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Campaign Statements - File 7 of 15 - Campaign contributions
I '—•-f ._. , � - , � (Interim f'tsrm) � , SCHEDULE A, FORM 420 or 430 MONETARY CONTRic3UT10N5 ;~ t` e (rtm�::its may au nouridud oll to wttult! rtullat-,) ART '1 RECEIVED FRO14 r04-11!TTEES. (S,,c information manual for directions and extanples) ''l PULL "ayE I%tD ADVAESS OF CCVJWlTTCE { I.D. NUMt)i 11 OR T"EASURMS� *,MOUNT CUMULATIVE ' t'.Dl.it: 1511+*1, Gltr, State) ! FULL 144ME AND ADVAEt! AccEi%Pro TO DATE S� i 4 5 � , r xM, ,. � 4 ,... . .. ..ar 4 , ,. a "'a � n. s . a .... .....• .,.. .. _,..........,.....,.,.,......_.,b...... ........._,,,,,,.,, .......... _.._-.._....._,.- ...... ,,.._.._. t, i • I .... r. ''•' .1.. .. '.a , .'•t. �!'•�I(1••t' .`: rl.'P. '•I ' �'.` . `j�.. ..♦+" . a..,., wr 14t..•lr-•' `Y• NAME- t.It, rrt. r Cunmt►Sral »..�. .�_.._ _ t +-� SCHEDULE A, FORM 420 or 410 (continued) PART -- RECEIVED FR(W OTH4R$: I$#* Inlormation manual for directions and examples) r 4 i I FULL IrA�:E A1t11"ADORt'.SA (ltrMrl ' 1 E►ApI.OYER OF CONTFiII;UTOR is A&*JNT CUMULAIIV1 t7At� $ OCCUPATIdw ( SELf•EtAi�t_OYEO LIST STrtEET city, state) Of :OMTIIIAUTOA nECEIVEU AMOUNI_. AOORESS It CITY Of' DUSINESLI Pearl Wheel2r Self-enyoloycd H. B. Termite & Pest Control 2--6-76 17041 Beach Blvd. business-inan Same address $100 }� Huntington. Beach, CA 92647 i 1 14 76 Edwar: Brantley ��� Huntington Valley 19026 Brookhurst: Soorting Goods rT`4I Huntington Beach, CA Same address { 200 ' 3-24-7 Huntington Beach Ind. Pa P. 0. Box 2140 Newport Beath, CA Sm a address M 100 ,. 3-26-7 Huntington Harbor Coro. 3025 Olympic Blvd. Santa Monica, CA 90404 �� �} �195 4-13-76 Huntington Bluff Proper.t,i - t t 16168 Beach Blvd. A 150 Huntington Beach, CA 92647 11 200 f 200 4-13-75 Huntington Green Co. of 200 200 16168 Beach Blvd, Ste. 150 Huntington B ich, CA 92647 4� w1Sr ,eC7n �l.t.,ll T � 16168 Beach Blvd, Ste. 150 � HuntirTf;tnn Hr�rtch, CA 9: 647 � i B-'runts-r;.....'_.._.—_.. __.,_.__...._ _.__..�_ ... ._ . _. . .... ._.' ... __ '_ ._T_... . _ . ._._._ ._. ._ 505 Shattio plfa .e ! i �, i I�cs AnF;e1 es , Ct1 90Q2�1 �r ; :'_t)D ?UO f 4-13-7 G. I,aui�; C:r�arl.rtcli•d II.I t i to to 4M-�1.3-7 �1"aMUN'.li"TM' 1",1il d(.'.kr `'r)i) :. 11. 0. box 56 ' Palos tler&s CA 9r974 +t.i},,fir, a,;�i.t .1'•A :r [ .�'.<5• °I•i^.. AL■.' .tarp', ,n'.. r! t S„1�_ .. � f(j .. W1110TAL KArty r.rlr1 gild,Rl\,((fill vfltrt7 lR?91 la Isne 3. palt .1! +I` '�44Cf:.+j:�,�l:�:t�flal��i..'rl .�jNi���fY1/4 �a7.rtir•�l�i%�1.`, v<` .� t. . .�... ,.,, .r , t. .��- �. r ', 1! w •t,I. Y•a,ll :f •'f tt�° .1 a� 1�I Ir(,i I" t I "�i.•.l, 1 1 'P? "PART: -. IsURVARY OF Ut7U TA-Y CCm 1N1t3U,no i, ; ;`rss %i�t;�lttt�lt�t7n n:�•lurf t;,t dlract;rar,s xn�' aa�r�3.r#+rt} 1,11 ! I i { 1 2- V11.•. El .} F 'tt�,t,r ;... ;f.ta�fy i _' ,;ta...t'C;. ltf C""'� ..fl.: tie �i tii: .,,�'..`.'t`l' 1. r` r'�;,d.I i .'.tf� �i'r �t �:.. r'� t1.t�i,. I�',.'i 1 1� _•Tti 1I,' � ;r� I.IX.� _....� . y%�+� . .... ,{ t++:t."t. 3"�'i..:R I"irf,,i!! ,'T.rtc.�i''.• �:,`.�, �%". �:..� tyil�, �' ;..iz'�.:1�, E'a^� s,y,,• f':I ._..,.,,.tt•l,n.•..... . tl � •'Yj'i l,. �'rli.�''{�. .i.rS„I Y,.i .`tv7 Xs!t't" {{�<1F!' YL.� ',•; �*( j `" a ,. ♦ t .. .Y ! . .'F. 1 i+ �. i tt 1 Mr •. • .� '• J f.1�i _ �_ .etgr "�'i}r ti}}�, _. .+y, {• :1.0 .."" #.."" .. .!! � �.�r•1 } � , '4 k . . , FJ t t i .Er � k fir� ��, i r t r'�•�'• �� J+ '� ~ ' �:+ � r � �•u; _ _ __ 1t, ,ttfiFA (il uirmfrlre) „�,,,;,,�,_,,, ....,_._..�_..._. .__..�,...._....... �` {I rr(c rf m ��a rrn� �i4`t��� �.•� ;;r�NEDULE B, F+DRht a120 or 430 LOANS f, i Atttraunt, Wray be toundud off to whole dol lai s) 3AIt7 i..-- LOANS REC£1VEU; (set information manut,l lot directions and a>tamplo3) "• �! - +- EMPLOY[ft (If xrlt-�+r;r.o wd Infer• +k t)A71: rUt.L 04AAIE AND ADDOMI3 OF LEh:)ER Or.CUf'ATI" list 011464 wworir rrnd c ty W AM04UNT OF CUWLATIVE 1t:_�• AND ANY GUA.f4AXTQA3 On L'ODDL+Efd of wrintst.f fut• LOAN AAIQUKY Ron Pattinson j - 20681 Elizabeth Lane fit ttingtcm Reach, Cr"t Salesnan 0 1,525 1.81.3 s 1 � •x x 1 f SUBTOTAL S pAf,i 7 -- LGAWi PE {pact, t t)Ftl;►I. t fr f tit PA10 UY A fltiit .; PAii TY. . frr tnftrrrndtiUn ••4grt,ll !^ir rlrr►r t,u•�.► �+•,' rta ";•r+rt1 (a) ttfi (C1 (d) _ ( .^ AtJ PUM I AJA.*)UNT PAID ;:Ric { rt't w4 r( 0.4 S.Wua,1 I fUttC.tVrN nY A Tltlf� LSMS+AtI) i ttt.•'trli i jt.4Iv w PAAT'f )H+rtai j OALr.N Lth�A, Jlt lr� �11�.f, At I 1 ki _,ry�.n.•wwi.aw�••+l e ....+..w._aw,+rrs.yr . •w•n•+w+.f.wwa+_,ae.r..yw,r WuYwwur.,wMf1,w+�w•wwr+vw.+s..r,-+►.r•vw.wMw*MM.aM.nw.M-.+iwwYw4vi�.M+�♦/r Y•4N•M..YN+w MM••Y�i Ma'AMRNwwM�nrnl.aurwxll•�M�i+M 1MM NII�f.ia .F. '.%11, • 4 ` j+ ,- 4r. ..`. +,i' 1 > >.. 'y. .+ .4`, �t a .{:tr.. , t �• r.}C...a y. t,. °�'x, i+( .. �.�` 7`+. `y ,.. i i ;i.';a .' 'k' r• •4 r; t_'4:1W Ail ✓.tit«. j • R 1 !}S` t '1 i . .y +.� i :` . 4. ihrc ii6; .1" {•` ;. , t• ,� ^{ i;� •xF ;,fl 6`:r.t{l17t5 f'� ,�'�. 'x :� � : ' .. •'r ►,r, ., ?.t: i'r i' . ;I'+' � .:�;4;"�``-3 r. # (n;Ii,,;r+ ,�.tt __..,.5.'_..__..,., .. ,. r '. .. ,'. �: i'..>; " i •'i.,•�. it �°.? Z(ii_. +'t t';(.� tt,,.t itf,'^ t:,.'±, ....,._. �.....» . .t7i t "tt{ ('t,; 1:'+..ref it �t,t. ♦ i'r • fj • _;....� .fi.�.,__,. SCHEDULE C, FORM 420 or 430 � NOt .MOt ETARY COr1TRlOUTlOr 5 , jA►r+i>unt� nti.►"/ I+i+ ruun►l►t+1 ►►tt its .tit+ui�' dtaiitu�j ;- 5er inlarmal;cn manual for dirtcliumt and •a.tmpteif S-ULL HALE AND &DOnE!-'. AND t � VLWn'1+710N Uf EUMVI,A IIV k�,w pAT! orr tvAI(()N frafIC<aYC.fi VALUE 1 '», NU►A13F:4 i►r Cammmesi 1 CCIN3lpLraATION t.A 0UN 1 fif C:EIVED I i 1�ic .rrw.++,_��.,..ww.r�....+.w+.+. _.aa r.a._n...r._.... _._ ........ _ ..• �.«.., .. .... ......--a.._I.__ _,.._ ,._..w-......-- -,w._r. ;.�..__.r•�.,-.+__. n..w+. � `..,�'f' t 1•�'Y•yam 4 } 1 { t t i i I I j {{ r ,�.! "n• =r W 3 2., S ,, s'• •.�. L. la f7�: i{f_ er , 'k '1 '�'•!al _. .. _. ... .._,�. _.__ .. __.._,. _ �tL .ti1�Ati[liltl Cttnrt�llNi,,,,•,.,.....,_. F.'r'i (interim 17orm) SCHEDULE D. FORM 420 or 430 PLEDGES (Ammmis may l.e Paunddd off to wttolo dollars) S4* Informallon manual for dtrecticna and Instructions (a) (b) MOUNT AKUUN f CUMULATIVE VATJ FULL NAkZ A%0 ADWIEit OCCUPATION "- PLOYER PLEDGED PAID (Enna PLEDGE T►419 PEWOO us kht,A. At U0IPAIO , �1M0 I.D. ►iVw1PEN Ill cont+,.rtw) w:•;, I r I ; � t t 1 t t <L. , .. 1t 7 ' i t • y d' ,J .. r .. q _. .....,..»...,w ......+w. ... .�.... ._.«.-.w....w..... .. t '" .. f ... y � k `.r<r�t•.� .. }i�5 =.x' .S.f.'.f.. I .Ir ! ..',I} `If J.`.Ff"�t'h� Ik } } i i i .i: i;i` .. { �.•... i i i:,, Cty {; `.. i . 'e+ ,,+: .tl ltt,%t ':« J.1 . _ � .. i /..i' 1 }'., `f,!' ''L : It':7�°.[l*r,i �-! ?i.4`} atl :,�f.��F•7t .. ice...-.....»,.-«-.».,..,.__ r �s�. ..�. ,t i. .. i .. fit. .f.iz _. rt.. #, t.�,.i• , f` C't �.,,;r^ >.z"�' .l �t�R. I I j i r. hal.�(. .. .��...._.,......- ._ _ 1. . ifjjfl 1, fll i..�,u.11.•1 _ ...........,-.. _........��..r...._.. `. �.� I ' � (Irrlc•rtrn I t�trrr) i SCHEDULE E, FORM 410 or 430 PAYMENTS w' {Anwunts may bu raunctt-rf u(t to v.rrolt: rlall,lrs) j PART 1 — MADE TO COMMITTEES, ISea-inlorinatian mlccnual tat dltecllons aPd ejidmplet.) OFFICIAL FULL IIA.%IE OF PAVEC CC�attITTEC AIM 1.0. NUMBILA (It the Ccorvvfito• has no " N41Vjts00, JLUDUNT U31E ONLY atala full n«rn• and address of the llassufar) THIS PEfitUtl "`y ..L l ' • i I i , i i 1 ! I l • I • 0 T A p, �°"t�{: t,j�'t� r f '.i • ,: 1.�i�� r:�• '.51s t.� '(,.��1_. +. ., .��1.: ....... �..,.,..�«...+. ....-.�� _ ...�...-:... I.�. l�ll1�'t it �..tFtY►tf t f rW') r• ! SCHEDULE E, FORM 420 w 430 • ,:� (continued) YAKT 2 - MADE TO oTHM: (See information manual for directlorts and exomplea) FULL NAME AND ADVAE34 OF PAYEES AtAflt�tJM7 �! DLOC111FTlCNi f3f PA!'li[MT IStteet• cirt, State) 7t41{ Il11100 Daily Pilot. Political r_a] Adv. 627 P,.- 0.' Bcix' 1560 Costa Mesa, CA �:4 Pemysaver Political. Adv. 477 16�1,6a1�Gothax' ..r.r+•.,.iKJS1L.ia♦�1�i�Li.y+,.i.t1.._ .. _..___.....,..-«•..,»..._ .. .._ ........ .. . ....... ._.........,.......,,..._..... _ .-..._..... l\'•°L'4 + 4. Huntington Seacliff Country Cltb 3000 Palm Avenue « Ht.nt:i tcm Beach, GA �'ict;c�r,► Part;. 5� Sir Stvedy Printing Misc. Printing _52 1.601 Placentia Costa a't'•Sa, CA 92527 j ._. _,IviLf t7 ��W'ti22'ij;CU(1�P,E•.'lt.f'D _.._. .-.. _.. .t_.._..... ..... . . ..._ _._ _ ._.___ ___�.w.�......._ fltmGinftcm r',±'-iLh, GA wtntwunt cif' �itkt�zf `' « E�3 E. �(.n'1 367 Uit a Hut ton,1trems-urer l 00 . _... Arno 1dM1K.ij+..a_...u.__...__....__.... . . -. ._. ...... ... !-tl }t;+;GiT" Vi(:U.1j`y 11rli t-� ... 75 t s , John W. G-A)rko a, A I.ww Coo 16U52 I �sr4t Blvti, Ste. 107 f i E{untrin� trxrt P,����r;h, CA 112647 ,�ti�►i E t� � l6.`a c t f�I c3 1.1i1IL) �A�. ;:.rtr+y wtti, fied4ftt,rlirl rutltutr.l* to l'.frl* 3, pArt ;j _.' '.. .. ._._._,.,. •" 'r 1` , ,.w• jt• . r• i e' ,� .. `£ ., ,r ,, r 1 ,., f r«�/r.. �rqf vo, 0'1.,1 ItAt It ; r•I olx r: ilAit•,4.f prl(I i`I: iq r+.. h:' .: ;:,!1 li=t.� t ��fa. ., .,: ... tt!{ " „ •t' •r.. 1 .;1;- ifti,{ r i tll!'I` !v l•1('7 .;tl rTi{ti•► ij 1�'i+ 1�: i ti N."fi4:l !f '�i 41 t t ,,_;; tr) l: r':�•,'..+r. ,, , .fir, .t t'.: It mill I '"Witm 1he.£i !J +•i rill w 0 r r.r� 1AGE 41t l: tJ.., ... .. 1 :. �. ut �•�,r. „ r 4 t rrl-rrfit 4aHi. t f4 � 1 `R.Jfllil,it`d ;"+F F'A`t1.tElit ° ; ",r•,t ,r#:t!c,A1+c"n r,.,ir, ;:�i lot J,?Q :.114h4 wid 0Kro.-NI, 14) it, sf a i•• .'i � - j` { ji � 'r T1 ._, r'T. iit�£i.) 4��,-.7v f1{;+•i,a'ST:'� ...,.. ��.......,.......,...�... k. e. , .t ,. lit; { -• {.+ .rr! . .. '_r'.� lit .-..':•it�t.•!� �� 1`�j�}} .......,.... .. � y r•• .. r, '.t. , • �'r.t "f ii. �L .:i• .. (t�. ,ter-.' .".i. .«,,...rt ��l _."..,_,.,_,.....,. rt - .. x ,r£ t Y ,- • ,. .. + 3, � • « ♦ .`r. I�1' :t.• eftvA -..'7 !,l=+...5S:..:....._..,...«.........- r= I I i I 4 ( .«... _ . _ ..... ._...,.. __ ..... 11) ItIt1111 fi.x•y+..ifrftf r._ rr.r Yr.a SCHEDULE F, FORM 420 at 430 ACCRUED EXPENSES (Unpaid Bills) w=l (Amounts may Ga rounded off to v;hole do'.11#5) ; Ste infomat)on monulll fo( d1factions and rl ampler rULL mAmE. A io ADo► m oEsc nwijr)N of AfA01J►tr ' �• ACCrtUr t) ; .' (31rN1, City, iWip) ACCIeUEo fxprktfS r1111 pEsatUr? "i Y •t � 1 1 y,n,�wrww.rr.r.r,•-y r..,...,rw.rr ...._+.r...r r.r-.._r... � .___ .�..�......_,.._, .._...r .._...r... �..... .-....w.r.. ....-«.....,.. .,.»...w-r.,-......-.. ..-...�. ...4.-...•...,.. .r._�. ..r......r. w.�.w.. rw:��._..r+.w.+....� .w.+-».w....__.,-rr:...«ww.....r. _ .. ... ..... ,. ....... _.......: ».-...._. ..._ ..r...w. _.... r.... .. _.,....._........«,.....rs+rw«.._»-,.....__. } r,rwr .r._... } { i i . M • a. ~eft jlw..m,.r.+�...w....� .,.a...'t.,.' - r �. �� � a ..;..:...._ + '�•.. .: _.!. _. :. .. .+ .. • ., . ......,......-, .... ..� ._ S•.z. ��.t i al++t•., fe t.{+ « + ..+ •.{• � •t r f .' 1 � t �' ° . { 1' {+ � f !r t r yt' "s(Jirif14, ty =4>t£.r f.:.•.��1 r; t s�:+ t:{r: �f ..t k.,.. ► ;t . . if': t:t'.t.a :�► ,,c>r..'�. > 0 �`t 1,Sti/� }.