Total from PC 4A) 15. CONTRIBUT10-N SUBTOTAL = 35331 58 lhneslle 12+13+14) 16. Total Expenditures 34432 78 (linc lO) 17. Other Disbursements + 0 00 {Account(ne Period Total f?om PC 4B/ 18. Loan Payments (Exempt) + 0 00 (Accounting Period Total lkom PC 4Bt 19. EXPENDITURE SUBTOTAL = 34432 78 (hnesl6~ 17+18) 20. ENDING CASH BALANCE = 898 80 (hne 15 minus line 19) PC 1 Summary Statement of Contributions and Expenditures Please type or print legiNy in black ink:. Page 2 oF2 Candidate or Political Committee Name: [ Committee 1D Nmnber: Nancy Nathanson for Mayor [] Orighaal [] Primary 200_~4 [] General 200_~4 [] Other __ ~ Amendmem [~ I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental LOAN SUMIClARY FOR OFFICE USE ONLY 21. Begkming Outstanding Loans 0 00 ( fotal Outstanding Loans from pre~ ious report) 22, Loans Received (Non-Exempt) + 0 00 (line 2 ) 23. Loans Received (Exempt) + 0 00 (line 14l 24. LOANS RECEIVED SUBTOTAL = 0 00 (lines 21 + 22 + 23l 25. Loan Payments (Non-Exempt) 0.00 /lint: 7) 26. Loan Payments (Exempt) + 0 00 (line 18) 27. Forgiven Loans + 0 00 (Total loans forgiven during th~s accounting period) 28. LOAN PAYMENT SUBTOTAL = 0.00 (hnes 25 + 26 +2% 29. TOTAL OUTSTANDING LOANS = 0 00 dine 24 minus line 28) PERSONAL EXPENDITURE SUMMARY 30. Begimfing Outstanding Personal Expenditures 0 O0 (linc 36 of previous rcporU 3 t. Personal Expenditures + 0 00 (Accounting Period Total from PC 3Al 32. PERSONAL EXPENDITURE SUBTOTAL = 0.00 (lines 30 + 3 l ) 33, Personal Expendkure Reimbursements 0.00 (Total expenditures on PC 3 with purpose code R) 34. Forgiven Personal Expenditures + 0 00 ITotal personal expenditures tbrg, x, en this acctg period) 35. REIMBURSEMENT SUBTOTAL = 0 00 (lines 33 + 34} 36. OUTSTAND~G PERSONAL EXPENDITURES = 0 O0 (line 32 rninus tine 35t FINANC~AL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance 898 80 (tine 20} 38. Accounts Receivable + 0 00 (Accounting Period Total from PC 5) 39. SUBTOTAL = 898 80 thnes 37 + 38) 40. Total Outstanding Loans 0 00 (line 29l 41. Outstanding Personal Expenditures + 0 O0 (hue 3~) 42. Accounts Payable + 0 00 (Accounting Period ~lotat lrmn PC 61 43~ SUBTOTAL = 0 00 (lines 41,/+ 41 + 42') 4& BALANCE/DEFICIT = 898 80 (line 39 minus hue 43 indicate + or - balance~ t, SLeve RoOznson {naJne of candidate or treasurer), hereby certify that the above statement and fhe attached supporting reports are true and correct. ' Signature of candidate or treasurer Date signed PC 2 Cash Contributions, Loans Received and in-Kind Re, 1201 Candidate or Political Committee Name: Committee fD Number: Nancy Nathanson for Mayor Page 1 of 18 Election: [] PrLmary 2004 [] General 200_A4 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's immediate Family (includes candidate} IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of In-Kind Purpose Line # Name and Address of Contributor Contnbutlon (see manual for suggested purpose codes) Occupational Information, Contributing Contributor 1 Date Received Code ? Code 2 Comm~ttee t$ I£g¢, or Description if Code 1 is ~0" Aggregate Seneca Jones Timber Co 1 $ 20OO.00 5/3/04 $ 2000 00 B I CA Sheila S, LLC 2. $ 500.00 I 5/4~04 $ 500 00 B I CA Impenat Floors 3. $ 250 00 5/4104 $ 250 00 B CA HbTech Cleaners 4. $ 100 00 5~6~04 $ 100 00 B CA Dunham Olds Cadillac Subaru 5. $ 250.00 5/6/04 $ 250 00 B t CA See Page Totals (Add ail amounts with the same Accounting Period Totals (Complete only for last page and instructions contribution type. Do not include aggregates.) transfer these araounts to the Sun'mmry Statemem. PC l.) on Back and Cash (CA) $ 3100 00 Cash (CA) $ _ ill CalllDai~n Eqte~ on St,rmnap~ Stmemem. Column A, Line I Finance In-Kind flK) $ __ In-Kind (IK) $ ~ I~allua[ Enter on Suwm~ary Slatemenl, Column A. Lines 4 m~d 9 Loans Received (LR) $ ~ Loans Received (LR} $ _ PC 2 Enter on Sumrna,W Statement Coltmm A. Line 2 PC ~ Cash Contributions, Loans Received and In-Kind ,:,,, Candidate or Political Committee Name: Cormnittee ID Number: Nancy Nathanson for Mayor Page 2 of 18 Election: [] Primary 200_3_4 [] General 200_A4 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR ~[NSTRUCTIONS AND CODE DEFINliTIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) iK In-Kind I IndNidual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of in-Kind Purpose Dne# Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Cont~butor i Date Received Committee's lDO, or Descnptlon rf Code lls "0" Aggregate Code ~ , Code 2 Divine & Hammer 1. $ 200 00 5/7/04 $ 200 00 B CA Chuck's Servme Center 2. $ 100.00 5/7/04 $ 100.00 B CA Chambers Construction 3 $ 1000.00 5/7/04 $ 1000 00 B CA Triad Good Government Fund 4 $ 1000.00 5/10/04 $ 1000 00 B CA The Utum Group 5 $ 25O 00 5/10/04 $ 350 00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type, Do not include aggregates.) transfer these amounts to the Summary Statement, PC 13 on Back and Cash (CA) $ 2550 00 Cash (CA) $ Ca~pa~ll Lnt~r on Stanmary Statemem. Cokmm A. Line Finance ln-Kind ([K) $ _ In-Kind (IK) $ __ l¥~allna~ Ent~.r on Snmma~ Sta*ement Colamn A~ Lines 4 ,md 9 Loans Received (LR} $ __ Loans Received (LR~ $ _ PC 2 Lurer on Strmraary Smtemeut, Coltann A Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Re, ,:0, Candidate or Political Committee Name: Committee [D Number: Nancy Nathanson for Mayor Page 3 of 18 Election: [] Primary 2004 [] General 200_A4 [] Other Report: [] I st Pre~elecUon [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFJ[NITIONS; CODE l: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family {includes candidate) IK in-Kind I Individaal LR Loan Received L Labor Organization O Other P Political Party Committee Amount of In-Ktnd Purpose Line # Name and Address of Contributor Contnbutton (see manua! for suggested purpose codes) Date Received Occupational Information, Contributing Contrtbutor Code 1 Code 2 Committee's ID~, or Description if Code ~ ts "0' Aggregate Mallard Properties I $ 250.00 5/10/04 $ 250 00 B CA Anslow & DeGeneau~t, [nc 2 $ 250.00 5/10/04 $ 250 00 B CA Jerry's Home improvement Center 3. $ 500.0O 5/10/04 $ 500 00 B CA Overhead Door Co of Eugene $ 100.00 5/10/04 $ 100.00 B CA Hult & Assoc LLC 5 $ 1000 00 5/12/04 $ 1000 00 B CA See Page Totals (Add a~l amounts with the same Accounting Period Totals (Complete on]3' for last page arid contribution type. Do not include aggregates.) transfer these amounts to the Smnmary Statement, PC 1.) instructions on Back and Cash (CA) $ 2100 00 Cash (CA) $ __ ill Calnpai~n Emer on Summary Stalement. Colman A Line l Finance lmKind (IKI $ __ in-Kind OK) $ __ l~a~lllaI Emer on Summary Stateme~t, Colamn &, Lines 4 ,md 9 Loans Received (LR) $ ~ Loans Received (LR~ $ ~ PC 2 Fnter tm Summary Statement Colmnn A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind ,:0, Candidate or Political Committee Name: Committee tD Number: Nancy Nathanson for Mayor Page 4 of 18 Election: [] Primary 200_~4 [] General 2004 [] Other __ Repot1: [-] let Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACe) CO Cosigner Obhgation F Candidate's Imrnediate Family (includes candidate) iK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political ParC Committee Ltne# Name and Address of Contributor Amount of In-g~lnd Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Cede 2 Committee's ID#, or Description ~f Code ~ ~s "0" Aggregate Henry Company $ 100.00 5/12104 $ 100 00 B CA Hou§h-Tibbltts, inc 2 $ 100 00 5/13/04 $ 100.00 B CA Gale Roberts Co. 3. $ 2OO.0O 5/13/04 $ 200 00 B CA Olsson Industrial Electnc 4 $ 500.00 5/16/04 $ 500.00 B CA Rex~us Forest Byproducts, Inc. 5 $ 500 00 5/16/04 $ 500 00 B CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and contribution 'type. Do not include aggregates.) transfer these amounts to the Summary Statement. PC 13 Instructions on Back and Cash (CA) $1400 O0 Cash (CA) $ __ ill Canlpaign Ente~ em Smnmary Statement Coltman A. t,me t Finance In-Kind (IK) $ __ In-Kind (IK) $ __ l~gtan~al t:.nter on Stroh'haO, Statement, Colurrm A, Lines 4 m~d 9 Loans Received (LR) $ __ Loans Received (LR) $ ~ PC 2 Enter on St,nmaaE~ Statement, Column A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 5 of 18 Election: [] Primary 200_A4 [] General 200_A4 [] Other_ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 'l: Contributor Type CODE 2: Contribution Type B Business Entity, CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's immediate Family (includes candidate) IK in-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of !n-Kind Purpose Line # Name and Address of Contributor Contnbutlon (see manual for suggested purpose codes) Date Recewed Occupattonal Information, Contributing Contnbutor Code 1 Code 2 Commtttee's ID¢, or Description if Code 1 is "0' Aggregate Adie & Co 1. $ 500.00 5116/04 $ 500 00 B CA Oregonians for Affordable Housing 2. $ 2000.00 5/10/04 Committee ID#2069 $ 2000.00 C CA Oregon Realtors PAC 3. $ 2000 00 5/10/04 Committee ID¢000191 $ 2000 00 C CA Steve Robinson 4. 