Bautista Campaign Forms
OFFICEHOLDER At .:ANDIDA TE
STATEMENT OF TERMINATION
Date Stamp
ECEIVED
1998
FEB 2 0
FILE:
Officeholders and candidates must file
Form 416 with the filing officer with
whom they filed their original campaign
statements (Form 470 or 490).
WHERE TO
Officeholder and Candidate
Statement of Termination
This form must be completed by officeholders and
candidates that are eligible to terminate pursuant
to Government Code Section 84214.
Y:
Office Sought or Held
OFFICE SOUGHT OR HELOFOR WHICH YOU ARE FILING THIS STATEMENT
I
Type or print in ink.
tiN
JURISDICTION (IF
C v....1J Î./l.1) !VÙ
Effective Date of Termination
DATE FILING OBLIGATIONS WERE COMPLETED
C I N ('OtA-NCIL
DISTRICT NUMBER (IF APPLICABLE
c.u..¡; U-J> NO
OF
APPLICABLE
NO. AND STREET
Officeholder or Candidate Termination
NAME OF OFFICEHOLDER OR CANDIDATE
,Jvl-fN V, MfA nsm
RESIDENTIAL OR BUSINESS ADDRESS
ßt,fr¡;Y ¡JL;<1-C£
I
ZIP CODE
éfLf02.r
STATE
&r
CITY
hJ.I5Nl... 0
AREA CODEIOA YTlME
19
ht'
.5Þ
IV VerifIcation
verify that:
of this form,
II
listed in "art
For the office
a candidate for the office;
receive contributions and make expenditures;
hold or am no longer
do not
have ceased to
A.
n the future;
making expenditures
do not anticipate receiving contributions or
have eliminated or
8.
C.
declare that
D.
E.
oans received, and other obligations;
ability to discharge all debts,
have no intention or
and
have no surplus campaign funds;
have filed al
reportable transactions.
igence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained
I certify under penalty of perjury under the laws of the State of California that the foregoing is true ane correct.
campaign statements required by the Political Reform Act disclosing a
I have used all reasonable di
herein is true and complete.
F.
By
II-
c
At
~
Executed on
AT
State of California Fair Politica' Practices Commission
INFOM1ATlONJ.tANUAL O~_~MPAIGN QI$(lOSURf P:~OVIS º~S Of THfJ'OllTlC.A:l ",EfORM ACT
s
INFORMATION PRACTICES ACT OF 197
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO TH
RECIPIE, .OMMITTEE
Recipient Committee WHERE TO FILE: STATEMENT OF TERMINATION
Statement of Termination File original and one copy of this form with:
This form must be completed by recipienl committees Secretary of State
Political Reform Division FEB 2 0 1998
that are eligible to terminate pursuant to Government P.O. Box 1467
Code Section B4214. Sacramento, CA 95B12-1467
Type or print In Ink. And. If applicable, 'lie one copy of this 'orm with" Y:
The city or county officer, if any. who receives the
committee's campaign disclosure statements.
I Recipient Committee Information II Treasurer Information
NAME OF COMMITTEE 1,0. NUMBER NAME OF TREASURER
C'OM.fv\.~¡; 1\? ElecT ŸI·HJ ~ì\~ C¡:,I :>2.01 A-LH. E g","l..q")~-m
MAILING ADDRESS OF TREASURER NO. AND STREET
ADDRESS OF COMMITTEE UJt:W It~SS) NO. AND STREET .....1::1:1 u "f- r'.~Lò5. . ·J~"Q...'ð.C-S ~ /oI.Jsl{ :;;C£AJ/C CT.
-3 ß/2..A-ÞY· Pl...A<..E CITY STATE ZIP CODE
CITY STATE ZIP CODE c.u PE'/l Îì f.JO CA- 15'01 f.{
-.iVI. f? flJL 0 PII.e.K Cft. q <.j D2:'- AREA CODEIOA YTlME PHONE NUMBER
AREA CODEIOA YTIME PHONE NUMBER Y 'Dr -;;>-55'"-of¿'
& 'So - lIS'f -'1'-/88 '" Effective Date of Termination
DATE FILING OBLIGATIONS WERE COMPLETED
A J J't...UM/~ /"i7~
IV Verification
A. This committee has ceased to receive contributions and make expenditures;
B. This committee does not anticipate receiving contributions or making expenditures in the future;
C. This committee has eliminated or declares that it has no intention or ability to discharge all debts, loans received. and other obligations;
D. This committee has no surplus funds; and
E. This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
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 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 2../ IS' (,1 Y At r CA.ßI5IUH..JO J tit By tJA~~.m ."f5;hJj,~--,
DA E CITY AND STATE NATURE OF TIUA~R(R
E.ecuted on ).0 ( I ç- (t'f ¡- AI ÝÌ1 G/vL-ù ()/t¡U(.. clr By
DATE CITY ANOStATE
Executed on At By
DATE CITY ANOSTATE SIGNATURE: Of CONTROlliNG OffiCEHOLDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on At By
DATE CITYAHOSTATE SIGNATURE Of CONTROLLING OHICEHOlO€l1:. CANOIDATE, OR STAT( MEA\UR£ PJlOÞONfNI
FOR INfORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INfORMATION Þfl,ACTlcn ACT Of "71, U[ INfº-RMATlON ti'ANUAl ON.{AMPAIGNJ>JSClOS!LRE P~QY'$IONS OF THE POllTlCAl R[FORM ACT
State of Caljfornia Fair Political Practices Commission
Oate S~mp
T~pe or print In Ink,
lue"¡ Candidate,
trolled Committee
In Statement - Long Form
ode Sections 84200-84216.S)
'age I of~
For Official Use Onl~
ECEIVED
FEB 2 0
from
Date of electlonlflppnclbIe:
(Month, Da~. Yelr)
2';'1
Inclklte ,the type of stltement being filed:
(Attach e completed Form 495 tothisstatement.)
1998
tmiercommlttees 0 nCluaea In this statement: Ustanyother
committee. nollncludeçl In Ihll cOMo/kialed stale"",nll,,"1 are controlled by you Inti any
committee. of wfIIch you have knowledge thlllre primlrlly formed 10 receive conlrlbullOM
01' 10 make upend/lure. on behalf of l.our candldaCf.
COMMmfE NAME
""""
CONTROlLED COMMmEU
Ovu ONO
PHON,
CØNTJl:OlUO COMMmff1
o YIS 0 NO
A_A COOEJDAY1'IME
AMA COOEJDAYTlME
I.D. HUMin
Attlch additional Infonnlllon on I"",oprlltely libeled contlnuIl/on ""ell.
ZPCODE
"'COOl
(NO. AND STRUT)
ši'Äii
(NO. ANO STREET)
STATE
(OMllmn ADD"fSS
COMMmrr ADDUSS
NAME Of TREASURE_
.....
NAME OF TRfASURfR
COMMmn
QIY
QIY
statement.)
ommlttee
D' COOf ANA COOLÐAYTNE fttONE
11tl:?-S- 65trt),/-r.Ntr
tD. HUMIEIt.
¡Jr- Q3\,:>2O¡
/;
.s
tat.ment
Roport
N B,4'1.
- (NO. ANDSTMET)
,oL4c.,6
iWi'
QIY
QIY
erlTlcation
I hove u.... all relsonoble diligence In preperlng this statement. I hive reviewed the statement and to the best of m~ knowledge the Information ~on~ined herein Ind In the attached schedules"
true end complete. e,!Slfer penalty of peJ.iury under the laws of the $Þote of Californll thet the foregoing Is true onll cQlr~. .
Executed on .2 Ii . At /I/o C ~ 8~
DATI (ßy AND STAn
best of my knowledge the treasurer his used II
,- and in the .tta'ched Khedules is true and
An officeholder 01' undldlte who control. I committee must IIso verlf~ the umpolgn stetement. I hove u.... all reosonlble diligence and tothe
r.asonabl. diligence in prep.ring this statement. I hive reviewed the stltement Ind to the best of my knowledge the informltion cQntlij herl
complete. I certify uoder I of perjury under the Ilws of the j,talte of Cllifornil thltthe foregoing il true and corr(
Executed on (1 At 6/vt.-rJ (/ ~(C. cPj- 8~
DA' em AND STATE
DU
Of CANDIOAUIOFFKE:HØlDE"
Of CANDtDAWOfflCEHOlOl1I
SfGNATU"1
SIGNATU"E
B~
B~
1177. SEE
CITY AND ITA TE
At
an AND STATE
PROVIDED TO YOU f'UMUANT TO THE: eNfOftMATtOH PAAaKU ACT Of
At
OAT!
DATE
fOlli INfOftMATION RrQUIUO TO IE
Executed on
Executed on
SUMMARY PAGE
-
~ of 'd-
1.0. NUMBER
.
Column C
TOTAL TO DATI
(ADO COlUMNS... . I)
S ~U-
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TV'" or print In Ink.
Amounts m.v be round.d
to whole doIla,s,
.npaign Disclosure Statement
...mmary Page
Corumn B*
TOT..... PMYIOUS PEIUOO
1m NOT(....OW)
- 0"--'
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covers
Statement
,....
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Column A
TO'..... TIe PEIUOO
_ROM AnAØtlD SOfEDUUS)
SEE INSTRUCTIONS ON REVE RSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
t;: C ¡; C, J,7!-f N dA-<-.tÌ)5 '/
Contributions Received
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Schedule A. Une 3
5cltedule 8, Une 7
AddUnasr + Z
Schedule ~ Una 3
AddUnel3 + 4
Schedule D. Une 7
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SUBTOTAL CASH CONTRIBUTIONS
Non-monetary Contributions ... .
(E""'" EnfOrce.1IIt /'romIM,)
SUBTOTAL CONTRIBUTIONS
Enforceable Promises
fE1Idvde Loan Gua,.",",,, tine "".,_)
TOTAL CONTRIBUTIONS RECEIVED
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I I. Accrued Expenses (Unpaid Bills)
12. TOTAL EXPENDITURES MADE
s
. From previous St.tement Summ." P.ge. Column C. However. if
this is the first r.øort flied for the calendar vear, Column B should be
blank except for Loans Received (Lin. 2), Enforceabl. Promise. (Lln.
6), Loans M.d. (Line 9), and Accru.d Expense. (Lln. 11).
Summary for Candidates in Both June and
November Elections
1/1 throvgh 6130 7/1 to Oat.
21. ~ontribätions S
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22. Üf3~ditures S
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Add LIM.IJ + '4 + '5, tltensubtract Une 1/1
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MiKellaneous Increases to Cash
Cash Payments
Current Cash Statement
13, Beginning Cash Balance
14, Cash Receipts
15.
16.
7,
ENDING CASH BALANCE
If tItb Is a termInation statement Una
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5cltedu/. 8, P.rt I,
LOAN GUARANTEES RECEIVED
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ..
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Summary Page
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... N_ontÞr Dntrlbu.tions ......................... "-C;UOOJ
5. SllaTOTAlCC 1I8U'rlONS~JIo'--~ ''''"_.l..~
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.. c:.hPII~IS(OU"IhIllI_..... ............ _(.0001
9. ~Made .......,...,................................. __H.Uoo7
'0. suaroTAlCASIIP;'YME1f1'S ............................ -"*_....
II. kcrued &pe-lUnPMI.nlJ ..........:............. _f;!IotS
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Currenl CIIh 5Þttem1nt
13....... IIgClltrhl_ .................. _~...._'7
,.. CIIIh IIIIIpts ...............................,...... c.Io.ooo"UoeJ_
15, MiKI _1,1C>1_1oCaIh ........................ _(UIo4
16. c.h "'*III .................................... ~"Dot, þ_
17. .111 CASHIAI.AJIŒ..... AMu.rh "" 1i...._DotØ'
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Cesh Equivalents end OlltsUndjn. Debts
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-
s
s
s
-
.
Type.. print In Ink.
5totemeøt _..period D<ote Stomp y
f.....~ ~
tJuovthf)~ <.I.t/o/, :eEl' w
:
p
boIngflled: Dóttof....lf.ppIkoble JAN 3 1 19$7 ~
~"",.Y..,, ,]
arm 495 to thb statementJ p
fV.øYI.ñHf-N_~ /$ ~..
p
I statemênt.) !ij
:ommlttee /I Other Committe Induded in thi tatement: Urtany_r 3:
cømmItto.._lndudocJ _ted_montt "" ccntroIItd byyou and any
COØIIIJIItwts of_ YØ< .,..-_pdml _to "c~ contributl_ <
...to..... __ ofyour--,. '"
I U.NUM.ft ..,
--...... ::¡
!) ~
"of.< N{!fL
IMMI Of 'JNA.SUa!III ctIIßIUJU.EDCOMfoIrrn:n f
1:> f$ ! 7YL- Om 0...
)! MfA COOfIOAYT1M! rHOtC COMMmfI!_ (NO. AJID nl'&Q ~
fl)/l{ f/tf:"-j~~-? 1'1-
~IJ),""'''' an STATE ..à>OE AI!A mDLÐA.TJaIE NtONI
tDtU ucclÞME IIJ>--
, Õ«.~
. NtIA COO£IDAYTaf[ PHONE ......or_ (OHTJtOt1.(D COM:MlfTEE?
'J/tf <t'-r--s'% --$ )7-."",__ D.... 0...
(HO.ANDSÞm)
~ ....
an STAn ..COO< AftEACOOEIDAYnMfftfONE
-
~
. ~YTNI~ ?J AmdI__ fnfotrnatlan on appropriately ,.".I«I_..tIonthHts.
