Sorensen Campaign Forms
OFFICEHOLDER ANn CANDIDATE
STATEMENT 01 lMINATlON
Date Stamp
1998
4
FE8
WHERE TO FILE:
Officeholders and candidates must file
Form 416with the filing officer with
whom they filed their original campaign
statements (Form 470 or 490).
Officeho' r and Candidate
Statement of Termination
This form must be completed by officeholders and
candidates that are eligible to terminate pursuant
to Government Code Section 84214.
Type or print in ink.
Officeholder or Candidate Termination
NA" OF OFFICEHOLDER OR CANDIDA'
¡(,1lU;e I9t Æ'f:. ú:'....
RESIDENTIAL OR BUSINESS ADDRESS
_1...0';;' 8 7' Ú£:S'
CITY /Î
(U/D!.T/IVt)
AYTlME PHONE NUMBER
(IF APPLICABLE
/}1£ /J145'4
DISTRICT NUMBER
Office Sought or Held
OFFICE SOUGHT OR HELD FOR WHICH YOU ARE FILING THIS STATEMENT
C¡ry CthJ,vc.Li-
JURISDICTION (IF APPLICABLE)
~~rIND
Effective Da
I
V<£/J s€:µ
NO, AND STREET
te of Termination
DATE FILING OBLIGATIONS WERE COMPLETED
I
ZIP CODE
STATE
IV VerifIcation
verify that:
of this form,
II
For the office listed in Part
am no longer a candidate for the office;
do not hold or
A.
receive contributions and make expenditures;
have ceased to
8.
n the future;
ability to discharge al
making expenditures
receiving contributions or
do not antici pate
c.
loans received, and other obligations;
debts,
have no intention or
and
declare that
have no surplus campaign funds;
have filed al
have eliminated or
D.
E.
F.
reportable transactions.
I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained
herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
campaign statements required by the Political Reform Act disclosing
By
'/N6
CITY AND
At
Executed on
Political Practices Commission
REfORM ACT
State of California Fair
IHIPDlITICÞ;l
STATE
1977, SEe INfº-RMATlSJN MANJ.lAl ON CAMPAI~N DISqMU~P!l;OV!S-,º-NS Qf
Of
fOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT
Date Stamp
lype or print in Ink.
Officeho' r and Candidate
Campaign Statement - Short Form
(Government Code SectIon B4ZD6)
IVED
1998
4
REC
FEB
For use by officeholders and candidates who do not have a controlled committee and who do not anticipate
receiving $1,000 or more in contributions and do not anticipate spending $1,000 or more during the
calendar year. Officeholders whose salary is less than $100 per month and judges who have a controlled
committee may use this form under certain circumstances. See the Information Manual on Campaian
Disclosure Provisions of the Political RefQrm Act for Ele~ted Officeh!!!ders, Ç;lndldiltes. and Their '-ontrolled
;ommlttees for further Informat!on.
BY:
1.è
DISTRICT NUMBER
(IF APPLICABLE)
Information on Office Sought or Held
OFFICE SOUGHT OR HELD
éØu /J';/t- /)1(; h1 /.Jb'L
JURISDICTION (LOCATION)
~Æ:~n/V..O
DATE OF ELECTION (MONTH, DAY, YEAR) (IF APPLICABLE)
II
Statement Covers Calendar Year 19
Officeholder or Candidáte Information
NAMEo/0FFICEHOLDERORCANDIDATE. "'_.A
1v.4v r¿19c.. @é, ¡¡. i..../Ct.1f; é'() :5€A.J
RESIDENTIAL OR BUSINESS ADDRESS (NO. AND STREET)
IO)..8'l CÆÆs
I
ZIP CODE
qðð¡
STATE
CITY
f!!..v~ r I N/
AREA CODEIOA YTlME PHONE NUMBER
L'-/oB',
to receive contributions or to make expenditures on behalf of your candidacy.
,,,-, N.6.L4C I'RCD
Committee Information
List all committees of which you have knowledge that are primarily formed
rOMMITTEEN.6.M~ANDU¿NU~
IV
V Verification
I declare under penalty of perjury that to the best of my' knowledge, I anticipate that I will receiVe less than $1,000 and that I will spend less than $1,000 during
the calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of
California that the foregoing is true and correct. .
19~ &~,..-/ /YO CA
CITY AND STATE
fOAM ACT.
St.te of C.lifornll F.lr 'oUtiol Pradices Commission
By
1977, su INfOAMAI'
INFOIWIATtOH PI\ACTICES AC1' Of
At
fOR INfORMATION REQUIRED TO If PROVIDED TO YOU PURSUANT TO THE
Executed on
Date Stamp
Type or print In Ink.
Officeho.r and Candidate
Campaign Statement - Short Form
(Government Code SectIon B42D6)
ForOfficial Use Only
RECEIVED
'1997
JAN 2 1
BY:
For use by officeholders.and candidates who do not have a controlled committee and who do not anticipate
receiving $1,000 or more in contributions and do not anticipate spending $1,000 or more during the
calendar year. Officeholders whose salary is less than $100 Pl1r month and judges who have a controlled
committee may use this form under certain circumstances. See the Information Manual on Campaian
Disclosure Provisions of the Political Reform Act for Elected Officeholders, Candldatei, and Their Controlled
ommlttees f9r further Informat!on. - - - . - ----
-µg
;c¡:¡.
~
~
DISTRICT NUMBER
(IF APPLICABLE)
Information on Office Sought or Held
OFFICE~OUGHT OR HfLD
W U A.-' C 1"- /?') £4?1t:3 Efi-
JURI$PICTION (LOCATION)
Uul' £¡¿r )JlJò
DATE OF ELECTION (MONTH, DAY, YEAR) (IF APPLICABLE)
Statement Covers Calendar Year 19
I
CANDIDATE
dÓ~ E'NS&N
(NO. AND ST¡¡EET)
..j) ¡€- / t/ €:-
STATE
Officeholder or Candidåte Information
FFICE HOLDE R OR
I
/0.:<.8
CITŸ ..
ZIP CODE
150 I'¡I
CI'i-
7'ðN
Cvr>£~rIN()
AREA CODE/DA YTIME PHONE NUMBER
~
OJ' -¡. .3 2. -
to receive contributions or to make expenditures on behalf of your candidacy.
. n.na~C'r NAME OF TDI: AC:IIDI:D
IV Committee Information
List all committees of which you have knowledge that are primarily formed
(OMMITTH: NAMe' U.lr"It. I~ NIIMSER
V Verification
I declare under penalty of perjury that to the best of my' knowledge, I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during
the calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of
California that the foregoing is true and correct. '
I'£;e.. ONr:..
CITY AND STATf
96
cPl
OSU~E PkOVISIONS OU!i~ !!J IUfOItM ACT.
I c¡q7 State of California fair Political Practice. Comml..ion
1917. SEE l"fOAMA rlON MANUAL ON CAMPAIGN DISC
Lf i-J CÚLL Î.4:1 rf u&¡
At
fO:;;;;;'j ;;;;;O;;:;'D'D;:;~1 ~~N=;rOOM¡;'ON~CTPd
DATE
Executed on
Date Stamp
Type or print in Ink.
OfficeholdE::, and Candidate
Campaign Statement - Short Form
(Government Code SectIon 84206)
\(
COP
RECEIVED
1996
JUL 2 9
BY:
For use by officeholders and candidates who do not have a controlled committee and who do not anticipate
receiving $1,000 or more in contributions and do not anticipate spending $1,000 or more during the
calendar year. Officeholders whose salary is less than $100 per month and judges who have a controlled
committee may use this form under certain circumstances, See the Information Manual on CamDaian
Disclosure Provisions of the Political Reform Act for Elected Officeholder1. Candidates. and Their Cºntrolled
ommlttees for further Informat!on. ~ - ~ -
Information
OFFICE SOUGHT 0,
(~:.2UAJCIi.-
JURISDICTION (LO<A TI
~ /-'¿:,e. r- I /V D C¡1-
DATE OF ELECTIO~ (MONTH. DAY, YEAR)(IF
J,) I7V ~ h...... /9 '1.3
DISTRICT NUMBER
(IF APPLICABLE)
ht or Held
~
on Office Sou
IÏiffiÕ
i
I
&
Officeholder or Candidåte Information
NAM7F OFFICEHOLDER OR CANOiDA TE ::.>
. '-- c'
A-</ fZ- A- U' 'i. !-/. ~¿; /Uô II! :5£ ¡J
RESIDENTIAL OR BUSINESS ADDRESS (NO AND STREET)
£] '( (;E-f5¡-'ò/\! J)¡2..IU&
Statement Covers Calendar Year 19
I
APPLICABLE)
ZIP CODE
tf6{h
STATE
éA
/ð2-
CITY
Lu¡>'£,t¿TIND
AREA CODEIOA YTIME PHONE NUMBER
t.¡
to receive contributions or to make expenditures on behalf of your candidacy.
NAUIC nlC TD~Ar. .......
95" :3 Ç.
IV Committee Information
List all committees of which you have knowledge that are primarily formed
rOMMITTEE NAM~ AflJn I.D~ flJllMBER
32-
'L-/ ()~
V Verification
I declare under penalty of perjury that to the best of my' knowledge, I anticipate that I will receive less than $1,000 and that I will spend lessthan $1,000 during
the calendar year and that I have used all reasonable diligence in preparing thisstatement. I certify under penalty of perjury under the laws ofthe State of
California that the foregoing is true and correct.
-.2 f- f¡; {L./'é¡¿í/NO
DATE CiTŸÃÑD
III.( PROVISIONS Of THE POlITI fOkM ACT.
St.t. of C.llfornll flir Polltlc.1 Practices Commission
iii?
NUAL ON CAMPAIGN DISCLº-SI
By
1977. SU INfOftMATI
C/1-
STATE
fOR INFORMATION REQUIRED TO IE PROVIDED TO YOU PURSUANT TO THE INfORMATION PMOlcn ACT OF
At
Executed on
Officeholder and Candidate Type or print in Ink.
~ampaign Statement - Short Form Date Stamp
{Government Code Section 84206}
For use by officeholders and candidates who do not have a controlled committee and who do not anticipate
receiving $1,000 o~ more in contributions and do not anticipate spending $1,000 or more during the ,95 J L 17
calendar year. OffICeholders whose salary is lessthan $100 per month and judges who have a controlleà . PfII 6 06
committee may use this form under certain circumstances. See the Information Manual on Campaian '
Disclosure Provisions of the Political Reform Act for elected Officeholders. Candidates. and Their Controlled Copy
Committees for further Informat!on.
I Statement Covers Calendar Year 19 .t5- .
II Officeholder or Candidåte Information III Information on Office Sought or Held
NAr;;;~O;RORfi~I?E-tØ&J OFFICE SOUGHT OR HELD
{J, t/ .vc / L.,'
RESIDENTIAL OR BUSINESS ADDRESS (NO. AND STREET) JURISDICTION (LOCATION) DISTRICT NUMBER
Ct<2£ S PJr.I h. ~t/) f¡ 1"71:) (IF APPLICABLE)
IOd8Lf
CITY STATE ZIP CODE DATE OF EL TION (MONTH, DAY. YEAR)(IF APPLICABLE)
(]/f?~T/NÚ CI1- f~5r91'1 ,ve71l ¡Q'13
AREA CODEIDA YTlME PHONE NUMBER
(jr~) =t 32. -tin C-
.
IV Committee Information
List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy,
I. M ER M T R
,
,
V Verification
I declare under penalty of perjury that to the best of my' knowledge, I anticipate that I will receive less than $1,000 and that I will spend less than $1,000 during
the calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of
California that the foregoing is true and correct.
EHOcuted on /1 ¿i6; /ff')- At (d, /? (/> .4 r¡'iJ , {;¡r- By
. fOE / Clh AN ATE
fOR INfORMATION REQUIRED TO 8f PROVIDED TO YOU PURSUANT TO THE INFORMATION PI\ACTKfS ACT OJ 1917. Uf INfO"MATIº-N MANUAL ON ~MpAIGN DISCLOSURE PROVISIONS Øf THE POLlTKAl RfFOII.M AÇJ.
.£_£- -~~_....
'53/.-,.,
,¡
~/ /(uJ+
Dale SIamp
'91f JUL 20
Officeholder and Candidate
Campaign Statement - Short Form
(Govcmmcnl Code Seclion 84206)
For use by offICeholders and çandidates who do nOl have a cOnlrolled commiuee and who do nOl anùcipate receiving
$1000 or more in conlributions and do 110\ anùcipate spending $1000 or more during the enÙfe calendar year.
