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HomeMy Public PortalAboutForm 490 (Feb 14 - June 28, 1999)_1 ~~ffice~h~lder, Candidate, and Controlled Committee campaign Statement -Long Form (Government Code Sections N4200.81216 S) Type or print In Ink. SEE INSTRUCTIONS ON REVERSE Cfleck one of else tollowlrsg boxes to Indlute the type of statement Ming fllad: Pre-election Statement Supplemental Pre-Nection Statement (Attach a completed Form 195 to this statement.) Special Odd•Year Campaign Report Semi-annual Statement Termination Statement (Attach • completed form 11 S to this statement.) ier Candidate, and Controlled Committee n this Statement Statement covers ptrk4d Iron ~ ~ ~ s'(~ G 9 through ~ ~ ~ ~ ~ 9 Oate of electton M appllcabb: (Month, Day, rear) ~-~-~~ Oate Stamp RECEI!/E® JUN 2 8 1999 CITY CLERK CITY OF CLAREMONT RPAGE-LONG FORM ~ ~, 7 For Official Use Only Uther COmmltteeS NOt Includes In chit statement: Flstanyoche. committees not Included In this coroolldated statement that are controlled by you and any committees o/whkhyou have krowledge that •rrr primarily /ormed to receive contrlbutloro a to make txpendltures on 6ehaff of your candidacy. cowwmtt NAwt r o. NuwaER p/ u 3lGMT OR1rI[D t~~t IOGTKJN AIt9 DISTt1KT NVYQa / A//LIWII) a. , urruu oR ausrtu Aooasss l ~ o0 0 ~F~-~ r D+o. ANO sram L CRY C ~. f ~ PLC-' /v`-19 N~ fTATE C ~- % ~ L-COOt AR[A CODUDAYTaiI rrrONl " ~ l1 0 ~ , ~. S 3 ~ c COMMITTEE NAME K~ ~t ~ ~'''~~ ~ cZ/CNf >•In ~ 1.0. NUMaER ,E/t (C~ vr/~/L 99o~j9 COUrwRTt AOOItEtt yap y~~. MO. ANDf1RltT) CRY C_. ~ 11 ~~ ~ n'~~• tTAIE ~-~ -; ~ ~~. iV COOE AREA CODENAYTMAt /r10Nt ~~ , ~i/ 409 ~ z S 3 Sa ~ . . , I NAf~IE'OF tREASURER /~ ~ cv C~ ,~- ~- ~ ~- Dom.- / /tIWANEMr ADWIISS a TIILASW,1iE~R ~ ~"/~ ~ ~ w?/ /' ' C- , (NO. ANO stutTl OriREASURtR [OMwRTEE ADDRESS (N0. AND STIItET) ^ Y[s ^ No tl CR11 fTATE ~ Ix+CODt AREA COOt/DAYllwl -MONE cowwmtt NAwc 1.0. MUMatR MAMt Or TRtAtINI[R ~ CONTROllEO COMMITTEII . ^ YES ^ ND COwMRTEE ADDREft Mo. AND STIIE[Q CTrY STATE ip COOE AREA cOOElDAY11M[ ~HONr CRY fTATt ~\ iMCODE AREA000GDAYTe.IlNIONt `.~ - ~ ~ ~: ~~. '1 C /• c'/ / 'i / 1 q o ~ ~ ~ J 3 ~1 0 9 Attach.ddltlonalln/ormat/on on approprlatey labekdcont/nuatlon sheets. erI Ica ion I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of owledge the Information contained.hereln and in the anached schedules is true end com e. 1 certify under nahy of perju under the laws of the State of California that the forego a and rrect. Executed on ~~ °,' At ~ ~ /' ~ ~^ ~ ^""~' /. "1 C' ~ B OAIt CITY AMD STATE sIGNATURE Or TRr ASURER An officeholder or candidate who controls • commlrie• mutt also verify the campaign statement. I have used all reasonable diligence and to the bcri of my knowledge the treasurer has used all reasonable diligence In preparing this riatement. I have reviewed the statement and to the beri of my knowledq the information contained herein and in the had schedules is true snd complete. I crertify under penalty of perjury under the laws of the State of California th/a~t the fo~re~oing is true an or ct. Executed on ~% .. '),~ ~ C~' C1 At ~ c- ~ /i t /N_ U i,.