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HomeMy WebLinkAboutSULLIVAN SEMIANN97(1) O ':fi older, Candidate, and Controlled Committee Campaign Statement -- Long Form (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In ink. Check one of the following boaes to indicate the type of statement being filed: [] Pre-election Statement [] Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) [] Special Odd-Year Campaign Report [] Semi-annual Statement [] Termination Statement (Attach a completed Form 415 to this statement.) Statement covets period from through (~1,~[ q~[-,~.,., ~;i ,i Date of election If applicable: (Month, Day, Date Stamp COVER PAGE - LONG FO~M Page ~ of /'~ For Official Use Only Officeholder. Candidate, and Control ed Committee Included in this Statement NAME OF OFFICEHOLDER OR CANDIDATE II Other Committees i : Included in this Statement: Lis~onyoth~r committees not included in this consolidated ~ta tement that are controlled by you and any committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy, ZIP CO01E AREA COD E/DA Y TIM E pHONE III Verification ' ~ ^ .~ /,~ , . I have used all reasonable diligence in pr re~th,s ltftement. ~;~.have revieTed the statement and true and comply. I ce~ify under ~nal~ o~y u~der the Ibw~ of t~ $tkte of C~rnia that the foregoing i~e a~c~rre~. An officeholder or candidate who controls a (ommt~ee mull lbo verify the campaign statement. teasonabie diligence in preparing this sta~. I have review~the statement and~ the be~ of my knowledge t~formation contained herein and in the a~ached schedules is true a~d complete. I ce~ify under penal~ of ~rjur~ unO.the laws of th~tate~f ~liforni~haLt~olng ~ true a~o~e~. - Executed on At By DATE CnY AND STATE SIGNATURE OF ~NDIDATE~FFICEHOLDtR Executed on At By Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Statement covers period ,h,o ,h 0.30- S u m ma ry Pa ge Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITT, EE~ - I.D NUMBER Contrit~tions Received # ' Column A Column B* Column C TOllAL TH~S I~ RIOD TOTAL PREV1OUS PERIOD TOTAL TO DATE I. Monetary Contributions ............................. ScheduleA, Line3 $ 2. Loans Re(eived ......................................... Schedule a, Line 7 3. SUBTOTALCASH CONTRIBUTIONS .................... Add Unes I + 2 S $ (~ S 4. Non-monetary Contributions ............... Schedule C Line 3 (~, 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceab~ Promises) ,add Lines3 + 4 S S ~ S 6. Enforceable Promises (Exclude Loan Guarantees, Une 18 below) ................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ................. AddUnes5 + 6 S ~1 0 0 ° 0 ~ S ~ S Expenditures Made 8. CashPayments(Otherthan LoansMade) .......... Schedule E, Une S $ '~ . ~ $ S 9. Loans Made ............................................. Schedule H, Line 7 10. SUBTOTALCASH PAYMENTS ........................... AddLiryasa + g $ S S ! 1. Accrued Expenses (Unpaid Bills) Schedule F, Une S 12. TOTAL EXPENDITURES MADE ................... AddLines I0 + I! S "~ · g~O S S Current Cash Statement 13. Beginning Cash Balance ................ PreviousSumrnaryPage, Line 17 14. Cash Receipts Column A, Line ~ above //~ ~ O0 this L~ the first reoort filed for the calendar year, Column a should be ................................... ' blank except for Loans Received (Line 2), Enforceable Promises (Line 15. Miscellaneous lncreases to Cash ........................ ScheduleI, Line4 6,LoansMede(Lineg),endAccruedExpenses Line 11) 16. Cash Payments .................................... ColumnA, Une~Oabove 17. ENDING CASH BALANCE ..... AddLineslJ*14*~S, then subtract Line l6 $ ,~(;. (~¢3 Summary for Candidates in Both June and Ifthisbatermination~tatement, Line lTmu~tbezero. END4NX~CASH BALAt*~CE SHOUtO November Elections 1/1 through 6/30 7/1 to Date 18. LOAN GUARANTEES RECEIVED Schedulea, partl, Column(b) $ 21. Contributions .............. Recewed .... s Cash Equivalents and Outstanding Debts 22 Expenditures 19. Cash Equivalents ...... See instructions on reverse S Maoe . S 20 Outstanding Debts AddLIne 2 * Line l! inColumnC~bove $ Sch ed u le A ry., or print in ink. 5CH E DU LEA Monetary SEE INSTRUCTIONS ON REVERSE