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HomeMy WebLinkAboutIt's Only Fair Committee FROM C & E SYSTEMS (NON)SEP 27 2004 16'18/ST, 16'18/NO, 6359144420 PCl Summary Statemb,,t of Contributions and axpe,.Jitures Please type or print l~'gibly in black ink. Page l of 2 Candidate or Political Committoo Name (uae fall name) It's Only Fair Mail/ng Address as it Appears on Statement of Organi-ation (street, route or box number, city, state, zip code): 65210 S. Wlllamotte St Treasurer's Name: I Telephone Number (day): Chris Seuberg [ 541-484-7863 ' C~mmittec ID Numbor: Oi o gi.al El P 4m y 20_ Oene,- 13 O,h r'l Amendment [] 1st Pre-election A-TOTALS FOR TlilS B-CUMULATIVE TOTALS- ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) 68,614.25 68,614,25 2. Loans Received (N;n~Exempt) + .00 + .00 (Accounting Period Total from PC2) 3. Total Cash Contributions = 68,614.25 = 68,614.25 (lin~ 1+2) 4. In-Kind (Accounting Period Total from PC 2) 5. TOTAL CONTRIBUTIONS (line~ 3'+4) EXPENDITURES 6, Cash Expenditures (Accounting Period Total from ~. Loan Paymems'(Non-Ex~mpt) + .00 (Accountin~ Period Totals from PC 3) _. 8. Total Cash Expenditures 64,719.56 (lines 6+7) = 64,719,56 = 9. in-Kind .00 (Accounting Period Total from PC 2) + .00 + 10. TOTAL ExPEnDITURES' 64,719,56 -_ 64,719.56 (lines 8+9) CASH BALANCE 11. Beginning Cash Balance (Ending Cash Balanc~ from previous rcpm~) 12. Total Contributions (linc 5) + 68,614.25 13. Other Receipts (Accounting Period Total from PC 4A) + ,00 14. Loans Retell, ed (Exemp0 (Accounting Pcxiod Total from PC4A) + .00 15. CONTRIBUTION SUBTOTAL (lines I i + 12 + 13 + 14) = 68,614.25 1~, Total l~xponditur~s (line 10) 64,719.56 17. Other Disbursements (Accounting Period Total from PC 4B) + ,00 18, Loan Payments (Exempt) (Accounting Period Total from ?C 4B) + ,00 19. EXPENDITURE SUBTOTAL (Lines 16.17+ 18) = 64,719.56 20. ENDING-CASH BALANCI~ - (line 15 minus line 19) FROM C & E SYSTEMS (MON)SEP 27 2004 16'19/ST, 16'18/N0,6359144420 Summary Statement of Contributions PI~ ~ or Cnt legibly in bla~ i~, Page 2 of 2 C~didate ~ Political C~mitt~ N~ '- It's Only FairI ~ Am~dm~t ~ let P~oI~on ~ 2nd P~lecfi~ 21. Beginning ~Ls~d~g Lo~ ~o~ ~ing ~ ~ ~vio~ ~on) .00 22, ~ R~c~wd ~on-Ex~pO (tine 2) 23. ~ R~e~vcd (~0 (Lin~ 14) - 24. LO~$ ~C~V~ SUBTOT~ = .~ (lines 21 + 22 + 23) 25, Lo~ Pa~ts (N~-bx~pt) (line 7) 26. Lo~ Pa~ts (~pt) + .00 Omc 18) 27. Forgiven Lo~s .... (Total lo~s ~v~ oudng t~un~_p~] + .00 28. LO~ PA~E~ S~TOT~ (hnes 25 + 26 ? ~7) 29. TOT~ O~ST~D~G LO~S = .00 (li~e 24 ai~us line 28) PER~AL ~PEND~RE SUMM~Y 30. ~ginning ~nding P~onal ~p~di~es .00 (li~ 36 of o~ious ~) _. 31. Pe~nal Bxpendi~s + (Accoun6ng Ped~ To~l ~m ~ 3A) 32. PERSONAL ~~I~B S~TOTA~- = (tines 30 + 31) 33. Pc~o~l ~p~&~ Rcimb~mcn~ 34. Fo~v~ P~o~I Exp~i~ - ' Coral ~n¢ ex0endttu~s ~tv~ this ~ o~od) + 35. ~URSEMENT SUBTOT~ (lines 33 + 34) 36. OU~ST~D~G PE~ON~ E~EN~l~S (line 32 minus hne 35} FINANCIAL STATUS AT Cg~E 6F ~OUN~NG~ERIOD 37. En~,g Cash B~cc 3,894 69 -' .'- "'~:~;- :~'.':'." "~ '-' Omc ~:t[ ...... .,. 38, Acco~ Receivable (A~oun~n8 P~od To~! ~ PC 5) + ,00 39. SUBTOT~ (linc 37 + 38) = 3~894.69 ' 4~. To~l ~di~ ~s ,00 41, ~~g ~e~al Expendi~ + .00 Omc 36) 42, Acco~ Payable 43, S~TOT~ (lin~s ~ + 41 + 42) 44. B~ CE/DEFIC~ = 3,894,69 (L~ 39 minu~.linc 43: i~icate * 0r.¢ 1, (n~e of~di~m ~ ~u~), h~by ~i~ t~t ~e a~ve Si~at~ of c~di~ ~r t~u~ D~c FROM C & E SYSTEMS (MON)SEP 27 2004 16'19/ST, 16'18/NO, 6359144420 P Cash Contributions, Loans Received And In-Kind 'Candidatc or Poli6cal Commiacc Name: .... I Com.mitte¢ ID Number: t It's Only Fair Page 1 of 1 Re-port' [~ I st Predilection ['~ 2nd Pro-election [] Post-election f-I S~t~rnl:~-~ Supplcm~ltal SEE BACK FOR iNSTRUCTIONS ~ CODE Di~.FIlqrrIoNS CODE 1: Contributor Type CODE 2: Contribution Type I~ Business Entity CA Gash C Political Commiue¢ (inoludes business and union PACe) CO Cosign~ Obligation F Candidate's Immediate Family (includ~ candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committ~ Line # Name and Address of Contributor Amount of In-Kind Purtx~e Contrib~iOn (See manual for suggested puq~ese codes) Occupational information, Contributing Contributor Date Received Code 1 Code 2 Committee's ID#, or Description if Gode I is '0' Aggregate Oregon Telecommunications Asan 1. 