- i ~ 1~,'~ By I~ . ~ DATE CRYANOSTAit fl iURf 01 CANDIDAIt/0111( OIR Executed on At By OA1[ CRY ANO S1AiE Executed on At By oAn crtY ANO STATE SIGNaIUIIE OI CAHDIDAIt/OIr1C[HOIDtR SIGNAIUA( OI (ANDIOAIT /Ol llcl 1101 OIR r0111M01WATx11rat0UlRlD to at EROVIDtO TO TOU-URSUANT 10TH[ aI/ORMATKr/l-MCTKE! ACT OI Hrr, t[t g1/ORAtAt10N MANVAI ON CAM-AI DISCIOSURI -~OVIS10Ni 01 IH! rQIrKA] ~1OIIb, ~S] ~~\ Suta of CNllornla Fall Polhlrsl Plartlcer fnmmllllnn Cam ai n Disclosure Statement P g Trpeorprlntlnlnk. nded b SUMMARY PAGE summary Page e rou Amounts may towhokdollars. Statement covert period y ~ a' ~ ' ~ from ~ - ~, ~ ~ ~ 7 `3~ through d tape SEE INSTRUCTIONS ON REVERSE NAME Of OffICEHOLDERORCANDID TEANDCONTROLLEDCOMMITTEE i' I.D.NUM9ER v Contributions Received Column A Column B' Column C T TOTAL TIeS r[IUDO TROY ATTACHED tQQDUI[S) TOTAL MI[VIOUt KRr00 (fEE MOT[ a[laM TOTAL TO DA E Noo CotuMNS A • t) s ~ y ~ 7 ~ s ~b ~ S s ~ ~ ~ ................ 1. Monetary Contrlbutions .......... ..... Sched~k ~, th,e 3 ~ ~ `/ ~ ~ O -~' une ~ schedules : ived R L 7 S ^ , ... .. .................................. ece ~ 2. ~ ~ '~ ~ ~ ~ ~ S ~ ~ S ~~ ~ 3. fOTAI CASH CONTRIBUTIONS .... ~ ................. Addunes f . ? S . _ S / 4. Non-monetary Contributions ....., .................... S. SUBTOTAL CONTRIBUTIONS (Excfudle Enforceable homfsts) 6. Enforceable Promises (Exdrrde Loan Gwr~nteat, lose 1d below) ................... 7. TOTAL CONTRIBUTIONS RECEIVED ScMduk C LNse 3 Addurset9 + ~ SclsedWle D, Une 7 AddurtetS + 6 f ~ ~ ~ /' S ~`~ ~ ~ - p s o ~ 1 ~ ~' t l ~ S ~'--- i _ S ~ ~~ ~ J ~ S ! U , 2 Expenditures Made G~ t ~-t ~~ ( Cl ~ q C ~ s a 0 3 3, v 'i- s (~ 1 ~'~ ' ~ 8. Cash Payments (Other than Loans Made) ............ Schedule E, Urte s 9. Loans Made ............................................ Sc1-ad~k H, une ~ ~' I ~ ~ ~ I r~?. ~ ~ a` 0 3 3 , ° ~- s q ~~' : ~-~ - 10. SUBTOTAL CASH PAYMENTS ............................ AddunetA + 9 S - 3 `"I 3 ' b L ~ 3 `>' ;, .; ~ o -~- 11. Accrued Expenses (Unpaid Bills) ........................ sdsedsrk F, une s 7 ~ ~~ ~ ~ f' ~~ S ~~ t~- ~ r c'~ ~' 1 G 12. TOTAL EXPENDITURES MADE Addunet to + tt . ( o ~ S , ~ S Cu• t Cash Statement _ ~ ~~ ~ ' ~ ~ 13. otyinninq Cash Balance .................. PrevloEnSum maryPaQe, arse t7 s v • From previous Statement Summary Page, Column C. However, it Cd 3 above A U ~~ • O U this fs the Nrtt report filed for the ukndar year, Column 8 should tx P i (li E f bl u ........................~.......... 14. Cash Receipts .. - ne , mn ne rom ses n orcea e blank e~ctpt for Loans Recelvcd (Line 2), 15. Miscellaneous Increases to Cash ............ Schedule t Line a 6), loans Made (line 9), trod Aurued Expenses (Line 11). t 6. Cash Payments .................................... Cdumn A, Une to above 17. ENDING CASH BALANCE ..... Adi[kset t3 + tI + tS, then subtract Une 16 S fl this b a termlrsatlo+r statement l/rse t7 mart fie rem. ENaNGUS++tAU-~ sr+ouo NOT aE A NEGATIVE AMOIIHT Summary for Candidates in Both June and November Elections ~J/~~ 1/1 through W30 7/1 to Date 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Parr I, Column (b) s Cash Equlvaknb and Outstandln~ Debb 19. Cash Equlvalent>ti .... ........ ... .............. Se+ fntTructforu on reverse S 20. Outstanding Debts ................. Add f.In. s + lMse t t In co+umn c.bow S 21. ~ontfibt~tions s ecelve 22. ~xp@nditures z Ode . ~ ~L....~..1.. A Tve~ er erint In lnlt_ SCHEDULE R JLIrGY MSG .-, ~ AmOUntt m• 1»rounded Monetary Contributions Received to wholedollen. Stattementcovertperlod ~ ~ `~' ~ 7 Iron ~ th h ~ ~ ~~ ~ J f ~ SEE INSTRUCTIONS ON REVERSE roug o PeOe NAME OFOFFKEHOIDEROR ~pIDATEANDCONTROLLEDCOMMITTEE I.D.NUMBER GATE FULL NAME AND ADDRESS OF CONTRIBUTOR (rcowrmee.wt~oortaNrocoMr~trrtetYw-rr[~MOAOOUSS.trrtcR~.o.r~uwrtte OCCUPATION AND EMPIOVER pst[rtrrnorto.eMSte AMOUNT RECEIVED THIS CUMULATIVE TO DATE (ALENDARYEAR CUMULATIVE TO DATE OTHER RECEIVED orlrrror.o.rrwaew-stetwesswrrto.trtrata~wet~Yrurrt~-uo~ooutssl w-wrtortusertssl PERIOD IAN.t-OEC.~1) (IF APPLICABLE) ~-tiE~~ ~- ~ ~~ s R<<A~. ~2 ~~:~~ 4~~ b~~~~-a ~o o a.oo ~, I~ c:~ M /~.,~s'~~?r'~L ~/~N~~QA~ ~ . _3,~~ d ~i d o~forO . ZSO Zjv SUBTOTAL S Monetary Contributions Summary 1. Amount received this period - contributions of S 100 or more. (Include all Schedule A subtotals.) ............................................................................... .... .............. S '~ S 0 2. Amount received this period - contributions of less than S 100. (Do not itemise.) .............................. ...... ........................................................ .. .............. S 1 3. Total monetary contributions received this period. ~ ~ (~ '~'1 ' (Add Unes 1 and 2. Enter here and on the Summary Paye, Column A, Line 1.) ........ ............................. ... TOTAL S •_E....~..1,, o e.,.a EE TrworExintlnink. SCHEDULER-Partll ~ LE r au u r e " • - ' "' ` " Amounts may b! rounded itepayments Made on Loans Received, Loans towhol•doll~rs. =orgiven, and Loans Repaid by a Third Party ;EE INSTRUCTIONS ON REVERSE ~ Statement covert perbd from ~ '~ `~ ' ~~~ through ~ ~ Z ~~ ~pt ~ of VA,MEOFOffICEHOlOERORCANDIDATEAN CONTROLLED COMMITTEE I.D.NUMBER DATE OF REPAYMENT OR fORGIVENESS DATE OF ORIGINAL LOAN full NAME Of LENDER INTEREST RATE pr cw-wcEOl AMOUNT REPAIDOR ~ FORGIVEN ON PRINCIPAL trxCluo! ~AYMEM p rME11ES» OUTSTANDING PRINCIPAL INpAID T _~, ~- ~-~9 K A ~ ~ ~ M /1-ors-~~~ ~~, ~- - ~ a d ~- -{~- 3 , c, q ~_~,3~r ~ ~ ~~~ ~ ~ ~ ~ /~~ r`~ of E N~ l~ ~,~ __ ~ S o .