HomeMy WebLinkAboutMCDERMOTT SEMIANN97(2) OHOf*;Caholder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Check o~e of the following boxes to Iodkate the type of statement being filed:
BPre-election Statement
Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.)
bB.. Special Odd-Year Campaign Report
Semi-annual Statement
Termination Statement (Attach a completed Form a15 to this statement.)
I Officehol.der..Candidata, and Controlled Committee
Included m th~s Statement
N,q, ME OF OFFICEHOLDER OR CANI~)ATE
NUMBER
FILE COPY
Statement covers period
through I ~ -~ ~ 'C1 ?
Date of election if applicable:
Date Stamp
COVER PAGE- LONG FO~M
II
·. . . . ~ For Official Use Only
I
~NNED
Other Committees )t Included in this Statement: un,
c~m~es of ~h y~ hM k~ ~t a~ ~ma~ ~ to ~el~ c~
Attadl ~-~i;onal informadon mi approp~ately labeled contfnuaC/on sheeu.
III Verification .....
,have used all reasonalde d,hgenc, tn prepan~..~ statement. I have ,evi.~ the *a~ment and ~ ~, ~* of ~1~, the infor ma~n/con~ ~rein and in the .~ached K~u,~ is
true and ,omplete. ' ce~i~ under ,n.~ of .~ u~r the ,~of the S~. of ~orni. thet the for~n~t~d~¢,~.
~ offk~b~r ~ o~ta ~b ~lr¢~ ~ ~ ~ I1~ ~lJj ~ ~pel~ ~ta~o~. I ~ ~ ~11 r~.~bll ¢ili~.¢~ ~.~ ~ the ~ of ~j t.~l~ t~ tr~ r~r h~ m~ all
rl~.~blt ~ili~.~ i. ~rt~ring t~i~
C~mpaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whob dolbrL
Statement covers period
.om '~ -
SUMMARY PAGE
NAME OF OFFICEHOLDER OR C~NDIDATE AND CONTROLLED COMMI,I~E E
Contributions Received
1. Monetary Contributions ............................... ~/e A Une 3
2. Loans Received ......................................... schedu/e a, Une 7
3. SUBTOTALCASHCONTRIBUTIONS ...................... AddLInes! ,2
a. Non-monetary Contributions ......................... Schedu/e c, z/ne 3
5. SUBTOTAL CONTRIBUTIONS!(ExduduEnforcoable ~omlse$) AddUne$3 +4
6. Enforceable Promises
(£xdude Loan Guarantee$, Line fa below) ................... ScheoSule D, Line 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... ~dUnesS · 6
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ schedule £, Une S
9. Loans Made ............................................. Sd~edu/e H, U~ 7
10. SUBTOTAL CASH PAYMENTS ............................ AddUnes6, g S
11. Accrued Expenses (Unpaid Bills) ....................... schedu~eF, uneS
12. TOTAL EXPENDITURES MADE ......................... ~dL/nes 10 * If S
Current Cash Statement
13. Beginning Cash Balance .................. PmvlousSumrna~page, ~ f7 S
14. Cash Receipts ......................................ColumnA, UneSabove
15. MiKellaneous Increases to Cash ........................ ~chedu~el, t~e4
16. Cash Payments .................................... CotumnAUnelOabove
17. ENDING CASH BALANCE ..... Addtlne$13 , 14 * 15, thensub~ractUne 16 S
If this is a termlnatton gtatement, Ltne f 7 mu~t be zoro.
18. LOAN GUARANTEES RECEIVED .............. Schedule 6, Patti, Column (bJ S
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ See instructions on rever~ S
20. Outstanding Debts ................. addune2, Line ffinColumnCaboue $
Column A
s '~ ,q Xo
I.D. NUMBER
Column B* Column C
s - s
s -- s ~YZ
s ~ s c-y-L._
· From previous Statement Summary p~ge, Column C However, if
this is the first report filed for the calendar year, Column B should he
blank except for Laens Received (Line 2), Enforceable Promises (Line
6), Loans M~de (Line g), and Accrued Expenses (Line 11 ).
Summary for Ca.ndidates in Both June and
November Elecbons
1/1 through E~30 71! to Date
21. ~ontribqtions
Kecelvea S
22. x nditures
Schedule A (Continuation Sheet)
Monetary Contributions Received
TyI~ m print In ink.
Amounts may be rounded
to whole dolla rs,
SCHEDULE A (cont.)
