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Home My WebLink About1997-01-16 Form 420 - PS POA·-( ---r,... ' Recipient Committee Campaign Statement -Long Form (Government Code Sections 84200-84216.5) Type or print In Ink. SEE INSTRUCTIONS ON REVERSE Check_ one of the following boxes to Indicate.the type of statement being tued: 0 Pre-election Statement D Semi..annu!_I Statement D · Special Odd-yearCaimpaign Report_ D Supplemental Pre-election Statement (Attach a completed Form -49S-tothls Statement.} D Termination Statement (Attach ll completed Form 415 to this statement~} .---~~-'------.-~~::---~~--COVERPAGE-LONG FORM Statemerit covers period Date Stamp from ct'?f- through /Z·3 /-9/. Date of election If applicable: (Month, Day, Year) RECEIVED JAN 1 O 1997 ~ ·P•~• forOll~ial~:.~nly. CITY CLERK :Committee Information •✓ ·~N'"'A"'M"E"o'"'F'"'c,',o"'M"°_M=1rr=EE=--. -~----------~---------II Primarily Formed Committee (See definition on reverse.) List names of officeholder(s) or candidate(s) for which t h . . I fc d is committee is onmari1v orme . "d,ce. {) i'cets /GSociqfic NAME OF CANDl~ATE{S) OR OFFICEHOLDE,R(S) ·oFFICE SOUGHT OR HELD, CHECK ONE n -·· I.D.NUMBER f.s. I OTY . NA~1\1sF t~aliri · STATE • ZIP CODE AREA CODE/DAYTIME PHONE , PERMANENT ADDRfSS OF TMASUA£/ •'· STATE ZIP CODE ARfA CODE/DAYTIME PHONE 0ft. f2,7../,,3 ( . ' J r--·~rcheck Boxes) See definitions and important information on reverse. ( / ' '--__.;J h' d · , -st rs a sponsore committee. . ......... · ........ O Yes fi No Is this a broad based political committee? ......... 18( Yes • No Attach additional information on appropriately labeled continuatia,n sheets. Ill Verification 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. D · · Executed on -1 j 11. I ~1 At IA hn Spa,,.01b Cer: By Executed on ___ ===---- DATE At _____ --::===,,.-----~- CITYANDSTATE BY-----=----:-::=:-:-----------------=::::------s1GNATURE OF RESPONSIBLE OFFICER OF SPONSOR, IF I\EQUlRED FOK INFOflMATION lllEQUII\EDTO BE PROVIDED TO YOU PUJUUANT TO THE INFORMATION PRACTICES ACT Of 1977, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PI\OVISIONS Of THE POLITICAL lll[fORM ACT, State of.California Fair Polltlcal Practices Commlnlon ~.· Recipient Committee· Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE ;Jir.o.l c.t\o/'\ Co"'"';•He. Contributions Received 1. Monetary Contributions ............................. .. • .oans Received ....................................... .. "· :iUBTOTAL CASH CONTRIBUTIONS .................... .. Schedule A. Line 3 Schedule B, Un, 7 Add Lines I + 2 4. Non-monetary Contributions . . . . . . . • . . . . . . . . . . . . . . . . . Schedule c, Urn, 3 5. SUBTOTAL CONTRIBUTIONS (Exclude.Enforceable Promise,) Add Lines 3 + 4 6. · Enforceable Promises (Exclude Loan Gu1r1nte-e1, Une 78 below) . . . . • • . . . • . • . . . . • . . Schedule D, LIM 7 7. TOTAL CONTRIBUTIONS RECEIVED ... .. .. ........... ... AddLlne'5 + 6 · Expenditures Made 8. ·cash Payments (Other than Loans Made) .. .. .... .. .. Schedule E, LI"" s 9. Loans Made ........... · ................................. . Schedule H, Line 7 0 Type or print In Ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS P[P\100 (fl\OM ATTACHED SCHEDULES) • I • o. s -IJ/0, .I •"' s "T 2 I D :.-=--- t/Z./D ~ s -'---'--------- s _________ _ 10. SUBTOTAL CASH PAYMENTS ............................ AddLlnuB + 9 s ________ _ 11. Accrued Expenses (Unpaid Bills) .. .. .. .. .. .. .. .. .. .. .. .. Schedule F, Line 5 12. TOTAL EXPENDITURES MADE ......................... Add Line, 10 + 17 S ________ _ )rent Cash Statement 13. Beginning Cash Balance .................. Prevlou, SummaryP•9•, Un< 17 14. Cash Receipts .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Column A, Line 3 •bove 15. Miscellaneous Increases to Cash . . . . . . • . . . . . . . . . . . . . . . . . Schedul• I, Line 4 16. Cash Payments .................................... ColumnA,Llne 10above s ~e,~q~q_J ---- '1 ;;i_ JD. 17. ENDING CASH BALANCE ..... AddLlne, 13 + 14 + 15,then,ubtr•ctLlne 16 s --"v<-'-l'-'/Se....:,-..:5c... _____ _ If thi1 Is a term_inatlon rtate-ment. Une 17 must~ Ztro.