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HomeMy WebLinkAboutMCDERMOTT PREELEC98(2)Officeholder, Candidate, and Controlled Committee Statement covers period Oat Stem (Government Code Sections 84200-84216.5) Type or print in ink. COVER PAGE - LONG FORM SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: Pre-election Statement Supplemental Pro-election Statement (Attach a completed Form 495 to this statement.) ' Special Odd-Year Campaign Report Semi-annual Statement Termination Statement (Attach a completed Form 415 to this statement.) ~lffic holder Candidate, and Controlled Committee Included in t~is Statement NAME OF OFFICEHOLDER OR CANDIDATE t~,evl ,v l~De~,b~o'Fr' OFFICE SOt~HT OR HELD (INtrUDE LOCATION AND DISTRICT, NUMBER IF APPLICABLE) RESIDENTIAL OR IUSINESS ADDRESS (NO. AND STREET) LD. NUMIER through ~ ~ ' Zl - ~ ~: Date of election ff applicable: (Month, Day, Year) ~8 OCT 22 PM 3:1~5 '~/:, <ER~'`*t''~ n ~ t,' ~,~,~:~_'~ CITY CLE For Official Use Only K COMMITTEE ADDRESS (NO. AND STREET) uther Committees ~ot Included inChEs Statement: un,ny other committees not included in this consolidated statement that ere controlled by you and any comm/ffees of which you have knowledge that are primarily formed to receive contributions Or to make expenditures on behalf of your candidacy, COMMITTEE NAME LD. NUMBER NAME Of TREASURER CONTROLLED COMMITTEE/ ( ILD, NUMBER CONTROLLED COMMITTEE? ] ,,s [] ~o CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE Attach additional information on appropriately labeled continuation sheets. in the attached schedules is An officehoMer Or candidate who controls s committee must also verify the campaign statement. I have used ell reasonable diligence and to the best of my knowledge the treasurer has used a II reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my k nowledge the information contained herein and in the attached schedules is true and "*;7.. ~AND STATE DATE Executed on At By DATE CITY AND STATE Executed on At By DATE CITY AND STATE SIGNATURE OF CANDIDATE/OFFICEHOtDER SIGNATURE 0P CANDIDATE/OFFICEHOlDER SIGNATURE OF CANDIDATE/OFFICEHOLDER FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES AC1 OF 1977, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT State nf California Fair Political Practire~ Cnrnrni~{inn Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received I. Monetary Contributions ............................... Schedu~eA, Une3 $ 2. Loam Received ......................................... Schedule e, Une 7 3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes; ,, 2 $ 4. Non-monetary Contributions ......................... Schedule CUne 3 S. SUBTOTAL CONTRI BUTIONSi(Exdude Enforceable Proarises) AddLines3 ,, 4 S 6. Enforceable Promises (Extlude Loan Guarentees, Une 18 below) ................... $chedule D, Une 7 7, TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS + 6 S Expenditures Made 8. Cash Payments (Other than Loans Made) ............ Schedde E, Une 9. Loans Made .............................................Schedule H, Une · 10. SUBTOTAL CASH PAYMENTS ............................ AddLines8 + 11. Accrued Expenses (Unpaid Bills) ........................Sdx. du/ef, L]ne5 12. TOTAL EXPENDITURES MADE ......................... AddUnes ;0 · II 'Current Cash Statement 13. Beginning Cash Balance .................. Previous Summery Page, 14. Cash Receipts ...................................... ColumnA, Line3above 15. Miscellaneous Increases to Cash ........................ Schedule ~, Une 4 16. Cash Payments .................................... ColumnA, Line 17. ENDING CASH BALANCE ..... AddLines 13 t 14 · ;S, thensubtract Une If this is e termlnation statement, Line 17 mult be zero. 18. LOAN GUARANTEES RECEIVED .............. Schedule B, Part #, Column (b) S Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................see instructfons on reverse $ 20. Outstanding Debts ................. AddLtne 2 ,, Line 11 inColumnCabove Type or prim in ink. Amounts may be rounded to whole dollars. COlUmn A TOIAL THIS leT[NOD ATIACHID SCHEDULES) ;~.q~ s s s 7 1 s ENDING CASH IALANCE SHOULD NOT BE A NEGATIVE AMOUNT Statement covers period from ~o-~-qg through SUMMARY PAGE :. ~ . ~. ~ I.D. NUMBER Column B* GEE NOTE IELOW) s tc>~'Tb-~ _ s __ s to,'/(o~' _ s s to~'?(~' _ s s ~o~'~(o'; s s Column C TOTAL TO DATE (ADO COLUMNS. A · e) s 3'3,"70 ~/ s t2_,3.3 ~ * From previous Statement Summary Page, Column C. However, if this is the first reOort filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line 6), Loans Made (Line g), and Accrued Expenses (Line 11). Summary for Candidates in Both June and November Elections 111 through 6/30 711 to Date 21. ontrib tions 22. ~apc?end!!.u.r.e! S Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE (:; CONIMrrtEE, m NXffKNt TO C(31~MrlIEE 'S I~e, ME AN0 ADDI~ESS, Emir %.0. NUMBER RECEIVED o~, w NO I.O. NUMBER HAS HEN AS~NED, ENTER TREASURER'$ I~&ME AND AOORESS) Type or print in ink. Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (IF $ELF-EMFtOYED, ENIER N,&,ME OF IUStNESS) Statement covers period frOm through AMOUNT RECEIVED THIS PERIOD i% ,% Monetary Contributions Summary \oo 1,,loo 1. Amount received this period -- contributions of $100 or more. (Include all Schedule A subtotals.) .................................................................................................... 2. Amount received this period -- contributions of less than $100. (Do not itemize.) ....................................................................................................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) .......... ............................... TOTAL SCHEDULE A · ' i~ s. ':- ::'''~ c:::: :k :> I.D. NUMBER CUMULATIVE TO DATE CUMULATIVE TO DATE CALENDAR YEAR OTHER (JAN. 1 - DEC. 3 1 ) (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE (IF COMMITTEE, IN ADDITION TO COMMITrE/'S NAME AND ADDRESS, ENTER I.O. NUMBER RECEIVE D oe, IF NO I.O. NUMBER HAS IEEN ASSIGNED, ENIEB TREASURER"$ NAME AND ADDRESS) | ,-% Type or print in ink. Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (IF SELF-EMPI.OYED, ENTER NAME Or BUSINESS) Statement covers period ~o-~\-q:~ through AMOUNT RECEIVED THIS PERIOD ~'o0 SUBTOTAL SCHEDULE A (cont.) ::: 7 ~i: :::: .:~:: ~::::":~!: ,~ ~. :: ~ ::i~ CUMULATIVE TO DATE CUMULATIVE TO DATE CALENDAR YEAR OTHER (JAN. 1 - DEC. ~1) (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Amount~ may be rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE OCCUPATION AND EMPLOYER DATE ~ C~M~EE, ~ A~ TO C~M~EE'S IMi AND ~S$, E~ER I.D. RECEIVED ~ · ~ I.D. ~M~R ~5 ~EN ASkeD, E~ER T~A~R'5 ~ME A~ A~55) ~ME SUBTOTAL $ Statemen1 covers period f,, ib- I-q ? through AMOUNT RECEIVED THIS PERIOD &,::>o 0 S'C, Or...) SCHEDULE A (cont.) Page I.D~.,UMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) .,lf CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type cx prim in Ink. Amounts may be rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED OMMITTEE FULL NAME AND ADDRESS OF CONTR;~UTOR 5 DATE RECEIVED OF COMMITTEE, IN ADDITION 'TO COMMII'rEE'5 NAME AND ADDRESS, INTER I.D. NUMIER O~ IF NO I.D. NUMIER HAS IEEN ASSIGlOO, ENTER TR. EASUR~R'$ NAME AND ADDRESS) '~-~/ ~'.