HomeMy WebLinkAboutCarrigan for City Council Summary Statement of Contributions and Expenditures
Please ~ype or print legibly m black mk. Page i of
Candidate or Polltmal Committee Name fuse ~di name):
Maihn~ AddFebb a~Appears on Statement o~ Orgamzat~on, (sa'ecL rou?~ box ntm~be~, c~tv. state, z~p code ~:
T:easJ~c~'s Name. '7 ~' -~' ~ t'~lt~phon~ Number (day ~:
Comm~t~ce }D N~Imber Committee Type, Mea,ufe Number or Ofl~ce.
~ Amendment ~ 1st Pre-elect~on ~ 2nd Pre-elecnon ~ Post-eiect,o~, ~ 20 Septembe~ Supplemental
A-TOTALS FOR TH~S B-CU ~Itrl.AT[¥'E
ACCO['NTI~G PERIOD FOIl THIS ELECTIO~X
GONT~IBDTIONg
I CaM-~ Coatribut~ons
(Ac~om~nng Pcr~od Total Prom PC 2;
2 Loans Received (Non-gxempt~ + +
(Acc~,Lmtmg P~r~od Total fr~r~x PC 2~
3_ Total Cash Contributions
4. fn-Kmd +
(Accounting Pcr~od Total lkom PC 2 ~
CONTRIBUTfO~S
(lines 3 -- 4>
EXPENDITURES
6. Cash E'<penditmes
/Accottmmg PeIlod Total from PC 3>
7 Loa:n Payments/Non-Exempt> ,
(Accounting Per~od Total f:om PC 3~
8. Total Casi~Expenditures = =
times ~ ~ 7)
9 In-Kind + +
tAccountmg Pcr~od Tomi from PC 3;
10 TOTAL EXPENDITL~RES = ~ :., = ,~
CASH BALANCE
'. ~ B=gJnning Cash Balance ~OR OFF~CE USE ONLY
~2Total Co~tnbt]t~ons
( h r~e 5 )
{Accomm~g Pemod 'Folai ~om PC 4A}
14. Loans Recmved (Exempt) + f',t' '~ ~} ~.
(Accotmt~ng Per~od Total from PC 4Al
15. CONTRIBUTION SUBTOTAL ~ r' r~-
16, Total Expendit~lres
17. Other D~sbursemcnts +
(Accounting Period Total !kern PC 4B ~
18 Loan Payments (Exempt) +
/Accomnrmg Period Total ikom PC' 4B~
19EXPENDITURE SUBTOTAL
ihncs 16 ~ 17 + 18}
20ENDING CASH BALANCE
Ihne 15 nnnus hne 19)
PC 1
Summary Statement of Contributions and xpenditures
Please type or print legibly in black ink. Page 2 of 2
Candidate or Political Committee Name: I Committee ID Number:
[]]] Original [~] Primary 20c' ~'¼ [] General 20 [] Other
~ Amendment [] tst Pre-election [] 2nd Pre-election [] Post-electron [] 20 September Supplemental
LOAN SU~IIV~ARY
21. Beginning Outstanding Loans FOR OFFICE USE ONLY
(line 29 of preYtous report)
22. Loans Received (Non-Exempt) +
(line 2)
23. Loans Received (Exempt)
(line 14) +
24. LOANS RECEIVED SUBTOTAL
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt)
(hue 7)
26. Loan Payments (Exempt) +
(tLne
27 Forgiven Loans
+
(Total loans forgiven during th~s accounting period)
28. LOAN PAYMENT SUBTOTAL
(lines 25 + 26 +27) =
29, TOTAL OUTSTANDING LOANS
(line 24 m~nus hne 28) = 2;' ~
PERSONAL EXPENDITURE SU~IARY
30. Beginning Outstanding Personal Expenditures
(line 36 of previous report)
31~ Personal Expenditures
(Accom~tmg Period Total fi'om PC 3A) +
32. PERSONAL EXPENDITURE SUBTOTAL
(hnes 30 + 31) =
33. Personal Expen&ture Reimbursements
(Total expenditures on PC 3 w~th purpose code Rt
34. Forgiven Personal Expenditures +
(Total personal expen&tures forgiven this acctg period)
35. REIMBURSEMENT SUBTOTAL
(lines 33 + 34) =
36. OUTSTANDiNG PERSONAL _ ~
EXPENDITURES -;,3
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37, Ending Cash Balance
(line 20)
38. Accounts Receivable
+
tAccountmg Period Total from i~C 5 }
39. SUBTOTAL
(lines 37 + 38) =
40. Total Outstanding Loans
(line 29)
41. Outstanding Perso_nal Expen&mres + RECEIVED
(line 36)
42. Accounts Payable ~r
(Accounting Period Total fi'om PC 6) +
43. SUBTOTAL
(lines 40 + 41 * 42) = CITY
44. BALANCE/DEFICIT
(line 39 minus line 43: indicate + or - balance) = ~ (~'
,, ~_~ ?% CX~ k (~ k. ~2~: '~ '~ c-.. ~, (name of can&date or treasurer), hereby certify that the above
I,
statement and the attached supporting reports are hue and correct.
Signature k£man&date or treasurer ~ ~ Date signed ~