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Home My WebLink AboutEugene Chamber of Commerce PAC04/12/2~04 13:40 541--484-4942 EUGENE CHAMBER PAGE 02 Statement of Contributions oummary and Expenditures Pleas~ type or print legibly in black ink. Pegc I of 2 Candidate or Political Committee Name (use ~11 name): - Mailing Address as it Appears on Statemeut of OrK.anizatiou (street, route or box nullLbcr, city, state, zip code): Treasurer's Name: Telephone Number (day): Committee 1D NumEer: Committee Type, Measure Number or Office: ,f ~ Amendment [.~ 1 st Pre-election [] 2nd Pre-election [] Post-election [] 20___ September Supplemental A-TOTALS FOR ~Hi$ B-CUMULATIVE TOTALS ACCOUNT~G PRRIOD FOR THIS ELECTION C0NTRISOI'i0SS ~ '1. C~sh Contributions 2. Loan~ Received (Non-Exempt) , (Accounting Period_ Tot~l from PC 2) ~ _ ~ 3, To~al Cash Contributions 4. In-Kind (Accounting Period Total from PC 2> + ~, (.~ v . ~)~.,~;(~ EXPENDITURES 6. Cash Expenditures 7. Loan Payments (lqon-Ex-¢mpt) -- (Accounting Period Total ~rom PC 3) + ~ _ + ~ - 8. Total Cash Expenditures 9. In-Kind + (Accounting Pariod Total from PC 2) _ '~f---"~,(~) ~ + CASH BALANCE l 1. Begirmmg Cash Balance OFF~G~ ONLY 12, Total Contributions 13, Other Receipts _(Acc°unting Per. iod Tom. l from PC 4A) 14. Loans Received (Exempt) + (Accounting Period Total from PC 4A) '~ 9 16, Total Exp,nditur*s 17. Other Disbursements (AccountingP¢~odT0-'fr0mPC4B) + - - RECEIVED 18, Loan Payments (Exempt) + (Accounting Period Total from _P_C_4B) APR! 220l)4 19- EXPENDrrURE SUBTOTAL (line 15 ~nus ~e 19) Summa Statement of Contributions and Expenditures PIc~c ~e or p~t lc~bly ~ black i~. . Page 2 of 2 C~didate or Political Co~ N~'. '~ ~ ~ ~~ } Co~i~ee ID N~ber: ~ ~en~em ~t P~-elecfion ~ 2nd Pre-election ~ Post-elation ~ 20_ S~tember Supplym~tal LOiN 2]. Be~ Outs~d~ag ~oa= -- FOR OFFICE USE ONLY (tm= 29 of~ous 22, ~oa~s Received ~o~-Ex~pt) 23.Loans ReceiVed '(Exempt) (line 14) 24. LOANS ~C~IVED SUBTOT~ (lines 21 + 22 + 23) 25. Lo~ Ps,ems ~on-ExemP0' (lin~ 7) 2g. Lo~ Pa~en~ (Exemp0 O~e 18) 27. Forgiv~ Loans (To~I loans forgiven d~g this acco~ng ~od) + 21. LOAN PAYMENT SUBTOTAL (lines 2~ + 26 ~27) 29, TOT~ OUTSTANDING LO~S (line 24 ~tn~ hne 28) PERSONAL EXPENDITURE SUMMARY 30, Begi~ing Ou~t~ding Perso~l Expend~res (l~ 36 ofpr~io~ repog) 31. Personal Expendi~s (Accoun~8 Period To~l from PC 3A) 32. PERSONAL EXPEND~ (lines 30 + 31) 33. Personal Expendi~e Reimbursements (Total expenditures on PC 3 with pu~s= code R) 34 Forglvm P~onfl Expmdi~es (To~l personal expendim~ forgiven th[~ ~=g~g. ~riod) (li~ 33 + 34) = 36 O~ST~DING PE~ON~ EXPENDIT~S FINANCIAL STATUS AT CLOSE OF A~COUNTING PERIOD 37. Ending C=h 38. Accounts Reeelvable (Accosting Penod Total from PC 5) + 39, ~UBTOTAL (hn~ 37 + 38) 40. Total Outstanding Loans ~ , RECEIVED 41. ~tstan~JnB Pesso~al 42, Accounts Payable (Acco~tin~PeriodTot~ffomPC6) + ~ ~P~ 1 2 - CITY RECORDE ~. BALANCE~EFiC~ (line 39 minus line 43: ~dieate + or-~lanoc) = ~ Si~a~e~~~__ or treasurer Date signed Cash Contributions, Loans Received and In-Kind ~.v.,=., Candidate or Political Committ=e Name: Committee ID Number: Election: ~Primary 20 [] General 20_. ["] Other R~ort: ~ 1 st Pre-election [] 2nd Pre-electio~ [] Post-election [] 20 S~ternber Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE t: Contributor Type CODE 2: Contribution Type B Busincss timity 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 Orgauization O Other P Political Party Committee Line # Name and Address of Con~butor Amount of - In--Kind Purpose Contribution (see manual for $~gested purpose codes) Occupational Information or Contributor I Date Received . Cantrlt~tttlrtlt _Committee's I. D8 Aggregate . .C°de 1 I Code 2 " ,i~c~ ~ ("oc~ooso~ $ t See Psge Totals (Add all mounts wi~ the sam~ Accouufln~ Pe~od Totsls (Complete only for l~t pagc and Ins~ctions con,fibution ~,.Do not includ~ ag~t~ L =nsfcr mesa amounts to me Sum~ Statement, PC 1.) o~Back ~d in Campai~ Cab (CA) ~ Cash (CA) F~n~ce Manual In-Kind (1K) $ In-Kind (IK) ~nler o~ ~u~a~ S~a[emem, Co}um A, Lines 4 ~g 9 PC 2 Loans Received (LR) $ Loans Rec=ived (LR) $ lint~ on Sutamary S~atcmcm, Column A. Linc 2 04/1212004 13:40 54~--484-4942 EUGENE ~H~MBER P~GE 05 Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee ID Number: Election: [] Primary 20 [] General 20, [] Other Report: ~ let Pre-election [] 2nd Pre-election [] Post-election [] 20 Sept~raber Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Ca~h C Political Committe~ (includes business and union PACs) CO Cosigner 0bIigation F Candidate's Immediate Family (i-eludes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 0~ P Political Party Committee Amount of In-Kind Purpo$$ Line # Name and Address of Contributor Contribution (s~ manual for suggested purpose codes) Occupational Information or Contributor Date Received Contributing Committee's IDtt A~gregate Code I ~ Code 2 I OC) ,0 ~ 5. Se~ Pail Totals (~dd all amounts ~ith The same Accoun~ng Period Totals (Complct~ only for I~[ page and I~st~ctions cont~bufion ~. Do not include aggregates ) ~fer ~ese amounts to ~ Su~a~ S~tement, PC I.) on Back ~d in Campai~ C~h (CA) $ tO~, ~ Cash (CA) $ _ Fi~c~ Enter Manual In-Kind (IK) $ In-Cad (IK) $ Emir on PC 2 Loans Received (LR) S Loans Received (LR) $ Enter on Summary Stat=m~nt. Column ^, Linc 2 04/12/2004 13:40 541--~8~-49~2 EUGENE CHAMBER PAGE 06 Cash Contributions, Loans Received and In-Kind Ca~lidatc or Political Committee Name: Co'mmitt~ ID Number: Election: [] Primary 20~ [] Gener~120 [] Other Report: ,~lst Pre-election ._ [] 2nd Pre-el~ction [] 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 PACe) CO Cosigner Obligation F Candi~te's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amou~f of In-Kind Purpose C.o~ntribution (see manuel for suggested purpose codes) Date Received Occupational Inforrnetlon or Con~butor Conttfbuting Committee's IlY~ Aggregate Code I i Code 2 Sca Page Totals (Add all amounts with the same Accounting Period Totlls (Complete only for last page and Instructions contribution t3,pc. Do not include aggregates,) transfer these amounts to thc Summary Statement, PC I,) on Back and in Campaign Cash (CA) $ 14 .C~D,(~j~ ff Cash (CA) $ Fill$.l'lC¢ Eater on Summ~r~ Statement, Cutunm A, Line 1 Manual In-Kind (IK) $ In-Kind (IK) Emer on Sutnmao' Statemem, Colu,am A. LLnCS 4 al~d 9 PC 2 Loans Received (LR) $ Loans Received (LR) $ Enter on Summery St~.tement, Column A, L~ne 2 Cash Contributions, Loans Received and In-Kind Candidate~,~t~ C ~~ 3 ~ ~ ~°r Political Committee Name: ~ Committee ID Number:Page--,---J of~ Election: [] primary 20 [] General 20 [] Othcr .. Rcpo~: J~ 1st Pre-election [] 2nd Pre-election [] Post-election [] 20_ . September SuFplemem~l SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE t: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes b~iness and union PACs) CO Cost.er 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 Contribution (see manual for suggested purpose codes) Date Received Occupetlonel Inforrn~tio~ or Contributor Code 1 Code 2 I See Page Totals (Add all amounts with the same Accounting Period Totals (Complet. only for last page and Instructions contribution type. Do not include aggregates.) transfer these araounts to the Summary Statement, PC 1 .) on Back and in Campai~ Cash (Ca) S C]._~),oO C.