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Form 490 (Feb 14 - June 30, 1999)
~.+fficc~holder, Candidate, Type orprlntlnlnk and Controlled Committee Campaign Statement -Long Form (Government Code Sections 84200-84216 S) SEE IpSTRUCTIONS ON REVERSE Check orse of tM lolkavlring boxes to Indlute tM type of statement Ming filed: Pre-election Statement Supplemental Pre•lettion Statement (Attach • completed Form 495 to this statement.) R Special Odd-Year Campaign Report Semiannual Statement Termination Statement (Attach a completed Form 41 S to this statement.) fc er an f ate, an on roe ommftte clu~e~ in titii;Statement Or11CE /rt Oa MEID tasauos LOGTION AIO OISTa1cT IIUYata / AIrIKAat[I ~ ~ ~..~Cr- n ~ ~ r G~ rY c°Q Usr c ~ ~ saxNruu oa ausalESS Aooatss tNO. ANO sTetm t7TY fTATE !V cODE Al1tA CODE/DAtTDr1E II/ONE COVER PAGE -LONG FORM from Statement covers p1erkod Date Stamp -1 ~- ~ (7 t RECEIVEp Page ~ of AU G 0 1.1999 For of f ici.l us! only through F~ ~ Date of election M appllcabN: {Month, Day, Year) _3 - ~- ~`~ CITY OF CLAREMONT u><ner ~ommftcees Not inauaea fn this statement: llst.ny Dther committees not included In chit coroolldated statement that are controlled by you •nd any comminees of which you have knowledge that are primarily loaned to receive cont-Ibutlons a to make expenditures on behaN of your cardldacy. COMMRTEL NAME I 1 D. MUMaEA NAME Or i11EASUaEx cONTAOII[O COMMITT[ [ 1 ^ res ^ NO COMMRTI[ ADDIIESS (NO. AND STllEtl) CR1f t1ATt II-COOE Al1tA IQOUDAYIIMT -HON! -- ~~L.~F /`1 Dar7'~ C"~'~ l( l~~ ~~~L ~~ ~Y6/~ ^ its ^ No NAME OF TREASURER coMSirTTtt Aooatss (110. AND fTll[tTt naMAl1ENTA00r1ESSaTl1[Awate (NO.ANDftattT) cTTV ~ STATI tnCOOt AREACOOt/DAVTIMt~l10N! c/Tt fTATE iN COO[ Al1EA CODUDAtTMA! M/0NE _G 1:-~'F/Y,D,I~?' cam. ~i zi/ ~~~ 6~-~ yTl~; Attach adaltlonalln/ormatlon on appropriately IabekdcontlnuaNon sheets. erf ice on t have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best o1 my knowledg the In1or on contained herein 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 d. Ex«uted on.J ~.~D -- 99' ~ At ~'~~'~!= /'ID~t/'7', ~r,~ ey OAIE CI111 AND lIAT SN:NATUAt O/ TATASUAIA An offlcehoWer txr undldate who controls a committee must also v~rlfy the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used sll 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 penalq of perjury under the laws of the State o(California that the foregoing is true and correct. Executed on At By oATe crrr AND STATE Executed on oAn At cnT ANO sTArt By SIGNA1U11[ OI CANDIDAttiOlllclN010t11 SIGNAIUAT OI cANDIDAlEl0111ClHOlOTA Executed on At By ___ _ DAT! CRY ANDfTAI! SIGNS1UAl 01 cAND10A1T~O111c1110101A loll M1IOIIMATNxM esOUelEO TO e[ OIIOVIDED i0 tOU ~1r11sUANT TO IHt a1/OaMAiION MAC71Cls AC7 01 HrT, fit IN1011MA110N MAMUAI DN CAMfAI 01 ciQ~111 i110VISIONI OI IIII iQ11Ilc~ 11110111., !S1 Slal• of Calllnrnla Fall ~ollllral P~ar11te1 fnmmlr~' pIV STATE tl-COOI Al1EA000GDAIlTallt-HONt Allocation Page - Part I Type orprlntlnlnk. ALLOCATION-PART I Amounts may be rounded Statement covers period Contributions and Independent Expenditures to whole dollars. ,, , f~ Made from Campaign Funds from ~= SEE INSTRUCTIONS ON REVERSE through ~ !-~ ~ Page ~ of NAME OF OFFICEHOLDER OR CANDIDATE ANO CONTROLLED COMMITTEE I.D. NUMBER ~I ~. ~~/'~,~'~` I3 Lt ~/GIc , ~iE'/~/I11~ S ~!~ lf'l ~:J~~/,~-,CYO ~'NJ~~G~K ~~(~~~~j list each contribution and independent expenditure o/ f 100 or more made /rom campaign funds to other committees or to support or oppose other candidates or ballot measures. DATE NAME Of OFFICEHOIDER, CANDIDATE, COMMITTEE, OR MEASURE CHECK ONE Support O INO; EXP AMOUNT CUMULATIVE TO DATE 1~ANNDDEC.31) CUMULATIVE TO DATE (IF APPLICABLE) r .• 'See reverse regarding independent expenditures. SU9TOTAL s ........_.,... _. __._....____.. Attschadditionali nlormationona nnronriatelvlabeled continuar~nnttiPpl~ ~~_v...r•..v.. • r~r.. ^ w.