HomeMy Public PortalAboutForm 490 (Feb 14 - June 30, 1999)dfficeholder, Candidate, Type orprlntlnlnk.
and Controlled Committee '
Campaign Statement -Long Form
(Government Code Sections 84200-64216.5)
SEE INSTRUCTIONS ON REVERSE
Check orse of tM folbwlnp boxes to Indicate the type of statement being filed:
Pre-election Statement
Supplemental Pre-~ledion Statement (Attach a completed Form 495 to this statement.)
Special Odd-Year Campaign Report
Semiannual Statement
Termination Statement (Attach • completed Fam I1 S to this statement.)
n tFii: Statement
Statement covers period Date Stamp
from ~ ~ ~
_ iG~ RECEIVED
COVER PAGE -LONG FORM
through `J / Pap. ~ Of
D.te Df.lectlDn M.ppllcabN: MAR 3 1 1999 For Official Use Only
(Month, Day, Year).
CITY OIF CLAREMONT
t r omm}ttees o nc u e fn t fs tatement: uttanyDther
committees not Included !n this consolidated statement that are controlled by you and any
committees of which you have knowledge that are prlmarffy lamed to receive contrlbutloro
or to make expenditures on 6ehaH of your candldaq.
pri@ SOIrGM ~ lD QMCIUDt IOCATKMI AND OISt1YCT NllYata 11 A/RIG.I!)
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tlos oa ss Aooatss tNO. AND sTTIttT)
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crtY STATE ZM COO[
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COMMITTEE NAME I.D. Ntx+tata
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CITY
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G~ tTATE ZDCOOt
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NAME OF TREASURER
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-tWANtNTADD1ltftdTA[A (NO.AN TIItET)
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coYMrrT[t NAMt
1.0- NUMaf A
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COYYrRtt ADDIItST IND. AND STllt[T)
CRT siATI 2x'CODt AxtA COOE/DAYIIMI -NONI
coYYrntt NAYt
LD. NUMaEx
NAYt 01 Txusuaa ~ coPrt AOILlD COMMITTtt l
^ ves ^ No
COYMRTEE ADDlltfi (NO. AND STAEET)
CR1r ~ STATE >:1-000t Al1tA COD[JDAVTIMt -NONI
COOL/ AatA~COOt/DA1rTWt MIONE
X71 ~~Cf(~7l ~2. 5'03 AftKhadditlonalln/ormatlononapproprlatelylabeltdcontlnuatlontheets.
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the Information contained herein and in the attached schedules Is
true and complete. I certify under penaky of perjury under the laws of,th~Statogi~jlifornia that the fore oln Is true an correct. ~"
Executed on ~-3 C% `" -' yy AI `~ G,CAr~ rn o ~ / C. ~`f a ~' -~M-1;~rr--
DAT! CrtY AMD STAT! s1GNATUxt d Tat ASUA[A
An offlcehoWer a undldate who controls a committee mutt also verify the campaign statement. I have used all reasa
reasonable diligence in preparing this statement, I have reviewed the statement and to the best of my knowledge the i
complete. I certif~r u der pe al o},perjury under the laws of the Stat of California that the foregoing is true a,~nd cor/al
Executed on ~ ~~ At ~ C- t~ `'~~- ' By
GATE CRY AMD ATI
Executed on At 6y
oATt crtT AlID sTATt
Executed on At By
oAn crtr ANO sTArt
OI CA NDIDA 1 E COI f IC (NOl Ot A
and to 07 my k nowledge the treasurer has used sll
alne erein an>}~{n the attached schedules is true and
SIGNAIUIIE OI CANDIDArt/Orl1C[NOID[x
SIGHAIUx[ OI CAND104It~0111(t110l OIx
IOx INfO11MATKNV AlOUIxtD 10 /! ~xOvIDtD TO YOU -UASUANT TO 1Nt INtOM1ATKN1 MACTKts ACl Or It)/.1tt INIOxMAT10N MANUAI ON CAMPAIGN DISCIOSUIIt PIIOVISIDNS Of r/lt_~I~T~C~ ~i0111~ ~T
Stale DI CalHornla Fall ~olHlul Plartlres fommlttlnn
Sched ule A Type or print In Ink. SCHEDULE A
Monetary Contributions Received Am°"ntsm,year°und.d
to whole dollars.
