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Home My WebLink AboutBFLAG 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