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Home My WebLink AboutSHEARER PREELEC98(2) fficeholder, candidate, Type or print in ink. and Controlled Committee Statement covers period e (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: Pre-election Statement Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.) ::] Special Odd-Year Campaign Report ' Semi-annual Statement = TerminationStetement(Atta~hecompletedForm415tothisstatement.) I ~)fficehoider Candidate, and Controlled Committee Included in tills Statement COMMI~EE NAME C~M~EE AD~S$ ~, AND $T~ET) STATE ZIP CODE (NO, AND $TEET) through i ~'2_7--/q ~ Oateofeledionifapplicable:9~ ~CT 23 P;:; ~: 09 {Month, Day, Year) C;,',',~ "~';"' ' ~" CLERK II COVER PAGE - LONG FORM For Official Use Only uther Committees ~iot Included in this Statement: Llst any other cornre/trees not included in this comolidated statement that are controlled by you and any cornre/trees of which you have know/edge that are primarf/y formed to receive contributions ot to make expenditures on behaff of your candidacy. COMMITTEE NAME I.D. NUMBER NAME Of TREASURER CONTROLLED COMMITTEE? ] YEs [] .o COMMITTEE ADDRESS (NO, AND STRELrll CITY STATE ZiP CODE AREA CODE/DAYIlME PHONE COMMITTEE NAME I I.D. NUMBER NAME Of TREASURER CONTROLLID COMMITTEE? COMMITTEE ADDRESS (NO. AND STRIiET) CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE Attach additional information on appropriately labeled continua tion shee U. iII Verification I have used all reasonable diligence in preparing this statement, I have reviewed the statement and to the best of my knowledge t in rmetio contai erein and in the attached schedules is D~,TE ~ ' CITY AND STATE ~ $16NATURE Of TREASU~' An officeholder Or undidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement end to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under pane ty of perjury .... - ' CITY AND STATE SIGNATURE Of CANDIDATE/OFFICEHOLDER Executed on At By DATE CITY AND STATE SIGNATUR[ Of CANDIDATE/OFFICEHOLDER Executed on At By DATE CITY AND STATE SIGNATUR[ OF CANDIDATE/OFFIC[HOtDE R EOR INFORMATION REQ(JIRED TO BE PROVID[D TO YOU PURSUANT TO THE INFORMATION PRACTtC[S ACT OF 1977. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS Of THE POLITICAL REFORM ACT {;+~ee i'll f'~llfrtrf~t~ F~Ir Pr~lltital Pr~dire, 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 $ 2. Loans Received ......................................... Schedule a, Une 7 3. SUBTOTAL CASH CONTRIBUTIONS ...................... ,AddUnes I 4. Non-monetary Contributions ......................... schedule c, une 3 5. SUBTOTAL CONTRIBUTIONSi(Exdude Enforceable Promires) AddUnes3 + 4 $ 6. Enforceable Promises (Exclude Loan Guarantees, Line 18 below) ................... Schedule 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 .............................................Schedule H, Une 7 10. SUBTOTAL CASH PAYMENTS ............................AddUnesa ~ 9 $ 11. Accrued Expenses (Unpaid Bills) ........................Schedule F, Une 5 12. TOTAL EXPENDITURES MADE .........................AddUnes fO · ~I $ Current Cash Statement 13. Beginning Cash Balance .................. Previous Summan/ Page, tjne 17$ 14. Cash Receipts ......................................Column A, Une 3 above 15. MiKellaneous lncreases to Cash ........................Sctedulel, Une4 16. CaSh Payments .................................... ColurnnA, Line 10above 17. ENDING CASH BALANCE ..... AddLines U · 14 ~ IS, then subtrKt Une ~6 $ If this IS a termination statement, Line 17 must be zero. 18. LOAN GUARANTEES RECEIVED .............. Schedule& Par., Column(b) $ Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ See instrucuons on revere 20. Outstanding Debts ................. AddLine 2 + Line 11inColumnCabove Type or print in ink. Amounts may be rounded to whole dollars. through r Page ~ of ~* I.D. NUMBER Column A Column B* Column C TOTAL THIS leENOD TOTAL PREVIOUS FERIOO TOTAL TO DATE (FROM AllACHED SCHEDULES) (SEE NOTE IF, LOW) (ADD COLUMNS a + B) 0,~'° ~.Oa.. ~;Gr,..) SUMMARY PAGE O. c3o From previous Statement Summary Page, Column C. However, if ENDING CASH IALANCE SHOtlID NOT IE A NEGATIVE AMOUNT C~'O ,C) C) this is the first reloort filed for the calendar year, Column B should be g'f~l I C,~ ,~,C~ blank except for Loam Received (Line 2), Enforceable Promises (Line · 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 1/1 through 6/30 7/1 to Date 21. ontrib tions ' liece,,e .... 