OffICeholders whose salary is less than $100 per month and judges who have a controlled committee may use this form
under certain circumstances. See the appropriate Informati, . ·v' .
.. (Manual A) for funher information.
Tw-.r Print In Ink
cop\,
eOve,. Calendar V.ar 18K.
NUMBER (IF APPlICABLE)
DISTRICT
Information on Office Held or Sought
OF.?fI HELD OR aOUGHT.
Lü ¡JvLLL- ¡Y¡Prn ß[te
JURISOIC11ON (tOCATION)
('vf'i R-TIA!I)
DATE Of £LECTlON(MONTH. DAY, Y£AR}(IF APPLICABLE)
II
l/'
~/y¡eíl;./O
STATE -- ZlPCOOE
C :'1
S.atement
OffIceholder or Candidate Information
NAIIE OF OFFICEHOlDER OR CAIIDIDATEJ
¡ (1) f!JfU= '" ¡/ ...;sO,R. Ei!
RESlOENlW. OR BUSINESS ADDRESS: INO. AND SmEET)
C,eE.5~"'¡ LJe,
I
III
make expelidill"es on behalf of your candidacy.
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS NAME OF TREASURER
A)/¡J.. .
(
Ihal are primiJrily formed 10 receive contribulions or 10
IV Verification
I declare under penally of perjury IhaltD the besl of my knowledge, I anlicipate thai I will receive less than $1000 and that I will spend less than $1000 during the calendar year
and thai I have used all reasonable diligence in preparing this statemenl. I certify under penally of perjury under the laws of the Stale of California thai the foregoing is true and
correcl.
&_00 IX l'f.¡¿£9'1 · (Jt'A¡'~O {1-
/; v
FOR INFORMATION AEot; RED rOBE PROVIDED TO YOU PURSUANT TO THE INfORMATION PRACTICES ACT OF 1917, seE nNr:AUPAtt1N OI~I m IRF PROVISION.~nF tHF POIITK';AI RFFnRU AC1
Slat. 01 Call1.mla Fair Pollt....1 .....ctlc.. CommI..Ion.
N
Dale Stamp
. ",Ii or PrInt In......
Statement of Termination
This rorm must be compleled by orrlCeholders. candidale'. and recipient commitleeS
thaI wish to lenoinate pursuant 10 Government Code Section 84214.
the filing officer with
ir applicable.
Recipient COI
..... .
t VI
_OF
78
aJY
e0{.1R~INc
AREAOCXJEIIHDIE ~"
C '+1:~9 :;i.e,' 7 - -302 ç;-
Tre.....' Infot'llllltlon
.........-. n \"
I"":'" ;) I,d l ,,') Vl 4'V""-
PERIMHENI' ADORE.~ TREASURER: . (1«). AN>STAE£T
7 is? . ol2illdp(\ LVa~
an... . ATE
~ ~,r 1...1. . A
AREA IilEfIttOtEfrUIIEA EfJECTIVEDAJECSl
( P ;.1<; - ~50_2- '::> . c:
Verlfle.tlon II Verlne.tlon
I hav. used all reasonabl. dUilenee in prep.inldUJllllemen1.1 hove ceased 10 r.ceive I hove u.... all reasonable dililence in preJ*'inlllù. ....emenL 111;' eommi'lee h.. ceased 10
coruribuliono and make ..pencIi.....; do not anticipate receivinl eonIributionl or repoyrnenII or ......v. œruribuIiono and mak. ..penditures; does not ...icipate ......vinl eonlribuû.... or
0UII1ancI.....'0... made 10 othen or ..y other receipt.. or makinl ..pendi..... in die fUIme; teplyntenll of OUIIIIndinl....... mode Ie> 0Ihen or ..yother.-ipts, or ........... ..pendi'.... in
have eliminared or dee......... I have 110 inlenlÌcJn or ability 10 dioeharøe aU debII, ....... Ihe future; has .liminated or cIeeI... \hot i'.... 1M) in....1ion or alJility 10 diac....e 01' debts.
received, and olher obIil"ioou; have 110 ourphø I'undo; and have filed aD campo"'" .11_ 10l1li m:eived, and other obli........; .... 110 ourpIu. I'undo; and h..filed aU eompoian .1110·
required by die Poliûca1 Ráonn Act dioelooinl oI'nporllble Inl1l"'ioou. menll required by die PoIiûca1 Ráonn Act disclosin& 01' rep>rllbIe Irll1laelÌorll.
I catity under penally or perjury under Ihe 'ow. of the SIIIO of CoIifornia ..... Ihe r......inl ÍI I certify under penalty or perjury under Ihe 'OWl of Ihe SIIIO of CoIifornia ....,Ihe for.BOinl i.
true and eonect. f - , 17 ..... and eoneeL +- a .II
ExeaJledon - --5 {Ii" '''II.> IT EX
¡
SrAT(
r>
I
II
Id
uV\Ci.
AICT....RIF APPlICABlE)
"ÆEf)
-)-~'"
- I
~
EffECRVE DArE CE TERtIN4nat
I
II
II
aft' NiÐØA1£
iiEAIUIIf:l'ROf'ION(Nf
iiiii"iiÃ1i
PoIIII... .....cllc.. eomml....n.
By ___
IIONAn&OF~OfFIŒHOI.DEIlCANOlOATE,OfIJ"A1
EXeaJled on AI_
.."
By
tIONATtROfCOflTAOI.1JNOOffICftO.DEJ\CMDOATE,OfIJØAR
EXeaJled on AI
DAlE - al'l'NiÐ"At(
By
tIONAlUAE OF OONIAOWNO 0FFtCEH0lDf:R. CNraJATE, 0fIJ "ATE MEAIUIIE
1977,
Call1_e Felr
.'et. o'
SEE
NOTE: AddIlIonaJ filing obIIgallon. wll beln<ured H .. olleehokler, eanddate, or commitlee
begInI railing or opendIng funds ... ree..... !he forglvene.. of a loan or repayment. of
10... made 10 oth... or any other receipt..
Fæ If#OAMA.TKJN REOUIÆD TO BE PROVI>EO TO YOU PURSUANT TO UE 1tE0000TKJN PMCTlCES ACT OF
I
0... SUmp
Officeholder. Candidate.
and Controlled Committee
Campaign Statement - Long Form
(Go.._.. Coole Scaiœu I4ZDD·14116's1
SEE INSTRUCTIONS ON REIlERSE
Check - .. lhe ,..w.... ...... I. -".,. '''' I,po .'.I.'_11ooIn8 .......
o p'.-a_ Sial""*"
o Supp_aI P,.·oIacllon SI-....n< (AUadla completed FOIffi 49510 Il1o. ....ement I
Js(Sanu·iIIIRUiII5IaI..... ,
--:;;0 TanninaI... 51_ (Altach a c:ompIoIed fonn 41510 III.. ............ )
T",... PdAI .......
....
Other Committee. Nollncluded In W. $1 iii ""I DIM'
e_ÏII_ - iN:/lllkd;" IlWe~d _III IIwII ore eO/flrølJcd b, 1D" Q/Id ""I
e_us of w1lû:41D" ¡",... '-/cd,e"'" or. ",imøri/ ¡OTmed '" ,ee';.e eDfll,ibo./ions or
",.....u upcNlil/U".... bdJar of """ eQ/ldidaq,
Ca&tlnu No\W(. 10 Nl.U(tt
Ca.IAOLUOCOt.IMIIì'[fi
0". 0,10
10
MEA~'I.w PI.eN"
CCW1HOUl0ccu..nU1
0,,5 000
AfttACOCI(JQo\Y1IWf.PlICluf
.....
l.COO<
lI'COO<
SIAlIE
CIÐ AHDSIRW)
5IAlE
AI/ad, ~ info<..;...,.... ",,,,,,,,,iIlIcI,
FJ)",,/ e
flrØ AND "...£
co...IIU ADIIIia
fMM( a IREAStItUI
NAMfQn~
c:o.unU ADOIIUS
cc:uinu ~
an
Cih
II
MEÃc:oœønM I'HONt
Dy);'-"O-¡-;;OLS-
~COIL(M,¥IM "'tONE
('t<Jt'.'),:!.'SJ.-3X>ð
10.....
,'51 54.S-
.1$£--'''-
Ollleeholde" CIIndlul.,
and ConlroUed Commlll..
Included In IhI. .lal.menl
frIMIIE Of CfAŒttDl.DiI 011 CAIrOIW(:
"-:?elf'al""", ~ðV'eV\SellL
Ufa: IOJGHI ORHÐD fNCU,Œ LOCAI~ANDDI'-='.....~ M'fLØllfl
~JV"+'-"¡û (I,,1""'.1..m <!l)V vlC ~ I
fIf.$UN1 OR......ADØIES$ CtG AND »
10.? 2 t (1 V'c"-:S~lIt "D.,.j-e
CIIy . IIAI( lIÞcoœ
~'t?V'+-VID QA- "t'54't
"""" ""'"
Gc,U(~;H-<'Ph, R...r.kc±-ka¡)f'" 1 ~ ,<;;;'\-e
cnunuAlDOS pc) ANDSIRina
7787 f<DDI";.Je.l( UH- J..-
en.. SI (
~f. ev-hvlo eA
tw.I£ a 1If.A$UßUI.
t..? "....,:a lei Ù ~ k¿J M ';¡Jv-
~I~al"'" CtGAHDSIR(OI
-'78 7 f"'Db~",Je/1 1.U;"'1
an 5ïAK'
(1 ¡JD'<'II' 'h~Q (!
I
IaNleJ t:OIIlÛUUJliøn weu.
Olllc:eholder Of Cand"",.;
I have used aU rClSDlllblc diJigcac:c and 10 &be besI of my knowledgc &he !rcasurcr has
used all reason,bIc diJigcacc in preparing Ibis SlalCIIICIII. J have rcviewed &he Slale-
mena and 10 &he besI 01 my knowledgc &be infonnaaioa COIIIaiacd hercin and iA &be
..lIached S4:hcduIes is Þ1IC lAd complcac. J eenify IIIIdct pcoaJay of perjwy IIIIdct ahe
laws of &he SIaIC 01 California 1IIaI&he fo<c~g is Þ1IC CAd COIl"a.
e"""......... 'L<f At v_
Ie
IIw
M Vedlleallon
Tr.._.; , .
J have used aU r~~SOIIablc diJigcllCC iA JllCparing lhis SUlICDICAI and 10 &he lieS! 0( my
knowledgc &he infonllalÎoo allllaÏocd hercin CAd in &he auachcd S4:hcduIes is !rue and
complele.1 eenify IIIIdct peAalay 0( perjury IIIIdct &be laws 0( &he SIaIC 0( California
ahaa &he fOlcgoing is Þ1IC lAd COIlecL .,
boe"""'" 'l· At_ tli)p1/.Y-r/vz<J J (PI!
Qo\Jf· CU
.-
........... cev... .......
"- 1- 1-~1'I
T.... .. ._........
__A _............
1._--
Allocation Page - Part I
Contributions and Independent Expenditures
Made From Campaign Funds
· See reverse re,ørdin, iadepeNienl upendil",es.
AIIocaUon - Part IIuInnIiiI1l
Coouibulions and indclClldcnt elpcndilure£ of $100 or JIIO(e mad!: Ibi£
(Include aU Allocaaioo Page - Pan) wblOlal£.).............................
Coouibulions and indcpcndem CIIIC.uJilurc£ under $IIXI lI",de Ihis
(Do DOl ilCmilC.) ...........0........
S"
CUMulATIVE IODATE
OTHER
(If Af'PL1C_EI
D
AI*' ..,U;.;^<tIIl ;,,¡ø,1ItIIIitM.. ØPP'""ÍlMdy IIIWIJ ctHllUuJalu. 6"1",
..ge :2.. 01
ID.Nl.I.tÐER
q31£4Ç
CUULUTM TO DATE
CAlENDAR -.eAR
(.IAN ,. DEC 311
11voueh:2 -
commillees or
AMOuNT
SEE INSTlU:rlONS ON AE\I£ASE
NAUE OF OFFJœHOl.DER ORCANDIOATE ANDCONTROUEDCOUIAITTEE,
~¡-k.e ~ &t:1eð ~!,e~ ~O\fe~
Us, each contribulion and indtpt.1Ukfll expenditure 01 SIOO or nwre ",ade Irom Campaignlunds 10 OIher
10 suppor' or oppose other candidllles or ball« _ures.
