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Home My WebLink AboutPRICE SEMIANN98(1) 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 of statement helng filed: I~ P re-election Stateme nt Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) Fl. Special Odd-Year Campaign Report ~r Semi-annual Statement ~ Termination Statement (Attach a completed Form 41S to this statement.) I Officeholder. Candidate, and Controlled Committee Included in this Statement NAME OF OFFICEHOLDER OR CANDIDATE /~.,~ I~SlOEm[&L OR IIU~NESS AOORESS ~O. ANNSST RI[ L~T) COMMITTEE NAME ~.o. CnY STATE ZiP C~E A~A C~AYT~M~ ~ONE III Verification Statement covers period from I/- /- through ~/' II COVER PAGE - LONG FORM Date of election If ippllcable: (Month, Day, Year) FILE Other Committees ~ot Included in this ! Page For Official Use Only tatement: £1nanyothet or to make exaenditures On behalf of your candidacy. Attach additional InformatiOn on appropriately labeled continuation sheets. I have used all ,aasonable 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 complete. I certify under penalty of perjury under the laws of the State of Cal lorn a that the foregoing is true and correct. complete. I certify under penalty of perjury under the laws of theiState of California that the foregoing is true and correct. Executed on At By 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 ......................................... ~bedule a, une 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add Lines ! + 4. Non-monetary Contributions ......................... S~be~e C, Uoa 5. SUBTOTAL CONTRIBUTIONSi(Exc/ude Enforceable Prmzt/zes) AddUnes$ + 6. Enforceable Promises (Exdl~e Lo~t Goerentee$, Urse ll below) ................... ScJm~e D, Lir, e 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUnesS * Expenditures Made 8. Cash Payments (Other than Loans Made) ............ schedu/e E, b~e S 9. Loans Made ............................................. Schedu~ ,, Une 7 10. SUBTOTALCASH PAYMENTS ............................ ,4ddLinesa * g 1 1. Accrued Expenses (Unpaid Bills) ................ Schedu/e F, Uoa S 12. TOTAL EXPENDITURES MADE ......................... AddUnas 10 * If Current Cash Statement 13. Beginning Cash Balance .................. PnsvlousSummlryPage, une 17 14. Cash Receipts ...................................... co/utah A Line 3 ibove 15, Miscellaneous Increases to Cash ....................... stipule I, One 4 16. Cash Payments ....................................¢olumnA, Li~e101bove 17. ENDING CASH BALANCE ..... Add Lines f.~ * f4 * fS, then subtr~'t LIne 16 If this ~ I termination ~tntement, Line 17 must be zero, 18. LOANGUARANTEESRECEIVED .............. Schedulea,~irtl, Columnlb) S Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ $eelnstructfonsonnsverJe $ 20. Outstanding Debts ................. AddLine 2 + Type m print In Ink. Amour~ may be rounded to whole SUMMARY PAGE I.D. NUMBER Column A Column B* Column C S S $ S $ S S S · From pre~io~s Statement Summary Plgl, Column C. Howe~er, if this is the first repo~ filed for the calender yeeL Column B should be blink except ~or Loans Received (Line 2), Enforceable Promises (Line 6), Loans Mede (Line 9). end Accrued Exaenses (Line 11). Summary for Candidates in Both June and November Elections I/1 through 6/30 711 to Date 21. ~ontribqtions Kece~veo .... s 22. ~aPc~end!~.~.r.e~, S 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 CLASSIFYING EXI~NOITURES If one of the following codes accurately describes the expenditure,you may enter the code and leave the ~ Description of Payment' column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. SCHEDULE E I.O. NUMBER ~C'- MONETARY AND IN.KIND (NON.MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES '1' - INDEPENDENT EXPENDITURES 'L' - LITERATURE 'B'- BROADCAST ADVERTISING 'N'- NEWSPAPER AND PERIODICAL ADVERTISING °O' - OUTSIDE ADVERTISING °S'- SURVEYS, SIGNATURE GATH E RING, DOOR-TO-DOOR SOUCITATIONS "F'- FUNDRAISING EVENTS 'G'- GENERAL OPERATIONS AND OVERHEAD '*T'- TRAVEL. ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'P'- PROFESSIONAL MANAGE MENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION CODE OR Important: Contributions and expenditures made out of campaign funds to or on behalf of other officeholder, candidates, comm~t"tees, or ballot measures must also be entered on the Allocation Page, Part I. SUBTOTAL $ 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, and4. EnterhereandontheSummaryPage, ColumnA, LineS.) ........... TOTAL $ 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. DESCRIPTION OF PA~fMENT AMOUNT PAID Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE DATE FULL NAME AND ADDRESS OF SOURCE Type O~ print in ink. Amounts me), be rounded to whole dollars. through DESCRIPTION OF RECEIPT SCHEDULE Statement covers period ' : ' · '~- - I.D. NUMBER AMOUNT OF INCREASE TO ~SH Attach additional information on appropriately labeled continuation sheets. Miscellaneous Increases to Cash Summary 1. Increases to cash of $100 or more this period ............................................................. 2. Increases to cash under$100this period. (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 SUBTOTAL S