HomeMy WebLinkAboutROWLES SEMIANN98(1) ffi{eholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
qO I IYtbhCLC~
c., 6q KcrsC,-~_ld
COMMITTEE NAME
qol mosaic
Type or print in Ink,
q305o3
(Government Code Sections 8a200-8~1216 5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxel Io Indicate the type of statement being filed:
I--] Pre.election Statement
[] Supplemental Pre-election Statement (Attach a completed Form agS to this statement )
[~ Special Odd-Year Campaign Report
[] Semi-annual Statement
F~. Termination Statement (Attach a completed form a 15 to this statement)
I Officeholder, Candidate. and Controlled Committee
Included in this Statement
NAME OF OFFICEHOLDER OR CANDIDATE
{~ndq ~o~ole£
C,N ~x~ncll - ~:~rd 5
g+ree+ · 5~
~q q 3~oq
Statement covers period
,,o.~
D. te o,..e.io.
(Month, Oly,
COVER PAGE - LONG FORM
Date Stamp
II
FILE COPY
For Of ficml Use Only
Other Committees Hot Included in this Statement:
c oremlite es of which you have knowledge the f are primarily formed to receive ¢ontHbutlo~J
or to make expenditure~ on behalf of your candidacy,
[] ,,, [] ,,o
Attach additional information on appropriately labeled continuation sheets
true and complete ,I cattily under penalty of pef~ury under the Jaws of the State ~f Cahforn,a that
complete I ce~if~ under~nalty of ~rjury u~e laws of ~e State ef Cah fornla t hat t he foregoing ~s true ~nd (or~ ~ ~
Executed on ~t
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Contributions Received
1. Monetary Contributions .......................... Schedu/e A, Line
2. Loans Received ......................................... Schedule e, Une
3, SUBTOTAL CASH CONTRIBUTIONS ................. AddLines t *
4. Non-monetary Contributions ........................ schedute C, Line
5. SUBTOTAL CONTRIBUTIONS:(Exdude £nfor~eat~e Promises) Add Unes J +
6. Enforceable Promises
(E~cl~de toan Guerentees, Une ~ a below) . . Schedule D, Une
7. TOTAL CONTRIBUTIONS RECEIVED AddUnesS,
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ ~</~edule E, Line
9. Loans Made ............................................ Sc~edu~ H, Line
I0. SUBTOTAL CASH PAYMENTS ............................ AddLInesa,
11. Accrued Expenses (Unpaid Bills) Schedule ~, Une
12. TOTAL EXPENDITURES MADE .......... ~.ddtlnes tO * I
'Current Cash Statement
13. Beginning Cash Balance ............... Previous Summary Page, tlne 17
14. Cash Receipts ................................ ColumnA, UneSabove
15. Miscellaneous Increases to Cash ........................ Schedute ~. Line
16. Cash Payments ................................... ColurnnA, LlnetOabove
17. ENDING CASH aALANCE ..... AddLIrteslJ * 14 + fS, thensubtractLIne16
ff this b · termthat/on sta ternant, line 17 must be zero.
18. LOANGUARANTEESRECEIVED .............. Schedule e, Part i, Column (b)$
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................~eelnstructlonsonreverse$
20. Outstanding Debts ................. AddLine 2 .~ Line 111nColumnCabove $
Type or print in ink.
Amounts may be rounded
to whole dollars.
Column A
S 5.qq)
.~00. 17
115.q
q, qq0.8
Statement covers perk)d
th,o h t l lq g
Column B*
$
$
S
$
SUMMARY PAGE
Column C
_ /
$
S
52.5. qq
s 30o.
· From previous Statement Summary Page, Column C. However. If
this Isthe fi~t reDorS filed for the ca~endar ),ear, Column B should be
blank e~cept fo~ Loans Received (Line 2), Enforceable Promises (Line
6), Loans Made (Line 9), and Accrued Expenses (Line 11).
Summary for Candidates in Both June and
November Elections
111 through 6/30 711 to Date
21. (~ontribqtions
~ecelvea ....
x nditures
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF Of:EICEHOLDE R OR CANDIDATE AND CONTROLLED COMMITTEE
FULL NAME AND ADDRESS OE (ONTRffiUTOR
DATE
RECEIVED
mlzSlq~ ~
~l~lq~ ~
Type or print in Ink.
Amounts may b~ rounded
to whole dollars.
