HomeMy WebLinkAboutGeorge Poling for City Council
Sep 12 05 09:2Sa
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Summary ~(atelnent of Contributions cHId Expenditures f'C I
Re\".12;0\
Please type or prin! legihly ill lJlllck ink. Pagc I or 2
Candidlllt: or Political CUlIll1lillee Name (use full JUllnc):
&-e..f:l "4 ~ -:p~ \:~ ~ C .'4-.J LQl..........<..: \
Mailing Addrf."s as il Appenrs on Stalcllwnt ofOrgllnii'.lllion (slrCel, flIule or box numhcr, city, stale, zip codc):
IS7'f C{)b~~ ~C\, ~ II~.
TreLu~ ~a:1C:Ho..~~~~"'t I Telephonc Numbcr (day):
5'-4 1- ,i~ -~.u... 7
COlllmitlcc ID Number: --- I Conllllillce TYllC, Mellsure Number or Oflicc:
..ErOrigill<l1 [ CI\.J.~ Lo~.~:\ C~~~~
I'linHlry 20:___. 0 Oenera! 20____ DOthcr ----......~
o Amcndment D I st Pre-election o 2nd Pre-c!cdilln o Post-eleclion o September Supplemcnlal
A-TOTALS FOn TillS II-ClII\IULATlVE TOT^ LS
A<:COUNTlNG 1'(mUm I'UH TillS ELECTION
CONTRIBUTIONS
I. Cash Contributions C) '--
(Mcounling Period Tolalli'OI11 PC 2) '-. '-.
2. Loans Rcceived (Nun-Excmpt) + +
(Accounting Period Totallhlln PC 2)
3. Total Cash Contributions == :: -, ..
(linc~ II 2) -
4. In-Kind + +
(Accounting Period Tolnl from PC 2) .. -
5. TOTAL CONTRIlJUTIONS = ....... '- = ;:)1./ 2 ~3, rD
(Iine~ J .~ 4) '0 -
EXPENDITURES
f-.
6. Cash Expenditures IO,~D
(Accounling Period Total fl'ollll'C J)
7. Loan Payments (Non-Excmpt) + +
(Accounting Pcriod Tolal from PC J)
8. Total Cash Expcnditures = ==
(Iinc~ (j'1 7) . . I -
9. In-K In<l + +
(Accounting Period Tolallhlln I'C 2) -
10. TOTAL EXPENlJlTUlmS = I O. ~D = ..22 I :2~1 , Y-I
(Iinc~ R + 9)
CASH BALANCE
II. Begillllillg Cash Balance .( S 5 8., 3 ( )> FOR OFFICE USE ONl Y
(Ending Cn~h Balance from previous reporl) 1--'. . -
12. T ulnl Cuntributions + ,()-
(line 5) . -
13. Other Receipts . +
(Accounting Periud TOlnl from PC 4^) . . RECEIVEF'
14. LO:lIls Receivcd (Exclllpl) +
(Accounling Period Tolnllrlllll PC 4A)
15. CONTRIUUTION SUUTOTAL = - D- SEP 1 2 2005
(lil1c~ II + 12 + I J + 14)
16. Tolal Expenditurcs lD.&-D - CITY RECORDER
(line 10) .
17. Other Dishurscments +
(^ccollllling Pcriod Tolal from I'C 40)
18. Luan Payments (Excmpt) +
(^ccllunting Periud Tutnl IhllllPC 4IJ) ..
19. EX/'ENOITURE SUBTOTAL "'. I ~.~~
(lines 16" 17 + Ill) . .... ...
Uf;;;' - S 9- If
~ ~c.s
Sep 12 05 09:26a
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Please type or print legibly in black ink.
Candidate or Political Committee Name:
G-e.\) r~ c,. ~ {;--"'-1 {,,;-
o Original 'J 0 Primar~O__
o Amcndment 0 1st Pre-election
Summary Statement of Contributions and Expenditures
I'l'l
R,'v. I ~'1I1
C \ T'i' [.-D0 ~ '-IL
D General 20
o 2nd Pre-election
I COlllmittee ID Nutnber:
Page 201'2
D Other
o Post-election
"'
~eptclllber Supplemental
2 [. Beginning Outstanding Loans
(Total Outstanding Loans frum previolls report)
22. Loans Received (Non-Exempt)
(line 2)
23. Luans Received (Exempt)
(line 14)
24. LOANS RECEIVED SUBTOTAL
(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 acconnting period)
28. LOAN PA YMENT SUBTOTAL
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28)
LOAN SUMMARY
FOR OFFICE USE ONE Y
+
+
=
+
+
=
=
PERSONAL EXPENrnTURESUMMARY
30. Beginning Outstanding Personal Expenditures co"} {}
(line 36 ofpreviolls report) -(\ <I::>. l./l
31. Personal Expcnditures
(Accounting Period Tutal from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL
(Iincs 30 +- 31)
:13. Personal Expenditure Reimbursements
(Total expcnditurcs on PC 3 with purpuse code R)
34. Forgiven Persunal Expenditures +
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL =
(lines 33 + 34) J
36. OUTSTANDING PERSONAL EXPENDITURES = O~3 . 2..$
(line 32 minlls line 35) tJ
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Emling Cash Balance / S' I tj] 't> 7 )
(line 20) <.. "" 0 ,
38. Accounts Receivable
(Acconnting Period Total from PC 5)
39. SUBTOTAL
(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
(line 39 minus line 43: indicate;- or - balance)
I, i.<'5(~e H~~;..,
statement und the attached supportjn~rts are true and correct.
+
=
+
=
+
f""$ .2.'8
RECEIVED
SE? 1 2 2005
CITY RECORDER
+
=
=
<1y3d.(,~)
(name of candidate or treasurer), hereby certity that the above
(-'X 0' ~ ~Lj:..~~".
Sigifiltill'e of I.l\1didate or treasurer ?"" I
'1-12.-05
,,_,_ ~: ___. _.J
Sep 12 05 09:26a
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PC 3
Cash Expenditures and Loan Payments I(,;v. 12101
Candidate or Political Committee Name: Committee lD Number:
~~~ ~l>\''-~-Go-r (:~ (~:( Page -L of (
-
U-..J- -- oJ o General 20 o Other
Elcction: o Primary 20
--- -- '--
Report: o 1st Pre-election o 2nd Pre-election o Post-election ~ September Supplern~ntal
PURPOSE CODES (see back of r01"01 for instructions and code definitions) EXPENDITURE TYPES
A Agent N Newspaper and Other Periodical Advertising CA Cash
B Broadcast Adveltising (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 ovcr $50) T Travel Expen:;es (describe if over $50)
I T nterest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benetlts
M Management Services Z PrepaLdtion 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) toNP
7 /~I( oS -.po.. ~ ~,' ~ ~~~~ c;. '1" k.. CA $ 5. 15 ~ 0
1. ~~&
2. '/~I)DS tl " \\ . , C. CA. $ 5.00 0
3. $ 0
4. $ 0
5. $ 0
6. $ 0
7. $ D
8. $ 0
..-
9. $ 0
10. $ D
Page Totals (Add all expenditures with the same Accounting Pedod Totals (Complete only for last page and
See expenditure type.) transfer these amounts to the Summary Statemt:nl, PC 1.)
Instructions (0. ~a
on Back and Cash (CA) $ 10.oD Cash. (CA) $ --
in Campaign Enler all SUl1unaI)' St:Jtement, Columll A. Line (,
Finance Loan Payment (LP) $ Loan Payment (LP) $
Manual Enter on Summary Slall'ITl''''l, Column ^. Line 7
PC 3