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Home My Public Portal AboutForm 490 Amendment (Feb 14 - June 30, 1999)AMENDMENT Amendment tO. Type or print in ink Date Stamp Campaign Disclosure Statement RECEIVED ~~ ~ . ~.. This form must be used to amend statements filed pursuant to Government Code Sections 84200-84216.5, and must be filed with all filing officers who received the statement bung amended NOTE: Do not use this form to amend a Statement of Organization, Form 410, Candidate Intention, Form 501, or a Campaign Bank Account, Form 502 Use the actual Form 410, 501 or 502, respectively, to make amendments. The information required in Part I must correspond to the information provided on the campaign statement being amended. Name of Filer information on NAME OF FILER I.D. NUMBER // RE APPLICABLE) ~~oh ~~e/c2 ~~~~/C~ TViAILING ADDRES OF FILEaa~~ (NO. AND STREET) ~6b W o~ ~/g /9ye - /7 ~ CITY/ C/~~/Z~°/~an/ T ACOD AYTIME PHONE NUMBER a ~ -- 3 3 ~ AME OFT ASURER IF RECIPIENT COMMITTEI i l ~ e .~ C-~ ~,~~ MAY 1 4 1999 CITY CLERK CITY OF CLAREMONT II Amendment Information For Official Use Only A. The following information amends campaign disclosure statement, Form No. ~, executed on ~ "3~ "5~1 for the period °~ ~ through ° (MO, DAY, YR.) MO, AY, YR.) (MO, DA , YR,) The amended information affects items on the: ^ Cover Page ^ Allocation Page Q Summary Page ^' Schedule(s) ~ ^ Part(s) STATE ZIP CODE 13 ~ ~ Gli 7 ~~ PEq~A?~NENT ADDRESS OF T4tEASURER: (IF APPLICABLE) (NO. AND STREET) ~olod yy ~•~•~g 91/e - zl ~ CITY ~ STATE ZIP CODE A CODE/DAYTIME PHONE NUMBER ~~ ~ ~ ~~ .~ - b 3 ~ 5 C. Describe the changes below. Include in detail all information you wish to become a part of your official campaign statement. Please attach a cover page, summary pa a and/or appropriate schedule(s) to this Form 405 if necessary for clarification. Include additional information on appropri- atelylabeled continuation sheets. (Number of sheets attached .) ~) VerlflCatlOn (See important information on reverse.) 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 penalty of perjury under the laws of the State/of California that the foregoing is true and correct. Executed on ~ ~ ( At ~~~~~~~ l ~ By T F T ASURER OR FILER DA E CI AND STATE Officeholder, ca didate, state measure proponent, or sponsored committee responsible officer verification: I ha used I reasonabl dilige he best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of , y kn wed the infor n n a' herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the forego ng is true and correct. Executed on, At By ) F CITY AND LATE SIGNATUR FOFFICEHOLDE ,CANDIDATE, PROPONENT, OR RESPONSIBLE OriICER Executed on DATE Executed on DATE At CITr AND STATE At C17r AND STATE 8y By SIGNATURE OE OFFICEHOLDER, CANDIDATE, OR PROPONENT FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT Or 1977, SFE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT. SIGNATURE OF OFFICEHOLDER, CANDIDATE, OR PROPONENT State of CalifornU Fair Political Practices Commission Campaign Disclosure Statement Summary Page SEE INSTRl1CTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Tso. a prMrt In Ink. Amounts a+•p ~ rounded to whole dollars. o v.-/ ~ i L C,~ ~~fl i S~ . SUMMARY PAGE sutement coven o.rbr Irorw / 5 IhrouOh ~ /•~e ~ 0/-~ LD. NUMeER Contributions Reieived Columli'A Column s' - cwumn c T01A1 lT•T rlAMO •110Y ATTACMD TOlgRtTl ToiK 11rVDYl r1M00 tT!! MDT! MIOTV) t01AL TO OAi! {ADO COLYMMi A ~ h ~~ : / ~/ 5 : / ~ y.5 1. Monetary Contributions ............................... Sdredra ~, U-re ~ s 2. Loans Received ......................................... sdr.d-ra ~ ur» ~ ~ ~ D 'l~ SUBTOTAL CASH CONTRIBUTIONS ...................... ~ Adduna t .1 s D : / 7 /.$ ~ ~ 3 ~ s / ~l-~ / ~ 3 ~ . Non-monetary Contributions ......................... sdredrra C tine 3 - ~ -~ ? 