Dean Campaign Forms
OVER PAGE
Date Slamp
Type or print In Ink.
Recipient ~ommittee
Campaign Statement
(Government Code SecIions 84200-84216.5)
of
For Official Use Only
~
1-
Page
wœn
L/
œ Œ œ 0
JAN 2 8 2000
Date of election If applicable::
(Month, Day, Year)
Statement covers period
7-1-99
12-31-99
trom
o Quarterty Statement
o Special Odd- Year Report
o Supplemental Pre-election
Statemenl - Attach Form 495
2. Type of Statement:
o Pre-election Stalemenl
o Semi-annual Statement
¡g: Termination Statement
o Amendment (Explain below)
through
All Committees - Complete Parts 1, 2, 3, end 7.
o Primarily Formed Candidatel
Officeholder Committee
(Also CompIeIB Psr/6.)
o General Purpose Committee
a Sponsored
a Broad Based
SEE INSTRUCTiONS ON REVERSE
Type of Recipient Committee:
¡;;¡ Officeholder, Candidate
Controlled Committee
(Also Comp/BIB Port 4.)
o Ballot Measure Committee
a Primarily Formed
a Controlled
a Sponsored
(Also CompIeIB Part 5.)
1
Treasurer(s)
NAME OF TREASURER
.0. NUMBER
911156
Committee Information
COMMITTEE NAME
3.
Humphr
Barbara
MAILING ADDRESS
1155
for City Council
Wally Dean
Committee to Elect
AREA CODElPHONE
408-252-8184
ZIP CODE
95014
STATE
CA
Drive
Stafford
CITY
STREET ADDRESS (NO P.O. BOX)
Cupertino
NAME OF ASSISTANT TREASURER, IF ANY
Bahl Street
22322
CITY
AREA CODElPHONE
408-777-7000
ZIP CODE
Cupertino CA 95014
- -
MAJLlNG ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
STATE
MAILING ADDRESS
AREA CODElPHONE
FPPC Form 460 (8199)
For Technlca' Assistance: 9161322-5660
Stele of Callfomla
ZIP CODE
STATE
E·MAIL ADDRESS
CITY
OPTIONAL: FAX
AREA CODElPHONE
ZIP CODE
STATE
FAX I E-MAIL ADDRESS
CITY
OPTIONAL:
,GE-PART2
COVE,
In Ink.
Type or p,
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
4. Officeholder or Candidate Controlled Committee
D SUPPORT
D OPPOSE
!any.
Identify the controlling officeholder, candidate, or state measure proponent,
NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT
JURISDICTION
BAlLOT NO. OR LETTER
STATE ZIP
CA 95014
NAME OF OFFICEHOlDER OR CANDIDATE
Wally Dean
OFACE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Cupertino City Council
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET)
22322 Bahl Street
CITY
DISTRICT NO. IF ANY
OFFICE SOUGHT OR HELD
ertino
Related Committees Not Included In this Statement: Llstsnycommlnees
not Includød In this conaolldsltHlsl6lømønt thst.,.. contro/Isd by you 0' which s,. prlmsrl/y
fonnød to 1YICØ/w contrlbutlOlU or to make expøndltureø on be"." of your candidacy.
1.0. NUMBER
Cu
LIst names of offlceholder(s) or uncl/date(s)
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES D NO D OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
CITY. STATE ZIP CODE AREACODElPHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
6. Primarily Formed Committee
for which thIs commlnH 16 prlfMrfly formed.
COMMITTEE NAME
Attach conünuation sheels if necessary
7. Verification
I have used all reasonable diligence in preparing and reviewing this 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 pe~ury under the laws of the State of Califomia that the foregoing is true and correct.
Executed on /-.2.~ - ~
DATI!
Ex~on - By
0.... SIGNATURE OF CONTROLlING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executed on - By
DATI! SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 460 (8199)
For Technical Assistance: 9161322-5660
State of California
Campai~1 Disclosure Statement Type III print In Ink.
Summary Page Amounts may be rounded Statement covers period
to whole dollars. 7-1-99
from
12-31-99 3 4
SEE INSTRUCTIONS ON REVERSE through Page of
- - - -
NAME OF FILER I.D. NUMBER
Wally Dean 911156
- -
Contributions Received Column A Column B* Column C
TOTAl THIS PERtOD TOTAL PREVIOUS PERIOD TOTAl TO DATE
(FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (COLUMNS A + 8
1. Monetary Contributions ............................... Schedule A. Line 3 $. ---Íl $ 0 $ 0
-
2. Loans Received ............................................ Schedule B. Line 7 0 - 316 316
3, SUBTOTAL CASH CONTRIBUTIONS ....... Add Lines 1 + 2 $. 0 $ 316 $ 316
- -
4. Nonmonetary Contributions ........................ Scheduls C, Line 3 0 . . 0 0
-
5. TOTAL CONTRIBUTIONS RECEIVED ...... .n Add Lines 3 + 4 $ 0 $ 316 $ 316
-
- -
Expenditures Made
6. Payments Made ............................................. Schedule E, Line 4 $. ........Q $ 0 $ 0
-
7. Loans Made ................................................... $chedu/s H, Line 7 0 0 n
-
8, SUBTOTAL CASH PAYMENTS .................... Add Lines 6 + 7 $ 0 - $ 0 $ 0
..
9, Accrued Expenses (Unpaid Bills) .................. Schedule F. Line 3 ........Q 0 0
-
10. Nonmonetary Adjustment ............................. ~ 0 0
Schedule C. Line 3 -
11. TOTAL EXPENDITURES MADE .................. Add Lines 8+ 9 + 10 $ 0 - $ 0 $ 0
- -
Current Cash Statement
12, Beginning Cash Balance ................... ......... Previous Summary Page, Line 16 $ 0 . From previous statement Summary Page. Column C. However, if this
- -
13. Cash Receipts .............................................. 0 Is the first repon filed for the calendar year, Column B should be blank
,......... Column A. Line 3 above - except for Loans Received (Line 2), Loans Made (Line 7), and Accrued
14. Miscellaneous Increases to Cash............... ................. Schedule /, Line 4 ---Íl - Expenses (Line 9).
15. Cash Payments ............................................ ......... Column A. Line 8 above 0 -
16. ENDING CASH BALANCE.............,AddLin.s 12+ 13+ 14./h.nsub1r.cILin. r5 $ ........Q - Summary for Candidates in Both June and
If this is B termination statement, Line 16 must be zero. November Elections
- - - 1/1 through 6130 7/110 Date
17. LOAN GYARANTEES RECEIVED ................... Schedule S, Part 1. Column (b) $ 0 20. Contributions
- - Received ...... $
- - -
Cash Equivalents and Outstanding Debts 0 21 Expenditures
18. Cash Equivalents. Made $
............. SStt instroclions on rtlVÐrsø $ -
19. Outstanding Debts Add Line 2 + Lins 9 In Column C sbovø $ 316
FPPC Form 460 (8199)
For Technical Assistance: 9161322-5660
PART 3
SCHEDULE B-
Statement covers period
from 7-1-99
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Schedule B - Part 3
Annual Report of Outstanding Loans Received
P.ge~ of-#-
.D. NUMBER
12-31-99
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Wally Dean
911156
UNPAID INTEREST
UNPAID PRINCIPAL
FPPC Form 460 (8199)
For TechnlCIII Assistance: 9161322·5660
316
316
NOTE: This Iolal should be
the same amount 8S entered
on /he Summaty Page,
Column C. Une 2.
AMOUNT OF ORIGINAL LOAN
TOTAL $
2000
ORIGINAL DATE OF LOAN
9-11-95
Attach additional information on appropriately labeled continuation sheets.
FUll NAME OF LENDER
Wally Dean
Statement Organization Type or print In ink
Recipient Committee Date Stamp
Statement Type o Initial o Amendment fit Termination - See Part 5 ~UŒÐ\YJŒ~ For Official Use Only
Not yet qualified 0 or Ust 1.0. number: list I.D. number:
# # 911156 j JAN 2 8 2000
I I I I 01 ,:31 12000
Date qualified as comminee Date of Termination .,
Date qualified as committee coy
(II applicable)
1. Committee Information 2. Treasurer and Other Principal Officers
-
NAME OF COMMITTEE NAME OF TREASURER
Committee to Elect Wally Dean for City Council Barbara Humphry
MAILING ADDRESS
22322 Bahl Street 1155 Stafford Drive
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODElPHONE
Cupertino CA 95014 408-777-7000 Cupertino CA 95014 408-252-8184
CITY STATE ZIP CODE AREA CODElPHONE NAME OF ASSISTANT TREASURER, IF ANY
N/A
MAILING ADDRESS
MAILING ADDRESS (IF DIFFERENT)
CITY STATE ZIP CODE AREA CODElPHONE
OPTIONAL: FAX/E·MAILAOORESS
NAME AND POSITION OF OTHER PRINCIPAl OFFICER(~), IF APPliCABLE
COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT
THAN COUNTY OF DOMICILE MAILING ADDRESS
Santa Clara
CITY STATE ZIP CODE AREA CODElPHONE
Attach additional inlormation on appropriately /abøled con6nualion sheets.
3. Verification
I hava used all reasonable diligence in preparing this 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 Califomia that Ihe foregoing is true a
OR STATE MEASURE pROPONENT
Executed on ÕÃŒ By
~GNATUAE OF CONTROLLING OFACEHOlDER, CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE Of CONTROlUNG OFFICEHOlDER. CANDIO~TE. OR STATE MEASURE PROPONENT
FPPC Form 410 (8199)
..._~ ,..__"-_1,....' A..I............. n<tC"1,,_C;,::t:n
State me. ,)f Organization
Recipient Committee
.0. NUMBER
INSTRUCTIONS ON REVERSE
CQMMITIEE NAME
Committee to Elect Wall
911156
Council
Dean for Cit
4. Type of CO 11mittee Complete the applicable seclions.
List the name of each controlling officeholder, candidate, or state measure proponent
district number, ~ any, and the year of the election.
List
If
candidate or officeholder controlled, also list the elective office sought or held, and
If
check "non-partisan.
the name and idenfijication number of the other controlled committee.
candidate is affiliated or
list
the political party with which each officeholder or
·
·
·
controlled committee,
this committee acts jointly with another
ELECTIVE OFFICE SOUG
~----_.- ...-- .._P_____
}fi Non-Partisan
Wally Dean City Council 1991
o Non-Partisan
NAME OF CANDIDATElOFFICEHOLDERlSTATE MEASURE PROP
n and the disposition of surplus funds (controlled "candidale election" committees only)
AREA CODElPHONE BANK ACCOUNT NUMBER DATE OPENED
11506813-2 8/16/91
-
STATE ZIP CODE DISPOSITION OF SURPLUS FUNDS
CA 95014-2106 Charitable Contribution
NAME OF FINANCIAlINSTITUTION
Coast Federal Bank
ADDRESS CITY
20533 Stevens Creek 31vd
Primarily fanned to support or oppose specific candidates or measures In a single election. list below:
CANDIDA'
\.......-.....- 'f...... ...... ......, ...... -.. ---..."'..-... . ---- -- --, .....--.......-
SUPPORT OPPOSE
SUPPORT OPPOSE
FPPC Form 410 (8199)
For Technical Aaalatanca: 9161322·5660
CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BAlLOT NO
Dale Slamp
RECEIVE
..>tatement covers period
L
-I· ?
from
Type or print in ink.
Officeholder 'andidate,
and Controll..J Committee
Campaign Statement - Long Form
(Government Code Sections 84200-84216.5)
~
1999
JUL 2 2
BY:
Date of election if applicable:
(Month, Day, Year)
through
Other Committees Not Included in this Statement: List any other
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 your candidacy.
COMMITTEE NAME
I
D.NUMBE¡R
CONTROLLED COMMITTEE?
DYES DNo
NAME OF TREASURER
(NO. AND STREET)
COMMITTEE ADDRESS
AREA CODE/DAYTIME PHONE
ZIP CODE
STATE
CITY
SEe INSTRUCTIONS ON REVERSE
Check one of the following boxes to indicate
o Pre-election Statement
o Supplemental Pre-election Statement (Attach a completed Form 49510 this statement.)
o Special Odd-Year Campaign Report
D Semi-annual Statement
o Termination Stalement (Attach a completed Form 415 to this statement.)
Officeholder, Candidate, and Controlled Committee
Included in this Statement
NAME OFIOFflCEHOLDER OR CANDIDATE
filed:
statement being
the type of
D.NUMBER
I.
COMMITTEE NAME
CONTROLLED COMMITTEE?
DYEsDNO
AREA CODElDAYTIME PHONE
(NQ AND STREET)
ZIP CODe
STATE
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
ðtJt)
C'TY C 'O'PÆ/ETI'¡
COMMITTEE NAME
tðlWM.t rrtfE 7ð EI.tæ1 ~1"D61N FOQ(,Ty('OIIN,
~
COMMITTEŽO;ES;N02N?TAE~ 11-H(
TÄTË
C'TY
Attach additional information on appropriately labeled continuation sheets.
CITY
'"
Verification
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my
I certify under penalty of
pe~ury undei e la1 at the S.tate at California that tl}e fore90in~s true an~rect.
Executed on ~ At :,.c......... (...;G
CITY AND STATE
SIGNATURE OF CANDIDATEfOFFICEHOLDER
SIGNATURE OF CANDIDATEfOFFICEHOLDEA
State of California Fair
By
977. SEe
By
By
CITY AND STATE
DATE CITY AND STATE
FOR INFORMATION REOUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF
At
Statement covers period
I ype or print in ink.
Amounts may be rounded
to whole dollars.
Campaigl. .Jisclosure Statement
Summary Page
~
-
of
2
D. NUMBER
Page
-Pc.
!o
~
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
Column C
TOTAl.. TO DATE
(ADD COLUMNS A + B)
I.
Column S'
TOTAL PREVIOUS PERIOD
(SEE NOTE BELOW)
ð
$ - ------
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
tJ
$
$
$
$
$
$
(!,
ð
ð
"
tJ
s
$
Line 3
Line 7
+2
Schedule C, Line 3
Add Lines
Schedule A,
Schedule 8,
Contributions Received
Monetary Contributions
Loans Received ............
SUBTOTAL CASH CONTRIBUTIONS
Non-monetary Contributions ..
SUBTOTAL CONTRIBUTIONS
$
Add Lines 3 + 4
Schedule D, Line 7
Add Lines 5 + 6
Enforceable Promises
(Exclude
8 below)
CONTRIBUTIONS RECEIVED
Enforceable Promises
(Exclude Loan Guarantees, Line
TOTAL
2.
3.
4.
5.
6.
7.
$
$
Expenditures Made
8. Cash Payments (Other
9.
ð
ð
ð
ð
$
$
$
$
$
$
$
$
Line 5
Schedule H, Line 7
Add Lines 8 + 9
Schedule F. Line 5
Schedule E,
Made)
than Loans
Loans Made
SUBTOTAL CASH PAYMENTS
Accrued Expenses (Unpaid Bills)
TOTAL EXPENDITURES MADE
O.
11.
2.
$
0+
Add Lines
. From previous Stalement Summary Page, Column C. However, if
this is the first report filed for the calendar year, Column B should be
blank except for loans Received (Line 2), Enforceable Promises
(Une 6), Loans Made (Line 9). and Accrued Expenses (Line 11).
Summary for Candidates In Both June and
November Elections
ð
o
ð
ENDING CASH BALANCE SHOULD
NOT BE A NEGATIVE AMOUNT
o
ð
$
17
Summary Page.
Column A, Line 3 above
Line
Previous
Line 4
I.
Schedule
to Cash
$
Column A. Line 10 above
5, then subtract Line 16
4 +
Add Lines 13 +
Cash Receipts
Miscellaneous
Cash Payments
ENDING CASH BALANCE
termination statement,
Cash Statement
Balance
Current
3. Beginning Cash
ncreases
4.
15.
6.
7.
through 6130
1
7 must be zero.
Line
f this is a
10 Date
7/
$
$
Contributions
Received
Expenditules
Made
2
22
t)
$
$
$
Column (b)
Cash Equivalents and Outstanding Debts
19. Cash Equivalents See instructions on reverse
Outstanding
I,
in Column C above
Schedule 8, Part
11
Add Line 2 + Line
8. LOAN GUARANTEES RECEIVED
Debts
20
Page l Of--þ--
.0. NUMBER
UNPAID INTEREST
Schedule b - Part II Type or print in ink.
Amounts may be rounded Statement covers period
Annual Report of Outstanding Loans Received towhole dollars. 1-1- 1.~
from
. .
SeE INSTRUCTIONS ON REVERSE through C-J4.
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
~1V11Tfi Îo E'er! (µA/J. ~ HfI e,7· e.ðeJN(llL.
FULL NAME OF LENDER ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL
-
(;JIJ ~ ,-,f..- 1/ 10· ~'?-
é1 t.¡. l' ~~ct) ~
VJ I4-U... 9 - /1-7S" ";: C ctI 3/,
-
-
-
-
-
-
-
-
Attach additional information on appropriately labeled continuation sheets. TOTAL $ ~/¿'
-
-
NOTE: This total shouid be
the same amount as entered
on the Summary Page.
Column C, Line 2.
Date Stamp
Statement coven
TVpe or print In Ink.
Officehor, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84200-842 t 6.5)
/ of .~
For Official Use Only
Ploe
ECEI\I }
1999
JAN 2 6
from
through
D,te of election If applicable
(Month, D.y, V ear)
being flied:
th. type of statement
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to
o Pre-election Statement
o Supplement. I Prt~lection Statement
Sped,l Odd-Yur ClmpaiQn Report
Semi-annulI Statement
Termination Statement
Indicate
lCeno e
neluded In I
NAME OF OFFICEH
!,J¡'}LL... £41'1/
~fKE H>UGHT Of\HElD (lNCluot: lOCATIOfoI ANO DlST~ NU,,",'EIlIf AI"1"UCA'l
~..:PEr\T,.;\/-, C//-)I CC<"//h::'
1tt~!Df'fTl.A.l Of\ 'VSINEH ADDItfB (NO AND STIUET¡
~J..~...2..:2 í~ /-.J ¡cl L 5;;-<2 e_7"
(ffY . ~ STATE _ p~COOE /-.'£..COOVDA'fW..fhtONE
C- L ¡:J £: /:." ¡ì /y c /Î ¿oj 5J /1 t -'¡0't¿ 7 :1t:
CO.MMITTEENAME -::--=-~- .,. Y -- 10 Vt.41(1I.
~. - L<.. L---/IJ¿"I...
C.c /YJ /r1 ;' -rr <.... i:; ,
:7)F~ /v PcÆ: ''- <1/L/
COMloImu AOOIUH
2 .2.. ~ -2.:2-
em
C' .
_L:- )
N"M;,qF 1
f-)J.
[.fA
;~
Y:_,=,---c
tner LOmmlttees ot InClUaea In tnls :>tatement: UrtonyO[¡'"
committees not included In this comolidat~ rtateme-nt th.t." controlled by you "Þd ,ny
commltte-es of which you h.ve knowledge that.i-e primarily formed to receive contríbutioru
or to md·e- e-xpenditures on beh.1f of your Cë. 1idacy.
COMMmu NAME
(Attach a completed Form 495 to this statement
statement.)
ommlttee
S to this
CO¡.¡TIIOLUO COMMITTE
o <E\ 0 NO
N...ME Of TJlf....SUIUII.
/
(NO. ..NO HI'lEET)
AOOfltfS
COMMmE
'/>]~
COOE/D...,.HME 1"HO>oI!
A.IIEACOOEIDAYTlt.4E I"HQNf
COHHOlLEO cOMMmE
D",DHO
I g'1./ Att.ch Mldtt/onal'nform.tIon on .ppropri.tely I.be/edcontlnu..lon <heets.
.",
llPCOOE
lTf'COO£
m
(NO. "'HO SJMfT)
SJ...T
em
cOM..mUNA....E
TII..fA.WIUI'.
...OOfllS
NAME Of
CITY
!.~-:¿..
;
t
At By
Execute
CANoloAn/OfflCEHOlOEII
CANOIOA,TfIOFft((HQt.O(1'l
O.
Of
SIGNAYUI'lI
SIGNA'UI'lI
By
By
CITY....Non....r
At
At
OAT
D'
Executed on
c!.:.t'·';~~0·;~''')W~~,:i:'~ "'''''';"(
,
J '~~:,:~~",:.
.. . .
;-
Campa _ Disclosure Statement Type or print In Ink. òE
Amounts may be round~d St¡t~ment (ov~rs period ~
Summary Page to whoJe dollars.
from 7-/-715
th,ough 1..2 -.f ¡-"'if? ..:) .
lEE INSTRUCTiONI ON REVERSE P'go of ,7
-
NAME Of OffiCEHOLDER OR CANDIDATE AND CONTROllED COMMITTEE LD. NUMBER
- {..:J -" I fpy- CJ~ .ð4--,..."G 'J 911/,5'(,
(!PHU7U //e.-<.." ..~ ¿::- /~-<-/
-
Contributions Received Column A Column B· , Column C
,
TOTAL 11fl P"£I'JOO IOIAll'1\1VK>US 'ElUOO TOTAL 10 O.A.n
Ø'''OU AnACHfD SOi!DUll! csu NOH IHoy!? µooCOI.U,,"OðA . I)
1. Monetary Contributions. ............................... 5<Mduk A, Un< ] 5 ~ s '"&.. 5 <9..
2. Loans Re-<eived ......................................... Sch<duk B, Un< 7 ~ ,q Ie. ..~/ t.
3. SUBTOTAL CASH CONTRIBUTIONS ........... .......... Add UneJ 1 .,. 2 S . x:? S r~ /¿ s ?d"
4. Non-monetary Contributions ............... ......... Sch< duk C. Un< ] ~ ~ "ðt
5. SUBTOTAL CONTRIBUTIONS (Exclvck Enfo"..trl "om/,.,) Add Unes 3 .,. '" S ~ S .? It.. s .'?J¿
6. Enforceable Prom iSM ». ;8).. '&
(Exc11.JÓf LNO Gu."mt.s, u~ 18 ~low) . .... ............". ScMdukl D, Un< 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddUr>tsS.,.6 5 ~ s .?¡é. s ,,?I¿
Expenditures Mëde X( ~ ~
8. Ca~ Payments (Other than Loans Mad.) ............ S<hKJVH E, Un« 5 S 5 S
9. Loans Made ............................................. ScMdukl H, Un< 7 ~ -& "'A..
10. SUBTOTAL CASH PAYMENTS .......................... AddUnu8 .,. 9 5 ~ S ~ S ~
11. Accrue<:! EXPEn~s (Unpaid Bill,) ........................ 5<Mduk F, Un< S <9.... ~. <5:t
12. TOTAL EXPENDITURES MADE AddU~s 10.,. " 5 ~ 5 ~ S Xz
........ ....... ........
