HomeMy Public PortalAboutForm 490 (Jan 1 - Jan 16, 1999)Officti~holder, Candidate, Type orptlntlnlnk.
and ~ "~a~trolled Committee
Cam ~`gri Statement -Lon Form
9
(Government Code Sections 64200-84216 5)
SEE INSTRUCTIONS ON REVERSE
CMck rsa of tM IolbwlrTg poxes to Indluta tM type o/ statement balr-g fllad:
~Vre-election Statamant
Supplemental rre•Itdion Statamant (Attach • completed Form 495 to this statement.)
Spacial Odd•Year Campaign Report
Semiannual Statamant
Termination Statement (Attach • completed Form 11 S to this statement.)
(c q er an i ate, an on roe ommittee
Inclu~ed in this Statement
NAME Oi OifKEHOlDEi1 Oft cANODATE
Statement covert pelbd
from ~
through ~ ~~
Date of eledbn ap cabl
(Month, Day. Year)
Date Stamp,
RECEIVED
JAN 1 9 1999
ER PAGE -LONG FORM
rage ~ of
CITY CLERK
CITY OF CLAREMOIMIr
Other Committees Not Included in this Statement: ern any other
committees rat lnc/uded b thb consopdated statement that art controlled by you and any
committees o/svhkh you haw knowledge that art primarfljr /ormed to receive contrltNrtloro
a to make expendltwet on 6eMMof yow carsdidaq.
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COMMITTEENAME I.D.Nwua t7r11 tTAtt 2r coot ANEA COOI1DArTIMt M10Nt
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NAME Of REAS ER /~_ coYYrnu Aoasltss
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en ice ion.
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 ctrtily under penairy of perjury under the laws of the S to of California that the foregoing a and rrect. '
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A ! CRr AMD STAr! SIf.NATUtIt or fAl AtUllt ll
An offktholdar or ursdldate who controls • committee mutt also verNy the campal9n statement. 1 have used all sonable dil' a Dent of my knowledge the treasurer has used all
reaSOnabl~ diligence In preparing this Statamant. I have reviewed the statement and to the best of my knowledge a into ati co erein and in the attached schedules is true and
complete, 1 certify under penalty of perjury and a laws of the Sta li is t t ti~a foregoing it true and orr
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Executed on
DAT! CRY AND ST/RI SIGNATUA[ 01 CA NOIOATE~OtIKINDlDtl1
Executed on Ac ~ 6y
OAit CRY Alta SIATI tK:NA1UAt Or GANDKIAIt/OtrKINOIptA
Executed on At 6y
OAi! CRY ANDfTAT[ SIGNAIUII! 01 CANOIOATt~01rK/NO1D111
x011 xW011YArgN atOUx1t010 tt rxOvotD TO rOU-UatUANr TO 1N1 ar1011YAT1011 MAR1Ctt At:l d le1r, ttt pNO11AlA1KiN MANUAI C-N CAMtANiN OISCIOS Ux! -IIOV1110Nt Oi TM -OIITKAE IIJ1O~ S]
State o/Call/ornla call PDlltlral Prattlra/ Commission
e<<.s.~l..le A tvoeororlntlnlnk. SCHEDULER
'~"'c"~~c r' Amounts ma Mroundod
Monetary Contributions Received to wholeaoll.rs.
Tt.t.m.ntt°vertperlod
Irom
through ~ 6 -aoe ~_ of .~_
TEE INSTRUCTIONS ON REVERSE
NAME Of OFFKEHOIOER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
T e~i/eal
PATE FUII NAME AND ADDRESS OF CONTRIBUTOR
(N eoarrmte.w~oarrnrrroeo+nrrntt~sw-MtArroAOOwess.trrtta~.o.rwM~c• OCCUPATION AND EMPLOYER
prstu.tynorto.e~nts AMOUNT
RECEIVEDTHK CUMULATIVE TO DATE
LENDARYEAR
~ CUMULATIVE TO DATE
OTHER
.RECEIVED OIL/MOI.O.MIJM/t~/Mf~tlMA~slr.NlD.IMtII1T11tAflAr~'fIMYIAMDA0011tSS) rurr~[aruswtssl PERIOD AN.1•pEC.~tI
1 (IFAPPLICABIE)
a9 9~ Qo6 Sq~{vttZ- Gleam/!'°t 7/63
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Monetary Contributions Summary
1. Amount received this period - contributions of t 100 or more. OO o 0
~Irtclude all Schedule A subtotals.) ..:............................................................................... ................ s
2. Amount received this period - contributions of less than S 100. ~! ° t7
(Do not itemi:e.) .................................................................................................. ................... S ~.
3. Total monetary contributions received this period. /,, ° e
(Add Lines 1 and 2. Enter here and on the Summary Paye, Column A, Line 1.) ........ ............................. ... TOTAL s /~ ~ Y ~
$ChedU~e E Type orprlntlnlnt. SCHEDULE E
Amuuntt matt' be rounded Statement covert period
Paym~nts~and Contributions towhol.dollara.
(Other Than Loans) Made from !
SEE INSTRUCTIONS ON REVERSE through / Pape ~ of
NAME Of OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
,f3o ~ ~S A~ ve R Z SSA ~,/e ~. Fo 2 l i0U n/ ~ /,L ~~.,,~ ~D ~ ~ ~ N
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-Continuation Sheet for detailed explanations of each category.