~na~n ^ 1. Contributions and independent expenditures of S 100 or more made this period from campaign funds. (Include all Allocation Page - Part I subtotals.) .................................................................:........... . .. i 2. Contributions and independent expenditures under S 100 made this period from campaign funds. (Do not itemise.) S -~- 3. Total contributions and independent expenditures made this period from campaign funds. (Do not carry this total to the Summary Page.) .......................................:................................ ............ TOTAL S Allocation Page -Part II _, Contributions and Independent Expenditures Made From Personal Funds SEE INSTRUCTIONS ON REVERSE NAME Of OFFICEHOLDER OR CANDIDATE Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers perla from ~ < ~~ ~ through ALLOCATION -PART II Pape ~ of ~ List each contribution and independent expenditure of f 100 or more made /rom the officeholder or candidate's personal /ands to support or oppose other officeho/ders, candidates and committees. DATE NAME OF OFFICEHOLDER, CANDIDATE, COMMITTEE, OR MEASURE CHECK ONE Support O a IND. Exp• AMOUNT CUMULATIVE TO DATE CALENDAR YEAR IAN. 1 - DEC. 31 CUMULATIVE TO DAZE OTHER If APPLICABLE 'See reverse regarding independent expenditures. SU6TOTAL f ~.- ALLOCATION. - PART II SUMMARY Attach additional information on appropriately labeled continuation sheets. 1. Contributions and independent expenditures of 5100 or more made this period from personal funds. (Include all Allocation Page - Part II subtotals.) ................................................................................ . 2. Contributions and independent expenditures under S 100 made this period from personal funds. (Do not itemi:e.) ............................................................................................................ . f s -~ 3. Total contributions and independent expenditures made this period from personal funds. (Do not carry this total to the Summary Page.) ......... .... .... TOTAL S Campaign Disclosure Statement TrpeDrp-lntlnlnk. suMMaRY PAGE Amounts mar ba rounded Statement covers period Summary Page ~ tDwhDledDllars. ~ 1 ~ ' from v SEE INSTRUCTIONS ON REVERSE through v ~ Pa4e ~ d ~~ NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Contributions Received ~ Column A 10TA11-eS RruOD aIIOM ATIACIND SCN[DUl[f) 1. Monetary Contributions ............................... sclreduk A, the 3 O S f -ti ~ 7 - ~~ 2. Loans Received ......................................... ScMdlule 6, une ~ ~~~ . SUBTOTAL CASH CONTRIBUTIONS ...................... Adduna t + 2 f O-S~l`~- ~' n 4. Non-monetary Contributions .......................... ScMdiuk c, une 3 ~~l-' ~' ~' ~~ S. SUBTOTAL CONTRIBUTIONS IExrlude EniRDrT:ea61e P-omises) Addunes9 + e t ~ ~ ~ ~'~- ~~ 6. Enforceable Promises -~- (Exdrde~oan Gw-xntexi tine tt below) ................... Scl>!edr,M D, une ~ y ~ ' 7 n ..................... 7. TOTAL CONTRIBUTIONS RECEIVED Aa1dUMl S + 6 r1~ ~ C S ~ Column B` TOTAL MIEVrDUf r'EbOD (TEE NOTE a1lOY1r) s ~ ~~6. ny -~- -~~ -,~.aa s ~- ~- -~- s ~~1~•~~ Column C lOlAl i0 DAi! tAOD COLUMNS A • ~) ,/~-~- s ~ )7' r~ ~ . O/C~7~ r~ ~ ~ V s ;~~~ ~c~ ~- s ~~~ Z • 04 Expenditures Made O~~ f ~ ~©~ n ~ ~d s . ~ d ~ s ~ ~ d ~ 8. Cash Payments (Other than Loans Made) .... ........ ScheduN E, lhre s ~ . - ~ 9. loans Made ...................................... ....... schedr,N H, une ~ "~._ "~.i ~G _. 10. SUBTOTAL CASH PAYMENTS .................. .......... Addune:a + 9 t //~~~+" • ~~ s ~~ 0 ~. ~~ i .~ ~O.~vOI~ 11. Accrued Expenses (Unpaid Bills) ............... ......... Sdredu~e F, une s ~- L ~ ~d~ ~® ~~ 12. TOTAL EXPENDITURES MADE ................. ..:..... Adiiun., to . t t f ~l ~~~ • 0 ~ s ~ ~ = • ~ ~ ! ~~,~L1~ ~ ~ ~ . rent Cash Statement _ ~ ~ C7 . 8eginningCash Balance .................. or eviousSummaryPage,Une 17 s l- ' ~ • From previous Statement Summary Page, Column C. However, it 14. Cash.Receipts ....... • • • • • • • •"'""""""""" .. cdumnA, Une 3 above ~ ~~G3 ~o ~~ this Is the (Irst rBport illod for the calendar rear, Column B should be blank ertttpt for Lwns Received (Line 2), Enlorceable Promises (Une 1 S. Miscellaneous InCrlasef t0 Cash Schedule 1, Llne 1 ~~ 6), loans Made (Lino 9), and Aurued Erlpenses (Line 11). 