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Home My WebLink AboutMill Street Bridge Committee PC 1 Summary Statement of Contributions and Expenditures Rev. 12/03 Please type or print legibly in black ink. Page I of2 Candidate or Political Committee Name (use full name): The Mil f street Bridge.. CcW\Mittee.. Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): IS2.b Li1\c.oln .s+reet I EIA.~efle.., Ore!jfJn q7l(df~3e58 Treasurer's Name: Telephone Number (day): Cafherine. Larson 5L/3-Q723. Committee ID Number: Committee Type, Measure Number or Office: rvliscellaneoLC.5 ~ Original D Primary 20_ D General 20_ D Other D Amendment D 1 st Pre-election D 2nd Pre-election D Post-election ~ 20 OS-September Supplemental A-TOTALS FOR THIS B-CUMULA TIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions / :2 0 , 00 I 2. () . 00 (Accounting Period Total from PC 2) 2. Loans Received (Non-Exempt) + -0- + -0- (Accounting Period Total from PC 2) 3. Total Cash Contributions = /20,00 = /20 . 00 (lines 1+ 2) 4. In-Kind + -0- + -0 - (Accounting Period Total from PC 2) 5. TOTAL CONTRIBUTIONS = /2.0,00 = /2.0,00 (lines 3 + 4) EXPENDITURES 6. Cash Expenditures '1 B . 00 Cf9,00 (Accounting Period Total from PC 3) 7. Loan Payments (Non-Exempt) + -0- + -0- (Accounting Period Total from PC 3) 8. Total Cash Expenditures = <=(e,OO = qB.OO (lines 6 + 7) 9. In-Kind + -0- + --0- (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES = cr 8,00 = 9 e , 00 (lines 8 + 9) CASH BALANCE 11. Beginning Cash Balance BB,.:2-3 FOR OFFICE USE ONL Y (line 20 of previous report) 12. Total Contributions + I 1-0,00 (line 5) 13. Other Receipts + . '/0 (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) + -0 - (Accounting Period Total from PC 4A) IS. CONTRIBUTION SUBTOTAL = 208 . '3 (lines 11 + 12 + 13 + 14) RECEIVED 16. Total Expenditures '1 e , 00 (line 10) 17. Other Disbursements + -0 - SEP 12'2005 (Accounting Period Total from PC 48) 18. Loan Payments (Exempt) + -6 - CITY RECORDER (Accounting Period Total from PC 48) 19. EXPENDITURE SUBTOTAL = '18.00 (lines 16 + 17 + 18) 20. ENDING CASH BALANCE = JIO.G3 (line IS minus line 19) Summary Statement of Contributions and Expenditures PC 1 Rev. 12/03 Please type or print legibly in black ink. Candidate or Political Committee Name: /l tne Mill .5tree.t grid e r....-ommiffee.. ~ Original D Primary 20_ D General 20_ D Amendment D 1 st Pre-election D 2nd Pre-election LOAN SUMMARY Page 2 of2 Committee ID Number: D Other D Post-election 181 2005" September Supplemental 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 (Total loans forgiven during this accounting period) 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) FOR OFFICE USE ONLY + -0- -0- -0- -0- -0- -0- -0- -0- -0- + + + PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (line 36 of previous report) 3 I. Personal Expenditures (Accounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUB TOT AL (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. REIMBURSEMENT SUBTOTAL (lines 33 + 34) 36. OUTSTANDING PERSONAL 0 EXPENDITURES = - - FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance / I 0 /3 (line 20) , fo 38. Accounts Receivable + 0 (Accounting Period Total from PC 5) - - 39. SUBTOTAL / (lines 37 -t- 38) = I 0, (; 3 40. T?tal Outstanding Loans _ 0 _ (lIne 29) 41. Outstanding Personal Expenditures + _ 0 _ (line 36) 42. Accounts Payable + (Accounting Period Total from PC 6) -0 - 43. SUBTOTAL (lines 40 + 41 + 42) - 0 - 44. BALANCE/DEFICIT + / / 0 b 3 (line 39 minus line 43: indicate + or - balance) , + -0- -0- -0- -0- -0- -0- RECEIVED SEP 1 2 '2005 CITY RECORDER 1, C afhe r in e. L arson (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct. . PC2 Cash Contributions" Loans Received and In-Kind Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: The )1;1/ Streef grjd~e C~(I'lfV) itfee Page ~ of -L Election: D Primary 20_ D General 20_ D Other Report: D 1 st Pre-election D 2nd Pre-election D Post-election ~ 20 OS September Supplemental SEE BACK FOR INSTRUCTIONS 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 Cathel'ine Lar-sO(l 1. I g:t' LineDln ~tY'eet $ /2.0,00 er.tqene} Ore~o., 'f7401 oajoLf/OS- write.- $ I 2. 