DATE _ OF OFfICEHOlDER. CANJlDATE, COUIMTTEE, OR UEASIJAE
IN)
EXP.-
aUBToTAL'_
CHECK ONE
W'I'aIIIIOI'fOI¡(
,
o
$
lulllb.
campaign
Irolll
period
I.
(b
D
$
TOTAL $
fluu's.
call1l....igl,
liuuls.
period lrom c""I"'¡&'
1C.iod 11011
Ihi£
made
2.
3. Tola! cOßuibullOO£ and independenl cxpendilure£
(n" "I>' carry llai£ Inial 10 llae 5,.llIlIary 'age,)
1
SUMMARY PAGE
............ GO"." .......
- [-
'............. Ie......
A........ .........1'IHIIMIe4
I. ..............
Campaign Disclosure Statement
Summary Page
P.ge 3 .1 <6
- -
10. NlJoIÐfR -
'131'5'1'5
5"4
I"""" '2-
SEE INSIRUCTlONS OH REveRSE
NAI.tE OF OFFICEHOlDER OR CAtOOAIE AND CONTROllED C(M,ITEE:
(1 b \"lot vv\ , tt.~e. f¿, R e £{ -e¿- k" ¡) V'& Lee 51' ...·'e '<. So!='."--
ContribuUona Rec:elved
roC(
q
Colpmn C
TOTAl lOOATE
CADDCOlUIIIHSA.II»
~ ,
$
Column ..
IOTAI. PREVIOUS P£IUQO
SEE NOte lIE,....
:::L.O
$
º
D
c,-.
o
$
$
o
;¿'O
o
$
$
$
Column .
TOIAL na PERIDQ
IF_ AITACHOO 8CHEÐI.U8
\ "')¡"), t, c¡
- "3(ryfjð
D4q,
o
Schødulll A. LintI 3 $
Schadulll 8. Line 7
3
$
Monalaly ConIllbulions
loans RecBived ...........
SUBTOTAl CASH CONTRIBUTIONS Add LinBs 1 + 2
Non'fIIOl1elaly Conllibulions.............. SchBduIB C. LinB 3
SUBTOTAl CONTRIBUTIONS (Excluding EnlOICllabIB Plomisas) ....Add LinBs 3 + 4 $
Enlorceabkl PtOll1lSBs'(Ex~ Loan Guatant_. LinB 18 bfiIIow)SchaduJB D. LinB 7
TOTAl CONTRIBUTIONS RECEIVED Add LinBs 5 + 6 $
I,
2,
3
G<1
'¿ 70
$
$
$
U1
o
5"70 , b q
$
$
4,
S,
6.
1.
Expenditure. Made
8, Cash PaymenlS (Olhei Ihan Loans UadB}..................,................SchBduIB E. Line 5 $
8. loans LtadB................................,. ....................................SchBdulBH. LinB 7
10. SUBTOTAl CASH PAyMENTS.... ....AddLinas8+ 9 $
11, AcClued Expenses (U(Ipaid £lIJIs) SchaduJB F. LintI 5
12, TOTAl EXPENOITURES MADE AddLinBs 10+ " $
q
C)
$
·F/om ptevioua 51_III Summ¡uy Page, Column C.
Howe\/8l. '1hiI is !he litSl/epotl 'jed 100lhe calendat
_. CoIunn 8 should be blank axcepllot Loans
fIaceN8d (Line 2). EnIotcaabla Promises (line 6), Loans
Made (Line 8~ 8ßd Acctuad EX)<Ißses (Line' 1).
$
I
o
Ô
o
fHOlNCi CASU IWAHŒ SttCK.I.O
NO'IE A NtGAIM AYOUHI
o
PIIIVious S<Jmmaty Pays. LinB 17 $
.., CoIutm A. LinB 3 above
............ SchBduIB t LinB 4
CoIutm A. Unll 10 abavII
'5. Ihan subltacl LinB 16 $
Current Cash State_nt
13. Beginning Cash Balancll ......
14, Cash ReceiplS ......................
IS, Miscellaneous 1nc/8_1O Cash
16. CashPa~ ....
11. ENDtNG CASH ..UNCE...........Add LinBs 13 + 14 +
U /his is . TlHminalion SIa/llmenl. Linll 17 musl be ZII(O,
s_rv 'or Candidate. in 80th June
and November Elec:tlon.
1/ 1 Ih/u ti/3O
10 Dale
111
COlllllbubons
RecII,ved ......, $
22. Expendilutes
.. ,
2
C>
()
S
$
.
Column (b)
SeÐ inS/ruC/ioIlS 0/1 fOV8fSO
ifln r'n'IIHln r 'I
I.
SchacJuJB8, Pall
inn? I
18 LOAN GlJARANJEES RECEIVEO
Cuh Equivalents and Oul5titndinll Debt5
19, Cash EqUIValenlS..
20 01l15"."'''xl nebl"
Art"l
............ cov... ........
"- /-/-q,/
""-h'- -('5" -q
T............. ........
a-oe._,..._
I. whole.........
Allocation Page - Part II
Contributions and Independent Expenditures
Made From Personal Funds
~
CUMulATIVE IODAJE
OTHER
(If APPLICABlE)
~
..g. 'f o'
CUMulATIVE IODATE
CAlENDAR 'ÆAA
(JAN.·DEC311
sueT.OTALIS
---- :..t.:.
AII.d øJJiJioioJl ;"¡,,,__,., ilpfN"Df"ÌIlU/yIilb<W <~O<I."s.
$
TOT~L $
AMOUNT
<D
SEE INSTRJCTIONS ON AE'ÆASE
NAME Of OfflCfHOlDER ORCAIÐOATE:
~loWk t. R.ø d.cd- boV'ÐI~ ~V'e"''M'<-i
ÜSI each cOlllribuliOll1Jlld illdep.lldelll txpellllilllre of SIOO or rrwre IIUIdt from the offICeholder OT canåiJltJle's
persolUJlfunds 10 SuppOTlOT oppose other officeholders, candidalu IJIId commiueu.
CHECK ONE IN)
DATE NAME Of OFFICEHOLDER. CAIÐOATE. COIoIIotITTEE, OR MEASURE I ÐIP.*
-'-
$
· See reverSt regard;'.g ÜldtpenJelll upendilures.
AllociIIUon - Pill" U SUmnailrv
I. Coouioo.ioos and indepctlllenl eA.",ndilures of $100 or mo,e nlilde .his pe,iod
f"JlII persooal fWIIIs. (llIClude ~II Allocation /"dge - P,," II subloloab.) .........
COIII,ibu.ions and indepclldell' CA.","dllu,es ulld.. $IIXIIII~de Ihis I""iod 1/,
per...."'1 fWlds. (00 ßI) iJcmue.) .......................................................
Total cOlllribuaioos and independent cAlClllli.urcs nlilde Ihis period
flllllll",r>Ol'" funds, (00 nul c~rry .his ulI~1 '0 .he Summary ¡'.age.)
2,
3.
·... f) ., l
10. NLM!En
..{3iS-tt-::>
GlJAR4NTOR 1Nf0000TI
AI.tOLt4T CLM.lATIVE
Gl.WlANlEED TO DATE
CAlENDAR YEAR
SEE INSTRJCTIONS ON REVERSE
NAME Of OfFICEHOLCEA OR CNÐOATE AlÐCONrAOUEDCOIotMITTEE;
evUÆW1;th~-e ~ K'eti-e¿:t- h:quVa l't:"t", .<:úÚ'9tÆ")oQ....1..
LEIŒR OR GlWIANI'OA'S R.U. NAME AIÐ ADORESS LENCER I GlWIANI'OII'S
(If COIAeTlfE. (H1'fIII RI1I1ME. MXØIINGI 0 HUUllEA. If NOI 0. OCCUPAßOHAN) BRoYt:RCIf IElf.
NUMllfRttAS BEENASIIGHfD. Ðlffa,AEAIUU'I NAME &ADlRUI .£.....QYfO ENŒØa.lllNfSSNAlotE.
..._... ..v..........
.... H ~
,
'" ,.-
........... .~ - '5
T,...... ..,...........
--·-11"'-"
.. -....--
\
Schedule B - Part I
Loans Received
LfNCER IIEOAUATION
Aüãið .
Of LOAN TO DATE
CAI..£tG\R YEAR
DATE
RECEIVED
DUE DAtE
OlHeR
OTHER
..TEAUT RATE
o G__o
Lender
o
CAlENDAR YEAR
CAlEHOAA YEAR
DUE DATE
OTHER
OIHEA
"TERE" RATE
o G~anICN'·
I......
o
CAlENDAR YEAR
~ EHIWI YEAR
DUE DAtE
OIliER
-.
tñ.",b.on
.........,p.....
NIIOIItf
OTHER
o
"TiRE" RATE
.
aU.TOTAL
Lo_
t Sec imponlllll ÎMkuclÎDlU Of..,Þ,,".
Loan. Received - Part I SUllllRilrv
I. loans or $100 or _ rcœived Ibis period. (Include aU loans Received - Pan
o
GUIf~lIor
o
o
(a) SubIOlaIs.) .......................$
.......'"
)
':::;C¥,C
o
() () C>
)/'){J
-7
~2..
I.
TOTAL $
$
$
$
NET $
loans UIIdcr $100 rcœived Ibis period. (Do IlOl iacmize.)
3. ToIaIloans received Ibis period. (Add Lines 1 and 2.) ....,
Loans Received - Part II SURllRilrv
4. Loans or $100 or more repaid. rorgiven. or paid by a Ihinl party Ibis period. (1lIclude all
Pan II (c) subtOlaIs.1C Corgiven or paid by a lI.ird party. also ilclllize Ihe lfa",.a¡;li,," 011 Sd.edulc A.)
5. Loans under $100 repaid, rorgivell, or paid by a lI,ird pany. (Do INti ilClllilC.) II rOlgivell "r ...id
by a Ihird party, include lI.is amounl on ScllCdule A SUlIIlRalY, Lillc 2, ....._..,
6, To.... luans repaid. forgivCß, or I..id by a Ihird ,'¡Uly lI.is IlCli..1.
(Add Lines 4 + 5.) ............................................................. TOTAL
7, Nel ¡;hange Ihis period. (SUblflCl Line 6 from Line 3.)
J~lllcr allC IIcI'lcrc alld on Ihc Summary It¡lgc. (.'C"UlUß A,
Jnc 2.
2.
Instructions for
Schedule B - Part I
Loans Received
~~2
Lender or Guarantor'. Occupallon and Employ.,: Lo.... Received Summary
Far each lender 01' glWllllOr !hat is an indiv~uaI, provide Summarize all loans reçcived al!he bollom of Schedule B
h~ occupalion and employer. If heJshe IS self- _ Pan I.
employed, elller !he IWIIC o(!he business.
line 3: Add Lines I and 2 10 delennine Ihe 1OIaIl000s
· The amoum 0( !he loan received. received Ibis period, and elller !he 101a1 00 Line 3,
CumulaUvelo Dale: line 4: Add all subIOIaIs from Column (c) on Schedule B
In !he case 01 loans thai are cOlllribulions (!hat is, IlOl _ p..w II, and enler !he IOIaI on line 4. If a loan of $100
from a cornmen:iallending iastilUlion), elller !be cumula- 01' more is forgiven 01' repaid by a Ibird pany, also ilcmile
live anlOUllt of loans received from !be conlribulOr duriDB !be Iransaclion on Schedule A.
lhe currenl calendar Yeal.· If you are subject 10 COIIIribu- , ,
lion limits, you may also be required 10 disclose !be lln~ 5: Enler ~ IOIaI 0( ~lIloans of under $100 re,ald,
cumulative amoum received from each coolribulOr during fOl'Btv~, or repaid by I ~írd party. If forgIVen, or repard
!be limilalÏon cycle. by I third patty, enler ibIS amounl on Ihe summary
seclÏon 01 Schedule A, Line 2.