•
SEE INSTRUCTIONS ON REVERSE Statementcover[perlod
/ ' /
from ~l~T/~~
throu0h ~ ~ /
oOe _~ 01 ~T-' _
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ~
A~~~2 - ~ ~.~2 a2 co~N ~,~. c ,~ , ,>, I.D. NUMBER
~~ ~ ~ ~ b
•
DATE
RECEIVED FUII NAME AND ADDRESS OF CONTRIBUTOR
(MCOMMrneE,tr1ADE1R10NT000MMrR!['sNAMIANDADDItESS,[MiE111.D MUMtiE11
01l,swot.owE-r~~urEwsec[NASSww[o,l/fT[trTll[AtU11E11'sNAMEANDAD011Efs) OCCUPATIO AND EMPLOYER
(MSEEr{MM01I[D,Era[~
11AMEOi~IKllEft) AMOUNT
RECEIVED THIS
PERIOD CUMULATIVE TO DATE
(J1lENDARYEAR
(lAN.1-DEC.31) CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
• -~~
_i
SUBTOTAL s
Monetary Contributions Summary
1. Amount received this period - contributions of S 100 or more.
(Include all Schedule A subtotals.) ................................................................................................... s
2. Amount received this period - contributions of less than S 100. ~, ,; ~jo
~~.
(Do not itemi:e.) .......................'..............................................:........9d . inT,~a. /~ .................. S D
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........ ........................... ... TOTAL s
$Ch@dU~e E Type orprlntlnlnk. SCHEDULE E (cont.)
Amounts may t-a rounded '
(COnt111UatIOC1 $h@et) towhokdotlar:. St~tt+mentcov~rtp.rlDd
Payments and Contributions from ~ yy
(Other Than loans) Made
SEE INSTRUCTIONS ON REVERSE through ~O '~~ Pam ~_ of
NAME Of OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE _ I.D. NUMBER ~
~ e/cz -- 5 /ez ~ 2 C'nv„LciL ~,/ `f ~oa~~
CODES FOR CLASSIFYIN EXPE DITURES
•C• - MONETARY AND IN-KIND (NON-MONETARY) •B• - BROADCAST ADVERTISING •G' - GENERAL OPERATIONS AND OVERHEAD
CONTRIBUTIONS TO OTHER CANDIDATES •N• - NEWSPAPER AND PERIODICAL ADVERTISING •T• - TRAVEI,A000MMODATIONSANDMEALS
AND COMMITTEES •O• - OUTSIDE ADVERTISING (MUST BE DESCRIBED)
•I• - INDEPENDENT EXPENDITURES •S• - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS •P• - PROFESSIONAL MANAGEMENT AND CONSULTING ~
~.
- LITERATURE
•F' -
FUNDRAISING EVENTS SERVICES
1I
AME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION I ~ 1,
a COMMIRtt, N ADORgN TO COMMRTtt1 MAMt AND ADD11tSS, [IrTtll I.O. MUM~t^ OIL N MO I.D.
NI1M~E11 HAf 1ttM AfSIGMtO, IIR[^ TIItAfUlltll'f gAfrTt ANO AODII[SS) I
~ ' ' ~ ~ 1
y ~'
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CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID w
Ci,C R ~{ ~ rn a..~r Q/ ~' ~~Y
7-
~
t Pu ,t! i T/ c A ~. ~ ~7'~ cry /-7~ (~S
, 2 s
r i/
sr. q
~ 5o W .~,
G,C~a.~mo..~7C'~ `7~7//
~d ~ ~ ~
.~ q~ ,~
i ~/ s „i use
~ ,C, T, ~ ~ ~ 9~ 3~. ~ ~
5
. ,~T
C~C,~2P•no,~T C~1 S~7/~ ~ ,
;.
