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Home My WebLink About1998-01-27 Form 420 - PS POA·Recip.iiant Committee ci{mpaign Statement -.long Form (Government Code Sections 842oo-84216.5) Type or print In Ink. SEE INSTRUCTIONS ON REVERSE Chtd< one of the followlng boxes to lndlate the type of statement being flied: Ii!! Pre-election Statement D Semi-annual Statement D Special Odd-year campaign Report D' SUpplemental Pre-election Statem~ (Attach • completed Form 495 to this Statement.) D Termination Statement (Attach • completed Form 415 to this statement.) Committee Information NAME OF COMMITTEE ~ r--=c-:--,----,,--,---,---::---::-----COVERPAGE~ LONG FORM Statement covers period Date Stamp 1rom /o-A--9 'i through I ~ -?, )-'<]. Date of electlon If appllable: (Month. Day, Yur) RECEIVED JAN 2 7 1998· CITY CLEl!tK Pogo For Officio I Use Only II, Primarily Formed Committee (See definition on reverse.) List names of officeholder(s) or candidate(s) for which th. . "tt · . . ·1 fc d 1scomm1 ee 1s pramarnv orme . ~li\ic.11.\ T<1\tte OF r/e ~Q ~k,c.1qTiM. ~-'-:c:~=-=~~;.i..~=c..:.:.:...;c=---'-=-,'-:':c::mu:=IT)="''--'-4.!.='----"=~~~,,.,_,.:::..._u:::: NAM£ Of CAJmlDATE(5J 0A OfflCEHOU>O:OO OFfn: SOOGKT DA H!LD °'"°"""' -· AMA COOfJDAYTIME ntOHE ( POIMA.N!NT .t.DOA[SS Of TJl£.ASt.M£J.. (NO. AND 5™£1) =<' OTY > STAT( ZJP COO£ fg\t', §()t,"-1 s. u 9z-us (Chf!dc Boxes) See definitions and important information on reverse. lsthis a sponsored committee? .................. • ves Jg No . _ ,1,ls this a broad based political committee? ......... EJ Yes • No Attach additional information on appropriately labeled continuation sh~ts. Ill Verification I have used all reasonable diligence in preparing this statement. .1 have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedul 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. ( E)lecuted on ___ ==---- DATt At--------,===::--------OTY AND STATE By ____________________________ _ SIGNATURE OF RESPONSIBLE OfftCEft Of'~ rf' IU'QUJMD FOR INFORMATION REOUIMDTO flE PI\OVIDEDTQ.YOU PURSUANT TO THE INF()l!.MATION PRACTICES ACT Of 1i77, SH INFORMATK>N MANUAL ON CAMPMGN DISCLOSURE PftOVISIONS OF THE POUTfCAL IU:FORM ACT. State of CJlifornia Fair Political Practices Commission · Recipient Committee Allocation Page . ; Type <>r print In ink. Amounts may be rounded to whole dollar>. ALLOCATION PAGE Statement covers period lrorn/0-/ '/~ 9 J through / 2-·"3 t-f 7 Page (}.,_ of_& __ 1.D.NUMBER 9'5-/t</,. List contributions and independent expenditures that total $100 or more made to support or oppose officeholders, candidates, ballot measures, or committees. DATE NAME OF OFFICEHOLDER OR CANDIDATE AND OFFICE, OR NAME OF MEASURE AND BALLOT NUMBER OR LETTER, OR NAME OF COMMITTEE IF OTHER THAN OFFICEHOLOER, CANDIDATE, OR MEASURE COMMITTEE CHECK ONE IND. EXP.• AMOUNTTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) CUMULATIVE TO DATE OTHER \ I oc.+. .;>3, oc+. 23 _'Dec.., ;; 3. -c le.c:+ Ke-cl Co ncec-" C •hz .. t r-S. I r,J. • F .P<l /f'\ 5fr, ,,fS . 9zu,3. ,11. 9'-12ssc£ ... "See reverse regarding independent expenditures. (IF APPLICABLE) ci). z so. SD. SUBTOTAL $ ~ 1) Allocation Summary Attach additional infonnation on appropriately labeled continuation sheets. 1. Contributions and independent expenditures of $100 or more made this period. 8C,e> (Include all Allocation Page subtotals.) ......................................................... .-. . . . . . . . . . . . $ _______ _ 2. Contributions and independent expenditures under $100 made this period. (Do not itemize.) .•................... : ................................................................. ; .. $ _______ _ 3. Total contributions and independent expenditures made this period. (Do not carry this to the Summary Page.) .. .. .. .. . .. .. . . . . .. .. . . . . .. . . . .. . .. . . .. .. . . . .. .. .. . .. . .. . .. . TOTAL $___,~'""~""f)'------ . Recipient Committee· · Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE Type or print In Ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement coven period from • /a-1~·9] 12 -')/-"f] through ---'=-.c...:....;...J. ___ _ Page . 3, of lo if e11I e.~\Dn CD/.1.~\½e fl -'fk12. <;Soc.\o.tloA I.D.NUMBER '15-I g- Contributions Received Column A Column e• ColumnC 1. Monetary Contributions ..............•................ 2. Loans Received ........................................ . -, )UBTOTAL CASH CONTRIBUTIONS ..................... . 4. Non-monetary Contributions .•••.•.•.....•........... 5. SUBTOTAL CONTRIBUTIONS (EJcdudoEn~•ble PromlR•l 6. Enforceable Promises (EJIC/ude Loan Gu•r•-1, Une 18 below} .••.•••.••.•••••.•• 7. TOTAL CONTRIBUTIONS RECEIVED ........•....•..•.... Expenditures Made .18. Cash Payments (Other than Loans Made) .........•.. , 9. Loans Made ...... , ............•......................... 10. SUBTOTAL CASH PAYMENTS .........•.................. 11. Accrued Expenses (Unpaid Bills) ..•...•....•............ 12. TOTAL EXPENDITURES MADE ......•.................. · -~,rent Cash Statement Sch«lukA,Une3 s ScMduk B, Une 7 Add une, I + 2 s Sch«luk.C, Une 3 Add Une, 3 + 4 s Sch«luk D, UM 7 AddUne,s + ii s Sd>«Juk E, Une 5 s ScMdule H, Une 7 AddUne1B + 9 s Schedule F, Une 5 AddUne110 + 11 s TOTAL TlGS P"EIUOD (FltOM ATTACHED SCHEDlUS) 0 0 0 D /7'iS 17YS I 7'-/5 . ,_._).Beginning Cash Balance .................. Previou,SummaryPage,Une 17 s _t'-'3"':-Cf'-'g==---,------. 14. Cash Receipts ...................................... ColumnA,Une3•bovo ___ tJ ______ _ 15. Miscellaneous Increases to Cash . . . . . . • . . .. . . .. .. . . .. . . . Schedule t, Une 4 __ ,_::,_':> _____ _ 16. Cash Payments . . .. . . . . . . . . . • . . . . . . . . . . . . . . . . . . . .. . Column'°!• une 10 abovo __ /~7~'-\~'5-=-. ____ _ 17. ENDING CASH BALANCE .. ... AddUne, 13 + 14 + 15, then1ubtractUne 16 s _...5.._J....__.8...,'?.._· ____ _ ff this is a terrn_lnation .statement, UM 17 must be zen,. · ENDING CASH IA LANCE SHOULD NOT BE A NEGATIVE AMOUNT 18. LOAN GUARANTEES RECEIVED .............. S<MduloB,Partt,Column/b} s 'D Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ Seoins:tructionsonrevern, S ____ 'O ____ _ 20. Outstanding Debts .. . . ... . . .. . ... .. ·AddLine2 + LI"" 11 In Column cabove s ---~'()'------ TOTAi. PftEVl0tJ5 P£1UOD (SEE NOT£ IELOW) . /30'1"8 . s-----=--- s -----'/-=3:.:o'-?'-S--__ _ s ___ ;~3_a~f_V~~- s __ _,l....;;3..;;.o..,_'7=-8 __ _ s ___ ':/-'-'<l-"-"f'--'·'1 __ _ s ___ .. -"1:i.'--'-9..._9.__ __ s ___ .,-'--"-~--'q....,_9 __ s s s s s s s TOTAl TO DA.rt (AOOCOlUMNSA • a) f 30 'i't /'t,07't ;30 re I 3D'T r: {po'Jc/ (po</'{ (j;O'IV. • From previous Statement Summary Page, Column C. However, if this is the first report filed for the alend_er year, Column B should be blonk except for Loens Received (Line 2). Enforceable Promises (Line 6), Loons Mode (Line 9), end Accrued Expenses (Line 11). Summary for Non-Controlled Committees Primarily Formed to Support or Oppose Candidates in Both June and November Elections 111 through 6130 7/1 to Date 21. Contrib1.1tions D Received . . . . s ---"-"'----0 ........ Scb~duJe E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE Type or print In Ink. Amounts may be rounded to whole dollars. CODES FOR CLASSIFYING EXPENDITURES Statement coven: period . from /a-/9-97 through / )·':) f-9] SCHEDULE E P1!Je_...t.'/_ of k:> I.D.NUMBER 9s-18''-il 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. . . ' , -, -MONETARY AND IN-KIND (NON-MONETARY) \ CONTRIBUTIONS TO OTHER CANDIDA TES AND COMMITTEES •1• -INDEPENDENT EXPENDITURES "L" -LITERATURE "B" -BROADCAST ADVERTISING "N" -NEWSPAPER AND PERIODICAL ADVERTISING •o• -OUTSIDE ADVERTISING •s• -SURVEYS, SIGNATURE GATHERING, DOOR-TO-OOORSOLIOTATIONS "F" -FUNDRAISING EVENTS "G" -GENERALOPERATIONSANDOVERHEAD "T" -TRAVEL. ACCOMMODATIONS AND MEALS (MUST IIE DESCRIBED) •p• -PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR. OR REOPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED. EXPENSES ON SCHEDULE E. OfCOMMrrT'ELINADOmOHTOCOMMmtrsNAMEN«JADOtl:lSS.t:NTtkl.D.NUMIEIIOfl,.lfNOLD. REPORT ONl Y THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMIH, HAS lffN ASSIGNED. EHTH, ntASUR!R"S MAME AHO ADOMSS) CODE OR DESCRIPTION OF PAYMENT 'i? ~-£. ~d-. ba.'\n"-Hod9~ C. ~-.E:l·ec+ ~(\ DU£1J C. ·, C.i+i U<',5 f,,IM . 5f(1"7S incet/\ o/ y. ~-C-,4 . 9z:u .. 3. ;; q~-;;ITB . C. Important: Contributions and expenditures made out of campaign funds to or on behalf of officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page. Payments and Contributions Made Summary AMOUNT PAID .,,7stJ. 2SZl J/,0 SUBTOTAL S ~(.O. /1iS 1. Payments made this period of S 100 or more. (Include all Schedule E subtotals.) ...................................................... S -~~--- 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).) ....... _, ...................... $ _____ _ . . 