,,ore VllqB
,h,o,~ 01301cf2
SCHEDULE A
·
f,.;;.:': ' ,' ~ '
lID'NUMBER
CUMULATIVE TO DATE [ CUMULATIVE TO DATE
LENOAR YEAR
j~AIN 1-DEC 31) OTHER
(IF APPLICABLE)
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
Type or print In ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMrTTEE
CODES FOR C~SSIFYIMG EX~NDITURES
SCHEDULE E
LD NUMBER
q%o5oS
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.
MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
'l' - INDEPENDENT EXPENDITURES
°L' - LITERATURE
'B~- BROADCAST ADVERTISING
'N'- NEWSPAPER AND PERIODICAL ADVERTISING
'O' - OUTSIDE ADVERTISING
°S"- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS
'F' - FUNDRAISINGEVENTS
'G'- GE NE RAL OPERATIONS AND OVERHEAD
'T'- TRAVE L, ACCOMMODATIONS AND MEAL5
{MUST BE DESCRIBED)
'P' - PROFESSIONALMANAGEMENTANDCONSULTING
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY 1HE LUMP SUM OF SUCH PAYMENTS ON LiNE 4 OF THE SUMMARY SECTION BELOW.
CODE OR DESCRIPTION or PA~*MENT AMOUNT PAID
F
Important: Contributions and ex~enditures made out of campaign funds to or on behalf of other
o_ ffi_cehold_e~, ca,dilates, committees, or ballot measures.must also be entered 9n 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. 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, 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 $
lO0.00
CO.Ir7
SUBTOTAL $ ~00.17
Schedule F
Accrued Expenses (Unpaid Bills)
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CODES FOR CLASSIFYING EXPENDITURES
Statement covers period
t,om
13D/q "2
SCHEDULE F
I.D. NUMBER
q 3o5b 3
If one of the following codes accurately describes the expenditure,you may enter the code and leave the "Description of Payment' column blank. Refer tothe
back of Schedule E-Continuation Sheet for detailed explanations of each category.
'C' -- MONETARYANDIN-KtND(NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
°1' - INDEPENDENT EXPENDITURES
'L' - LITERATURE
'B' - BROADCASTADVERTISING
'N* - NEWSPAPERANDPERIODICALADVERTISlNG
'O'-~ OUTSIDE ADVERTISING
'S'- SURVEYS, SIGNATURE GATH E RING, DOOR-TO-DOOR SOUCITATION5
"F' - FUNDRAISING EVENTS
'G'- GE NE RAL OPE RATIONS AN DOVE RH EAD
'T'- TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
'P' - PROFESSIONALMANAGEMENTANDCONSULTING
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
CODE OR DESCRIPTION Or OUTSTANDING PAYMENT AMOUNT ACCRUED
Attach additional infofmation on appropriately labeled continuation sheet~. SUBTOTAL $
Accrued Expenses Summary
1. Accrued expenses this period of $100 or more. (Include all Schedule F subtotals.) ..................................................... $
2. Accrued expenses this period of under $100. (Donot itemize.) ..................................................................... $
3. Total accrued expenses incurred this period. (Add Lines 1 and 2.) ................................................. INCURRED TOTAL $
4. Total accrued expenses paid this period. (Do not itemize. Enter here and on Schedule E Summary. Line 4.) ................. PAID TOTAL $ ( L~5~'c~ )
5. Net change this period. (Subtract Line 4 from Line 3. Enter the difference here and on the Summary Page, CoIumnA, Line 11.) ...... NET S
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICE HOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
DATE FULL NAME AND ADDRESS OF SOURCE
Attach additional information on appropriately labeled continuation sheets.
Type or print in ink.
Amounts mly b~ rounded
to whole dollars.
Statement (overs period
,,ore
through ~1)130/q ~ __
DESCRIPTION OF RECEIPT
SUBTOTAL $
SCHEDULEI
I.D. NUMBER
q3o 3
AMOUNT OF
INCREASE TO CASH
Miscellaneous Increases to Cash Summary
1. Increases to cash of $ I00 or more this period ............................................................. $
2. Increases to cash under $ I00 this period. (Do not itemize.) ................................................. $
3. Total of aU interest received this period on loans made to others. (Schedule H, Part II (b).) .................... $
4. Total miscellaneous increases to cash this period, (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 15.) ....................................................................... TOTAL $
/ 15.q(.o