'J1l/ - 7. -¡;
el lèatlon
I have used.n reasonable dßigencoln propering thb _moot. I have reviewed tho statement andtotho best of my knowt«lge tho InfOrmati~íned h_ln _In the attached schedules'. 6
truu.nd tom~ I œrti0 UndfZ""1ty of peoju'Y . .,tho laws of tho State of California thattho forevoins btruund ~ 7?l. {,¡," "
Executed on 11 ~ .('f At By . -? . ' :á Ú __ <D
DATE . AHDSTATE SlGRATUJIIIOfTMASUMA "-
An offIaholcler ...andlclate who _trois a CDlDmltte. must..... ....lfy tho ( Impa~n stotemont. I have used all ....-abl. diligence and to the best of my knowledge the Ireasurer has used all
reaonable dlfJgenct In preparing this statement. I have revieWed the statement an to the best of my knowf,dgl the ¡nforJ .~ n contained herein and in the atteched schedules is tru'and
complete. I certify_. pe...ltyofçr U1yundar~ofc.lifornia that the foregoing 10 true andcorr ;>~ ~ ."
~
Executêdon 'Jfl¿, ~(,(i7f¡ At elf· By. - ia-
. DATE I . ern AND ATE t.. SJGNAlUIE Of TMVf1C!HOlDÞ W
Execvted on At By
....n ary AND STAn: StGMtUIWOf CANEMDAt~
Executed on At By -
00" CRY AND STArt PGHATUIII 01 CAHÐfO,f,RIOfnaHOlOEa
fOIl. atfQIMATIQN UQUllfDTO It P'RCMDED TO YOU PUMUANTTQ TH(NOUUTJON PltA01ŒS ACt OF 1171."1 r¡ THErøuI!
'-<
~
w
....
....
<.D
<.D
""
....
~J
....
J>
:]
~
<
tJ
L
~
r
f
~
~
SUMMARY PAGE
.a...:2 of· =7 J
I.D. NUMBER
'"""
through
...,.,.",pdnI.,1nIc.
A_....,".....nded
tDwhaIt~
.~..
;¡:
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OFOFFIŒHOLDERORCAND!DATEANDCONTRO~COMMlTTtE
tf; LEer .:IQf./ -'J1t it !.5
Contributions Received
umnC
TU1'AI. TO DATt
~COUIMNS" .. I)
-i) -
i,2. Sl7
1../,z.Sb
r-O-
'I¡ 2..Jõ
-0-
t{¡ r::>
s
s
s
Column 8*
TOTAL MYIDUS PÐUOD
(SH. N01'Ila.ow)
-1)-
~ ZS't>
l/¡ ZS"D
-D-_
ø
-¡)-
2.J'V
5
5
5
corumnA
1CRAL 1HIS PØIOÐ
o-AOM AU.AOtfDSOIRMAU)
=..IZ.=...
- -
- -
- -
-
-0-
-11 -
s
s
s
_~A,.1iM3
_duIt s, tine 7
AddUne., + 2
Monetary ContrIbutions
Loans Received ................,...... .
SUBTOTAL CASH CONTRIBUTIONS .
Non-monetaryContrlbuti~ ....:.. _dul.ÇUne3
SUBTOTALCONTRIBUTION5-(Ðl<iudeE-"_I'nImIm! Addl.lnø3 +4
Enforceable Promises ;
/&dUdeLoMl Gu_u, Une 1Sbe_J Schedule D. Une 7
TOTAL CONTRIBUTIONS RE(;EIVED AddUnu5 + II
1.
2.
3.
4.
5.
6.
s
s
S
s
s
5
- 0-
-0-
-lJ~
- D-
-11-
5
s
s
SchoduloE.1iM5
SchecIIM H, LIne 7
AddU_S + 9
S<MduIe F.IIM 5
Add/.lne$ 10 + 11
7.
Ëxpendltures Made
8. Cash Payments (Other than Loans Made)
9. Loans Made .................:..:.
.
10. SUBTOTALCASHPÀYMENTS ..
11. Accrued Expenses (Unpaid Bills)
12. TOTAL EXPENDITURES MADE
6
""
<.D
J>
-0
I('
W
s
Summary for Candidates In Both June and
November Elections
1/1 through 6/30
s
-
- -
- -
- 0-
_ l/-:-
-0-
UGNGCAat:WNlŒSHiCMAØ
mrKANKATlVtAMOl.lfT
s
5
5
Current Cash Statement
13. Beginni~ Cash Balance """"""'Summ.tyhgo,tIM'7
14. Cash Receipts ...........:...i..... ,...... CoItnMA.Une3._
15. Miscellaneous Increases to Cash .................... _... SchoduIe I. tine 4
16. Cash Payments .....................;...,........... CalumnA.Une 10.bow
17. ENDING CASH BALANCE ..... Adr L/ne$!3+14+'S,__ctUIIO'1I
IIthlsh. œnnl_sutomOflt, Uno '7mustæzera.
711 to Date
S
$
Contributions
Recerved ....
~f3~~~.~~
21
22.
5)8
s
$
S
s..lmtructIonr on NWrM
AddUne2 + Uno" InCoIumnC._
18. LOAN GUARANTEES RECEIVED ScheduId, Patt, Column {bJ
Cash Equivalents and outstanding Debts
19. Cash Equivalents ..
20. Outstanding Debts
COVER PAGE
Date Stamp
period
Statement covers
,..,
Type or print In Ink.
icehoidl Candidate,
jd Controlled Committee
~ampaign Statement - Long Form
(Government Code Sections B4200-84216.5)
from
Page I o,.~
For Official Use Only
RUG 1 1996
b; fo..~
.Y: 01''1' nal b,¡ nwÄ.( 8L5
being filed,
(Attach a completed Form 495 to this statement.
tner Lommlttees ot InCluae In this statement: Urtanyother
committees not Included in this consolidated statement that are controlled by you and any
committees of which you have knowledge that are primarily formed to receive contributions
or to make expenditures on behalf of ~our Clne/id.cy.
COMMmEE NAME
statement.,
ommittee
s í,.t
DISTN"ã"ÑUMSER IF APPLICABLE:
( O"/.<.NC
1.0. NUMBER
CONTROLLED COMMmEE
DYES DNo
NAME Of TMASURfR
COMMmEE ADDRESS
'-
ARlA CODEJDAYTIME PHONE
'lot ~Hr.. -7007
1.0. NUMBER
I
:ÞA..
iiPCõõE
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to Indicate the type of statement
o Pre-election Statement
o Supplemental Pre-election Statement
Special Odd-Year Campaign Report
'Semi.annual Statement
Termination Statement
CITY
(NO. AND STI\EET)
"'*
c...1.(1' F,i.. T\ No
COMMITTEE NAME
AIU:A CODElDA,YTIME PHONE
ZJPCOOE
STATE
CITY
COMMITTEE NAME
1>'T
J1 +'-' TIS
(NO. AND STfl£ET)
P .4-L.()$ (/ G-t /) ~ '5
COMMITTEE
1.0. HUM'flll.
(] .4-,< T7 s"'
(NO. AND STMET)
'.!... C-Q"",Æ-
STAff
of II{
c..u,o 15-1- 'Tì IV)
NAME OF TREASURER
A- /- ( c. £..-
PERMANENT ADDMSS Of TftlASUMR
I óLt 'J¥
CONTItOLL£D COMMITTEE?
o -YES 0 NO
NAME OF TMASUR!R
ø0-9
AR£A.CODE/DAYTIMEPHONE
VCf-
.bit
ZIP CODE
5fJ.ly'
STATE
Cl'1-
CITY
(NO. AND STIttET)
COMMITTEE ADOMSS
M
PIiON'
AMA CODEIDAYTlME
ZtPCODE
STATE
CITY
AMA CODElDAYTIME PHONE
'f oJ -2. rJ-c:>J- 2-t,
r
ZIPOOOE
'-l.
C (,(..1' 1M... lIMo
CITY
Attach .dditlon.' Information on appropriately laMled continuation sheets.
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 cQrr,c,t.
Execuiedon L L,'it At (..1.(..1 ç'¿T;/V J C ri By
. CITY AND STATE
Icatlon
SIGNATUftE Of TREASUl\Eft
An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used al
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, ..
/,âf. c....t¿'pçi:"L7>AJ(), C'7t By
CfTy AND STATE
Executed on
At
Executed on
SIGNATURE Of CANOIDATElOfflCEHOLDEA
SIGNATURE Of CANDIDATElOfflCEHOLDER
N CAMPAIGN Q.ISClOSURE PROVISIONS. Of IliE POLITICAL REfORM ACT.
c..... A' ~.II'........f. e.l.. ft...II.,...1 ft.. ...1,.., ~..__'.... ....
By
1977, SEE INfOAMATION MANUAl
By
CfTY AND STATE
DATE CITY AND STATE
FOR INfORMATION RfQUII\ED TO BE PROVIOED TO YOU PURSUANT TO THE INfORMATION PRACTICES ACT Of
At
DATE
Executed on
SUIV,...ARY PAGE
Statement (overs period
5+-w.1b.V If 67J
from
1 pe or prInt In Ink.
Amounts may be rounded
to whole dollars.
_ampaign I."sclosure Statement
Summary Page
2...
Column C
TOTAL TOOATE
(ADD COLUMNS A + I)
r-Q -
01
Page 2
.0. NUMBER
~~,.;¡;. jo./Sf
Column B*
TOTAL PREVIOUS PERIOD
(SEE NOTE BELOW)
-D-
t L).;:>
through
s
Column A
TOTAL '!-IS PENOO
(FROM ATIACHED SOIEDULES)
-0 -
-,;) -
L?-
s
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
£<...G C.T JoH IV ß,lj-L.(T>5 JYr
Contributions Received
Schedule A. Line 3
Schedule B, Line 7
AddLlnes 1 +2
Monetary Contributions
Loans Received
s
-..:>-
-.::;; -
'f,~
Schedule 0, Line 7
AddLlnesS + 6
1
2.
3.
4.
5.
6.
7.
s
s
If, 1-.)"
-,;;~
'f).. SO
-¡)-
!2
s
s
s
-c.::>-
-0-
s
s
Schedule C, Line 3
AddLlnes3 + 4
SUBTOTAL
Non-monetary Contributions ..
SUBTOTAL CONTRIBUTIONS'(Exdude Enforttablf Proml.e.)
Enforceable Promises
(Exclude Loan Guarant.... Line "below)
CASH CONTRIBUtiONS
::>
-..)-
-0-
s
s
-'....-
-,')-
s
-0 -
--
..-
s
s
Schedule E, Line S
Schedule H, Line 7
AddLlne.B + 9
TOTAL CONTRIBUTIONS REC;EIVED
Made)
I
s
s
-0-
--
s
ScMdule F, Line 5
AddLlne.'O + "
Loans Made "
SUBTOTAL CASH PAYMENTS
Expenditures Made
8. Cash PaymentS (Other than Loans
9.
10.
11.
12,
Accrued Expenses (Unpaid Bills)
TOTAL EXPENDITURES
s
s
.--
s
MADE
. From previous Statement Summary Page, Column C. However, if
this is the fim report filed for the calendar year, Column B should be
blank except for Loans Received (Line 2), Enforceable Promises (Line
6), Loans Made (Line 9), and Accrued Expenses (Line11).
-0_-
-
-0 -
-
s
17
Prevlou$ Summ.1)' Page, Une
.. Column A, Line 3 above
.. .. .. .. . Schedule I, Une 4
, '-'-.-- .. . ....... 10above
14+ CfLlnel6
Current Cash Statement
3, Beginning Cash Balance
4, Cash Receipts
Increases to Cash
Miscellaneous
Cash Payments
5,
6.
7.
in Both June and
Summary for Candidates
November Elections
1/1 through
..-
-0 ..-
ENDING CASH BALANCE SHOlAD
NOT IE A NEGATIVE AMOUN'l'
s
...............,...,.......
Add Lines 13 +
f 7 must be zero.
ENDING CASH BALANCE
If thl.1s a termination star.ment,
to Date
71
6130
Line
s
s
Contribl!tions
Received ....
~Cå~d~~~.~~S
1.
22
2
(
s
s
s
Column (b)
Instruct/om on reverse
Line
I,
in Column C above
Schedule B, Patt
11
See
Add Line 2 +
Cash Equivalents and Outstanding Debts
9. Cash Equivalents ..
Outstanding Debts
8. LOAN GUARANTEES RECEIVED
20.
Date Stamp
Statement covers
r"
Type or print In ink.
Officeholo...., Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84200-B4216.5)
page-L of' 2
For Official Use Only
An 9 3
JAN 31
from
Date of e!ectlon If applicable: ' 9
(Month, Day, Year) ,
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to Indicate the type of .tatement being flied:
o Pre.eledion Statement
o Supplemental Pre.election Statement (Attach a completed Form 495 to this statement.,
u_ 5peclalOdd.YearCampaignReport
Semiaannual Statement
Termination Statement (¡
CO'PY
ther \..ommlttees ot InCluae In this statement: Urtanyother
committees not included in this consolidated st.tement that .re controlled by you and .ny
committees of which you have knowledge that are primarily formed to receive contributions
or to make expenditures on behalf of ~our candidacy.
cOMMmn NAME
CITY
AREA CODElDA.YTIME PHONE
CONTftOLLtD COMMm£u
DYES ONO
PHON'
CONTROLLED COMMmn
o 'YES 0 NO
ARtA COOElDAYTIME
I.D. NUMIER
1.0. NUMIER
ZJ'COOE
lI'Coo£
(NO. AND snUT)
(NO. AND STIlEET)
STATE
STATE
COMMmEE ADDRESS
NAME OF TMASUREA
(JDT
COMMrTTEE AODfl.ESS
NAME Of TRIASUMR
COMMmEE NAME
Mh
:~
statement.,
ommittee
OFFICE
Attach additional Information on appropriately labeled continuation sheets.
ntained herein and in the Ittached schedules is
Icatìon
I have used all reasonable diligence In preparing this statement. I hive reviewed the statement and tothe best of my knowledge the information
true a,nd compl~: I certify under -'~ natty of perjury der the laws of the State of '-alifornia thlt the foregoing is true and 5O}rl ~
Executed on - ;, At C, By
An officeholder or andldate who controls I committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used II
reasonable diligence in preparing this statement. I hive reviewed the statement and to the best of my knowledge the infor! n contained herein and in the attached schedules is true and
complete. I certify under penalty~ of rjury under theJaws of the StJite of CalifoJnia that the foregoing is true and corre, ,.
r.., t.r.