707 13th St. SE, Suite 280 $ 5,840.00 Salem, OR 97301-4036 g/1/2004 $ 5,840.00 O CA Q~vest 2. tS01 California St. $ 28,934.25 Denver, CO 80202 7/14/2004 $ 28,934.25 3. 1 g01 Callfomia St. $ 33,840.00 Denver, CO 80202 8/I/2004 $ 62,774.25 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 1 .) on Back and in Campaign Cash (CA) $ 68.614.25 Cash (CA) $ 68,614,25 - B_am' aa S~mma~/.~am~at Col~nn A. Line I Finance Manual In-Kind (IK) $ .00 In-Kind (IK) $ __ .00 Loans Received FROM C & E SYSTEMS (ivION) SEP 27 2004 16:1g/ST, 16:18/NO, 6369144420 P Cash Expenditures and Loan Payments Candidate or Politica! Cotmnitt~ Name: Commi~e ID Number: ,, It'. Only Fair Page I of 1 Report: ~] 1 st Pr~-~lcc~ion [~ 2nd Pm-election D P~t-el~ ~ S~ Su~l~ml P~OSE CODES 0~ back of fo~ for in~ffuefloaa and e~e defl~flonO E~ENDIT~ TYPES h Agem N N~wspaper ~d O~ Pefi~val Advising CA Ca~ B Broadest Adw~ising (~dio, ~) O O~r Adv~ising ~ si~s, bu~ons, eta.) LP ~a~ Pa~t C C~h Con~bufio~ P F F~is~g Ev~t Ex~s R Re~ment G Gene~ ~atio~l ~pen~ (~fi~ S S~eys ~d Po~ if ov~ $50 T T~vel Ex.rises (~ if over $50) I ~mst Payment U Ufilifi~ ~ Li~ra~. Bmch~s. P~t~ W Wages. Sfl~. Banefi~ M M~gement Sauces Z P~tion ~d Pm~cfion of Adve~is~ ~mount of Payee's ~me and Pa~'s C~m~ ID~, ~P' ~n~re L~ne ~ Da~ Ch~ if ~plicab~ Pu~ T~ Pd to (as it ap~a~ ~ invol~, r~e~t or ch~k) _ ~mcy Resou~cm G (si~a~ CA $ 33340.00 1. 8/~/2004 001 ga~g) Grove ~ight S CA $ 10,099.25 C&E $yst~, ~C M CA $ ~5o.oo 3. 8/19/2~ 1002 PacWest Comm~atlom M CA $ 20,a30.3 l 4. 9/10/20~ 1003 9. $ [] ~o. $ [] See Page Totals (Add all expenditures with the same Accounting Period Totals (Complet~ only for last page and Instructions expenditure type.) transfer these amounts to the Summary Statement, PC 1.) on Back and in Campaign Cash (CA) $ 64,719.56 Cazh (CA) $ 64,719.56 Eats' oa Summmy ,Sta~-m~m. Colunm A. Linc 6 Finance Manual Loan Payment (LP) $ .00 Loan Payment $ .00 PCI Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name) Irs Only Fair Marling Address as R Appears on Statement of Organizataon (street, mute or box number, city, state, zip code): 85210 S. Willamette St. - Eugene, OR 97405 Treasurers Name: Telephone Number (day): Chris Seubeqll 541-484-7863 Committee ID Number. I Committee Type, Measure Number or Office: I [] PrmL. 20 [] 2oo4 [] other endment [] 1st Pre-election [] 2nd Pre-electron [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) 68,614.25 68,614.25 2. Loans Received (Non-Exempt) + .00 + .00 (Accounting Pgriod Total from PC2) 3. Total Cash Conlributions = 68,614.25 = 68,614.25 (lines 1+2) 4. In-Kind (Accounting Period Total bom PC 2) + .00 + 00 5 TOTAL CONTRIBUTIONS (lines 3+4) = 68,614.25 = 68,614.25 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) 64,719 56 64,719 56 7. Loan Payments (Non-Exempt) + 00 + .00 (A~ounling Period Totals from PC 3) 8. Total Cash Expenditures (hnes 6+7) = 64,719.56 = 64,719.56 9 In-Kind .00 (Accounting Penod Total from PC 2) + .00 + 10 TOTAL EXPENDITURES (hnes 8+9) = 64,719.56 = 64,719 56 CASH BALANCE 11 Beginning Cash Balance .00 FOR OFFICE USE ONLY (Ending Cash Balance from previous report) 12. Total Contributions (lino 5) + 68,614.25 13. Other Receipts + .00 (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) (Accounting Period Tolal bom PC4A) + .00 15. CONTRIBUTION SUBTOTAL (hnes 11 + 12 + 13 + 14) = 68,614.25 16. Total Expenditures (line 10) 64,719.56 RECEIVED 17. Other Disbursements (Accounting Period Total from PC 4B) + .00 OCT 1 2 2004 18. Loan Payments (Exempt) + 00 (Accounting Period Total from PC 4B) 19 EXPENDITURE SUBTOTAL CITY RECORDER (Lines 16 + 17 + 18) = 64,719.56 20. ENDING CASH BALANCE (line 15 minus line 19) = 3,894.69 PC1 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: It's Only Fair [] Original [] Primary :0 [] C~neral 2004 [] Other ffAmendment [] lstPre-elecfion [] 2nd Pre-electron [] Post-election [] September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 21. Beginning Outstanding Loans (Total Outstanding Loans from previous report) 00 22, Loans Received (Non-Exempt) (line 2) + 00 23. Loans Received (Exempt) (Line 14) + 00 24. LOANS RECEIVED SUBTOTAL = (lines 21 + 22 + 23) 00 25. Loan Payments (Non-Exempt) (l~ 7) .00 26. Loan Payments (Exempt) (line 18) + .00 27. Forgiven Loans (Total loans forgiven during this aoooanting period) + 00 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 + 27) = .00 29. TOTAL OUTSTANDING LOANS = .00 (line 24 mmus line 28) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures 00 (line 36 of pmwous report) 31 Personal Expenditures + 00 (Aooounting Period Total fi.om PC 3A) 32 PERSONAL EXPENDITURE SUBTOTAL = .00 (lines 30 + 31) 33. Personal Expenditure Reimbursements 00 (Total expenditures on PC 3 with purpose oodu R) 34. Forgiven Personal Expenditures (Total p~r~onal expenditures forgivan this ~ootg. period) + 00 35 REIMBURSEMENT SUBTOTAL (lines 33 + 34) = .00 36 OUTSTANDING PERSONAL EXPENDITURES (line 32 minus line 35) = .00 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance 3,894.69 (line 20) 38. Accounts Receivable + .00 (Aoeounting Period Total from PC 5) 39. SUBTOTAL = 3,894.69 (line 37 + 38) 40. Total Outstanding Loans .00 RECEIVED Omc 29) 41. Outstanding Personal Expenditures + .00 (line36) OCT 1 2 2004 42. Accounts Payable + .00 (Aooounting Period Total from PC 6) 43. SUBTOTAL CiTY RECORDEP, 0roes 40 + 41 + 42) = .00 44, BALANCE/DEFICIT = 3,894.69 (Line 39 minus line 43: indtcat~ + or - bal~mcc) I, (~/~l/r[O gootbe,,d-- (name of candidate or treasurer), hereby certify that the above statement ~the attached suppo~ng reports nre true and correct. Signature of candidate or treasurer Date signed PCl Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name) It's Only Fair Marling Address as it Appears on Statement of Organization (slxeet, route or box number, city, state, zip code): 85210 S. Willamette St. - Eugene, OR 97405 Treasurers Name: [ Telephone Number (day): Chris Seuberg [ 541.484-7863 Committee ID Number: [ Committee Type, Measure Number or Office: I [] Original [] Primary 20. [] G-enem12004 [] Other [] Amendment [] lstPre-election [] 2ndPre-election [] Post-dection [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) .00 100,393.81 2. Loans Received (Non-Exempt) + .00 + .00 (Accounting Period Tolal from PC2) 3 Total Cash Contributions = .00 = 100,393 81 (lines 1+2) 4. In-Kind (Accounting Period Total from PC 2) + .00 + .00 5. TOTAL CONTRIBUTIONS (lines 3+4) = .00 = 100,393 81 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) .00 64,719 56 7. Loan Payments (Non-Exempt) + .00 + .00 (Accounting P~riod Totals from PC 3) 8. Total Cash Expenditures (lines 6+7) = .00 = 64,719.56 9 In-Kind 00 (Accounting Pm~iod Total from PC 2) + .00 + 10. TOTAL EXPENI)ITLTRE$ .00 = 64,719.56 (lines 8+9) = CASH BALANCE 11. Beginning Cash Balance 35,674.25 FOR OFFICE USE ONLY (Ending Cash Balance from previous roport) 12. Total Contributions + .00 (line 5) 13 Other Receipts + .00 (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) + .00 (Accounting Period Total from PC4A) 15. CONTRIBUTION SUBTOTAL (lines 11 + 12 + 13 + 14) = 35,674.25 16. Total Expenditures .00 0ine 10) 17. Other Disbursements (Accounting Period Total from PC 4B) + .00 RECEIVED 18. Loan Payments (Exempt) + .00 (AccounfingVefiodTotalfrompc4B) OCT 2 5 2004 19. EXPENDITURE SUBTOTAL (Lines 16 + 17 + 18) = .00 20. ENDING CASH BALANCE (linel5minushnel9) = 35,674.25 CITY RECORDER PC1 Summary Statement of Contributions and Expenditures Please type or print legibly m black ink. Page 2 of 2 Candidate or Political Committee Name Committee ID Number: It's Only Fair [] Original [] Primary 20 [] General 2004 [] Other [] endm=t [] l -elecaon [] 2nd e-el aon [] Po -el ion [] LOANSUMMARY FOR O~FICE USE ONLY 21. Beginning Outstanding Loans (Total Outstanding Loans from previous r~port) 00 22. Loans Received (Non-Exempt) (line 2) + .00 23. Loans Received (Exempt) (Line 14) + .00 24. LOANS RECEIVED SUBTOTAL = (lines 21 + 22 + 23) .00 25. Loan Payments (Non-Exempt) (line 7) 00 26 Loan Payments (Exempt) + .00 (line 18) 27. Forgiven Loans (Total loans forgiven during this accounting period) + 00 28. LOAN PAYMENT SUBTOTAL = 00 (lines 25 + 26 + 27) 29. TOTAL OUTSTANDING LOANS = .00 (line 24 minus lme 28) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures .00 (line 36 of pr~wous report) 31. Personal Expenditures + .00 (Aooounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL = .00 (lines 30 + 31) 33. Personal Expenditure Reimbursements .00 (Total expenditures on PC 3 wRh purpose oode R) 34. Forgiven Personal Expenditures (Total personal expenditures forgiven this aootg, period) + 00 35. REIMBGRSEMENT SUBTOTAL 00 (lines 33 + 34) = 36. OUTSTANDING