October 10 Pre GeneralRECET111-- .
OCT 10 2019
T r
CITY,,,, CAMPAIGN FINANCIAL DISCLOSURE REPORT
CITY CLERKS Oh- _.. SUMMARY PAGE
l )iii (Please Print or Type)
Section I
C-2
Rev. 12/14
Name of Candidate or Political Committee and Chairperson Office Sought (if candidate)
District (if any)
6-1 /Vvk,4 a
mailing Address
City and Zip ! G Home Phone
or
one
,6� � _ I I
Name o Political reasurer
(TcA.(— '7b 50
Mailing Address
City and Zip
I Hopme P Bone Q
° �` I
',
Work Phone
r
Change of address for: Candidate or Political Committee W Political Treasurer ❑
Section II TYPE OF REPORT
This filing is an: 1k, Original ❑ Amendment
This report is for the period from 0 0 q 'Z011 through O l / 7 O / ZvA . q I
❑ 7 Day Pre -General Report
Is this a Termination Report: ❑ Yes
❑ 30 Day Post -General Report
X October 10 Pre -General Report
❑ Annual Report
Section III STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES
Directions: If you had no contributions or expenditures during this reporting period, check the box next to the statement below and sign this report.
Be sure to carry forward the appropriate "Calendar Year to Date" figures in Column 11, Section IV.
❑ 1 hereby certify that I have received no contributions and have made no expenditures during this reporting period.
Section IV SUMMARY
To reach your Calendar Year to Date figure: Add this report's Column I
figures to the Column II figures of your previous report (except on line 6).
Line 1: Cash on Hand January 1, This Calendar Year*
Line 2: Enter Beginning Cash Balance**
Line 3: Total Contributions (Enter amount from line 5, page 2)
Line 4: Subtotal (Add lines 1, 2 and 3)
Line 5: Total Expenditures (Enter amount from line 11, page 2)
Line 6: Enter Ending Cash Balance (Subtract line 5 from line 4)
Line 7: Outstanding Debt to Date (Enter amount from line 18, page 2)
COLUMN]
This Period
$ 3.00
COLUMN II
Calendar Year
to Date
$ XXXXXX
$ 2...7
$ 7---)
$ 22—
$
Z$ 01)
*This same figure should be entered on line 1 of all reports filed this calendar year.
**This is the figure on line 6 of the last Campaign Financial Disclosure Report filed. If this is your first report, this amount is 0.
Note: The closing cash balance for the current reporting period appears on the next report as the beginning cash on hand.
Section V
I, (✓`L �Uk q hereby certify that the information in this
Name of Political Treasurer
report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
Signature of Political Treasurer
Page 1
12
13
14
15
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18
DETAILED SUMMARY
Name of Candidate or Committee: Ginc-N Lko S (fin
Expenditures
Total This Period
Contributions
Unitemized Expenditures (Less than $25) # of Expenditures
+ $
Unitemized Contributions ($50 and less) # of Contributors
+ $
2 5 vJ
Itemized Contributions (Total of all Schedule A sheets)
+ $
+ $
In -Kind Contributions (Total of all Contribution amounts from Schedule C sheets)
+ $
+ $
Loans (Total of all New Loan amounts from Schedule D sheets)
+ $
d
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
_ $
_ $
Expenditures
Unitemized Pledged Contributions ($50 and less) # of Pledges
Unitemized Expenditures (Less than $25) # of Expenditures
+ $
2 Z, U v
Itemized Expenditures (Total of all Schedule B sheets)
+ $
U
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $
6)
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $
Q
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
+ $
Q
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
_ $
2 Z,- 0 0
Loans, Credit Cards and Debt
Unitemized Pledged Contributions ($50 and less) # of Pledges
Outstanding Balance from previous reporting period
+ $
+ $
New Loans received during this reporting period
(Total of all New Loan amounts plus Accrued Interest from Schedule D sheets)
+ $
U
New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
+ $
C>
Subtotal
= $
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
$
U
Repayments of Credit Card and Debt this reporting period
(Total of all Debt Repayment amounts from Schedule E sheets)
- $
Total Outstanding Balance at close of this period (Transfer this figure to page 1, Section IV, Line 7)
_ $
Pledged Contributions
Unitemized Pledged Contributions ($50 and less) # of Pledges
+ $
Itemized Pledged Contributions this Period (Total of all Schedule F sheets)
+ $
Total Pledged Contributions this period
= $
Page 2