Executed on ~ I At By
OAT!
SIGNATURE OF CANDJDATEIOFFlCEHOLDER
D,.."tl,.1 D..,.tl,... ",......_Iul"..
OF CANDIDATEIOFFlCEHOlDER
: POlrTICAL R£fORM ACT.
~tat.,..' r.Uf,..,,,I. ~.I,
SIGNATURE
By
By
1977. SEE INF
CITY AND STATE
DATE CrrY AND STATE
FOIII INFOfWIATION IU'QUIRED TO IE PIIIOVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF
At
At
DAn
Executed on
Executed on
SUMMARY PAGE
State"",t covers period
jlA.L.;{ (I/'jff
Type or print In Ink.
Amounts may be rounded
to whole dOllars,
Campaign Disclosure Statement
Summary Page
from
01
Plge
1.0. NUMBER
through
Column C
TOTAL TO DATE
(ADD COLUMNS A . I)
-1) -
11 2. ß>
1./, 2.JÒ
..-c> -
'1/ 2..Jo
-0-
- -
q, -",
Column B*
TOTAL I'UVIOUS PERIOD
(SEt NOTE IELCM)
Column A
TOTAL ms PEJUOD
(FROM An ACHED SQfEDULES)
-v-
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLE~ COMMITTEE
6. LEer.:Jë, /01 fj!tLi Û Tf)--
Contributions Received
s
s
s
o
-¡)-
2,)'''
s
s
s
s
-
-0-
-{}
-'0
s
s
Schedule A. Une 3
Schedule B, Une 7
AddUnes 1 +2
Schedule C, Une 3
AddUnes3 + 4
Schedule D, Une 7
AddUnes5 + 6
Monetary Contributions
Loans Received ......... ...
SUBTOTAL CASH CONTRIBUhoNS
Non-monetary Contributions
SUBTOTAL CONTRIBUTIONS'(Exdude Enforceable Promises)
Enforceable Promises '
(Exclude Loan GUlrantees, Une "below)
TOTAL CONTRIBUTIONS REC;EIVED
1.
2,
3.
4,
5,
6,
s
s
s
-0-
I
s
s
s
-0
-
()~
0-
-1)-
s
s
s
Schedule E, Une 5
Schedule H, Une 7
AddUnesB + 9
ScMdule F, Une S
AddUnes '0 + "
7.
Expenditures Made
8, Cash Paymenu (Other than Loans Made)
9. LoansMade ...............
10. SUBTOTAL ~ .#.. ..
11. Accru,~d Ex
12.
CUi
..:.-..... PAYI..ENTS
penses (Unpaid Bills)
TOTAL EXPENDITURES MADE
s
s
-
- --
- -
- 0-
_t:r-
s
s
Previous SummaI)' Plge, Line 17
.. Column A, Une 3 above
.. ... .... Schedule I, LIne 4
'- .-.--.. u__ 10.bow
14 + ctUne 16
Beginning Cash Balance
ncreases to Cash
in Both June and
Summary for Candidates
November Elections
111 through
-12-
s
..............."",.......
Add LInes 13 +
1 7 mUft be zero.
Cash ReceipU
Miscellaneous
Cash PaymenU
ENDING CASH BALANCE
If this U I termfn.tlon st.tement,
13.
14.
15,
16.
17.
to Date
71
6130
ENDING CASH BALANCE SHOULD
NOT IE A NEGATIVE AMOUNT
LIne
s
s
Contrib¡¡tions
Received ....
~fd~ditures
1.
22
2
55"8
s
s
s
Column (b)
instructions on reverse
Add Une 2 + Une
I,
in Column C above
Schedule B, Part
"
See
Cash Equivalents and Outstanding Debts
19. Cash Equivalents ..
20, Outstanding Debts
8. LOAN GUARANTEES RECEIVED
D.te Stamp
,
1<e.c.JcJ "l/,/q<Þ
Lj(~ iJ fn\.
~
Sbt.m.nt covers
from J AfvI.I
,r-
through :J I.! L
Type or print In Ink.
:>f;';cehoIDo=r, Candidate,
and Controlled Committee
Campaign Statement - long Form
(Goyernment Code Sections 84200-84216.S)
Plgo / of;;¿
For Official Use Only
Dlt. of .lectlon H .ppllclbIt:
(Month, DIY, Y.lr)
being filed:
statement.
(Attlch I completed Form 495 to this
copy
flier committees ot InCluaea In thiS statement: Llrt.nyother
committee, not Included In this ConsolldatN st.t'~nt tM' '" controlled by you Ind any
commltteeJ of which you MW knowledge that.re prlm.rlly formed to receive contr¡but/OlU
or to ....te upendltures on beMIf of lour "_<y.
COMMmEE NAME
CIrY
PHON.
PHON.
CONTROlLED COMMmEf?
DYES DNO
.1.11.£.1. CODOOAYTlME
CONTlWLl£D COMMmu
DYES DNO
AMA COD(JDAYTlME
mo CODE
..,COOf
CNO.AHDsnUT)
(NO. AND STRUT)
STATE
STATE
NAME Of '....SUltEA
COMtMrttE .t.DOMSS
.....,
NAME Of TUASUM'R
COMMm1E ADOMSS
COMMITTE!
CIrY
nail PttONf ~"I /
'Ò[j -õcf:'C1-6
stltement.)
ommlttee
SEE INSTRUCTIONS ON REVERSE
Check one of the following box.. to Indlat. the type of SUtem.nt
B Pr.-election Statem.nt
Supplemental P,.-election Statement
Specill Odd·Y..r Compaign Report
S.mi·annuI'Stat.ment
Termination Statement (Arti
Atbdt eddItionel Information "" a"",oprtately labeled contlnuat/"" sheets.
contlined herein and in the attached schedules is
erlflcatlon
I have u.... all ..asonablt dilig.nce in preparing th~ SUt.m.nt. I hlye reyi_ed the SUt.ment and to the best of my knowledg. the Informati
tr... and comP!tJ.. I CI~fy under penalty of perjury under the laws of tM Stat. of CoUfornia that the foregoing ~ true rlCl:
Executed on r.J ¿/ '5 - At 8y
DAn
An officeholder or candkllte who control.. commltt.. must .110 verify the (lmp.lln statement. I hive used III relsonable diligence and to the best of my knowledge the treasurer has used ,I
reasonable diligence in preparing this stltement. I have reviewed the statement and tothe best of my knowtedge the inform.tion cont.ined herein end in the attached schedules is true .nd
complete. I cedify under ~n.fty of perjury und.r thelo\.ws of the S~~ of C.liforni. that the for~oing is true .nd correct.
Executad on .J:1 ç At W- fi-tlt.. c. By
OAn erTY AND STAn
Executed on
StGNATURt Of CANOIOAnlOffK£HOlD[JI1
SIGNATUIU Of CANDtDAnlOfflC£HOlOfll
NS Of THI POUTtCAl
!lfOltM ACt
PII:~!S
Hº,MPA!GN º!H:lºiyll:
By
By
H MANUA.l
IlMAn
1'17,SfEIHf
CfTY ANO STAn
DATI CJTY AND STAn
fOlllNfOfWATION k[QUItlfO TO II PII:OVIOfD TO YOU PUMUANT TO TH£ INfOI\MATION PIl.ACTK£SACT Of
At
At
DAn
Executed on
SUMMARY PAGE
Type or print In Ink.
Amounts ....y be ,oundod
to whole dol..,..
Cattlpaign Disclosure Statement
Summary Page
P.. -:2 01 ::J "
1.0. NUMBER
'131 S~r
Column C
TOTAL TO DATI
(ADO COlUMN!t A .
30¡/7,j
Column B*
TOT..... 'llfYlOUS PEIUOO
('Sa NOn: 1n0W)
from
~
th,ough d t.¡ L
Column A
TOTAL ntUl1UOO
.ROM ÂnAO*D SOtIOUUS)
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
£l-éCT JOHN ßi1U.1/<;1
Contributions Received
I)
-0-
Lf,ÖISà
-/2-
s
s
s
¡)
v
-0-
s
s
s
-0-
0-
s
s
s
ScheduIt A. Line J
Schedu,. I, Line 7
AddUtw., + 1
Schedu,. C, Utw J
AddUtwsJ +..
Schedule D, Line 7
AddUtw.5 + Ii
Monetary Contributions
Loans Received
SUBTOTAL CASH CONTRIBUTIONS
Non-monetary Contributions . . . .
SUBTOTAL CONTRIBUTIONS (Exdudt EnfottNbIe _1M.)
Enforceable Promises
(EIIdudo Loon Gua,_.. line " below)
TOTAL CONTRIBUTIONS RECEIVED
1.
2.
3.
4.
5.
6.
ð
s
o
s
s
s
s
s
s
s
-0-
s
Schedule E, line 5
Schedule H, Utw 7
AddUtw., + ,
Schedule F, line 5
AddlinellO + "
than Loans Made)
7,
Expenditures Made
8. Cash Paymenu (Other
9. Loans Made
10. SUBTOTAL CASH PAYMENTS
11. Accrued Expenses (Unpaid Bills)
12. TOTAL EXPENDITURES MADE
)33· :¡.¡
s
. From previous St.t.mlnt Summary Pig.. Column C. However. if
this is the first report fllod for the cole""., ye.r, Column B .hould be
bl.nk except for Loons Rec.'vod (Line 2), Enforee.bl. P,omise. (Lin.
6), Loons Mode (Line'), .nd Accrued Expense. (Lln. 11).
s
-'\)-
~-
s
s
In Both June and
Summary for Candidates
November Elections
/1 through
-0-
-()-
ENDING CASH IALANΠSHOUlD
NOT I( A NfGATIVE AMOUNT
s
I'Nv/ous Summ.ry 'ogo, Uno '7
.. .. Column A. line J .bow
........... Sc/redu"L Uno"
.. . CoIu...n A. line fO olio..
AddUfII.,J + ,.. + '5, 'hensub!rMtLlne 'Ii
'7mustbuero.
Miscellaneous Increases to Cash
CashPaymenu .................
ENDING CASH BALANCE .....
If this Is. term/lII_n,'ement, Uno
Current Cash Statement
13. Beginning Cash Balance
4, Cash Receipu
5.
6.
7,
to Date
71
6130
s
s
Contribljtions
Received ....
22. Mf3~ditures
21
tL
~
s
s
s
Column (b)
Instructions on rev,,.
LIne
" In Column C olio..
Schedule I, 'ort /,
Se.
AddL/ne1.
Cash Equivalents and Outstanding Debts
19. Cash Equivalents .
20. Outstanding Deb~s
18. LOAN GUARANTEES RECEIVED
LONG FORM
(
COVERPAGo
Date Stamp
Statement covers period
.JULY :1, W,.¡
e· '31 'f'T'/
Type or print In Ink.
Officehol\.odr, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections B4200-84216.S)
.;L
/ of
.
For Official Use Only
Plge
9: 02
AH
30
JAN
t!
from
through
Olte of election If Ipplicable:
(Month, OIY, Year)
Indiclte the type of
(Attach a completed Form 495 to this statement.
being filed:
statement
CDP\'
ther Committees ot Includea In thiS statement: UstanyotMr
commmfeJ not included In this consolid,t«lstltement that are controlled by you ,nd Iny
committe" of which you halle knowledge that are primarily formed to receive contributions
or to make expenditures on bet..H of your candidacy.
COMMITTEE NAME
to. NUMIER
CONTROlLtD COMMmEU
Om ONO
NAME Of TI!.!ASUMR
(NO. AND STRUT)
CONMmu ADDRESS
CITY
. {!UI'FÆ
COMMITTEE NAME
""""
""""
CONTROlLED COMMITTE[
Om 0 NO
AIlEA COOEIDAYTlM(
"'''fA COOEIDA YTIM!
I.D.NUMIER
ZtrCODf
lJPCOOE
nATE
(NO. AND STIUET)
STATE
HAM'
NAJoI! Of TI!.!ASUMR
COMMITTEE AODAfSS
em'
CITY
COMMITTEE
Att.ch «Id/tlOfU/llnformatlon on ._Iately labe/od contlnu.tlon sheets.
(lUi'ø.<!. T7/VfJ
CITY
Icatlon
I have used .11 r.ason.bl. diltgenceln preparing this statement. I h.ve reviewed the stetement and to the best of my knowledge the inform.tion contained herein and in the attached schedules is
true ond complete. I certify under penoity of perjury under th,lawl of the State of California thatthe foregoing il true.ond CO" ..
Executed on:::J.lìlL.1:. r At ,I1rM.. Nil C I'r BY'
OATE CITY ANO STATE
TREASUIU"
An officeholder or candidate who controls. committe. must .Iso verify the campaign statem.nt. I have used all reasonablt! diligence and to the best of my knowledge the treasurer has used al
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 co~ -
Executed on..1-'h 14 f f At By
.A
CANOIOATElOffICEHOlD(A
.EO
SIGNAtURE Of CANOIOATElOfflCEHOLOER
H ~MPAIGN D!SClOSURE P~ºV!SIQNS Of THE POlITICAL
SEE INSTRUCTIONS ON REVERSE
Check on, of the following boxes to
o Pre--election Statement
o Supplemental Pre-election Statement
Special Odd·Year Camp.ign Report
Semj·annual Statement
Termination Statement (Attach. completed Form 415 to this statement.,
ommittee
~[fOIlM ACT.
By
By
1971. 5U t,..,
CfTYAH05TATE
DAT( CrrY AND 5TATE
fO" INfOAMATlON IUQUIAf8 TO IE PROVIDED TO YOU PURSUANT TO THE NfOIl.MATION PRACTICES ACT Of
At
At
DATE
Executed on
Executed on
SUMMARY PAGE
Statement covers period
I, my
Type or print In Ink.