22. ~apae;d!!.u.r.e.! S Summary for Candidates in Both June and November Elections Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR (If COMMITlEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRISS, ENTER I.D. NUMIER OR, IF NO I.D. NUMBER HAS liEN ASSIGNED, ENTER TRIASURER'$ NAME AND ADDRESS) Type or print in ink. Amounts may be rounded to whole dollars. OCCUPATION AND EMPLOYER (IF SELF-EMPtOYED. ENTER NAME OF BUSINESS) CL'~aG":- /V oc-,ce... (2_~ ~'lrtj SCHEDULE A from 7( ~- __ ::. z:. :4!,,i::,TM :{":~:i:~!i~'~, ~':"7 '::_ ,.,0... s 0. 5 ] .D. NUMBER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR OTHER PERIOD (JAN. 1 - DEC. 3 1 ) (IF APPLICABLE) t/L--o. 6 c~ SUBTOTAL $ ~'~'~}-GC,,~ 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 5 'o. G6 Od Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Type or print in ink. Amounts may be rounded to whole dollars, CODES FOR CLASSIFYING EXPENDITURES Statement covers period from through SCHEDULE E .... ~Page q of~' I.D. NUMBER If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' co|umn blank, Refer to the back of Schedule E-Continuation Sheet for detailed explanations o?~ach category. *C'- MONETARY AND IN-KIND (NON-MONETARY) * B' - CONTRIBUTIONS TO OTHER CANDIDATES 'N* - AND COMMITTEES 'O* - INDEPENDENT EXPENDITURES 'S" - LITERATURE 'F" - BROADCAST ADVERTISING 'G' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - OUTSIDE ADVERTISING SURVEYS. SIGNATURE GATHERING. DOOR-TO-DOOR SOLICITATIONS 'P° ' FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITTEE, IN ADDITION TO COMMITrEE'S NAME AND ADDRESS, ENTER I,D. NUMIER OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) 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 4 OF THE SUMMARY SECTION BELOW, CODE OR DESCRIPTION OF PAtMENT AMOUNT PAID Im rtant: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL onfi~'ce~hdders, candidates, comm,tees, or ballot measures must also be entered on the Allocation Page, art I. P 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 $100. (Do not itemize.) ....................................................................... 3- Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ..................................... 5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8) ........... TOTAL 1t2.06 9.8Z- 1"22.,,z.z- i to.ze 353-qo H6q,/6 Schedule E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE =C' - MONETARY AND IN-KIND (NON-MONETARY) =B" - CONTRIBUTIONS TO OTHER CANDIDATES =N" - AND COMMITTEES =O' - '1" - INDEPENDENT EXPENDITURES =S* - 'L"- LITERATURE j =F=_ NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITtrEE, IN ADDITION TO COMMITTEE'$ NAME AND ADDRESS, ENTER I,D, NUMBER OR,, IF NO I.D. NUMBER HAS IEEN ASS4GNED, ENTER TREASURER'S NAME AND ADDRESS) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (cont.) st.t.m. nt.o,....pe...,a... ::::i~:~ ~,: ~,? ~. ~::. f,om ~ / t / ~ ~ . ~: :': ':, ~ ~ '~'; through / (~ / "'Z-/'~/C'fL I PI~ 5 ~ ~ I.D. NUMBER CODES FOR CLASSIFYING EXPENDITURES BROADCAST ADVERTISING =G' - NEWSPAPER AND PERIODICAL ADVERTISING 'T° - OUTSIDE ADVERTISING SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS "P~ ' FUNDRAISING EVENTS CODE OR GENERAL OPERATIONS AND OVERHEAD TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES DESCRIPTION OF PAYMENT ~/ ~ / ~ ~ -r h / ~,~ .t~ , cV tz-/ '~ s AMOUNT PAID 7,,C. 6) j7,6~ /~c/.c~ /z./~ SUBTOTAL L