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PC I Summary Statement of Contributions and Expenditures
Rev. 11/99
Please type or print legibly in black ink. Page lof2
Candidate or Political Committee Name: ( I
~'-1 f.t, r j;;- C.~ {CJVIA. e~
I
Address (street or route, city, state, zip code): I
.2 C; ~ <;; A t( ~-i...- Sf EtA. '7 <./A-t- oIL f71o~
I
Treasurer's Name: I Telephone Number (day):
/tU/r"et-r (). Err c--f=?o t.-<. 6717-056 (
Committee ID Number: _ I Committee Type, Measure Number or Office:
D Original D Primary 20_ ~GeneraI20~ o Other ~ S'p"mb" S'pp',m,",,' I
D Amendment D I st Pre-election D 2nd Pre-election- o Post~election
A-TOTALS FOR THIS B-CUMULATIVE TOTALS I
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS I
1. Cash Contributions I
(Accounting Period Total from PC 2) + 3~b + II, 'nbO I
2. Loans Received (Non-Exempt) i
(Accounting Period Total from PC 2) -- - - - +- -- U + L/oo
3. Total Cash Contributions
(lines 1+ 2) = 3'10 = l?, 2-bO
4. In-Kind l,'362.5rs--
(Accounting Period Total from PC 2) + +
0
5. TOT AL CONTRIBUTIONS I~ 61. 2 .5i
(lines 3 + 4) = ~~O =
..
EXPENDITURES
6. Cash Expenditures 3/ ~"S 'if"_ I ~ I
<Accounting Period TOlal from PC 3) + {oO + / I, I
7. Loan Payments (Non-Exempt)
(Accounting Period Total from PC 3) + (;J + t..(00
8. Total Cash Expenditures J
(lines 6 + 7) = '3, /00 = /2.; 2-'S~. fC(
9. In-Kind
(Accounting Period Total from PC 2) + f/ + ( , 90 Z. S-?l
10: TOTAL EXPENDITURES
(lines 8 + 9) = 3 /00 = I If / CJ t.{o . 7 7
I
CASH BALANCE
11. Beginning Cash Balance ?-/711,~( FOR OFFICE USE ONLY
(Ending Cash Balance from previous report)
12. Total Contributions 310
(line 5) +
]3. Other Receipts
(Accounting Period Total from PC 4A) + (7
14. Loans Received (Exempt)
(Accounting Period Total from PC 4A) + v
15. CONTRIBUTION SUBTOTAL 3 l~tf.31
(lines 1.1 + 12 + 13 + 14) =
]6. Total Expenditures RECEIVED
(line 10) + 3, (OO.dO
17. Other Disbursements
(Accounting Period Total from PC 4B) + 0 SEP 0:8 2005
18. Loan Payments (Exempt) v
(Accounting Period Total from PC 4B) +
19. EXPENDITURE SUBTOTAL 'CITY RECORDER
(lines 16 + 17 + 18) = 3( I tl 0
20. ENDING CASH BALANCE 'B'.f. 3 /
(line 15 minus line 19) =
Summary Statement of Contributions and Expenditures PC I
Rev. 12/03
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: Committee ID Number:
~'7 (",r- f;r C,- -Itt (lOll ~(' ~ (
D Original , ~General 20~
D Primary 20_ D Other
D Amendment D 1 st Pre-election D 2nd Pre-election D Post-election jgf 20 0<7 September Supplemental
LOAN SUMMARY FOR OFFICE. USE ONLY
21. Beginning Outstanding Loans
(line 29 of previous report)
22. Loans Received (Non-Exempt)
(line 2) +
23. Loans 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 +
(Tota] loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL =
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS =
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures
(line 36 of previous report)
31. Personal Expenditures +
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL =
(lines 30 + 31)
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. RE~BURSEMENTSUBTOTAL =
(lines 33 + 34)
36. OUTSTANDING PERSONAL =
EXPENDITURES ..
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD '.
37. Ending Cash Balance ~cf,'31 "
(line 20)
38. Accounts Receivable ~ ,r ...
(Accounting Period Total from PC 5) + - ".
. ,
""i'
39. SUBTOTAL l' cj, 31 .
= .'
(lines 37 + 38) ." .. -
40. Total Outstanding Loans RECE\VED. .,.
(line 29) - " '.