� �..�M�r� tr le r,;"} •C ..�i�. ..�'� J�w.� . }li z .. .. r+...'f �l"'. t.�C•,�{ Its -- ` ��?'t-:.. t".. �•.r'[.t, .. i A`�..' �1 k+l;; .- {�.1' ;�ti, ,,,."' ;• � .. '!t'r r•' :,�rr:* `• �' . '- f,. %�t• r r ,�.�r��t ;. .r't�,t 1-.��;.zl!.z�1=� {�.,�t".t �' ^Ir t `": S . " { i _; f v� e t J i r r ,t 1 + a+ }Pi"• 1 � i - .r, i t'"�: S a4 F i^'I t " a (lrllt�riln f•'11rrn) .���' � �1J COMMITTEE RECEIVE CAMPAIGN STATEMENT CITY CLERK Q. CITY OF IC,0VCIINMlN1 C.0IJt. `,IF 1fiJIII HIJ00.842140 11UNTING1014 BE.CIl,C1.L1F: Frarto 420 St lullmilt cowls poliod fluid Illruuyh '076 PIPR j PH 2 ; p 9 f i A U kt C1 r C O Mv,f T T Lr 1. .......��._...r•_ .a.-�� r,l' N I»t f r l h a . i PEOPLE MDR PATTINSW 760116_ ADDHCSS Or Ct?uufTT1.t tN0, ANo S104C1,tr cFt r, t , 1. fit' r r.'jPrr IA4CA COUF %0,+ { *I 9552 Hamilton Stree_ tr Hunting:can Preach, CA 92646 (714) 9a-551.4 _RAMC or tHC♦3Uf4LN J 'S 2 John W. gygrkos .. NCS4CE14TIAL AVDAESS Or Tr417ASIP41: 1 0 ! St1J{ / i, t1t 1 a~• r 11 r,:f +Aut • COt7t.r lfif.ONt rtU.+ C'•y 9722 Eightide Drive Huntin tnn Beach CA 926 6 R��-n7>�-7 OUSt,AX&S AVOHfLSS O► Tn1r,ASUpC f7 .0 • . ,41 f : +�� � „ ► !ALAI A LINEI LINE 17JLIIJEI 00THEf1 CO-ECA AC"PLICANI.t N<7• fCa, -Abs f4't hlt'C ..t 5, 'it •:f,.r, I,., 1. , .. .1 r �. + !• r. rl ,. 1 , '.t , +n•f ,r+i, e ,,.1, + .�r�.+.r�.....a•.-+ _ ',;# JA I-f j,c o0, K I. N LI.c ,O1J .1.,r .e ANt :1 f.0 a 1.A i A • Jw. 1 , + • ,r •,. r ♦, PAr.t ! Of s.r 1,S( .: ALLOCATION UE EXPENDITURES fl`t CANDIDATES AND MEASURLS ., .(Allucale the toff !i of Schedules it a 14 F Of t...itlltlfs•t11•'. :f1i11 t.11"I Wo • 111,ly 1w lowlit11-{I off to whole (701lal,) ()P=FICIAt NAA�E OF C,Ah Oi!)A tl AiJI) f'1 ( 1t.1 , IJt.l,tl +;1 iifFt_ t�__ N( l r r. r {;U1AULA l lyt. USE OijLY farA—'wIf'. A►D 114t 1 91 0411�4111 if +1f- ; 1 1! 1+ +,►,�. F.KR C►JUITUf1t TO DA1t. illli ►'t:r71CNJ w.a�.wrra� a. a..a.ar�.�-..r+.+�a..r+«+. ��...,.w..—•... ...-. ...__.�.....,-.._...a,. .. .....��. r�r+.�•..n.�•r. ' t • :.' .r..,.•.mn...a..w.�.._..,,K,,,,•aw •..wa..ar,a,..-,.�,....a..,,...,v.........�...-_w........._ ..... . ... ... ......._ .�-..a....r...•�.w...».a. •...«w .-.+•.a..,..n.+..... w., wr+.,.�..Oar.-rww•ww.�,aw...ra+.-r+.•r..r...w....w...............«................ .. _ .. + .- _..,.. ... - ...............�...-.....r-.. �-...r....w.,..•...-........ r a 1 .,a.,.w......_.. E , Al �.: it�:fat r'r t•:n 7 t t1N t'�,-�-1-� ..�....,.+•.,. .....-.•....._• ! .i,.itetl t. IS!l t}f!1 },tf?f.Ji1l; Lyi 1.1 !IJJ' � ..e.fi.? tj, j:Ili J+", ',f,i.1:1!O r{•flt ,ItC;) II :4(.rifl±,jiiit•;. .if�� ties l'. L`rlJict af+d .Gr•,j'tt't11 i.t'jf`: t1 :il 1 ?':IJfr ..t oh t. I•,t,i: ft'Ir. :S;S„�t+il` .+ Ifj !!.r.'tt 'fFl�l•ir�l�lt);�,'..,4. 4.....,.•""�..�..�.....__........._,... !.A,r.r;CJ!t'v {X,,.,.,�m4�il+,.+ak�.• ", J..._��1.1 V 1 ......_..t.1 , �,'��•• ,„_.W.._ _,.,. A f:t1A'JJr$1+11 ff116{;, COfJfl SStX A fCtr1.!^•Jt)ni1 fT 3lYt al sip Y{�rtty the CA/if',li,r f Sr ri' 1 . C.- S :f 1;.1 f +� it ft♦ f .., 1/. y. r, .1. t f t +!. t, i;ti+1 1+. y. •tr i 1 �, t..1tY• ,1., { r- . t �t E'. i:rr2,i t �' .. � :�s. , •i r.: . ..y•.1.,, ,` 11 .t'tl! , - ,.. ,t,, f ,,r-.,� [;t,..i,dNlfi; a't,f i!•r� t ,, _ r ..1 .y. . . .,, 1 i;... ;f`! 't`•.i,i•/r.#,•.if` �}'11;,»'1:i.C1 ,•'t t1,s `xr,•�: tl :! .�.:w:,•.--»......-.,,_ . .. ,if 1"1+!i d:f:{lf,'t:tf�r,t gii'i:J i. ..t r+.. .. + i �I. r r,. Y• 1 t i r"i~ SUMMARY PAGE Name PEOPLE FOR PATrINSCN 1.13, flumber COLUMN A COLUMN B COLUMN C Cumulative Y„I total from Cumulative previous period This period to data RECEIPTS 1, Monclary contributions (Line 5, Part 3 of Schedule Al 5 �11913 S 1,804 $ 3,717 iUAwn A + (.. Column Ej) ,x i 0 n 2. Unpaid loans (Line 9. Part 3 of SChodule 8) ___�.___ _ !� Total a1 bcg'nnuig tNer ctimCa #1,tal at End of pericxfi for pe,lodl of pen0a) y*,3�. :;� 3. Miscellaneous receipis (attach explanation) " _Mblirr„ A CoIur-,tn al fit.'.• 4. Total monetary contributions, Net cash teceipts (Lines 14.31 3 ._ I►913 5 1,804 3,7D fcotunn A Column Ei) ±. 5. flan•rnrinetary contributions (Line 3 of Schedule r t _._n 0 0 (Ca)iutt,t A t $. Pit at, (Lind 7 of Schedule U) 0 _ 0 0 f,.r.,, ,it..r.•ya,rr,.r _.. - w,tP;r P(� -.. .__.fTdll1 fll rill•. n! p,.,<tirls for r.rrrrMl Ur Prhry,t, r 1. Total rece;pts (Lines 4•5•1,) _ 1..913 s 1804 S 3.717 tofu^rr tis EXPENDITURES $r Pa)'riwil'r (Lint. 6, fart .'. fit y{(t:!{llid Hx.�i!`tlf.rl't� titr`.r.11'1 l}Ill(.! it. .r . r« l# •r' � r+•'+ r t ,t+'qr- 1`vrtl' dt .•t r! }rr �.w 10, Toni t-spnt►d1lwos (Lwor, 8.91 Q'r'� STATLIArmT OF CHdNC,l'.S Iq IANANCIAt, (.0t4t)1ttUN f t, (.;tESlE {itt t'.1f)' .1# lhr,• f a �l,r;ttf+t� .,f tt+ r µt _ 0 10 1a, l.d t1 it+,(")'#:; lrrr .. y, .r, r'3 !i riff' •Sr ,,,t, t.. } I�1 P�.. i {,�. C.•rlstt �+,.tJ' ;rttitr, #r';i", �•�'r+if•;t (l.lf'+' N ,try,!"7vi ii, _ . � 7:1 1d, C.�s#t Cft 'r:ltt;,t �# 7 icy• +f• ) tlrt#c{ tl,r:tr�. t 1 1r' t 1, _.•__•_...,(r 1.... .. ._... , ^;.'�.'' #�`, t.+rl l3fll�irs!; !i.,1}1.+ ,rr t.•�#:t""t �. + i. wryt. lj .. !t1:Gr. { + t-1 .. t-s ,•. , t tt:a't i.t!te �, , kt, . .t 761 t . . S w�('t:r:•� 7'1 l.. r9�� 6 . f.. >�, .at � o); �•3 '` i t L ,,, 14 f't•,.,, ,?, ^ i i .. i ,1 .s r .V• �., It 760116 , ,• r;lV�![: � RS1 PA'ITINSCX'JI. � __..�.. _.._.._._ _.._....�.. I.l�, t�Ubltf +f C.i�nrntNe+e? _.._._.�._ (interim Volm) • SCHEDULE A, FORM 420 or 430 MONETAR" CONTRIBUTIONS (Amounts may he roundna off to whole dollars) 'PART, t --. RECEIVED FF40M COMMITTEES: (Son lnformfailon manual for directions and examples) ~'GATE FULL N"E A✓40 ADDRESS OF COMAITTL: 1.0. NUMBER OF; TREASURER'S AMOUNT CUMULATIVE (StrMt. City, SIA16i FULL HIE A/rl) AGpFEft RECEIVED TO t3tiTE x : is "4 s� ll ± i l � 1 i { t f f i t C- } :.'..' ...++wr,.wwnai_+..tie...w......,..w.,.............-.w+....rr++..�...w.....,...«.,.+.+.._......,,..,.._. .._..,. , ._... .... .-.....-, ...., ...-,L ..,...... ....... .. _.. ..... _.._,..-...r.__........... i «kfAC.. A=.1J.J 0 f•14A?+ �. tar.,(+ .. .i-..`.. ;.'..•` 'i. i,. -• ...+. .r j .._......___....,,_y,..._... ...«.........,_._.._ .. .�...._._.._.....,,.,.......,.. A 7 a . I +a«�nf ! , „ ., rf.+.e ,.,..... .:.._... .,_..,.,. .,.. •v�, ........ ., �.. ..... 'Y �.' 'c' .1 f.' w..' 1."7e�l,.P:n r+r MJ- :WN PATi INSW 76011.E ,. << SCHEDULE A, FORM 420 or 430 (continued) PART 2,-- RECEIVED FROM OTHERS: (See information manual for directions and examples) �. FULL NAME AND AtSOPFt1ISItost EMPLOYL-n It CONTRIDUTOn Ib AMOUN7 CUMULATIVE' pATE ♦ OCCUPATION SELF•EMVLOYEO LIST STnEET !?. Clty, 11snt) OF CONTR OUTOR nECEIVEV ,MOUNT l.00NE36 t. CITY OF DUSIHESS) INcarl Wv eler . self-etiploye If. P. 'Venmite & Pest c3ntral 2-6--76 17091 Beach Blvd. Wsi.ness an 1,7091 Beach Blvd. Iiuntinyton Beach, CA 92647 Iiuntingt:on Peach, CA $100 rir1'11 1-14-7 F,-I a d Brantley Huntington Valley '�- 19026 Arookhtirst Sporting gods t*� Huntington Beach, CA sane aIfUress 200 -24-7 Iiunti.ngtcan Beach Industrial Park # P. O. Box 2140 Newport Beach, CA sel£-employ Saner- address 100 100 3-26-76 Fiur/tingtcn Iiaftor Corp. 301-5 Olynpic Glvd. 195 :195 �� �: Sani:a Wnica, CA 9040•4 rf!l£-caniloye•t S uree <sddress f f; I i � t i. affa:r .wi71, t4t+'.i yr', afet!1 tA= '71 �:'i'+'NIA'/ iAi+r!'.rS f t*•�1 � •1:,{.✓. ,+.r:.r� i .. . . 1..... _ .r _» ., _.. ,._ _ _ .,,. >.. ._ SUEiTUtAL (t;itrry wlllr .yddltic,nai 5ubtAtatM to tens 4+ pnrt J? �It ;i-o(+ ".}ti.'.�;ittfr7 vY.F', ►`s.t;�k. {�t'r rtr!�rrta�:}�:1,,�....�rc,,� �,�.ri.f..:`rltf{_......_`..,.__f.;;;..�..'..._..._....__..�....._..„..,...._.,,..>.�......,._..�....... i%(rJ Itr+t IrrlliC:ftl,lf FART 3 — SUMMAnY OF UONETAAY CONTf4IG1J710t15 15+r.. ,ftlutl,.!eti" nrartkiat for dlrecttono,. and elrpraplai) l:.t`.'f Ct4=41.41 i ti'Ls 101t; ?. +E.+"LIVIvU3 F'tico.4 oN,1+,'t't CIA" UfJ,.'LP $ 0 TFP!, F' ,tt+ , ft) j►J. 1 tt l.miz d) () }, ti) {•L!`.'). �% {"Fa;P411 C1t'i( Fi? flit:, F'i.Fa►f.:r! (F`.t t !r:'tt.; o r01 F.t. 'E.r", %.�. �.:;t1tI F15 'UNLIi. k �,,,i) 1111;' F'�,F{t{i: ;1,lu! ttrl: rr,�.,•I _ ;I r.,!_____._.__...... . R`• 1 ,.CtAl. 'Jf!'i#. i.r+itir 4:1 '� F;t#:,} t�(t`::. Te{,;r f`j' ir1{a:! i .J,i• g + �� i * t.~ __ ._._ -.w_ is . s. l•i 4' RCN PAZTINSCN I NAME iL -,;.1flEri 111 Crymtlleal 76011.6 (Interim Form). SCHEDULE B, FORM 42 DU 0 or 430 LOANS (Amounts may be rounded off to whole dollars) +,� PART 1 -- LOANS RECEIVED: (sae lolormallon manual for directions and examples) rfrj EIUPLaN ER (It aerr•.rr,plo�r ed Int«- ,. :. DATE FULL NoWE AND AODRE04 OF L►.INOEn OCCUPATION tilt street neldress avld city eat AJAWNT OF CUMULATIVE L. «: AND ANY RUARAHrORI OR COSICIOEAS or bu►Ineae.) Rut: LOAN AMOUNT 3-1-7E Rnn Pattinsrn thru 20681 Elizabeth Lane 3_291:*? Huntington Deach, G% SaZesran 0 64 2E8 Attno switional intoarellor• on Appropriately labeled contmualion nn#-its. SUBTOTAL S PART 2 — LOANS REPAID, FORGIVEN, OR PAID BY A TH1r0 PARTY: (soe Intomation manual for directions and examples) (a) (b) (4) (d) AWUNT AMOUNT PAID DA413 FULL NAME AND AODR131 AMOUNT FORGIVEN t3Y A THIRD UNPAID OEPAiD ((Enter on PARTY (Enter MALANCE ached. A) on ached. A) 3-4-76 Ran Pattinson 20681 Elizabeth Lane Itmtington Deach, CA 64 0 0 0 1 ; i AttACA ecWltiGnat Intorrnatlon M appropriately ta;,elud conttrunttan et,r,rtb. r — SUBTOTAL S 64 Q 0 I-ART 3 -- SUMMARY 1. LOANS OF S50 OR MOR�=' THIS PERIOD 'Part 1) Include all Subtotals $ _ 64 2. LOVJ5 UNDER $50 THIS PERIOD (Not 11rmized) ,._._..,__p.:.... 3.. TOTAL LOANS RECEIVED (Line 1 4 21 4. LOANS,REPAID OF 00 OR MORE TN15 PC 11OD (Part 2. Column a) Include all Subtotals ; b4 5. LOANS FORGIVEN OF $50 OR.MORE HIS PERIOD (Part 2, Column b) Include all Subtotals 0� a. LOANS'PA!O BY. A THIRD PARTY OF $W OR MORE THIS PERIOD (Part 7, Column c) Include all I . Subtotals 1. LOANS REPAID, FORGIVEN, OP PAID 13Y A THIRD PARTY UNDER $50 T141S PERIOD (N)t Itemized) _ 0 D. TOTAL LOAFS REPMC, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD (Lino A # 5 t• 6 + 7) $ [L4 9,. NET CHANGE THIS PERIOD (Line 3-8, Enter this total on line .'., Column 0 of Summary Page) � y f I I I I Y•;L d'.y•, .4,Y,./j.•f✓v w°f.. .::: :•h, rf•`.:'y..• • , ,y. r'• - ... . .... . . • - , •` '" ,'�f � } � � ;!. haft. PON PATrI:NSCXV ,r w� _.._� I.t?. rl• , ,i Ill c�y.� u .«1 --�64��6 - - %• j (Infer►m Form) ' SCHEDULE C, FORM 420 or 430 NON-MONETARY CONTRIBUTIONS jAmounis may bo rounded till to whole dollars) See information manual lot directions :Ind examples " FAIR MAfiKET ` FULL feAIJE AND ADDRESS AND DESCRIPTION OF CUMULA71YE DATE OCCtJPAT10N EMPLOYER CONSIgEIiATit)N VALUE AVOUNT Et1«, I.Q. NUMBER(if Co mlltes) RECEIVEn 4R�ty 11. i .Mr F. Alwft alislional srllprt AtlOfi on &rPtoofsatel"; 13t:olftf cants„utwon Shell SUBTOTAL S if r:ontrlbutor i3 self-empioyed list street addtoss and city al business SUMMARY I. MO!'1-AONETAF,i r.(X4-r131 BUT IONS OF $50 OR MORE THIS PERIOD'(lnclude3 all Sublotals) S U 2. NON•MVNi 7ARY Cu`ITRIAU PJS TIO UNGEFi $50 THISPERIOD (Not Itemized) 0 3. TOTAL NOfiN4,10NETARY CalTRIBUTiONS THIS PfiRI0D !Dine t + 2, Entel on tine 5, Column 8 of Summary' Page) S 0 IJ1. :+ , /�;.Yt r. S .