HomeMy Public PortalAboutForm 490 (Feb 14 - June 30, 1999)
:)fficc~hofder, Candidate, Type Drpllntlnlnk.
and Controlled Committee
Campaign Statement -Long Form
(Government Code Sections 841(10.84116 S)
SEE INSTRUCTIONS ON REVERSE
CMck orse of tM lolbwing boxes to Indlcote the type of statement being filed:
n Pre-election Stotement
LpJ~ Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.)
Special Odd-Yfer Campaign Report
Semi-annual Statement
Termination Statement (Attach a completed Form 415 to this stotement.)
ott(c holder Candidate, snd Controlled Committee
Inclu~ed in t~iis Statement
NARAE OFnnOFFH:EHOI.DER OEi CAWD~ATE
l7LGlti~ l ~~~`/~
'r1CI SOUGHT Oa IrflD (1SiCt.l10! IOCAT{Ofl AND tkSTAICT NUBietA tl AMl1CAelt)
C~Fl~'e rnc,~:- ~
% rTy ~Gvn.l C t~
acsroeNTUUOaaus+NtSSAOOUfS (NO.ANO Aem
~~79o C- ~rn I ~A _
CfTf sTAif ZIP COOf A0.tA COD[AArTIME AION(
Li~~L I~.Gr1i
TTEE NAME
LD, MUr.IOCII
COVER PAGE -LONG FORM
Statement covers period
from ~/~'~/~l
through G -~ % y
Data of election H appllcablo
(fartonth, Day, Year)
Date Stamp
il'(G~~'~C®
JUN 1 8 1999
Pape ~ 01 ---~--
For Official Use Only
CITY OF CLARENfONY
utner c.ommfttees Not Included in this Statement: Eltt.ny Dther
commhteet not Included In this coruolldated statement that ore controlled Dy you and any
commktees of which you have knowledge thot ore prlmorlfy lormed to receive contrlbutlons
or to make expenditures on behol! o! your undldaq.
COtrMR7ff NAM[
1 D. MUMO! A
r1AMl Or 10.lASU0.E0. -~-- CON70.0U [D COMMITT((1
^ Y(S ^ NO
CCMeMRI(f ADDRESS (NO AHD Si0.[(i)
CZTr f1Al( ZIP COO[ ARfA CODUDAY IIMt -IfON[
~= 1 7,.
i
CONYRTtI ADDRZSS ~ ptD. ANO STR[(T)
uT~' STATI ZIP COOP ARZACODVDAYTIMf PNON[
frlAME,~F TREASURER _
-_
P4 RAIA/rI NT ADOAZ
Sf D( iRdA SUR[R (NO. AND STRZ [TI
r
,r . ~ siAlt
~ ~
,, ZI-(OOf ARtA COOl/DAYTaaf PNONI
; ~
_ _ ,
COOASCfTT[t ItAlA[ 1.0. NUMi( R
NAME l)r TRCASURZR (ONT0.0l([0 COM MITT[[ i
^ its ^ No
CODA PtrTl f f ADORE SS (NO. AND 31 ltf I T)
CITY fT4i( ZIP CODE AR[A COO[rD4r11ME Pr10N1
Attach eotDytlorsa/ Inlormotlon on opproprlatefy loDeled continue tlon sheets.
erf (cat(on
{hove used all reasonable diligence in preparing this stotomont. I have reviewed the statement and to the bast of my knowledge the Information contained herein and in the anached schedules is
true and complerto. I certify under penDlty of perjury ender the laws of the State of California that the foregoing Is tru corrq~ ~~ J / ~./
Exercutcd on G /Gl 9~ At ~~.r1,L/irn~~" ~i f By _ _ ~~~~L-rGcaCY..;raGc<f~e.~L.( ~~ V /L+/z
~TI ~ CRY AND STATf SK.HATU0.i 0110.E ASUR(R
An oHlceholdor a candidate who controls a committee mutt also verify the campaign atatamont. I have used all reasonable diligence and to the best o} my knowl ge the treasurer hos used all
reasonable diligorxe {n preparing this statement- I have reviewed the statement and to the best of my knowledge the information c twined here n in e a a ed schedules is true and
complete. 1 certifyrnder penalty of perjury under(~'th~Qe~~laws~~of the State~o+fdCalifornia that the foregoing is true and correct.
Enecutod on ` ` (y ~ S ~ At ~CS~C/t..('~,yl~j CA- By
DATE CnYA SLAT[ SIGNAIUR OI (AH OA1110/1 (/g10(0.
Executed on At
OATt
Executed on At
DAIf
CRT ANO STAY
Cn Y ANO SIA/1
By
By
SIGNAIUaI Or CAHDIUAlfr0111(lnOl D10.
tlf Ha 111P1 nl !. Nfl~r)Gi 1 rg11 u 1 Ilnl DI .
r OA INi ORrdAllON At QUTAtD IO B(PAOVIOIO fO rOU-UflSUAM 101Ht IM100.MA110N -MCI1Cf1AC101191 ), SI( 1 RMA1~_MA/~ A~QN CAMiAI HDI~I05U0.1 P0.nvItIOHt 011111 PgIlU(AI A11 nRM •SI
Slate of Collfornla Fall Polltlral Plartlrer Cnmmlrtlnn
Allocation Page - Part I Type orprlntlnlnk.
