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Campaign Statements - File 4 of 15 - Campaign contributions
i r Ted-.14[,i i1 Y i, g " 7Gil. IA.Numetrt It '(orrvir"na! 7._._LjQ-... 5ntrr+wa a w+ ,"PwMd tram 2/2 .§.. thrQuo . 2Z.30178_�,_, (`:{1 . :. : WH�.DUt.X A, FORAY 420,4310 or 400 t� RECEIVE FRCriM OTli1lElt>li: (ir iwtf mwedaa MAM*k'd fw dh 0me! I ww asampba DULL NAME AND ALiDA�qw�e EMFl3'+tR (If CJ3:;Tf1l5UTOR isAWUNT CUMULATIVE 'p• OAT& ckv.save OF CogrmisurOrt• OCCUFATIOM sALP-twL.oYto U sT x'TRtIST AECEIVE6 AMOUNT ADOR'I i CITY OF EUSINEpI C;r:.•' John D. Lusk Son17550 Giilett Ave vt � 17550 Gillett Ave $100.00 100.00t So. Calif. Edison Co. 3/13/ 8 William C. Compton Area 19171 Magnolia 19171 Magnolia Manager . 3 Hunt. Bch CA 92646 $25.00 $25.00 jintLOS112n leach CA 92§4( .,. r M. C. Nickle Lxec VP Classic Development 17200 Knott Ave. B 17200 Knott Ave B Garden grove CA 92645 Garden grove 926 Q,t 250.00 _,,,, ' -,3%3.15776 Stanley A. Young Huntington Beach Co. $500.00 500.00 2110 Main St. 2110 Main St Huntington Beach CA 9264B Mgr,#.P. Huntington Beach CA 3/22 8 Robert C. Ta.ry Pre . R. C. Terry Pmpertles $100.00 100.00 122 Fifth St. 122 5ch St. Huntington Beach CA 92648 1iunti,1n!on Beach CA Miscellaneous Ccntrlhutlans 520 00 750. 00 :L . A•VMM Mw.ww..r.. +' MIM'11"^vW iRlO+�M&0W M*&*,Pt►aO#ft000111A W"M "it tl�a a4rrs�ck"t era M4131111 by gm in '1wj p"id* tt* Infor"•.im fcw butn tM IMwrordlary n-,! the Wincipii { F. - ac�rttrlbArlt#. 'fiNAT 3--*j aAY Off" impi rAAY cosfrRIWT1OMS Is nIetkPow mAmo kw dIkuttom wi stw0W I. RECEIVED FROU Ci.i�wlT`t*Es Nis PeRIOD iPtn 1) . , . . . . .. . . . . 2. 149CEI'S ED FROM C MVJTT ,F9S UNDO. $� I PIS PIwAltJq ttot learn�z�z�r . . .._�. I RECEIVED PROM OTHFAS THIS I*tz 101) ,PEA 21 , , ��.#in .._ 4. P CEIVED FPI OTHERS tinD131 ?'HIS FCRIO'O ffir!at !;� ;oZc!} S. TOTAL M0146TAAY COWRISUTtONS 8ECIEWED TWS 1":I�IC?D 1�5rt10 f 4 I t t*lal an Lr* 1, C.a^>I r`': Ill of Sarrx�t��y Prom • 1 40. P.A.C. ,. .�.� 711430Stem WK soon po*w • *,.,,, rye� r/�pp .(•w� �' .•r "MULE Aj FQVW 4M,4M or 00 M WITARY COWRMTRM RECEIVEL }; (Anwiomw my be rountsd off w whole do4lr,) r'1 —pecIfVED "Mm Mtameff Coomweffaft EOM imi m llM mw Ow EMI MWANWO •`'S. 'i' Irl�ilr{.K�1�AhA rnt AM41JF(T CtJ�KJL.xTIVE ;... I�M� ►.>MI■IIi re ADD AOM MG!WED TO DATE rah ...t ►wr wr....w.•r++r•...••r•..rr.rur.rrw i...r w•.rwrw..wwrww..r..u....rrw wr.. . ,...rn .w.wwww.r. :.wr...rrw+.w..w..+r�r+�.�...+.+w,w+r,..w..... ..M.•.r..•.,....w.+.w ww...........,w...+ .w..r .w,,,,.ww,�,.•,,,wr.,,..,•.. ..r SLOU"Mi t* w' 1,wt 3..TtCA 41 � � i I - C. P.A.C. I.D.NL:I r" "+�can.++'700._,, 4 J ,9 j#1�t�ULE S. FORM 421D,430 or 4W i LOANS r^ (Anwwntit nwV be round d atf to whah dallin) PAKr t LOANS itWAIVIM: Is"klowrwwd"I rrAwrM #w iirNwarw OW sowq W �� J BULL MAMA AND AOOR%n Or LILW. M'R iEMM.OYER fit Whid City Into AMOUNT OF CUMULATIVE OATS C�CfiL�ATION IY1t t� �itlrNe c1tY ~� ANO ANY SUAAAKTOAS 001 CONOWN of bww+w ) Ibt� WAN AMOUNT 3/1S/ 8 Jerome J. Shea Huntington Bch Co 0 $500.00 $500.00 2110 Main St. 110 Main St. Huntington Beach CA 92648 P-Legal Hunt. Bch CA 926 8 •.r A~sMvWW la M. ~vOt owdf000Wn OWWK SUSTOTAL S 500, 01) •' w ffART 2— LOANS REPAID, FORGIVEN.OR PAID SY A THIRD PARTY: 1�t.�1 irk► rtf „" w+ fps Glewdom erw omrwo w 40 (b) (C) (d) AMOUNT AMOU14 OA10 va11f MULL NAMI AND A00RtS3 OF THlI LENDER PLUS►IMN A4 mwr FOR<3Mb aY A 1111R0 UNPAID v�(MO RRPAID THE LOAN IF OIFFRAINT FROM FILER its PA10 (Enter on PARTY Hinter BALANCE 9.dwd,AI an Sdvid,AI �..AMrwwr r• w+rr.. .+..r. i Apse* v4vW r;Ait0"llt►4ar&vr hdrw�aa o�uttM► t af�rt "TOTAL S 4 y t e�` � s�►1� oR �1�1� TNlsP1~RIQD lP"lart ��. . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . s�.;�.�...S�.t!.._....�.. 2 �.AAMS UNDER SW THIS PIVAIOO 04at Itarr?A4) . . . . . . . . . . . . . . . . . . . . , . . . . . . . �._,�....�.._.._...._ TOTAL LOA14S hECEIVtO (Lim f +2) . . . . . . . . . . . . . — . . . . . . , .. .._._,.. 4; LOA1d fittAID OF $60 C}C IdOXf T It PtA100 (Ps" 2.Wvmr al . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . {L1�FORGIVEN Of ICI OR . . . . . . . . .MORE THIS PER100 (P*M Z Column bt. . . • , . , ........._..... ._ ..._ ' .�:y - i WA,ld.�1('. 0 6Y A "iH1110 P'AR'"t°Y OF l M.MOA9 THIS PERIOD (Pan 2, Coi;rm n w , _.._..... .�._.... .. J .'Lrt A R1 fAID, FORGIVEN,OR PAID BY A THIRD PA,FC1'Y WIDER M THIS PEA100 06vi Itsmixudl . ' .A."TQTA,1L-' 1,001M fiffAlQ. Ft3RGI'V N...I PAID 3Y A THIRD PA-KrY THIS PERIOD IUM 4 + 3 + a +. 7)- . ._..� ....� __ #� ET AN(M TN1i ftitfoo m4v+ct �# Li 2 wv4>tv--wr ov sEf#� co etis U.� cnd w • , s lccrxr 1 elf Ste�iamraa' I� r.1 : , a 7 e � x .�,. `,'n.}f�9.r,S.% err. , ?` :$ .r^^,•+' 2:,y.. -. 1"4 i , a r • .w• .. :v�wrw: .Iv..w J.•I+l iri�lr rh�.r •r • • ' '� S' ._ � ..,.I. �.._�_' ". ,_ ", .... •,.i f '� r`'f_•,.'f•. +I �S,t�r`y +�a•aNwr<wvf✓.+rt..«•�I-"*- memo wwill�rwa�+w.wr i C.P.A.C. i.a.wu+wE�. k1k �rt.+l 711430 �'r�� ±�� � / •`. ry try r wan 1.+�� km rr� rye,� / + s�.rr U■cuo Y� �r� • ,• •',' WHEDULB C, DORM 420,430 or 4Q0 W. JN4*=ETARY MWRIBUVONS RWFIVED (Anouna mty be ro u dW Of to#Arab dollars) FULL NAW A ^DOOM ANC EMrLGYER OEacilli TION OR FAIR MARKET ldo CUMULATIVE x` OATS OCAWATION 'If W".Ern�rrrwt, 'VALUE +�Sr' I.O.Iltili�mill tit camllln 4 Urn/1/�irrwi (300DR OR SERVICES REC.ESVEO AMOUNT J �,t�h�trn4�ta�!�t+�rttgNV1�'Y iS�b`4i�!c +crr�a,�t'..rat tl+�rr°�r. WWLAAY Q HITAAY tOlvtTR16LfT10fid OF 00 0A MO R6 THIS PCA100 FTARY.c" t+4mourtoms t1NoEA SW T1415 PER1 0 044-t tsmfgzaal 00 fiUm* 1 t 2.otvc on Lrm 1. � i , f ;�. s ea.>: .'��. :f _,..1: .I:"fe .t .E •-ii ....,t.�� ,.; .�,,. ,v .': . ''.M. � t ,�Y. ` r/`�` ! � V-r r«.+:Ar. ...- +w{•M••+•t Mf.�. .uwrLw•w...«�.�.�� .. .. .�," E 7,i';siLVi�.. �• w Wy '4'. L��I •v1i,!_• •• •.• • C. IA.ve • wrwrrw 1 �.17`" IiIl+ ti/nM� i11 All.11.nar..�+�+�.r.+++. • $ rrrll�c oftwt p�rr�od �.........._� thl0tph 3/ 0/78 t `}. �I Y: SCHEOUL.E E, FORM 420,430 or 400 P'NYMENTS PA11T`2-MADE TO OTHER: liar tlAlrr IVAdMI "Nrwri W dirINNMWn*OW wr,O P614) �"�:• AMOUNV FULL NAM AMC AVOWS OF PAY11E• 01&CPlI1"T10H I1119 G0004 ANO 8ARVIC55 P'l''iICHA"O THIS PSAIt7t;� � r r+rf++r yr LL.LYrw�.�.L��.rr r•Ls f�`! ' Adler & Corey, Inc. Campaign !kanagerr,ent $2 ,000. j 505 N. Tustin #219 Sabta Ana CA 92606 �, w . an .. ,r.rrrwr«w Attsdt addtr�}and l+�hv+�wtlan�NSA►Nakw�►�l t�n1.l4reM�r'1A.R WSTO?TAL ICwry v.-nth any vd4fbwW wbwal* to Lk* 3. part 3 � 2000 . 001 *It k dlfforo t twl t!*►"w4or 1fo•W+ provkllme v of r"Iml tto V rs '*+V n t.!'r51 (x "ve*, the rs►wrra wW ad4row of both MY"wod versdow be ►lmd. . mMLMQ� I PAI" 2 -*UwJ1►AY Of PA'Ihl1s6HT t Ifow woema Isar Ok kwis omd vuwv W fit'MCI UI TO CO MMtMILS TH13 PtIV00 {PWI II. . . . : , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �...._..r,... ...._.. 14 MA 01 TO C06M)TT'EEE UNDO SM TIOS PER 100 (Not ItwiindI . . . . • . . . . . . . . . . . . . . . . . . . . . ..�,.,...._... 0.1 �-Iv o"1E THtt PfftI (Pon2)., . . . , . . . . . . , . . , . . . • . . . . . . . . . . . . . . . . . , , .'"69 To III"tJ#DEA Sw THIS MR (Not JuTntlt4 . _ , , . . . , ...�... �...._.... i ' ti►'iAL A_ClaRUF9 EXPfM PAID THIS PER( 0 t$dWA$lv F, i jlo 4) . . . . . . . > ...._..., s�,� 1� �iT'�t� PAt;`l�[�'t3 T�4lE �Rt�i Ii,.4• i � "�+ 0� +f � !�. E�t�eta ► rr, ia�� lg� �t�,:r�c�t � e� �rmrr�tr t'��s� i.�a..,.• .,�./r k l 4 b ...........to E 1 a i z: ...»... . kr. . r .,w+ .. ,-° ' »' , {fir • ♦.+.awr.w..pwwb•.�" pr1AWil�'�rp'+w-..ww�.�tsYrrr.�Apr.f.rlirAI-.luAk•If'W A • + SCHIOUL'i F, FORM 420, 430 or 400 ACCRU90 EX 04U (UROW RUbrl IAnw.PM nrhl be r w giod cff m whek 4WIms) } + w Sw wwmodm Waal hw a^r"owsm Mil�writ�hir e �".rrw� AMOUNT FULL AL4o r AMC A00MGM i'MAIrr"Of ACCRU10 *XPVMtfaEQ A RK ChV,SWO I0000111 AND SI RVICUI CCRU10 IMt ` THIS PIR100 Hope Greer 205 11JUca Ave Secretarial Service 44.60' Huntir ..�;tn-n Beach CA 92648 Seacliff Country Club Expenses , Candidate's Rally Unknown, 2000 Palm Avet�'; Huntington Beach CA 92648 Valley Printing 10623. Lawson River Ave. � y Fountain Valley CA 92708 Printing 151 .63 r .:Yr�"AI Y�"M Wr Ykkllww M YIiIY✓YYkg1Mk"kMM/OiMlMlk wrMYMM�wIIM Yrr�wY.�.�MW "kkY�M l�Yw.k� y.Y s �� ���fwl111r'IWr IytAfiMiMfI�M�I/W�t�I�;r Li�.lMa1,M fwl�t,1►tl�,nt I�I,�tlf. 'If to ocan W txpwm 1t ww W to x commit'ta», tilt tom! cnrTmltt'We nuns +Nawd 1.0, 0%umbw ICK ths► full s,, m rind pwKrt+li wmt.8*1rslw of.0xi Vaarkur ). If the INNS pr»vkflrn the goods rx pmricta w#A dlftwvm from tN teas, hrt 44ch pwsm.'s full ns+y,tv"t draws.airy end stm. $U*%4nR Y , CCl�t i.EO expr xas 01;.&SOO1t WME 7$415 PERIOD . . . . . . . . . . . . . . . . . . . . . . . i'*e , uo E.XPEMUS OF' V14EPER SD n4ts FER100 (Not turr4zs4f . ..:.:• Jl1»AwC 6,1 U'PEhMM INCURA60 THIS PER100 (Um I + 2) W'b tVO4SES PAID TH'1*3 PE11II:00 No,it)( rrizd" FmW'" on Una S. I"srt 3. Schtdvls El �I k 1. 4i$ PERIOD mjbv",;-Iftf 4 ovm Uri*3 md w7w, rlttfre:vm-v or. Lim 9. 0lvrnn 8 ai ^y� t " sR x44Y891t10 TIN& hY ;t �J .t '_ `. •.d•.r: -� >t' '�4 '.i i ., . . Ta :,P/ti WHGWLI D,.FoRM 4m.An or W !�lEDQ�t �i�nt�rarwblr Prorn�r�t1 ��'1 (Awmwm r*ba nd�rd ott to w�x�i+d�oll�nl Mr lift +•omAw*r 041mom OW rwr.mc*m to tbl �1 l.OYRIL Sift Iltp-- Amouw AMOUNT CUMULATIVE P NAIM Ir AND Acc"A PULL OCCUPATIONt1Ar1.4Ytii?.LOT M.ttyQRD ftAtO tinwr rtr44E LLti' AMA I.D. MAMA IM srr Nwr1 AODAiN1 THt� I R1, 0 so 1iwwr1, Al UNPAID Ay r� s l, I ♦ wwr.+w�r •w.r r•.wwwwr►� ....•r.rn.�r.�r HV .....+r.w...rr�r.r.rw tFr. Not gu*oow jw yyft��.r"1�*, bmy qw j,om •KYMM MYVMYwW�M� ,I.wn• 1T0rTAL � irr�F.i:: _ wP wV�wMa WWARY ►' A U OF +tilt R Tltt PEI It3t3 Al. . . . . . . . . . . . , . , .._ M iRlilt f JNOIR SW THIS PERIOD tart ItatmioWl . . . . . . . . . . . . . . . . . . . . . . . _....�.. . 't 1 1 t R ORI PAID 1105 MR100 (Col mr+ b) . . . . , . , . . . , . • . . . . �..._.. __ 1 t +i tR �t.Atd THIS Pril Wart }taanit��f . . _. . _........__,__. �. Ir 040401.THISK01100 (subvul Uri►a teem ung 3 Atv 0.4 cl t t,-T"a r 00 L;ov 8, 5. .,i .. n. .....rt .r., a .. r.♦. '. .. .. .. i I I I C P A C /� /�/�y A •• , •,M ..r•..r_.�'� I tYi ll�.��■��rPl\ri rW.\ .r I w..rr...r�� 1•Y.�����`�....�'^T� —-�-�-� �.�wMiYYYi 4�. SWWnV rrt WW WiC d ftC#M 3/2/7 A through - . ,CHEVULE E, FORM 420, 430 w 490 ' . PAYMENTS ' (Amw nu my be mumoad oft In whoW dollars) PART 1 =»MAOE TO MACHUNT COMIi'MIS: 1w M#hrwA?wl iwrwr ter d6mil sw mW wtaalpi@O r- oFFIcIAL. FULL KAUG AND AWAVA 001►AYA CiOWITTIE AND 1.0.N~. (If 04..+r+rn4r.+r fts n. AMOUNT icy y , tm COLY . �.a,1lrw�l�r,sow IWI prwe wd awri+roo �gw of ow TramAwl TH131''ERI00 i 1 .\rw.•rrtw . �.Awrrw ++r•.+w •.w\�\Mw� wr. »r.r.•...ar.r« •�..... ..r+rr+.......�+.r.�w+..+.w.......+....ww.ww,r ...w�,....r..nw........+..w�.w..+wr�w..+»..r.+,w+.+w.{.•+s.••.+.,w..,...�.w�+.w+..w. ;#!'!ice!ems#1aP'Rr�aa�0 tin+ ." '��s +►11L.,Ibaal�tl. ...,..r....,._........... 1 t9cC`+l Z VL 0TAL E CJM wh% +adtiWmW MA-toUlt to L i r* 1• i 3, p* a 9 i i i I i i i ... J s. "rr . T•. ,`' ,. �(i: 'l;.• .... -' '•`'.� .. .-" . f i�,r �'.l VY ♦.�"� ��j- �' `Y � {- Coma unity Political Action Committee i, Bomb of ,. 11U2 Bach Dw wrrd, Suite 224 Nurrtin�tafl 8 r NUMTi1W o" DKAW Rala�rt Twtry►, Chairman ': Joyce Roilinpi, '� s Treasurer In compliance with State Law, the Community Political Jack f:oehan Action Committee (C. P.A.C.) a divisia of the Huntington '1p ` Jim Foxx m n �• ��;' QaYe Garaisb Beach Chamber of Commerce, reports the following; . :� Steve Hoiden Jerry Shea The appropriate laws require a campaign statement to be filed by March 30 , 1978 , listing contributions etc. , and any late k' contributions of $1 ,000.00 or more received after that date shall be reported within 48 hours of receipt. C.P.A.C, filed the carp-- .' paign statement as required on March 30, 1978. Since that date and within the last 48 hours, $12,000 .00 from chamber members has been received and is herewith reported �s :ollows: $4 ,000. 