Amounts may be rounded
to whole dollars,
Campaign Disclosure Statement
Summary Page
;}-.
of
Page d-:
15'</
Column B*
TOTA.L mVlOUs PEIUOO
(SfE HOTE BELOW)
31
Irom.Jt..L
through
OJ
-ù-
<.f,}..JO
4.)..JO
s
s
-D-
.}.riJ
s
s
0-
'f~S-o
s
Column A
TOTAL TtIS P£RlOO
(FROM AnACHED SCHEDULES)
-a-
-0-
-0-
..:....()-
-0-
-0-
-0-
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
E¿~c.r Ie ¡t) '<?4c.t7Js7J9
Contributions Received
s
s
s
s
Schedule A, LI... 3
ScMdu~ 8, LI... 7
AddU.... I .2
SCMdu~ C, U... 3
AddU....3 .4
Monetary Contributions
Loans Received
1,
2.
3.
Schedule D, U... 7
AddU....5 . 6
SUBTOTAL CASH CONTRIBUTIONS
Non-monetary Contributions ....
SUBTOTAL CONTRIBUTIONS (Exdude Enforc../W Proml...)
Enforceable Promises
(Exclude Loon Gu.r.ntt.., U... 18 btlow)
TOTAL CONTRIBUTIONS RECEIVED
4.
S.
6,
s
s
$
7.
Expenditures Made
8. Cash Paymenu (Other
s
s
1ð'3o
=.Q..::'
Ir!'sv
$
s
-
-c:J-
$
Schtdu~ E, U... 5
Schtdult H, U... 7
AddU....8 . 9
than Loans Made)
s
:;/
rl
s
-0-
-0-
. From previous Statement Summary Page, Column C. However. if
this is tho lint "port filed for tho caitndor y.ar, Column B should bt
blink except for Loans Received (Line 2), Enforceable Promises (line
6), Loons Mod. (Line 9), and A<crued Expenses (Line 11).
in Both June and
Summary for Candidates
November Elections
1/1 through
-0-
-()-
-0-
ENDING CASH IALAHCE SHOULD
NOT IE A NEGATIVE AMOUNT
-ù-
- 0-
s
Pr..lou. Summ.ry P.IJf,liM 17
Column A, U... 3 .be..
. , . . ScMdul.I, U... 4
, '-'..-- .. . '-~ 70 "bow
ct Unt 16
s
...............""..........
14 +
Add LI.... 13 .
17 must bt ztro.
9. Loans Made
1 O. SUBTOTAL',
11. Accrued Ex en5eS (Unpaid Bills)
12, TOTAL EXP NDITURES MADE
Current Cast Statement
3. Beginning I ash Balance .......
4, Cash Recei,:s ....................
5. MiKellanec JS Increases to Cash
6. Cash Payml 1U ...... .......
7. ENDING CA :H BALANCE .
tfthiJ/$. term utionst,tement,
s
s
Schedult F, U... 5
AddUnt. 10 + If
CASH PAYMENTS
to Date
7/
6130
Unt
s
s
Contrib~tions
Received ...
~få~ditures
1.
22
2
s
s
s
Column /1»
See Instructions on reverse
AddLl...2 + Line
I,
in Column C .bove
ScMdu', 8, Port
If
Cash Equivalents and Outstanding Debts
9. Cash Equivalents ..
Outstanding Deb~s
8. LOAN GUARANTEES RECEIVED
20.
Page / of
A fOl Qllicial U$Ø Ooly
LONG FURM
DaloScamp
r~ 1. I\ß
b ß
Stat.ment cov.... p.,lod
r.-
'rom
Typ. or Print In Ink.
Date 0' EI.c:Uon
II applluble:
«Month, Day, Vear
lIIed:
aaat.m.nt being
9S/5;¿'l
49510 Ihis slalemenl
Officenolder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government CoJcS"UOOI snOO-842 16.5)
SEE INSTRUCTIONS ON REVERSE
Ch.ck one 0' th. 'ollowlng box.. 10 IndlGat. Ihe type 0'
o Pee-eleclion Slalemenl
o Supplemenlal P,e-eleclion Slalemenl (Allach a compleled FO'ffi
~mi-aMual Slalemenl _
o TerminaHon Stalemenl (AUach a compleled Form 41510 Ih,s slalemenl
Co P '(
Other Committees Not Included In this Statement: Lis, any other
convnillees nol included in this cOIUoUdated slalefMnI tMI art conlrol/I!d by ydu and any
convnÙtttS of which you Myt J:.nowledge thai art primarily /orfMd 10 recejve cb,uributioflS Of
10 mate expenditures on behalf o/yolI.r candjdaLy.
C()L.l. II1HNAIoE
II
Officeholder, Candida Ie,
and Controlled Committee
Included in this StatellM\nt
H.U4E a aFIC£HOt.ŒR OR CNOOAtl
.:JoHN /I.. "R.4u.71sm-
CHIC£. 5a.JGHT OR HELD 1t£'U..Œ LOCATION AND aSTRICT N.lM8fA f APf\K:ASi
CuH.eTl L
Rf:SlDEHTiAI.. OR Bl../Slh£SS
I
10 '4UMBEH
C~4IAOltfOCCUMl' IE(
OV>S 0"o
NAME Œ IAEASUA£A
EI
¡NO AAOSIRfE
ACOO.<SS
C().u.ItlTEE
AAEAC~TII.Iotf: PtIONE
tfopJtff6 -'tOD':¡'
10 NUl.4BEA
c
ClIY
C!...µ,NÆT¡ ND
cc:».-.aInEE NAIoIE;
AAEAC()()(¡(}t.YTlt.!f P11Cr4[
D NuJ.48fA
CCt41ROUIDccu""nH
DYES 0,,0
lWOOD<
SIA.TE
.......
Cllv
Ca...UHEE
þJ\f..ACOŒ./Qo\'(JII.IE PIIO'lf
Allac1a addùional injormaJion on appropriaJely LJbtled cOnJinualÎon sheds.
lWOOD<
(t£ ,A.NQSTRfET)
SIAJE
C()M.t¡nEE ADmESS
CIIV
,§LffCT
CQ.M.&¡nEE AOCfi£SS
/ º-
C¡lv
Olllceholdar or Candldala:
I have used all reasonable dmgence and 10 the besl of my knowledge ¡he treasurer has
used all reasonable diligence in preparing this SlaIemen!. I have reviewed Ihe state-
ment and 10 Ihe best of my knowledge the infonnatioo contained herein and in Ihe
allached schedules is true and complcle. I cenify under penalty of perjury under the
laws of the Slate of California Ihallhe foregoing is true and correc!.
AI (.U/¡;cON¡¿
r
,.,
,
,
¡¡'¡:ror....
BV
'JII.
(
IU Verification
Trauurar:
I havc used all reasonable diligence in preparing this Slatement and 10 the beSI of my
knowledge the inforrnalioo contained herein and in the auached schedules is true and
complete. I certify undcr penally of perjury under the Jaws of the Stale of California
thallhe foregoing is true and correc!.
ExoculDd on iiI< ~ ~ / / if'!i AI
04U'r) ~
IACIJ(;l:.iAC
JlIMAIII"""
Clf
CUYANOSIATê
IL:UU
II
10
12
SIGNA'UßE Of TREASURER
IOVIJJlU IU Yl)Uf1Jl1~ At
U~
I
)
IllJl
..
UflMA
u
Bv
lJ/
I
,OE
SUMMAR
.
Sa.'.ment eov.ra period
..,.... or Print In Ink.
Amounb may b. rounded
14' who I. doll.n.
C.amf go Disclosure Statement
Summary Page
o. f;:;
POg.-.2:
D. NUMBER
'rom
~
Ihrough.J/dM
C( J/5¡).
Column C
TOTAL 10 DArE
¡ADO COLUUHS A . S¡
-0-
Column S-
TOTAL PREVOOS PERIOD
{SEE OOTE BEL~
. Njß
Column A
TOTAl nlls PERIOD
(fOOM ATTACHED SC",HE().JLESJ
-<12)-
{1»
,vi ;J r?Ü
SEE INSTR<x:TlCt.s ON REvERSé
NAME Of OfFICEHOLŒR OR CANDIDATE AND CONTROLLEO COMMITTE£,
50HIU ß4/..(7J.51)J c.. Jo,
Contributions Received
f5.CT
$
50
-D-
0"ßéJc.?
-0-
$
$
{)O
. /
. /V,¡:¡
-0"::' _
Y/4
-ø-
j.[
$
Sclledule A, Line 3 $
Schedule 8, Line 7
Monelary Canlilbulions
1.
':JSb
-::¡St>
- 0-
I
I
Loans Received
2.
$
$
-:¡.S-o
-(p-
_I-;:¡ÇD
+ 2 $
$
$
Schedule C, Line 3
Add Lines 3 + 4
Line 7
Non·monelary Contributions
SUBTOTAL CONTRIBUTIONS (Excluding Enlorceable Promises)
Enlarceable Pramises(Exclude Loan Guaranlees. 8 below)Schedule D,
TOTAL CONTRIBUTIONS RECEIVED Add Lines 5 + Ô
Add Lines
Line
CONTRIBUTiONS
3. SUBTOTAL CASH
4.
5.
6.
7.
o
$
$
Expenditures Made
B. Cash Paymenls(Olher ¡IJan Loans Made).
9. Laan.~ Made
(). ()v
$
A.//4
s
-----.L ~~, r?o
$
,
~
tv/4
<¡qqJ ~
¡vIA
.
$
Schedule E, Line 5 $
Schedule H, Line 7
Add Lines 8 + 9 $
;(
$
Line 5
Schedule F,
10+
o. SUBTOTAL CASH PAYMENTS
11. Accrued Expenses (Unpaid Bills)
2. TOTAL EXPENDITURES MADE
$
11
Add Lines
"From previous Slel.mem Summary Page. Column C.
However, if Ihis is Ihelirsl report lüed lor Ihe calendar
year, Coltrnn B should be blank excepl lor Loans
Received (Line 2), Enlarceable Promises (Line 6), Loans
Made (Line 9). end Accrued Expenses (Line 11)
L
$
17
Plevious Summary Page,
Column A, Line 3 abov.e
Schedule Line 4
Line
Current Cash Statement
Beginning Cash Balance
Cash Receipls
Miscellaneous
o
~.
~~.
5.
Qv
I,
10 Cash
Increases
Summary for Candidates In Both June
and November Elections
i
ENOIt G CASt! EW.ANCE SliOUlD
NOT BE A NiGA11Vf AMOl.IfT
$
Column A, Une 10 above
men subtract Line 16
Cash Paymenls
JJ::WDINa CASH BALANCE. Add Lines 13 + 14 + 15,
/I this is a Termination Statement. Line 17 must be zero.
Hi
17.
10 Dale
71
6130
:hru
H
Cont¡ibu¡;ons
Received
1.
2
-0-
$
Column (b)
I,
Schedule B, Pari
8. LOAN GUARANTEES RECEIVED
CiI£h Equlvalenis and Outstanding Debt:;;
H~. Equivalents
;Ói{l£:
$
$-
22. EXpCi1di!urðZ
Mado
____::::..0_-:..__
$
;
ravefSO
Cul¡}mn C i!.!JCl/,$
Sea inslructions 01
I
Lilia
;:
me
Aclci
.;~2ì;:;
Cas¡~~
...;;
2:
SUMMARY PAGE
S'.'.ment cov.... period
T~p. or Print In Ink.
Amount. m.W' b. rounded
10 who I. doll.n.
Campaign Disclosure Statement
Summary Page .
~
01
Pag.3
o NUMBER
'Î .J / 5:'
'rom
~
Ihroullh.]YM
( 7 () !}/fTIi/
lC~/ì!h fN(IN(,.
SéE INSTRUCTIONS ON REVERSE
NAME Of OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMiTTEE,
..::JOHN !31/..(7J.5J/J
Conlributions Received
Column C
TOTAL TO DATE
(ADO COLUMNS A . 8)
qt¡. '7/
$
I¡,jCf;,
$
0,
-0-
$
D
9=t
r:r-
I 3::L
-~
10, ? ß-L. 'I B
$
$
$
Column A
TOTAL THISP£RIOO
(FAOf.I AnACHEDSCHEOUlES)
-~-
)/)'J'
Schedule A, Line 3 $
Schedule B, Line 7
,1./ ¡J.4u
Jo,
F-C.T
£-
Monetary Conlnbulions
2. Loans Received
$
-0-
5'O.()o
.2 $
Line 3
Schedule C,
Add Lines 3 . 4
Add Lines
SUBTOTAL CASH CONTRIBUTIONS
Non·monelary Conlnbutions
SUBTOTAL CONTRIBUTIONS (Excluding Enlo/ceable PlOmises)
3
4
5.
$
-t!-
(;0. 00
$
Enforceable Promises (Exclude Loan Guarantees, Line 18 below)Schedule D, Line 7
TOTAL CONTRIBUTIONS RECEIVED Add Lines 5 . 6 $
6.
7.
$
$
$
$
Do
3D
Schedule E, Line 5 $
Expenditures Made
B. Cash Paymenls (Other than Loans Made)
9. Loans Made
-0-
Line 7
Schedule H.
Add Lines 8 . 9
$
$
-
$
Schedule F. Line 5
.
O. SUBTOTAL CASH PAYMENTS
Accrued Expenses (Unpaid Bills)
EXPENDITURES
1.
$
"
Add Lines 10.
MADE
2 TOTAL
·From previous Slatemenl Summary Page, Column C.