Contributions and Independent Expenditures Amounttmayberounded Ststementcoversperlod
to whole dollars.
Made From Campaign Funds rrom _ ~/~/s9
SEE INSTRUCTIONS ON REVERSE
through C--~ ~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
- /-~ LG~k'O E/G/-,1 To.~ ~/T/ C'OrJn/r;ir_
List each contribution and independent expenditure of $ ftX) or more made /rom campaign funds to other committees or
to support or oppose other candidates or ballot measures.
ALLOCATION -PART I
Pape ~ ~ -1
LD. NUMBER
~~~~~Z
DATE
-•
NAME OF OFFICEHOLDER, CANDIDATE,COMMITTEE,ORMEASURE CHECK ONE
Support O IND.
EXP•
AMOUNT CUMULATIVE TO DATE
(A LENDARYEAR
(JAN. 1 - DEC. 31) CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
/V / ~
i
°See reverse regarding independent expenditures. SUBTOTAL $ ` " ~ gi p'. ;` '
ALLOCA1lOAf - PARTI SURARAARY Attach additional information on appropriately labeled continuation sheets.
1. Contributions and independent expenditures of $100 or more made this period from campaign funds.
(Include all Allocation Page - Part I subtotals.) ..........
2. Contributions and independent expenditures under $ t00 made this period from campaign funds.
(Do not itemise.) .. .......... .
~ --
3. Total contributions and independent expenditures made this period from campaign funds. -'
- _
(Do not carry this fatal to the Summary Page.) ........... ................ ... ....................... .... ........ ... TOTAL $ Ci
Allocation Page -Part II
Contributions and Independent Expenditures
iviade From Personal Funds
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink. ALLOCATION -PART I I
Amounts maybe rounded Statement covers period ~
to whole dollars. ~ /
Irom ~~Y/% `l~
through L '~' ~ ~ pogo ~ ~ f
NAME OF OFFICEHOLDER OR CANDIDATE
list each contribution and independent expenditure of E 100
other officeholders, candidates and committees.
more made from the officeholder or candidate's personal funds to support or oppose
DATE
NAME OF OFFICEHOLDER,CANDIDATE,COMMITTEE,ORMEASURE CHECK ONE
Support O pose IND.
Exp•
AMOUNT CUMULATIVE TO GATE
CALENDARYFAR
IAN. 1 - DEC. 31 CUMULATIVE TO DATE
OTHER
If APPLICABLE
/V
•
SU®TOTAL
°See reverie regarding independent expenditures 8
; p
` ~
"' "
~ Y~
~
~
~
`
'
. ~ ~~
.,
{.
~
,;
, ,,.N
~;
., r
;
ALLOCATION - PART II SUWIPIAARY
Attach additional information on appropriately labeled continuation sheets.
1. Contributions and independent expenditures of $100 or more made this period from personal funds.
(Include all Allocation Page - Part II subtotals.) ....................... $
1. Contributions and independent expenditures under $100 made this period from personal funds.
(Do not itslmiae.) .................... $
3. Total contributions snd independent expenditures made this period from personal funds. _~_
(Do not carry this total to the Summary Page.) .................. TOTAL $
Campaign Disclosure Statement
Summary Page ~ '
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR UNDIDATE AND CONTROLLED COMMITTEI
- ALG/ ~ D LE~r/~ ~ ~L L~/G`/-~
Contributions Received .
Type or prlnl In Ink.
Amounts may ba rounded
to whole dollars.
. .Column A
TOTAL THS RR100
0110N ATIACIHO f0/EDUI[f)
1. Monetary Contr(butions ~ ............................... sdreduk a, Una 3 ~ s /y~,Z -
2. Loans Received .......:...: .:.......:........:.......... SdsedYrb e, Une 7 ~ ,95?J -r?
SUBTOTAL CASH CONTRIBUTIONS ...................... aoldurws t . ~ i ~~7 -
_. ... , - 0
4. Non-monetary Contributions ......................... Sd~eduk e, une 3
S. SUBTOTAL CONTRIBUTIONS (E,rcfuale Enfiors:eabk Promises) - AdldUnet3 + 4
6. Enforceable Promises
(Excis~i toss Guarantees, Line 18 below) ................... Sclsedlrk D, UrsQ~7
7: TOTAL CONTRIBUTIONS RECEIVED :.................... AoSdUrf/ss . 6
Expenditures RAade .