00 from James L. Foxx, 305 17th St. , Huntington Beach Owner, Foxx Development Co. $3 ,000. OU from Frank Mola, 4.19' Main St. , Huntington Beach Owner, Mola Development Co . $2 ,530. 00 from Frederick Kruger , 17931 B3,ach Blvd . , Huntington Beach Realtor, 4&nd Realty "M $1 , 200 . 00 from Robert Stellrecht , 16521 Graham "It . , Huntington Bench General Gontrnc:tor 4 1 '500. 00 frc>rr► Fronk Ducellu , It�Gf� Fthocjc+r; I r. , Cot:ta Tv!c€t;i Owner, Bucelln Un -,ineer#ng 1,1uilders (,. P.A. C,•. alt;o has b-orrowod 515 ,000 , O0 to fund it:i ongoing Ic;c:r�l , ruuntyy and stnto election throughout the rent of I97B , such borrc;w#nci ty) tics rc�I�a#rl out of r�ciciiklcintrl cc�rrtrillcrilurls bellig Louo ht, Such lyirrowing h►ar, froln: ►G. JA)Ut:�,�*�/�azla!--Iir), 1(61GI1t x3♦vi;ch Blvd , ,` 'Huntington Iir.Il. {7�"!�'r':�CI , ,l~' rnilJ' 110111t' Butld. a s , 431t 0 i" hl.-kber tTIE.'ft tl(l .r • -{. yc r �llfrtgs , 'Treasure • I C P.A.0 ID #7714''K 1 k J v E, I `eC r IMr mnuziity Political Action Committee E :J a�da+ loa'3041ch Chamber of Comaer� 18582 Bach BouWard, Suft� 224 Huntington . h,'• , 648 �.. Tel ngP(714) 1 >, ^t. Sib 117 r j HUKnN=N+1 pia CH 79 Robert Terry, Chairman Joyce Rollings, Treasurer. i r Jack f=eehin In compliance with State Law, the Community Political Fti Action Committee (C. P.A.C.) a division: of the Huntington Jim Foxx �.rk Dave Garofalo Beach Chamber of Commerce, reports the following: f W, Steve Holden Jerry Sleet The appropriate laws require a campaign statement to be filed by -larch 30 , 1978 , listing contributions, etc. , and any late Contributions of $1 ,000 .00 or more received after that date shall IN be reported within 48 hours of receipt. C.P.A.C. filed the ca,,� - paign statement as required on March 30, 1978, Since that date and within the last 48 hours, $12,000 .00 from chamber members has been received and is herewith reported as follows: $4 000 .00 from James L. F'oxx , 305 17th St. , Huntington Beach Ovine-•, Poxx Development Co . $3 ,000,00 from Yrank Mola, 419 Main St. , Huntington Beach Ovnier, Mola Developinent Co. 52 ,500,00 from f'rr-dorick. Kniger , 17931 Beach Blvd . , Huntington Beach ftr.rrtltor , S Ild Rf. �tlty' 1 ,200. 00 froin Robert Stelftecht , 16521 (.4 .1ham St . , lluntingt:on bench General Col7trt�c.�t«r $ 1 .SUt) . 0{) from1't'� rtl: 13ucc�.11tt, 113G�� Rhode Di . , C:o;,ta Mr.>��a Ci+r�trr, 13-colla En.- It i3uildcrr�F ( . P.A.Cr alv;o liar ix.)rtcrt°;ed 1, 1 ,000. 00 to fund 1t:.; Ongottig county and election activities, throw ;lr.►ut the re-It of 1971t , such IxitrovAriq to 1;e repaid out c)f wklltl�)nal cantriblitions b6zig ,,o.ccttrt. Such borrowtntt was from: C,. L til4s t:F raZAad ira, 16168 R�,r h 131vd. , 11+.iritinuton Bch. { OY'4'i"'er, Pairdly"` Halm: TiuIlder s , also 0 cht- lilber Tnictilber. //"akka}Fcii !rrallir�gts 7 ea 14t:rct j idbl�ty._.:?..Ka-' •.v- ♦ .�..is ' 1ic::...sL._...�....+.i WStIGx...6-.... .._ ,.. n._..- .. S . t f T PJ9C�Ar RECIPIENT COMMITTEE ,. CAMPAIGN STATEMENT (Govemnwnt Cods Section 84200-84216) �► l JR. 430 For use by recipient comrninm which romive a cumulative c contribution of$60 or more from a single sourr,ei ' carp �,r,�. r •�: (Tyva or Print in Ink) •' ,r^,; A OFFICIAL USE OVY SVFW IWnt COM PWWKi from 2 tt►ra 3Z 7 ZZ a. >v� Ir"Mt OF PtT1'tE: I,L?.NUIMBEt4 Community Polltical Action Committee MUNFAMOMM r�AOILW OF COW Mr-Mg: 1858? Be0cx Blvd 4tZZ4 Hlint ngtn13 Aeas.h r-A..92sils ..2.1,4 „°C� vv�•vi i ,, . I IM11Mt t3fr tPlEAiUlltiRs ,�l r• Ms. Joyce Rollings MMANENT ADDRESS OF TREASURER: 24 .-- .v. �•�e R P.O. Box 1840 Hunt in ton Baach CA 92647 7 1 TY"Of ELECTION !CIRCLE ONE IF A"t.1a PILGI: CIRCLE IF APPLICASL$: DATE Of ELECTION IM+. Day Yr.): a6kc •� Prinwy Goner* Sawa► Reawl arnwIgn rteiimontApd, 11 . 197A .r IAIPIr:W ox0andit6irw ham Skheduier E & F t►f cvx Wtisi offiaom ki end rrraawe":0, unp nWr, e nrinded art to whW$cohere.) 1075UNT OF OPPsW4AL NAME OF CANDIC.ATE OR OFFICEHOLDER AND OFFICE OR CH EZIPINDITURES CUMULATIVE U"ONLY MVASURE AND BALLOT NUMBER OR LETTER Auction avam"I THIS Pel4100 TO DATE ► i ! I1tr�t�"► a0affriarapl 141arentcral+an t►e+orrsa+!rtvdY :rtyr�.c.f t:yar,rrvtrrL.n rhvrn ...w. WRIPICATION I d dv* u-trier Walty of perjury thlrt to d►v brat -+ my knowfvtvs this osumhmt '•td lu PchwJulas are true, Correct And c ormilris atw ttmtt I htys used sit ry tcynr�te difl�er��ar in tt�e+r prat ,rtstivrl. de t Iti (~ MUtod on Mar L rt...flu ' wt��� t�'#i���� by ........ �� •�: i A cavdkizu vv ©fi'Icstic4dor who ctmtrait 4 tommitt" mutt Wto "wity am a mpaign Irtt`arrmtt. I *idsto ursdw ptrnoity of perjury thet to tmi beat of my knowI#dgl this sysomont w%d in V_;hetluleos are true, carr#e* sr►rt tacirrlplsrtt► inrd the trrweottrtr of tt►iIi ctaanrnittt-v hea ;seed oil ra> nsb(o dillVmc:e in the prooerstion of this trlrtorrwnt and its f`rt e4Cxt t0d art t, tt it Cr t ..f�G ] •A[4) w �2t��t.IfURL41� A/ y�1C:'A4jfi if iL ttc�L 'f ?i I c . be Im"Wort""}"m ft"vmn to the lxlmvv%ati•" Wo"ORdd :Y;yri r CWW.-'b0qn C1uq:*r Xwra P+�at+ cyr t ter 1 t I i . I SUMMARY PAuE ! • Statement covers pariod from 3Z2/^I$ through Nam-.' iekkod nwoorr(Fnmr 4WI include 7)8 A&M of tM undidety and c rr".) t D. Numbs 771430 nI con+n►�rtwl � COLUMN A COLUMN 8 COLUMN C Y Cumulative Total this period Cumulative:o ff ; total from from attached dcts —Total of f REMPTS previous period" schodalas Columns A & S. «t. 1. Mlanst.ary aantributicns received. . . . . , . . . . . . . . . . S S 1 9 .. 5 ....�. : � 690. 00 r.Q�! 291 .00 )'a"a, Una s l� .,�2. Loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 snn _ nn 044e S. Lin* 9 i"•`+ 3. Miscellaneous receipts (attach explanation). . . . . . . . . . . 4X '1 4, Total cash received (Net). . . . . . . . . . . . . . . . . . . . . . . . 5 c 1995 .00 S 2915.00 ROQ L1nrf Ado Lines Ada Lines t • 2 • 3 acars t • 2 cootie 1 • 1 • 7 •Dow S. Non oonetary contributions received . . . . . . . . . . . Psgs 6, Una 3 B. Pledges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - -- I99S.00 29IS 00 7,Total receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S S . . .,S., saws PONWOWNEWWOKs seed Lines AOa Una$ Aaa Lines 4 • S - G aDAve 4 S + b above a - 30 6 &Dove (shou►a ► Usi Co+urnm A • al EXPENDITURES 8. Payments. . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . S 526 . 96 S 2Q20.,QQ.. 2,3i2..�S26 - dn —rl$SO 9, Line P, i 9. Accrued expenses (unpaid bills) . . . . . . . . . . . . . . . . . . 0 195. 63 ...._._.1IL.0�.. fib" 10. ten. 1D. Total expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . S S 2 1722.09 Ana Limas Aua woes Ada canes !I R 9 spew i. atror4 A i ? aouve (should eouae Colurnns A • 0) STATEMENT OF CHANGES IN FINANCIAL CONDITION 11. Cash on hand at the btxjinning of this period. . . . . S 163 . 54 12. Cash receipts thix period (Line 4, column 8 abova) I 996, 00 13. Cash payments this period (Line 8. column n above) 2 , 000 .09 14. Cash on hand at cloning date (Lines 11 r 12 -• 13 abavia). . . . . . . . . . . . . . 15. Outst-tnding dtbts (Linn 2 + tine 9, of Column C &bove). . . . . . . . . . . . . . . . . . . . . . . 16. Surplus (if Line 14 it grater than Lit)e 15, 2ubttKt Ling 15 fmrn Line 14). . . . . . . . . . . . . . . . . . . . . . . . . S.._. _ �... _... 17. Deficit (if Line 15 is ;rwiter then. Lin*: 14, sut:tr;ri:z r. .. Lint} 14 from L'ne 15) . . . . . . . . . . . . . . . . . . �w....w �.''...�}..,... I 1 t i t fxi#!d,zar if thy 1&4t f1port was 1 r t$tect an sww:axnt, column i, shmar! to !>isr:k -xtxot fret wjwv.:•s oxns. :•six a 'NAME C P 1 I.D.NUMBER (i ,ommi"wsl 21..143L �+ Stalemient coven period from 3Z2/78 through 3/30/78 " SCHEDULE A, FORM 420,430 or 490 1 PAC"i 2 -- RECEIVED FROM OTHERS: 04w 'Wormasion mutual for dimcdo'n r and •xampW) FULL NAME AND ADORESIt (Strsrc EMPLOYER (IF CaNTA18UTOA IS AMOUNT CUMULATIVE DATE City.Ste"I OF CONTAtgUTOA• OCCUPATION SELF-EMPLOYED LIST STREET RECEIVED AMOUNT . .;•, ADDRESS 6 CITY OF BUSINESS) f 3/4/73 John D. Lusk & Son17550 Gillett Ave ,.`;; 17550 Gillett Ave $100.00 100. 00. e Irvine j � ' So. Calif. Edison Co. 3/13/ 8 William C. Compton Area 19171 Magnolia /l< 19171 Magnolia Manager ,r , E�untiri ton Leach CA 9264 Hunt. Bch CA 92646 $25.00 3/13/ 8 M. C. Nickle Exec VP Classic Development 17200 Knott Ave, B 17200 Knott Ave B Garden Grove CA 92645 Garden Grove CA 92F45 1250.00 250 .00 t ` 3/15/ 8 'Stanley A. Young Huntington Beach Co. $500.00 500.00 ! 2110 Main St. 2110 Main St Huntington Beach CA 92643 Mgr)V.P. Huntington Beach CA 3/22/ 8 Robert C. Terry Pres . R. C. Terry N ,perties $100.00 100. 00 122 Fifth St. 122 Sth St. Huntington Beach CA 92648 Huntington Beach CA 92646 Miscellaneous Contributions 520. 00 750.00 Aetewa►adMhd�.+M Mfir,�Nelan ar+.r�+'nw�►�,AarM oonarwrefran vwr+� SLWMTA L IC1a vy wft any add kional SubuyWs tea I kw 3,part 31 $ 1995.00 "If the contribution wrst mmki bw.an loftrrtadlary M-o kle the Information for both ft Imwmedimy utd du prinUpe; aor>tt#ttuttx. P* P'.T 3 --!1 AN04ARY OF MC+NKTARY CONTRIlUT10�`:S (See lrdonratkM manual hardkwatbrw wW wmim0eal j 1. RECEIVED FROM COMM11 TP- S T141S PERIOD (Pert 1) . . . . . . . . . . . . . . . . . . . . . . . . . .S I 2. RECEIVED FROM COMMITTEES UNDER $50 T141S PERIOD (foot itemirrd) . . . . , . , �.._....:_ j 3. RECEIVED FRAM (J'tF{EA5 THIS PERIOD IP,>n ?). . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZS:..dq -.. 4. RECEIVED FROM OTHERS UNDER $50THIS PERIOD (Not Itemized) . . . . . . . . . . . . . . . S.,+OTAL MONkTARY CONTSt BUTIONS RECEIVED THIS PERIOD 1�95:E1D (Line 1 ♦2+3 t.4. Entw this total on Una 1.Column a of Suntms►ry Paga). . . . . . . . J . . . . . . r .nMR♦ti-l.+.♦^4...i^W.i:•..�:.'..f., .�..r •- i.� r1.. Y • 1.5 '$Rl, YY lat ♦ , ti+ .4 Y ♦ .. ` .... • �.a.i "u. •. rr..\w... r< 11 .•.: •.a.a .,:n..y.•...n .•r 'F ' J wtrllt C.P.A.C. I.G.NUfAGER (if Can%v tct**t. L. IA30 StatsrrWt 06virs pwiod 4 m :..2.Z2/7 a thrm* 2/,�L'7.g......._.. SCHEDULE A, FORM 420 430 br, MONETARY CONTRiBUT1048 RECEsv'Efl ;# `'• (Ami t:may be roundM ott to whole dollars) ART 1 -�Rti; :icHvED FROM RECIPIENT C� MMITT-20.4 35os Intamstbn`nw .W tvr Oft—tioiu wd acsm '= . FULL MAMA AND ADI� AM OftCO1rMMIT'TEE I.D. 0 ON TR ASUA R AMOUNT CUMULATIVE f �� OATI FULL NAME AND fablov.C ry,low) PERMANENT ADDAESS RECIE)VEO TO OAT« E t.. ij a fy' 1 a ' 1 r • 1 • x ""�'�i�1iY11�11t1�11M!11MIM1/1►�11�1'�►��`��1Mi�. � • .�-- •, -+.wr�rul 2616 "16 is mi 1.wart 3. At S i ° r • l . i7 7� 3 ,+: C. P.A.C. � I.D.NUMQE Commi "I Staten" nt covers ptnod from 312/Z9 through ._3. 0 ZZ8 SCHEDULE 8, CORM 420,430 or 490 LOANS •., (Amounts msY be rounded off to whol*dollars) PART 1 — L nANS RECEIVED: (See ilnTart+wdon rn.rwN for dkvWont u°ad c%uvkw) EMPLOYER ftf �If-.n,v+ar �• FULL NAME AND ADDRESS OF LENDER Intima. AMOUNT OF CUMULATIVE DATE OCCUPATION lit't w"t*Wrm ww dty ' AND ANY GUARANTORS OR COSIGNERS OCCUPATION LOAN AMOUNT t. %tea 3/15/ 8 Jerome J. Shea Huntington Bch Co 0 $500.00 $500 .00 2110 Main St. 110 Main St. '� Huntington Beach CA 92648 Lp_Legal Hunt. Bch CA 92648 1 U 3.tt�h iOYlOM1N larb+'nNtkxf A►1 glMr4pri�1[MY 4i'rt41 Cdl7NrwilQfwr�ARlir`tR SUBTOTAL S 500.00 RAFT 2 — LOANS REPAID. FORGIVEN,OR PAID BY A THIRD PARTY: (Sw infirmrtim mw" for dirwetl m Imd wwwpW (b) ° fit:; (d) AMOUNT AMOUNT PAID A FULL NAME AND ADDRESS OF THE LENDER PLUS PERSON AMOUNT FORGIVEN BY A THIRD UNPAID WHO REPAID TH11 LOAN IF DIFFERENT FROM FILER REPAID lEntar on PARTY IEntw BALANCE ScmW,AI on Schtd.Al 1 ,M J}� `i Y ' .AMTOTAL DART 3—>p,1101111111ARY t. LOANS OF NO OR MORE THIS PERIOD (Prt 1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SS Q.. 00w..._._. tX LOMS UNDER $50 THIS PERIOD (Nat Itmind) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. TOTAL: LOANS RECEIVED (Urn 1 ♦2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . �. LOCI AIEPAIG OF 160 OR MORE,THIS PERIOD (Pala 2.Colu�om a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,'S. LOANS"GIVEN OF =OR,MORS THIS PERIOD (Pwt 2,Column b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . LOANS PAID.11Y A THIRD PARTY OF.SW OR MORE THIS PERIOD (Part 2, :clwm c1 . . . . . . . . . . . . . . . . . . . . t. LOANS R�PA1D;FORGIVEN,va PAID BY A TH1RD PARre UNDER SS0 THIS PERIOD (IWm itsmisad) . . . . . . . I. 