16. Cash Payments ................................... . cdumn A, the roabove / ~(~ cam) - ~~ . 17. ENDING CASH 9ALANCE ..... Add the, l3 + t~ + rs, thensubhadurTe l6 s -~- Summary for Candidates in Both tune and rrtnbbatermhadOnstatemen~t4re 17munberero. INa-wusNaAEANasHOUD November Elections NOl aE A NIGATIVE AMOUNT 1/1 through tJ30 7i1 to Date 18. LOAN GUARANTEES RECEIVED .............. Sc-reDlu-e s, Part 1, Column (b) f 21. COnt(ibUtiOr1S ~-cJ~~ gecelvedd .... s ~- Cash Equivalents end Outstsndlnp Debts 19. Cash Equlvalen4 .... ............ ............ See Msst,Erct~oro on rrvene s ~~ 22. Exp4nditures s ~ Q~~ - MMAcc11e .. 20. Outstanding Debts ................. AddUrwl + the II InCdumnCabow S Schedule A Type or print In Ink. - SCHEDULE A Amounts maybe rounded Monetary Contributions Received to whole dollars Statement covers period . 'er ~ ~~ from e h h ~ ~~ ~ ~ SEE INSTRUCTIONS ON REVERSE roug t Pape .= of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBE R GATE RECEIIED full NAME AND A DRESS Of CONTRI9UTOR (•coMrrmrc,NIADORIpN10COMMITIEI'{ruMlArIpAD011tSS.[Nr[III.D NUMarl1 otz•rql.O.MUM~tII/1tif~IlNAfSIGN[D,tMTEllilllASUlltll'fNAMtANpAD011[fS, OCCUPATION AND EMPLOYER Ilrstlr-[M-IO~tD,ENr[II tuM[prausartssl AMOUNT RECEIVED THIS PERIOD CUMUTATIVE TO DATE LENDARYEAR 1~AN.1-DEC.31) CUMULATIVE TO DATE OTHER (IFAPPLICABIE) ~ ~ ~7 ,~ir~ c,~~-~~ nc. ~-~ y ~~ ~~~ - ~~ ~. , f -~ ~G;~Ore /~'~~ ~ G!/~' ~ ~rrr ~ ~ ~ ' 7 ,~ ~ ~- ~~~rr ~ °~ ~ /cam - /~~ ~ !r/(/Gi~ C u~%~ /I c~'f1/~tl~ SU9TOTAL S ~ Monetary Contributions Summary 1. Amount received this period - contributions of S 100 or more. (Include all Schedule A subtotals.) ................................................................................................... s ~0© 2. Amount received this period = contributions of less than S 100. ,-, (Do not itemize.) ........................................ .......................................................... ~ ............ ... s ,/ [~ 3. Total monetary contributions received this period. .' (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........ ............................. .TOTAL Z l '~l' ~ J Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Ink. Amounts may t-e rounded to whole dollars. NAME Of OFFICEHOLDER OR CANDIDATE ANO CONTROLLED COMMITTEE SCHEDULE A (cont.) Ststement covers from L '/ 7 through l ~~ L/ Ptiq~ ~_ 01 I.D. NUMBER ~lD,d DATE RECEIVED full NAME AND DRESS OF CONTRIBUTOR MCOMMITTEE,INADDn1pN1000MMRIEE'f1Y1MEANDADDIIESS,ENftI11.D.NUMFiEl1 OR,MNOI.D.NUM~lt1NAS~[INASfIGNED,lNIEt1111EASUr1E11'fNAMlANDADDIIESS) OCCUPATION AND EMPLOYER QrSEEI•EMKO'IED,[N1E11 NAMEgtfUSINlSS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (lAN,1-DEC.31) CUMULATIVE TO DATE OTHER (If APPLICABLE) .SUBTOTAL S ~-- Schedule B -Part I Loans Received SEE INSTRUCTIONSON REVERSE Type or print In Ink. Amounts maybe rounded to whole dollar. NAME OF OFFICEHOLDER OR CANDIDATE ANO CONTROLLED COMMITTEE GATE LENDER OR GUARANTOR'S full NAME AND ADDRESS LENDER /GUARANTOR'S RECEIVED (DCOMMRiEE,[NTIAtUIINAM(,ADDA(flANDI.D.NUMA(a. MN01.0. OCCWATIONANO[MKOTIAl11S[LI• MUMalaNA[aElNA[SNiN[O.[NT[IlT/ftTII[A[UIrt11'fNAMEANDADDAIff) [Mt'lOY(D,lN1tA•UfrN[[SNAME) Statement co-veJr~t1period from - y / '7 through ~ •~ ~~ ~'U1Ji ~'C/r LENDER INFORMATION OU[ OAl[/ AMCIVNi (UMUTATIV[ INT[A[STMIT 0/IOAM TODAT! DV[ DAl! CAL[NDAA r[Aa SCHEDULE B -Part I Pape ~_ of 1.0. NUMBER GUARANTOR INFORMATION AMOUN/ (UMUTATN! GUAMNI![D IO DAII _ CAllNDA11 r1AA • [ Nr[usl MT[ DT11[II OTN[A ^ lender ^ Guarantor' [ x 1 ou[ oATe uuNOAa reAlr CAITNDAA r1AA NTl11[[T MT! [ ! OTH[A OIHIA ^ l~ndtr ^ Guarantor ~ w ~ [ DU[ OAT[ CALINDAa r[All Ul[NDAII •IAII Nllll[{T MT[ [ [ OTMII - OINIA ^ lender ^ Guarantor ~ x ! [ ' cee Important Instructions on reverse. SUBTOTAL S al s al `""' 1°I °n . 