6. Cash Payments (Other than Loana Made) ............
9. Loans Made ............:.................................
10. SUBTOTAL CASH PAYMENTS ...................:........
Schedufa E, Urw S 8 . . ~ ~ (~:P-~ -
Sdseduk H, Una 7 - n
adduneta . s $ Co~~
11. Accrued Expenses (Unpaid Bills) .......: .. schedule F, une s -~~ -
92. TOTAL EXPENDITURES MADE ......................... addunet to . f f i CO ~,,
: ~~~90 -
D
: ~~s'o -
O
S ~ ~r/90 -
>3 9s ~z -
~7
: 9_s ~z -
: ~'~s ~ , -
rent Cash Statement
13. Beginning CBSh Balance .................. PnzvlovsSummaryPage, Una t7 S ~ 71 J~"`~
14. Cash Receipts .............:........................ Column A. Une 3 above ..>~3 i
15. Miscellaneous Increases to Cash ........................ ScheoYrre ~ tine 4 ,~
t 6. Cash Payments ..................................... column a, une ro above C O~ti
17. ENDI~Cs CASH BALANCE ..... Add LlrsQt 13 • f4 s /s, then subtract Una t6 S / i S/ -
N this 1! a termlrwtlon stotementr Ura t7 mutt be zero. E NDlNG uu+ /AEANCE sHOUD
NOT 0(A NCWTIVE AMOUNT
t®. LOAN GUARANTEES RECEIVED .............. Schedule B, Part l,Column(b) 8 --0-
Casba ~~u6et~ient~ and ®ut$tending ®ebts
1 ~. CasPt EcBotldal®nts .... ............ :... soo lrsstrs-Rlo.a on.averTZS $ _ ~
IO. Outstanding Debts ................. aa9U~ 1 • Una t 1 In Column C obavo S _
s s3 ~ -
s -~-~ L_
SUMMARY PAGE
Statement cover/ perbd
-..
from ~ /;~f99 ' -
... i
..
throu(Ih
Column B• .
TOiAI MIEVTOUf -EMOO -
fSEE NOT[ /[lOw) ~ '
: 9~3z
... ... ~~
S /n`7.~.z -
~~ -
s ~O ~'~o -
Pape d
LD.NUMBER,,..
- - 9.341-z.z ~- ~~~
Column C
~~fOTAI TO DATE
(A00 COLUMNS A • t) `
s /i.~i~'
O .
`/~
/%3i 7'- -
. _O
° From previous Statement Summary Page, Column C. However, i1
this fs the4 first report filed for tlse calendar year, Column B should t>e
blank except for Loarss Received (Line Z), Enforceable Promises (line
6), Loans Made (Lino 9), and Aarued Expenses (Line 11).
Sumtnafy for Candidates in Both 9une and
November Elections
1/1 through 6J30 7/) to Date
21. ~onttibLttions s
ecelvedd .
22. Expenditures s
e ......
SCFted U~~ ~ Type or print In Ink. SCHEDULE A
~Ofl@~ar ~Or1461~U~1®nS RE!CEaIV~d nmountsmayDeroursdod
to whole dollar. Statement coversperlod '~ ` wa-=
Irom _ ~//~/yy - _' -
h
~ ~ ~ S
SEE INSTRUCTIONS ON REVERSE rough
t Page
of ~~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE LD. NUMBER
DATE
RECEIVED FULL N ME AND ADDRESS OF CONTRIBUTOR
(MCOMMrTr![,INADpffgNfOCObMn7EE'SNAMEANDADDRESS,fNTFR1.O,NUM®fR
011[MO1.D.NUA[B[RHASDElNAfS1GNED
INr[RiREAfURER'SNAMfANDADDRESf) OCCUPATION AND EMPLOYER
(kSEI!-EMPIOYED,lNrER AMOUNT
RECEIVED THIS
CUMULATIVE TODAIE
CALENDAR YEAR ~
CUMUTATIVE10DAiE
OTHER
, NAMEaausrNESSI PERIOD lAN.1-DEC. 31) (IF APPLICABLE)
S~sA-~v ~- ,~DyA~O CDo~~,/'
2 2 ,~ G X Fo,~o mil- UC/U(1~
~i%9 ~aL/Fmv
~r2 ~;
C~ 9/ ~~i G~ -
,
- ~-_ L /iV C`Ci L ~/ CAL CI.Qs .
2/2
~
' /ioa/ E. 1/A~.,~Ey /Y»~ ~z.o~
Z
5
~
~ L ~onJ ~~ C'~ . --5'~ 7~i /~
.~ ~ 4v:o 00 ~ LSO v'C'LAJ .::
z/2 L/~9 ~OS~ . ~ ~/G,L.J ~ ~L . ~~~
- - ,.._ ..
~L ~E/h owr ~9 9r 7~ '
~07) -
_ f~'J~,2 G~JEI..I'
.,
- ..
-. -_ .. - ,
. ,. .- _ SUBTOTAL 4 ~ -~ r„u.
nnonetary.~ontrl~utlons.5ummar~+ _
1. Amount received this period - contributions of 5100 or more.
(Include all Schedule A subtotals.) ................................................................................................... .
2. Amount received this period - contributions of less than S 100.
..
,:;IDo 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
i ~(m
s ~~~7 --'
s /`~~,
Schedule B - PBft I' ~ " ~' Type orprlnElnlnk. ' - ' . SCHEDULE B -Part l
L.oatls ReeelVed :Amounlsmayherounded Statement coversperlod
"
- - to whole dollars. _ ~
from _ 2/~y/(/ ~,
.,
SEE INSTRUCTIONS ON REVERSE ~; _ ~ -. /
through G .~O -
PatQt ~ ° ` _"of
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
LD. NUMBER ;; - . _;•.., , ~z - • .