2516 Hawkins Lane $ 200 00 Eugene OR 97405 5/4/04 $ 250.00 F CA Miscellaneous Contdbubons $50 and under 5. $ 958 00 5/3-5/18/04 $ 958 00 I CA See Page Totals {.Add all amotmts with the same Accounting Period Totals {Complete only ~br last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Stimmary Statement, PC 1.) on Back and Cash (CA) $ 5658.00 Cash (CA) $ ~ ill Ca~lpai~ll Entc¢ on Stm~mary btaternem, Column A. Line 1 Finance In-Kind (1K) $ __ In-Kind (IK) $ ~a'lllla] Enter on Summao Stateroom. Column A, Lines 4 and q Loans Received {LRt $ Loans ReceiYed (LR) $. _ PC 2 Lnter on Summary Statement, Coimnn A Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 6 of 18 Election: [] Primary 2004 [] General 200_~4 [] Other__ Repo~l: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFI[NITIONS CODE l: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee tincludes business and union PACs) CO Cosigner Obhgation F Candidate's immediate Family (includes candidate) 1K In-Kind 1 Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of In-Kind Purpose Line # Name and Address of Contributor Contnbutton (see manual for sugc]ested purpose codes) Occupatlong Information, Contributing Contributor Date Recelved Comm~ee's IDle, or Description ~f Code ~ rs '0" Aggregate Code 1 , Code 2 Donna P Woolley 1 Box 43 $ 1000 00 Drain OR 97435 513i04 Property manager $ 1000 00 I CA Adei] McMillan 2~ 55 W. 39~ Ave. $ 100~00 Eugene OR 97405 5/3/04 retired $ 200 00 ~ CA Patti Doyal 3. 6152 Pimhco Ct $ 100~00 Tal~ahassee FL 32309 5/3/04 retired $ 100 00 CA Chnstopher Ramey 4. 1755 Falrmount BI $ 100 00 Eugene OR 97403 5/3/04 university architect $ 100 00 I CA Michael Dyer 5. 2348 Douglas Dr $ 250.00 Eugene OR 97405 5/3/04 controller $ 250 00 I CA Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Summa~' Statement, PC lnstrucdons on lgaek and Cash (CA) $ ~ 550.00 Cash (CA) $ __ [11 Cal~0a~ll Enter o~ Smranar5 Statement Coltnr.n A, Line i Finance In-Kind ilK) $ ~ In-Kind (IK) $ .... ~anraa~ Et~rer on Sumnmry Stat~menL, Column A. Lines 4 and 9 Loans Received tLR) $ Loans Received tLR) $ PC 2 Eat~r on Stanmary Statemem Colmnn A. Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Re, Candidate or Political Committee Name: Committee ID Nmnber: Nancy Nathanson for Mayor Page _7 of' 1~8 Election: [] Primary 2004 [] General 2004 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFIN[TIONS CODE l: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) [K in-Kind 1 individual LR Loan Received L Labor Organization 0 Other P Political ParD Committee Amount of ln-K~nd Purpose L~ne # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Informat~on, Contnbut¢ng Contributor Code l Code 2 Committee's ID#, or Description if Code 1 is "0' Aggregate Gary Marcus 1 3980 N Shasta Loop $ 250 00 Eugene OR 97405 5/4/04 attorney $ 250 00 I CA Leslie Qumney 2. 1924 Kimberly Dr $ 100 00 Eugene OR 97405 514/04 homemaker $ 100 00 I CA Beverly D. Andrews 3 2670 City View St. $ 100 00 Eugene OR 97405 5/4104 homemaker $ 100 00 I CA Joan L Rich 4. 2050 Madison St. $ 100 00 Eugene OR 97405 5/4/04 retired $ 100 00 I CA John Breeden 5. 4072 Normandy Way $ 100,00 Eugene OR 97405 5/4/04 homebuilder $ 100 00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (CompLete only fbr last page and contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $ 650 00 Cash (CA) $ __ in Campaign Liner on Surnmar>, Statement, Column A. Line 1 Finance In-Kind (IK} $ __ In-Kind (IK) $ __ l~lantla}[ Enter on SummaO Statement, Column A~ Lines 4 and 9 Loans Received (LR) $ __ Loans Received (LR) $ __ PC 2 Enter on Summar~ Statement Colmpm A Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Candidate or Political Committee Name: Committee 1D Number: Nancy Nathanson for Mayor Page 8 of 18 Election: [5~ Primary 200___4 [] General 200_A [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family {includes candidate} iK In-Kind [ Individual LR Loan Received L Labor Organization O Other P Political Party Committee Due ¢¢ Name and Address of Contnbutor Amount of tn-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's ID¢¢, or Description If Code I is "0" Aggregate Timothy Gleason 1. 2493 Panorama Dr $ 100 00 Eugene OR 97405 5~4~04 journalism professor $ 100 00 i CA Duane Partain 2. 3440 Bardell Ave $ 100 00 Eugene OR 97401 5/4/04 teacher $ 100 00 I CA Vern D. Cleaves 3 975 Oak St. $ 100 00 Eugene OR 97401 5/4/04 attorney $ 150.00 I CA L M Stewart 4. Box 310 $ 100.00 Creswell OR 97426 5/6/04 retired $ 100 00 I CA Beverly Mayhew 5 892 W 10th Ave. $ 100 00 Eugene OR 97402 5/6/04 public relabons consultant $ 100 00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete on~y for last page and Instructions contribution type. Do not include aggregates.) transfer these arrto~lrlts to the Summary, Statement, PC 1.) on Back and Cash (CA) $ 500 00 Cash (CA) $ __ in Campaign Enter (,n Stm~mar~v Statement. Column A. Line 1 Finance In-Kind (IK) $ In-Kind (IK~ $ ~ l~allua]~ Enter on Summao Statement, Column A. Lines 4 a~,d 9 Loans Received (LR) $ __ Loans Received (LR) $ __ PC 2 Enter on Summdr.~ Statement_ Coltmm A Line 2 PC 2 Cash Contributions, Loans Received and in-Kind ,:,0, Candidate or Political Committee Name: Committee iD Number: Nancy Nathanson for Mayor Page 9 of 18 Election: [] Primary 200_&4 [] General 200_~4 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigc~er Obligation F Candidate's Immediate Family (includes cm~didate) IK tn-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code 1 ] Code 2 Date Received Comm~ee's ID#, or Descnptlon if Code 1 is "0" Aggregate Suzanne Ache 1. 722 Country Club Rd $ 500 00 Eugene OR 97402 5/6/04 property manager $ 500 00 I CA Alden Wolfe 2. 3966 Oak St $ 100.00 Eugene OR 97405 5/6/04 retired $ 100 00 I CA Carolyn Kranzler 3. 2660 Cresta de Ruta $ 100.00 Eugene OR 97403 5/6/04 architect $ 100 00 l CA Brian Obie 4. PO Box 2457 $ 500.00 Eugene OR 97402 5/6/04 CEO, Obie Media Corp., Eugene OR $ 500 00 I CA V~ctoria Meyers 5 3825 Spnng B $ 200.00 Eugene OR 97405 5/6/04 physicmn $ 200.00 I CA See Page Totals (Add alt amounts with the same Accounting Period Totals (Complete only for last page amd Instructions contribution type. Do not include aggregates.) transfer these amounts to the Smwuna~ Statement, PC 1,) on Back and Cash (CA'~ $1400 00 Cash (CA) $ __ in Campaign Enter on StaminaB blatement Cohmm A. Line l Finance in-Kind (IK) $ ~ In-Kind (IK) $ l'~laaltaal Emer ,.m Sur~m2ar_~ Statement, Colamn A. Lme~ 4 and t~ Loans Received (LR) $ __ Loans Received (LR} $ _ PC 2 Lurer on Summary Statement, Colin-mn A Line 2 PC Cash Contributions, Loans Received and n-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 1~0 of 1~8 Election: [] Primary 2004 [] General 2004 [] Other __ Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) -[K tn-Kind 1 Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of ln-Ktnd Purpose Line ¢¢ Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code ? I Code 2 Date Received Committee's tD¢~, or Description If Code 1 is ~0~ Aggregate Stephame Cormor I 4040 Sunndge Dr $ 1000 00 Eugene OR 97405 516104 hotel owner $ 1000.00 I CA Klm Godfrey 2. 