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HomeMy WebLinkAboutMCDERMOTT SEMIANN99(1) ST SEN fficeholder, Candidate, and Controlled Committee Campaign Statement - Long Form (Government Code Sections 84200-8421 SEE INSTRUCTIONS ON REVERSE Check one of the folowlng boxes to indicate the type of statement being filed: '1 Pre-election Statement "1 Supplemental Pre~election Statement (Attach a completed Form 495 to this statement) ' Special Odd-Year Campaign Report _emi-ennual Statement Termination Statement (Attach ! completed Form 415 to this statement.) I ~ff:c h Ider Candidate, and Controlled Committee Inclu:]e~ in tfiis Statement Type or print in ink. Statement covers period o.., G - 5 o- q q Date of election ff appficable: (Month. Day, Year) I I.D. N~IER C~ OAYTIME PHONE Attach additional information on appro/~/ate/y labeled continuation sheets. Verification I have used ell reasonable diligence in preparing this statement, I have reviewed the statement and to the best of my k I · the inform: conta' ~in and in the attached schedules is · C Y lID STATE ,, An officeholder or candidate who comrols a committee must Bitno :erlfy 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 thb st.mtement. I have reviewed the statem.ent a.nd to the best Of m.y k. nowledge the information contained herein and tn the attached schedules is true and Executed on At By DATE CITY AND STATE SIGNATURE Of CANDtDATEK)fFICEHOLDER Executed on At By DATE CITY AND STATE SIGNATURE Of CANDIDATE/OFfiCEHOLDER Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Contributions Received 1. Monetary Contributions ............................... Schedule A, Line 3 S 2. Loans Received ......................................... Schedule a, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add Unes I + 2 S 4. Non-monetary Contributions ......................... Schedule c, une 3 S. SUBTOTAL CONTRIBUTlONS!(ExdudeEnforcaablePromlses) AddUnes3 +4 $ 6. Enforceable Promises (E~dude Lomt Gua ar4ees, Line 18 below) ................... Schedule D, Une 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS, S S Expenditures Made B. Cash Payments (Other than Loans Made) ............ Schedule E, Line 5 S 9. Loans Made ............................................. Schedule H, Une 7 ]0, SUBTOTAL CASH PAYMENTSl ............................ AddLInes8,9 $ 11, Accrued Expenses (Unpaid Bills) ....................... Schedule F, Une S 12. TOTAL EXPENDITURES MADE ........................ AddUnesCO ,,, $ Current Cash Statement 13. Beginning Cash Balance .................. Previous Sumrnary Page, line I7 $ 14, Cash Receipts ...................................... Cdumn A, Une 3 above 15, MiKellaneous Increases to Cash ........................ ~chedule t, Line 4 16. Cash Payments .................................... ColumnA, Line lOebova 17. ENDING CASH BALANCE ..... AddLines 13 · 14 · IS, thensubtrectUne 16 $ ff thb b a term/nat/on statement, Une 17 must be zero, 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Patti, Column(b) Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ See instructions on reverse ~ fi,,tet~nd;r~P, rt~hte; Adrfllne,~ , It~- ** ;~rnlumnCabev~ Type or print In ink. Amounts may be rounded to whole dollars, Column A TOIAL Tlle, leENOD (FROM ATIACHID $4~4EDULE$) O o o o O 0 0 0 NOT BE A MEGATRff AMOUNT 0 Statement covers period f,o, !' 'qq through ~* ~ ' ~ ~ Column B* TOTAL Iq~VIOUS II~RIOD (SEE NOTE BELOW) SUMMARY PAGE I,D, NUMBER Column C TOTAL TO DATE (ADD COLUMNS A · II) O s s O ' 6 s s O S S G S S 0 S S * 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), Loam Made (Line 9), 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 Bakersfield City Clerks Office 1501 Truxtun Ave Bakersfield, CA 93301