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 8.) ..... , . . . . . . TOTAL S / 7 "\S • St:hed1:1le E (Continuation Sheet) Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE •c• -MONETARY AND IN-KIND (NON-MONETARY) CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES Type or print In Ink . Amounts may be rounded to whole dollars. ,'cf(":. CODES FOR CLASSIFYING EXPENDITURES "B" -BROADCAST ADVERTISING "N" -NEWSPAPER AND PERIODICAL ADVERTISING •o• .-OUTSIDE ADVERTISING SCHEDULE E (cont.) Statement covers period from JD-t'f-91 through /2·7, 1-17 s (., Page ___ of I.D.NUMBER "G" -GENERAL OPERATIONS AND OVERHEAD •y• -TRAVEL.ACCOMMODATIONSANDMEALS (MUST BE DESCRIBED) •1• -INDiPENDENT EXPENDITURES ~•L• -LITERATURE •s• -SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOIJOTATIONS "F" -FUNDRAISING EVENTS •p• -PROFESSIONAL MANAGEMENT ANO CONSULTING SERVICES t - NAME AND ADDRESS OF PAYEE, CREDITOR, OR REOPIENT OF CONTRIBUTION (IFCOMMmn.,8ilADDmONTDCOMMITTfr5NAMEANOAl)[)USS,Eknll.LO.NUMN:ll~lfNOI.D. NUMIER. HAS REN ASMGNm, (HTH. lltfASUMk"S JU.ME AND AOORHS) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAIO b~E't""' Su.I). ~q\"-~r '"~s. CA C/~1p1.. ..1:. 6 '-/0, ~ tl'\<ve ... ~!)'n1,~h /~'{2-IJ fh lt\... C ti N'/~...:i D.t t4--m(,t--Cl )~5 ~-'1 . ___ _) • - SUBTOTAL S %~S . • ·Sc:f!"ecf ule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. ~ leers SCHEDULE I Statement covers period from /er I q.q] through I)· -Z, 1-C, 7 Page 7 "' (,. I.D.NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE., IN ADOfflON TO COMMITTil"S NAME ANDADOAESS, ENTEII LO. NUMMIII. tF NO LI). NUMlf.111. MAS IEEN ASSKiNED ENTUI. n:EASUMK"S NAME AHO ~ss DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH , ( _,} fq\f'<\ Spr, ... crs c:,,1 Erri()lo1tts. f'ci.,/. p.o. ~~i-9.2~t Attach additional information on appropriately labeled continuation sheets. Miscellaneous Increases to Cash Summary /3'5. SUBTOTAL $ /35. 1. Increases to cash ofS 100 or more this period. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . $ __ I <>_5 ___ _ 2. Increases to cash under $100 this period. (Do not itemize.) .................................................. $ ______ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Part II (b).) ..................... $ ______ _ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 1 'l,~ Summary Page, Line 15.) ................ : ....................................................... : TOTAL S --~--- .. Recipient Committee Campaign Statement -Long Form (Government Code Sections 84200-84 216.5) Type or print in Ink. SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to Indicate the type of statement being flied : ~ Pre-election Statement O Sem i-a nnual Sta tement 0 Specia l Odd-year Campa ign Report 0 Supplemental Pre-election Statement (Attach a completed Form 495 to this Statement.) O Termi nation St atement (Attach a completed Form 415 to this statement .) >mmittee Information NAME OF COMMITTEE 0TY SlAT( ZIP COO[ NA·~~ b~RE ~£~r~s Ut q d, ~ 3 AI\EA COO£JDA YllMC PHONE ( 7~cS) 22.:2->-~Jlb PERMAN El<l ADDIUS S Of ll\£ASUl\£R (NO. AND STREET) .----------~--------COVERPAGE-LONG FORM Statement covers period from 9-J \-91 through JO-18-'17 Date of election H applicable : (Month, Da y, Year) Date Stamp 111::CEIVE O CT 23 1997 Pa~_.._/ __ For Official Use Only II Primarily Formed Committee (See definition on reverse.) List names of officeholder(s) or candidate(s) for which th· . . . ·1 fc d 1s committee 1s pnmari 'Y orme NAME OF CANDID-'TE(S) OR OFfK'.fHOU>Ell(S) OFFICt SOUGKl OIi HE LD CHl:O: ONE <U--.T ,,..,,,.. _2___;.0 0_.;;._s _C_,....;...\l ,....;c.c___,_/----'P_o_. °6'c)f_/j=-'/'_?I _____ _ OTY ?4/M. Se r I n:)S STAT£ ZIP COD ! / AMA CODE/DAYTIME PHONE ~heck Boxes) See definitions and importa nt information on reverse . Is th i s a spon sored committee? .................. O Yes ~ No Is this a broad based political comm ittee? ·········~ Yes D No Attach additional information on appropriately labeled continuatio_n sheets. Ill Verification I have used all reasonable diligence in preparin g this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules i s true and complete. I certify under pe nalty of perjury under the laws of the Sta t e of Ca li fornia that the foregoing is true and correct. () \) Executedonl oj'2-.~l9 7 Atht\W\ S9a,c¾>~ (fl By ~Jf',°)lk . .>40 ,Q?\N-.L s7:\__)o::st, DA E CITY AND Sl A TE SIGNATURE Of TRE-'SUREI\ Executed on _______ _ At _________________ _ By ___________________________ _ DATE CITY AND ST A TC SIG NAlUR£ Of RlSPONS18LE OFflCE R Of SPONSOR, Ir REQUIRE D FOR IN FORMAllO N REOUII\ED TO BE PROVIDED TD YOU PURSUANT l O THE INFORMAllON PRACTIC(S ACT OF 19 77. SEE INFORMA TIO N MANVAL ON CA M PAIG N DISCLDSUR( PROVIS IONS or THE POLITICA L REFORM ACT State of California Fair Political Practices Commiss i on ,, • t ~ . ,........ . , '~e.dpient Committee Allocation Page SEE INSTRUCTIONS ON REVERSE Type or p,lnt In Ink . Amounn may be rounded to whole dollars. ALLOCATION PAG Statement covers period from C/·J.1 ,97 through /l' I f!r-'i7 NAME OF COMMITTEE I.D. NUMBER '"'Joi c ~•<-'"-;""""-·,t-k () I~ S c1r1. $ fcf.-,~ OF ,·,us ~~.:>.:>Or,t.1 -4-(ur". 't's-tf,;-'{ List contributions and independent expenditures that total S 100 or more made to support or oppose officeholders, candidates, ballot measures, or committees. DATE NAME OF OFF ICEHOLDER OR CANDIDATE AND OFFICE, OR NAME OF MEASURE ANO BALLOT NUMBER OR LETTER, OR NAME OF COMMITTEE IF OTHER THAN OFFICEHOLDER. CANDIDATE . OR MEASURE COMMITTEE CHECK ONE IND . EXP .* AMOUNT THIS PERIOD c/<.ooO . CUMULATIVE TO DATE CALENDAR YEAR (JAN .1 -0EC.31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) ----------------- •see reverse regarding independent expenditures. SUBTOTAL $ ---- Allocation Summary Attach additional information on appropriately label@d continuation sheets. 1. Contributi ons and independent expenditures of S 100 or more made this period. (Include all Allocation Page subtotals.) ...................................................................... s ..... cJ .... ·"-'o"'---o_o..;;._ ___ _ 2 . Contributions and independent expenditures under S 100 made this period. (Do not item i ze.) ......................................................................... • • • • • . --• • • -• • • • S _______ _ 3 . Total contributi ons and i ndependent expenditures made this period. ::2..oCJ (Do not carry thisto the Summary Page .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL S () · Recipient Committee Summary Page SEE INSTRUCTIONS ON REVERSE Contributions Received Type or print In Ink. Amounts may be rounded to whole dollar s. Column A TOT Al TH IS PEl\100 (fl\OM ATTACHED KHEDUlES) Monetary Contributions . .. . . . . ... . .. . . . .. ... . . . . ...... Schedule A , Une3 S ___ ___::0:....._ ____ _ 2 ans Received .. . .. . . .. . .. . .. . . .. . .. . .. . . . . . . . . . . . . .. .. Schedules, Une 7 3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddUnes 1 + 2 s ___ ....:O:....._ ____ _ 4 . Non-monetary Contributi ons . . . . . . . . . . . . . . . . . . . . . . . . . Schedule c, Line 3 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforcuble Promises) Add Unes 3 + 4 S ____ 0 _____ _ 6. Enforceable Promises (Exclude Lo•n Gu•r•ntees, Une 18 below) 7. TOTAL CONTRIBUTIONS RECEIVED Schedule D, Une 7 AddUnesS + 6 s ___ _:O::__ ____ _ Expenditures Made 8 . Cash Payments (Other than Loans Ma.de) Schedule E, Une 5 S _--1.oZ..,_,.d;.....,o'.5L.'5.:z....., __ _ 9 . Loans Made ............................................ . Schedule H, Une 7 22..<~ 10 . SUBTOTAL CASH PAYMENTS . . . . . ... . .. . . . .. .... .. . . .... AddUnesB + 9 S ---=-=..:~ ...... d""'---- 11 . Accrued Expenses (Unpaid Bills) . . . . . . . . . . . . . . . . . . . . . . . . Schedule F, Une 5 :>TAL EXP ENDITURES MADE ............ .... ......... Add Lines 10 + 11 s __ 2'--Z--=5'-S ___ _ Lurrent Cash Statement 13 . Beginning Cash Balance .................. PrevlousSummaryPage,Une 17 14 . Cash Rece ipts ..................................... . Column A , Line 3 above 15. Miscellaneous Increases to Cash . . . . . . . . . . . . . . . . . . . . . . . . Schedule I, Line 4 s _ __;9~~.......;:s~~--- o 16. Cash Payments . . . .. . .. .. .. .... . ... . . .. . . . . . . . . .. . . Column~. Line 10above ,:?@.'&CS. 17 . ENDING CASH BALANCE .. .. . AddUnes 13 + 14 + 15, thensubtraetUne 16 s __ __.J ..... ~"--C/'-'8..:....1, ___ _ If this Is II termination statement, Une I 7 must be zero. ENDING CASH BALAN CE SHOUlO NOT 8[ A NEGATIVE AMOUNT 18 . LOAN GUARANTEES RECEIVED . . . . . .. . .. . . .. Schedules, Part I, Column (b) S ___ __;0;__ ___ _ Cash Equivalents and Outstanding Debts D 19 . Cash Equiva lents . . . .. . . . . . . . . . . . . . . .. . . .. . . . . . . . See instructions on reverse s _________ _ 20 . Outstanding Debts . . . . . . . . . . . . . . . . . 