� .5�:' ./ i f !�:'- j Mir:- t � s. > '+,c .�, � +f•,i'..r..•+''t�1Y *.:r , lfT( �l, =.t , . ..i t1 16 NAME- ..FClN PAMNSW _ 1L x 7601: .X)1J13EF1III nmitlee) (Werim Form) *" SCHEDULE D, FORM 420 or 4?0 'PLEDGES (Amounts may be rounded oil to whole dollars) Us tnfomation manual lot directions and Instructions (e) (b) (c) AMOUNT AMOUNT CUMULATIVE DATE FULL NAME AND AADFAIG OCCUPATION EMPLOYER* PLEDGED PAID (Enter PLEDGE . .. AND I.D. ML4*IIER(II oan+dttim) THIS PERIOD an SchPd. A) UNPAID A I I , f - r 1 uisch addltlom! Woonnatlon on aMroprittety IsWed wtmu-a ,on W.".te r«. { SUBTOTAL $1 ' It Contritvto! is sett-employed list street address and city of business SUMMARY t. PLEDGES OF $50 OR IAORE+ THIS PERIOD (Column a) Nric:luda all Subtotats S 0 2. PLEDGES UNDER $50 THIS F"ERIOD,(Not Itemized) 3. TOTAL PLEDGES RECEIVED (Line I f 2) 4. PLEDGES OF $50 OR MORE PAID THIS PrMOD (Column b) Include all Subtotals So' PL.EDGES VNDEiZ $W PAID:THIS PE:�RIpG (Not Itemized) 6. TOTAL. PLEDGES PAID (Line < t 5) S d -- -_ 7. NET CHANGE ?HIS PERIOD (Line 3 — 6, Enter this total on line 6, Column 8 of Summary pays) 0 j -Ir , a?tiJfX.N�. •{-.r . .re..-r••.. y t -e . .. . f. .''J, . 4ak".. 1 : i i"��rij�»t7 `i: 9y•. ,�. '�, i a , NAMC RM Pnmrr mgm ._ ._._._.r f•c.f. rr 11.+tlt:l1 if( I:41Jir0h.0) 76011.6 _.. 0111erim Form) SCHEDULE E, FORM 420 or 430 PAYMENTS (Amounts may be rounded off to whom dollars) PART 1 MADE TO COMMITTEES: (See Ifffa mation manual for directions and examples) . OFFICIAL FULL NAME OF PAYEE COMMITTEE AND I.C. NUMOER (If the committee has no 1.0, Morbet. AMOUNT USE ONLY state full na and addfeas of the TreataJrsrl THIS PErilO[t me 1 1 IM i 1 At "►0"1 lnfam!atarA on +MC fOW1Ately lab olad CV611h as!int sneem J"ITOTAL (Carry witf••additional subtotal: t'" ne t, part aJ page 4) S i I f '.IS SI F •. ,f l :r ��!�;� t., � 1S♦ j. r , ,, .;7 I r1z a. t. 'lf�r rY' ' 1 ° rr �. r •+4y r<,. i b.. ',F�,,,- f:. R:Lti F'ATT_'IT�ISC> 1 �. 76011 b NAME d! NUM BP (;4ynrn111eo) ---^' ' SCHEDULE E, FORM 420 or 430 (continued) , PART 2 — MADE TO OTHERS: (See information manual for directions and examples) FULL. NAME AND ADDREM OF PAYEEb Gl;SCttlPTIOH Of PAYMENT AMOUNT (street, City, Stith) THIS PERIOD � r McLaughlin Enterprises Bu�tr�er sticker 74 17301, Beach Blvd. Itin` ington Beach, Ca Conttrell W. Display MiPpany POsters 510 1014 East Tenth street .� ,.�:.. w'� t 1 7 v— ;1 _ ,: 8riachures 623 �. The Instant Printery `v 36n Nb t YrArthur. Blvd. Santa Ana, CA .t `,h Huntington Seac7lff Country Club t�iardiaGraa Fund Raiser 299 3000 Palm Avenue . I3mtington £each, CA I r . ' f Allwh Addctionat Information on fivtopnatbly Iaboltd continumfion shertf. SUBTOTAL (Carry with additional subtotals to Line: 3, pelN 3) S1.92 7 ' �If the person providing the goods or services was different than itia payee, Its., e6ch petson's narnce and address. DULk RATE NO. Enter your hurt hilt• an(Vor possalev r+u'ier number usrd ill cunlpaiXrt mtts.% nluilings. /it addition u ropy of each muss Pjailing sluuclJ he .st-lit lu the r POSTAGE METER NO, Vair PaUtirul Prot tier.% CommrtOwl. PART:3 SUMMARY OF PAYMENTS (See informatioc manuari for directions and examples) 1. MADE TO COWITTEE:S TffIS PLH10D tPait 1) include all :ubtctals 2. MADE TO GCI`.ittt7TEES UNDER $50 THIS PC1110D (Nat Itemized) ._.... Q 3. MADE TO OT}fEFiS 71-11S PEnIOD (P.irt 2l (ncluce elf Sublota►s 4. MADE TO OTHERS UNDER $50 IHIS P01100 (Nat Itentczed) 5. TOTAL ACCRUED EXPENSES PAID tHIS PERIOD (Schevula F, Line d) O '6. TOTAL` PAYMENTS THIS PERIOD (Line.►!! 1 + 2 . 3 • A , 5, Ente3t this Iota! an l+n0 H. Caluml) 6tit Summary P.ytiv! $ 2 022 9 I 1 rat A..}sraf, ;11:(" r'`(` `•'=t'.4 .e. ;*s - yn.,w.ru• .•s:}•:1tt11!. tp. •i t} ,!i,• . `+'a! r .a :!". .'� ,.t ��. �.•., , f A:. �,A .t 1„k 13t I FAT1 � j I.U. tit ,t c;nnriltttrr•) 760116 J �-�.._._ _.... (llticrim Fonn) r. SCHEDULE F, FORM. 420 or .Q30 ACCRUED EXPENSES (Unpoid'Bitfs) (Amounts may hi rounded ofi to whole dollars) See Informatlon m4nual for directlons and examples , . .. AMOUN I FULL NAME AND A0D!T3% nElCnip7imi of ACC►tUI;[) (Street, C(ty, State) ACCRUED FxPENAES Tl1lli PERIOU 'AL {, t ' •' . imn aaott};na► Intorrnallorl on 1"ropriately latm*11.2 Comiruallac, %?#of%l%, SUBTOTAL S �. r Edd ccrued expense Is ovred to a Committee' list the certntfoo's nerve and i.0. nurnber (or tho full name and address of urer). ►f the person providing me rgoods or services �•:.ti5 Jifferent froat the paye#—,, list each person's futi name, street cut and state. SUMMARY t: ACCRUED EXPENSES OF S50 OR MORE THIS PE 11100. Includo elf Subtotals S 0 ' 2. ACCAUED EXPEt:SE5 Ol;, UPJl7lrR $30 THIS 1'ER1CaU. (Ivot Hcrtlixed) �U ! ACCRUED EXPENSES INCU11ALE) THIS PE4110D (Line t + 2) ` a. 'At;CRUED EXPANSES PAIN THIS PERI0D (Not Itontixod, Enter opt Lire 5, Part 3, Schedule E) S A 5.'NEB CMANGE'THIS PEF4100'(Line 3-4, Entar on Lino 9, Column 0 of the Summary Page, :Thts may be`a nog3tt*r3 amount) S 0 y• it ! I t. ,rt •i { i .E/ r,,�, , � Ri 't".I`�})"'.i 1 i~• � iI'T'r:'�(:1 .y, .t: :} r5,•f:.rr,t;st'.�k7(. '�' Y.Ty rl T,�•:,.',,SIT 1.�1'`.'y�' -rrl •1'.c, l' rr`, r. y'� is �f �• , 11 ;,•'• �Ifllllflfli I'It/fn) �1. � _ , ^x; COMMITTEE'. 6E«'+�d 1' CAMPAIGN STATEENT r.r :Gff. rF� • IIiUV111/ M (1 1ENt ( U! 'iEf.fll,r/ q�;eNt 84�141 CA tt Form<2U Stalulnuill covels pellud ire+(1�"�-��7 11►ruutlh '�'/!.► !;+r ptl t • 4,4 : NF►AC Oi COaf4ITTlC t.t rialr.11t 1• ~ ' t People for Pattxnson Applied _ _ �-a AuoRtss or COU641T TEC 11�AW) 5TNCE T r :a t l _ ••.•.•- +i r r y it 1" r 51 n, • • o p. •r ' 1 ._..- ,� I 1�1 _.,. :A 1 A /'l['•1 1 •C... f 1= .t:. !f�(k... 9552 Hamilton Street Huntington Beach CA 92646 (714) 968-�514 _ _._... r.. . ►+Aa+i Qi Tti t:A3VNCH 2'. John W. Gyorkos NR3InE/+TtAt, At)Of4e$$ Or TpEASur/G/r NCa. 3 S t 04t..t. 1• L 1 r, t x•1 let• .••.t A u a - ` tide Drive, H _ 926dG _ r 3 9722 Hi untie on !',each CA `K 9t � (714)• 848-0707 !kUlIN[lS.AppA E19 C1F TrIC ASUgC►t ,.l U. A SI•.1"t t •till • r �-1a11 .r' riff � •Alt k'a f',Ot.k / 'Prlilt•C h'.).. ' «.._ � �"� LINE ! LIN£ 2 Q LINE ) LjOTHEN CfOCCK A+4PLICA,IL@ bb• rOrl &$Alt ildf; AI•i>i-( 3: (11 ..r►r.r, l;.r `i•.. .,rt( .r,.. (' sr. 1!•n. l, r 1•. 1.,r. .,',! ,'•j• 1 ,r1.•1 J r— r ' �•�• J Huritaxigtvn beach - General l 4-1:376 10 ; a4r. •4+. tYr.L 0r CLCtTION 'Pa tAa84v :{ NI t1Al 1.11 !AI ,•A It • . 1 1 _~+•.—�...��._1 A 1 A~, t A. 1•A1,1 S (,l► rir•1At 1p1j ,.:it . i ALLOCATION OF EXPENDITURES BY CANDIDATES AND MEASURES , (Allocate the lut.Iis of Schedules E ;Ind 1 by Gaml(tf,iti•., :Intf t/S►1.(1.ult. .. hlnlitir11% vlay lit, .111/ndefj off to %tiholf! dollars) fQUN i Q4 ' OFFICIAL NAME OF CArIpfUArf nrl{>UI r tt.! , ►4A►.U^t)! Iant : tth � 1.11i I.r Ah CULitiLATIVE. USE ONLY MEASUFIE ANia IEAt LC t Ntli.t111 li Of I ! I 1+ I( Wif- E rl''EWil TWILS TO DAI E iNl. I Hi 5 e u[ r)f•1.•);f. 01 •'CiSI ,. ni•us7xf: ' •,rllrytf s• t » •.1t1.1• fit.1 • 'i1•1�C+11 Attach 10dit(txial ine em.,fyem rft I ul,llrlu'Iticxl M11,11S, VERIFICA71ON /110dule3 I deCtare under penalty of perjury that to the! butt of my knovrl v qe, thlr Mate t and i are true, correct and complete +Ind that 11,;Ive used ;iit tillla:nc I of U aratio p Executed on `4`76 .It Fitg. Bch. , CA ^ k/y �..��T--•` j'1,11►Tr , • I t a•. , d i t ]I'f rY S or -uE A�•)Wl t.1 A Candidefs who controls a committee must efso vellty t c to pal amen . E I,doclare under penalty of perjury that to the tx9%! of illy ' locale f tT S stateme 1 and its schedules we true, Correct .1nd complete and file tivastifer of inis coit,tnitl#,,v tar, used i rl!1a%i)n,1bl Eltllgunce .in the preparatlull ol.this statement And its schedulNs. Execuledon 3-4�-26 7 k ,j�,j,,�,L�l'r'�.2....._. Lt"iAT{, 1 1Cfty At1t, llali [�att- •Jl!(.IIEl O` rANC;/rtA•1 , • y A„ y t 9 'IFy .11 .�.! t5` r�'r, 'y,..,T' •�. .!. .j i .y r r •r .��,�,'! ! lnfftri 1 to SUMMARY, PAGE 40 kl,. I Name LO. Number COLUMN A COLUMN 3 COLUMN C (it Cumulative total from Cumulatl«t Previous period This period to dater` RECEIPTS ` ' S 1913 S 1913 S . 1913 1. Mondtn contributions (Line S. Part 3 of Schedule A) ry k�f► I .r (Glum A + Q O Colurm 9) 2. Unpaid loans (Lime 9, Part 3 of Schedule H) .. 0 (rotal at Nglnntng (riot chinpa (Total at and or period) for perio l of period) 3.•Miscellaneous receipts (attach explanation) �(Calcrm A Colun-n 131 1913 1913 191,3 4. Total monetary contributions, Not cash receipts (Linas 1+2+2) $ £_�__�_. �,._ (Column A+ T'Y: culurm 81 5. Non-monetary contributions (Lino 3 of Schedule C) 0 0 0 (Column A + Coltxnt 8) 6. Pledges (Line T of Schedule 0) 0 0 , 0 t lotat at t>,sptrning �alchivio 1rotal at en of period) ?of port ! of period) S 1913 S 1913 ":., S 1913 7. Total receipts (Lines a+S+G) _------- (Colwn A+ Colucm t3) EXPEHDITU'AEs 8. Payments (Line 6. Part 3 of Schedule E) S 934 S 934 $ 934 (Column A + Colurn 8) 9. Accrued expenses (unpaid bills) (Line 5 of Schedules f=) D 0 0 tTotat at beginning (Nel caringe (Total at and of period) for period) of period) a� 10. Total expenditures (Lines 8+9) S 934 S 934 S 934 (Colvin A+ Colurm pl ti4 STATEMENT OF CHANGES IN FINANCIAL CONDITION 11. Cash on hand at the beginning of this period S 0 y 1913 12. Cash receipts this period (Line 4, column 8) .._. .. 13. Cash payments this period (Linty 8, column 8) 934 14. Cash on hand at closing data (Lines 11+12-13) 979 15. LIabilitlos (Lino 2. column C + Line 9, column C) Q 16. Surplus Cif Line 14 is greater than Line 15, subtract 979 Lino 15 from Linea 14) S 17, Do(lcil (if Line 15 Is gicate►r than Lino 14, subtract $ � .0 Line 14 frorn Line 151 ' 1 i 04 { ! 1 a �4 Y � • J f L t 1� J ' 1 I.. r�:j .1 1- y App �� L E NAME.... EEMIR H)R EA7PT1qscN _ _ 1.0. NUM oel (Irrirrirrt j'01171) F •-SCHEDULE A, FORM 42Q•.or 430 A6NETARY'CONTRIBUTIONS (Amounts may be rounded off .to whole dollars) PART 1 -= RECEIVED FROM COMMITTEES: (S*e I'nformatian manual for directions And examples) FULL NAME AND ADOREM OF COMMITTEE I.U. NUMBER Oli TREAVJRER'S AMOUNT CUMULATIVE .., •DATE ~.•, (Street. City, steov) FULL NAME AND ADDRESS AXCEIVEO TO DATE �. SST� +F.'•�,tart u.. ,s. •s.4 1 a C ATTACN,A0DjTJ0N#L INFORMATION ON A,PPROPnIATELY LA19ELCO CONTINUATION SHEETS. 5UBTOTAL'(Caffy with a�ditloaal Subtotal$ to line 1, part 3, page 4) N J ` r ' 4 , Vr 6e ,'.ra",. r .'Y•: .;..4 *tvC-^e ..i,.s:s.;c�.e.• Yl'. 'S`,:.''•p: }.',. .''.tt'. ,,' r, '? 'r.?- r ..w ^`t .'Z�n.Y•.t: r"^.q'"Y,77i7,'i.l',?'t j,.i^ , r. f �1 rya tE PMPLE FOR PA'Iti'INSO N I.D. fa lf.4 Gr•1n1111t:i Applied . -....- " : SCHEDULE A, FORM 420 or 430 (continued) PART 2-11ECEIVED*40"A OTHERS: (See information manual for directions and examples) .. DATE FULL.NAME AND ADOf13 N(Sir*et EMPLOYER IIF COttTRIBUTOR IS AMOUNTCUMULATIVE CIS-. 