Current Cash Statement ~
13. Beginning Cash Balance .................. Prfv¡oVJ5umm'ry".~,u~ 17 5 " From previous Statemtnt Sum'mary Pa~t. Column C. Hov.·tvtr. if
14. Cash Receipts ColumnA, U,.,. 3 ~bo~ & this is t,... tint r.port fiI.d for the c.al(ndu yur, Column B shcv1d ~
...................................... bl,nk except for loans AtCflv.d (tine 2), EnlQ(uble PromÚs Ctint
15. Mis<ellaneous InCrEases to Cash ........................ xMdvle I, u~ '" ~ E), leans M.d, (lint S), and Ac.crutd h:per:~s (lin. 11).
.
, <Q
16. Cash Payments .................................... (oJumoA, U~ 10.bo~
17. ENDING CA5H BALANCE ..... AddL/fWS 13 .¡ 1"'" 15.r~nsubtT.ctUne 16 S ~ Summary for Candidates in Both June and
dtMs Is, ftrm/Nrlon jf,remtnt. L1M 17 mu1t bt UTO. !NDlNG CASH 1ALAHa: SHOtAO November Elections
HOT.( A NEGATIVE .,I.IwIOI.Þl1
1/1 throus;;h 6130 7/1 to Date
8. LOAN GUARANTEES RECEIVED .............. S<Mdu/t B, Part I. Column (b) 5 21. Contrib~tions 5
ReceIve ....
Cash Equivalents and Outstanding Debts 22, ~fJ~ditures
19. Cash Equivalents. ......... ~./nstrvct/om on r~vtm 5 S
20. Outstanding Debts Add Llr>< 2 . Llr>< " In Column C .bev. S
~.;~ir.f¡;~:~~ ..
I
.
~
.~
.~
I'
P'O~ of 3
-
.0. NUMBER
9///S¿
UNPAiD INTEREST
Sched " B - Part" Type or print In ink.
Annual Report of Outstanding Loans Received Amounts may be roundrd Statement (overs
to whole dollars.
from ~~/-
SEE "'STRUCTlO>lS ON REVERSE th,ou9h I.:L -:3 J -
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROllED COMMITTEE
¡¿ U-'.-L l ~.... Dr é.d~ éLJ~", <:' I /
FUll NAME OF lENDÉR ORIGINAL DA TE OF LOAN AMOUNT OF ORIGINAL lO~N UNPAID PR¡~KIPAl
[..)4.11 '1 ß~ oJ & Dð ~
-
ú.) .,. II D '7-/J - 75 ..1., .0 ¿;, ¿¡ 3 IG:,
-
-
-
-
-
-
, -
-
Attach additional infonnation on appropriately labeled continuation sheets. TOTAL ~ 3/¿,
NOTE: This rotal hou'd~
the Ume amount.s entered
on thf Summary Page.
Column C. Ll~ 1.
Date Stamp
Statement covers plriod
l
C.(
Type or print In Ink.
Officeholaer, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84200-84216.5)
I of ~
For OffiCii! Use Only
'ago
RECEIV
1998
JUL 2 7
Y:
from
through
Olte of election If Ippnclblo:
IMonth, DIY, Yelr)
bolngfllacl:
(Attach I completed Form 495 to this stalement.)
to Indlate tho type of stltement
Stet.ment
n Rlport
-..--
ther committees ot InCluaea In thiS statement: Llstanyoll>e,
committee. not Included In this cOlllolldat..t statemMt that a,. controlled by you and any
committee. of whkh you have knowledge that are primarily formed to rectlve contr/lwtlOlll
or to make expenditure. on behalf of ~our .._q.
CQMMmn NAME
mY
-
COMMmEf'f
DNa
.......COO£/DAYTIM( PHONE
Aft"'" _.....1 Informltlon on lpp<oprIltely libeled continuation "'''fl.
CONTROLLED COMMmEU
Om DNO
AAfACOO(JDAYflME
.D. NUMlfI\
I.D. HUM.EII
CONTROlLED
o YES
.. CODE
"CODE
(NO. AND STAEfT)
(NO. AND STREfT)
STAn:
STAn
COMMmEE ADDMSS
""'""ss
NAME Of TItEASUftEII:
.....,
NAME Of TREASURE"
COMumn
COMMmn
mY
I ~((
stetement.,
ommittee
Inform.tion contained herein end in the .ttlched schedules is
erlt.catìon
I he.. uMCI III reasonable diligence in preparing this statement. I ha.. reviewed the statement end to the bast of my knowledge the
true end complete. I certify under penalty of perjury under tho "'WS of the Stete of Canfornia thlt thl foregoing Is true Ind correct.
Executed on _ At 8y
DATE
SKiHATURf OF '''EASUftER.
Executed on At (¡ÜA,.e> C ð- 8y
my AND STATIE
N CA"""AIGN DISClOS'
8y
8y
1'77,SU:
CfTY AND STATE
CITY AND STATE
PROVIDED TO YOU PURSUANT TOTHE INfOAMATION .......CTICU ACT Of
At
At
DAn
'OR IN'OftMATION IUQUIUO TO IE
DATE
Executed on
Executed on
SUMMARY PAGE
Statlment covers period
from ~
Type or print In Ink.
Amounts m.y be rounded
to whole dollarL
Campaign Disclosure Statement
Summary Page
01 3
('~
Column B*
TOTAl. mYlOUs P'EIUOD
(SO: NOTE IELOW)
o
through
s
s
s
s
s
s
(ðUN(I(
Column A
TOTAL ntS PfIUOO
."OM AnACHEDSOtEOULES)
t::J_
;
7i
7f
ð
o
s
s
ScMdu,. A. Une 3
sm.,*,,. B, Uno 7
AddU""., ~ 2
Non-monetary Contributions Sche,*,,. C; Uno 3
SUBTOTAL CONTRIBUTIONS (EJrCludtE,,""""bIe """"1M.) AddUne.3 ~ 4
Monetary Contributions
Loans Received .........
SUBTOTAL CASH CONTRIBUTIONS
s
SchedIJIe 0, Une 7
AddUno.5 ~ 6
Enforceable Promises
(EJrCIudt I.t»n GIII"_" Uno "below)
TOTAL CONTRIBUTIONS RECEIVED
ð
s
ð
(J
s
s
s
s
s
s
s
s
ScMd<M E, Uno 5
SchedIJIe H, Uno 7
AddUne.' ~,
SchedIJIe F. Uno 5
AddUneJlO ~ "
than Loans Made)
7.
Expenditures Made
8. Cash Paymenu (Other
9. Loans Made
1.
2.
3.
4.
5.
6.
10. SUBTOTAL CASH PAYMENTS
11. Accrued Expenses (Unpaid Bills)
t2, TOTAL EXPENDITURES MADE
s
. From previous Statament Summ.ry Plge, Column C. However, If
this is the flnt report flied for the ..lendor yeor, Column B .hould be
bl.nk ",capt for Loons Rocelved (Line 2), Enforce.ble Promise. (LIne
6), Loon. M.de (Line 9), Ind Accrued Expense. (Line 11).
ð
s
s
s
in Both June and
Summary for Candidates
November Elections
111 through
s
Previous Summ.1)' Page, Uno '7
.. .. Co/um" A. Uno 3 .1Iow
........... SchedulHUno4
... Co/umnA. Une '0.""..
AddLlne.13 ~ ,.. ~ '5, the"...btrKtUne f6
'7 must be zero,
Miscellaneous Increases to Cash
Cash paymenu
Current Cash Statement
13. Beginning Cash Balance
14. Cash Receipu
15.
16.
7,
ENDING CASH BALANCE
If this Is. fermlnefJoll n.t.ment
Uno
ENÞN6 CASH IALANŒ SHOtA.D
NOT II A NEGATIVE AMOUNT
toOate
7/
6130
s
s
Contri b~ti ons
Received ....
22. ~f3~diture5
1.
2
s
s
s
Column I!I}
Instructions on ff'.......
Une " In CoIum" C.""..
I,
Sche,*,Ie 8, Plrt
See
AddUne 2 ~
Cash Equivalents and Outstanding Debts
19. Cash EquivalenU .
20. Outstanding Deb~5
t8. LOAN GUARANTEES RECEIVED
Type or print In Ink. I
Amounts m.y be rounded r ----
to whol. dollors. from /- j- 18 _
through 7- 1- t =-1 p,lI'! ~ of J
I.D·riï/ ~-'
AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST
~S'ð ð ð
ð()C' 3/.6
51
NOTE: Thlstol./should be
the s.m. .mount ., entered
on tM Summ.ry P.ge,
Column C, Une 2.
s
TOTAL
Attach additional information on appropriately labeled continuation sheets.
Schedule B - Part III
Annual Report of Outstanding loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
FULL NAME OF LENDER ORIGINAL DATE OF LOAN
f.:;t~ - 7/
·1/
I"·~/
7:;ßI9¥ '! ¡.. 1<,'
lONG FORM
COVER PAGE
Date Stamp
period
Statlment covers
Type or print In Ink.
Officeholder, Candidate,
and Controlled Committee
Campaign Statement - long Form
(Government Code Sections 84200-84216.5)
of q
Use Only
/
ForOffìcia
RECE1VE
1998
JAN 2 9
from
through
D.te of .'ectlon if IppllubJe
(Month, DIY, Yu,)
being flied
of statement
SEE INSTRUCTIONS ON REVERSE
Ched Onti of the following boxes to
o Prt-election Statement
o Supplement. I Prt-election Statement
S~(i. Odd·Year Campaign ~eport
Semi-annual Statement
Terminatiol"l St.tement (Attach I completed Form 4
tho type
Indlc.te
BY:
ther Lommlttees ot InCIUaea In tnls statement: lIrt.oyot"',
committees not Included In this consolidat~ statement th,t .r. controlt("d by you and .ny
committees of which you have knowledge that.~ prlm,,"y formed to receive contributiortl
OI'tom.lce fJ(~nd;tu'esonbe~lfofyouru 1idacy.
COMtoImu MAME
(Attllch II completed Form 495 to this statement.
5 to this statement.
ommlttee
¿.--.IV c/
"
cor-¡rIl.OLLfOCOMMlnl
D, 0 HO
AII..!:A COOEJt)AYT¡M( >H()to E
MJditlon.l Inform.rlon on .pproprldely I.beled contlnu.tlon l.httts.
A'H¡ ,CODLtI"'VTIME I"H()$. (
CO....T-.OLLEOCOMMmE
D" 0 NO
I'PCOO£
l1PCODf
(NO. "'NO HII.HT)
(NO. A.ND H!l.ffT}
SUT
STA
NAM(OfT!l.fA.SU!l.f1l.
AOCHU:SS
AOOfUS
NAMEOfT"fAW!I.f"
COMNmu NAME
COMNmE
CITY
/ l? -'I AttlCh
CITY
18s
~.::>..
em
c... U j.J £' i? /J /k'
COMMITTEE NAME
C-b"'" /ŸJ I ïT' ¿~ ¡¿
J) .F ,t¡ IV Þ-'c /.!
COM...mu ADDkfSS
.:? .::L -3 .2.:2.
CITY
GL: 1;;1.
NAMl,Q,F TREA
L-5 ß J(
N£PriTA.D~
'-5:5
Executed on :7 ð' At t.-~ (" ~ By . ~
CITY AND STAT( SIGNA-lUll.( Of CAHOIOATE/QffJCUtOlDU
EKecuted on
Of CAHDIOAnlOHKfHOlDUI
CAHD'OA'£fQf'K(HOlOIII.
01
StGNATUfI
SIGNA'Ufl
By
By
CITY AHOSTAT
At
At
DAT
DAT
Executed on
Campaign Disclosure Statement Typo or print In Ink. SUMMARY PAGE
S P Amounts may be round.d S....m.ntcov..,porlod _.' "'.
ummary age towholedoU.... . . ,,:'.,
7-/ C"" ...,.....
from - 7 ._!-.- ,,"'" ',' ~.
lEE INSTRUCTIONS ON REVERSE th<ough /.2 -.? )-1L..go ...:) 0I,?
NAME OF OFFICEHOLDER ORCANOIOATE ANO CONTROLLED COMMITTEE 1.0. NUMBEa
(!Orl7/Y,,//e<-., ~ E/~-c...T l.-JA/ if.ov- C/~ ( ,~./ 9/115'(,
Contributions Received Column A Column B* , Column C
TOTAL nn P'[~OD TOTAL P1'lfV)()\JS 'UIIOD TOUl TO DATI
""OM ATTACHfD SOfWUlB) ~(( HOT( J(lOW) (.I.oocOt.U...~ A . ')
1. Monetary Contributions ............................... 5<Mdul< A, Und S ?¢.. S ~ S <9..
2. Loans Re<eived ............... ..... ................ .... S<h<dul< 8, U". ¡ /31 .:1 / (. ..:? / L
3. SUBTOTAL CASH CONTRIBUTIONS ... ............ AddU"., I +2 S .~ S ~-::¡ /¿ s ']/¿,
4 N C ·b· ~ ~ ~
. on-monet.ry ontn ut'ons ................ S<h<dul< C, u".]
S. SUBTOTAL CONTRIBUTIONS (ExdudoEnlorcubJ< homl,.,) AddU....'] +4 S "<:9. S,? It..ø S.? J¿
6. Enforce.ble Promises ~ '23:1.. '&
(ExcludtLNI1Gu."n1uJ,U~78~/owJ ........ .... ~kD.Uf)f7
7. TOTAL CONTRIBUTIONS RECEIVED ............ AddU".,S+6 S ~ s ,'::fIe. s _?/¿
Expenditures Made
8. Cash P.ymenu (Other than Loans Made) s<hf'dul< E, U". S S ~ s $. S ~
9. LoansMade ............................ .............. 5<h<duI<H.U".¡ ~ '& ~
10.SU8TOTALCASHPAYMENTS...... ..... AddU....'8+9 S ~ S ~ S ~
11. Accrue-d Expenses (Unpaid Bills) 5<Mdw. F, U". S <:9- ~ <:5:t
12. TOTAL EXPENDITURES MADE ........ ....... ..... Addu".,ro+" S '6". s '& S «;Z
Current Cash Statement
13. Beginning Cash Balance ............ -. ... F'rtvJotnSumm_ryP.gt, UM 17 S ~ . From pr~vious Stlitement Sum"m.ry P'Qf, Column C. HCM"tver. if
4 ' &. this is tM first report filr:d for the CJ~nd¡r yttr, Column B shcu!d bot
1 . Cash Receipts ........................... "......... CoIvmnA, UM J ,bow blink except for loans Flt-celvtd (line 2), Enforcub1e PromiSfS (lir"lt
15. Mis<ellaneous InCrEasEs to Ca}h ....... ........ ...... S<f'wtdv/f/,U~4 ~~ 6),lo.tnsMlidt(lintS),.ndAccruedhper.s.fs(Linf11).
16. CashPaymenu .................................. CoIumnA,U".,Oobo.. ~
17. ENDING CASH BALANCE ..... AddU".,'3 + 14 + '5, rh<n,ub"octU". 16 S ~ Summary for Candidates in Both June and
tfthlslJ. ttrmln.ltl-oon.tttmfnt, ~ 77munbt nro. ENDlNGUSHI.Al.A..a: SHOUlD November Elections
NOT It A Hfc.ATlVE AMO~
1/1 through 6130 711 to Datt
18. LOAN GUARANTEES RECEIVED .............. S<h<duleB,Portf,Co/umn(b) S 21. Contrib4tions S
Received ....
Cash Equivalents and Outstanding Debts 22 d't
. Exp~n I u,es
19. Cash Equivalents. ......... k.'nrtrvctfo"'on,.ve~ 5 Made S
20. Outstanding Debts AddU".2 + Uno II In Column Cabo.. S
Schedule B - Part III
Annual Report of Outstanding Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME Of OffICE HOLDER OR CANDIDATE AND CONTROLLE 0 COMMITTEE
cmm;1!;" ïb LJ....1 l '7 ~4
fUll NAME Of LENOÉR ORIGINAL DA TE OF lOAN
¿'J4,. J 1'1 ~~ '¡-It.-51.;
., - '7 -<n
',0 -~ :2.:L
LV ,p. /1 '1-1'1 75
I
P.~ ,;> of ]
.D. NUMBER
'9///5¿
UNPAID INTEREST
Statement covers
from
G
Type or print In ink.
Amounts may be rounded
to whole dollns.
r. éd~
,
AMOUNT Of ORIGINAL LOAN
UNPAID PRINCIPAL
.J & bó '&
-
.:t D.D <D -3 I~
-
-
-
-
-
-
-
=
TOTAl S 3 It,
NOTE: Th/sto,.'shouldM
,he urne .mounf "entered
on fM Summøry P.9',
Column C. LI~ 1.
Attach additional information on appropriarely labeled continuafion sheets.
/>' 'cNDMENT
Type or print in Ink
"i "
ttìnendrn"''lt to
Campaig' )isclosure Statement
For Official Use Only
RECEI
1997
5
SEP
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
4,10. Candidate Intention, Form 501, or a Campaign Bank: Account. Form S02. Use the actual Form 410. 501 or 502, respectively. to make
amendments. .
BY:
being amended.
Amendment
A.
The information required in Part I must correspond to the information provided on the campaign statement
i
nformation
The following information amends campaign disclosure
statement, form No. .z¡ 'j<'I ,
7·-~.ð c"7
executed on ' -- / for the period
(MO. DAY. YR.)
1.0. NUMBER
IIFAPPlICA8L£I.
(See imoortant information on reverse.
Name of Filer
NAME OF FILER
(NO. AND STREET)
The amended information affects items on the
~ Cover Page ïï Allocation Page ï
D Schedule(,) _ D Pan
Describe the change elow. Include in detail ,II information you wish to
become a part of yo, )fficial campaign state ,ent. Please attach a cover
page, summary pag! nd/or appropriate sche ule(s) to this form 40S if
necessary for clarific on. Include additional nformation on appropri-
ately labeled çontim ion sheets. (Number 0 ¡heets attached ~.i .)
éß~~ ~:~¿~
.klL,..~~
¿-
(MO, DAY, YR.)
Summary Page
through
/-/-~1)
(MO, DAY, YR.}
D
LJ
B.
c.
ZIP CODE
Lj 50.1
~
STATE
CA-
ATE
(See
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and tothe 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
At
Executed on
By
CITY AND STATE
DATE
SIGNATURE Of OFFICEHOLDER, CANDIDATE, OR PROPONENT
(t:.t. nf(':.lIfnrnl:. J:,.;r Þ...I1tl,,.1 D.,.,.;,.... r.........1..
Dote Stomp
period
Stat.m.nt covers
/-
¿-
Type or print In Ink.
Officeholder, Candidate,
and Conf lied Committee
Campaign Statement - Long Form
(Government Code Sections 84200-84216.5)
/.01.9
For Officio I Use Only
poo-
from
through
Dot. of .I.ctlon II Ippllclble:
(Month, DIY, Yur)
filed:
being
the type of stltemlnt
Indicate
t.tem.nt
Rlport
ther (;Ommlttees ot InCluaea In thIS statement: Urtlnyo~r
committees not IncludKI In this consolJd.t«l f.rement th.t Ire controlled by you"td Iny
committe., of which you hIve knowledge thlt ore prlmlrlly formed tø receive cøntr/lwtlons
or to mike expenditures on MNH of 'lour c.l'Idkücy.
cow"!ITTU KA.ME
'HO'"
""""
COHTP.OlUO COMMITTEU
DvES oNO
CONTROLLED COMMITTEE
Om ONO
A~ COOEIDA.Vl1ME
AU. COOUDA YTIME
1.0. NUM'EIt
to.HUMIEII.
'HO'"
.~ .J1 / ~1 Attlch MkJItJOlIIllnformotion on opp'oprIotely I.beled continu.t/on shetts.
Z.COOE
.. coo<
(NO. AND smET)
(NO. AND STRUt)
STATE
STATE
COMMITTU ADONIS
NAME Of TAfA$UN1II.
......
ME Of TAfASUMk
COMMITTEE
an
an
(Attlch 0 completed Form 495 to this stltement.)
stltement.)
ommittee
I
A' OTY AND STATE
OF CANOIOAT(lOfflC(HOlDU~
SIGNATU"I
SIGHAW"I
1
8y
8y
In,SUlNf
an AND STATE
OTY ANO STATE
P'ROVIOED TO YOU P\N\SUAHT TOTH( »If~AnOH Pft.Acncu ACT Of
At
At
OATE
DATI
feA INfOftMATIOH ltloUlMD 10 I(
Executed on
E..ecuted on
~_L oi ¿
SUhment
from
Type or pr'nt In Ink.
Amounts m,y ~ rcx.rndtd
to whok doJl~,s.