'Add Line 2 + Line 11 In Column C abo ve s ___ ..::()'------- Statement covers period from 9"tJr-97 through /0 -/ g-CJZ Column e• TOT AL PI\EV = PEI\IOO (SH NOTE BELOW) s -----'-/ 3_o___._9 =g __ s [3 o 98 s /~o ~g s 13018 s ;;oi.Ji s ;Jo ~t s ;)o'it SUMMARY PAGE Page · ;< of fl 1.0 .NUMBER q5-l'8'1I Co l umn C TOTAL TO OAT[ (ADO COlUMP« A • I ) s __ __.l-=3'--o_,_'1...,.g'--_ s t_?>ofl s / 3 t> 9,t s / ;,tJ ?'$. s :i.~'1? s ':/~91 s t./ d-4 9, • From pr evious Statement Summary Page, Co lumn C. However, if th is is the first repor1 filed for the ca l endar yea r. Co l umn B should be blank except for Loans Rece ived (Line 2 ). Enforceabl e Prorr,,ses (Line 6 ). Lo11ns Made (Line 9 ). and Accrued Expenses (Line 11 ). Summary for Non-Controlled Committees Primarily Formed to Support or Oppose Candidates in Both June and November Elections 1/1 through 6130 7 /1 to Date 21. Contrib~tions 0 Received .. . s ---'=----0 S------ • Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE oi k Type or print In Ink . Amounts may be rounded to whole dollars. SCHEDULE E Statement covers period from ---'9'----::l._l_-7 __ 7 _____ _ through _/ __ 0_-_/_f _-C/_7_. --Page __ 'f.,__ ot~I/: ____ _ I.D. NUMBER CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditu re, you may enter the code and leave the •oescription of Payment• column blank. Refer to the back of Schedule E-Continuati_on Sheet for detailed explanations of each category. c· -MONETARY AND IN-KIND (NON -MONETARY) ·e· -BROADCAST ADVERT ISING •G• -GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES •N• -NEWSPAPER AND PERIODICAL ADVERTISING •y• -TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES ·o· -OUTSIDE ADVERTISING (MUST IE DESCRIIED) ·1· -INDEPENDENT EXPENDITURES ·s· -SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS •p• -PROFESSIONAL MANAGEMENT AND CONSUL TING •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. (If COMMITTH. IN AOOfTION TO COMMITTH'S NAME ANO AOON!SS, ENTEll 1.0. NUMIEII 011. If NO 1.0. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMIEII HAS lfEN ASSIGNED, ENTEII TIIEASUMll'l NAME AND ADDIIESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CD r'\Cll r ri.pd C',.(.,1fli\S 6f ~I~ 3>~r ·11,1s ~ \t'\.. 'S Pr'"~ S. CA, 9";}.c}..(o3 .:+~it-9 '-IJ.ss 8 . r . t:flooo . CH,1 f fo. 1-r'--sp,,(\.~.s fo.\ M. 50.f ,r.$<:_ 01 ~'d.(oZ.. f) ID 'j ( 1'-..\N( ~ ~.t~ I .fL('.:L ~ ~<) '""' ~an'jll,J f; 0. '3, C'A '1~'\..~1.. dt.Js- Important: Contributions and expenditures made out of campaign funds to or on behalf of officeholders, SUBTOTAL S candidates, committees, or ballot measures must also be entered on the Allocation Page . ,:? ;i. s;-5 Pay ments and Contributions Made Summary ,;);I l/ )' 1. Pa yments made this peri od of S 100 or more. (Include all Schedu l e E subtotals.) ...................................................... S _____ _ 2. Payments made this period of under S 100. (Do not itemize.) ....................................................................... $ __ 1_0_. __ _ 3. Total interest paid this peri od on outstandi ng loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. $ _____ _ 4 . Total accrued expenses paid t hi s period . (Do not itemi ze . Enter amount from Schedule F, Line 4.) ..................................... s ______ _ 5. Total payments made this peri od. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page , Col umn A, Li ne 8 .) ........... TO TAL $ c};). .sS Instructions for Schedule E Payments and Contributions (Other Than Loans) Made Schedule E is used to report payments (other than loans), including payments for goods and services such as printing, postage, advertising, and office 'supplies. It is also used to report contributions and =e:xpenditures made out of campaign funds to or on behalf of officeholders, candidates, commit- ·,·tees, and measures, and the forgiveness of loans made to others. The following information must be provided for Ah payment of $100 or more. Tame and Address of Payee, Creditor or Recipient of Contribution: Provide the full name and address of payee. Code or Description of Payment: Enter the appropriate letter code for each type of expenditure. Expenditure codes are described on the back of Schedule E-Continuation Sheet. If one of the codes does not fully explain the expendi- ture, leave the "Code" column blank and enter a brief description of the goods or services pur- c~ased in the "Description of Payment" column. Amount Paid: Enter the amount of the payment made this period. I following describes additional important rmation concerning payments that must be , mized. Direct Contribution • If the payment is a direct contribution, (i.e., a monetary contribution) to an officeholder, can- didate, or another committee,. enter "C" in the "Code" column. Also include the committee's = identification number. If an identification number has not yet been assigned, enter the .1:;· name and address of the committee's treasurer. l"'ayment at the Behest of An Officeholder, Candidate or Another Committee •: If the payment is made at the behest of an i officeholder, candidate, or another committee ~, (i.e,? a non-monetary contribution), enter the ·' name and address of the vendor or other ~ . . . . payee; enter •c• in the "Code" column; fully· describe the payment in the "Description of Payment• column; and enter the name of the officeholder, candidate, or committee on whose behalf the payment was made. (If the person providing the consideration is different from the payee I isted, fully identify both.) Reporting Payments for Travel Expenses 11 When itemizing payments or reimbursements for travel· expenses or accommodations of a candidate, his or her representative, or a member of the candidate's household, the date, destination and total expenditure for each trip must be disclosed. Independent Expenditures • If the payment is an independent expenditure to support or oppose an officeholder, candidate, or ballot measure, enter •1• in the "Code" column; fully describe the payment in the "Description of Payment• column; and enter the name of the officeholder, candidate, or ballot measure on whose behalf the payment was made. (If the person providing the consideration is different from the payee listed, fully identify both.) Loans Forgiven By This Committee " If a loan forgiveness is reported on Schedule H, Loans Made to Others, that loan forgiveness must also be itemized on Schedule E. Enter the full name of the recipient of the forgiven loan in the "Description of Payment• column, write in "loan forgiveness,• and enter the amount of the forgiven loan under the "Amount Paid" column. Forgiveness of a loan made to a can- didate or to a committee is a "contribution.• Credit • If itemizing payments for goods or services that have been· charged on a credit card, disclose the name, address, amount paid, and a description of the goods or services for each vendor paid $100 or more. Also provide the name and address of the credit card company. Agents and Independent Contractors • If an agent or independent contractor (e.g., an advertising agency or a campaign management firm) makes payments on behalf of the com- mittee, the committee must disclose the name, address, description of payment, and amount paid to each vendor who received $100 or more. Such payments should be reported on ScheduleG .. Important Notes: • Contributions of $100 or more to, and expendi- tures of $100 or more on behalf of officeholders, candidates, other committees, or measures must also be itemized on the Allocation Page. ,. The deposit of campaign funds into an •interest bearing account, or the purchase of certificates of deposit, stock, shares in a municipal bond, or any other asset which can be readily converted to cash, should not be reported as an expenditure. The committee's cash on hand should not be reduced by the amount of the investment; these amounts should be induded in the beginning cash balance figure (see the Summary Page). • Payments made on loans received, Schedule 8, Part I, are not itemized on Schedule E. Payments made on loans received are itemized on Schedule 8, Part II. • Payments .on accrued expenses (unpaid bills) that were itemized on Schedule F of a previous report are not itemized on Schedule E when they are paid. Enter the lump sum of the accrued expenses paid this period on the _summary section of Schedule E, Line 4. Instructions are continued on the back of Schedule E-Continuation Sheet. __ Amendment to Campaign Disclosure Statement Type or print ln ink Dat2 Stamp AMENDMENT 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 being 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 amendment!>. RECEIVED OCT 071997 ~,--, r•1 {ilaP For Official Use Only The information required in Part.I mus~ correspond to the information provided on the campaign-statement ~ing amended. Name ·of Filer (See im ortant information on reve~e. NAME OF FILER 90_/;{1,:a I 1/-c io Q,M..,;-Ht o 'Th.