~h (Ca) $_ £nMt'on Suxmnary Statement. Columia A. Line 1 Finance Manual In-Kind (IK) $ la-Kind (IK) Eater on Summary Statement, Column ^, Lm=~ a and 9 PC 2 Loans Received (LR) $ Loans Recexved (LR) $ En~er On Summary Statement, Column A, Linc 2 Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee ID Number. R~o~: ~st ~e-election __ ~ 2nd Pre-ele~ion ~ Post-election ~ 20 September Supplem~ SEE BACK ~OR ~STRU~IONS ~D CODE DEFINITIONS CODE q: gontHbutor Typo ~ODE 2: Contribution B Business EntiW CA C~ C Political Co~i~ee (~cludes bminess ~d ~on PACs) CO Cosigner Obligation F Candi~te's I~ediato Family (~cludes candidate) IK In-~nd I ~divid~l LR ~ Received L Lair Org~6on O Other P Political P~ ~ee Line ~ Name a~ A~m~ of Con~b~or Amount of [n-Kind Pu~e ' ContHbution (see manual ~ augge~ed pu~e ~e~) ~pational In~on or Cont~butor Da~ Rscel~d Cont~buting Comm~ee's I~ Agg~gate Code I C~e 2 See Page Tot~s (Add all amoun~ with the same A~eou~fing Pe~od Totals (Compile only for last page and Instructions con~ibution ~. Do not include ag~egates.) / transfer &ese amounts to ~e Su~ Statement, PC 1 ,) on Back and ~ Cmh (CA) $ _ Fl~ance En~t on Su~a~ Smm~ut, Colu~ A, Line 1 Manual In-Kind (IK) $. In-Kind (IK) Enter o~ Su~a~ Sta[eme~t, PC 2 Lo~s Received (LR) S Loans Received (LR) ~ Ent~ ~n Su~a~ Stalement CoIu~ A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind C~ndidate or Political Co-mmi~c Name: Committee ID Number: Election: [] Primary 20_ [] General 20 [--] Other.._ Report: ~i'st Pre-election [] 2nd Pre-election [] Post-election [] 20__ September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Typ® CODE 2'. Contribution Type B Business Entity CA C~sh C Political Committee (includes business and union PACs) CO Cosigner Obhgation F Candidate's Immediate Family (~cludes candidate) IK In-Kind I Individual LK Loan Received L Labor Organization O Other P Political Party Committee Line # Name and Address of Contributor Amount of In. Kind Purpose Contribution (see ma_nual for suggested purpose codes) Occupational Informab'on or ConUfbutor Code I [ Code 2 Date Received , Contribu~in,,~ Committee's ID~f Aggregate ,111 w cc. $ ]o0 ,oo 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 ]~ack and Cssl~ $ J~ in Campaign (CA) ,00 Cash (CA) ~$.~,r on s~a~, st,t~.nt, co~.~ ^, Finance Manual In-Kind (IK.) $ In-Kind (IK) $ I~n~er on SummBry Statej~ent. Column PC 2 Loans Received (LR) $ Loans Received (LR) $ Enter on Summnry Statzment, Coin. ran A. Line 2 Cash Contributions, Loans Received and In.Kind Candidate or Political Committee Name: Committee ID Number: Election: [] Primary 20 [] G~neraI 20 [] Oth~ __ Report: ._ .~_ st Pre-election [] 2nd Pre-election [] Post-election E~ 20 S~tembm' 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 Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Ch'ganization 0 Other P Political Party Committec Line # Name and Address of Contributor Amount of In-Kind Puqx~se _. Contribution (see manual for. suggested puqoos, e_ codes) Occupetional Informetlon or "Contributor Code 1 I Code 2 Date Received Contributtng_Commit~s's ID~ _A~regate O0_JmPIC~ S~e Pale Totals (Add all amoun~ wi~ the same Accountin~ P~riod T~tsls (Complete only for lint page and Ins~ctions com~bufion ~. Do not include aggr~ga~s.~' ~sf~r ~s~ amoun~ ~o ~ Su~a~ Statement, PC 1.) on Back and FinS~C~ En~r on S~ itaze~n~ Colu~ Manual In-Kind (IK) S In-Kind (IK) Enter on Su~ Stammem. ~o[v~ A. Lines 4 ~d 9 PC 2 Loans Received CLK) $ Loans Received (LR) $ Enter on Summary Statement, Coluum A, Linc 2 Cash Contributions, Loans Received and In-Kind Election: .~P~ 20. ~ ~a120 ~ O~er Report: ~ st ~-el~fion ~ 2nd Pre-election ~ Post-election ~ 20~ September Suppl~m~n~l SEE BACK FOR INSTRUCTIONS ~ CODE DEFINITIONS RODE l: Oontributor Ty~ GOD~ 2: gontrlbuflon Type B Business Enti~ CA C Political Co~ee (includes b~iness and umon PACs) CO Cosi~er Obligation F C~di~t~'s l~ediate F~ily (includes c~di~te) IK In-~d I ln~vid~ LR Loan R~eived L ~b~ Org~i~fi~ O Other ~ount of In-~nd Pu~ Uno ~ Name and Addmss of Con~b~r ContdbuU~ (see manual for suggested pu~e ~u~onal Info~abon or Con~b~or Date R~l~d Con~buting Commie's I~ Aggmge~ ~de f ~ C~e._ 2 See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Inslmc~ons con~bulion ~e, Do not include agrees.) ~nsfcr these amounts to ~e Su~ Statement, PC 1 on Back ~d Finance Man~l In-Kind (IK) $ In-Kind (IK) $ Enter on Su~ $ml~nt, Colum PC 2 Loans Recmved (LR) $ ... Lo~s Received (LR) $ Enter on su~a~ Sta~e~nt, Colu~ A, Line .... 0~4._/~2/_2~8_8.4 13:40 54']--484-4942 EUGENE CHAHBER PAGE 1'2 PC Cash Contributions, Loans Received and In-Kind Candidate or Political Commi~ee Name: ~' _ Committee ID Number: Election: ~Pfi~ 20 ,, ~ G~er~ 20__ ~ ~ Re~; ~lst Pm-election ~ 2nd P~-eloction ~ Post-elation ~ 20,_ ~ S~mb~ Su~Iemenml SEE BACK FOR ~STRUCTIONS AND CODE DEFINITIONS CODE ~: Contributor Type CODE 2: Contribution Type B Business Enfi~ CA C~h C Political Co~ee (includes bmine~ and u~on PACs) CO Cosi~ Obligation F C~d/date's I~iate F~ily (~cludes candi~te) IK In-K~d I Individual LR Loan Receiv~ L Lair Org~i~tion O Other P Political Pa~ Go~ittee Line ~ Na~ and Addmss of Con~b~or ~ount of In.~nd Pu~ Con~b~ (~o manual ~r s~ge~ ~o~ C~ 2 , See Page Totals (Add all ~mounts with the same Accounting Period Totals (Complete only for last page and Instruct]oas contribution type. Do trot include aggregates.) transfer these amounts to thc Summary Statement, PC 1,) i~ CampaSnCasa(CA) s tt.'~°~--~ ¢ cash (CA) FinaBce Enter ola Summnry Stat¢~l~l, Col~al~ A, Ltn~s 4 and ' PC 2 Loans Received (LR) $ Loans Received (LR) J~nter on ~uml~t3/Sta~lllent, C~[U~I~ A, Lme 2 Cash Expenditures and Loan Payments Candidate or Political Committee Name: Committee ID Number: Election: ~_,.,Primary 20,~ [] General 20 [] Other Report: ~st 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 0 Oth~rAdv~tising (ya~ signs, buuom, etm) CA C~h B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment ' C Cash Contributions R Reimburs,mmat for Personal Exl~mditures F Fundrais/ng £wat Expenses S Su~eys and Polls O G-caeral Operational Expenses (describe if over $$0) T Travel Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Manag=ment Services Y Petition Circulators N Newspaper alld Other Periodical Advertisiag Z Preparation and Production of Advertising Payeo's Name and t:'ay~e's Commiffoo tt~, £xp, Amount of Line # Date Check # if applicable Purpose Type Expendltur~ Paid (aS it appears on hvoice, receipt or check) to A/P $ See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) transfer these amounts to the Summar~ Statement, PC ~.) in Campaign Cash (CA) $ Cash (CA) $ ' I Enter on Summal7 St~slement, Column A, Line 6 Fmance Manual Loarx Payment (LP) $ _ Loan Payment (LP) $ gnl=r on Summary Statement, (~olUrm~ PC 3 0~/12/~004 13:~0 5~1--~4-~4~ ~U~E~E CHAMBER PAGE ~c-~ Cash Expenditures and Loan Payments Candidate or Political Contrmttee Name: fl^~ Committee ID Number: Election: [] Primary 20_ [] General 20_ [] Other Report: J~ st Pre-election [] 2nd Pre-election [] Post-election [] 20 September Supplem~tal PURPOSE CODES (see back of form for Instructions and code definitions) EXPENDITURE TYPES A Agent O Other Advertising (yard signs, butmm, etc.) CA Cash B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment C Cash Contributions R Reimbursement for Personal Bxpendimr~s F Fundraising Event Expenses S Surveys and