'C' - MONETARY AND IN-KIND (NON-MONETARY) •B• - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
CONTRIBUTIONS TO OTHER CANDIDATES •N• - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS
ANDCOMMITTEES ~ •O' - OUTSIDE ADVERTISING (MUST BE DESCRIBED)
'1• - INDEPENDENT EXPENDITURES •S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS •P' - PROFESSIONAL MANAGEMENT AND CONSULTING
•L' - LITERATURE •F• - FUNDRAISING EVENTS
SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION
pr corwmte, m •oorrww To coMwmer>< uuawe uwo ~ooaaest;, ta[rea ~.o. rauawatta ox, w ao i.o. IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E .
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE ~ OF TH E SUMMARY SECTION BELOW.
nweaa IIAS M!M I1ffrGM[D, IMrID 11~AfU11lD71Y1Mt •rID AD011t1t)
CODE OR DESCRIPTK)N OF PAYMENT
AMOUNT PAID
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-mportant: Contributions and exPenuitures made out of campaign funds to or on behal/of other SUBTOTAL S ~ '~
officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part 1. ~G~ ~' `~'~. "
Payments and Contributions Made Summary ~ ~
1. Payments made this period off 100 or more. (Include all Schedule E subtotals.) ............................:......................... S
2. Payments made this period of under S 100. (Do not itemi:e.) ....................................................................... s / ~ 15.33
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 11, Column (d).) .............................. s
4. Total accrued expenses paid this period. (Do not itemise. Enter amount from Schedule F, Line 4.) ..................................... s
S. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ....... 7~
TOTAL S
Cam~aigr* Disclosure Statement Type orplntlnink. SUMMARY PAGE
Summary Page Amount: mar be rounded
to whole dollars. Satamentcoversperlod
from ~ ~
C. ~
throu
of
h ~ ~ ~ I / P
SEE INSTRUCTIONS ON REVERSE g
age
NA EOF FFICEHOIDERORCANDIDATEANDCONTROLLEDCOMMITTEE I.D.NUMBER
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Contributions Received lump Column B' Column C
iotAl TIeS rlIYOD iOTAI r11ENOUf rE11100 TOTAL TO DATE
01lOM AT1ACItED f0)rEDUI[S) (SEE NOTE aEIOYV) ~AOD COLUMNS A • a)
1. Monetary Contributions ...............................
SclredYrk ~, care 3 o °
s ~ ~ ~ •
s s
2. Loans Received .....................................:... scMdWle s, une 7 ~
~.;UBTOTAL CASH CONTRIBUTIONS ...................... Addunes f . 2 S ~ . / ~o ~• ~~ t s
4. Non-monetary Contributions ......................... sclstdluk c, une 3 ~
S. SUBTOTAL CONTRIBUTIONS IExcludr EnfbrcvaL+N ftiornL»s) AaAdunes9 + t s ~. ~ ~ ~. ~~ f ~ s
6. Enforceable Promises
(Exc/Yrds Loan Gwrarrteet Line Id 6llow) ................... SchedYTM D, Une 7
7. TOTAL CONTRIBUTIONS RECEIVED .....................
Ack/tlrEass + 6 _
= ~• ~~ ~•
S i
Expenditures Made UU ~-7 7 ~
ft. Cash Payments (Other than loans Made) ............ scheduN E une s t 7 ~T" / • s s
9. loans Made ............................................. ScMdr,N H une 7
~
10. SUBTOTAL CASH PAYMENTS ................... . ........ ,addurre,e + 9 s 7 ~ ~ • s s
11. Accrued Expenses (Unpaid Bills) ........................ . sdreduN F, une s
12. TOTAL EXPENDITURES MADE .........................
- --
Addunes 10 . t t ~-7r
s 7 ~ / 7
i f
•
gent Cash Statement
1 . Beginnirlg Cash Balance .................. vr+eviou,sun+rna-yvage, une 17 s • From prevk4us Statement Summary Page, Column l:. However, i1
14. Cash Receipts .. ColrnnnA, Une 3 abore
"""~""""""""""' ~"""' this Is the first report fllod for the caksndar rear, Column B should be
blank erupt for Loam Recelvad tllne 2), Enforceable Promises (Line
15. Miscellaneous Increases to Cash .. scnedLle r, une t 6), Loans Made (Lino 9), and Aaruad Expenses (Llne 11).
16. Cash Payments .................................... cdunrnA, Une ro.lTOre
17. ENDING CASH BALANCE ..... Adklllrsq -3 . ft + 1S, rMn subbed Une f6 s
M tMs u • fennlnadon sfa cement, Llne 17 nsurt fk rero. E NaNC usN aAUNa sNOUEo
MOi aE A MlGATIVE AMOUM
19. LOAN GUARANTEES RECEIVED .............. Schedlule s, vart 1, column (b) s
Cash ifqulvaients and ®utstandlnp ®ebts
19. Cash Equivalents ... ...... ............ see rrrtbuctloro on revena s
Summary for Candidates in Both June and
November Elections
1/1 through 6130 711 to Date
21. ~ontEibt~tions
ecelve s
22. ~x~4nditures s
20. Outstanding Debts ................. AddIIM? + tMre ItlnColumnCatww s