HomeMy WebLinkAboutMAGGARD SEMIANN98(1) BCSD fficeholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
Type of print in Ink.
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to Indicate the type of statement being flied:
BPraqelection Statement
Supplemental Pre-election Statement (Attach a completed Form 495 to this statement )
~. Special Odd-Year Cam paign Repor~
~'.. Semi.annual Statement
~L Termination Statement (Attach a corn plated Form a 15 to this Statement.)
Officeholder, Candidate, and Controlled Committee
Included in this Statement
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF TREASURER
111 Verification
Statement covers period Date Stamp
COVER PAGE- LONG FORM
(Month. Day, Year) ~ I For Official Use Only
FILE COPY
II Other Committees Not Included in this Statement:
commttteeJ not Included tn thlJ consolIda ted statement that are controlled by you and any
committees of which you have knowledge that are primarily formed to receive conlrlbut/on~
or to make exoenditure~ on behalf of your candidacy.
Attach additional information on appropriately labeled continuation sheets.
I have uled all reasonable diligence in preparing thil Stltement. I have reviewed the statement and to the best of my knowledge the Information con~eiqed herein and in the attached schedules is
tru~andc~mp~et~ertify)~/~derpen~ty~fpe[LuZyunderthe~aws~ftheStete~fCa~if~rni~th~tthef~reg~ingist;J~(~c~rr~ ~ / /)^ .~
complete. I cl~i~undlr ~nal~ of ~rju~ under the laws of the State of California thft the foregoing is true and co~re~. ~ .~ ~a, ~
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Contributions Received
t. Monetary Contribuff OhS ............................... Sd~du~e A, Line
2. Loans Re<eived ......................................... Schedule a, Line
3. SUBTOTALCASH CONTRIBUTIONS ...................... AddLines ! ,~
4. Non-monetary Contributions ......................... Schedule C Line
5. SUBTOTALCONTRIBUTlONS:(ExdudeEnfo~ceableeromlses) AddUnes3 ,a
6. Enforceable Promises
(Exclude Loan Guarantees, Line I ~ below) ................... Schedule D, Line
7. TOTAL CONTRIBUTIONS RECEIVED ..................... ,~ddunes5 ·6
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ S<hedu~eE, UneS
9. Loans Made ............................................. Schedule H, une 7
10. SUBTOTALCASH PAYMENTS ............................ AddLinesa · 9
1 I. Accrued Expenses (Unpaid Bills) ........................S<hedu~e F, Une 5
12. TOTAL EXPENDITURES MADE ......................... /~ddune~O, ~
Current Cash Statement
13. Beginning Cash Balance .................. Iq'evlousSummao, P~ge, EIne ~7
I d. Cash Receipts ..................................... Column A, Line J above
15. Miscellaneous Increases to Cash ........................Schedule I, Line 4
16. Cash Payments .................................... ColumnA, L/nelOabove
17. ENDING CASH BALANCE ..... AddLlnezlJ + 14 · lS, thensubetactUne 16
If thl; b a termination ~ta te ment, Line I 7 mml be zero,
18. LOAN GUARANTEES RECEIVE D .............. ~:bedulee, P*r~'l, ColumnCoJ
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................See Instrucllon~ On rever~e
20. Outstanding Debts
................ AddLine2 + I.l~e 111nColurnnCabove
S
S
S
S
S
S
S
S
Type or print in ink.
Amount~ may be rounded
to whole dollars.
through
Column A Column Be
SUMMARY PAGE
LD. NUMBER
Column C
_ $
· From previous Statement Summery Page, Column C. HOwever if
this is the first rel~ort filed for the calendar year. Column B should
6), Loans Made (Line g). end Accrued Expenses (Line 11 ).
Summary for Candidates in Both June and
November Elections
111 thiough ~0 711 to Date
21. [ontribqtions
~ece~veo .... s ~ Q - ~ O-
x nditures - ~ ~ '-~ ~
"' [~; ....... ,
Allocation Page -- Part I
Contributions and Independent Expenditures
Made From Campaign Funds
Type or print In Ink.
Amountl mly be rounded
to whole doIllrs.
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
List each contribution and mdependenr expenditure of $ ! O0 or more maze from campaign funds to other committees or
to support or oppose other can~icla res or b~llot measures.
CHECKONE
IND
DATE NAME OF OFFICEHOLDER, CANDIDATE, COMMITTEE, OR MEASURE EXP& AMOUNT
Support Oppose
*See rever~e regarding independent expenditures.
ALLOCATION -- PART I SUMMARY
ALLOCATION - PART
Statement (ove,$ period
I.D. NUMBER
CUMULATIVE TO DATE
LENDARYEAR
CUMULATIVE TO DATE
OTHER
(iF APPLICa, BLE)
SUBTOTAL · ·
Attach additional informafi~o~-on ~ppropriately labeled continuation sheets,
I. Contributions and independent expenditures of $100 or more made this period from campaign funds.
(Include all Allocation Page -- Part I subtotals.) ........................................................................................
