HomeMy WebLinkAboutPRICE SEMIANN97(1) fficeholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
(Government Code Sections $4200-8421E.5)
SEE ~NSTRUCTIONS ON REVERSE
Type or print in ink.
Check one of the following boxes to |a~,k&;e the type of s t e t e n~j~t?~)i_ ~, ,t ,~. ~od: ,
Officeholder. Candidate. and Controlled Committee
Included in this Statement
Statement cove~'s period
through ~-' ,~/~- ~'7
FILE
COVER PAGE - LONG FORM
Date
Stamp
II Other Committees Iot Included in this Statement: u~a,yot~,
A~ach m~fdltlonal lnformatlon on approprlately labeled contlnuatlon sheetL
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 in the attached schedules is
true a nd corn plete. I ce riify under penali-/of perjury.u nder the laws. o{ the State of Ca fifornia that the foregoing is true end correct.
rAe~ .o_ff_l_c e~ iheOlddi,e: _r _o~_ .c_a ,_n_dlde ta v~ho.c...m~_ !?[~ e com~ m. ?tee mu~t lbO. y, edfy the campaign statement.. I have used ell reasonable diligence and to theLbest, of my know edge the treasurer has used all
ee~.eu~e u ~;ger~e sfl prepermg,ms .ezemen~. ~ nave rewewea the statement and to the best or my ~now edge the nformat on cq~ined hJe(ein ~nd in the attached schedules is true and
complete. I certify under pena~.t.tjL)of perjury under the,laws~.f the Sta~f California that the foregoing is true end correct. /~j , // ~
Executad on At By ~'~ - yMGNATURE Of CANDIDAIE~Of f ~CEH(XDE R
DATE CITy AND STATE SIGNATURE O~ CA#mDAT UOE FICE Ya3L DE R
Executed on At By
Campaign Disclosure Statement
Summary Page
Type M print In ink.
Amount~ mey be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME Ol: O~FFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Contributions Received
Column A
I. Monetary Contributions ............................... Schedu/e A, Line $ $
2. Loans Received ......................................... Sehedu/e #, Une 7
3. SUBTOTALCASH CONTRIBUTIONS ...................... AddUnes 1 +2 $
4. Non-monetary Contributions ......................... Scheab/e C, Une J
S. SUBTOTAL CONTRIBUTIONSi(Exdude Enforceable Promises) AddLines3 + 4
6. Enforceable Promises
(Exclude Loan Guarantees, Une I ~ below) ................... ~chedule D, Line 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS + 6 $
. Expenditures Made
8. CashPayments(O~herthanLoansMade) ............ ~*hedule E, Une S S ~,~/~.
9. Loans Made ............................................. Schedu/e H, Line 7
10. SUBTOTALCASH PAYMENTS ............................ AddLinesa + g $
11. Accrued Expenses (Unpaid Bills) ........................ Schedu/e F, Une S
12. TOTAL EXPENDITURES MADE ......................... AddUnes ~0 * ~
Current Cash Statement
13. BeginningCashBalance .................. PrevlousSumme~yPage, Liner7 S /~/~,//~, /~..~
14. Cash Receipts ............................... , ...... ColumnA, LineJabove
15. MiKellaneouslncreasestoCash ........................ $eheduleI, Line4 ~.~, ~,~-r~
16. Cash Payments .................................... ColumnA, UnelOabove
17. ENDING CASH BALANCE ..... AddLines~$ + 14 .~ 1$,then~uberaetUne 16 $
~T ~ A mC~,VS *MOUrn
18. LOAN GUARANTEES RECEIVED .............. ~.hedulea, PirtI, Column(b)
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ Seel~onsonrever~e $
20. Outstanding Debts ................. ,iddune2 + Une lllnColumnCabove $
Statement covers
from /'--/'- ~?'
through ~- '-~--
Column B·
s
SUMMARY PAGE
Page .-~ M ~
I.D. NUMBER
~:~> ~,~ /
Column C
TOTAL TO
S
$ $
$ S
$ $
S S --~ --~/~ ~
' Fr~ ~S Statement Summl~ Plge CMumn C H~ever, f
this b ~ fi~ re~K fll~ for t~ Mlendat ~ar. Column B should ~
blink exce~ for L~m R~elv~ (LI~ 2). Enf~ceable Promises (Line
l E), Loam Mede (Line 9). e~ ~rued Ex~n~s (Line 11 ).
Summary for Candidates in Both June and
November Elections
111 through ~/30 7~1 to Date
21. ~ontribqtions
,ece~vea .... $
22. i~aPa~ditures S
Sch ed ule E Type or print In ink, SCHEDULE E
Amounts mly be rounded
Payments and Contributions towholedollars.
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE Page J of ~'
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
C0~£$ ~O~ ~L~S$~¥~ ~~$
Statement Covers period
f,om /- /' ~7
through ~/- '-~/~ ~' ~/
I.D. NUMBER
back of Schedule E-Continuation Sheet for deta ed explanations of each category. ' '
'C'- MONETARYANDIN-KIND(NON-MONETARY) 'B'- BROADCASTADVERTISING "G'- GENERALOPERATIONSANDOVERHEAD
CONTRIBUTIONSTOOTHERCANDIDATES 'N'- NEWSPAPERANDPERIODICALADVERTI$1NG "T'- TRAVEL, ACCOMMODATIONSANDMEALS
AND COMMITTEES "0'- OUTSIDE ADVERTISING (MUST BE DESCRIBED)
'1' - INDEPENDENTEXPENDITURES 'S'- SURVEYS, SIGNATUREGATHERING, DOOR*TO-DOORSOLICITATiONS "P°- PROFESSK)NALMANAGEMENTANDCONSULTING
'L'- LITERATURE 'F"- FUNDRAISINGEVENTS SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
(IF co~MrrrEl. IN ADDrrlON TO COMMrrrEE*$ NAME ANO ADOIIESS. ENIER LO. NUMBER O~ I~ NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON UNE 4 OF THE SUMMARY SECTION BELOW,
~UMBER NAS BEIEN A$SIGNEO, ENTER TREASURER'S NAME AND A~ORE$S)
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
im.~ortant: Contri .b~. tions and exl~enditures made out of campalgn funds to or on behalf of other
officeholders, candidates, committees, or ballot measures must al$o be entered on the AIIocation Page, Part L SUBTOTAL
'ayments and Contributions Made Summary
· Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................ ; .........................
I. Payments made this period of under $100. (Do not itemize.) .......................................................................
:. 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.) .....................................
. Total payments made this period. (Add Lines 1,2,3, and4. Enter hereand on the Summary Page, ColumnA, Line8.) ........... TOTAL
Schedule I T¥1~ o~ print In Ink. SCHEDULE I
M~Scellaneous Increases to Cash Amounts mly be rounded
to whole doll~lrs.
SEE rNSTRUCTIONS ON REVERSE through
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMaER
DATE FULL NAME AND ADDRESS OF SOURCE
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Miscellaneous Increases to Cash Summary
I. Increases to cash of $100 or more this period ............................................................. $ -~-
2. Increasestocashunder$100thisperiod. (Do not itemize.) ................................................. $ ~-~:; ~-~
3. Total of all interest received this period on loans made to others. (Schedule H, Part II (b).) .................... $ ~.
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 15.) ........................................................................ TOTAL $ ~-~----~. d-~