HomeMy WebLinkAboutAndrea Ortiz for City Council
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
page 1 of 2
rev 1/06
J.. name of committee~muse full na~~---~--------~-~~--~--------------- committeeld number-----~
Andrea Ortiz for City Council N/A
maIHng add-ressas it a-ppears on Statement ofOrganiza-tlon po box or street, city, state, zip c~----
189 Foch Street Eugene, OR 97402
name of treasurer----m-~--~---------~--- day phone number
Tamara Miller
(541 )521-5855
commitee type, measure number or office
Eugene City Council, Ward 7 (2004 Election)
This filing is an:
~--------~~---
o Primary 20_~
~--~----_..._--
01st pre-election
o Original
o General 20_
o 2nd pre-election
o Amendment
o other:
o Post-election
o 20~Sept. Suppl.
o Report of Initial Assets
B Cumulative Totals
for this Election
A Totals for this
Accounting Period
contributions
o
.
.
o
.
cash contributions accounting period total from PC 2
$0.00
$0.00
$0.00
$0.00
$0.00
~()a n s r~~~i",~<=!ln_()_~~_~_)(_~_r'!~E!L~~~~~~i1~erio~_!~_t~~!-,-,,~_~c~_~___ +
+
total cash contributions lines 1+2
in-kind accounting period total from PC 2
+
+
total contributions lines 3+4
expenditures
.
.
.
.
o
$48.00
$0.00
$48.00
$0.00
$48.00
cash expenditures accounting period total from PC 3
----~-~-_.._--_..-- --_.-
$48.00
$0.00
$48.00
$0.00
$48.00
loan payments (non-exempt) accounting period total from PC 3
+
+
total cash expenditures lines 6+7
-------,----- ~----_._--_._-
in-kind accounting period total from PC 2
+
+
total expenditures lines 8+9
cash balance
for office use only
.
.
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.
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.
.
.
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.
$278.02
$0.00
oth er rece i pts accounting period totalfrom PC 4A + $0. 1 7
----_._---._._-_._---------~- --_.__.._---_...-_.-----_._,._-_.,.",.._-------~---~---------------.-.-
$0.00
$278.19
-----_.__._---------~~ -------- - -~-------~---------,.~-_..__.._------- --.---- -- ----. ----------~--------~-----~------~------
$48.00
$0.00
loan payments (exempt) accountin~~~~~~~!_'_~'!'~~~~____~_n_...______~____~_~._.22_
$48.00
beginning cash balance line200fpreviousreport
total contributions line 5
+
loans received (exempt) accounting period total from PC4A
+
RECEIVED
Ocr
~/ry 182006
I RECORDER
I,
contribution subtotal lines 11+12+13+14
total expenditures line 10
- - -.--------------- -- ---- - ----."-----._.-_.---.----
other disbursements accounting
total from PC 48
+
expenditure subtotal lines 16+17+18
ending cash balance line 15 minus line 19
$230.19
PC 1
R(C(/lIE',D......
Ocr ..., .
C/ry J 6 2008
REeo .
$230.19 1101:1/
_~~___, hereby certify that the above
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J.. name of committee use full name
Andrea Ortiz for City Council
This filing is an:
o Primary 20__~
-------_._----.--- --_._._-~-_._---_...__....__._.__.-
o 1 st pre-election
!~an<sllmmarV~~
o Original
o General 20~
o Amendment
o other:
o 2nd pre-election
o Post-election
o 20-'16-_Sept. Suppl.
.
.
.
.
.
.
.
.
.