'YOTAL'L.OANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD 11-ine 4 + 5+ a + 7). . . . . . . . I NET CHANGE THIS PtR100 (rwMba^act Urns 8 tr m,Urea 3 md.etnbr d-a dlthrenm on this ilrM artd an 500.00 � Urn(x,CaFur m 8 of Sw:rsinwy 101".! : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAY BE A NEGATIVE NAME C. P.A.C, t.O.NUMBEft�omm,ttv@, 711430 , Ststhm nt wven period from ...i,/Z/7$�.. through 3/-3().ZZB SCHEDULE C, FORM 420,430 or 490 , NON MONETARY CONTRIBUTIONS RECEIVED (Amounts may be rounded off to whole dollars) v„ Sim it7fotwackmn aw W for dkeedom aid axwnpia FULL NAME AND ADORE=AND EMPLOYER�1 FAIR MARKET f (I !-EpFoped, DESCRif''i•IOti OF CUMULATIVE r DATE OCCUPATION m VALUE . k,r.. I.D.NUMSER (lf Committal Uft Addre") GOODS OR SERVICES RECEIVED AMOUNt L{-"' -� v�i y t 1 k�. �a t • r r• l I I i i f• wry E: r c. I Aftut+o 4dim tjo�"d In, No I Kl W vf+W*rvMl WWv W&OW aattttrwnt%ff tihee�t�a SUITOTAL SUMMARY 'A I W)�i iETARY CONTRIIVTION�!JF 00 OR M0"1E THIS PERIOD . . . . . . . . . . . . . . a . . , . . . : . S._._�...._._._.. l r1.:, Fi06'400NETAf4Y CONTAISUT1013 UNDER 5W T1415 PER100 (Not ItirWrrd) . . . . . . . . . a . . . . a : . . . . . , . . 1�DNETAAY- lTRII1UTI0NS THIS PERIOD IUno t +7,enver(m Una 5, 0 • `. NAM.•�-..�....r.,:r..� ��.. �'�...P_t r" _ i.o. NUMBER al� 71143Q sutsmwntaotiws pefiod from 3/2/7Q through SCHEDULE D' FORM 420, 43D or 490 PLEDGES Mni'i�r�li Promim) (knounts may be rounded off to whois dollsrsl ko itAb,� MWOM for&wtwm wed wau ; (a) lb) . (c) F� r DULODAf.ii EMPLOYER OF SSLF-- AMOUNT AMOUNT ';hriUL',ATIVC: L NAME AND A E. DATE AND I.D.IW,�tr1E1�P1 (lf OQR&tesNl OCCUPATiON EMPLOYED. LIST PLEDGED PAID IEAw t'LEDGE OWN, ADOREW) THIS P'EM100 an SdWt$. 0':', *NPAIn91 1 '+ 1 r. f. 1 IrtwA �P llr�IYI�►glt�lM�►lti�M M�RNMliIfObM�rMrMR SWTOTAL S NARY . PLEDOLS OF,w OR MOPE THIS PERIOD (Colui m o). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x PLSDGF.S UNDER $50 THIS PERIOD (Mot lumind) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . . . . . . . . TOTAL.PLOOGES RECEIVED (Lkv 1 +2).'. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . PLEDGES OR,150 OR MORE PAID THIS PERIOD (Column b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;.!!LEDGES UNDER Sao PAID THIS PERIOD (Not Ittrnixad) . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . TOTAL,PLEDGES PAI0 (Ure 4+b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . ,MET,CMAMl 1 THIS 1•ERIOD, (Subvwt Urns 0 from tarry 3 and srrtw the ctiffma a an Un* 6. MAY.�+[oA rtvis ..M,p a,.r,5.d,�........N.}t•M1'.., .... ,,. r+.. .ae:.Y—�i„r... e.� t a«.�t� ,�. , .. .». . . a.r•.r�:�t�. �t.• _., .. ,tc ,fr .. ., .u..,.. .. � �.n'�,..a. � ,»nr «,.,.v�}4e.st'��: a�lA>K C.P. A.0, 110.IYUMNEW `` Comrn►ttwt► 7 t 1 d 4© •. . Statement vowrsv pariad trnm ,,.,� /21 through 3Z311,GZ.R SCHEDULE E, FORM 420, 430 or 490 PAYMENTS (Amounts may be rounded off to whole dollars) PART•,'€ --MADE TO RECIPIENT COMMITTEES: (See inftstnwtion menus( for d1cwtiom UW exampies} .•; QFFICIAL FULL N,MM*ANO ADORESS OF PAYEE COMMITTEE ANo I.p.twmeeft tit thR tarnft"" Ito tic 'AMOUNT USE ONLY t.D.Nurrbw,stwe tWl nwrtw"plrtfrwvw►t•d+drw of th►Trwwwwl`;i THIS PER100'���'^'_; i i i i 1 f .1 • i i t • 7 I y hlAMEr• ',. Co A" C `e" La. NU BE 71 �Cefrr�rn�ctpl .. . Pr . Statsmorn bowers period horn 8/2/76 through 3/30/78 SCHEDULE E, FORM 420,,AW or 490 PAYMENTS ' PART 3— MADE TO OTHERS. IWA Inforrivr w mwwal for dirsc ms and evenvlft) AMOUNT FULL NANIC ANp ADORKU OF PAYEE• DESCRIPTION OF Gdoos ANp SERVICES PURCHASED THIS PERIOD ;.. Adler & Corey,, Inc. Y Campaign..' -Management $2 ,000. 505 N. Tustin #219 Sahta Ana CA 92606 }y I . 4 I ....T 1.. i . ' y A reach sweraw+ir M to rrw km wt jop+w+aonY trris cowOwdem OW& 2000. 0 Q SUBTOTAL (Carry with ony addhJor.W "totab va Liw 3. part 3) S t 'If dwe prow it diftwint trorn the vendor (parson provbins pDWo or wrvio>a) Irnd the vye7 W nree m 350 or rwrn. the t nwm wA adch so of both Reyes and vendor blurt to Ilsaad. PART 3--L'f.MrMIAANY Of PAYINENT8 Mw in1m.nedart it fevr dhowlial Ned ft"PROW f.MADE TO►'M MMITTEF.S THIS PER100j(h t"1). . 0 . . . . . . . fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S 2.IbtA E TO COMMITTERS UNDER !iC"THIS PERIOD (Not Iternlard) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I ''1.lw1/'DE Tb 0?HERS THis"A100 lr�rt ). : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MADE TO 0THER.S UNDER SW THIS P'EW100 (Not Itwr ind). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , .4.TdrAL`ACCRUED EXPEi S PAID THIS PERIOD (SchN*jIe F, Uns 4) . . : . . . . . . . . . . . . . . . . . � . . . . . . R.TQYAL PA'*M'9 r3 TH'I8 PERIOD,(Urml *2+3+4 +S, Lvw this voW an lira 8,Colurm 13 of Summary Pop) , , 1 I f. NAMF. .._ .- .:A _..:.,;,,. '" I.D.NUMBER mmittRai �...--Z.3.143 „ • t .I !� Statement coven period from through O/Zn SCHEDULE F, FORM 420, 430 of 490 ACCRUED EXPENSES (Unpaid Bills) (Amounts may be rounded off to whole dollars) il Sw infurtnrtk m fi weal foe dimctiwts and exampho • . ;,,...;. FULL NAME ANO ADDRESS DESCRIPTION OF ACCRUED EXPENSES AMOUNT. Mum.'CRY,Steve)• (GOODS AND SERVICES) ACCRUED THIS PERIOD kp;, tt+r , Hope .Greer 205 Utica Ave . Secretarial Service 44.00 4f .Huntington Beach CA 9264$ � is : Seacliff Country Club Expenses , Candidate's Rally i Unknown 2000 Palm Ave _, I Huntington Beach CA 92648 Valley Printing 10623.Lawson River Ave. Fountain VaI3ey CA 92708 Printing 151. 63 .1 I 3 • t .[a I ,. .......•...ram..... �.+:1TOTA4 S 195.63 '!f " 'eowued,expe" is owed to a awmittee, licit tha oommittse's nwr►r 1.0. number (or the full name end tx:±yww.t m$*m of*A trrwwetrl. If the parson providing the goods or services was diffoo tt fmm the prtyee, list sech pw so 's full nerna,sa oW ees,city and sate. : SU~AY '10,ACCAU66 EX1004ES OF $0 OR MORE THIS PERIOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'ACCRUED ExP r,SEs o ul�oEl o rwls PERIOD (Kos Inmi:ed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �.00 3:TOTAL ACCRUED EXPVMF.S`INCURRED THIS PERIOD (Clew 1 + 2! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . At "lIU ED IEXPSNSE.S PAID THIS PS1410D (Nr t'lt*ml=d,'Errttr oti Line 5,Part 3,Schedule El . . . . . . . . . . . . . . . E. NET.CHANGE.THIS PERIOD (SWbtract L)no•4 f" Lint 3 and tntw diffwor►ce on Llna 9,Column 3 of 195 .63 -- — ,, • • • • • ,.I •:• . • • . • • •.•.L!'._.t_t...r..t..l_�_. . . • . . . . . . . . . . . . . . _ _ s I • 4. t _,l• l t 1. i,+ , s•t r 1�' '��i '`,'Yt YI•/Y '.1 . - AMr,- [) ENT ' CAMPAIGN L71SGt~U5lJFt STD+i EMtN n '•1i: �` For use by persons'imending statements filed pursuant to Government � I�l CITY OF ,Section 84200' 84216. This form must be filed with all filing officer who 'rdk �F4r , FcKm 405 received the statement being amended. ;" l H, 1979 1- The information required. in Section I must correspond to the information provided ons A OFFICIAL USE ONLY the campaign statement. NAME OF COMMITTEE OR CANDIQAS'E: 1.0. No. err ADailtablv1 ' • tion o mitteIn 771430 i"•aDliESS OF COMMITTEE OR CANDIDATE* NO. AND 5TRLET CITY4I A M 22648 714 962-•6661 pp • : ERMANENT ADDRESS OF viEASUREA if Applicable): NO. STArET CITY bfAft ZIPr, + _ NO. ;P.O. Box 1840 Huntington Beach CA 92648 714 848-9000 .: x 11t .The following information amends'campaign disclosure statement, Form No. 490, Executed on 3, 2/78 AD. DAY Yf.) K' for the period 12131Z77 to - 3/2,178 111. The amended information affects items on the: (XJ Front Page O Summary ( J Schedule(s) IV. Describe •the changes below. Include in detail all information you wish to become a part of your official campaign statement. See attached V. Reason for amendment: r Unaware that we were required to list each candidatE by name in spite of the fact that our committee supported the entire slate equally. (See attached) Include additional information on reverse side or on appropriately labeled continuation sheets.(Number o ,Ts attached ) rc . VER r',ATION ,Q I declare under penalty of perjury that to the best of m knovrlwge this state gent nd it sche es are true, correct and • Ct?mplete and that ! have used all rebsonabk diligence in th ir,preparation, ,:' •.:_ � E• Executed on I. a on Beach C;A•••by,_.! A candidate or officeholder who controls a committee must ; ;o verl y the campaign statem t. I declare under penalty of perjury that to the best of my knowledge his statement,and Its schedules are truer correct and complete and the treasurer of this committee has used all 'reasnnable diligence in the preparation of this statement and its schedules. Executed on ' at l ay3t , & Ira intorn�abn t'9 fw1rad to b. of*#Wad to you pwrtwant to the Information practics Act of 1977,tR+"Information Manual c+n Campaign[1le:lowr•Wravisbns of , 1 i I I HUNrv? arnt E ,-f,t,��...... �► t RECIPIENT COMMITTEE S�r C.,Alhf'f IGN STATEMENT RECf 140 (Gov.rrt wt Cdds Swion 84200-942141 clrr cLE�;x CITY ur NUNTIH TON 8CAC11,CAL fit. For we by rob'piont=rsrrtittw%vhkh naive a cvms�is�tiw oar+vit utiao at 5iliQ or more from a ti_ r►� 10ura. HA r 1 rs , CI �� f. t�• ,K tTyo+ar tin Ink) . A OFFICIAL USX ONLY IIt wn it rc4 NiAMt Alt 4'i31TTx s.0.M W�+f tt R E'.. Its ' Caniniu 771430 . "jiRRISt CO�ilfT1'Itts 18582 Beach Blvd. Huntin to c t�T11 Rs :... Huntin' ton Beach CA 92648 t •'`` rrk b#et.#G'T m immu ow IF/VF wAML/1: el Ip 14M Us DA Lscrpom loft.Ow Yr.): t�1A1NiRh4l1 P OILS '' h�'n'�'Y` G+wwsral liM�11r RwH t+fa+warkAs tcs♦t�na�et t,:,�;� tAtloatR��+ps 1t+wh aMGss t R lh/�wMidtO�t,arrfMttwMMw itlf� �:arrrauer� r *two domi OFF CiAL NAM OF CAMMOATR OR OF10=14OLDIR AND OFFICA OR CUMULATIVE ONLYlrKJ1/U11S ANDMIILiAT NGitR CA L!'rTA R%"NQITURiS TO DAT'# swa�t'+t a mmm TMti RtOD —0— Don MacAllister 84.02 105 .29 AjY.lu..m;.QQ= Ra tlatt IY Xi3tZ�'.. t3f�ri+�-�n 84 .02 105. 29 84.02 105 . 29 ' 1 .!rsiwA a�t�tAlgiMwwl MJ�nwititiirrr ar�faM1Nr!pt#rrrinsra�rs�trr�f7 VEIRIF I dtMtn urWw pwa ty of pwriwy that to lilt bat of krwAtdp this m t ib ,t�rrslc ftnc owrnisk tmd dw►t I hm uwd 611 rartstndoe dilipwa in r propwidan. r� Oro ....., �trc. i , A cwxkh ill of vfAsdW& wtro an # =n niktw r1r[u#t i chs ate` t + I dKtw under t;�ll Wty of per" " Owto 1At bw a1 my krwMKO�o w this suspi'wtt prod In ts7lwrM" ,ccsr»ct sync ' cx mOm rod +dw awww of this mmmIrm hM sated oil rst►wonlo M dl!bgorc* In ft pup mien of Chit notoment and it " ._....... ss�aNM duwtt. faK/wtwi an ....�WrI�'......fit.......... , by(airy MO ITXM (IJIRXTrjlqK UP MMIMSAVI 3A 4 st:_!M LD R) ow IMlw"w" resw*ot as to"Yitss;fig V It pw"W Mt>r*0 Iwtr ow*w ltiugh"An 40 W7,so"I t &%Mo •ea Ca mom*n a1t►dwwl i'm wvm M ��h�t F'1�91i1asA A�1a�AMI,"tirsrtMrw xl. ' r it.,•t: r "kL'+;°�,�C:';�,.,, .r.: ...;,1.°;'y`,.�,•.;': :1`r� 5 ;�y t S�_ ;.a *t '+;:-:' ' r, �, - Yt t��, t y �•'•� ,'IV.t R►V1'1�'1•r,J."^i4 Y\IJtlw•PRYtt/7 - ..+ p. �. �, 3 v' :f, .fit, 1+ ..•ram w --r+ . _ .. .... ... I,•.v ..��~Y,. • ' C''.,.r ` SUMMARY PQILiE y'- 1 StatwIM 10018 S Period :rem 1Z/31i 77 through 3/2/7$ Community Politics,. ,Action Committee 1r d.�1♦r cwrNrM nlrat/f�rrrw rMgl i♦rrhMM�M»�w dl dMr a�//1tt M►d arr+Mri/ttwt.l - �• D. Nun+b 77143t� er ; .•1� rrc n+nwi COLUMN A COLUMN 6 COLUMN C •' Cunwkdw Tord this pwic9 Cwnalrtfw m f •r' MrW MOW from snadhw des —Total of .�y{ ECEIFTS prwknw pwiw o whodwo Columns A & 8 1.'l*mwtary omtributions rresivoe. . . . . . . . . . . . . . . . • . $,r 260 -nn 5 A IftAft .0% S_..Goo 00.-.