27 W. 5th Ave. $ 100.00 Eugene OR 97401 517/04 restaurant manager $ 100 00 I CA Lloyd Helikson 3 2440 Suncrest Ave $ 40.00 Eugene OR 97405 5/7104 attorney $ 100 00 CA Carolyn M Gates 4 2530 H~ghland Oaks Dr $ 100 00 Eugene OR 97405 5/7/04 fine artist $ 100.00 I CA J~m Torrey 5~ 3593 Riverpointe Dr $ 100.00 Eugene OR 97408 5/7~04 CEO, outdoor advertising $ 100 00 CA See Page Totals (Add all arr~ounts with the same Accounting Period Totals (Complete only for last page and contribution type. Do not include aggregates.) transfer these amounts to the Summary StatemenL PC on Back and Cash (CA) $1340.00 Cash (CA) $ ~ ~11 Canlpa~girl Enter on Stanmao Statement, Cokmm A, Linc 1 Finance la-Kind (IK) $ ~- ha-Kind (iK) $ __ ~/~[811ual Enter on Sammy, Statement Co,turin A~ Lraeq 4 a~d Loans Received (LR~ $ Loans Received (LR) $ _ PC 2 Enter un Smnmary Stmement, Cottflml A Line 2 PC 2 Cash Contributions, Loans Received and n-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 11 of 18 Election: [] Primary 200_A4 [] General 2004 [] Other __ Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOP, INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) 1K tn-Kind I Individual LR Loan Received L Labor Organization O Other P Political Part5, Committee Line # Name and Address of Contributor Amount of tn-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupat~onat tnformatton, Contributing Contributor Code ? Code 2 Commrltee's ID#, or Description if Code I is "0' Aggregate Gahna Groza I 1778 Sylvan St $ 110 00 Eugene OR 97405 5/7/04 retired $ 360 00 I CA Janet W. Childs 2. 1287 Frogs Leap Ln $ 100 00 Eugene OR 97404 5/7/04 rebred $ 100 00 I CA Ada Lee 3 1169 Spyglass Dr $ 100 00 Eugene OR 97401 5/7/04 rebred $ 200 00 I CA Kevin Kolander 4 2506 Hawkins Lane $ 250 00 Eugene OR 97405 5/7/04 software engineer $ 250 00 I CA Dean Kortge 5. 450 Country Club Rd. Suite 330 $ 100 00 Eugene OR 97401 5/7/04 insurance agent $ 100.00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only fbr last page and contribution type. Do not include ag~egates.) transfer these amounts to the Summary Statement, PC 1.) Instructions on Back and Cash (CA) $ 660 00 Cash (CA) $ __ in Campaign Enter on Sttmmary Statemem~ CoLumn Finance [n-Kind (IK) $ __ [n-Kind (IK) $ __ l~/[allllJla~ £mer on Smmnary Statement. Column Loans Received (LR) $ __ Loans Received/LR) $ __ PC 2 Entel OB Sttmmai? Statement, Colm~m A, Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Candidate or Political Committee Name: Committee [D Number: Nancy Nathanson for Mayor Page 12 of 18 Election: [] Primary 2004 [] General 200__44 [] Other __ Report: [] let Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee {includes business and union PACe) CO Cosigner Obliga~tion F Candidate's immediate Family (includes candidate) IK ImKind l Individual LR Loan Received L Labor Organization O Other P Political Part2¢ Committee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Informatton, Contributing Contributor Code I Code 2 Committee's ID¢¢, or Description if Code ? ts "0" Aggregate Randy Pape 1 3693 N Shasta Lp $ 1500 00 Eugene OR 97405 517104 equipment dealer $ 2000 00 I CA Steve Romama 2 1564 Regency Dr $ 200 00 Eugene OR g7401 5/7104 automobile dealer $ 200 00 I CA Steve Yett 3 PO Box 26125 $ 150.00 Eugene OR 97402 5~7~04 laundromat owner $ 150.00 I CA Vernon Egge 4. 90520 Coburg Rd $ 1000 00 Eugene OR 97408 5/7/04 owner, gravel company $ 1000.00 I CA Lod J Butler 5. 826 McKenzie Crest Dr $ 500.00 Springfield OR 97477 5/10/04 homebullder $ 100 00 I CA See Page Totals (Add all amounts with the same Accounting Pealed Totals (Complete only for last page and contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1 .) Instructions on Back and Cash (CA) $ 3350 00 Cash (CA) $ ~ in Caniplaign Enter on Surnmar~ Statement. Coltmm A. Line 1 Finance In-Kind (IK~ $ __ ln-Kind (IK) $ ~ [~li~lla~ k_ater on Seminar3, Statement Cotumn A. Lines 4 aad Loans Received (LR) $ ~ Loans Received (LR) $ ~ PC 2 Enter on SummaLw Statemctm Colurm~ A. Line 2 PC 2 Cash Contributions, Loans Received and ]n-Kind Candidate o~ Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 13 of 18 Election: [] Primary 200~4 [] General 2004 [] Other __ Report: [~ 1st Pre-election [] 2nd Pre-election [] Post-election [~ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind ] Individual LR Loan Received L Labor Organization 0 Other P Political Party. Committee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (,see manual for suggested purpose codes) Date Received Occupatlona! information, Contnbuting Contributor Code I Code 2 Committee's ID~, or Description if Code 1 is ~0" Aggregate Harold E Reed 1. 85139 Applegate Dr $ 500 00 Eugene OR 97405 5/10/04 rebred $ 500.00 I CA Jen Scharpf 2 2035 Musket St. $ 100 00 Eugene OR 97408 5/10/04 homemaker $ 100 00 I CA Ann Sch~fber§ 3. 4018 Shasta VIew $ 100.00 Eugene OR 97405 5/10/04 feb red $ 100 00 ~ GA Dixie M Hamson 4 29179 Spencer Creek Rd $ 250 00 Eugene OR 97405 5/10/04 homemaker $ 250 00 I CA Christine Donahue 5 23 W 35th Ave $ 100 00 Eugene OR 97405 5/10/04 retired $ 100 00 I CA Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution Eype. Do ~ot include aggregates.) transfer these amounts to the Summary Statement, PC Instructions on Back and Cash (CA) $ ~ 050 00 Cash (CA) $ in Campaign Enter on Stlmrllary Statement_ C¢]tmm F~nance ImKind (IK) $ __ In-K/nd CK) $ ~_lllllllil] Enter on Sununary Sta*emcnt_ Colttmn A. Lmeq 4 and 9 Loans Received (LR't $ ~ Loans Received (LR} $ __ PC 2 .) Enter oB SmmnaO Statement, Column A Lme 2 PC 2 Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Pa~ze 14 of 18 Election: [] Primary 200_44 [] General 2004 [] Other Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEF[NI, TIIONS CODE 11: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate} tK in-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Par~. Committee Amount of In-g~nd Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Recewed Occupattonal Information, Contributtng Contributor Code 1 Code 2 Commtttee's IDt¢, or Descnption ff Code l¢s "0~ Aggregate Gene Gustafson 1, 207 Chimney Rock Ln $ 100.00 Eugene OR 97404 5112104 retired $ 100.00 I CA Charles Roffe 2 3355 N Delta Hwy #121 $ 100 00 Eugene OR 97408 5112104 banker $ 100.00 I CA Gary Pape 3. 1180 Lorella $ 100.00 Eugene OR 97401 5/12~04 attorney $ 100.00 [ CA H. W Kdz 4. 2095 Lakeview Dr $ 250.00 Eugene OR 97408 5/12/04 health system manager $ 250 00 I CA Jean Tate 5 5008 Blanton Rd $ 100 00 Eugene OR 97405 5/12/04 rebred $ 100 00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only lbr last page and contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC Instructions on Back and Cash (CA) $ 65000 Cash (CA) $ __ in Campaign Enter on Stmm~a~' Statement. Coltmm A, Line Finance In-Kind (IK) $ ~ In-Kind (IK) $ __ ~all tla~ Enter on Sttmmary Statement, Column A~ Lines 4 and Loans Received (LR) $ Loans Received (LR) $ __ PC 2 Enter on Stmnnar5 Statement, Colmnn A Line 2 PC 2 Cash Contributions, Loans Received and in-Kind ':°' Candidate or Pohtical Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 15 of 18 Election: [] Primary 2004 [] General 200_A4 [~ Other __ Report: [] I st Pre-election [] 2nd Pre-election ~ Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs} CO Cosigner Obligation F Candidate's hnmediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Part>, Committee Amount of In-Kind Purpose Line # Name and Address of Contnbutor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code l Code 2 Comm~ee's ILY& or Description if Code 1 rs "0' Aggregate Jane P. Montgomery 1. 