2. Contributions and independent expenditures under $100 made this period from campaign funds.
(Do not itemize.) ..............................................................................................
3. Total contributions and independent expenditures made this period from campaign funds.
(Do not carry this total to the Summary Page.) ............................................................................... TOTAL
Allocation Page -- Part II
Contributions and Independent Expenditures towholedollar,.
Made From Personal Funds ~om
SEE INSTRU~ONS ON REVERSE through
NAME OF OFFICEHOLDER OR ~NDIDATE
List e~ch contribution ~ i~ependen t expenditure of $ ~ ~ or more made from (he o~iceho/der or cand date ~ pe~ona/ funds to suppo~ or oppose
other officeholder. candidetes ~ committees.
DAT~ NAME OF O~FICEHOLDER. ~NDIDATE. COM~I~EE, OR MEASURE CHECK ONE INO. CUMU~TfVE TO DATE CU~U~TIVE TO OAT~
EXP* AMOUNT ~LENDAR YEAR OTHER
Sup~ Op~e OAN. 1. DEC. 3~2 (~F APPLi~BLE2
/
/
*See revere regaling indepe~ent expenditures. SUBTOTAL
ALLO~ON -- PART II SUMMARY Attach additional information on appropriately labeled continuation sheets.
1. Contributions and independent expenditures of $100 or more made this period from personal funds.
(Include all Allocation Page -- Part I1 subtotals.) ...........................................................................................
2. Contributions and independent expenditures under $100 made this period from personal funds.
(Do not itemize.) ...........................................................................................................................
3, Total contributions and independent expenditures made this period from personal funds,
(r)o ~nt rarrv thi< tntal to the 5urnmary Paoe.} TOTAL
Schedule A
Monetary Contributions Received
Type or print In Ink.
Amounts mly be rounded
to whole dollors.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
~u~ ~ ~ ~ o~ co~m~um~
OCCUPATION AND EMPLOYER
Statement covers period
from
through
AMOUNT
RECEIVED THIS
PERIOD
SCHEDULE A
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 contrlbutions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................................... TOTAL
-- Page of __
I.D. NUMBER
CUMULATIVE TO DATE
LENDAR YEAR
J~jAIN. I - DEC. 31)
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
Schedule B -- Part I
Loans Received
Typ~ or print In ink.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
LENDER OR GUARANTOR'S FULL NAME AND ADDRESS
DATE
LENDER/GUARANTOR'S
I'-] Lender D Guarantore
[] Lender r~ Guirantore
· See important instructions on reverse. SUBTOTAL
Loans Received - Part I Summary
I. Loans of $100 or more received th~s period. (include aii Loans Received --Part I Ca) subtotals.) ..........
2. Loans under $100 received this period. (Donor itemize.) ...........................................
3. Total loans received this period. (Add Lines 1 and 2.) ....................................... TOTAL
Loans Received - Part II Summary
4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c)
subtotals. ~f (orgiven or paid by a third party, also itemize the transaction on Schedule A.) ..............
5. Loans under $100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or
paid by a third party, include this amount on Schedule A 5urnmary, Line 2 ............................
6. Total loans repaid, forgiven, or paid by a third party thi~ period.
(Add Lines 4 + 5.) ................................ ; ...................................... TOTAL
/. Net change this period. (Subtract Line 6 from Line 3 ) ~,
EnterthenethereandontheSummarvPaoe Column'~ line7 NET
SCHEDULE B- Part I
',.,.-.n,-..',-,"n
through
OTHER
$
Page of __
I.D. NUMBER
GUARANTOR INFORMATION
Schedule B -- Part
Repayments Made on Loans Received, Loans
Forgiven, and Loans Repaid by a Third Party
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFtCEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
DATE OF
REPAYMENT OATE OF
OR ORIGINAL LOAN FULL NAME OF LENDER
FORGIVENESS
Type ~ p;[nt in ~k.
Amounts rely b~ roundld
to whole dollus.
Stltlment COVerS period
through
INTEREST
RATE
AMOUNT REPAID OR
FORGIVEN ON PRINCIPALe
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
*IMPORTANT: If any part of a loan is forgiven or repaid by a Ihird party, also ilemize the transaction on Schedule A,
including the name and address of the pe~on forgiving the loan or the third party making the payment, and the amount
forgiven or paid.
IID. NUMgER
OUTSTANDING
PRINCIPAL
TOTAL INTEREST
PAID THIS PERIOD
INTEREST
PAID
Schedule B.
