HomeMy WebLinkAboutCommittee for a Better Eugene
Summary Statement of Contributions and Expenditures PC 1
Rev. 12/03
Please type or print legibly in black ink. Page I of2
Candidate or Political Committee Name (use full name):
Committee for a Better Eugene
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
345 Mill St., Suite 101
Treasurer's Name: I Telephone Number (day):
Tim Biornstad 687-1051
Committee ID Number: I Committee Type, Measure Number or Office:
!;gJ Original o Primary 20_ !;gJ General 2004 D Other _
D Amendment D 1st Pre-election D 2nd Pre-election o Post-election !;gJ 2005 September Supplemental
A-TOTALS FOR THIS B-CUMULA TIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS
I. Cash Contributions 0.00 1,735.00
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 2)
3. Total Cash Contributions = 0.00 = 1,735.00
(lines 1+ 2)
4. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
5. TOT AL CONTRIBUTIONS = 0.00 = 1,735.00
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures 55.75 967.25
(Accountin~ Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 55.75 = 967.25
(lines 6 + 7)
9. In-Kind + 0.00 + 0.00
(Accountin~ Period Tota] from PC 2)
10. TOTAL EXPENDITURES = 55.75 = 967.25
(lines 8 + 9)
CASH BALANCE
11. Beginning Cash Balance 823.50 FOR OFFICE USE ONLY
(line 20 of previous report)
12. Total Contributions + 0.00
(line 5)
13. Other Receipts + 0.00
(Accounting Period Total from PC 4A)
14. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A) RECEIVED
15. CONTRIBUTION SUBTOTAL = 823.50
(lines II + 12+ I3 + 14)
16. Total Expenditures 55.75 SEP 1 2 2005
(line 10)
17. Other Disbursements + 0.00 CITY RECORDER
(Accountinl! Period Total from PC 4B)
18. Loan Payments (Exempt) + 0.00
(Accounting Period Tota] from PC 4B)
19. EXPENDITURE SUBTOTAL = 55.75
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE = 767.75
(line 15 minus line 19)
Summary Statement of Contributions and Expenditures PC 1
Rev. 12/03
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: Committee ID Number:
Committee for a Better Eugene
[8J Original D Primary 20_ [8J General 2004 D Other _
D Amendment D 1 st Pre-election D 2nd Pre-election D Post-election [8J 2005 September Supplemental
LOAN SUMMARY FOR OFFICE USE ONL Y
21. Beginning Outstanding Loans
(line 29 oforevious report) 0.00
22. Loans Received (Non-Exempt) + 0.00
(line 2)
23. Loans Received (Exempt) + 0.00
(line 14)
24. LOANS RECEIVED SUB TOT AL = 0.00 RECEIVED
(lines 21 + 22 + 23)
25. Loan Payments (Non-Exempt) 0.00
(line 7) SEP 1 2 2005
26. Loan Payments (Exempt)
(line 18) + 0.00
27. Forgiven Loans + 0.00 CITY RECORDER
(Total loans forgiven during this accounting oeriod)
28. LOAN PAYMENT SUBTOTAL = 0.00
Oines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS = 0.00
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 0.00
(line 36 of orevious reoort)
3 I. Personal Expenditures + 0.00
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUB TOT AL = 0.00
(lines 30 + 31)
33. Personal Expenditure Reimbursements 0.00
(Tota] expenditures on PC 3 with oumose code R)
34. Forgiven Personal Expenditures + 0.00
(Tota] personal expenditures forgiven this acctg. oeriod)
35. REIMBURSEMENT SUB TOT AL = 0.00
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES = 0.00
(line 32 minus line 35)
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 767.75
(line 20)
38. Accounts Receivable + 0.00
(Accounting Period Total from PC 5)
39. SUBTOTAL = 767.75
(lines 37 + 38)
40. Total Outstanding Loans 0.00
(line 29)
41. Outstanding Personal Expenditures + 0.00
(line 36)
42. Accounts Payable + 2,150.00
(Accounting Period Total from PC 6)
43. SUBTOTAL = 2,150.00
(lines 40 + 4] + 42)
44. BALANCEfDEFICIT = -1,382.25
(line 39 minus line 43: indicate + or - balance)
-n ,^.(1, ;.1-,- .
I, ~)(Jf"J (name of candidate or treasurer), hereby certifY that the above statement and the attached supporting reports are true and
correct.
- ~# ~ \/ DC(- ~ 7..- - L-()O \
Sign~ of candi~ or treasurer / I Date signed
PC3
Cash Expenditures and Loan Payments Rev. 12103
Candidate or Political Committee Name: Committee ID Number:
Committee for a Better Eugene Page 1 of1
Election: D Primary 20_ [2J General 2004 D Other _
Report: D 1 st Pre-election D 2nd Pre-election D Post-election [2J 2005 September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
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 y Petition Circulators
N Newspaper and Other Periodical Advertising 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) to AlP
1. 12/31/04 Pacific Continental G CA $ 15.75 D
2. 1/31/05 Pacific Continental G CA $ 5.00 D
3. 2/28/05 Pacific Continental G CA $ 5.00 D
4. 3/31/05 Pacific Continental G CA $ 5.00 D
5. 4/30/05 Pacific Continental G CA $ 5.00 D
6. 5/31/05 Pacific Continental G CA $ 5.00 D
7. 6/30/05 Pacific Continental G CA $ 5.00 D
8. 7/31/05 Pacific Continental G CA $ 5.00 D
9. 8/31/05 Pacific Continental G CA $ 5.00 D
10. $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ 55.75 Cash (CA) $ 55.75
in Campaign
Finance Enter on Summary Statement, Column A. Line 6
Manual Loan Payment (LP) $0.00 Loan Payment (LP) $Q
Enter on Summary Statement, Column A, Line 7
PC 3