HomeMy WebLinkAboutSolomon for City Council
Sep 26 05 08:45a
JenniFer Solomon
541-461-4600
p.2
PC I
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):
'5::t:?LO M ON -{hy,uT'{ Go u f\J c...u-..
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
1-005 Le:1vU.A..~ A C?T. 8U..b E?Nt=: C!!- ql~D 2-
Treasurer's Name: I Telephone Number (day):
CfLA If-! lv'A Lll CA-l ~ 4UJ(- 3'S[)(
Committee 10 Number: I Committee Type, Measure Number or Office:
CA..r'Y UV t...JU L... wA.-re-i::J V,
00 Original I 0 Primary 20_ [8l General 20 0 2- o Other
o Amendment D 1st Pre-election o 2nd Pre-election o Post-election ~ 200SSeptember Supplemental
A-TOTALS FOR nlls B-CUMULATIVE TOTALS
ACCOUNTING PERIOD FOR TIllS ELECTION
CONTRIBUTIONS
I. Cash Contributions 0
(Accounling Period Tolal from PC 2)
2. Loans Received (Non-Exempt) + 0 +
(Accounting Period Tolal from PC 2)
3. Total Cash Contributions = 0 0.00 =
(lines 1+ 2)
4. In-Kind + 0 +
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS = 0 0.00 =
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures
(Accounting Pcriod Total from PC 3) 0
7. Loan Payments (Non-Exempt) + +
(Accounting Period Tola] from PC 3) 0
8. Total Cash Expenditures = 0.00 =
(lines 6 + 7) 0
9. In-Kind + 0.00 +
(Accounting Period Tolal from PC 2) 0
10. TOTAL EXPENDITURES = 0.00 =
(lines 8 + 9) 0
CASH BALANCE
II. Beginning Cash Balance ZLfLe3 t{2 FOR OFFICE USE ONLY
(line 20 of previous report)
12. Total Contributions + --- 0.00
(line 5)
13. Other Receipts + I. ~3 RECEIVED
(Accounting Period Tolal from PC 4A)
14. Loans Received (Exempt)
+ --
(Accounting Period Total trom PC 4A) SEP 2 6 2005
15. CONTRIBUTION SUBTOTAL == 2.4-(p5 2-'6 0.00
(lines II + 12 + 13 + ]4) -
16. Total Expenditures 0.00 CITY RECORDER
(line (0) --
17. Other Disbursements +
(Accounting Period Total trom PC 4B) --
18. Loan Payments (Exempt) + --
(Accounting Period Tolal from PC 4B)
19. EXPENDITURE SUBTOTAL = - 0.00
(lines 16+ 17+ lit)
20. ENDING CASH BALANCE = 2-4tpS 2.~ 0.00
(line 15 minus line 19) -
Sep 26 05 08:45a
JenniFer Solomon
541-461-4600
p.3
PC'I
Summary Statement of Contributions and Expenditures Rc\'. 121m
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
?OL-OMON fvv- 0.-ry [,OU/'JGtL-
~ Original I D Primary 20_ [gl General 20 () 2- o Other
D Amendment o I st Pre-election o 2nd Pre-election o Post-election ~ 200 S>eptember Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
2l. Beginning Outstanding Loans -
(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 SUBTOT AL = 0.00
(lines 21 +22+23) -
25. Loan Payments (Non-Exempt) - 0.00
(line 7)
26. Loan Payments (Exempt) + - 0.00
(line (8)
27. Forgiven Loans +
(Total loans forgiven during lhis accounting period) ---
28. LOAN PA YMENT SUBTOTAL = 0.00
(lincs 25 + 26 +27) .....-
29. TOTAL OUTSTANDING LOANS = - 0.00
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures
(line 36 of previous report) -
31. Personal Expenditures +
(Accounting Period Total trom PC 3A) -
32. PERSONAL EXPENDITURE SUBTOTAL = 0.00
(lines 30 + 31) -
33. Personal Expenditure Reimbursements
(Total e:'\penditures on PC 3 with purpose code R) -
34. Forgiven Personal Expenditures +
(Total personal expenditures forgiven this acclg. pcriod) ---
35. REI MBURSEMENT 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 '2-4~ 5" ~ 0.00
(line 20)
38. Accounts Receivable +
(Accounting Period TOlal from PC 5) -
39. SUBTOTAL = 0.00 RECEIVED
(lines 37 + 38) ---
40. Total Outstanding Loans 0.00
(line 2lJ) - SEP 2 6 2005
4l. Outstanding Personal Expenditures 0.00
(line 36) + --
42. Accounts Payable + CITY RECORDER
(Accounling Period Total from PC 6) -
43. SUBTOTAL = - 0.00
(lines 40 + 41 + 42)
44. BALANCE/DEFICIT = '2-4 ~ 5 2....5- 0.00
(line 39 minus line 43: indicate + or - balance)
I, <JVhY):~ ~( OmCJ"Y) (name o~ or treasurer), hereby certify that the above
statement and the attached supporting reports are true and correct.
/'~~ ~ 9'2~.OS
Sig.pJure ofcandkb}e or ~surer Date signed
'"'
Sep 26 05 08:45a
JenniFer Solomon
541-461-4600
p.4
rC4A
Other Receipts Re\",I::!:OJ
Candidate or Political Committee Name: Committee lD Number: :L
So L-OtvtON flJv CITY CO ul\JG{ L- Page ~ of
-
Election: o Primary 20_ ~ General 20 0 2- o Other
Report: o 1st Pre-election o 2nd Pre-election o Post-election 6lI200SSeptember 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. q jet joLf- i n t e.re-s +- [IN) $ II
IO/~ low; if 1/
2. ") $
3. II / q loLf If $ 1/
.
4. 11-/ g-) aL{- II $ II
III / 05" I ( ./1
5. $
II \
6. 2-/~/oS ) $ IJ
7. 3/ <6 / O~ II $ 1/
8. LV ~JoC;- , I $ ./1
9. SI C1 los l\ $ ./1
{p / 'f lor;; VI ~
10. $ . If
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 / . I 0 $
in Campaign Codes FM, IN, OM, RF $ Codes FM, IN, OM, RF
Finance Ent., on Summwy S\atcmcn~ Column A, Line I J
Manual Code EL $ Code EL $
Enter on Summary Statement. Column A. Line 14
PC4A
Sep 26 05 08:45a
JenniFer Solomon
541-461-4600
p.5
I'C~A
Other Recei pts Re,., I:!/OJ
Candidate or Political Committee Name: Committee ID Number:
~0L-01'-1 0 i\J ~ CiT'-/ GO vtJel L--- Page 2- of 2-
Election: o Primary 20_ ~GeneraI200~ o Other
Report: o 1st Pre-election D 2nd Pre-election D Post-election I2t] 20 05September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
Other Receipt Transaction Type Codes
EL Exempt Loan Proceeds
F'M 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 fL, OM and RF; Transaction Type Other Receipt Amount
optional for codes FM and IN) Code
1. ( /1I/0S 'V)+V~ IN $ .1/
2. g/or;jos l( $ ft . (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.) .ifJ- .23 transfer these amounts to the Summary Statement, PC I.)
on Back and t. ~3
in Campaign Codes FM, IN, OM, RF $ Codes FM, IN, OM, RF $
Finance Enter 011 Summar)' Sta1emcnt, Column A. Line 13
Manual Code EL $ Code EL $
Enter on Summary StDt~nt, Column A. Line 14
PC4A