-
(¡3mpair ,)isclosure Statement
Summar}' rage
HE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
---
(!Ph'?/.>?///e........ ~ ¿:::-/"'.<=-/ 0A
Contributions Received
p,
1.0. NUMBER
91 IllS'(..
Column C
IOUl TO 0.1.11
,,"COCOtUMHS.& .
through
..t>~/'/
Column 8'
TOUL I'1IJ:VIO\JS '(000
~( HOT[ .n~
')
"
s
~
I
. from prnious Statement Sumrr.,ry Paçt. Column C. HO'h"tvtt, if
this ts tlM tint report filt-d fOl the "'knc~' ye-fl, (oll:r.ln 8 shc:.r'd Þt
brink; except for lGlN ~tctIVf'd (lint n En!O(cublt PIotr-ius (liflt
E),lc.,OI Made Clint S), .nd A«rutd ~)þtr..s.u (Unt ; I)
Monetary Contributions
Loans RlXeived
s
5<h<duk A, LI,... ]
s.cl><cJuk B, LI,... 7
AddUfHJ ~ 2
s.cl><cJuk C, u,...]
AddUnuJ ".,
Enforcu
SUBTOTAL
Non-monetary Contributions
((><Iud<
CASH CONTRIBUTIONS
SUBTOTAL CONTRŒUTlONS
~hOttJ/J.u
s
u,... /81><1"",)
TOTAL CONTRIBUTIONS RECEIVED
Enforceable Promise-s
(ExclLXh L~/' GIJU'nfHJ,
f.
2.
3.
4.
5.
6.
7,
5<h<dvk D, U,... 7
A'*1Ur>tIS oJ 6
&
s
S
7
S
Xnf'dUH C, Ur>t
5<.J'>ff1vh H, UM
.AddL/()fJ
loans Mad,)
Made
CASH PAYMENTS
Expenditures Made
8. Cash Payments (Other than
9. l~ns
O.
-
39....
,
5<h<duk F, U,... 5
AcJdUrwsl0 -111
8
SUBTOTAL
AccruE-<! Ex~nsts (Unpaid Bills)
TOTAL EXPENDITURES MADE
1.
2.
Summary for CandidatES
November Elections
III thtouç'h e,:jO
/7
$VfT1m~ry P.çt. U/')f
ColumnA, UM J lboY't
5<I><dvl.
hfViCVJ
Current Cash Statement
13. Beginnin9 Cash Balance
4,
5.
5.
,
U,...4
I,
rO,beY<
,.
es to Cash
s
/6
ColumnA, U~
tMnsubtr6ct Unt
/5,
1<,
Add Llnu 1] .,
17 mun ~ Uro.
Cash Receipts
Miscellaneous
Cash Payments
ENDING CASH BALANCE
flthls Is. (trmlf\.ltlonrt,ttmtnt,
Inerea
th June and
n eo
HOfHG U. IH JAU.HQ SHOu. 0
001 II... JrffG.J.IIVI...MOI.Þl1
U,...
~o CUt
¡
Conlribl!ticns
Received
2
Column (b)
1,
5<1>< dul. 8, P Irt
LOAN GUARANTEES RECEIVED
s
E'Pfnditure
Made
22.
1/
~
s
on rt "t,.,f
.........a
In rt\I""",,,,r
Xl insrf\Jc1/0nJ
"
LI,...
.
sh Equivalents and Outstanding Debts
Cash Equivalents
AddU,..]
Outstanding Deb.ts
FUll NAME OF LENDER
W"'- I ¡ '1 ]}.."-f,-
LV,:;z. 1/
Type or print In ink. Part I
Amounts may ~ rounded Slllemenl (ovrr, period ? Ð'~.
to whole dolJus. ~ : ~
J-I_CJ I J"
from-+-~t'_7 I . mi
_ throu9h !ø ~ 9L ~"9<? 01 3
1.0. NUMBER
Ð...... C.d~ 0.. '" C- I '/ 9///5¿
AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAIDINTEREST
5chedulr - Part 11/
Annual kt:port of OutstandIng loans ReceIved
SEE INSTRUCTIONS ON REVERSE -
OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
LJ....¡[ ~.-.;
OFUGfNA!..-OA 1£ OF lOAl,
ð'-lt-C¡j.J
1- '-/ -'9.',.,
oJ & ðó '"&..
-
..2.. .D п) .3 I~
-
-
-
-
-
-
-
-
TOTAl S .3 /¿,
NOTE: Thlstor.lshouldb<
rht J,mt 'mOunr U tnltftd
on rhf Svmm,ryp,gt.
Column C. LlM 1.
,
I
I
I
I
,
I
I
/tach additional information on appropriafely labeled continuation sheets.
75
'7-0 -
LONG FORM
COVER PAGE
Dote Stamp
CElVED
Statement cove" period
-97
TVpe or print In Ink.
Officeholder, Candidate,
and Controlled Committee
Campaign Statement - long Form
(Government Code Sections 84200-84216.5)
Plge / of 3--
For Official Use Onlv
1997
from
through
tatement (Attach a completed Form 495 to this statement.)
Report
flier 4:ommlttees 0 nCluøeø In thiS statement: unlnyother
committee. not IIKI_ In this consolldlted statement that Ire controlled by you Ind Iny
committee. of wltkh you hove knowl.dg. Chit Ire prlmlrlly fINmed to re"IYe contributIons
IN to mike ",,,,ndlture. on behoH of fO'J' (ln~.
COMli!mtE NAME
PHONf
PHON,
CONTROlLED COMMlnfU
Om DNO
COHTII;OllED COMMITTEU
DYES 0 NO
¡AW COOEIDAYTlMf
RIA CØO£JDAYTlME
1.0. HUMIER
~.ts.
.M~1
'-/o-wm C/'><. Ua..c.~·
~~~
~_OV"'~
/V-f aJ I vV\Uv~
}rÞt s--< ~ ~
...µu
OTV
AttodIlC
Ml.MI OF TIU
COMMITTEE
COMMITTEI
COMMmtl
NAMIOfTI
OTV
stlt.ment.)
ommlttee
eriTlcation
I hive used all relsonlble diligence In prepering this statement. I hive reviewed the statement and to the best of mv knowledge the informltion contlined herein Ind In the ettached sc:hedules is
true end complete. I artitv under pena!t¡l of perjury under thalaws of the State of c.llfornil thlt the foregolll Is true Ind correct.
Exec:uted on _ At IV
DAn
CITY AND STATE SNiNATUN"Of TMASUIU"
An offkeholder or andldlta who control. I commlttH must IIso verify the am llllgn statement. I hue used III reasonlble diligence Ind to the best of mv knowledge the trelsurer has used al
reasonable diligence In preplrln" this statement. I have reviewed the stat.mentand to the best of my knowledge the
xecuted on - At (;LA IV
IV
SIGNATUIU Of CANOIDA1'ElOfft(EHOlDEIt
StGNATUN Of CANDtDATElOfft((HOlþEIt
SIGNATUIU Of CANDtDAnlOfft(EHQlDfIll
~
IV
1117.sn
OTY AND STAT(
CITY AND Sf AT(
f'ItOYlDED TO YOU PUftSUANT TO THE 1Nf000ATIOH PAACTIC(S ACT Of
At
At
DAn
DATE
fOR tNfOMtATM)N ItlQUIUO TO IE
Executed on
Exec:uted on
-
Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE
Amounts may be rounded
Summary Page to whole dollars. B
. 0" : ,5;.... ."' {_
hom . .
SEE INSTRUCTIONS ON REVERSE through io'9f_L ol ~
-
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE J.D. NUMBER
- 7ð E /~-c...T t..;; Á d r L) 4-.-.<:., , . ¡ 9/ 1/,5'(',
(!þh7"," , //e.-<-- I .IJ_L,...,. ...
Contributions Received Column 8' Column C
TOTAL PUV»Ol/S PEItIOO TOUl TO DATI
(S.lfHOTt.n""", (AOD COt.UMI-ð A .. .)
1. Monetary Contributions ............................... Sd>odul< A, U". 3 S . S - S
2. Loans Re<eived . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<1><001< 8, U". 7 -
3. SUBTOTAL CASH CONTRIBUTIONS .................... AddUf>fS' + 2 S S - S
4. Non-monetary Contributions ................. 5<1><001< C, U". 3 -
5. SUBTOTAL CONTRIBUTIONS (helve;. fnfor<uOJ. Praml",) AddUf'H J +.. S S - s
6, Enforceable Promises
(E~cJl..Þ<:h Lo.n Gu.ramus, UM 18 ~/ow) Sd>odul< D, U". 7
7. TOTAL CONTRIBUTIONS RECEIVED AddUI')fs5 -I 6 S S
s
s
S<hf'duJ. E, Urw 5
S<.hffJuk H, Um 7
Ac:JdUf)fJ8+9
Sd>odo.Jk F. U". 5
Expenditures Made
8. Cash Payments (Other than LOéns MadE)
9. LOðnsMade .................. ..
O. SUBTOTAL CASH PAYMENTS
1. Accru~ Ex",nses (Unpaid e 5)
6. Cash Payments CoIvmnA, u~ 'Olbow
7. ENDING CASH BALANCE AddLIMJ 73.,. '4.,. 75, f~n ubt"C1 Uf)f 16 S &.. Summary for Candidates in Beth June and
firMs Is ~ t.rm/Ntloorut.mfnt, Unt 17must bf nro. NOtHG (JoSH IALAHCl SHOVl D November Elections
~'u ,l.H((..I.JIV(.&MOUNT
- 1/1 thtouçh 6:30 ill to D~te
8. LOAN GUARANTEES RECEIVED .............. 5<hfdu/. S, '.rt /, Column (b) S '& - 21. Contrib~tions
- Receive ....
Cash Equivalents and Outstanding Debts ~ 22. EXPJnditures
19. Cash Equivalents . ......... ~f ¡mlroctJons on T''t''fU S . Ma e s
20. Outstanding Deb.ls AddLlMl., Lint "in Column C.boVf S BIt,
;
~. S ~ S Xl
Current C;:ah Sf"t~m~nt
<5Z . from pr,"vious St~ttmtr.t Summ.ry Paç., Column C. HOW,Vf', if
&. this i:s tla first ,'port filf"d fOl tht u!t"d¡t yrtt, Column B shc-u1d bot
bJln~ except for lOins flf'crlv"d {Lint n En!()(cubl, Prorr-isEs (lint
~ €), tOans Made (Lint S). and A«rutd hptr.J.ts (Lint 11)
<Q
s
s
~
s
"
AddUMJ 10.,
TOTAL EXPENDITURES MADE
2
Part I
m
Pap' ? of .3.
.0. NUMaER
'9///5¿
UNPAID INTEREST
Statement covers period
from -I- * 'Z 7
through ¿, - ~ -9L
Ty~ or print In ink.
Amounts may be rounded
to whole dollut.
Schedule B - Part III
Annual Report of Outstanding loans ReceIved
UNPAID PRINCIPAL
'&
-3/~
NOTE: This tot.lshouldbf
the Jlme .mount "entered
on rhf Summ"y Page.
Column C, L.i~ 1.
.3 I¿'
s
SEE INSTRUCTIONS ON REVERSE
NAME Of OffiCEHOLDER OR CANDIDA TE AND CONTROllED COMMITTEE
&, )?? Y)') ~ 1T;". ) ¡¡, LJ.... ¡ '7 ~'~"I Q2:. ~¿
fULL NAME Of LENDER 0'"'''''',, ono^, 1 ~o"" 0' 0''''''''0''
W"'- 11'1 lk......'- F-1t.-C¡I.J
., - '-I -7 I", .
l.ø -~ Jj I oJ '[Sðð
LV ... II 'f-/J - 15 ..:t .D.D <!:J
1
1
,
I
I
I
!
I
TOTAL
tach additional information on appropriatr;ly labr;/r;d continuation shr;ets.
A
Date Stamp
period
Statement covers
from
TVpe or print In Ink.
Officeh, er, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84200-84216.5)
SEE
..,
of ::::!.
Use Only
I
ForOfficia
Page
CEIVED
1997
JAN 2 7
through
O.te of election tf appllcll)~~
(Month. Day, Yur)
being filed:
of statement
type
IndiClte the
INSTRUCTIONS ON REVERSE
one of the following bolle' to
Pre-election Statement
Supplemental Pre-election Statement
Special Odd·Yur C.mpaign Report
Semi·.nnu.1 Statement
Te ination Stateme
Checr.
o
o
o
(A.ttach. completed Form 495 to this statement.)
tner Lommlttees ot InCluae In tOIS statement: Lirt.nyoth<r
committees not included in this cOlUolidðted statement that Ire controlled by you and any
committees of which you h~ve knowledge that a~ primarily formed to receive conrributions
or to make exoenditures on ~fa f ofyourcô. "iddcy.
COMMmH NAME
a.t(PHOfojE
E
CONT~0lU" (,JM..un
OrES 0 NO
COI..uotm
0""
,
::),HU'"
AIf..[AC:-JL'D4
CONT~OI.UD
o YH
llPCOOE
ANOHI!.HT)
(NO. AND H~E
'"
(""
NAME OF HE.ASUIf..[~
NA./r.u Of TII.£A~UIUII.
AO()ll.fS
A.!)D!\.f
COM"'mH NAME
¥?.5,,,,,...m.
rtatement.)
ommittee
IME !"HONE
AII.[ACOOL'DA
I1PCOOE
.,.
CITY
mŠ:;:'kJfl4
'r-
- llPCOOE
~Sð¡
,
.dd/tl0n4llnformltIOl1 OI1appropri.t~1y I.be/~ cootinu.tlon sheet!.
i
'"
SIGHAIU"(
By
By
CfT'f AHOSTAn
CIT'f AND STATf
At
At
OAl
DA
hecuted on
hecuted on
Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE
Summary Page Amounts may be rounded St.tement (oven r¡¥h~~~tál~
to whole dolJArs. "r<~.rf
from 7-1- .;t"~ ~"':t: ~w ~
:/.).t,',.<~..,.~~ ;f?<"
SEE INSTRUCTIONS ON REVERSE th,ough /2 -.f) -.,¿ Plgo ..:) 01 ,7
NAME Of OffiCEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 1.0. NUMBER
- ~.øv- CJ ~ '~J'I 91115(',
(!Þh?P'n I/e..... ~ ¿:: / e-c_f" t..;; A , (
Contributions Received Column A Column a' " Column C
TOUl T~ I'( ~OD TOTAL "kfVtOUS '[11.100 TOUl TO DATI
(1AOWAnACHfD KJ-t!DUlfS) ~u NOn IElO'H.l (.ADO COt.VMÞð A + .)
1. Monetary Contributions ............................... 5<Mdulo A, Llno 3 S Xt S ~ S ~
2. Loans Re<eived ................................... ..... 5</ttoolo a, Uno 1 ~ 3/G .:J/¿
3. SUBTOTAL CASH CONTRIBUTIONS ..... AddUnu' .,. 2 S .>0 s r:¡ I l- S ':?/t"
4. Non-monetary Contributions ............. 5</ttoolo C, Uno 3 ~ ~ ~
S. SUBTOTAL CONTRIBUTIONS (hdvdo Enfon:ublo hom/H') AddUMS3 .,... S ~ S , "1 I ¿, s .?j¿
6. Enforceable Promises ~ & ~
(Excludt LOMI Gu.,.nruJ, U". "MIOtN) ..... ...... S<Mdu1< D, Uno 7
7. TOTAL CONTRIBUTIONS RECEIVED . . . . . . . . . . . . . AddUnesS.,. 6 S ~ S < :; Ie.. S ."?N..
Expenditures Made ~ & ~
8. Ca~ Payments (Other than Loans MadE) S<h.-dv ., f, Unt 5 S S S
9. Loans Made ................ ...... S<Mdu1< H, Uno 7 --..iQ -& ~
10. SUBTOTAL CASH PAYMENTS ................ AckJUMJ8 + 9 S ~ s "<9... s ~
11. Accrued Exp<¡ nses (Unpaid Bills) 5<Mdul< F, Uno 5 -62- ~ ~
t2. TOTAL EXPENDITURES MADE ......... AddUMJ'O" " S ~, S ~ S «;2
.
Current Cash Statement ~
13. Beginning Cash Balance ........... PrfvloUJSumm'f)'P.~,Une '7 S ... From previous St¡tement Summary Page, Column C. Howf'ver. if
14. Cash Receipts Column A, Une 3 ,bow & this is the first rtport file-d for tht c,lendiu yur, Column B should bt
...................................... bl.nk. tJ(cept for lOIns Re<tived (Lint 2), En10rcuble Promisp5 (lint
15. Miscellaneous Increases to Ú!sh .. ...... S</ttdul. I, Uno 4 '& 6), lOIns Made (line 9). .nd Aa:rued bpens.ts (lin. 11).
.....
16. Cash Payments ................................... ColumnA, lJM lO.bow <Q
17. ENDING CASH BALANCE ..... AddL.lrwJIJ + 14., IS,tMnJubtT,ctUM 16 S ~ Summary for Candidates in Both June and
If this JJ. t.rmlrwtion Jf.tement, Une , 7 must be nro. NDlNG OSH tALANO: SHOUlD November Elections
PK!T IE A trrHGATlVE "'MOUM
111 through 6f30 7/1 to Dðte
18. LOAN GUARANTEES RECEIVED .... .......... Schtdu/e 8, P.rt I, Column (bJ S 21. Contrib~lions S
Receive .. ..
Cash Equivalents and Outstanding Debts 22. Mfå~ditures
19. Cash Equivalents . ......... Su Innructlons 00 rPVf'rs. S S
20. Outstanding Deb~s Add U,.. 2 ., L.lne I I ;n Column C .bove S
Schedule B -Part" Type or print In ink. SCHEDULEB-Partll
I f . d Amounts mlybe round.d S I ..
Annua Report 0 Outstanding Loans Receive towhol.doll.... tlt.m.ntcoversperod . ',. ¡. , .' >' '
from ..,- / - <1 ¿ . - .',
SEE INSTRUCTIONS ON REVERSE through 1.2. -:3 j -1 ¿ Pig< ,~ of]
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 1.0. NUMBER
¡¿ LJ....¡{ '/) ?.... c:..t; ¿¿~... / '/ 9///5(.,
FUll NAME OF LENDER ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LO'AN UNPAID PRINCIPAL ' UNPAID INTEREST
/µ4.. I' '7 ~-4,- oJ & 06 "(St
ú,}¡;¡../I D '9-0-75 ...l.þ.D.o .'3/~
,
Attach additional information on appropriately labeled continuation sheets. TOTAL S .3 / ¿.
NOTE: This total should bf
th~ J:.Im~ .mount.s ~nte,~d
on the SummaryP.,g.,
Column C, li~ 2.
COVER PAC,. ·lONG FORM
~
Date Stamp
Type 01 print In Ink.
Officeh~ .er, Candidate,
and Controlled Committee
Campaign Statement - long Form
(Government Code Sections 84200-84216.5)
/ of-<j
For Offici.1 Use Only
Paoo
1996
JlJL 2 9
from
through
O.te of .~ctlon If appllubl.
(Month, DIY, Vur)
being filed
(Attach. completed Form 495 to this statement.
statem.nt
HE INSTRUCTIONS ON REVERSE
o..ck 0"" at the following box.. to
. ~ Pre-tlection St.tement
tl Supplement.1 P,....lection Statement
$pe<i.J Odd-Ye.r CamPAign Report
Semi·annull Statement . .
Termination Statement (Attach I completed Form 4
Indlatethltypo of
coP,\,
tner Lommlttees ot InCluae In tnls :>tatement: lIrt>"yot"',
committe-Is not lnduckd In this coruolkJat~ sUfement th.r If. controlled by you ,nd any
commlt1ul of which you have knowledge thlt are pr/mlflly formwto receive contributions
«'amah ,xp.tndlturesonbeh.JHofYOUfcandJdacy.
cowwmu NAME
"
B
5 tothis statement.
ommlttee
NAME
¡-¡ALLY DEAN
OffiCI s.c>vGriT OI\HfLD (1HQ.uot: LOCATIC*AHO MTAKt HUt.t'I~"AP'I'\JC..UlI
CUPERTINO CITY COUNCIL
~SJ[){HTL.A.LCHl.tWHUS~S' tHO.
COHTk.OlLEO COMI.4ITH
0, D NO
""""1 Of TkfAWP.E:~
ANDSTU[T)
EET
z..;
em
CUPERTINO
(NO. AND STAifT)
ADONSS
cow...ml
AU.A COO£/t)Â YTIWI I'ttOHf.
408)736-3485
I.D.HUtoIIU
"'coo<
95014
STAU
CA
PHO<ó ,
AkfA COOf¡tlAUIM[
z""Coo£
STAU
em
WALLY DEAN FOR
COMMITTEE NAME
COMMITTEE TO ELECT
CITY COUNCIL
COMl.4mu A()O,I,fSS
22322 BAHL
em
.........