1YmM~ry -~pt, oars Received -Part 1 Summary LIM 1( Onlr. 1. loans of S 100 or more received this period. (Include all loans Received - Part I (a) subtotals.) .......... S 2. Loans under s 100 received this period. (Do not itemise.) ........................................... s -~- 3. Total loans received this period. (Add Lines 1 and 2.) ..................................... • ~ TOTAL s ~- Loans Received - Part II Summary 4. loans of 5100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) subtotals. If forgiven or paid by a third party, alto itemise the transaction on Schedule A.) ............. S ~~ S. Loans under:100 repaid, •orgiven, or paid by a third party. (Do no itemize.) It forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 . ........................... S . 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + S.) ........................................... TOTAL S .. .......................... 7. Net change this period. (Subtract line 6 from Line 3.- Enter the net here and on the Summary Page, Column A, Line 2 . .......................... .... NET s _ ~'~-_-_._ trharltila R _ Part I IC'nntinssatinn Chaotl Type orprlntlnlnk. SCHEDULE B - Part I (Cont.) - ~ - - - - --- ~ ~ - -- - ~ - - - - -' Amounts m• he roundtd Loans Received r statement(°versperlod to whole dollars. _ l ~ i i from - throu h ~ ~-~ ~ ~ of P g ape NAME OF OFfICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBE R DATE LENDER OR GUARANTOR'S Ull NAME AND ADDRESS LENDER /GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION RECEIVED MCOMMITTEE,[NT[IlrUIINAMl,AD011[SSANDI.D.NUM~[R.IfNOI.D. OCCU-AIIONANDlMVIOYl11IliS[lr• NUMb[A NAf ~[tN ASfIGNEO, [NTl111r1[ rll[AfU11[II'f NAME ANO ADDII[SS) EM-IOYED, EN1I11 ~USIN[fS NAME I DUE DAI[/ AM(H1N1 CUMUTATNE AMOUNT (UMUTAIN[ INTERESIMI[ OrIOAN IODAiE GUAMNitED tO0A1! DUF DA1t CAIENDAlIIftAll CAItNDAII r[All . f S INTtA[Si MlE O1HI11 O1HtR ^ L~ndar ^ Guarantor ~ x 1 s DUE DAl[ CALlNDAII YlAll (AItNOAII r[All f NT[11EfT Mt[ 1 OTNE11 O1Htl1 ^ Urtdpr ^ Gwrtantp ~ x f s DUE OAT[ CALINDM Y[All (AIINDA~ /EAII S t NrTEREfI M/E O1HE11 O1Nt11 ^ Under ^ Guuantor~ x t s DUI DATE CAItNDAII Y[A11 CAl t NDA A r [ A II f f NTIIIEfT MTE pIN[11 OI Hr 11 ^ Lssnd~r ^ Gwrt•ntor~ x t ~ DUE DATE CAL[NDAR r! All CAl l NOAH r [ A ~ S S INItAtfT MTt OIHt11 Onn 11 ~ ^ x s f Gwrtlntor ^ Under 'See important instructions on reverse of page 1 o/Schedule 8, Part 1. SUBTOTAL S ~I S ~~ rel., rol~v• tumm~~. 1'~ 1 ln l IS y on t t[~1Pr~IlIP R _ Part II Type orpr~ntlnlnk. SCHEDULE B -Part II - - Amounts maybe rounded Repayments Made on Loans Received, Loans. tcwhot.dc~lers, Forgiven, and Loans Repaid by a Third Party ~ SEE INSTRUCTIONS ON REVERSE Statement covers period trom__ ~= / `~ through ~ ~ ~ ~ age of t^ ~- NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE " ~~N~S ~~ C~ ' ~ ~ L~ I.D. NUMBER ~~~ ATE OF REPAYMENT FORGIVENESS DATE OF ORIGINAL LOAN ULL NAME Of LENDER INTEREST RATE pr c-arwto- AMOUNT REPAID OR FORGIVEN ON PRINCIPAL* ttsuuot rArraerrr or wttustl OUTSTANDING PRINCIPAL INTEREST PAID • Attach additional inlbrntation on appropriately labeled continuation sheets. SUBTOTAL S 1c1 TOTAL INTEREST PAID THIS PERIOD 1d' S ~-- 'IA~IPOAr/11YT: Nanp part o1 • loan i:Ifw~iwn or repaid by a third party, also itemise the transaction on Schedule A, lndudinp the name and addrts~ o/the Pew /oryivin~ the loan or the third party making fhe payment, and fhe amount /oryiwn oepaid. Enter the amount In column (d)!n tht summary section of Schedule E, l ine 3 Do not carry fhli foul to tht summary fecrion of Schedule B. Schedule B -Part III Annual Report of Outstanding Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF OffICEHOIDER OR CANDIDATE AND CONTROLLED COMMITTEE FUII NAME OF LENDER ORIGINAL DATE OF LOAN ~" ~~ Type or print In ink. Amounts mey be rounded to whole dollars. Statement covers~p1eriod from _ ~- ~7 through AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL SCHEDULE 8 -Part III Page ~_ of I.D. NUMBER ~~~~6 UNPAID INTEREST Aftach additional in/ormation on appropriately labeled continuation sheets. ~ TOTAL I Z .