HomeMy WebLinkAboutMCDERMOTT SEMIANN97(2)Officeholder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84200-8421 $.5)
SEE INSTRUCTIONS ON REVERSE
Type o~ ~'lnt Iff Ink.
Check one of the fG::~w:r.G ~,G~ ~o ~,~;~,~ the type of statement b*lng flied:
BPre-election Statement
Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.)
II. Special Odd-Year Campaign Report
~Semi-annual Statement
[] Termination Statement (Atl~ch a completed Fo~m 415 to this statement.)
Officeholder. Candidate, and Controlled Committee
Included in this Statement
NAME OF OFFICEHOLDER 0 ,R~CANDIDATE
COMMI1TEE NAME
Stntemnt corms period
FILE
Date Stamp
from i
through
Date M electlofl If applJcibie:
(Month, Day, Year)
II
Gihif Committees I ~)t Included in this $'tatament: ~a,~it~-
commlh'ees not induded in this consolldated statement that are controlled by ~ou and any
committees of which you have know~edge that are primarily fo~Yned to receive contributions
complete. I certify under penalty of porjury under the laws of the Stece of.California that the foregolng is true and cerrect.
Ex.~odo. / ~tls~ At ~,-~¼ ~.d C_,R-'- _ .~
· uy ~
Executed on. At By
Executed on At By
Attach a~d;;o~l Inforn~ldon O~ epptol~'lately labeled c~atl~ ~e~.
III Veriti~tion
An ~ke~r M M~ W~ Cb~ I ~m~ m~ i~ ~ ~ Mm~n ~mem. I have u~ III rea~lb~ dil~en~ a~ ~ t~ ~ ~ my kn~l~ t~ treasurer has u~ iii
reachable dit~e~ iff pre~H~ th~ ~ltement. I hm~ revi~ the ~tement and ~ the ~ of my k n~ge the inf~mation contain~ herein a~ in the a~ached ~hedules is true and
Campaign Disclosure Statement
Page
Typ~ M I~nt in Ink.
Amounts may IN rmJnded
SEE INSTRUCTIONS ON REVERSE
NAME OF C~FFICEHOLDER OR C~NOIOATE ANO CONTROLLEO COMMITTEE
Contributions Received
1. Monetary Contributlons ............................... Schedu~ ~, Une :~
2. Loans Received ......................................... ScINde/e a, L/ne 7
3. SUBTOTALCASHCONTRIBUTIONS ...................... AddUnes! *2
4. Non-monetary Contributions ......................... ScINdule C, Une :~
5. SUBTOTAL CONTRIBUTIONS (Exdude Enfo~eable Promlses) Add Ur, es$ +4
6. Enforceable Promises
(ExcludeLMmGuarentee~,l.k~iINIow) ................... $chedu~ D, L/ne 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS. 6
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ Sd~du/e ~, Ums
9. Loans Made ............................................. Sdmdu/e H, Uoa 7
10. SUBTOTAL CASH PAYMENTS ............................ AddUoasa * 9
11. Accrued Expenses (Unpaid Bills) ............... Schedole F, L/ne S
12. TOTAL EXPENDITURES MADE ......................... AddUnes 10 * !1
Current Cash Statement
13. Beginning Cash Balance .................. Prevlo~sSummery Page, ~ 17
14. Cash Receipts ...................................... ColumnA, UneSebove
15. MiKellaneous Increases to Cash ........................ ~chedu/e I, Une 4
16. Cash Payments .................................... ¢olumnA, Line 10above
17. ENDING CASH BALANCE ..... AddLMsl~ . I4 * 15, thenJv~r~ctLIne16
If this b a termlna~on Stetament, Une 17 mu~t be zen).
S
S
S
S
$
S
$
S
18. LOAN GUARANTEES RECEIVED .............. Schedu/e a, Patti, Column(b) S
Cash Equivalents and Outstanding Debts
19. CashEquivalants ................................ See lr~truc~fom on reverse $
20. Outstanding Debts ................. AddLIne 2 , ~ 11inColumnCabove $
~,.~c~
Column A
Statement covers period
th,L~7
SUMMARY PAGE
page ~' M ~
S
S
S
S
S
S
S
1.0. NUMBER
Column B* Column C
' From previous Statement Summary Page, Column C. However if
I this isthe first report fl~:l for the calendar year. Column B should be
I blank except for Loans Received (Line 2), Enforceable Promises (Line
16), Loans Made (Line 9), and Accrued Expenses (L ne 11 ).