--. P 4. Una s , 2. Loans . . . . . . . . . . . . . . + . . . pa�� S. Una 9 ' ��•z��. i. 3. Miscallaneous rec*ipu (ankh explanation). . . . . . . . . . ._._. ,• � k 4. T&ai cash received (Net) . . S 260 S can nn -- 5A"LJrW# Apo LUwft AGO Unft IIp�..�..... t • 2 )•09" 1 • 2 • 2&bow 5• Non•manotrrry contributiom received S. Pledgee . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . _ ..-- 260.00 S S _ 69�0 �w� _ 7. Total rsrsiptf . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . a '�'''�''" ""��.'' tuft A440 Un*6 -- 4 •s •� soY� a . r . o�nt+v! a . y •e.foe ' Co7ivn�w'►i A«+tit i EXPENDITURES 8. Payments. . . . . . . . • . . .: . . . . . . . . . . . . . . . . . . . . . . . $ 10 _ 3 ,,, S._42n 02 ... S 52 _46 e 9. Accrued expenses (unpaid bills) . . . . . . . . . . . • . . . . . . Fwa so,One I 10. Total exprnditurtes . . . . . . . . . • . . . . . . . . t 52f, a d """'• �GC 1•.A" LRM ..r.• N • r.or.. � a.a usa�.. • cITAI a a'A+1`•'r®f STATEMENT OF CHANGES IN FINANCIAL CONDITION 11. Qwh on hand at the bgginnirq of this period. . . . . S 15.11�=fie »_ 12. Csoh rraripts this period (Lin4 4, column 8 abos) 430.00 13.'Caeh payrmwits this period (Lino 8, column 8 atxm) _.42(1- 0.9..•...... 14. Cash on hand xt dosing dita I63♦ 59 C (Lirm11 + 12 -» 13a )• . • • • • • e ♦ • • • • • • • . • .,,,_.• 15. DutioMr>wdinq debts (U'ne 2 + Llni S, o f Column C Glare). . . • • . . . . . . . . . . . . . . . . . . . . . 16. Surplus (if tine 14 Is grw'tsr than Linn 18, subtrsct I63.54 Lira 1$ frarn Urw 14). . . . . . . . . . • . • . . . . . . . . . • . . . . . . . . . . . . . . . . . S.._r�.. I 17. Dofk.•(t (if Lin, 16 if grsetnrr than Lino 14, subtram Line 14 h m Line 16). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . SLR.. .... : 1 1 'll this is d»,nrn repon Mod or if ft lost n*an woo s put-Acd xt ris*~t,Column A should bs bi*nk Ixcept for unpaid looms• bills ind i . `P �.. s' , fiw!— '.,;:i ' •� .i !�,'�,> •tf,. 1 .. ,.� "�L.tt!vjt�i}*��'y} �.� , ��_ �" �,s �_ i � , l�1•:;tys"'._�.r•^t ;1+. ..^4r '�l J� ",7'if. {- �"r•, •s•• ,t ;� 1..+�,;;. , 77 771430 K Go Tile ,,.... LQ.IiF1JM�tR (if 1...A+�il ) ' =HOWLE A, KWM 420,430 ar 40, 'r moNETARY.CON i RIBUTOGS RECEIVED (/knx�+tit MY b� rated ott to w1�a1�dattw! rx,jY RIKCtMEMT O MWITTroft. ON � ART 1 — A�CSIV�D FRtrM/ AMOUNT CUii U ATI" , w.•�':: FULL NAM ��t7QCIMITT• , ! ADq ReatYLO TO OAYE 7y2rr7���'T" .t N. f, , I lool ad I-IF f 4 , • fl r 5 ,.1 �A�rr1�IrIIMNrr�l br�4�!�Y�e w»�V�+�wra�rwll�r�drorn�. sAftsds M blAti s . f#i►1+�nY re+h1�Mr11 r~idMM�w�M I .t-•« , ....�....r+t»fna.•1+r.•s+•.+res.iMrue.'M'+W'�►�•n'tie1�Vi!'l1W�w'1.41'`M.a'7"�i'Yt7h1'Y�f�••iV�.Y+w•.....���yr��►,GIMP+rr+was+r�ww}•M.. .•.. . • r�,► • .. .. ., ;�'�,'�°.. `+ Committee Political Act�� <�mmittee 771430 NAME .,_...,� ,.._._.,, ._... .... I.q.NUMGER p%"Qrr+tnicMI— ". 5tawn+a+t ow►it,c 1 tram 1,ZZ31177--._,.. throuO312/-70 SCHEDULE A, FORM 421a,430 or 490 MCI 2 -- ANCRIVED FRCA OTHER& 0w ia�utiati rail far dir.c ww exinrptss) DATA FULL NAWJ AND A00820 tiln t EA�Ft'LG1►EN (IFCONTlIIiUTOl1 fst AN*VNT CUMULATIVE C1CCU1'ATH M 9110 1WIFLOYED Lt=T ITAEET City.w`IdhMi Q�C+W+ttl11�1t AECLiVEO AMOUNT. ::{. +,''• 'IU'?1aman CITY Of owfa$EI !/9/78 Eleanor Trhmblay The Penneysaver 16161 Gothacd Intermedia 16161 Gothard ntt`1 'Huntington Beach CA 92648 Huntington Beach CA 50.00 50.00 1/20/78 Ana H. Higman Reliable Whsla Lbr. Intermediary 7600 Redondo Cir 7600 Redondo Cir • Richard Grundy Hunt. Intercommunity .17772 Beach Blvd 17772 Bch He p. JjUnjjggtoah JZ JUL pdin Huntington Beach CA 100 00 100.00 Jan/ _.. :. Feb. Miscellaneous Contribution 230.00 230.00 w t I •• t j. /i!M I�r�llY�lrlMril7 rA� IIM�M�MfA�h[�flR. lI Tt3YAL (CMly IMft a"ar""&*w"to Hm 3,pwt-v $ '1f ttw deievv*mlohm was mob Ir! tw Ir!lirrrwAwy ormk% the inform Oon ftw bath to in amal rry and ttx►prineipal aentriat�r. � . AT 3 —$UfIl MRY OF M WffT;".A4'•. i.%11MNKrrKM(Im k4w"ad n><nmrttd kw 4kovdam wW anesmpkW 1. RECEIVED ;9AC}M Ctyl�lyrMlT'1'EIF.3I THIS PERIOD (Pon 1) . . . . . . . . . . . . . . . . . . . . . . . . . .S• 2. RECEIVED F140M COMMITTEES UNDER $50 THIS PERIOD (Not Itsmized) . . . . . . . . . . . . 3. RECEIVED FROM OTHERS TH19 P'ER100 (Pint 2) . . , . . . . . . ... . . . . . . . . . . . . . . . . . . . 4. AEC11YED FROM OTHERS UNDER 00 THIS PERIOD (Nat Itsmized) . . . . . . . . . . . . . . . . „23„ 5.TOTAL MONIFTAAY CONTRIRtrT1UN4 RECEIVED THIS P1EftIC?R 430.00 (L1nt 1 ♦2+3 4. Famer dtilt t wl an Une 1 ,Ca(cxm S of 3ufronary Pop)• . . . . • • . . • • • • , . Cam Uni Poiiti ( g " .M �ualt#�.,..�.., �� t,0.Nt1nitriOl IR Stare, " nt wvM perW hwn thr^r SCHEDULE 5, FORM 420,430 yr 490 LOANS. (kWVntn ln6Y be rounded off to whale dolfaml PART 1 -- LOAD AWAIVED: (Su W1M w"wOm ,"mW far wee Aral MONO WO FULL NAW AftD ADOINtA Of t.4116"A thiM.OYal1 !11 001 NiQ Inmwpt AMOUNT OF CUMULATIVE OATS AND ANY QUARAMf>Oft C 0@IQW t! OCCLWATION 4K M fir+/c*v no" LOAN AM UNT 4 S�a �j� a.• 1 *WGT0'TAL S PART.1 — LOAM R"A►.0. FORGIVIN, A PAID BY THIRD PARTY: ( :::�o: aow arMr�rl hrr dM Mtr+t4 ��} (b) (c) (d) AMOUNT �.'.rOUN�T PAID OATS ItUL'. HAme Pim ADORIM Of TH 04R PIKWN AMOUNT F ORGIVEN •Y A THIRD UNPAID VIf1;0 AJJPAID Y"t WAN f GIFF ENT FA fiLllR 1411PAID (Entry 0" PARTY Ifntw BALANCE SdWW.AI or►',h1 tW.AI SITnTA►L S PART x—SA10Af1Y 1. LOAN Of $0 Oft WORE THIS PER000 (Pon I). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S 2. LOANS UfDEI1 if 0 TMIS P1(R*0 (Not it�rm(�d) . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 =AL'LOANS RECEIVID (Ulw 14 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A. LOAM 91PAID OF 00 0% 10061 THIS K1110 J (A wrt 2.Cohom al . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 413. L" PQ IVlM CW SM OM MORE THIS F A100 i!Nn I;Cc►furnn b). . . . . . . . . . . . . . . . . . . . . . . . . . , . S. LOANS PAID BY ATM AD PAt?IlTY Dir SW OR (WORE THIS"RIOO (Part 2. C+mltom W . . . . . ... . . . . . . . . . . . . 7. LOIN REPAID, FORGIVE(`l,CIA PAID •Y A THIRD PARTY UNDER 34 THIS PERIOD (Not a*mItad) . . . , . . . t..TOTAL LAANII REl1AI04 FOAOIW*N 001 PAID BY A THIRD PAR' TY THIS PERIOD (LUtw 4 + S ♦ 0 + 7). . . . . . . 9. NET CHANGI THIS PIN100.W"bwm Lkw If front Um S and ormt t:lM ckfftnnvm on Ns IIr*and an . .'t.. Utn* 2.Cs1lJm S of*owwy Psp�) . • . . . • . . . . . . . . . . . / . . . . a . . . . . . . . a . . . . 1 . . . . . . ( N1AZAT1Y1 j �. e.._. .: s iv.n..ar NAME ' ! I.D. NUhI 'i "'y�mmittMl _„ 77 d��1 • ° `►� sts"me t o"m ps *0 hvi" through SCHEDULE C, FORM 420,430 or 400 NONAONETARY CONTRIBUTIONS RECEIVED (Art>,ownts may bs rounded Of to what#dolla:) SM irlir�ft+�rlleA lIM1M1� !IM'r4'�Mr11�ACiwNiM _.��:,; FULL NAME A#40 A0011"AM EKILOYtEA pEJl�CRIPTION OF RAJA MARKET CUMULATIVE OA7E QCCIlII'ArtdM lit Eei4n�Mr1nN1. VALUE r l.D•Nt�MtIMEA lit C +r+1t�w1 AMwJ dOCDi ON'�iAVICE! MIECEIVEO AMOUNT i,ti•j I +w. ar ' 3. AMWA aMMMti k M 01 W 0"N. xllSMAIL E I • I I 1: > •wlChlEfAAY GflIMT�1dUT}#�1�l6 of sao CR mon TH1t Psmoo . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . x y. 1110Ri AilllrlE"!'AAY,CONT%IIWMQW UNDER 880 Tf416"R1, 0 (" lum ladf . . . . . . . . . . . . . . . . . . . . . . . . '`3, TOTAL;Mt,1M-AI014EfARY.COITpEiN�3!'l+�Jf�li THIS IrtA100 (Ums, t +7�artvrr on Uns Ir..,. - i 1 i i MAI�+��*?n,.,i�Y itv :'blftical stir,; 'r a tea �.�... �._.� W. wu r1.. • Inrel _ZZ193D "►, Sta pwiod from lfirou/h � r�r�t aoMw�I ....�. r:1 SCHEDULE OJORIM 420. 4W or 00 -Will RLEDOU (Ent r Promir") .} (Arttr sv my kw rouro*d oft to wb*W doiirii 't c �iRlii immft `WAMW Mr aw"I" r aw illrirrrrlir m �+� 1b) (c1 �; KJAPLOYAR fir WLp_ Ir.M0�1J1t'1' AMOUNT CUMULATIVE . ►�=" DATR FULL fMAwM AND AQVMiIM OCC NPATIO EMPWYGD•LAT puo"o rAID 11MM PLEDGE AND I.G.NUhWA Of VMIWAOIWW AO0101=1 P06 M1130 a+&Ompm•Al UNPAID +.rw�.r... • Y, 11 •:a i . ! +rw iNt�M rMl�Irlr�el Ir��wrMwrR iw t>Mr1w�/r'�At�M�4�!r1r1+wM�rwr�Mrr r�� . :mQTAL E SuRm Ry .1. ►tEDOU Of,no CAR King I•HIS lrLRtaO (caium t). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ .2 PLIPOU UNORR 00 THIS PIN1 INN I%rniwd) • . . . . . . I TOTAL 1't.MU RECEIVED lUm 1 .4 X. . . . . . . . . . . . . . . . . . . . ♦ . • • / . . . . . . . . • . , . . . . . . . . . 4..PLWQU OF 1W OR MORE PAID THN IAA M (Cahr m b) . . . . . . . . . . . . . . . . . . . . . . • . . . . , 9 PLEDGES 1,00191 III PAID THIS FIRM Ipw ttmilaw . . . . . . . • . . f q1��yQ��iA�L� LIOGiI�.�� • A ►l (Lk 4 T IN• ♦ . . • • • . ...• . • . • • ♦ . • • ♦ . . • • • 1 ► • . . • • • ♦�♦t♦ . . • • • • . . ! . • • • . . 1 • • .. 1 ..NA 1 FAI1f MON 1 RIS KA W t ut Lkw a hwo uov s��r t dl an Ums D. cdw"! 'of&W*wy ftm. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAY •aA . Nl�ATINR f . Rrr�unrL K71 TP "!. •.,OfrDfTflttMl ?Tt ALU lilliPE 1,{�.hbUMiiS11 ..,....._�.. �tIMAlllft � wiod ftom thr0'dgtt WHEDOLE E, FORM 420,` M or 490 PAYMENTS IAmawltt rmy IM rounded of to whop"loril 'PART t —MADE TO RECUPIENT CiyArrIAITTIRS: Is"i0ai�vt mimW torn dlrmdam&W GKmm0 i OFFICIAL, FULL MAW AND A00AM OF PAYEE C WITTIM A140 1.0.NUMUR fit tM aMwnftw hw re AMOUNT WE ONLY LD.>,Niwr w,am Am MR*a �a�w of[!M ttwwirrrl THIS WOOD � 's- I � D , • '1 t i yIJATOTAiL (Cmy whk any.ftWillsom mIristab to Whe 9,pan 3, A'e" i i 1 .. !,e !"�! .. �t,it . ,P; t- �. ; i •t•. rA' .y ri�(i .,�A 7`.[ .4 1 r,?�.� •�� .r 'C Nf.twi�inr ... • ow fly E .., <, .rL Comtat.tt Lo. kur `4`±i' s otla°rror"aw*m pr rkw fron 12/31 l77 Owau9h . 2.42-q- 364EDULE E, FUAM 420,430 ar 490 PAYMENTS PART 2 —MApt;..G 07"E tit,lift k Ome dat nonwi for divadw s&1 mww*MW AMOUNT- FULL NAME AND AMOMM OF PAY18• odscjgfPTto;M op GOOM AND SMICii PURCHA"D THIS ISMIOD I WM; hg r. H. B. Cha mer`of Commerce 18582 Beach Blvd. #224 ss , Huntington Beach CA 92648 Re-imbursed expense, 291. 67 Hope Greer . x ` 205 Utica Ave R� .{ Huntington Beach CA 92648 Secretarial Bean Standefer . 326 1/2,Main Huntington Fsaach CA 92648 Printing 8.97 I--Aerial,Printing ` 22031 Bushard Huntington Beach CA 92646 Stationery 26. 45 r AfIA/1�!4'�71M�i�1Yf'U/�11!!C lgll`�I�NM►/�M/,L?d�1�1w�11�ilM. S 'r 11L1WMAL Wsm whh aWhio W s Awak is Line 3, pert 31 420.0 9 .. 'if,0" Pwtw It dIl'I"I" *W" 00 wn*w(PQrw Pr'vWNV onch or swvk Mll) wid do vwvdw ra*Wv" $60 at mom, tha f'1W"Mw Sd*MMR st boo(Mtit MW low&'1lIINt be "W. f�AMI'1` 3 •-641M�IAAMY{� PAY1Mt1zlMlTZ+It �iNlMrrlMai�rrl awr,cwl lrr N Ord�araplta) � I.M11E t0 C,a(AAMIT'MIS T4kiZt P'!llEQq (! r't t). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x .�...... _.__._._.. "bit TO 00"ITTM UN06I1.00 THIS MRtOO (Not ltwMad) . . . . . . . . . . . . . . . . . . . . : . . . . . . . . 3,,A,A*1)1z to OT"aft, THIS P'aR100 trm x9. : . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . _i :1,M Tr3 mrMfc!"I�iJ+ ir�E!! M THIS PERIOD (fiat INIV1 110. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L TOTAL ACCAtl41t KXPILWUI PAID THIS IER100 It F, Lkw 4) . . . . . . . . . . . . . . . . . . . . . . . . . . '. 1 :IL 0TAL P.4YMINM.TH46 Prtfl= {Llwn 14 Z 9-3+4+5, Intw V*MW an kw i.C*IvRn • of Summary __�__.�� i fi ' I. �4 ,` t �• RECIPIENT COMMITTEE CAMPAIGN STATEMENT ' �tV,Ep (GovernmentRECEIVED Code Section 84200-84216) CITYRE , CITY or HUHTJh' rp BE C}!•C For uss by recipient committees which rseeive a cumulative Contribution of$50 or more from a tingle source, , ITypn or Print in Ink) A OFFICIAL.USE ONLY a Stttts>nhurtt cunt pKiiod from I2 3 A �,L�:.-zf3 � MAMt Cf�,�y�1'taEE: . 1.0.tvuti+esaa �, .Commuriit "'P li 771430 AI'i0A41111i.oh CrIAMI`TaEal: -• k ,- ,Yt ".: 18582 Beach Blvd . Huntington Beach C NAM df TRIA WAIi�t f' PERMANENT ADDRESS Of TAEAStJRER: MY Z,19 15 3 T At ET My STA TE zip C015r XP EA C 0 > /'� Huntington�p�.i�i� RYi aaa.rrr.w+rw.�•rrrr r .