{. .S. Al -i \MAILING ADDRESS OF FILER ,'ce.. o{ i,e._ ~swc. (NO. AND STREET} 2-00 S. C,v;,._ /1.o-&~ lb7/ CITY / 'tt, I"'-E§?r, 1\.9 s. STATE 1:-?..63 ARE.A CODE/DAYTIME PHONE NUMBER (7~uJ 3;.:,-2 rl£, NAME OF TREASURER IF RECIPIENT COMMITTEE KOY\ 'Q 11..1<:\FT. PERMANENT ADDRESS OF TREASURER: (IF APPLICABLE} IND.AND STREET} 206 'S. C1V 1' c / f.~ 'Bo;< lb 7/ 1.D. NUMBER (If APPUCA9LEI s / fSL// ZIP CODE tlP CODE Jzz63 AREA CO{!EIDA YTIME PHONE NUMBER (7t,o) 3;;r5-'8111, I Verification (See important information on revene.) II Amendment lnformatipn A. The following information amends campaign disclosure statement, Form No. 4;;10 . . executed on 9-~7-'\ 1 for the period 1-1-9 1 through (,· 3o.q 7. IMO, DAY.·YR.) (MO.DAY, YR.) (MO. DAY, YR.) B. The amended information affects items on the: 0 CoverPage ~ Allocation Page O Summary Page 0 Schedule(s) ________ _ 0 Part(s) ---------- C. Describe the changes below. Include in detail all information you wish to become a part of your official campaign statement. Plea~e attach a cover page, summary page and/or appropriate schedule(s) to this Form 405 if · necessary for clarificatipn. Include additional information on appropri- ately labeled continuation sheets. (Number of sheets attached_ I .) 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 perJu under the laws of the State of California that the.forego11~1s true and correct.l"\ Q Executed on Jol,f ~ J A!U,n..Lll\-:---J."-U-<~~=:;';-'-1--'----By t\OeNL« tO ra ,.,_ 5-:v ,o;;,:;r: . • I ATE SIGNATURE Of TREASURER OR FILE Officeholder, candidate, state measure propon~nt, or sponsored committee responsible officer verification: I have used all reasonable diligence and to the best of my knowledge the treasurer has used b-ll reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein 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 By OAH CITY ANO STATE SIGNATURE. Of OFFICEHOLDER,. CANDlDAlE, PROPONENl". OR RESPONSIBLE OFFICER Executed on At By OAH CITY ANO STAT[ SIGNATURE OF OfflCEHOLDER. CANDIDATE, OR PROPONENT Executed on At By DATE C1TYAND STAT( SIGNATURE Of OHICEHOlDE!\, CANOIDAT[, OR Pfl.OPONENT JOR tNfORMATION REQUIRED 10 BE PftOVIO[O TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SEE INFORMATION-MANUAL ON CAMPAIGN OlSClOSURE PROVISIONS OF 1"Hf POLITICAL R[fORM ACT. ) .I l(JC Allocation Page -Part I · Type or print in Ink. ALLOCATION -PART I Contributions and Independent Expenditures Made From Campaign Funds .:: SEE·INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Co \'YI,.,.;, -\ e.. o '.~e ~<\ \"' Amounts may be rounded to whole dollars. (b} ice. tJ kers Stati!'ment covers period from /-/-9 ,2 through t,-JtJ-tJ 7. List eachcootribution and independent expenditure of $100 or more made from campaign funds to other committees or to support or.oppose other candidates or ballot mf!iJSUres. ·- DATE NAME OF OFFICEHOLDER, CANDIDATE; COMMITTEE, OR MEASURE Ct>fle,l'\td C.1~12..~os "F ·· ·{3/,., 5/r,,,,fS q_ ·9z.z~ 3 .rD* q;iss~ *See revetle regarding independent expenditures;,;, CHECK ONE Support Oppose IND. EXP• AMOUNT SUBTOTAL $ SotJ, CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) ALLOCATION -PART I SUMMARY Attach additional information on appropriately labeled continuation sheets .. " 1. Contributions and independent expenditures 0($100 or more made this period from campaign funds. (Include all Allocation Page -Part I subtotals.) .............................................................. . 2. Contributions and independent expenditures under $100 made this period from campaign funds. · ·(Do not itemize.) ................................... ':......................................................................................... $ _____ _ 3. Total contributions and independent expenditures made this period from campaign funds. (Do not carry this total to the Summary Page.) ..................................................................................... TOTAL $ ...,,..,S".=O.c.D ___ _ Recipient Committee . Campaign Statement -Long Form C-rn<Mn1CodtSectioM14200-14l16.5l 1H INSTIIUCTIONSON RMIISE Typo or print m Int. Oodl ... Df .. !GllowfntllmfltD ...... U.tr,i,Gf--ntbtlng_, R ,.,_ ol1r:tionStatemlftl · D SemHOmua!Statement 'O Special0ikf.jea,Cam110ign llepo,t • Supple ... ntalPIO tllCtlonStatlmemlAttach•mmpletedFonn49Sto1hl:IStamnent.) • T"""lnaticnSta-lAttach•<Dffl~"°""415to1hlutatefflllllJ RECEIVED SEP 2§'.1997 CITY Cle,-,,.--~ ... FarOflidal Use oni, , ...---...... ·------------------------------------------------Committeelnfonnation NAME Of t'OMMTIEE ar, ~~ tA~iluiqlio l'UMUBR"~Df~ 2.,,0 S. C,11 ic 7 AaA COUllOAYTIIIR ,,.._ ( 1fru)32~·il 1(. CChedc Bores) See ddinitions •nd inlpomnt infonmltion on ft!-. II Primarily Formed Committee (See definition on reve11e.) List namu of officeholder(s) or candidate(s) for which thl nwtt i • rll fc rmed scom ee sDnma IV 0 . ,<?IOI\_., __ .,._ ·omcr:10UG1TatHllD. DEil- ~ _ ., IS this a sponscnd committee? .................. • v.. Ji§ 11o i .lsthisabroaclbase!lpoliticalcommlttN? ..... ····'jZI TM • 11o "' "' Ill Verification ISi .... CD .... ,- en en .... --LC) "' --en ISi I have used ell reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowled!J!! the lnformadon contained heteinand in the attached schedules ls true and complete. I certify under penalty of perjury under the lawsof1he51llte of Callfomlathattheforegoing is true end correct. f'l (\ E.....iedon q/J.Sf41 ,., [A:i>n S:Y?1r1,Y2S, I 4t: .e, ... .\s....,,..P ... c-V..,.,..._Or.,.Q........,s_m ........... J .... ,:;;;....,.>1 ....... _______ _ r ~t: r""an'AJIOAAtt /S SIGMJU1111!0,TRU,1,U8 -°"------.... At-----=-==-------QtTa-,nan lly ____________________ _ KillAlVM OJ Jl!Sl"DfrfWll CJnlCllt Of ~" JflQUllllO fOI\NaafAltoN IQIMIEDtO• ~tOTOOWlWfftOTM! NOIIIIIATIDN PMCTJCdACT 0, 1tTJ,Slrpr,op,tAflQN MANY!\ QNQ,W'AJGNDflCIMUkl" tfSO'tM!n Of THI !Qlfflal ltJf9!¥ W- Stllt at talffomla ,. Polltlall hKtlcff Commhslon ,(.• \. Recipient Committee· · Summary Page SEE INSTRUCTIONS ON IIEVEIISE fflTA.L 1HBPIN0D (JIOMA.ffAND'IODU\ES) ""\ Monetary Contributions .............................. . -AUnoJ s ______ o ___ _ ' . j loans Received ........................................ . Scflocidll,IJM7 3. SUBTOTAL CASH CONTRIBUTIONS . . ..•.• •. . . .. .. • .•.. .• . Addllnff r -, 2 S ------lo"---- ~ 4. Non-mDMtary Contributions • •. . •• .•.•.. .•. .••..• .. . • -c;, IJrltJ ~ . 5. SUBTOTALCONTRIBUTIONS(.&dud!Enrc.:cablo,,_lsul .AdrllinaJ .,,, S _____ o ___ _ ·~"' 6. E~~~l.lnPl!llolowJ ....... ............ -o.u,,.7 7. TOTAL CONTRIBUTIONS REalVED ....... ·······•····•· .AdrlllntsS • ti S ______ o=----- Expenditures Made a. Cash Payments [Other"lhan I.Dans Ma.de) •••. .•• • . .•. -E. u...s 5 ____ 5;:;;..::2:.:1"-. __ 9. l.oansMede ............................................. -H,IIM7 ID. SUBTOTALCASHPAYMENT5 ............................ Addtlnffl+9 s __ ...__,,5""-~"'l..._ __ ' 11. Accrued Ellpenses(Unpaid Bills) ............. , .. ···•···· Sdleclblef,llntS s.;;i I _!~. TOTALEXPENDITURESMADI: ......................... AddUnnfO• ,r S ___ .....,_1:a:.1,.. __ "'r _;1rrent Cash Statement ~ 13. Beginning Cash Balance .. .. . .. . . .. . ...... P'lfflourJummol)'l'apt. IJrlt 17 S --~I.D_n-'-~-'-.'--- "' . 0 ~ 14. Cash RecelptS .•. • .•. ..•... .• . •. •. . •... .. . .. . • • . • • . . ColumnA llntl ""°"" M . 0 15. MiscellaneoLtS lnae11sestoCash ...................... ,. -,.(Unof "' 1&, Cash Payments ................................ ,... C01umnAiin.,oo1>owe ~j?I, ; 17. ENDING CAS!t IIAlANCE . . .•. A#Una 11 .. , ... rs, ditttmw«tUno If s ____ 9-<.Z:(p:.;5:.3,;;,,;.., - /lth/Jlse b~Jt-lJrlt f 711N11f be NIQ. · ltltAl. Nl'¥IDUI fflll0C ISlt""" .. ..,,., s __ ..,.1...:.3...:oc...9 ... B'-." __ s __ ___.l:..,i>:.:O._'i,..A.._ __ S _......__.._/ ___ 1!.0 __ '1._&=-- s ----'-'"'~""o..,_9"'8'--_ s ____ ·.:..i.:;;.S-'-;:i"'> __ S /SZ. "?. ----'-':.C...-- S 1$Z.3 ---------- SUMMARY PAGE . : . ! / ·. : . .... . Z-DI .3 I.I>. NUMBER 95-t~c/i ColumnC TOTAllOMTI: ~a>Wlilllllll •lt s 13Dj8 S' l3c18 s /&>'ii. s /.3o';& s Jo'iY s z.ot./y s 20<1'-f. • from prnious. Statrem •nt Summ-, Pall', Column C. HOf'lftWr. tf this ii the fim ~ fl~ 111< tho_ca12'ndar ,..,. Column I should be blank n<eJ't for Loon< l!eaiwd tur,e 2). Enfofuable ,__ (Uno 6), Loor,s Made (Ur,e9),andAcauocl ~ lllne 11). , Summary for Non-Controlled Committees Primarily Formed to Support or Oppose Candidates in Both June and November lfmlllliCASMUIAIKIR«MD NOTllANKl.lM!MIOUPff l,; ----------------------------,.---1/llh""'9h6/30 ; _111,:_·_;1'_:0,:_A;_;lt_;G_:U;,;_ARA:,:.;:,:NT,:_:E::ES:,·,:_:RE:.CE=IV_:E:,D_:.,;_··,;_··_; .. _;··_;··;,;_· ·:.:,·_:Sd::""':;dl:,-"":,11.:;,;hlf:,:_:~,:Column:,::,::(ll);:_,::'.====· =0==== 21. Contributions s 0 Eledions 7/ttoDm ID Rece1via .... ----,-- £:'. Cash Equivalents and Outstanding Debts g: 1,. Cash Equivalents................................ 