Guarantor Inlormatlom Line 6: Add Lines 4 and S ,10 delennine me IDlalloans
EnIer !be II1I1OUIII glWlllleed Ibis period by each glWaD- repaid, fOl'given, 01' repaid by Ilbird party Ibis period.
lOr lisIed. Enler!be sublolal 01 amounlS glWanIeed uDder Une 7; Sublracl!be IOIalloans repaid (line 6) from Ibe
CoIuma (b). Also COler !be IOIaI 0( loan pWIIIICCS IoIa1Ioat1S received Ibis period (line 3) ID delennine !be
received DlldIe SuøuaaIy PIac,line 18. neL Also elllU Ibis IIßI01UI on !be Summary Page,
Cumulallve 10 Dale: CoIumR A, Line 2. (If !be amOWI! on line 6 is larger man
EnIer die cumulaúve _I 0( loans IlWanIecd by !be !be IßIOUßI on Line 3,line 1 will be a negalive figure,)
panicular lWUDI1IDr or person lisled sinc:c JIIIIIWy I 01
!be cunenl calendar year.· If you are subjecllO c:onIribu-
lion limits, you may also be required ID disclose !be · See exceptions 10 calendar year cumulalÏon
cumulative amounl received from each COIIIribulOr during , ., ..
Ihe limilalion cycle.
To delermine !be "cumulative amounl," mOllClary
coolribulÏons, non-mooelary coolribulÏons, loan,¡, loan
forgivenesses, and enforceable promises received from a
110. .
line 1: Add all sublOlals from Column (a) on Schedule B
- Pan I and from COIIIinWllioo sheelS. Enler lhe 101a1 on
Line !.
!be local of all loans received of less lban
line 2: Enler
$100.
Lender InformatioN
EnIer !be following information fOl' each lender liSled:
· The due dale for "'paymenl 0( !be loan, if any.
· The inleresc raIC 0( !be loan, if any.
loans received Ibis period (since die closing dale of !be
last Slalemelll filed) mUSI be reponed in $t'hedult B _
P.ml. The following information mUSl be provided for
each loan reçeived of $100 or more and for each person
who glWanleCS, furnishes securilY for, endorses, or co-
sign,¡ fora loan of$IOO or more.
Dale R.celved:
EnIer !be date !be loan was received.
Lend... or Guaranlor'a Full Name and "delre.a:
Lend...: Enler!be lender's full name, sueel address, cÎly
and $lale and check !he box 10 indicate !hat this informa-
lion applies ID a lender. If !be lender is a commercial
lending iOSlilulÏon, enler !be commercial lending instilla-
lion as me lender. If !be lender is a recipienl commillCC,
also enler !hat commiucc'. idcnliflCalion number. If 110
idenliflCation DUmber bas been assigned, enler Ihe full
RaIne, sueel address, cilY, and stile olihal cOlnmillCC'S
III:aswcr.
NOli: 1/.. loan is received Ihrough l1li inllrmediary. lhe
same idenJifying iliformalion ~ be provided for botlt
lhe ifllermediary and lhe /Ji:luallender.
GuaranlOl: Elller!be required informalion about !be
lender (name, address, elC.) in one 0( !be spaces. In !be
followinl space(s), COler each I_'s full _,
SUCCI address, cilY, and SIIIC and r:bect !be box 10
indicale IhaIlbis informalioa 8JpIies 10 die guaranlor.
Each person who glWlllleCS, furnishes securily for,
endorses, or co-sigllS for lloaø of $100 or more musl be
identified bere. If !be guannIOr is I recipienl commiuee,
also enler IbaI commiucc's idcnliflCalÍOß number. If DO
idenlÏflcalion DUmber has been assigned, enler !be full
name, Slreel addIess, cily. and Slale of mal cO~lmillee's
Ircasurcr.
NOli: After eaclt g/IQTantor's IU/IJIe and address. provide
the nallle of the applicable lender in parenth..es.!or
....'/f/I./e (b,w! of XYZ),
.
SCHEDUlE B - Para I .)
Schedule B - Part I (Continuation Sheet) 'no. ......... ..,.... ""_na ..v_........ 4
Loans Received ' "'--·-r....-., L \1 J o,{\J-'\
,. -......... .... 1- ¡ -qL 1"01 f 01<,\1
'...........:? -I ')--'1 '-t .-.- 7 o,)f
NAMe Of Off~DfR ORCANDID.\1E AND CONTRCU£DCOUIIImE: 10. NJl.teEA
(!OIM.IM¡ -ee ,to Qe.eL,,¿~ ~uv·~ fee g!:>(f€j,¡5'eVl.. q3t s-l.f:)"
LEtaA OR GUAAANrOR'S RU NAIoIE AND ADDREss LEtaA I GlJAAAHrOR'S LEtaA IN'ORMATION GUAAANlOA INfORMATION
DATE (N' COI.unfE. fNr(R~ tW.If. ADDAESS AHDI 0 ""8 If HOlD CKX:uPAßONAHI)fMflOYERCIf SEl.f. OlE DAIEI ~ c:u.tIl:ATI\IE AMIJlt.jf CUI.tl.lA TIVE
AECEI\IED MJuufHKAS UEEH ASSIGNED. EIIJÐlIAEAlUAEitStMW &ADOfIESS) '£WlOY(OfNlfR aJSwEss NAME) "1EAEST RATE OF LOAN TO DATE GUARANTEED TO DATE
IIUE ""'E CAlE"""" YEA. CAlENDAR YeAR
. 1.______
"TEA£ST RAn OrHER OltiER
o Lon... , o Guot....,,* -----%1 . I. _0
- . -
DUE DAlE CAlENDAR Y£A.R CALENDAR 'tEAR
I . ------- -.------
""EfEll RATE onEil OHtfR
o l&1l1du, o GUiUoU'IIOt * "; .
-----~ --
IIUE ""Æ CAlEtG4R YEAR CAlENDAR YUR
, I ------
INTEREST RArE artiER OlHER
o lendèr o GuatðfllOl * '" I ~---
IIUE ""Æ CAliHOAfl YEA. CALENDAR \-fAR
. -.
"'EREST RATE OTHeR DrttER
o Lon"", o G...onlol * ---'" 1.- 1______.._____ __
-
IIUE ""Æ CAlE"""" YEA/i CAlEhOAR VfAR
. ---
INI£RUI RArE OnlER OJtt£R
o Londw o Guat..-LIOI * , ,
- ----.--.
1"'1~ $ (I f_,b)OIIt
. See Î/'YW'IanJ üulTuc,itHU un fcvef,)'e if lUge J uj!ÜW,,1e B. Pur, I. SUBTOTAL , -omatyf'4UII.
.---- --,------.-- 1...lloht;'
·
Schedule B - Part .. T,p. ......... ........ ........n. cov... period
Repayments Made on Loans Received, Loans _._,M_
.. ....... ......... !-I-'1<+_
Forgiven. and Loans Repaid by a Third Party .-
SEE INSTRJeIlONS ON A£VEASE Ihr.....;I -IS - --'1 <.f p... ~ .1 't -"
NAME Of OfFICEHOLDER ORCMOIDATE AND CONTROLLED COUMITTŒ ID·NUI.t8I:R
&1>1. m,-ff-e.-e .-fo R.eE'1e~ !-.<;¡vva(ee ~E?'i... c:¡ ~ l 5'4<::)'
-
,
DATE Of DATE Of INTEA£ST AMOUNT A£PAlD OR
REPA \'MfNT OR ORIGINAl. R.U NAME Of LENDER RATE FORGNEN ON --':"AL · OUTSTANDING INTEREST
FOAGNENESS LOAN (If CtwaD) CUClUQE PAvaaNJ Of 1N'(RfS --':/PAl PAID
-
l-3l-q~ .g-,N~3 ~8().ra \.ee 50I"e"'-SeCL IU3ðDO.OO 0 0
-
-
-
-
AuacA tJdJj¡jONJ' inforlllillitHa "" "PP'oprjaJe', labeled cOIIIiluuuj"" sIoee/s, ...C, TOTAL INTEREST ð ,"I
SUBTOTAL " BCDð PAID THlI PERIOD I
1;"Iler 1M GmOIUIl ill colwnn (d) ¡",he
·AlPORl'ANJ': 1/ any PQT' oJa 100II ¡~furgi..en UT repaid by a 'hirdparly.ubu ;le",Úe ,Ire IflJ/um:lÍu/I 1m SL'lu:d,de..t. inclMJin, IJae IUIfne and s_, sec,iott ofScileJ.'" E. Line J, D"
øJJrUJ ofdac person/DI,it/in, ,he Juan (I( d~ ,hird parI) 1nQJ.in, ,he puym,,.,,. and ,ht: dlntHm' /urg¡.,.:n or piMd. not eill', 'IUs IOIIJIIO ,lie s"l1Ima1} $«';011
ofScIJed.'" B,
~._---
-\ \
~ \<
Olher Commlllees Nol Included'in Ihls Slalemenl: List any other
commillees IIDI included in lhis consoUdated stalemenl lJaa are cOnIrolled by you and any
commillees o/wJùd you Ita", bowledge lluJ are primarily 1000med 10 rtcei¡¡e conlribulions or
/0 make upenÆ'.ru on behalf of 'jOur candidacy,
Ca&IIlI££ N4WE. j)
.
;
Pogo ¡ o' ?f
A FOf QlliciallJ$e Onfy
LONG FORM
DolO Stamp
\ ~tŸ
\ .;'
\
'rom
through
Dal. of lil.cllon
If opplleo"'o.
IMonth, DoW. V...,
Ink.
lIIod:
Officeholder, Candidate,
arid Controlled Committee
Campaign Statement - Long Form
(Govemmenl Code Sec1ion. 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Ch.ck on. of Ih. followlnl bo... 10 Indlcat. .... 'yp. 01 .t.'.menl b.lng
o Pre·eleelion Statemenl
o SupplemenlaJ P,e·øleclion Slatemenl (Allach a compleled FOlm 49510 this slalemenl
j1i:( Sami·amual Slalemenl ,
o Terminallon Slalemenl (Allach a compleled Form 41510 IhlS '!alemenl
Typ. or Print In
"UMBER
COOIRQu.fDCOM...IT££.1
Dvts 0,10
AA[AC()()fA),t,YTlM£ PtlCtlE
l~ CODE
fJ!lJÞI e
(NO AND SIREE1)
SlATE
la -;
.Å '2
twM: a tRiASt.ØR.
CQtM..üIT£E AOætss
CIIY
II
~EA~YIIM£PtION£
('tð!)~52-3øö
I D HU.l8ER
3(545"'
D NUMB£R
CON1AOlLfDCOMMlnfE?
DyfS DNa
AA[AC~Y1u.t£PIar~E
l~ CODE
(NO AND STR£Ef)
SIAIE
ccu.gn£E NofJ.E
a: tA£ASl.Rfft:
CITY
..1se,'-<"
Oftlceholder, Candida Ie,
and Controlled Commlllee
Included In Ihls Statemenl
NAME Œ Œ'flŒHCl.ŒA ORCAtrIJIDA,t£:
k.ê<uv-è? lee_ ~t)V'eil\Se»L
afaœ SQJGH'( OR HElD IINCU.Œ lOCAtK»i AHO DStRICt NAlB£ft f APPlICA8& E:
é!;.)~"'+I"'vJa C~l+';t.. CLO!Jv1C. i t
RESlŒHt OR8U$ItESSADOOESS If«) ANOS ET
t 6:::l'3 'f <2J","-e-6+t>vt l)VtÙ...e
CITY . SIAIE Z" coot:
~~^-I-¡v!D QÞr <'t'5C¥'t
Œo(¡{Mì~-bQ~btJ~['ee &\i-e
COt.&IInEE ADCRf.SS (hO AHDSIR££1)
7787 r:<obt':;d.el(w1IJ,-
CIty 51'" E
Œ.uf.eV-t-(V1Q eA
fWo4£ a ÆA5t.Æft,
ROVL:al¿ V~ ~M."V'
Pf.Rt.lAt£Ht AlDIl"'Cf tREASuRER. (NO ANDStÆE11
1'7'87 f<¿)b~Vlde(( tv.",
ClIY stAI
~D-e.v' +-t~Q ~
I
OIC8hol~ or Candid...:
I havc used all reasonablc diligcnce and 10 thc besl of my knowledge Ihe trcasurer has
used all rcason¡¡blc diligencc in prcparing this SlaIcmen!. I have reviewed thc stale-
menl and 10 the best of my knowledgc thc infonnalion contained herein and in lhe
anached schedules is !ruC and complclc. I cerrify under penallY of perjury undcr Ihe
laws of thc Stalc of California ¡hallhc forc¡¡oing is !rue and COlTCC!.