+ r Beach CA 92& l8 d r .F` TQTA , TYPS OF IL#C4 OM(CIACL[Ohl IF APlet•ICASLaI: CIRCI * IF AI*PLICAALI!: DATA!Of ELECTION (Me.0*7 Yr.): PAGES PrIowy 0snarsl SeaecrW RaaYl :�m1-,r,nw! csn+wwn tratarnent • ; RIB s. Wlocate expundtwrw frtwi 5d1wWNs E ar F by aftvio tss,oHicshobwws ww"vow":wi unts � be rtw+swa off to votoe dalle t,) OFFICIAL �N r OF CANDIDATE 09 OFFICEHOLDEn AND OFFICE OR CHECKA CUMULATIVE I=ONLY 1AatASURt AND BALLOT NUMBER OR LETTER ONE lTHIS PTURES TO DATE*uoerort otvooss THIS EtiIOD _OM n A rtsdf SwItfons/klfwm edva an rworortH$Wy IabuMd C000"us60.t sh"ev ! dtrden t fu* Malty of oeriury tttat to this but of knowiwdge this stx t its ulst Air cwTv and complete and that I hewr used all rewwaNs ditlgLics in *ir pncperation• ...w � Exemad on. n-l b11-�- A c:wOldt+rd► or ofRagwidw who controk a Ixmmitw mutt the campaign t#a t I dadwv under p"ty of pwjury that w the best of, my ktxsw)e+dp chic rt onwnt sad In sd»dul" a nn,corrftt and oxmo4" and dt trarmrw of ttis commitw hiei'umd sit nwrioNe dilip nes in the pnpsnation of this srrtornent snd in F lixeautsd on .•...,,�� _......at 1 t s a I "'"" by t--GF'ATUX11301 140100MI Wt 01#1FI'c r-441.aaah". ,t+wr Mid i r pow1 "'W po o lire ft oww"Asti o1 19",t+w"'1 Mn At+wrft. ti.t Ga�rtlt an Olwd.twMerr P'rv�rl cs a! s ' 1 { ♦ w SUMMARY PA"E 01 lot Staums 12/31/77 nt covers period from through 3/2/78- - --- Community Political Action Committee Nim IIJ ari,r rs I tanaaol;%*wd nporr(Fom+4001 imiudc'tt+#riarnr of rite►carld;dsor atnd caommin".) "a , fR Number 771490 ""� fffGarranirrw.l COLUMN A COLUMN COLUMN C Cumulstiww Toul id-tis period Cumulatirili to total from from ztts�.tlsd darts. Total of RECEIPTS prwious period* schod,ulas Column:A & B 1 Mloiwtary cxbntributions'nMeived. . . . . . . . . . . . . . . . . S 260_0n S d3n.0.0 S_ ,, }g�..._..r:. .x. Pagn A, Llne 3 #j+,�.a+ 2. Loans . . . . . . . . Da9e S. Line 9 3. Misrallaneous receipts (attach explanation). . . . . . - - S 260L00 4,Total cash received (Net). . . . . . . . . . . . . . . . . . . . . . . . S d30_W) 5- h9n nn -- AQQ una Acid Lin" AQC nrs 1 • 2 • a above 1 • 2 above 1 • 2 *] above 5. Non-monetary contributions received . . . . . . . . . . . . . . aqe is. Line I 6. Pledges . . . . . . . qh une 260.00 S 430:00 S... 90:nQ 7. Total receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S ---- Apo unZ AICQ sane/ AOa Lanp A • S • 6 •hove / • S • 6 above a • 5 «6 above (snould oQual Columns A • 8) EXPENDITURES 8. Payments. . . : . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . S._ 106 - 37 S .._:..._ S qa , ld r al 9. Accrued expenses (unpaid bills) . . . . . . . . . . . . . . . . . . --.-..- ----� 10. Total expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . $. Za ...4 5 .. ...n « S... .d4 '---� And uw ao un i 46 9 ►save i f. 9 apOwe i i 9 above 13I16v)d Wqual Columns A,q,131 STATEMENT OF CHANGES IN FINANCIAL CGNDIT'ION 11. Cash on hand at the beginning of this period. . . . . $ .151 0 12. Cash receipts this period (Line 4, column 8 above) 0.0 13. Cash payments this period (Line 8, column 8 above) 14. Carh on hand at closing date i, 1fi3 . S4 (Lines 11 12 — 13 above). . . . . . . . .., . . . . . . .. . 16. Outr'cgnding debts (Line 2 + Line 9, of Cca#unn C above). . . . . . : . . . : . . . . . . . . . . . . . . . 16. Suiplus Of Line 14 is greater than Line 15, :abtrwct 163 .54 Life 15 from .' Line 14). . . . . :-. . . . . . . . . . : . . . . . . . . . . . . . .. . . . . . . $ 17..Deficit (if Line 15 is greater than Line 14, subtract � Line 14 ftvm Line 15). . . . . . . . . . . . . . . . . . . . . . . . . . . Si tint lelwin tilsrd'or,lt;tfrr lost r400ri t'.t,s at post-rlt art ttslsrywit, Column A should bs blsnk �xcxpt for unpaid loans, bills and _.....a F _ _ 1� I r r I I I r { +t; � y`r r:,'r r r• r I r r ;r' �� t c +` - .. ;ril ` ( '� 1 ! `ri { 7714 0 C01Tslri�.nf#..1�..E�1�i� ,1..,,At"-�]t�, r(',,nmmif•fiaa�:. t:A.NUt�Ii��A t11�:,rrwnittr+l.�.,...._,.._ a. st atHrIent covenpi1Ki'd ht:li1 thro'oh , SCHEDULE A, r-ORM 420,430 0r,4f I 1. MONETARY CONTRIBUTIONS RECEIVED (A'mmmts mey be iounded off to whole dollws) '.PART 1 -r RECEIVED FROM RECIPIENT cowAiTTEESc (Ssw InfaiiTmion tt►" tar+d rie�ctiorn and aximow FULL 14AMS AND ADONIS OIL COMMITTEE 1.0.NU05-0 OR TREASU1t Rr'S AMOU14T CUMULATIVE OAT5 FULL NAME ANO *' lZdrt•Clcy, I RECEIVED TO DATE FULL ALyOl1ESS ��,� ►� ; W f it ` �l ✓r' f ,.�" r f f �I Y t.! +www�r�r r wrrrrlwr.�t r I�.MrMMM1�Y� �M .r ..•��. t MOW W r�fr�C, r'r�rttPi�rry tri�iahrrMi MMII 1LiM t,pon 1 pap Q . S • - .. . ... .f i.- , ....err.... I f . f r i r i Community Political Actio mmittee 771430 !NAME A—b _ i.O.NUMBER 1�', .0mmin") Statement covert period from 1 /31/z7 through-/2/78 SCHEDULE A, FORM 420,430 of 490 a, , 'PAi:'t 2 —' RECEIVED FROM OTHERS: (Sod irtfartrtiNc manual for dinr►ctiooi ancf eacarnplort ,, f� EMPLOYER (IF CONTRIBUTOR .S r FULLNAME AND ADDFiE'.b'� IStrrrt AMt7UNT �CUMULATIVE , �,..•, DATE ' City.Sun! Of:CONTRIBUTOR OCCUFATIGN SEL.F•EMPLOYEO LIS-STREET RECEIVED AMOUNT ADDRESS CITY OF BUSINE5S) } I;/9/78 ;Eleanor Trbmblay e'neysawr The Pn 16161. Gothard Intermedf6�, 'J6161 Gothard '+ Huntington Beach CA 92648 ' =',F `':`Huntin ton Beach CA 50,00 50:00 ' W�,4 i/20/7 Ana H., Higman i Reliable Whale Lbr. 7600 Redondo Cir Intertnedia 7600 Redondo Cir ! f 7 4 r .,. 1/25/7 Richard Grundy Hunt. Intercommunity . 17772 Beach Blvd 17772 Bch Hosp. Huntln ton Beach CA 100.00 100.00 ' Jan,/ Feb. Miscellaneous Contributions 230 .00 230.00 Aeawt a^11dOrW mn* 01,10ifAft AW1010 ilmnr1 rwdw SUMS. StJ'E IDTAL (Cetry ahh any additlrltnd' '.dosa►taia to line 3.part 3) S 'If the o+ontribution vm ms& by#n Intwnwdiwy provide tho infomoddon for both ttN Intw+5%edlery and tht principal • o�rttriixrt�. •' ' OART,3 w SUMMARY OF MONETARY 0,0141TRIBUTIONS inforrrtr n w%W fm direadom ta►d eonrr4*w 1. RECEIVED FROM COMMITTEES THIS PERIOD (Part 11.. . . . . . . . I . . . . . . . . . . . . I . . . .$ 2. RECEIVED FROM COMMITTEES UNDER $60 THIS PERIOD (Not Remind) . . . . . . . . . . . . `'00.00 3. RECEIVED FROM OTHERS THIS PERIOD (Part at . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. RECEIVED FROM OTHERS UNDER SW THIS PERIOD (Mot Itemirrd) . . . . . . . . . . . . . . . . ��Q•Q� S. TOTAL AA?METAAYd CONTRIetiTIONL RECEIVED THIS PERIOD 430.00 (Llns It 2+3*4.Enw this total on Una 1,Colunrm b of 5ummwy Paga). . . . . . . . . . . . . . . r Nmajp,otmmunity Political n,itt�v I.o.NUMBEi omnnhttr I :771430 "�� Statement corers pwiod from thirough SCHEDULE 8, FORM 420,430 or 490 ; LOANS : ►� (Amountt'may tm rounded off to whole dollml { ; PART 1 — LOANS RECEIVED: ISee informadon mawal for direct ons and exampslw} FULL N�riIE AND ApDAES3 OF LBND>rR EMPLOYER (If Wf-amW0y Worm AMOUNT OF CUMULAT;VE DATE OCCUPATION tart to, 014mu and 61Y AND ANY GUARANTORS OR COSiIGNERS o f bnrw.) 111019 LOAN AMOUNT j " ", i 1 � t Att�e+'r raldltforMt lnt+arrt�rt�arr aer+mnwriwcrlY/wN Graf ararNrtuvr &Ir m � f/ SUBTOTAL S f PART 2 — LOANS REPAID, FORGIVEN,qR PAID 13Y T141RD PARTY: (se. Infa�rretion mmmal for ditrcdorxand lei tb) W (dl l, AMOUNT AMOUNT PAID GATE FUL1.NAME AND ADDRESS dF TWl ENDEM P PERSON AMOUNT FORGIVEN BY A THIRD UNPAID WHO REPA10 THE LOAN IF DIFFERENT FR FILER REPAID IEntor on PAATY IEntw BALANCE 1 Sdwod.A) on Sctmd.A) t �i'ara�r alildlldcwaf lnhlmereM+t ar»�pn�retMlwy��d acntMuet�son oh¢rte. •i , RMTOTAL FA*T 3=ws, ",RY , 1. LOANSW SW OR MORETHIS PERIOD (Part 11. . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , S 2. LOANS UMCIEA SW THIS PER100 (Hat ItWnI>oed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' �._......�._.,,...�.... ` 1 TOTAL LOANg RECtEIVID (Un+e 1 +21 . . ... . . ... . . . . . . . . . • . . ♦ . . . . . . ♦ . . . . . . . . . . . . . . . . . . . . . . . 4. LOANS REPAILI Olt$W OR MORE THIS PERtODIPm 2,Colurrm e) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....�....,._. E, t OAKS 1&0REIVEN'OF$W dR MORE THIS PERIOD (Pest 2,Ca{w7m b). . . . . . . _ !!. LOANS rAlq BY A TFIIAU PARTY 01t 360 OR MORE THIS Pi:R100 (Part 2,Cclutm'W . . . . . . . . . . . . . . . . . . . '!.'Lr3AN* REPAID, FORGIVEN,OR PAID BY A THIRD PARTY UNDER SW THIS PERIOD (Not Itemlud) . . . . . . . .� U. TOTAL LOANS REPA10, FORGIVEN OR PAID !SY-A THIRD PAATY THIS PERIOD (Uno 4 + 5+ 6 + 7). . . . • • . f• MET C MANGE THIN PERIOD (Subtrmat Urm i ht�m Uro 3 w 4•rlt«tft MAY BE A NIRGIATIVE . • • . • • . . �t dfirrerxs on thit tll�a end on Q (. �:L(r1+1 ,C�iFilf!"If1 f r� a • . . R • . r r • e 'i ♦ ♦ • • a ♦ • • r . r • r . • • r • • . r . . . • • ♦ .tier NAME � t � I.D.NUMBE�mrr►ittetlr 771 Q-0 �.....:.,..r.� Statement coven period (roan __,,..._._..,_,. _ thrarugh _.,.. . SCHEDULE C, FORM 420,430 or 490 NON-MONETARY. CONTRIBUTIONS RECEIVED tAmountt may be rounded off to whole dollars) Sai wOrrsrtirset t> WWW for dkoadow arrd on&"pM►t EMPLOYE FAIR MARKET t FULL NAME AMD ADDAFA AND (it S+Mt-Irts�Wbi�d. n�SCRIFTION OF VALUECUMULATIVE;. DATEIO.NUMOMR fit Co mit ) OCCUPATION, Litt AdtirMffu) GOODS 08 SERVICES FIECI*IVEGt AMOUNY � r t 4 i t • St. AIM/In isg llw*r *A 1060 of l t'fMVt*#)OH M%. SUBTOTAL x 4ETA,RY CONTPtIOUT101"d OF.SW OR WORE THIS PERIOD . . . . . . . . . . . . . . . . . . . , . . . . S.�,.,._..._,�.._. IFTARY CONTRI11UTIONSS UNDER $00 THIS PERIOD (Nat lu rAred) . . . . . . . . . . . . . . . . . . . . . . A'MK7HETA9Y'C6NtRt8UT1lt?NS THIS FgR(00 (Line Q *2, sm*r on Un+t 5', i i NAMe 2'Mj „ nAtnity Politir�i Acit-2� fttaP I.O•NUMBER Itlix r IttarL 77I 430 Ststernent oovars period from through SCHEDULE D,.FORM 420, 430 or 490 PLEDGES (Enforceable Promim) (Amaunv may be rounded off to whole dollars) t, inte>rrer>let"1on numi al for diroatkic l arW kwwwWk m . (a1 lb) 10 EMPwY$R 1IF SELF— AMOUNT AMOUNT CUMULATIVE { OATIE FULL NAME AND ADDItEW OCCUPATION EI1 LOYED. LIST PLEDGED PAID IEntw PLEDGE clfx ' AND LC3. NUMBER (if aurrwtirlet�o) kDORFSS) THIS KPIOD on Schad. Ai UNPAID �,:�.�. T1 re, I 1 j i� Ifl�errh anal lnl�rrMldwr err�ftb& /�r MAIN WSTOTAL $ S<JIIi AY PLEDGES OF,IN OR MORE THIS PERIOD (Colurm,a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ♦ . . • , s N FLEDGES UNDER $80 THIS PERIOD Nat lamized) . . . . . . . . . . , . • . . . . . . . . • • . . . . . . . . ... . . . . . . . . . TOTAL PLEDGii RECEIVED (Lire 1+?.). . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . PLEDGES GR M`0R MORE PAID THIS PER100 (Colum b) . . . . . . . . . . . . . . • . . . . . . . . . . . . PLEDGES UNDER SKI PAID THIS PERIOD (Not itemltrd) . . . . . . . . . . . . . . . . . . , • . . . . . . . . . . . . . . . . . . . .:TOTAL PLEDGES PAID jUrw 4•1 5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............_...•.. NET CHAMOS THIS P 111100 (Subv= Unis 3 from Une 3 and ante OBI d0forwct on Una 6, SQ1 • MMv TI A NE4A71Vr. i�a•:...._ r I O U W G i 1 i : i NAME QOM unitV EglidCr'3_, alat GaMni tt0a I D.NUMBEA71. Committwi __ 77'i43o ' Statement coven prriod from through SCHEDULE E, FORM 420,4M or 490 r: PAYMENTS (Amounts may be rounded off to whale dollars) PART —MADE TO RECIPIENT COMMITTEES: f infomwtion manual for dk ctiotta and ezampks► ~� 'OFFICIAL FULL,NAME AND ADDRESS OF PAYEE,COMMITT9E AND I,D.NUMBER (It the aommltYrr tsar no AMOUNT USE ONLY I.D.Number,mats full n rrrnrn rrnr rrd� a+t adrlrsra of the TrewurarlTHlS PERIOD 2; w, 10 tit• � l�'• r } ,•w�....+v +wrr�r+wa. rrwr SUBTOTAL (CW7Y Wtsh VnY WWNWO i sa►e WIS to Litre 1, Pa-. ]. PMM 9) S ♦ 4� Nhrkl+l�# �• • ti3 l.D,t1UM�f�' rrwm•ttwt �t d a Sutgnwnt cows period from„12„Z,3,j,�Z�.a_.♦. through..3,Z",t 22 SCHEDULE E, FORM 420, 430 or 490 PAYMENTS PART 2 MACIE TO OTHERS. (S&v enfcrrxr►s6w'rnnnual tar d1mcdont and exampkw) AMOUNT', FULL NAME ANO AOOAfW OF PAYEE OE•SCRIPTION OF GOODS AND SERVICES PURCHASED THIS PERIOD R H.'B. Chamber of Commerce '18582 Beach Blvd. #224 Huntington Beach CA 92648 Re•-imbursed expense, t 291 . 67 Hope Greer S 205 Utica Ave Huntington Beach CA 9264.8 Secretarial ` 'x{ lean Standefer 3 26 1/2 Main Huntington Beach CA 92648 Printing 8. 