1909 Broadwew Ave $ 100 00 Eugene OR 97405 5/16/04 retired $ 100 00 ~ CA Lynn Schoenfetd 2 923 Shaughnessy Ln $ 100 00 Eugene OR 97401 5/16/04 CPA $ 100.00 I CA Mike Alltucker 3 2621 Cresta de Ruta $ 100 00 Eugene OR 97403 5/16/04 manager, grave~ mining company $ 100 00 I CA Dorothy Anderson 4. 939 E 21st Ave $ 100.00 Eugene OR 97405 5/16104 homemaker $ 200 00 I CA Paul Ehinger 5. 2565 W 23rd Ave $ 75 00 Eugene OR 97405 5/16/04 forest industry oonsu~tant $ 175.00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution Ps'po. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 10 on g~ck and Cash (CA) $ 475.00 Cash (CA) $ __ in Canapaign Enter on Sta~lma3 StatemenL Cokmm A~ Line i Finance In-Kind (IK) $ ~ In-Kind (1K) $ l~lnua~ Enter on Stummary Stateroom_ Cokmm A, Lme~ 4 yam 9 Loans Received (LR} $ Loans Received (LR) $ _ 13C 2 ~ Lnte~ on Sttmmar¥ SmtemevL Caiman A~ Line 2 PC 2 Cash Contributions, Loans Received and in-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 16 of 1_~8 Election: [] Primary 2004 [] General 200~4 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Amount of In-K~nd Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Date Recewed Committee's lDO, or Description if Code ~ rs "0" Aggregate Code I , Code 2 David Carm~chael 1. 777 H~gh St #150 $ 100 00 Eugene OR 97401 5/18/04 attorney $ t 00 00 I CA Avon Lee Babb 2 645 Spyglass Dr $ 1000.00 Eugene OR 97401 5/18/04 CEO, Delta Sand & Gravel, Eugene OR $ 1000 00 I CA Grey Demers 3. Box 1042 $ 1000.00 Veneta OR 97487 5/18/04 CEO timber company $ 2000 00 I CA Carol Stephenson 4 427 Spyglass Dr $ 100 00 Eugene OR 97401 5/18/04 teacher $ 100 00 I CA Ed King 5. 30414 Le Bleu Rd $ 1000 00 Eugene OR 97405 5/18/04 winery owner $ 1000 00 ~ CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates, t transfkr these amounts to the Saw.mary StatemenL PC 1 on Back and Cash (CA) $ 3200 00 Cash (CA) $ __ in Ca[npltigll Enter on SuwanaEv Statement. Column ~ Line 1 Finance In-Kind tlK) $ __ In-Kind (IK) $ ~ Marllla~ Emer on Suwmary Statemeta_ Ctdvmn A. Lines 4 and 9 Loans Received tLR} $ __ Loans Received tLR) $ _ _ PC 2 Enter on Stm~mard Statement. Colmmt A. Line 2 PC 2 Cash Contributions, Loans Received and Candidate or Political Committee Name: Corrm:fittee iD Number: Nancy Nathanson for Mayor Page 17 of 18 Election: [] Primary 200_~4 [] General 2004 [~ Other __ Report' [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE t: Contributor Type CODE :2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) 1K [n-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount d In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code ~ Code 2 Committee's IDIf-, or Description ~f Code 1 ~s "0" Aggregate John Musumeci 1. 722 Country Club Rd $ 500 00 Eugene OR 97401 5/18/04 real estate developer $ 500.00 I CA Casey Hogan 2 3501 W 25th Ave $ 200 00 Eugene OR 97405 5/18/04 banker $ 200.00 I CA Tod Woodard 3. 1215 Courtney PI $ 100 00 Eugene OR 97405 5/I 8~04 owner, Kimwood Corp. Cottage Grove OR $ 100 00 I CA Rosemary Long 4 3194 Gateway Loop $ 500.00 Springfield OR 97477 5/18/04 retired $ 500 00 I CA Barton Sherman 5 2955 Edgewater Dr $ 100~00 Eugene OR 97401 5118/04 president, Sherman Trucking, Eugene OR $ 100.00 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summau' Statement. PC on Back and Cash (CA) $1400 00 Cash (CA) $ in Campaign Enter on Sm`mnary Statement, Cokmm Finance [n-Kind ([K) $ __ In-Kind (IK) $ .__ l¥Ilin 11 a [ Enter on Loans Received (LR} $ Loans Received (LR) $ P(~ 2 Lnter on Summary Statement Column A, Linc 2 PC 2 Cash Contributions, Loans Received and In-Kind Re, Candidate or Political Committee Nmne: Committee iD Number: Nancy Nathanson for Mayor Page 18 of 1_.~8 Election: [] Primary 2004 [] General 2004 [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [-] September Supplemental SEE BACK FOR INSTRUCTION'S AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Fmmily (includes candidate) IK In-Kind t Individual LR Loan Received L Labor Organization O Other P Political Party Committee Line # Name and Address of Contributor Amount of ln-Klnd Purpose Contribution (see manual for suggested purpose codes) Date Recewed Occupat~ona! Information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Descnptton tf Code ~ ts "0' Aggregate Marvin Re'voal 1. 2924 Adams SL $ 500 00 Eugene OR 97405 5/20/04 financial consultant $ 500.00 I CA 2. $ 3 $ 4 $ $ $ See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC l. ) on Back and Cash (CA) $ §00 00 Cash (CA/ $ 3~ 533 00 in Campaign Entu~ on Stamnar~ Slatcmcnt. Coltmm A. Lm~ [ Finance In-Kind (IK) $ In-Kind (IK) $ _ Man ual[ Enter on SurmnaO' Statement Cohtmn A. Lines 4 m~d o Loans Received (LR) $ __ Loans Received (LR) $ __ PC 2 Lnter on Smrnnar3 Statement, Column A. Line 2 PC Cash Expenditures and Loan Payments Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page ~ of 2_ Election: [] Primar~y 2004 [] General 200_~4 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions} EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, bretons, etc.} LP Lomn Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys mud Polls if over $50} T Travel Expenses (describe if over $50 t I Interest Payment U Utilities L Literature~ Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Payee's Name and Payee's Commtttee ID#, Exp Amount of Line # Date Check # ~f applicable Purpose Type Expenditure Patd (as rt appears on invoice, receipt or check) to 1 5/9/04 1013 The Lmdhoim Company LLC A CA $ 12197 20 E~ 2 5/13104 1019 The Lindholm Company LLC A CA $ 10132.02 [] 3. 5/29~04 1025 The Lmdholm Company LLC A CA $ 1070 00 [~ 4. 5/12/04 Oregon Commumty Credit Umon G CA $ 5 00 E~ 5. 5/17/04 Oregon Community Credit Umon G CA $ 10 00 E~ 6 5/8/04 1012 Modulus G CA $ 20 00 E~ 7. 5110/04 1015 QSL Pnntmg L CA $ 1037 00 ~ 8 5/13/04 1017 Boudand Pnntmg L CA $ 1393 38 E~ 9 5/29/04 1024 Human Voice O CA $ 270 25 E~ 10 5/4/04 1062 Accessible Data O CA $ 875 42 Page Totals (.Add ali expenditures with the same Accounting Period Totals (Complete only fur last page and See expenditure b'pe.) transfer these amounts to the Surmrmry StatemenL PC 1.) instructions on Baeit and Cash (CA) $ 27010 27 Cash {CA) $ __ in Campaign Enter on SdmmaD Statement, Colttmt~ A, Line 6 Finance Manual Loan Payment (LP} $ __ Loan Payment (LP} $ __ F nt~r oa Smmmm? Statement. Colunm A, Line 7 PC 3 PL 3 Cash Expenditures and Loan Payments Candidate or Political Commktee Name: Commktee iD Number: Nancy Nathanson for Mayor Page 2 of 2 Election: [] Primary 2004 [] General 200_~4 [] Other __ Report' E] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) [ Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Payee's Name and Payee's Commtttee ID#, [~ Exp, Amount of Line # Date Check # if apphcable Purpose Type Expendtture Pa~d (as ~t appears on tnvo~ce, receipt or check) to A/P 1 5/9/04 1014 Labels & L~sts O CA $ 110 00 E~ 2. 5/10/04 1016 Accessible Data 0 CA $ 1276 82 E~ 3. 5/13/04 1018 Accesstble Data 0 CA $ 1750.92 E~] 4. 5/13104 t021 Labels & Lists O CA $ 369.77 E~ 5. 5/22804 1022 99 Productions Z CA $ 2650.00 E~ 5/22/04 1023 EB Design Z CA $ 1265.00 E~ 7. $ ~ 8 $ 10 $ [~ Page Totals (Add all expenditures with the same Accounting Period Totals {Complete only for last page and Sec expenditure type.'