~~ NOTE: This tots) should be the same amount as entered on the Summary Paye, Column C, line 2. Schedule C Non-Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts maybe rounded Ststement covers period to whole dollars. / _ ` from ~l % 1~ ~ .~. through -~ NAME OF~OaFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE //~i~~/~-/'~~'!,~ .+;' l/ n /r~•,1r !,C!> > 1. /1/L' S /~~ /i'.~"~1 Qr1 n f.' :.e .~h -./r SCHEDULE C Pape ~- of I.D. NUMBER ~4~%/~~ DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR (M[OMMRI[1.INADDn10NT000IJYT[['SNAM[ANOADOA[SS, OCCUPATION AND EMPLOYER IIr sEtr~[MrEOr[D,[Nr[IINAIr[ a DESCRIPTION OF GOODS OR SERVICES FAIR MARKET VALUE CUMUlA11VE TO DATE CALENDAR YEAR CUMULATIVE i0 DATE OTHER !NElIII.O.NUM~I1101~MN01.D.NUTA~[~N11Se[[NA1SIGMED, ' eUSIN[SS) (IAN. 1 - DEC. 31) (IfAPPLICABIE) [ NE[A Y11l ASUII[R 1 MA YI[ AND A DOIIE SS) / r / ~ [ ~1 ` ~ ~~/ /r C~ ~ ~ , • Attach additional information on appropriatelylabeled continuation sheets. SUBTOTAL S ~ Jro Non-Monetary Contributions Summary 1. Amount received this period -non-monetary contributions of S 100 or more. ~ '~ (Include all Schedule C subtotals.) .................................................................................... S ~'~ ~~ 2. Amount received this period -non-monetary contributions of less than S 100. O ~ "'~ S (Do not itemize.) ................................................. ......................... ........................... . 3. Total non-monetary contributions received this period. TOTAL S ~~~~ (Add.lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) .................... Schedule ~ Type orprlntlnlnk. SCHEDULE D Amounts mey be rounded Enforceable Promises Received (Other than Loan t h l ll d Statement covers period Dw . D ers. D Guarantees, Loan Endorsements, and Loan Security) tr,m ~ / ~ NOTE: loan guarantees, loan endorsements and loan security are "enforceable promises' that must / -• LO ~ 3 p th h ~ ~~ P f be reported On Schedule 0 - NOT Schedule D. SEE INSTRUCTIONS ON REVERSE - roug _ age _Lt~ o NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ~ I.D.NUMBER NCI c ~~ ~ /,~ ~~ - Jv ' J-~ ~d~~~ GATE FULL NAME AND ADDRESS OF C NTRIBUTOR lKCOwwmtt,MAOOrtaNiocoMMmt[•sNAM[AMDADDetss, IxCUPATIONANDEMPLOYER AMOUNT PROMISED AMOUNT PAID THIS PERIOD CUMULATIVE TO DATE LENDARYEAR CUMULATIVE TO DATE OTHER RECEIVED t-Rtes.D.NUMateoe.rNOl.o.MUMUerasattNASS~cN[o, (1f stuiMnOTED, trtree NAME OF ausiN[ssl THIS PERIOD N~sotMrteoM ~ IAN. 1 -DEC.31) (IF APPLICABLE) !Mite TIItAfUllte'! NAM[ AND ADOIItSS) fCHIDUIt w) ~achadditionalinlnrmationonappropriately/abeledcontinuation SUBTOTALS s ets ~_ ~-~' . Enforceable Promises Received Summary 1. Promises received of 6100 or more this period (Column (a)) . ...................... s 2. Promises received under 6100 this period. s (Do notitemi:e.) ............................................................ 3. Total promises received this period. TOTAL = -~-- (Add Lines tend 2.) .................................................. 4. Payments received on promises of S 100 or more this period.. (Cotumn(b)) . ..................... .............................................................s 5. Payments received on promises under s 100 this period. $_ (Do not itemize. Also Include on Schedule A Summary, Llne 2.) ...................................... s 6. Total payments received. (Add Lines4 and S.) ..................................................................... TOTAL s ~ ~) 7. Net change this period. (Subtract Line 6 from Line 3. Enter the difference here and on NET f the Summary Page, Column A, Line 6.) ..................................................... . M.r e~ . nry.u.. ~~~« Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME Of OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE J~rl/!1 S Type or print In Ink. Amounts may he rounded to whole dollar[. CODES