97 mperial Printing '2031 Bushard 'untington Beach CA .92646 Stationery 26.45 r r r� w r+,• i, r Yoko M An f wrrt don err#-f%Wwlr 4W0,+lalgrw oafftfi"w 040 Nrr m WISTOTAL (Garry wkh any ai kJonei "tatsh to Lkts 3, pan 3( S 420.09 f a•. �� dYti dlfhr!"arrt h�Otn dh+t trtirx( »rtcxf prtevtil3r 1)DaK1 Oi`lilfrttCl�i� 1►t1d thM MA111"r+�siw�w 515+0 tit ITION, the fw m sW sdtlrm of both wyw wW vatt w mwt be Ittz!A.. ,��♦ f lTrw��sTV�m�oa.o.�tWTHIS I�Pt t�♦A�••1 0♦a..0a� t•(♦YWfi t1 ♦it, ra)�t♦♦w♦a ••j nt• ••d .•f t.. .af r.• a♦♦ a.• •,♦ a.♦ ai• t.• .• .a a ! H1!ft THIS KR100 ( wt 2J. .•)T EASTfft no ros Pf;R10 iNot {tsip1 r ► . fa . . . • • . • . . • •. ,• .• a.• a.• a.11 a•• ••. ,,• •a♦ ♦i• ♦.♦ ••• /+♦ a♦• ♦.• ♦.• •.. .1• •♦• �M'�a`wrrwwa♦..rMwwrwMw�.•Y•.r.r�ri�M•wl Mr/�.wwrMr.rwwr.��w..rw0..' • • a • + r . • • • a . ♦ • r s • • + r • M+MtiMr4w�lY11 M..�.w•••.Ir.r :Aijeo iXtwE,�" PA *,s PERIOD (G#t+OIle F.Ove 4) . , . , , . • . . , • . . . . . . . . . . . . . . . .'. � ...rw...w......,..:..,._.. 'MEWS TM$NEA 100 (LJ ws t +2 +3+4+3,f"Of this ww an lkw A.COMM 9 of,Summary P l i i r +ti ,NAME �r,417tTYlZlLZ1Y..�.D.L�.riS'.�I. 1%...�'tn�^.»rI ;��t)[tl;tt�� I•R.NUh1pERFmmitt�N_ i tin , k.,l Statement covers period from through SCHEDULE F, FORD 420,430 or 490 , ACCR' ED EXPENSES (Unpaid Bills) (Amounts may be rounded off to whole dollars) Orr SM I�rtr"4doai m,wuW fcw dir*Ct z wW *'XwnpMe y AMOUNT. .�.��.. FULL NAME AND AOORESS CESCRIPTION OF ACCRUED EXPENSES ACCRUED is~.City,Stm)• (GOONS AND SERVICES) THIS PERIOD N, • '� 0 1hp1..` r"'1• f 1 r..w�wwr,w..rwr . y ; t ' �wirw.rwr..wrw.�p.�rrr� i .. Ow ommod expmo is wond:tea a mini Ittw, (fit Mw wffi tittse't nano and I.D. number (or the full name and p rmwwn't edch um of tf► VIORM). If the pirw providing the pvWt or war k*%wit dfff* n fmm Ow payta,list each prrton11 kit no".Street addnw,city arld srte.' • i . sUl�ua�r :1.*XRUED EXPENSES OF $60 GR MORE THIS PERIOD . . . . . , . . . : . . . . . . .:. . . . . . . . . . . . . . . . . . s 2•,ACCRUED EXPENSES OF UNDER SW THIS PERIOD (Not Itemizasll . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . ___�r__... '3.TOTAL ACCRUED EXPEt F-3 INCURRED THIS PERIOD (Urw 1 + 2) . . . . . . . . . . . . . . . . . . . . . • . . . .+..... 4,'ACCRUED.EXPIINS ES PAID THIS PERIOD (Not limited, Enter on Ui+a 5, Part 3.SchWul4 E) . . . . . . ; ._.r.._.. 5.NET CHANGE THIS PERIOD (SL60oct Lint 4 frail Une 3 and enter differmwe an Una 9, Column 8 of dolt . . . . . Frrl . . . . . . I III 1 I I s! r+ , +,- �. i �l 1.a -. sT I. •7 .i -(.' 'f. �' t��t �, ,{t s '• Z.•i• 11+ � .• w; .•, AM • r �EN'1710 CAMYAWN Ul:r(:L0SU r T TEMEN Tfi CITY For use by persons amending statements filed pursuant to Government Code �.^,l�,rTr. Section 64200--$4216. This form must be filed.% ith all filing officers who r. Form 405 received the statement being amended. 1979 4 L The. information required in Section 1 must correspond to the information provided on A OFFICIAL USE ONLY the campaign statement. 1�' wrlr�re u rr..ra■rrwrrui rrr..rrrwr..n.w,q+r .'S�+ NAME OF COMMITTEE OR CANDIDATE: t,D. rvn. (Ir I1pp�ICAb14i � •i ' Community Political Action Committee 771430 ADDRESS OF COMMITTEE OR CANDIDATE: eves.ANDS PEET CITY STATE ZIPt 'AAACA ZME. r n Z 1' '�+I ' Beach Blvd, `�L24 Huntington Beach CA 92648 714 9fi2�-S60I = R+ ,n r g r, I I PERMANENT AOF-TREASURER )r Applicable►; NZ5. AF40 S t .t ET CI .AYE 2106E XCAEA MME P"WgE N15. , _.;l� P.O. Box 1840 Huntington Beath CA .92647. 714 848--9000 .. -■ .n+.� wrrww 1`o'i If. The following inlormation amends campaign disclosure statement, Form No.A20 , Executed on 1/31/78 iM0. Dry Yr.) for the period _ to 7_LL1_thr=g a 2 31 77 * ` III. The amended information affects items on the: f)J Front Page ( J Summary I Schedules)_ f IV. Describe the changes below. Includes in detail all information you wish to become a part of your official campaign statement. Sc, attachedj . ,V. Reason for,amendment: Unaware that we were required to list each candidate by name its spite of the fact that our t:onimittee supported the entire slate equally. (See Attached. 7 Include'dditionalinformationonreversesideoronappropriatelylabeledcontinuationsheets.(Numbero€page attachedl0_1 , • - VERIF 1:1A TION r' declare under penalty of perjury that to the best of'my nowledgle th.s stat� nt and its s edul are true, correct and a complete and that I have used all reasonable diligence in theft eparatlon. --�'' �' 001/ Cxecuti� on_ 9/24 79 at•Hunting ton Beach CA byIDATIE) A t:anA UP ciidntr, or caffictiholder who controls rt committee must a ,�.�verify he campaign'stateme I daclsre under penalty of perjury that to the best of my knowledge t h statement and its schedules are t ue, correct and camplrte'and the treasurer of this committee has .used all reasonable diligencc in the preparation t;f this statement and its schedules. 5xccuted nn._...'_ityA"tET"""'at NO STATtr by • r MIS'ATE OP Se7'TCCrR—k1t'15t91 it inforw4tion'tegwired to as prorkw to;'ou pr.rtuant to tht Inforrrlation Practices Act of 19i7,see"Information Manual on Campaign Diterulura provisions of 'p!lrkat Raferm/tat,"14Ktion XI. 13 1 i .CQLnr ...... AEClPIENT COMMITTEESE I'C CAMPAIGN STATEMENT (G*' r"wnt Cock Saction 942W-942101 r� a w"Az Far use by rvcipiitt mmmitte"which!rew1w a cumuadtiirs � =ntribution of t50 or more from a sLiglA tcura+, (Typm or t in Ink) �,.. A OFFICIAL U= ONLY o....,.�...�.M.:.� sw_ auvIn aartlrs parlo�t 7.�7 ratr° �;ja 7 �., NLAw Oa f1t SAIML t,i1. Nl1MAi ?t ' Co,mmunity.Political Action Committee 1, A1t7iiiM1ilii.�CCiMrtIr�TTt�s �;. <� wrJ�orp'>`f�cI�41>ii<II�1itJ1: �.;�`} Ms . Joyce Rollings PERMANANT ADVAUS OF TRt ASUAGRt P.IJ. Sax 1840 Hundri ton Beach CA 9-2647 7 4 ' 'CAAL t DAT Of -suf N(me. .rY ) t , TrPI[OPILiCT1f0? ICJPCl t ON IP Mirl.l+�AUAL, Wit• W rAn�si ,,,•. lrttrwv OW000 %M" Rawl r�zrnaf M rt""ei`w«i►««+r Aril I 1 1978 �►3 � :.:• XLl Y'. IAilo�ttttr ►.xarr+aic�m ban l�r+.l+eelua~E A P by atnakwa ,vtfk r��tra arw! noMtpt 0 ;amounts .tWot. crt at 1 ,.....�.�,.. ---•----. Ot FVZOtAL NAIN OF CANO(oATIE OR DI~PIC.Jia4' UWA AND OFFICE OF. CUMULATIV ' Los OWLY W-ASUR4 AND SALLOT Nt111941M OR 1, IMA 0II<T"ta�RIQO TUIRES TO OAT* ous�arl• o�rM THt$ - 0- ot,. MacAllister 21 .27 21. 27 41Y�u... �....�.. 21 .27 2 21.27 , .... 3x1k� .L... 21 .27 7.1 . 2 7 eroine M . Bame 21 .27 r.....,..w.,. w 7 . �Ae e�1l�e�rLileeelW�iM�M1Y �eM4va.Yeeee1M11...wMrMll�MAM�w�w.., VERIFICATION G I deden urWw pWOtj of pwrj wf OW to dw tract of my k .. thm. ww ifv! t, dtllaf aro WA, comwt M- o , ccM aml than I trove ufnid all nw so Me d owto in dwiri . �• Exii lrtwd an ,._, 1 31 7 B rt,.....Hu• t h,-r$,_ Al 1arwWkftft or. 1101da who opttvrA a oonn miluo mda*06 do awp;;n 9=t E 1 de(cftu+a waver Pwwlty of pout *W to the bolt 01 met kr*wA* this 1runw,tt wW RA sch ties ant tiw, corset • cw"phrNf od *4 d0elftrra' of INS Cw", itlla hra used all mmoor4hh dillgrrwFi in dw ompwaRlotn of This niitwmnt oftc a�ttltriaw>, . la . Eaftud onffWlt�..�.. ....���t I ( —CIF IISO16XYII !4r be Pr*MMnI w 1"P1,1001 10 aA iwlerANOM Preretlleee An of If".so"1okww *w ah~ ,e,t a *e w d ks1 is wo ititwt*-* . uw!'erA�rrl 1luAerrn,t1�et„"�w�q i i i ...., . ... .�.. ^t r.,,Y•=,-r..w.+..^..r'r 'ew.vt,'A•.�t�.r.a r..y....rgpjp,ZrvMr N f^rr'r'r'wy+.ynp+r M...•fi„ r w .f' f''' ;1 i t 2. ,' a (t4� !`y! SUMMARY PAsj F ,• ' SuoMMt covers Period Own 1117/77 thrw9h _„1,2Za IZZ7 , Nam t�n� Pol t i 4.a Co I!/rig.r fi a carrtMla�► WIN nw a1 e4o bn WOW and corr MIM1+.! 1'D. Number COLUMN A COLUMN a COLUMN C CwrwWiwr Total thk period Cumulsrttiv►a to, taw itiam tray Ftwelvad data --Total of RECEIPTS. cxvAws podod` whoducat Colunvsm A & a R . 1. Mon«tary c ontr►butiorts rocitiv d. . . . . . . . . . . . . . . . . . $ S 260.00 S 260.00 pa"A.Une S 2. L03ns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 page S, Una 9 3. Miiawlianww receipts (stumh explanation). . . . . . . . . . 4. Tptai catch rweived (Nei). . . . S ..+ S, SSL i Fill Acw :m ^04 Lint{ AGO uned 1 .2 3ato-.e 1 • 2 • ]above 1 • I • ] Above 5. Mon-monstary contributions received . . . . . . . . . . . . . . e.a. One 2 6. Pindgnx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._.__r.. ......�..�...-........' ., fy, se Une .. 7. TotAI reLvipts . • . . . • . . • . . . • . . . . • . . . • , . • . . . . . S S 1��1011M Add! tw � Ace Lines s • ! •I AQarr 4 • ! • l abaw I + F 4 Above • tsna�a agwl Caturnna A • Yy 7 EXPENDITURES 8. Payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S $'�F'" S_1.06w'.'i2 ._..: M..U"6 9. Accrued oxmim (unpaid trills) . . . . . . . . . . . . . . . . . . ... �...t..... 10. Total expoenditunra . . . . . . . . . . . . . . . . . . . . . . . . . . . . S'" "X a' `>o""" e��,t a naii "'"""'" � h •»ore r t 9 asmr. • a 9 •ao++ ' (anode.qua Cofumnms A . �1 STATEMENT OF CHANGES IN FINANCIAL CONDITION 11. Cash on hand at alft beginning of this p�rriasd. . . . . 12. Cash rsxiptls this p+xitxl (Lines 4, column 8 above) 260.00 { 13. CHh paymonn this period.(Lin* 8, column 8 above) 106.17 . 14,.Ca ih on hand at cloeing data {Liras 11 + 12 -- 13 alW-o) Sl_fib 15. OutitiWkq dents`('Urn 2 + Lin*0. of Colurnlf C obwe). . . . . . . . . . . . . . . . . . . . . . . . . . I s s if 1 Line 16 . . Su Line h ttK than L submic-t Line 15 from Line 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S 153. 63 17. Dwfk4t (it lane„15 is than Line 14, subtract Line 14 ham Una 151. , . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . 5!....... ....,..�. j 'if dtu is the fkst rwport hlod or if the 4wt nrfwn wets a pcsrt-e4cdon tttwwt. Celus mi A should bw blank +xcxpt for unpaid loans, bills at i ' I i 7 e�•R�a i�j- jl'� .�,•," � t. t .` rvjf 'Or. t .� oy ° ,h} N Ccmm�nixv P` l; tica' c ommittee I.D.Nunr+rl 771430 ` ---�-- - from �1a .�1w1ZZZZ7 ._.., th . �trraestt cor�re varir�af SCHEDULE A, FORM 420,4.M or IM PAI:6#'2 �- RECEIVED FROM OTHE. RS: t>tw infornetkrt m wrW for dieved►ommr�d #""Pint FULL NAME ANO AAAREW 1XWW EMPWYER OF CONTRIBUTOR IS AMOU"T CUMULATIVE DATE Girl.Stool p/COHTAI/uramo OCCUPATION SE'l>r .APLOY O LIST S rRt€ffT RECEIVED AMOUNT ADORE= CITY 014*UEINEii.31 (4r •� ...•ww.rw..rw r+.vw.rr,�. �.S • 11/7/ 7, Jim Foxx 3.05 I7t}1 St Foxy: Development Huntington Pch CA $260.00 $200.00 .� S Q St '•. F ----.-� .,._ .,........�. .r�;. 12./13/' 7 Daniel J. , Schnorsky P.O. Box 6489 t Daniel s Import/1Jcpctirt Huntington Bch CA $ 10.00 $ 10.00 a YA P.O. 6489 i, �i#� � , Owner 12/16/ 7 Allan ingensinith 17791. Beach Blvd. �'2? 17791 Beach Blvd. Huntington Bch CA $ 25.00 $ 25.00 Huntington Bch CA 92647 Attorney �'� 12/16/ 7 Erik W. Lundquist 17931 Beach Blvd. #8 17931 Beach Blvd. #8 Certified Huntington Bch CA $ 15.00• $ 15;.00 Huntington Beach CA 92647 Pub. Acct. 12 21 7 J;e-I San PMppo Adscirihe, Etc. 315 3rd St. #208 315 3rd St #201 Huntington Bch CA $ 10.00 $ 10,f10 .�,. owl . I�w�w nrt�+ttltr�tru�r htbrrltwlf MprrrYrt�llllt��� - EtAIMAL'(C,any vrM aw addi to "U-' fin^w S.pNrt 31 S $260.00 r 't�1/rd��j�a,�r�41,�r1��iatn vt� rrtalir b�► an tnwrtt�rdfrty providtt thr�nt�ut► tar bit tfirt iatternwdlarti►� t#w prineipst . .i � . _-' -- - - _-- `-,--.rrr�.•I�lwnrlYM�yrw.rrrl ir•.rM��ur iMls ywraArMrrw.wy �ry����� PART 3'.IIIJ#AAARY CW"CNM�,'('f'AIRY C0MTRNIUTI*0 ON Irri$wregrrn rn rmd Nor na W4 ww"PW i Y. RECEIVED F CO"ITTSES TWO iR 11100 (ho 1) . . . . . . . . . . . . . . . . . . . . . . . . . .S "0— .... 2. RICEIVE0 FRM COMMITTEES UN011.9i $50 THIS PERIOD IN-at I"mindl . . . . . . . . . . . • "�6TI"'CT(f""""'"' X RECEIVED i:Rt�lM OTHERS THIS PaRIOD (rays 2). . . . :. . . . . . . . . . . . . . . . . . . . . . t, R*UIViIED FROM OTNfR3 Ut40jR IN THIS PERk3O (N*t Itw iaard) . . . . . . . . . . . . . . . . E.TOTAL, MONETARY C0.4T'RIlumm RECEIVED THIS Pipwo 260,A a a (Wro 1 ♦ 2 ♦3+A. Enw imt t"W em Une 1.+Ctrium S of sut�ry Pula). . . . . . . . . . . . . . . I I I I • �. ,{ t.`.�� i .. r `.i, 1;t+ ti. r �L' � . , . . rs�lp�?��} _� .,L ( � r, •M+-=•t a .. + .. ;�.' ', ! + ' � '' .. '. .. ,.� +, .• :.�;: 'T i.l �) i ( y 1�� }�t�. �.�N�u�.%Wr►M"'�"ofwor' !"fir 1Cle"•�. ,.rr+ Ygt1 4r+Mt r�rws+e�'1•.r.'s.