HomeMy WebLinkAboutBFLAG PREELEC98(2) ecipient Committee
Campaign Statement -- Long Form
(Government Code Set~ions 84200-84216.5)
Type or Fiat
SEE INSTRUCTIONS ON REVERSE
~ one of the follewin~ boxes to indicate the type of statement being filed:
I~L Pre-election Statement E] Semi-annual Statement
['1 Special Odd-year Campaign RepOrt
[] Supplemental Pre-electiOn Statement (Attach · completed Form 495 to this Statement.)
[] Termination Statement (Attach a completed FOrm 415 to this statement.)
Statement covers period
Date of election ffapplkabM:
(Month, Day, Year)
Date Stamp
9~ OCT 26 P?*~ 3:05
.COVER PAGE - LONG FORM
For Official Use Only
Committee Information
NAME OF COMMITTEE
ADIMIESS Of COMMrrrEE
NAME OF TREASURER
(NO. AND STREET)
STATE ZIP CODE rAREA CODE/DAYTIME FHONE
C,4. ~'~/z. ,~/,,a~ F4,'-, ~/~;-~
(Check Boxes) See definitions and important information on reverse.
Is this a sponsored committee? .................. [~ Yes I'1 No
Is this a broad based political committee? ......... [:~ Yes I'] No
II Primarily Formed Committee (See definition on reverse.)
List names of officeholder(s or candidate(s) for which
this committee is primarily ~)orrned.
NAME Of CANDIDATE(S) OR OfFICEHOLDeR(S) OfFICE
OI(XONi
E ~OU~HT OR HELD
I4.NqeORI'ORN3~;
Attach additional information on appropriately labeled continuation sheets.
II Verification
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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
DATE CITY AND{lATE
SlGNAT,49R~ TREASURER
Executed on At By
DATE CITY AND STATE
SIGNATURE O~ RESPO NSIItE O~;KIR Ot SPONSOR, IF RIQUIRED
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANJ2_AtJ~_I_,_CAM~pA_iGNptc, CLOSUR[ PROVISIONS OF THE POLITICAL REFORM
Recipient Committee
Allocation Page
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
Type ix Ixtnt ifi ink.
Amounts may be foefilled
to whole dolbrs.
Statement covers period
from
'./,
ALLOCATION PAGE
!.D. NUMBER
List contributions and independent expenditures thai total S fO0 or more made to support or oppose officeholders, candidates, ballot measures, or committee~
DATE NAME OF OFFICEHOLDER OR CANDIDATE AND OFFICE, OR NAME OF
MEASURE AND BALLOT NUMBER OR LETTER, OR NAME OF COMMtl'rEE CHECK ONE IND.
EXP.·
IF OTHER THAN OFFICEHOLDER, CANDIDATE, OR MEASURE COMMITTEE
x
AMOUNT THIS CUMULATIVE TO DATE
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
*See reverse regarding independent expenditures. SUBTOTAL i $ ~ ~¢
Allocation Summary Attach additional information on appropriately labeled continuation sheets.
1, Contributions and independent expenditures of $1 O0 or more made this period.
(Include all Allocation Page subtotals.) ...................................................................... $ -~Z~?2o- ~'~
2. Contributions and independent expenditures under $100 made this period. /~.,
(Do not itemize.) ......................................................................................... $ - u