' L ~/ L Ei G~ L L ~~G~ ~~~' CST' f .
DATE
. RECEIVED - LENDER OR GUARANTOR'S full NAME AND ADDRESS
(p-COMMRTE[, [Ni[0. tUll NAM[, AD00.t71 AND 1.0. NUMa[0.. p NOI.O.~ LENDER /GUARANTOR'S
OCCV-AiION AND [MP[OY[0. M S[lI- LENDER INFORMATION GUARANTOR INFORMATION
NUMat0. NAS a[IN Af1rGN[D,[NT[0. T1R iR[AStpl[0.'S NAM[AND App0.[lTl
- ~ IM/tOYfO,[Ni[0. aUSlN[lS IIAM[) DU[OAIf/ •.~_-AMOUNT CUMU[ATNE ~ AMOUNi ;.:;
-_=
_ CU1.IULATNt
Q f~
~G -IG •- /°
ll / /~
.•
- p[T[0.[Si 0.ATt Or IOAN lOOAT[ _
GUAMNiI[D ". ..-lb DAil'
l~D L~G ^ DUfDAi[ CAl[HDAIIYIA0. CAL[NOA11YtA0.
p
~~ ~~ e" ~ ~--~ /j
~ ~~'~~~U /V / /7" ~ -~-~ / t ~ ~J ~7~
~(/ y 0"/ ~L-.17~U/l~ / INTE0.[Si MTE
,. ~
~ OTHI0.
., e ~ _
~ OTH[0.
_.-
^ Lender ^ Guarantor° =
x ..
-...
t -
-
~:
f
~
. _ ~ . - ~ ~ DU[ OAT[ _. G1lINDA0. Y[Ap
-
TNT[11[tT MT[ ~
- t
- OTH[0. OIHI0.:4
^ Lender ^ Guarantor ° x s
- - ~ DU! DATI CAL[NDA0. Y[A0. CAL[NDA0. Y[All
.
~
.. -
Mi[0.IfTMTI
. ~ 1
,
- ~ ~ - - ~ O1H[0. - OTHTR
^ Lender ^ Guarantor °
x
s
t
~ee important instructions on reverse. SUBTOTAL $ a' $ ~I [""' ~I °^
x S~mmory -~Qe.
Loans Received - Par41 Summary . un~ to only.
1. Loans of $100 or more received this period. (Include all loans Received - Part I (a) subtotals.) .......... $
2. Loans under $100 received this period. (Do not itemize
)
............................ .
.
......
......... g
3. Total loans received this period. (Add Lines t and 2.) ...
...
.
............................... ~ TOTAL 3 O
loans Received - Par411 Summary
4. Loans of $100 or more repaid. forgiven, or paid by a third party this period. (Include all Part II (c-
subtotals. It forgiven or paid by a third party, also itemize the transaction on Schedule A.) ..... ........ S _ 977 -
5. Loans under $100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or
paid by a third party, include this amount on Schedule A Summary, line 2 . ................... ........ $
6. Total loans repaid, forgiven, or paid by a third party this period.
(Add Lines 4 f S.) .....:................. TOTAL 4 ~ ~~?;
7. tdet change this period. (Subtract Line 6 from Line 3.)
Enter the net here and on the Summery Page, Column A, Line 2 . ............................. .. NET s _ _ .
Schedule B -Part II Type«prlntln ink.. SCHEDULE B -Part II
Amounts may lx rounded
Repayments Made on Loans Received, Loans ~ towhol.dollars.
Forgiven, and Loans Repaid by a Third Party
SEE INSTRUCTIONS ON REVERSE ~ Statement covers perbd
_
rrom 2 ,
through ~ ~ ~
ape -,Z_ . of
NAME OF OFFICEHOLDEROR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
R~ ~~,~ ~ ~ ~7G ~-~ . G~cy ,~/~ c,Tr ~~ ~~ ~~~'~zL, _
DATE OF
REPAYMENT DATE OF INTEREST AMOUNT REPAIDOR ~ OUTSTANDING
OR ORIGINAL LOAN FULL NAME OF LENDER RATE FORGIVEN ON PRINCIPAL INPAIDST
FORGIVENESS Ur cw.wc[ol 1[zuuo[ -•rM[r~ Or urt[usrl PRINCIPAL
C ..
y' /o~i~/fP
~ ji 20l ~ ~ ~ G Gi ~-°O L L 7 ~~
-3 790 CG m ~~2.q
o ..
,
. ,
/lttach ea0ditioneJ inlormetion on appropriately labeled continuation sheets. SUBTOTAL $ I`' - TOTAL ItdTEREST
PAID TNIS PERIOD 1dj
$
°IA~POAYARIY: I~Drry pert o/®loen is /w~given or repaid by a third party, also itemire the transaction on Schedule A,
irtdltr®ing the nr~ and od~rts!ES o(the person forgiving the lawn or the third party making the payment, and the amount
forgiven or pisid. Enter the amount !n column (d) in the
summary section o/Schedule f, tine 3. Do '
nor ctrry this total ro the surnrnary sec t~o~~ or
Schedule B.