· ENDING CASH BALANCE SHOULD NOT !IE A NEGATIVE A.MOUNT 1 B. LOAN GUARANTEES RECEIVED . .. .. .. .. .. .. . Schedul, B, Part I, Column (b) s ________ _ Cash Equivalents and putstanding Debts 19. Cash Equivalents .............. , . . . . . .. . . .. . . . .. . s,, innructiom on reverse ,ff ! _________ _ 20. Outstanding Debts ·Add Line 2 + Line 11 In Column C above ,,Rf' S---------- Statement covers period from r 1-9(, through-'-/ z_,--'1'--f_,..:.1.;:;~--- Column B• TOTAL PREVIOUS P(ftJOO (SE[ HOH BELOW) s si~?-v s ii8 i. r s 8&'£;&'. -;iv' s ggg?;.~ .. s ;z..ootJ oy s .:/ooD s ::?ooo r SUMMARY PAGE · I.D. NUMBER 95 1'8'-1/ Column C TOTAL TO DATE (ADO COLUMNS A + B) s ----'-'I 3""0,,__'l!..1.[a...."'_-P-_· __ _ s -'-'' 2,c::._;o:..'lc.:t:....r ___ _ -zooo ••. S_....::.c=------ w s ~oil s :2000 • • From previous Statement Summ1ry Page, Column C. Howev~r. if this is the first report filed for the calendar year. Column B should be blank except for loti,m Received (Line 2). Enforcuble Promises {Line 6), loam Made (Line 9). and AccruN1 E,cpenses (Line 11 ). Summary for Non-Controlled Committees Primarily Formed to Support or Oppose Candidates in Both June and November Elections 1/1 through-1~/3/. 7/1 to Oat~ 21. Contributions ,/.,.10 Received . . . . I --'-7"' '"=---- S------ ~-' '. Sch.edule E Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from r/-9/, SCHEDULE E Payments and Contributions {Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE fDh -l-1ea. I through ;2,-3,-C/j. Page .1) of ( I.D.NUMBER 95 18'-II CODES FOR CLASSIFYING EXPENDITURES If one of the following codes atcurately 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) ·e'" -BROADCAST ADVERTISING •G'" -GENERAL OPERATIONS AND OVERHEAD , CONTRIBUTIONS TO OTHER CANDIDATES '"N'" -NEWSPAPER AND PERIODICAL ADVERTISING •r· -TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES ·o'" -OUTSIDE ADVERTISING .(MUST BE DESCRIBED) ·1· -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. (IJ COMMITTEE. IN ADDrtlON TO COMMITTEE'S NAM[ AND AODI\ESS, ENTEi\ 1.D. NUMBER OR. IF NO 1.0. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMBEI\ HAS BEEN ASSIGNED, ENTEi\ TI\EASUl'.11\'S NAME f'ND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID f~PDB-~ ,111>'1!1 \e.("s (\ A -/-r I buftH-.5 1/z,,,/O ' ! . Important: Contrtbut,ons and expenditures made out of campaign funds to or on behalf of off,ceholders, $ candidates, committees, or ballot measures must also be entered on the Allocation Page. SUBTOTAL t/'), /0- Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ...................................................... $ _,"'/,.--'l""D ___ _ 2. Payments made this period of under $100. (Do not itemize.) ....................................................................... $ _____ _ 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. S _____ _ 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...................................... $ ______ _ 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 _;./"';;,,'-'\c:::D_· __ _ ,. .... ... .. ,, • <t',• ••• _,.._ Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Type or print In Ink, Amounts m1y b4! rounded to whole dollar1. SCHEDULE I Statement covtrl period from ____,/_--'-1_-"'9/. ____ _ through /2,·'!,l-'l?, Page ✓ of ✓ NAME OF COMMITTEE , I.D.NUMBER o/i tic a. · · /J-c-f 10 · fS /'ff✓/ DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE '· .(lf COMMITTU, IN ADDITION TO COMMITTEE'l H.AJ,,U AND ADDIIHS, ENTEl\1.0. NUMll[I\ IF HO 1.D. HUM!EJ\tv.S BEEN ASSIGHrn. ENTEi\ T~SUIU.ll'S NA.ME AND ADDRUS 'i?Alm sp,,"f~l-C(ed,+ l,,,i',on. Po-~o)(. 9 "-Y/. , ~lM (1A S _CA{, • 'i'z.·t.G,L DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. .SUBTOTAL S IJJ . Miscellaneous Increases to Cash Summary 1. Increases to cash of S 100 or more this period. . ............................................................ . 2. Increases to cash under$100this period. (Do not itemize.) ................. : ................... _-_ ........... s ______ _ 3. Total of all interest received this period on loans made to.others. (Schedule H, Piirt II (b).) ... '''. '' .. ' ... ' .... ' s --,----- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the , 'f 3?/, Summary Page, Line 15.) .......................................................... ,: ............. TOTAL $ ----'~~---