3. Total contributions and independent expenditures made this period.
(Do not carry this to the Summary Page.) ............................................................ TOTAL $ ~ 5~D * ~ ~
Recipient Committee
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
Contributions Received
1. Monetary Contri buti on· ............................... Schedule ~, Une
2. Loans Received ......................................... Schedule e, Une
3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add Lines
4. Non-monetary Contributions ......................... Schedule CUne
5. SUBTOTAL CONTRIBUTIONS (exclude Enforceable Promiles) AddLines3
6. Enforceable Promises
(Exclude L o~n Guaranle$, Line t8 below) ................... Schedule D, Une
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddLinesS
Expenditures Made
8. Cash Payments (Other than Loans Made) ............Schedule E, Une S
9. Loans Made .............................................Schedule H, Une 7
10. SUBTOTAL CASH PAYMENTS ............................AddUnese · 9
11. Accrued Expenses (Unpaid Bills) ........................ScheduleF, UneS
12. TOTAL EXPENDITURES MADE .........................AddLines fO · ~;
Current Cash Statement
13. Beginning Cash Balance .................. PreviousSummar~Plge, Line 17
14. Cash Receipts ......................................ColumnA, Line3above
15. Miscellaneous lncreases to Cash ........................ScheduleI, Line4
16. Cash Payments ....................................cdumn A, Une ~0 ·bey·
17. ENDING CASH BALANCE ..... AddUnes U · r4 · 15, thensubtractLine 16
ff ~ is · termination ~tatement, Une ~ 7 mum be zero.
Typeor~rMtlaidi.
Amounts may be rounded
to whole dohrs.
18. LOAN GUARANTEES RECEIVED .............. Schedule B, P·rf I, Column (b)
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ................................See instructions on rever~e $
20. Outstanding Debts ................. AddLine 2 -,, Line ll lnColumnCabove
Column A
TOTAL THI~
(FROM ATTACHED SCHEDULES)
s
ENOING CASH IALANCE SHOUtD
~T BE A NEGATNE AMOUNT
s
Statement covers period
,,or.
through
Column B*
TOTAL RIEVIOU$
file NOTE BELOW)
SUMMARY PAGE
i.. .
I.D. NUMBER
Column C
TOTAL TO DATE
(ADO COtUMRS A, I)
/6.,2~,0.,~,-~
S ,!D/7~, 30
$ ./~/~, 3~
· From I)revious Statement Summary Page, Column C. However if !
this is the first report filed for the calendar year, Column B should 'b~
blank except for Loans Race:veal (Line 2), Enforceable Pro·e· (Line
6) Loans Made (Line 9) and ~ccrued Expense~ (Line 11 ) ' '
Summary for Non-Controlled Committees
Primarily Formed to Support or Oppose
Candidates in Both June and November
Elections
1/1 through 6/30
21 ontrib tions
22. gxap~nditures
· ....... s
711 to Date
Schedule E
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF COMMITTEE
Type or prim in ifik.
Amoums may be rounded Statement covers period
to whole dolbrs. /!c~
fEom
thr,h/°/'
CODES FOR CLASSIFYING EXPENDITURES
SCHEDULE E
Page L/ of
i.D, NUMBER
If one of the following codes accurately describes the expenditure, may enter the code and leave the "Description of Payment' column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations oetYe~h category.
°C"-
MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER (',.&NDIDATES
AND COMMITTEES
INDEPENDENT EXPENDITURES
LITERATURE
*B'- BROADCASTADVERTISING °G°'
'N"-- NEWSPAPER AND PERIODICAL ADVERTISING 'T'-
"O" - OUTSIDE ADVERTISING
'S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO*IX)OR SOLICITATIONS
'F' - FUNDRAISING EVENTS
NAME AND ADDRESS OF PAYEE, CREDITOR. OR RECIPIENT OF CONTRIBUTION
(If COMMITTEL IN ADDITION TO CO MMITTEE'S NAME AND ADC341ES$, ENTER I.D. NUMBER 43~ lit NO t.D.
NUMIER HAS I~EN ASSIBNED, ENTER TREAS4MER'S NAME AND ADDRESS)
GENERAL OPERATIONS AND OVERHEAD
TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
IMPO4iTANT: (X:) NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY .ECTION BELOW.
CODE OR DESCRIPTION OF PAYMENT
C.-
SUBTOTAL
Important: Contributions and expenditures made out of campei n funds to or on behalf of of~ceho/ders,
candidates, committees, or ballot measures must also be enter~aJ~n the Allocation Page.
AMOUNT PAID
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 $1 00. (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
,3 ,oo