HomeMy WebLinkAboutEugene Chamber Political Action Committee
FROM :EUGENE CHAMBER
FAX NO. :541 484 4942
Sep. 12 2005 09:26AM P2
Summary Statement of Contributions and Expenditures
reI
R~v. l2/03
PIMSl'J type or print legibly in black ink.
Candidate or Political Committee Name (use full name):
~ ' {j , < POL I 4 t\ rTlC -
Mailing Address as it Appears on Statement of Organization (street, route or box number. city, state, zip code):
14- () , W b~ 9 ') 4-- D I
Treasurer's Name: Telephone Number (day):
&$-RIC--'1 G "3 4-~ - 80CoO
Committee 1D Number: Committee Type, Measure Number or Office:
e {\I C !Z L lA. .s
o Original 0 Primary 20_ 0 General 20_ 0 Other
o Amendment D I at Pre~election 0 2nd Pre.election 0 Post-election
A-TOTALS FOR THIS
ACCOUNTING PERIOD
Page I of2
CONTRIBUTIONS
1, Cash Contributions
(Accounting Period Total from PC 2) 00
2. Loans Received (Non-Exempt) + +
(Aocounting Period Total from PC 2)
3. Total Cash Contributions
= =
(lines 1 + 2) 0
4. In-Kind -e-
(Accounting Period Total from PC 2) + + -e-
5. TOTAL CONTRIBUTIONS
(liucs 3 + 4) :: .. 100
0 (!'.?
20~September Supplemental
B-CUMULA TIVE TOTALS
FOR THIS ELECTION
EXPENDITURES
6. Cash Expenditures
(Accounting Period Total from PC 3)
7. LoaD Payments (Non-Exempt)
(Accounting Period Total from PC 3)
8. Total. Cash Expenditures
(lines 6 + 7)
9. In~Kind
(Accollnting Period Total from PC 2)
10. TOTAL EXPENDITURES
(linea 8 + 9)
CASH BALANCE
11. Beginning Cash Balanco
(line 20 ofprevioUB 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 11 + 12 + 13 + 14)
16. Total Expenditures
(line 10)
17. Other Disbursoment~
Accountin Period Total from PC 4B
18. Loan Payments (Exempt)
(Accounting Period Total from PC 4B)
19. EXPENDITURE SUBTOTAL
(linea 16 + 17 + 18)
20. ENDING CASH BALANCE
line 15 mInus line 19)
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FROM :EUGENE CHRMBER
FRX NO. :541 484 4942
Sep. 12 2005 09:26RM P3
Summary Statement of Contributions and 'Expenditures
Please type or print Jegibl in black ink.
Candidate or Political Conunittee Name:
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures ~
(lino 36 of revious re art) '\"/
31. Personal Expenditures + r:::>---
(Accountil1g Period Tota] fl:om PC 3A) ..-IC/
32. PERSONAL EXPENDITURE SUBTOTAL
(lines 30 + 31
33. Personal Exponditure Reimbursements
Totalox onditl.lres on PC 3 with U ose code R
34. Forgiven Personal Expenditures
(Total orsonal ex enditul'es forgiven this acet .
35. REn0BURSEMENTSUBTOTAL
(lines 33 + 34)
36. OUTSTANDING PERSONAL '" ~
EXPENDITURES -t::7
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance
(line 20
38. Accounts Receivable
(Accountin Pallod Total from PC .5)
39. SUBTOTAL
(lines 37 + 38)
40, Total Outstanding Loans
(line 29)
41. OutManding Per50nal Expenditures
line 36)
42. Accounts Payable
Acoountlng Period Tota] from PC 6)
43. SUBTOTAL
(lines 40.... 41 + 42
44. BALANCEIDEFIC1T
(line 39 minus line 43: indicate + or - balnnce)
o Original
o Amendment
o Primary 20_ 0 General 20_
o 1 st Pre-election D 2nd Pre-clcction
LOAN SUMMARY
21. Begi1ming OUtstanding Loans
(tine 29 of revious re art)
22. Loans Received (Non-Exempt)
(lhle 2
23. Loans RecelVed (Exempt)
line J4)
24. LOANS RECEIVED SUBTOTAL
(lines 21 + 22 + 23
25. Loan Payments (Non-Exempt)
(line
26. Loan Payments (Exempt)
line 18)
27. Forglven Loans
(TotallollM forgiven durin this account in eriod)
28. LOAN PAYMENT SUBTOTAL
lines 25 + 26 +27
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28
0+0
+
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PC I
Rev, 12/03
Page 2 of2
Committee ID Number:
o Other
o Post-election
o 20 September Supplemental
FOR OFFICE USE ONLY
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(name of candidate or treasurer), hereby certify that the above
~I, 2-/0)-
Date signed
FROM :EUGENE CHAMBER
FAX NO. :541 484 4942
.......?e.p. 12_~_005 09: 27AM P4
Cash Contributions, Loans Received and In-Kind
PC2
Rev. 12103
Condidate or Political Committee Name:
Line #
Date ReceIved
1.