1'1/:/'0.;_. '
Exoculcd 00 . ~..u AI - J £.
~Œ Q
·
ALLOCATION - Pan I
Sa.lemen. cove,. period
'rom
Tnt_ or Print In InIt.
Amount. m_W' b. rounded
I. whol. doll....
Allocation Page - Part I
Contributions and Independent Expenditures
Made From Campaign Funds
POll. ~ 0' :?'
D.NI.JMEJ<R
IhroUllh
AND CONTROLLED COMMITlEE:
SEE INSTAUCTlONS ON REVERSE
NAME OF OFFICEHOlDER OR CANi)IDATE
made from campaign funds 10 other commillees or
Ust each contribution and indepe,ndent expenditure of$/OO or more
to support or oppose other candidates or ballot measures.
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
CUMULATIVE TO DATE
CAlENDAR YEAR
(JAN I· DEC 31)
IND.
EXPo-
CHECK ONE
SI..If'tIOftI I OPPOSE
COMMITTEE, OR MEASURE
CMOIDATE,
NAME OF OFFICEHOlDER,
DATE
AMOUNT
J1~
..
SUBTOTAL "
* See reverse regarding independent expenditures.
Nlad: ødJilioNU ÛtJOTIIt4lÏDII DWt øppropTw41y lain/cd (OIIlÙlIllJIiOll
,
00 or
SUllllQilry
Conlfibulions and independent expemÎlures of $1
(Include all Allocation Page - Pan I sublOtals.)..,
independent eXJcndilures und« $
I
Allocallon - Part
I.
2,
$
$
campaign funds,
frOlI
period
Ihis
morc made
TOTAL $
funds.
caJllfJaig,
fllnds,
from campaigl
frOl
period
Ihis
period
made
Ihis
DO
3. Total comrilxuions and indcpendem cxpcndÎlurcs made
(Do /lul carry Ihis "'Iallo Ihc SlImmary Page,)
Conlfibulio/ls and
(Do nOI ilemiæ.) .
·
Saatement cov.,. period
TWpo or Prlnl'n Ink.
Amount. maW' b. rounded
10 whol. dolla,..
Allocation Page - Part II
Contributions and Independent Expenditures
Made From Personal Funds
'ð
Poso .:3 01
lrom
through
SEE INSTfLCTlQNS ON REVERSE
NAME OF OFFICEHOLDER OACANQDATE:
Ust each contribution and indeptlndem expenditure of $100 or more made from Ihe officeholder or candidate's
personalfunds to support or oppose other officeholders, candidates and commiuees.
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
CUMLl.ATIVE TODATE
CALENDAR YEAR
(JAN 1· DEC 311
1N1
EXP,'
CHECK ONE
$UI'POAIIOf"t'O&E
OR MEASURE
NAME OF OFFICEHOLDEFL CANDIDATE, COMMITTEE,
DATE
AMOUNT
~ ô7-'!JL
· See reverse regarding independent upendilures.
SUBTOTAL/S
AUach addilÍonal injorm4Jion on approprÌlJtely
$unvnary
ContribulÌons and indepcndem expenditures of SI(J() or more made Ihis
from personal funds. (Include all AIJocatiorl Page - Part II SUbIOIaIs,)
uuder S HX) made Ihis
II
Allocation - Part
I.
2,
$
S
TOTAL $
periud
fr,
period
3. Tola! eontribulions and independem expendilures made Ihis period
(rum personal (uml>. (Do uol carry this "'la'lo Ihe Summary Page.)
CUßlribulioos anti independent cxpcndilulCS
personal (unds. (Do nol ilemile,)
, SUMMA~ AGE
Cam..aign Disclosure Statement . W'P. or Pdnt In Ink. a'.'.ment cov... period . Pl
Summary Page Amount. ..... b. rounded
10 whol. doll.... lrom IO-!ï....q3
--.
SEE 1NS1fLICTlONS ON REVERSE Ihrough i Z ,-,:s hq3 P.g- e¡- 01 %"
NAME OF OFFICEHOLDER 011 CNÐlO4 TE AND CON1ROlLED COUMIITEE: 10. N.JM8ER
k¡W~le~ Søre..se....þo""""'ib, tö ~ f1(?c..-t La()~l-e~ S"'oveL1. ~e"" Gj ~ l 5'-\-5"
Contribullons Received Column A Column S· . Column C
torAl n-SPERIOO TOTAl PREVOOS PERm TOJAlI0DA'E
CfAOU ArTACHE.O 8CHEOlI..ESI ISEE ""TEeEL"", CADDCOlUUHS A. 8)
1, MonelatyConllibulions...........................,................... .................. SChedu/.A, Line 3 $ ¡2.ß3 $ 3337 $ '-/t:,2.o _
2, loans Receiv.d ...................................,.......................................... Schedule B. Lin.7 Ð - '2060 _3B1ð ._
3. SUBTOTAL CASH CONTRIBUTIONS ,.................,........................,....AddLin.s 1+2 $ i 1..A ~- $ CZ,~7 $ 7(;,;2.0
4. NQ/1·monelaty Conlribuûons...............,....,...........................,..........Schedu/. C, Line 3 () - ð O-
S, SUBTOTAL CONTRIBUTIONS (ExcludmgEnlorceabl.Promis.s) ....Add Lin.s3 + 4 $ i Z-$...?~_ _ $ 033'7 $ ---2(; ...:¿ Cl..:.-
6, Enforceable Prorri.sBs'(Exc/ude Loan Guaranle.s. Line 18 be/ow)Schedul. D. Line 7 0 D 0 -
7, TOTAl CONTRIBUTIONS RECEIVED .................................................Add Lines 5 + 6 $ /1..'?-3_ $ c:; -S'~ 7 $ --7~..2. 0
Expenditures Made
a, Cash PaymenlS (Oilier than Loans Mad.)..................,...........,., Schedul. E. Line 5 $ o/¥5"2 , /9... $ :J. /I ,?, bÓ $ in ~76 ~ t8.
9. low Made...................................................................................Schedu/eH, Line 7 (') ('! ()ð
10. SUBTOTAl CASH PAYMENTS ..........................................................AddLines 8 + 9 $ L.pf5'"2.; /q $ ç-'7 I / j{, ~ 0 $ f., ~~ e>-, 6. 9 :..
11, Accrued Expenses (Unpaid BiIlS)...............,..................................Schedu/. F. Line 5 - '3 (') ~ /f<;( "3t; ~ ,1ft C)
12, TOTAl EXPENDITURES MADE .......................................................Add Lines 10 + II $ £f (If<y, 7.f ," $ ::J. '-I ~ (, '1ç; $ hS 'té;,E, c¡ _
Current Cash 5tatemenl
13, BegiMing Cash Balanc. ................................ ......... Previous SummaJy Page. Line 17 $ 'f;;¿ ( ~,5>"'0 ·From Pfevioue StBlemenl SLflVllaty Page, Cdumn C.
/ :L £/3 ,ð"Q However, W Ihis is the lirst reXJl\ lied tor Ihe calendar
14, Cash Receipts ........................................,............................... Column A. Line 3 above year. CoIllnn B should be blank excepl'or Loan.
15. MisceØaneous Increases 10 Cash ...................................................,Schedu/e/. Line 4 (') Roceived (Line 2). Enlarc.able Promise. (Line 6). Loan.
Made (Line 9). and Accrued Expense. (line 11),
16, Cash Paymenls .........................,........,.,..............................ColumnA. line '0 above "I'!'S";;!., I q
, / ¢ ¿¡'h3 I
\7, ENDtNG CASH SALANCE, ..........Add Lines '3. 14 + 15. lIIen sublrac' Line'6 $ Summary lor Candidates In 80th June
U /his is a T ermina/ion Slalemenl. Lin. 17 must be zero, .. (tONG CASlt BAI ANCE SttOt.l.O
NOT Of A. NlGAlI~ AMCK.tff and November Elecllons
18, lOAN GUARANTEES RECEIVED ................................ Schedule B. Pal/I. Column (b) $ (' 1/1 Ihru 6/30 7/110 Dal.
21. Conlrlbullons
Cash Equlvalenls and Outstanding Debts Received .......$,
19. Cash Equivalents.. ......................58e instructiofls on f8V8fSO $ Ó 22, Expendilures
20 OUI~I"',dlnCJ Debls Atltll iI/a 2 UIIO /I ;11 Culumn C above $ '3ðc9 C) Mado. $,
-,-
SCHEDULE A
SI.t.ment
Irom/6
TWp. or Print In Ink.
Amount. mAW 1M round.d
10 whol. cIon.n.
Schedule A
Monetary Contributions Received
7
SEE INSTAUCTlONS ON REVERSE '
NAIJE Of OFflCEtiOUJER ORCANOiOATE ANOCONTAOlLEDCOIdMlntE:
hue ~ 01 'r
D. NUMBER
q.3 ( '5"4. ~
2/'5
through
AMOUNT RECEIVED
THIS ÆRlOD
OCCuPATION AND EMPlOYER
tif SElf'[UI\OVlOl.NIEA
HAMt: Of UUSlNtS$)
fLU NAME AND ACDAESS OF CONTRIBUTOR
If COt.MHff, IN AQQUON fO ca.unff'$ NAME AND M.Otf$S,
(NJUtl D NUt.t8{ROR..tf HOI.D HlUIfR~S8ffHASSIGttO.
(NIEA JREA5uRfR'S tw.If & ADOÆSS)
DATE
RECEIVED
CUMUlATiVE TO DATE
OTH£R
(If AFPlICABlE)
qJl ó-ð
CUlAU..ATIVE TO DATE
CALENDAR YEAR
(JAN I· DEC 31)
~ (ðð,ÒÚ
$ IM.Oð
Se.\,Ç t:WI p{/.)~d
¡J~o~ /),ta v1d'1€()'
est-! (.<eal pVè)fe,^~
Œ.h O(¡î!eS 5. New 1M. a ~
lóCj(;O L...uæ':f (9a~ c.+-,
ŒODe.~-h~ ò c:1Ä- Cf'So ¡ Lf
'ìJlQ3
b\
Oö
,
~ (DO.OO
ûÒ.Óð
{
.i{
ÚÓ,ÛÒ
$
~f[O)eJ
Serf
At\ov, £.( e't
p, ~ If' ~ eVl w: ¡ 50,^-
~C\lt ~+ev<::{¡!::'~""eek: B\vd,~...t:5ü
~fe"'+'~D ŒA Ú.50t,+
t<ß
D \';¡í
if¡ 2.6õ,OQ
~ J..SD,oo
'14 J,1;6 ,60
ß.....t.tkev
~u f e.1I'-t-;II!G M d,h ~IA';> l
"ß, 'ð .de
C, 't>c vra/ ¿ A \te '"
P.t" 'ßDX \'3'06
~pev+Ù.(o C!A C¡SOIS'-
\q3
) il)
<:;6,ðò
{$
~10ö,06
.$!. LDS,Qc;;
S-5-D
ç;- 5(-')
733
'Z- g'..3
$
$
$
..
SUBTOTAL
TnT"
i
'3S-ö
\
P b- 4, Ë, t;'.up!v'1é':e5 sh tel
loc.a I i?A-c it''8' Lió L\-oC¡
77 ßea2e"'5i,,~~Ú&<L./.tl""C (1'\ '1't-177
^
Monetary Contribution. Summary
I. AmDuR! received ~Iis perio<.l- con(ibulions oC $100 or mUle.
(Include all Schedule A subu>I¡¡Js,)..............................................
2. AIIIOUOI received Ibis period - cOlllribuliolls oC less ~Iall $100,
(Do IIQ itemize.) ........:............................................................