However, if this is 'he lirst repan lüed lor 'he calendar
year, Column B should be blank excepllor loans
Received (Line 2), Enforceable Promises (line 6), Loans
Made (Line 9), end Accrued Expenses (line 11)
()Q
$
17
Previous Summary Page, Line
Column A, Line 3 abovlI
Schedule
Current Cash Statemenl
3. Beginning Cash Balance
Cash Receipts
00
4
Line 4
I,
Increases to Cash
5. Miscellaneous
Summary for Candid ales In Both June
and November Elections
¡
:=:¡, =
ENDING CASt! BA.LANCE SHOUlD
NOT BE: A NlGATlVf AMOUNT
$
Column A. Line 10 above
then subtract Line 16
Cash Paymenls
ENDING CASH BALANCE. Add Lines 13. 14 + 15,
" this is a T ermina/ion SfaJemenl. Line 17 must be zero.
6.
7.
10 Dale
7/1
6/30
Ihru
11
Conlflbullons
ReceIved
2
$
Column (b)
Schedule B, PaIt I,
8. LOAN GUARANTEES RECEIVED
$
$
22. Expendilures
Made
-l? -
___ _-o'_.<2::::=:
reverse $
Column C above $
Sea instructions Of
11 i,
LillO
Cash Equlvalenls and Outstanding Debts
9. Cash Equivalents
Ac/,Jline2
OIJI~I~lluJlno OeUIS
2(
SCHEDULE B - Pan
a'atement coven period
T)fp. or Print In 'nk.
Amount. .....y b. round.d
10 whol. clolI'!',... .
I
Schedule B - Part
Loans Received
Pog.ï 01 ~
D. MJM8ER
13/SJ.9
GUARANTOR INFOR.... TlON
AMOUNT CUMLU T\VE
GUARANTEED TO DATE
CALENDAR YEAR
'rom
Ihrough
LENDER INFOAMA TlON
!JI..E DA rIT ¡:¡;¡¡j¡ji¡i'COOl.UTIVE
INTEREST RATE OFLOAN TO DATE
OU£ 01. IE
LENDER I GUARANTOR'S
OCCUPAnoNANQ EUPLOYER lf SElf·
.f~OY'EO ENTER BuSJNESS KoWf)
u - FLEe .:JOHf¡/
LENDER OR GUARANTOR'S R.ILL NAME AND ADDRESS
(IFCOMMlITEE,ENIERf\Jil.twÆ.AOOÆSSANOIO NUU8fR IFHOIO
NUMBER HAS BEEN ASSIGNED, ENJER lÆASUAfR"S NAME 'ADDRESS)
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROlLED COMMITTEE:
,..--
J f?,
DATE
RECEIVED
CAlENDAR YEAA
,/,150 .().J
OTHER
/J-1!iJ~~y
VU1'µ,-tÇ tAw
(ç1lP(,,( ¡þ
JOH N ß/7'U 7ISTf)
1/IP7 ¡?,-rL.¡}j (/':,<055 J:n.
C-IA. ¡J¡;/lT>tv> c4 75ô1'(
'i1/)~7 *
Leoder 0 Guarantor
) / Si1t
OTHER
00
150.
INTEREST RATE
CALENDAR YEAR
CALENDAR YEAA
J,1-Ý},OO
OTHER
DUE DATE
s U~ "-1 «)",<;
1/1/1'1
OTHER
DD
500
INTEREST RATE
CALENDAR YEAR
CAlENDAR YEAR
0'; ~ /,'7-5v, 00
OTHEA
Sw
DUE OA IE
*
Guarantor
«Ç.PI/€-
o
'ø::l" endef
Stt..r.1l
1~/q,/
OhtER
INTEREST RATE
tiS
Guarantor *
o
Lender
tlI8' (b) 011
S....IVTI.r,P..gu.
In.18of\![
$
IJIIIII
.*1
SUBTOTAL $ ~> -::¡~O. 00
imporlanJ inJtrw:lions on 'cyers~.
Loans Received - Part I Summary
I. Loans of SIOOor more received Ibis period. (Include all Loans Rcceived - Pan
·Su
S
(a) sublolals.)
-0-
$
ilcmize.)
period. (Do nOI
Loans undcr $100 received Lhis
2,
/, :j 50, QO
_º-º-_ ""y bu. ntlQ"lIlIu nUllllitJf
-0-
_ ¿l:fp,
$
$
$
$
$
TOTAL
Tolalloans received Ihis period. (Add Lincs
Loans Received - Part" Sunvnary
4. Loans ofSIOO or more repaid, forgiven, or paid by a Ibird pany 1I,is pcriod. (Inclnde al
Pan II (c) SublOlals.lf forgiven or paid by a IIIird pany, also itemize IIIe lIansaeliun UII Srlledulc A.)
Loans under $100 rcpaid, forgivell, or paid by a 1IIird pany. (Do nul itemize.) If furgivell ur paid
bya IIIird pany, includc lI¡is alllounl un Selledulc A Summary, Line 2.
Tulalloans repaid, forgivcn, Or paid IIy a IIIird pany IIIis peri,"/.
(Add Lines 4 + 5.) ............................................................. TOTAL
NCI change IIIis pcriod. (SublIacl Linc 6 from Linc 3.)
Elller IIIe uel IIere allll un IIIe Snlllmary !'¡¡ge, C A,
NET
ine 2.
and 2.)
3.
5.
6.
7.
SCHEDULE E
,
Sa.'.ment
T~p. or Print In Ink.
Amount. mar b. rounded
10 whol. doUa,...
Schedule E
Payments and Contributions
(Other Than Loans) Made
Page
iiÑUMBER
f1/Sa
AMOUNT PAID
'rom
throug
IMPORTANT: 00 NOT ITEMIZE !HE PAYMENT Cf ACCRuED EXPENSES ONSCHEOUlE E.
REPORT C«. YTHE LUMP SUM OF SUCH PA Yt.ŒNTS ON LINE . OF THE SUMMARY SECTION BEl OW
- -
CODE OR DESCRIPTION OF PA YMfNT
SEe INSTAUCTlONS ON AEVEAS€
NAME () "ŒFICEHOlDER OR CANDIDA IE AND CONTROllED COMMITTEE:
50/111) ß/fU77JJYT - £LÇCT .::TOrj¡U iJ/TC-t77s'íìl
NAME IWO AOOAESS OF PAYEE. CREDITOR, OR RECIPIENT OF CONTRIBUTION
f CO......nH.IN AOOTION TO COt.u.unfE"S NAMé /4K'JADOAESS. ENTER I 0 NU ,, Bfß OR,
If NO 10 NUMBER lIAS BEEN ASS.GNfO. ENTER TRfASUAfffS HAM!: & ADOHESS)
$
SUBTOTAL
Payments and Contributions Made Summary
I. Paymenls made Ihis period ofSIOOor more. (Include al
-Q-
$
Schedule E subloLals.)
.~'.. ..':'r... .J .~~..fM!..Q £o:rt..ft£.~..
0, DO
$
itcmil~.)
00. (Do nOI
period of under S
2. PaymenlS made Ihis
-Q-
_¿l5°-.:..-'CQ__
// f3o, DJ
S
$
Column(d).)
)
.iIlC 4
I
I
(>¡jl
I
St.:hctlulc
Schedule ß
fr
f
OULsLaJHJmg loans. (EIHC( aJ
Elllcr al
J
(elllilC.
1
~
I
D,
;
is period
^
-
,
period
po
.
expcnses
,
paid ~Iis
,
,
¡mcrcs
4. TOlar Jt.:cruc(
'i
v.
n
Tola!
.
3.
·
SCHEDULE r
,
St.'.men' cov.r. p.rlod
Irom :J1/V / /11'
,.-
Ihroug"'¿ ""'" 3", 111
Type Of' Print In Ink.
Amounta ma)' b. round.d
10 \llthol. dollar..
(Unpaid Bills)
Schedule F
Accrued Expenses
01
7>1
ll.U'OAIANl. 0000111£1.41[£ IlIE PAYM.NT Of ACCRUfDfXP(t-ISESONSCt(OUlfSEOAf RtPO/U ONLY HLE lUMP SUM Of PAY.
M[NIS 00 SCI ICOlJ. £ f.lINf.. ANDONSCtlfDulE E,lINE.. OOt.OTIIf £MIIE ACCRUED EXPWSr$ llÍf'OlHED IN APIU::YIQUS PERIOD
- -
CODE OR DESCRIPTION Of OUTSTANDING PAYMENT AMOUNT ACCRuED
p-s-
o NUMBER
1315:<./
see INSTRUC J IONS ON REveRSE
NAME OF OFfICEHOlDER OR CANDIDATE AND CONTROlLED COMMITTEE
:JO¡"'IIJ !J;.¡u.7/5Î"J - tL/;C7 .:JOHN '8"14715
NAME AU) ADORESS OF PAYEE, CREDITOR. OR RECIPIENT OF CONIRISUTION
(If Ca.,u.AillE.E. IN ~TlON 10 COt,u,unff'SHALif NÐAOOfIES5. EHlER. 0 NWUCA on,
If NJ 0 NULlBfA uAS aEE.N ASSIGNEO, EHlER IRfASlÆR"$N.Wf 4. AOOHfSSI
/8''1 3/
L
CA-T>ONS
SW.1-;J.f'.1
WOL6! )(O/}¡)¡
C Ii '15tJi'!
1?vl5/ AJ'so/fJ {J;!I1m UN
IOD5D No.
(!U.?êIZTtNO
/
J t'f :5 /
SUBTOTAL $
aJ.d¡'¡ollal illjormaJio/l lJ1I approp,itJIdy labeled cOlllinualion sheds.
Accrued Expenses Summary
I. Accrued expenses Ù1is period of S
ÆlIach
/8'1.3/
S
(Include all Schedule F subIOlals.)
more.
00 or
0-
S
il~l11i:le.)
under S 100. (Do nol
2. Accrued expenses Ibis period of
l IN .5/
$ //150.00
--_._-
c: -J) 5{'5. (, I
$
INCURRED TOTAL
PAID TOTAL
.,
"a=T
,
^
,
Line 4.)
I'
¡¡; SIIIIIIII.II V
Sdu:tJulc E Summary,
,
¡
Ih:lI.:
,
l'lCIICC
alld 2.)
period. (Do nol Ílcmi:LC. EOIcr here and
Ie' 4
,
Ie
el
Towl .""ruC<! expells~s illculTed Jns period. (Add Lines
III.: J
I
IL·.iud. (SLlIIII¡ICI
4. TOlal accrued expenses paid Ù1is
s
NI,.·ll" ¡;lIIgL'
3
~
I
-- ..--------
Sla'ement Cove,.. ,.rlod
horn
Tw-p. or Prlnlln In....
Officèholtl..,r, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Govcnvncnl Co.Jc: Sccliom a.t200 842 '6.S)
SEE INSTRUCTIONS ON REVERSE
. __I_ 0' u-Ý!
A Fot QUlcaal Use Qllly
I 5" 2.. c¡
Dale or E..c'
II appllcabla:
,Month, Dar. V..r
---
atatement being m.d:
Itus sl.dernon
49510
Check one o' Ih. following box.. 10
n P,e·electior) Slalement .
[) Supplamenlal PIe electIon Slalemenl (AUach a completed Form
~emi,annual Slalemenl .
LJ Termnallon Slalemenl (Allaeh aeomplelod Form 41510
twp·.of
Indica'. Ih.
,
CC. 110 r.u..u..4I'
( u " S I-I ""
--------
I
Other Committees Not Included In this Statement: Lis/ any olha
commillus nol included in ,his COtÚolid(),~d SIO'ttnenl'M' aft COnlrol/ed by you and any
convniJlus of wJùch you nave !now/edge 'hal art primarily furmed 10 reedyt: cUlllribut;Ofl
10 lnate upend;'ufes on behalf olyour candida!..".,.
CDMoIIIIE[ NAME -~·.Io¡¡¡-j¡:¡jii
¡NO ANOSIRH
.
;:¡¡¡;¡¡:CiïUlASlWl£H
cc:aw..'¡¡[[ AOœESS
II
this slalürnenl
"
OHlceholder, Candidate,
and Controlled Committee
Included In this Statement
NAME a OfFQJiOLŒftOR CNOOAlt
~hi,J
Cff Ie£. SOJGtn Oft
~o
"",
eLl..
~N4t£
I
AlliA cotiAiA,iiiJiPiiOj
COO<
l~
ST.A.I[
ëilY
,
1.îL15e::I :J(; ft
Ccu.&lII£fADOlJE.SS .--
o NWÜÜ¡--·
ca¡Î¡iè>i""itõ"cCüidiili
[I"s [l"o
-------
AREA c:.c:u.,(».YlM PHOOE.
~ 0 ~ ~ I."ad addilÎonal in/o",lIJIiQn on applOp,ialely Lbeled cùnlÚwation sheds.
IIPCOii--~-
(NO ANOSIRfn
SIA.IE
""'"
AAfACûŒ.O'YIIM[ PttOÑ[ NAME Cf InEA$l..AfR
AOOI'SS
CC».lt.lIII[[
CC»M.llrT[E
CIIY
Jr=.-
IIPCQOE
7ÞD1
~
ANOSIfU.[11
E..<DF.z...s. -
-- SiAi"[
CA-
CIIT
has
Olllceholdar or Candida'.:
I have used all reasonable diligence 8I1d 10 Ihe besl of my knowle¡lge Ihe Ifeasllfe
used all reasonable diligence in prepafÎng this Slalemenl. I have reviewed the slate
menl and 10 Ihe beSI of my knowledge the infonnatiOll conlained here ill and illlhe
allochcd schedules is true and complcle. I cenify under penalty of perjury ullder Ihe
laws of the Slale of California Ihallhe foregoing is true 8I1d correel.