$0.00
---~~
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
beginning outstanding loans line290fpreviousreport
__..'_._____ ___ __._______________.__,___._.__uo
loans received (non-exempt) line 2
-------
+
loans received (exempt) line 14
______________.,___,_ .m.__.... __. ___~ _
+
loans received subtotal lines 21+22+23
loan payments (non-exempt) line 7
------- ------.------"-"-..-------...-.----
loan payments (exempt) line 18
-..----.-- ---..- ----,-- ._~,..--,.._._._.,---,_.._------_._,----,-_.__.._-,---~~-~~
+
forgiven loans total loans forgiven during this acctg. period
-_._-_._---_._------_._~--
+
loan payment subtotal lines 25+26+27
total outstanding loans line 24 minus line 28
personal expenditure summary
.._,__ _....... _...__n_'_ _m_.__'_.._...____.~ _._. ___ . .... . ..___.__,-...._.__ _ . '"om ._""..U'_ . __. _ _. "....._..... .m_._
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beginning outstanding personal expenditures
line 36 of previous report
+
$0.00
$0.00
.------'..--------------.'-
$0.00
personal expenditures accounting period total from PC 3A +
u__________ ___ __ ______,_____~_____~___._________
personal expenditure subtotal lines 30+31
-~._- .-.......-..--...------------- --_._~---------~_._-
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
$0.00
-. -.- . _._-~._.._.-~---_._-~--~_._.~.._-- -,--_._._,-,._-_.~~-~--~_.- -_._._..._-_._--~---
forg ive_~_p~~~on~e~pend it~~~_!~~~orgrven thi~a~ctg. ~~~~~_____~~~_~_ $0. O~____ ______~
$0.00
$0.00
reimbursement subtotal lines 33+34
outstanding personal expenditures line 32 minus line 35
financial status at close of accounting period
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I)
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$230.19
$0.00
$230.19
$0.00
---------- - ---,'--...-.---..-----.."------------
$0.00
$0.00
$0.00
ending cash balance line20
- -------------.-.- ...----...---.----
accounts receivable accounting period total from PC 5
+
subtotal lines 37+38
total outstanding loans line 29
outstanding personal expenditures line 36
+
accounts payable accounting period total from PC 6
+
subtotal lines 40+41+42
balance/deficit line 39 minus line 43; indicate + or - balance
slg-nat -1 of candidate-oe'---~---~--~--~-
PC
page 2 of 2
rev 1/06
committee id number
N/A
o Report of Initial Assets
: for office use only
v{;
PC 3 Cash Expenditures and Loan Payments
please type or print legibly in black ink; list only one entry per line
Andrea Ortiz for City Council
J.. name of committee use full name
o Primary 20~
o General 200_4
committee 10 number
rev 1/06
01 st pre-election
o 2nd pre-election
l
I page~__of~_
o Report of Initial Assets
Expenditure Types
CA Cash
LP Loan Payment
o other:
o Post-election
@ 20_06_Sept. Suppl.
Purpose Codes
A Agent
B Broadcast Advertising (Radio, TV)
C Cash Contributions
F Fundraising Event Expenses
G General Operational Expenses
I Interest Payment
L Literature, Brochures, Printing
M Management Services
N Newspaper and Other Periodical Advertising
o Other Advertising (yard signs, buttons, etc.)
P Postage
R Reimbursement for Personal Expenditures
S Surveys and Polls
T Travel Expenses
U Utilities
W Wages, Salaries, Benefits
V Petition Circulators
Z Preparation and Production of Advertising
date
paid
to AlP
*address includes city, or county if no city, and state
I I
9/2/2005 - i Debit I Pacific Cascade Federal Credit
9/1/2006 I I Union Eugene, OR
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I CA
@
$
48.00
o
$
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o
$
o
$
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$
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o
$
$
o
,.....,,} .
I ~$ -
...1..... O~ .1 62Dn6
"'FY R~CORDE
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o
add all expenditures with the same expenditure type complete only for last page and transfer these amounts to the Summary Statement, PC 1
c-ash (CA)- _________u ---Toan-payment~---~cash (CA) ~____m___~___ - ---loanpayment (LP)
$ 48.00 $ I $ 48.00 $
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page totals
enter on PC 1, Column A, Line 7
PC3
enter on PC 1, Column A, Line 6
see instructions on back and in Campaign Finance Manual
PC 4A Other Receipts
please type or print legibly in black ink; list only one entry per line
rev 1/06
J.. name of committee use full name
committee ID number
~-~~-~~---r~--------
! 1 1
_____~_ pa~e-===_o!===--==-=
Andrea Ortiz for City Council
o Primary 20___~
o General20~
o other:
01 st pre-election
o 20illi_Sept. Suppl.
o Report of Initial Assets
o 2nd pre-election
o Post-election
Othe....Reeeipt..Transaetlon...vpeCodes
EL~ Exempt Loan Proceeds
FM Items Sold at Fair Market Value
IN Interest/Investment Income
OM Miscellaneous provide a description
RF Refunds and Rebates
date received name required for codes EL, OM and RF
optional for codes FM and IN
other receipt transaction
type code
other receipt amount
o
9/2/2005 - ! Pacific Cascade Federal Credit Union
9/1/2006 i Eugene, OR
I
IN
, $
0.17
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1$
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$
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:$
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1$
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i$
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1$
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'&ECEIVED
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page totals
accounting period totals
add all Other Receipt T~ansaction Type Codes specified L ~ complete only for last page and transfer these amounts to the Summary Statement, PC 1
codes FM;TN;OM~RF-- ~--~--~- -- ~--code EL~--I- codes FM]N;OM, RF -- code a-- ---~-- --~ -- ---~-
$ 0.17 $ i $ 0.17 $
---~~--~---~-----~- -----~~-~--~-1-
I enter on PC 1, Column A, Line 13 enter on PC 1, Column A, Line 14
PC4A
see instructions on back and in Campaign Finance Manual