41. Outstanding Personal Expenditures + - SEP 0,8 2005 . .....:.
(line 36)
42. Accounts Payable + ('36. 'j.J I',
. 0
(Accounting Period Tota] from PC 6) CITY RECORD,ER
43. SUB TOT AL . .
= I 3 b. 8 tf
(lines 40 + 41 + 42) ',"' .~
44. BALANCEfDEFICIT = - '?..2-. 5 3
(line 39 minus line 43: indicate + or - balance) 0'
I, A drt: ~ CJ. Er !(...!:.Sf)'---- (name of candidate or treasurer), hereby certify that the above
statement and the a ached supportmg reports are true and correct.
~~ tfZ- ~r~~ 'l- ;!. - tJ S-
Signature of candidate or treasurer Date signed
", \
," ". "~ j
PC .2
Cash Contributions, Loans Received and In-Kind Rc'v. 12,03
Candidate or Political Committee Name: Committee ID Number:
74-'1 &.- f;r {;-~ G..u 1A.-t:i / (t7 r- Page L of -L
Election: D Primary 20_ ~ General 20~ D Other
Report: D I st Pre-election D 2nd Pre-election D Post-election o 20o<?'September Supplemental
SEE BACK FOR INSTRUCTIOl\"S 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
0 Other
P Political Party Committee
Line # Name and Address of Contributor Amount of In-Kind Purpose
Contribution (see manual for suggested purpose codes)
Date Received Occupational Information or Contributor Code 1 I Code 2
Contributing Committee's 10# Aggregate
'TIP- &'w..e.r"",-",,,,- ~
1. 3 ~ 707 fW. J:;~""7-~ rJ.~.....J $ 2--s-o
e 1A.t;-<<-<-'- r 7L(o 1I
b- 2-~ - {)..{ bCA.;/J","1 d~SC34... #- ( tJl<f.-HC(."hok... $ 1.-'50 I
Oo"'-ec ref l? F/'t"/A ~ h....
2. tf?7r "3h64rt. I-<> .. t' $ 2...0
t=tA.1-<-1A..A t(7<{c)5
1-Q-O'1 H.-H-~J $ 60 I
51. a. r-t7 lA. &<.~l.A.~''''j
3. rfo E "31 fh. A~ $ So
&""~~ 17c{O'::;;
(7--1--6,0 <{ pfJ~+(A.( e--f f<:>7-a- $ (0:> 0 I
;tAr 5 ~ .e.f(~u-u)~ (Ow-/-!. tw-h.."...,>
4. 1>57:' t- e-< w. t1..u- $ 70
6 - / 8 d1'" .f<? $ I
Q-7-ot{
5. $
$ I
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 S 3~o Cash (CA) S )~O
in Campaign Cash (CA)
Finance Enter on Summary Statement. Column A. Line I
Manual In-Kind (IK) S In-Kind (lK) S
Enter on Summary Statement. Column A. Lines.j and 9
PC 2 Loans Received i LR) S Loans Received (LR) S
Entr:r em Summary Statement. Column ...\. Line 2
.. --
PC 3
Rev. 11/99 Cash Expenditures and Loan Payments
Please type or print legibly in black ink. .
Candidate or Political Committee Name: Committee ID Number:
14.'1 (&, {CJr (,-H-r (cout-tC, ( Page~of~
Election: D Primary 20 ~eneraI20~ D Other
Report: D 1st Pre-election D 2nd Pre-election D Post-election ,g] 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 W Wages, Salaries, Benefits
L Literature, Brochures, Printing Z Preparation and Production of Advertising
M Management Services
Payee's Name Exp. Amount of ~
Line # . Date Check # (as-Wappears on invoice, receipt or check) Purpose Type Expenditure Paid
to AlP
I !jr~! &5" (2. ~ 7J.e.JJo ('4.. t...- t-J ,,10 (J2.... (~~7/Aov b c.A-N~~ f- P, LJ 0 / ~ CA 3)/()O [3}
1. ..for /rIP /r.skl 0"'- f~~_~.J~d?n..... G I hs-/-s/"",'P" $
i"€.--j7~ r=F) $ D
2.
..- .- . -
3. $ D
4. $ D
5. $ D
6. $ D
7. $ D
8. $ D
9. $ D
10. $ D
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 Cash (CA) $ ;,}ocJ,W Cash (CA) $ 3, I () 0 ,00
on Back and Enter on Summary Slatemenl. Column A. Line 6
in Campaign Loan Payment (LP) $ Loan Payment (LP) $
Finance
Manual Enler on Summary Slalemenl. Column A. Line 7
I
I
I
--
I PC 6
Accounts Payable Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
I~tr- j;r C;-Ir {Ol.(U~j I PageLofL
Election: D Primary 20_ ~eneraI200o~ D Other
Report: D I st Pre-election D 2nd Pre-election D Post-election o 20~September Supplemental
PURPOSE CODES (see back for instructions and code definitions)
A Agent 0 Other Advertising (yard signs, buttons, etc.)
