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Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE <br /> Amounts may be rounded Statement covers period <br />Sum ma ry Page to whole dollars. <br /> <br />SEE INSTRUCTIONS ON REVERSE Page . <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE <br /> <br />Contributions Received Column A Column B* Column C <br /> TOTAL THIS I~RIOD TOTAL PREVIOUS PERIOD TOTAL TO OATE <br />I (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMNS A <br />1. MonetaryContributions ............................... sc. heduleA, Une3 $ I,_ L.~)(. ~:~ $ S I, <br />2. Loans Received Schedule B, Line 7 <br /> <br />3. SUBTOTALCASHCONTRIBUtlONS ...................... AddUnesl+2 s I,q~l.?l s <br />4. Non-monetary Contributiont ......................... Schedule C, Une 3 <br /> <br />5. SUBTOTAL CONTelBUTlONS.(Exdude Enforceable Promises) AddUnes$ +4 S !,~Col. ,,~l S .~/")~/~ <br />6. Enforceable Promises <br /> (Exclude Lean Guarentees, Line I~ below) ................... Schedu/e D, Une 7 <br /> 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddLinesS+6s !,c/(~l. 2! s <br />,fixpenditures Made <br />8. CashPayments(Otherthan LoansMade) ............ Schedule E, Une S S ~ ; ('~(~(~ -' S S <br /> <br />9. Loans Made ............................................. Schedule H, Une ~ <br />10. SUBTOTRLCASH PAYMENTS ............................ AddLinesa · 9 S ~. (~ C) C~ - s s _~. (~ ~ <br />tl. Accrued Expenses(Unpaid Bills) ........................ Schedu~eF, UneS '" <br /> <br />i2. TOTAL EXPENDITURES MADE ......................... AddLittes I0 · II $ ~ O0 C~ "-" $ $ <br /> <br />Current Cash Statement <br />13. Beginning Cash Balance .................. ~revious Summary Page, ~Jne 17 S I ~'o~ ~". o~ ~ * From previous Statement Summery Page, Column C. However, if <br />14. Cash Receipts Column A, Line 3 above I Llz:( (3 1 · ~ ] this is the first report filed for the calendar year, Column B should be <br /> ...................................... · - ~ , blank e~cept for Leans Received (Line 2), Enforceable Pro~nises (Line <br /> 15. Miscellaneous lncreases to Cash ........................ ScheduleI, Line4 ~,~. ~-~ 6), Loans Made (Line g), and Accrued Expenses (Line11). <br /> 16. Cash Payments .................................... ColumnA, Line 10above ~_ ~-~OC) ~ --~ <br /> 17. ENDINGCASH BALANCE ..... Add Lines l$ ~ 14 ~ 15, thensubtract Line16 S ~ C~ ~ Summaryfor Candidatesin BothJuneand <br /> ff this is e termination statement, Line 17 must be zero. ENDINGCASH BALANCE SHOULD November Elections <br /> I~OT BE A NEGATIVE AMOUNT <br /> 1/1 through 6/30 7/1 to Date <br />18. LOAN GUARANTEES RECEIVED ......... Schedule e, Partl, ColumnfbJ $ 21. ,ContFibqtions <br /> ,ece~veo .... $ <br /> <br />Cash Equivalents and Outstanding Debts 22. Exoenditures <br />19. Cash Equivalents ............................ See instructions on reverse S Mbde ....... S <br /> <br />20. Outstanding Debts ................. AddLIne 2 ~ Line ! I in Column Cabove $ <br /> <br /> <br />