HomeMy WebLinkAboutGang of 9 Summary St~,ement of Contributions and ,.xpenditures Rev
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Candidate or Political C_q~ee Narne (use O/Il namg)~
Mailing Address as it Appears oq g~atcmcnt of Organization (street, gO.~.tc or box number, l~t~ q7t~O/
Committee ID Number: I Committee Type, Messum Number or Office:
J~Original C] Primary 20 ~ General 20 0g ~o'Other (~J.~[.)~.l~- m
[] Amendment [] I st Pre-election 2nd Pre-election Post-election [] 20 September Supplemental
A-TOTALS FOR THIS B-CUMULATIVE TOTALS
ACCOUNTING PERIOD FOR Tills ELECTION
CONTRIBUTIONS
1. Cash Contributions
(Ac¢ounting Period Total from PC 2) ~ ~/ ~ ~
2. Loans Received (Non-Exempt) + ~ +
(Accounting Period Total from PC 2) ~,.
3. Total Cash Contributions
(lines l+ 2) = ~ 0.00 = 5~/ 3~
4. In-Kind
(AccountingPeriodTotalfromPC2) + '0-- + I t~ t'tlCt
.ines~-,-~, : ~ o.oo : 7~ ~t_
EXPENDITURES
6. Cash Expenditures ~ 5~! 2 g~
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + ~ +
(Accounting Period Total from PC 3)
8. Total Cash Expenditures
9. In-Kind
{Accoun~ngPe.odTo~ompc:~ * .~ o.oo * t,~ q/t,t_?~
,0. -- o.oo --
CASH BALANCE
! ]. Bcgianing Cash Balance
(linc 20 ofprevious report) ~", ~7 FOR OFFICE USE ONLY
12. Total Contributions + ~ 0.00
RECEIVED
13. Other Receipts +
(Accounting Period Total from PC 4A)
~.. Loans ReceiYed (Exempt) + ~. SEP 1 0 2004
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL
.in¢.,,+,~+,~+.> : t~J'~ ~__~o0 CIIY RECORDER
16. Total Expenditures .~' 0.00
{line 10)
17. Other Disbnrsements +
(Accounting Period Total from PC 4B)
18. Loan Payments (Exempt) + ~
{Accounting Period Total from PC
19. EXPENDITURE SUBTOTAL
: 0.00
{lines 16 + 17 + 18)
20. ENDING C~SH B~/~NCE
(line 15 minus line 19) = ~ 5 ~ 0.00
PCI
Summary St~.dment of Contributions and _xpenditures Rev
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Candidate or Political Committee Name: &~& OF q Ic°mmitt~IDs~mber:
~.Original [-'] Primary 20 ~General 20 O' ~' Other
Amendment [] I st Pre-election 2nd Pre-election 'Post-election [] 20 September Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
:2l. Beginning Outstanding Loans
(line :29 of previnus report)
:2:2. Loans Received (Non-Exempt)
(line 2) + ---'"'"' 0.00
:23. Loans Received (Exempt) ,.,,,..---
(line 14) + 0.00
:24. LOANS RECE[VED SUBTOTAL
(lines :21 + 22 + 23) = ~ 0.00
25. Loan Payments (Non-Exempt)
(line 7) e'""" 0,00
:26. Loan Payments (Exempt)
(line 18) + ,,--'" 0.00
:27. Forgiven Loans
+
(Total loans forgiven during this accounting period)
:28. LOAN PA¥1VlENT SUBTOTAL
(lines :25 + :26 +:27) = ~ 0.00
29. TOTAL OUTSTANDING LOANS
(line :24 minus linc 28) = ~ 0.00
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures
(linc 36 ofprevinus report)
31. Personal Expenditures + ,~.
(^ccounting Period Total from PC 33,)
3:2. PERSONAL EXPENDITURE SUBTOTAL
(lines 30 + 31) = ~ 0.00
33. Personal Expenditure Reimbursements
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures
(Total personal expenditures forgiven this acctg, period) +
35. REIMBURSEIVlENT SUBTOTAL = -'"'" 0.00
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES
(line 32 minus line 35) = ~ 0.00
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance
,ine 20, o.oo
38. Accounts Receivable
+
{Accounting Period Total from PC 5)
39. SUBTOTAL
(lines3?+38) ~ 5~ ~ ~;7 0.00
40.(lineT°tal Outstanding Loans29) ~ 0.00 RECEIVED
41. Outstanding Personal Expenditures + ~ 0.00
(line 36)
42. Accounts Payable * .... SEP 1 0 2004
(Accounting Period Total from PC 6)
43. SUBTOTAL = --'- 0.00 CiTY RECORDER
(lines 40 + 41 + 42)
44. ~ALA~¢~,~moT ~ ~ ~'7 o.oo
(line 39 minus line 43: indicate + or - balance) =
I, ~ ~~J~ (name ofcandidate or treasurer), hereby certify that the above
statement and the attached supporting reports are true and correct.
Signature of candidate or treasurer Date signed