PERSONAL EXPENDITURES .00 (linc 32 minus line 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance 35,674.25 (line 20) 38. Accounts Receivable (Accounting Period Total from PC 5) + 00 39. SUBTOTAL 35,674.25 (lane 37 + 38) = 40. Total Outstanding Loans .00 (line 29) 41 Outstanding PersonalExpenditures + .00 (line 36) 42. Accounts Payable + .00 (Accounting Period Total from PC 43 SUBTOTAL (lines 40 + 41 + 42) = .00 44. BALANCE/DEFICIT = 35,674.25 {L~in.e 39 minus line _4.x3: indioate + or- balanoe) I, ~_,~L/~I 5 3~"b (~/,~"[ (nam~ofcandidagortreasurer),herebyccrtifythatthcabove sta~'~t a~the attached supporting reports am true and correct. Signature of candidate or treasurer Dale signed Summary Statement of Contributions and Expenditures ~c~ Please type or print ingibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name) It's Only Fair Ma[ling Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): 85210 S. Willamette St. - Eugene, OR 97405 Treasurers Name' Telephone Number (day): Chris Seuberg 541-484-7863 Committee ID Number: I Committee Type, Measure Number or Office: I [] Origi~ [] ~ 20 [] C~n~ 2oo4 [] o~er [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) .00 68,614.25 2. Loans Received (Non-Exempt) + .00 + .00 (Accounting Period Total from PC2) 3 Total Cash Contributions = .00 = 68,614 25 (lines 1+2) 4. In-Kind (Accounting Period Total from PC 2) + .00 + .00 5. TOTAL CONTRIBUTIONS (lines 3+4) = .00 = 68,614.25 EXPENOITURES 6. Cash Expenditures (Aecountin8 Period Total from PC 3) .00 64,719 56 7. Loan Payments (Non-Exempt) + 00 + .00 (Accounting Period Totals from PC 3) 8. Total Cash Expenditures (lines 6+7) = .00 = 64,719.56 9. In-Kind (Accounting Penod Total from PC 2) + .00 + .00 10 TOTAL EXPENDITURES (lines 8+9) = .00 = 64,719 56 CASH BALANCE 11. Beginning Cash Balance (Ending Cash Balance from previous report) 3,894.69 FOR OFFICE USE ONLY 12. Total Contributions (line 5) + .00 13. Other Receipts + .00 (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) (Accounting Period Total fi'om PC4A) + .00 15. CONTRIBUTION SUBTOTAL (lines 11 + 12 + 13 + 14) = 3,894.69 16. Total Expenditures .00 (line 10) 17. Other Disbursements (Accounting Period Total from PC 4B) + .00 18. Loan Payments (Exempt) + .00 (Accounting Period Total from PC 4B) OCT ]1 9 2004 19. EXPENDITURE SUBTOTAL (Lines 16 + 17 + 18) = 00 20.m,IN, ,CASI'I,, , CE CITY RECORDER (line 15 minus line 19) = 3,894.69 PC1 Summary Statement of Contributions and Expenditures Pleas~ type or print legibly m black ink. Page 2 of 2 Candidate or Political Committee Name Committee/D Number: It's Only Fair [] Original [] Primary 20 [] General 2004 [] Other [] Amendment [] lstPre-elect~on [] 2nd Pre-elecnon [] Post-election [] September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 21 Beginmng Outstanding Loans (Total Outstanding Loans from previous report) 00 22 Loans Received (Non-Exempt) (line 2) + .00 23 Loans Received (Exempt) (Line 14) + .00 24. LOANS RECEIVED SUBTOTAL = (lines 21 + 22 + 23) .00 25. Loan Payments (Non-Exempt) (line 7) .00 26. Loan Payments (Exempt) + 00 (line 18) 27. Forgiven Loans (Total loans forgiven during thi~ aeoounting period) + .00 28. LOAN PAYMENT SUBTOTAL = 00 0ines 25 + 26 + 27) 29. TOTAL OUTSTANDING LOANS = ,00 (line 24 minus line 28) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures .00 (line 36 of previous report) 31. Personal Expenditures + .00 (Aeoounfing Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL = 00 (lines 30 + 31) 33 Personal Expenditure Reimbursements .00 (Total expenditures on PC 3 with purpose oodu R) 34. Forgiven Personal Expenditures (Total peraonal expan&tures forgiven this aootg, period) + .00 35. REIMBURSEMENT SUBTOTAL 00 (lines 33 + 34) = 36. OUTSTANDING PERSONAL EXPENDITURES .00 (line 32 mmua line 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37 Ending Cash Balance 3,894 69 (line 20) 38. Accounts Receivable + .00 (Aooounting Period Total from PC 5) 39. SUBTOTAL (line 37 + 38) - 3,894.69 40. Total Outstanding Loans .00 (line 29) 41. Outstanding Personal Expenditures + .00 (line 36) 42. Accounts Payable + .00 (Aooounting Period Total from PC 6) 43. SUBTOTAL (lines 40 + 41 + 42) = .00 44. BALANCE/DEFICIT = 3,894.69 )tl~inc 39 minus lane 43 indioat~ + or - balanoe) I, ~//A_~ ( 3 5~91)[ ~ ~ [,/"~'" (name of candidate