DATE OCCUPATION AND EM PLOYE R AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
RECEIVED M COMMITTEE, IN ADOnJON TO COMM~TTEE'~ NAME AND ADDRESS, ENTER I.D. NUMBER (IF SELF-EMIq. OYED, ENTER RECEIVE D THIS CALENDAR YEAR OTH E R
O~, IF NO I.D. NUMBER HAS BEEN ASS*lC-NED, ENTER TREASURER'S NAME AND ADDRESS) NAME Of I~ESS) PER~)D (JAN. 1 - DEC. 31 ) (IF APPLICABLE)
/51 ~ °~°~' ~
SUBTOTAL
Statement covers period
through I ~-~ I""~1 '~ Page of
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Amounts may be rounded
to whole doller~.
Statement covers period
from *~
through
SCHEDULE A
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
FULL NAME AND ADDRESS OF CONTRIRUTOR
DATE (w COMMITTEE. k~ ADDII*IO~ TO COMMffl'EE'S ~,ME AND ADDRESS, ENTER I,D NUMBER
RECEIVE D De. i~ No LD. NUMBER NAS BEEN ASSIGNED, ENTER TREASLI~ER'S NAME AND ADDRESS)
OCCUPATION AND EMPLOYER
~lf ~ELF .EM Jq. OYIEDo ENTER
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
SUBTOTAL $
Monetary Contributions Summary
1. Amount received this period -- contributions of $100 or more.
(Include all Schedule A subtotals.) ....................................................................................................
2. Amount received this period -- contributions of less than $100.
(Do not itemize.) .......................................................................................................................
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........................................ TOTAL
Schedule A (Continuation Sheet) TyF4(XRdmlnlnk. SCHEDUL; A(cont)
........... · ..................... · AmMmts may be rounded Statement covers INrlod
Monetary Contributions Received tO whole dollar~, from ~
thro~h 22~ ~/~c~?
NAME OF,OFFICE HOLDER OR CANDIDATE AND CONTROLLE O COM ~I!TTEE , I.D. NISMBE R
FULL NAME AND ADDRESS OF~'~ONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
DATE Of COMMrrTEE, IN ADD~I~ON TO COMMITTEE'S NAM! ANO ADDRESS, ENTER I,O. NUMBE~ Of SELF.EMIq. OYED, ENTER RECEIVE O THiS CALE N DAR Y EAR OTHER
RECEIVE D oe. IF NO I.O, #UMBER H~$ ~EE# ASS~.~NED. EmEn ~ASUeER3 ~XM! A~O AOO~S$) ~ME M IrdM~S$) PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE)
,/
SUBTOTAL
Schedule E
oayments and Contributions
ther Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
Type or print In ink.
Amounts may I~ rounded
to whole dollars.
Statement covers period
Pe~ __
SCHEDULE E
NAME OF ',.~t'I'ict:HOLDE R OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
CODES FOR C~SSIFYING EX~NDITURES
~e~[~e~o[Iowing c~ accuratelyd~ri~the ex~iture, you mayenter the c~e and leave the 'D~ri~ion of Payment' co, mn blank. Refer tot~
oT~cneaule E-Continuation S~et for de~il~ explanations of each catego~. -- '
"C'- MONETARYANDIN-KIND(NON-MONETARY) 'r- BROADCASTADVERTISING 'G"- GENERALOPERATIONSANDOVERHEAD,
CONTRIBUTIONSTOOTHERCANDIDATES 'N'- NEWSPAPERANDPERIODICALADVERTISING 'T'- TRAVEL, ACCOMMODATIONSANDMEALS
AND COMMITTEES 'O'- OUTSIDE ADVERTISING (MUST BE DESCRIBED)
'1' - INDEPENDENTEXPENDITUR~S 'S'- SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOORSOLICITATIONS 'P'- PROFESSIONALMANAGEMENTANDCONSULTING
'L'- LITERATURE 'F'- FUNDRAISINGEVENTS SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION LMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
(IF COMMITTEE. I~ Aoomog TO COMMIITEE'$ I~AME AND AOD~E$$. ENTER I.D. NUMBER OR, ~ NO LO. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON UNE 4 OF TH E SUMMARY SECTION BELOW.
, CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
~m.~o~.d,.;/ Cu,,i, ; .~. .tio. ns and expenditures .m. ade out of campaign funds to or on behalf of other
omcenotoe~% canataares, committees, or ballot measures must also be entered on the Allocation Pa~e, Part I. SUBTOTAL
Payments and Contributions Made Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .......................... * .........................
2. Paymentsmadethisperiod 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