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PC 1
Summary Statement of Contributions and Expenditures Rev. 12103
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Please type or print legibly in black ink. Page 1 of2
Candidate or Political Committee Name (use full name):
YES for EWEB
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
2240 Agate St. Eugene, OR 97403
Treasurer's Name: I Telephone Number (day):
Peter Bartel 541683-5151
Committee ID Number: I Committee Type, Measure Number or Office:
EWEB Commissioner
~ Original D Primary 20_ ~ General20~ o Other
D Amendment D I st Pre-election 2nd Pre-election o Post-election ..520 ~ September Supplemental
A-TOTALS FOR THIS B-CUMULATIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECOON
CONTRIBUTIONS
1. Cash Contnbutions 0.00 0.00
(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 = 0.00
(Jines 1 + 2)
4. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
5. TOTAL CONTRmUTIONS = 0.00 = 0.00
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures 0.00 0.00
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 0.00 = 0.00
(Jines 6 + 7)
9. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
10. TOTAL EXPENDITURES = 0.00 = 0.00
(lines 8 + 9)
CASH BALANCE
II. Beginning Cash Balance 4,165.54 FOR OFFICE USE ONLY
(line 20 of previous report)
12. Total Contnbutions + 0.00
(line 5)
13. Other Receipts + 0.00
(Accounting Period Total from PC 4A)
14. Loans Received (Exempt) + 0.00 RECEIVi-
(Accounting Period Total from PC 4A)
l5. CONTRIBUfION SUBTOTAL = 4,165.54
(lines 11 + 12 + 13 + 14) SEP 1 2 '2005
16. Total Expenditures 0.00
(line 10) CITY RECORDEh
17. Other Disbursements + 0.00
(Accounting Period Total from PC 4B)
18. Loan Payments (Exempt) + 0.00
(Accounting Period Total from PC 4B)
19. EXPENDITURE SUBTOTAL = 0.00
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE = 4,165.54
(line 15 minus line 19)
PC 1
Summary Statement of Contributions and Expenditures Rev. 12103
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
YES for EWEB
III Original I DPrimary20_ III General20~ o Other
D Amendment D 1st Pre-election D 2nd Pre-election o Post-election fXl2005 September Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans 0.00
(line 29 of previous report)
22. Loans Received (Non-Exempt) + 0.00
(line 2)
23. Loans Received (Exempt) + 0.00
(line 14)
24. LOANS RECEIVED SUBTOTAL = 0.00
(lines 21 + 22 + 23)
25. Loan Payments (Non-Exempt) 0.00
(line 7)
26. Loan Payments (Exempt) + 0.00
(line 18)
27. Forgiven Loans + 0.00
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL = 0.00
(lines 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 previous report)
31. Personal Expenditures + 0.00
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL = 0.00
(lines 30 + 31)
33. Personal Expenditure Reimbursements 0.00
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures + 0.00
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL = 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 4,165.54
(line 20)
38. Accounts Receivable + 0.00 REC[/VED
(Accounting Period Total from PC 5)
39. SUBTOTAL = 4,165.54
(lines 37 + 38)
40. Total Outstanding Loans 0.00 SEP J 2 2005
(line 29)
41. Outstanding Personal Expenditures + 0.00 CITY RfCLdDER
(line 36)
42. Accounts Payable + 0.00
(Accounting Period Total from PC 6)
43. SUBTOTAL = 0.00
(lines 40 + 41 + 42)
44. BALANCElDEFICIT = 4,165.54
(line 39 minus line 43: indicate + or - balance)
I, /1 /"\ Peter Be ~I (name of candidate or treasurer), hereby certifY that the above
'--~~~~f!W;; 7rts are true and correct J~ )irit(h K 1-tJo(
SignattJ .. of candidate oYtreasurer Date signed I
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