`.
Schedule B -Part III Type orprlntinink. SCHEDULE B -Part III .:
Amounts mey be rourided Statement covers period
Annual Report of Outstanding Loans Received - towhole.dou.rt.
from _ ~~
SEE INSTRUCTIONS ON REVERSE through Page ~ of ~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBE R
FULL NAME OF LENDER ~ ORIGINAL DATE Of LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST ~,
® ..
Attach additional in/ormation on appropriately labeled continuation sheets. TOT~-L I $ ~k,e
.;£
- tvorr:: rhlsrot~r,ho~rdfx .. -.. .
the tame amount as entered ~ ,
on fhe Summary Page,
' Column C, [ Ine 7,
.Schedule C
Type or print In Ink.
Non-Monetar Contributions Received:. "'"°"""""y°"°°"°"°
. y: -. _ ... , - _ ..:; ~ . to whop dollars. .
- _ - - - ,.
. , , . ,... _ .. ... ;', . ..
SEE INSTRUCTIONS ON REVERSE v St~tementcoversperlod
from
through
apo of ~~
NAME OF OFFICEHOLDER OR CANDIDATE ANO CONTROLLED COMMITTEE LD. NUMBER
GATE
RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR
(1r(OrrranirS, IN ADDn10N TO COMMn7rr'S NAM(AND ADORIfS,
[NTCe~.o.NUMOrtiorZrNOi.o.NUraeuNASSCTNASS~cNCO.
[NTLRTR(ASUII[R'iNAMtANDAD0ILLSS) _
OCCUPATION AND EMPLOYER
pr scu•tMnorEO, ENis~ NAMr or
:• ous,-ussl
,-, _
"~
~ DESCRIPTION OF
GOODS OR SERVICES
- ..
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENOARYEAR
(IAN. 1 •DEC.31)
CUMULATIVE TO
DALE OTHER
(IFAPPUCABLE)
7~:~
• - ~ ....
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ - ~ ""?~,.
Non-fl~one4ary Con4ribu4ions Summary
1. Amount received this period- non-monetary contributions of $100 or more.
(Include all Schedule C subtotals.) .................................................................................... $
2. Amount received this period -non-monetary contributions of less than S 100.
(Do not itemise.) .............. $
SCHEDULE C . - .
3. Total non-monetary contributions received this period. - -.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) .......................
TOTAL $
Scheciufe C Type orprlntlnlnk. SCHEDULE C
Non-f~onetar Contributions Received ~moumsmoyl>erounaea
to wholo dollar[. Statement coversperlod
from
SEE INSTRUCTIONS ON RE VERSE through pays C of ~_
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
DATE
RECEIVED FUII NAME AND ADDRESS OF CONTRIBUTOR
(UCa"r~RT![,INADDn10Ni0(OIJMITTIE'SNAMEANDADDIIESi.
[Nil0.1.D.NUM[E0.01~M NO I.D. NUMO[0. HAS 0IEN ASSrGN[D,
E NTE0. TRI ASU0.E 0.'S kAMI AND AD00.l SS)
OCCUPATION AND EMPLOYER
(I/fEEr[MPtOY[D,ENT(0.NAM[01
OUSINISSt
DESCRIPTION OF
GOODS OR SERVICES
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENDAR YEAR
(IAN. 1 - DEC. 31)
CUMULATIVE TO
pAIEOTHER
(If APPLICABLE)
~ f~' %
s
Attach additional information on appropriatelylabeled continuation sheets. SUBTOTAL $ ~H ~,~~ ~~'
Non-6iRone~ary Contributions Summary
1. Amount received this period -non-monetary contributions of $100 or more.
(Include all Schedule C subtotals.) .................................................... .............................. $
2. Amount received this period -non-monetary contributions of less than $100.
(Do not itemise.) g
3. Total non-monetary contributions received this period.
(Add Lines S and ~. Enter here and on the Summary Page, Column A, Line 4.) TOTAL $
SChedU~e ~ Type orprlntlnlnk. SCHEDULE D
Enforceable Promises Received (Other than Loan ""'°"""'"°yDefOt"Oe°
Guarantees, Loan Endorsements, and Loan Security) to wholedollert. Statement coversperlDd
rrom
NOTE: Loan guarantees, loan endorsements and loan security are "enforceable promises' that must
be reported On $Chedule B - NOT Schedule D. SEE INSTRUCTIONS ON REVERSE
through ~
Page ~~ o} ~_
NAME Of OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
DATE
RECEIVED FULL NAME AND ADDRESS Of CONTRIBUTOR
MCOMMm[r.mAOO"rourotooaurmet~sMA-.IArroADOalsi,
!Mi[~I.O.MUM°lAOI~p MO I.D. M1RIe(11 HAS /[[N ASSIGN[ D,
[Mr[q TIrI A3URI W'f MAN( ArrD ADOR[SS)
OCCUPATION AND EMPLOYER
M SIL--IM/IOYED,[r(TF0.MAME OF
tUSINISS)
AMOUNT PROMISED
THIS PERIOD AMOUNT PAID
THIS PERIOD
(AlS~0IN1I11 oN
SCHIDUIt A) CUMULATIVE TO DATE
CAIENDARYEAR
(lAN,1-DEC.31) CUMULATIVE TO
DATEOTFIER
(IF APPLICABLE)
•
/~//~
ach additions! information on spproariatelr labeled continuation
seats. SUBTOTALS $ ~ ~'~; ~ ~~~ ;~ ~ ~~
~.-~ »~_ ~:
