Laserfiche WebLink
Campaign Disclosure Statement <br /> Summary Page <br /> SEEINSTRUCTIONSON REVERSE <br /> NAME OF FlLER <br /> �7 <br /> Type or print in ink. <br /> Amountsmayberounded Statementwversperiod <br /> to whole dollars. <br /> from <br /> . i <br /> SUMMARYPAGE <br /> • " � • 1 <br /> • • <br /> Page�..2— of� <br /> I.D.NUMBER <br /> 99n75C� <br /> Contributions Received Column A coiumn s' Column C <br /> TOTALTHISPERIOO TOTALPREVIWSPERIOD TOTNLTO�AiE <br /> (FROMATTFCHEDSCHEDULES) (SEENOTEBELOW) (GOWMNSA�B) <br /> 1. Monetary Contributions..............................._......_.._......... sonedwea.u�es $ (%.Or! g %D abo.o � $ �Q. �/�o(%. D� <br /> 2. Loans Received................................................................... scnedu�e e,�ine� �� 0 OD .Of� � .�% � 3/,d <br /> 3. SUBTOTAL CASH CONTRIBUTIONS................................... AedL�nes f+2 $ � � $ �.�P • �� '� $ � �-�!Y • a''� <br /> 4. Nonmonetary Contributions............................................... scneawe Q Line 3 . � / I�'g� �_�/ � o ��� <br /> 5. TOTALCONTRIBUTIONS RECEIVED.................................... qde�ines3+q $ � $ � !e� 7�,�� $�3,+�+��3 :��a <br /> Expenditures Made <br /> 6. Payments Made........................ <br /> 7. LoansMade.............................. <br /> 8. SUBTOTAL CASH PAYMENTS <br /> ........................ <br /> ........................ <br /> 9. Accrued Expenses(Unpaid Bills)................. <br /> ........... Schedule E, Line 4 <br /> ........... Schedule H, Line 7 <br /> ................. Add Lines 6 t 7 <br /> ..........SChedule F, Line 3 <br /> 10. Nonmonetary Adjustment.......................................................scnedwe c, une 3 <br /> 11. TOTAL EXPENDITURES MADE .........................................Add Lines e a s+ fo <br /> $ 4. 00 <br /> D. Ov <br /> $ ��DD <br /> o : r� <br /> $ Q _QO <br /> $ �.�,s��. o8 <br /> . D <br /> $ /3.5�:�.0 <br /> Q .�� <br /> �oy .00 <br /> $ �� 5d� <br /> $ i3 S'�3.o� <br /> ` D�Da <br /> $ i3 s�3_e� <br /> � .Q� <br /> pD • �r� <br /> $_%3. �D� �d <br /> Current Cash Statement <br /> iZ. BB91MIf19 Ce5F1 BBIBfICB......_........................ Previous SummaryGage, Line ts <br /> 13. CaSh R8C01ptS.............................................................. Column A, Line 3 above <br /> 14. MiSC8118�@OUS IfICf@8585 SO CeSh...................................... Schedule l,Line 4 <br /> 1 S. C85h P8YfT18f125............................................................ Column A.Line 8 above <br /> 16. ENDING CASH BALANCE...._........AddUnes 12+ 13+ �q, thensubtracfLine 15 <br /> If this is a termination statement,Line 16 must 6e zero. <br /> g 2. cf✓ /�O. ✓S 'From previous statement Summary Page,Column C.However,if this <br /> � D / a is lhe first report filed(or the calendar year,Column B should be blank <br /> � ezcept for Loans Received(Line 2),Loans Made(Line 7),and Accrued <br /> � .�ay. �na <br /> Expenses(Line 9). <br /> Q . �V <br /> g � DO Summary for Candidates in Both June and <br /> November Elections <br /> 17. LOAN GUARANTEES RECEIVED........_..__... Schedule B, Parf 1, Column(6J $ � .aU <br /> Cash Equivalents and Outstanding Debts � �� <br /> 18. C85h EGUIV81B�t5 ..................................................... See insfructions on reverse $ �f G <br /> 19. Outstanding Debts ........................_......... aed u�e z+�ine e�n Column C above $iylT /� <br /> t/1 ihrough 6I30 7l1 to Da�e <br /> 20. Contributions � � <br /> Received............ $ °201. / <br /> 21. Expenditures D,DD <br /> Made.................. $ <br /> FPPC Fortn 460(8199) <br /> ForTechnical Assistance: 916I322-5660 <br />