Polls G General Opa-ational Extmises (describe ifov~r $50) T Travel Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Y Petition Circulators bl Newspaper and Other Periodical Advettlsing Z Preparation a~d Production of AdverQsing Payee's Name and Payee's Committee ID~, Exp. Amount of [] Line # Date Check # /f applicable Purpose (as it appears on Invoice, receipt or check) Type Expenditure Paid to A/P 3. $ "1 8, $ [--] 9, [-1 10, $ See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) / transfer these amounts to the Summary Statement, PC 1.) in Campaxgn Cash(CA) $ i~t Cash(CA) $ Finance Enter Manual Loan Payment (LP) $ Loan Payment (LP) $ En[er on Summ~r~ Stateme~t~ Cohh'0g A, Linc ? PC 3 Summa S tement of Contributions and Expenditures Plebe ~epr p~t legibly~m bl~k ~.. _. Page 1 of 2 C~di~te or Political ~o~ee N~e (use ~I n~e): ~ - Mailing Address as i~ Appegs on Stammer of Org~kation (strut, route or box n~b~r, ci~ state, zip code): Trc~'s N~c: -- [ Telephone N~b~ (~y): C~e, ID Numb,n Co--in** ~o, Me~e Nmb~ or Office: ~ ~en~nt ~1 ~t Pm-,l, cfi~' ~ 2nd Pr~-olecfion ~ Po~t~l~c~on ~ 20 Septemb~ Supplemen~l ~-TOT~8 ~R T~8 ~UMU~ATI~ TOT~S ACCO~T~G ~E~OD FOR T~IS gLgCTION 1, C~ Con~bu~om (Accosting Period Total from PC 2) l ~ % ~, ~ ~ lq~ 2. ~ans Received ~on-Exempt) + (A~t~ Period To~ ~m PC 2) ~ 3, To~I Cash Con~bufions 4, In-~nd 5. TOTAL CONT~BUTIONS EXPEN~mRES 6, Cash Expenditures 7. Loan Pa~ents ~on-Exempt) + (Accouni~8 Pefi~ To~l ~m PC 3) ~ 8. Total Cash Expenditures = 9, In-Cad (Acco~t~g Period ro~l from PC 2) +_ ~~_ .~3 + ~~ I0, TOT~ [XPENDIT~S CASH B~ANCE ' ' 11. Beginn~8 Cmh 12, To~l Conffibu~om 13, O~er Receip~ + (Acco~t~g P~fiod To~l ~om PC 4A) 14. Loans Received ~xe~pt) + (A~o~ti~ P~ To~I ~om PC 4A) 15, CONVOLUTION SUBTOTAL 17.~herDisbursements + - APR $ 7004 (A~oundng Period Tot~ ~m PC 4B) 18. LO.. Paymcn. (Exempt) + CITY 19, E~E~I~ SUBTOTa (lines 16 + 17 + 18) = I.~ ~a'~ { ~0. ENDING CASB BA~NCE PC ! Summary Statement of Contributions and Expenditures Please type or prim legibly in black ink. Page 2 of 2 Ca=didate or Political Committee Name: · [~Amendment [~,lst Pre-election [] :nd Pre-election [] Post-election [] 20 ,. September Supplemental 1.0AN SlJMMA Y 21, B~'ginning Outstanding Loans FOR OFFICE 0$F ONLY (line 29 of previous report) 22. Loans Received (Neff-Exempt) - (line 2) 23. -Loans Received (Ex'pt) (hne 14) 24. LOANS REC]~IVED SUBTOTAL (haas 21 + 22 + 23) _ --- 25. Loan PayIItcnts (Non-Exempt) (line 7) 26, Loan Payments'(Exempt) (line la) + 27. Forgiven (Total loans forgiven during this accounting period) _ 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) ' 29." TOTAL OUTSTANI)ING LOANS (line 24 minus line 28) = PERSONAl. EXPENDITURE SUMMARY 30~ Beginning OutstandLllg Personal Expenditures '- ' (line 36 ofprevmus report) 31. Personal Expenditures (Accounting Period Total ~'om PC 3A) 32, PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) 33. Personal Expenditure Re~mbursemems (Total egp~aditurcs on PC 3 with purpose code R) 34. Forgiven Personal Expenditures (Total personal expenditures forgiven thig a_ectg, period) 35. P~IMBURSEMENT SUBTOTAL " (lines 33 + 34.) ~ _ 36. OUTSTANDING PERSONAL EXPENDITURES FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD- 3i. Ending Cash Balance 38. Accounts Receivable (Acco.tinting Period Total from PC 5) + 39. SUBTOTAL 40, Total Outstanding Loans (lin~ 29) 41. Outstanding Personal Expenditures (liae 36) + ~ - 42. Accounts Payable (Accounting Period Total from PC 6) + 43. SUBTOTAL (lines 40 + 41 ~ 42~ (li.e 39 minus l~ne 4~: indicate + or- balance) ~' I~~'~ I st,t~po1'ting reports a,, true and correct. 4/~(/~' '~ignature~ canclidate or treasurer Date signed 0~/27/200~ 13:18 541--484-4942 EUGENE CMAMBER PAGE 04 _pc 2, Am®ndments-¢ash Contributions, Loans Received and In-Kind Candidate or Political Co~nittee N~me: ~:~f, Cf~ ~~ Co~i~ee ID Number: Election: ~PHm~ 20 ~ ~ O~ 20 ..... ~ O~ R~o~: ~ 1st Pre-elecfio~ ~ 2nd Pre-election ~ Post. el~on .... ~.? S~tem~ Supplem~ml SEE BACK FOR ~STRUCTIONS ~D CODE DEF~IONS ~O~ ~: Contributor Typ~ COD~ ~: Contribution T~ B Bus.ess ~fi~ CA Cash C Political Co~inee (includes bminess and ~ion PACs) CO Cosi~er Obliga6oo F C~di~te's Imediste F~ly (includes mdidate) IK In-~nd I In~vidual LR Lo~ Received L Mbor O Other P Political P~ Co~i~ A~iM PMe ~ Name a~ Address of Co~butor A~unt of In.~nd Pu~e a~ Line ~ Cont~b~on (see manuel for sugge~ pu~se ~u~al In~aUon or ContSbutor Date Receded Contdb~ing Commt~ee's I~ Aggmge~ C~e 1 i .C~e 2 0 ca~lng ~ O~l~t~ng ~ ,,, 0 N~ ~ $ ~ Oele~n9 Page.~ Llne~ ~ N~ Ent~ $ ~ Deleting .... $ ~ N~ Ent~ ~ ~el~mg -' $ Sec FOR OFFICE USE ONLY ~s~ct[o~s De ~ack a~d in Campai~a ~ - Financ~ Si~a~r¢ surer Amen~ent 04/27/2004 :L3:10 ~4].--484-4cj42 EUGENE CHAMBER P~GE Amendments-Cash Expenditures and Loan Paymen Candi~te or Political Co~ee N~: ~ Co~ee ID Number: R~oN: ~ 1st ~re-elee~o~ ~ 2nd P.-elect?~ ~ Post-election ~ 20 S~temb~ Supplemental PU~OSE CODES (see back of form for in~truettoa~ and code deflni~ons) EXPENDITU~ A Ag~t O O~erAdv~~si~s, bu~,~.) CA Cash B Broadest Adveaising (Radio, TV) P Postage LP Loan Paint C C~h Con~butions R R~m~em~t for P~oml Expendim~ F Fun~aising Event Expenses S Su~eys and PoiI~ G ~1 ~fi~l Ex~ (d~e ifov~ $50) T Travel Expenses (describe if over $50) I Int~est Pa~ent U Utilities L Litera~re, Brochures, Printing W Wages, Salves, B~efits M M~agem~t S~iees Y Petition Cir~amrs N Newspaper and Other Peri.leal Adv~is~g Z P~fion ~d ~u~on of A~is~g A~nding Page 8 Pa~e's N~me aM Paye~'s C~miR~ I~, a~ Line ~ Ch~ ~ ~ appli~ble Pu~ose Exp. A~unt of Date (as ~ ~pea= on invoi~, ~lpt or ~e~) T~ Ex~nd~tum Paid ~ N~ Ent~ ~ N~ Ent~ ~ Nmw Ent~ Page Ll~e [] New Entry [~ Corr~ng [] Deleting Pa~e .,. Line [~] New Entry [] Correcting [] Deleting $ [] See FOR OFFICE USE ONLY on Back and in Campai~ Finance ~ M~ua~ Amen~ent ~ate s~ed Summary Statement of Contributions and Expenditures Please type or print legibly in black iak. Page 1 of 2 C.an~didate or Political Co~ce Name (~ ~11 Mail,s Ad~css * it Appe. oR Statement o~rgani~tion (s~cct, route or box~, c~mtc~ip code): ~l~hpne Numb~ (~y): Co~ee ID Numbs: Co~i~ee ~c, Mcasu~ N~b~ ~ O~ce: mendmem ~ 1st Pre-elccti~ ~d Pre-election ~ Post~lection ~ 20 S~ Su~lemmml A-TOTAL8 FOR THIS ~UMU~ T~ALS ACCO~ING Pg~OD ~OR THIS ELR~ION 1. C~h Con~butio~ (A~ounfi~ Ped~ Total ~m ~ 2) + ~ + 3. Total Cash Con~buO~ 4. (Accenting P~ Tptal ~om ~ 2) + ~ + EXPENDITURES Cash 7. Loan Paym~ts ~on-Excmpt~ - {Ac~ountmg ~sri~ To~l from PC 3) + ~ +_ 8. Total C~h Expeditors = (Accounting P~ T~al bom PC 2) + ~ + 10. TOT~ CASH BA~N~E 14. Lo~ns Receiv~ (Ex.pt) (Account,s Ped~ Tot~ flora ~ 4A) ~ 15. CONT~B~ION g~TOTAL (,,..,o,_ RECEIVED 18. Loan Pa~ts (Exempt) (Accountmg P~i~ To~I from ~ 4B) + ~ MAY* 0 6 2004 19. EXPENDI~SUBTOT~ ' CITY RECORDER (Im~s 16 + 17 + 18) . Summary Statement of Contributions and Expenditures Please type or print legibly in black ink._ _ Pase 2 of 2 Candi~L~te or Politic.al Cojm~itt-ee Name: _/- /)/k2 _ [ Comminee ID Number: [] Amendment [] 1 st Pre-election ~ 2nd Pre-election [] Post-election [] 20__ September SuEplemental LOAN SUl~ MARY FOR OFFICE USE ONLY 21. Begirming Outstanding Loans (line 29 of previous report) 22. Loans Received i'Non-Exempt) (line 2) + 23, Loans Received (Exempt) 0i~ 14) + 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22.4. 