• . iLwT 7 n. Comm�uni Polities coon M i.o.r�,Ww�� tO%rs..t...�ZL4.'►tl.... Sa►�r wt owm pwi0d hum l 1 T 7 7_, ��� l 2/3 L/77 t SCHEDULE A,.Fk M*,2o,`4a or 46o :k MMETARY CONTRIBUTIONS RECEIVE© lAnwwv may tw row4od cH 1,5 who4 ddt.m) �AAT-1 ArrcElvw FfWMM R1ECIP1S T CtiDMrMtTTf E.S.- (So Mow""tift 'u`wrwd fw dkwdma and ►BULL HAM,AM AVORM(W GOMMIT U F L(. AJ1 y `� Aylw OUMY cUMIILATIVE Dr1Tg NAMb$tswup.a",!mow Fffi � MKT�'�OOA�dJ R=IVKD TO DATt �f i ' I w, Try i. F rM�l�M4V�i1�1�YM 1 rwwww�Ir4 -. •. I .r. . iwrwrwr�wt IMWMAL fCmv*ON sqr rI1rMrrri so Now 1.Pot 3.p"+41 $ '"0"` r r ommunl Palit �``� tsr+nrtt�rl 7714'�()„�„. w r..r. w.�.. Da •I Strtimmt oow pwiod frcr-n 11/7/77 throwA.. , 1_Z7Z,._._.. SCHEDULE 6, FORM 420,4=1 or 490 LOANS (Amowis may to round&d off w rihald dollwnl PART 1 -- LOANS RL'£EIVID: (90 WWNWOM n 0001 far dWWOM will MMMO s ► FULL NAMIE AND ADORM:fMs Of UNOIR MMPLOYER (If 904mo0yod intowt AMOUNT OF 'CUMULATI �+A OATS AND ANY GUARANTOPS OR COEM MIR! OCCUPATION Ibnt NrW trddrwt WKI C►tV Rae LOAN APMOUNT of byillMw.) f[ , r r +�y a 4 � SUSTOTAL S —0— PART 2 -- LOAM 91PAI0, FORGIVEN.OR PAID 6Y A THIRD PARTY: (S.r informa abn to ommml fIw dk owdow ow atwellp" (pj (b) (0) (d) AMOUNT AMOUNT PAID DATE FULL NAME ANO AOORMEIq Of THE LIIMOGA f'A)$IIISON AMOUNT f ORG,IVIN rY A THIRD UNPAID WHO REPAIR TN111 LOAN IF 01IePMIRENT FROM PIL A REPAID IE,ntw tin PARTY IEnta BALANCS Srahed. Al on Selmal.AI ,r ANITOTAL S ., 1, NMI PART x k lw* 1" WAN qlt."Cl OA.MIp1'1E THIS"it" (PKt If. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . ` 16 2, LOAM UNDER#MID THIS.I011111" ("a 1"11 ") . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..��.�___....r,. l t MAL LOANS RIW#IVRD Wf4 I ♦21 . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,.........�,..._.. ;: LOAM RSlo/t.I0 Of� �Olt MOPIt THIS PIRIOD (Pen 2,Columm U . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _.....�...:......... C' t,3001S KMQIVNN,OF 00 09 WRIE THIS PIRIOD IPW% 2,Column b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . A 1AANS PAID BY THIRD PARTY Of lIMD OR MORS THIS PlRIOD (Pot 2,Cakom o! . . . . ... . . . . .._.__._...,..:' y.'WANs REPAID,F"GIVtM;OR PAID BY A THIRD FARTY UNTIE!! 00 THIS PERIOD (14at Itanind) . . . . . . . .. . II..TDTAt,`LOAM RAVAID, IzOfldIVEN OR PAID MY A TRIAD PARTY THIS P1E1111100 (Lin*4+ a +e + 71. . . . . . . , �' i. HIr cmAMGS THI#remao (#ubava Lkw Il f m trims 2 wW iw►w an elffoww on dt(4 line rnd an >,. x,cam a o+SwwromiY ►.yn.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,.� ..» MAY BE NIMAY1% �IauA� . � G1 i 1 , �...... • .. • � ♦ . v vwrr++wwyw •'.I.t...�4rMIw�..�w..w�w�.rM w�' . . � «. . � • k.. V'Mjw.. NAMA 1r N"©o)Commrt/et hi . . Sts*rrwnt collws porkw from through SCHEDULE C, DORM 420,430 or 490 NON44ONETARY CONTRIBUTIONS RECEIVED S (Amounts may bo rounded off to whcla dollars) Sre infonl iort� avilarirai!brdh 88daw OW MaV460 EMPLOY>[R FAIR MARKET � FULL NAM IM>4O�tDi7AEgLi AND � DWfilr'TION OF FAIR ll!9al�w►plpyrd. VALUE OATIE I.D.NU61WR lit ClRwmtm) OCCUPATION 1'ATION Upt Ail7rww1 GOODS OR SERVICES RtiCffIV�rO AMOUNT C dye 1 • �T i I t A""aild4t lm hYhr I ON pI IM raftoo 0 1wink t Mr XW41pft"emm". SUMTAL ! M Pit""RY I. NM4"11T'ARY Co t"tl tJ'1`1 *4 of M on MORE THII IIA100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S�,.._......._._. 2. lr 0.440HIMARY COWRIOUTIONS UNDIR M TWO PERtOQ that IWMnd! . . . . . . . . . . . . . . . . . . . . . . . . �.�.,�.....� I TOTAL MQM-MONETARY(VOIITAIEUTIONG THIS FfRIOA 11.1ne I +2.wart' on Ling 6, r 4p�w �.. 1} ! ,. t ,.. ..; 1 i{' .l ,f _ . fit• 4����4a <•• F j 7 � air � 1 >r't - •r � .•vwJt�«�tl�.wtreringn�..tev�r�u.vrt.•.. .•�r♦wrwr«r,. .. r1 " '�> r I^J���.:. Ow KAME Community,Folitic Ao�L jt,CamLu jttef; I.D.N�M9EIt o •l .�.._,.7?34�3n - •;. r rrw..++r� Suarmem cove period trom ` through sC9^ImLE E, FORM 420, 430 or 490 PAYMENTS (Amounts may be munded off to whop dWivil PART 1 — MADE To RECIPHENT COMMITTEES: 1Sn infanvIv us 1 wmJ fa diteetl' u seed ax-om*4 OFFICIAL FULL NA MIN AND A00A901 Of PAYEE COM ITM9 ANO 1.0.NUMAER (tf the WWwrAtive ha no AMOUNT ?� U&I ONLY 1.0.mu"w.was%A wm errf pwwwam ekkim of tro Ti:m.+rw1 THIS PER100 1 ....... MY . Mr•IIWY.FL SMOTAL (Garry vrdth rrty*ili#d*" i nlit"*to Lko 1,pan 3.pvp 9l i f I jl � t:� f .i ,.,1 t�'�`v. s ;�.r��+.�j t•, � r i t� � �� f, �� 211 _.'�S:I�t• '- i .�''. t, i �F�•,�L�t.M�., �� .';'i',�) �..;��•.;.;� /� 04 KA 1✓ommuni Fol r ',,j" ° t4�1........, �.o. �lult �nw771930 �.., r suomwt 0000>f pw'iod from 1 V Z7 7 � 1 Z31/7 7 3CHEDUL.E D,fORM 420. 430 or 4W PLEDGES (Ertlbr rrnorl►m) (Arnow u nwy be (oursded ott to whol+ OMlwzl ,Y Sr klow rwrdwr we tar amalwas awl WWOV*Ikm la lb) lol lMftQYtR (IF S*LF•- AMOUNT AMOUNT fCuMULATIVi VATV ANFULL D 0 N`W AMC(1 GORM l OCi:U1'ATI0N tlI'WYtD. L19T F1»!1MD :. PAID'Smw FL1001., A 3RYii TMOS/'1RID0 on Z4wmL AI utOA10 ' I Ik ijl. L 1 1 t � Rrrrw.r ,a t ti a+nrwvw . w.rrr+� � t , At'4rt tw110tlM�41i1 kI�IMIM��o+e �ar�tnbwMrd a�wat�+b1�M'!1. �T�1'dL 3 Mp.. SUW ARY 1. NUDGES OF 850 OR MORE TVIS R1EWO (C•o w m at. . . . . . . . . . . . . . . . . . . : : . . . . . . . . . . . . . . . . . . . . . s 2 PLEDGES UNDER 340 THIS PERIOD (Nat lwml=d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �..TUTAL.PLIIa1:.0 MECSIVED jLkw 1 +2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. PLEDt'f" OF m OR MORE PAID Th18 KRIM (Ca4lu"m bi . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . 1 N'LEDGES UNDER ►PAID 74418 KAIAD ('" Itxrtind) . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . 4. TOTAL PLEDGES PAID (Line 4♦ 51. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .........�11.-.. I. NET OIANGE THIS P23100 (Subasct Una E trckire Uns 3 als.d wvw ttw dltlbt•tw►c*m Urm d,cakw ^ ma 0(Su *Y pw). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • M A Y S[A NROAT1VC �i�uat .Y_....».ar,a/.tfttt�t.M9C�Ori17tr.�1�a...:, ... .�•.. ,^r' .__._.....�......_. .a.It I t,ly, c, 1R, E ;t. y ,�.�. ! :f, + ,, �', i t _ '' � ��+•i1��'E�.�•.'�r'.� :�;..� t ax�:x t xlr. p.. _ .�',t ;r`t r t i; } ' s }t'.( r .. � i , '' .��. r , � s�� �Li• I � r.1 r . t +::, a� `;%'r ' r.„t ,1 h,: ;tr ,� •fr° .. / ' 'a„ t .., 33 At ire• CommunitPo2 � . 0 I.D. Nu.:.i>� ,+n.v� ��t d co rteterr++Mnt aavert pa�iad fravl 11/7/77 thraugd+ 12/.31I77 r SCHEDULE E. FORM 420,430 or 490 s PAYMENTS #� PMT 2_MADE TO O'r'MERI1: (tft hill"11111111d0l m 01110d fhK dire "m&W a W14*W AMOUNT,: FULL MAW AND/iOQA/a Of SAY!!• OtiCRIMON Of GO006 AMC URVICU PURCHA D THIS PIRIQO. Huntington Beach News 20& Main Street 't Huntington Beach CA 92648 Printing $53.00 . Western, Mutual Escrow P.O.. Box 1840 ,. T Huntington Beach CA 92647 Re-imbursem t Y Bean- Standefer ; 326 Main St Huntington Beach CA 92648 Printing $25 .97 .rrrr r...•r�wr w .r.. r1 - -- - - - rr.rwrrr�rr•rrr. r. r Lrrl .w.�w+r.wr+�wr�wrl�.+. M } ' V A fvw*XMIPe900 *110O 0 llm mm l AwM+MM een m most&soft SUSTMAL IC&"wfth any addhimal wbtaatde to Lim 3. Pon 3) S �106.37 "if I'11M pof it wf'wmt hom Vv voxkt (plwim prw#Wnt podo or wrviaq) and the vo okw r0ow Fet S60 ar mom, th* n m wW srddralr of bwth pe I as end vMWW MAW ka 1160d. rrryrrr�rr...,«.•.r..r..rr...r..,.rrr» PART 3 -•K^WARY OF PAY11RlEM'ly (&x M,hwwwd + mmod 1w cm wW I'utAapltrJ 1•MADE TO COMMITMU THIS Pf.RtQO (Port 11. . . . . .�.�. ♦ • . . • . . . . . . • • • • . . . . . • • . • • . . • . . . • ♦ . • • • . . t..,, -0 2.MAOS TO CCOMITTLtr U14011A M THIS PERIOD lNot I'tarnind1 . . . . . . . . . . . . . . . . . . . . . • ♦ . . . . . . . . . . 3:MAog To 0TH9RS;THIS PtRI00 (Port 2),' , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4, MADE TO OTMRS UNDAR 00 THIS PIERIOD (Nat ItK"491 1 . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...�.�.. S♦TOTAL ACCRUED EXPMES Palo 111%PER100 gkh f ie F, Um 4) . . . . . . . . • . . . . . . . . . . . . . . . . . . . S. TOTAL wAY�lI P,.?M THIS l A 100 (Urm 1 +2+3+4 +6, ERW%t It t aW on lMs S.Colum B of So m ttry Pmt) . . YOTi;3"7""'"`"� —.. __..�_.r.�,yyyw•'• -a_11�1:� .. ...e..r y..,�.,,`.......eM•w....__ r I •'w►t+.�;{.w�.,, � � t _ .f._.,�......�.... •5 ,,..,,,.. -"'�• ' .� .. ti f ..i' �i+F k f.� a 1,e ., r {,, r }, � r • Ommuni Political A '^ a �€ - NA tY ,. ; mmitte© - �,��.Nu �,• rt..l ;. �_��l30 _ '• : ; f ' • n. r r.i rn.ri�a..r.r.�i..�..ww.... ��.'S��•;i��. `I Stowxrom Covers pwiod fmm through !. WHEW LE F, FdRM ,020, 430 it/ 490 ACCRUED i,.XP RSF..S 'Unpaid 8141s) (Anwmu awl to rour#*S ofl w whale dollwsl See ia11611001dal nw"Ad i foor dire dowi tww.uwr�e AMOUNT• FUtJ HAM A100 ADQWIM DLII4:RIP?ION OF ACCRUED EXP2NIES WPM.Qtv.SNW IG0001i AND SERVIC45) ACClIUrO THIS PiltIOD *. : t' �rrw wwrw.w�w.r .rw >A i * .- TOTAL $ •-p- *If Ow arxnwd aatlwrtw► is twtMd to a conxnittaw, list ttw wntmltm's mom vW I.D. number (car the full ntertw and pi"'I ►rtct wp*w of tM truamr). If the p+woon omykiing tht gwds tx t+a ykw was dlftant from ttw psyw. tlrt oath prrtlan'a full ntnw.Strtwt rddtv", dty wnd Stets. SUP AURY 1.ACCRUED EXPENSCS OF W OR MORE THIS PERIOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-...,, 2.ACCRUED E%FE OF UNDER SW THIS PERIOD (Not Itsffdzsd) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,..... 3.TOTAL ACCRUED EX.Ir N O;114CURRED THIS P0100 (Urn 1 *2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �........,.,........ 4.AC4.111U60 EXPE4143 PAID THM PWRIOD (Nat Itomind, I.x:rttrr an Lint 5, Ptrt 3,SuSedule E) . . . . . . . . . . . . . . . ,..._._....._,._. S.Nh`T CHANGE THIS PER100*(W t Untr 4 ftw Liar 3 and witw dlfitommv tan 4ine 9.Column 0 of ' �I�+igwy Popp . . . . . . . . . . . . . . . . . . . i . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �.r..Mq. 2 r f ` RECIPIENT COMMITTEE CAMPAIGN STATEMENT (Government Code 5rction 84200-842181 !'r-M 4MD For use by recipient cwmminees which receive a cumulative contribution of $50 or more from a single soiirce. 57 pR.l8 .'j. Crvpe of Print in Ink) A OFFICIAL USE ONLY .T« Ststsment cc�r�s .ariad from .._..i i zz L7 t'firoit. 1.2.13.1 Z7,7 �(' KAME OF,Ct)MMr11TTIS: :.a. NUMBER ` Com�'mgnit ;Political Action Committee s,. AADQIM OF COWMTTEE: % ".. _.,�.. 18-58213pacb. .u..... ..,Ht:ntfna nn Bench ["'.A_ 2R,'Jl i7=RF£1 ,sr- •� NWq 00 T1010JUItLtIt: �. Ms Joyce. Rollings E. ;PERMANENT ADDRESS OF TREASURER: ~! APEAL ~'� ` -4Q. P.O. Box 1840 Huntington Beach CA 92647 714„Z TYPEOF'tlL1CTIt2N (CIRCLE ONE IF AJ►lN.ICI«ELfii: CIFICLs IF AMICABLE: OATH Of tLE=ON IA%. Dory Yr. .. pA� lit Primary .Genera . sped Recall c4rntoftsamf;'slow�ment April 11 , 1978 to (Allocate expooditums fnxn!kh*dulet E h F by cb-4lo tet,officerwldarti mW r.wwums:*Ttounts { '• mw be roundW off to whole d►At s,) OFFICIAL NAME OF CANDIDATE OR OFFICEHOLDER AND OFFICE OR N` CUMULATIVE M US&ONLY VASURE AND BALLOT NUMBER OR LETTER ONE EXPENDITURES TO DATE tuoaon 009010 THIS PERIOD _0_ Acrach audldor►tI inrwrrt�darr arc�arraoriartlr lib.!MQ conhnupidn ulserx VERIFICATION l dedsim under pinalty of penury that to tt:e bast of my kno adp ails sute'mnt end its > .h4ules are true,correct and con plem and aunt I hew used all restonWe allIperice in their prvprrsrtion. .r ( , f Exectrd on unn py .~ .... A cindkism or offlc t hoWw who cxmtmist a commktw mst also tify tf'!MI compaion 9 ent=" I dedsire under penvI y of perjury thrt to trio best of my knowlid4e tltlt ttatanent and its schedules are truo, correct and complete and the tmourw of this mmmittot has u*4 all rv=r.%bAa dillQnKa in the properaticn of this statement and in srl�u les. F Execurad on .-......�-A.TC .....It (D..Rr. (, TA ) by ( i NA u MDAY'JOk urFtc r OC—Dep �tsst rtryrlr'erf w loe Rlrsltbd tit yew/a:rtil,aptrt•as ttw Itrk�r+resrtbn►iMes:ai+ntu Aer s$ il97"7,trse"1trMrmatlea4 Msewa art Catr+p�cgxt Otxtorunr Pro+►Mdons of i ,. r , s SUMMARY.PAvE r , Statement covers period from l 117 -77 through 12Z21 f77 Nam- Community politi (if th,)it a Conao/rdateu( q rl��gj1,*.d- Ow nww of tM condider*and romminw.t I.D. Number 771430 r!'