7 5 ` ~ ~S S. SUBTOTAL CONTRIBUTIONS (E,rcltrds Enlbrce•bl• hanbesl /idoltkws 9 + a s T ` s ° ~ s 6. Enforceable Promises v D ~ (En~Ards Loan GwrrrteeA Line II below) ................... Sctrtdlrle D, tine 7 s ~ ~ ~i ~ s a s '~ ~S 7. TOTAL CONTRIBUTIONS RECEIVED ..................... ndltlnesS . i , - , Expenditures Made B. Cash Payments (Other than Loans Made) ............ Scfiedr,a E, tine s '/ s ;~~_ s / ~ 3 ~ s / ~ ~ S 9. Loans Made ..........:.................................. ScMdds N,t.hn 7 'D ~ 10. SUBTOTAL CASH PAYMENTS ...................... ~ ..... Aoldthres/ • ! f ~S s / ~~ 3 d c, s / 7 / S 11. Accrued Expenses (Unpaid Billsl .................. ..... sdndrrls f tlrre s ~r ~~ RES MADE 12 TOTAL EXPENDIT ..................... . U Current Cash Statement . ~. Beginnlrlg Cash Balance .................. IrevkwsSuwrwr•ry-pe, t1rTe I7 s • From prwiotrs StateTent SYmmarp Vale, Column C. Now• . Il ~ thb b tM /irt report flkid to tM wNndar peer, Cdumn t should De 14. Cash Receipts ...................................... cot urnrTA lJrreT above blank e~tcept for loans Received ( line 2), Enfosceablo Prwnile! (line 1 S. Miscellaneous Increases to Cash ........................ ' s<nedr,a R ur,e a $ 61. Lo~rn Made (liM !1. and Acuued Espenses (line 11). 16. Cash Payments .................................... colurrTrr ~, tMn to above ~ ~~ 17. ENDING CASH BALANCE ..... Aididttrres u • t~ . ts, rherT suba•ct une is s a M Ws b • termin•tlon statement, tine t 7 must be rera r wo•r~ usn •AUrrot TMw><o rroT s! A rreiArrve AMO1•R 1B. LOAN GUARANTEES RECEIVED .............. s<ned~a •, -•rt r, caYm~ ~) s '~ Cash Equlvaltnb and Outsbndin~ Debb ~y 1!. Cash Eatdvalen4 .... .......... ~ See lrravctbn on reverse s T/ 20. Outstanding Debts ................. Addttrre ~ . IMTe r t /n column C .bow s Summary for Candidates in Both June and November Elections 1/1 through 6130 711 to O•te 21. ~ont~ibL~tions s ecelve 22. ~tc~enditures S MM dde . . $ChedU~e E Type orprlntlnlnk. SCHEDULE E Amounts may M rounded Statement covers period PaymerltS and COIItrlbUtlOr15 to whole dollars. ~ (Other Than Loans) Made ~ _ Iron TEE INSTRUCTIONS ON REVERSE throuOh 6 ~~ Page ? _ o~ ~_ NAME OF OFFI/CEHOIDER OR CANDIDATE AND~CO' NTROIIED COMMITTEE / ~ 1.0. NUM9ER ~D 1~ ~~2 /f 2 r,~ /9iQ /P ~. ~~t7 ~ ~U c~ ~ L. / L~ ~~rr~ ,r~,4 , c n/ ~ Gl ~~/ ~ CODES FOR CLASSIFYING EXPENDITUI~S If one of the following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment''columnbLank. Refer to the back of Schedule E-Continuation Sheet for detailed explanations of each category. 'C' - MONETARYANDIN-KINDINON•MONETMY) •~• _ BROADCAST ADVERTISING 'G' - GENERAL OPERATIONSANOOVERHEAD ® CONTRIiUT10NS TO OTHER CANDIDATES •N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES •O' - OUTSIDE ADVERTISING (MUST !E OESCRI~ED) 'I' - INDEPENDENT EXPENDITURES •S' . - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS •P - PROfESSIONAI MANAGEMENT AND CONSULTING 'L' - LITERATURE •F' - FUNDRAISING EVENTS SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION p ca[ssrnt[, er,-awrww so co.rs+msrs rurr[ ,-rso ~ooass, unee,.o. wuuga OQ a, wo,.o- 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 aELOW. rrweu w.s n[rr wss,rn[o. [rrtu r~[wsun[ry w-rrs iuw wow[ssl CODE OR DESCRIPTION Of PAYMENT AMOUNT PAID / G~Cp2c /no ~~ ~o v 2 ie 2 ~ ~ ~~~ 3 ~ ~ - important: Contributions anv expenditures made out of campaign funds to or on behalf of other SUOTOTAL s o iceho/ders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part 1. Payments and Contributions Made Summary ~ ~~ 1. Payments made this period of-:100 or more. (Include all Schedule E subtotals.) ............................:......................... S 2. Payments made this period of under S 100. (Do not itemi:e.) ....................................................................... s /l 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 11, Column (d).) .............................. s 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule f, Line 4.) ..................................... s (~ 5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line B.) ......... • • TOTAL s ~ 5_