23) - 2~. Loan Payments (Non-Exemp0' (line 7) 26. Loan Payments (Exempt) (line 1 S) 27, Forgiven Loans (Total loans forgiven during this acc_ountin..~ perio~l_) + 28. LOAN PAYMENT SUBTOTAL (tree, .2.~ ? 26 +27) 29. TOTAL OUTSTANDING LOANS -- (line 24 minus line 28) PERSONAL £IP£NDffURE SUMMAFlY 30. Beginning Outstanding Personal Expenditures (Iin~ 36 of previous l~port) 31. Personal Expenditures _ (Accounting Period Total from PC 3A) 32, PERSONAL EXPENDITURE SUBTOTAL 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) 34, 'Forgiven Personal Expenditu~s / (Total personal expenditures forgiver this aectg, p~fiod) + ( 35. REIMBURSEMENT SUBTOTAL (lines 33 * 34) = ~ __ 36. OUTSTANDING PERSONAL EXPENDITURES ~ /'~ " FINANCIAL STATUS AT CLOSE OF ACCOUNTING~PERIOD 37. Ending Cash Balance 38. Accounts Rcceix~able (AecountMg Period Total from PC 5) 39. SUBTOTAL 40, Total Outstanding Loans (line 29) 41. Outstanding Personal Expenditures 42 Accounts Payable (Accounting Period Total from PC 6) 43. SUBTOTAL (lines 40 + 41 ~- 42) 44. BALANCE/D,FICIT (line 39 minus line 43: indicate + or - bata_~.ce) = / ' 1, C~~' e/~ ~ ~'~ "/~. (name of candidate or treasurer), hereby certify that the above Signatureo~nd_i, dS~r treasurer Date signed Cash Contributions, Loans Received and In-Kind C~di~ or Poh~cal Co~ee N~e: ~_ Co~ ID Numar: .. ~ let V~-elec~on ~nd ~-~l~ion ~ ~ost-cle~iJn ~ 20~ Septemb~ Supplcmcn~l SEE BACK FOR ~STRU~IONS AND CODE DEF~ITIONS CODE i: Contributor ~pe CODE 2: Contribution Type B Bus.ess ~ti~ CA C~h C Political Co~i~ee (includes busings ~d union PACe) CO Cocker Obligation F C~di&te's I~e~ate F~ily (incl~es candi~te) IK In-~d I In,vidal LA Lo~ Received L Lair Ore.ration O Other P Political Pa~ Uno ~ Name and ~m~ d Cont~b~r Am~nt of In-~nd Pu~ C~t~ (see manual ~r sugg~ pu~e Oc~patl~el Info.etlon or ~ntdb~ Code 1 Date R~ived ~i~ Commi~ee'8 I~ A~ate Co~ 2 See Page Totals (Add all amoun~ wi~ the ~me Aecoun~ng Period Totals (Complete only for l~t page and in C~pa~s: C~sh (CA) Fi~cC EB~t on S~ ~tatcmcnt, Colu~ A, Line l Manual In-Kind (~) $ _ In.Kind (IK) $ Emet oo ~u~ $tammcm, COI~ A+ Lm~ 4 a~ 9 PC 2 Lo~s Received (LE) $ Loans ~eceived (LR) $ Enmr on Su~ Smiement, Cal~ 05/0612004 i0:31 541--484-4942 EUGENE CHAHBER PAGE 05 Cash Expenditures and Loan Payments Candidate or Political Committee Name: ~.~ Committee ID Number: v33t Page Election: ~[} Primary 20~.L. ~ General 20_ O Other Report: [] ! st Pre-election 12~2nd Pre-election [] Past-election 1~ 20 September Supplemental PURPOSE CODI~S (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent O Other Advertising (.yaxdsigns, buttons, e~¢.) CA Cash B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment C Cash Contributions R Reimbursement for Persona! Expenditures F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) I lntcr~st 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 Proch~ti~ of Advertising Payee's Name and Payee's Camm/tree ID~, Exp. Amount of [] Line # Date Chec~ # if applicable Purpose Paid (as it appears on invoice, receipt or check) Type Expenditure to AlP 4. See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) ~1~ transfer these amounts to the Summary S~.~e~nt, PC 1 .) on Back and in Campmgn Cash (CA) $ r~--'~ ~/ Cash (CA) $ Fhlance F. mer on gummaw Statmneot, Column ^, Line 6 Manual Loan Payment (LP) $ Loan Payment (LP) $ Enter on Sun.nary St~emem, Co~um~ ^, Line 7 PC 3 _.05/0~/2004 10:31 541--484-4942 EUGENE ~M~ER PAGE 06 Other Disbursements C~did~ or Political Commitlee N~m*: ~~ ~ Numbs: ~epon: ~ 1 st ~e~lection ~nd ~lection ~ Pod-elation ~ 20 S~mb~ Supplem~l SEE BACK FO~ INSTRUCTIONS ~ CODE DE~I~ON8 Other Dlsbu~emeut EL Ex.pt Lo~ Pa~t N~ism Acfi~V OM M~cell~eo~ ~ro~de a des~pfiou) ~m or Re~d of Con~bufio~ Payee'~ Name Other Disbursement Offer Disbursement /jne # Date Check # fmquired for codes EL, OM and RT; Trenaection Type Amount optional for code NP) Code 2. $ 3, $ 4. $ 5. $ 6, $ 8. $ 9. $ 10, $ See Page Totals (Add all amounts for the Other Accounting Period Totals (Complete only for last page and Instructions Disbursement Transaction Type Codes transfer these amounts to the Summary Statement, PC 1 ,) on Back and specified.) in Campaign ~ O~ ~/ Finance Codes NP, OM, I~T $ Codes NP, OM, KT $ Manual Enter on Summary Ststcmcnt, Cotumn Code EL $ Code EL PC 4~ Enter on 05/18/2884 15:28541--484-4942 EUGENE CHAf,4BER PAGE 01 Supplemem to Second Pre/Post-Election - Contributions Candidate or Poi/fica] Committee Name: Committee Number: l~ie~on: ~Primary 20_~ [] General 20 [] O~er Report: (~_,lst SuppI. to the 2ud Pre-election [] 2nd Suppl. to the 2nd Pre-election [] Suppl. to Post-election SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE q: Contrlbutor Type CODE 2: Contribution Type B Buainess Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes caudidnte) IK In-Kind I Individual LR Loan Received L Labor Organization PC Pledge of Cash O Other PI Pledge of In-Kind P Political Party Committee PL Pledge of Loan Une # Name af~d Add~$s of Con~b~o~ Amount of Contribution In-Kind Purpose Occupational Information or Date Received Contributi~ Committee's ID# Cocle II Code 2 (see manual for suggested purpose codes) 2, $ 3, $ 4. $ FOR OFFICE USE ONLY on Back and ~as~) he.by ce~ ~t ~c abovc statcmcnt ts ~C ~d co~ect, -/ CiTY RECORDER ~C ~& S eas~e% Date Supplement to Second Pm-Election - Expenditures Csndidat= or Political Committee Name: Fle,~ Comminee ID ~ st S~L to ~e 2nd ~-elecfion ~ 2nd S~pl. m ~ 2nd PU~Sg CODES (~e $~ck of for~ for ~strncOo~ sad cod~ deflnl~a~) EXPENDtTU~ TYPES ~ent O ~ A~ (~ si~, bu~, ~,) CA Cash Broadest Advertising (~o, ~) P Posmge LP L~ Cash Con.bud.s R Re~b~s~t ~r P~a~ ~~s AP Account Payable F~is~8 Ev~t Exposes S Su~eys ~d Polls PE P~o~ Expendi~ ~~~(~o~$~) T Trav~lEx~(de~d~ifov~$50) Interest Pa~t U Utilities Lit~a~e, Br~h~s, Printing W Wages, Salves, M~g~eut Se~ic~ Y Pea~on Cimulam. N~wspaper ~d ~er PeHo~c~ Adv~g Z ~fi~ and ~~ of Adv~s~g ~'a Na~ Exp. ~ount ~ Om~ Ch~ ~ (as ~ ~a~ ~ invoice, ~ceipt or ch~k) ~so T~ Ex~um 4. $ 5. $ 6. $ - FOR OFFICE USE ONLY InStructions I,. ' on Back and eeasurer) h~re~y ce~i~ ~at the above s~atome~t is ~ and co~ect. PC 8B Si ~t Date si~ed PC 8B Supplen, nt to Second Pre-Election --'xpenditures Rev, 12/03 Candtdate or Polittcal Committee Name: Committee ID Number: ~~~ ~I~ -~ Page L of( Election: ~Primary 2~:~__ [] General 20 [] Other Report: [] 1st Suppl. to the 2nd Pre-election [~nd Suppl. to the 2nd Pre-election 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 (Radto, TV) P Postage LP Loan Payment C Cash Contributions R Reimbursement for Personal Expenditures AP Account Payable F Fundraising Event Expenses S Surveys and Polls PE Personal Expendttures G General OperationalExpenses (describe if over $50) T Travel Expenses (describe if over $50) I Interest Payment U Utilities L L~terature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Y Petition Circulators N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising Payee's Name Exp. Amount of Line # Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure S. $ 4. $ 5. $ 6. $ 7 $ 8 $ 9 $ 10. $ See FOR OFFICE USE ONLY Instructions I, (~~ ~-~ .