Enforceable Promises Received Surtnmary
1. Promises received of $100 or more this period (Column (a)) . ...................... $
2. Promises received under $100 this period.
(Do not itemise.) ........... . ................................................ $
3 Total promises received this period.
(Add Lines 1 and 2.) .................................................. TOTAL $
4. Payments received on promises of $100 or more this period.
(Column (b)) . ..................................... ............................... $
5. Payments received on promises under $100 this period.
(Do not itemize. Also Include on Schedule A Summary, Line 2.} ....... ..... $ _.___
E. Total payments received.
(Add Lines d and S.) TOTAL
.................................................... 3- ~
....
PdEt charge this period. (Subtract. Line 6 irurn Line 3. Enter the difference mere and on
the Summary Page, Column A, line 6.) ......................................................NET $
M°I bf ~ n'y atlve numW~
~ched:Jle E Type or print In Ink. SCHEDULE E
Amounts may be rounded Statement covert period
Payments and Contributions towhol~dollart.
(Other Than Loans) Made tram ~~iy/~y
SEE INSTRUCTIONS ON REVERSE through ~/`j~%~/~~~ Page ~_ o} ~~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
/~LC/,E'D ~EIG'/~~~ ~G LL %CA i of CiTy ~~ocinJ<;/~ ~~'-3~zz
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 Schedulm E-Continuation Sheet for detailed explanations of each category.
'C" - MONETARYANDIN-KIND(NON-MONETARY) •B' - BROADCAST ADVERTISING 'G' - GE NERALOPERATIONSANDOVERHEAD
CONTRIBUTIONS TO OTHER CANDIDATES •N• _ NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL
ACCOMMODATIONS AND MEALS
AND COMMITTEES 'O' - OUTSIDE ADVERTISING ,
(MUST BE DESCRIBED)
•I" - 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 ~
- IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E
pl coutln
n1. al Aoortroll to cou-emt[~s aAtnt Awo Aoouss, IrntA ro. nuwacn o0. n rlo rD,
MUTAl~ A -1At O! [ K .
REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW.
AS SK.Ot! D- 1lrT! A I RIAtS/A(Rl MAYt Ally ADOAI SS)
CODE OR DESCRIPTION OF PA$'MENT AMOUNT PAID
)^ k: rLLy
,
` ~~i~ ~~i
- -~ ~ ~ I
~ s~ ~~ -
C ~ r~ t ~n~~ ~„~ G' 'i. 7~i ~,
~ ~, ~ Cs. cc
~~7.7~"
~. ,,.~ - - ~~ ~ L ~ ~ >> ~-~
7
<~
.rrr r canc. ~orrtnovuvns d~rlu rnflerru~nurl'z mane out o- camparyn lands to or on behall of other SUBTOTAL ~
o iceholders, candidates, commrttees, or bagot measures must also be enleredon the Allocation Page Part 1. - c?%~ yz,
Payrtrtents and Contribt~toon$ IlHade Survtmary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ...................................................... 8 ~ ~~<~~- y
2. Payments made this period of under ~ 100. (Do not itemize.) ....................................................................... g
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part It, Column (d)) S
4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule f, Line 4.) ......... _ ... .. S
S Total ptymentf made this period (Add Line: ~, 2, ?, and 4. Ester here ar.d on the Summary f'~ge, Col~mr, A, ;.ine ti) TOTAL 3
O
Ci
G~~/ ~5~
$ChedU ~e E Type or print in lnlc. SCHEDULE E (cont.)
Amounts maybe rounded
(~OntlnuatlOn Sheet) towhokddlars. Statementcovorsperbd
Payments and Contributions ~ ~ ~ ~ ~ ~~' ~ ~~~'" °~ ~~ ~I~> ~:~
(Other Than Loans) fVlade from
SEE INSTRUCTIONS ON REVERSE through ~ - ~ . ` Pa e ~ of ~_
g
NAME OF OffICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.O. NUMBER
~L~/,GD L~1~'~ ~L~~G~j /~~2---~t%-~ ~oclit~C-~~ //~z2
CODES FOR"CLASSIFYING EXPENDITURES
"C' - MONETARY AND IN-KIND(NON-MONETARY) 'B" - BROADCAST ADVERTISING "G" - GENERALOPERATIONSANDOVERHEAD
CONTRIBUTIONS TO OTHER CANDIDATES •N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T" - TRAVEL, ACCOMMODATIONS AND MEALS
AND COMMITTEES 'O' - OUTSIDE ADVERTISING (MUST 8E DESCRIBED)
-
~' INDEPENDENT EXPENDITURES 'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P" - PROFESSIONAL MANAGEMENT AND CONSULTING ~
SERVICES
- LITERATURE 'f" - FUNDRAISING EVENTS ~I
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION +
W CWeMrTTlt, W AppR1pN i0 COlrMRTI[71itAMi AND ADDAl SS, [NIIR I.D. NUMafll O0. N 110 I.D.