3. Tolalmollelary cOlllribUlions received Ihis period.
(Adt' I.ines I .uIt12. Elllcr hcr~ aud UII "it: SIIIIIIII;lry P;wc n
Z-Z \013
\
·
SCHEDULE E
Schedule E Twp. or Print In Ink. .'.'emen. CO".,. period -
Payments and Contributions Amount. maW' b. round.d Ir_~i7(q3
10 whol. doU.n. a'
(Other Than Loans) Made
SEE INSTffJeTlONS ON REVERSE through ¡z. ;s i q.3 Page e, 01 <g"
NAME ~ICEHOI.DER OR CANDIDATE AND CONTROLLED COMMITTEE: ID NUMBER
Œö'IM 1M ~ .(h~,.¿. tõ ~o. -ee+ h.::twC/(ee ,S6ve"'6r:?1-<... Cj Ô [ 5' "tS-
NAME A/'ÐAOORESS OF PAYEE. CRfDlTOR. OR AéCIPIENT OF CONTRIBUTION IMPORTANT: 00 NOT ITEMIZE 11£ PAYI.ŒNT OF ACCRueD EXPfNSES ON SCHEo..lE E,
¡If Coa.a.u"t.f.INADOIIION10cOUt.llnEE"S~AHDADDRfSS.fN1fRI 0 HUM8fROR. AfPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE. Of THE SUMW.RY SECTION BELOW
If NOI 0 NULIOfH tlA$8EfN ~GNEO. EHlER IAfASUAEItS HAw: , ACOHtSS) CODE OR DESCRIPTION Of PAYI.ŒNT AMOtX'H PAID
Po5\Í-!IA. òstev r!r;) 4- Eft i 9
CUf"'v- {-;.,w (! ¿4;. q '5'"0 ! If L
\J tP ._p~q+'¿~l $ 172.4. 'f-z....
t 62_2-":> G-1.Y1Af0~ta( he, L
C.vfQQY*"¡;"o (114 qs-ollÇ.
A¡¡,{:e¡f"\~âÌ1.1ièl-tã tQÒLið1ew.e\{.t-I'S¡'¡c, ti' ('503, q \
t ct. 20 olc::::\ LU d&Le4i-,€(J (jJ :<" L
I,. I ' CA Cf f(; 'Iß
0\,. \.hew
II VI ð L ex-i- Cv--eet 'Blv<::t
;;2DL.!l.>( steve.t ~ L <A 357,7'7
Qu~~V"+ ;1.(,0 (SA- Ct S"ò Ilf
.
SUBTOTAL $ :3'8 ¡:f{-,3 í
Pal/menta and Conb'ibutions Made Summar/ !.f6C(3, 3 ì
I. Paymcnls madc Ihis period of SIOO or morc. (Include all ScllI:dule E sublOlals,) ........................................ S
2, PaymcOlS madc Ibis period of under SIOO. (Do nOI ilcmize.) ....................................................................... S 55: 4-0
J. Total ¡nlcrcsl paid a,is pcriod UII UlIlslalldlllg Iuans. (Elllcr allllllllll lI..n ScI,cdule U, I'aflll, CullllOlI(d).) $ 0
4, TUlal accrued cxpcnses pailllhis peri..1. (I>u Ii ¡lcmilC. EUler all fn Schedulc F,1.iuc 4.) $ _ ~Q;33~
5" < -re>ta( '/'15"Z, 1'1
>
.
.
SCHEDULE E
I
cov.... period
!r-q3
¡2-S l-q3
St.tement
'rom 10-
T~p. or Print In Ink.
Amount. maw b. rounded
10 whol. dollara.
01 'i?'
Pes. 7
i1i:ÑùM8éR
q31 S'"\-S-
through
Schedule E
(Continuation Sheet)
Payments and Contributions
(Other Than Loans) Made
SEE INSTRUCTIONS ON REVERSE
NAME OF OFFICE~DER OR CANDIDATE AND CONTROlLED COMMITTEE,
~t-( £11<.( tre.e- .fz, Pe - flee±- ~ ÚV'~ le-e
~V'eWS elÅ..
NAME AND AOORESS OF PAYEE, CREDITOR OR RECIPIENT OF CONTRIBUTION
elf COlMwtlTTEE, IN ADomON TO COMMITTEe's NAME N4D ADOAESS. ENTER I 0 NUMBER OA,
If NO 0 NUa.6ER HAS BUN ASSIGNED. OHER TRfASt.JÆR'S NAME .. AlX)RESS)
AMOUNT PAID
1 )5'1 ,ðè
;) s-q ,DC)
$
'.
SUBTOTAL
DESCRIPTION OF PAYMENT
cw\
OR
w.E'ü..J';>j/~eU"
--.------
-
CODE
-----
-~--
3
- --- -- --- ---
-----------
M e,+¡,"ö
5"50 So, F (v~s t- S+
"3a VI ::::S--O$e C A. '1 S-
.
.n
----
·
SCHEDULE F
S'.tem...' cover. period
TV'" ... Prlnlln Ink.
Amount. maw be rounded
to whole do''',..
(Unpaid Bills)
Schedule F
Accrued Expenses
8'
Pag_ 2" 0'
- --
I D NUMBER
'1? ( :1)'-\: 5'
1
IhrouhI'2 -'11-'13
Irom J. 0
SBve M..S e "'-
IIrAt'OAINd. OONQIIIfMll{ litE PAYMENT OfACCRUfDEXPO.s£SONSCIf.OUt.ESEOAf Rt.POtH ONl¥ (¡IE lUMPS..... Of PAY·
~NIS 00 $QICDll.!.,!.lINE 4 moON SCtIEQUlE E. LN 4. 00 NOT REllEMllE ACCRUfD ÐtPEt.5£S ~PORIED IN API1fVIOUS PERlOQ
CODE OR DeSCRIPTION OF OUTSTANDING PAYMENT AMOUNT ACCRUED
SEE INSTAUCJK:lNS ON REVERSE
NAME OF OFfICE/PDeR OR CANDIDA TE.~D CONTROlLED COMMITTEE
éh.\.{u/td!:e.e.·.fa Rerted-- /-.aLiIl'è! L-ee
NAME A>D AOOAESS OF PAYEE. CAfDjTOR, OR RECIPIENT OF CONTRIBUTION
¡IF Ca,O.llIIEf.1N ADDItiON 10 COWMInEf'S NAME AtÐADDREss. ENTER I D. NUMut:A all
If N) I 0 ,.,."..B£R liAS BEEN ASSIGNED, EHIEA IR£ASLÆR"S NAt.If .. ADDntSSJ
'"ì;l crvt-5'-.
$
$ _2-º~..:.~8
<: -'303,'{-6
~
SUBTOTAL $
$
$
.41'"ch additional informalÎon 011 approp,ù,JJeJy labeled conÛnual;on sNels.
Accrued Expenses Summary
1. Accrued expenses this
Schedule F sublOlals,)
period of $100 or more. (Include al
2. Accrued expenses this period of 100. (Do nOI ÎIemile,)
under $
INCURRED TOTAL
PAID TOTAL
'.
N"T
i
A
,
Schedule E Summary, I.ille 4.)
I'
v
It: Sl
I
,
ht'IC
(
\.'I~IILC
aJld 2,)
ilcmile. Enlcr here and
IIC J.
,
Elller Ihe
(Add Lilies
period. (Do 001
Ie -I
im:urrC<J I1lis pcriocl
I
(SUIHIiIt:1
4. To...1 accrued expellses paid Ihis
)
3, To...1 accrued cXpèllses
'"
"
dl;IIIH"~
N,'
/d -.u-p.s
/d.' 1'5 "'*"
;
.
k
0.0 I 0' ID
A FOI Olficial Use Only
...t.....nt Cov.,. period
'rom 9,
through /1
Dat. o' Elecllon
II appUcobl.,
.M.nlb, D.y. Y_,I
l -z..1C:¡3
In'nk.
III....
Officeholder, Candida
and Controlled CfJmm,
Campaign Statement,
(Govcmmenl Code 5ec.Uœ. 14200·84216..5)
SEE INSTRUCTIONS ON REVERSE
Check .ne o' the lonowh.. b.... 10 Indica'. the 'rIM .1 e'atemenl
o Pro·ol.cliro Stalemenl
181 Suppl.menlal Pro ,eleclion Stalomonl (Allach a complelod Form 49510 Ihls slalo~1
o Semi·amual Slalamenl ,
o Tarminalion Slalemenl (""och a compleled FoIm 41510 Ih.s sial,
Typ. 0' Prlnl
bolnlÍ
te,
ittee
- Long Form
Other Committee. Not Include n thl. Statement: üst ""1 D/h<r
commu,us IlOl ¡"dwled in IlIls cOIISolida,ed Sllllemenl'ÑJl ar, cOnlfolled by you and tvJy
cOtMlù'ees of wJùcla yoN have !now/edge ,JuJ au p,im4rUy lo",~d 10 r,cei."e conJribulioflS 01
/0 mate up_fIlIi/lU.. on b<1uJ1f of yolU candidacy,
COUIlEE KWE. 10 t.....e£.H
II
C()4)AOlUDCOMLlIIEU
o"s 000
AAEAC~'t'IMf PtlClUf
......'R
CC»iTROllfOCOf,,,,..nEE.?
o "s 0 00
AAEAC~YJI"'E PlO.E
COO<
If'
SIAIË
"'''
AAEArrn~nloŒfIHCH(
'fc "">7-302..$-
O«leeholder, Candidate,
and Controlled Committee
Included In thl. Statement
HAMEŒŒfICÐtOlŒAOR~tE:
J..,auv"'à l-ee- 5ov-elllse';'L-
ŒftCE SQIGtß ORHEiD fIClWE lCXAJK:lNAHOClSIRlCr NJMBERf NftICA8tEt
Œ() ,f,elr +I~IO c.~ GX).l1.c.~t-
RE$lŒN 0fI8USItÐSAIXHSS ¡NO AHDSlftEEJ)
IÓ;¡Ç] 'f (!1i'-eS+C)~ 1)1".
alY $IAIE
<!¡JfeV'~ ;"'6 C'A-
CCIIoMnu tw.IE:
<!.oUAIMJee. 10 Re é'W ~i..(¡^<)lee
ca.unuNJCÆSS tNO AHDSIR£O)
77%7 Ro6iN,1>ELL wA:-¡
ClIY SIAIE
QuP'!3Lëll4D eA
~~~:;rd V \ i-.a f,t ¡rN"
P£~' MXII£SSOf IftEASURER (NO AHOSIREnJ
7?n R.datV1Je.i( W~'1
OIY ~
@..vD-e",-t."vla A
I
"'COO<
-;10pt,{?
IND. AHOSIREEI)
SI.AIE
fw.E Of lAEASLÆR'
ADCfŒSS;
C(U,IIIEE
ellY
AAEA~YI...e PtIONE
CIfOí?) .;lSÃ - 3cao
IO.......R
q3 i51{5"
£\I·e~5f?'-
ZP COO<
'f5'"D ( 't
10
IN) AHOSIRE£1)
ca&in£E fW.E:
NAIoI£ Of I REASt.ÆR:
COtoNnu AOæ£SS:
AftEAc:oŒ.I».'I1l1o1E PHoNE
'f";; 2S{-30ZS-
ZP COO<
95D1
ZP COO<
qSol'\-
/Qlnled COnJinuolion Well.
Olllcaholder or Candldat.:
I have used all reasonable dUigencc anI I 10 !he best of my knowledge Ihe Ireasurer has
used all reasonable diligence in preparin¡: his SlaIemen!. I have reviewed the S¡IIe-
menl and 10 the best of my knowledge ,JJ, infonnalion CDnlaincd herein and in lhe
auachcd schedules is InIC and complek. r èCrtify under penally of perjury under Ihe
laws of !he SlaIe of California lhallhe fore going is lrue and cooec!.
El<OculOdon IO/~Jq.:s AthA' Ú ,t!/f
1,7
~,...,...... ~... ".."... .....~..
,
Alløch aJdilional Ìlf/orm41ioll Oil "Ppropr¡oleI)
IU Verllleallon
Tr...ur...:
I have used all reasonable d'igence in preparing this Slalcmenl and 10 the best of my
knowledge !he inrormalion ,;onlaillCd herein and in the auachcd schedules is true and
complclc. I certify under pe 13IIy of PC/jury under the laws of !he Stale of California
lhallhc foregoing is IrUC 31\11 correcl.
hacurodon /6/;1" '3 A,Þ10
-( Ci
St.t.....nl cov.,. period
'rom c¡ c:¡';
Two or Print In Ink.
AmoWlt. ..v be roww:l...
to whol. ..011.....
Allocation Page - Part I
Contributions and Independent Expenditures
Made From Campaign Funds
Pallo :l. o' { D
10, NlJM8ER
q 3\ 5"'f S-
IS /'13
Ihrough J (:)
J..¡w~{-ee
SEE INSTRuCTIONS ON REVERSE
NAME OF OFFICEHOLDER OR CANDIDATE AN2, CONTROlLED COMMITlEE:
~a..l-Vðf-&e 5"cV'e.'S-e.<jl'O'MI.£I(ft-et' -k ~I:"c.f
5ò.revlse,,-
mad~/rom campaign/unds 10 oth~r committ~~s or
Ust each contribution and indepe.nd~nI tJCp~ndj¡ur~ 0/$100 or mor~
'0 support or oppos~ olh~r candidat~s or ballol m~asures.