~l(~J;~ , (name of candidate orRECEIVED treasurer) here .cert~ty tgal the above statement is true and co~ect. in Campaign Fmance ,. ~ ~A~ 1 4 2004 / // PCSB S,g~f can~te or treasure,' Date signed 86/14/2004 113; 138541--484-4942 EUGENE CHAMBER PAGE 02 Summary tatement of Contributions; nd Expenditures Rev, 12/0~ Plca~ type or print legibly in black ink. Ca,_d/date or Political Cor/lm/~t~e Name (~e frill name): ... _ Page ] of afl'ml~_A, ddress as it Appears on Statement o.f_~_~gtl~l~ation (street, route or box nu~, CRyLs~a~' Zip code); - Telephone Number (day): ~)~"*Comroit~ee ID Number: ' Committee Type, Measure Number or Offie,: ?~~ [] General 20.___.. LI Amendment LJ 1 st Pr~-election [] 2nd Pre-election -election [] 20___ September Supplcm~tal A-TOTAL8 FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIO:) FOR THIS ELECTION C0N?RIBU?ION$ ' 1, Cash Contributions 2, Loans Received (Non-£xcmpt) (Accounting Period Total f~om PC 2) + ~ - 3. Total Cash Contributions '- 4 ImKind (Accounting Period Total fro= pC 2) + ~"~L~, L~ ~ + ~q EXPENDITURES ' 6, Cash'Expenditures (A¢¢ounring Period Total from PC 3) \ ~%~).~ ~ ~q~ 7, Loan PaymenYs (Non-Exempt) + + (A=¢ounti.g Per, od Total fr~.m PC 3) ~- ~ . 8, Total Cash Expeuditums _- _- - _ (?ccountmg P~od Told .fl-_om PC 2) * + 10, TOTAl, EXPENDITURES CASH BALANCE 1 I,Begirming Cash Balance 12. To~al Contributions 13. Other Receipt~ (Accounting Period Total from PC 4A) + ~ ~ 14. Loans Received (Exempt) * (Accounffng Period Total from PC 4Al . ._ 15. CONTRIBUTION SU~TOT^L 16. Total Exi~ndilm~s (Ac¢ouattng ?.eriod Trna! frqm P~_ 4B) -..,- - 18. Loan Payments (Exempt) + (Accounting period To~I from PC 4B) J UN 1 ~: 19, EXPENDITURE SUBTOTAL 20, ENDING CASH BALANCE Omc ti minus linc lC)) .. = Summary ofatement of Contributions nd Expenditures Please ~pe or print legibly in black ink, Candidate or Political C~ommittee Name: _ ' . Page 2 of 2 ~ ~, ~ zu~ ~ Geu~a120, ~Other ~ ~ent ~ 1st ~e~l~t~on ' ~ 2~d Pre-election ~o~-election 20 September LOAN SUMMARY ' Supple~en~l 21, Bering ~t~ding Lo~s FOR OFFICE U~E ONLY (lin 29 of p~o~ 2~, Lo~s Received ~oa-Ex~po (line 2) + 23. Lo~s Received ~xempO (l~e 14) + 24, LO~S ~EIVED S~TOT~ 0ines 21 + ~ + 23) 25, Lo~ Pa~rs ~on-Exemp0 (]~ 7) 26, Loan Pa~ts (ExempO ~m~ 18) + 27, ~'or~ven Lo~ (Total lo~s forgiv~ du~n~ this ~co~ug p~od) 28, LO~ PAY~NT S~TOTAL (l~es 2~ + 26 +27) 29. TOTAL OUT$TAND~G LO~S 0ine 24 minus line 28) PERSONAL ~PEHDITURE ~UMMARY 30, Beginning Outstanding Pe~onaI Expendi~s (l~e 36 of previous ~pon) 31, P~onal Expend{m~s (Acc~t~ P~6od~o~al fram PC 3A) + 32, PERSON~ EXPENDITU~ SUBTOT~ _ (lines 30 + 31) 33. P~sonal Expenditure Reimbursemeng (Total expedites on PC ~ wi~ pu~ose codg R) M. Forgiven P~o~l ~otal p~r~nal ~x~di~s forgiven ~is acctg, pe~od) -35.-~~SEME~ S~TOT~ 36. OU~T~D~G PE~ONAL E~E~ITU~S 37, Endin~ Cash Bzlance (line 20) _ ~~ 38, Accounts Receivable -' (Accounting P~fiod To~I ~om PC 5) + 3~, SUBTOT~ " (IMcs 37 + 38) = ~ 40, Total Outs~ding Lo~s (line 29) ~ 41, Outs~nding Perso~l Expendi~s (lin~ 36) + ~ 42, Accounts Payable ._ (Accounting P~od Total ~m PC 6) * 43, S~TOTAL 0m~s40+ 41 + 42) ~ _. , ~ -- ~, BAL~CE~EFICIT ~c 39 m~? linc 43; indicate + or - bal~ce) = - . I, ~ ~ ~ ~ ~ (n~e of caudi~te or ~'easurer) hereby cerfif~ ~hsr fl~c ~bovc S~gna~e of canute or ~ ~urer ... D~te aigned 06/14/2004 10:00 541--4~4~4942 EUGENE CHAMSER P~GE Cash Contributions, Loans Received and In-Kind Candidate or Political Co~ce Name: Co~ee ID Numbs: R~on: ~ 1 st P~lection ~ 2nd ~e-election ~st-el~on ~ 20~ Sep~mber Su~lcmenal SEE BACK FOR INSTRUCTIONS ~D CODE DEFINITIONS CODE t: Contributor Typ~ CODE 2; Contribution Type, B Business EnOW CA C~ C Political Co~iffee (~cludes b~iness ~d ~on PACe) CO Cosigner Obligation F C~di~te's I~ediate Family (includes candidate) IK I~-~nd I In,ritual LR Lo~ Re~ived L Labor O~izafion O Oth~ P Political P~ ~unt of' In. Kind Pu~ Line ~ Name and Addmss of Cont~butor ~,t8b~n (see manu~l Er s~g~sted pu~ose codes) ~upa~al In~a~ or ~n~butor Code 1 ~ C~e 2 Date Re~lved Co~buUn~ Commi~e's I~ . 4. $ $" 5. $ See page Totals (Add all a~uounts with the same Accounting Period Totals (Complete only for ]as~ page and Instructions contribution type. Do not include aggregates ) transfer lhese amounts to the Summary Statement, PC 1 .) on Back and in Campaign Cash (CA) $ Enter on Sununa~y Slst~en~, Column A, Ltne 1 Finance Manual I~-K. ind (IK.) $ lu-K. ind (II<.) Enter on Summary Statement, Column ^, PC 2 Loans Rec¢ivud (LR) $ Loans Received (LR) $ _. - Enter o~ Summary Staiement, Co½uirm A, LIn~ 2 06/14/2004 10:08 541--484-4942 EUGENE CHAMBER PAGE 05 PC Cash Expenditures and Loan Payments Candidate or Political Committee Name; Committee ID Number: Election: [~.Primary 20~[] General 20 ,, [~_Other _ Report: [] 1st Pre-election [] 2nd Pm-election ~[]~ost-election [] 20__ September Supplemental PURPOSE CODES (see back of form for Instructions and code definitions) EXPENDITURE TYPES A Agent 0 Oth~Advertising (yard signs, buttons, etc.) CA Cash B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment C Cash Contributions R Reimbursement for Personal Expencliturcs F Fundraising Evellt Expenses S Surveys and Polls G Omeral Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) I Inter, st 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 Payee's Name and Payee's Committee lDO, Exp. Amount of Line # Date Check # if applicable Purpose Type Expenditure Paid (aa it appears on invoice, receipt or check) to AlP See Page ~otais (Add all e~endimres with the same Aecounflu~ Period Totals (Complete only for last page and Instructions expendi~e Wp¢,) transfer these amoun~ to the Su~a~ Statement, PC 1 ) Finance Manual Loan P~yment (LP) $ Loan Pa~ent Em~ on Su~a~ ftsmment, Colu~ A, Line 7 PC 3 06/14/2004 10:08 541--484-494~ EUGENE CH~M~ER P~GE Cash Expenditures and Loan Paymen Candidate ct Political Co~iffee Na~: Co~mj~ee ID ~umber: Report: ~ l st Pm-ol~ti~ ~ 2nd ~e-elecfion ~st-ele~ion. ~ 20~ S~tem~ Su~lcmenml PURPOSE CODES (see back of form for Instructions and code deflnlflons) EXPENDITU~ TYPES A Agent O O~Ad~s~ ~ ~ bu~ ~c.) CA C~h B Broadcast Adveffising (~dio, ~) P Po~age LP ~an Pa~ent C C~h Con~ibufions R R~imb~t f~ P~ Ex~dim~ F Fun~lsing Event Exposes S Su~eys and PoUs G ~1 ~fioml ~ (d~ if~ $50) T Travel Exp~s~ (deserVe if owr $50) I Inl~st Pa~cnt U Utilities L Literal, Brochures, Printing W Wages, Salines, Benefits M M~agemcnt Scmices Y Petition Cimulaton N Ne~pa~r and Other Periodical Adve~s~g Z ~ti~ ~d ~i~ of Advcffisi~ Pa~'s Name and Payee's Comm~ I~. Exp. Amount o[ U~ ~ Ds~ Ch~ ~ ff appllmOle Pu~e Type Ex~nd~u~ (as it a~am on inv~ce, m~lpt or c~k) See [e Totals (Add all expenditures with the same A~,ounfla~ ~erlod Totals (Cmplet¢ only for last page and ~ansf~ these amounts to the Su~s~ Statement, PC 1 ) Instructions expenditure ~pe,) on Back and ~ -- Cash (CA) $ -- in Cmpai~ Cash (CA) $ - EaSe cai Su~a~ Star'At. Co~t~ A. Line 6 Fi~ce Manual Loan pa~ent (LP) $ Loan Pa~ent (LP) $ Enter on Sun~a~ Sta~ent, Column A. Linc 7 PC 3 0E,/14/2804 10; 08 541--484-4942 EUGENE CHAMBER PAGE 07 Cash Expenditures and Loan Payments Candidate or Political Committee Name: Committee ID Number: / Election: [] General 20 ~Other _ L-[ 1st P e-cie ion [] 2nd Pre-election Report: [-...Post-election [] 20 September Supplemental PURPOSE CODES (see back of form for instructions and code deflnlrlous) EXPENDITURE TYPES A Agent O Other Advertising (yard signs, buttom, etc.) CA Cash B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment C Cash Contributions R Reimbursement for Pe~onal Expenditures F Fundraising £vent Expenses S