E lIuculcd 6
--.,
I
"
I
,
^,
,
r
()(
OfæflCEIlOt OER OR CANOVAJE
U/IMAIIUlII.WIUAL UflCAM1'A1ú/lQ15CLOSUllE f'f10VIW,
u
II
OJ
Uv
':1/
I'
IU VerlllcOlUon
Yre.lurer:
I have used all reasonable diligence in preparing this Slalemenl8l1¡( 10 Ihe beSI of my
knowledge Ihc ¡nfoonatioo colllained herein and in the atlached schedules is Irue alld
complele. I certify under penally of perjury under the laws of the Slale of California
lhallhe f~;:; is !rue and coneel.
Elloculud 00 3 ~rt j AI
/ C 1::""
Oy __~/Lh-'-'~.
.L:..i A~
IAI
.
IMA
t2-ct--CÅ-
Oly""HI)SIAIt:
II
IL
I
,
Y ) 'JI1JI ~IJM
1>1
)VI.
"
I>
I
I
..
I
JtIMA
,
,
SUMMARY PAGE
,
-------
Sta.em.nt cove,. period
Tw-p. or Print In Ink.
Amoun.. maW' b. rounded
to whol. doll.,..
Campaign Disclosure Statement
Summary Page
P.g.~_ol~
o NUMBER
jj 1.{";)..1
Column C
TOTAL IODATE
¡ADO COl UI.4NS A . 8)
'2
p, I r._QL..
i
/
i
i
from
throug
L-
i
CÒl(J(!
Column A
JOTAl THIS PERIOD
FROtoI AnAl 0 SCHEDuLES)
8
SEE INSTRl.JCTIQNS ON REVERSE
NAME Of OfFICEHOLDER OR CANDIDATE AND CONTnOllED COMMlnEE
'JO ¡¡.J .Þ.A-uT7 ~í' A -1žLfi-~ --r:".
Contributions Received
Schedule A, Line 3 i
Schedule B. Line 7
Monetary COn!ubullons
Loans Received
2
-0-
:JS
{. -¡ "3
$
$
(.
"
"
.3
-0
I~
i
$
i
+2
Line 3
Schedule C.
Add Lines 3 + 4
Line 7
Non-monetary Conlflbullons
SUBTOTAL CONTRIBUTIONS (Excluding Enlorceable PromIses)
Enlorceable PlOmlses (Exclude Loan Guarantees. Une 18 below)Schedule D.
TOTAL CONTRIBUTIONS RECEIVED Add Lines 5 + 6
Add Lines
CONTRIBUTIONS
SUBTOTAL CAS
3
4
5
6.
7.
$
$
Expenditures Made
8 Cash Paymenls (O/her
loans Made ....
D. SUBTOTAL CAS I
.3, l):L-
-0-
i
$
17
-Q.. -
i
$
i
S"
oS-
-0-
Schedule E. Line 5 i
i
i
Line 7
Schedule H,
Add Lines 8 + 9
Schedule F, Line 5
10+
11
Add Lines
/han Loans /,tJde).
Accrued Expenses (Unpaid Bdls)
EXPENDITURES
PAYMENTS
MADE
TOTAL
9
2
i
-From previous Statement Summary Page, Column C
I-iowever. if this is the firsf lelX)(1 filed tor the calendar
year, Coltrnn 8 should be blank except lor Loans
Received (Line 2). Enlorceable PlOffilSes (line 6). Loans
Made (Line 9). end Accrued Expenses (Line 11)
Summary lor Candidates in Both June
and November Elections
$
11
PrevIous Summary Page,
Column A, Line 3 above
Schedule
Line 4
LIne
I.
Current Cash Statement
3 BeglnOlng Cash Balance
Cash Receipls
Miscellaneous Increases 10 Cast
4
5
--.!i.
Column A. Line 10 above
/hen subtract Line 16 $
15,
+
Add Lines 13 t 14
Line 1 mus/ be zero.
6 Cash Paymenls
7. ENDtNG CASH BALANCE
f this is a T 8rmiIJatÎon Statement.
10 Dale
71
Ihru 6/30
11
i
.
Conlrluullons
Received
22 ExpendJlures
Mach
2
___-:-0 -
-0-
.._~--
$
rUllù{SQ $
r. ,¡f)UVO $
CO/limn (b)
IIJstltJct/OliS 01
U/WlII
Schedule B. Part I.
II
See
LillO
:!
Cash Equivalents and Outstanding Debts
Cash Equivalcnls
II/V
AiIiI
LOAN GUARANTEES RECEIVED
)~bl~
I'.)
I
)1/1:..
18
9
?I
·-.---------.
51.lem.nl cov.,. period
Trp. or Prfnl ... 'nk.
Amounl. m..y b. rounded
10 whol. doll.n.
Schedult
Monetary Contributi
'rom
Page__.::2_ ol__~___
I D NUMB(R
7'~ IS-~r
Crr-f COt( ~C!.I L-
OCCUPAIION AND EMPLOYER
(If SlIJ.lMI'IO'I'lDlHltn
HAMl Of UUSlUl5SI
SEE INSTRuCTIONS or~ RE.VERSE
NAME Of OfFICEllOlDER OR CANDIDATE
--:Jó~ tkn7~A - -F-LF..øt
FULL NAME AND AOORESS OF CONTRIBUTOR
DATE (II COMMIlIt:E,IHAQOUK>N 10 COLU.ClnlE'5NAMl: AND A()OIU 55.
RECEIVED lHIER I 0 NUMÐI:]'OR, If NOI 0 NUt.elA lIAS tJflNASSlGNI0,
ENUA TREASURER'S NAME I.IIDOUfSSI
ons Received
CUMULATiVE lOOAH:
OilIER
(If-AI+'LlCABt£
.------
CUMlA..ATlVE TO DATE
CALENDAH YEAR
(JAN 1- DEC 31)
AMOUNT RECEIVED
THIS ÆRIOD
/00
/00
--.-
frí"/ð ¡¿J 1'::.---(
~L¡;¡''¡N AJD :J6H),JI/::' L/6,HíSE.Y
3~1 l-A-q loJA .M¡¡.,J,,~
J51¡f<L./,j,Ã"-fÉ.. cA. 9tfDIO
, .
/oj¡cr
.
r:¡(ft1~
~
,,;wo
I~O
100
"'t<~ R.15-Þ
A,..]D.I{E¡s$~
3.:tD1 ~ ~L- #-3
c...~IW-D, CÆ- 931J/::J-.
A-Jrv,.J r.-- A-olD HA<..~ HMeJ+£.
~pS.2._:D~~'Í .3ï~
'\IJ~o D...;'\-1JD ftl w..s, c-Æ 9 J3fcLf
/0/;j
I
/~~
, -
*,0.
~
L__2$D,oo
$ ,z c¡7----1l_
$
8 11,1(,
'D/('~~ iJF- 4i)~ ,~r¡J.
,AtJD Lë~ ftffl'!1~
I (LA J i)SìAA >1D..Trs. Co1Œ
$
-------
SUBTOTAL
------.--.----.
--
TOTAt.
I
^
morc.
SIW
.Ige,
<"
<JS01'f
-
Monetary Contributions Summary
I. Allluun! received tl,is period - culllribUliulls of $JOO or
(1lIdude all Schedule A sllb~lIals).... .................
2. AmuU1I1 received tl,is period -- CUIIII uf less tl.al
(no nOI itemize.) ...._..........................
3. T(llallllonclary ((llIIribuIÏtHlS rc(civc(
(Adell ¡IICS I ;111(1 2 Fllln h¡;l~ &tlltl tII
I'
N ILK S:z.fr'3Ð
) !>~S-- ~,.l
C l{ I'ê;<öl ,.J V cA
/
IhuliOJlS
Ihis period.
Illl~ SIJIIIIII;¡ry
l/f
SCHEDULE B - Pan
a'.'.ment cov.,. period
Trpe or Print In Ink.
Amount.....w b. tounded
10 whol. dolla,."
I
Schedule B - Part
toans Received
lrom
SEE INSTAUCTIOOS ON REVERSE '.g. )f- 01 0
NAME OF OFJFICEHOlDER OR CMOIOA TE AND COOTROlLEO C~ITTEE' . D. NUl.UJER
---Jðft, 'ÞÆtmsç-) - ~JðH1l3.:k'72$í.A FD'LCrry CõLiJCJL- '7'.3¡S:2....'7 _
LENDER OR GI.JAIW/fOR'S RU NAME MO AlJlJÆSS LENDER I GUARANTOR'S LEtŒR IIf'ORMA 110N GUARANTOR INFORMA TIOO
DATE (IFCOMMlnEE.EHTERA.Utw.IE.AODAfSSAKJIO HIJUOER If NOlO OCCUPAnoHMOEUfLOYfR(IfSELf· OlJEOATEI AMOUNT -ClIAL.lAT1VE AMOUNT CUMl.t..ATlVE
RECEIVED NUMllfR HAS BEEN _D. ENIER TÆASUÆR'S....... . AOORfSS) .e.....OYED ENIEA BUSlNESS.....1 ~TE OF LOAN TO DATE _ GUARANTEED TO DATE
-:Jõ¡.¡..j ~At.[r7';,çí Æ DUE DATE CALiA YEAR CAlENDAR .EAR
111°7 1*D'S. Vu:.Da5 ~ ¡.J~ A-
CJ.!.I7'""cKíI N D) C' A-- ")5lJ It 0 HER
O . ¡.j
GuatanlOf
OTHER
Soo .
"'ERESI RATE
A'ffDR,J B(
--.j~IlI(~ L...>WJ
ql\DUP
I
/( ,J.!J
Lender
CALENDAR YEAR
CAlENDAR YEAR
DUE DATE
OTHER
OrtER
tlTEREST RAte
Guaranlo,·
o
l endet
o
CAlENDAR YEAR
CALENDAR YEAR
DUE DATE
-
OTHeR
OTHER
INTEREST RATE
.
Guaranlor
o
Lende,
o
nlo'(b)on
StJIrmil'Y P.gu
1...811011"
.:
Soo,
SUBTOTAL $
imporlanl itu"w:lÎons on '~trse.
Loans Received - Part I Summal'lf
I. Loans 0($100 or mOle received Ihis period. (Include all Loans Received - Pan
·Su
SOo
$
(a) subIOLals.)
fum,l>t>f
M..I't bu . ntlO""""
-0-
Q-
-D
SOD
900,
$
$
$
$
$
NET $
TOTAL
itemize.)
3. Total loans rcceived this period. (Add Lines
Loans Received - Part .. Sunvnal'lf
4. Loans of$looor more repaid, forgiven, or paid by a Ihird party this period. (Indllde all
Pan 1/ (c) SublOLals.lf forgiven or p¡¡id by a third pany, also itelUize Ihe IIansaetioll on Schedule A.)
S. Loans under $100 repaid, forgiven, or paid by a Ihird pany, (Do not i!clUize.) If lorNivell ur paid
by a third party, indude ~Iis amounl on Sdledule A Summary,Lille 2. .
6. Total loans repaid. forgiven, or paid hy a Ihird parly Ihis peri..!.
(Add Lines 4 + S.) ........................................................ TOTAL
7. Net change Ihis period. (SublIactUne 6 ImmUne 3.)
J:Hlcr Ihe IIcI here anti on ahe SUlllmary PõlgC, CululllfI
.ine 2.
A,-I
Loans under $100 received this period. (Do nol
and 2.)
2.
,
SCHEDULE E
Schedule E Tvp. or Prlnlln Ink. ...'.....n. cov.,. period -
Payments and Contributions Amount. maf b. rounded
I. whol. doll.... Ir_ tr:í" ¡1} ;;,., 3 .'
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE Page S- 01 &,
NAME C:;:¡;HOlOER OR CANDIDA fEoANO CONTROlLE 10 IUABER
~ ~kmJ?01- - Eæ~ 77s~A 'fD¡z ClTY 0.0L/)t!..(L-. 7'j/~~1
NAME AM) ADDRESS OF PAYEE, CREOITOR, OR RECIPIEI IMPORTANT; OONOTlTEMIZE n£ PAYMENf OF ACCRUEO EXPENSES ON SCI£DU.E E.
Clf COMMIJlI::E.IN AOOIIION 10 C()t"U,lJ1U'SHAI.tE AlGADOR "'- REPORT ON..vn£ LUMP SUM OF SUCH PAYMENfS ON LINE 4 OF TI£ Sl.JLaW Y SECTION BELOW
If NO I 0 NUMDER UAS SEEN ASSIGNED, ENIER 1REASUA CODE OR OESCIIPTION OF PAYMENf AMOUNT PAID
~'BIIJS~¡J C!.ÐJ..{ MU,JJC!..;{.710JS.
IDö5"o ,J W{)t..Ff:- 'Kb..+t::> .sv0 J-Xð3 L 3833. ()If
e.u.P-~ "¡Ò) C.+ CJ5t>Jtf .
)¡, ~. n~Wf"5"ï'&-.e_
L 377. 81
.
.
SUBTOTAL $
Payments and Contributions Made Summary
I. Payments ma<le Ihis period of SIOO or more. (Include all Schedule E sublolals.) ..........................,............. S ,fA)O. 8~
2. PaYlllents made Ibis period of under SIOO. (Do nol itemize,) ....................................................................... S .Jfo. ðO
J. Total inlerest paill ¡J'¡s ¡",riod on outstanding loans. (Enter alllonnll""n Schc.lole II, I'anll. Cohnßn(lI).) S -t)-
4. Tlllal accrued cx"cnses "aicllhis 1""i..1. (n" '"11 itelllize. Enter ar Jr, Schcdllle 1',1.ille 4.) -O-
S _____. -- --
~ l ,\:IV " ì~· , "I ,... ; 1 , . .. " ~ :L5lJ. 8£"
St.t.....t
T,pe .. PrIn'" A.
Amount!. m., be rounded
to whol. lI"lara.