B Broadcast Advertising (Radio, TV) P Postage
C Cash Contributions S Surveys and Polls
F Fundraising Event Expenses T Travel Expenses (describe if over $50)
G General Operational Expenses (describe if over $50) U Utilities
I Interest Payment W Wages, Salaries, Benefits
L Literature, Brochures, Printing y Petition Circulators
M Management Services Z Preparation and Production of Advertising
N Newspaper and Other Periodical Advertising
Une# Date Payee's Name Purpose Amount of
Account Payable
1/Z-'1Jb-) D~_J)(,1l-1.-- {J 0 M ~ I ~,,~+
1. ahA-f. ()f /rIP /UM<<'~/~ r;..,,1'Vo- i -k"", 5 $
,
C)/A...- ;;,p'7f-e-~~f(;",- ~I'''''''T.
2. $
3. $
4. $
5. $
6. $
7. $
8. $
9. $
10. $
See Page Total (Add all accounts payable on this Accounting Period Total (Complete only for last page and
Instructions form.) transfer these amounts to the Summary Statement, PC I.)
on Back and Accounts Payable $ ( 7', f>1 Accounts Payable $ (?b. ~1
in Campaign
Finance Enter on Summary Statement, Column A, Line 42
Manual
PC 6
PC 2 Amendment
Amendments - Cash Contributions, Loans. ieceived and In-Kind Rev. 12103
Candidate or Political Committee Name:
~:r /".. tr C-;-I-r {'()4U (,"; (
Election: D Primary 20_ I2$YGeneral20~
Report: D 1 st Pre-election D 2nd Pre-election
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type
B Business Entity
C Political Committee (includes business and union P ACs)
F Candidate's Immediate Family (includes candidate)
I Individual
L Labor Organization
o Other
P Political Party Committee
.r"
Amending Page #
and Line #
Date Received
Page~ Line~
o New Entry
~ Correcting
o Deleting
b~2.~~01
Page ----L- Line 1.-
o New Entry
jS Correcting
o Deleting
7 · q . 01
Page-L Linei
o New Entry
1$ Correcting
D Deleting
(~.tb,o~
Page----L- Line-i-
o New Entry
~ Correcting
o Deleting ,
6 -(0,0'-1. .fo
Q-7'Oo1.
Page_ Line_
D New Entry
D Correcting
D Deleting
See
Instructions
on Back and
in Campaign
Finance
Manual
Name and Address of Contributor
Occupational Information or
Contributing Committee's 10#
'1P "'" 15 () w~ r v---o..'-- ""-
3 -:.., 7 O? 'M c.. (c...o.......n-oJL v';- e.,c..)
e l.t.je..u 4.- 0(2.. f 7 '-to .('
b/,A.r/e1M<..~ J.,Ls:!",../- t-o\{.~o(..&
")OVl.o.J~ G f~
"\ 'l" 7 ~ 5ka..'7t'"'-. /...oOf
1%U.1.t......e... I{ 7o.{d7"
f'c..f. ~J.
5lto...lAo"'- &re.€..lA.-t &4j
~t'.Jo l3 "3 ~~ )r~e-
~"ec.-cL t{ 7 'ft>'.:>
PO$hr ( eLu..(Ito~e~
Ui r S u.1Ca./,(..lj~ t.ot.<-1fi L.....+, o~
19; (1.".). (,( uJ-d'
~ j2- ~(~'L
Signature of c ndidate or treasurer
PC 2
Amendment Date signed
f-- :2-/-C 5"
Committee ID Number:
Page -.L of L
D Other
D Post-election
D 20~September Supplemental
CODE 2: Contribution Type
CA Cash
CO Cosigner Obligation
IK In-Kind
LR Loan Received
Amount of
Contribution
Contributor
Aggregate
In-Kind Purpose
(see manual for suggested purpose codes)
Code 1 I Code 2
$ t r;;O
$ J,5"D
I
elt
:r
$ )..D
$ 61)
I
(!{t-
rr
..-
$ 5"""0
$ (t)O
f.
I
t!-fr
$ 7()
$
:r.
I (Ir
$
$
I
o. ..
FOR OFFICE USE ONLY
^.\..
REGEIVED
SEP 2 1 2005 ·
CITY RECORDER
.