°, • h/Cavrmrttooet COLUMN A COLUMN 8 COLUMN C Cumulative Total this period Cumulative to wtal from from attached date Total of ¢� RECr"PTS previous period•. schodula Columns A & B c 00. 260 00 ;-.I:,•Monetary contributlons received. . . . . . . . . :f.. . . . . . . S ._._. S S 260 aatro a. f,.Ine 3 2. Loans . . . . . . . . . . . . . . . . . . . . . . . . . . . p19e S. Lone 9 <t,' 3. Miscallanivous receipts (attach explanation). . . . . . . . . . 4. Total cash received (Net). . . . . . . .. . . . . . . . . . . . . . . . . S s 26Q.00 S n -hh 1 t: i Add Dines ACC i.tnes AGO Lin" 1 • 2 + 3 above 1 . 2 . 3 above 1 + 2 + 3 above 5. Non-monetary contributions received . . . . . . . . . . . . . . 6. Pledges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Total receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S S 26... 0 ,:d....,..�. S.,260.0 1 Aotl Un*3 Add unot AGO Liles A S •6 •Dove • 6 + e above + S + 6 above {Should wual Columns A + 01 EXPENDITURES 8. Payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S S'1'06-- 11 4n.6 S...1 O R- 3? Ve 9. 9. Accrued expenses (unpaid bills) . . . . . . . . . . . . . . . . . . - o e 10. Una 10.- Total expenditures . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ .., ,,,,,,,, Ss10r6�.37_ �« 106.37 Aq0 UnO AQd IMAM AGO L1nm a 1. 9 above a i 9 above K 6 9 aDow (3tiould equal Columns A 01 STATEMENT OF CHANGES IN FINANCIAL CONDITION M 11. Cash on hand at the beginning of this period. . . . . S MQ� 12. Cash remipts this perir..d (Line 4, column 8 above) 260.00 t 13. Cash payment's this period (Line 8, column 8 above) 1 06 32 14. C"h'on hand at closing dyw (Lines 11 + 12 -- .13 above). . . . . . . . . . . . . . . . . . �� 15. Outmnding debts (Line 2 + Line 9, of Column C above). . . . . . . . . . . . . . . . . . . . . . . . . . 16. Surplus (if Una 14 is gmater than Line 15, subtract Line 15 from Line 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S 153863 17. Deficit (if Line 15 is greater than Line 14, subtract Line 14 from Ling 15) . . . . . . . . . . Sl "` 1L is tho first ?sport filed or if the lost reason wilt a post-#faction statement. Column A should be blank •rcept for unsaid loans, bills and . i Community'Political Action`.' mmi(rtee 1,D.NUM/EA lituommiitas� ??LJ L1 "'�'•� .rwwrr.+wrriw.w..wwr��r ■m rr....r...� • - Ststeme�nt coves i iod from, 11 7 7 7 through �,.2�31177 ,;,SCHEDULE A, FOAM,42M 430 or 490 MONETARY.CONTRIBUTIONS RECEIVEn '`, (Amounts may b k rounded a"to whole dollars) ' ART 1 — RECEIVED FROM RECIPIFkT COMMTTSES: (Seainfornatiar ``mwiuirl tar dinctiont and �x CE qmpkW FULL.MAW AND ADD11GS OF COMMITTEE 1. .NU 51U TREASO R R'S AMOUNT CUMULATIVE• OATt 0~1 Gff.340101 FULL-NAME AND REC11VED , TO DATE ►�,� PRAMANENT ADDRESS :. • w w-.�t`.q.. { r 1 raw... .+I.+ �...... 1 MANIA aMiNgriw�N k1�s+nlMlfdel� �F teprM�ex�d/�+rltl�7�IKt. SUS101 (fairy wls ;my adder�do lim 1, prlrt 30 M"4) $ ""p" 1 • j • 4 r .` 11', ( , .. .. .._. ... „ . +•l.. .," ..J .. 1 .. . ., t r'.}Q "M11:1 fqx u'•.v.,'fi11i .ti 7 NAME Community P_„o�itic�l Artio�- .,:JiImiittee I.0.NUMBEn lv `��m�a«I 771�30Vr 5taurr>+nt arvtrrs period from . Z7 thrnuph 12/31/77 Ma SCHEDULE A►, FORM 420, 430 or 400 =r Y PA1411 2 — RECEIVED FROM OTHERS: (See irtirrmation rn@mW for directions a.,d exim" PWI{ ,. PULL NAME AND ADORM(Strwt EMPLOYER (IF CONTRIBUTOR IS AMOUNT CUMULATIVE �'- , OATS City.Smml OF CONTRIBUTOR• OCCUPATION SELF-EMPLOYED LIST STREET RECEIVED AMOUNT HDORESS it CITY OF BUSINESS) 11/7/ 7 Jiln FoXx . r Foxx Development 305 17th St g �, Huntington Bch CA. $200.00 $200.00 05 j7th St Owner �- 12/13/ 7 Daniel J. Schnorsky , P.O. Box.6489 Daniels Import/Export P,O. 64$9 Huntington Bch CA $ 10.00 $ 10.00 Owner .;.;; 12/16/ 7 Allen ingensmith 17791 Beach Blvd. 17791 Beach Blvd. g Huntin ton Bch CA $ 25.00 $ 25.00 Huntington Bch CA 92647 Attorney 12/16/ 7 Erik W. Lundquist 17931 Beach Blvd. #8 17931 Beach Blvd. #8 Certified Huntington Bch CA $ 15.00 • $ 15.00 Huntington Beach CA 92697 Pub. Acct. 12/21711 Joel San Filippo Adscribe, Etc. 315 3rd St. #208 315 3rd St #201 Huntington Bch CA $ 10.00 $ 10.00 , NA ' J i. •rrirrw wr,rrrw�rMrw . SIJI!'1'VTAL (Carry wM ony addltionM Subwt*to lire 3.part 3) $ $260.00 'If tto oontribuVon violet made by en Inurmedlary pmvi,* the inforrrstlon far both tM Intmin►edlarry and the rwOncipal w ntributor, . PART 3 •-SUMMARY OF MONETAIRY CONTRIBUT1ON5(Sm lnforrrraWn mwmml for d{r,tedwu and exurnaiwel 1. RECEIVED FROM COMMITTCES THIS PERIOD (Pitt 1) . . . . . . . . . . . . . . . . . . . . . . . . .s --0-- 2. RECEIVED FROM COMMITTEES UNDER S50 THIS PERIOD (Not ltarnimdl . . . . . . . . . . . 3. RECEIVED FROM OTHERS THIS PERIOD (e'en 2) . . . . . . . . . . . . . . . . . . . . . , . . . . . . ; . `ZGV:L7U"'""'"" 4, RECEIVED FROM OTHERS UNDER $SO THIS PERIOD (Not Itunirrdi . . . . . . . . . . . . . . .. . ......, S.TOTAL MONETARY CONTRIBiJTIONS RECCIVED THIS PERIOD 260 00 (Un* I +2+3+4. Erntatr this total on Unb 1,Column S of Sulrrmmy per). . . . . . . . . . . . . I h I ommunity Polifical Qn.MM't A /� 7714 i �rrwrigr. wrr '�y+ ��i �.rr I.LJr NUM� Qn���tt�l 30 r T St tsment covers period from 11 7/77 thro:,gtt.. L 1.LZ7+ SCHEDULE C. FORM 420, 430 or 490 LOANS (Amounts may be rounded off to whole dollars) PART 1 -- LOANS RECEIVED: (See infonywtion nnenual for dlrxd an ons d ommpke) ` DATE FULL NAIVE AlID AGOR 'S Of LENDER OCCUPATION Ikt Msot EMPLOYER llf wifonWar adarm Wu Char t Intel AMOUNT OF CUMULATIVE AND AN GUARANTORS OR COSIONERS nat• LOAN AMOUNT of bwinuL) •,�,; �` y t- i;. Y •S j i I - I An aV 11' ib*pW lnhwRl1 Wav on aWnpoetwv 1&6oW 1 YnrintAidan*Swm SUBTOTAL, 5 —0— PART 2 — LOANS REPAID, FORGIVEN, OR PAID BY A THIRD PARTY: (Sea inftirnWiriw manual for dkoWotte and escernploW (E (b) (C) (d) AMOUNT AMOUNT PAID DATE FULL.NAME AND ADDRESS OF THE LENDER PLUS PERSON AMOUNT FORGIVEN aY A THIRD UNPAID WHO REPAID THE LOAN IF OIFFEkENT FROM FIL$R REPAID SEntrr an PARTY (Enter BALANCE Sched.A) on Scn+d.A) ArewA nW1011nOkrfAVPR/04W an AVAWFWW 4&"con t>i►FY1ftm&W= SUBTOTAL S .. .. DART 3-!i'l,OM MY 1, LOANS OF NO OR MORE THIS PERIOD (Part 1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s 2. LOANS UNDER S80 THIS PERIOD (Not Ittrmind) • . . . . . . . . . . . . . . . . . . It . . . . . . . to . . . . . . • . . . . . . . . 3 TOTAL LOANS RECEIVED (Earn 1 +21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r . . . . . . . . .4. LOANS REPAID OF mil?OR MORE THIS PERIOD (Put 2, Column a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. LOANS FORGIVEN OF W OR MORE THIS PERIOD (Pon 2, Colunlrt bl. . . . . . . . • . 1 . . . . . . . . . . . . . . . . . . . !!L LOANS PAIL! BY A THIRD PARTY OF #BD OR MORE THIS PERIOD (Part 2,Column 4 . . . . . . . . . . . . . . . . . . . .r,__�__�. 7:;t,OANS REPAID, FORGIVEN,OR PAIL} ►�Y A THIRD PANTY UNDER S60 THI&PERIOD chat itrnl;ced) , . . . . . . ;`.I ..JOTAL�LOANS REPAID, FORGIVEN Off PAID BY A THIRD PARTY THIS Pen iOD (Line d + g+g + 7). . . . . . . . 1 , POET CMANGE THIS PERIOD (Subtract Lin»S from Urn 3 I nd the dlffwlrmce on this line and on L1n» 2,Column 8 of Summwy Pspe.) . . . . . . . . . . . . . . . . . . . . . .`. . . . . . . . . . . . 4 . . . . . . . I . . . . . . . . . . .,....r...�...«. AWAY a A �t NRGATIVC f ... ... NAME ;ci.< LD.NUMBEk:� mm�tiwl 1941D SUanxnt covers period from '----Ij/;T T through SCHEDULE C, FORM 420,430 or 490 is NON.MONETARY CONTRIBUTIONS RECEIVED (Amounts may t„r rounded off to whole dollars)r S" Inform lot+ R wvW fw dif'ocdw>r and exampke EMPLOYE; FAIR MARKET KDI FULL NAME AND ADOR '=AND DESCRIPTION OF CUMULATIVE OATS OCCUPATION elf Self-EmWovW VALUE 1.0.NUMEER Oaf.Commite Urt Addreal GOODS OR SERVICES RECEIVED AMOUNT te ins Kyk f ' , i i I •t !IY r.��.wws rr 1� Ati�cn egdld�cwM+nf'anr�tiur+on a�gprNtr!y 4b+bed acrni:K�cron nhMx�. , SUBTOTAL $ «. .. SUMMARY :.��. PI N-1001 15TARY CONTRIBUTIONS OF $W Olt MORE THIS PERIOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2. NOK,MONt'TA14Y CONTRIBUTIONS UNDER S50 YNIS PERIOD INat Itsmirecil . . . . . . . : . . . . . . . . . . . . . . . . "" Tu lQN-MdNETARY CONTRIOUTION5 THIS PERIOD (One 1 + 2,enter an tine S. ti ci►trME Communi Politi ,. 5,'ri LD, NUMrFh `• �unittlNL 77 Q_ i"{� 5taitmmwnt coven period from 11/7 77_ throw I 2/31177 SCHEDULE D. FORM d?C,430 or`490 r PLEDGES (EnfomembM Promim) (Amounts'may br rounded off to whop dollarsl Un inirt tmadan bwAW for dlI>+ clh am and Wwavacions, lel (b) . (c) EMPLOYER (IF SELF- AMOUNT ' AMOUNT CUMULATIVE tt�• �� DATE PULL NAME AND ADDRAW OCCUPATION EMPLOYED, LIST PLEDGED PAID iEnrrwr. PLEDGE AND I.D.NUM94A lit aw.m.4ttaI A00REWI THIS PEAIOO w+5dwd.AI UNPAID k N i P r, V r!w'►�+IA1M1Mwa�l�pt�tfMlny►Mdy MIOr•AI�I apatnkr+ti+�dierl JI�N1Ci. SUBTOTAL S ..() SUMMARY . PLEDGES OF SW OR MORE THIS PEROD lWumn al. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i PLEDGES LINDER S50 THIS PERIOD (Not Itsmind) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .JOTAL PLEDGES RECEIVED (Urys i+2). . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLEDGES OF SW OR MORE PAID THIS PERIOD (CaILMn bl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..�. PLEDGES UNDER $0 PAID THIS PERIOD (Not ltemirtdl. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL PLEDGES PAID (Line 4 r 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . —Q— NET CHANGE THIS PERIOD (Subtrartc line 6 from Line 3 and enter Ow diffivvnCe on Line ©, ..p_ wom.a of Suv mltry Prlr'). . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . , , . . . . . . . . . . . . . . . . . . s.R ... MAY ISE A NEGATIVE NAME C6m, rhuhity Politica ommittee I.D.NUM®EA', --ornmitt«I Statement coven period from through____w_. SCHEDULE F, FORM 420, 430 or 4W . PAYMENTS =" (Amounts may W rounded off to whole dollars) r r PART,1 -,M.tDE TO RECIPIENT COMMITTEES: ISrr Infornution manual for diroctionv and ncwnpMsi OFFICIAL FULL'NAME AND ADDRES3 OF PAYEE COMMITTEE AND I.D.NUMBER Ill the comma"" ha no AMOUNT 'USE ONLY I.D.NU1,6w,tteth lull nenfe mid pertlww t ecideew ct the Tnaaiurw) THIS PERIOD 12fA. At'IWO##%VSWW kPOW"Wth i1 on aWfor>"WIr/Mfe W m t awdoft MM/tm SUBTOTAL ICE wltfi my eddkWoW eu+trtot b to Line 1,p*n 3, pole 9) $ L I i f. } '•� iusiw Community Politik �. -� t"� ( _ " 7�T ~` o I:o. tium L ; Gomm n.r » . Ststart*nt coven ivriod from 11/7/77 through 12/31/77 SCHEDULE E, FORM.,420, 430 or 49-0 F PAYMENTS ' PART 2 —MADIE TO OTHERS. (Sea information manual for directions and exampWo) AMrUNT FULL NAMI AND ADORE S OF PAYEE• OESCRIPTION OF GOODS AND SERVICES PURCHASE THIS PERIOD tiuntington, Beach News �. 908'Main'Street r ii V Huntington Beach CA 92648 Printing $53 ;00 a; . ,Western Mutual 'Escrow 0.0. Box 1840 Huntir�gtrin Beach CA 92647 Re-imbursement for e2.2tamp, ? `;Daan--Standefer 326 Main St Huntington Beach CA 92648 Printing 1$2.5097 *. r 5UEFTOTAL :y—ty +arid, sny eddltlonal subromb to Li *3, pan 3) S L166.37 "if dve poyse is dlt%mt fnxn the vw4or (peraw pr.vIding weer ar mvic ni and the waxior re+MK*s S150 or mots. the nvm Ind akho of baM p"m stld vrvdw mu►,'t be lixu d. �lw�wrnrr�r«nE4+awisllR�en� 00 PART 3 —SL '`"►•AY Q!' PAYM>&MT3 (tit kdoynisdaa ""anal fur"aatk"mod examrow I MADE•iO[ ,,EES THIS PERIOD (Put i) . . S —0"' 2,MADE TO 4;»4# , '13 UNDER SW THIS PER100 (Not (temindl . . . . . . . . . . . . . . 106.37, 3. MADE TO OTHOS ? • 'lPERIOD (F%n2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . . . . . . . . . . 4.MMIE TOOTHERS!!NDL" ",W THIS PEMOO Mot ltafniradl.. . . . . . . . . . , , . . . . . . . . I).TOTAL ACCRUED 6k;'" 1116L.i PAID TINS PER100 (St.`miu* F, t,isw 41 . . . . . , . : . . . . . . . . . . . . . . . . . . . ... 6..TOTAL FAYMENTS THIS %gEMIOQ (Urm I ° ~ 't j- 4 +S. Entasr this totm Ml Ilrrt 8.W,in 8 of Sunvnvy Page) . . S.:Q.w.R...�,....... 9 -`