FOR CLASSIFYING EXPENDITURES Statement covers period -- ~/i- from L' y SCHEDULE E ,r~ through ~ -~ C/ Page 1 - ~ of I.D. NUMBER ~~~ /cO, 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 ANDIN•KIND(NON-MONETARY) 'e' _ BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD CONTRIBUTK)NS TO OTHER CANDIDATES ~N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES 'O' - OUTSIDE ADVERTISING (MUST 0E DESCRIBED) 'I' - INDEPENDENT EXPENDITURES 'S' - SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS SURVEYS ~P' - PROFESSIONAL MANAGEMENT AND CONSULTING 'L' - LITERATURE 'F' - , FUNDRAISING EVENTS SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUt10N pr casa.rrrte, m Ap01r1pN 10 COMMIrTt['f NAM[ AMO AoOAtfS, tNrtA r.o. NrnartA o1l s NO ro. IMPORTANT: DO NOT ITEMIZE THE PAYMENT Of ACCRUED EXPENSES ON SCHEDULE E: REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE R OF THE SUMMARY SECTION BELOW. NwNx w-s MtN A3W.rlo. Irrttx rw-suAtrr~s NASA AND wooruss) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ~j 5 ~®~J'/~s !~'v~7.~2 G G~-/U~ rt~N ~- - ~~~d ~ j S .~~C~ ~~ C~ ~ EGG ~/G 1'1'' ~ _ C~G~ /.~/ L C~ ~~7~ O/ Important: Contributions and expenditures made out of campaign funds to or on Ixhalf o/other SUBTOTAL S 7l~ officeholders, candidates, committees, or ballot measures must allso be entered on the Allocation Page, Part 1. o ~~ Payments and Contributions Made Summary 1. Payments made this period of 5100 or more. (Include all Schedule E subtotals.) ....... .............. i ,~~ ~ ~~ 2. Payments made this period of under f 100. (Do not itemize.) ......................................................... . 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) ............ s ~"~ ~ ~C~ .................:............ s 4. Total accrued expenses paid this period. (Do not itemize. 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) ......... ~ ~ TOTAL S ~ ' °_~~~~ Schedule E Typtorprlntlnlnk. SCHEDULE E (cont.) Amounts may be rounded St~t~ment covers rlod (Continuation Sheet) towhokdollus. I» Payments and Contributions prom ~ ~ y ~ '~ (Other Than Loans) Made / SEE INSTRUCTIONS ON REVERSE through __ ~7 ~-~D P~~ ~~ of ~~ NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER ~G'/~~~i/~1~ ~r~.~1'~,l '~~i~i/r ~ tee= /~'iG~d,~~'~'? ,~'~,~n:J~c ~~~/~,~ CODES FOR CLASSIFYING EXPENDITURES 'C' - MONETARYANDIN-KIND(NON-MONETARY) •e• - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES 'N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEI,A000MMODATIONSANDMEALS AND COMMITTEES 'O' - OUTSIDE ADVERTISING (MUST BE DESCRIBED) - INDEPENDENT EXPENDITURES 'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS ~P' - PROFESSIONAL MANAGEMENT AND CONSULTING ~ ~' - LITERATURE 'F' - FUNDRAISING EVENTS SERVICES tI NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION a COMIYRTlt, M ADOn10M TO COMMRT!['i MAY[ Alq ApOAtSS, IMEIII.O. MUM~tII OIL N MO I.O. IN1M~t11 HAS ~t[N AlSIGMtD, [IRl11 TIIlA1U11lII'f NAMI[ AMO AODAESf) I ' • ' ~ y ' CODE OR DESCRIPTION OF PAYMENT ~ I ~I ~ ~ ~ AMOUNT PAID WIC I ~ . I ' ' ~1 I: " SUBTOTAL s ~. ~- -'T''---- ~. Schedule F ~ Type orprlntlnlnk. SCHEDULE F Amounts may bt rounded Statement covers period Accrued Expenses (Unpaid Bills) tDwhDltdonsrE. Irom ~ SEE INSTRUCTIONS ON REVERSE NAME OF 6FFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE through ~~~~~ 1~ ~'t~9 ~~~:1~ CODES FOR CLASSIFYING EXPENDITURES Pape ~ o} I.D. NUMBER ~~ 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. " - MONETARYANDIN-KIND(NON-MONETARY) •B" - BROADCAST ADVERTISING "G' - GENERALOPERATIONSANDOVERHEAD ® CONTRISUTK)NST001HERCANDIDATES •N" - NEWSPAPER AND PERIODICAL ADVERTISING 'T" - TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES "O" -. OUTSIDE ADVERTISING (MUST !E DESCRIBED) •1' - INDEPENDENT EXPENDITURES •S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS P" - PROFESSIONAL MANAGEMENT AND CONSULTING 'l" - LITERATURE •F" - FUNDRAISING EVENTS SERVICES NAME ANO ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMrOSTTANT: DO NOT rtEMIEL THE ~A1f MErfT Or ACCRUED EIIHNLlS ON KH[DUl[S! 011 f. RE-OIIT ONIr IHI lVM- SUM Of ~Ar M[N1L M COMMITTEE, M ADORION i0 COMMrTTfE'S NAME AND ADOIIEif, EN1lR 1.0. MUM~fII OR N MO 1.0. ON KHEDUI[ /, L'11E ~ AND ON SCHEDULE E. LINt! ~. DO NOl u ~rtEMIIE ACCrIUEO tX-ENSES 11[r011Tf D IN A -~[ VIOUS -l11gD NUMlE~ HAS ~fIN ASSIGNED, ENTIII 11UASU11f A'S NAME AND ADDIIE SS) DESCRIPTION OF OUTSTANDING PAYMENT CODE OR AMOUNT ACCRUED !T N s- -$ ~ ~C' f ~E~C '7'/ Lc.S C' ~ . ~ t~ I~ '~" ~G~e22~o/l ~C/l/ ?.