Schedule B -- Part III
Annual Report of Outstanding Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR C.~NDIDATE AND CONTROLLED COMMITTEE
FULL NAME OF LENDER ORIGINAL DATE OF LOAN
Attach additional in fort'nation on appropriately labeled continuation sheets.
Type or print In ink.
Amounts may be rounded
to whole dollIts.
I AMOUNT OF ORIGINAL LOAN
TOTAL
===
Statement covers period
lhrough ~:~ ~ '~ -~__
UNPAID PRINCIPAL
NOTE: Thl; totalshouldbe
SCHEDULE B- Part
NUMSER
UNPAID INTERE~?
#
Schedule C
Non-Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Type or print in Ink.
Amounts rnly be rounded
to whole dottars,
SCHEDULE
I.O. NUMBER
CUMULATtYE TO
DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
CUMULATIVE TO
DAlE OTHER
(IF APPLICABLE)
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL
Non. Monetary Contributions Summary
1. Amount received this period-- non-monetary contributions of $100 or more.
(Include all Schedule C subtotals.) ....................................................................................
2. Amount received this period-- non-monetary contributions of less than $100.
(Do not itemize.) ........................................................................................................
3. Total non-monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) ..................... TOTAL
Schedule D T~.or printInlnk.
Amounts m~y be rounded
Enforceable Promises Received (Other than Loan towhob, do,,,,.
Guarantees, Loan Endorsements, and Loan Security)
NOTE: Loan guarantees, loan endorsements and loan security are "enforceable promises' that must
be reported on Schedule B - NOT Schedule D. SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
FULL NAME AND ADDRESS OF CONTRIBUTOR
DATE (iF COMMit. EL iN ADOf~10~ TO COMMtiTE E.$ NAME AND ADORE S$, OCCUPATION AND EMPLOYER AMOUNT PROMISED
through
AMOUNT PAID
TH}S PERIOD
SCHEDULE D
Statement cove~s period
\ - \ -
~UMDL~T~¥E TO OAT~ CU~U~TIV~
~LENDAR YEAR DATE OTHER
(JAN. 1 - DEC. 31) (IF APPLI~LE)
Attach additional information on appropriately labeled continuation SUBTOTALS $ ~ I ~'~r ..........
shee~s., ... ~..
Enforceable Promises Received Summary
1. Promises recelved of $100 or more this period (Column (a)) ....................... $
2. Promises received under $100 this period.
(Do not itemize.) ............................................................ $
3. Total promises received this period.
(Add Lines 1 and 2.) .................................................. TOTAL $
4. Payments received on promises of $100 or more this period.
(Column (b)) ............. . .....r~l'; ' '1 ..... ' .....· ................................................. $
5. Paymentsreceivedonprom~sesu e $ 00th~spenod.
(Do not itemize. Also include on Schedule A Summary, Line 2.) ...................................... $
6. Total payments received.
(Add Lines4and S.) ..................................................................... TOTAL $
7. Net change this period. (Subtract Line 6 from Line 3. Enter the difference here and on
the Summary Page. ColumnA Line6.) ...................................................... NET $
Schedule E
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CODES tOR
Type or print In ink,
Amounts may be rounded
to whole dollars.
CLASSIFYING EXPENDITURES
SCHEDULE E
Ifoneofthe following codes accurately describe$ 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'- MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
'1' -- iNDEPENDENT EXPENDITURES
'L' - LITERATURE
'B°- BROADCASTADVERTISING
'N°- NEWSPAPERANDPERIODICALADVERTISING
°O' - OUTSIDE ADVERTISING
'S°-$URVEYS. SIGNATUREGATHERING. DOOR-TO-DOORSOLICITATIONS
'F' - FUNDRAISiNGEVENTS
GE NE RAL OPE RATIONS AND DYE RHEAD
TRAVE L, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
iMPORTANT: DO NOT iTEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE a OF THE SUMMARY SECTION BELOW.
CODE OR DESCRIPTION OF PA'~'MENT AMOUNT PAID
Important: Contributions and ex[~enditures made out of campaign funds to or on behalf of other
officeholder;, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part I. 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 $100. (Do not itemize.) .......................................................................
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part U, Column (d).) ..............................
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line4.) .................................
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in Ink,
Amounts may be rounded
to whole dollers.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CODES FO~ CLASSIFYING EXPENDITURES
b-3o - t$
through
SCHEDULE F
Page __ of
I.D. NUMBER
01%l- ¥
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' - INDEPENDENTEXPENDITURES
'L' - LITERATURE
°B' - BROADCASTADVERTISING
'N' - NEWSPAPERANDPERIODICALADVERTISING
'0' - OUTSIDE ADVERTfSING
"S'- SURVEYS, SIGNATURE GATHE RING, DOOR-TO-DOOR SOLICITATIONS
"F' - FUNDRAISiNG EVENTS
'G'- GE N E RAL OPE RATIONS AND OVERHEAD
'T' -TRAVEL. ACCOMMODATIONS AND MEALS
(MUST BE DESCRlaED)
'p' - PROFESSIONALMANAGEMENTANOCONSULTING
SERVICE5
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
CODE OR
DESCRIPTION OF OUTSTANDING PAYMENT
AMOUNTACCRUED
Attach additional information on appropriately labeled contJnuation sheets. 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. (Do not 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
S. Net chanae this oeriod. (Subtract Line 4 from Line 3. Enter the difference here and on the Summary Page, Column A, Line 11 .) ...... NET
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of an Officeholder or
Candidate)
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
NAME OF AGI:. NT OR iNDEPENDENT CONTRACTOR
Type or print in ink.
Amounts may b~ rounded
to whole dollars.
through
SCHEDULE G
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes accurately describes the expenditure,you may enter the code and leave the Descnpt~o of Payment' column blank. Refer to the
back of Schedule E.Confinuation Sheet for detailed explanations of each category.
'L'- LITERATURE 'S'- 5URVEYS, SIGNATURE GATHERING. OOOR-TO-DOORSOLICITATION5
'~' - BROADCAST ADVERTISING IF' -- FUNDRAI$1NGEVENTS
· No- NEIWSPAPERANDPERIODICALADVERTISING 'T'- TRAVEL. ACCOMMODATIONS AND MEALS
'0'- OUTSIDE ADVERTISING (MUST BE DESCRIBED)
NAME AND ADDRESS DE PAYEE OR CREDITOR
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PArD
/
Attach additional information on appropriately labeled continua :~on sheets. TOTAL* $
Schedule H -- Part I
Loans Made to Others
Type or print in ink.
Amounts may be sounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
FULL NAME AND ADDRESS OF RECIPIENT
Statement covers p~rlocl
from
through
INTERESTRATE DUE DATE
Loans Made to Others -Part I Summary
1. Loans of $100 or more made this period.
' (include all Loans Made - Part t subtotals.) ............................................................
2. Loans under $100 made this period.
(Do not itemize.) ....................................................................................
3. Total loans made this period.
(Add Lines 1 and 2.) .......................................................................... TOTAL
Loans Repayments Received - Part II Summary
4. Payments received on loans of $100 or more. (Include all loan payments received and all loans of $100 or more
which have been forgiven by this officeholder, candidate, or committee - Part II (a) subtotals.
f forg van, also temize on Schedu · E ) ........................................
5. Payments received on loans under $100.
(including a forgiveness. Do not itemize.) ..............................................................
~. Total loan payments received this period.
(Add Lines 4 and 5.) .......................................................................... TOTAL
~ Net change this period. (Subtract Line 6 from Line 3.
Enter the net here and on the Summary Page, Column A, Line 9.) .................................... NET
SUBTOTAL
SCHEDULE H - Par~ t
I.D. NUMBER
AMOUNT
$
Schedule H -- Part II
Loan Repayments Received on Loans Made
to Others (Including Payments Received
from Third Parties) and Loans Forgiven
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
DAT~ OF DATE OF
.E.A~E~T OR OR,G,NAL
FORGIVENESS LOAN
Type or print In Ink.
Amounts may be rounded
to whole dollars.
INTEREST
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
through
AMOUNT REPAID OR
FORGIVEN ON PRINCIPAL
SCHEDULE H- Part II
St&tement covers period '~ . - ~~
f,om / ~
LD, NUMBER
OUTSTANDING INTEREST
PRINCIPAL RECEIVED
'IMPORTANT.' If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received from e
third party, enter the name and address of third party in the "FULL NAME OF RECIPIENT OF LOAN" column above, along with the
name of the recipient of the loan.
TOTAL INTEREST
RECEIVED THIS PERIOD
Enter the amount In column (b) In the
summary section ot Schedule I, Line $. Do
not carry this total to the summary ~ectlon
of Schedule H.
Schedule H -- Part III
Annual Report of Outstanding Loans Made
Type or print in ink.
Amounts may b~ rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMI1TEE
FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN
Attach additional information on appropriately labeled continuation sheets.
TOTAL
Statement covers period
through
UNPAID PRINCIPAL
i.D. NUMBER
UNPAID ,NTEREST
SCHEDULE H- Part
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
N~,ME OF OFFICE~4OLDER OR Ca, NOIDATE AND CONTRC)LLE D COMMITTEE
DATE FULL NAME AND ADDRESS OF SOURCE
Type or print in Ink.
Amounts may be rounded
to whole dollars.
SCHEDULE
AMOUNT OF
Attach additional information on appropriately labeled continuation sheets.
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 all interest received this period on loans made to others. (Schedule H, Part II (b).) ....................
4. TotaJ miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 15.) ....................................................................... TOTAL
SUBTOTAL $