} transfkr these arnotmts to the Summary Statement, PC l.) Instructions on Back and Cash (CA) $ 7422.5~ Cash (CA) $ 34432 78 in Campaign Emer on Smmanao' Stat~t~mnt~ Column A. Line 6 Finance Manual Loan Pa)merit (LP) $ Loan Payment (LP} $ __ Enter o~* SummaLv btatement, Co~mnn A, Line 7 PC 3 PC 4A Other Receipts Re, ,: Candidate or Political Committee Name: Committee tD Number: Nancy Nathanson for Mayor Page I_of1 Election: [] Primary 200__&4 [] General 2004 [] Other__ Report: [] 1st Pre-elect~on [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Receipt Transaction Type Codes EL Exempt Loan Proceeds FM items Sold at Fair Market Value iN lnterest/[nvestment Income OM Miscellaneous (provide a description) RF Refunds. Rebates and Returns Date Name Other Recect Line # Received (requtred for cedes EL, OM and RF; Transaction Type Other Receipt Amount optional for codes FM and IN) Code 1. 5/31/04 Oregon Community Credit Union (OCCU) IN $ 1.65 2. $ $ 4. $ 5 $ $ $ $ 9. 10 $ See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only fbr last page and instructions Type Codes specified. on Back and Codes FM, IN, OM, RF $1 65 Codes FM, iN, OM, RF $ I 65 ~n Can,tp~i~n E~tcr or~ S~m'anary Statement. Colurm~ A. Emu [ 3 Finanee Mamm~ Code EL $ 0 00 Codu EL $ Eater on Smnmar> btatement, Coimnn A, Emc 14 PC 4A PC 9 Report of Expenditures Made by an Agent ,:,,, Candidate or Political Committee Name: Committee [D Number: Nancy Nathanson for Mayor Page 1 of 2 Election: [] Primary 200_4_4 E~] General 20__ [] Other__ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-ejection [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Complete the intbrmation in this box for each payment rnade to an agent and then provide the detail of expenditures made by the agent in the spaces below: q he following expenditures were made by LINDHOLI~I COMPANY LLC (name of agent). The payments to the agent are listed on: Form {circle one} Page # Line # Check # Amount PC 2, PC 3 or PC 6 I ~_ 1013 12 197 20 PC 2, PC 3 or PC 6 1.! 2_ 10_¢_9_ 10,132 02 PC 2, PC 3 or PC 6 ! _3 1025 1,070 O0 PC 5 (of prior report) ~ ~ Payee's Name Purpose Line # Date (as # appears on ~nvo~ce, receipt or check) (see purpose codes Amount of on back of form) Expenditure I 5/7/04 KVAL B $ 1,389 75 2 5/7/04 KEZI B $ 684 25 3 5/7/04 KMTR B $ 1,109 25 4. 5/7/04 Comcast B $ 3,111 18 5/10/04 McKenzie River Broadcasting B $ 583 10 6 5/10/04 KVAL TV B $ 110 50 5/10/04 Cumulus B $ 535 50 8 5/10/04 KMTR TV B $ 1,245.25 9 5/10/04 Clear Channel B $ 333.20 10. 5/10/04 Comcast B $ 1,614 00 See Instructions Page Total of Agent Expenditures: $10715.98 on Back arid in Campaign Complete this box only for last page of the detail ofexpendttures made by this agent. Finance Manual Total Amount of Agent Expenditures: $ __ Unexpended Balance (if any): $ __ PC 9 (report tiffs amount as an account receivable on form PC 5) PC 9 Repor of Expenditures Made by an Agent Candidate or Political Committee Name: Committee 1D Number: Nancy Nathanson for Mayor Page 2 of 2 Electron: [] Primary. 200__44 [] General 20__ [] Other __ Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFiNiTIONS Complete the information in this box for each payment made to an agent and then provide the detail of expenditures made by the agent in the spaces below: The following expenditures were made by L~NDHOLM CO~IPAN¥ LLC (name of agent). The payments to the agent are listed on: Form (circle one) Page # Line # Check # Amount PC 2, PC 3 or PC 6 1_ 1_ 1__0~ 12,197 20 PC 2, PC 3 or PC 6 1_ 2_ 1019 10,132 02 PC 2, PC 3 or PC 6 1_ 3 1025 1,070 00 PC 5 (of prior report) Payee's Name Purpose Amount of (see purpose codes Expenditure Line # Date (as it appears on invoice, receipt or check) on back of form) 1 5/12/04 KVAL B $ 276 75 2 5/12/04 KMTR B $ 565 25 3 5/13/04 Comcast B $ 2,915.17 4 5/13/04 Cumulus B $ 433 50 5 5/13/04 Lmdholm Company LLC M $ 1,519 80 6. 5/14/04 McKenzie River Broadcasting B $ 372 30 7 5/14/04 Clear Channel B $ 367 20 8 5/14/04 KMTR TV B $ 170.00 9 5/14/04 Llndholm Company LLC M $ 160 50 10 $ See Instructions Page Total of Agent Expenditures: $ 6780.47 on Back and in Campaign Complete this box only for last page of the detail of expenditures made by this agent. Finance Manual Total Amount of Agent E~pendimres: $17496 45 Unexpended Balance (if any): $ 0.00 PC 9 (report this amount as an account receivable on form PC 5) Pc 1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page l of 2 Candidate or Political Committee Name (use fidl name): Nancy Nathanson for Mayor Mailing Address as it Appears on Statement of Organization (street, route or box number, city. state, zip code): 2516 Hawkins Lane, Eugene OR 97405-1203 Treasurer's Name: Telephone Number (day}: Steve Robinson 541-345-8683 Committee ID Number: I Committee Type, Measure Number or Office: l Mayor, City of Eugene [] Original [] Pr[mar> 200~4 [] General 200__~4 [-1 Other [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUM[ULATiVE TOTALS ACCOUNTING PER[OD FOR THIS ELECTION CONTRIBUTIONS l. Cash Contributions (Accounting Period Total from PC 2l 31533 00 83867 00 2. Loans Received (Non-Exempt) tAccoundng Period Total from PC2/ + 0 00 + 0 00 3. Total Cash Contributions = 31533 00 = 83867 00 (hnes ~+ 2) 4. In-Kind + 3480 62 + 3526.74 (Accounting Period Total from PC 2} 5. TOTAL CONTRIBUTIONS = 35013 62 = 87393.74 (lines 3 ~ 1) EXPENDITURES 6. Cash Expenditures (Accounting Period ] otal fi*om PC 3 ~ 34432.78 83743.84 7. Loan Payments (Non-Exempt) + 0.00 + 0,00 (Accounnng Period Total from PC 3 ~ 8. Total Cash Expenditures (lines 6 + 7) = 34432.78 = 83743 84 9. In-Kind + 3480.62 + 3526 74 (Accounting. Period Total ~rom PC 2; 10o TOTAL EXPENDITURES = 37913.40 = 87270.58 (hines 8 ~- 9) CASH BALANCE 11~ Beginning Cash Balance 3796 93 FOR OFFICE USE ONLY (t~ndJng Cash Balance ~om previous repro1) 12. Total Contributions {line 5) + 35013 62 13. Other Receipts + I 65 {Accountmg Period ~l-otal ti-om PC 4A) 14. Loans Received (Exempt) + 0.00 (Accounting Period Total from PC 4At 15. CONTRIBUTION SUBTOTAL = 38812 2O (lines 11 + 12-~ 13 + 14} 16. Total Expenditures 37913.40 (line 10/ + 000 ~''~*~~cf'~V~ 17. Other DisbursementS~Accoumm~ Period Total l¥om PC 4RI ....... ; ij~ ~ 18. Loan Payments (Exempt) + 0 00 (Accounting Period Total from PC' 4Bi ~ ~ : 19, EXPENDITURE SUBTOTAL 20 ENDING CASH BALANCE *,~ i*[ V C? .... = 898 80 (line 15 minus linc t9) PC 1 Summary Statement of Contributions and Expenditures Pkase type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: Committee iD Nmnber: Nancy Nathanson for Mayor [] Original [] Primary 200_~4 [] General 2004 [] Other __ [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental LOAN SUMMARY 21. Beginnmg Outstanding Loans FOR OFFICE USE ONLY (ri oral Outstanding Loans from previous report t 0 00 22. Loans Received (Non-Exempt) (line 2) + 0~00 23. Loans Received (Exempt) (hne 14~ + 0 O0 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) = 0 00 25. Loan Payments (Non-Exempt~ (tine 7) 0 O0 26. Loan Payments (Exempt) (line 18) * 0 00 27. Forgiven Loans (Total loans forgiven dunng this accounting period) + 0 00 28~ LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27} = 0 00 29. TOTAL OUTSTAND]NG LOANS {linc 24 minus hne 28) = 0 O0 PERSONAL EXPENDITURE SUMMARY 30. Beginning Ontstanding Personal Expenditures (line 36 of previous report) 31. Personal Expenditures {Accounang Period Fotal from PC 3A) + 0 00 32. PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31 ) = 0 O0 33~ Personal Expenditure Reimbursements (Total expenditures on PC 3 ~,ith purpose code R) 0 00 34. Forgiven Personal Expenditures (Total personal expenditures forgiven thi~ acctg, period) + 0 00 35. REIMBURSEMENT SUBTOTAL (hnes 33 ~- 34) = 0.00 36. OUTSTANDING PERSONAL EXPENDITURES (line 32 minus hn¢ 35) = 0 00 F)NANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance {line 20l 898 80 38. Accounts Receivable + 0 00 (Accounting Period Total from PC 5) 39~ SUBTOTAL (lines 37 + 38) = 89&80 40. Total Outstanding Loans {line 29) 0 00 41. Outstandhng Personal Expenditures dine 36) + 0 00 42. Accounts Payable (Accounting Period Total from PC o} + 0 00 43. SUBTOTAL dines 40 + 41 + 42) = 0 00 44. BALANCE/DEFICIT (lane 39 m~nus hne 43: indicate -~ or - balance} = 898.80 l, S~: eve t~obmnson (name of candidate or treasurerL hereby certify that the above statement and the attached supporting reports are true and correct. Signature of candidate or treasurer Date signed P£ 2 Amendment Amendments-Cash Contributions, Loans Received and in-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 1 of 5 Election: [] Primary 200_~4 [] General 20__ [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September SuppLemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Amending Page # Name and Address of Contributor Amount of In-Kind Purpose and Line # Contribution (see manual for suggested purpose codes) Occupational Information or Contributor Code l I Code 2 Date Received Contributing Committee's tD# Aggregate Page i Line_L_ Seneca Jones Timber Co [] ~e~EnW PO Box 10265 $ 2,000 00 [] Correcting [] De!etlng Eugene OR 97440 i 5/3104 $ 2,000 00 B CA Page_. , Dne ?