COMwmff
911156
(HO; AND ST I,[fT)
STREET
CQoMMmf
DHO
(ONTACX110
0,
N.AJo4I Of Tkl.ASUkf~
AN.ACOO£¡t .AYTlMf~
(408)736-3485
Z.,(OO(
95014
5TA![
CA
CUPERTINO
NAME OF TREASURER
BARBl,RA HUMPHRY
(HO. AHD STAin)
A""""
COMwm[
PHO<ót
Af\[A (OOf¡tlAVTIM
lJI'COOf
STAT
em
AN.J. COO£ID,I.YT-.tf I'ttOH(
408)252-8184
z"coo(
95014
(NO.AHO ST~fT)
STATI
CA
H.U,U..Hf)(l.A.D04\.!SSOfT'JL4.WUA
1155 STAFFORD DRIVE
CITy
CUPERTINO
;
ANKh ~OIWf In.form.tion on .pproprlattly la~kdcontlmJ'tlonwtt3.
co
èampaig 'iscJosure Statement Iype or print In Ink. SUMMARY PAGE
Summary I'age Amounts mlY be rounded Sut.ment covers ',: r~'(~'l~'
10 whole dollars-
from /- / - <j -~ ":< ~ Ý
, '^
SEE INSTRUCTIONS ON REVERSE through ¿. ~"~ Pa < 2 of-sl
-
NAME OF OfFlŒ>+OLDER OR CANDIDATE AND CONTROLLED COMMITTEE , J.D. NUMBER
") - . 2t ,~_7' ~'..d¿ h.- ~~ ~ / ~J -1' / ,/ / ..5 ¿,;
(·.L~/c>"". J),
~-;:~
/ ~
Contributions Received . Column Column B* . Column C
TOTAL THrS P'ERJOO TOTAL Nf'-"QUS HIUOO TorAl 10 DATE
f1ll.QM An"~D $OfEOUU: (\Et NOTE 'UOON) (AOD COluwm A. + I
1. Mon~ry Contributions ... ..... ....................... ScMdvIe A, Uno 3 S ,¿?-. s -H- s ...')
- -' - <:......-
2. Loans Re<e;ved ......................................... Schedule " Uno 7 - ....35Y'" ') - ,:<'ir:J1 3/(;:,
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AcklUnoll .2 S _ /: :·5-5 ,<;7') ) - S _ ;> 9..ð / s '< / ¡/,
4. Non.moneUiry Contributions ................. ...... Schedule C, Uno 3 þ., -A- -S'
- - r .
5. SUBTOTAL CONTRIBUTIONS (Exdudt Enfwco.bIe "'om/Hs) AcklUnos3 ... S _ -? -';,í/..,- '> - S < 7<::::'/ s :</¿;
6. Enforceable Promises --T'9- -h- -è-
(ExcJudr¡ LOMGUoJ"nt..S, LiM I' below) ........ ........... ScMduJt D, Uno 7 - .
7. TOTAL CONTRIBUTIONS RECEIVED ....... ........ ..... AckI LInes S . 6 s_ ,] 5%:"; ) s :) .c--/:::,/ S ':?/¿
. ~'\ ", J
-
Expenditures Made -b- -d¢- ---r:9-
8. Cash Payme<1U (Other than Loans Made) ............ Schedule E, Uno S S _ S s
9. Loans Made ...... ....................................... ScMduJt H, Uno 7 - -!!7' ::.}- ~
to. SUBTOTAL CASH PAYMENTS .. ......................... AcklUnos" !J s_ ð- s ,.,.L;;i- s ~:>-
11. Accrued Expenses (Unpaid Bills) ....................... ScMduJt F, Uno 5 - -Þ -c9-. L,'
12. TOTAL EXPENDITURES MADE ......................... AddLiMs 10. " s_ .0 s ~ s ~
Current Cash Statement
13. Beginning Cash Balance '" ~
....... .......... PrtvlousSumm.'Yp.ge,lJne 17 S - > "íg~ ) .. From previous St.tement Summ.ry P.ge, Column C. How~\I'er, if
14. Cash R~eipu ...............................,...... CoIvrnnA, Uno 3.~ ?·')'J'5 ) this is tI'M flnt r.port filed for the c.alend., year, Column 8 should be-
- bl.nk except for LOins ReceIved (Line 2), Entorcuble Promises (Line
15. Miscellaneous Increases to Cash, ........................ Schedul. ~ Uno" --&- 6), Lo.n. Mad. (Lin.9), and Accrued Expense. (Lint II).
-
16. Cash PaymMts .................................... CoIumnA,LiM lO.bo.... - .....-9-
17. ENDING CASH BALANCE ..... AddLlneJIJ <14. IS,thensubtrKtUno 16 s_ -&- Summary for Candidates in Both June and
If this å. t'mtúwtion It.tem.nt,l.Jne 17 mutt M z.ro. INQIHG GASH IAUoNCI SHOuLD November Elections
NOT It A NEGATIVE AMOUNT
111 through 6130 7/1 to Dale
8. LOAN GUARANTEES RECEIVED .............. Schedu/t S, P.rt I, Column (b) S "~ 21. ~ontrib~tions S
ecelve . . . .
Cash Equivalents and Outstanding Debts ~ 22. Ufå~ditures
19. Cash Equivalents . ......... Se~ Instructions on 'evelW S <.. S
20. Outstanding Deb~s Add LI~ 1 .,. LIM " in Column C .boVf' . -3 I ¿,.
Sr.hedul~ ... - Part Type or prlnt In Ink. SCHEDULE B· Part
Loans Received Amounts m.)' be rounded Statement covers period " . 'I'I """
to whole doll".. "I-}~d.':'; $I'Þ
">-<}'l ~
from / - /- <j'¿ .~~:~::t_~~:'!;:·l:.:),>
.(,r ~, 'v _
SE E INSTRUCTIONS ON REVERSE ¿ .:)¿¡ o¡;; hge .3 of '-/
through .~_) - /
-
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE , J.D. NUMBER
(~.;>~~ " / 1 ;({/ / Y---!.-- ¿!.Z ..fJ~J ,-'I//F¿,
:7~)!__ ~:é,.<., 1 --.J_'1
,
DATE LENDER OR GUARANTOR'S FULL NAME AND AD RESS LENDER I GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION
RECEIVED (If COtoIwmn, (,,"tll fUll HA...f....OOIU'U AND 1.0. HUM.fA. If NO 1.0. OCCUPATION AHD rMP\OVUI. (If SElf.
HUMau.HAS NEN-\S~H(D.f r(Jfk THI TIU:.AWAfIt'S NAME AHDADOiUSS U"'''-OY'fD. (HTElI. IOS-IHUS NAME) OUfOATEI AMOUNT CUMUI.Þ.TIVE AMOUNT CUMULATIVE
IHTEAfSTMTE OfLOAH TO 041£ GUAMNTEfO TO DATE
OU£OAn CALENOA. YEA A ULENDAA yu.~
· I
INTE"1STIlATf
OTHfR OTHEA
0 Lender 0 Guuantor - ~ · ,
-
DU(OAn CALfHOAA nAil CAL!:NDAJI YEA~
I ,
INTUlnTMTE
OTHEIt OTHER
0 Lind" 0 Guarantor· ~ ·
-
DUf DATE CAlINOAA YEA. c..a.lENDAIt YEAI\
.-
IHTUfSTMTE
OTHEII. OTHEA
0 llnd.r 0 Guarantor· ~ I. -
·S~~ importanf insfrucfions on ,~v~~. S- o c.) I $ (to) fn\ef(b)on
SUBTOTAL S..IIUnII'y'..
llrle1lon1)o.
Loans Received - Part I Summary
1. Loans of $ 100 or mor~ r~ceived this period. (lnclud~ all Loans Re<:eived -Part I (a) subtotals.) ....,...:,.. $ ~ -
, ~
2. Loans und~r $100 re<eived this period. (Do not itemiz~.) . . . . . . . .. . . .. . . . . .. . .. . . .. .. .. . .. . . . .. . .. .. $
-
3 Total loans r~ceived this period. (Add lines 1 and 2.) . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL $ -.:-:Sl -
Loans Received - Part" Summary
4. Loans of $ 100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) .......$ '? -'1:;1'"5
subtotals. If forgiv~n or paid by a third party, also itemize the transaction on Schedule A.) -
S. Loans under $ 100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or ...... $
. paid by a third party, include this amount on Schedule A Summary, line 2. -
6. Total loans repaid. forgiven, or paid by a third party this period. TOTAL $ (SS ð'.5 )
(Add Lines 4 + S.) ..............................
7. Net change this period. (Subtract line 6 from lin~ 3. (3585 )
II
B . Part
Statement covers period
/.
/
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Schedule B - Part I
Repayments Made on Loans Received, Loans
Forgiven, and Loans Repaid by a Third Party
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
I~' ('. --T ,-' . ~'
~~r>'<-." '.' ....., .·..2.:,_7 ~.'~~
DATE OF
REPAYMENT DATE OF
FORGR,~NESS ORIGINAL LOAN
-J- ~.?/
/
y
Page
1.0. NUMBER
1'// /Sé.·
of
L)
OUTSTANDING
PRINCIPAL
r.('"
J¿:;
ð
AMOUNT REPAID OR
FORGIVEN ON PRINCIPAL"
(EXCLUDE P,6, YMENT OF INTEREST)
from
through
-."-ëY
I
i
INTE RE ST
PAID
-¿:.
.') /. /.
:> -
-:].5 ,j.5
FULL NAME OF LENDER
r
....:i
í)_
-'
;k'C<,/,
;
<:¿:
-/--)
/,
,")
I-if)
'"
C
Enter the amount in column (d) in the
summary section of Schedule E, line 3. Do
not carry thIs fot,I to the summary secrion of
Schedule 8.
$
TOTAL INTEREST
PAID THIS PERIOD
(c:
JSff-5
"IMPORTANT: If any part of a IDan is forgiven or repaid by a third party, also itemize the transaction on Schedule A,
including the name and address Df the person forgiving the loan or fhe third party making the payment, and the amount
forgiven or paid.
$
SUBTOTAL
infDrmation on appropriately labeled continuation sheets,
Attach additional
Date Stamp
St~tem.nt COvers period
j -.:¿,¡ -'15
Type or print In Ink
Officeholuer, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Government Code Sections 84100-84116.5)
lEE INSTRUCTIONS ON REVERIE
o..ck one of the following boxes 10
. fa Pre-election Statem,nt
0- Supplemental Pr,...ltction Statement (Atbch. completed Form 495 tothis statement.
::J 5pe<iel Odd-Yur ûmpoign Report
Semi-annulI SlItement '
Termin.tion Statement (Attlch. completed Form 415 to
Pi90 J of ~
For Offkjal Us.e Only
PM 5 Ó~~S
from
throuyn~1
filed:
being
stitement
thelype of
Indlute
c-op'(
.
.
tner ommlttees ot InCluaea In tnls ~tatement: LIrt.nyotl>er
committees not in(luckd In this cOlUolJd.t~ st,tement th.t .re controlled by you.nd .ny
commlrtees of which you h.ve knowledge thlt Iff prlm.rlly formed to receive contribvtions
01' to m.ke UPfndirures on ~h.J" of your candidacy.
COMwmu NAMf
1l-07-95
this statement.
ommlttee
.vru<.ul.
HALLY DEAN
OfIK.f SOVGHl' OAHfLD ØHQ.UOf: LOCAT ()I AHO DfSTIUCT HUM_fA.
CUPERTINO CITY COUNCIL
ALSJD£HTIALOA~U.&.DCm:U p¡o....NOSTALCT)
TBEET
COHT~lfD COMMmE
o y D HO
N.AWEOfTIU.A~1I.
z..coo<
95014
ST...n
CA
"'II.I.A COO[JDATJlME P'HONE
ZWCOOE
(PKI.A~STAHT)
nAT
AOOft(,
COMlroImE
CITY
AALA COO£IDA 'fTlIroIf P'H()H(
(408)736-3485
I.D.NUMtf..
ELECT HALLY DEAN FOR
2.
CITY
CUPERTINO
COMMITIff NAME
COMMITTEE TO
CITY COUNCIL
COMwmu ...~n
911156
COH'TAOU!D COMJotmE
o y 0 NO
COMlroImu ......,..!
TlU.As.UlU:A
(NO. AND STIUET)
AOOft(
CowwmE
AIUA COO£/t)ATHME I'HOH!
lJtCOOE
STAT
CITY
AALA COC>£IDA YTIM! P'HOHf
408)252-8184
ZlfCOOf
95014
(NO. AHD 5TI~UT)
STATi
CA
.......'"
AALA COOfIO,A YT IIr.iI E I'HOHf
(408)736-3485
ZII'COOf
95014
tHO; "'HO STUfT)
STArt:
CA
22322 BAHL
CITY
CUPERTINO
NAME OF TREASURER
BARBARA HUMPHRY
P'f1UoloA>t(KT ~ss Of nu.SlJllU:It
1155 STAFFORD DRIVE
an
CUPERTINO
STREET
¡
AttKh KlditJon.al Inform.tJoo on .pproprl't~1y 1,~1ffJ contlnu.tJon ~et:s.
th
SUMMARY PAGE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
Statement covers period
/..c> .5
of')!
I)
I.D.NUMBER
..y///S~
Column C
TOTAL TO DATE
(ADO COLUMNS A +
.51."
Pa~ :J
/:2 - --1/-7.s
fram
through
C/T
Column A
TOTAL THIS P£IUOD
(FROM AnACHEO SGlEDUlE
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
CO/?7//? ;77EE /¿J.çL.Ec.rUAUY 'DEi9/vFo R
Contributions Received -
s
s
ð
:5'<::; 53
s
s
s
Schedule A, Une 3
Schedule e, Une 7
AddUnes I + 2
Monetary Contributions
Loans Re<eived
s
Schedule C, Une 3
AddUnes3 + 4
..
SUBTOTAL
Non·monetary Contributions
SUBTOTAL CONTRIBUTIONS'(Exdude Enforreable PromIses)
,
L
s
o
90S3
s
ò
s
Schedule D, Une 7
AddUnesS + 6
Enforceable Promises
(ExcllJde LOIJn Gua"ntees, Une 18 below)
TOTAL CONTRIBUTIONS RECEIVED
1.
2.
3.
4,
S.
6.
,.
CASH CONTRIBU~IONS
s
s
7.
g
78'
o
:'!.éJ
s
s
s
g
J.
s
s
s
g-
s
s
s
Schedule E, Une S
Scheduk H, Une 7
AddLlnes8 + 9
Schedule F. Une S
AddUnes 10 + /I
Made)
Expenditures Made
8. Cash Payments (Other than loans
9. Loans Made ..................:.
10. SUBTOTAL CASH PAYMENTS
11.
12
Accrued Expenses (Unpaid Bills)
TOTAL EXPENDITURES
MADE
s
. from previous Statement Summary Page. Column C. However. if
this is the first 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 Expensès (Line 11).
in Both June and
7/1 to Date
7& g'ð
6130
Summary for Candidates
NovemberElections
1/1 through
¿?
Co v/Vc...¿ L..
Column B"
TOT....l mV10US PEI\IOD
(SEE NOTE BElOYv?
.L.j 15' ~
¿;
¿)
s
s
s
17
.. .. Schedule I, LIne 4
ColumnA, Une 10ðbove
IS, fhen,ubtract Une
Previous Summary Pðge, CJM
ColumnA, UM 3 ðbove
16
14+
13.
17 must be zero.
Add Unes
Current Cash Statement
Beginning Cash Balance
Increases to Casl;!
Cash Receipts
Mis<ellaneous
Cash Payments
ENDING CASH BALANCE
Ifthls Is. termInation statement,
3,
4.
5.
6.
7,
ENDING CASH BALAN<:[ SHOlAD
HOT IE A NEGATIVE AMOUNT
GJ
Une
8. LOAN GUARANTEES RECEIVED
'g
s
s
Contributi Dns
Received
K.ffå~ditures
2
22
I
¿)
31t;>
s
.
Column (b)
lns1.tvctlons on reverse
Add Une 2 + Une
I,
l' In Column C .bove
Schedule 8, Port
See
Cash Equivalents and Outstanding Debts
-'<h Equivalents ,
~ !)ebts
SCHEDULE A
Statement covers period
/¿) - .:J - 95
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Schedule A·
Monetary Contributions Received
from
Page ,ì of </
I.D. NUMBER
throughl ~ - :5 1 -'7-5
SEE INSTRUalONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND COf'iTROLLED COMMITTEE
9/1151...
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE
/
CUMULATIVETO DATE
CALENDAR YEAR
(JAN.1·DEC.31)
C¿J4 N C-I
AMOUNT
RECEIVED THIS
PERIOD
.7 ¿)"f Crr,!
OCCUPATION AND EMPLOYER
(If SELf-EMPlOYED, ENTER
NAME Of BUSINESS)
i.J./) ¿ 4.. )I 7J L:.;;:; J¡/
/¿> ¿:¿Ec...-T
FULL NAME AND ADDRESS OF CONTRIBUTOR
(If COMMmn.IN ADOrT)()N TO COMMmu:"S N.ME AND AODIUSS. ENTER I.D. NUMBER
01\,. If NO 1.0. NUMBER.HAS IEEN ASSIGNED, ENTU TIII.£ASUMR'S NAME AND ADDRESS)
C-P P7 PJ ;7T£''£
DATE
RECEIVED
3¿)b
LJ
_3 ¿? b
¿) -'0/1/ f-R.
/H L..7/ ¿) A/ n L.. [) .5
µ. c. .::r ¿; HAl$' e>/V
/3877' L¡ P~£Æ? HILL <~
5A /2 FJ'TL) G--/1 C /9 '15;'; 7¿)
, J
'95
/
II
.:2..Sb
.b
...2 .5 ¿,)
PAc
.Þ C-... 1:-:- E/'rJ ¡P ù> Ý E[;' S'í;") íE 1 LL)<A L
P/ic.. .....LD 94ð .y'ð"j
7'7 73E-'iLF- :s T
_S"'A-N' ~A'Aflo'<:::- Cð
II -5-']"5'
..2..5.0
..<.'
.2 .5 ¿;;
is IJNGIC
SCI:r
/3,,2LJ
c:t:)
C I..-' PE Æ T//Vð ./V/97/ð/IJA L.
Pò -'l5ð X l35¿)
GL/ £.E 7/ /Vb c,f)
/1-~/-95
:!?ðð
$
SUBTOTAL
OOor
Monetary Contributions Summary
1. Amount received this period - contributions of $
(Include all Schedule A subtotals.) .................
period - contributions of
'¿)¿'
7":<~
/5'
$
$
$
TOTAL
.)
3, Total monetary contributions received this period.
{Add lines 1 and 2. Enter here and on the Summary Page, Column A, line
more.
00
ess than $
Amount received this
(Do not itemize.)
2,
SCHEDULE E
St.tement (overs period
/1./ -.1.~ "15'
12-31-95
Type or print In Ink.
Amounts mlY be rounded
to whole dollars.
Schedule E
Payments and Contributions
(Other Than loans) Made
"f
of
if /5,
Plge Ý
1.0. NUMBER
/
from
through
C-i?b I//e-
¿llý
SEE INSTRUCTIONS ON REVERSE
NAME OF OFfICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
C P Mn? ; ff €-.V tó ¿¡! / a- f' t..hl LL. Y
~ODES FOR CLASSIFYING EXPENDITURES
,P' o¡z
'DEIlII/
If one of the following cod~s accurately des<ribes 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.
- GENERAL OPERATIONS AND OVERHEAD
- TRAVEL, ACCOMMODATIONS AND MEALS
(MUST IE DESCRISED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
"G"
"T"
"P"
"S" - BROADCAST ADVERTISING
"N" - NEWSPAPERAND PERIODICAL ADVERTISING
"0" -. OUTSIDE ADVERTISING
"S" - SURVEYS, SIGNATURE GATHERING.
"f" - fUNDRAJSING EVENTS
MONETARY AND IN-KIND (NON-MONETARY)
CONTRIBUTIONS TO OTHER CANDIDATES
AND COMMITTEES
"("
DOQR-TO-OOOR SOLICITATIONS
NAME AND ADDRESS Of PAYEE, CREDITOR, OR RECIPIENT Of CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E.
Of COMMmu,_ A.OOfTK)N TO COMMmu's NAME ANOAOOAE.SS. EHTf~I.D. HUM.A 01\.. NO 1.0. REPORT ONLY THE LUMP SUM Of SUCH PAYMENTS ON LINE. Of THE SUMMARY SECTiON BELOW.
.....If:A HAS NEN ASUGNEO, INnl!. '..\SUM..1 NAME AHOAÞOAt:SS) DESCRIPTION OF PAYMENT AMOUNT PAID
CODE OR
.þ¡ E....;¡,¡c..N ..£: IVlJ ~.s rÆI £5
8"'", ~.>," 0 1 3·L 75
~"'''V4o, /...... G<4 ., "pI 7
C. Þ..s <-0
, V/~c.J. <=-4 G-
/>1p~...vr,q.....N LfD3,/7
- -
1~I'tOt;e .::r L) E !5
G- :<::W.t/t..
.:S.,....NyvA<-i' ,-<¡AI '1 ~.b'7 -. .
INDEPENDENT EXPENDITURES
LITERATURE
-
"I"
"L"
s
s
s
s
s
SUBTOTAL
I.
Important: Contributions and expenditures made out of camplIgn funds to or on behalf of other
officeholders, candidafes, committees, or ballot measures must also be enfered on the Allocation Paoe, Part
Payments and Contributions Made Summary
,. Payments made this period of $1 00 or more. (Include all Schedule E subtotals.)
2. Payments made this period of under $100. (Do not itemize.) ................
3 Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II. Column (d).)
'crued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.)
LONG FORM
COVER PAGE
Date Stamp
period
SUt.m.nt coven
Type or print In Ink.
'1fficeholder, Candidate,
and Controlled Committee
Campaign Statement - long Form
(Government Cod. Sections 84200-84216.5)
OCT 26 ßI? 8 3~
,
-24-9S
from
!: 01 ~
for OffKi., U$.f oñÎ)'
Page
through
Dati of .tect~n if .pptluble:
(Month. Da~. Vur)
lO-2l-9S
(Attach I completed FOrm 495 to thi~ statement.
co PI'
tner (.ommlttees ot InCIUaealn tn.s ~tatement: Lls..nyother
committees not Incluchd In this cOIUoJldateodSf.tement that ,re controlled by you ,nd .ny
committe" of whkh you MW knowledge that.re prlm',ily tormHl to It(flv' contributJoru
Mfo mike expenditures on beN" ofyourc.ncJk:úcy.
COMwmu .......E
11-07-95
SEE INSTRUCTJONSON REVERSE
Check one of the following boxtSto
fa: Pr.-election St.tement
0- Supplement.. ',...Iertian St.tement
Special Odd·Yur Campaign Report
S.mi-annu.1 S~tement ,"
Termination St.tement (Attach. completed Form 415 tothis st.tement.)
ommittee
filed:
being
stitement
indicate tho type of
WALLY DEAN
Of'Kf WVGH1' OI.HfLD þNQUO( LOCATK)N AND DöTJUC'J HUM_E".