Ma
N
A
' I
~
~ I ~I
1
I
U
IWS a([N ASSIGN[D, [sn[a iptASVR[A
S NAM( AND ADD11tSS) - ' ~ '. '
- - ` y i, ~ ~ql
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID W
l_ ~ _ L~J. i ~ /:
~L.iw~CVI7a ~./, ; ~~-/i ~~
,_ /
i
• f
` II
SUB70TAL g ~'_~
~ ..
-. r
SCIIeCfUle F Type orprlntlnlnk. SCHEDULE F
Accrued Expenses (Unpaid Bills) Amounts may be rounded
to whole dollars. Statement covers period
from Z/`~~~5
SEE INSTRUCTIONSONREVERSE through _ ~/~// ~ Pape ~ of --~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
CODES ~OR 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 OVERHEAp ,
CONTRIBUTIONS TO OTHER CANDIDATES •N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T• - TRAVEL, ACCOMMODATIONS AND MEAIS
AND COMMITTEES 'O" - OUTSIDE ADVERTISING (MUST BE DESCRIDED)
'I" - INDEPENDENT EJ(PENDITURES
'
' •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
(II (OMMRT(E;-11r ADOn ION TO COMMRT[('S NAM! AND ADOq(SS. I1(SIR I.O. NUMDFP O0. W NO I.D.
NUMDE A FIRS Bf FN ASSIGNED
EN7(R 1TU A
' IMPOWiM[T: DO MOT R[MII[ THE ~AYME1rT 0/ ACCpU[D Ex-(NS[S ON SCN[DVl(S! 0111. R[PORT ONIT iN[ LUMP SUM Of -AYM[HTS
ON KHEDUII F, LINT ~ AHD ON SCHEDUI[ I, LDfE ~. DO NOl u ~R(M12[ ACCRU[D [><-FNSES 0.E PORT[ D IN A /R(v10U5 P! RpD
,
SUII[N
S NAM[ AND ADDR[S1)
CODE OR OESCRIPTK)NOFOUTSTANDINGPAYMENT
AMOUNIACCRUED
~~) ~~; -
Attach additions! inFormation on appropriately labeled continuation sheets. SUBTOTAL $
Accrued Expenses Summary
1. Accrued expenses this period of $100 or more. (Include all Schedule F subtotals.) ..................................................... $
2. Accrued expenses this period of under $100. (Do not itemize.) .................... .
3. Total accrued expenses incurred this period. (Add Lines 1 and 2.) ................... INCURRED TOTAL $
...................
d. Total accrued expenses paid this period. (Do not itemize. Enter here and on Schedule E Summarx, Line 4) PAID TOTAL $ _~ ___ ~
S. het change this period. (Subtract Line ~ from Line 3. Enter the difference here and on 4he SumrTiary Page, Column A, Line 1 t.j NET S
r.,., 1... ,.,. ,..,,,,..~_,
Schedule G Type orprlntlnlnk. SCHEDULE G
'Payments Made b an Agent or Inde endent Amountsmtayberound~d StatementcoverEperlod
p to whole dollars.
Contractor (on Be elf of an Officeholder or from /y~'s'
Candidate)
SEE INSTRUCTIONS ON REVERSE 6
through G ~' ~ Pa a ~~ of ~~
NAME OfOFfICEHOLDERORCANDIDATEANDCONTROLLEDCOMMITTEE I.O. NU BER
L Gi,~o ~ ~ is /-~~ ~ ~~c~ ~o~ c . ~a ~~~~~~~ ~~~ ~~
NAME Of AGENT OR INDEPENDENT C TRACTnR
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations ofyeach category. .
'L' - LITERATURE
'B' - BROADCAST ADVERTISING
'N" - NEWSPAPER AND PERIODICAL ADVERTISING
"O" - OUTSIDE ADVERTISING
'S' - SURVEYS, SIGNATUREGATHERING,DOOR-TO-DOOR SOLICITATIONS
'F" - FUNDRAISING EVENTS
"T" - TRAVEL, ACCOMMODATIONS AND MEALS
(MUST BE DESCRIBED)
NAME AND ADDRESS Of PAYEE OR CREDITOR
(N COr.IMRTEE, IN ADORrOU TO COMMnTEI'S NAM( ANO ADDRESS, ENT[R I.O. NUMOER Old M
NOI-D.NUOlOER NAS aEEN ASS1GNtD,INT[R i0.EASUR[R'S NA0.1[AND ADDRESS)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
'V
Attach additional inlormation on appropriately labeled continua'ion sheets. T®TAl° $
° DO not UanifQr to any other sched5rk ar to if-e Summery Paye. TMr tote) may not eQual the amount paid to the agent or independent controctor ar reported on Schedule E by the of/i<eholderic erxl~da re
Schedule H -Part I Type orprlrttlnlnk. SCHEDULE H-Partl
1 ~. -. ..r RA-..J .. a.. ale l..__ ATOIIMI TAV Iw rm~nd~d
s_vaTT~ sTrEauC ~V Vl11CF3 to whole dollars. Ststementcoversperlod
from
s, ,
SEE INSTRUCTIONS ON RE VERSE through p~qe ~~ 01~_
NAME OFOFFICEHOLOERORCANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
DATE OF LOAN
• FUII NAME AND ADDRESS OF RECIPIENT
(IECOI.IMET1[E,OIApp1-pNiOCOMMRI[['SNAMfANDADDRESS.INi[RI.D.NUMIER
00.1[NOI.D. MU1d~[RNAS O[EN ASSIGMEO,[Nl[~TREASURI R'S NAM[AND ADDR[SS)
INTEREST RATE
DUE DATE
AMOUNT
~J A
sty®T®TAL s
ns R/lade 4o Others -P~rt 1 Summary
owns of $100 or more made this period.
