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Home My WebLink AboutMAGGARD SEMIANN98(2) fficeholder, Candidate, and Controlled Committee Campaign Statement -- Long Form Type or print in ink. (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type o~ statement being filed: [] Pre-election Statement [] Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) ::] Special Odd-Year Campaign Report '] Semi-annual Statement Termination Statement (Attach a completed Form al 5 to this statement.) I :~fficeholder Candidate, and Controlled Committee Included in tl~is Statement NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICI NUMBER IF APPLICABLE) RESIDENTIAL OR BUSINESS ADDRE$S [ (NO. AND STREET) I.D. NUMRER AREA CODE/I)AYTIME PHONE CITY STATE ZIP CODE COMMITTEE NAME COMMIUEE ADDRESS (NO. AND STREET) CITY STATE ZIP CODE NAME OF TREASURER PERMAN[~ ADDRESS OF TREASURER (NO. AND STREET) III Verification Statement covers period Date Stamp from \ L~ * \ ~ ' ~'~ \ -~ 1,_ ~\ ~ through Date of election if applicable .-:-' ~ ~ ~- ~ } (Month, Day, Year) COVER PAGE- LONG FORM O For Official Use Only II Other Committees flot Included in this Statement: List any other committees not included in this consolidated statement that are controlled by you and any committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy, COMMn~EE NAME ~",,.FI\\/~,,;~ t./~/~/~ ~ (;/.~,T%Fi' ] I.D, NUHBER ~' g,- ~',~ %, \?~,c-~oo NAME OF TREASURER CONTROLLED COMMITTEE1 COMMnIEE ADDRESS (NO. AND STREET) ~, , _ ~ -~, ,..,,.~ L.? t.- t r":l}/,,- ,^-,1.1 t_ P ,: ~ ~ trv! _ .. CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE COMMITTEE NAME ] I.O, NUMBER NAME OF TREASURER COMMITTEE ADDRESS (NO AND STREET) CONTROLLED COMMII'rEE ? ] ~Es [] .o CITY STARE ZIP CODE AREA CODE/DAYTIME PHONE Attach additional information on appropriately labeled continuation sheets, I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and n the attached schedules is ofE " ' CIr, ANDSTA~E SIGNATUREOFTRE An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all 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 By CITY AND STATE Executed on At By DATE CITY AND STARE Executed on At By DATE CITY AND STATE %~DER SIGNATURE OF CANDIDArE/OFFICEHOLDER SIGNATURE OF CANDIDATEIOFFICEHOtDER FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATLON MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM AC} State of California Fair Political PFactlces Commission Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received 1. Monetary Contributions ............................... Schedule A, Line 2. Loans Received ......................................... Schedule ~, Line 3. SUBTOTAL CASH CONTRIBUTIONS .................. AddUnes t + 4. Non-monetary Contributions ........................ Schedule C Une 5. SUBTOTAL CONTRIBUTlONS:(Exclude Enforceable promises) Add Lines 3 +4 6. Enforceable Promises rExelude Loan Guarantees, Line 18 below) ................... Schedule D, Line 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS ~, Expenditures Made 8. Cash Payments (Other than L. oans Made) ........... Schedule E, Line 9. Loans Made ............................................. Schedule H, Une 10. SUBTOTALCASH PAYMENTS ............................ AddLines8 ,, 11. Accrued Expenses (Unpaid Bills) ........................Schedule F, Line 12. TOTAL EXPENDITURES MADE ......................... AddUnes I0 ~ II Current Cash Statement 13. Beginning Cash Balance .................. Previous Summan/ Page, Line 17 14. Cash Receipts ...................................... ColumnA, Line3ebove 15. M iscetlaneous Increases to Cash ........................Schedule I, Line 16. Cash Payments .................................... ColumnA, Line tOabove 17. ENDING CASH BALANCE ..... AddLines t3 ~ 14 ~ I5, thensubtradUne t6 ff this/s a termination sta tamant, Line 17 must be zero, 18. LOAN GUARANTEES RECEIVE D .............. Schedule a, Part I, Column (b) S Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ See instructions on reverse S 20. Outstanding Debts ................. AddLine 2 ,, Line It inColumnCabove $ Type or print in ink. AmOunts may be rounded to whole dollars. Column A TOIAL THIS PERIOD (FROM ATIACHED SCHEDULES) o · ENDING CASH ~LANCE SHOULD NOT le~ ~ NE~ATR/E AIdOUNT tl o7 .C Statement covers period through SUMMARY PAGE ~ ::!i: ::: !:'! .i!~iiTi::i ::!!: :'-~.!Y:: ,:::: I.D. NUMBER Column B* Column C TOTAL PREVIOUS PERIOD TOTAL TO DATE (SEE NOTE BELOW} (ADD COtUMN$ A + B) s %_~ o~A _ s qC:, t.\q __ S · t 't'3'\ _ ~ s % G %x O s '-/"1 '7 ~ __ s q(~o s '.t~/7sO s %" q ~ % s ' "-t G G'..t 3 * From previous Statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loam 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 1/1 through 6/30 711 to Date 21. ontrib tions 22. Ex nditures M~c~er ....... 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 RECEIVED 'y/ (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D NUMBER O~ IF NO I.O. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) Type or print in ink. Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Statement covers peFiOd from through ~ ~/' ~ ~ ' q ~ AMOUNT RECEIVED THIS PERIOD SUBTOTAL SCHEDULE A .... IPage "~ of I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 3 1 ) q CUMULATIVE TO DATE OTHER (IF APPLICABLE) 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 A (Continuation Sheet) Monetary Contributions Received NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE t FULL NAME AND ADDRESS OF CONTRIBUTOR DATE fiF COMMITTEE. tN ADDITION TO COMMITTEIE'$ NAMIE AND ADDRESS, ENIER LD. NUMBER RECEIVE D OR, IF NO I.D. NUMBIER HAS BIEEN ASSIGN[D, ENTER TREASURIER'S NAME AND ADDRESS) Type or print in ink, Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Statement covers period through AMOUNT RECEIVED THIS PERIOD SCHEDULE A (cont.) ~ ~)O CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC, 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) SUBTOTAL $ 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 C(-ASSIFYING EXPENDITURES Statement covers period ,,ore /~,~ - ~ ~ :'i ~ through SCHEDULE E · '~t ' "t ?;__ ~ Page I,D, 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 detailed explanations o/;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 NEWSPAPER AND PERIODICAL ADVERTISING OUTSIDE ADVERTISING SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS FUNDRAISING EVENTS "G" - GENERAL OPERATIONS AND OVERHEAD, "T' - TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P'- PROFESSIONALMANAGEMENTANDCONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.O. NUMBER OR, IF NO I.D. NUMBER HAS !fEN ASSIGN[D, ENTER TREASURER'$ NAME AND ADDRiSS) 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 PAYMENT AMOUNT PAID Important: made out of campaign funds to or on behalf of other officeholders, candidates, cornre#trees, 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, 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 $ SUBTOTAL Schedule E (Continuation Sheet) Type or print in ink, Amounts may be rounded to whole dollars. Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE CODES FOR CLASSIFY~NG EXPENDITURES "C" - MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER be~NDIDATES AND COMMITTEES "1" -- INDEPENDENT EXPENDITURI:S "L*-- LITERATURE NAME AND ADDRESS OF PAYEE, CREDITOR, OR RF. CIPIENT OF CONTRIBUTION (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR., IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) , CODE OR SCHEDULE E (cont.) Statement covers period j:7:~;;: 5: ~I ~ ~ ~ I.~Z .... 't,, _ q ~ _ ] Page ~3 of ~ I.D. NUMBER 'B" - BROADCAST ADVERTISING "N" - NEWSPAPER AND PERIODICAL ADVERTISING 'O" - OUTSIDE ADVERTISING "S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS ~F" - FUNDRAISING EVENTS through P L. "G" - GENERAL OPERATIONS AND OVERHEAD "T" -- TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P~ - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ '2~'3 ~ I , ~ 'L_ Schedule E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Type or print in ink. Amounts may be rounded to whole dollars, CODES FOR CLASSIFYING EXPENDITURES 'C* - MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER I:ANDIDATES AND COMMITTEES *1" - INDEPENDENT EXPENDITURI~S 'L"- LITERATURE NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITTEE, IN ADDITION TO COMMITrEE'S FLAME AND ADDRESS, ENTER I.D. NUMBER OR, IF NO I.D. NUMIER HAS IEEN ASSIGNED, ENTER TREASURERS NAME AND ADDRESS) \ .~ .~: ,,_.'/, "B" - BROADCAST ADVERTISING "N" - NEWSPAPERANDPERIODICALADVERTiSiNG "O" - OUTSIDE ADVERTISING "S"- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOORSOLiCiTATiONS "F" - FUNDRAISING EVENTS CODE OR L P Statement covers period through SCHEDULE E (cont.) ::' ~ '! :!~: '! !i-:; ;: "~: ~-j~! * z~ .~ i IPage "7 of c-~ ~ I.D. NUMBER "G" - GENERAL OPERATIONS AND OVERHEAD "T" - TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) "P"- PROFESSIONAL MANAGEMENT AND CONSULTiNG SERVICES DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL Schedule E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made SEE INSIRLICTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COkt411'I'EE: NAME AND ADDRESS OF PAYEE, CREDITOR OR RECIPIENT OF CONIRIBUTION (IF COMMI11EE, IN ADDI11ON TO CC)k~TIEE'8 NAME AND MS,S, ENIER I D. NUMBER OIt. F NO ID. NUMBER HAS MEN ASSIGNED, EN1ER TREASUREITS NAME & AD(:)RESS) CODE Type or Print In Ink. Amounts may be rounded Io whole dollars. i p. i/L C DESCRIPTION OF PAYMENT ¢ ;,t -%flcZJ)' ~'.':' ~-~ b /' SCtiEDULE E (conl,) CA I. l I'O R NIA 49 0 1991 FORM ,.0. P3 ., q SUBTOTAl. Schedule F Accrued Expenses (Unpaid Bills) Type or print In ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE through NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE CODES FOR CL~SSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Destrip(ion of Payment* column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of)';ach category. SCHEDULE F NUMBER 'C' - MONETARY AND IN-KIND (NON-MONETARY) · B" - CONTRIBUTIONS TO OTH E R CANDIDATES ~ N" *- AND COMMITTEES '1" - INDEPENDENT EXPENDITURES ·S' -- 'L'- LITERATURE 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'S NAME AND ADDRESS, ENIER I.D. NUMBER OR, If NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) · G" - GENERAL OPERATIONS AND OVERHEAD ' 'T" - TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) "P' - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULES E OR F. REPORT ONLY THE LUMP SUM DE PAYMENTS ON SCHEDULE F, LINE 4 AND ON SCHEDULE E, LINE 4. DO NOT RE-ITEMIZE ACCRUED EXPENSES REPORTED IN A PREVIOUS PERIOD. AMOUNT ACCRUED Attach additional information on appropriately labeled continuation sheets. Accrued Expenses Summary CODE OR (~ DESCRIPTION OF OUTSTANDING PAYMENT SUBTOTAL 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 change this period. (Subtract Line 4 from Line 3. Enter the difference here and on the Summary Page, Column A, Line 11.) ...... NET $ May be a negative number