or treasurer), hereby certify that the above statem~t and the attached supporting reports are true and correct. Signature of candidate or treasurer Date sign~ PcI Summary Statement of Contributions and Expenditures Please type or pnnt legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name) It's Only Fair Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): 85210 S. Willamette St. - Eugene, OR 97405 Treasurex~s Name: ] Telephone Number (day)' Chris Seuberg [ 541-484-7863 Committee ID Number: I Committee Type, Measure Number or Office: I [] Original [] Prim~ 20 [] General 2004 [] Other [] Amendment [] lstPre-election [] 2ndPm-election [] Post-election [] Septembe~Supplemental A-TOTALS FOR TI-IIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accountin8 Period Total from PC 2) 100,393.81 100,393.81 2. Loans Received (Non-Exempt) + .00 + 00 (Accounting Period Total from PC2) 3 Total Cash Contributions = 100,393.81 = 100,393.81 (lines 1+2) 4. In-Kind (Accounnng Period Total from PC 2) + .00 + 00 5 TOTAL CONTRIBUTIONS (lines 3+4) = 100,393.81 = 100,393 81 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) 64,719.56 64,719.56 7. Loan Payments (Non-Exempt) + .00 + .00 (Ac,~ounting P~,n'iod Totals from PC 3) 8. Total Cash Expenditures (lines 6+7) = 64,719 56 = 64,719 56 9. In-Kind + 00 + .00 (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES 64,719.56 = 64,719.56 (lines 8+9) = CASH BALANCE 11. Beginning Cash Balance ,00 FOR OFFICE USE ONLY (Enchng Cash Balance from previous roport) 12. Total Contributions + 100,393.81 (line 5) 13. Other Receipts + 00 (Accountin8 Period Total from PC 4A) 14. Loans Received (Exempt) + .00 (Accounting Period Total from PC4A) 15 CONTRIBUTION SUBTOTAL (lines 11 + 12 + 13 + 14) = 100,393.81 16 Total Expenditures 64,719.56 (line 10) 17. Other Disbursements OCT 2 5 2004 (Accounting Period Total from PC 4B) + 00 18 Loan Payments (Exempt) (A¢counting Period Total from PC 4B) + 00 CITY RECORDER 19 EXPENDITURE SUBTOTAL (Lines 16 + 17 + 18) = 64,719.56 20. ENDING CASH BALANCE (line 15 minus line 19) = 35,674.25 PC1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidal~ or Pohtical Committee blame [ Committee ID Number: It's Only Fair I [] Original [] Primary 20 [] General 2004 [] Other [] Amendment [] I st Pre-election [] 2nd Pre-election [] Post-election [~] September Supplemental LOAN SUMMARY FOR OFFICE IJSE ONLY 21. Beginning Outstanding Loans (Total Outstanding Loans from previous report) 00 22. Loans Recmved (Non-Exempt) (line 2) + .00 23. Loans Received (Exempt) (L~ne 14) + .00 24. LOANS RECEIVED SUBTOTAL = (lines 21 + 22 + 23) .00 25. Loan Payments (Non-Exempt) (line 7) .00 26. Loan Payments (Exempt) + .00 (linc 18) 27. Forgiven Loans (Total lo,ns forgiven during this aooountmg period) + .00 28. LOAN PAYMENT SUBTOTAL __ .00 (lines 25 + 26 + 27) 29. TOTAL OUTSTANDING LOANS = .00 (line 24 minus line 28) PERSONAL EXPENDffURE SUMMARY 30. Beginning Outstanding Personal Expenditures .00 (line 36 of previous r~port) 31 Personal Expenditures + .00 (Aooountmg Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL = (lines 30 + 31) .00 33. Personal Expenditure Reimbursements .00 (Total expenditures on PC 3 with purpose oode R) 34. Forgiven Personal Expenditures (Total pe~onal expenditures forgiven th~s aootg, period) + 00 35. REIMBURSEMENT SUBTOTAL (lines 33 + 34) = .00 36. OUTSTANDING PERSONAL EXPENDITURES (line 32 minus line 35) = .00 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37 Ending Cash Balance 35,674.25 (linc 20) 38. Accounts Receivable + .00 (Aooounting Period Total from PC 5) 39. SUBTOTAL 35,674 25 (line 37 + 38) = 40. Total Outstanding Loans .00 (line 29) 41. Outstanding Personal Expenditures + .00 (line 36) 42. Accounts Payable + .00 (Aoeounting Period Total from PC 6) 43 SUBTOTAL (lines 40 + 41 + 42) = .00 44. BALANCE/DEFICIT = 35,674.25 (Line 39 minus line 43: indioate + or - balanoe) I, ~_..r(/~. pr-(' 5' ~'~e C{.~ ~ ~ (name of candidate or =as.r), hereby certify thnt the above sta,~cnt~hcattachcdsupportlngreportsaretrueandcorrect.