Surveys and Polls G Genm'aI Operational Expenses (describe ifov~ $50) T Travel Expenses (describe if over $~0) 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 a~ld Production of Advertising Payee's Nome and Payee's Comml~o lDO, Exp. Amount of Line # Date Check tt ff applicable Purpose Type Expenditure Paid (as it appears on invoice, mm/pt or check) to A/P See Page Totai~ (Add all e×pendimrcs with the same ~e¢ou~ti~g Period Totals (Complete only for las~ page ~d Instructions expenditure type.) transfer these amounts to the Suramary Statement, PC 1 .) on Back and Cash (CA) $ -- in Campaign Cash (CA) ~ ...... Enter on stlm.nlav statelllent, cOltllllll A, Line 6 Finance Manual Loan Payment (LP) $ Loan Payment (LP) $ Enter on PC 3 Cash Expenditures and Loan Payments Candidate or Political Commi~e Name: Committee ID Number: R~o~: ~ 1 st P~-elecfiou ~ 2nd ~-eiec~on ~o~-el~on ~ ~0~ S~temb~ Su~l~m~l PURPOSE COD~S (see back of form for trisections ~nd code deflaiflon~) ~XPENDITU~ ~PES A Ag~t O ~Adv~ ~ si~,~ ~.) CA C~h B B~aficast Adve~is[ng (~io, ~ P Potage LP L~n C C~h Contfib~ions R Reimbu~e~t f~ Pmo~ F Fun~is~g Event Expenses S Su~s and Polls G ~ ~~ ~ (d~ ifov~ $50) T Travel Expen~ (describe if over $~0) I Inter Pa~ent U Utilities L Li~m~. Broch~os. Printing W Wa~. Salages. M M~emon~ So, ices Y Peri,on Cimulsto~ N Newspaper aud Oth~ Pe~odical Adv~siu~ Z ~amfio~ ~d ~ion of Advising P~'s Name a~ Pa~'s Commi~ee 1~, ~p. ~unt of U~ ~ Date C~ ~ ~ appflcable ~ T~e E~ndaum (as ~ a~ea~ on in.ce, ~lpt or c~) to 3. 4, 5. 6. 7, 8 - 9. - Accounting Period Totals (Complae onl~ for last See Page ~otals (Ad~ all ~nd~res with the same InStructions expendi~ ~.) ~nsfer these amounts to ~e Su~a~~nt. PC 1 on Backand ' Cash(CA) $ '~ Finance Manual Loan payment (LP) ~ Lo~ Payment (LP) $ ~nt~ on S~ma~a~ S~m~nt, Colul~ A, Linc PC 3 Other Receipts C~didate ox ?olitical Committee Nme: Committee ID ~l~ion: ~ ~m~ 20~ a General 20~ a O~er R~: ~ I st Pre-el~on ~ 2nd ~-elecfion ~ost~le~ion ~ 20~ S~b~ Su~lcm~l BACK FOR INSTRUCTIONS ~D CODE DEntITIONS ~ker R~elpt Transaction Type Codes Exempt Lo~ ~ocee~ Ite~ Sold ~t Fair M~kot Value Int~s~w~t OM M~scell~o~ ~rovi~ a Re~, ~eb~ and Kc~s Name Olfler Receipt Date (reqult~cl for codes EL, OM end RF; Traneectlon Type Other Receipt Amount Line # Received optional for codes FM en~l IN) Code $ 3. $ $ $ 6, $ ?, $ 8. $ See Pa~e Tot~ (Add all Other l~eceipt Traus~ction Ac~ou~ ~e~e~ Te~ (Complete only ~or l.~t p~ge and lns~ctions T~e Cod~ ~peci~ed.) ~nsfer th~se amounts to th~ S~~temeut, PC ~,) Finance $ Manual Code EL $ Code EL Enter on Su~W ~mtement, Colu~ A, kin~ 14 PC 4A Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name: Committee ID Number: Pa, e Election: U Primary 20__ [~Geaeral 20~_ U Othe~ Report: ~)lst Pre-electio~ [] 2nd Pre-electio. [] Po~-elecfion [] 2.0~ Sepmmber Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEI~INITIONS CODE 1: Contributor Type CODE 2: Contribution ~ B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Oblisation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other p Political Party Cornmi~ee Line # Name and Address of Contributor Co~t~ution (see manual for su~zested purpose codes) Occupational InformMion or Contr/butor Code IIt Code 2 4. $ 5. $ See Page Totals (Add all'~mounts with the same Accountini Period Totals (Complcm only for last page not includ~ ag$~,~tes.) ~sf~ ~ese amouDts to the S~ S~tem~t, PC l.) Ins~ctions con~bution ~. Do / ~~ m Cam~ign Cash (CA) $ E.~r ~ su~ s~ cau~ A, ~i.. I Finance Manual In-~nd (IK) $ In-Kind (IK) $ - ~n~r oa S~ Sm~nt, Colu~ A, Lin~ a and 9 PC 2 Loans Received (LR) $ L~m Re~ived (LR) $ - ~nl~r on $u~ F~te~ Colu~ A, Line 2 Cash Expenditures and Loan Payments Candidate or Political Committee Name: Committee ID Number: R _epor~: l~st Pre-election l_J 2nd ]Pre-election [] Post-election [~ 20__ September Su. pplemeuml PURPOSE CODES (see bsck of form for In,tractions and code definitions) EXPENDITURE TYPing A Agent O Other Advertising (.yard signs, buttons, etc.) CA Cash B Broadcast Advertismg (Radio, TV) P Post,ge LP Loan Payment C C~sh Contributions R Reimbu~ement for Personal [Xl~mditures P Fundraising l~vent Expenses S Surveys and Polls O General Op~ational Expenses (descffoe if over $50) T Travel ]Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures, Printmg W Wages, Salaries, Benefits M M~nagernent Services Y Petition Circulators N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising Payee's Name and Payee's Committee II~, Exp Amount of [] line # Date Check # if appltcable Purpose Type Expenditure Paid (as it appear~ on invoice, receipt or check) to A/P ?. 8 g. ~0 Sec Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) transfer these amounts to the Summary. ,S~.u~nt, PC I ) in Campaign Cash (ca) $ Et~ter on Finance Man,al Loan Payment (L?) $ Loan Payment (LP) PC 3 Summary Statement of Contflbutions and Expenditures Please type or print legibly in black (ail .C~andiclate or Political Committee Name (use full narl~ Page 1 of 2 Ma~ling Address as it Appe-arh on Statement-of Orgat~izafiou (street, route or box number, city, state, zip code): ~re~urer s ~ame: - Telephone Number (day): Committee ID N~ Committee Type. Measur; Numbar or Office: ~],Origi.al r'} ?fimary 2o 'J~General'20,.(~' r"] Other 1_.] Amendment [~ 1 st Pre-election [] 2nd Pre-election [] PoJt-election [] 20__ September Supplemental A~TOTAL$ FOR THIS R,-CUMULATIVE TOTALS ACCOUNTING PEBJOD FOR THIS ELECTION CONTRIBUTIONS 1, Ca.ah Contributions 1~, Loam Received ('NonJExempt) (Accounting Pe~od Total from PC 2) * ~ + 3, Total Cash Contributions 4. In-Kind (Accounting Period Total from PC 2) + ~ _ + EXPENDITURES 6. Casl~ Expenditures 7, Loan Payments (Non-Exempt) (A=cotmti~ Period Total from PC 3) _ ~ _ 9, In-Kind (Acco(rating Period Total from PC 2) + ~) ' C~SH BILAN¢£ 11 Beginning C~sh Balance q (line 20 of. previous report) ,~),,~ [:OR OFFICI: USE ONkY 12, Total CouWibuiions (h.e + t .ct:, 13. Other Receipts (Acco?ting P. erio. d.Total from PC 4A) + ~) - 14, Loans Recdved (Exemptj (Accounting Period Total from PC 4A) + 15. CONTRIBUTION SUBTOTAL 16, To-(al Expenditures 17. Other Disbursemems (^.e.egun~m~ Period Total Ptora PC 4B) 18, Loan Payments (Exempt) (Accounting Period Total from PC 4B) + (lines 16+ 17 + 18) (line 15 minus line 19) __ ,_. Summary State ent of Contributions and Expenditures Rev, 12/03 Please type or print legibly in black ink, Page 2 of 2 C,~andidate or Political.,Gpmrnittee Name: Committee ID Number: ~)rigi,al [] Primm7 20 _ ~[G,,era120~_ [~ O~her }'"].Amendment ~Llst Pre-election _ [_12nd Pre-election [] Post-election [] 20~ September Suppleraentai LOAN SUMMARY 21, Beginning Outstanding Loans ~ FOR OFFICE USE ONLY (lfn¢ 29 ofpi~vim~, r~pott) 22. Loans R~eived (Non-Exempt) / - (tine 2) + 23. Loans Received (Exempt) (tine 14~ 24, LOANg RECEIVED SUBTOTAL (lines 21 + 22 4.23) 25. Loan Payments (Non-Exempt) (hne ?) 26. Loan Payments (Exen~t) (Iiae 18) + 2'/. Forgiven Loans (Total loans forgive~ dufia.