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HomeMy WebLinkAboutPRICE SEMIANN97(2) fficeholder, Candidate, and Controlled Committee Campaign Statement -- Long Form (Govern merit Code Sections 84200-B4216.5) SEE INSTRUCTIONS ON REVERSE Type o~ print in Ink. Check o~e of the following boxes to Indicate the type of statement b~lng filed: I-~ Pre-election State merit from 7 - /- ~ 7 through /~- ~'~/- ~ ~' Date of election If apldlcable: ~ ~ ~ FILE COPY .,. COVER PAGE - LONG FORM Date5tamp (Month, Day, Year) For Official Use Only Other Committees f lot Included in this Statement: un,,yo'ex..- [] Supplemental Pre*election Statement (Attach a completed Form ags to this statement.) Special Odd-Year Campalgn Report Semi-annual Statement Termination Statement (Attach a completed Form df 5 to this statement.) Officehol.der. Cand date, and Control ed Committee Included m this Statement NAME OF OFFICEHOLDER OR CANDIDATE COMMI~EE NAME II ~ /~ / COMM/1TEENAME Ill Verification Attach additional Informatlo~ o~ appropdalely labeled continua tlon sheet~. I have used all reasonable diligence in preparing this statement. I have reviewed the statement end to the best of my knowledge the information contained herein and in the e~ached schedules is true and complete. I certify under penalty of perjury under the laws of the State of Ca fern a that the foregoing is true and correct., complete. I certify under penalty of I~rjury undeLtJ~e I~,,~ ~he State of California that the,f, pregoing is true and correct. /:,/ ~ ff~ ~/~ Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type M print in ink. Amounts may be rounded to whole dollars. from through SUMMARY PAGE LO. NUMBER Column C TOTAL T0 O~T~ $ NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received 1. MonetaryContributions ............................... Schedule A, Lina 3 S 2. Loans Received ......................................... Scbedu/e a, Lina 3. SUBTOTALCASHCONTRIBUTIONS ...................... Add Unes ! +2 $ 4. Non-monetary Contributions ......................... Schedule C Un· 5. SUBTOTAL CONTRIBUTIONS(Exclude Enfo~eable Promises) Add Unas.~ + a $ 6. Enforceable Promises (Exclude Loan Guarantees, Line ! m below) ................... ~qedule D, Uno 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnes5 Expenditures Made 8. CashPayments(OtherthanLoansMade) ............ ~<tmdule E, Une S S 9. Loans Made ............................................. Schedule H, Uno 7 10. SUBTOTAL CASH PAYMENTS ............................ AddLinesm 11. Accrued Expenses (Unpaid Bills) ............. Sdmdu/e F, Uno S 12. TOTAL EXPENDITURES MADE ......................... Addtines 10 + 11 $ Current Cash Statement 13. Beginning Cash Balance .................. PrevtousSummeq/Page, tine 17 $ 14. Cash Receipts ...................................... ColumnA, Une3above 15. MiKellaneous Increases to Cash ........................ Schedu/eI, Line4 16. Cash Payments .................................... ColumnAUne1Oabm, e 17. ENDING CASH BALANCE ..... AddLInes1~ + 14 + 1$,thensubtcectUna 16 S If this is · termination Statement, Line 17 must be zero. 18. LOANGUARANTEESRECEIVED .............. Scbedulee, Partl, Column(b) S Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ See instruct/ohs on reverse Column A /0//.-~. 7/ Column Be TOTAL I~E~OU $ PER~OD $ S $ $ S $ * From previous Statement Summary Page, Column C. However, if this isthe first report filed for the calendar rear, Column B should be blank except for Loins 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 7/I to Date 21. ~ont~*ibqtions Kece~vea .... S 22. Expenditures Made ....... S 20. Outstanding Debts ................. Add LIna 2 .~ Line//inColurnnCabove S Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE TyRe m' I~lnt In ink. Amount~ may be rounded to whole do#ars. S~itement covers from ~'- /- through /~-~-~/- NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE CODES FOR CLASSIFYING EXPENDITURES SCHEDULE E I.D. NUMBER If oneofthe following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment' column blank. Refer tothe back of Schedule E-Continuation Sheet for detailed explanations of each category. 'C' - MONETARY ANDIN-KIND (NON-MONETARY) 'B' - BROADCASTADVERTISING 'G' - GENERALOPERATIONS AND OVERHEAD CONTRIBUTIONSTOOTHERCANDIDATES 'N'- NEWSPAPERANDPERIODICALADVERTISING 'T'- TRAVELACCOMMODATIONSANDMEALS AND COMMITTEES 'O'- OUTSIDE ADVERTISING (MUST BE DESCRIBED) '1' - INDEPENDENTEXPENDITURES 'S'- SURVEYS, SIGNATUREGATHERING, DOOR-TO-DOORSOLIClTATIONS 'P°- PROFESSIONALMANAGEMENTANDCONSULTING SERVICES °L'- LITERATURE °F'- FUNDRAISINGEVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. M COMMr~EE, Va aoomo~ ?o COMMffTEE'S K&MIE AND ADDRESS. ENTER LO. NUMIEA OfL W NO I.D. RE PORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON UNE 4 OF THE SUMMARY SECTION BELOW. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Important: Contributions and ex[~enditures made out of campaign funds to or on behalf of other SUBTOTAL $ ~ .~ ~ ~ ~ officeholder, candidates, committees, or ballot measures must also be entered on the Allocation Pa~e, Part L i Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................ ' .........................$ ~' ~ ~z ,~. o ~ 2. Paymentsmadethisperiod ofunderSt00. (Do not itemize.) ....................................................................... $ ~'o. ~o 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 perlod. (Add Lines l, 2, 3, and4. Enter here and on the Summary Page, ColumnA, Line8.) ........... TOTAL $ -~,~/.~T o~ Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Type oc p'lnt in ink. Amounts may be rounded to whole dollars. Statement covers period from - - through /~'- J/- ~ 7 SCHEDULE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE r)A?E FU~ N~uME AND ADDRESS O~ SOURCE DESCRIPTION OF RECEIPT I.D. NUMRER AMOUNT OF INCREASE TO CASH 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. Increases to cash under $100 this period. (Do not itemize.) ................................................ 3. Total of all interest received this period on loans made to others. (Schedule H, Part II Cb).) .................... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line t5.) ....................................................................... TOTAL