~U L4''~ G.~~hL~~-_ ,=4~IP~C'. fry )~'F. ,^1:~© ~. I Attach additional information on appropriately labeled continuation sheets. SUBTOTAL S ~C~~c~~~J -- Accrued Expenses Summary t. Accrufd expenses this period of 5100 or more. (Include all Schedule F subtotals.) ..................................................... S ~ 2. Accrued expenses this period of under S 100. (Do not itemize.) ..................................................................... S ®-- 3. Total accrued expenses incurred this period. (Add Lines 1 and 2.) ................................................. INCURRED TOTAL s ~- 4. Total accrued expenses paid this period. (Do not itemize. Enter here and on Schedule E Summary, Line 4.) ..............:.. PAID TOTAL S ~ _ ~ _. ~ S. Net change this period. (Subtract Line 4 from Line 3. Enter the difference here and on the Summary Page, Column A, line 1 t.) ...... NET S _`__? ~~r?~L~ - Mir M ~ nr ~~ri.r n,,..~M~ Scheaule G Type orprlntlnlnk. - SCHEDULE G Pa ments Made b an A ent or Inde et~dent Amounts may be rounded Statement coversperlDd y 9 to whole dollr,n. Contractor (on Behalf of an Officeholder or from ~ l~ Candidate) _ SEE INSTRUCTIONS ON REVERSE through ~ ~"~y page ~"' of~ NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER NAMEOF AGENT OR INDEPENDENT CONTRACTOR 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. Reter to the back of Schedule E-Continuation Sheet for detailed explanations of each category. 'L' - LITERATURE 'B' - BROADCAST ADVERTISING 'N' - NEViKPAPER AND PERIODICAL ADVERTISING 'O' - OUTSIDE ADVERTISING 'S' - SURVEYS, SIGNATURE GATHERING,DOOR•TO-DOOR SOLICITATIONS 'F' - FUNDRAISING EVENTS 'T' - TRAVEL, ACCOMMODATIONS AND MEALS (MUST f1E DESCRIBED) NAME AND ADDRESS OF PAYEE OR CREDITOR IM COMMRTEE, M ADORIOM TO COMMRTtt'f NAME AND ADDIIISf.tNTE111.D. NUM~EII OR N NoI.D.MUMet~NAfettNASSIGNED.ENTER TIIEASUII[R'><NAMEANDADDIIESf) CODE OR DESCRIPTION Of PAYMENT AMOUNT PAID s Attach additional in/ormation on appropriately labeled continua ion sheets. TOTAL' S ~_ e Donut harofer f0 anyOtiN-fchfatirk or to tM Summary Pipe. TMs fotalmay not equal dre amount paid to the agent or independent contractor as reported on Schedule E by the oll~r eholderic anci~~~a le Schedule H - Part I Type orprlntlnlnk. SCHEDULE H • Part I A mounts maybe rounded loans Made to Others tDr„hD,e dD,,,r,. statement covers period from ~ ~~ SEE INSTRUCTIONS ON REVERSE through ~ ~~~ Pape ~~ of NAME Of OfFICEHOIDER OR CANDIDATE A N D NTROLLED COMMITTEE CO 1.D. NUMBE R ~ / ~ } , ^ / ~ DATE OF LOAN FUL NAME AND ADDRESS Of RECIf~IENT tncoMMm[f,MAOOIiIONiOCOMMmfCENAMEAN0ADD11EfS,f1f1II11.D.MUM[[II OII, / NO1.0. NUMIatH 11Af a[EN AffIGNtD. EMfa 1REASU11f l1'S NAMf ANO ADDII[fS) INTEREST RATE DUE DATE AMOUNT s SU9TOTAL f ~._ ' ins Made to Others -Part I Summary ~oans of =100 or more made this period. ~_ (Include allloans Made - Partlsubtotals.) ............................................................ S 2. Loans under i 100 made this period. ~_ (Do notftemi:e.) ................................................................................... s 3. Total loans made this period. (Add Lfnesland 2.) .......................................................................... TOTAL S '~ Loans Repayments Received - Part II Summary 4. Payments received on loans of S 100 or more. (Include all loan payments received and all loans of S 100 or more which have been forgiven by this officeholder, candidate, or committee - Part II (a) subtotals. If forgiven, also iteml:e on Schedule E.) ............................................................... . S. Payments received on loans under f 100. (Including a forgiveness. Do not itemize.) .......................................................