~ this accotmting period) + 28. LOAN PkYMENT SUBTOTAL {lines 25 + 26 +27) ' 29, TOTAL O[~TSTA~NDING LOANS ' 0ina 24 minus linc 28) --' PERSONAL EXP£NDITURE SUMMARY 30, Begim~ing Outstanding Personal Expenditures (line 36 ofpreviou~ r~port) . '31Persona[ ]3xpcndltures (Accounting Ped, o~[ Total from PC 3A) 32.PERSONAL EXPBNDITURE SUBTOTAL (lines 30 + 31) 33.P~rsonal Expert'&lure Reimbursements (Total expenditures on PC 3 with purpose code R) 34,Forgiven P~rsonal Expenditures (Total personal expendi~rm forgiven this ~c~tg. period) 35. REIMBURSEa~NT SUBTOTAL = ([in~ 33 + 34) 36, OUTSTANDIN~ PERSONAl, EXPENDITURES FINANCiAl- STATUS AT ¢l-O$E OF ACCOUNTING PI=RIOD 37~ Ending Cash 38. Accounts Receivable + (Acco..unting Petio~t Total from PC 5) ~ ~ 39. SUBTOTAL ' 40. Torn! Outstanding (line 29) . - · 4i. Outstandin$ P~rsonal E×penditt~res + (line 36) - 42. Accounts P~yabt¢ + (Accounting P. etiod Total from PC 6) _ 43. SUBTOTAL -- ~Iines 40 + 41 + ~2) (line 39 minus line 43: Arid{cate + ~ - balance) ~~f"r~rts are (name of candidate or treasurer), hereby certify that the above I, statement and the ~t~ac~(1 suI~_o.l~g repo~ true and ¢~r~ect. Summary Statement of Contributions and Expenditures P.I~? type or ,[~rint iesibly in black ink PaSe l of 2 C~nd!date or Politi~l Committ~ Name (u~c full name): Mailini A~ ~ it A~ on S~t~t of ~fion (s~e~ m~ or box n~, ~, m~, tip c~): T~'s N~c: ~ Tel~ ~ (~): CO~IB~ONS 1. ~ ~~o~ - · (A~i P~ T~I 3, To~l ~ ~bu~ons 5. TOT~ CO~B~IONS ~PENDffURE$ 8. To~ C~h Expedites 12. To~ (Acc~ P~ T~ ~ ~ 4A) + ~. . 14, ~ Received 16, Total Expm~s ' ,,, RECEIVED (A~o~ e~ To~ ~mPC 4B) + (A~=~r~=~c~) + ~... OCT 2 0 2004 ~,~,,,,+,~+,,~ ' D~q.T CITY RECORD~R 20. ~O C~H B~C~ '"' L0/20/2004 16:44 541--484-4q42 EUGENE CHAMBER PAGE 83 Summary Statement of Contributions and hxpenditures PIqUe type or .~t laltibl7 ia b~k ~. _- ~aga 2 of - LOANSbM~Y . 21. Be~ni~ ~d~ ~ ~"- FOR OFFICE USE ONLY O~e 29 ~p~ ~pon) 25. L~ Pa~m ~on-~pt) 26, Lo~ Pa~ 28. ~ PA~ S~TOT~ 29. ~OT~ O~ST~GLO~ ~ff~ = 38. Acco~ivable 39. 40.To~'~dmg Lo~ .... (l~e 29) (linn 16) + 42. Acco~ P~able (~ 40 + 41 + 42) ' 10/20/2004 ~LE,~ 44 641--484-4q42 EUGENE CHAMBEI~ PAGE Cash Contributions, Loans Received and In-Kind C~date or Po~c~l Co~e N~: Co~e ~D ~b~: ~ let ~e-elecfion ~u~Pre-election ~ P~t~l~aon ~ 20~ S~tember Su~lemen~l SEE BACK FOR ~S~UC~ON$ ~D CODE DEF~ITIONS CODE l: Contributor Type CODE 2: Con~buflon Type B B~iness EnfiW CA C~ C Political Co~i~ (incl~m business and ~ion PACs) CO Cosi~er Obligation F C~didate's I~iate Family (includes candidate) IK I~-~nd I ln~vi~al LR L~ Rec~v~ L Labor ~afion O Oth~ P Political Pa~ Co.flee Line ~ Ne~ and Addmss of Con~ib~or A~nt ~f In-Ki~ C~t~b~ion (see manuel ~uggest~ pu~o~ ~es) ~te Recelvea Contdb~ Commie's I~ A~mgete C~e 1 I C~e 2 I See Page Tot~ (Add all amounm with ~e same Accounting Period Totals (Co~lete only for last page and Imtmctions con~bution ~e. Do not ~cludc aggregates.) trmsfcr ~c mourns to th~ S~aw Statement. PC 1.) on Bsck and in C~paign Cash (CA) $ ~- On Cash (CA) $ Fin~ce En~r on Su~ Ststm~h Colu~ A, b~ne Manual In-Kind (IK) $ In-Kind (IK) $ PC 2 Loans R~ceiv~ (LR) $ Loans Recmved (LR) ~ - Eat~ ~ Su~ Stateroom. Colu~ A, Line Cash Contributions, Loans Received and in.Kind SEE BACK FOR INSTRUCTIONS ~ CODE DE~ITIONS CODE t: Con~butor Ty~ CODE ~: Contribution B B~m~ Enti~ CA L Lab~ 0 P Political P~ A~unt ~ In. Ki~ Pu~e U~ ~ N~ and Addm~ d ~or C~b~ [e~ menu~ ~r s~ed ~ ~e~) C.O, oRcg~ ~ ~c p.o, /g3g ~o~ con%button ~o. Do not ~clude a~ega~s.) ~sfm ~ ~o~ ~ ~e S~ S~t~ PC 1.) on B~k ~d F~oe PC 2 L~ K~iv~ ~R) S ~ R~v~ ~R) $ Cash Contributions, Loans Received and In-Kind Calldidate or Political Committee Name: Co~nmittee ID Number: B~ ~OR INSTRUCTIONS ~ COBE DE~TIONS C Politic~ Co~ (~clud~s bus.ess ~d ~ion PACs) CO C~i~r Oblivion L Lab~ Org~iza~ 0 0~ P Poh~ P~ Co~ ~ ~ N~ a~ Addmss of C~Hb~ Cont~bu~ (s~ ~n~l ~r ~ pu~ See Pmie Totah (A~ ~1 amo~ ~ the s~e Accoun~g Period To~ls (C~ple~ ~ f~ l~ pa~ ~d Ins~c~om con.huron ~. Do no~ ~cludc a~ega~.) ~f~ ~es~ ~o~ to ~ S~ S~m~ PC 1.) B~k ~ C~ Cash (~) $ ~ ~. ~ C~h (CA) S _ PC 2 Lo~ ~iv~ ~R) $ ~ R~ived ~R) $ ][0/20/]2004 16:44 541--484-a~'t2 EUGENE CHAMBER PAGE 87 Cash Contributions, Loans Received and In-Kind C~te or Political Co~ N~e: Co~ ~ I M&vid~ LR Lo~ Re~iv~ L Labor Orgm~fion 0 0~ P Po~cal P~ Co~i~ ~ne $ Na~ a~ A~m~ ~ ~nffi~or ~ of In. Kind C~ (~ men~ ~r s~est~ ~upe~o~l In~n ~ Comber ~ 1 [ Co~ 2 Dam Rem~ Co~u~ ~mm~e~ I~ See Page Totah (Add all mo~n ~ ~e s~e Acconn~R Period To~ (Comple~ oMy for l~t ~ge ~d MC~,i~ C~h(CA) $ ~0. %0. C~h(CA) ~ In-~d ([K) S In-Cad (m) Cash Contributions, Loans Received and In-Kind Candidate o~ Political Committee Name: Committee ID Number:. Election: [] Primary 20 [] General 20 [] Other Report: [] 1st Pre-election ~2n~ Pre-election [] Post-election [] 20. September Supplemental SEE BACK FOIl INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contrlbutton Tyr~ B Business gntit7 CA C~sh C Politicsi Commk~ (includ=s busin~a~ aad uaioa PAC~) CO Co~i~ Obli~don F Ca.diary's Imm~ti~te F~i/y (i-clud~ ¢~dat~) tK I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of in. Kind Pu~o~e Une # Name and Address of Contributor ContrlbuUon (see menua. I for suggest~ purpose codes) Informatl~ or Cont~utor Cont~buti~ Conm~ee'~ I1~ Aggregate See Page Totals (Add all amounts with the same Accounting Period Totals (Complcte'o-nly for last page and Instructions contribution type. Do not include aggregates.) trarmf~r these amounts to the Sut~ Statement, PC 1.) on Bxek iud in C~mapaisn Cssh (CA) $ _~0 ~ , ~' Cash (CA) $ M~nual h-rand (IK) S _ In-Kind (IK) S PC 2 Lo~-~ Reo~iv~ (LR) $ Lo~ Re. civil (LR) $ Cash Contributions, Loans Received and In-Kind 'Cmdidate or Political Coromittce Name: - ' COm~i~ l~ l~lumher: Petge_~ of._~ ~l,-ction: ~ ~ ~o~ ~ ~ 2o ~ ~._ ~: ~ 1st ~-el~oa ~2nd Pg-el~i~ ~ Post-~le~ ~ 20,.. S,~ SEE BACK ~R ~STRU~ONS ~D CODE DE~ONS CODE 1: Con~butor Typ~ CODE 2: ConMbution Type Busineu Ent~t~ ~ C~ Labor ~on O P Po~cat P~ Co~ ~2 See Ptge To~ls (Add all ~a~ ~ ~c ~= Accoun~g Peff~ To~ls (~=plc~ ~ for I~t page ~ lfls~o~ c~b~on ~. ~ not ~clude ~gates.) ~s~ ~e ~o~ to ~e Su~ S~t~g PC I.) On B~k ~d Cash Expenditures and Loan Payments · Candidate or Political ~'ommit~ce Name: Co~i~ee ~ N~ber~ Election: ~ P~m~ 20 ~ Oen~ 20 ~ O~r Repo~: ~ 1 st ~e-elec~ ~nd Pg-elec~on ~ Pose-eloCon ~ 20.. . S~tember Supplem~ PU~OSE CODES (see back of form for iustrucRons aud code definitive) EXPE~ITU~ TYPES A Agent O ~ Adv~ ~ si~,bu~, ~c.) CA C~h B Bmadc~t Adv~is~g ~dio, ~) P Pos~ge ~ Lo~ Pa~ent C C~h Con~bu~ons R Re~~t ~r P~o~ Ex~i~s F F~ising Ev~t Ex~gs S S~s and Polh O ~1 ~~ ~ (d~ ifo~ $~) T Travel Exposes (describe if over $50) I Int~st Pa~cm U UtiliZes L Literate, Brochure, ~nting W Wages, Sa~, B~cfits M Mmagem~nt S~ices Y P~ifion C~ulaton N Newspaper ~d Oth~ Pedo~cal Adve~sing Z ~ti~ ~d ~i~ of Adve~s~g Payee's Name and Payee's Commi~e I~, ~ne ~ Date Che~ ~ ff eppl~ble Pu~e ~p. A~unt of (as it a~eam ~ invol~, receipt or ~k) Ty~ E~e~um PUd to~ 9. $ [] 10, $ See Page Totals (Add all expenditures with thc same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) transfer these amounts to the Summary 5~atement, PC 1 on Back and inCampaign Cash(CA) $ l")~r~.'~_ Cash(CA) Finance Enter on Manual Loan Payment (LP) $ Loan Payment (LP) $ Enter on Sunwanry St&~ement, C~l~m~ & Line ? PC 3 10/18/2004 12:26 541--484-4942 EUGENE CHAMBER PAGE 01 Fax Cover Sheet Eugene, OR 97401 Date: Te~: 541,484.1314 Fax: 541.484.4942 Comoanv: From: ComDar~y: Eu(~ene Area Chamber of Commerce Direct Tel: 541.242.