Schèdul~
Accrued Expenses
,._
P...~OI ,
I 0 NUMBER
~ 7'3J5"X!j
IMPORIANI. OONOllIEMllE 11£ pa......, Of ACCRUED EXPO&S ONSCf(OULES E ORf RlPOfU ONlY IIIf lWPSLUOfPA.Y·
MENIS OIISClIOlIE F ,UNE 4 AHDONSCftEWE E,llNE 4_ 00001 UEIIEMlIE ACCRÆO EXPU6£$ßt.POfUEO IHAPUEVIOUSPfHlOO
- -
COOE OR DESCAW'TICtIOF OOTSTANDING PAyMENT AMOUNT ACCRUED
~S' (){) ,.;lJ>
L
(Unpaid Bills)
SEE INSTRUCTIONS oN REVERSE
NAME OF OF'fEHOlDER OR CANDIDATE ANOCONTAOlLEOCOUUI~E
--:JÐffrl ØÆwl~A - f5.J-1?C-:ToJHIf
NAME ANO ADOAESS OF PAYEE. CREDITOR. OR ÆCIPtENT OF CONTRlÐUTION
(If CCUMlI1Ef.1H ADOfIlON 10 COMWfnEE"INMIE AN) ADOÆss. ENIEAIO .........ROA.
IF NJ I 0 NlNBfR lIAS BtEN ASSIGNED, ENlfA IAEASlRfrS twIE & AC.OI.SS)
/j(6ÞIJ$~¡ CDø.H..{uJIC!>4=rn.Js I
/f}!J5l> ,.s. Wð/..-fE:-, ~M"D :$vJ/-,tl3
C-4 p-~tJð C!.A-. e:¡6:ð!lj
}
.
~50D.;t 0
.)J)
S!Jð
$
$
$
SUBTOTAL
Auach 4ddi'¡onal in/ormation 1m appropriUldy labeled con,inUQl;on sMe,s.
Accrued Expenses Summary
I. Accrued expcnses Ibis pcriod of $100 or more. (Include all Schedule F suhlolals.)
2. Accrued expenses Ibis period of WHlcr $100. (Do not
-D-
.:<£7Jð. ~ ()
itcmize.)
INCURRED TOTAL $
$---=-~ -
;l..~Dð.;;u>
.,
PAID TOTAL
"
"O:T
;
^
Line 4.)
(
I'
SUIIIIII,""
Schedule E Summary,
IC
C
I
,
e
(HI
l'Il'llI.:e
aud 2.)
itemize. Emer here alld
jllc :\
Ihe
~IIIC"
(Add Lilies
period. (Do DOl
ille -1
period.
I
J. Total accrued expel~s incurred Ihis
SUIII ¡It.:1
4. TOlalaccrued expenses paid Ibis
1k.'1
Ihis
Nf,,' l-I¡;lllge
~
-----
$I.._."'.nl cov.... period
ogo __1._ _ OI..J.
A Fot 01l1C.1.a1 U~C Ollly
'rom
Ihrough I b 19,3,
-- =
D.I. 0' EI.ctlon
II oppllcobl.:
'Uon'h. O.V. V..r)
oJ ;2.. ~~ 3
TVp. or Prlnlln Ink.
Officehplc. . Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Gu...cnvncnl CoJc Sc.cIiÙII 84200-14216.5)
SEE INSTRUCTIONS ON REVERSE
-
.....m.n. b.lng 1II.d:
Ihls sl¡jlolTlur
49510
Ch.ck one o' Ih. lollowlng box.. 10
fJ P,e·election Slatemenl .
[) Supplemenlal P,eelecllon Slalemenl (Allach a completed FOIm
LJ Semiannual Slalamenl
LJ T erminallon Slalemenl (Allach a compleled Form 41510
·WP··o'
Ih.
Indle.le
,
Other Committees Not Included In this Statement: LÙ, any olha
commilluJ nol included in Ihis conSolidal~d slalement lhal ar~ cOnJrolled by )'ow and any
commilletJ of wmc" you have J.nuwltJg~ Ihal ar~ prinvui/y furrned 10 r~ceive CtmJribuliQIU
10 m.a.U exp~nd;,ureJ on behalf o/your candida...·)'.
CQt.II.IIII[[ H.l.1.IE
It
Ihls slatemenl
n-ëí.il C(Jt,lUlII
["IrIS II""
---.--- -
~-¡iiÏAcoii¡¡y;,r¡¡¡iPïiëf;£
cã¡ÎiiO.llOCC¡¡¡;;;iîli-}
[Ins [],,,,
-----
A".:Jeh .:JddiJional in[o"ruuwn on .:Jppropriulely LJbtled cunI;,waJioß sheds.
i(~¡
c.õ(i ----¡HI ¡Eoîiji~r¡i¡'u
l~ COO{
l~
INO AND SIRU
SIAU
SIAIE
(hO ANDSIREE
;¡¡¡:¡¡ã: IIIlASlIUH
AAEACOI.XJQo\.,11Ml PIO Ë COMMlliu ADmESS
'dt£;J 9~"-'300
I D NLW8lR
COt.4tAlnEE ADOOESS
JW.I( a: IREASLRER
CCHAlII[( NAME
èir.,
CII.,
AREA~'I'1IW.PHOH(
'" .,.<.;-,- D8><-
'736L. 'J
AREA C()(;J[Ø 'f11ME puoÑ£
(¿¡¡~ gsý- '-H 9 &,
OHlceholder, Candidate,
and Controlled Committee
Included In this Statement
NAt.lEaCSfCEHOlŒRORCNOOAIE. .
--jÕ1t~ ~, jS'hmSTA·
CHIC( SCI.JGHI OR HELD 1t£lUŒ lCCATIOHANO[)STRlCI NJW8ERf Af>PI.ICASi
Q.LtPeÆ-n N D C. rN Co ~ J Q...j L....
RE.SlœNIIA.LORBt.JSH~ADCØSS 11"fJ ANOSTR[(II
II 07 -P*L..-ð~ V'2-tù>ß..6 :DR1J.e..
CJI., SIAIE llPCOOi.
Ct.(P~NO cA 9!:>ol'j
COt.&llnEEKA.wE:
J3,~:rD~ DA-u--nSíÆ
COt.NIIIE( ADCIliESS. I ~ AM1SIfU.EII
}1/07 -rÆt-ðS \Tt::-rfuG-s .PRIJ~_
CIT., SIAIE lIP COOE
~~«~Jù CÁ 9~J
HAM[ Of lAEASlJR(ft
,4L...¡c¡t.. H. 'ßhm~A
PlRl.lAN(NI AМ(ssa 'Al.ASUAtf INO At OS1HUTI
/ () 13;.J-- ~c.~""¡ I c-- Cw.¿
cln SIAIE
C-t.tfP~,.j 0 cA-
I
.
Olllceholdor or Candldalo:
I have used all reasonable diligence and 10 Ihe besl of my knowledge the lIeasurer has
used all reasonable diligence in preparing this Slalemen\. I have reviewed Ihe Slale-
menl and 10 Ihe beSI or my knowledge the inrormation conlained herein and in Ihe
allaChed schedules is \rue and complete. I cenify under penally of perjury under Ihe
laws of the Slale of California Ihallhe foregoing is \rue and corree\.
AI =n.Jò, C)
rv AND Sf AlE
IU Verlticatlon
Treaauror:
I have used all reasonable diligence in preparing this SlBlemenl and 10 Ihe best of my
knowledge IIle information conlained herein and in the allBched schedules is !rue and
compleLC. I certify under penally of perjury under the laws or the Slale of California
lhallhe foregoing is IrUC and correel.
o
C).
IYANUSÎÃit
AI
.
,
"'
,
,
,
'"
SIGNATURE OfOFFCEIIOf OACANODAn
U/iIMIIU/I r.w1UAl. 011 CAI.I.I~ú OIXLOSUIIE f'f10VIC,...'
II
:.11
By
~
l:..iAj
I
"''''IIA'
)lIMA
iI
IL
I
-siij¡iiiJIiCOF TnfASUÃER
Ii · lItVlIIIIJIOYtlU'1JII:';IJAf
I
,
.
I
ItIf..tA
Oy
;¡U
SUMMARY PK
.
--..--------
SI.aement cove,. period
Trp. o. ...,Inlln Ink.
Amoun" m.v b. rounded
10 whol. doU.re.
Campaigl )isclosure State'ment
Summåry Page
hg.~ol~
o NUMB£R
9'31
II.
''''~
IhroughO::ï-
5"::1..}
Column C
TOrM 10 DAlE
ADU COlUMNS A . 81
,t.f9 5"/, 9'S-
-0-
(.,3S"1. ~
411.30
'-r~,::2S"_
$
?D2- CrN
Column A
IOU... THIS PERIOO
CfRON AfTACHE:DSCHEOUlESJ
$ )-;J,,70,!>?-
.;¡, ODO
Coo Jc¡ L.-
SEE INSTAtX:IIONS 01< REVERSE
/<AME Of OfFICEHOLDER OR CANDIDATE AND CONmOlLEO COMMInEE
:ßItJ-:éÆ-r-t T1"2.TÆ· 7ZL-I~j6¡rj 'ßA-t.msí/f
Conlributions Received
Column B"
TOJAl PREVI)US PEROO
SEE NOTE BElOW
oB 3
Monelary Conlllbullons
Sc/Jedule A, Line 3
Schedule B, Line 7
Add Lines
$
-0
ó6
loans Received
2
-0-
------._--
r.s,7r.. 3.:>£'
$
$
1.f-3
60
3
D81,
s:
-0-
II
3
;3
$
$
5'?-
~:l-
-0
.
$
$
$
+2
Schedule C, Line 3
Add Lines 3 + 4
Line 7
Non·monelary COnlllbuuons
SUBTOTAL CONTRIBUTIONS (Excludmg Enforceable Promises)
Enlorceable Promises (Exclude Loan Guarantees, /8 below)Schedule D,
TOTAL CONTRIBUTIONS RECEIVED Add Lines 5 + 6
Line
CONTRIBUTIONS
SUBTOTAL CAS!
3
4
5.
6.
7.
3/9~, '1-"::.
82-
3'S"'~
$
$
o
-ZW
-6-
Schedule E, Line 5 $
Schedule H, Line 7
Add Lines 8 + 9 $
/han Loans Made).
Expenditures Made
8. Cash Paymenls (O/her
. .
9. loaos Made
o SUBTOTAL
I
3 3'7;2.,
-0-
---
I
$
$
9
$
$
-0-
PAYMENTS
.
CASII
$
Schedule F. Line 5
/I
Add Lines /0 +
Accrued Expenses (Unpaid B.lls)
MADE
$
·From previous Slalemenl Summary Page. Column C
However, ~ Ihis is Ihe lirsl re X>rlliled lor Ihe calendar
year, Collllln B should be blank excepllor loans
R~ceived (Line 2), Enlorceable Promises (Line 6). loans
Made (line 9), and Accrued Expenses (line 11)
Line to above
Column A,
Summary lor Candidates In Both June
and November Elections
A'157. 8
EIONG CA$118AJ.ANC{ SltouO
NO' BE A N£GAlIYf N.iOl.I'.IT
$
/hen subrracl Line /6
Add Lines /3 . /4. /5.
Lme '7 musr be Zero.
Current Cash Statement
13 Beginning Casb Balance ......
Cash Receipls ....... ....... ....
Miscellaneous Increases 10 Cast·
Cash Paymenls . ............ ......
ENDING CASH BALANCE.
If Ihis is a T ermina/ion Statement
EXPENDITURES
TOTAL
1
2
$
2,186.3(;,
~ $"';>-
-0-
$
17
PrevIous Summary Page,
Column A, Line 3 above
Schedule
Line 4
Line
I,
4
5.
6
7
J/A
/rHfr
100alo
71
6/30
~
Ihru
11
$
$
COnlllUulJons
Received
22 Expondllures
Mado
2
-0-
--~ÇJ -::-.
:ÇG 10. o:l-.....
$
fUVù/SO $
,,¡)UVO $
Column (b)
r:
IIIS(flJctIOIJS 01
:O/¡Jf"1
Schedule B, Parr I,
I
t
See
LillO
:!
11Il)
8 lOAN GUARANTEES RECEIVED
Cash Equivalents and Outs landing Debts
19 Cash Equivalonts
"
AcIcI
I() Dcbl
¡I:.. 1
--_.
SI.lemenl cove,.. period
Irom'$?'...,:Jí,' I
Twpe or Prlnlln Ink.
Amounla m..v b. rounded
10 whol. doll.,...
Schedule A
Monetary Contributions Received
Pogo 3 01-2_.
i"DÑÜMBER -
'JjJ.s~ '7
through
SEE INSTRlJCTlCX'~S ON REVERSE
NAME OF OfFICE, 101 DfR OR CANDIDATE AND CONTROlLED CO!",,'ITEE .
5q.fJí5Æun~A- - ~-5ò!frJö./rt..lïBï.l/- ro1Z...c.rry C~Jc..¡L-
OCCUPATION AND EMPlOYER
(If SfIHMI'tOVlDlNIER
NAMlOf UUSlUlSSI
FUlL NAME AND AOOAESS OF CONTRIBUTOR
(I. COMMIJ IU;.INAQOIllON 10 COUMImE'SHAMt ANO Aoonl SS,
lNIEA I 0 NUMBfR OR. If NO I 0 NUUBlR lIAS UHN ASSIGN( 0,
EHlER TREASURER'S NAI.If.. AOOIiESS)
DATE
RECEIVED
CUMUL.ATlVE 10 DATE
OrtiER
(IF AWL.ICA8L £1
-----..
CUMlLATlvE TO DATE
CALENDAR YEAR
(JAN I· DEC 31)
AMOUNT RECEIVED
nus PERIOD
100
IDO
-
'fÏ..o¡<A-t.. J)Gs1 ~ ~ f!.IL
:f ~ Jkí"
~;t -:aktm8íA-
Jb~~~ NIL{2..~J~
C.L.tI"~17N OJ (ð.k- G)S'O¡'f
i~
) DO,
13'J<tDI<J3.K- ftssðQ.¡..+r--.=.