~ ,/~'~' " ,= &~ /7'/~ ,B,m C {~ ~j ~_~ OCCUPATION AND EMPLOYER (IF $ELF-[MIItOYEDo ENTER NAME Of IU$1NES$) SUBTOTAL Statement covers period ,,, AMOUNT RECEIVED THIS PERIOD SCHEDULE A (cont.) I.D. NUMBER ,.25"'C CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 2S'O CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. ' FULL NAME AND ADDRESS OF CONTRIBUT~)t; OCCUPATION AND EMPLOYER DATE (~ COMMITTEE, IN ADDITION TO COMMITrIE'$ NAME AND ADDRI$S, ENTER I.D. NUMtER (IF $ELF-EMPt. OYED, ENTER RECEIVED ~ If NO I.D. NUMIER HAS lIEN AS~I6NED, ENTER TREASURER'S NAME AND ADORES5) NAME Of IU$1N!$S) SUBTOTAL Statement covers period fr, ' through AMOUNT RECEIVED THIS PERIOD SCHEDULE A (cont.) ,...,"7 .. 1( I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 - DEC. 31) c:::,,Dc3c5 \~c~O f 2,.5c5 CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type of print in Ink. Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER DATE (~ COMMITTEE, IN ADDITION TO COMMITTEE'& NAME AND ADDI~SS, ENTER I,D, NUMI~R(IF $ELF-iMPLOYED, ENTER RECEIVED oe. IF NO I.D. NUMBER HAS IEEN ASSIGNED, ENTER TREASU~ER'$ NAME AND ADDRESS)NAME OF IUSINT$$) SUBTOTAL Statement covers period ,,, \ ~ - ~-~, g' through AMOUNT RECEIVED THIS PERIOD I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. I - DEC, 31) (0~ c'~CDL) s SCHEDULE A (cont.) CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type m prim in Ink. Amounts may be rounded to whole dollars. FULL NAME AND ADDRESS OF~O'N~RI~TOR DATE RECEIVED (IF COMMrrrEE, IN AD~TION TO COMMITTEE'$ NAME AND ADDRESS, ENTER LD. NUMRER ~ If NO I,D, NUMIER HAS REEN A$~GNED, ENTER TREASUIIER'$ NAME AND ADORE$5) OCCUPATION AND EMPLOYER (IF g~LF-EMPLOYED, ENTER NAME OF SUBTOTAL Statement covers period SCHEDULE A (cont.) ,.,. 92 I.D. NUMBER 970 AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. 1 - DEC. 31) {r-,5C3 /00 CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in Ink. Amounts may be rounded to whole dollars. NAME F OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME D ADDRESS OF CO~I~UT~O~ AN DATE (w COMMrrrEE, IN ADDITION TO COMMrrrEE°$ NAME AND ADDR/$$, ENTER I.D. NUMIER RECEIVED oe, w NO I.D. NUMIER HAS IEEN ASgGNED, ENTER TREASURER'$ NAME AND ADDRESS) OCCUPATION AND EMPLOYER (IF ~,ELF-(MPLOYED, ENTER NAME Of IU$1t~$S) SUBTOTAL through SCHEDULE A (cont.) Statement covers period ~ .~ ,., to - 2. \ -G "'4 [,,,,./o ~ 15" I.D. NUMBER AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN, I - DEC, 31) \ CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE FULL NAME AND ADDRESS OF CONTRIBUTOR DATE (e COMMITTEE, IN ADD~ION TO COMMffTEE'S NAME ANO ADDRESS, ENTER LD. NUMI~R RECEIVED oe, i~ NO I.D. NUMIER HAS lIEN ASSIGNED, ENTER TREASURER'S NAME AND OCCUPATION AND EMPLOYER (11r SELf-EMPLOYED, ENTER NAME Of Statement covers period through ~L~:Z~w~ ~[/ AMOUNT RECEIVED THIS PERIOD SCHEDULE A (cont.) · ! I,D. NUMBER CUMULATIVE TO DATE CUMULATIVE TO DATE CALENDAR YEAR OTHER (JAN, 1 - DEC, ]1) (IF APPLICABLE) SUBTOTAL Schedule C Non-Monetary Contributions Received Type o~ Ixint in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Statement covers period through FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE (:; COMMITTEE, IN ADDITIONTO COMMITTEE'S NAME AND ADDRESS, (IF SELF-EMPLOYED, ENTER NAME Of GOODS OR SERVICES VALUE RECEIVE D E~rrEe I.D. NUMBER OR,. If NO I.D. NUMBER HAS BEEN ASSIGNED,BUSINESS) ENTER TREASURER'S NAME AND ADDRESS) 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 C ,.. / A. o, I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) 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 COMMITTEE CODES FOR CLASSIFYING EXPENDITURES Statement covers period through SCHEDULE E If one of the following codes accurately describes the expenditure, ou 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 Yecach category. 