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HomeMy WebLinkAboutGeorge Poling for City Council Summary ,mtement of Contributions a,Jd Expenditures Plca,,c type o~ p~ mt Icgd*ly m black mk, Canddatc o~ Polihcal Commdtce Name (usc fifll name). Marling Ad&bss as ~I Appcms on Statement of( hgam/almn (q~ccl, ~outc or box ri,tuber, c~ty, stale, zq~ code) ]'lca~urcFs Name' Tclephone Number (day). A('('OUN [ lNG PERIOD FOR '[ HIS ELEC'[ CONTBIBUTIONS i Cash Cold~]bul~ons (Ac~mmtmg fel:ud ~ oral flora PC 2) Z hx.:s Rccei~ed (Non-Exempt) + + (Accounting Period Total flora PC 2) 3. Total Cash Contributions (hncs { t 2) = = - 4, ln-Kmd + + (Accounting Period q oral tion: f'(' 2) 5. TOTAL CONTRH{UTIONS (hncs 3 i 4J EXPEHD]TUHES 6 t'ash Fxpcnd:tmcs (Ao:ouhtmg Period It)Iai lmm PC 3) 7. Loan Payments (Nond;xcmpt~ + 4 (Accounlmg Peered l'otal flora PC 3) Total Cash Expcmhtures = = 9 In-Kind + (Accmmimg Period Total ~?om PC 2) 10.TO FAL EXPENDITURES ~hncs 8; 9) CASH BALANCE 1 l Begmmng Cash Balance (Fndmg Cash Bak.:ce thm~ p,cv.,us ~c'po:t) ; FOR OFFICE USE ONLY 12 '[ O(a[ Contributions * + Omc 5) 13. (}thor Recc:pts + ( Accounting Pe:md 'l oral from PC 4A) 14. Ioans I{ccc~ed (l{xcmpt) + (Accounting Permd [ oral lh.n PC 15 CONTRIBUTION SUBIOTAL (hnesl[ + 12 ~ 134 14) 17 Other D~sburscments + (Accou,tmg Permd R~tal flora PC 4B) 18 [ o,m Paymenls (Exempt) + I9 EXPI~NI)ITURI: SUBTOTAL . Lxkj. (l,neq 16 ~ I 7 * 20ENDING CASll BALANCE ii:nc 15 mm::~ linc Summary Stat ,nent of Contributions and xpenditures Please [ype o~' print legibly m black mk Page 2 r,f2 I C'omm~[~ec ID Number Can&date or Pohu~al Com~umtte¢ Name: ~ On[real ~ Primary 20 E General 20 e:. ~ Other ~ Amendment ~ 1st Pre-clecuon ~ 2nd Pre-elccuor~ ~ Post-cdecuon ~ September Supplemental LOAN SU~ASY [OR OFFICE USE ONLY 2t. Beginning Outstanding Loans tTo~al Outstan&ng Loans from pfc5 bouq 22 Loans Rece~¥ed/Non-Exempt) + 23. Loan~ Received (Exempt) (hnc 14; 24 LOANS ~CEiVED SUBTOTAL (hne~ 21 - 22 n- 23; = 25, Loan Payments (Non-E:~empt) ( hn¢ 7 ) 26. Loan Pa)~entb (Exempt~ + 27 Forgiven Loans (Total lomas forg~x en during th~ accoanung per:od} 28 LOAN PAYMENT SUBTOT_~ ~hnes 25 + 26 .27} 29. TOTAL OUTSTANDING LOANS dine 24 minus hne PE~$ONAk EXPENDiTUrE SUmmArY 30. Be[tatung Omstandmg Personal Expen&tures (hue 36 ct pre~ ~ou~, 31 Per~on.d Expenditures (Accotmtmg Period Total hum PC 3A~ 32. PERSONAL EXPENDITU~ SUBTOTAL (hncs 30 -- 31; 33 Personal Erpen&mre Rem~bursemcnts (Total expendittu'es on PC 3 with purpose codz R} 34. Forg~,~en Pelsonal E rpendnm'es + {Total personal cxpend~tmes k,rg~cn lh~5 2c~ tg penod} 35 ~IMBURSEMENT SUBTOTAL (hae~ 33 + 34/ 36 OUTSTANDLNG PERSONAL EXPENDITU~S <line 32 minus linc 35~ FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD ~,~ Ending Cash Bahmce /hne 20) - ~ 3~ Accounts Rece~vabte + (Accounung P~r~od 7oral from PC 5~ 39. SUBTOTAL Cmos 37 -~ 3~ 40 ToLd Outstanding Loans (hne 29} 4i Outstanding Personal Expendl[ures (linc 3o) 42. Accounts Payable (A~.counung Period ToLd from PC 6~ 43 SUBTOTAL = 44 BALANCE/DEFICIT (hnc 39 minus hne 45 re&cate ~ c4 - balance) f. (name of candidate or tres_surcr,h hereby comfy that the abux e staten'lent and the attached supporting reports nrc true and coprect. Signature of can&date or treasurei Date signed