5fflnslruntonson~ .. ,.. s ___ o ____ _ 20. Outstanding Debts ................. ·Addl..fM2 •UnolllnCOlumnC•-s __ _.::;!> ____ _ ~ ·"' w ·H . ..J '>- @ I<) .... co .... .... "' "' .... " "' N ...... .:: .\. ScheduleE Payments and Contributions (Other Than Loans) Made SEEINSlllUCTIONSONREVERSE NAME Of COMMITTEE 'Dhc q/ ,ol\ CDl'll,,.,;t--k Tr,, ot print In Ink. Amoants ma, bl raundod towholtdollaR. CODES FOR CLASSIFYING EXPENDITURES SCHE!>ULE £ SUllefflent ,onn period from 7-/-97 th,_i, 'f-ZJJ •f? 3 .,, 3 lD.NUMBER 95 t'l'<f If 0111! of the following codes ac<urately desaibes the expenditure, you may enter the code and leave the "Description of Payment• column blank. Refer to the -"bad of Schedule £-continuation Sheet for detailed explanations of each cate9DIY. . I ,I •c• -MONETAIIY AND IN-KINO INON-MONETAAY) CONTRIBUTIONS TOOlHEII (lllj!){DARS AND.COMMlmES •1• -INDEPENDENT EKPENDITIJR!S "l" -UTERATIIRE •11• -IIIIOA!>CAST ADVERTISING "N" -NEW5PAPERANDl'EIIIODICALADVER"51NG •o• -OlllSIDE ADVERTISING . •s• -SURVEYS, SIGNATURE i.ATHERING, DOOR-T0-IIOORSOLICITATKlNS "f" -FUNDRAISING EVENTS •G• -GENERALOPEAA110f!SANDOVERHEAD, "T" -TRAVEL.ACCOMMODATIONSANDMEALS (IIIIUSTIE DESCIIISEO) •,• -PROFE~IONAlMANAGEMENTANDCONSUl'llNG SERV!C£5 NAME AND ADDRESS OFPAYEE,CIIEDl'IOII. OR RECl,IENT Of'CONTRIIUTION ..ORTANf: DO NOT ITTMIZETHE PAYMENT Of ACCRUED EXPENSES 0f-l SCHEDUIH. REPORT ONLY THE LUMP SUMOf SUCH PAYMENTS ONUNU Of lHE SUMMAftY SlCTION Ba.OW. If CQlll,IITTU, .. ADl>ll1QfflOCDMNmll'SIN,lMI AllmADta'I\, IN'JEJll~. lll.lllllllat.,.IP' NOUt. NUIIIO.MS.Dl.t.nKiNID,tllTIJIMAMJIIDn,JIAMlAJIOADGM:P) CODE OIi DESCR\!"TION DF PAYMENT AMOUNT PAID IM,'\..if 4o11-i,1b- IS<{~ II-~If'\ Co,.'\~.l 1' 1t 1 .... S,(;)r I J .l. ("> A q,'t..(.-, ' -'185. • x..~. ~. F,e~"°' UI-111.sae 6 3'. ,r. '. j ' lmpo~nt: Conln"bulions and e11penditures made out of ompaign funds to or on behalf of offlceho/delS, candidates, comm;,,-or ballot ml!asuresmust aJJD be entered on the Allocation Page. SUBTOTAL $ ~.;I. ). Payments and Contributions Made Summary I. Payments made this period of$100ormore. (Include all Schedule E subtotals.) ................ -................ , ..................... $ _qi.eBc.::5:..:.. __ 2. Paymermmade this period of under $100. (Do not itemize.) ....................................................................... S ---""J-"''-·'---- 3. Total interest paid this period on outstanding loans. (EnteramountfrDm Schedule 8, Part II, Column (d).) ........ , ..................... s _____ _ "' «> · 4. Totalaccru~expensespaidthlsperiod. (Do not Itemize. EnteramountfromScheduleF,Line4.) ............ , ........................ $ _____ _ 5. Total paymentsmadethisperiod. (Add Lines 1,2, 3,and4. Enter here and ontheSummaryPage,ColumnA, LineB.) ....••..... TOTAL s_..,5=:Z_.l.~-- T Recip-ient Committee Campaign Statement -Long Form Type or print in ink. (Government Code Sections 84200-84216.S) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: ~ Pre-election Statement O Semi-annual Statement 0 Special Odd-year Campaign Report 0 Supplemental Pre-election Statement (Attach a completed Form 495 to this Statement.) O Termination Statement (Attach a completed Form 415 to this statement.) :ommittee Information ,-JAME OF COMMITTEE CITY ·fr'1~.~!&1 $ ZIP CODE cA CfJ~b3 z,o 3J3 '811 L PEIIM.t.NENT ADDI\ESS Of TIIE.t.SU/ ~OQ s Ct\) ,c. I (NO. AND STIIEET) fo &y /67J STATE ZIP CODE AIIEA CODE/DAYTIME PHONE $ C 'll2b5 Check Boxf!s) St!f! definitions and important information on reversf!. 1s this a sponsored committee? .................. • Yes -~ No Is this a broad based political committee? ......... 'K) Yes • No Ill Verification .----------~--------COVERPAGE-LONG FORM Statement covers period from_?_-_/_-_9_7 __ through o/-.:2. I)-7' 7 Date of election if applicable: (Month, Day, Year) Date Stamp i CEIVE · SEP 26 1997 Page / of --'3=--_ For Official Use Only II Primarily Formed Committee (See definition on reverse.) List names of officeholder(s) or candidate(s) for which th. ·tt . . ·1 fc d 1s comm1 ee 1s pnman 1v orme . I ,-j. NAME OF CANOIOATE(S) 011 OFFICEHOLDEll(S) OFFICE SOUGHT 011 HELD CHECl<:ONE Ci .on <UPPOIIT -· Attach additional information on appropriately labeled continuatio_n shf!ets. 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 q/;.s (47 At rAdm ~} r\'t2 ~ I ut By .\_<o@O;Q S-u )~ / DA E CITY ANO STATE /• SIGNATURE OF TREASUIIEII Executed on _______ _ DATE At _________________ _ CITY ANO STA TE By __________________________ _ SIGNAT UIIE OF RES PONSIBLE OFFICEII OF SPONSOII, IF IIEOUIRED fOII INFOIIMATION IIEOUII\EOTO BE PROVIDED TO YOU PUIISUA NTTO THE INFOIIMATION PIIA CT ICES ACT OF 1977. SEE INFOIIMATION MANUA L ON CAMPAIGN DISCLOSURE PIIOVISIONS Of THE POLITICAL IIEFOIIM ACT . State of California Fair Polltical Practices Commission ,. ~· ,~ Recipient Committee Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE D ;./-;ca. Contributions Received 0 Type or print In Ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PEl'UOD (FROM ATTACHED SCHEDULES) 1, -~nonetary Contributions __ . _ ...... ., .. __ . _ ........ __ ,... Schedule A, Line 3 s _____ _:::0:_ __ _ ' 0oans Received .. ·-....... _. _ .... _ ,_ , __ ..... , ___ ..... _.. Schedule 8, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ._ ....... --.-· .... ---· . AddLlne,1 +2 s _____ _,o"---- ·4. Non-monetary Contributions ......... _. _ .. _ .... _..... Schedule c, Llne3 ·. 5. SUBTOTAL CONTRIBUTIONS (fxclude EnforceablePromlse,) AddLlne,3 + 4 S _____ O::::_ ___ _ · 6 Enforceable Promises ,, · (Exclu~e Loan Guarantees, Une 18 below) 7. TOTAL CONTRIBUTIONS RECEIVED Expenditures Made 8. Cash Payments (Other than Loans Ma.de) g; Loans Made ............................................ . Schedule D, Line 7 AddL/ne,5 + 6 Schedule E, Line 5 Schedule H, Line 7 s ____ _::O:...._ __ _:_ s ___ _c:sc....ccz...::l. __ _ 10. SUBTOTAL CASH PAYMENTS ............................ AddL/ne,8 + 9 S ____ ..,5,:.;~:.:.i..l __ _ 11. Accrued Expenses (Unpaid BiUs) .......... : . . .. . .. .. . . . . Schedule F, Line 5 s.;;i.1 ,fOTAL EXPENDITURES MADE ......................... AddLlne,10 + 11 S ----~-=..1. _ _;_ __ cu,rent Cash Statement 13. Beginning Cash Balance . .. .. .. . . .. .. . .. .. Prevlou, Summary Page, Line 17 S ___ __,/_Dc__/_l:..j..i..:.. __ 14. Cash Receipts ................ ,..................... ColumnA,Llne3above 6 15.· Miscellaneous Increases to Cash .. .... . . .. ... .. .. .. . .... Schedule}, Llne4 0 16: Cash Payments .. .. .. .. .. . .. .. . .. .. .. . .. . .. . .. .. .. . Column A, Line 10 above :5 do). 17. ·ENDING CASH BALANCE ..... AddLlneJ13 + 14 + 15, then,ubtractLlne 16 s ____ ...J9'-'{p""-'5::....::5::.· __ If this Is a term/nation .statement, Une 17 must be zero.· 18. LOAN GUARANTEES RECEIVED .............. ScheduleB,Partl,Column(b) S ENDING CASH BALANCE SHOULD NOT BE A NEGATIVE AMOUNT 6 Cash Equivalents and Outstanding Debts 19. Cash Equivalents ................................ SeelnJtructlomonreverse S ____ O _____ _ 20. Outstanding Debts .. . .. .. .. .. . .. . .. ·Add Line 2 + Line 11 In Column c above s ___ _,::De_ ____ _ SUMMARY PAGE Statement covers period from 7-/-'f7 through 9-C:UJ-'?1 Page ' Z-of .3 SSOc. 1q /io r'\ I.D.NUMBER 95-1~'1. Columns• ColumnC TO,:AL·f'R!VIOUS PERIOD TOTAL TO OAT£ (SEE NOTE BELOW) (ADO COLUMNS A + !) s /3098. s /2>D~B s /o,Oj8, $' L~o'i_B s I 3o '1_,g s l&?g s •. /~o9!3 s -J 3D-/8. s . /5 ;;)3, s ,)o~i s /52. 3 s 2.0'-li $ ,sz.3 s 20 '-l '-/. • From preVious Statement Summary Page, Column C. However, if this is the first report filed for the calendar :tear, Column B should be blank-except for loans Received (Line 2). ETlforceable Pron,ises (Line 6), Loans Made (Line 9). and Accrued Expenses (Line 11 ). Summary for Non-Controlled Committees Primarily Formed to Support or Oppose Candidates in Both June and November :Elections 1/1 through 6/30 •7/1 to Date 21. Contributions () -R.ece1ved .. .. s ---'--,-- •·, Schedule E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE Dh/Jo I lk+,o" Ull'tlYl'\i+-k (J Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from 7-/-'J 7 through "l-Z£J-f 7 O: .·. :cers · /)sStJc;c, ./.i iJ SCHEDULE E Page 3 of ,3 I.D. 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· -MONETARY AND IN-KIND (NON-MONETARY) "B" -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. (IF COMMITTEE, IN ADDITION t0 COMMITTEE'S NAME AND ADDRESS, ENTER 1.0. NUMBER OR. IF NO 1.0. REPORT ONl Y THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 9F THE SUMMARY SECTION BELOW. NUMBER HAS !IEEN ASSIGNED, ENTER TREASU/1.ER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT \>J &'\N [ -{io'n-J,t b IS~<-1-l· \k!\r,-. Ca"",!r-l 'r4\M.. ser \ ,JI .1 C: Ii 7t.. 'I..~ 7 (; . .::r. 'i<_. ?:. . Frei>"<:> ¼ ' a.~s.8a 6 . .. ; Important: Contributions and expenditures made out of campaign funds to 9r on behalf of officeholders, candidates, committees, or ballot measures must also be entered on the Allocation P.a e. AMOUNT PAID '/85. 