1".)OF coNTRI+MuTon OCCUPATION SELF-EMPLOYED Lis'r STREET RECEIVED .AMOUNT AoonEss itr CITY OF BUSINESS) 2-6-76 Pearl Wheeler Self-employ(d H.B.Termite & Pest Co trot r. A .. 17091 Beach Blvd. Businessman 1709). Beach Blvd.` Il:tnti n4tron Beach, CA 9264 Huntington Beach, CFI 100. 100. 1-14--76 FAWard Brantley Self-enploye Huntington Valley 19026 B;!. okhurst Businessman Sporting Goods 200. Huntington CA same addr s i 'r ; 1 4 J r. M t s i A A tt - AtfaM Willonal information on wropristety labeled tontlnuatton an"ts SUBTOTAL (Carry with additional Subtotals to line 3, part 3) $ 300 •If the contribution was made by an intermediary piovide the inlomialion for both the intermediary arld the principal contributor. PARI SUMMARY'4I MONETARY CONTRIBUTIONS (See Informatioti manual for directions and oxainpieir) 1. RECEIVED FRAM CC'AIAITTEES THIS PERIOD (Part 1) Include all Subtotals $ 0 __ 2. . RECEIVED FROM COi' MITTEES UNDER $50 THIS PERIOD (Not itaml?ed) 0 3. RECEIVED FROM OTHERS THIS PERIOD (Part 2) Include all Subtotals 30,0 .i ve; 4. DECEIVED FROA1 OTHERS UNDER $50 THIS PERIOD (Not Itemized) 1613 S. .TOTAL MJl"1CTAAY CONTRIBUTIONS THIS PERIOD (line 1 4 2 + 3 + 4. Enter this total on Line 1, Column © of Summary Page) s 1913 4 f t i t T �r NAME PWPz.E FOR PAZTIN50h� �tsEit(ir comniilee) Applied q . {lattrtm' Form) r SCHEDULE B, ,FORM 420 or 430 r f LOANS " (Amounts may be rounded off to whole dollars) PART 1 -- LOANS RECEIVED: (leer information manual for directions and examples} ` z . EMPLOYER(If s411-onvIorred Mto+- . oATE FULL NAi1.AMD AODAIKU OF LENDER OCCUPATION list street rwddresa and elh Ott AMOUNT OF CUMULATIVE AND ANY QUAAANTOfM 0101 C06IGNEFd of business.) Hate LOAN AMOUNT 1-7-76 Finn Patt-insan t-!iru 20681 .Elizabbeth Lane 2--1-76 Huntington Beach, CA Salesman 0 224 224 . I . Attach additional intommlion on aompriately laWed mminuarion meets. fSUBTOTAL $ f PART .2 — LOANS REPAID, FORGIVEN, OR PAID BY A THIRD PARTY: (are Information manual for directions and examples) (a) (b) (c) (d) AMOUNT AMOUNT PAID ' DATE FULL NAME AND ADDRESS AMOUNT FORGIVEN BY A THIRD UNPAID REPAID (Enter on PARTY (Enter BALANCE hod. A) vtt kited. A) Ron Pattinsrm 2-9-76 20681 Elizabeth Lane fiunt:ington Beach, CA 224 0 0 0 Attach additional Information on Wropriniely lat*19d continuation meals. 224 0 0 �Y SUBTOTAL PART 3 SUMMARY LOANS OF_ S50 OR MORE THIS PERIOD (Part 1) Include all Subtotals S 224:' 2 . {LOANS UNDER S50 THIS PERIOD (Not Itemized) Cr• - ,3.` TOTAL LOANS RECEIVED (Line t + 2) 4. �LOANS REPAID OF $50 OR MORE Tl•ilS PERIOD (Part 2, Column a) Include all Subtotals 224. 5.' LOANS FORGIVEN OF $50 OR MORE THIS PERIOD (Part 2, Column b) Include all Subtotals 0 9, LOANS PAID BY A THIRD PARTY OF $50 OR MORE THIS PERIOD (Part 2, Column c) Include all Subtotals 0 T. ,LOANS REPAID, FORGIVEN. OR PAID BY A TNI'-0 PARTY UNDER $50 THIS PERIOD (Nat flemfzed) 0 $.:.TOTAL LOANS REPAID, FORGIVEN OR PAID BY.A THIRD PARTY THIS PERIOD (Line 4 + 5 + 6 + 7) S :'2q;__ + 9. NET CHANGE .THIS PERIOD (Llro 3.8, Enter thin total an tine 2, Column B of Summary Pago) $ _ 0___� r .i r:A�.rk PEOPLE MR PA TINSCN (lnlcrim Form) , SCHEDULE. C, FORM 420'or 430 ' NON-MONETARY CONTRIBUTIONS ` (Amounts may be rounded off to whole.dolNits) See information manual for directions and exampled ". FAIR MARKET K CUIMtlLATI FULL NAME V4 •AND ADDRESS AND DESCRIPTION OF DATE OCCUPATION EMPLOYER CONSIDERATION VALUE At"IOUNT I.D. NUMBER(it Comilt4s) RECEIVED !A gyp Y 'tflh i iu. Itach additional inronr,nlian en spprobtwely latielm conhrriation snrots SUBTOTAL S r' It contributor is sett-employed list street address and city of business SUMMARY 1. NON-MONETARY COt, tRIBUTIONS Of S50 OR MORE THIS PERIOD (include all Subtotals) 5 � 2. NON-MONETARY CONTRIBUTIONS UNDER $50 THIS PEF3100 (Not Itemized) 3. TOTAL NON4.10NETA1IY CONTRIBUTIONS THIS PERIOD (Lino 1 * 2, Entpr on Line 5, rolurtwl G of Summitry. Page) S r� f 4 People for Pattinson { __.. ,.. _ _. r.u. I'MIA , �tic�,r1rn1tIve1 NAME -- P (ltt(crim Form) SCHEDULE E, FORM 420 or 430 PAYMENTS (Amounts may be rounded off to whole dollars) 3 ' 4 PART i - MADE TO COMMITTEES: (See information manual for directions and examples) G CFFICIAL FULL NAME OF PAYEE COMMITTEE AND 1.0. NUMBER(It the commltt#rr has no I.D. Number. AMOUNT.. " USE ONLY stag full nerrt►rr and addrora of the Treasurer) 1ills pEntoo Treasurer) �. rw R.�A t r .A I 'A IA 1 M I AllatA j tWj v;w tnforr.tllon on "roprlateq to IV d oonflnuatlr" 4ler►ett: SUBTOTAL (Carry with additional vubtotais to Line. 1,-part 3. page 9) L0 -- I �i 1 I i j { � ti; ;� t•r - ;i ..3 .}. , 't, ,.-._,. ..... ..., ... ,. . .. .. .'. r '.y. r 't., + tr.•tiMt' r PEOPLE FOR PAMNSOIt APP1 fed NAME �.. :.►1►ABER01 committee) (Inlcrim form) • , - ,t SCHEDULE D, FORM 420 or 430 PLEDGES (Amounts rray be rounded off to whole dollars) + Sw Info•rmatlon manual her d'iwtlans'and It -•trucllons (a) (b) AMOUNT AIMOUNT CUMULATIVE AATE FULL HAMI •AND ADOMSS OCCUPATION EMPLOYER t THIS PERIOD PAID �c+ (E a LEDGE AND I.D. NUMREI9(it oa+mMilw) 4, i Still R' f• xnc t • .n r Atte t additional Intomnatlon on Vpmotiatety labeled acntlnuotion sh"ts �~- SUBTOTAL S contrIbvtor Is sell-employod list street address and City of business SUMMARY 1. PLEDGES OF $50 OR MORE THIS ►'ERiOD (Column a) Include all Subtotal, S �0 2: PLEDGES UNDrm $50 THIS PERIOD (Not Itamized) _ Q 3. -TOTAL PLEDGES RECEIVED (Lints / f 2) S _ 4. PLEDGES OF $50 OR MORE PAID THIS PERIOD (Column b) Include all Subtotals 0 5.. PLEDGES U14DER $50 PAID. THIS PERIOD (Not Itemized) � _... G. TOTAL PLEDGES PAID (Line 4 + 5) $ 7. NET CHOICE THIS PERIOD (Llne 3 -- 6. Enter this total on line 6. Column © a( Summary U page) S i i . I PBDPIE FOR PP-WItiSM �� Applied ied ;'A.AE _.__..__. _ I.U. NUllut GOITmIltee) Y ltlfcrim Form). ' " SCHEDULE F, FORM 420 or 430 , ACCRUFD' EXPENSES(Unpnid Bills) (Amounts may be rounded oft to whole dollars) Site Information manual for directionu and examples iS AMOUNT FULL NA ADDI E39 �ESCnIPTION OF ACCrIULD fir, (Strlsal, City, Stalo) ACCRUED EXPENSES THIS PEnioU ►1.i T>P-t . .1•', J I .'Y I i i t 5 ttim a it(onai tnlarmatlon on WorMlatety labeled wntlnuatic-n sheets, w� W • SUBTOTAL .• 'cif the accrued expense lz; owed to a cortunittee, list the Corrmiflee's'namn and I.U. number (or the full name and'addross of the treasurer). If the person providing the goods or services was different from the payee, list each pe1`5on's full name, stroet address cIIX and state. I SUMMARY. t, ACCRUED EXPENSES OF SW OR MORE THIS PERIOD. Includes all 5ubIoI&IS S 0 � 2. ACCRUED EXPENSES'OF UNDER $50 THIS PERIOD. (Not Itemized) 3, TOTAL ACCRUED EXPENSES INCURF ED THIS PERIOD (Line 1 + 2) 4, ACCRUED EXPENSES PAID THIS PERIOD (Not llam)Ied, Enter on Lino a, Part 2, Schedule E) S S. NET CHANGE THIS PERIOD (Lines 3-4, Enter on Line 9, Column © of the Summary Page, This may be a negativo amount) s 1 r i • 1 NA)A,E Phi 1�i1 .°., I.U. t�Ut�r C.cxr.mttml Applied .M� e SCHEDULE E, FORM 420 or 430 • ; (continued) PART 2— MADE TO OTHERS: (Sae information manual for directions; and examples) FULL NAME AND ADDRESS OF PAYEE ' �, AMOUNT S Istr"t. Clfr. State] DESCRIPTION OF PAYMtrH. THIS PERWO Sir �Shy printing . : 67 1601 Placentia Campaign's stationery -� Costa Mesa, CA r Smart & Final Food for kick-off N`r: . �� 740 W. 16th Street , 51. Costa Mesa, CA 4` Smith Printers Posters 425 W. Sixth Street 259•. `. Tustin, CA Seacliff Liquor Liquor for kick-taff. party 264. 402 - 17th Streets }'I Huntington Beach, CA Huntington Beach City Clerk P. 0. Box 190 Filing .fee 100. Huntington Beach, CA Alta tc r additional Woeruetion an nopropriately labored Zanfrnuation swle.lt+ SUBTOTAL (Carry with additional subtotals to Line 3, part 3) S 741. �lfh p g goods or services was different than the payee, list each person's nante and address. t, n person rcvidtn the � ' BULK RATE NO. Brute r Vuur milk rule alld/or postage mrher rur►nber userl in t'anspraigm mast nseiilittgs. In itrGlitiort a r-op- (it each muss mailing should hey sew to the POSTAGE METER NO, Fair Po.itival ProVticv.ti t utumis%isur. PART 3 — SUMMARY OF PAYMENTS.(See information manw1 for directions and examples) 1. MADE TO COMMITTEES THIS PEniOD (Part t) Include all Subtotals 5 0 2. MADE TO CC*AkilTTEES UNDER $50 THIS PERIOD (Nat Itemized) _ 0 3. .MADE- TO OTHE RS THIS PERIOD (Warr 2) Include all Subtotals 741. 4. MADE TO OTHERS UNDER $50 THIS PERIOD (Not Itemized) 193. 5. TOTAL ACCRUED EXPENSES PAID THIS PE 11,100 (Schedule F, Line 4) - - 0 f3. TOTAL•PAYMENTS 71-1I5 PERIOD (Linos t . 2.r 3 : 4 . 5, Entut this : . ,fotat on tine S.Colu.tin @ ql Summary Page). $ ...... . :.x., - ti; 9 ` 1 f r'r �r _ _ rr 1'. ,•r. r". r" t7*r.'�' tt i o• 1 H-s,44 INTER-DEPARTMENT COMMUNICATION . rw vtr.Gt(rir�uN To All .Candidate Cowmiitaas%tajor Dcu�orr�r Foam Alicia M. woniwa;Xth, Ci f Clark C ,$•; 1976 General ftnicipal Election Fill Subject Coti- i.ttee caps ign..Statement: DM 3anu"" T S, 1977 Forms 420, 4501 460 If a committee is active 'durinq a -mp6rt:ing p*ri.od it is rejuired to file . :=} an off-year C t � copy y as�aign statement. 1i��•:axe en�cioe a► or 'Rapox�t"in9 Cruider- lines for Caepaign committees to assist you in detaratnim if yCU are ra+pi.xyd to file. " t . The filing period is 6/10/76 th=xVh 12/31/'76 - to be filed in our office by 1/31/77. rf you will be filing a statement, piaa** call the City Clerk's , Office (536•-5226) and we will forward the rreces*&rl7 forms to you. If your committee has terminated, it would be appreciated if. you would chock the box in .the lower left-hind corner. Also it would be advisable to informs 1 the Secretary of State of the teraination of your committees Secretary of State Political Reform Division P.O. Box 1467 Sacramento, California 95807 In the event that your committee is still Jn axietence, but has no' activity, we would suggest that the "Cjaitt** Report of No Activity* be completed. We have enclosed a stampod self-addressed envelope for your convenience for informing us if your 'cmittae has terminated or for tiling a "Committee Report of No Activity. " is COMM 11".FX TERMINATED A*W.-CA 3 tr r r. Enclosures: . e `F t f 00 VA INTER-DEPARTMENT COMMUNICATION To All Candidate Comittees/Major Donors From Alicia H. Wentworth, City Clark 1976 General Municipal Electiontit Subject Committee Campaign Statement Date January' 3, 1977 Forms 420, 450, 460 jam``•. If a committee is active during a. reporting period it is required to file an off-year Campaign Statement. We are enclosing a copy of Re rtin Guide- • . lines for Campaign Conni.ttees 'to assist you in determining if you are required to file. The filing period is 6/10/76 through 12/31/76 - to be filed in our office4'�" by 1/31/77. If you will be filing a statement, please call the City Clerk's office (536-5226) and we will forward the necessary forms to you. If your committee has terminated, it would be appreciated if you would check this box in the lower left-hand corner. Also it would be advisable to inform the Secretary of State of the terminat-ion of your committed: Secretary of Statn Political Reform Division P.O. Box 1467. Sacramento `California 95807 In the event that your committee is still in existence, but has no activity, we would suggest that the "Committee Report of No Activity" be completed. We have encloseu a stnmp--d sett-addrefsed envelope for your convenience for informing us if your coratittee has terminated or for filing a "Committee Report of No Activity. " F. L Te MINATID AMW;CBttr Enclosures r t f (Illlcrlin Fiwn) R E k CEIY. ED ""�.. -wtr ► . COMMITTEEZ)VED AND FIIED rr STATEMENT OF ORGANIZ!