~...... . 6. Total loan payments received this period. . .. ... (Add lines 4 and S.) .. .... ... ........ ............................................... TOTAL 7. Net change this period. (Subtract Line 6 from Line 3. Enter the net here and on the Summary Page, Column A, line 9.) .................................... NET i ~- S ~ •~-'- s ~- Schedule H - Part I Type Or prlntlnlnk. SCHEDULE H - Parl I (cont.) Loans Made to Others ~"' to'wholidollt,rt~p~v (Continuation Sheet) Stattementcover,sperlod l~ Irom ~- 'r through ~ r -~~ ege ~ of NAME OGF OFFICEHOLDER OR CANDIDATE AND CONTROLLED/COOMMITTEE I.D. NU~MBjER /~/~ DATE OF LOAN full NAME AND ADDRESS OF RECIPIENT prCOMMrrtcc,NIADOrrIONiOCOMMmI['SNAM[AMDADDA[fS,[Ni[AI.DNUMlEII OR O MO I.O. NUM~l11 HAt ~[!N AfSIGNtD, [MT[II i11EATUI1El1'S NAMr AND ADDRESS) INTEREST RATE DUE DATE AMOUNT s . SUBTOTAL S --~--- Schedule H -Part II Type orprlntlnlnk. SCHEDULE H -Part II nmounr: may oe rounaea Loan Repa ments Received on Loans Made tewholedollars. to Others ~ncluding Payments Received from Third Parties) and Loans Forgiven SEE INSTRUCTIONS ON REVERSE ~ Statement covers period from ~ / ~ _/l through ~ ~-' v Pape ~_ of NAME Of OFFICEHOLDER OR CANDIDATE ANDCrON,TROLLEDCOMMITTEE ,n ^, I.D.NUMBER L DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN FULL NAME OF RECIPIENT OF LOAN INTEREST RATE Qr CHANGED) AMOUNT REPAID OR FORGIVEN ON PRINCIPAL* (EMCIUDE IIECEI-r Of INTEREST) OUTSTANDING PRINCIPAL INTEREST RECEIVED Attach additional information on appropriately labeled continuation sheets. SU9TOTAL s ~ ~~-- TOTAL INTEREST s rol RECEIVED THIS PERIOD ~.- 'IMPORTANT: It an art of a loan is for iven, also itemize the for iveness on Schedule E. 1/ a re a ment is received /tom a y p g 9 P y third party, enter the name and atidrou of third party in the FULL NAME OF RECIPIENT OF LOAN' column above, along with the name o/ the rt~ciplent of the loan. Enre- the amount In column (6) in the summary section of Schtdule 1, Line 3 Do not tarry this total to the summary section o/Schedule H. Schedule H -Part tll Type orprlntinink. SCHEDULE H -Part III Annual Report of Outstanding Loans Made ~~~~Vto~wholidollers~~aeo SEE INSTRUCTIONS ON REVERSE Statement tovers/pje~rtod from ~' ~/ through ~ ~-~v Pape ~ of ~_ NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ~ - rc:,~ ~r-~~...s rcJ~1 - ,~ ca-~ I.D. NUMBER ~ ~ FULL NAME OF RECIPIENT Of LOAN ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST Attach additional information on appropriately labeled continuation sheets. TOTAL S NOTE: Thlstotalshouldbe the same smount et entered on the Summary P~yt, Column C, line 9. Schedule I Type DTprlntlnllTk. scHEDUI.E I Miscellaneous Increases to Cash ~ Am°°nttm.ybeT°°ndEld to wholEa dollars. SEE INSTRIPCTIONS ON REVERSE st,tement<DVersperlod from throuOh ~ ~-~y ~~e ~ of G NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMfTTEE ~~~.~ ©~= I.D. NUMBER yon DATE RECEIVED FULL NAME A ADDRESS OF SOURCE ~ la corrTMmE[,MADOriIONiOCOMMRTEE'TIIAMEANDADDIIESS,ENTEIII.D.NUM,[II K MO I.D. NUM,EII NAS KEN AffIG11I0 ENiIl1 iIIEASU11E11'S NAME AND AD011ESS DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL s ~_ Miscellaneous Increases to Cash Summary 1. Increasesto cash ofs100 or morethisperiod . ............................................................ s ~- 2. Increases to cash under s 100 this period. (Do not itemize.) ................................................. s ~-- 3. Total of all interest received this period on loans made to others. (Schedule H, Part II (b).) .................... s ~- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Pa~e,Line 15.) ....................................................................... TOTAL s '~~.