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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 $ -