HomeMy WebLinkAboutHANSON SEMIANN12(2)Cawp"D
(Gwoorn laId Coda Stark 84200 - 84218.5)
SEE INSTRUCTIONS ON REVERM
lype or Print in ink.
SOMMawnt covers period Dab of elseMe 9 appftwble:
tnoai � 11�o�n�L a► `ko VV (VAr*k Doi►. Ye"
Novi
i . Of itCipi- I CofiMitN1N: AN Cee iolli e — C.a.M. Parr 1.2.3, 0 L
OM=hddar. Candklale ConboNrd COMMI Ne ❑ Perry Fon. sarot Manure
8NN Canddah 9sallon ComnMNe Comwale
wRor,
O
(� 0ai*MlbArld) son no
❑ COMRNBe ~cwWMFwQ
Q SMW Conbbulor CWM N n ❑ omcdmldar Corr mmbe
Q i'o~calPalglR.ar* conallrse (AAWCWwpftbArrA
3. Cot miff" kdwmdloo
u
I.O.
OPTIONAL: FAX / E-MAIL ADDRESS
Oar sump
pMe of --
For 0111c, l Un Ony
13 JAN 14 FM 12 :106
Z. Type of shmmmst
❑ PrGd§CrOri VAN rrlsrlt p t uaftry Suden" t
X,,-, emlanreld slsNnls❑ Odd -lAe.r Report bm* Mon SI@M erl!
(Also Ire a Form 410 Termtr"m) SIMM.M. - -qllach orm 4F 95
❑ Anlslydment Mobin bel "
GIs)
NAME OF TREASURER
10c aL NAaso.►
MAIUNO Sa
� %
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4L YIlrNcadQO
II tig used ar raasarlable Mg c e in p u p InY wW* w - iewirq this sialsrllsrlt and to the beet of my leroabdpe the infonnaron cor jai nad herein and in YIe ill Pl a admitiles is true end complete. I="
pml W ft Of perjury under the bM ofthe tOde of CoMbmin that the forspoklg b kW and oo ,
Execulbd on to - I,$ I
Dow
E.xeculed an). - o - 'to 13
Exacurd an
By
By
Etaxadbd an By
I'!•FC Fens ... (in aewyRq
FFFC T004'ree Ho*lb .. aaMA>1 A" C ANRM4"2)
Slob of CdNbrab
Campaign r »Hit
Cover Psi — Part 2
S. OMcdwMw or Candid 1. ConhoNed Co nmiebe
RAMS OF OFFICEHOLDER OR CJWODATE
qMo", leas a.1
DIME SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
UA of m"% tv(-, 64A*,'.' \� And S
Reid CommdlbeqS Not NICNtfled in thk $bbBnta It ust my eanwMloes
DWI-p DWI-pl dII IA !� Bf Nlt Mt NB OOIIrO�d )OY a sn! p/�8//j► fanned b iwdye
cowrbellma or and o wee on 6~ of veer ee11d)iey.
I.D. NUMBER
►1 -ksI %o
NAME OF TREASUREW CONTROLLED SEE,
❑ YES ❑ NO
3 REE I ADDRESS (NO P.O. BODE)
CITY sun LP CODE AREA CODEIPHONE
NAME OF TREASURER
(NO P.O.
I.D. NUMBER
CITY SIME ZIP CODE AREA CODEIPHONE
S. Prbvmuiyr Forrfl.d 8alW NN.san Commitbe
NAME OF BALLOT MEASURE
04
BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT
❑ OPPOSE
Ids Ub the eonbnM g oMfoeA old e ►. pnBd I w s18M wmmuh proponent, If Wry.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
DISTRICT NO. IF ANY
7. Pi li.m y, FornMd Conllniibe ust nsWes or
owcobokww or canadmw far WOO go oalwsdtbw is prune ly► fwmod
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEIlIOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
All PI eaNlliNUlien sI N neeeseary
FPPC Fore dN $JmwwyMR
FPPC Toll-Fm Hoolm: 99& Ai1G *M PNRY54W 2)
ebb dComfo1eY
� ro staisrr�srrt
SEE INSTRUCTIONS ON REVERSE
OF FILER
Q.a.le.iuyEM -b,& 0.
A Lkw 3
2. Loans Received ....................... ............................... Sdwamtr A Lbw 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lbws t + 2
4. Nmmonowy Corltri jM= ..... ............................... stl,@" a Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .......................... AW Lbws 3 + 4
Ex. - -dk i tm Made
6. Paylr Mn*b ............. ............................... ........
7. Low* Made.. .` . ........ ...............................
SaMddr E Lkw
Sdodkdo M. Lkw 3
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lbws s + 7
9. A=Ued EVWMes (Unperd BMs) ............................... SdWmk r F Lbw 3
10. Nomwxwt wy Ad ntment ........... ...............................
Sdradrb a Lkw s
11. TOTAL EXPENDITURES Ltoj)E . ...............................
AddLbws 0+9+10
Type or prke in brlr.
Amounts may be rounded
to whole doaars.
Cdku A
FROW aresrwaCHEDU Eer
$ Z-
:
Statement Covers period
from
POP -2) of y
cataMr B
CKENWYEAR
TagLTaaQE
$ ' Qo Z.