~~ ~ 2 ~/di 7 ~ Signamr~ of oandidat~ or treasurer Dat~ s~gn~d PC 2 Amendment Amendments-Cash Contributions, Loans Received and In-Kind Candidate or Political Committee Name. Committee ID Numbe~. It's only Fair ?age ! Election: [] Prim~ 20__ [] General 2004 [] Other ..... Report' [] 1 st Pre-election [] 2nd Pre-election [] 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 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 # Name and Address of Contributor Amount of In. Kind Purpose and Dna # Contribution (see manual for suggested purpose codes) Occupational Information or Contributor Date Received Con~butlng Committee's ID# Aggregate Code I , Code 2 Page L~no QWEST I~ NewEntry 1801 Cahfornia St. $ 31,779.56 ["1 Correcting I-I De,aha Denver, CO 80202 8/30/04 $ 94,553.81 B CA Page Line~ I-~ New Entry I"l Correcting I"] [3eletmcl , I Page~ Line..___ [-I New Entry $ r'l correcting r'l Deleflna Page r-I New Entry r-I correcting J-I Deletinfl Page ..... bna I-I New Entry I-~ Correcting I-I Deletlna See ~_~ ~ FOR OFFICE USE ONLY Instnlctions RECEIVED o~ Back and in Cmnpaign Signature of candidate or treasurer Finance OCT 2 5 2004 Pc2 r Amendment Date signed CiTY RECORDER pCl Summary Statement of Contributions and Expenditures Please type or print leglbty in black mk Page I of 2 Candidate or Political Committee Name (use full name) It's Only Fair Mailing Address as it Appears on Statement of Orgamzatlon (street, route or box number, c~ty, state, zip code) 85210 S. Willamette St. - Eugene, OR 97405 Treasurers Name' Telephone Number (day). Chris Seuberg 541.484-7863 Committee ID Number Committee Type, Measure Number or Office. 1-~ Original [] Primary 20 ...... [] General 2004 [] Other [] Amendment [] 1st Pre-electron [] 2nd Pre-elechon [] Post-elechon [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS -1 Cash Contributions (Accounung Period Total from PC 2) 00 100,393 81 2 Loans Recmved (Non-Exempt) + 00 + .00 (Accounting Period Total from PC2) 3 Total Cash Contributions = .00 = 100,393.81 (hnes 142) 4. In-Kind (Accounting Period Total from PC 2) + 00 + 00 5 TOTAL CONTRIBUTIONS (lines 3 a-45 = 00 = 100,393 81 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) 770 12 65,489 68 7 Loan Payments (Non-Exempt) + 00 + 00 (Accounting Period Totals fi.om PC 8 Total Cash Expenditures (hnes 6+7) = 770 12 = 65,480 68 9 ln-K~nd + 00 + 00 (Accounhng Period Total from PC 2) 10 TOTAL EXPENDITURES 770 12 65,489 68 (lines 849) = = CASH BALANCE 11 Bcgmmng Cash Balance 35,674 25 FOR OFFICE USE ONLY (Ending Cash Balance from previous report) 12 Total Contnbutmns + 00 (hne 5) 13 Other Receipts + 00 (Accounting Period Total from PC 4A) 14 Loans Recmved (Exempt) + 00 (Accounting Period Total from PC_AA) t 5 CONTRIBUTION SUBTOTAL 35,674 25 (hnesll+124 13~ 14) = 16 Total Expendmtres 770 12 ,,,..,o, RECEIVED 17 Other Disbursements (Accounting Period Total from PC 4B) + 34,904 13 18 Loan Payments (Excmapt) + 00 fAccountmg Period Total from PC 4B) 19 EXPENDITURE SUBTOTAL CiTY RECORDER (Lines 16+ 17 + 18) = 35,674.25 20 ENDING CASH BALANCE (hne 15 minus line 19) = O0 PC1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink, Page 2 of 2 Can&date or PohUcal Committee Name Committee ID Number It's Only Fair [] Original [] Primary 20 [] General 2004 [] Other [] Amendment [] I st Pre-elect~on [-'] 2nd Pre-election [] Post-election [] September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 21 Beginning Outstanding Loans (Total Outstanding Loans fi.em previous report) 130 22. Loans Received (Non-Exempt) (line 2) + 00 23. Loans Received (Exempt) (Line 14) + O0 24 LOANS RECEIVED SUBTOTAL = (lines 21 + 22 + 23) .00 25 Loan Payments (Non-Exempt) (line 7) .00 26 Loan Payments (Exempt) + O0 (line 1 27 Forgiven Loans (Total loans forg~vea~ during this accounting period) + 00 28 LOAN PAYMENT SUBTOTAL = .00 (Imes 25 + 26 + 27) 29. TOTAL OUTSTANDING LOANS = .00 0me 24 minu.q line 28) PERSONAL EXPENDITURE SUMMARY 30, Begmrdng Outstanding Personal Expenditures 00 (line 36 of previous revort) 31. Personal Expenditures + 00 (Accounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL = 00 (lines 30 + 3 I) 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) .00 34. Forgiven Personal Expen&tures (Total personal expenditures forgiven thru acctg, period) + .00 35, REIMBURSEMENT SUBTOTAL 00 (hnes 33 + 34) = 36 OUTSTANDING PERSONAL EXPENDITURES 00 (line 32 minus line 35) = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37 Ending Cash Balance 00 (line 20) 38 Accounts Receivable + 00 (Accounting Period Total from PC 5) 39 SUBTOTAL = O0 (hne 37 + 38) 40. Total Outstanding Loans 00 (llne 29) 41. Outstanding Personal Expenditures + 00 (line 36) 42 Accounts Payable + O0 (Accounting Period Total from PC 6) 43 SUBTOTAL (lines 40 + 41 + 42) = O0 44 BALANCE/DEFICIT = .00 (l,me 39 minu,q hne 43 ~ndmate + or - balance) I, d~//] /~[',~ g ~ ~ be 6/~ (name of can&date or treasurer), hereby certify that the above stateT.