31,,, , / J . -:- . . SUBTOTAL $ £~ , Payments and Contributions Made Summary 1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ...................................................... $ _..cY.=8c...S_. __ _ 2. Payments made this period of under$100. (Do not itemize.) ....•... : ............................................................... $ _ __,,3"-G,=-· __ _ 3. Total interest p:aid this period on outstanding loans. (Enter.amount from Schedule B, Part II, Column (d).) .............................. $ _____ _ 4. Total accrued expenses paid this period. ·coo not itemize. Enter amount from Schedule F, Line 4.) .......... , . • ......................... $ ______ _ s. Total payments made this period .. (Add Lines 1, 2, 3, and 4. Enter here and.on the Summary Page, Column A, Line 8.) ........... TOTAL $ --'~:::...c.;i_c.L __ _ Recipient Committee Campaign Statement -Long Form (Government Code Sections 84200-8421 6.5) Type or print in ink. SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to Indicate the type.of statement beln_g filed: D Pre-election Statement t8I Semi-annu~I Statement D Special Odd-year Campaign Report D Supplemental Pre-election Statement (Attach a completed Form 495 tothiS'Statemerit.) D Termination Statement (Attach a completed Form 415 to this statement.) Committee Information -NAME OF COMMITTEE c:2oo. S. CITY NA~ b~ TRE~&~~ M ':, e..,q_ PERMANENT ADDRESS OF TREASURER / (NO. AND STREET) Joo s. C1\J 1C, _lo-60-f.. /6 ZI CITY ; STATE ZIP COD[ ?q/u1 Sfr-1"'-1s. e.,1-9iz~ , AREA COOE/DAYTIME'PHONE (?tiu) 3Z~-S' / !.~ j (Check Boxes) See definitions and important-information on reverse. Is this a sponsored committee? ..... ; ............. Q Yes '_gl :No Is this a broad based political committee? ........ ·fa:) Yes D ,No ,Ill Verification ~--------~~--------COVERPAGE-LONG FORM Statement covers period from /-/-q 7 through (,,·3o-q1, Date of election If applicable: (Month, Day, Year) Date Stamp , ,1.:~clVl:L AUG 2 7 1997 Page of i For Official Use Only II Primarily Formed Committee (See definition on reverse.) List·names of officeholder(sl or candidate(s) for which h . . I f1 is committee 1s orimarilv ormed. t :NAME OF CANOIOATE(S) OR OfFICEHOLDER(S) OfFlCE SOUGHT OR HELD ·CHEO-.ONE 511p-T ft•=« .. C Attach a_dditional information on appropriately labeled continuation sheets. I have used all re·asonable diligence in.preparing this statement;:Thave reviewed.the statementand-to the best of my knowledge the information contained herein and in the attached schedules·is true and complete.•! c<a?rtify,under penalty of perjury under the laws of the State of California that th;, foregoing is true .and .correct. · Executed on At s::h,c-::C OAlE CITY AND STATE SIGNATURE OF TREASURER ExeCuted on -Al DATE CITY-AND STATE •By _______________________ _ SIGNATURE OF RESPONSIBLE OfFICEROF SPONSOR.. If REQUIRED ''a ' . •· :,~ , ' .. FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF .1977. SEE INfORMATION MANUAL ON CAMPAIGN DISClOSUR[ PROVISIONS OF THE POUIICAL REFORM ACT. ·State of Callfornla Fair Polltlcal Practices Commission ~ ·:·,, . ~ Refipie~·t Committee· · Summary Pag~ SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE \1 /;+,e1:1 I Ac.\-10 ComMitle Contributions Received Type o,. print In Ink; Amounts may be roundedi to whole dollar,. Column A TOTAL THIS l'flUOD · (fAOM ATTACHED SCHEDULES), 1. MonetaryContributions ...... :........................ ScheduleA,Une3 s 0 , , ",) Loans Received ..... .'................................... . S<hedu/e 8, Une-7 ' · . • SUBTOTAL CASH CONTRIBUTIONS .. .. .. .. . .. .. .. .. .. . .. . AddUne, 1 + 2. s 0 4: })Ion-monetary Contributions • .. .. .. .. .. . •. .. .. . .. .. .. S<hedule c, Une 3· . . 5 •. SUBTOTALCONTRIBUTIONS(ExdudeEnforceab/e·Prom/,e1) AddUne,3 +-t S · "· 6. Enforceable Promises 1: (ExcludeLoanGulJrantees,Une 18below) .•••.••...•••.•••.. Schedule D, Une 7 7. TOTAL CONTRIBUTIONS RECEIVED• .................... . AddUne15 + 6 s 0 Expenditures Made · 8. Cash·Payments (Other than Loans Made) ........... . Schedule E, Une 5 s 1523, 9. Loans Made ...... , ....................... , ............. . Schedule H, Une 7 10. SUBTOTAL CASH PAYMENTS ........................... .. AddUne18 + 9 s l:5d3, 11. Accrued Expenses (Unpaid Bills) ....................... . Schedule F, Une 5 12. TOTAL EXPENDITURES MADE ........................ . AddUneJIO + 11 s JSZ-'5. '( '1rrent Cash Statement ~_./ )/'5,;)'5, 13. Beginning Cash Balance .................. Prevlou1Sumff!aryPage,Urie 17 S -'--'-...;...;::.;,.. _____ _ 14. Cash Receipts ...................................... ColumnA,U,..,3above __ %-..:.... ______ _ 15. Miscellaneous Increases to Cash .. . .. .. .. .. .. .. .. .. .. .. . Schedule 1, une -t 16. Cash Payments· .. .. .. .. .. .. .. .. .. .. .. .. . .. .. . .. . .. . Column A, Une IOabove 17. ENDING CASH BAlANCE ..... AddUnell3 + 14 + 15,then,ubtractUne 16 . ff this is a termJnatlon ~atement, Une 17 must be zero.· 18. LOAN. GUARANTEES'l!ECEIVED ............. . _Schedule 8, Part I, Column (b) 111-- /:,f"Z.3, . s __ /0_/_7~(_. --- ENDING CASH BALANCE SHOULD NOT !IE A NEGATIVE AMOUNT s ---------- Cash Equivalents and Outstanding Debts 19. Cash Equi.va.lents ......................... : . .. . .. See instructions on reverse s _________ _ . . . 20'. Outstanding Debts ·Add Line 2 + Une 1 r in Column C above 5--------- /-/-97 from_~-~----- (,;-3o·97 through~--''---'--'---- ColumnB~· TOTAL PREVIOUS PEIUOO- (SEE NOT£ BELOW) $ /30"/8.·c 'C • .~ • /3098 " s !, s 130~8 ! \-.... s /3098 s ~000 s d<ooo s i?OOO ,. "°"'.·" SUMMARY PAGE Page ' d., al_':/;,.:.·_ ).D: NUMBER• 95-/8'// ColumnC: TOTAL TO DATE (ADDCOLUMNSA • 19)' s /3098: .~ ::~ s /3D9&·~ s --=.3::...S;;;.~=.c.3:....·_:_'_·-_· _ s .35cl·3:·· • From previous Statemel1t Summary Page, Colurrin C. However, if this is the :first report filed .for the calend_ar year,' Column-a should be blank except•lor Loans Received (Line 2), Enforceable Promises (Line 6), Loans Made (Line 9), and Acaued Expenses (Line 11 ). · Summary for Non-Controlled Committees Primarily Formed to Support or Oppose. Candidates.in Both June.and November . Elections 1/1 through 6130 7/1 to Date· 21. Contrib1.ttions o Rece,vea . . . . s ----,--- ,c_ ' .,. S~lied ~ i'e E Payments and Contributions (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE NAME OF COMMITTEE 7J.. e.. Type or print In Ink. Amounts may be rounded to whole dollars. i c.ers. CODES FOR CLASSIFYING EXPENDITURES Statement covers period from /-/-9 7 through tf, • ?,o-9 7 SCHEDULE E Page I.D.NUMBER 9s18'i I If one ofthe 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-Continuati_on Sheet for detailed.explanations of each category . . ,..---'\ . :, ./c· -,MONETARY AND IN•KIND(NON•MONETARY) ~B--BROADCAST ADVERTISING · CONTRIBUTIONS TO OTHER CANDIDATES ·•N" -'NEWSPAPER AND PERIODICAL ADVERTISING AND COMMITTEES •o• -OUTSIDE ADVERTISING ·•1• -·INDEPENDENT EXPENDITURES •s• -:SURVEYS, SIGNATURE GATHERING, DOOR-TO.-DOORSOLICITATIONS "L" -LITERATURE "F" -'FUNDRAISING EVENTS "G" -GENERALOPERATIONSANDOVERHEAD "T" -TRAVEL,ACCOMMODATIONSANDMEALS (MUST BE DESCRIBED) •p• -PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION . IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. ·(If COMMITTEE.'IH ADDmON TO COMMlffEE"S NA.ME AND ADON:SS, ENTII\ I.D. NUMDEI\ Oft. If NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. > \.__ ffUMIEI\ HAS BEEN ASSKiNED, ENTEi', TAEASUkUt'S NAME AND ADDMSS) CODE OR DESCRIPTION OF PAYMENT C,o"c:.er ~e J O-/-lz.Nt5 or_ r:pq /r-1. Sfr,,,,s r.;>,JI,..., ·. spr"'?!:. CA- _;i-~:tl 91/JG~8 <2... wt\ '\i)e.. t.,,~,t..b /~'/.t. .. //-. tQ/,i (',!,.fD,) --. ~, ..... s;:-llc 1 /) '1 '> M-}"77/...,_ £l _J_ -,MES. ?>/fJ fi>e .::r. ·i2. 3. y ~i I - fr:!,. cJ/. Q ,Important: .Contributions.and expenditures made out of campaign·funds to or on behalf of officeholders, .candidates, ·committees, or,ballot measures must a/so'be entered on the Allocation Page. -. AMOUNT PAID :5otJ. 9tS. . 58. SUBTOTAL •$ /5Z.3. Payments and Contributions:Made·Summary · · sM5 1. •Payments made:this period of $100 or more. ,(lnclude·allSchedule E subtotals.) .......•............•....•.•............ , ....•••.••.... 2. Payments•madethis:period ol'under $100. ,(Do.not itemize.) : ........................................................................ $ __ s.;~;g"---. -.. , ~ -' . 3. Total interest paidthis:perioil'onoutstanding \oans. (Enter amount from Schedule B, Part II, Column (d).) ........................•..... $ _____ _ ,4, Total accrued expenses ~aid-this.period.-(Do not itemize. Enter amount from Schedule F, Line 4.) ....................................... 5 _____ _ 5. Totalipayments made this period. '(Add .Lines 1, 2, :3, and ·4, ·.Enter here and.on the Summary-Page, Column A; Line 8.) .