HomeMy WebLinkAboutBFLAG SEMIANN98(1) ecipient Committee
Campaign Statement -- Long Form
(GOvernment Code Sect~s 84200-642 ! 6.5)
Type or print in Ink.
SEE INSTRUCTIONS ON REVERSE
thetic o~t of the following boxes to Indkite the type of Itetement being flied:
[] Pre-election Statement [] Semi-annuaIStatement
[] SDIcJal Odd-yea r CamDaign Report
[] Supplemental Pre'election Statement (Attach a completed Form 495 to this Statement.)
[~ Terminati°n Statement (Attach a completed Form 415 to this statement.)
Committee Information
NAME OF COMMITI'EE
NAME OF TREASURER
(Check Boxes) See definitions and important information on reverse.
Is this a sponsored committee? ..
................ ~71 ¥e, [] NO
Isthis a broad based political committee? .........[~J Yes [] No
Ill Verification
Date of election If ep~kolgi:
(Month, ~y, Yelr)
COVER PAGE - LONG FORM
Page of
For Officill Use Only
II LP~.~,m_a.rily._Fo_r,m_e~d. Co.m.m. itt, e? ('See de..fi. nitign on reverse.)
:,~.t .a,.c~. ur orrlcenoloerts/or (21(]at&it] fne tuk;.k
tins Committee is primarily(or~e~c~ ........ · ........~'
Attach additional information on appropriately labeled continuation sheets.
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 and complete.
and correct. I certify under penalty of perjury under the laws of the State of California that the foregoing is true
Executed o.
At
DATE
Recipient Committee
Allocation Page
SEE INSTRUCTIONS ON REVERSE
Type ~' I~ I,n ~. ALLOCATION PAGE
to whole dollars. ~
f,om
thro~h ~ /~ /~ [P,~ M ,,,
NAME OF COMMITTEE
List contributions and independent expenditures that total $100 or more made to support or oppose officeholders, candidates, ballot measures, or committees.
DATE
NAME OF OFFICEHOLDER OR CANDIDATE AND OFFICE, OR NAME OF CHECK ONE
MEASURE AND RALLOT NUMBER OR LETTER. OR NAME OF COMMI~-rEE
If OTHER THAN OFFK:EHOLDER, CANDIDATE. OR MEASURE COMMITTEE ~u~,o~ ~
/
IND. AMOUNT THIS CUMULATIVE TO DATE
EXP .* PERIOD CALENDAR YEAR
(JAN. 1 - DEC. 31)
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
*See reverse regarding independent expenditures.
Allocation Summary
1. Contributions and independent expenditures of $100 or more made this period.
(Include aft Allocation Page subtotals.) ......................................................................
2. Contributions and independent expenditures under $100 made this period.
(Do not itemize.) .........................................................................................
3. Total contributions and independent expenditures made this period.
(Do not carry this to the Summary Page,) ............................................................ TOTAL
Attach additional information on appropriately labeled continuation sheets.
Recipient Committee
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
Contributions Received
1. Monetary Contributions ........................ ~hedu/e A Line
2. Loans Received .................................... Schedule a, Une
3 SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes !, 2
4. Non-monetary Contributions ........................ ~chedule C Line 3
5. SUBTOTAL CONTRIBUTIONS (£xdude Enforceab/e ProaiMs) AddLine~$, 4
6. Enforceable Promises
(Exclude Loan Guarentees, Line 18 below) ................... Schedule D, Line 7
7. TOTAL CONTRIBUTIONS RECEIVED ................ AddLinesS + 6
Expenditures Made
8. Cash Payments (Other than Loans Made) .......... Schedule~,LIneS
9. Loans Made ............................................ Schedu/e H, Line 7
10. SUBTOTAL CASH PAYMENTS ........................... AddLenose, 9
11. Accrued Expenses (Unpaid Bills) ........................ ~hedule ~, Line S
12. TOTAL EXPENDITURES MADE ....................... AddLines 10 + ;;
Current Cash Statement
13. Beginning Cash Balance .................. PreviousSummer/Page, L~e 17
14. Cash Receipts .................................... ColumnA, LineSabove
I 5. Miscellaneous Increases to Cash ..................... Schedole I, Line 4
16. Cash Payments .................................... Column A ~ine 10above
17. ENDING CASH BALANCE ..... AddLines I~I ~ 14 * 15, then subtract Line 16
If this is a termination ~tetement, Une 17 mu~t be zero.