Summary for Ca.ndidates in Both June and
November Elections
1/1 through 6/30 7/1 to Date
21. ~ontribqtions
Kece~vea .... s
22. j~p~nditures
~aaae ....... s
Schedule A Type or prlmln k~k. SCHEDULE A
Contributions Received Amo =m,yb,,o .
to w~ d~la~, ~
iSONREVE~E thro~h ( ~--~ ~-~ ~., PI~ ~ ~
HOLDER OR ~N DIDATE AND CONT~LLED COMMI~EE LD NUMBER
FULL N~ME AND ADDRESS OF CONTRIIUTOR ~CUPATION AND EMPLOYER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE
(~ C~M~EE, ~ ~ TO C~M~EE'S ~ME A~ ~SS, E~ER I,D NUMBER (f ~tF~M~OYED. EmER RECEIVE D THIS ~LE N DAR YEAR OTH E R
R · ~ I.O. aRR ~S IEIN ASkeD. Emir T~A~R'S ~ME A~ ADDRESS) ~ME ~ I~SS) PERIOD (JAN 1 - DEC. 31 ) (IF APPL~BLE)
Monetary
SEE INSTRU
NAM
DATE
RECEIVED
SUgTOTAL $ C~-O
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 $1OO.
/oc~
(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 E
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollar.
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CODES FOR CLASSIFYING EXPENDITURES
through
SCHEDULE E
I.D. NUMBER
· ¢neaule c-~.ont nuat on ~neet for aetaileo explanations OT each category.
'C'- MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTK)NS TO OTHER CANDIDATES
AND COMMITTEES
'1' - INDEPENDENTEXPENDITURES
°L'- LITERATURE
B ROADC. AS T A DV E RTISING
NEWSPAPER AND PERIODICAL ADVERTISlNG
OUTSIDE ADVERTISING
SURVEYS, SIGNATURE GATHE RIN~, DOOR-TO-IXIOR $OLK:ITATIONS
FUNDRAISING EVENTS
'G'- GENERAL OPERATIONS AND OVERHEAD
'T'- TRAVE L, ACCOMMODATIONS AND MEALS
(MUST Ii DESCRIBED)
'P'- PROFESSIONAL MANAGE MENT AND CONS ULTING
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
(iF CoMMrrrEE, tN ADOnlON TO COMMnTEE~ II&ME AND ADDRESS, ENTER I.D. NUMeER OR. IF NO I.D. RE PORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF TH E SUMMARY SECTION BELOW.
NUMBER HAS MIEN AS~4GI~D, ENTER T~EASI)RER~ NAME AND ADO~ESS)
CODE OR DESCRIPTION OF PA~'ME NT AMOUNT PAID
Im, .~.ant: Contributions and ex .t~. nditures made out of campaign funds to or on bebalf of other
o ff/ceho/dets, candidates, committees, or ballot measures must also be entered on the Allocation Pa~e, Part
SUBTOTAL
Payments and Contributions Made Summary
1. Payments mede this period of $100 or more. (Include all Schedule E subtotals.) ............................ ~ .........................
2. Payments mede this period of under $ ! 00. (Do not itamize.) .......................................................................
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) ..............................
4. Total accrued expanses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) .....................................
S. Total payments made this period. (Add Lines 1,2,3, and4. Enter hereand ontheSummaryPage, ColumnA, Line8.) ........... TOTAL
Schedule E
(Continuation Sheet)
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
TypeMWlnMk.
Amounts rely be round~
to who~ dMMn.
SCHEDULE E (cont.)
Statement covers period
C~)D£S FOR CLASSIFYING EXPENDITURES
'C'- MONETARYANDIN-KIND(NON-MONETARY) 'B'- BROADCASTADVERTISING
CONTRIBUTIONS TO OTHER CANDIDATE S 'N'- NEWSPAPER AND PERIODICAL ADVERTISING
AND COMMITTEES
'O~ - OUTSIDE ADVERTISING
°l° - INDEPENDENTEXPENDITURES 'S'- SURVEYS, SIGNATUREGATHERING, DOOR.TO-DOORSOLiCiTATIONS
il.D. NUMBER
GENERAL OPERATIONS AND OVERHEAD
TRAVE L, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
'P'- PROFESSIONAL MANAGEMENT AND CONSULTING
'L'- LITERATURE 'F'- FUNDRAISINGEVENTS SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
.~ CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
/
SUBTOTAL S ,-,~ Y 0 ~