HomeMy WebLinkAboutPRICE SEMIANN98(2) Officeholder, Candidate,
and Controlled Committee
Campaign Statement -- Long Form
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to indicate the type of statement being filed:
[Z] Pre-etection Statement
1'1 SuPPlemental Pre-election Statement (Artach a completed Form 495 to this statement.)
LSpecia! Odd-Year Campaign Repor~
Semi-annual Statement
I inO~cllceholder ~r;n~i~ate, and
cluded in t~is Statement
NAME OF OFFICEHOLDER OR CANDDATE
RE~tDENT~L OR IU~IN~SS ADDRESS (NO. AND STREET)
CITY
STATE
COMMITTEE NAME
C~M~EE ADD~S5
CITY
NAME OF TREASURER
Yefifjcation
II!
Type or print in ink.
ZIP CODE AREA CODE/DAYTIME PHONE
I.D. NUMBER
from
Statement covers period
9-/-
Date Stamp
through
Date of election if applicable:
(Month, Day, Year)
COVER PAGE - LONG FORM
_
:
p,g,.. / :~ ~z
For Official Use Only
(rU~;'~'~'i%-o'.'ih if~Y~%~ot Included in this Statement: List,ny other
coma/trees not included in this consol/dated statement that are controlled by you and any
committees of which you have knowledge that are primarily formed to receive contributions
Or to make expenditures on behalf of your candidacy.
coMMrrr~e NAM~
NAME O~ T~ASURER
CO4dMITTEE ADDRESS (NO. AND STREET)
CITY
STATE
/:'~?/~ ~/~ /~ /~/~ ~ / ~ / COMMI~EE NAME
AND STREET)
STATE ZIP CODE AREA CODE/DAYTIME PHONE NAME Of TREASURER
~OMMITTEE ADDRESS
li,D. NUMIER
CONTROLLED COMMITTEE?
D ,E, D NO
(NO AND STREET)
Zl~ CODE AREA CODE/DAYTIME
I,D. NUMIER
CONTROLLED COMMITTEE?
] YEs 13 NO
(NO, AND STREET) CiTY STATE
ZIP CODE AREA CODE/DAYTIME PHONE
STATE ZI~ CODE AREA CODE~AYTIME PHONE
I have used sit rea~nab~ diligence in preMring this statement, I have revi~ed the statement and to the ~ of my k ~M~e the informat~ conMin~ herein and in the a~ached schedules
/ ~ lng ~ tr
Ex~uted on / - ~ / = ~ ~ At ~:~% ~ - ~ ~
An offke~r m caPIta w~ (ontr~ I (omm~ee mint also verify t~ gm~n s~tem~t. I have ~ Ill rea~ne~ dil~e a to ~ ~ ~my k~ t~ treasurer has ~
rem~ dili~ in pre~ring ~ ~atement. I ~ve revi~ the ~atement and to the ~ of my k~l~ the informatm 'ned heqi~in the a~ached ~h~ules is true and
corn plate. I ce~i~ under ~nalty of ~qu~ under the lawsQf t~ State of California that the foraging is true and corrffi. ~:; " - ~
DATE CffY A~ $TA~ ~ ~{ ~ CA~IDATE~F~E~R
Execmed On At
DATE ~f ~ STATE S~NAT~ ~
Ex~uted ~ At By
DATE C~Y A~ STATE ~NAT~E ~ CA~ATE~I~/~DIR
F OR INF NAT~ RE~/D TO BE PROVtDED TO YOU PU~UANT TO THE IN~ORMAT~ NCT~ S A~ ~ 1977, SEE INFORMAT~N M~AL ~ CAMF~IGN DISCL qSUR[ P~Qv6~S ~ T~ ~I11CAL ~EF ORM ACT
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Contributions Received
1. Monetary Contributions ............................... Schedule A, Une 3 S
2. Loam Re~ei ved ......................................... ~hedule a, Une 7
3. SUBTOTAL CASH CONTRIBUTIONS ...................... ,~ddUnes
4. Non-monetary Contributions ......................... Schedule C, Une 3
5. SUBTOTAL CONTRIBUTIONS (Exdude Enforceable Promises) Add Unes 3
6. Enforceable Promises
(Exclude Loan Guarantees, Line 18 below) ................... Schedtde D, Une 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUness +
Expenditures Made
8- Cash Payments (Other than Loans Made) ............ Schedu/e E, Une 5
9- Loans Made ............................................. Schedu/e H, Une 7
10. SUBTOTAL CASH PAYMENTS ............................ AddUnesa + 9
11. Accrued Expenses (Unpaid Bills) ....................... Sched~de F, Une 5