CUPERTINO CITY COUNCIL
þM).4HDSlNCf}
AIfUC,Ul'
CUPERTINO
COMMITIEE NAME
COMMITTEE TO ELECT WALLY DEAN
CITY COUNCIL
CQMMmu Aooun
22322 BAHL
CITY
CUPERTINO
COHU.olL(D co..MmE
Om 0_0
NAWEOf TUAWNIt
EET
NS4Of.N'TW OAavwcSSAOOafSS
~
AAfA COO(JDAYTIME PHONE
Z.COOE
STLUff}
(HO.~
STAll
ADON;SS
cowwmE
an
AALA COØ(..oÐA YTIMI PHOHt:
40B)736-34BS
LD. HUMin
lJICOOI
9S014
FOR
StATE
CA
......
CQMwmu
9111S6
STItUT)
(NO; AND
STREET
COHlAOlUD COMlo4mE
Om 0.0
MANIOf TUASUAUI.
AALA COO£,t)A YTIM( rHOHI
(40B)736-348S
Z"(OO(
9S0l4
ST.,E
CA
(HO.ANOSTAlET)
"""""
COMwmu
NAME OF TREASURER
BARBARA HUMPHRY
P'(UoIAHfNT AOONSSOf TNAWAlIt
STAFFORD DRIVE
Ak(ACOOUDAYTIWE PHONE
"'COOl
STAn
an
AN. COO(lD.t, 0"1 f'HOH(
40B)2S2-B1B4
lJI(OOI
9S0l4
SINn)
NO. ANO
STATE
CA
l1SS
CItY
CUPERTINO
IS
AttKh MldkJONlln.fcwm,tiOl1 on .pptoprl,t,1y J.btkdC.Ol1tlnu.tlon sMet!.
hIVe reviewed the statement and to the b
Executed on At I
SUMMARY PAGE
SUltment covers period
9-24-95
Type or print In Ink.
Amounts mar be rounded
to wholocIoIIa'L
Campaign Disclosure Statement
Summary Page
'"go 2 01 5
J.D. NUMBER
')
911156
-CÕlumn C
JOTAL TOOAn
(ADOCOLl.,lMI6... .
4152
3901
10-21-95
Column 8' "
TOTAL PNYIOUS PENOD
øa NOn: IIlOW)
1413
3901
from
through
Column A
TOTAL THIS '11100
'AOM AnAOM:DSCHIOUUS)
273
o
AND CONTROLLED COMMITTEE
FOR CITY COUNCIL
Schedule A, U"" 3
Schedule " U"" 1
Add LIne" + 2
SEE INSTRUCTION! ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE
COMMITTEE TO ELECT WALLY DEAN
Contributions Received" '
MODetary Contributions
Loans Rectiv~
s
s
s
SUBTOTAL CASH CONTRIBUTIONS
Non-monellry Contributions ....
(EJIdudo En""",,, "_1M.)
8053
o
8053
s
s
~
---º-
5314
s
s
2739
o
2739
s
Schedule C. U"" 3
IIdr/ LIne. 3 + 4
SUBTOTAL CONTRIBUTIONS
s
ScMduJe D. U"" 1
A<*I Un.. 5 + 6
Enforceabl. Promises
(EJIdudt Loon GUlr.lltH.. LIne ",.._)
TOTAL CONTRIBUTIONS RECEIVED
I.
2.
3.
4.
S.
6.
7.
8053
s
5314
s
2739
~
o
~
-'L
3338
s
s
778
o
ill
ill
1519
s
s
2560
o
lli.Q
741
1819
s
than Loans Made)
Expenditures Made
8. Cash PaymMU (Other
9. Loans Made
O.
s
s
Sc_1e E, LIne S
ScMduJe H. U"" 1
A<*IU"".. + J
SchtduIe F. LIne S
IIdr/LIne.,O + "
SUBTOTAL CASH PAYMENTS
Accrued Ex~nses (Unpaid Bills)
TOTAl EXPENDITURES MADE
s
. From previous Stlt.ment Sumrury Pag., Column C. Howtvtr. if
thi. is the first r.port filed 'or the Clilend., ye", Column 8 should be
blank ...pt for LOins Received (line 2), Enforce.ble Promises (line
'f;), Loons Made (Lin. 9),.nd Awued bpen... (Lln. 11).
s
Summary for Candidates
November Elections
1/1 through
o
in Both June and
~
2739
o
2560
-
2814
INDtNG (ASHI.ALANCI SHOt.I.D
NOT at:... NU....'IVI.....OfAff
s
s
s
""010<11 Summ.ry P.."., Una 11
.... Column....UnaJ._
........... ScMduletLlne4
... Column.... LIne IO.bo..
Add LIne. J . 14 + IS. thtnsubtTKt U"" 16
11 must bt zero.
12.
Current Cash Statement
3. Beginning Cash Balance
4. Cash Receipu .............
5. Miscellaneous Increases to Cash
6. Cash Payments
7.
ENDING CASH BALANCE
IflNsb. tonnlNrIonst.'._nt,Una
7/1 to Date
6152
3338
6130
o
s
s
Contributions
Received ...
22. M.fJ~ditures
1.
2
o
o
3901
s
s
s
Column (b)
Instructions on revt'1W
LIne
I.
in Column C .bow
Schtoole., P."
"
~.
A<*I Line 2 +
Cash Equivalents and Outstanding Debts
19. Cash Equivalents
Outstanding
8. LOAN GUARANTEES RECEIVED
Deb.ts
20.
Schedule A Type or print In Ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded Stltement (overs period .
to whoJe doll.n.
from 9-24-95
through 10-21-95 Plg.-2 of 5
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE .0. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
FULL NAME AND ADDRESS OF CONTRIBUtOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
DATE (. COWMmu... AOOfT1ON TO cQUumu'S .....E AND ADON.SS. ENTIE" 1.0. HUM.IEA (If SELHMP'lOYIEO.ENTIIt RECEIVED THIS CALENDAR YEAR OTHER
RECEIVED OA.. MOI.D. NUMIE_KAS IUN ASSfGN(O. EN1¡A TIUASURU'SNAME AND ADOAESS) NAMIE Of IUSMSS) PERIOD (JAN. ,. DEC. 31) (IF APPLICABLE
. .
"-
NADINE GRANT .. .. M.A.P./COMPASS
9-29-95 10463 Heney Creek Place ..
CONSULTING 100 100
Cupertino, CA 95014 OWNER/CONSULTANT
10-1-95 BETTY DEAN Mother 100 100
323 Bay Road
Menlro p"rk rA C¡4025
TRI-COUNTY APT. ASSON.PAC PAC 200 200
10-3-95 792 Meridian Way, Ste A
San Jose, CA 95126
10-15-95 THOMAS J. MCSHANE RETIRED 100 100
22342 Bahl Street
Cupertino, CA 95014
10-16-95 MARTIN L. SORENSEN
10284 Creston Drive - 110 110
Cupertino,'CA 95014 RETIRED
SUBTOTAL S 610 .
Monetary Contributions Summary
1. Amount received this period - contributions of $100 or more. L ~
(Include all Schedule A subtotals..) .................. ..... .......... ............ ......
2. Amount received this period - contributions of less than $100. $- 2129
(Do not itemize.) . ........................................................ ..... -
3. Total monetary contributions received this period. TOTAL $_ 2739
(Add Lines 1 and 2. Enter here and on the Summary Paae, Column A, Line
Schedule E Type or print In Ink. SCHEDULE E
Payments and Contributions Amounts may be rounded St,'ement (overs period .
to whole dollars. , . ~
(Other Than loans) Made from 9-24-95
lEE INSTRUCTIONS ON REVERSE thr_h ~0-2l-95 Pig, .. of 5
-
NAME OF OffICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE - -
.0. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
J:ODES FOR CLASSIFYING EXPENDITURES .
If one ofthe following codes accurately describes the expenditure,{.ou may enter the code and leave the " DeKription of Payment" column blank. Refer to the
back of Schedule E-Continuàtion Sheet for detailed explanations 0 each category.
·C - MONETARY AND IN·KIND (NON-MONETARY) "I" - IROADCAST ADVERTISING "G· - GENERAl OPERATIONS AND OVERHEAD
CONTRIIUTIONS TO OTHER CANDIDATES "N" - NEWSPAPER AND PERIODICAL ADVERTISING "T" - TRAVEL. ACCOMMODATIONS AND MEALS
ANDCOMMITTEES ·0· -. OUTSIDE ADVERTISING (MUST BE DESCRIBED)
·1" - INDEPENDENT EXPENDITURES ·S· - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS .p. PROFESSIONAL MANAGEMENT AND CONSUL TlNG
·l" - LITERATURE "F· - FUNDRAlSING EVENTS SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR. OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E
IIf COMMmn,1N ADOITtOH TOCOMMmIE'S NAME ANOADDMSS,IN1EI' I.D. MUM.. OA.. NO 1.0. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE. OF THE SUMMARY SECTION BElOW.
NUMN"III. HAS MINAUtGNEÞ. INTIII. T....lUMn.....1 AND ADONIS) DESCRIPTION OF PAtMENT AMOUNT PAID
CODE OR
DIAMOND QUALITY PRINTING
19993 STEVENS CREEK BLVD.
CUPERTINO, CA 95014 L 1724
.
,_. .
SUBTOTAL S 1724
-
S. 1724
L 95
-
S- O
-
L 741
-
~S¿'LJ
'~rtant: Contribufions and expenditures made out of campaign funds to or on behalf of other
o iceholders, candidafes, committees, or ballot measures must also be entered on the Allocation Page, Part I.
Payments and Contributions Made Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ......................
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 a<crued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.)
" T"t~1 ...........4. .........1... 4k:" ......~:_..J .
Scheduie F Trpe Of print In Ink. SCHEDULE F
Accrued Expenses (Unpaid Bills) Amounts may be rounded Statement covers period II
to whole doll.n.
'rom 9-24-95
10-21-95 5 of 5
SEE INSTRUCTIONS ON REVERSE thrOU h poge
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 1.0. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes accurately describes the expenditure,l.0u may enter the code and leave the "Description of Payment' column blank. Refer to the
back of Schedule E-Continuation Sheet for detailed explanations 0 each category.
"C" - MONETARY AND IN-KIND (NON-MONETARY) 'B" - ìROAOCAST ADVERTISING "G" - GENERALOPERATIONSANDOVERHEAD
CONTRIBUTIONS TO OTHER CAN.DIDATES 'N" - NEWSPAPER AND PERIODICAL ADVERTISING "T" - TRAVEL,ACCOMMODATlONSANDMEAlS
AND COMMITTEES '0" - OUTSIDE ADVERTISING (MUST IE DESCRlIED)
"I" - INDEPENDENTEXPENDITURES 'S" - SURVEYS, SIGNATURE GATHERING, DOOR· TO-DOOR SOLICITATIONS "P" PROFESSIONAl MANAGEMENT AND CONSULTING
"L" - LITERATURE 'F" - FUNDRAlSING EIIENTS SERVICES
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIIUTION w.eIOITANT: DO NOT ITEMIZE THE 'AVMEIØ Of ACCIUJ(O (XHNUS ON SCHf:OUlESf OR f. Rff'OAT 0Hl Y THE LU,,",' SUM Of 'UM£NT1
þf COMMmff.... ADOITIONTOCOMMfTTtn NAME ANDAOOIIfSS.ENfERLO. NUMIUOA._ HOtD. ON so.ouu '.l" 4 "'NOON SCHEDUlE I..... 4. DONaT M4T'MIUACCAUED (XHNU:S LUroftTfD IN A. PAlVIOUS 'fOOD.
MJMI(. HAS HEN ASSIGNED, INTEl 'MAlUMn NAME MID ADONIS) DESCRIPTION OF OUTSTANDING PAYMENT
CODE OR AMOUNT ACCRUED
.
)
o
$. 0
$. 0
NCURRED TOTAL $. 0
PAID TOTAL S ( 741
..ICT . 741
$
SUBTOTAL
Attach additional information on appropriately labeled continuation sheets.
Accrued Expenses Summary
1. Accrued expenses this period of $100 or mor~. (Include all Schedule F subtotals.)
2. Accrued expenses this period of under $100. (Do not itemize.) ...............
3. Total accrued expenses incurred this period. (Add lines 1 and 2.) .............
4. Total accrued expenses paid this period. (Do not itemize. Enter here and on Schedule E Summary, line 4.)
c; Npt ,.h~nnp thi..: nÞrinrl tc¡,uhtrartl inp 4 from I inp 1 fntÞr thp riiffprpnrp hÞro anti nn th. C:llmm"ru P"nø rnl..mn JJ. I in.
AMENDMENT
Da&ø Stamp
Tßte or Prtnlln Ink
Amendment to
Campaign Disclosure Statement
A For Ollic'al U$8 Only
fW\ ß 3~
11lis form must be used 10 amend slatemCnlS filed pursuanlto Government Code Sections 84200-84216.5, and musl be
filed wilh all filing officers who received Ihe slatemenl being amended. NOTE: Do IlOl use this form to amend a ?G
SlalCmenl of Organizalion. Form 410, Candidate Inlenùon, Form 501, or a Campaign Bank Account, Form 502. ~SIO~\
the aClual Form 410, 501 or 502, rcspcclively,lo make amcndmenlS. .
The informatiun requirw musl correspond to Ihe informalion provided on Ihe campaign slalemenl
Amendment Information
A. The folbwing nlonnalion amends campaign disclosure slalemenl,
executed on 10-24-95 Iorlheperiod 7-1-95
fUO.Oo\'f, YIt., II,Q" DAy. 'fA.1
The amended i1tormalion affecls ilems on the:
o Cover Pege 0 AMoceUon Pege KX Summlry Plge
o Schedule(l) 0 Per~l)
Describe Iha changes below. 1nc:k.Jde in del ail all information )OJ wish to become a part 0:
your oftk:ial campaign slalement PI.... aUach . cover pag., .umm.ry page and/or
approprlale echedule(l) 10 'hi, Form 40511 nece...ry for ct.rl"ClI~n. Include additional
nlonnation on appropriately labeled conlinuahon sheets.
(Number 01 she"s e"ached )
490
9-23-95
11oC).()I.Y,YA
Form No.
Ihrough
B
c.
II
1.0. NU..IO
CIf'Al'l"LIC".UJ
911156
lJPCOŒ
95014
in'Par
Name ·of Filer (See imporlanl infornuJlion on revase)
NAill: OF FILERI
MNI
STATE
CA
Dean
Of FILER (NO AND SinH
Bahl Street
Cupertino,
Anf A COOF filA. YllMf A lONE NUÞ,4(]£R
408-777-7000
N.N£ OF TREA.URER IF RECIPIIE:"T
Wally
tN(;Af)()AfSS
22322
CIIY
CO....ITTEEI
(NO ANOSJAEE
'I
Stªfford Drive
BarDara Humphr
ÆIlMAUENT ~DOnfSS OF TAEASUAER (IF APPlICADI
,2
Summary Page, Column C corrected to reflect
numbers in Column A
lJP CODE
95014
STATE
ÇA
euy
NUMOER
Verification (See impOrlanl infornuJlion on reverse)
I have used all reasonable diligence in preparing lhis stalement. I have reviewed the slBlemenland 10 the best of my knowl~dge the inConnltion contained herein and in the
schedules is (rue and complete. I cenify under penally of perjury under the laws of rhc S.lle oC California
By
(
,
~t1lpajgn Disclosure Statement Type 01 print In Ink. SUMMARY PAGE
Summary Page AmountJ may be roundtd Sut,mtnl (ovelS petJod lIB
to whole dollars. . . .
. . ,¡i,-.'
/ 7-1-95 . .' ~
from . . '. .
through 9-23-95 ) -J...
SEE INSTRUCTION! ON REVERSE "po ~ o/~
>lAME OF OffICI HOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 1.0. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
.
Contributions Received' Column A ColumnS-' " Column C
TOTAL 1t1'S 'uuoo JOIAl P1UYJOUS HIUOO TOUl 10 00\11
I'''ØI.I AnAo.D SØtl0ULU} (SEE HOTI'UOW) (ADO (OUIIoIJð A . ')
1. Monetary Contributions ............................... SchHJuIt A, U". 3 S 1413 s 0 s 1413
2. Loans R~eiv~ Schedult 'ð, U". 7 2000 1901 3901
.........................................
3. SUBTOTAL CASH CONTRIBUTIONS ....................... AddU".., ~ 2 s 3413 s 1901 s 5314
4. Non-monetary Contributions . . . . . . . . . . . . . . . . . . . . . . . . . Schedult C. U"" 3 0 n 0
5. SUBTOTAL CONTRIBUTIONS (exclude entom.bIt I'romlus) AddU".sJ ~.f S . 3413 S 1901 s 5314
6. Enforceable Promi~ 0 0 0
(Exduot 10M G"''''''ffS, u". "below) ................... ScMduIt D, U"" 7 -
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddU"..S ~ 6 S _ 3413 s 1901 s 5314
Expenditures Made 0
a. Cash Pa)T:',enu (Oth., than Loans Made) Sched.J1t e, U"" s s _ 778 S s 778
............
9. Loans /....ce .......... .................................. ScMduIt H, U". 7 0 J 0
-
10. SUBTOTA~CA5HPAYMENTS ...... ............. ..... AddUMS' + 9 s_ 778 s 0 s 778
11. A(cru~ Ex~nses (Unpaid Bills) ................... ScheduH F, u". S - 741 0 741
12. TOTAL EXFENDJTURES MADE ......................... AddUnoSlO~1T S _. 1519 s 0 s 1519
-
Current Cash Statement
13. Beginnir,. ûsh Balan(e . . . . . . . . . . .. ..... PnvlOUJ Summ,ry P.ge.lJne 17 S 0 . From Pltvious St'lem~nt Summlr)' P'Qf. Column C. HOWtV'I, if
14. Cash R~fjpU CotllmnA, U".3.bow 3413 this is In. first rtport '¡It'd for the ultnd" YUt, Column B should ~
............................... ...... ~ blink uc'pt lor Loans Rt<,¡.,.e-d (lint 2), Enforceabl, Promisfs (l)n,
15. Mis<ellar,eOuSln<reasestoCash ........................ 5<Mdu/", U"" 4 0 "E). Lo.ns M.d, (lint 9)..nd Aaru,d h:ptm,s (lIn. 11).
16. CashPaY'"-fnu .................................... ColumnA, L.Jne 10~bo... 778
7. ENDING CASH BALANCE ..... AddLJMJ IJ ., 14 of 15, t~nJubtrKtUfM 16 S 2635 Summary for Candidates in Both June and
Ifth/J JJ. t,nnll1.ltJonst'f,rn,nt.l..Jne 17 m&lft ~ IUD. (NDfHG CASH IALAIKI SHOtAD November Elections
HOT If A "fC'oATIV( A"'OUHJ
- 1/1 through 6130 7/110011'
a. LOAN GUAP.ANTEES RECEIVED .............. 5<"''*'1, ð, P.rt I, Colum" (b) S ---JJ 21. ~ontrib~tions S
- - ecelve ....
Cash Equivalents and Outstanding Debts 22. Mfá~ditures
19. Cash Equivôlents . ......... ~'Instructlons 0t1 renlJ4r S -..Q s
20. Outstanding Debts Add LIM 1 -# LIM " In Column C .bov~ S 4642
( (
.~pa~n Disclosure Statement
Type or print In Ink. SUMMARY PAGE
/ Summary Page Amounts ml)' be round~d Sut.ment (oven petk>d ..
to whole dolJ.ln.
7-1-95 '," - ,¡... ''','
from
SEE INSTRUCTIONS ON REVE /!SE through 9-23-95 Pa;o L- of-º--
><AME OF OFFICtHDLDER OR CANDIDATE AND CONTROLLED COMMITTEE -
1.0. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
Contributions Received .. ColumnA Column B* " Column C
,
TOTAL 1m f'fNOO TOIAl I'NVK>OS I'fIUOO Tor.l."10 OATI
,"OU AnAOMO SOUOUUS: (Hi NOn: .nOW) (AOO COl\,,,","'u. . .)
1. Monetary Contributions .......... ............. ........ S<Mdul« A, UM 3 S 1413 s 0 s 1413
2. Loans Re<eived ......................................... Schedul« IJ, Uno 7 2000 1901 3901
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddUne. I + 2 S 3413 s 1901 s 53H
4. Non-monetary Contributions ......................... Schedu,* C. UM 3 () () 0
S. SUBTOTAL CONTRIBUTIONS (Exdudt Enlorn.bIe I'rombos) AddUM.3 +4 S 3413 s 1901 s 53H
6. Enforceable Promise-s 0 0 0
(Exch.ÞdoLOOIIGU4r."'.... LInt 'IJbtlow) ..... .............. ScMduIt D, UM 7
7. TOTAL CONTRIBUTIONS RECEIVED ......... ............ AddUn..S + 6 S 3413 s 1901 s 53H
Expenditures Made
. úsh Payments (Other than Loans Made) Schtdu'* E, Uno 5 S 778 S 0 S 750 ~ ~~.
............
S Loans Made ............................................. ScMduIt H, UM 7 0 0 0
10. SUBTOTAL CASH PAYMENTS ............................ AddUM.' + 9 S 778 s 0 s 750 \Z
11. Accrued Expenses (Unpaid Bills) .... .................. ScMduIo F. Uno 5 741 0 741 \~
1519 x
12. TOTAL EXPENDITURES MADE ......................... AddUno.,O + " S S 0 s 1491
Current Cash Statement
13. Beginning Cash Balance .. ............... Previous Summ.1)' '.ge. Une 17 S 0 . From previous Statement Summa"ry Page. (() umn C. Howe'o'er, j
14. Cash Receipu ........ .......................,...... ColumnA, Uno 3.bow 3413 this is 1h4 first r.port filed for the ultnd.r yell, (olumn B should hoe
blink exupt for LOins R~el...td (Line 2), En'()(tubl, Promists (Line
1;. MiS(ellaneouslncr~asestoúsh' ........................ ScMdu/. I. Une 4 0 E). Lo.ns Mad. (Lint 9), Ind A«ru.d h:pensts (Lint t1).
