HomeMy WebLinkAboutSMITH SEMIANN98(1) fficeholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check on~ of the following boxes to indicate the type of statement paine flied:
~] Special Odd*Year C~mpeign Rebort
I Officeholder, .Candidate, and Controlled Committee
Included in th,s Statement
Type or print In
Statement covers period
through ~' ' ~ '~' - ¢~ <~
Date of election if eppllcab~:
(Month, Day, Year)
II
Date Stamp
COVER PAGE - LONG FORM
FILl COPt
For Official Use Only
Other Committees l~ot Included in this Statement: u~,~o~r
contm/t~ees not included In this consolidated statement that are controlled by you and any
comm/ffeec of whkh you have knowledge that are primarily formed to receive contributions
or to make expenditures on behalf of your candldecy.
[] .s [] No
COMMITTEE ADDRESS (NO. AND $TI~ET)
CITY STATE ZIP CO0~ A KEA COOF. A)AY TIM S Pt~ONE
Attad~ additional information on epp~of~la rely labeled continua tlon thee t~.
III Verification
I have used ell reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is
true and corn ple~. I certify un~r I~nelty Qf~,rju ry under the IiWs ~ft~e State of/Cl~lifor nil that the foregoing is true~ i~L~pr r I~t. ~"x,
,x.,~edon '~-~- ~ *, ~:-~,~,~'c~4 ~ . ~...~C~k~-
An offkehokler M .nelldate who ~xtt~ol$ e committee must also ve,lfy the o mpelgn .~. te. me~t.o, ha.re u~d ?,l r .e.as~n .able d !,.~ne n. _cen ~a i~ln ~t ~o ~heereib~n:nodf ~11n~ythk: ao~idhge~ tshc: et ~eut:~ rise rt rhuaeS aUnSded a I'
complete. I ce~ify under penalty of perjury under the laws of the State of California that the foregoing is true end cot re<~t~ ~ - -- I~
. OAT[ ,. - ~/ C]T~ ANO STATE
Executed on At By
Executed on At By
DATE C/TY &NO STATE ~N~,T UR~ M CANOIDAT [~0~ FI(EHOt DE K
Campaign Disclosure Statement
Summary Page
Type M Ixint in Ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NA~OF OFFICEHOLDER OR CANDIDATE A~ND CONTROLLED COMMITTEE
Contributions Received
I. Monetary Contributions ............................... Schedule A, Une 3
2. Loans Received ......................................... Schedule a, Une 7
3. SUBTOTALCASHCONTRIBUTIONS ...................... AddUnes! *2
4. Non-monetary Contributions ......................... Sche~le c, Une $
5. SUBTOTAL CONTRIBUTIONS;(Exdude EnforceaI~e PromMs) Add Unes 3 *4
6. Enforceable Promises
(E~clude Loan Guarantees, Line ! m below) ................... Schedule D, Une 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS * 6
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ Sd~edu~eE, UneS
9. Loans Made ......................... . .................... schedu/e H, Une 7
10. SUBTOTAL CASH PAYMENTS ............................ 4ddUoasa · 9
11. Accrued Expenses (Unpaid Bills) ........................ Sct~du/e Rune S
12. TOTAL EXPENDITURES MADE ......................... AddLi~s 10 * I!
Column A
$ ~
Current Cash Statement
13. Beginning Cash Balance ..................
14. Cash Receipts ............................... ~ ...... ColumnALJneSabo~e
1S. Miscellaneous Increases to Cash ........................ ~hedule f, Line 4
16. Cash Payments .................................... Co/umnA, Line 10above
17. ENDING CASH BALANCE ..... AddLine~13 + 14 · 15,1hen~uba'ectLioa 16
/f th/s/s a ~ermlnelfon ~tetement, Une 17 mu~t be zero,
18. LOAN GUARANTEES RECEIVED .............. Scbedu~e a, Patti, Column
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ Seelmtructlonsonrever~,
20. Outstanding Debts ................. AddLine2 · Line 111nColumnCabove
SUMMARY PAGE
.D. NUMgER
· From previous Statement Summary Page, Column C However. if
this is the first report flied for the calendar year. Column B should be
blank except for Loans Received (Line 2), EnfMceable Promises (Line
6), Loans Mede (Line g), and Accr u~d Expenses (Line 11 ).
Summary for Candidates in Both June and
November Elections
111 thiough 6~30 711 to Date
21. ~ontribqtions ~,~/
Kecewea .... S ,~'
22. I~.xp~nditures
Maae ....... S ~
Schedule E
Payments and Contributions
(Other Than Loans) Made
Type or print in ink.
Amounts may be rounded
to whole dolle~'s.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER (~R CANDIDATE AND CONTROLLED CO M MI~T-~E
COO~$ ~OR CLA$$~¥1N~ ~X~ND~?UR~S
SCHEDULE E
through ~
I.D. NUMBER
f 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 AN D PERIODICAL ADVERTISING
'O'- OUTSIDE ADVERTISING
'S'- SURVEYS, SIG NATURE GATH E RING, DOOR-TO-DOOR SO LICITATIONS
'F'- FUNDRAISING EVENTS
'G'- GENERAL OPERATIONS AND OVERHEAD
'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.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW·
CODE OR DESCRIPTION OF PA~'MENT
Impotrent: Contributions and exl~.enditures made out of campaign funds to or on behalf of other
officeholden, candidates, 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. Paymentsmadethisperiod ofunder$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 F0 Line 4.) ..................................... $
5. Total payments made this period. (AddLines1,2,3, and4. EnterhereandontheSummaryPage, ColumnA, LineS.) ........... TOTAL $ ~_~. ~C~_~
AMOUNTP~D
SUBTOTAL $
Schedule I
Miscellaneous Increases to Cash
Typ~ or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CAND~OATE AND CONTROLLED CO, MMITT~E ~
DATE FULL NAME AND ADORESS OF SOURCE
Statement covers period
through ~-J -~ ~ __
DESCRIPTION OF RECEIPT
Attach additional information on appropriately labeled continuation sheets.
Miscellaneous Increases to Cash Summary
1. Increases to cash of $100 or more this period .............................................................
2. Increases to cash under $ 100.this period. (Do not itemize.) .................................................
3. Total of all 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
SUBTOTAL
SCHEDULE I
I.D. NUMBER
AMOUNT OF
INCREASE TO CASH