12. TOTAL EXPENDITURES MADE ................... AddUnes 10 ·,
'Current Cash Statement
13. Beginning Cash Balance .................. Previous Summery Page, [tne I 7
14. Cash Receipts ...................................... column A, Line 3 above
15. Miscellaneous InCreases to Cash ........................ ~hedule I, Une 4
16. Cash Payments .................................... Column A, Une 10above
17. ENDING CASH BALANCE ..... AddLines13,14, fS, thensubtractUnef6
ff ~is is a termination statement, Line 17 must be zero,
18. LOAN GUARANTEES RECEIVED .............. Schedule B, Panl, Cdumn(bJ $
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................See instructions on reverse $
20. Outstanding Debts ................. AddUne 2 , Line II inCotumnCabove S
Type or print in ink,
Amounts may be rounded
to whole dollars.
Column A
TOIAL THIS I~RtOD
ATIACHED ~HEDULES)
Statement covers period
from ,
,h,o ,s,-
SUMMARY PAGE
Column Ba Column C
TOTAL ~V!OUS P~IMOD TOTAL TO DATE
(SEE NOTE IitOW) (ADO COtUMNS A , B)
S
S $
$ $
$ $
* From previous Statement Summary Page, Column C. HOwever, if
this is the first report filed for the calendar year, Column B should be
blank except for Loans Received (Line 2), Enforceable Promises (Line
6), Loans Made (Line 9), and Accrued Expenses (Line 11 ).
Sum maW for Candidates in Both June and
November Elections
111 through 6/30 711 to Date
22. Ex nditures
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 CLASSIFYIN(; EXPENDITURES
Statement covers period
through/'-~' ;?/' ~'/
SCHEDULE E
I,D. NUMBER
If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank, Refer to the
back of Schedule E-Continuation Sheet for detailed explanations otY;ach category.
'C' - MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
'1" - INDEPENDENT EXPENDITURES
'L'- LITERATURE
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
(tf COMMITTEE, IN ADOITIO N TO CO MMtTTEE'$ NAME AND ADDRESS, ENTER I,D. NUMIER OR, ti NO I.D,
NUMIER HAS IEEN ASSIGNED, ENTER TIIEASURER'S NAME AND ADDRESS)
'B" - BROADCAST ADVERTISING "G* --
'N"- NEW$PAPER AND PERIODICAL ADVERTISING
'0" - OUTSIDE ADVERTISING
'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICiTATiONS "P' '
°F' - FUNDRAISING EVENTS
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES ~
IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE & OF THE SUMMARY SECTION BELOW.
CODE
AMOUNT PAID
,m o,ta,t: Co, tr b"tio,, aed e.pe,die.r,, ..a, out of ,arena;,, f, ed, to or o, beh., of otber'
o~i~eholdets, candidates, committees, or harlot measures must also be entered on the A~ocation 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 !1, 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, and 4. Enter here and on the Summary Page, Column A, Line 8) ........... TOTAL
SCHEDULEI
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
RECEIVE D (iF COMMITTEL IN ADDITION TO COMMFFTEE'S NAME AND ADDRESS, ENTER I.O. NUMBER
0R, tF NO I.D. NUMBER HAS BEEN ASSIGNED, [NIER TREASUR[R'S NAME AND ADDRESS)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from ~7_/_ ~
through /'-/' ~'/' ~'
DESCRIPTION OF RECEIPT
I.D, NUMBER
~</~-~/~ /
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets.
Miscellaneous Increases to Cash Summary
1. Increases to cash of $1OO or more this period .............................................................
2. Increases to cash under $10 0 this 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