_ Sheda S, LLC [] NewEqtry 3190 Gateway Loop $ 500 00 [] Correcbng I-1 Deleting Springfield OR 97477 5~4~04 $ 500 00 B CA Page_~Lme ~ Imperial Floors [] New Ente/ 355 Lincoln St $ 250 00 [] Correcting [] Deleting Eugene OR 97401 5/4/04 $ 250 00 B CA Page~_ Llne_z~i Hi-Tech Cleaners [] New Entry 100 E. 18th Ave $ 100 00 [] Correcbng E] Deleting Eugene OR 97401 5/6/04 $ 100 00 B CA Page Line : Dunham Olds Cadillac Subaru E] New Entry 345 Goodpasture Island Rd $ 250 00 [] Correcting E] Deleting Eugene OR 97440 Instructions : -- , ..... on Back and '~ / 7 in Campaign ' ;- Finance ' Signature of candidate or treasurer Manual Amendment Date signed PC 2 Amendment Amendments-Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee 1D Number: Nancy Nathanson for Mayor Page 2 of 5 Election: [] Primary 200_~4 [] General 20__ [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind l Individual LR Loan Received L Labor Organization O Other P Political Party. Committee Amending Page # Name and Address of Contributor Amount of In-Kind Purpose and Duo # Contribution (see manual for suggested purpose codes) Occupational Informatlon or Contributor Code 1 I Code 2 Date Received Contributing Committee's lDO Aggregate Page._: ~-- Line ~ Divine & Hammer [] New Entry 855 Lincoln St $ 200 00 [] Correcting [] Deletm9 Eugene OR 97401 5/7/04 $ 200 00 B CA Page Line Chuck's Service Center [] New Entry 2852 Wdlamette St $ 100.00 [] Correcting [~ Deleting Eugene OR 97401 5/7/04 $ 100.00 B CA Page_'~ Urge (' Chambers Construction [] NewEntry 2285 Coburg Rd Suitt 100 $ 1,000 00 [] Correcting [] Deleting Eugene OR 97401 5/7/04 $ 1,000~00 B I CA Page ?'-- Line '-__~ Triad Good Government Fund [] New Entry 5800 Tennyson Pkwy $ 1,000.00 [] Correcting [] Deleting Piano TX 75024 5/10/04 $ 1,000 00 B CA Page _~ Line 5 The Ulum Group [] New Entry 941 Oak St. $ 250 00 [] Correcting [] Deleting Eugene OR 97401 5/10/04 $ 350 00 B I CA I See FOR OFFICE USE ONLY instructions V .... ~ -~ on Back and ~ ; , ~. ,,, ¢ , ?, ,-~., in Campaign Finance ~ Signature of candidate or treasurer Manual PC 2 ': Amendment Date signed PC 2 Amenchnent Amendments-Cash Contributions, Loans Received and in-Kind Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 5of5 Election: [] Primary 2004 [] General 20__ [] Other __ Report: [] 1 st Pre-election [] 2nd Pre-election [] Post-election [-~ 20__ September Supplemm~tal SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate/ IK In-Kind I Individual LR Loan Received I~ Labor Organization O Other P Political Party Committee Amending Page # Name and Address of Contributor Amount of In-Kind Purpose and bne # Contribution (see manual for suggested purpose codes) Occupational lnformatlon or Contributor Code 1 t Code 2 Date Recewed Q)ntribut~ng Committee's ID# Aggregate 7 Page_ ~ Line ~ Mallard Properties [] New Entry 1953 Garden Ave $ 250 00 [] Correcting [] Deleting Eugene OR 97403 5110104 $ 250 00 B I CA Page. -: Lme_,¢ Anslow & DeGeneault, Inc [] New Entry 1953 Garden Ave $ 250.00 [] Correcting [] Deleting Eugene OR 97403 5110/04 $ 250.00 B CA Page ~** Line :' Jerry's Home Improvement Center [] New Entry PO BOX 2611 $ 500.00 [] Correcting [] Deleting Eugene OR 97402 5/10~04 $ 500.00 B CA Page ~' Line ~¢ Overhead Door Co of Eugene [] New Entry PO Box 2623 $ 100 00 ~ Correcting [] Deleting Eugene OR 97402 5/10~04 $ 100~00 B CA Page~ ¢ Line .,.¢ Hult & ASSOC. LLC [] NewEntry PO Box 1341 $ 1,000.00 [] Correcting [] Deleting Eugene OR 97440 5/12104 $ 1,000.00 B CA See FOR OFFICE USE ONLY Instructions on Back and ; ¢ ::~ ,,, ~ in Campaign Finance Si~ature of candidate or treasurer Manual PC 2 ~" '~ ' Amendment Date signed PC 2 Amendment Amendments-Cash Contributions, Loans Received and n-Kind '-'°' Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Page 4 of 5 Election: [5~ Primary 200_j4 [] General 20i [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR iNSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Conn-nittee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amending Page # Amount of In-Kind Purpose and Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Date Recewed Occupa#onal Information or Contributor Code I Code 2 Contributing Commlttee% ID# Aggregate Page ~J Line ! Hem7 Company [] New Entry PO BOX 2592 $ 100.00 [] Correct~ng [] Deleting Eugene OR 97402 5/12/04 $ 100 00 B CA Page "~' Line ,'L Nough-Tibbltts, Inc [] New Entry 111 West 7th Ave Suite 320 $ 100.00 [] Correcting BI Deleting Eugene OR 97401 5/13/04 $ 100 00 B CA Page. ,LC Line _ Gale Roberts Co. [] New Entry 338 W 11th St. $ 200 00 [] Correcting [] Deleting Eugene OR 97401 5/13/04 $ 200.00 B CA Page "¢ Line '¢ Olsson Industrial Electric [] NewEntry PO BOX 70413 $ 500 00 [] Correcting [] Deleting Eugene OR 97401 5/16/04 $ 500 00 B CA Page. ~ Line ~'¢ Rexius Forest Byproducts, Inc. [] New Entry 1275 Bailey Hdl Rd $ 500 00 [] Correcting [] Deleting Eugene OR 97402 5/16/04 $ 500 00 B CA See FOR OFFICE USE ONLY Instructions .: --~ on Back and ~,/7', , ~( _,~ ,7, _ , · in Campaign Finance ~Signature of candidate or treasurer Manual PC 2 / ~ Amendment Date signed PC 2 /~uendment Amendments-Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee iD-Number: Nancy Nathanson for Mayor Page 5 of 5 Election: [] Primary 200_~4, [] General 20__ [] Other __ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFiNITiONS CODE 1: Contributor Type CODE 2: Contribution Type B Bus[ness Entity CA Cash C Political Committee (includes business and union PACs/ CO Cosigner Obligation F Candidate's Immediate Family {includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amending Page # Amount of tn-Kind Purpose and Line # Name and Address of Contributor Contributlon (see manua! for suggested purpose codes) Date Recewed Occupational !nformat~on or Contributor Contributing Committee's ID# Aggregate Code 1 I Code 2 Page ,;'/ Line i Arhe & Co [] New enW 722 Country Club Rd $ 500 00 [] Correcting [] Deleting Eugene OR 97401 5/16/04 $ 500.00 B CA Page _ Line Eugene Chamber PAC [] New Entry 1401 Willamette St. $ 155 38 Z El Correcbng [] Deleting Eugene OR 97401 5/12/04 $ 1,655 38 C t IK Page Line Eugene Chamber PAC [] NewEntry 1401 Willamette St $ 1,286.94 L [] Correcting [] Deleting Eugene OR 97401 5/14/04 $ 2,942.32 C t Page Line Eugene Chamber PAC [] NewEntry 1401 Willamette St. $ 1,164.88 P [] Correcting [] Deleting Eugene OR 97401 5/14/04 $ 4,107 20 C [ Page _ Line Eugene Chamber PAC [] NewEntry 1401 Willamette St $ 87¢ 42 S [] Correcting [] Deleting Eugene OR 97401 5/17/04 $ 4,980.62 C I I K See FOR OFFICE USE ONLY Instructions on Back and - ?F-- ~* /,~ ' in Campaign ' Finance Signature of candidate or treasurer Manual PC2 v ~; ~ ,/ Amendment Date signed PC Summary