HomeMy WebLinkAboutDICKERSON SEMIANN98(1) fficeholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
Type M I~int in ink.
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the followin~ boxes to indicate the type of statement being filed: ~] Pro-election Statement
[] Supplemental Pro-election Staternent (Attach a completed ;orrn 495 to this statement.)
r-I s,,oeciel Odd-Year Ca m paign Report
[~erni-ennuel Statement
~-], Termination Statement (Attach a completod Form 415 to this statement.)
I Officeholder. Candidate, and Controlled Committee
Included in this Statement
COVER PAGE - LONG FORM
through ~-. ,,!~ ~ Ir'~!~' n~
Dateofelecttonlfeppllcab~: '' : ~ ~ ForOfficiilU~Only
(~h,~y, Year) '" , :
F LE
II Other Committees I~ot Included in this ~ :atemerit:
NAME OF OFFICE I~OLDE q_OR CANISATE CMmW/ttee$ of wh/ch you have know/edge that ace/x~wen~y formed to fete/re contrlbuttord
~, J/v~t. *:. ~. . (_ ~.~f~. ~ 0~* to make expenditures on behalf of your car, dk~acy.
OFFIC~ SOU6HT O~ HELD (IN~LUOE LOCATION &ND D~T~eT
COMMI~EE NAME / i.D. aiER ~ STAR
NAME OF TREASURER
COMMITTEIE AD(X~SS OdO. AND STI~ET)
CITy STATE ZI~ COOE
Atted) add/t/oMllnformadon ~ a~a~ I~M~c~a~ ~e~
III Verification. ' ) ' '
tr~ a~ ~mpl~. yce~i~ u~er ~na~ of ~rju~ U~r the I~ of ~ S~te of ~lifornia that the for~ a tr~ a~ c~r~.
Aft ~e~r M ~ W~ ~IMS i c~m~ mu~ I~ ~ ~ ~m~l~n ~teme~, I ha~ u~ all rel~nl~ dilig~ ~ to~f my kn~l~ge the treasurer has us~ all
reachable dilige~ in prepring this ~ltement. I have reviw~ the ~atament and to the ~ of my kn~l~ge the infMmati~ co~ai~ei~d in the a~Khed Khedules is true and
compile. I ce~i~ u~der~na~ of ~rju~ under the laM of the S~ta o~[alifornia that the forgoing is true end corfU.
Ex~ on At By
~ A~ ~ATE S~NATURE ~ ~N~DATE~F~DER
Executed ~ At By
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Contributions Received
1, Monetary Contributions ..............................Sdk-du/eA UM 3 $
2. Loans Received .........................................~chedu~e a, Une 7
3. SUBTOTALCASHCONTRIBUTIONS ...................... AddUnesl +2 $
4. Non-monetary Contributions ......................... Sche~u/e Cune 3
5. SUBTOTAL CONTRIBUTIONS(Exclude Enfmceable P~om/ses) ,~el Uoas3 + 4 $
6. Enforceable Promises
(Exclude Loan Guacardees, ~ !a balmy) ................... .Schedu~ D, Une 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AWUnesS *6 $
Expenditures Made
8. Cash Payments (Other than Loans Mede) ............ Schedu/eE, Une S S
9. Loans Made .............................................
10. SUBTOTAL CASH PAYMENTS ............................ AddUoasa + 9 $
1 1. Accrued Expenses (Unpaid Bills) ...................... .ccheduM
12. TOTAL EXPENDITURES MADE ......................... AddLit, es I0 * ! I $
Current Cash Statement
13. Beginning Cash Balance .................. PreviousSummaryPege, tine17
14. Cash Receipts ............................... ~ Column A Une S abow
15. MiKellaneous Increases to Cash ........................ S~hedulet, Une4
16. Cash Payments .................................... Co~umnA ~ lOebave
17. ENDINGCASHBALANCE ..... AddLIMs!$ * 14 + 15, ehensub~rectUne 16 S
If this I~ a termlnadorl sta~ment, ~ ! 7 must be zero.
18. LOANGUARANTEESRECEIVED .............. Schedelee, eartl, Column(b) $
Cash Equivalents end Outstanding Debts
!9. Cash Equivalents ................................Szelmu~-tmmonmver~ S
20. Outstanding Debts ................. AddUne~
Type ~ pe~t In L.M(.
Amounts may be rounded
to whole dollars.
Column A
SUMMARY PAGE
Column B* Column C
$ ~ $ ~-
s -7z3. s 7 z 5 Z
-6?
· From previous Statement Summary Page, Ccdumn C. However, if
this is the first reDart fi~cI for the calendar year, Column B should be
blank eXCelat for Loans Received (Line 2), En(otceable Promises (Line
~), Loans Made (Line g), and Accrued Expenses (Line 11 ),
Summery for Candidates in
November Elections
II1 through 6/30
21. ~ontribqtions ~
Kecelvea .... S
Both June and
711 to Date
Schedule E
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Type m print in ink.
to whole dollars.
Stltement cov~ers~)erk)d
,,,.,.h
CODES FOR CLASSIFYING EXI~NDITURES
SCHEDULE E
I.D. NUMBER
If one of the 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 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, SIGNATUREGATHERING, DOOR-TO-DOORSOLICITATIONS
'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
~IER ~S BEEN AS~mD, E~R T~AS~R'S ~ME AK A~SS)
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE a OF THE SUMMARY SECTION BELOW,
CODE
OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Important: Contributions and expenditures made out of campaign funds to or on behalf of other
~iceh~der~candidates~c~mmittees~rbe~tmeasuresmusta~s~beentered~ntheA~cati~nPage~Part~. SUBTOTAL $
Payments and Contributions Made Summary
1. Paymentsmadethisperiod of $100or 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).) ..............................
~. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) .....................................
S. Total payments made this perJod. (Add Lines 1,2,3, and4. Enter here and on the Summary Page, ColumnA, LineB.) ........... TOTAL
Schedule H -- Part III
Annual Report of Outstanding Loans Made
SEE iNSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
FULL NAME OF RECIPIENT OF LOAN
ORIGINAL DATE OF LOAN
Tyl~ o~ Ixtnt In ink.
Amounts may be rounded
to whol~ dollirs.
SCHEDULE H - Part III
UNPAID PRINCIPAL
I.D. NUMBER
UNPAIDINTEREST
Attach additional information on appropriately labeled continuation sheets.
TOTAL
NOTE: Thlstotal~houldbe
the same amount as entered
on the Summary page,
Column C, Line 9.