~~ntm eattachedsu omng reports are true and correct. ! //fT/~/ SignaTure of can&date or treasurer Dar Cash Expenditures and Loan Payments vt3 Candidate or Polit]cal Committee Name- Committee ID Number It's Only Fair Page 1 of 1 Elect]on [] Primary 20 [] General 2004 [] Other __ Report. [] 1 st Pre-elect]on [] 2nd Pre-elect]on [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Penodmal Advertising CA Cash B Broadcast Adverhsmg (Radio, TV) O Other Advertising (.yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundralsmg 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 Utflibes L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Produetmn of Adverhsmg Payee's Name and Payee's Commtttee ID~, Exp. Amount of [] Ltne# Date Check~ /f apphcable Purpose Type Expenditure Pd to (as tt appears on invoice, recetpt or check) AlP Key Bank G (Bank fees) I 11/2/2004 Cash CA $ 70 12 [~ C&E Systems, LLC M 2 11/2/2004 1004 CA $ 700.00 [2] 3 $ J'--J 4 $ [] 5, $ 0 6 $ [] 7 $ [] 8 $ [] 9 $ [] 10 $ [] See Page Totals (Add all expenditures uath the same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) transfer these amoums to the Summary Statement, PC 1 ) on Back and in Campaign Cash (CA) $ 770 12 Cash (CA) $ 770 12 Finance E~ on s,m.~ stat~.,a~ co~u~, ~ t~,e 6 Manual Loan Payment (LP) $ 00 Loan Payment $ 00 Enter on Summary Statement, Colunm A, Lines 7 PC3 Other Disbursements PC Can&date or Political Comm,ttee Name Committee ID Number It's Only Fair Page ! of E10ct~on [] Primary 20 [] General 2004 [] Other Report [] 1st Pre-elect, on [] 2nd Pre-elect,on [] Post-elect, on [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Disbursement Transaction Type Codes EL Exempt Loan Payments NP Nonparbsan Act;v~ty OM Miscellaneous (provide a descnpbon) RT Return or Refund of Contributions Name Other Disbursement Line # Date Check # (requtred for codes EL, OM and RT' Transaction Type Other Disbursement optional for code NP) Code Amount I 11/2/2004 1005 Qwest RT $ 34,904 13 2. $ 3 $ 4 $ 5 $ 6 $ 7 $ 8 $ 9 $ 10. $ See Page Totals (Add all amom~ts for the Other Accounting Period Totals (Complete only for last page and Instructions D~sbursement Transact;on Type Codes transfer these amotmts to the Summary Statement, PC 1 ) on Back and specified ) in Campaign Codes NP, OM, RT $ 34,904.13 Codes NP, OM, RT $ 34.904A3 Finance Enter on Summmy Statement, Colunm A, Line 17 Manual 0o Code EL $ 0o Code EL $ PC 4B Enter on Summary Statement, Column & Line 18 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name) Irs Only Fair IVlmling Address as it Appears on Statement of Organization (street, route or box number, mty, state, zip code): 85210 S. Willamette St. - Eugene, OR 97405 Treasurer's Name' Telephone Number (day). Chris Seuberg 541.484-7863 Committee ID Number. I Committee Type, Measure Number or Office: I [] Original [ [-] Primary 20___ [] Oenera12004 [] Other [~1 Amendment ] [] 1st Pre-election [] 2nd Pre-election [~1 Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) .00 100,393.81 2. Loans Received (Non-Exempt) + 00 + 00 (Accounting Period Total from PC2) 3. Total Cash Contributions = .00 = 100,393.81 (hnes 1 +2) 4. In-Kind (Accounting Period Total from PC 2) + 00 + .00 5. TOTAL CONTRIBUTIONS (lines 3+4) = O0 = 100,393.81 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) 770.12 65,489 68 7. Loan Payments (Non-Exempt) + .00 + 00 (Accounting Period Totals from PC 3) 8. Total Cash Expenchtures 770 12 = 65,489 68 (lines 6+7) = 9. In-Kind + .00 + 00 (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES 770 12 = 65,489 68 (lines 8+9) = CASH BALANCE l 1 Begmmng Cash Balance 35,674.25 FOR OFFICE USE ONLY (Ending Cash Balance from previous report) 12. Total Contributions + 00 (lino 5) 13 Other Receipts + O0 (Accounting Period Total from PC 4A) 14 Loans Received (Exempt) + .00 (Accounting Period Total from PC4A) 15 CONTRIBUTION SUBTOIAL (lines 11 + 12 + 13 + 14) = 35,674 25 16. Total Expenditures 770 12 ,,,,,,,o, RECEIVED 