1- O~.DS;
2.
Nama and Address of Contributor
Occupatlonsllnformatlon or
Contrlbutln Commitlos's 10#
C/lf1,...,alil?$ COr/S/r;!IA.. (;/ ff7/V
1 ~ '1 ~ CO ~l.t~ r;,. l2o.4d
J;/A &;[,-li, oR qr'j 'k;>
GI..::' ;t:tZ4 ( COlli . t'7?Jr<
~t17"L1RtE &. /Io!\c. S
r. 19' &0 Y -7 4-:1 S-
..t -:-;.. . '04-01
Committee lD Number:
o Other
o Post-election
Amo/Jnt of
ContributIon
Contributor
A gregats
$
00.00
$ /01) JO
$
00
$
$
- 0.00
00
(l ,. (.,
Eloction: 0 Primary 20_ 0 General 20_
Report: 0 1st Pre-election 0 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
3.
4.
3"liRR. 'I' ~ lIoht:-.In (-"aD' 1/ ~""-M T
('~,....rr:"'<:' $
;2 6 0 0 1141 ~ Cj'i ,It v 12 nI
1["11 r.? . (/ ~
-j'3-0,-<; I
c.bC. MArl AC};'hl'irT CoV: ~
5. ~:k)o UJLLA"" I$.,n;:: S r:
e f/J&/c,'V (. .;>{2. q') 4-0 I
See
Instructions
on Back and
in Campaign
Finance
ManuI11
PC2
-e-
PageLof~
20~September Supplemental
CODe 2: Contribution Type
CA Cash
CO Cosigner Obligation
IK In-Kind
LIt Loan Received
Code 1
Code 2
Ov.oo
~O' )~~ flT'- - c.J[. n." T
Page TC)tals (Add aU amounts with the same
contribution type. Do not include aggregates.)
Cash (CA)
$ ',:J. <;;'O.Dt/
In-Kind (IK)
$
Loans Received (LR.) $
''-00,00
$
OU. {.?{.?
$
~
C fJ'
CA
t'7 v. uV
Accounting Period Totals (Complete only for last page and
transfer these amounts to the Summl1I'Y Statement, PC I.)
Cash (CA)
In-Kind (IK)
$
Enter OIl SlUlllll.ry Statement, Column A, Line 1
$
Iillter on Sqrnmary S1I1temcm. Column A, Llnaa 4 llnd 9
LolUlB Roceived (LR) $
Enkr on SltTllllllU)' S~tc=t, Col\llllll A, I.inc J
FROM .EUGENE CHAMBER
......
PC2
Cash Contributions. Loans Received and In-Kind Rev. 12/03
Candidate or Political Committee Name: Committee 10 Number:
, ~ IA r.f ..J Ii {'JM M~ f.i.I2 PoL lD cA-(II-('1?,:);oJ Co hh 1m:: E -0- Page ~ of .2......
Election: o Primary 20_ o Oeneral20_ o Other
Report: o 1st Pre-election o 2nd Pre~election o Post4clection ,f] 20Qt' September Supplemcntal
SEE BACK FOR INSTRUCTIONS AND CODE DEFlNITIONS
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) 1K In-Kind
I Individual LR Loan Received
L Labor Organi2a.tion
0 Other
p Political Party Committee
Line # Nama and Address of Contributor Amount of In-KInd Purpose
ContributIon (see manual for suggestad purpose code~
Date Received Occupatlonsllnformetlon or Contributor Code 1 I Code 2
ContrIbutIng Commfftee's 10#- Aggregate
GIt\.f.ll<:>S. c/.h."tC.""SIUlz.. f g,qI...7lft2cP
1. 44-0 [ R::tc.l,4dt..J.4'1 $
If 14 c.n./lffi.. v~ -='74A.o 100.00
~ -/g -o~ A-rro 12 /V fi-" Y ~ $ d. 0 0 . Qf!? f3, ell
2. $
$ I
3. $
$ I
4. $
$ I
5. $
$ I
Soe Page Totals (Add all amounts with the same Accounting Period Totals (Complote only for last page and,
Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ /00. 00 Cash (CA) $ I, 35"0, 00
in Campaign Enter on SliIMliry Slnlement, Coll1l'M A., Lllle I
Finance
Manual In-Kind (IK) $ In~Kind (lK) $
E.ater on !':lummary SlAtement, CQ1~rtu\ A, liDO' " o.cd ~
PC2 Loana Received (LR) $ Loans Received (LR) $ .