�`TION : t^ tr« � �• pl th, s.....lary cf .. :..'. _ of t6• Stoh al C04arnta O� (GOVERMAEtNT di l�?5! GTION Bdt�t.�x�aJl hi�� 1976 yti.i ` MARCH FQHG EU,'S4ttetary of State f; 25 f.11 a : 3 6 People for Pattinson Ew ►•VLL N.aE O• COMMA r1E[ . 9552 Hamilton Street, 'Huntington Beach, CA , ts7.Tl, tZ1P COOE1 +~ l7pEET. •GD�*5f! !Sul t[ NO., 1NO. • StMrF11 +. .t . t (714) 9 61-5514 A (AREA COVE, P-40NE NO. CITE ORCAN1Zi0 0" FONT..! D F<)1+ o!'1",G,A1. UdE ONLY - ------ �+v=�'• 1 TREASURER AND OTHER PRINCIPAL OFFICERS l ,tti (AREAPHONE rt POSITION NAME AN11 ADIMLSS CODE) NO. TREASURER 16 7, 'Huntington ton Beach (714) 848-0707 John W. Gyorkos, 16052 Beach, Ste. g Chairman Ntary rdleer. Alatheis, 10181 'Theseus, Huntington Beach 92646 (714) 963-3011 :.;. Secretary PenneyPattinson, 20681 Elizabeth Ln. , Htg. Beach (714) 962--5511 i �..... Vice-Chairman Dave Ganmell, 18526 Cork, Fbuntain Valley, CA 92708 (71.4) 536-5311 Atta.n aaa.ttonat lnformavon er appropriately labeIN Gontlnuatlon stinots. Il• , IS THIS A CONTROLLED COMMITTEE? IA conlrallyd committee is une whit•h ii fry ar,die d Ji,t rtlt' r,r in,lire r tlr hr a c andidute or ►thick urta juintlt with u I'u111/idate� ur c•untrulled e•ummitive is c•llrtru•c•titin %%itlr dit. ,rlal�init r,! 1-ye rlditutt•N: :1 camlidate� cantrul t a romntillve, i f fie, hi.% agent or an►' other romrid itev he c warr►l t, ha% %i ili ftuartt inf lue , urt Ihv of•tion.r or of they rurr►rtirtr�,�i YES (Complete Se:ctlon lll) f� NO (Saction Ill is not applicable). �. Ill CANDIDATES AND COMMITTEES BY WHICH T141S COMMITTEE 1.5 CONTROLLED OR WITH WHICH IT ACTS JOINTLY FOROFF1CIAl MEN TI FICA TtON NO. lJSE G'11,Y N+;A1.11 Qf C;At4131DA Tr 014 (''. Af-11 T I Er, Ilt Carfmittee) FDN RNTIrnz rI r - atl.7CtT ajaitional informattorl On apuroor+iltely mt>olM crinttrwAllor, 5heet'1. II ....rr 'ORGANIZATIONS. IF ANY, WITH'lNHICH THIS COMMITTEE IS AFFILIATED IARt;A pflOta NAJ.tE, AND ADDRESS CQUEi NO Attxh�ae d 1,cna��I tntarm•�t1an an ri,�Iuowtiatt:ly latmlel rant+n,lnt,an sh�++uta. �� VOII MUST COMPLETE THE yERIFICATiON ON PAGE 2 1 f,' NAME 01• - Form 410 People or. Pattinso . COMNI T T t:� for y. V CANDIDATES SUPPORTED *( OFFICE SOUGHT � • FULL NAME .� Huntington Beach � PA�fiTt3 W ' Cit Counci�it n ' ---- 'RUN i t I1:•.' : Attach add,l+onal information on appropriately labeled continun;ion sheets. VI MEASURES SUPPORTED OR OPPOSED T!TLE ette er L r C44ECK ONE Let tor C] Support '0 Oppose [j Support ❑ oppose �•' a Support Cl oppose ( ' i Attach additional ,nfoirmat+on on w0toovltltdt latmied wntinuat}on Sheets. A II IN THE EVENT OF DISSOLUTION, WHAT DISPOSITION WILL BE MADE OF SURPLUS FUNDS? VERIFICATION c declare under penalty; I perjury that to the test sty pry knoviledge this statement is true, correct and complete and that t haver 'used all raasonable diligence in its preparation. !.• Exod" od 'n 2-23-•76 at Ehmti.nggn Beach bi +O•t[e (C. tr A► ri tT tAt ,'SN. a tpfva>;v a .. Z — lS.,. . .w. •• ._,.....,.wer.x.et�rttsilN.h44rar.r.._. y i • COAAITTEE It STATEMENT OF ORGANIZATION j... (GOVERNMENT CODE SlCTION 64101-84103) ^� ���.►�'�to � 1, ,' RECEIVED AND FILED : •� In theof." of ttio Sfr.tnty of State fp •��: • ` Of tho St^atq of Cclifunta_ C1 ;. .a ; IULL NAuQ OF CO►.PnIT rat ..^. t {, ' 9. 2 2 �Y'1 +e-CLC- Q� ¢ �-� _ LL L; lt7HRC7 AOOA�l3 t>IUf Tt NO.1 INO. A f TRT r t l {I i 3 `, '� lfT A'T�I 123P CODCI 1*!' 1 � r --.i9. .�r`�r. _l_�1. ...� __�_ __. -- -- * w t'jiAMEA COOL) PHONIC NO. 0,%Tt'OAG1,N12F pH rnl+•..t t, ►t•N Or11CfAL VI-C ONLY ' s �•tir YAtA' SURE AND OTHER PAINCIPAL•OFFICERS ?•' POSITION NAME AND AVOKSS CODE) NC). � TREASURER ;,,_-C M A. t ri'�C#.h �' U O ,fie 3,it� .,r Attach additional intomiatlap on Wgmpclate ly labeled continuntion sheets. H IS THIS A CONTROLLED COMMITTEE? IA:rurttrolled committee is one which i.t c•ttnt►ullell directly ur ►►id ICC11, by a candidate or whit-h ucta jointl,v ivith u r catididate or controlled cammittee in c•nnnertiun itidi dw making ##I ewpenditurei, .1 t•andidate controls a c•ornmitter, if lie. his agent.ur at - other rarnmittee he (-ontruA, ha.% sipiilirunt i► fluetu•e on the action.% ur deri:%iuna (►f the rommitter) •{ES (Go+nplate Section (tl) (� NO (Section III is not appllcatle) 'III CANDIDATES AND COMMITTEES BY WHICH THIS COMMITTEE IS CONTROLLED OR WITH WHiCH 'IT ACTS JOINTLY FOR OFFICIAL � IDENTIFICATION NO. <.U5E(kiLY NAML 01 (;ANUIDA I E:Oil r0.4ull l t EL (11 CotTr»Ittee► W ' f:i.,.........., k Attach additional inlomtkison on wDroonniely I At Ied Ca10nuAt1011 �t{e.ta. -- - 1 IV ORGANIZATIONS, IF ANY, WITH WHICH THIS COMMITTEE IS AFFILIATED aati: NAVE AND ADUAES$ (AFQ A PHONE CODJ:1 NU Atta h atfdillonsl Intomktion rn 1myprop(lataly labeltlf owtlrusi,on srl"w . �w r.w,.»�..a w.�.r............w w.:.... YOU MUST COMPLETE T14E VERIFICATION ON PAGE 2 I . 7 CopllfTEE CANpfDATIIS SUPPORTED l i i.o•,`. FULL NAME SOUGHT Attach additional intoa► Ion an appn»rtst0y Isbated wnrinustion shoots. YI' . MEASURES SUPPORTED OR OPPOSED No rV k. T!YhE Nu. or 04ECK ONE Letter 0 Support 0 Oppose [] Support 0 Oppose (� :support a oppose Atom additional Inkmillbn m n Tittnh taf}olec!eUnttnustton shoe',;. • r' VI! IN THE EVENT OF DISSOLUTION. WHAT DISPOSITION WILL BE MADE OF SURPLUS FUNDS? i - .rrr - - r• �..\e....r�ww.. f VF.RiFICATION I dos+Isto under Dimity P1 perjury that tts the bast of my knowledge this statement is true, cartect and canptete and that I have ti lod all roasonabie'dittgarlce In Its preparation, r' I~xecuted cn at i z� F by .,•., ICAttt V1 t T A�l�Til 15141 R[ nor TMCkfupical 7 2 — f t. �!, SUMMARY PAGE Name _._!s,- 1 7 1 2-t=r► S I rr��Ali r:ij E`m :./1� . I.D.- Number" . ... �f.._ .�..j_._. ._�. _ _ COLUMN A COLUMN E3 COLUMN C Curntilativo 101a1 troll' Curuulativo previous potiod Thiss period to dMe } RECEIP75 f�:c 1. hioneteiry contributions (Line s, Part 3 of Schedule A) 0 (7 �r. �(G)lmrs A + , Column 13) I Unliaid loans (Line 9, Part 3 of Schecule D) _� ,1 // 41 • rib � ��d 0 ILI (ialai -1t begiunu�q flirt ert;rnyye� (Total at Hnd of period) for persodl or period) .s 3, Miscellaneous receipts (attach explanation) �.?F tCoturrYl Ai tx,4j. Colts n tit )>:: ''r r- 4. Total monetary contributions, Net cash receipts (Lines 14+3) S f'"-- (Catunri A+ 5. Nosy-manelary contributions (Line 3 of Schedule C) (Colu m A 4 C.olurtrr fi) 6. Pie'ages (Line 7 of Schadul^ (1) itotal at tY,yirning Zfirl),v�gd)o�M ntas at end o1 periadl for rterto of mind) 7. Total receipts (Lines 445+6) 5 �� �r ect S ?e'--, 70 �6 (CAttam A+ Column D) EXPENDITURES B. Payments (Line 6, Fart 3 of Schedule L`•) s _ d (Coturm A+ Column B) 9. Accrued expenses (unpaid bills) (Line 5 of Schedule f) (total 7t beginning (Nei rnuiyc (Total at erld of period) 1lot fK•rrod) ;ot,pdrnodl 10. Total expenditures (Lines 80) $ •'''� S (�-(s��. Sr„ILL�!-� (Colterm A + Colurrr) 1,I) STATEMENT NT OF CH-APICES IN FINANCIAL CONDITION 11. Cash on hand at (he beginning of this ptr»d S 12. Cash receipts this period (Line 4, column 8) 13. Cash payments this period (Line 0, rolumn fi) ..���.��•� F 14. Gash on hand at closing data (Lines 11412-13) 15. Liabilities ;Linea 2, column C 4 Line 9, column G) 16. Surplus (if Line 14 is tlre:iterr than line 15, subttacl Linn 15 from Line 14) $ ��► , ,.., '17, puliclt (11 Line 15 is gtualer than Line 14, subtrict Line 14 from Line 15) z? !><JI�tYlIaI4tS1t1H,fSSfYIlL•lG t."'it1 i 1. ,p, .. d •� J- r g IvE +,;(InlrrIfit 1 orlrt) '• _ • ,. _ ��► COMMITTEE twh�.:,: Cr,!IF. ` CAMPAIGN S1 ATEMENT 4� d II,UVI IIIIMt tit t 0111. 1.1 /.11UN b-wtl f►� }'� f� �t+t i�, • .J r 1 1'ornt 4?0 cuv(!►s peliod flung 1171 7, lllruuyh !.y �-• 1 `t-- t Z_r`' n S —}-� z�w� C� �` �-R�___ .�1�.1 t�_7J•5+ ;. 14AMr Ot•' C;0[P/AMltIEV �, ��,., t.l,. •„r.�b1 fIr if �] ,,�•,1,��' 1.�_ r.,.,�`�s{�! c~,a• r1nn�1 . tt�fY1 L �l h� !�_ i C►ft..l.lt•iSr��f t._r(2-2..L.7_J. �.1 `� i�, ,~�C� AUL]11155 OF COMMITILL INO.,ANC! 51 Off 11 • .II II � t t.li r 1.•11• r.uUl 1 t {A{/i.A ^.OL)Lt /P1t OtIC IIQ.) MA+AC Or TF;E^%uHl:rr l� j` r Ord 2 t.,r c'2 't�GS �1r i LL.A- n 1-on -BOt . C! �-�`� l ( -7 ( q 83 3 •Q? NI?strmtrrsAL %tjDRr%% Of TRCASt1HLll u ..,o. a 1f,Ec II Ic�•I 1'4t.t II I� ••Jlr• CVu/ 1 IAItf.A cCnl.t tn►rONC N0.1 UU5r►'L3D At)VIM53 OF TfICAUURrII INO. S stf.('r rl •('I/ .1 ftAll r 1t•1• C of 1.I tAftt:A CODE) IP11Ot{r: Np.l a!� 1 LILAC 1 C]LINE: 2 (DLINC- ] DOTNl:11 t►r1:C1t APPLICALILC. p 1: FOR NAlt.10111 AV1)9jv$S lit plljoq. $I.r No. .rl,.l %rr.vt ..,r 1',t4 Il,r•1. I lit, ..Ilrl 1;1 rVPE OF C1-KCTtC 1 IIIAI.IA11Y, Go ?.I IIAI SPI CIA$ • fIA It Ll• I t 1 • / •• •Ir••• I-A. .1 A$— /c•f AI 0At.i1 Clr'riC1At, Ulf. UNLr ALLOCATION OF EXPENDITURES BY CANDIDATES AND MEASURES (Allocate the totals of Schedules E and Fury Gandid:iles and t.le&tutus, Ammonts wary Iw roundtrd oft to whole dollars) OFFICIAL rIA"E OF CAN DIDA11. ANU 0I•1'10— IJMAI 01 1(AI 1 O1 (:I ILCK 1', CUMULATIVE XPENt)tTUr?E»S USE ONLY t.IEASIME: AND IIAL1.0I NclMM.11 Oli I t I II It -»- �IUNL ;Ells F!~i?Iai) TO DAlt: RON 41t1kmC..Y► 1 � ,�`,. �l`. L<rlC'1 1 Y�11 1•u1! f� �IIJ ♦���^ � r/ U. i�l: Ur•t•U3t: { al•1 u3L '1 vPPnst. , { ' � SV►'/'V4 f - 1 4Ut'Pt'JH i .. :111•Ir(11. 1 � �..•�.�..�....�� �. ..... ... ....�........... ti.J,l1•,p 1.f .... .� ,,l f �� UI.1•US1, i ,. I ' gPt•CtSI r• r Altar.(1 addllional fftlormaltm tN% .11K,Iciltl.t MY Ia!n'Ietl t Pnlr•.11;111w. VERIFICATION C I dticlaro under penalty of perjury that to the bet.-t of !ity knourfedge, this slatemerit and Its schedules are true, correct and comp lote and !hilt I tune used all wasonahle difigence in t,heir�/prt•pal,ation. Excctiled on •s 7 e .it, ?� `!3.'7'`{t 1�it.r by �. 721_:11`1�' '►' '?"s - .._�.�_ DAY ,�1 J ANt' ..{ 1 1A4.'.rl� Nt: UI' TA( 4SJ•►L 111 _ A candidate who controls a committee mutt also verity the campaign statrrnerrt. E i dnelare vndar penalty of porjuty that to the beast at my kitowicdgo Viis stalement and its schedr.tt?ls are true, 6%mccl and.corriplete and the trl�asurer of this enmtaltlev !tits used ?II"reasol!1tit�Iv dillttonFe in tha prepar,Itia(I of tidal statem•,��e��I and Its schedula5. E Aeculed on'at,; .�.._,_:..., at _ern ii. ..