'C'- MONETARY AND IN-KIND (NON-MONETARY) 'B* - CONTRIBUTIONS TO OTHER CANDIDATES °N* - AND COMMITTEES 'O' - INDEPENDENT EXPENDITURES 'S' - LITERATURE "F' - BROADCAST ADVERTISING NEWSPAPER AND PERIODICAL ADVERTISING OUTSIDE ADVERTISING SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (If COMMITTEE, IN ADDITION TO COMMITTEE'$ NAME AND ADDRESS, ENTER I.D. NUMIER OR, I; NO I.D. NUMIER HAS BEEN ASilGNED, ENTER TREASUI~R'S NAME AND ADORE$S) GENERAL OPERATIONS AND OVERHEAD TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES 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 PAI'MENT L AMOUNT PAID Im rtant: Contributions and expenditures made out of campaign funds to or on behalf of other o~i~hdders, 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 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 Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME CODES FOR C~SSIFYING EXPENDITURES Statement covers period through lc~ ' 7_ ~ ~, ~ SCHEDULE F of · NUMBER If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment" column blank. Refer to the back of Schedule E-Continuation Sheet for detai led explanations otY~ach category. 'c'- MONETARY AND IN-KIND (NON-MONETARY) °B' - CONTRIBUTIONS TO OTHER CANDIDATES *N" - AND COMMITTEES 'O' - INDEPENDENT EXPENDITURES 'S' - LITERATURE ' F' - BROADCAST ADVERTISING 'G' - NEWSPAPER AND PERIODICAL ADVERTISING 'T" - OUTSIDE ADVERTISING SURVEYS. SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS ' P" ' FUNDRAISING EVENTS GENERAL OPERATIONS AND OVERHEAD TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF NO I.D. NUMIER HAS BEEN ASSIGNED, ENTER TREASURER°S NAME AND ADDRESS) IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULES E OR F. REPORT ONLY THE LUMP SUM OF PAYMENT<, ON SCHEDULE F, LINE 4 AND ON SCHEDULE E, LINE 4. DO NOT RE-ITEMIZE ACCRUED EXPENSES REPORTED IN A PREVIOUS PERIOD CODE OR DESCRIPTION OF OUTSTANDING PAYMENT AMOUNT ACCRUED Attach additional information on appropriately labeled continuation 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 5, Netchange this period. (Subtract Line4from Line3, Enter the difference here and on the Summary Page, ColumnA, Line11.) ...... NET May be a negat:ve number Schedule G Payments Made b an Agent or Inde endent Contractor (on Behalf of an Officeholder or Candidate) SEE INSTRUCTIONS ON REVERSE NAME OF AGENT OR INDEPE NT CONT~CTOR ~ Type or print in ink. Amounts may be rounded to whole dollars, Statement covers period through { r~ -- 2_ ~ --~ (~ SCHEDULE G CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, ou 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 Y~ach category. 'L'- LITERATURE 'S'- SURVEYS,SIGNATUREGATHERING, DOOR-TO-DOORSOLICITATIONS 'B'- BROADCASTADVERTISING "F"- FUNDRAISINGEVENTS 'N° -- NEWSPAPER AND PERIODICAL ADVERTISING "T' - TRAVEL, ACCOMMODATIONS AND MEALS 'O" - OUTSIDE ADVERTISING (MUST BE DESCRIBED) NAME AND ADDRESS OF PAYEE OR CREDITOR COMMITTEE, IN ADDITION TO COMMrr[EE'S NAME &NO ADDRESS, ENTER I .D. NUMBER O1~ IF NO I.D, NUMIER HAS IIEEN ASSIGNED, ENTER TREASURERS NAME AND ADDRESS) CODE Z_ OR DESCRIPTION OF PAYMENT AMOUNT PAID Y Attach additional information on appropriately labeled continua :ion sheets. TOTAL* $ · DO not tranSfer to any other schedule or to the Summan/Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E by the office holder/candidate