' ~ 4
;~ ,~
SUBTOTAL S ~~
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Campaign Disclosure Statement Type orprlntlnlnk. SUMMARY PAGE
Amounts maybe rounded Statement covers period
Summary Page towhokdollars.
from ~ y
SEE INSTRUCTIONS ON REVERSE through 3~ y /age d
NAME OF//OFFICECCHOLDER OR CANDIDATECAND CONTROLLED CO//M~~MITTEE I.D. NUMBER
.~l~ „ l i9Q/Pl2'-d9~/P2 /rD42 Cov./L~ L C•~mo~i~,/ yyDb/O
Contributions Received tolumrf A Column B• Column C
ToTA~ THIS rEUOO ToTAt ravsous rcaOD ToTwi. to o•TE
vAOM ATTACHED S0/EDUIEf) (SEE MOT[ aEIOYV) NDO caUMNS A • a)
1. Monetary Contributions ............................... SclTedula a, Une 3 f ~ ~/-5 s ~ D s ~ 7 yJ~
2. Loans Received .....................................:... SclraduN s, une ~
-~J
-~
2~
SUBTOTAL CASH CONTRIBUTIONS ..............:....... addu-raat +? f ~ 7/S f 7S~ i / 7!1.~
~NOn-monetary Contributions ......................... ScAeduk c, une 3 ~ ~3 ~ ~ 3 ~
5. SUBTOTAL CONTRIBUTIONS (Exclude Enforteabta rranbea) add Ursea ~ + t f ~ ~ ~~ f ~ S ~ ~s
6. Enforceable Promises $ -~ ~
{Exchrda Loan Gw-errteeA Une f A below) ................... schedr,le O, Une 7
~ ~~~ -
~
S
~
7. TOTAL CONTRIBUTIONS RECEIVED ..................... adldurreas + 6 s S S
,~ .
Expenditures Made
f!. Cash Payments (Other than loans Made) ............
ScheduN E, un. s
s ~ ~ 3 ~ ,, //
t '7` ~ ~1
f ~ 7 ~ ~7
9. Loans Made ............................................. s~Mdr,N N, une >• ~
10. SUBTOTAL CASH PAYMENTS ............................ addurreaa + 9 s / 33~
11. Accrued Expenses (Unpaid Bills) ........................ schedule F une s ~-
12. TOTAL EXPENDITURES MADE ......................... addunea to . tt f ~ 3 3 ~
~-
: ~i ~
~-
s ~/~i
C went Cash Statement
~BeBinnirty Cash Balance .................. Prevlouasummaryoage, une r~ s 7~5
14. Cash Receipts ...................................... Column a, une 3 above D
1 S. Miscellaneous Increases to Cash ........................ schedr,re i une t ~ 7 y~
16. Cash Payments .................................... column a, une to above / 7
17. ENDING CASH BALANCE ..... Itdldttrsea t3 + tt . ts, r-rentubtrad une t6 : -~"
fl tlrls is a termJrygon statement lore t 7 must b! lero. I NDIMG USH aAIANOI SHOULD
NOT k A NEGl1TIVE AMOUNT
18. LOAN GUARANTEES RECEIVED .............. Schedule e, cart 1, Column (b1 s
Cash Equivalent: and Outstanding Debts ~-
19. Cash Equlvalen4 .... ........ .......... See lnttructloro on reverse ><
qty.
es
c to s ~ Rs-~-T`~
• From prtvious Statement Summary Page, Column C. However, it
this B the first report filed for the calendar year, Column B should be
blank elrupt for Loans Received (Line Z), Enforceable Promises (line
6), loans Made (line 91, and Accrued E~pensls (Line 11).
Summary for Candidates in Both June and
November Elections
21. ~ontEibt~tions s
ecelve
22. expenditures s
e ..
_.i~--
s i 7 5~ y
s ~~ s.~ ~
1/1 through fiJ30 lit to Date
20. Outstanding Debts ................. addtwret + trn. t 1/n ColumnCabove S ~-