---by ��? '? /�;�. :�t t,��•�`- __ _ __ - __._... It)ATr I IcI I r lft, 4,•a t t + I11,•fA tUltt. Or CA►Mitt►t I* k r , 7 Z. f�Tl_5� _ �� i' �,1 �! /L-ii: tI111.9It I (I (ht(I•riirr 1•rrur} •� SCHEDULE A, FORM 1120 or 430 MONETARY CONTRIBUTIONS (Amounts may be counded utt to v.hote dullais) OWNS PART 1 RECEIVED !'=fiom comma TTEES: (.ne intortnation manual tar directions and examples) FULL NAME AUD ADDRESS OF C:ONWITTCF I.D. NUMVEn OR '1nEASURER'S j A'AOUNT - CUMULAT14E - OA7G (Stleet« City, SCAN) FULL r:AAtE AND AMMESS RECEIVED TO DATE 1 a' f•A �.f ,f ;ATTACH Al'OII ION AL INronuATION ON APPROPPIATLLY LAUCLED'.*CONtINUAIION SALCTS SUOTOTAL (Carry wllh atdditl-anal Subtotals te'line 1. patt 3. page d) S b —- 3 -• I I I i ' r ; tIA1.'.t_ �! IF-/ ! �•�~r7`� /'� t___.f �SIZS/1±1 _�1.L .)_ + U. tJlyr'" (.riit .;vul ��� '� �_ .•. SCHEDULE Al FORM 420 or 430 (continued) PART 2 -- RECEIVED FROM OTHERS: (Sue infomialton manurif for directions find examples) E►.1PLOYER (►r, CONTfUaUTOR :S OATS FULL NAME A`IU ADDRESS(St,eat, AMOUNT CUMULATIVE 3` Clir, Stag) OF CONTFtIQUTnFt* OCCUPATIONFF SELF-EMPLOYER LIST STA p[GCtVED AMOUNT G CI7Y OF [BUSINESS) � tie' , J�JL / 7_3.S' l ,►j:,.,-.,fir •9✓�= ��� Ct� .. ...- I t�it s rt h•n /7 •r �i !7. C,t/ ,Cl�r l n`F-r$; n �. Ile-- r t / /!t.^ r»t:,.r,• jjtAA+ ri•'c+C!i rw7 r' eI- 4-4 r �J•�Ci C ([C /, I C•/r !y (' ! Me-o-t:.u Y ✓I`1 y� J/`s 4 `,..:SDI .� t� '[> 1 �'' a�� CSC /l l�jll la+!'.•:'(� tJ / ��1�'���.�/L/�•I ✓ 4/ mil' �f •� ..1 i•'!t • C LJA;.i / s.ril.r'I ,�ctt+•11r S'�I �r�- I c7�i I G /e" C r. C.It c. i )� f-;�l� ` , r. c'! { J i /7 r/c►ra C., !le �ir 171-16 .7 , n/ti., `�1,-. 'eel, /-�► f 7 .Sw` �' S /! 7t; , -:i:.: j .�Irc/1C1'�� ! r"2S r,.�nl+elv / S (its►:_/ ` C? Ll j �1c�r /C : t jt c� /� -Ln�-rA47� l�ry. tl27t� �� •�. Il` - / j ,[�c• [vet.r+l.'( �J�rt.l� / �} ! I �C /:>�/ � �' •' it ��L!`ri c:Jlvr..r, l V/CL" jirc'stic Llt r�r i �r V SrttnS.rnt I •af�) Illk'r9t�'clrClry � -- - -..._.._..._._. _.....�-. �....�,.,,�...�_ .. ' t►� r%.3 ?l.'i �y.`�G� /vt±.,,,,f i 1•'{' �.•'1'}�=.r �!/'-'�f r��,.. , •(.r � rA e �1!- C d s, t Amm.tw a.I ttaiat mfovmuson an a;Vropriairty I;u►j?,,M C,r,t,nuntiat S!Ir•i5 ._, �� ((-- — .__ SUBTOTAL (Ca►ry with Additional Subtotals to line 3, part 3) S (( ;tits CC.rltribution was made by an,nte,'Inediary ptoYide the inforpialion for both thu intermedia.I� and the prihCipol ca7iritxltor. M pARY 3 -- SUMMARY OF MONETAR`! CONTRIBUTIONS (See information manual for directions and examples) I. 11CCCIVC-0 F11011.1 C0.%1,M1T11:LS 11.11.% hi-Ill()E) (P,7rt 1) Include tilt 5uNotais $ 2. F LGE:IVED plimt Com".iITTEE:S UNUL11 S50 ImIS Prigl0l7 (PdGt ItemizW) 3. 11ECEIVE 0 1=f10,m OTHE S MIS I'E_WOD (I7att 71 Include ;III Sub(otatt •.3.4"'c w <. 11CCEIVCD FrIVA ODIEPS U14[3Lp $50 7I.11S PLI110D (Not Itentized) 5. TOTAL k,101&1AF1Y CONTRIBUTIONS MIS PCI110D (fine 1 * 2 4 3 Crater IRIS total on 1_11io 1, Column 13 of St,mmary Page) $ - ���S_YC !'' t , w Y , / �' .S � + t!el kfl_]•H1 _ _ It" 6113I:11 tit torrer.iltbn) (1!!f I'n tr1 l'lift!!) •�•` SCHEDULE E3, FORM 420 or 430 ,�•�„ LOANS Amounl�, III-'IV liv rnunded Ulf to w1mle ciollars) w' PART t — LOANS RECEIVED: (see inlomialiun manual for direc:tion'l and examwli:S) EMPLOYER (It selt-omployed Inter- DATE FULL NAME AND AUOA=Ss OF LEADER OCCUPATION 11st atrert .iddress end c{ty sat AMOUNT OF CUMULATIVE AND ANY GUARANTORS OR COSIGNERS of business.) Rats LOAN AMOUNT s'*. `fe. �.�. r. e, / ft'.ilt4, l JS G' '" L • c /fU' C [.' '•sty' SO :4:. AtitltA dgJitiunal infurrnitron m appropriately labele.l ux+hrur. I r1,r•r•tc;. � _-~ ~� SUBTOTAL s PART 2 -- LOANS REPAID, FORGIVEN, OR PAID BY A THIRD PARTY: (see Information manual for directions and examples) (.�r) (b) (c) (d) AMOUNT AMOUNT PAID DATE FULL NAME AND ADOnESS XXIOUNT FORGIVEN UY A THIFID UNPAID nEPAID jEnter on PARTY (Entar BALANCE ' ched. Al on .Schtd. A) /Match nddilronnt Information on appropriately Ittbeled eontinupteon shoel.. SUBTOTAL S r PART 2 -- SUMMARY is `LOANS OF S5o on mom THIS PERIOD (fart t) Include: all 3ubintals $ .rr�����• `+ r" 2.. LOANS UNDER $50 THIS PERIOD (Nat Ilern=zed) 3. TOiAL LOANS RECEIVED (Lino t t 2) A, 'LOANS hEPA1D OF $50 OR MORE THIS PERIOD (Part 2, Cnitinin a) Include .ill Subtotals $ 5 LOANS F6r`tGIVF-N OF.$50 Uf1 MORE TWS PERIOD ((',111 2. Cplunm b) Include all Subtotals. t G,' LOANS PAID BY A THMD PARTY OF S50 OR MOnE 11.11S f JJUOD (fart 2, Column c) Inciudo all T. LOANS REPAID. FORGIVEN, OR PAID DY A 7111R0 PARW UNDE 11 $50 THIS PE?f1100 (Woo Itcrmizud) S. . TOTAL LOANS F1E PA10. FORGIVEN OR PAID 13Y A THIRD PARTY THIS P1:11100 (Lino 4 1 S + G 1, 1) S S1. NET CHANGE=*1111S PE:11m (Line 3•0, Enter this WWI on line! 2. Column 13 of Summary Pago) S — N+'U.1t f • e.t r (INfrrim 1.0 till j � I SCHEDULE C, FORM 420 ar 430 NON-MONETARY CONTRmu-fIONS � (Amounts may br, rounded off to viliule dollars) See information manual for directions and examples y° r. FAIR MARKET '' �• FULL NAME AND ADDRESS AND + DESWIPTIOIJ OF VALUE UMULATIVE DATE OCCUPATION EFJ.F'LUYEit I.G. CONSIDERATION RECEIVED AMOUNT NUMBER(II Cnmmltt�e) ,+lib fir,. r. ......�..�...w�. � .���►N1 T41'M��'n p !1w " t I 1►)loth '►1,1111orsal intormrhon on rpprrwriat;1v Mbrlthl Cori lnucliloll 61ents SUBTOTAL $ If contrlt►ulor is ,oil-omploye(f Ils! street addt'uss and city of bUniness SUMMArN 1. vXW4•M0NE1A1,4Y" CONTNKYOTIONS or S5o on Kim: THIS PERM.-) (Include all Subtotal%;) S P. NON-MONEUFO CONVIRR TIONS UNDE n $50 1'1-0 PEnIOD (Not Itemized) 3. TOTAL NON-F;ONE"rAf1Y CONTFIlbUTIONS TIJIS Pr-1110t. 11-in© 1 4 2, Gnter on L4) -� Line S, Culum!►0 of Summary Payt+• i ,•''"`" - y 78.E GAME ..r. `-? r 7�J fy'�► S .ti r ���► /l�_.�. " '.►�.1J{E ft(It ruirntIfee) SCHEDULE D, FORM 420 or 430 PLEDGES (Arnotmis may bu ioundod utl lu whole dot(.trs) , Sae Infrtirmptian manual (or dirncttona and Inatruclions (n) (b) (0 ;^ a MtOUNT AMOUNT CUMULATIVE DATE FULL NAME A►ID ADDRESS OCCUPL710H EAIPL.OYVR PLGOVED PAID (F_ntsr PLEDGE AND I.D. NUMD.En (Ir comr1t000) TVIS PERIOD on Schvd. Ai UNPAID {�� 1Ctacxt additrowl tnl0►m32101 tart Vpropthitali Iobeled wrilinuation Weetx SUBTOTAL St it contributor is sell-empioyod list street address anal City of business �i , , SUMMARY i. PLEDGES OF SW OR MORL THIS PERIOD (Column a) Includu all SublolillS S „, 2. .PLEMES UNDER $50 Till S.PE,1101) (Nat itemizwd) ..__......__,.. .' 3.. "TOTAL PLEDGES REC51VE0 (Lino 1 a 2) 4. PLEDGES Off' $50 OR MORE PAID 714IS PERIOD (Column b) Include all Subtotals ".' S. PLEDGES UNDER $50 PAID THIS PEMOD (Not Itemized) G. TOTAL. PL.I-DUES PAID (Lints 4 a 5) • 7. NET CHANGE tT�I c PE.�1O0 (Line � — G '.nl►-r this total on lino G, Column 0 at Summary Pago) S ;` •'*..Y�.��as 14.J-_ -_ •••�li�t'. titk1l: "� f �� 7.t�.i-s._ 11� ��-!_i"_l C" f �)7c: r~ ._ ._._.. t.U. ltit ,?f'h lit Grrrrittevl " (iftif'llfi! (�dlaf� SCHEDULE E, FORM 420 or 430 PAYMENTS (Amoutils may bu rrltuisilal till tti wtrvlt) tir>)f, PART t -- MADE TO COMMITTEES: (See information manual lot rfirntions and examplaa) Or-r'iCIAL.� FULI,. nt&E'.or. PAYCE COOAM)l tEI: ANn tx. tium )En fit 11,o commimus hrs no I.D. flumbot, AMOUNT ' USE OW. onto lull namo and aCcimss of Out Tierismor) THIS PER100 w Yl 0,. g1- f" t P j Atfao%rul Vi4wint infonmeiott art cuntittuatlm t.frrilt% SUUTOTAL (Crtfr with �idditfunal rubtutnls to Line t Y , r>�ltt 3, p;Lgel if) • ,NAME F�. / , 1ft� f I�;rsr __ I,r:. fN1R!!l.`'.' t �ufrr,illecl E FORM 420 or 430 SCHEDULE - kontitiued) le' PART 2 --'14ADE TO'OTIIERS: (See Inidintation manual lot directions and examples) •r;; FULL.F11�►1E 11NU ADDRESS OF frAY C4 AMOU11T OESCriIly710N OF PAYMENT THIS PERIOD µ � (Streal, City. State) Me ! s e s .S l" ,-r r `r r i M Attach addrtionol infomiation on NVroprialOy Iatrrlod coolrnontlon vivets SU1I70TAL (Carry with additional subtotals to Line 3, part 3) 5 �` � �7 �• �� _ ; 7 !Il that parson providing the goods or,services was different-the+",1 the jmygua, list eaC►� lemon's f17mu and address. rBULK RATE NO. ._._ l:alrr tr,lit bfilk raft. rare!/ut 11fWagi, Inell-r tlfiulhrr 1111•fl to carnlraign r11(IN nluilifigi. /it 11dfiltim a tvll►i` I)f each mass rrtaititlt; Should he .tifvll to the ' :POSTAGE fdETCFl no. ._ 1-'air Politic ul 1'rur lict•N C limini Ssian. -PAfi7*3 — SU1111Any OF PAYMENTS (Soo information manual lot directions and czamples) 1, MADE: TO COMMITTEES 11CS PERIOD (fart 1) Include all Sublatitls 2. MADE TO CG.ti!R11T'ff:E?S UNDER 550 1FIl.''i f�r:FIIOU (Nat Itemized) . 3. MADE TO 01TIE;fifi THIS PERIOD (f',irl 2) irlctudo all ��ubtotals �r/r11-7 4. MADC TO 011iERS UNDE:11 S5D THIS PEi'1100 (Not Ilemized) •5-f1 ;1'_ .t._ ` 5. TOTAL ACCRUED E XPENSI:S PAID THIS PEfII00 (Schhd►Ile r, Lino 4) G. TOTAL PAYMENTS THIS 13011011 it..inos 1 + 2 1 3 1 4 + 5, Enter this total an lirtlr R, Cufumn I101 St,r}rn:try f'-toe) S �" ,�' :l �• -_ �._ - _ _�� ____ — =---=a• .. .. -....rum..r��YYr_.w�.---___._-_..._.-w....+_. - r N'MI ..._ _..�`.!.I G»[jil s. _ !..':.. .._. . � +ell C�il r�1:)�+•/1 I {J tJi��'a.1:: rt.C:urtn{rir ! :?..�. _... �w P (I111('rllfl I Owl)5Ci�U1 _E h, FORM120 430 4 ACCRUED EXPENSES (Unpu:c( 1 may ue Am m is bo euieled rill le. ►:leuly rlall.u .} Sue Inrurmativn marl:{.rl lot d4octiwis and examplus .� ___.. FULL HrVAE AND .0.013RE55 --- !)C:f.G1111 I;UN Of'y— l,T,1Clt;t1T��, •-+�� fstrwat. City, Stnlw)'I ACCII(ffn r-xi,c—N o, THIS riCf11DU i I Attach intwmalma rn oppropiltitpily labelvil mi-twuiltion Sinn! SUBTOTAL S h. �If tftn riccrued Cxpensu Is 6wod to a comrttiftee, list the committco't� namp. and I.U. number (or the full namra n:id address of the ocisttrer). if the person providing the goods or svivices wat; tflffctent from the payee, list each parson's full nante, strent a6dreas�clty nn f state. SUTAMAFtY t, r�CC111)Ef3 EXPENSES OF5;�+� OR ►��OIIE TNt3 Nf:�l OD. include all Sublotals 2, ACCI ULD I!XPENSES OF UNDER S50 THIS PE11100. (Mat lturm7ed) - 3.. TOTAL_ ACCHUED, E•XPCN;E-S INCLIME D TI IIS PEniOt.) (t,ine t �` '1.t;CFtUEC1 E:Y.PCNSES f'AlC1 '1ti15 PEn10C� (t�(at tiertixctf, Enter c;n Line 5, Part 1, 5cheduia E) S _.... _.._ 5.,ril."t CHANGE TN15 PERIOD (Unv 3-4, Eniet on Lino 91 Colut,on D of lhu Summary Pago, �. This may be a nagal)vo amount) -- 10 — i 4 •�,`. .` • CANDIDATES STATEMENT , (Section 10012, Elections Cade•) � ,C�•� � Pursuant to Section 10012 of the California Elections Code, the following statelnent for tile; office f Ci_ty, Councilman Ca t��� of Huntington Ae ch rsaZ_. f. rn .o 1 to be voted for at ._ election to be held in Orange County- City of jjUnti rjon_ Be c (County, City, District) on the 13th ' day of April 1 Q L, is submitted to be printed and included in a ` voter's pamphlet to be mailed to each voter together with the, sample ballot, r ' { � i do not elect to file a statement as permitted by Section 10012, California Elections Code. R�; (Signature cF C.andidate) A :.ty. 4V�,r f Estimated cost of printing and mailing the following statement . . . . . . . . . . . 