16. Cash Payments ...... .............................. ColumnA, Uno 10.bove 778
17. ENDING CASH BALANCE ..... AddLlnoJl3 + I.f + 15,lhfnJubITKtUno 16 S 2635 Summary for Candidates in BDth June and
If this b. rtrmlrwdon st.ttmtnt Unt 17 must M uro. IHDtHG CASH ÞlANa: SHOUlD November Elections
NOT If ... NfGATlVf .....0lHT
- 1/1 through 6.130 7/1 to Datt
18. LOAN GUARANTEES RECEIVED .............. Schfdu/. IJ, I'.rt I, Column (h) S ----º 21. ~ontrib~tions S
- ecelve ....
Cash Equivalents and Outstanding Debts 22. ÚfJ~ditures
t 9. Cash Equivalents . ......... See lrutruct/ol1$ on relltlW S ----º S
20. Outstandina Debt< .aM"......, .-- .- 4h4?
TWpe 0' Prtnt In Ink
Amendment to
Campaign Disclosure Statement
Date Stamp
A For Official Use Only
33
'95 OCT 26 fin
TIlis form muSl be used 10 amend SLalemcms filed pursU3ßIIO Government Code Seclions 84200-84216.5. and must be
filed wilh all filing officers who reccived Ihe SLalemenl being amended. NOTE; Do 1101 use Ihis form 10 amend a
SLalcmem of Organiz.alion, Form 410, Candidale Imenûon, Form 501, or a Campaign Bank Accounl, Form 502. Use
Ihc aClllal Form 410, 501 or 502, rcs¡>CClively, 10 make amendments.
The information required in Part I must correspond to Ihe information provided on Ihe campaign stalement,
COpy
Amendment Information
A. The following informalion ¡monds campaign disclosuro stSlomonl, Form No. 4 9 0
oxoCUlodon 10-24-95 lorlhoporiod 7-1-95 through 9-23-95
~~~ I~~m.. ~~ml
B. The amended information affecls items on Ihe:
o Covor Pogo 0 Alloclllon Pago lac Summlry Plgo
o SchodUto(l) 0 Por~l)
c. Describe Ihe changes below. Include in delail all informalion you wish 10 become a par1 01
your official campaign slalement PI.... allach . cover page, summary p~e and/or
approprlale Khedule(s) 10 Ihla Form 40511 neces..ry for clarIßClIJon. Include additional
inlonnalion on appropnalety labeled conlinuation sheels.
(Numbor 01 sho.ls allached.)
II
1.0. HU".ÐI
'IF Art"LICA8lEI
911156
ZlPcoœ
95014
Name·of Filer (See imp~rtant in [ormation on reverse)
H....E OF FIURI
STATE
CA
CHY
Cupertino,
AnEACOOf¡f)AYIIME AlONE NUMBER
408-777-7000
H.....E OF TAE....UREA IF RECIPIENT CO....I"EEI
Wally Dean
MAltiNG AOORESS OfFllfR: {NO ANDSTflEfT
22322 Bahl Street
I
Summary Page, Column C corrected to reflect
numbers in Column A
ZlPcoœ
95014
(NO. AND SIR£f
SlATE
ÇA
Barbara Humphr
PEIlMA.'~ENI ADon£ss OF TREASURER: (IF ÞJ'PlICAOtE
:taffp~c1Driye
CITY
Verification (See important information on reverse)
I have used all reasonable diligence in preparing this SllIemen!. I have reviewed 'he sla'emenl and '0 the best of my knowledge ,he informllion conlOioed h
IBt£ OFFIC'ER
SlGNATUÆ OF OFftCEtrxO£R. CNÐDAr
-.'
,
...mpaign Disclosure Statement Type or print In 'nk. SUMMARY PAG
Summary Page Amounts m~y b. rounded SUI.ment (OVen perJod .
to whole doll.... . ..
./ from 7-1-95
through 9-23-95 I -1L
SEE INSTRUCTIONS ON REVEI!5E "po _oI~
NAME Of OffICEHOLDER OR CANDIDATE AND CONTROllED COMMITTEE -
1.0. NUMBER
COMMI~TEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
Contributions Received' Column A Column B* . " Column C
TOTAL 1m P'(~OO TOTAL I'N:\lK)tJS H:IUOO TOUt TOOA.T!
f'1I.0t.I AnAO«D SOflÞUUS) cs.n:HOU'UOYV) (ADO COlUMNS A . I)
1. Monetary Contributions ............................... 5<hfl1u1t A, U". 3 s 1413 s 0 s 1413
-
2. Loans R~eiy~ S<:hedult'ð, U". 7 2000 1901 3901
......................................... -
3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddU".., + 2 S 3413 s 1901 s 5314
-
4. Non-mone~ry Contributions ......................... S<:hedult C. U".3 0 - 0 0
S. SUBTOTAL CONTRIBUTIONS (Exdudt EnfOlTubk l'romJus) AddU".s] +4 S 3413 s 1901 s 5314
-
6. Enforceable Promi~ 0 0 0
(Exclvdo LWlG"'"n<US, Lin< 18~/_) ..... ....... ....... ~D,U".7 -
7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddU"us + 6 S 3413 s 1901 s 5314
-
Expenditures Made
8. Cash Payr:-,ents (01her than Loans Made) S<:hedult E, Uno S S _ 77R S 0 s 778
............ -
9. Loans W.ce ............................................. ~H,U".7 0 j 0
- -
10. SUBTOTA~CA5HPAYMENTS ............................ AddUn..ð + 9 s_ 778 s 0 s 778
-
II. Accrue<j:xPfn~s(UnpaidBi"s) ....................... ~F,UnoS - 741 - 0 741
12. TOTAL EXPENDITURES MADE ......................... AddUnes 70 + " S _ 1519 s 0 s 1519
- -
.
Current Cash Statement
13. Beginnir" Cash Balance .................. ~IIIOU1Summ.ryP.~.l.Jne 17 S 0 ... From previous Stlltemfnt SummlfY Pig,. Column C. HOWh'.r, if
14. Cash Re-c.ipts ...............................,...... ColumnA, Uno J.bow 3413 this is tn. 11m report fjle-d for the uJendu YUt, Column 8 should bf'
- blink except for lOIns Rfi:el",f'd (line 2), Enf()((uble P,om;s,s (Unt
15. Miscellar..ous Increases to Cash ........................ S<:MduI. I, LIne 4 0 "E), Lo..ns Mold. (line 9).'nd Accrued hpenSfs (Lln. 1 t).
6. Cash Pay"'.nts .................................... Colu,"nA,~ 10.bo~ 778
-
7. ENDING USH BALANCE ..... AddLlnU7J + 14 + 'S,thensubtrKtU". 76 S 2635 Summary for Candidates in Both June and
Ifrhl'b, rrnnl,..,tJonn.lf,m,nt.L.J.r,.17mV1fNnro. f HCfHG CASH IAlAHCI SHOUlD November Elections
HOT If A HlGArlVl ..MO\JHT
- - 1/1 through 6130 711 to Dale
18. LOAN GUAPANTEES RECEIVED .............. 5chedul. ð, P.rt I, Column (b) S ~ 21. ~ontrib~tio11S
- - ecelve .... s
Cash Equivalents and Outstanding Debts 22. ftfd~ditures
19. Cash Equivalents . ......... ~'Instructlons on rntrs. S --...Q s
20. Outstanding Deb,!s Add LI". 2 + LIn. " In Co/um" C .bove S 4642
r ,,10 (
~a~n Disclosure Statement (
Type or print In Ink. SUMMARY PAGE
/ Summary Page Amounts m.y be rounded Sut.mtnt coven period "-"~<~l
to whole donors. ~jt<',)' A ~ ~
7-1-95 ':~3"\~
from ..'# vn .~ ~.~
SEE INSTRUCTIONS ON REVE~E th'0U9h 9-23-95 Po O 2 of 6
IlAME Of OffKIHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
Contributions Received' Column A Column B" " Column C
TOTAL 'tIS I'lIUOO TOTAlI"IUVJOUS P11UOO TOUt 'OOATI
"AOM An"CHlD S01fDUlU} (SCE NOn '(l0W) (,AOOCexUMNi.. . ')
1. Monetary Contributions ........ ...... ....... .......... ScMduIe A. UM 3 S 1413 s 0 s 1413
-
2. Loans Re<eiv~ ......................................... Schedule B, UM 7 2000 1901 3901
-
3. SUBTOTAL CASH CONTRIBUTIONS ........ .............. AddUn.. I + 2 S 3413 s 1901 s 5314
-
4. Non-monetary Contributions ......................... Schedule C, UM 3 n - n 0
S. SUBTOTAL CONTRIBUTIONS (Excludo Enforr..bIe I'rom/Hs) AddUMS3 + 4 S 3413 s 1901 s 5314
-
6. Enforceable Promises 0 0 0
(Exdudt Loon GIUt,om..s, ~ 18 below) .........,......... ~D,UM7 -
7. TOTAL CONTRIBUTIONS RECEIVED ..................... Add~s5 + 6 S 3413 s 1901 s 5314
-
-
Expenditures Made 0
8. Cash Payments (Other than Loans Made) ............ ScMduIe E, UM 5 S 778 S s
9. Loans Made ............. ........................ ......... ~H,UM 7 0 0 ~
10. SUBTOTAL CASH PAYMENTS ............................ AddUMSB + 9 S 778 s 0 s Z
11. Accru~ Expenses (Unpaid Bills) ........................ ~F,UMS 741 0
12. TOTAL EXPENDITURES MADE ......................... Add 1.lMJ/ 0 + " S 1519 s 0 s 1491
.. ..
Current Cash Statement
13. Beginning Cash Balance .................. ,"..-¡0tIS Summ.ry P.~I Cine '7 S 0 .. From previous St.tement Summary Plge, Column C. However. if
14. Cash Receipts ...............................,...... ColumnA, UM 3 obow 3413 this is th4 first report filed for the CI~ndar yelt, Column 8 should be
blank exupt for louIS R~elvKf (Line 2), Enforce.ble Promises (Line
15. Mis<ellaneous Increases to Cash' ........................ Schedule ~ I.lM 4 0 "E). loans M.de (Line 9), .ndAc.crued .hpens-es (Une 11).
16. Cash Payments .................................... ColumnA, I.lM laobe.. 778
17. ENDING CASH BALANCE ..... ArJdLlMJ 13 + /4 + IS, 'hen subtrKt UM 16 S 2635 Summary for Candidates in Both June and
If thIs is. fermlrwtlon rt.ttment I.Jne 17 mUJt'" z~ero. fHOtNG CASH aALAHΠSHOlA.D November Elections
HOT I( A H(G.Anv( AMOUNT
- 1/1 through 6f.JO 7/1 to Date
18. LOAN GUARANTEES RECEIVED .............. Schedul. a, Port I, Column (b) S --..0. 21. ~ontrib~tjDns S
- ecelve ....
Cash Equivalents and Outstanding Debts 22. Mfá~djtures
19. Cash Equivalents. ......... St'e Instructions on reVfIW S --..0. s
20. Outstandino Debts Ar4d""... ., ..- ,- --- 4h4?
(
COVER PAGE
Dote Stomp
StIIt.ment covers period
7-1-95
Type or print in Ink.
Offkeholl:ler, Candidate,
and Controlled Committee
éampai9n Statement - Lon9 Form
(Government Code Sections 842OO-84216.S)
from
1. of...§.
For õifKi.1 Use Only
'oge
-
If2
PI'I 3
P 27
through 9-23-95
Doto of olectlon If Ippllc,
(Month. 01,. Vo,,)
SEE INSTRUCTIONS ON REVERSE
O>oc. 0... of 1M following boxts to Indklta 1M typt of slltemont being filed:
. fa Pr....IKtion Stat.m.nt
a Supplemental Pr....lection St.tement
S_ill Odd-Voir úmpoign Report
Semi-annuli Stat.m.nt
T.rmin.tion St.t.ment (An¡
(An.ch. completed Form 495 to this stllt.ment.)
coPy
tfier\.ommlttees oIlnclUaea In thiS statement: LIsttnyo.her
commht"J not IncludHJ In this consolkMt~ statement 1M' .,. controlled by you Ind any
committees of which you lit.. knowlerl¡ t the. tie prlmtrily fOllned.o rece/.. con.rlbutlons
or to meke eJq)tndltures on belltH of four condldtcy.
COMMmUIilAUE
11-07-95
statement.)
ommlttee
WALLY DEAN
Offtcf SOUGHT OAHELÐ ClNCLUDllOCA'..AIC)DlSTIIIC1.....a.~)
CUPERTINO CITY COUNCIL
AU'OfNTaAl OR IU'SMSS ADOUSS CNO. AND 'WIT)
CONTIWLLfO COMMmf
Om ONO
MAUl Of TMASURfA
"'""'
ARfA, COOEJDAYJlMf
..cOO£
CNO. AND STMfT)
ST...
COMMfnU ADONIS
an
AMACODIIDAYTNI ~
(408)736-3485
I.Ð.........
"COOl
95014
FOR
em
CUPERTINO
COMMITTEE NAME
COMMITTEE TO ELECT WALLY DEAN
CITY COUNCIL
COMMmu AÐOAI.SS
BAHL STREET
STAtE
CA
911156
COMMmUNAME
1.0. HUM.flll
(ONtlllOlUD COMMmEf
Om ONO
.......E Of tMAIUM.
AMACODU:tAvtlMl: P'ttOM'
(408)736-3485
"COOl
95014
(NO. AND St~(fn
STArE
CA
22322
em
CUPERTINO
NAME OF TREASURER
BARBARA HUMPHRY
CNO· AND STUEn
COMMmU ADOMSS
""""
ANA COOOOAYTlMf
AII«h __Ilnform.tion on .""'0fN/.,./y ,.be/ed con.tnull/on Jheen.
.. COO£
STAn
an
AREA CODUM,Y1"E PttOHE
408)252-3184
"'COOl
95014
CNO· AND StilET)
STAt(
CA
"MlAHEKI AÞØNSS Of tJlP,kMU
1155 STAFFORD DRIVE
aty
CUPERTINO
lcation
I hlv, used IU r'llOnable dilig.nc. in preparing this statement. I hlv, reviewed the stIItement Ind to the best 0
SUMMARY PAGE
period
Stat.ment covers
7-1-95
Type or print In Ink.
AmoUftts .... be rounded
10 whole dollar..
Campaign Disclosure Statement
Summary Page
,.go2016
.D. NUMBER
911156
I)
Column C
TOTAL IODATE
CAOOCOU,MI.... .
!ill
3901
2.lli
-º--
5314
s
s
s
9-23-95
Column .*
TOTAl Nf1iIOUS"JUOD
....1IOTf NLOW)
o
12.Ql
1901
from
Ihrough
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFIŒHOLOER OR CANOl DATE AND CONTROLLED COMMlmE
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL
Contributions Received
Column A
TO'AL THIS fIIMMJ
'AOW AnAo.D SCHIDULU)
1413
-
2000
-
3413
Monetary Contributions
Loans Received
1901
Q
1901
s
s
s
3413
o
3413
s
s
s
Schedule A. LIne J
5chtG11e., LIne 1
SUBTOTAL CASH CONTRIBUTIONS AddUno., + 1
Non-moneUiry Contributions . " . 5chtGIIe C. Uno J
SUBTOTAL CONTRIBUTIONS (E...... EnIorw.,. """"1 AddLlDeJJ +.
Enforceable Promises
(EII'dudo Lo.n Gw,_.. Uno ,. be_) SchocArIo D. LIDe 1
TOTAL CONTRIBUTIONS RECEIVED AddUno.5 + f
1.
2.
3.
4.
S.
6.
Q
5314
750
o
750
s
s
s
o
o
o
s
s
s
o
778
s
s
Ii
1519
s
$(Ndu/e E, LIDe 5
SchocArIo H, LIDe 1
Add LIne.. + ,
SchocArIo F, Uno S
Add Unet '0 + "
Accrued Expenses (Unpaid Bills)
TOTAL EXPENDITURES MADE
1491
. From previous Statement Summ.ry PIgt. Column C. However, if
this is lhe first report filed for the calendor yeor, Column B should bo
bI.nk 'lCCept for Loans Received (Une 2), Enforceable PromIses (Line
f), Loons Mode (Lint 91, ond Accrued Expenses (Lint' II.
s
o
s
Q
3413
s
s
in 80th June and
Summary for Candidates
November Elections
11 through
Q.
778
2635
ENOeNG CASH IAI..AMΠSHOlI.D
NOT at ... NlGAflVE "MOUNI'
s
Pre./ow _m./)' ,,_, Uno "
, .. .. .. ColumnA, Uno J.bow
............. Schedultt/Jne.
...... ColumnA, Uno 'O.bow
AddLlneJlJ + 'e + IS, Ihtn_KtLlne If
Ilmunbe_
Miscellaneous Increases to Clsh
Clsh Payments .................
ENDING CASH BALANCE .....
If rhb b . t.rm/notloos n.I.....nt Uno
Current Cash Statement
13. Beginning Clsh Balance
4. Clsh Receipts
S.
6.
7.
to Date
71
6130
s
s
7
Expenditures Made
8. Clsh Payments (Other than Loans Made)
9. Loans Made ..................
10. SUBTOTAL CASH PAYMENTS
11.
12
Contribl!tions
ReceIVed
22. [¡'f3~d~~~~es
1.
2
4642
s
s
s
Column /1»
Instructions on rev.1'1if
Uno
I f In Column C .bo..
Sclwldult B, ".n I,
St.
Add Lint 2 +
Cash Equivalents and Outstanding Debts
19. Cash Equivalents .
20. Outstanding Deb_ts
18. LOAN GUARANTEES RECEIVED
(
I
Schedule A Type or print In Ink. SCHEDULE A
Monetary Contributions Received Amounts m.y be rounded Stltement covers period -
to whole cIoIIa,..
from 7-1-95
thr_h9-23-95 P.~ ~of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE J.D. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL ,.911156
FULL NAME AND ADDRESS OF CONTRIBÚTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
DATE (w COMMITTEE." ADOß1ON TO (OMMmEI'S NAME AND AÐDIIfSS. INTI. to. NUMIER (If Sllf.(M....OYlD. ENTER RECEIVED THIS ~LENDAR YEAR OTHER
RECEIVED eM.. NOI.D. HUMIt:I HAS liEN ASStGNED. unn '....SUM.".......E AND ADORfSS) MMI Of IU$MSS) PERIOD JAN. 1· DEC. 11) (IF APPLICABLE)
DR. LEONARD DONK & RUTH-DONK PSYCHOLOGIST
9-13-95 10118 Ridgeway Dr. SELF EMPLOYED 100 100
Cupertino, ca 95014
9-15-95 ROBERT HENDRICKSON
10535 Mira Vista Ave W & R Sales
Cupertino, CA 95014 SELF EMPLOYED 100 100
.
SUBTOTAL $ 200
Monetary Contributions Summary
1. Amount received this period - contributions of S 100 or more. S 200
(Include all Schedule A subtotals.) .............................................. ......
2. Amount received this period - contributions of less than S 100. S 1,213
(Do not itemize.) ....................................... ................ ........ .....
3. Total monetary contributions received this period. . TOTAL S 1.413
(Add Lines 1 and 2. Enter here and on the Summary Paae, Column A. Line
(
SCHEDULE B - Part
period
Statement (oven
7--1-95
Type or print In Ink.
Amount. may be .ou_
to whole doIIan.
Schedule B - Part
Loans Received
6
of
Page ....i
I.D. NUMBER
911156
from
through9-23-95
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL
GUARANTOR INFORMATION
LENDER INFORMATION
LENDER/GUARANTOR'S
OCCurATtON AND EMPLOYl."SlU-
(MP&.OYID. ENTllklUlMSS NAME)
LENDER OR GUARANTOR'S FULL NAME AND ADDRESS
(If COWMmu. ENTIR fUll NAME. ADDUSS AND 1.0. HUM... . NO 1.0.
IIIUM.I HAS IEEN 45»6*0.1"'11 ,.. TMASUMR"S NAMa ANDAODIISS)
DATE
RECEIVED
CUMULATIVE
(AUHD..." YE....
·
OTHU,
AMOUNT
GU.....NUfD
CUMULATM
IODAJI
CAUNOAA YEAR
· n/a
0.....
AMOUNt
Of"....
DUl"DATEI
INJUn1 AA1I
DUE DAti
INltllST IMTE
OFFICEHOLDER
CITY COUNCIL
RETIRED
WALLY DEAN
22322 Bah1 St
Cupertino, ca 95014
Lender D Guarantor *
9-11-95
·
·
2000
..
o
11:1
CAUND.... YEA'"
CAlfNDAR YLU
-.....
·
OTHU.
·
,
OT'"
·
CAlINDAIt vu.A
.fltMn lATE
..
Guarantor·
o
Lender
o
CALENDA" n...,..
-.....
·
OIHU.
·
·
OT".
INTEMSf IMTE
..
Guarantor *
o
lender
o
f.n1fl(bJon
Su..." '..
Une 110ft1y.
þ)
$
2d"bO
s
SUBTOTAL
2000
o
$
$
.-.
subtotals.)
(a)
loans Received - Part
Summary
.nore received this period.
loans under $100 received this period.· (Do not itemize.)
(Add Lines
instfUdions on tel/erse.
·See important
Loans Received - Part
loans of $ tOO or'
(Include al
1.
2.
)
2000
o
o
o
2000
(
$
$
s
S
TOTAL $
TOTAL
NET
(e)
II
and 2.)