Statement of Contributions and E×pe ditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name): Nancy Nathanson for Mayor Mailing Address as it Appears on Statement of Organization (street, route or box number, cky, state, zi-p code): 2516 Hawkins Lane, Eugene OR 97405-1203 TreasureFs Name: Telephone Number (dayk Steve Robinson 541~345-8683 Committee iD Number: I Committee T;y~e, Measure N~lmber or Office: Mayor, City of Eugene [~ Original [5~ Primary 2004 El General 200i4 [] Other __ [] Amendment [] 1st Pre-election [] 2nd Pre-elect(ca [] Post-election [5~] September Supplemental A-TOTM~S FOR TH~S g-Ct;MU~^T~VE ACCOUNTING PERIOD FOR THIS ELECTt[ON CONTRIBUTIONS I. Cash Conkributions 8000 00 91867.00 eAccoanting Period Total fi.om PC 2l 2~ Loans Received (Non-Exempt) + 0.00 + 0 00 (Accounting Period Total fi.om PC 2 ~ 3. Total Cash Contributions = 8000.00 = 91867.00 (lines 1+ 2) 4. In-Kind + 0.00 + 3526,74 (Accounting Period Total from PC 2~ 5. TOTAL CONTRIBUTIONS = 8000.00 = 95373~74 dines 3 + 4) EXPEND)TUBES 6. Cash Expenditures 5938 09 89681.93 ~Accounting Period Total l~rom PC 3~ 7. Loan Payments (Non-Exempt) + 0 00 + 0 00 (Accounting Period Total from PC 3) 8. Total Cash Expend(tares = 5938.09 = 89681 93 dines 6 + 7) 9, in-Kind + 0 00 + 3526.74 (Accounting Period Total fi.om PC 2) 10. TOTAL EXPENDITURES = 5938.09 = 93208 67 (lines 8 + 9~ CASH BALANCE l I. Beginning Cash Balance 898 80 FOR OFFICE USE ONLY (Ending Cash Balance tkom previous report~ 12. Total Contributions + 8000.00 (line 5) 13. Other Receipts + 79 18 (Accounting Period Total from PC 4Al 14. Loans Received (Exempt) + 0 00 (Accounting Period Total fi.om PC 4Al 15. CONTRIBUTION SUBTOTAL = 8977.98 (lines Il + 12 + 13- 14) 16. Total Expenditures 5938.09 17. Other Disbursemems + 0 00 /Accountina Period Total from PC 4B} 18. Loan Payments (Exempt) + 0.00 (Accounting Period Total from PC 4 B) 19. EXPENDITURE SUBTOTA-L = 593809 (lines 16 * 17 4~ 18) 20. ENDING CASH BALANCE = 3039 89 (line 15 m~nus line 1% P£ Please ~e or print legibly ~ black ~. Page 2 of 2 C~didate or Pofitmal Commi~ee Name: ~ Co~ee iD Number: Nancy Nathanson for Mayor ~ ~igNal ~ Amen&nent ~ 1st Pre-election ~ 2nd Pre-election ~ Post-election ~ September Supplemental LOAN 8OMMARY FOR OFFICE USE ONLY 21. Beginning Outstanding Lo~s 0 00 (Total Outst~ding Loans from previous rcpoa} 22. Loans Received ~on~Exempt} + 0 00 (linc 2} 23. Loans Received {Exemp0 + 0 00 tiiae 14} 24. LOANS ~CEIVED SUBTOTAL = 0.00 (lines 21 + 22 + 23) 25~ Lo~ Payments tNon-Exempt) (line 7} 26. Loan Pa~ents (Exempt} + 0.00 dine 27. Forgiven Lo~s + 0 00 (Total lo~s ~brgtven during th~s accounting period1 28. LOAN PAYMENT SUBTOT~ = 0 00 {lines 25 * 26 +27) 29. TOTAL OUTSTANDING LOANS = 0.00 dine 24 minus line 283 PERSONAL EXPENDITURE SUmmARY 30, Beg~[ng Outs~d[~g Personal ~xpcn~tu~cs 0~O0 (tir, e 36 of previous report) 31. Personal Expend(rexes + 0 00 (Accounting Period Total from PC 3A} 32. PERSFONAL EXPENDITU~ SUBTOTAL = 0 00 (hues 30 + 31 ~ 33. Personal Expendit~e Re~b~semen~s 0 00 (Total expenditures on PC 3 with pm'pose code R) 34. Forgiven Pemonal Ex~ndimxes + 0.00 (Total personal expenditures lbrgiven ibis acctg, period) 35. ~I~L~SEMENT SUBTOTAL = 0 00 {lines 33 -I- 34) 36. OUTST~D~G PE~ONAL EXPENDITURES = 0.00 (hue 32 minus line 35} FiNANCiAL STATUS AT CLOSE OF ACCOUNTING PER~OD 37. End(ag Cash Balance 3039 89 (hue 20) 38. Accosts Receivable + 0.00 (Accounting Period Total from 39. SUBTOTAL = 3039 89 {lines 3~ + 40. Total OutstandLng Loans 0 00 tline 29} 41. Outst~d~g Personal Expenditures + 0 00 0(ne 36) 42. Accounts Payable + 0 00 (Accounting Permd Total from PC 6) 43~ SUBTOTAL = 0 00 (lines 40 + 41 * 42} 44. BALANCE/DEFICIT = 3039 89 (line 39 minus line 43- indicate + or ~ balance) 1~ Ste~re ~cbzr~so:~ (name of candidate or h-eas~er), hereby ce~ify that the above statement and the a~ached supposing reports are true arid co=ect. Signature of candidate or treasurer Date signed ug/uS/'2004 17 32 FAX 503 371 1082 FedEx_Kznko's_$alem,OR [~0,)1/0u2 ~Kinko's. Fax Cover Sheet O~e and Pr~ C~nt~ FedEx Kinko's of Salem, 0~: Phone: 503.375,8340 Fax: 50;3.375.3988 Date ~. - ~. ~..© ~ ........ Number of pages ~_ (including cover page) To: From: Telephone ....... Telephone ~ ~ _? ~ 7 ~ %.~?~ Commenm More than 1,200 locations worldwide. For the location nearest you, call 1,800,2, KINKOS, Visit our webslte at ~edexklnkos,com, u8/08/2004 17 32 FAX 503 871 1082 FedEx_Klnko's_galem,OR Nan~ Na~an~n ~r Mayo~ ~0~ O~f~CE US~ ONLY ~. Lo~s ~eivca ~e~) + O_OO 27, Fo~v~ ~ + 0.~ - 29, T~AL OUSTinG ~S ~ 0,~ 32. PE~ON~ ~E~h'O~E $~TOT~ - 0.00 ~9.SUBT~I AL - ~ 37 * 43. ~TOT~ (~ 3~ ~ ~ 43: ~d{~ + or - PC 2 Cash Contributions, Loans Received and n-Kind Candidate o~ Political Committee Name: Comanittee iD Number: Nancy Nathanson for Mayor Page I_ of 1_ E~ection: ~ Primary 200_4_ [] General 200.A4 [] Other__ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [~ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contr~butor Type CODE 2: Contribution Type B Business Entity CA Cash C Polifica~ Cormnittee (k~ctudes bus~ness and union PACs) CO Cosigner Obligation F Candidate's lmmediate Family Cncludes candidate) [K ln-Kk~d I individual LR Loan Received L Labor Organization O Other P Polkical Part5' Committee Amount of ~n-K[nd Purpose Dne # Name and Address of Contributor Contribution (see m~nual for suggested purpose codes) Date Received Occupahonal ln~ormation, Contributing Contributor Committee's ~D#, or Description if Code ~ ~s "0' Aggregate Code ~ Code 2 Harry Ritchie Jeweler, I 956 Willamette St. $ 500 00 Eugene OR 97401 ~/9/04 $ 500.00 B CA Zip-O-Log Mil~s, ~nc. 2~ PO Box 2130 $ 1500 00 Eugene OR 97402 ~/9/04 $ 1500.00 B t CA Comcast Financia~ Agency Corp 3. 183 ~nverness Drive West $ 2000.00 EnOewood CO 80t 12 ~/9/04 $ 2000 00 B I CA Oregomans for Affordable Housing 4. 375 Taylor Street, NE $ 3000.00 Salem OR 97303 6/17/04 Committee ¢2069 $ 5000.00 C CA Morse Bros. 5 32260 Old Hwy 34 $ 1000.00 Tangent OR 97389 8/12~04 $ 1000~00 B I CA See Page Totals (Add a~l amoums with [he same Accounting Period Totals (Complete only' for last page and lastrncfions contribution type. Do not include aggregates~) transfbr hhese amour~ts re the Summary Statemer~t, PC 1~ ~ on geck and Cash (CA) $ 8000 00 Cash (CA) $ 8000~00 ~n Campaign km~-on Smmaap_, Statement, Co~m~n A Line 1 F[~tance in-Kind (IK) $ __ In-Kind (1K) $ __ J~aaaal £~ter aa sting, mm3, st.a~e~r~ent c{>im~n A. Lines 4 and 9 Loans Received (LR} $ ~ Loans Received (LR) $ _ PC 2 Enmr ,~r~ Sdlmnary Stateroom0. Column A. Line 2 PC 3 Cash Expenditures and Loan Payments Candidate or Political Committee-Name: Committee i D Number: Nancy Nathanson for Mayor Page 2 of& Ejection: ~1 Primary 2004 [] General 200_&4 [] Other __ Report: [] I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV} O Other Advertising (sard signs, bullons, etcJ LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) t interest Payment U Ufilkies L Mteratu~re, Brochures. Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Payee's Name and Payee's Committee ID¢, Exp, Amount of Line # Date Check # if applicable Purpose Type Ex,r~nd~ture Paid (as it appears on invoice, receipt or check) to A/P 1. 6/11/04 1063 Qwest G CA $ 24.47 E~ 2. 6/12/04 1103 QSL Pdntmg L CA $ 40.00 3. 7/24~04 1065 Edgewater Strategies A CA $ 5222.00 E~ 4. 