5 II Ron Shenkman STATEMENT OF Warne of Candidate) CANDIDATE FOR THE OFFICE OF Member of the City Council r, I _ Name: RUN SIffi,t1KIJA N Age: 39r.; Occupation: FINANCIAL EXECUTIVE-- TRUSTEE HUPITINGTON BU UNION HIGH SCHOOL DISTRICT ' I-dticatiori and Oualifications: College _Graduate- California State `Jnlvkrsity AY^w � (Brief description of tto( more than _00 wotds expressed by the candidate himself) THE ONLY CANDIDAT E WHO HAS A. PROVEN RECORD OF SERVICE IN ALL PHASES OF CITY GOVERI•16I iUT , AS BELL AS FISCAL AND 61ANAGEt ENT EXPERIENCE IN PRIVATE BUSItdx,aS . 1974--75 Served. as President-4 Board of Trustees ,'•.969-72r-c CITY COUNCILMAN City of Fountain Valley. Helped run .� a- �s ' bte cit.), -?;oveniment. nartng my rm there was respect and ha.mony between the City Council morale to remain high. ea >F 1,972 HUNTINGTON BEACH SENIOR CITIZENS RIAN OF THE. YEAR NOtiTINEE. a Founding Director Cypress College Foundation. tX r a l j -- i C taro u- I!:YT�._C�e1 . • CHAI'WRAN -- Citizens for Better High Schools . ��52`IICCT`T3��"."d� - t, � e r t1y oLeague. Consistent supporter of youth athletic rograms . c^1 W1r.5 -1we -ac:ho/Qr5 i * Three areas of major concern to me area `. }l�lESTOLaE.'a, , c nfidence of the people in their city government. ;n1 Yi T1� 1 '+�1 P1 `.,,.�,' • ' • _ • - . . tho budget',, - r operations. .�.. � L" WITH -1-7PERIENCE, IN PUBLIC SERVICE, mpAGEMENT, AND CITY .GOVEI#NME:NT , .• , l tSiRnatuur. of C,aruttdAtc) r I i . I t". t LJr r•. ,y 0 :t! L. �i j $ rbj"• ; �.: .•!;: .i' ;, t' •i,i:.fir t .. r t '. +���er ?�, ^! + /t•,�J} �` t • � I tti USE BALL POINT PEN ONLY PRESS FIRMLY j CASH RECE(Pi'' ,r •l, CITY C F HUNTINGTON BEACH P.O. BOX 711 HUNTINGTON BEACH,CALIFOfiNIA 92648,' %*aII (714)536 531 1 CITY TRe:ASUREA -=WARRt.;N G.HALL oEFT.Is5VINO....... r#1.� r 1i t. . k+` -----_.DATE_ »_�'» � (:? - I r4+k RECEIVED FA0?J _...m,.L L : :�:tii.� ':r_.•: - -- ADDRESS_ ._. I .?: _ V y' �. .....�...._ FOR .` AMOUNT RECEIVED CASH 0-CHICK 1: • u.r.w Lrr•....�-.+ww... ..i..:.-.—.w�Y.i .Jw4...«.•_..._r.r_.-- !a I � • - RECEIVED py ACCOUNT I AMOUNT TO TAL t } J t r :1S5U1NG DEAART)ANT. IJLnt . .t J. r.Y r,. - • 1[' ,. ., •l. ,r1•w ,4,..•'1..D •.y.• ..x, , 4 c . rI R < r . +r STATEMENT IN ACCOUNT 'H Y Cit y" cf H d n t in' ; g t c n Beachr24 Hununston 3eacb, C.allt. .,......_. I9 . A� Ran 15"2 sunf 1 awa r L n. ' Huntingtan PJaach a CA 92647 '. 1 C.ANDIDATE'S STATEMENT OF QUALIFICATIONS PAMPHLET Printing Costs . . . . . . . . . . $ 349.70 Spanish Translation 22.50 TOTAL $ 372.20 Please remit by check payable to: City of Huntington , ` Beach, City Clerk's Office, P.O. Box 190, Huntington Beach, California 92648. il 6, 1976 DEADLINE Tuesday, Apr , iy (frtlerim f tlrrrr) CANDIDATE'S " • CAMPAIGN STATEMENT _ GOVU"RNMFNr t"00F 51 ( tI(N 84700 . 641t4 Statement covers period born __d1J7_! hrotrgtl xii ►IAuf: OF f.ANC!L:ATE r' H CSaGCH'tIAL AL+LIak�S •'air. % 3tpj C T f C', ' r •' A Tf +lrr• COOL tANEA CC)—(.I �+L'NQ1Jt: fJb,) 2 9 40 l W OU1a► aS AC.OW-$' I/JO, A SI pf.l Sr IC1Tr 1 'f • %f ltt` f�2'1 t Ikl.('A ri;L'C.1 tPHnNF: NO.r �CJI��'� Line 1 C] Line 2 CJ Other CI-.EC.r ArpLIC AItL-C "OR F 13P *AAtt.tNC AO1VAE%1 (it •,ILrr, t,tr•tr•'•• h,•, .Jl•,1 •rr•• I ',or r'.tt, ►t„!I I•tf), If4if .Ir✓I rite Code ';'•yi, 7rvC pf ELI.'C tapir /liar fl/APv, CC,•Jt FJ At ti[•C AI., I.A t► .tr 1il (i ,r:r. .f C1 f+T.. (•► • t ANr (fir rICi r<)p Mrr r C lr r I r POt.rTa AL PANS► A+• Cla7TdlC t t4,jVf4rf4 tit A;ptrt it.). t tr;tAt nA'.( 'r r,� f•1'lvrf.t�� __�___.._ gYFrL'a t. :.5t. �.,f<L• „1, . I LIST ALL COMMITTEES SUBJECT TO YOUR CONTROL WHICH HAVE RECEIVED CONTRIBUTIONS OR MADE EXPENDITURES ON BEHALF OF YOUR CANDICACY !A controfled Committre f% of+.e Which is Controlled ff.r.e ill, cif •,tid,rre tty 1 t y•>rr of -I'#Lh nr It jointly wall, you or onto of gout conttuIled ' Committee% in tonnre!ton with th• rntal•ng of t•+gr•rd•tute+. I'ou f nwtrul a me+rnttle. if Tou, you• ugent Of any 011ie, commiilna you i coptrct has signifft¢nt influence Gn the a(tfnne of decsf.f:m% .11 Ilir Cur.,m+tfre,l COWAITTEE: NAME COX"I t f C t _._ F� . NE MID 1.0. NUMBER ti5 III Aallle rt be R f4�s rn,r �J l,`fS�Lac,► .c>,�r t`_6J11Cl� _1,-��Gi��+ � S11I{ r- Attath additional Intotmetlon on ayprt:p(r•tltly Idbeirtl contanu.ttfnrt slttett. 11 LIST,ALL ADDITIONAL COMMITTEES OF hHICH YOU HAVE KNOWLEDGE WHICH HAVE RECEIVED « CONTRIBUTIONS OR MADE EXPENDITURES ON BEHALF OF YOUR CANDIDACY . CUt.MII 1 T E E N AVE � f:Ut.ul.l i i!.F ....__._...._._....,.._....._�....... ..�..._..._.... PHONE~ AND 1.0.NUr UC43 t r.i�Urtl'�, _ ._ ttlt:n�tt►If ft � ADUHkSS r1U►ft'[fi t Attn<,rt M41ttprutt I(irdmAllen on d(r•UtD01ale4v IAWII'd (Y►ntl(tuallon .yht-tls, C t VERIFICATION .� I declare under ponJ,lty Of perjury thll ;o the test of my knowledge thir statement and its attached boodulag are trues, correct, and conOete and that I have used all reasonable diligence In their preparation, E • rr Executed on by "'• ..,i, t. 1p r1t[ f r{+7V Aft f STAII I •lIG/IAttJAt: or t.ANtt+CeA TF•:t ..' • M 1 .• f i ,t '�d aC� •i' ;+ , a.` ',. . `),•r �'� rf•i. a .. t s t' t. ;A£ , +' s. f SUMMARY PAGE Name -- e n!S..�t ►� I.D. Number ,L� �s S� _. ._... COLUMN A COLUMN 9 COLUMN C Nl CUrfmJJllrr) Cumulative total from Cumulative ` previous period This palod :o date RECEIPTS i '.. 1. Monetary contributions (Line 5, Part 3 of Schedule A) $ S (Column A + Column B) 2. Unpaid loans (Line 9, Part 3 of Schedule 8) r. (Tota, at beginning (riot charga (Total at and of ppr+od) for periodl or period) 3. Miscellaneous receipts (attach explanation) rCorurm A + 4. Total monetary contributions, Not cash receipts (Lines 1+2+3) S Syd �_____. _ 6o 'Y '' (Colt" A+ Columm B) S. Non-monetary contributions (Line 3 of Schedule C) ; (Co lum A+ r Coturm B) 6. Pledges (Lino 7 of Schedule D) ""' f- ~ +iotal at tep+ru)mp et rhrria� ota at an of per+0C) for per1991 of period) 7. Total receipts (Lines 4+546) S S $ (Column A+ Coturm 8) EXPENDITUnES I B. Payments (Line 6, Part 3 of Schedule E) S S 1� :l,I S J/ gg'• (Column A+ Colu-n Bi 9. Accrued expenses (unpaid bills) (Line 5 of Schedule F) I101,,11 al tv9inning Met change (Total at and of pr►+od) for period) of period) 10. Total ixponditufes (Lines 6+9) S • ��' � g�,-?� N (Colwn A+ Columm 9) STATEMENT OF CHANGES iN FINANCIAL CONDITION 11. Cash on hand at the beginning of this period S 12. Cash receipts this period (Line 4, column ©) 7 D • +v2- 13. Cash pr►vm9nts this period (Lino 8, column E3) C Iv 14• Cash on hand at closing date (Lines ' ..12-13) !__.��' 15. Liabilities (Line 2, column C + Line 9, column C) 16. Surplus (if Line 14 In greater than Line 15, subtract Line 15 from Line 14) S 17. Deficit (it Lino 15 is greater than Line 14, subtract s ( 3or3• Linn 14 from Lind 15) � p4 "^ i •t •' a ,`f ` �}I ` fF .f ' t { �}� .. ,_ pit ..'� r .ii +•"! P r,,�Y.;`i4 -f. } 1 ` k./ . ,/f •�► tom'"� NAME _ I.U, NU>v I.- .#I C2mrnittna) (Inirr)m-1 Orin) ... SCHEDULE A, FORM .420 or `430 MONETARY CONTRIBUTIONS (Amounts may be rounded oil to whole dollars) FART 1 — RECEIVED FROM COMMITTEES: (Sot In(armetlofi manual for,direciions and examples) �,�• DULL NAME AND At}DREtii OF COMMITTEE1.0, NUMHFFt OR TREASURER'$ AMOUNT ! CUMULATIVE DATE PULL city, state) FUII NAME AN0 ADDRESS, RECEIVED TO DATE i I I i I , ; I I I I ATIAC14 ADOIT!ONAL INFORMATION ON APP11CPRIATZLY LABELED CONTINUATION S►ZeElt , SUBTOTAL. (Carry with additlmol Subtotals to line 1, part 3, page 4) S -- 3 — �, t . '} r . v.•!•K ": •j.,. i?f::F. . .. ti ., ,. . `4 •r . h'`t,y'� •1'-., t.t• I4 !'-p.�:.J.� '�' ;Y'.. NWE Ron C<rrmitlNel � �.--.t •-- i r � SCHEDULE A,.FORM 420 or 430 LZ (continued) PART 2 — RECEIVED FROM OTHERS: (See information manual for directions and examples) Y�sM EMPLOYER(IF CONTRIBUTOR IS IlWUNT CUMULATIVE FULL NAME AND ADDRESS (Wool .00CUPATION SELF-EMPLOYED LIST STREET DATE City, itais) OF.CONTRINUTOA RECEIVED AMOUNT AD'JRESS & CITY OF BUSINESS) ` D na�c. sf �Yit1 l lllot ,za le-2,-7 I` l` D Phys1C4Qh ;ge_cl C A.o0p. 9 /73�Z �7 /`fe ' Ctrn�[,r�Afd �i,��Prr__ I rw ) ~ . Jack KkI elc� ' Rerc��.�-�� 5�w1.-g-� � 5v :1► s'ca �'.► ' /U �.u. ���f r'L ( 'f...�'-x��o(�ry-�' /`f��-+C�.;t r y Suu!r r3S• /�a /oTa �.�m 7G � . J'ea Lto r Rea7S~-- 4 I7 7601 /Jc rx-�. �1r( pi, ( t c A &-i6t#j Presiders{ f�� t7i.�-f ti+moors I•�u�l�rrty�c+'1 fl."CiCA a I U�t'-I•ti�. r) C SAC f Ltdia_cojq /7 /fS Sa U -kt ru p.J("+ i'�ri�-t bn-.L �Ierr Cduxtfc( aAIN�lcx tc e- 6-D $ Sperm Ll ,� r �/n;c�m+}I a Uf t o 1 oi�' 3/� r D11- (� L �e ve ►teeon Ic y=�.�ati- �• NUnct, 57�t, Core I Atta:h additional Information on am-roprilltely labeleo continuation sheets SUBTOTAL (Carry with additional Subtotals to iine 3, part ;1) $ *It the contribution was made by an intermediary provide the information for both the intermediary and the principal contributor. PART 3 — SUMMARY OR MONETARY CONTRIBUTIONS (Seer information manual for directions and examples) 1. RECEIVED F'401d COMMITTEES T141S PERIOD (Part 1) include all Subtotals $ 2. RECEIVED FROM COMMITTEES UNDE A $50 THIS PERIOD (Not Itemized) .3. RECEIVED FAW OTHERS THIS PERIOD (Petit 2) Include all Subtotals 4• RECEIVED FROM OTHERS UNDER $50 THIS PERIOD (Not itemized) 5. TOTAL MONETARY CONTRIBUTIONS THIS PERIOD (fine t + 2 w 3 4, Enter this► total on Line 1, Cc,lurnn 8 of Summary Pago) — y — • iYiYoi' s.uraafYuwt�M.L1t�"art��.�w_raui i __. c S , t (; 7�,1. 1 t .,`441 S 'h.,'• I t,,� ( 'I' .. a .l, t •`. t 1tTA.kt 4 t ' +•� i•. NW.1L •' 0Iy`_� ii _.. __. _ t.D. tint 111 Cdrrnytlrx+l 'T..L"y.--�. 011tcrim Norm). SCHEDULE;C, FORM 420 or'430 NON AONETARY CONTRIBUTIONS (Amounts may ba rounded Mt to whole dollars) See information manual for directions and examples 011 ` FAIR MARKET FULL NAME AND ADDRESS AND DESCRIPTION OF. CUMULATIVE DATE OCCUPATION EMPLOYER VALUE AMOUNT '.• I.D. NUMBER(If CI1199) CONSIDERATION + RECEIVED ti f1,, Z:x. . z i.t .Yi t 1 I i f i AWCA A114111un l mformalton on ajv. YoPflatety IAtaeled milinUAllun Shunt% SU13TOTAL S ' II contritwtor is soli-employed list street address and City c buslneSS SUMIAARY 1. NON4,40NETARY CONTRIBUTIONS O $50 OR MCIIE:• THIS PEWOD (Include all Subtotals) S ?.. NON-MC NETARY CONTF 113UTIONS UNDER $50 THIS PERIOD (Not itemlted) 3. TOTAL NON-MONETARY CONTRIBUTIONS THIS FrEHIOD (Lind 1 + 2, Enter on Line 5, Column 8 of Summary Pgige) S . i NAkiE _ ' "h._.~-'1Ci'� � h ` T t.F (t,'., i.'�iCiEfi(It corrrn)llve�). l r .�' ' (In trrirn 1-ornt) SCHEDULE 8, FORM 420 or 430 '�:• LOANS (Amounts may be rounded off to whole dollars) PART 1 - LOANS RECEIVED: (rice Information manual for direictionti and examples) EWLOYEtR (If selfrwmlo ed inter- DATE 'ULL NAME AND ADDREM OF LEHt?ER OCCUPATION list street *Mrsss and city out AMOUNT OF CUMULATIVE < ` AND ANY OUARANTOO" OR COSIGNER 11 of husinsss.) Rate LOAN AMOUNT n4tc� �enrtan �e� i1 , Lyrka 10, .