~-~ Number of pages including this one; ~ OCT 1 8 2004 OlTY RECORDEB Amendments-Cash Expenditures and Loan Payments Candidate or Po[itic~ Co~i~ee N~: Co~i~e~ ~o~: ~ 1~ Pr~-alecti~ PU~OSE CODES (see back of form for tn~t~ctions and code deflnt~ons) EXPENDITU~ A Agen~ O ~r A~s~ ~ g~, ~m, e~.) CA Cash B Bmadc~t Adveffising (~dio, TV) P Postage LP Lo~ Pa~ent C Cash Con~bu6ons F F~ais~g Event Exposes S S~eys ~d Polls G ~ ~o~ ~ (d~ if~er $50) T T~vel Exp~es (de~be ff over $50) I Ime~st Pa~ U Utilities L Lit~e, Brochures, P~ting W Wages, M M~agemcnt Sconces Y Peggon C~ N Ncwspa~r ~d Other Pe~odic~ Adve~ismg Z ~tion ~ ~~ of A~g Amending P~e ~ Pa~'s Name and Payee and Line ~ Check ~ Oa~ (aa ~ appee~ on In~i~e, receipt or check) T~ Ex~nditum ~ New ~ C~lng ~ Deleting Page._..___ Li~e , {~ Deleting $ ~1 Pege ,. [-[ New Ent~ [] Co.e~ttng $ [] Detef~ng [] New Entw [] Correcting $ See a ~'~ /~~~/~s~ e~ FOR OFFICE USE ONLY Instructions M~,.,,~ OCT 1 8 2004 \ /Oq CITY RECORDER Amendment Date $ . . ..... Summary Statement of Contributions and Expenditures . ?le, aae type _orlnemt legl~bly in black ink. ' Page 1 of 2 Candidate or Politlc~l Committae Name (use full name): Mailing A&h'e~s aa it Appears on Statement of'Organization (~treet, route or box number, city, slate, zip code): /40! O-///.(A/~£y'7;~ 5'~., ff~t(,,~.~,q'~ /9(£~,v,¥ ...994oi Tre, a~rer'; Name: Telephone ~umber (day): Committee ID Number: Committea Type, Menaure Number or Office: [] O~zina~ [] vri~ 2o__.__ [] ~:n~m 20c~ [] J~ Am.en_dment _. [] l st Pre-election ~2nd Pre-election [] Po~t-el~fion [-] 20 S~'ptcmber Supplemental ACCOUNT/NG I~RIOD FOR THiS n~LECTION CONT~IBUTIOI~ 1. Cash Contributiona 2. Loau~ R~eiv~d (Non-£xempt) 4. I~-Kind + ~_ -zxpzm)iYun.$ '- 6. Ca~ Expcr~imrcn (A~o~g P~ To~l ~om PC 3) ~ + 9. ~-~d + CASH BA~NCE 11. Beg~fl C~ Balmce 12, To~l Conm~ufio~ ~ ~ o 13. O~ (Acco~g P~ To.I ~ PC 4A) T - 14~ Lo~s Receiv~ (Ex.pt) .... (Acoo~ P~ Total ~,PC 4A) ~S I 1 + 12 + 13 + 14) = 16. Toal-~di~s "17. O&~ (Ac~R PeH~ Total ~m PC 4~) + 18. Lo~Pa~ (Ex.pt) (~~ P~ T~I ~ PC 4~) + 19: ~:~ s~TOT~ ' ' Summary Statement of Contributions and Expenditures Please pipe or print legibly in black ink. ' page 2 of 2 Candidate or Political Committee Name: Cora~nitt-ee ID Number: [] Critical [] ~irm~ 20_ [] O~era120J2g:_ [] Other ._ ,~Amendment ['-] 1st Pre-~lection ~ 2_a_d Pre-election [] Post-eleelion [] .20__ September Supplemental LOAN SUMMARY * ~ 1. Beg~'~ing Outst~ding Loans ~ FOR OFFICE USE ONLY (linc 29 of previoua report) '~7 22. Loans Received (Non-Exempt) + 23. Loalls Received (Exempt) 24, LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) ~ 25. Loan Payments (Non-Exempt) (line 7) 26. Loan Palanents (Exempt) · ~-7. Forgiven-Loans .(T°tal loans forgiven during this accounting period) + 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26_ +27) = 29, TOTAL OUTSTANDll~G (line 24 minus line 2S) ,a P -S6NAL PEN0 n SUMMAnY " -' 30, Beginning Outstanding Personal l~xpenditur~s (linc 36 ofpr~vious r~port) 31, Persorml Expenditures (Accounting P~riod Total from PC 3A) + ~2'. PERSONAL ~,XI~ENDI'i'URE SUBTOT.4J-, (lines 33, Personal Expenditure Reimbursemcnt~ (Total ~xp~nditur~s on PC 3 with purpose code R) 34. Forgiven Per~oual Expenditures + (Total I~rs~nal ~xl~nditums forgiven this acc~. period) 35. KEnVIBURSE~ SUBTOTAL 3(~, O~TAaNI)ING PERSONAL F,,XPENDrIIJRI~S = FINANCIAL STATUS AT CLOSE O[~ACCOUNTING PERIOD 37. Ending Cash Balance - ~8, Accounts Recei~,'able (Accounting P~iod Toud from PC 5) 39, SUBTOTAL 40, Total Outstanding Loar~ (line 29) 41. Outs~mcting Personal Expenditures 42. A~¢oums Payable 4~ SUBTOTAL (l~e~ 40 + 41 +42) = '.. BALAnCE/DEFICIT ~ ~f I, C,~"/~. ,~ '/_..~ ~' 5 (name of candidam or treasurer), her. by c.rtify that the above statement an~ ~ ~ ~I~ ~OrtS are tru~ and correct. Summary Statement of Contributions and Expenditures '~- Please _t}~. e or print legibly in black ink, .. Page 1 of Candidate or Political Committee Name (use full nares): " Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): Treasurer's Name: [ Telephone Number (clay): Commitm= ID Numbcr: Commitme {~p~, M=~surc Numbor or Office: Amendment [] 1 st Prc-~lcction [] 2nfl Pre-election Post-election [] 20 September Supplemental A-TOTALS I~OR Tills i]-CUt~LATIVE TOTALS ACCOUNTING PERIOD FOR Tills ELECTION CONTRIBUTIONS 1. Cash-Contributions Loans Received (Non-~xempt) Toud Cash Contributions 4. In. land (A~cottlalil~ Peflod Total fr~m PC 2) + . ~ + -(~ ~XpISNDITUR~$ 7. Loan Payments (Non-Exempt) 8, Total Cash Bxpendicures 9. In-Kind (A=~ r~t To~ fro. PC 2) + ~ + 10.TOTAL EXPENDITUI~S CA$1~ BALANCE 11, Besimai~-~ash Balance 12. Total Contributions (Accountin~ Pm-iod To. tal from PC 4A) '~ ~ _ _ 14. Loans Received (Exempt) + ~ _(Accountios Period Total from PC 4A) com a, uno S OTa 16, Total Expenditure~ (,,,,,0) 4, oar.. RECEIVED 17. Other Disbursements + (^~o,,,,ti~ ~,~iod Toni ~m PC,~) 'f~ D E C 0 18. Loan Payments (Exempt) + (Account,S Period Total from PC 4B) ~9. ~X~"~Xrt~ SU~TOT^L -' CITY 12/02/2004 1~: ~ 541--484-4942 EUGENE CHAHBER PAGE 03 Summary Statement of Contributions and Expenditures PIe~e ~ or~t legibly ~ b~ck ~, _ Pa~ 2 of 2 C~t~ or Polifi~l Co~ N~e: ~[ ~~c ~ N~b~: LOAN SUMMARY 23. Lo~s [~iv~ (Exert) (]~ i4) + 24, LO~S ~CE~ED ~ 2] + 22 + 23) = 2~. L~ P~n~ (~xempt)- (l~e 18) + ~7, For~vcn ~ (To~l 1~ f~v~ ~ ~ a~o~ ~) + 28, LO~ PAY~ ~TOT~ (lines 2~ + 26 +27) ' ' ~9. TOT~ OUTSTANDING LO~S (I~C 24 mlmlS line 28) = PERSO~L E~PEND~RE S~MMARY -' 31. P~o~ Ex~di~s (A~o~s P~ T~.~m ~ 3A) + 32, PERSON~ ~E~I~ S~TOT~ (Toml e?p~i~es on PG 3 ~ ~oac c~ R) ~o~ peri.al expendi~ torgiv,n ~s ~g. p~) * FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. En~g C~ Bal~ce 38, A~o~ ~ceivable 39. S~TOTAL RECE!VED 41. ~m~ding Pers~al Ex~ndi~ + 4~. Acco~ 2ay~ble 43. S~TOTAL CiTY ~ECOBDER ~ 40 + 41 + 42) = smtm~ co~ect, Si~e ?f c~te or~e~ _ Da~ si~ed Cash Contributions, Loans Received and In-Kind Candidate or Political Committe~ Name: C~e ~ SEE BACK ~OR INSTRUCTIONS ~D CODE CODE 1: C~trlbutor Ty~ CO~ 2; Co~tgb~on Ty~ B B~s Enfi~ CA ~h C Po~tic~ C~n~ (includes ~ess ~d ~ion PACs) CO Cosier Obligati~ L Lair ~tion O P Po~6cal P~ Commiff~ I I 4. $ , R CEIVED , DEC 0 CITY FCOR ER $ F~ce PC 2 L~a Rec~ved ~) $ ~ ~eiv~ ~) $ Cash Expenditures and Loan Payments Candidat~ or Political Commi~ Name: committee ID Number: Election: [] Primary 20 eral 2 [] Other Report: [] 1st Pr~-~lection [] 2nd Prc-clectio'n J~ Post-clcction [] 20~ $cptcmbcr Supplem~n~l PURPOSE COl)RS (see back of form for fnstructions and code definitions) EXPENDITUR~ TYPES A Ag~t O Other Adwaking (yanisigns, buut~, eU:.) CA Cash B Broadcast Advenisiug (Radio, TV) P Postage LP Loan Payment C Cash Contributions R Reimburs~nent for P~-soual ~tums F Fuudraising Ev~rtt Expends S Surveys and Polls O C, una~~~(~ifov~r$S0) T Travel Expense$ (describe ifover $50) ! Inter,mt Paym~m U Utilities L Litersl-o~, Brochures, Printing W Wages, Salaries, Beneflt~ M Management Services Y P~tition Ciroulators N Newspaper and Other Periodical Ad.vmmising Z Preparation and Production of Adv~isiug Payee's Name ~ncl Pmyae's Committee ID~, Exp. Amount of [] # applicable Purpcme Type Expenditu~ Paid Une fi Date Check # (as It appear= on invoice, receipt or cl~e=k) to AlP [-1 .. $ r-q 6. S 9. GiTY ECO DEH 10, S See Page To'sis (Add ~1 exp~di~s wi~ thc s~e Ac~unflflg Period Totals (C~plete only for i~t page ~d Ins~ons expcn~mre ~.) ~f~ ~em amo~ ~ ~e Su~ Sm~t, PC 1.) on Back md Hn~ ~ S~ ~, ~1~ & Lm~ 6 F~ancc M~uai Lo~ Pa~t (LP) $ Loan Paint &P) $ ~ ~ S~W ~m~nt, Col~ ~ Line 7 PC 3