Loans Received - Part II
4. loans of S 1 00 or more repaid, forgiven, or paid by a third party this period. (Include all Part
subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.)
loans under S 100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or
paid by a third party, include this amount on Schedule A Summary, line 2.
T otalloans repaid. forgiven, or paid by a third party this period.
(Add lines 4 + 5.) ........................................
Net change this period. (Subtract line 6 from line 3.)
Enter the net here-and on the Summary PaQe. Column A, line 2
loans received this period.
Summary
Total
3.
S.
6.
7.
(
Schedule E Type or print In Ink. SCHEDULE E
Amount. m.y be rOUnded Stltement (overs period I .
Payments and Contributions to whole doIIan.
(Other Than loans) Made fr_ 7-1-95
9-23-95 P.g.2- of~
SEE INSTRUCTIONS ON REVERSE through
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
CODES FOR CLASSIFYING EXPENDITURES .
If one of the following codes accurately desCribes the expenditure'lou may enter the code and leave the "Description of Payment" column blank. Refer to the
back of·Schedule E-Continuation Sheet for detailed explanations 0 each category.
GENERAl. OPERATIONS AND OVERHEAD
TRAVEL. ACCOMMODATIONS AND MEALS
(MUST IE DESCRIIED)
PROFESSIONAL MANAGEMENT AND CONSULTING
SERVICES
-
"G"
"T"
"P"
"I" - lROADCAST ADVERTISING
"N" - NEWSPAPER AND PERIODICAL
"0" - OUTSIDE ADVERTISING
"S" - SURVEVS,SIGNATUREGATHERlNG,DOOR-To-DOORSOLlCITATIONS
"F" - FUNDRAlSING EVENTS
ADVERTISING
MONET ARV AND IN-KIND (NON-MONET ARV)
CONTRlIUTIONS TO OTHER CANDIDATES
AND COMMITTEES
INDEPENDENT EXPENDITURES
TlJRE
"C
"I"
NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRlIUTION _TAIIT: DO NOT ITEMIZE THE PAVMENT OF ACCRUED EXPENSES ON SCHEDULE E.
'" COMMmU,1N AOOtnON TO COWMmll'S NAME AND ADDU.H.INI'IIU). NUMIII OA.. NO lD. REPORT ONLY THE LUMP SUMOF SUCH PAVMENTS ON LINE 4 OF THE SUMMARY SECTION BElOW.
MUMMA HAS MIN ASStGNED.INnl '.A~n.... AM) ADOMSS) CODE OR DESCRIPTION OF PA VMENT AMOUNT PAID
ROME ENTERPRISES
1133 South Sixth Street
San Jose, CA 95112 0 750
.
REGISTAR OF VOTERS
SAN JOSE, CA G - 28
-
-.
Iff:::rtant: Contributions and expenditures made out of campai~n funds to or on behalf of other SUBTOTAL $ 778
o iceholdefl, candidates, committees, or ballot measures must a so be entered on the Allocation Page, Part I,
$ 778
$ 0
$ 0
$ 0
TnTAI c. 778
Important: ContributIons and expenditures made out of campalgl
officeholdefl, candidates, committees, or ballot measures must also be entered on the AllocatIon Paae, Part I,
Payments and Contributions Made Summary
1. Payments made this period of$l00or more. (Include all Schedule E subtotals.)
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 ~.) .....,
S. Total payments made this period. (Add lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A. Line 8.)
. . I (
Schedule .. TVpe or print In Ink. SCHEDULE F
Accrued Expenses (Unpaid Bills) Amounts m.v be rounded 511tement coyers period .
to whole doIIors.
'rom 7-1-95
SEE .INSTRUŒONS ON REVERSE thr_h 9-23-95 Pig<! L oI-L
-
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 1.0. NUMBER
COMMITTEE TO ELECT WALLY DEAN FOR CITY COUNCIL 911156
CODES FOR CLASSIFYING EXPENDITURES
If one of the following c?des ~ccurately descri~s the expen~iture.l.0u may enter the code and leave the "Description of Payment' column blank. Refer to the
back of Schedule E-Contlßuatlon Sheet for detailed explanations 0 each category,
'e - MONETARYANDIN-KIND(NON-MONETARY) 'B' - 'BROADCAST ADVERTISING "G' - GENERAL OPERATIONS AND OVERHEAD
CONTRIBUTIONS TO OTHER CANDIDATES 'N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL. ACCOMMODATIONS AND MEALS
AND COMMITTEES '0' - OUTSIDE ADVERTISING (MUST BE DESCRIBED)
'I' - INDEPENDENT EXPENDITURES '5' - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P' PROFESSIONAL MANAGEMENT AND CONSUL TlNG
'L' - LITERATURE 'F' - FUNDIWSING EVENTS SERVICES
NAME AND ADDRESS OF PAYEE. CREDITOR, OR RECIPIENT OF CONTRIBUTION .....,....,.: DO NOT rrlM&U ,.. 'AVMBlJQf ACCllUl:OIXPfNSfSON SCHEDULES ( OAf. NPOAT ONlY THE LUM' SUM Of '....YMENf~
(IF COMMnTEt:... ADOrI'tON TO COMMmu"\ "'YIAND AODMH.INfIAI.D. .......1(11; oa.. NO 1.0. ONSCtM:DULI', LM 4 AND ON SOtfDULI I. t.M 4. DOIIIOT III-IT'MUE A(ClUED UHNSfSAEPOATfO IN A mvlOUs ..fOOD
MUM.. HAS MIN ASsaGMD. INTI. '1fA1UMR'1 NAMI AND ADOMIS) DESCRIPTION OF auTST ANDING PA YME NT AMOUNT ACCRUED
CODE OR
ROME ENTERPRISES
1133 South Sixth Street
San Jose, CA 95112 0 741
.
AU.ch .delition.' infonn.tion on appropri.t'¡y '.".,ed continu.tion sheets. SUBTOTAL S 741
Accrued Expenses Summary -
741
1. Accrued expenses this period of S 100 or more. (Include all Schedule F subtotals.) ............ $. -
2. Accrued expenses this period of under S 100, (Do not itemize.) .......... S. 0
...............
3. Total accrued expenses incurred this period. (Add Lines 1 and 2.) _.,.......... INCURRED TOTAL S 741
4. Total accrued expenses paid this period. (Do not itemize. Enter here and on Schedule E Summa~. Line 4.) PAID TOTAL S ( 0
r;, Nflt t'hanniP thi~ Nl'rintt 1~lIhtra,.t np 4 frnm I inlll1 Fn'IIIr thlll nifflllrllln4"III hArlll ann nn th. c; mm:/lrV Panlll rnl..mn A I inlll 1 ....~T t 741
-
O;fir~hoV ~, Candidate, Type 01 print In Inle.
a"d Conti vlled Committee Statement (overs period Date Stamp
C. mpaign Statement - Long Form from 1-1-·95 /!u... 7/13/c¡S
(Governmenl Code Section, B~200-B42t 6.5) 6-30-95
SEE INSTRUCTIONS ON REVERSE through ¡å1V'.J . I of ;J,
Checle one of the following boxes to Indicate the type of statement being tiled: Date of election tt applica~ Page
o Pre--election Statement (Month. Dby, Yur) For Official Use Only
o Supplemental Pre-election Statement (Attach a completed Form 495 to this statement.)
Special Odd·Year Campaign Report CGP,\
Semi-annual Statement
Termination Statement (Attach a completed Form 415 to this statement.)
fCe 0 er an I ate, an ontro e ommlttee II Other Committees ot Included in this ~tatement: LlsUnyotMf
Included in this Statement committees not Included in this consolidated statement th.u ,re controlled by you and any
NAME OF OFFICEHOLDER OR CANDIDATE commfNees of which you h~ve knowledge that arr primarily formedto rece/lle conrributions
U¡:¡.LJ.. y Df.ÂIV or to m,ke expenditures on beh~1f of your nooiddcy.
COMMmEE NAME /,.0. NU"''''
OffICE SOUGHT OA HELD (lNO.UO( LOCATIOH "'NO DISTNCT NUMIf'"IF A'PlICA.IU) ,
. . '.
_il CD4/V I L - GI¡ ~ GUPE
r
'-!SlDEHTLAJ, OIl. IUS/HESS AOOIl.lSS (No. AND STI\EEl') NAME Of TII.!"'SUIl.EA comADLllD COMMmU1
..2-23.l.':l. BiHIL . ----, Om o NO
,'\-rR 1:: F /
CITY . STAn lJ1COOE COM.umu AOOIU:SS (NO. AND STIU:ET)
Úvp£ ,,¡::; a -3..¡~s
COMMITTEE NAME .D.NUMU'" CITY STAn: Z"COOE AI\!A COOlJD....YTIMf PHONI
COMMITTH NAME I 1.0. NU"''''
COMMmu "'OOk£SS Ø+9....NDSTMfT}
CITY ST~T£ III COOl "'1I.l..A COOE/DAYTJM[ PHONE NAME Of n.fASUIU:II. COHTftOUEO COMMmU1
o 'Yf' o NO
NAME OF TREASURER COMMmH ...OOIU:SS (NO....NDSTlU:fT)
'7? /J-R.L? A-« ,.q )..)/Jh1 ,r:J/lÃ:! V
'OM"'N[HT ADOI\lSS Of TAtASUll.f'" (NO. "'ND STAlfT) CITY STATE Z"COOE ....A[... CODf.Jt)AYTJM[ PHONE
) /SS .:s' //7 F ,z:::¿JÃ' D JÌ12 . :- -
CITy , STAn ""00£ ..,. C;:JAY""" PHON'
('p; P¿(í2 77 TVò é4J AttICh MkJh¡o~/ lpfo!!,,,Ùon on ,pproprlately labe/~ contlnultion ~etJ'.
c¡ ¿;;¿; /<j (~¿; d 5'';';' , ?í J:>Lj
Verification
I have u~d all reasonable diligence in preparing this st.tement. I have reviewed the statement and to the bertof my knowleðge the information contained herein and
ATIº-H M"'NUAiON CAM'AIGN D/SClØS~AUAQYIS ºNS or THE POLITICAL REfORM An
.,
Campait Disclosure Statement Type 01 print In Ink. oLlMMARY PAGE
5'Jmmary Page Amounu may be rounded Statement Covers period -
to whole doJb,s.
from 1-1-95 "__ ~ " '. ~ .
through 6-30-95 ,. '=<,
SEE INSTRUCTIONS ON REVERSE p,~~_ 01
NAME OF OFFlaHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE J.D. NUMBER
V ..JP.¿¿ Y ZJ£/'9/J/'
Contributions Received Column A ColumnB' " Column C
TOTAL rtfs P'f1.l00 TOTAL J"Uoous 'E1UOO 'rOUL TO OATE
VAOM AnAOIlO SOt[DUlfS) ~UHOT[J£lO'ffl "'OOCOlUM/'ðA . .)
1. Monetary Contributions ..,. ...... ,.................... Sc1><duk A, U". 3 5 S S
2. Loans Re<eived ...., ........ ...., ..... ........ .......... ScMooI. B. U". 7 ) 7ð J /5¿/
.
3. 'SUBTOTALCASHCONTRIBUTIONS ...................... AddU".s 1 + 2 5, S 1"'1.0 J S /9.à /
4. Non-monetary Contributions ......................... SCMook C, 1,1". 3
S. SUBTOTAL CONTRIBUTIOIjS (ExdudoEnfo"..bk Promlus) . AddU".s3 +.f 5 _ S )'1'L>/ S /7L>/
6, Enforceable Promises
(fxclLJÓtLNn Gu,r,ntttJ, UM,18 below) ............... .... Sc1><dUH D, U". 7 -
7. TOTAL CONTRIBUTIONS RECEIVEP ..................... AddU".sS + 6 5 _ s /7'.ð I S ;1' ¿.j
Expenditures Made
8. Cash Payments (OIlier than LoansMade) ............ ScheduH E. U". S 5 _ S s
9, Loans Made :..... ,.......,.... .:.::........... ........... Sc1><dUH H, U". 7 -
10, SUBTOTAL CASH PAYMENTS ............................ Add U".S B + 9 5_ 5 S
11. Accrued Expenses (Unpaid Bills) ..........:............. Sc1><duk F. U". S -
12. TOTAL EXPENDITURES MADE ......................... Add Unos 10 + " 5_ S S
. .
Current Cash Statement ,
13. Beginning Cash Balance .................. h,vlovsSumm,ryp;gf. £JM 17 5 .. f;om previous Statement SUf!'Imary Page, COlumn C. However, if
'.~. this is the first report fjled for the calendar yur, CoJumn B should be
14. Cash Receipts ...........:...................,...... Column A, Une 3 .boye blank except for LOðn.s Received (Line 2), Enforceable Promises (Line
I S. Miscellaneous Increases to Cash .....,.................... _. 6).lo.ns M.de (line 9). ond Awued Expen... (line 11).
ScMclvl,I, Un,.f
16. Ca.sh Payments .................................... CoIumnA,UI'tt 10.bo..-e
7. ENDING CASH BALANCE ..... Add L/".s 13 . 14 + 15.thensubtr.ct U". 16 S Summary for Candidates in Both June and
tfthls Is, ttrmlmtJonst~te,"tnt. Une 17 must ~ zero. IHOfHG CASH IAl.AHCI SHexAD Novembe'r EJections
HOT It A Hfc..a.TlVfAMOUNT
111 through 6130 7/J toDðte
B. lOAN GUARANTEES RECEIVED .............. ScMdul, B. Part I, Column (b) 5 21. Contrib~tions S
Receive ....
Cash Equivalents ¡md Outstanding Debts 22. FJfå~ditures
19, Cash Equivafents . ~t Instrvctlons on feVtru 5 L2- s
......... -
20. Outstanding De~ts AckJ L/". 2 . L/". " in Column C above 5 / £>/
-3
¿,
UNPAID INTEREST
of
Page ~.
I.D. NUMBER
"'tl/I
period
6-30-95
Statement covers:
from
through
T)'~ or print In ink.
Amounts may be rounded
to whol, dollars.
AMOUNT OF ORIGINAL LOAN
UNPAID PRINCIPAL
NOTE: Thistor.1 should be
the s~me ~mOunt as entered
on the Summ,ry Pðgt,
Column C, Line 2.
/7 ¿; /
/7'd /
-
.'
$
.2. PLJ ð
TOTAL
:'.,"".,,:,'z::
"..::.¢' . ['
::é¿ edult - Part"
~nnuaJ Report of Outstanding loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROllED COMMITTEE
V;lh..¿ Y _l'J £' /J ,IV
FULL NAME OF LENDER ORIGINAL DATE OF LOAN
, ?//¿..J ~/.ij~
h//7.L.¿Y D¿.qA/ J¿;/~ ~L9 /
.
Attach additional information on appropriately labeled continuation sheefs.
CDf'(
Date Stamp
Statement covers period
-9
Type or print in Ink.
Offkeho...er, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Governmenl Code Sections 8420D-84216.5)
Lof3-
for OffTcial Use Only
Page
1-}O-'1 S-
SL-
I
through
Date of election If applicable:
(Month, Day. Year)
-91
I
7-
-J
from
1995 JAN 30 AM II~ 10
Indlute the type of statement being flied:
SEE INSTRUCTIONS ON REVERSE
Check one of the following boxes to
o Pre-election Statement
o Supplemental Pre--election Statement
Special Odd~Year Campaign Report
Semi-annual Statement
Termination Statement (Attach. completed Form 415 to this
tner l.Ommlttees ot InCIUøeø In tnls statement: Ustanyother
committe-Is not Included in this consolidat«l statement that are controlled by you and any
committees of whkh you Mve knowledge that are primarily formKl to (fcelve contributions
or to make expenditures on be~1f of your candkhcy.
COMMmn NAME
(Attach I completed Form 495 to this statement.
statement.
1.0. HUMin
COHTftOLUDCOMMmU}
Om ONO
(HO.AHDSTAffT)
NAME Of TAlASUIUJI.
COMumEE ADON:SS
...¡~s
GuPE
¡:
G/Y
(NO. AND STNfT)
- ----
STATE
é¡':J
I
H
OffICE
COM
PHON,
AMA COOL'DA.YnME
ZIPCOOE
STATE
art
I.D. HUMin
COMMmEE
o NO
AMA CODElDAYTIME f'HONE
Attach addItiona/lcifO!'",ailon on approprIately labeled contInuatIon Jhoett.
COHTII.OLLED
Om
DPCODE
(NO. AND STMEr)
STAT
-
~
COMMmu NAME
NAME Of TII.EASUII.Ek
COMMmu ADDRESS
CITY
';>'-1
AII..EA COOE./DÂ YTlME PHONE
ZIP CODE
(HÕ. AND STNET)
ST~TE
COMMmff ADDII..ESS
CITY
I hIve used ell reasonable diligence in preparing this statement. I have reviewed the statement and to the best
Executed on ~ At eA. ùA.fJ:.? By
crTY AND STATE
Of CANDIDATEJOfftCEHOlDEII.
SIGNATUI!..E 01 CANDIDATElOIf ([HDLDEII.
lItE PII.ºVI~tON~ Of nil POLITtCA.lMHtl\M AI
SIGNATURI
/
H..CAMPAIGN DISCLD~
8y
Campaign Disclosure Statement Type Or print In Ink. SUMMARY PAGE
Amounts may be rounded Statement (OVIIS perJod '. "tJ'
Summary Page 10 whole doll.rs. i10/'4 œ 9
7-/-"5'/ ·,,:~';..~Z ~
from ..t,',>^ ,~*..... ...."
SEE INSTRUCTIONS ON REVE RSE through .I.;¡ ~ 3 J - -7-Y ,.~ ;.g 01 ~1
NAME OF OFFIŒHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
V /h-L 'I íJ£79¥
Contributions Received Column A Column S* '. Column C
TOTAL TtsS rUloo TOTAlI"IUVJOV51'fAIOO 10TAL TOOATI
'''OM AnAOtED SOtEOULES) (5,[( NOn 'ELOW) (.ADD COI.UMI'ð A . ')
1. Monetary Contributions ... ........................ .... ~duk A, 1,1".3 $_ S s
2. Loans Re<eived ...... ................................... 5<Mduk B, 1,1". 7 - J1ð J /'5¿/
.
3. SUBTOTAL CASH CONTfUBUTIONS ...................... AddU".s' .2 s_ s 11¿;J/ s )9~1
4. Non-monetary Contributions ......................... SCMdulo C,I,I". 3 -
S. SUBTOTAL CONTRIBUTIO~S (Exdudo Enforc..bI< PromM') . AddU".s3 . 4 $_ S /"1'L» S /C¡.I;>j
6. Enforceable Promises
(Exclude Loon Gu."ntoes, 1,1". 18 below) ................... ~duk D, 1,1". 7 -
7. TOTAL CONTRIBUTIONS RECEIVE!) ,.................... Add U".SS . 6 s_ s /7~ / S /C¡ð/
Expenditures Made
S. Cash Payments (Other than loans Made) ............ 5<heduk E, 1,1". S s_ S s
9, LOðns Made ................. ... :..:........,.. ........... ScMduk H, 1,1". 7 -
10, SUBTOTAL CASH PAYMENTS ............................ AddU".sB. 9 s_ 5 s
11. Accrued Expenses (Unpaid Bills) ..........:............. ~duk F, 1,1". S -
12. TOTAL EXPENDITURES MADE ......................... Add Uno" ° . II $_ 5 S
- .
Current Cash Statement
13, Beginning Cash Balance . . . . . . . . . . . . . . . . . . Previous Summ.ry P.ge, UM 77 s_ .. From previous Statement SUJ'!'Imuy Page. Column C. However, if
14. Cash Receipts ...............................,...... .. this ts the first report filrd for the ca~ndar yur, Column B should be
ColumnA, Uno 3 .OOvo - blank except for lOins Received (line 2), Enforcuble Promises Cline
15. Miscellaneous Increases to Cash .......................... 5<hedulo I, 1,1".4 - 6), lOins Made (line 9), andAC(rued bpenses (line 11).
-
16. Cash Payments .................................... ColumnA, Uno 'O.OOvo -
17. ENDING CASH BALANCE ..... Add LInes 13 . 14 . IS, tMnsubtr.ct Uno r 6 s_ Summary for Candidates in Both June and
If thIs/so tormlnotton n.tomont Uno 17 must be zoro, ENDING (.ASH IALANCf SHOUlD November Elections
NOT IE A HEGA JIVE AMOUNT
- 1/1 through 6130 7/1 to Date
18. LOAN GUARANTEES RECEIVED .............. 5<h<dulo B, P.rt I, Column (b) 5 - 21. Contrib~tions
- Receive .... s
Cash Equivalents and Outstanding Debts 22. Mfd~ditures
19. Cash Equivafents , ......... See Instructions on nVe~ 5 ~ 5
20, Outstanding De~ts Add Uno 2 . Llno 1/ In Column C .OOvo $ '¿>j
Statement covers
Type or print In ink.
Amounts may be rounded
to whole dollars.
~1~:p;;;f~1 gutstanding Loans Received
Page of "i
-
J.D. NUMBER
"'7)//5¿,
UNPAID INTEREST
),
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE
V/9¿¿ Y ~/JN
FULL NAME OF LENDER
UNPAID PRINCIPAL
NOTE: Thlstota/shouldM
th. s,me .rnount as entered
on the Summary P.ge,
Column C, Line 2.
/7 ¿) /
/7~ /
'.
$
AMOUNT OF ORIGINAL LOAN
...2 ¡:> ¿) ¿)
TOTAL
ORIGINAL DATE OF LOAN
Attach additional information on appropriately labeled continuation sheets.
:? // ¿'.J '7/""-,
J~/~ ~/'9 .'