18. LOAN GUARANTEES RECEIVED .............. Schedulea, Pertl,¢olumn(b)
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ............................. See instructions on reverse
20. Outstanding Debts ............. AddLine? + Line 11inColumnCabove
Type M pdnt In kd(.
Amount~ ely be n)unded
to whom do~ers.
Column A
s
s c/9 B~.
Stetement coveel period
through ~:::~/~:) ~-~/~ ~
Column B*
TOTAL FREVIO~S PEWGO
SUMMARY PAGE
I Pe~e M_
· I I.D. NUMBER
Column C
!roT~t TO DATE
S
S
S
S
S
S
s /30~7~./T s
s /.~O?~./T s
s /:~070./7 s
s 1'7 lq ~. ~ q · From ptevmus Statement Summery Page. Column C. However. if
this iS the first report fi~ for t~ ~ar year, Column B s~ ~
~ ~ ~. ~ blank exce~ for L~ns R~i~ (Li~ 2), En~rcel~ Pr~ (Li~
~ 6), L~ns M~e (Line 9), ind ~cr~ Ex~n~ (Li~ 11 ).
I&ozT~ 1'7 Summary for Non-Controlled Committees
s I :~q O~. ~. Primarily Formed to Support or Oppose
;.o.~c~s.,~,.cs ~.o~oCandidates in Both June and November
,e, ,~ * ,,fG,,,,vs .,.,o.,.Elections
11! through 6/30
S ~ 21. _Contributions
~ecewea s
S .~ 22. x nditures
711 to Date
Schedule A
Monetary Contributions Received
Type o~ I~t In Ink.
to whol~ dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
FULL NAME AND ADDRESS OF CONTRIBUTOR ~CUPAT~N AND EMPLOYER A~UNT
Stltement covers period
f,om ////q8
SCHEDULE A
__ [ Pl~e
I.D. NUMBER
CUMULATIVE TO DATE
Ca, LE NDAR YEAR
(JAN. 1 - DEC. 31)
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
SUBTOTAL
Monetary Contributions Summary
1. Amount received this period -- contributions of S 100 or more.
(Include all Schedule A subtotals.) ............................................................................ $
2. Amount received this period --contributions of less than S 100.
(Do not itemize.) ........................................................................................... $
3. Total monetary contributions received this period.
(Add Lines ~ and 2. Enter here and on the Summary Page, Column A, Line 1.) .............................. TOTAL $
SCHEDULE E
Schedule E Type o~ pdnt In Ink.
Amounts may be rounded Statement covers period ·
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
CODES FOR CLASSIFYING EXPENDITURES
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-Conti nuation 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' -- NEWSPAPERANDPERIODICALADVERTISING
'O' - OUTSIDE ADVERTISING
'S*- SURVEYS, SIGNATURE GATHERING. DOOR-TO-DOOR SOLICITATIONS
'F' - FUNDRAISINGEVENTS
'G'- GENERAL OPERATIONS AND OVERHEAD
'T'- TRAVE L, ACCOMMODATIONS AND ME ALS
(MUST BE DESCRIBED)
'P'- PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
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.
CODE
OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
Impotent: contri.butions end expenditures made out of campaign funds to or on behalf of officeholders,
candidates, comm;ttees, or ballot measures must also be entered on the AIIocation Page. SUBTOTAL
Payments and Contributions Made Summary
1. Payments made this period 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).) ..............................
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. Enter here and on the Summary Page, ColumnA, Line8.) ........... TOTAL
[3o7o./7
Schedule E
(Continuation Sheet)
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
~AM~ O; COmMiTtEE
MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
~NO~PE NOENT EXPENDITURES
LITERATURE
Ty~ m p~k~ M Ink.
Amoun~ ~y be Founded
~o wh(~e dMMn.
Stitement covers period
,,o,.
CODES FOR CLASSIFYING EXPENDITURES
'B~- 8ROADCAST ADVERTISING
*N'- NEWSPAPER AND PERIODICAL ADVE RT~SING
'O'- OUTSIDE ADVERTISING
'S' - SURVEYS, StGNATUREGATHERtNG, DOOR-TO-DOORSOLtCtTATtONS
'F~ - FUNDRAISING EVENTS
SCHEDULE E (cont.)
Page of
It.D. NUM%ER
'G"- GENERAL OPE RATIONS AND OVERHEAD
'T'- TRAVE L, ACCOMMODATIONS AND MEALS
(MUST BE DESCRII~ED)
'p'- PROFESSIONAL MANAGEME NT AND CONSULTING
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
CODE
T
OR
DESCRIPTION OF PAYMENT
AII40UNT PAID