HomeMy WebLinkAboutCARSON SEMIANN97(2) OH fficeholder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Govtmment Code Sections 842(X)-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type of 1~4nt In Iflk.
Pre-election Statement
Suptalemefltll Pr~iMction Statement (AttKh I completed FOrm 495 to this statement.)
Day. Year)
FILE D
D~teStamp
For Official Use Only
SCANNED
III Verification
Campaign Disclosure Statement
Summary Page
Type oc ~.~ '-~t in Ink.
AmeunU m~y be ra~nded
SEE INST~UCTIONS ON REVERSE
NAME OF ~ D COMMITTEE
SUMMARY PAG
1. Monetary Contributions ...............................
2. Loans Received ......................................... ~d~e e, L/ne 7
3, SUBTOTAl. CASH CONTRIBUTIONS ......................
4. Non-monetary Contributiom ......................... Se~ed~e C, Une J
5. SUBTOTAL CONTRIB U TIONS~(Ex~de En~ Pram~es)
6. Enforceable Promises
7. TOTAL CONTRIBUTIONS RECEIVED .....................
Expenditures Made
8. C~h Payments (Other thin Lo~ns Mecle) ............ Sc~ed~ S, L/fie S
9. Loens Made ............................................. Sc~ed~e H, t/~e ?
10. SUBTOTALCA~H PAyMENT~ ............................
11. Accrued Expanses(Unpaid Bills) ........................ Sc~eo~e F, ~fle S
12. TOTAL EXPENDITURES MADE .........................
Current Cash Statement
13, Beginning Cmh Balance .................. ~'rev/oes S~mn~ Pege, c~e ~ 7
14. Cash Receipts ......................................
lS. MiKellineous Increases to C~sh ........................
15. Cmh Payments .................................... co, omni, L/ne f0,1m~e
17. ENDING CASH BALANCE ..... Ad~Unes ~$, 1~ · ;S,~enmbm~L/ne ~$
18. LOAN GUARANTEES RECEIVED .............. Schedule ~, ~, Co/m~m~J s
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ See~mtn~'Oomonmverm S
20. Outstanding D~bts ................. Addtk~2, tlr~ ~! InCotumnCebove S
Column A Column B*
Summary for Candidates in Both June and
November Elections
1/1 through S~JO 711 to Oete
21. ~ontribqtiom
Kece,vea .... s ~'~- _,~ ~,~.
nditures
Schedule A T~. o~ I.tflt k~ Iflk. SCHEDULE A
Monetary Contributions Received
~%~ OF ~HOL~R ~ ~DATE ~D CONT~LED COM~ ~ I.D. NUMBER
FULL ~ ADDRESS OF C~OR
DATE ~CUPAT~N ~D EM~O~ER ~UNT ~MU~TIV~O DATE CUMU~TIVE TO DATE
~CEIVED (~ ~. m ~ TO C~E(~ ~ ~ ~S, lm(~ I.D. ~ M ~L~4M~O~D. i~n RECEIVED TH~ ~LEND~ YE~ OTH E R
s Summary
1. Amount received this period -- contributions of S 100 or more.
(Include ell Schedule A subtotals.)
2. Amount received this period -- contributions of less then $100.
(Do not itemize.) .......................................................
3. Total mewtotery comrtbutions received this period.
(Add Un~ ! end 2. Enter here end on the Summary Page, Column A, Line 1.) ......................................... TOTAL
~ntinuati, Sheet T~~. SCHEDULE A (cont.)
Moneta~ Contributions Received
NAME OF OFF~EHOLDER OR CANDIDATE AND CQNTROLLED COMMITTEE / / . m I I.D. NUMBER
FULL NAMIE~ND ADDRESS OF CONTRIBUTOR ~PAT~N AND EMPLOYER ~LEND~ YEAR OTHER
DATE m C~EL m ~ 10 CMM~rS We &~ ~St e~e LO- ~Ma M ~LF4M~iD. EmER RE~ ~ CUMU~TIVE TO DATE CUMU~TIVE TO DATE
RE~IVED ~ i ~ I.D. IR M~ NIN ASAP, I~ER ~A~R~ ~W ~ ~S~ ~ME M WSS) PERVO (JAN, 1 - DEC. 31 ) (IF APPL~BLE)
/ i'
SUBTOTAL
Schedule A (Continuation Sheet) T~x.m,t~. SCHEDULE A (cont.)
FULL NAM~ND ADDRESS OF CONTRIBUTOR
M ~EL m ~O C~ ~ ~ ~S~. E~ LO. ~ ~PAT~N ~D EMPLOYER ~UNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE
. .LF~KOYED. EmIR REC~H~ ~.1-DEC. 31) OTHER
,.~ 1,.~ &~.
SUBTOTAL $
Schedule E
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
Amounts rely be rounded
to whMe dolbrL
SCHEDULE E
Smtemem covers peri'od
CANDIDATE AND;
I.D. NUMBER
CODES FOR CLASSIFYING EXPENDITURES
!f ~ o. f_t .he fo!lo~_ i_ng codes accurately_describes the ex. penditure, you may enter the code and leave the 'Description of Payment' column bank. Refer to the
D~CK OT ~nL~ule e-continuation Sheet for detailed exl~anatiom OT each category.
'C'- MONETARYANDIN-KIND(NON-NIONETARY) 'l'- BROADCASTADVERTISING 'G°- GENERALOPERATIONSANDOVERHEAD
CONTRIRUTIONSTOOTHERCANDIOATE$ 'N'- NEWSPAPERANDPERIODICALADVERTI$1NG °T'- TRAVEL, ACCOMMODATIONSANDMEALS
AND COMMrFrEES 'O'- OUTSIDE ADVERTISING (MUST BE DE$OU~ED)
'~' - INDEPENDENT EXPENDITURES 'S' - SURVEYS, SIGNATURE GATHERING, DOOR*TO-DOOR SOLICITATIONS ap. _ PROFESSIONAL MANAGEMENT AND CONSULTING
'L'- LITERATURE 'F=- FUNDRAISINGEVENTS SERVICES
NAME ~ilD ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION iMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
M ~E. IN ~ TO EOMMI~II~'~ I&~ME AI~ ,M)ORESS. ENI'EI~ I~. NLIM~ER OIL IF NO LD. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON UNE 4 OF THE SUMMARY SEC11ON BELOW.
Important: Contributiom and ex .l~_ nditures made out of campaign funds to or on behalf of other
~i¢eh~der~ candidates~ c~mmltteeS~ ~r ba~t mea~ures mu~t a~ be entered ~n the A~cati~n P~e~ Paru~ ~ SUBTOTAL
Payments and Contributions Made Summery
1. Peyments made this period of S100or more. (Include all schedule E subtotals.) ........................... * ........................
2. Paymentsmadethisp~riodof undor$100. (Do not itemize.) .......................................................................
~. Total intermt paid this period on outstanding Io~ns. (Enter amount from Schedule B, Pert II, Column (d).) ..............................
4. Total Kcrued expanses paid this period. (Do not itemize. Enter amount from Schedule F, Une 4.) .....................................
S. Total payments made this period. (Add Lines 1,2,3, and4. Enter here and on the Summary Page, ColumnA, LineB.) ........... TOTAL