HomeMy WebLinkAboutROWLES AMEND97(2) ),mendment to
:'ampaign Disclosure Statement
Type ot print in ink
form must be used to amend statements filed pursuant to Government Code Sections 84200-84216.5, end must be filed with &Il
he Iflfc~mat~ofl required in Part I muff (o~sespoflcl to the Infmmltlofl provtded ~ t~ (impllgn statement ~lng ame~ ~, % r~ ~ ; i
Name of Filer (~eelm~antlnf~matl~reve~e.) II Amendment Info
NAME OF FILER
MAILIhLG ADDRE S~/O F FILER
f hc)
(NO. AND STREET)
STATE ZIP CODE
O,R q 3oq
AREA CODE/OAYTIME PHONE NUMBER
NAM[ OF.T~I[ ASUR[ i IIrR[ CEll[ NT (OMMITT[[
PERMANENT ADDRESS OF TREASURER: (1~ APP~B[E) (NO. AND STREET)
, STATE
AREA CODE/DAYTIME PHONE NUMBER
Z~I P CODE
OI
AMENDMENT
Date Stamp ~
FILE COPY
sCANNED
latlon
A. The following informatiopn~FA.ends campaign disclosure
statement, Form No. ~f~L,) ,
B. The amended information affects Items on the:
[] Cover Page [] ARocltlOfl Page I'~ Summel~ Page
[] Schedule(I) ~ [] Pert(I)
C. Descr be the changes below. Include in detail all information you wish to
become a part of your official campaign statement. Please attach a cover
page. summary page end/or appropriate schedule(B) to this Form 405 if
necessary for clarification. Include additional information on appropri-
ately labeled continuation sheets. (Number of sheets attached )
Verification f~e Imoo~ans fnformatlmlonrever~J
Ext(uttd on At By
State (~r California Fair Political Prlctkel Commission
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COM~M/TTE E
Contribution,'Received
1. Monetary Contribudons ............................... Schedule A, Line
2. Loans Received ......................................... Schedule a, Line
3. SUBTOTALCASH CONTRIBUTIONS ...................... AddLInes ! ,
4. Non-monetary ContrJbutlons ......................... Schedule C, Line
S. SUBTOTAL CONTRIBUTlONSi(Exdude Enfor~eable eromises) AddUnes$ +4
6. Enforceable Promises
exclude Loan Guarantees, Une 18 below) ................... Schedule D, Une
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddLInesS,
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ Scheo'ule E, Une S
9. Loans Made ......................... ....................Sd,edule ,, Une
10. SUBTOTAL CASH PAYMENTS ............................ AddLInes8 ~ 9
1 1. Accrued Expenses (Unpaid Bills) ........................ Schedule F, Une
12. TOTAL EXPENDITURES MAD~ ......................... AddUnestO, t;
Current Cash Statement
13. Beginning Cash Balance .................. PrevlousSurnmaryPage, tine ;7
14. Cash Receipts ...................................... ColumnA, LlneJmbove
15. Mis<ellaneous Increases to Cash ........................~hedulef, tlne,I
16. Cash Payments .................................... ColumnA, Llne1Oabove
17. ENDING CASH BALANCE ..... AddLInes t3 + 14 ~ IS, then sub;racfUne 16
If this b a tenn/na lion sta lament, L/ne 17 mull be zero.
18. LOAN GUARANTEES RECEIVED .............. ScheduleB, eertL Column(bi S
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................ Seelnstructlonso~reverse
20. Outstanding Debts ................. AddLIne 2 * Line ft lnColumnCabove
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement ¢ove~s period
Column A
s
SUMMARY PAGE
I.D. NUMBER
Column B* Column C
2q.L q
qqsq. Iq
O0
I r TR.%5
$ $
$ $
· From previous Statement Summary Page, Column C. However, if
this is the first reDort filed for t~ calendar year, Column B should be J
blank except for Lo, frs Received (Line 2), Enforceable Promises (Line
6. Loans Made (L ne g, and Accrued Expenses (L ne 11 ).
Summary for Candidates in Both June and
November Elections
111 th,rough 6t30 711 to Date
21. ~ontribqtion$
Kecelvea .... S
22. [.xpgnditure$
nnaoe ....... S
qqsq.lq
Schedule E
Payments and Contributions
(Other ThanLoans) Made
SEE INSTRUCTIONS ON REVERSE
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
flom IOlg lq(
th,ough 191~ ICl(~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CODES FOR CLASSIFYING EXPENDITURES
SCHEDULE E
Page of__
I.D. NUMBER
q%o 50
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.
'C'- MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
°1° - INDEPENDENTEXPENDITURES ,
°L' - LITERATURE
'g'- BROADCAST ADVERTISING
'N'- NEWSPAPERANDPERIODICALADVERTISING
°O' - OUTSIDE ADVERTISING
'S°- SURVEYS. SIGNATURE GATH E RING, DOOR-TO-DOOR SOLICITATIONS
'F' - FUNDRAI$1NGEVENTS
'G'- GE NE RAL OPERATIONS AND OVERHEAD
'T'- TRAVEL ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
'P'- PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITl[MIZE THE PAYMENT OF ACCRUE D EXPE NSE5 ON SCHEDULE E.
I~r co~urnr r, ne AOOn~Oa TO coMtarnrE'$ ~AMI AND ~OOR{$~. E~.O. ~UMeI~ OR. ~ ~O~O. RE PORT ONLY TH E LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW.
CODE OR DESCRIPTION OF PA~'MENT AMOUNT PAID
Im,~ortant: Contributions and exp_enditures made out of campaign funds to or on behalf of other
officeholder~, candida res, committees, or ballot measures must also be entered On the Allocation. Page, Part L.. 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 Cd).) .............................. $ ,~
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... $ ~
5. Total payments made thls period. (Add Lines l, 2,3, and4. EnterhereandontheSummaryPage, ColumnA, LineS.) ........... TOTAL $ '~"]'(-~'~