� , t Iz;x'9 Attacn additional Informlion on approprinle,y labeled continualrrn sneels. SUBTOTAL $ 1/0 PART 2 LOANS REPAID, FORriVEN, OR PAID BY A THIRD PARW: ftj6t%3 t (sir information manual for directions and ezemples) (a) (b) (c) (d) AMOUNT AMOUNT PAID DATE FULL NAME AMU ADDRESS AMOUNT FORWVF.N BY A THIRD UNPAID REPAID (role(an PARTY (Enter BALANCE ache!. A) on Schei. A) Attach Addlllonai Intonation on app mpriately labeled conlinualinn sheets. SUBTOTAL S PART 3 -- SUMMARY 1. LOANS OF $50 OR MORE THIS PERIOD (Part 1) Include all Sublotal a $ /0 2. LOANS UNDER $50 THIS PERIOD (Not itemized) 3, TOTAL LOANS RECEIVED ( Line 1 2) S A. LOANS REPAID OF $50 OR MORE THIS PERIOD (Pori 2, Column a) Include all Sublotais 5. LOANS FORGIVEN OF $50 OR MORE THIS PERIOD (Part 2, Column b) Include all Subtutais 6. LOANS PAID BY A THIRD PARTY OF S50 OR MORE THIS PERIOD (Part 2, Column c) Inciudo all Subtotals 7. LOANS REPAID, FORGIVEN, OR PAID BY A THIRD PARTY UNDER $50 THIS PERIOD (Not Itemized) 9. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD (Line A + 5 + 6 , 7) $ , 9. NET CHANGE THIS PERIOD (Line 3•8, Enter this total on line 2, Column 9 of Summary Page) mom Wai6%6.. r "f t. ' :.h t '. t. Y ".�s: I � 1 i ' � 1. "Yt �� .,. Y '.:,�♦ �� „ 1 NAME. 6 n. � ,n�.m't r1 tG ` (interim Forin) SCHEDULE D. FORM 420 or 430 PLEDGES '. (Amounts may be rounded all to whole dollars) . 1,Auk t S" Information manual for diroctiont and Instructions ���=�" (a) (b) AMOUNT AJLOUNT CUMULATIVE 1'0;'n C)ATE FULL NAME AND ADOMIS OCCUPATION EMPLOYER PLEWED PAID(Enter PLEURE AND I.D. NUltitdQR (N c�frrn+ltii+) THIS PERIOD an Sched. A) UNP&;D ��.ti %Aw ,N�' jr . 1 ..Y t�t YiY f t1C incli addotlonal inturrmitfon on tVpmPrlately labeltC ronlinuation theets SUBTOTAL S It contributor is self-employed list street address and city of business SUUMARY 1. PLEDGES OF $50 OR MORE THIS PERIOD (Colutttn a) Include sill subtolals 2. PLEDGES UNDER $50 THIS PERIOD (clot Itemized) 3. TO1*AL PLEDGES RECEIVED (Lino t 2) S 4. PLEDGES OF $50 OR MORE. PAID THIS PERIOD (Colurtin b) Includo all 5ubtota;s 5. PLEDGES UNDER $50 PAID THIS PERIOD (Nat Itemized) 6, TOTAL PLEDGES PAID (Lino 4 4 ,) 7. NET CHANGE THIS PERIOD (Line 3 — 6, Enter this total on tine 6, Column D of Summary Pope) S f t�f i''��ate`{ i'r�� i�✓, :'; � , i ,t• .�� , . . .. Y .. ..,, �tt.l.ri- .� - .. 'n.. ,•r. r. .i.. ....r v. `c ,�.�. +. t.: �•' n-_�'}�3� ��}}'';'il„�: � . tiuu'' NAME . LU, Nlt�.tt . (it 0,01vi+UoR) N E , _. . ..._._. . a ' Iaa 7 . (!ileum I oriel) , SCHEDULE E, FORM 420 or 430 PAYMENTS ; Amounts ma be rounded ate to whole doll%IS) ( Y 4 PART 1 -- MADE TO'COM'MITTEES: (See infoimation manual for directions ar.d examples) Ab/Jt:� OFFICIAL FULL NAME OF PAYEE COMMITTEE AND I.D. NUMBER III Ate comitt4ot has no I.D. NumDil. AMOUNT USE ONLY state full nhm# and eddies~ of the Treasurer) THIS PERIOD , F, ',,•S a i i ' rN i Ar.tart+ + �dlttnrd+ rr.tamuirnn m+ M,x+R�pslatRiy lst*lfd SUBTOTAL (Garry with.addillonral subtotals to lino 1, pntt 3. pege 9) S L_,__._`_ fII1 1 J i . I Wf `i` ''.�fU^� IVRi►t .__, Corti 'r� �n�'i n_ _ I:u. r�u�t►�1 c: ►►,1roAI Z117cA S` ' SCHEDULE E FORM 420 or 430 (continued) x PART 2 — MADE TO OTHERS: (So* In(ormatlan manual for directions and eixamples) FULL NAME AND ADDRESS OF PAY EE# t?ESCAIP71t3N OF PAYMENT AMOUNTTIi1S PERIOD (6tt"t, city, Stale) �t�`" o• . 1'1ic'. r b 4 ct Lct i- w i; Z. jv 91p" l�oor-j r l t7 Pik n �b=� Yt5 ct� .G w c r I I Attach i0dolional infounition or Awroprliitelr lab-led cm linuntim sh;t: s SUBTOTAL (Carry with additional subtotals to Line 3, part 3) S person providing Me goods or services Was different thatt the payee, list each person's name and address. J BULK RATE NO. _____ VnIer your bulk rale affil"eer poi 5tage meter ►eurnber usrd in campaign mass Pruilines. In ade itiuu u copy ert each mars mailing shuield he .cent to the POSTAGE METER NO. Fair 11eeditival Practice ,% ('nmmis eieerl. PART 3 SUMMARY OF PAYIJENTS (Sao information manual for directions and examples) 1. 1JADE TO CL�7."JITTEcE:S THIS NE:I�IOU {Fait i) lnciud all Subtotals $ 2. MADE TO COkiMITTEES UNDER $50 THIS PERIOD (Not INmixe;d) 3. MADE TO OTHERS THIS PERIOD (Parl 2) Include ,11I`Subtotals 1LZR 7 4, MADE TO OTHERS UNDE n $50 THIS PERIOD (Not It(-mize)d) T S. TOTAL. ACCI10EV EXPENSES PAID THIS,P[RIOD (Schedules F, Line 4) 6. "TOTAL. PAYMENTS THIS PERIOD (Lenes 1 2 , :3 + 4 + 5, Enter this f�total an lino 8. Column 0 of Seim= ry Pogo) $ �/`��'• .2L 'Y t . r,� f ' .r .' •1i. ., all 1r tj-� - r 111; ot. � .'i' "� r r f'. .r '1. '.f:?'Y.. .'1, r .. � .. .....,. 11, •#,yy`.!` 1 q� � t � AE'_ r;�n J�,e.-�krr ___. _ _.�__. t.t�. r�tnl �r ��►„m�tt�eti � r �, SCHEDULE F, FORM 420 or 430 ` ACCRUED EXPENSES (Unpaid Bills) jY (Arnoants may be rounded off to whole dollars) See information manual for dlrectlons and examples AMO11N T FULL NAME AND ADDFtcSS ` � ptrlCnla?IpN QF vw� ACCriUl:D ('street. City, State) ACCHLIEO EXPENSES j ,.. THIZ PERIOD �;tx 1 t 4 r , it I I j ttact"qwmwtil tnfarnatlon on WOrMflately IAbrelod writ nuatmn srieets. SUBTOTAL S .*11 the accrued expense is owed to a cominittee, list the committee's name and I.D. number (or the full name and address of the treasurer). 11 the person providing the goods or services was aiffatent from the payee, list each parson's full name, street address. city ind state. i SUMMARY 7, 1iCCRUED EXPENSES OF $50 OR WRE *nAlS PERIOD. Includes all Subtotals $ ' 2, ��CCFWED EXPENSES OF UNOER SSG THIS PERIOD. (clot Iternired) 3.:,OVAL ACCRUED EXPENSES INCU11RED THIS PERIOD (Liner 1 4 2) •t;�ACGrWED EXPENSES PAID THIS PERIOD (Not lto mixed, Erter an Line 5. Part 3, Schedule E:) S ,Y5-IiNET CHANGE THIS PERIOD (Line 3.4. Enter on Lino 9, GDlumn 0 of the Summary Page, , This may be a nogntive amot,nd S 10 fS�i6Y�/.IdtlIMYi7 � L'tNi�Ete_.. . op , t. 't. , t S: ••rf, ;}, � '1 r•` •t ,1• .1� 1, t t. ., ' it Tlr .��'t I t � `11t } f, (III fl'rtill I Miff) ' 41� -• 1 CANDIDATE'S :r ^ f ` CAMPAIGN STATEMENT (-.Uk.f Pao In1 f:01)t tit Hilts E•12cdr• 81211 Fvtr.\ 430 � .. Statement comas p(rriud ftt,m f hh ttlrougil' 10 . 57 • 11RtnC pA �A'.1 C'It1AT I' r ��. NCS1pLNTU.t. RL]tSnl'::S rNU. A STi,t'Ytr .htr• .,,IAyI r ~+ t\M its, Cur,l:r IANCA LOUt:r IV.1ptlC NO.1 9I175 A0D1#1:r.t MO. ♦ 511.11 1 it t11\r \ >f A Y1 lit' YG1.1 1 tA1,t.A CO(lt:i INNptJL NO .. , Line 1 0, Line 2. Other �r#r ,C1.1:CM A.11 PL.ICP.tII.0 I10= UORAIA+I.r116 AUt:Rt.!.3 ff►inter,►,N•tl•f,• Ir•r. :.t:I •Ie.,rll.,r P.11, fiutl',Iy. 1d1. ji,t.' sip 1*40"1 a�'T TvI+L or 4Ltt:TtON li't,,.AAM�, GINLI.AI, 11�fC,Alt itA(I pl t11 r I�M,)1.!Ml,t,tu 1.A. ,1 AH) (11'tlCt. /'Qn w,ttf~N \t�U AI,C A CA./tjIDAIL 11dt_t-11 .At. It'ApTr AN I Cil3tk,CI, /IUt Into III Appilr All,I I(,lAl ,•A,.1 �.,1.'• I,t I l.r,P.__ .__._._ of / 1F 1. VSt: UNLIr �{ 4t 1 LIST'ALL COMMITTEES SUWECt TO YOUR CONTROL WHICH HAVE RECEIVED CONTRIBUTIONS OR MADE ` "EXPENDITURES ON BEHALF OF YOUR WIDICACY fA controlled tommitfer i♦ cne whiCh i3 tontfuNte bireif, tt. .rJ-vr,!tl, F,1 Inv nr -luth uct% Ioir,fiy witli you us or,r of )our controlled committeet in connection with the m3kinq of r.tr�id t'u r!\, Y01. ttm Wr f it tan•mrttrr ,f i00. )GV1 o•irnt er any otftr• cnrnmitter you ' eontfo) Not sionifieant influence on live actions ol�Er(`\.une .,1 tl,. tue•tnrrltrr.,} _+ COMM)T T E E N AM E: 11 E 1 F tt IU;t Ei AND I.D. NUMBER AUtt►IFSS 1111 AStllil•. I Ai)it11E:S5 ritl!dE)E ii MC�1.1..=-:�i-.11'�.. �a�.:.:.�►•�r ..'��..t.1• �G...l:T.�i J.E:. it �.��tLl ..n.111.,,.�.`.:�.1 ��\_�..1. �/.:- .��t,..l���~L.l. 11:..:.k a'r��j-.1�..j.:.tl ``1 t. 1. .3~.li E y r{ • t ,� s 'f Attach additional information on .r,iar;,pri,ttcly ta[rclt:d tarp ltrrk/ el,nfi•..��~��• "� ..___... ..__ ._.._..._..._...._.._._ �__.._.._____._. ._.�_.._,_..__ 11 LIST ALL ADDIT16NAL COMMITTEES OF WHICH YOU HAVE: KNOWLEDGE WHICH HAVE RECEIVED ( CONTRIBUTIONS OR MADE EXPENDITURES ON BEHALF" OF YOUR CANDIDACY C4it!tJtfTTi:E t:flM[ C;(}f MII ILE i\Iit�!fl: AND 1.0. UMBRA R A(1i)f+f:55 lttE A',ll11f 1E t,t)t1NE:EN tltlt.tEEl:fi Altw.t\aodibtf..11 t1ltwtnatrah on Rj.t Mllilff Al hl'/ t•ttLa/`+1(rt',!(r.,dtivi C VERiFICATION I declare ender pemally of Ile►loV that to the te.,5l of my kii" edge this slawinCiA trid its .11factled schedules lifts tttio. CorteCl, 110 COMplelsi wad that 1 hosiv used ,All tvaSoliat)le dllitlt.► CO in their proparalitin, E . it Env i) rx �'w /—1IC A jr f "� '�%' ,!r' : �✓ F..xtttulQtl otl.... _ l.�..�_. -aI .��1-f +.....�.,........ .... It+Atlr rtiri► A., •,vArli ytr,.,� Tu/,t �'./ CA./nrt • rt / t_. <..u._:.._�_.__ ....,.r.frir`AtwutlNt7rA'1►1SA.94. - SUM ORY PAGE . { . �{ S COLUMN A COLUMN H COLUMN'C 45 I.U. Number .... _. ti;. Of c0mmftr«rf Cumulative t.)tal from Cumulativa ' t,.. previous period This period to data RECEIPTS x•"• e '1. Monotary contributions (Line 5, Part 3 of Schedule A) __.. ' (f„c.lurnn A r�Colurrn 0) +;• 2. Unpaid loans (Lino 9, Part 3 of Schedule B) k ` (70tal sit htu;nning (Net flan (Total at and s�z; of period) for peNoge) of period) ri»f° 3. Miscellaneous receipts (attach explanation) - - -- (Colunn A+ Cie" .." .r" )`it. ti 4. Total monetary contributions, Not cash receipts (Lines IQQ) (Coftxrra A+� f,olurm p) •a. 5. Non-monetary contributions (Lino 3 of Schedule C) _. (L,. n A+ t u. 61 6. Pledges (Linn 7 of Schedule Q) total at boginntng "7F.rt tt{TM �ITt�S 01n M ent) of pet{ad) for period) QI perio(l) 7. Total receipts (Linos 4+5+6) ---- Moltmi A+ Coluff n tl) LXPENDITURES 8. Paymants (Line 6, Part 3 of Schedule C) $ _..___._ S 05• 11 (Cullom A+ Column Ell 9. Accrued expenses (unpaid bills) (Line 5 of Schedule F) (total a1 tze.gznr,np (Net mange (Total at wd of period) for period) of pe(iod) 10. Total expenditures (Lines 84) (Coitxm A f:olirrn H) STATEMENT OF CHANGES IN FINANCIAL CONDITION 11. Cash on hand at the beginning ut this period S 12. Cash receipts this peiiott (Line 4, column 13) 13. Cash payments this period (Lint! 0, calunin 0) 14. Cush on hind at closing date (Lines 11412-13) 15. Liabilillus (Lino 2, column C i Line 9. cohmin C) ta. Surplus (if Line 14 Is 9reator llial Lints 15, subtract Line 15 from Line 14) b 17. Dolicit (if lino 15 is gtoater than Lino 14, subtract r -� Line 14 from Line 15) 2 ` ! ` .} ,`j /T ;•'+ 1 7��! i� :T .:! ` ; r ,+,'I,, l - ��� r4.y � CT�t;� i el •,lr :� � 1.11. UUM10 .. ,It 0111fiitn 1:011n) SCHEDULE A, FORM 420 or 430 MONETARY CONTRIBUTIONS (Atnourtts may by rounded off to whole dollars) j, ,PART 1 — RECEIVED Fnom C0J%WI'rTEES: (See Information manual lot difcctions and exampivs) �r•w. D A 1 7 E FULL NAME AND ADDRESS OF C014AITTEE I.Q. flWADEri OR TAEASURER's AMOUNT � CUMULATIVE (Stta»t, City, 51stel ru;,t. NAME AND ADDRESS RECEIVED TO DATE . rtiuw F 7�AY i i . w AYXACN AD06110NAL INrOMIJAY104. ON AT ' 0PRIATI-LY LADCLCG 4"vv.TS SUBTOTAL (Carty with add,--it Sublotals to tine t, pnrt :t, pn1wY J) .S l�ll i1!CNri..-._..cY7 J.:•._..._. _ .-..- - ....�....a.............r a.axM\.V:li.Mt.wsw.....�.__..._. _.. r�.....