NAM DATE RECEIVED Contributions Received Amounts maybe roundedto whole dollars. Statement covers period ~ i FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE (If C~MI~EE, IN ADDff~N TO COMMI~E E'S NAME AND ADD. SS, ENTER ID NUMBER (IF SEtF-EMPtOYED, ENTER RECEIVE D TH IS ~LE NDAR YEAR OTH E R ~ I~ ~ ID NUMeER ~S BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) NAME OF B~INESS) PER~OD (JAN i - DEC. 31 ) (IF APPLI~BLE) SUBTOTAL $ Monetary Contributions Summary 1. Amount received this period -- contributions of $100 or more. (Include all Schedule A subtotals.) ................................................................................... 2. Amount received this period -- contributions of less than $ t00. (Do not itemize.) .......................... 3 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Sumrnary Page, Column A, Line 1.) TOTAL Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars, SCHEDULE E NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 0 co EsEo, cd, EX .O,'ru Es NUMBER If one of the following codes accurately describes the expenditure,you may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. 'C"- MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1" - INDEPENDENT EXPENDITURES 'L' - LITERATURE 'B'- BROADCAST ADVERTISING "N'- NEWSPAPER AND PERIODICAL ADVERTISING 'O' - OUTSIDE ADVERTISING 'S' - SURVEYS, SIGNATURE GATHE RING. DOOR-TO-DOOR SOLICITATIONS 'F" - FUNDRAISING EVENTS 'G" -- GENERALOPERATIONSANDOVERHEAD 'T"- TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P'- PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE. CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E (if COMMITTEE. iN ADOrTiON TO COMMiTtEE.$ NAME AND ADDRESS, ENTER [ O NUM~i(R OR. it NO i O REPORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BE LOW. CODE OR DESCRIPTION OF PAt'MENT AMOUNT PAID Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL officeholders, candida res, committees, or ballot measures must also be entered on the Allocation Page, Part I. , Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (include all Schedule E subtotals.) ...................................................... 2. Paymentsmadethis periodof under$100. (Do not itemize.) ....................................................................... 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. 4 Total accrued expenses paid this period. (Do not itemize Enter amount from Schedule F, Line 4.) ........................... 5. Total payments made this period (Add Lines l, 2, 3, and4. Enter here and ~n the Summary Page, ColumnA, LineS) TOTAL .Off~older, Candidate, and Controlled Committee Campaign Statement -- Long Form (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: Type or print In ink. [] Pre-election Statement [] Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) Statement covers period Date of election if applicable: (Month, Day, Year) Date Stamp COVER PAGE - LONG FORM [] Special Odd-Yea~ Campaign Report BSemi-annual Statement Termination Statement (Attach a completed Form 415 to this statement.) Officeholder. Cand date, and Controlled Committee Included in this Statement NAME OF OFFICEHOLDER OR CANDIDATE COMMITTEE NAME NAME OF TREASURER Other Committees I lot Included in this Statement: committees not included in this con$oiida ted statement that are controlled by you a nd any committees of which you have knowledge that are primarily formed to receive contrlbution~ o~ tO make expenditures on behalf of your candidacy. Attach additional information on appropriately labeled continuation shee ts. III Verification I have used all reasonable diligence in prepa ring this Ftet~man~. I have raY. wed the statement and to the best ofJ~k noll~j~e the informer true and corn pl~ I ce. Sty under ~na,~ of .rjurdun~r th~ laws o[t~tate o~mia that the foregoings t~~- An officeholder or c.ndld.t, who ,ontrol,. comml.., must .I,o verify the ,.mpalgn s.tement., have used .Il rea,onabl, diligence aod to ,h~e~°fmyknowledg. ,h~e.,urer h., u,ed reasonable diligence in preparing this stateme~ave reviewed the statement an~ the best of my knowledge th~format on contained here n an~ in the a~ached ~hedules is true and complete. I ce~ under penalty o~rjury ~the la~s of the ~e of {alifor~t~ the foregoing is true and ~e~. OATE C~V AND STATE ~ ~ Executed on At By DATE CnY ANO STATE SIGNATURE OF ~NOIDATE/OF~ICE~OLO[ R Executed on At By Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NA~E OF OFFICEHOLDER O~.CANDI DATE AND CONTROLLED COMMITTEE Contril~tions Received ~.