· .......... TOTAL •s ~l.u.:.!> .. -...,d"".-3=---- ---~ "' -. -... .... ,• , .. Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE I Statement covers period from //-97. /. 'Jp_,17 through1...::;v~.:,='-'-Z:&..,/ __ _ ·NAME OF COMMITTEE I.D.NUMBER DATE RECEIVED -FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, IN ADDfT10H TO COMMmtn NAME AND ADDt'.ESS, ENT£k l.D.'NUM!ER If NO I.D. NUMBER HAS BEEN ASSIGNED ENTER 11\EA.SUIIER"S NAME AND ADDRESS 7o.\«\ Sfri"-iS. Cre lt t,,,,,ior, ~-D· ~n,><. Cj;;/<// DESCRIPTION OF RECEIPT /'.CDU,1,--. AMOUNT OF INCREASE TO CASH ', 1,/. ;7,,, ( '·----+------------------'------+----------,-----+----'------- ' ) '--· Attach additional information on appropriately labeled continuation sheets. SUBTOTAL S / Jz/ (. ,Miscellaneous·lncreases to Cash Summary 1,,1, ;1 ._,Increases to cash of.$100 or more this period. . ............................................................. $ _./c..;l.:.7-____ _ -i,,lncreases-to cash under $100 this period. (Do not itemize.) ................. : .•.............................. $ -----'--- :3.":Total of.all-interest received this period on loans made to others. (Schedule H, Part II (b).) ............••....... $ ~------ 4. ·Totalmiscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the $ / 7 ;;;_ t (. •Summary Page, Line 15.) ..••.•.......•................•..........................•.............• ; ·TOTAL ..!...,;.;_ ____ _ ;. ' -- S.t.afen1ent of Or~anization Recipient Committee WHERE TO FILE: STATEMENT OF ORGANIZATION (Government Code Sections 84101•841.03) Type or print in ink SEE INSTRUCTIONS ON REVERSE Committee Information Amendment ~ Check box if an Amendment and enter I.D. number: 11 95 -/S''i I FIie original and one copy of this form with: Secretary of State Political Reform Division P.O. Box 1467 Sacramento, CA 95812· 1467 And, If applicable, file one copy of this form with: The city or county officer, if a11y, who receives the committee's original campaign disclosure statements. Date Stamp RECl:11/ED AND FILE In the ollice ol tha Secretary ol Sil ol the State ol California JAN 3 1 1991 BILLJONES,Secretaryo1S le II· Treasurer and Other i>rincipal Officers NAME OF TREASURER Date Qualified as Committee (Month, Dey, Ye-11r) ________ _ D Check box if not yet qualified ,· '""'----:-:====------------------------•NAME Of COMMIHEE Jl-oo ::, Tul\~T MAILING ADDRESS 200 s. C..1v I c. / P.o-f3c/... I& 71 MAYO 6J997 CITYJ,1 STA TE ZIP CODE . AREA CODE/DAYTIMEPHONE ADDRESS OF COMMITTEE (NOT P.O. BOX) NO. AND STREET :loo S. C.,; \Ii('... / fo ?,cJ 1--1~ 71 STATE ZIP CODE AREA CODE/PHONE NUMBER COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIPCODE AREA CODE/PHONE NUMBER . rcr/1'/. SPr,,..,9s cA-9izt3 ( & t9) 32. 3-?: II b. NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S) .. ,-, MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE .,. Attach additional information on appropriately labeled continuation sheets. ... Disposition of Surplus Funds You must specify what disposition will be made of leftover campaign funds, if any, at termination. I : • : • IV Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. certify under penalty of perjury under th laws of the State of California that the foregoing is t~nd correct. / E•ecutedon I) 2..J?}11 At..p:j:j.r,~~~~~~-----By ~~Q ,<71 Yi,:.t; Tl2£)qsunff) / OAT[ SIGNATUR Of TREASURER Executed on At By DATE CITY AND STATE SIGNATUrtE OF CONTROLllNG OFFICEHOLDER. CANDIDATE, OR STATE MEASURE PROPONENT . Executed o At By DATE CITY AND STATE SIGNATUIIE OF CONTROLLING OfFJCEHOLOER.. CANDIDATE, OR STATE MEASURE PROPONENT Executed on At By DATE CITY AND STATE SIGNATURE Of CONTROLLING OFFICEHOLDER.CANDIDATE, OR STATE MEASURE PROPONENT FOR INFORMA.TION REOUIREOTO BE PROVIDED TO YOU PURSUANTTOTHE INfORMATION PRACTICES ACT OF 1977, SH INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS Of THE POLITICAL REFORM ACT. State of California Fair Political Practices Commission / Stateriient of Or~anization Recipient Committee Type or print in ink NAME OF COMMITTEE Poli+ ~c,.\-101'\ c1),V,Y.\I '\--e-L: 6F '71-.e. -. STATEMENT OF ORGANIZATION Page 2 1.D. NUMBER (IF AMENDMENT) 9s-18''-/ I V Type of Committee Completing This S'tatement: COMPLETE THE APPLICABLE SECTION(S). MORE THAN ONE CA TE GORY MAY BE APPLICABLE TO YOUR COMMITTEE. SEE REVERSE FOR IMPORTANT INFORMATION AND DEFINITIONS OFTHE COMMITTEES LISTED BELOW. I Controlled Committee I • lf'this committee is controlled by one or more officehOlder(s) or candidate(s), list the name of each controlling officeholder or candidate. Also list the elective office sought or held, and district number, if any, for each individual. ' · • If this committee is controlled by one or more offlceholder(s) or candidate(s) for partisan office, list the political party with which e2.ch officeholder or candidate is affiliated. An officeholder or candidate not holding or seeking a partisan office must indicate "non-partisan... · • If this committee is controlled by a state measure proponent, list the name of the state measure proponent. If this committee is controlled by more than one state measure proponent, list the name of each state measure proponent. ! · a Jf this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDEM;TATE MEASURE PROPONENT/COMMITTEE PARTY ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) ·' --;I =P=r,;im=a=r~i/~y=F=o=,=.m=e=;d~C=o=m=m=,=·r=te=e=::;--lf-p_n_m_a_ri-ly_i_o_n_n_ed_t_o_s_u_p_po_rt_o_r o_p_p_o_s_e-,p-e~,-ii-i,-,-an_d_i-da_t_e_s •o,-m-•a-,-u-,e-,-. 1-i,-t t_h_e_c_a_nd_i_d-at_e_s or measures below: CANDIDATE'S NAME OR MEASURE'S FULL TITLE (INCLUDE BALLOT NO.OR LETTER) CANDIDATE'S OFFICE SOUGHT OR HELD OR MEASU~·E'S JURISDICTION I I '· .1 General Purpose Committee I .,1 If not formed to support or oppose specific candidates or measures, check. ONE box to indicate if this is a: PROVIDE BRIEF DESCRIPTION OF ACTIVITY NAME OF SPONSOR: ADDRESS OF SPONSOR: NO. AND STREET CITY I Broad Based Committee I (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE ):( CITY Committee or STATE ZIP CODE I SUPPORT OPPOSE SUPPORT OPPOSE ' D COUNTY Committee or D STA TE Committee INDUSTRY GROUP OR AFFILIATION OF SPONSOR: If this is a broad based committee and wishes to make contributions to candidates in excess of the-$2,500 contribution limit in connection with a special election, check the box below and enter the date on or before which the committee qualified as a broad based committee. (If the committee is not a broad based committee, or does not wish to make contributions in excess of the $2,500 limit, do not complete this section.) D Check box If this is a broad based committee, Enter the date on or before which the committee qualified as a broad based committee: D Check box if this committee no longer qualifies as a broad based committee. (Mqnrh, Day, rear) . ~ ... ... Statement of Or<;1anization Recipient Committee WHERE TO FILE: File original and one copy of this form with : Secretary of State Political Reform Division P.O . BOK 1467 STATEMENT O F ORGANIZATION Date Stamp (Governm ent Code Sections 84101-841 03) For Off1c1al Use Only Amendment Sac ra mento, CA 9581 2-1467 C"/J'"O _; 1 1 I ,• HECEIVEb Type or print in ink ~ Check box if a n A mendment and enter I.D. numbf'r : And, If applicable, file one copy of this form w i th: The city or county officer , if any. who receives the • .. \ committee's original campaign d i sclosure L J IT y LlF R! vrns IOE f EB SEE INSTRUCTI ONS ON REVERSE 11 ~5-J S''-i I statements. Committee Information Date Qualified as Committee (M o nlh. Day. v .. ,) ________ _ 0 Check boK if not yet quali f ied ~AME OF COMMITTEE fol,ce Dftie,e.6 ADDRESS OF CO MMITTEE (NOT P.O . BO X) NO.AND STREET ~DO s . C..i \) j c.. I f O . ~(l 1' J ~ 71 STATE ZIP CODE AREA CODE/PHONE NUMBER C/z,U,3 ,,19:) Jz.?-'6 II(,, COUNTY WHERE CO MMI TTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRES S (IF DIFFERENT) NO..AND STRE ET OR P.O . BO X CIT Y STATE ZIP CODE AREA CODE/ PHONE NUMBER II Treasurer and Other Principal Officers NAME OF TREASURER 'Aon ~ TwHT MAILING ADDRESS 1997 200 S . C., I V I C. / P. 0 · 6i,6 I& 71 CITY . ~!rt STATE ZIP CODE 9izt,3 . A REA CODE/DAYTIME PHONE ( Gt 19) ,2. 3-<? II b. NAME AND POSITION OF OTHE R PRINCI PAL OFFIC ER(S) MAILING ADDRESS CIT Y STATE ZIP CODE AREA CODE/DAYTIME PHONE 'I ' Attach additional information on appropriately la beled continuation sheeu. "' Oi:;position of Surplus Funds You must spe cify what d is posi tion will be made of l eftover campaign funds, if a ny, at t~rmination. l IV Verification I have u se d all reasonabl e d ili gence i n preparing thi s statement and to the best of my knowledge the information contained here in i s t r ue and com plete. I certify under penal ty of pe rjury under the laws of the St ate of California that the foregoing is tro,and correct. ,,.,,,., .. , J i-.Kin ., ?..i.