п//¥
h//9.¿¿Y
Dale SIamp
_I In Ink
TV'" or
Amendment to
Campaign Disclosure Statement
RrJ
'9~ RUG 11
This form mUSI be used 10 amend sUllemems filed pursuanllo Govemmem Code Seclions 84200-84216.5, and mUSI be
filed wÌlh all filing officers who received the SUllemenl being amended. NOTE: Do not use !his form 10 amend a
Statemenl of Organizalion, Form 410, Candidale ImenliDn, Form SOl, or a Campaign Bank Accounl, Form 502, Use
Ihe aClual Form 410, 501 or 502, respectively, 10 make amendments.
The information required in Pari I musl correspond 10 the informalion provided on Ihe campaign Slalemenl
c:,py
Amendment Information
A. The folbwng information amends campaign disclosure slatement. Form No
execuled on X - .If - 91 fOrlhe period / ~ / -7 'I Ihrou9h_
(MO,I».'I', YR) II, (). DAy. YR_I
8. The amended ntoflnaloo affecls ile.11S on Ihe:
Ð Cover pog. 0 AUooallon Page 0 Summary Pogo
o Schadule(a) 0 Par~a)
c. Describe Ihe changes below. Include ¡, delail all infolfnalion you wish 10 become- a part 01
YOU' ofticial campaign slalement Plea.. anach 8 cover page, aummary page and/or
approprla.. echedule(a) to thl. Form 4051. nece...ry lor derlflca.lon. Include addilionaJ
ilformation on approprialety iabak!d conllnuation sheels.
(Numbe, 01 sheets ellached~_)
"
fA NU"'Ø
flF APPUCMUJ
imporlanl information on reverse)
Name·of Filer (See
IIA... OF "LUll
tJ
MAIliNG AOOAESS Of fIlER:
.2. 23 .::¡ ::l.
I
Ha?~ :z- /Uµ~ ~r
J þ~,~:
lJPCQŒ
7'
STATE
c~
ð" I J' <I
ClrY
\
,
\
.
Verification (See imporraAt information on reverse)
J have used all reasonable diligence in preparina this Slalcmenl. I have reviewed lhe slalemenland 10 the besl of m
nd
I
REFORU: A(':J
SIGNATURE Of OfAŒtO.ŒR. CN4)IOATf. PAa'ONENI. OR RESf'CWSlBLf OfACER
CNÐIÐATE. OR PROPONENT
ORPROPONENf
THE POt ITICAl
Of OfACfl1Ol. D£R.
seE
By
By
Of 1917
CITY ANDSTATf
AI_
DAlE
Executed on AI
DAlE -'-CII'fANOSrAlf
fOR INfOfIMATION HEOUIRED TOßE PAOvlDED TO YOU PURSUA
1/ ~~e I of 3
A For Olllcial Use Onlv
LONG FORM
p¡r¡
SIamp
1
Dalo
'9~ RUG
Sa.a.ment Cov.,. period
'rom
through
Dat. of EI.cllon
II eppllcable,
'Wonth, Day. V..r:
Trpe or Prlnt'n Ink.
'lied;
Officeholder, Candidate,
and Controlled Committee
Campaign Statement - Long Form
(Governmcnt CoJe:SecûooI84200'14216.5)
SEE INSTRUCTIONS ON REVERSE
Check on. of tha following box.. to Indica.. the IVp. 0' a'a'emenl being
o Pre-election Slalemenl
o SupplementaJ PIe-election Statement (Allach a compleled Form 495 10 this slalemenl
B Semj'aMual Statemenl .
o Termrlahon Slalemenl (Attach a comploled form 41510 thIS .Ialemenl
Olher Committees Not Included In this Slatement: Lisl any olher
commûlees nol included in Ihis consolidaled SltJItmenllMI are cOnlrolled by you and any
commillees olwJùch you have knowledge that are primœily forrMd 10 receille cOIllribu,;ollS or
/0 maJ..e upendilures on behalf of your candidacy.
CC».NIIlEE """-IE.
II
10 UM8EH
~
CCMROtl£DCOMI.IIIIE£1
On. 0,,0
AREA CODEJQ.t.YJIME PIICUE
o ) UM8Œ
COOTROllEOCOMMlnEE?
0".0""
111' COO<
SJAIE
.......
AREA C£:IŒ.A:l4.YJIME PHC:»if HAW: cw: JRfASlItERc
:;:bg 73(,3(/5<;
COIrM.IlnEf ADϣSS
C",""
Clly
AREA- C()(X¡U.I. YUMe PI0>4E
'-'{ý 1))-7('#'
10 Nt.JJ.IBE.R
¿; 11/ £if
COt.II.IIlJEE.
OHlceholder, Candidate,
and Controlled Committee
Included In this StatellM nt
NAMEOFaF~AOACAtOQ.\r[;
fUAilY DitA-
afIŒSOOGHlOfl:H£1J) (INCWŒ LOCAJK)NAAljQ
(jTr {' ô {/AiÔ
AESlOíHIIAL OfI8l&t£SS AOCÆSS (NO ANDSJREI
2. 2 3 2- 2 6¡ft/,
CITY ZIP COOí
¿¿¡p¡££ 7//Ij(./ ( 15ly't(
""""'n"....."" It , -,...
{'~ U', ~ ¿LY4&<éC~-/"ì
6. t., ~;'Z-<A-dd [
CCM.&In££ADOOE.SS J (NO ANDSTR£(1)
2-27;,2..2 8m" 5.¡.. .
ëiiŸ ~ SiAi[
('4
I
AR[ACQ(~JQ4.vIl ,, E PtlO' (
ZIP coot-
100 J.NO SJR£Ef
SlATE
cn,
111' COO<
152'/
(l¡þ¡
..
cny
~. AllacJa aJdÜional infofmalion on appfoprÙJJely labeled cOnlinuaÛon sheelS.
Qlllceholdar or Candlda'a:
I have used all reasonable diligence and 10 !he best of my knowledge the treasurer has
used all reasonable diligence in preparing !his SlaIement. I have reviewed the stale-
ment and 10 the be!1 of my knowledge !he infonnation contained herein and in the
attached schedules is lrue and romp/etc. I cenify under penalty of perjury under the
laws of !he State of California thatthc focegoing is !rue and correcl.
"I C ,7
f"oCUICdoo - C~
QrYNÐSJAJE
By
,
IU Verilicallon
Tr.uurer:
I have used all reasonable diligence in preparing !his stalement and to the best of my
knowb-.dge the information contained herein and in the attached schedules is true and
com¡>i:Ie, I certify under penally of perjury under the laws of the Stale of California
!hat lhe foregoing is true and correcl.
"I......
"'U^
CUYANOSIAJE
,
III
AI
SIGNA JURE Of TREASUReR
) JOUl ·"OVllJlD J() 'l'OUf'RI~tJAt
lM.U-·
JU lUI
."(JlJMA
E.locu~ Of)
By
uti
SUMMARY PAGE
.t.'ement GOV.,. period
Twpe or Print In Ink.
Amount. m.W b. rounded
I. whole dolla,..
Campaign Disclosure Statement
Summary Page
Pogo. 2- 0,3
ID. M1MBE¡¡---
;/1/ j'h
t -xif
from
seE INSTRUCTIONS ON REVERSE
NAME Of OfFICEHOLOER OR CANDIDATE AND CONTROlLEO COMMITTEE,
through
Column C
TOTAl IODATE
,ADO COlUMNS A + 8)
$
$
Column BO
TOTAl. PflEVDUS ÆAIOO
¡SEE NOTE BELOW)
~
cJe
$
¿
¿;
L'
{
$
$
$
$
$
Column A
TOTAL nitS PERIOD
¡FROU _ITACHeO salEIJU.ES)
Ú
-\
..\¿
o
C)
CJ
(J
(
$
+ 2 $
Schedule C, Line 3
Add Lines 3 + 4
Schedule A, Line 3
Schedule B, Line 7
Add Lines
Contributions Received
$
$
Enlorceable Promises (Exclude Loan Guaranlees, Line
TOTAL CONTRIBUTIONS RECEIVED
2.
3.
4.
5.
6.
7.
"
o
A
C'
$
$
$
r·
J
I~\
,
"
$
$
$
Schedule E, Line 5
Schedule H, Line 7
....AddLines8 + 9
Schedule F. Lina 5
Add Lines 10 +
Expenditures Made
8. Cash Paymenls (Other /han Loans Made).
9. Loans Made .................................
O. SUBTOTAL CASH PAYMENTS ....
Accrued Expenses (Unpaid Bills)
TOTAL EXPENDITURES MADE
11
$
°From previous Slalemenl Summary Page, Column C.
However, if !his is Ihe first repon füed lor Ihe calendar
year, ColllTln B should be blank excep¡ lor loans
Received (line 2), Enforceable Promises (line 6), loans
Made (line 9), end Accrued Expenses (line 11).
"
$
Summary for Candidates in 80th June
and November Elections
C
L'
,
~
o
()
ftONG CASu IWANCE SHOu.O
HOT B£ A Nf.GATlYf AMOlHT
Previous Summary Page, Line
.............. ColumnA, Lina 3 above
....................... Schedule I, Line 4
........... Column A, Line 10 above
Add Lines 13 + 14 + 15, /hen subtract Line
Line 17 must be zero.
$
$
$
Monelary Conlnbulìons
loans Received ...........
SUBTOTAL CASH CONTRIBUTIONS
Non-monelary Contnbutions..............
SUBTOTAL CONTRIBUTIONS (Excluding En(orceable Promises)
18 below)Schedule D, Line 7
Add Lines 5 + 6
II
17
16
Current Cash Statement
13. Beginning Cash Balance ......
14. Cash Receipls .......................
15. Miscellaneous Increases 10 Cash
16. Cash Paymenls ..........................
17. ENDtNG CASH BALANCE....
IIrhis is a Termination Sla/ement,
12.
7/110 Dale
()
c
Ihru 6/30
Ú
o
11
$
$
ConltibullOOS
Received
22. ExpendJlures
Made
2
-I
Q
-//0/
Column (b) $
$
$
See instructions DII {overse
Cotumn C above
I,
Schedule B. p¡¡¡/
/lit
LillO
'''e2
8. lOAN GUARANTEES RECEIVED
Cash Equivalents and Outstanding Debts
Cash Equivalents ..
Ot I~I;"ldlng Deuls
11(/,1/
19.
20
Trp. or Print 'n Ink.
Amount. maw b. rounded
to who'. dolla,..
Schedule B - Part III
Annual Report of Outstanding Loans Received
St.'.m.nt cov.... p.rlod
Page ~ 01::;
I 0 NUMBER
Ý 1115-:6'
UNPAID ¡mEREST
~.t.C¿L
-- -
,
ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN
seE INSTRUClJONS ON REVERSE
NAMEOFr;~~¡DATa;;7;J;Jt:7;~
FULL NAME OF LENl)ER
UNPAID PRINCIPAl
/7ú;
.J- 5:-0-0
TOTAL $
Allach adJiÛonal ;nfurmalÏDn on approp,iuuly ItJbeled cOn/;,waÛon j"heels.
~w~
Walt
¿
NOTE: This Iolal should be
the sa,,¡¿ anwunJ as enlered
tJn O,e SU11UntJry Puge,
Colun", C. LÙ¡e 2.
"----
,
LONG FORM
a'.'.menl cov.,. period
12-31-93
through
Dat. o' ElecUon
lI.ppll..bl.:
'Month, Oar. Y..r.
'rom
Trpe or Print In Ink.
III.'"
Officeholder. Candidate.
and Controlled Committee
Campaign Statement - Long Form
(Govenvnent COISc mUMI 84200.14216.5)
SEE INSTRUCTIONS ON REVERSE
Check on. 01 Ih. following box.. 10 Indlell'. Ihe Irp. 0' ala'emen' being
o Pre-eleclion Slalemenl
o Supplemental Pts·eJecljan Statement (Allach a compleled FOfm 495 10 Ihis slalement
ex Semi·aMual Slalemenl .
o T erminallon SlallllT180l (Allach a completed Form 415 10 IhlS 'Ialemenl
Other Committees Not atement: Lisr any other
committees noI included in Ihis cOIUoliaa¡ I are cOnlTo/led by you and any
commUtets of which you hayt J:nu..¡ledge thai aft primarily lorfMd 10 receive cOturibulions or
10 1Mle uptndilures on behalf olyour candidacy.
Ccu..iTJEE tw.E
II
Officeholder, Candidate,
and Controlled Committee
Included in this Statement
tw.E OF Cl'FlŒHOt.Œø ORCNODAIE:
I
tuJMBER
10
Wall Dean
aFIC[ 5CaJGHI OR tEW (IIO.UOE LOCAJIOH AND DStRICJ MJW8ER f APPLJCABt E
grtino
CCW'IAOll£CCOMMlJIEE1
On, 0,10
-
lNO. ANDSTR£EJ)
w.w: Œ 1R£A$lftR
ADCII(SS
AREACCIŒ".Q(YTM PttONE COMMIJTEE
408
736-3485
o HUMBER -
zw COO{
95014
SlATE
CA
22322 Bahl Street
Clly
Cupertino
COIoIoIInEftw.lE;
AREAC~'fIIME PuouE
lIP c:oo£
STAff
CIJy
D NUMBER
CONTROlUDCOMMlnEE1
Ov.. 000
cc.....ïiTEEIW.aE-
AREA coœ...ói:YJIMf PHcNt NAME a: lREASlIŒR:
zw COO{
IN:> AHDSTR£El)
SIAIE
CCltoMnE£ ADDREss
Clly
(N:> AHDSTRŒT)
ccu';,'-nu ADœESS
tw.aE a: JAEA$lIt[ß.
Barbara Humphr
Pf~J AOOO£ssa IRíASl.JfIfR. (NO AHOSIRf£T)
1155 Stafford Drive
Ciii
AAf.ACOŒJQ.I:YTIME PIKl4[
lIP COOE-
SlATE
ellY
AAUr~(MYTMoIEPHC5NE
408 252-8184
zw COO{
95014
STAlE
CA
OfllcahoJder or Candldala:
I have used all reasonable diligence and 10 the best of my knowledge lhe !reasurer has
used all reasonable diligence in preparing this statement. I have reyiewed Ihe stale-
menl and 10 Ihe best of my knowledge the infoRnation contained hercin and in lhe
allached schedules is lnIe and complele. I ceRify under penally of perjury under Ihe
laws of the Stale of California Ihallhe foregoing is lnIe and
AI Cupertino, California
cnv NÐ STAfE
Auach addiÛonal in/ormalion on approp,iaJely kAbeled cOn/hwalion sheets.
ertino
III Verillcalion
Treaaurer:
I have used all reasonable diligence in preparing this stalCmeßl and 10 Ihc best of my
knowledge the informalioo contained herein and in the auached schedules is !rue and
complelC. I cerufy under penally of perjury under the laws of the Stale of California
lhallhe foregoing is IlUC and correct.
Cu
n" r.AUP,Ur.u n'C'..... ^.... ........
u
By
I'JII,U
'JIA(;II(;l~ACI(Jf
CHYAHDSIAJ£
"'IMA (JI'
""
~
101111
AI
SIGNATURE Of TREASURER
Ull'WNIIJlD (J YOUf't"I~IJAt,
DAlf
.lIeJlIMAII(Jt' lIJt U tD
E"'~Ulod on
By
U
·
ALLOCA T'ON - Pan'
I
Sta'ement Cove,. period
T",o or Prlnlln 'nk.
Amount. mil" b. round.d
10 who'. dol......
Alloc.....lon Page - Part I
Contributions and Independent Expenditures
Made From Campaign Funds
1-93
12-31-93
7-
Ihrough
Irom
SEE INSTRuCTIONS ON REVERSE
NAME OF OFFICEHOlDER OR CANDlOA TE AND CONTROlLED COMMITTEE,
Wally Dean
4
Page? of
D. MJMBER
Lisl each COnlribUlion and indep~ndenl expendilure 0/$/00 or more made/rom campaign/unds
10 Support or oppose olher candidales or hal/ol measures.
CUMULATIVE TO DArE
OTHER
(IF APPlICABLEI
CUMUlATIVE TODATE
CAlENDAR YEAR
(JAN I· DEC 31)
10 olher commillees Or
AMOUNT
-0-
INC.
EXP.-
SUBTOTAL/$
CHECK ONE
SUfPOfIIIOPPosf:
OR MEASURE
NAME OF OFFICEHOlDER. CANDIDATE. COMMITTEE.
independenl expenditures.
DATE
* See reverse regarding
tulJiJioMl inJØffNIIÎDII Dft Øp¡WOP';4lt/yl4btJuJ CDlIlinlMllÌOII slluu.
Ñlacla
SUllllllary
ConlIibulions and independent expendilUrcs of $
(Include all Allocalion Page - Pan' subtotals.).
independcRl cxpcndilurcs under $
I
Allocation - Part
I.
2.
-0-
-0-
$
$
campaign funds.
fron
periud
Ihis
more made
'00 or
ConlIibulÎons and
(Do nOI ik:mize.) .
-0-
TOTAL $
fUlld~
call1paißI
campaigll funds.
fr
period
Ihis perind fr,
~
Ihjs
lII<Jdc
(J(J
made
Total conlIibuuons and indcpendcnt expcndilurcs
(00 uul carry this IOlal 10 Ihe Summary Pa~c.)
3.
¡
Saalement cov.... p.rlod
TWp. or Print I" Ink.
Amount. mar b. round.d
10 whol. doUan.
Allocation Page - Part II
Contributions and Independent Expenditures
Made From Personal Funds
1-93
Ihrough12-31-
7-
'rom
seE INSTIUCTIDNS ON REVERSE'
NAME OF OFFICEHOLDER OR CANDIDA TEo
Wally Dean
List each contribution and indepandent expenditure of $/00 or more made from the officeholder or candidale's
persona/fl/nds to support or oppose other officeholders, candidates and commillees.
CUMULATIVE IODATE
OTHER
(IF APPl'CABlE
CUMlA.ATIVE TO DATE
CALENDAR YEAR
(JAN I· OEC 31)
AMOUNT
INC.
EXP.·
CHECK ONE
SUWORf I 0Pt'0$E
NAME OF OFFICEHOlDER. CANOIOA TE. COMMiTIEE. DR MEASURE
DATE
· See re_erse regarding independent expenditures.
SUBTOTAL 1$
AIJoc:atlon - Part
Allach addilioNlI in/orma/ion on appropr;alely labeled conlinualÎOI1 sheels.
Sunvnary
Conuibulions and indcpendeßl ex/,endilures
from personal fun¡ ,¡. ('nclude all Allocaliul
II
I.
-0-
-0-
$
$
of $100 or more made Ihis period
Page - Pac¡ J/ subtolals.) .........
ulldcr $ J(X) made Ihis period fr,
COfltribulions and ¡ndepew.lenl cXIJCndJllJlcs
persolla' funds. (Do not ¡Iclllile.)..
2.
TOTAL $ ___:-:º=___
3, Tow contributions and indcpendeßl cxpendilures made Ihis period
frumpersonal funds. (Do 11111 carry Ihis Wlal to the Summary Page.)
.~
JE
SUMMARY
S'.'.men' cove,. p.nod
Twpe or Print In In_k.
Amount. mar b. round.d
10 whol. doU.n.
Campaign Disclosure Statement
Summary Page
4
01
Page--.!!.
D. NUMBER
7-1-93
12-31-93
lrom
Ihrough
seE INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROlLED COMMITTEE'
Wally Dean
Contributions Received
Column C
TOTAL IOOATE
(ADO COLUMNS A ... 81
-0-
Column B"
TOTAl PREVOOS PERIOO
SEE NOTE 8£LOW)
-0-
Column A
TOTAL THIS PERIOO
(fAOt.l ATTACHED SCHEOlI.eS)
-0-
$
Schedule A,
Schedule B, Une 7
Line 3
Monelary Contributions
$
$
loans Received
2.
$
$
$
$
+ 2 $
$
$
Line 3
SUBTOTAL CASH CONTRIBUTIONS
Non-monetary Contributions
SUBTOTAL CONTRIBUTIONS (Excludmg Enlorceable Promises)
Enforceable Promises(Exclude Loan Guaranlees, Line /8 be/ow)Schedule D, Line 7
TOTAL CONTRIBUTIONS RECEIVED Add Lines 5 + 6
Schedule C,
Add Lines 3 + 4
Add Lines
3
4
5.
6.
7.
$
$
$
$
Schedule E, Line 5 $
Schedule H, Line 7
Expenditures Made
8. Cash Payments (Olher /han Loans Made).
9. loans Made
$
$
Add Lines 8 + 9 $
O. SUBTOTAL CASH PAYMENTS
Schedule F. Line 5
Accrued Expenses (Unpaid Bills)
EXPENDITURES
1
t2.
"From ",evious Statemenl Summary Page, Column C.
However, if this is Ihe first repan tüed for Ihe calendar
year, GalllTln B should be blank excep! for loans
Received (line 2), Enforceable Promises (line 6), loans
Made (line 9), and Accrued Expenses (line 1\).
$
$
$
$
II
17
/0+
Previous Summary Page, Line
Column A, Lins 3 above
Schedule
Add Lines
MADE
Current C..sh Statement
13. Beginning Cash Balance
14. Cash Receipts
TOTAL
Line 4
I,
Miscellaneous Increases to Cash
15.
Summary for Candidates In Both June
and November Elections
above
/hen sublracl Line /6 $
ColumnA, Une /0
Cash Payments
ENDING CASH BALANCE .AddLines /3 + /4 + /5,
J( this is a Terminalion Stalemen/, Line 17 must be zero.
6.
7.
ENDING CASu 8AlANCE
NOT BE A N(GATlVE
""0
IoDate
7/1
thru 6130
11
$
Column (b)
I,
Schedule B, Part
8. LOAN GUARANTEES RECEIVED
$
$
Conlributlons
Received
22. Expenditures
Made
2
See instrucllons on reverse $
Co/unm C above $
/,
I
Lino
ine2
Cash Equivalents and Outstanding Debts
Cash EquívalenlS ..
OIJI~lätlcJlng neulS
Ar/,lI
19.
2[