CUMULATIVE TO DATE
OTHER
(IF APPL'CABI.E
CUl.«.LA TIVE TO DATE
CAlEI'ÐAR YEAR
(.IAN \. DEC 31)
AMOUNT
IND.
EXP.·
CHECK ONE
1tJfItIOR110PfI0Sf:
OR MEASURE
CAIODATE. COMMlTlEE.
NAME OF OFFICEHOlDER.
DATE
e
"Î1!J
J __
_I> fll
' ? I
~ .\0
--- -
AlIOCA ildJùÚHtlll ;"..·01 'J\ JlÙNt.. øPP'DP'Ì4I"llDbII_ t:ð"'ÙlW'iOll ~I&uu.
_L
SUBTOTAL IS
* S~~ revus. regarding indtp,,·tknt uptndiluru.
,
Sum maay
Comribulions and indepcnde, II e'pendilures of $1
(Include all Alloea(ion Page. - Pan I SUblOlals.)..,
c"lendilu,cs under $
I
Allocation - Part
I.
2.
$
from campoign funds.
perio<l
Ihis
more made
00 or
I
:~
TOTAL
fUlu's.
call1paigl
from campaign funds.
leriodfwlI
Ihis
period
(Xllllade
Ihis
TOIaI comribuuons and indep. :ndenl expcndilures made
(00110' carry lI,is lo(allo Ihe )lImlllary Page.)
ConlIibulions and independc.
(Do nol iu:miæ.) ..
3.
~
-
Sa.lement cc:ov.... period
lrom -iLt.:rJ q 3
TWIt. or Prlnlln Ink.
Amount. m., b. rollnded
10 whol. doll.,..
Allocation Page - Part II
Contributions anfj Independent Expenditures
Made From Personal Funds
POliO .3 01
bN3
IhroUllh J Ó
- .
-ff-ee 4:. r<eded-l,tN'i>! Ìee S'DV'eV\Se'L.
SEE INSTfUCIIONS ON REVERSE
NAME OF OFFICEHOlDER OR C».(~DA TE:
ko..u Vd ('€e' jòV€"'Lse....
~i¡"
Ust each contribution and indep,ndelll expenditure of $/00 or more nwde from the officeholder or candidate's
personal funds 10 support or oppose othe, officeholders, candidates and commillees.
CUMLUTIVE TO DATE
OTHéR
(IF APPLICABLE.
CUMLlATIVE TO DATE
CALENDAR YEAR
(JAN 1- DEC 311
AMOUNT
I/Ð.
EXP,*
CHECK ONE
SUPt'ORIIOPI'OSE
W.ME OF OFFICEHOlDER, CAADlDATE, COMMImE. OR MEASURE
DATE
frÞt..(L
-- ----
JJ~ 1111
--- ----
A/lac}, /ldJilÍonal in/t)f",1Q, ¿ '" 011 DpprDp,ÌQltl, 14beled conlÍfUQI;OII ~:^ttls.
SUBTOTAL Is
dent expenditures.
Conuibulions and independel ,I eAlcndilures of S 100 or mure made this period
from personal funds, (Include all Allocation Page - Par1 " sublolals.) ..........
,,"dilUres under $ (XJ madc Ihis period If.
SUI runary
* See reverse regarding indepe¡
II
Allocation - Part
I.
_I)
$
S
TOTAL $
leA
c.).
3. TolA! eontribulion. and inde¡> ndent eApendilures made Ihis period
frum personal funds, (Do 11111 ;any this ".Iallo fhe Summary Page.)
Cunlribulions and incJcpclIIJcl
person.al funds. (Do nol ilemi.
2.
I
SUMMARY PAGE
,
T.... or Prlnlln Ink.
Amount. mar.. roundecl
10 whol. don....
Campaign Disclofiure Statement
Summary Page
P.go tf 01 JD
1.0, NlJMBER
q"-5 I 5""'-t S-
Column C
TOTAl TO DATE
(ADO COlUMNS A . 8)
37,
9
IhroughJP
Colu",... ..
TOTAl PRE\'oos PERm
SEE N01£ IIElOW)
(l¡
!rom
Column A
TOTAl DaPEIUOC)
11'_ AlTAQ£O IICHEDU.ES
"3077
:.$Dre'1.S'-e "-
see INSTRUCTIONS ON REVERSE
NAME OF OFFICEHOLDER ORCANDlOATE AND CONTAOlLEDCOMMIlTEe:
~~.t,tt-ee h t2ee>lec.f- h<:tuu'élLe~
Cont,ibutions Received
ðO (), 0'tJ
3 :J 7,0-0
"
ðO
o
$
$
$
$
o
$
$
$
$
"3ó77
(3
$
$
$
$
Monelary Conlribulions Schedule A, Line 3
2, loans Received ........... Schedule B. LifU/ 7
3. SUBTOTAL CASH CONTRIIIUTIONS ....Add Lines I + 2
4, Non·monelary Contrlbulions............., Schedule C. Line 3
5, SUBTOTAL CONTRIBUTIONS (Excluding Enforceable Promises) .... Add Lines 3 + 4
6. Enforceable Promises '(Exclude Loan Guaranlees. Line 18 be/ow)Schedu/e D, Line 7
7. TOTAL CONTRIBUTIONS RECEIVED Add Lines 5 + 6
$
$
q 75'. ':>D
o
IQ75". Ç'G
()
1'175,Ç()
$
3,0-0
&..Q.Q
c-o
Schedule E, Line 5 $
Schedule H. Line 7
$
$
$
.............. Add Lines 8 + 9
/
..........Schedu/e F. Lins 5
..........Add Lines 10 + 11
Expendltu,es Made
a, Cash Paymenls (Other than Loans Made),
9. loans Made .................................
10, SUBTOTAl CASH PAYMEN rs ...,
Accrued Expenses (Unpaid Bills)
TOTAL ËxPENDITURES MAOE
1
---'---12.
$
-
·From )Iev'oUII Slalemenl Summary Page, Column C,
However, . 1I,Is is !he 'irsl repoR 'ded for the calendar
year, CoI.."n 8 should be blank excepl 'Of loans
Received (lir,e 21. Enlorceable Promises (line 61,loans
Made (lire 9), end Accrued Expenses (line III,
$
N g-; S-ô
EtoNG CASu BALANa SHOu.D
NOT BE A Nl.GATlYf AMOl.NT
17$
Schedule I, Line 4
Column A, Line 10 above
15, then subtracl Line 16 $
Summary Page. Line
Column A, Lins 3 above
P¡ev;ous
Add Lines 13. 14.
Line 17 musl be zero.
Cash
Cunent Cash Statemen'
3, Begiooing Cash Balance
14, Cash Receipls
15, Miscellaneous Increases 10
16, Cash Paymenls ..................
17, ENDING CASH BALANC E,
II/rus is a T ermina/ion Slaten lenr.
Summary 10' Candidates In Both June
end Nove,,1be, Elections
Ihru 6/30
10 Dale
71
11
Conlribul,ons
Received......, $.
22, Expendilures
1........1_
I.
2
o
3 3n"2" if ¡!j
$
See instructions on reversD $
UIIO II in Calumn C above S
(b)
Column
I.
Schedule B, Pat/
ine:!
LOAN GUAAANIEES RECEI'/ED
Ca5h Equlvillents end Ollbtilnding Debls
19, Cash EquivaJenlS..
20 Oul"lall"""J Debl5
ArI<l1
18
SCHEDULE A
Tnoo or Prlnlln Ink.
Amount. ....y be rounded
10 whol. doll.....
Schedule A
Monetary Contributions Received
Pego t) 01 /5
I D. NUMBER
~3(?'fS-
3
(.,
'I
Irom _ q
Ihrough j 0
CUMl.t.ATIVE TO DATE
OTHER
(IF APPLICABlEI
CUI.U.A TIVE TO DATE
CAlENDAR YEAR
(.IAN 1· DEC 31)
AMOLtIT RECEIVED
THIS PERIOD
()Ci, 00
SEE INSTfUCTlONS ON REVERSE '
NAME OF OFFICEHOLDER OR CMOIDATE AND CONTROLlED COMMlffiE,
kC<.uvè¡ lee '£Ð,-eVlse,/ ~u.citf.ee -6. Re-~ec+ j:£v va ke ?)ove¡o¡se,,-
RJLL NAME AU) AlXJRESS OF CONTRIBUTOR
(If COIoUnfE.INAQOITtCIN JOCOULtnu"Stw.tE ANOAOORfSS.
(NURIO Nl.IU8EROR. IF HOI,O NUIotBfRtMS8ffNASSIGNfD.
ENTER JAfASURfR'l tw.IE & ADDIESS)
Paui c., c;..",odlel;ý"
t q q"t () ''ß,...e., cl<t.. i!+,
a"'pE"",,+l'V10 tlA ~S-O\Lt
OCCUPATION MO EMPLOYER
(If SflHtM'\OYlDENIEA
NAN( (S- IJUSIM:.SS)
DATE
RECEIVED
t,¡,t"'¡l ~ E:"!~~ ,,~
l{ewletf-Pa.c.Ka~
ù-'j-'f3
(JO,DO
.,
-en." +} Apð~h'l.oe:..,.t- A<5S
PAc... :#= % 100 i '\-
TV'
to -5' ...q'3
III
~ I!JO ,ot/
2~ê),eð
,100,00
:z 5"'0 ,00
00
&0
5"5"ð,
:z S-27,
l'J7í. A/)
~:;-ð,OO
S'ei t - -e"" r( 0'1 ~d
R-eð (s.f.qte '¡;;1ie4",,,,,,
~
$
$
$
s
SUBTOTAL
TOTAL
)
.¡lIe
A
Ave 1I'':f- I L. 13 ¡)'V"t-
~ lùV'c:d.t U ,""
Aftt€!.v,1-6111.. ({'to L 1
L C, 1'1' "t 3 i5"'Lfs-
Monetary Contribution:. Summary
I. Amounl received d,is period - COIll1ibuliollS Dr $100 or more.
(Include all Schedule A subt· .1315,)..............................................
2. Amounl received Ihis period - cOIllribuliolls of less Ihall $ IV(,
(Do not iremize.) ........:...........................................................,
3. TolaJ monetary cOnlribulions received Ihis period.
(A,I,ll.illes I ;111<1 2, Elller here alld olllhe SlIlIlIlIary 1~lge, n
D~-q~
.
I
SCHEDULE B - Pan
S'ol_n. covo.. pori'"
..... '1) t <i( ('t.3
{{¡;, !q3
Trpo or Prln'ln I.....
Amoun.. -r'" roundod
10 whol. doIl~....
I
Schedule B - Pari
Loans Received
Pogo C, o' I ()
D·NU.laER
Gf 3 I 5"''+ S'
GUARANTOR INFORMATION
AMOLM' ClJMULA TIVE
GUARANTEED TO DATE
CAlENDAR YEAR
ö
f?c... t:..( ect- /-¿wI/?¡ ['ee ~e VI '5'¿ «-
LENDER IGlJAJW/TOR'S lENDER ~T10N
OCCUPADOHAHOEW\OYfAC~liifll. DATEI AMOUNT aJUlOTI
~"""O"'DEN"RtlJSlHfSS_1 ~TE OFLOAN IODATE
DUE DATE CALENDAR YEAR
........h
\
SEE INSTRUCTIONS ON RE~RSE
NAME OF OFFICEHOLDER OR C-""DIDATE AND CONTROLlED COMMITTEE:
k,tvll"PIl.e.e ~Ðv-e"1seV\/~Ut, ff-ee ·4
LENDER OR GUARANTOR'S R.U NAI.E AND AlJDÆSS
(tfCOMJ.lnEE.E"'URRJQ. NAUE. AlX.ÆSSANOIO NUM8EA IF NOI D.
NUMBER HAS Bl:ENASSIGNED. EHlER TREASuÆR"S NAI.E & AODAf:SSt
DATE
RECEIVED
'7lCJrt.e
OTHER
OTHEA
INTEREST RATE
.
Guaril'llOr
o
lendet
o
CALENDAR YEAR
""_YEAR
DUE DATE
OTHER
afHER
..TEIlEST RATE
.
