Oct 10 Pre General Moberlya CAMPAIGN FINANCIAL DISCLOSUREREPORTRECEIVED C2
SUMMARY PAGE Rev 10107
(Please Print or Type) OCT 10 2013
CITY ut- Li,Kw qr;
Section I CITY CLERKS OFFICE
Name of Candidate or Political Committee and Chairperson
Office Sought (if candidate)
Seat (if any)
C�
C94-kS�CA�
'gyp
Mailing Address
i and Zip
Home Phone
Work Phone
ome o o ihcaI I reasurer
ai ing ress
City and Zip
Home Phone
hone
-�03-i I a&L
q n
2
Change of address for: Candidate or Political Committee ❑ Political Treasurer 0
Section II TYPE OF REPORT
This filing is an: ❑ Original ❑ Amendment
This report is for the period from C!�I-0) -L— through 02_/_13D_/ C _, .
INOctober 10 Pre -General Report
❑ Annual Report
Is this a Termination Report: [—] Yes
❑ 7 Day Pre -General Report
n No
❑ 30 Day Post -General 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 II, Section IV.
❑ I 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 16, page 2)
COLUMN I COLUMN II
This Period Calendar -Year
to Date
$ X/��� vXXXXXX
$ ��
$���
$,.v10
't
$
XXXXXX
*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, )A" j obgiq , hereby certify that the information in this
Name of Politic Treasurer
RECEIVED report is a true, complete and correct Campaign Financial Disclosure Report as required by law.
CITY OF Wh p Signature of Pat cal Treasurer
Page
CITY CLERKS OFFF E
T
0
12
13
14
16
0
18
DETAILED SUMMARY
Name of Candidate or Committee:�(\(be`�A
Expenditures
Total This Period
Contributions
+ $
Unitemized Contributions ($50 and less) # of Contributors
+ $
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)
+ $
Total Contributions (Transfer this figure to page 1, Section IV, Line 3)
_ $ 0.00
Expenditures
Unitemized Expenditures ($25 and less) # of Expenditures
+ $
Itemized Expenditures (Total of all Schedule B sheets)
+ $
In -Kind Expenditures (Total of all Expenditure amounts from Schedule C sheets)
+ $
Loan Repayments (Total of all Loan Repayment amounts from Schedule D sheets)
+ $
Credit Card and Debt Repayments (Total of all Repayment amounts from Schedule E sheets)
+ $
Total Expenditures (Transfer this figure to page 1, Section IV, Line 5)
_ $ 0.00
Loans, Credit Cards and Debt
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)
+ $
New Credit Card and Debt incurred this reporting period
(Total of all New Incurred Debt amounts from Schedule E sheets)
+ $
Subtotal
= $0.00
Repayments of Loans made during this reporting period
(Total of all Loan Repayment amounts from Schedule D sheets)
$
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)
_ $ 0.00
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
= $0.00
Page 2
SCHEDULE A Page °
ITEMIZED CONTRIBUTIONS
of more than Fifty Dollars ($50.00) this period
Name of Candidate or Committee:
Dale Received
Full Name, Mailing Address and Zip Code of Contributor
Cash or Check
btD6Q, 83
❑ General
$
Year -To -Dale
Calenrd`
n ,may
garr
2.
"c"W�1�C1'tYL
l b ISR,
❑ General
Calendar Year-To-Dale
(�
,
rl
MA.(C}t( bjk. Dllin✓ �nl� j
l,,iyJ
❑ General
$
Calendar Year -To -Date
/
❑ General
4 B11\ `" —OW13—
l4%`L
ISR 11 �AD� Ude
$ lUJ—
$
Calendar Year -To -Date
0A/.�-
El General
5 ORAS SOL WSu\-
m2q w.I
KM' g?� L
$ Lcr,-00
$
Calendar Year -To -Date
l�I /mak/ 13
— —
6.
fda Debballx
\40le P 1 L D�eaC�
aI(T
$ 1
$Calendar
11 General
Year-TaDale
/ I
7.
$
❑ General
$
Calendar Year -To -Date
8.
$
❑ General
Calendar Year -To -Date
I /
9.
$
❑ General
$
Calendar Year -To -Dale
I I
10.
$
❑ General
$
CalendarYear-To-Date
Total This Page:
so. 00 w,fy-�
Transfer the combined total of all Schedule pages to the Detailed Summary on page 2 line 2.
Date Spent
Full Name, Mailing Address and Zip Code of Recipient
SCHEDULE B Page o
ITEMIZED EXPENDITURES
Twenty -Five Dollars ($25.00) or more this period
Name
of Candidate or Committee:
Purpose Codes
ISsc3 AVIMUL
A
All Travel Expenses (Airfare, Fuel, Lodging & Mileage) N
Newspaper & Other Periodical Advertising
B
Broadcast Advertising (Radio, TV & Internet) 0
Other Advertising (Yard Signs, Buttons, etc.)
C
Contributions to Candidates & PAC's
P
Postage
D
Donations & Gifts
S
Surveys & Polls
E
Event Expenses
T
Tickets (Events)
F
Food & Refreshments
U
Utilities
G
General Operational Expenses
W
Wages, Salaries, Benefits & Bonuses
L
Literature, Brochures, Printing
Y
Petition Circulators
M
Management Services
Z
Preparation & Production of Advertising
Date Spent
Full Name, Mailing Address and Zip Code of Recipient
Purpose Code
Cash or Check
ISsc3 AVIMUL
Z
I Io J-3
r� VjQ42
$ \lY�-
2 "e(
/lam/13
�
1��k, ')
Z
$ 115�-
3.
tt\El%
L}//
f�QflCi1Q1"'41\
1
$
4.
5,
6.
7.
S.
9.
10.
Total This Page:
$ 0.00 2�v11�1
Transfer the combined total of all Schedule B pages to the Detailed Summary on page 2 line 7.