0 .00 I I cA 2. $ $ I 3. $ $ I 4. $ $ I 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 Cash (CA) $ J 2. O. 00 Cash (CA) $ /20.00 in Campaign Finance Enter on Summary Statement. Column A, Line I Manual In-Kind (IK) $ -0- In-Kind (IK) $ - 0- Enter on Summary Statement, Column A. Lines 4 and 9 pe2 Loans Received (LR) $ -0- Loans Received (LR) $ - ~- Enter on Summary Statement, Column A, Line 2 PC3 . Cash Expenditures and Loan Payments Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: Th e M ill Street Br-id se COMmittee. Page L of :L - Election: D Primary 20_ D General 20_ D Other Report: D 1 st Pre-election D 2nd Pre-election D Post-election ~ 20 0 SSeptember 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. OCf/30/o't - Bat\k of AMerICa, G cA $ S.OO D 2. 'I) /2. "/o'f - Ba...k of America G CA $ 5,00 D 3. II/3D/OI.l - Bank o-P AMer-ica c"{ CA $ 5",00 D 4. 7 :}./3fo'{ - Bat)k o-t America G, c.A $ S.OO D 5. 01/31/05 - Bank of' A mer;ca q CA $ S,OO D 6. o :J./'- 8(OS - Ba...k o-t A Mer;ca G cp., $ S.OO D 7. 03/3105 - Bank of A mer; C-q ~ C-A $ 5,00 D 8. o L{/2. 'f/05 - Bank ot AM~ric.a G cA $ 5,00 D 9. o 5/3 I/O S - Bank of America G CA $ 5,00 D 10. 0'/30/"5 - Ba"k o-P A rner-ica. G c.A $ 5,00 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) $ 50,00 Cash (CA) $ in Campaign Finance Entcr on Summary Statement, Column A, Line 6 Manual Loan Payment (LP) $ -0- Loan Payment (LP) $ Enter on Summary Statement, Column A, Line 7 PC 3 PC3 Cash Expenditures and Loan Payments Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: Th~ Mir/ STreet' Brie/Be. COrYIM i+tee. Page ~ of 2. - Election: D Primary 20_ D General 20_ D Other Report: D 1 st Pre-election D 2nd Pre-election D Post-election ~ 20 Or 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) toNP 1. 07!~'t/OS - Bank of America G CA $ 5.00 0 2. 08/00/05 - United States Po~tal Servic.e, G cA $ 38.00 0 3. <JS!3YOS" - f>ank of AMerica G- cA $ S.O() 0 4. $ 0 5. $ 0 6. $ 0 7. $ 0 8. $ 0 9. $ 0 10. $ 0 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 $ 'lB. 00 Cash (CA) $ qe,OO in Campaign Cash (CA) Finance Enter on Summary Statement, Column A, Line 6 Manual Loan Payment (LP) $ -0- Loan Payment (LP) $ -0- Enter on Summary Statement, Column A, Line 7 PC 3 PC4A Other Receipts Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: Th€ Mr'/( S+t~et Bric/ae Com~;tTe.e Page ~ of ~ Election: D Primary 20_ D General 20_ D Other Report: D I st Pre-election D 2nd Pre-election D Post-election ~ 20 0 S'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 Interest/Investment Income OM Miscellaneous (provide a description) RF Refunds, Rebates and Returns Date Name Other Receipt Line # Received (required for codes EL, OM and RF; Transaction Type Other Receipt Amount optional for codes FM and IN) Code 1. o Cf/30/0L{ IN $ ,22. 2. I o/'J. 9/0'1' TN $ ,02- 3. Il/a%l{ IN $ ..OJ.. 4. I '-/31/0L( IN $ ,02- 5. 0'/3'/05 IN $ .02- 6. 02/2 81o~ IN $ ,02. 7. 03/31/05 IN $ , OJ. 8. o "1/2 q/o~ IN $ ,02- 9. O~!31/0S- IN $ ..01 10. orc/30/oS IN $ .01 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 I.) on Back and .3e in Campaign Codes FM, IN, OM, RF $ Codes FM, IN, OM, RF $ Finance Enter on Summary Statement. Column A, Line 13 Manual Code EL $ -0- Code EL $ Enter on Summary Statement, Column A. Line 14 PC4A PC4A Other Receipts Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: The /v1;1I Sfreet Brjd~e C.OM I\o'\i+fe.e.. Page ----2- of 2 Election: D Primary 20_ D General 20_ D Other Report: D 1 st Pre-election D 2nd Pre-election D Post-election .18l20 os 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 Interest/Investment Income OM Miscellaneous (provide a description) RF Refunds, Rebates and Returns Date Name Other Receipt Line # Received (required for codes EL, OM and RF; Transaction Type Other Receipt Amount optional for codes FM and IN) Code 1. 07/~qloS" IN $ .0 J 2. Oa/31/ O~ IN $ ,01 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 I.) on Back and ,OJ... $ .'{o in Campaign Codes FM, IN, OM, RF $ Codes FM, IN, OM, RF Finance Enter on Summary Statement. Column A, Line 13 Manual Code EL $ -0 - Code EL $ -D- Enter on Summary Statement, Column A, Line 14 PC4A