-~~ ch ,, .'J"1• o jQ e,,.u1 .,ir.R: .?:?.;:;y/2nE>ll>.JW'.\ Executed on At By OAT[ CITY ANO STATE SIGNATURE Of CONTROL LI NG OFFI CEHOLO EII. CANDIDATE. OR STATE MEASURE PROPONEN T Execut ed on At By DATE CITY ANO STATE SIGNATURE OF CONlROLLING OFFICE HOLDEII. CANDIDATE , 01\ STAH MEASURE PROPONENT Executed o n At By DATE CIT Y ANO Sl AT[ SIG NAlURE OF CONTROLLING OFFI CEHOLDER. CANDIDATE, 01\ STAl( MCASUI\( PROPONENl FOR INFOI\MATION 1\(0\Jll\fO TO 8 [ PI\OVIOEO 10 YOU PUMUANT TO THE INF ORM f,T ION PRACTICES ACT OF 1977, SE! INFO RMATION MANUAL ON CAM PAI GN DISCLOSURE PRO VISIONS Of T 0 H[ POLITICAL I\HORM ACT . State of California Fair Poli t ical Practices Commission "\... ' ... --.. ' Statement of Or~anization Recipient Committee Type or print in ink NAME OF COMMITTEE Poli±!Cql ~c,\-,ov'I CDr'fl'Mi '\--ye-e.... oF lh.e. fq)M 'DPri"'iS STATEMENT OF ORGANIZATION Page2 1.D. NUMBER (IF AMENDMENT) 9s-18'41 I V Type of Committee Completing This Statement: COMPLETE THE APPLICABLE SECTION(S). MORE THAN ONE CATEGORY MAY BE APPLICABLE TO YOUR COMMITTEE. SEE REVERSE FOR IMPORTANT INFORMATION AND DEFINITIONS OF THE COMMITTEES LISTED BELOW. I Controlled Committee I • If this committee is controlled by one or more officeholder(S) or candidate(s), list the name of each controlling officeholder or candidate. Also list the elective office sought or held, and district "~, number, if any, for each Individual. · 1 • If this committee is controlled by one or more officeholder(s) or candidate(s) for partisan office, list the political party with which each officeholder or candidate is affiliated. An officeholder or candidate not holding or seeking a partisan office must indi::ate .. non-partisan ... • If this committee is controlled by a state measure proponent, list the name of the state measure proponent. If this committee is controlled by more than one state measure proponent, list the name of each state measure proponent. ! · · • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT/COMMITTEE PARTY ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) ,~-;=========:;--------------''-------'----------------------I Primarily Formed Committee lf_primarily formed to support or oppose specific candidates or measures, list the candidates or measures below: CANDIDATE"S NAME OR MEASURE"S FULL TITLE (INCLUDE BALLOT NO. OR LETTER) CANDIDATE'S OFFICE SOUGHT OR HELD OR MEASU~E'S JURISDICTION -(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) CHECK ONE I SUPPORT OF'POSE I I 1 SUPPORT OPPOSE ' J . General Purpose Committee I .,)l not formed to support or oppose specific candidates. or measures, check. ONE box to indicate if this is a: )( CITY Committee or D r:OUNTY Committee or 0 STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Provide the nafne and address of the sponsor. If the committee has more than one sponsor, provide names and addresses on appropriately labeled attachment. NAME OF SPONSOR: ADDRESS OF SPONSOR: NO.AND STREET CITY Broad Based Committee I STATE ZIP CODE INDUSTRY GROUP OR AFFILIATION OF SPONSOR: If this is a broad based committee and wishes to make contributions to candidates in excess of the,$2,500 contribution limit in connection with a special election, check the box below and enter the date on or before which the committee qualified as a broad based committee. (If the committee is not a broad based committee, or does not wish to make contributions in excess of the S2,500 limit, do not complete this section.) D Check box If this is a broad based committee. Enter the date on or before which the committee qualified as a broad based committee: D Check box if this committee no longer qualifies as a broad based committee. (Mqnth, Day, Year) . --... ' ... Statement of Or~anization Recipient Committee WHERE TO FILE: STATEMENT OF ORGANIZATION (Government Code Sections 84101-841_03) Type or print in ink SEE INSTRUCTIONS ON REVERSE Committee Information Date Qualified as Committee (Month, D11y, Vr11r) AME OF COMMIHEE Amendment ~ Check box if an Amendment and enter 1.0. number: 11 95-JS''-II File original and one copy of this form with: Secretary of State Political Reform Division P.O. Box 1467 Sacramento, CA 95812--1467 And, If applicable, file one copy of this form with: The city or county officer, If a11y. who receives the committee's original campaign disclosure statements. Date Stamp II· Treasurer and Other Principal Officers NAME OF TREASURER D Check box if not yet qualified '.Y,o:a ~ Tuc,~T MAILING ADDRESS For Official Use Only RECEIVED JAN 2 8 1997 ('ITV Cl 'l=RI( Zoo s. C..1v1c. I& 71 STATE ZIP CODE . AREA CODE/DAYTIME PHONE ADDRESS OF COMMITTEE (NOT P .0. BOX) NO. AND STREET CIJY,1 . rcr/1'1. 9izt3 ( &19.) :,2. 3-'? I I b. doo s. c.,; vie.. / fo. ~<lt-./~71 STATE ZIP CODE AREA CODE/ PHONE NUMBER COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/ PHONE NUMBER NAME AND POSITION OF OTHER PRINCIPAL OFFICER(S) ·-. MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE .,. Attach additional information on appropriately labeled continuation sheets. )isposition of Surplus Funds You must specify what disposition will be made of leftover campaign funds, if any, a.t t~rmination. . ' IV Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. · Executed on 1 /2.1?Jq7 At PAlw,, ~a,,'C,'.)U:-,J {fl: By ~go,a ,Th,(L,. j(/ ~l)Oi?:(2 foATE CITY AND STAT SIGNjTURE Of tREASURER Executed on At By DATE CITY AND STAT[ SIGNATURE Of CONTFI.OlllNG OFFICEHOLDER, CANDIDATE, OR.STATE M~ASURE PROPONENT Executed on At By DATE CITY AND ST A TE SIGNATURE OF CONTROLLING 0FF1CEHOLDER.CANDIDATE, OR STATE MEASURE PROPONENT Executed on At By DATE CITY AND STATE SIGNATURE Of CONTROLLING OFflCEHOLDER. CANOIDATE,OR STATE MEASURE PROPONENT fOR INFORMATION REQUIRED TO BE PROVI0£0 TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1917, SEE INFORMATION MANUAl ON CAMPAIGN DISCLOSURE PROVISIONS Of 1:HE POUTICAl REFORM ACT. State of California Fair Political Practices Commission . -. . . . ... . } :,; · Statement of Or~anization Recipient Commrtte~ Type or print in ink NAME OF COMMITTEE Po Ii ~ c t-, o v't C1l """'' '\-e-e..... o ...,,_e.. -. STATEMENT OF ORGANIZATION Page2 I.D. NUMBER (IF AMENDMENT) 9s -1 'B' '-I I V Type of Committee Completing This Statement: COMPLETE THE APPLICABLE SECTION(S). MORE THAN ONE CA TE GORY MAY BE APPLICABLE TO YOUR COMMITTEE. SEE REVERSE FOR IMPORTANT INFORMATION AND DEFINITIONS OF THE COMMITTEES LISTED BELOW. I Controlled Committee I --.,_~• If this committee is controlled by one or more officeholder(s) or candidate(s), list the name of each controlling officeholder or candidate. Also list the elective office sought or held, and district f number, if any, for each individual. · • If this committee is controlled by one or more officeholder(s) or candidate(s) for partisan office, list the political party with which each officeholder or candidate is affiliated. An officeholder or candidate not holding or seeking a partisan office must indicate "non-partisan."' • If this committee is controlled by a state measure proponent. list the name of the state measure proponent. If this committee is controlled by more than one state measure proponent, list the name of each state measure proponent. 1 · • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT/COMMITTEE PARTY ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) I Primarily Formed Committee If primarily formed to support or oppose specific candidates or measures, list the candidates or measures below: CANDIDATES NAME OR MEASURE ·s FULL TITLE INCLUDE BALLOT NO. OR LETTER CANDIDATE'S OFFICE SOUGHT OR HELD OR MEASU~E'S JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY.AS APPLICABLE) CHECK ONE I SUPPORT OPPOSE I I : SUPPORT OPPOSE ' "ieneral Purpose Committee I .. not formed to support or oppose specific candidates or measures, check. ONE box to Indicate if this is a: ):g{_ CITY Committee or D COUNTY Comfl'!lttee or D STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY Provide the naine and address of the sponsor. If the committee has more than one sponsor, provide names and addresses on appropriately labeled attachment. ADDRESS OF SPONSOR: NO. AND STREET CITY Broad Based Committee I STATE ZIP CODE INDUSTRY GROUP OR AFFILIATION OF SPONSOR: If this is a broad based committee and wishes to make contributions to candidates in excess of the'S2.500 contribution limit in connection with a special election, check. the box below and enter the date on or before which the committee qualified as a broad based committee. (If the committee is not a broad based committee, or does not wish to make contributions in excess of the $2,500 limit, do _not complete this section.) D Check box If this is a broad based committee. Enter the date on or before which the committee qualified as a broad based committee: D Check box if this committee no longer qualifies as a broad based committee. (M~nth, Day, Year)