Gu~anlol
o
lender
o
CAlENDAR YEAR
CAl£NDAA YEAR
DUE DATE
OTHER
INTEREST RATE
OUIEA
--
tñiët(~
...........p.....
N18011~
Gua-inlor·
o
lande,
o
$
_1I~I~lJ~1
Ð
() --
tJ __
.:
SUBTOTAL $
· Set impOt1Q1J W'fUCtiDns 0-I.revtrSt.
Loans Received - Parll Summarv
I. loans of $100 or mOle rea ived Ibis period. (Include all
(a) sublo¡'s.) .......................$
Loans Received - Pan
3. Tolalloans received Ibis pe iod. (Add lines
Loans Received - Par: II Sunvnarv
4. Loans of $100 or more re"" id, forgiven, or paid by a Ibird pany Ibis period. ('nclude all
Pan " (e) SUbIO¡'s. if forgi len or .,aid by a lhird ""ny, also ilemile Ihe Ifallsaclillll 011 Schedule A,) ....
S. Loans under $100 repaid, fl rgivell, or paid by a lI,ird pany. (Do nol i!clUile.) II" forgivellllr laid
by a Ihird pany, indude lI,is alUoußl 011 Schedule A Summary,lille 2. ......... .... $
6. TOlaJ 'oans repaid, forgiven. Dr laid hy a Ihird lany Ihis JCrilNl.
(Add Lines 4 + 5.) ............................................................. rOTAL $
7. Nel change Ihis period. (SUbltaellille 6 frum Line 3,)
1~lllc( dlc IIcl here and on 1111': SlUlllllalY Pôlgc. (:~lIlIlIIn A, c:
itemize.)
Loans under $100 received Ibis period. (Do nOl
2.
o
¿)
éL
tJ
TOTAL $
$
NI'T
jllc 2.
and 2.)
SCIIEDULE C
St.'~nt
lrom
TWp. or Print In Ink
Amount. .....W .. rounded
to \llthol. doll.,..
Schedule C
Non-Monetary Contributions Received
Pago 1 01 it)
ID·Nl.Jt.t8fR
C(3 '3""'Ys-
io(tG, I q '3
Ihrough
Re~ haUl/à Le'e So.re.~s-e'......
CUMULATIve TO DATE
OTHER
(IF APPLICABLE I
CUMLlATIVE TO DATE
CAlEMJAA YEAR
(.IAN I· DEC 31)
FAIR MARKET
VAlUE
DESCAIPrIONOF
GOODS DR SfRIIICI:S
SfE INSTRJeTIONS ON ReVERSE
NAME OF OFFICI:HOtDER OR CMUIDA TE AND CONTROlLED COMMITT:f1 '
t-cLUva Lee $.o....·e.1s;e""--/~v«(...(1{ee~
.
FlU NAME ÞnJ ADDRESS OF CONTRIBUTOR
DATE (1f co....nEf.1H AODIrK»! TO COIoUnU'SHAMEAHO OCCUPATION AN) EMPLO'r'EA
RECEIVED ADORESS.EH1EHIOHl.ltrA8fROR,IfNOID .......RHU (IfSElF.£WlOn:OfN1fR
BEf:N ASSIGNED. EHIEA TREASuRERS IW.IE & AOORESSJ NAME Of 8USaNESS)
III
. i 'tacA DddÎl;ONIl Ïn/OTmiJlion On approp';()Jdy
'cJbeled COnl;'IIIDI;OIJ shedS.
]
/)
SUBTOTAL $
$
$
..
TOTAl
c--1-1 VJ,t, ~
Non-Yonetal')/ Contribu· Ions Sunvnal')/
I. Amounl received Ibis period - non·monelary conuibulions of $1 00 or more.
('nclude all Schedule C subþtals,)......................................................................
2. Amounl received Ibis ptJiod - non'lIIonelary conuibulions of less than $ 100.
(Do 001 itemize.) .................. ....................................................
3. TOlal non·monclary conlIihUlions reccived Ihis pcrio<.l.
(Ad,' I jilts I and 2. Enlcr hCI" and un Ihc SlIIlIInary P;age, Cui
.inc4.1
A
p-.. ~ 0'
10. IU.leER
q 31 S"'+S-
-
CUMlA.ATIVE TO DATE CUt.uATIVE TO DATE
CALEIIIJAR YEAR OTHER
(JAN I·DEC 31) (IF Af'PLICABLE)
Schedule D
Enforceable Promises Received (Other than Loan
Guarantees, Loan Endorsements, and Loan Security)
NOTE: Loan Iuuanlecs. 10... eudorscmcnil and 101ft JeCUråly uc "enforceable promilc.·' daat
nluSl be repolled on Schedule B .- NOT Schedule D. SEE INSTRJCT~ ON RE\lERSE
NAME OF OFFICEHOLDER OR CA/oODATE ANDCONTROlLED COt.IMITTEE:
A..a..Ui/<'1L'e-e SDv'€-Vl.se.<I~""'~~e {. ~e(eei- !..aUi/;;¡(ee:
AJLL NAME 1Ð AOORESS OF CONTRIBUTOR
(If co.....mf. ~ AOOITIdN TO COIaaInEE'S IWÆ AND
AOOREss. (MiEA I 0 Nl.lMBf:R OR, tf NO 1.0. MJUØEA HAS
SUN ASSfGN£0. NTER TAfAStaR'S IWÆ & ADORESS)
.
Ibrough' ,"
SCHEDULE D
,
LV
.........nt cov.,. p.rIod
~
'13
(I:,
'rom
I
.
I
Trp... PoInlln ,....
Amount. ....V b. rounded
I. whol. doII.ua.
J
S~e.'1.se¿"
A/,IQl.tT PAlO
THIS PERIOD
(AlSO ENTER ON
sellEOUl. AI
A/,IQl.tT I'ROIAISED
THSPERlOD
OCClJ'ATlONAND Et.f'I.OYER
CIf SfU·f.....OYED ENffR
...... Of 1lUSlHESS
DATE
RECEIVED
,
III
,tltdC' tlddiliONJI infDTmtJ;on Oil appfop,jaJey
iabt:1e4 COIIIÙUI4I;OII shedS.
..
o
é)
$
$
$
~
SUBTOTALS $
En'orceable Promlses1ecelved Summary
I. Promises r=ived ofSlOO, r more Ibis period (Column (a». $
2. Promises r=ived under $I:)() Ibis period.
(Do DOl iLemize.) ................ .................................................... $
3. TOIaI promises received Ibi! period.
(Add lines 1 and 2.) ..........' ..................................................... TOTAL $
4. PaymcolS r=ived on prom ses of $100 or more Ihis period.
(Column (b». ...................... ...........................,......................... ,.....................
S. PaymcolS r=ived on prom; scs under $100 Ihis period.
(Do nOl ilemize. Also inelud, 'NI Schedule A Summary,l.;lIe 2,) ......................
6. To"" p;tymcnlS received.
(Add lines 4 and S.) ........................................................................................................................TOTAL
7. Net change Ihis period. (Sub rae! Line 6 f"'IIILinc 3. Elller lite difference hCle alld ulllhe
Summary Page, Culumn A, l.illc 6.) . NET
"11 /rY'..tL
·
..........nl
'rom q
T.... or Prlnlln'.....
Ameunl. ....."... ..........11
I. whol. doll....
Schedule E
Payments and Contributions
(Other Than Loans) Made
01 !ò
Pag_, q
~R
q 31 5''ts-
Ihro...h_lO 1/6
12tf't:Led- ~'èl¡)Vq be Sov-eH'S~4.
SEE INSTAlK:TIONS ON REveRSE
NAME ~EHOI.DER OR CANDiDATE AND CONTROLLED COMMITTEE:
kuv<t(oe,e :SðV'eASe.j~&1.-li"""ft.ee-fc
AM~T PAID
IMPORTANT: DO NOTlTEMIZE TIE PAYMENT Œ' ACCRUED EXPENSES ON SCHEWE E,
REPORT ON. Y THE L~ SUM OF SUCH PAYMENTS ON LII'E 4 OF TI-£ SUMMARY SECTION BELOW
- -
CODE OR DESCRIPTION OF PAYMENT
i70
(h
~
i...
(!TO
'1 "3.
t
L
NAME AND ADOOESS OF PAYEE. CREDITOR. OR RECIPIENT OF CONTRIBUTION
(If co.....nu.1H ADOHK)H 10 ~...nEE"SNAUf N#JADORESS, ENTER I 0 NUU8EROR.
If NOI 0 NUt.lÐER HAS BEfN..SSIGN£O. ENTER TAfASURER'S tw.IE & ADORESS)
R'é'~l;::"~ÒV---' ~ ÙO~ It So:
PÐ~.-+ lM..2>S+-ev'
'\.
-
43.(9<::)
'3 ~ , (70
b,OO
--
SUBTOTAL $
$
./
Payments and Contl'ibullons Made Summar(
I. Paymenl> made Ihis period or $100 or more. (Include all Schedule E sublolals.)
period or under $100. (Do nOI
-- ------
DO
_-LI.L~,DO
---
é)
$
$
$
ÎIemile,)
Tow iDlercsl paid d,is periud UII oUI>Wlldillg Iuans, (EDler a. IWIII Sellc.lule 0, Pan II, Column(d).)
TOlal accrued "(lenses paid Ihis IlerÌlKl, (null ilelllile. Elller amuuul r" Schedule F, I.iue 4,)
PaYlllellts made lhis
2.
3.
4.
·
SCHEDULE F
,
...,........ cov.,. period
'1/('ir"t3
T,... .. Prlnlln I....
Amount. ....v be round.d
.. whol. dolla,..
(Unpaid Bills)
Schedule F
Accrued Expenses
Pog. JD 01 j(J
I 0 NUMBER
C¡~iS-'ts-
'13
II
c
,,_
Ih,ough
S~..,.e Vie; .çC<'"
IlIE ".'MIJil1' Of ACCRUfDEXPfHSfS ONSCI (OUlESE OAf. Rf.POfU ONLY fllf ll..NP SlNOf PAY.
4 ÞlÐONSClIfDt.U £.llNE 4. DO 00' REIIU4I1E ACCRlEOEXPENS£S fU:PORIED IN A POEVIOUS PfRlOD
DESCRIPTION OF OUTSTANDING PAYMENT AMOUNT ACCRUED
Qe tied- ~uv'ill-ee
tMI'OAINH. 0000111(....'(
W£NIS CWSCIl"ou.E f.II"
- -
CODE OR
seE INSTAUCTIONS ON RE\ÆASf
NAME OF OFFICEHOlDER OR CANDIDATE AND CONTAOtLED COMMIIIEE
h.a.uru lee $'Drew,;;e,,-/~11M,{f.ee fz,
NAME AN> ADORfSS OF PAYEE, C~TOR. OR ÆCIPIENT OF CONTRIBUTION
(If COUMlHU, If AoonlOH 10 cCIoIMInu'lNAUE NÐADDRESS, (HlfA 10 Nl..l.U:ROR.
If NJI 0 f«..IW8EA tN8UNASSIGNEO. EHlER IAEAStØR'SHAME & AOOAESS)
Cf7
:J.&/
L
Vl P fìRtN.TIN'&
162.2.$'"' J..-W\~II';a ( Aile
Q.()P"'€4~~~;I!,j !?A q'~b i, '4-
4-(,S
L
'Tè¡rv'J ""9~v, Z Ie (foe Te Ii uf
;)~Lf<{Z. ß ¿Uðl Uvt Ô~'e-le s;,,<f'f-4
<?(jpeV'-h~ò Of>.. qS-olL.\-
:2t. ':? ¿Lv
~ ~~...ì 0
1
SUBTOTAL $
$
$
--
--
more. (Include all Schcdule F ,ublolals,)
00. (Do nol Ïlemile.)
oJdiliollt.d injounalio,. 0,. app,opriUlcly labeled cOIII;""Q';Oll 4Mtll.
Accrued Expenses Su 11mary
I. Acerued expenses Ibis pe iod of $1 00 or
2. Accrued expenses Ibis pe iOtJ of WIder $
AIIQcll
41
30;3.
$___0 .
__. ..-'7'~
!:"(
8'
$
INClJli~ED TOTAL
"AID TOTAL
"
)
Line 4
alld 2,)
period. (Do nul ilemile. EDler here and on Schedule E Summary,
(Add Lines
currcd tllis period.
4. Total accrued expenses p¡ id Ibis
i
J. To¡lae<:rucd c'pe~s