HomeMy WebLinkAboutDavid Kelly for City Council
PC 1
Summary Statement of Contributions and Expenditures Rev. 12/01
Please type or print legibly in black ink. Page 1 of 2
Candidate or Political Committee Name (use full name):
D cn)l'd I< Cj--t 4:>LWt C{ '/
Mailing Address as it A pears on Statement fOrganization (street, route or box number, city, state, zip code):
OLf:O H 05 D 97t/-OJ
Telephone Number (day):
'5 Lf. . ::, t.f 3> - d Cf 'f S eyf (f 5
Committee Type, Measure Number or Office:
G'Qriginal
o Amendment
o Primary 20
o 1st Pre-election
~eneral 2002-
o 2nd Pre-election
o Other
o Post-election
A-TOTALS FOR THIS
ACCOUNTING PERIOD
CONTRIBUTIONS
1. Cash Contributions
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt)
i (Accounting Period Total from PC 2)
I
. : 3. Total Cash Contributions
: (lines 1 + 2)
4. In-Kind
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS
(lines 3 + 4)
-e-
+ (;)
= -e-
+ .(3-
= f)-
'3 <f_ q
EXPENDITURES
6. Cash Expenditures
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt)
(Accounting PeIjod Total from PC 3)
8. Total Cash Expenditures
(lines 6 + 7)
9. In-Kind
(Accounting Period Total from PC 2)
1 O. TOTAL EXPENDITURES
(lines 8 + 9)
+
=
~'f- 1,
+
=
:J~,1
CASH BALANCE
11. Beginning Cash Balance
(Ending Cash Balance from previous report)
12. Total Contributions
(line 5)
13. Other Receipts
(Accounting Period Total from PC 4A)
14. Loans Received (Exempt)
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL
(lines II + 12 + 13 + 14)
16. Total Expenditures
(line 10)
17. Other Disbursements
(Accounting Period Total from PC 4B)
18. Loan Payments (Exempt)
(Accounting Period Total from PC 4B)
19. EXPENDITURE SUBTOTAL
(lines 16 + 17+ 18)
20. ENDING CASH BALANCE
(line 15 minus line 19)
f7QQ.Q1
+
+
+
= 1711. 97
3 ct. q9
+
+
= 3 Lf. q1
= 1 ~ &tf, q g
[ll-s'eptember Supplemental
B-CUMULA TIVE TOTALS
FOR TillS ELECTION
'-f01 O. --
+
= 'TlJ/().
+ {Z,S~,35
= 5 ;J..fo t. .3 5
1 5'1 0, Lttf
+
= t5'1D.lf'f
+ I;.. 6 t. s-S-
= 0' St.ft'. 7
PC I
Summary Statement of Contributions and Expenditures Rev. 12,01
Please type or print legibly in black ink. Page 2 of2
canbd;~ ~4PoIKc~~mmj!:amCf4 Uru}1 (A'( Committee ID Number:
G::rOriginal tJ Pri1nary 20 ~ Gi'ieneral 20 0"2...- o Other
o Amendment o 1 st Pre-election o 2nd Pre-election o Post-election B--september Supplemental
LOAN SUMMARY FOR OFFICE USE ONL Y
21. Beginning Outstanding Loans
(Total Outstanding Loans from previous report) .e-
22. Loans Received (Non-Exempt)
(line 2) +
23. Loans Received (Exempt)
(line 14) +
24. LOANS RECEIVED SUB TOT AL
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt)
(line 7)
26. Loan Payments (Exempt)
(line 18) +
27. Forgiven Loans
(Total loans forgiven during this accounting period) +
28. LOAN PAYMENT SUB TOT AL
(lines 25 + 26 +27) =
29. TOTAL OUTSTANDING LOANS -e-
(line 24 minus line 28) =
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures -e-
(line 36 of previous report)
31. Personal Expenditures 31. ~ '}
(Accounting Period Total from PC 3A) +
32. PERSONAL EXPENDITURE SUB TOT AL = ;3<j. Q'1
(lines 30 + 31)
33. Personal Expenditure Reimbursements 3 t.f. cr C)
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures +
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL = 3Lf.C[,
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES e-
(line 32 minus line 35) =
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance /7bi.9?
(line 20)
38. Accounts Receivable +
(Accounting Period Total from PC 5)
39. SUBTOTAL = /7h If. rt
(lines 37 + 38)
40. Total Outstanding Loans
(line 29)
41. Outstanding Personal Expenditures +
(line 36)
42. Accounts Payable +
(Accounting Period Total from PC 6)
43. SUBTOTAL =
(lines 40 + 41 + 42)
44. BALANCE/DEFICIT = (7 ro4-. 1'g
(line 39 minus line 43: indicate + or - balance)
I, pe-ffLI H emmi Vl 4{'eh (name of candidate o~), hereby certify that the above
statement ard the attached suPr'orting reports are true and correct.
.1St1t0 f! etlJ1 m l'j\AJ;/'AA q-1-tJ5
Signature ofbndidatc or treasurer(J Date signed
PC 3
Cash Expenditures and Loan Payments Rev. 12/01
Candidate or Political Committee Name: Committee ID Number:
yaV /C{ K~ ...-k,r 0'~ ~ fl~( Page --L- of I
-
Election: 7 o Primaryl 20_ G""General 20 en.... o Other
Report: o 1 st Pre-election o 2nd Pre-election o Post-election [S-September Supplemental
PURPOSE 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) 0 Other Advertising (yard signs, buttons, etc.) LP Loan Payment
C Cash Contributions P Postage
F . Fundraising 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 Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 10#, Exp. Amount of ~
Line # Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) toM
1. lvI, I o'-f J I/S' DaVId I(el~ (r()~ bl!l1{. p~~ ~ R cA- $ 3'1- q1 0
h.w
-, V
2. $ 0
3. $ 0
4. $ 0
5. $ 0
6. $ 0
7. $ 0
8. $ 0
9. $ 0
10. $ 0
Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
See expenditure type.) transfer these amounts to the Summary Statement, PC I.)
Instructions 3~-q4_ 3+. q4
on Back and Cash (CA) $ . Cash (CA) $
in Campaign Enter on Summary Statement, Column A, Line 6
Finance Loan Payment (LP) $ Loan Payment (LP) $
Manual Enter on Summary Statement, Column A, Line 7
PC 3
PC 3A
Personal Expenditures for Reimbursement Rev. 12/01
Candidate or Political Committee Name: Committee ID Number:
\)t1V,J I4Jl'1 ~ Cd, CouV1~7 Page ~ of I
-
, I 0 Primary 20~ Q-General 20J2-- o Other
Election:
Report: o 1 st Pre-election o 2nd Pre-election o Post-election []..september Supplemental
PURPOSE CODES (see back of form for instructions and code definitions)
A Agent N Newspaper and Other Periodical Advertising
B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.)
C Cash Contributions P Postage
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services Z Preparation and Production of Advertising
Line # Date Payee's Name Purpose Amount of
Expenditure
1].../1/0 t1' .POWl. a /I'; D,'rec+ Ihfu'N.-( dornql'; g ~'Zf 9q
1. ~e,nW~ $
2. $
3. $
4. $
5. $
6. $
7. $
.>
8. $
9. $
10. $
Page Total Accounting Period Total (Complete only for last page and
See 3 Lf, q ~ transfer this amount to the Sununary Statement, PC 1.)
Instructions Personal Expenditures $ $ 5~r 1.,
on Back and . Personal Expenditures
in Campaign Enter on Summary Statement. Line 31
Finance
Manual
PC 3/\