17 Other Di_sbuxsements (Accounting Period Total from PC 4B) + 34,904 13 + .oo NOV 1 7 2004 18. Loan Payments (Exempt) (Accounting Period Total from PC 4B) 19 EXPENDITURE SUBTOTAL CiTY RECORDER (Lines 16 + 17 + 18) = 35,674.25 20 ENDING CASH BALANCE (line 15 minus line 19) = O0 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: It's Only Fair [] Amendment] [] 1st Pm-election [] 2nd Pre-election [] Post-election [] September Supplemental LOAN SUMMARY FOR OFFICE USE ONLY 21. Begtnning Outstanding Loans (Total Outstanding Loans from previous ~port) O0 22. Loans Received (Non-Exempt) (line 2) + .00 23. Loans Received (Exempt) (Line 14) + .00 24. LOANS RECEIVED SUBTOTAL = (lines 21 + 22 + 23~ .00 25. Loan Payments (Non-Exempt) (tim 7) .00 26. Loan Payments (Exempt) + .00 (line IS) 27. F__org.iv. enLpans . (Tofftl loans xorgiven auring this accounting period) + 00 28. LOAN PAYMENT SUBTOTAL = 00 (lanes 25 + 26 + 273 29. TOTAL OUTSTANDING LOANS = .00 0ine 24 mim~q line 28) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures 00 (line 36 of previous repot) 31. Personal Expenditures + ,00 (Accountin£ Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL = .00 Ones 30 + 31) 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) ,00 34. Forgiven Personal Expenditures (Total personal expenditures forgiven this acctg, period) + .00 35, REIMBURSEMENT SUBTOTAL .t30 (lines 33 + 34) 36, OUTSTANDING PERSONAL EXPENDITURES .00 (line 32 minus line 35) = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance (line 20) 38. Accounts Receivable + .00 (Accounting Period Total from PC 5) 39. SUBTOTAL = 00 (line 37 + 38) 40. Total Outstanding Loans .00 (line 29) 41. Outstanding Personal Expenditures + .00 (line 36) 42 Accounts Payable + .00 (Accountin~ Pm-iud Total from PC 6) 43. SUBTOTAL (lines 40 + 41 + 42) = .00 44. BALANCE/DEFICIT = .00 (Line 39 minm hne 43. mdmato+ or. balance) L ('~,~/I/'/'f,..(> ~ ~ ~- b~ ~ (name of can&date or treasurer), hereby certify that the above Cash Expenditures and Loan Payments Candidate or Polittcal Committee Name: Committee 1D Number: It's Only Fair Page 1 of 1 Election: [~] Primary 20 [~ General 2004 [~ Other Report' [~ 1 st Pre-election ~] 2nd Pro-election [~ Post-election [] September Supplemental PLTRPOSE 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 Contnbntions P Postage F Fundralsing Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50 T Travel Expenses (describe ff over $50) I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and ProducIaon of Advertising Payee's Name and Payee's Committee ID~, Exp. Amount of [] Line # Date Check~ ff applicable Purpose Type Expenditure Pd to (as it appears on invoice, receipt or check) A/P Key Bank G (Bank fees) a. 11/2/2004 Cash CA $ 70,12 C&E Systems, LLC M 2. 11/2/2004 1004 CA $ 700.00 3. $ 4 $ [] 5 $ [] 6. $ [] 7. $ D 8. $ I-! 9. $ I"1 ao $ [] See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and Instructions expenditure type.) transfer these mounts to the Summary Statement, PC 1.) on Back and in Campaign Cash (CA) $ 770.12 Cash (CA) $ 770.12 Finance sm~ on s~m~ smom~, column & L~e 6 Manual Loan Payment (LP) $ .00 Loan Payment $ .00 Enter on Summary Staten~nt. Colunm A, Lines 7 PC3 Other Disbursements Candidate or Political Committee Name Committee ID Number' It's Only Fair Page 1 of Election: [-] Primary 20 [~] General 2004 [-] Other Report- [~ 1 st Pre-election [~] 2nd Pro-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Disbursement Transaction Type Codes EL Exempt Loan Payments NP Nonpartasan Activity OM Miscellaneous (provide a description) RT Return or Refund of Contributions Name Other Disbursement Ltne# Date Check # (required for codes EL, OM and RT' Transaction Type Other Dtsbursement Amount optional for code NP) Code 1. 11/2/2004 1005 Qwest RT $ 34,904.13 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 8. $ 9. $ 10. $ See Page Totals (Add all amounts for the Other Accounting Period Totals (Complete only for last page and ~structions Disbursement Transaction Type Codes transfer these amounts to the Summary Statement, PC 1.) on Back and specified ) in Campaign Codes NP, OM, RT $ 34.904.13 Codes NP, OM, RT $ 34.904.13 Finance Entel oi1 Summa~ Statement, Coim~m A, Line 17 Manual Code EL $ .00 Code EL $ .00 PC 4B Enter on Sonlmary Statemexqlg Colma't A, Line 18