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HomeMy WebLinkAboutSULLIVAN SEMIANN97(2) OH rf'i~Yold er, Candidate, and Controlled Committee Campaign Statement -- Long Form (Government Code Sections 84200-84216.5) SEE iNSTRUCTIONS ON R£VER5[ Type or print in ink. Check one of the following boxes to indicate the type of statement being filed: [] Pre-ele~ion Statement [] Suoolemental Pre-election Statement (Attach a completed Form 4gS to this stateme.t ) [] Special Odd-Year Cam paig n Re port [] Semi-annual Statement Statement covers period Date of election If applicable: (Month, Od);, Year) FILE SCANNE[ COVER PAGE- LONG FORM Page__ of__ i U~e Only III ~ Terminatio. Statement (A~ach a completed Form 415 to this statement ) Officeholder, Candidate and Controiied Committee ncluded in this Statement NAME OF OFFICEHOLDER OR CANDIDATE Other Committees Not included in this Statement: ur a.~otn~ committees not included in thi~ con~ohdated tta ternent that are controlled b~ you ~.r~j any CiTY Verification . / p I have u~ed aH ren~onabie diligence ,n ~re2armg th,s ~tatement t have reviewed the statemen, and to the beC. of my ~now/ed. De/~he informttion contained herein ~e th~%~zheC ~:~eduie~ i: Campaign Disclosure Statement Summary Page SEE INSTRUCTtONS ON REVERSE Typ~ or print in ink. Amount5 may be rounded to whol~ dollars. NAME, OF OFFICEHOLDEROR CANDIDATE AND CO~,TRO LLE D~CO M M ITTE E Contribu~ns Received ~ Crouton A : SUMMARY PAGE Loans R_~,,eived .............. SUETOTALC~SHCDi;TF, iLL.',-iD! ~ Non-monet-=,'y Contrib,~tions SUBTOTALCONTRIBUTIONS (/x~u~ [nm'~c~;,. ",m'~'~:.: Enforceable Promise~ NUMBER Column C 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Expenditures Made 8. Cash Payments (Other than Loans Made) ........... 9. Loans Made ............................................. .sch~du~ H, 10. SUBTOTAL CASH PAYMENT5 ........................... 1 1. Accrued Expenses (Unpaid BiNs) ........ .khedu~ ~2. TOTAL EXPENDITURES MADE ..................... Current Cash Statement Summary for Candidates in Both June an~ November Elections 18. LOAN GUARANTEES RECEIVED .............. ~eh~a~ule e, P*~, I, Column Cash Equivalents and Outstanding Debts 19. Cash Equivalents ............................ See in:tzu~ions on rever~e 20. Outstanding Debts .......... AC;~Li~2 Schedule A Type or print in ink. SCHEDULE A ontributions Received ,o whole dollars. SEEINSTRUCTIONSONREVERSE through ~'~'/~('/ ~ I Page of NAME OF OFFICEHOLDER OR ~NDIDATE AND CONTROLLED COMMITTEE I D NUMBER 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 $100, (Do not itemize.) 3 Total monetary contributions received this period. (Add Linesland2 Enter here and on the Summary Page, ColumnA, Linel) Sched u le A (Contin u ation Sheet) Ty~. o, p,~,t ~. ~,k. SCHEDUt£ A (cont.) ........... · ..................... · Amounts may b~ rounded Statement covers perio~ Monetary Contributions Received towholedolla,$. NAME OF OF I~E HOLDER OR CANDIDATE AND CONTR(~LLED COMMITTEE i ~ I.D. NUMBER SUBTOTAL $ Schedule A (Continuation Sheet) Tyl~M~'intlnlnk. SCHEDULE A(cont.) NA_~.~I~E OF (;~:FICEHOLDE~R'~ OR CANDIDATE ANDpN~ROLLEO C~lrMMITTEE 0U I.D. NUM.ER FULL NAME AND ADDRESS OF CONTRIBUTOR ~CUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE ~ CMM~EE, ~ A~ TO CWM~EE'S ~ME AND ~DM5$, E~EA LD. ~BER ~ ~LF4M~OYED, linER RECEIVE D THIS ~LE N DAR YEAR OTH E R RECEIVED ~ · ~ LD. N~R ~S ~EN AS~NED, EmER T~AS~R'S ~ME A~ A~SS) ~ME M I~SS) PERIOD (JAN. 1 - DEC. 31 ) (IF APPLI~BLE) /q7 ~o~ P SUBTOTAL $ Schedule A (Continuation Sheet) T¥1~orprlntlnlnk. ' SCHEDULEA(cont.) Monetary Contributions Received Amounts may be round~lto whole dollars. Statement ~love~ period f;~ NAME ~F OF~EHOLOER OR ~NOIDATE AND CON~LEO C~MITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR ~CUPATION AND EMPLOYER A~UNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE (~F C~M~EE. IN ADDn~ TO C~M~EE'S NAME AND ADD,SS. E~ER I.D NUMBER (IF SELF~M~OYED, ENTE~ RECEIVE D THIS ~LE N DAR YEAR OTH E R RECEIVE D ~ IF ~ LO. NUMBER ~S BEEN A$~NED, EmER TREA~ER'5 NAME AND AD.SS) ~ME M W;SS) PE R~D (JAN. 1 - DEC. 31 ) (IF APPLI~BLE) /0 7 )OC:.,OO ZOO, O0 Jo~ PE~iCN ~ 7/?7 100, oO d~c~4C/~O~ P4C SUBTOTAL Schedule E Payments and Contributions (Other Than Loans) Made SEE ~NSTRUC~ONS ON.EVE.SE ~ C ©~ ! [ ~ ~ ~ U ~ '~ ~.'~ NAME OF OFFICEHOLDER OR CANDIDATE AND CONTBOLLE D COMMtTTEE Type or print in Ink. Amounts may be rounded I Statement cpvers period towholedollars. -~ / ~ ,~ Ifrom Iii 1~7 f~c w, SCHEDULE Page of __ I.D. NUMBER c?'70565 CODES FOR CLASSIFYING 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. "C'- MONETARY AN D IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1" - INDEPENDENTEXPENDITuREs 'L" - LITERATURE 'B~- BROADCAST ADVERTISING '"N#- N EWSPAPE R AND PERIODICAL ADVERTISING *"O~- OUTSIDE ADVERTISING 'S"- SURVEYS, SIGNATURE GATHERING, DOORoTO-DOOR SOLICITATIONS ~F' - FUNDRAISINGEVENTS 'G'- GENERAL OPERATIONS AND DYE RHEAD, 'T"- TRAVEL, ACCOMMODATIONS AN D 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 ADDITION TO COMMITTEE'S ~AME AND ADDRESS, ENTER I.D, NUMBER OR. It: NO I.D. REPORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) ~ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Important: Contributions and expenditures made out of campaign funds to or on behalf of other ~fficeh~ders~ candidate~ c~mm~ttees~ ~r ba~t meaSures must a~s~ be entered ~n the A~cati~n Pa~e~ Part ~. SUBTOTAL Payments and Contributions Made Summar, y 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. Totat 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 1,2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ........... TOTAL oo P. 7, O(~,