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Home My WebLink AboutDICKERSON SEMIANN98(1) fficeholder, Candidate, and Controlled Committee Campaign Statement -- Long Form Type M I~int in ink. (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the followin~ boxes to indicate the type of statement being filed: ~] Pro-election Statement [] Supplemental Pro-election Staternent (Attach a completed ;orrn 495 to this statement.) r-I s,,oeciel Odd-Year Ca m paign Report [~erni-ennuel Statement ~-], Termination Statement (Attach a completod Form 415 to this statement.) I Officeholder. Candidate, and Controlled Committee Included in this Statement COVER PAGE - LONG FORM through ~-. ,,!~ ~ Ir'~!~' n~ Dateofelecttonlfeppllcab~: '' : ~ ~ ForOfficiilU~Only (~h,~y, Year) '" , : F LE II Other Committees I~ot Included in this ~ :atemerit: NAME OF OFFICE I~OLDE q_OR CANISATE CMmW/ttee$ of wh/ch you have know/edge that ace/x~wen~y formed to fete/re contrlbuttord ~, J/v~t. *:. ~. . (_ ~.~f~. ~ 0~* to make expenditures on behalf of your car, dk~acy. OFFIC~ SOU6HT O~ HELD (IN~LUOE LOCATION &ND D~T~eT COMMI~EE NAME / i.D. aiER ~ STAR NAME OF TREASURER COMMITTEIE AD(X~SS OdO. AND STI~ET) CITy STATE ZI~ COOE Atted) add/t/oMllnformadon ~ a~a~ I~M~c~a~ ~e~ III Verification. ' ) ' ' tr~ a~ ~mpl~. yce~i~ u~er ~na~ of ~rju~ U~r the I~ of ~ S~te of ~lifornia that the for~ a tr~ a~ c~r~. Aft ~e~r M ~ W~ ~IMS i c~m~ mu~ I~ ~ ~ ~m~l~n ~teme~, I ha~ u~ all rel~nl~ dilig~ ~ to~f my kn~l~ge the treasurer has us~ all reachable dilige~ in prepring this ~ltement. I have reviw~ the ~atament and to the ~ of my kn~l~ge the infMmati~ co~ai~ei~d in the a~Khed Khedules is true and compile. I ce~i~ u~der~na~ of ~rju~ under the laM of the S~ta o~[alifornia that the forgoing is true end corfU. Ex~ on At By ~ A~ ~ATE S~NATURE ~ ~N~DATE~F~DER Executed ~ At By Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received 1, Monetary Contributions ..............................Sdk-du/eA UM 3 $ 2. Loans Received .........................................~chedu~e a, Une 7 3. SUBTOTALCASHCONTRIBUTIONS ...................... AddUnesl +2 $ 4. Non-monetary Contributions ......................... Sche~u/e Cune 3 5. SUBTOTAL CONTRIBUTIONS(Exclude Enfmceable P~om/ses) ,~el Uoas3 + 4 $ 6. Enforceable Promises (Exclude Loan Guacardees, ~ !a balmy) ................... .Schedu~ D, Une 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AWUnesS *6 $ Expenditures Made 8. Cash Payments (Other than Loans Mede) ............ Schedu/eE, Une S S 9. Loans Made ............................................. 10. SUBTOTAL CASH PAYMENTS ............................ AddUoasa + 9 $ 1 1. Accrued Expenses (Unpaid Bills) ...................... .ccheduM 12. TOTAL EXPENDITURES MADE ......................... AddLit, es I0 * ! I $ Current Cash Statement 13. Beginning Cash Balance .................. PreviousSummaryPege, tine17 14. Cash Receipts ............................... ~ Column A Une S abow 15. MiKellaneous Increases to Cash ........................ S~hedulet, Une4 16. Cash Payments .................................... Co~umnA ~ lOebave 17. ENDINGCASHBALANCE ..... AddLIMs!$ * 14 + 15, ehensub~rectUne 16 S If this I~ a termlnadorl sta~ment, ~ ! 7 must be zero. 18. LOANGUARANTEESRECEIVED .............. Schedelee, eartl, Column(b) $ Cash Equivalents end Outstanding Debts !9. Cash Equivalents ................................Szelmu~-tmmonmver~ S 20. Outstanding Debts ................. AddUne~ Type ~ pe~t In L.M(. Amounts may be rounded to whole dollars. Column A SUMMARY PAGE Column B* Column C $ ~ $ ~- s -7z3. s 7 z 5 Z -6? · From previous Statement Summary Page, Ccdumn C. However, if this is the first reDart fi~cI for the calendar year, Column B should be blank eXCelat for Loans Received (Line 2), En(otceable Promises (Line ~), Loans Made (Line g), and Accrued Expenses (Line 11 ), Summery for Candidates in November Elections II1 through 6/30 21. ~ontribqtions ~ Kecelvea .... S Both June and 711 to Date Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Type m print in ink. to whole dollars. Stltement cov~ers~)erk)d ,,,.,.h CODES FOR CLASSIFYING EXI~NDITURES SCHEDULE E I.D. NUMBER 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'- MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1' - INDEPENDENT EXPENDITURES 'L'- LITERATURE 'B'- BROADCAST ADVERTISING 'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'O'- OUTSIDE ADVERTISING 'S' - SURVEYS, SIGNATUREGATHERING, DOOR-TO-DOORSOLICITATIONS 'F' - FUNDRAISING EVENTS "G'- GENERAL OPERATIONS AND OVERHEAD 'T'- TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P'- PROFESSIONAL MANAGE MENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION ~IER ~S BEEN AS~mD, E~R T~AS~R'S ~ME AK A~SS) 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 PAYMENT AMOUNT PAID Important: Contributions and expenditures made out of campaign funds to or on behalf of other ~iceh~der~candidates~c~mmittees~rbe~tmeasuresmusta~s~beentered~ntheA~cati~nPage~Part~. SUBTOTAL $ Payments and Contributions Made Summary 1. Paymentsmadethisperiod of $100or 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).) .............................. ~. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... S. Total payments made this perJod. (Add Lines 1,2,3, and4. Enter here and on the Summary Page, ColumnA, LineB.) ........... TOTAL Schedule H -- Part III Annual Report of Outstanding Loans Made SEE iNSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN Tyl~ o~ Ixtnt In ink. Amounts may be rounded to whol~ dollirs. SCHEDULE H - Part III UNPAID PRINCIPAL I.D. NUMBER UNPAIDINTEREST Attach additional information on appropriately labeled continuation sheets. TOTAL NOTE: Thlstotal~houldbe the same amount as entered on the Summary page, Column C, Line 9.