::sEJ I ~ 't1ZDP¡::~1'1ß.-.S
/CJ 0
/0 O.
1M,
.2- M,
~ 'ß$TÆ7I=-
13 R..OI<J~
Q..~Pí::-.<e.'fí ¡oj c tk of1::..eíï~
:DII<.~R. Op. ~/)V. ?~öT.
l ~ .A?r~s
)'ÚPr I ,)~'<.¡.æ.,JTS.
Cb~f',
..5b+¡,.e.L.1ž>í "ßA¡L$Y
.5i'J! v I'--~ 'HR.o ~(2..'S
~I s, ~A-'N /'T1V'TCN¡D RD,
u,-S- Æ-crz¡:., QA. 9*''J.'''-
-::Jð~ -H¥~G, "( YCP-I€.!Z..
.,:( '3'::1 Go l..nJD"( LM e.
CLl pß.Æí r0 0, C'.+- 0; 5'C!/ 1-
~~
'%.~
~ lC,¡<-. ~ KNRCJ,t SZÆ-"BO
ID;;J...3S' C~¡;"$íò~
CL.l~NÒ C'k -=,6U/'T
)
/i~
~oo.
OÙ,
I
IDO.
$
L
$ ~'7ð. S-~
$ /:Z1()·~:L
.~{)O.OO.
:;>~-~pu, 'Í/?-D
¡/t.L. - It:- H.(S(¿ I cA--tJ
J ¡J .s~--' o¡-S
--------
---
SUBTOTAL
\01LLt-S- {C~ P~tf-
I :< 35" Dk-t' t<DIH:>
GIL~O'(, C'A ";}Sô::to
liB
TOTAL
I
A.I
Monetary Contributions Summary
I. Alllounl received lI,is pcritxl- cOlllribuliolls of $100 or lIIore.
(llIclude all Schedule A subulwls).............................................
2. Allloonl received lllis pcrio<.l- COlllllhuliollS of less IIlall SIW
(Do nOI j~mize.) ........:..........................................,
3, TOlal monclary cOlllribulÎons rcœivcd Ihis period.
(Ad,11 ¡lies I ;1I1t1 2. I:lIln hClc allll olllll\~ SWUIII;I
(',
ry 1';lgc,
SCHEDULE B - Pan
.........n. coven period
Ir~
Trpo or Prlnlln Ink.
Amount. ....V b. rounded
10 whol. doll.....
Séhedule B - Part I
Loans Received
r lb. ~31 PaIlO-± 01
10. NUl.tBER
~~/S"~Cj
LENDER I GUARANTOR'S LENDER INFOFf.IATlON GUARANTOR INFORMATION
OCCuPAJIOH """......OT£A IIf Sflf. DUE DATEI AMõij¡:¡f ClIALlATIVE AMOl.tjT Cl.t.tll..ATlvE
.£.....OT£D.HlfRIlUSJN(SS.......1 INTEREST RATE OFLOAN TOO4T£ GUARANTEED TO DATE
DUE DATE CALENDAA YEAR CALENDAR yEAR
}//A
OTHER
JI
OTHER
Ihrough
..z, DOD.
INTEREST RATE
SEE INSTRUCTIONS ON REVERSE
NAME OF ~FICEHOLDER OR CAIÐOA TE AND CONTROlLED fOMMITTEE¡
--::JDl+rI ~I/tmSIÆ - -¡;~:J DH-N 'ßftt.msí A- FoL- CIí-r c../)I./lJ ~ L-
LENDER OR GUARANTOR'S RJU. NAME ANJ ADDRESS
IIFco......nEE.EHTERAJB.HAME.ADDRfSSANOIO NUU8EA If HOI Q.
NUMOfA HAS BEENASSlGHEO. ENTER IÆASUÆA'S tw.IE & ADDRESS)
--jÕ¡.¡.J t3,.¡-em S.-rA
III D7 ?t'Tt-Ds. ~f'~£'S..DL
Cl.tPJüeTï,Jz>, CÆ- "'¡SDI'f
'?315"~",
~ Lende, 0
Aftë, ¡öJ a.'-j'
Vll;m.~ L.4w
Cì0>u p
DATE
RECEIVED
/ó/ r-
II~
.
Guaranlol
CALENDAR YEAR
CALEM:lAR YEAR
DUE DATE
OTHER
OTHER
' JEREST RATE
.
GuatanlOt
o
lender
o
CAleNDAR YEAR
CAlENDAR YEAR
QUE DATE
--
OJHER
OTHER
INTEREST RATE
.
Guatantor
o
lender
o
If'IJ.t1 $
.-,<.)lli@1&:f~A,>.
.z OOð,
SUBTOTAL $
Ïmporlanl ûulTuclitHU on reverse.
Loans Received - Pari. Summary
1. Loans of$IOO or more received Ibis period, (Include al
· See
DO
$
(a) sublolals.)
Loans Received - Pan
J.t.Jy bet. nuOitb~u 'IUI/lloul
0-
,ÂDùD,
~o-
-0
0-
$ _.2,.Dðð
$
$
$
NET $
TOTAL
itemize.)
3. TolaI loans received Ibis peòod. (Add Lines
Loans Received - Pari II Summary
4. Loans of $100 or more lepaid, forgiven, or paid by a Ibird parly Ihis period. (Indude all
Pan II (c) sublolals.lf fOlgiven or paid by a Ihild pany, a/,.o ilemile Ihe lIansoclinn 011 Schedule A.)
5. Loans under $100 repaid, forgivell, or paid by a third pally. (Do nol ilcmize.) J " fOlgiven or paid
by a third pany, indude dJis amounl on Schedule A Summary, Line 2. . ............
6. TolaI Joans repaid, forgiven, or .)aid by a Ihild parly Ihis 1>Clil.1.
(Add Lines 4 + 5.) ...........................................................,.., ...........TOTAL
7. Nel change Ihis period. (Subllacl Lille 6 frolll Line 3.)
Enler Ihe oel hele and on Ihe SlImmalY "..ge, Column Acl
.ille 2.
Loans under $100 received Ibis period. (Do nOl
and 2.)
2.
SCHEDULE C.
St.'.ment coven period
TWp. t; nt In Ink
Amount. h._# b. rounded
1o whol. dollan.
Schedule
Non-Monetary Contributions Received
01 7
~
Page _
o NUMBER
'1-3
'rom
through
pDIL C.rN CðLI"JCu.,-
'1$/S-.:<."'j
CUM.....ATlVE TO DAlE
OIlER
(If APPLICABLE)
CUl.U.ATIVE TO DATE
CAlEtÐAA YEAR
(JAN ,. DEC 311
fAIR MARKET
VAlUE
OESCRIPlION OF
GOODS DR SE""ICES
OCCUPATION AND EMPLOYER
(If SElF·EMPlO'1't.OfNnR
NAUf. Of øus.Nf.SS)
SEE INSTRJCTlONS ONÆVERSE
NAME OF OFfICEHOLDER DR CANDIDATE AND CONTROlLED COMIAITIEEo
-::JOUrJ 'ê>A-tm<ó>JA - ~::JDttJ ê~.1
ML NAME NO AOORESS Of COtffRlBUTDR
DATE (If co.....nEE.INAOOIIIQHTOc:a.unlE·SNAUfANO
RECErvED AOOOESS,EHIERID NUMBfAOR,IfNOID N..I.IOERIIAS
BEEN ASSIGNED. (NIER JREASuRER'S NAME & Al)()R fSSI
":¿'I!>,~'()
~Jç: 5'0
~VL~S
c.t>JSc.¡C-íl 1110-
SÎz.,(.\1\ c... T!-S
O~<;
-;1.93
"ROPI J Sb N COLH..tLt J 1c.Æ=n
I Oo~-O 1'16: \J ò~ ß.D, SuJl
C!..Ltf1M::niJo, Co" '75ðit
/01 ;"
II~
.
AI/ad add;,ia",,/ in!orlll/J/iOtl on appropriau/y
£:Jbeltd co,.ÛnlUUion sheels.
.;{J~So
80.80
~ '76.30
SUBTOTAL $
$
$
$
TOTAL
jlle 4.)
,
Non-Monetary Contributions Summary
I. Amounl received Ibis period - non·monelary conl1ibulions of $ II () or more.
(Include all Schedule C sublOlals.)......................................................................
2. AmouOl received ¡his pe¡iod - non·monewy conl1ibuliolls of less Ihall $I()(J.
(Do IlOl ilemize.) .......................................................................
3. TOIaJ non·monelMy conl1ibuliOlls received Ihis ('eriod.
(Add Ijlles I ¡onll 2. !:lIlcr here alld nil Ihe SlImmary ('age, Cui
A
-.
,
.
SCIIEDULE E
Schedule E Trp. or Print In Ink. S'.'.men' cove,. period -
Payments and Contributions Amount. MAW b. round.d
10 whol. doll.... l,om5"1!ff I <J, Iqq 3 . .
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE IlvoughOe'Î If" ,19,:}'3 P-S. ~ 01 7
NAME ~EHOtDER OR CANDIDATE ANDCONTROl~ITTEE' J 10. NUMBER
~ 13f1-t.mS'1A - ~Jb 13hm~* fi¡z ClíY Col./ O-<L- =¡.s /.5:1-)
NAME AND AOOAESS OF PAYEE, CAEOITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT, 00 NOT ITEMIZE 1}£ PAYMENT OF ACCRUED EXPENSES ON SCHEWE E.
Ilf co.....ruE.IN A[)()JlOH 10 COMt.lnEE'SfW"tf AHDADOAESS, ENTER I 0 NUMBER OR. REPORT ON. Y THE LUMP SUM Of SUCH PAYMENTS ON LII'.E 4 OF THE SUMMARY SECTION BELOW
If NO 1.0 NUMOEA lIAS BEEN ASS&GNEO. EHlER TREASURER'S NAME & ADORESS) COOE OR DESCRIPTION Of PAYMENT AMOUNT PAID
--=k6'B/~SO jQbL./ I-i!<Jlc.Æ-n 0 AJ S
100S-0 €>, vJOL~ i<oÆ'D .$W 1-':<'83- L- /tj-{O.
c.u.~-n NO, QÁ, 9SD1 t
Ù,<;;:, ?DS"I1~
L /bóD,
.
.
SUBTOTAL $
Payments and Contributions Made Summary Z.hO,é;O
I. Payments made Ihis period of SJOO or more. (Inclode all Schedole E soblolal..) ........................................ S
2. Payments made Ibis period of onder SIOO. (Do nOI hemize.) ..... ............................................................. S ..1...././0
3. TolaI interesl paid ~Iis period nn n"lSlalldillg Inans. (Elller amnII 1"011 Sd.cdule II, Pall II, Cnlumll(d).) S -0 -
fro Schedule F, Lille 4.) -0-
4. TOlar accrued expenses ,,&Ji¡llhis period. (no IU)1 ilcmilc. EUler ,I S -:Atf7 T.7r:T-
~ ,I ..... ..I I'" ; 1 > "
v "
·
SCHEDULE F
I
a'.'.m..., cov.r. perlocl
Tr... or Prlnlln Ink.
Amount. maw be rounded
10 whol. dolla....
(Unpaid Bills)
Schedule F
Accrued Expenses
7
Page 7 0'
I 0 NUMBER
~/S:2....9
10/33
{.
Jr,
Ihrough QI!:í.
111£ PAt.,..., Of ACCR.ÆD EXPENSES ONSCI£OlIlES E OR f. Rt.POtil ONlY litE ll.NP St.J.I Of PAY.
.. mDONSClIEDUlE (,lWE 4. 00 001 nfllUMlt: ACCRUED EXP£t.5íS HlPOHIED INA pnEVIOUSf>f.HlOO
DESCRIPTION Of OUTSTANDING PAYMENT AMOUNT ACCRUED
SEE INSTRLCTIONS ON REveRSE
NAME Of OfFICEHOlDER OR CANDIDATE AND CONTROlLED COIAI.IIIJEE
-:::JoH-N' ~'8íA - 13.L.~-5ÕI+.í ~Æ-1"z>- C!l1'"Y CDt.t.JdJ,L---
NAME AIÐ AOORESS Of PA\'EE. CAEO TOR. OR RECIPIENT Of CONTRIBUTION
(Lf COU"'IIEE,IN ADOtIIOH 10 COANnU"I NAME ÞØJÞrlJDREss. EHlERt D. NlAAut:ROR.
IF tÐ I 0 NU48£R liAS BEEN ASSIGNED, EHlER IAEASlfIffrS NAME" ADrnIESS)
It.It'OAIAHr. DO NOIIIEMlIE
UlNIS 00 SCfI£UlI.E F,llNE
- -
CODE OR
S383,,{1
1-
-.:Lð' 3
-+<D DI Jso J Co \.{ \.(L{ J I Q..\"rL ð.) ~
IDOSO ND, vJOL-f"S.-- R.or!-D, S\Ù
Cl{ ¡?ß1eï/IV D) C A 9'SDI 'f-
5383,;;.f __
Ii
IiUBTOTAL
øJdi.ional info""lJlion 'HI appTopr;uJdy labeled con';II&UJliOIl sMell.
Accrued Expenses Summary
I. Accrued expenses Ibis period of $100 or
AU"ch
$
$
more. (Include all Schedule F sublolals.)
00. (Do not
-0-
ilemile.)
$
2. Accrued expenses Ibis period of Wider
-'0 -
0-
$ -- ..:. ---
j383.~'f
.,
$
INCURRED TOTAL
PAID TOTAL
.,
UO=T
;
^
,
Line 4.)
I'
Ill: ~II"IIII.IIV
E Summary,
Schcdule
,
;
c
(
l'Il'IIl.:C
alld 2.),
here and
(Add Lincs
ilemile. EDler
.ÎIIC J.
~lIlcr ahe
4. TOlal accrued expenses paid Ibis period. (Do nOl
incurred uli£ period.
I
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