Enter on SlImI!l4I)I SralGmellt, Cclllmn A. Line 2
FAX NO. :541 484 4942
Sep. 12 2005 09:27AM P5
FROM :EUGENE CHAMBER
FAX NO. :541 484 4942
Sep. 12 2005 09:27AM P6
PC3
Cash Expenditures and Loan Payments Rev. 12103
Candidate or Political Committee Name: Committee ID Numbcr:
EUt:E /Vi Cd".... A t:"~ f'~l./TlCA.t. ,q~~N f' --01""\)'"1. Irn;:~ -eT Page --L of-L
Election: o Pl"imary 20_ o General20~ o Othcr
Report: o 1 st Pre-election o 2nd Pre-election o Post-election Kl20~Septctnber Supplcmental
PURPOSE CODES (see back of form for instructions and code definitions) . EXP~NDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP LOEln Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Opemtional Expenses (describe ifover $50) T Travel Expenses (describc if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services y Petition Circulators
N Newspaper Elnd Othcr Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 100, Exp. Amount of IE
Line # Date Check # if applicable Purpose Type ExpendIture Paid
(as it appears on Invoice, receipt or check) to AlP
1. 12-1:1-04 J (:;, 4- ~-^~. .1'_ "7'- . ;- 0 J -:)? 4 ~ CA $ 3'), ?s: 0
2. 3'-/C-oS r/iz: /OI.J,,/ ("/ I~ /C ~ C,LJ $ 3~~ S-~ 0
IOG.~
3. ;: $ 0
~-:f?-o{ /oc,& O/-JKUA'1 / J1 A' r; {... 1) I[ J "I CA _J_'1J ;20
4. r"J-j/~CJ<'- lOw r-... {<)A/<UA!f UJA/ft -r l))tL; ~ C/j $ /~4-/.;l 0
5. $ 0
6. $ 0
7. $ 0
8. $ D
9. $ 0
10. $ 0
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure typc.) transfer these amounts to the Summary Statement, PC I,)
on Back and Cash (CA) $ & lC,y )!. J... Cash (CA) $ &"/'). ~~
ill Campaign
Finance Bnt~r on SLlmlll8ty Statement, Colulnn A, Linc Ii
Manual Loan Payment (LP) $ Loan Payment (LP) $
llntcr on Sum"",1Y Statement, Column A, tin. 7
PC 3
FROM :EUGENE CH8MBER
F8X NO. :541 484 4942
Oct. 10 2005 02:07PM P2
Summary Statement of Contributions and Expenditures
Please ty e or tint legibly in black ink.
Candidate or Political Committee Name (use full name);
PC I
RlIV, 12fOJ
Pa e 1 of2
~ a..'"1 b~,t
Committee ID Number:
-e-
Telephone Number (day):
34-~- 8DlPO
o Original
Amendment
1'"\
o Primary 20_
o 1 st Prc-election
Cormnittce Type, Measure Number at Office:
S S
o General 20_ 0 Other
o 2nd Pre-election 0 Post-election
A-TOTALS FOR THIS
ACCOUNTING PERIOD '
20Q,s: September Supplemental
B-CUMULATIVE TOTALS
FOR THIS ELECflON
CONTRIBUTIONS
1. Cash Contributions
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt)
(Accounting Period Total from PC 2)
3. Total Cash Contributions
(lines 1+ 2)
4. In-Kind
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures
(Accounting period Toeal from PC 3)
7. Loan Payments (Non-Exempt)
(Accounting Period Total from PC 3)
8. Total Cash Expenditures
(linea 6 + 7
9. In-Kind
(Accounting Period Total from PC 2)
10. TOTAL EXPENDITURES
(linea g + 9)
CASH BALANCE
11. Beginning Cash Balance
(lino 20 of revious 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 11 + 12 + 13 of- 14)
16. Total Expenditures
(line 10)
17. Othor Disbursements
Accouotin 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)
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1, ~'" ~("~'u...k, ~. C.., ~ J\,,\J.... w C.? f-\ <;:.. \;?.. qo~ - ~~..\:\(tIame of candidate or treasurer), hereby certifY that the nbove
statement and the attacl,.ed supporting reports are true and correct.
____.J ,
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Si.erffiture candidate or treasurer