(Include all loans Made - Part I subtotals.) ...................................... ~
......................
2. Loans under $100 made this period.
(Do not itemize.) ............................................................................ S
........
3. Total loans made this period.
(Add Lines 1 and 2.) .......................................................................... TOTAL $
Loans Repayments Reseided - Par4 II Summary
4. Payments -eceived on loans of $100 or more. (Include all loan payments received and all loans of $100 or more
which have been forgiven by this officeholder, candidate, or committee -Part II (a) subtotals.
If for
iven
also it
S
h
d
l
E $
g
,
emlae on
c
e
u
e
.) ......................................................
. . ....... .
S. Payments received on loans under $ t00.
(Including a forgiveness. Do not itemize.) ....................... ............................ $
6. Total loan payments received this period
.
(Add Lines 4 and S.) .......................................................................... TOTAL
$ ~
~
7 Not change this Fer~.od. (Subtract line 6 from Linc 3. ---
Enter the net here and on the Summary Page, Column A, Line 9.) .. . ... . . . ............... .. ...... NET S
Schedule H -Part II Type orprlntinink. SCHEDULE H-Partll
~~~"'~~"' "~~T "` "'~~~~~~
oan epa men s ecetve on Loans Nla a towholedollars.
to Others ~ncluding Payments Received Statement covers period
Erom
from Third Parties) and Loans Forgiven
SEE INSTRUCTIONS ON REVERSE
through /// /7
Page ~Ln of ~
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D: NUMBE R
DATE OF
REPAYMENT OR
FORGIVENESS DATE Of
ORIGINAL
LOAN
fULI NAME OF RECIPIENT OF LOAN INTEREST
RATE
(IF CHAMG[D) AMOUNT REPAID OR
FORGIVEN ON PRINCIPAL*
(ExC1UD[ REC[IeT CN INTE R[SI)
OUTSTANDING
PRINCIPAL
INTEREST
RECEIVED
-
~~/
Attach additional information on appropriately labeled continuation sheets. SU®TOTAt_ $ ~ TOTAL INTEREST $ fel
RECEIVED THIS PERIOD
°IARPORTAfUT: 11 an art of a loan is for iven, also itemize the for iveness on Schedule E. I/ a re a ment is received from a
~ p g g p y
third party, enter the name and address of third party in the "FULL NAMf OF RECIPIENT OF [OAN"COIUmn above, along with the
namrt Of the ffrClplent Of the loan. Enter the amount !n column (6) In the
summary se~tlon o- Schedule I, Line 3 Do
not terry this total to the summary section
of Schedule H.
SChedUle I Type or print In Ink. SCHEDULE I
rvrrscenaneous increases t0 Cash AmDU"tsm.yDlrDU"°ea
towhole dollnrt. Sbtementcoversperlod -
~ pq
from _ ~~~Y // /
SEE INSTRUCTIONS ON REVERSE through ~ -~U py~ ~ ~ -~
NAME Of OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
GATE FULL NAME AND ADDRESS Of SOURCE
RECEIVED' Iu COMMIiiII, W ADOrt1oN IOEOMMrnII'f NAME AND ADDRESS, [NifR I.D. NUMlER
pNO1.D.NUMfi(RHASDIfNAfSIGN[O fNr[RiR[ASVRER'SNAMfANDADDRESS DESCRIPTION Of RECEIPT AMOUNT OF
INCREASE TO CASH
~/s /sy
7/95 ~~ ~~~f_ s~ - C ~cc,~~~,% -
G ~(cc%.
G
Attach additional information on appropriately labeled continuation sheets. SUBT®TAL $ G ~~
~liiscellaneous Increases to Cash Summary
1. Increases to cash of $100 or more this period . ............................................................. $
2. Increases to cash under $100 this period. (Do not itemize.) ..................... ~
. ..5 L.
3. Total of a!I interest received this period on loans made to others. (Schedule H, Part tl (b).) .................... $
e. Total miscellaneous increases to cash this period. (Add Lines t, 2, and 3. Enter here and on the _r'
Summary Page, Line 1S.) ....................................................................... TOTAL $ -