$ '�► 9a7-
$ IT-t- $ a�%V-
$ ► lea. - $
CUrnnt Cash atatsnmd,
12. Begilxdrg Cash BalWM ....................... P►euousswourypon Lbw 1s $ � l SIN-
13. Cash Receipts .................... ............................... Carerw A. Lbw 3.bor. a7 -
14. .......... Sdwdri 4 Lbw 4
MMtosNaneous IncxeaNS to Cash ................. , t [
• 15.1.,. p
Cash P8nw s .................. ............................... CaMa"ALbw s atwe
16-
ENDWQCA8f .......... AddLkw 12 +13 +14, own =6&g fLive 1a $
M 9* Is a I croft- alelem alt Lire le MMM be fro.
17. LOAN GUARANTEES RECEIVED ........................... sdw.mn. A Are 2 S l
Cash Equivalents and Outstanding Debts
18. Ceelr Equhraiw . ........................................ sw iu+Yueaorw on ,sera. i
19. OUWWX*Q D. ......................... Add Lkw 2 + Lbw s in Catwn a avow S
I.D. NUMBER
Iaas�gp
Cdwldw Year Summary For Candidabs
ltum*eg In Both " Gefw el �CNons $ f► end
1H thr" 6w 7H to Dale
20. Conk bus"
Reesirrsd t $
21. Expenditures
Mob $ $
Expandrtufe UJmlt Summary For State
Cafldit�l�s
22- CuewIslive Expenditures Made
tesrWWftV4rwfhry2WMl0hM UWd4
Debt of Go din
(mnVddlyy)
I ____J s
Total to Date
- -J-- -� s
To CdCul ds COMM S. add
MrrormMs in COMarn A to Ste
r m rn Cam. aB�yor ft 'Mau ft in 1Hs section msy be diQdent ham m imu�
.@port Sane amorsile ink in CaMaTrn B.
spew thatsW ahOW be
Ufteded hom previous
Po*w 0"W". If this is
the " raw wft a"
for this alsrlder Veer. any►
any aver the anlor m
hom lines 2.7. and 9 (M
any).
"M Form 4" fiemu Iffin
FPPC To"wee 1Nlpsrre: ll&%SK FPM (sstfl7sa77t)
scan A
Norwh" Condibutloms Received
Type or prM In ink 9CIULE A
Anwer-is may be rounded s�e�rrerK covers period
to rgroie delvers.
from � �►.e �>EA '� 1 � o►'y
SEE INSTRUCTIONS ON REVERSE th"h iE ! 0110 31. 'i o ljr pow Or of 5
HAMS OF FUR I.D. NUMBER
I '\k S
DATE
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONCTO OR
IF AN INDIVIDUAL. ENTER
AMOUNT
I
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
pFO01MRff ALJOBRERLO M Jq
OCCUPATION AND EMPLOYER
RECEIVED TW
CALENDAR YEAR
TODATE
AF ®nH "Nff
PERIOD
(JAN. 1- DEC. 31)
(IF REQUIRED)
l' �! Km ►E1� C1�JS 1cn.l
ow
sgw a� � 1►.► 4 v Fa[
act. i't,?�o ►T►
0�
ow
ocom
oarm
o"y
oscc
ocom
00TH
om
❑Scc
om
❑COtrl
oarm
opw
o8cc
ow
❑court
❑arH
opw
❑Scc
SUBTOTAL:
Schedule A 8ummwy
1. Amount neW%vd #ft period —I!m ked monetary contributions. -
(InClImSe aM SCIIe" A aMotals.) ......................................................................... ............................... i
2. Amount maeilled this Period — llnilwnkwd monstery cmilrbutons ark" than $100 ............................. s
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter hero and an the Su mnwy Pqp, Column A. Line 1.) ....................... TOTAL $
(olher Unn PTY or SCC)
OTT1— 00m (e.g., business mft)
PTY — PoWcal Pert'►
SCC — 8nwd Cor*RKdor C xnmMw
FPPC Fon 4W Vmmw ► q
FPPC Tic -Free 11elpNrle: NWAWAWPC (MaV&37M
SChodide E
Type or WW in init.
AMOUNT PAID
statsrnent covers period
PMYMW*BNmb
Amounts
may be rounded
to whole doNnrs.
from � 15 k, 'fit a 1'4
SEE MiNTRUCTtolrs
l0tk 31, ° �1
ON REVERSE
-
throueh4M4
PaNe _� of
NAME OF FM ER
� A o� A 4�4 �.1�
�or�e�� 611 -MiL
YJ:
I.D. NUMBER
r 2►a�'C� o
I'E�.
Sass
CODES: K one of the folowMrq codes accurately d cfibes the p yn d, You may enter the code. comm
Ate, te, dseenbe the payment.
C P cwnpm ss F opm ww im
CNS
�
Paymrsmla that ors eartrbudgue or I depsndemt rspendlbmss meet atso be somrm ortaad on ftltsdid D. SUB I()M S
SC1»duk E Stir mUq
1. Itemized payrnsnts made this period. (Include el Schedule E subtotals.) .... ...............................
2. Unbwnbmd pay..m shade this period of under $100 ...............................................................
3. Total intefeNt paid this period on loans. (Enter an mffl from Schedule B, Part 1, Column (e).) ..... ...............................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter hero and an the Summary Page, Column A, Line 6.)
$ g'a.
.. $ 110 fo_
.............................. $
.1
...................... TOTAL $ it i 'a, -
FPPC Foray NN pa mmymm
FPPC TO&Frse llalplNre: NWASK4WPC AMW2n6VM