~ ~-- _. Attach additional information on appropriately labeled continuation sheets. SUBTOTAL S ~ ~~~ C~ .TOTAL INTEREST PAID TNIS PERIOD ,1dj S `11.tPO~Ti.1:T: tf errq part of a loan is for~pivcn or repaid by a third party, also itemize the transaction on Schedule A, lndudiny tM nartri and addrttu of tM Pa~^ foryiviny the loan or the third party making the payment, and the amount fOr~1VlA Of p~1d [rater the amountlncolumn (~ in the lummary section o! Schedule E, line 3. Do not tarry thli local to the fummary rec rion of Schedule B. Cfl@(iU~@ E Type orprlntlnlnk. SCHEDULE E Amounts mey be rounded Statement covers period ;~ . Payments and Contributions towhol.douart. ~ . , r ~ . 9 ®ther Than Loans) Made ''°m / ~ 'I through (~ ~ rL ~~ ~ ~ hqe ~ ~ .EE INSTRUCTIONS ON REVERSE IAMEOfOFFICEHOLDERORCAN0IDATE DCONTROIIEDCOMMITTEE ~ t.O.NUMBER ~ ~' , -, CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. C' MONETARYANDIN-KIND(NON-MONETARY) • 'a' - BROADCAST ADVERTISING 'G' - GENEMLOPERATIONSANDOVERHEAD •CONTRIYUTK)NS TO OTHER CANDIDATES ' ~ •N' - NEWSPAPER ANDPERX)DICALADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES •O' - OUTSIDE ADVERTISING (MUST BE DESCRIED) '1' - INDEPENDENT EXPENDITURES ~ 'S' - DOOR-TO-DOOR SOLICITATIONS SIGNATURE GATHERING SURVEYS •P' - PROFESSIONAL MANAGEMENT AND CONSULTING , , SERVICES 'L' - LITERATURE •F' - FUNDRAISING EVENTS NAME AND ADDRESS Of PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E, REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE ~ OF THE SUMMARY SECTION BELOW. p cortrrrn[. w •oorrrow rocowwm[[~s rur+[ rwo •ooutt. [rn[rrr.o. Mur+ueoA • wo r.o. - MIMM~/M1MlMA{1rGMlo.llrt[~i~UlsU11[~11MMlAlIOJ10011[ff) DESCRIPTION OFPAI'MENT CODE OR AMOUNT PAID - ~ , ~J ` ~ ~ C , / ' T l E ~ /1~1 O n. ? - E_ c E1 , it ~ ~T" I Imppoortant: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL S , ' (J ~$ , o(-ficEholderT, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part t. ~ 'aymentsand Contributions Made Summary i ~;l!~_,C,~~, ~. Payments made this period of 5100 or more. (Include all Schedule E subtotals.) ............................:......................... S . ~ r; • . 7 ~ . Payments made this period of under S 100. (Do not itemize.) ................................................:...................... s I ~ ~ ~ ~ '- T~:t~S interest p<:id tl,i; ,period en outstzndin, leans. (Enter amount from Schedule [3, Part II, Column (d).) .............................. s .. iutal accrued r.lxr~scs paid this pcrio~. (Uo not itemize. Enter amount from Schedule f, Line 4.) ~1 .. 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 ~ ~ ~ O SChedU~e E TyptorpintMlnt. ~ SCHEDULE E (cont.) Amounts may b~ rounded (COritlnUatlOn Sheet towholeddl~rs. Stat~mentcov~rsp~riod Payments and Contributions from ~. _ / ~/ - 9 ~ (Other Than Loans) Made ~~$ ~~ ~ iEE INSTRUCTIONS ON REVERSE throlph Pam ~_ 01 NAME OF OFFKEHOLDEROR CANDIDATE A CONTROLLED COMMITTEE ~ ~"~ I.D. Nl1MBER ~ CODES FOR CLASSIFYING EXPENDITURES 'C' - MONETARYANOIN•KIND(NON-MONETAR1f) ~~' _ 6ROADCASTAOVERTISING 'G' - GENERALOPERATK)NSANDOVERHEAO