6/12/04 1101 Labels & Lists O CA $ 526.62 [~ 6/14104 1064 Peter Barte~ A CA $ 53 00 E~ 6/12/04 1102 McKenzie River Broadcasting Z CA $ 72.00 E~ 7. $ 9. $ [~ Page Totals (Add all expendkures with the same Aeeo~ting Period Tota~ (Complete only fbr last page ~d See ex~ndit~e type,) ~ans~kr these amo~ts to the Summm~ Statement, PC 1,> l~str~ctie~s gaek and C~h (CA) $ 5938.09 Cash (CA) $ 5938.09 Campaig~ E%re~ ,m Smnmary Stateroom Cobmn A. Line 6 M~nu~l Lo~t Pavmem (LP) $ Loan Paymem (LP) $ ' ~ Enter on Sttmmary S~tement. Colmnn A. Line 7 PC 3 PC 4A Other Receipts Candidate or Political Committee Name: Committee ~D Number: Nancy Nathanson for Mayor Page ~_ Election: [] Primary 200__~4 [] General 200~4 [-] Other__ Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Receipt Transactinn Type Codes EL Exempt Loan Proceeds FM ltems Sold at Fair Market Value IN Interest/Investment income OM Miscellaneous tprovide a description) RF Refunds. Rebates and Returns Date Name Other Receipt Line # Received (required f_or codes EL, OM and RF, Transaction Type Other Recect Amount optional for codes FM and IN) Code 1 6/30-8131104 Oregon Community Credit Union (OCCU) IN $ 2 18 2. 6/8-6/30/04 Cash - %shirt sales FM $ 77 O0 3 $ $ $ $ $ 9. $ 10. $ See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only ~br last page and Instructions Type Codes specified.} transfer these amounts ~o the Summary Statement, PC 1.) on Back and Codes FM, IN, OM, [@' $ 79 ~ 8 Codes FM, 1N, OM, tLF $ 79 ~ g Campaign Ente~ on Summar5 5ta~ement, Cokmm A. Line 13 Finance Manual Code EL $ 0 00 Code EL $ 0 00 Enter o~ Sm~unary S~atement. Coktmn A, Line 14 PC 4A PC 9 Report of Expenditures I ade by an Agent ,:,03 Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor Pa~e 1 of'2 Election: [] Primary 200_3_4 [] General 20__ [] Other __ Report- [] 1st Pre-election [] 2nd Pre-election [-~ Post-election [] 2004 September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINt[TIONS Complete the information in this box for each payment made to an agent and then provide the detail of expenditures made by the agent in the spaces below: The following expenditures were made by EDGEWATER STF~TEGIE$ (name of agent). The payments to the agent are listed on: Form (circle one) Page # Line # Check # Amotmt PC 2, PC 3 or PC 6 1_ 3_ 1065 5,222 O0 PC 2, PC 3 or PC' 6 PC 2, PC 3 or PC 6 Payee's Name Purpose Amount of Line # Date (as ¢t appears on ¢nvo~ce, recetpt or check) (see purpose codes Expenditure on back of form) 1. 5/1/04 Albertson's P $ 37 00 2. 5/31/04 Edgewater Strategies Z $ 3,185 O0 3 5/31/04 Edgewater Strategies M $ 2,000 O0 4 $ 5. $ $ 7 $ $ $ 10 $ See Instructions Page Total of Agent Expenditures: $ 5222.00 on Back and in Campaign Complete this box only for last page oft he detail of expenditures made by this agent. Finance Manual Total Amount of Agent Expenditures: $ 5222 00 Unexpended Balance {if any): $ __ PC 9 (report this amount as an account receivable on form PC 5) PC 9 Report of Expenditures Made by an Agent Re, 1203 Candidate or Political Committee Name: Committee tD Nttmber: Nancy Nathanson for Mayor Pane 1 of 1 Election: [5~ Primary 2004 [] General 20__ [] Other__ Report: [] let Pre-election [] 2nd Pre-election [] Post-election [] 200_!4 September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Complete hhe inibrmation in this box fbr each payment made to an agent and then provide the detail of expenditures made b> the agent in the spaces below: The following expenditures were made by PETER BARTEL Iname of agent). The payments to the agent are listed on: Form (circLe one/ Page ~ Line # Check # Amount PC 2, PC 3 or PC 6 I $ 1064 53.00 PC 2, PC 3 or PC 6 PC 2, PC 3 or PC {5 PC 5 tofprior report) I Payee's Name Purpose Dne # Date (as ~t appears on ¢nvo~ce, receipt or check) (see purpose codes Amount of on back of form) Expenditure 1. 4/9/04 Earthhnk U $ 21.95 2 5/9/04 EartNink U $ 21.95 3 6/t 3/04 InstaPrmt L $ 9 10 4 $ 5 $ 6. $ 7 $ 8 $ 9, $ $ See instructions Page ~otal of Agent Expenditures: $ 53 00 on Back and in Campaign Complete this box only l'br last page of the derail of expenditures made by this agent. Finance Manual Total Amount of Agent Expenditures: $ 53 00 Unexpended Balance (if any}: $ __ PC 9 /report this amount as an account receivable on ~brm PC 5) PC 1 Summary S atement of Contributions and Expenditures Please type or print legibly in black ink, Page 1 of 2 Candidate or Political Committee Name (use full name/: Nancy Nathanson for Mayor Mailing Address as Jt Appears on Statement of Organization (street, route or box number, city, state, zip code): 2516 Hawkins Lane, Eugene OR 97405-1203 Treasurer's Name: I Telephone Number (daF,): Steve Robinson I 541-345-8683 Committee ID Number: t Committee Type, Measure Number or Office: Mayor, City of Eugene [~] Original [] Primary 2004 [] General 200_~4 [] Other __ [] Amendment [] 1 st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULAT[¥E TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions 8000.00 91867.00 (Accounting Period Total from PC 2) 2. Loans Received (Non-Exempt} + 0 00 + 0.00 (Accounting Period Total ~rom PC 2) 3. Total Cash Contributions = 8000.00 = 91867.00 (lines 1+ 2) 4. In-Kind + 0.00 + 3526.74 (Accounting Period Total from PC 2) 5. TOTAL CONTRlgUT[ONS = 8000.00 = 95393.74 (lines 3 4- 4~ EXPENDITURES 6. Cash Expenditures 5938.09 89681 93 (Accounting Period Total from PC 3) 7. Loan Payments (Non-Exempt) + 0 00 + 0.00 (Accounting Period 1-oral from PC 3} 8. Total Cash Expenditures = 5938 09 = 89681 93 {lines 6 + 7) 9. In-Kind + 0 O0 + 3526.74 (Accounting Period ~[otal from PC 2) 10. TOTAL EXPENDITURES = 5938.09 = 93208.67 (lines 8 + 9) CASH BALANCE 11. Begirming Cash Balance 898 80 FOR OFFICE USE ONLY (Ending Cash Balance from previous report) 12. Total Contributions + 8000.00 (line 5) 13o Other Receipts + 79 18 (accounting Period Total from PC 4A} ~? ~ !V!~ 14. Loans Received (Exempt) + 0 00 ~ ~- : ~ (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL = 8977 98 ::' (lines ll + 12 + 13 + 14) 16. Total Expenditures 5938 09 /*~ '- - ;'-- :~ · 17. Other Disbursements + 0 00 (Accountina Period Total from PC 4B } 18. Loan Payments (Exempt) + 0 00 (Accounting Period Total from PC 4B~ 19. EXPENDITURE SUBTOTAL = 5938 09 Ihnes 16-. 17~ 18) 20. ENDING CASH BALANCE = 3039 89 (line 15 minus line 19) PC 1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: Committee ID Number: Nancy Nathanson for Mayor [-'l Original [] Primary 200_~4 [] General 2004 [] Other __ [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 21. Begim~ing Outstanding Loans 0 00 {Total Outstanding Loans l?om previous report) 22. Loans Received (Non-Exempt/ (line 2l + 0 00 23. Loans Received (Exempt) + 0.00 dine 14) 24. LOANS RECEIVED SUBTOTAL = 0 00 I hnes 21 ~ 22 + 23) 25, Loan Payments (Non-Exempt) 0 00 (tine 7) 26. Loan Payments (Exempt) + 0 00 (line 27. Forgiven Loans + (Total loans ;~brg~ven dunng tMs accounting period} 28. LOAN PAYMENT SUBTOTAL = 0 00 (lines 25 +- 26 +27) 29. TOTAL OUTSTANDING LOANS = 0 00 dine 24 minus hne 28l PERSONAL EXPEND)TURE SUMMARY 30. Beginning Outstanding Personal Expenditures 0 00 (line 36 ofprewous report} 31. Personal Expenditures + 0.00 (Account,ng Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL = 0 00 (lines 30 + 31) 33. Personal Expenditure Reimbursements 0 00 (Total expenditures on PC 3 w~th purpose code Rt 34. Forgiven Personal Expend{tm'es + 0.00 (Total personal expenditures Ibrgiven tMs acctg, period) 35. REIMBURSEMENT SUBTOTAL = 0 00 Ilmes 33 + 34) 36. OUTSTANDING PERSONAL EXPENDITURES = 0 00 (hne 32 minus hne 35~ RNANO~AL STATUS AT CLOSE OF ACCOUNTING PER~OD 37. Ending Cash Balance 3039 89 {line 20} 38. Accounts Receivable + 0 00 (Accounting Period Total from PC 5 ~ 39~ SUBTOTAL = 3039 89 (lin~s 37 + 38) 40, Total Outstanding Loans 0 00 (line 2% 41. Outstanding Personal Expenditures + 0 00 (line 361 42. Accounts Payable + 0 00 (Acconnnng Period Total from PC 6) 43. SUBTOTAL = 0 00 (lines 40 + 41 + 42) 44. BALANCE/DEFICIT = 3039 89 (hne 39 minus hne 43: indicme + or ~ balance) k S'ceve RobS_r~sorx (name of candidate or treasurer}, hereby certify that the above statement and the attached supporting report, s are true and correcL Signature of candidate or treasurer Date signed