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PC 1
Summary Statement of Contributions and Expenditures Rev. 12103
Please type or print legibly in black ink. Page I of2
Candidate or Political Committee Name (use full name):
Bartel 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 ill Number: T Committee Type, Measure Number or Office:
~ Original D Primary 20_ ~ General20~ o Other 00 20~ September Supplemental
L....J Amendment D 1 st Pre-election --J 2nd Pre-election o Post-election
A-TOTALS FOR THIS B-CUMULATIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECOON
CONTRIBUTIONS
1. Cash Contributions 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
(lines 1 + 2)
4. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
5. TOTALCONTRmUTIONS = 0.00 = 0.00
(Jines 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
(lines 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
11. Beginning Cash Balance 567.15 FOR OFFICE USE ONLY
(line 20 of previous report)
12. Total Contributions + 0.00
(line 5)
13. Other Receipts + 7.73
(Accounting Period Total from PC 4A) RECEIVED
14. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A)
15. CONTRIBUfION SUBTOTAL = 574.88 SEP 1 22005
(lines 11 + 12 + 13 + 14)
16. Total Expenditures 0.00 CITY RECORDER
(line 10)
17. Other Disbursements + 0.00
(Accountins! 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 = 574.88
(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 ill Number:
Bartel for EWEB
IXI Original D Primary 20_ lI! General20~ o Other
o 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
(line 29 of previous report) 0.00
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
(Jines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES = 0.00
(line 32 minus line 35)
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 574.88
(line 20)
38. Accounts Receivable + 0.00
(Accounting Period Total from PC 5)
39. SUBTOTAL = 574.88
(lines 37 + 38) RECEIVED
40. Total Outstanding Loans 0.00
(line 29)
41. Outstanding Personal Expenditures + 0.00 SEP 1 2 2005
(line 36)
42. Accounts Payable + 0.00 CITY RECORDER
(Accounting Period Total from PC 6)
43. SUBTOTAL = 0.00
(lines 40 + 41 + 42)
44. BALANCElDEFICIT = 574.88
(line 39 minus line 43: indicate + or - balance)
I, APeter Bartel (name of candidate or treasurer), hereby certifY that the above
statemeZJ1nd the 7ht rnortir t'ports are true and correct /'J ~~ f()/)<j
1 W;~ ;) U1Wv
Si_ e of dndidate or'treasurer Date signed
PC4A
Other Receipts Rev. 12103
Candidate or Political Committee Name: Committee ID Number:
Bartel for EWEB Page ~ of 1
Election: D Primary 20_ IXI Genera120~ o Other
Report: D I st Pre-election D 2nd Pre-election D Post-election 1X12005 September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
Other Receipt Transaction Type Codes
EL Exempt Loan Proceeds
FM Items Sold at Fair Market Value
IN InterestJInvestment Income
OM Miscellaneous (provide a description)
RF Refunds, Rebates and Returns
Date Name Other Receipt
Une# Received (required for codes EL, OM and RF; Transaction Type Other Receipt Amount
optional for rodes FM and IN) Code
8/31105 EWES Credit Union IN
1. $ 7.73
2. $
3. $
4. $
5. $
6. $
7. $
8. $
9. $
10. $
See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and
Instructions Type Codes specified.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Codes FM, IN, OM, RF $ 7.73 Codes FM, IN, OM, RF $ 7.73
in Campaign
Finance Enter on Summary Statemen!, Column A. Line 13
Manual Code EL $ Code EL $
Enler on Summary Slakmmt, Column A. Line 14
PC4A