CONTRIBUTIONS TO OTHER CANDIDATES 'N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS ANDCOMMITTEES 'O'- OUTSIDE ADVERTISING (MUSTlEDESCRIttED) ~P' - PROFESSIONAL MANAGEMENT AND CONSULTING ~ 'I'•INOEPENDENTEXPENDLTURES - 'S' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS SERVICES ~ 'l LITERATURE 'F' - FUNDRAISING EVENTS ` ~ NAME AND ADDRESS OF PAYEE. CREDITOR, OR RECIPIENT OF CONTRIBUTION I ~ ~ ~ ,I p CDYMrtTi[, M ApDIr1pM 10 CDMMRTI[~ MAY[ AMD ADDIIlff. IN1l11 LD. MUM![A 01l lr MO I.D. MUM~tAMAf![[NA3fIGlltD,[NIIwTII[AfU11I11'fNAMtANDADMIIffI - ~ ~ ~ I M ~i .,~1~ CODE OR DESCRIPTION Of PAYMENT AMOUNT PAID ~. c ~ r~ E ~-o ~.'i f~.~ r n- -I~ Gc~ N Y ~ ~S ~ ~ ~<<=S~ ~ ~ ~ 9~7 .~= C ~, ~ ~ ~,-u~ ~.- r c r~ ~i ~ ~~7 ~ '~ ` I L. ~.~ r ' i _ . ; ~ ;, SUBTOTAL S l.( !~` ~ ~ , , f ~~, I :: r- '~ $:hedUle F Type orprlntlnlnk. SCHEDULE F Amounts maybe rounded Accrued Expenses (Unpaid Bills) towhokdollars. Sutementcoversperlod from ~ ~ `~~ ~ / through ~ F 'L ~ ~ C Pape ~_ 01 SEE INSTRUCTIONSON REVERSE NAME OFOfFK:EHOLDERORCANDIDATEAN CONTROLLED COMMITTEE I.D.NUMBER CODES FOR CLASSIFYING EXPENDITURES Ii 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-MONETO~RY) •B' - BROADCAST ADVERTISING ' 'G" - GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES •N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS ANO COMMITTEES 'O' - OUTSIDE ADVERTISING (MUST BE DESCRIBED) 'I' - INDEPENDENT EXPENDITURES 'S' - SIGNATURE GATHERING DOOR-TO-DOOR SOLICITATK)NS SURVEYS ~P' -' PROFESSIONAL MANAGEMENT AND CONSULTING , , SERVICES 'L' - LITERATURE •f' - fUNDRAISING EVENTS NAME ANO ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT Of CONTRIBUTION IM(rORTAIIrT: DO NOT n[MIIE TH[ MTM[IrT Or ACCRII[0 tx-[NS[f ON fCM[DUl[S [ OR /. R[rORi OMIT 1-t[ IUM~ SUM OI -ATMTMrT (p COMMRT[[, M A0011R7N TO COMMrrT[['f MAMI AND ADOR[SS, [NirR 1.0. NUMtf[R OR, M MO 1.0. ON fCHEDUI[ r, LrN[ ~ AMD ON SCH[oUIE [, urr[ ~. DO NOl Rt•n[MII[ ACCRUlO [xrrws[S RE WNT[D IN A -R[ VIOUS •lR10D. MUMtt[RHAS 1[!N AfS1GM[D,lNi[R TR[ASUII[R'1IIAM[ AND ADDR[SS) CODE OR DESCRIPTION OF OUTSTANDING PAYMENT AMOUNT ACCRUED l.tt~.rh : d~'itinn.-1 in(orm~(ion on a.npropriatelylabelyd continuation sheets. SUBTOTAL S ~.c~lu~d Expenses Summary . l,ccr uc.o ~i.I~cnscs :his period of S 100 cr more. (Include all Schedule F subtotals.) ..................................................... 3 - . !.<cru~ d ~ ~ pcnsr.s this period cf under S 100. (Do not itemize.) .............................................:....................... S ;', ?. t:.:. ; r~~r r' r ~ I-•. n~~ ~ innrrrr~ tl,i~ ~~rior!. (! r±d I in~~ 1 . nd 1) INCURRED TOTAL s - ~ - ,.. ~.. , i. _i ...... .. ... .. I. _;~ , r;r.; c,i~ ,.I~~.vul~ ~ .uir;rr,:rj~ Lin~_ I ................. I'i-.IU TOTAL S ------y- - 9 pE ubtract line 4 from Line 3. Enter the difference here and on the Summary Page, Column A, line 11.) ...... NET ~___.. _. S. IJct than a this rind. (S . M~, M ~ n,p~n.. no.-M~