~ ~ 1. Monetary Contributions ........................... ScheduleA, Line 2. Loans Received ......................................... Scbedole B, Line 3. SUBTOTAL CASH CONTRIBUTIONS .................. AddLines ! + 4. Non-monetary Contributions ....................... Schedule C, Line S. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Add Lines3 + 6. Enforceable Promises (Exclude Loan Guarantees, Line 18 below) ................ Schedule D, Line 7. TOTAL CONTRIBUTIONS RECEIVED .................. AddLinesS ,, $ $ Expenditures Made 8. Cash Payments (Other than Loans Made) .......... Schedule E, Line 9. Loans Made ............................................. Sd~edule H, Line 10. SUBTOTAL CASH PAYMENTS ............................ AddLinesa * 1 1. Accrued Expenses (Unpaid Bills) Sr,~edule F, Line 12. TOTAL EXPENDITURES MADE ......................... AddLines 10 * I! s /~ ,o'O s $ $ Statement covers period Current Cash Statement 13. Beginning Cash Balance .................. PreviousSumma~ Page, Line 17 14. Cash Receipts ...................................... ColumnA, Line3above 15. MiKellaneous Increases to Cash ........................ ScheduleI, Line4 16. Cash Payments ................................... Co~umnA, Line lOabove 1 7. ENDING CASH BALANCE ..... AddLines I$ + 14 + I$, then subtract Line 16 If this b a termir~tion slatement, Line 17 mu~t be zero. 18. LOAN GUARANTEES RECEIVED .............. Schedule B, Part l, Column (b) $ Cash Equivalents and Outstanding Debts 19. Cash Equivalents See instructions on rever~e $ 20 Outstanding Debts .... A~dLine2 ~ Line ~l inColumnCabove $ SUMMARY PAGE I.D. NUMBER Column B* Column C $ $ $ $ $ $ $ $ s $ S S · From previous Statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2}, Enforceable Promises (Line 6, Loans Made (L ne g, and Accrued Expenses Line 1 1 . Summary for Candidates in Both June and November Elections t/1 through 6/30 711 to Date 21. Contribqtions Recmvea s 22. Exoenditures Made s Schedule A Ty.~ or print in ink. SCH E DU LEA ........... Amounts may be rounded Statement covers period Monetary Contributions Receivedtowholedollar$. SEE ,NSTRU~IONS ON REVERSE through ~' ~0 -- ~ ? Page ,3 of q NAME OF OFFICEHOLDER OR ~NDIDATE AND CONTROLLED COMMITTEE ID NUMBER CONTRIBUTOR ~/ .... ~ FULL NAME AND OF OCCUPATION ~D EMPLOYE~ AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE SUBTOTAL $ Monetary Contributions Summary 1. Amount received this period -- contributions of $100 or more. (Include all Schedule A subtotals.) ............................................................................................ 2. Amount received this period -- contributions of less than $100. (Do not itemize.) 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 ) TOTAL Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ~ ~ 0 / CO~ES FOR C~SSIFYING EX~NDIT6RES Statement covers period ,ro /-/- SCHEDULE E I.D NUMBER If one of the following codes accurately describes the expenditure,you may enter the code and leave the "Description of Payment' co)umn blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. 'C'- MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1' - INDEPENDENTEXPENDITURES 'L' - LITERATURE 'B'- BROADCAST ADVERTISING 'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'O' - OUTSIDE ADVERTISING 'S"- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'F" - FUNDRAISING EVENTS 'G"-- GENERALOPERATIONSANOOVERHEAD 'T'- TRAVEL. ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P~- PROFESSIONAL MANAGE MENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. (iF COMM~TTE E, iN ADDiTiON TO COMMITTEE'S NAME AND ADDRESS. ENTER iD NUMeER OK, iF NO i O RE PORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BE LOW CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL $ officeholder~, candida res, committees, or ballot measures must also be entered on the Allocation Parle, Part I. , Payments and Contributions Made Summary 1. Payments made this period of $1OO or more. (Include alI Schedule E subtotals.) ...................................................... $ 2. Payments made this period of under $100. (Do not itemize.) ....................................................................... $ 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule R, Part II, Column Cd).) .............................. $ 4 Total accrued expenses paid this period (Do not itemize. Enter amount from $chedule F, Line4) ........................... $ 5. Total payments made this period (Add Lines l. 2, 3, and4 EnterhereandontheSummaryPage, ColumnA, LineS) TOTAL S I-.~ Officeholder, Candidate, and Controlled Committee Campaign Statement -- Long Form (Government Code Sections 84200-84216 5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Check one of the following boxes to indicate the type of statement being flied: [] Pr e-election Statem ent [] Supplemental Pre-election Statement (Attach a completed Form 495 to this statement ) [] Special Odd-Year Campaign Report [] Semi-annual Statement flora I /l / C~f' throug. Date of election if applicable: (Month, Day, Year) FILE ~l'~'~~ ~ COVER PAGE - LONG FORM Date Stamp ~ ~Termination Statement (Attach a corn plated Form 415 to this statement.) I Officeholder, Candidate, and Controlled Committee Included in this Statement NAME OF OFFICEHOLDER OR CANDIDATE NAME OF TREASURER Other Committees I )t Included in this Statement: List any other committees not included in this consolidated rJa tement that are controlled by you a nd any committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behaff of your candidacy. Attach additional information on appropriately labeled continuation sheets. III Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my k nOwl~J~t he information contair~ herei~and in the attached schedules is true and complete, i certify under penalty~at4;aMz~u~y un,er the laf~s of the Sl~ate~ California that the foregoing L~t~'~/t/or-~ect. [ ~ / An offlceho~er or ca~ldate who controls a ¢ommi~ee must also verify the campaign s~tement thaveusedallreasonablediligenceandtothe~ofmyknowledgethetreas~rerhasusedall reasonable dihgence in preparing this statement I have reviewed the statement and to the best of my knowledge the~formaUon contained hereto and in the a~ached schedules ~s true complete I ce~i~ under ~nalty of ~rjury under the laws of the State of California that the forego,ng is true ~e~/ Executed on At By CfTY AND STALE SIGNATUR~ Of ~ NOIOAI E/O~ F IC~ HOt O~ R Executed on At By State of California Fair Political P~artices Commission Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ContributiOns Receivea I. Monetary Contributions ............................. ScheduleA, tine 2. Loans Received ....................................... Schedule tl, Line 3. SUBTOTALCASH CONTRIBUTIONS ............... AddUnes I + 4. Non-monetaryContributions ......... ScheduleC, Line 5. SUBTOTALCONTRIBUTIONS (Exclude EnforceabJe Promlses) Add Unes 3 + 6. Enforceable Promises (Exclude Loan Guarantees, Line I~ helow) ................ Schedule D, Une 7. TOTAL CONTRIBUTIONS RECEIVED ......... AddLinesS + Expenditures Made 8. Cash Payments (Other than Loans Made) ........ ~hedule £, Line 9. Loans Made ............................................. Schedule H, Urm 10. SUBTOTALCASH PAYMENTS .......................... AddLines8 + ! 1. Accrued Expenses (Unpaid Bills) Schedule F, Une 12. TOTAL EXPENDITURES MADE ................. ~ddLines 10 + ~I Current Cash Statement 13. Beginning Cash Balance ........ Previous Summary Page, Eine 17 14. Cash Receipts .................................. ColumnA, Line3ebove 15. Miscellaneous Increases to Cash ........................ Schedule i, Line 16. Cash Payments ................................... ColumnA, Line lOabove 17. ENDING CASH BALANCE .... AddLines 13 + 14 + 15, thenzubtractLine 16 If this is · termination ~atement, Line 17 mu~t be zero. 18. LOAN GUARANTEES RECEIVED ............ ScheduleB, Peril, Column(b) S Cash Equivalents and Outstanding Debts 19. Cash Equivalents ~eeinrtruction;o~rever~e $ Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from I / [ { C~-"~- Column A Column B* (SEE NOTE BELOW) S SUMMARY PAGE I.D NUMBER Column C TOTAL TO DATE S $ $ $ S S S S S I' From previous Statement Summary Page, Column C. However, if this is t~e first reoort filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line 6l. Loans Made (Line gl, end Accrued Expenses (Line 11 ) " Summary for Candidates in Both June and November Elections 1/1 through 6~30 711 to Date 21. Contributions Received .. $ 22. Exptnditures Ma(~e . $ 20 Outstanding Debts ~dLIr~2 ~ Line lYinCt~lumnC~e S Sch ed ule A Type or print in ink. SCHEDULE A Monetary SEE INSTRUCTIONS ON R NAME OF (~/DATE(-,') RECEIVED Amounts may be rounded Statement covers period Contributions Received to.ho,e *o,a,s. from S ON REVERSE through HOLDER OR ~NDIDATE AND CONTROLLED C~MMITTEE ID NUMBER FULL NAME AND ADDRESS OF CONTRIBUTOR ~ OCCUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DArE (15 C~Ml~[, IN ADD'ON TO COMMI~EE'S NAME AND ADDRESS, ENTER I.O NUMBER (IF SErF-EMPLOYED, ENTER RECEIVE D THIS ~LE NDAR YEAR OTH E R ~~NOIO NUMBER~5IEENASSIGNED~ENT~RTR~ASURER'SNAME ANO&OOREsS) NAME OF BUSINESS) PERIOD (JAN 1 -DEC. 31) (IF APPLI~BLE) / SUBTOTAL $ Monetary Contributions Summary 1. Amount received this period -- contributions of $100 or more. (Include all Schedule A subtotals.) 2. Amount received this period -- contributions of less than $100. (Do not itemize.) 3 Total monetarycontributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Cofumr~ A, Line 1.) TOTAL $ ~'~/'~ /~ Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMf~EE Statement covers period from .~.~__~..~__ thro.,h 3o -q? SCHEDULE E I.D NUMBER CODES F~R CL~SSIF-YING EXPENDITURES if one of the following codes accurately describes the expenditure,you may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES °1' - INDEPENDENT EXPENDITURES °L' - ~.ITERATURE 'B*- BROADCAST ADVERTISING 'N'- NEWSPAPER AND PERIODICAL ADVERTGING 'O" - OUTSIDE ADVERTISING 'S" - SURVEYS, SIGNATURE GATH E R~NG. DOOR-TO-DOOR SOLICITATIONS *F' - FUNDRAISING EVENTS GENE RAL OPE RATIONS AND OVERHEAD 'T' -TRAVEL, ACCOMMODATIONSANDMEALS (MUST BE DESCRIBED) °P'- PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPrENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSE5 ON SCHEDULE E (iF COMMITTEE. rN ADOnfON TO COMMrTTEE'S NAME AND ADDRESS' EP~rTEi~ LO NUMeEe O~ IF NO ~D RE PORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SE~ION BELOW CODE OR DESCRIPTION OF PAYMENT AMOUNT PAI~ '&. . portant: Contributions a nd expenditures made out of campaign funds to or on behalf of other officeholders, candidates, committees, or ballot measures must also be entered on the Allocation PaJle, Part L SUBTOTAL Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (include all Schedule E subtotals.) ............................ : ......................... 2. Payments made this period of under $100. (Do not itemize.) ....................................................................... 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) 4. Total accrued expenses paid this period (Do not itemize. Enter amount from.Schedule F, Line4.) ..................................... 5. Total payments made this period (Add Lines 1,2,3, and4. Enter here and on the Summary Page, ColumnA, Line8.) ........... TOTAL Schedule E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement Covers peric)d NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COIV~MITTE E 0 CODES FO~ICLASSIFYING EXPENDITURES 'C"- MONETARYANDIN-KIND(NON*MONETARY) 'B"- BROADCASTADVERTISING CONTRIBUTIONS TO OTH E R CANDIDATES 'N~- NEWSPAPER AND PERIODICAL ADVERTISING ANDCOMMITTEES 'O~ - OUTSIDEADVERTISING '1' -- INDEPENDENT EXPENDITURES 'S~ - SURVEYS, SIGNATURE GATHERING, DOOR*TO-DOOR SOLICITATIONS 'L* - LITERATURE 'F' - FUNDRAISINGEVENTS SCHEDULE E (cont.) ID NUMBER °G'-- GENERALOPERATIONSANDOVERHEAD 'T'-- TRAVEL, ACCOMMODATIONSANDMEALS (MU$? BE DESCRIBED} =P'- PROFESSIONAL MANAGE MENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE. CREDITOR, OR RECIPIENT OF CONTRIBUTION CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL