The URL can be used to link to this page

Home My WebLink About1999 Officeholder, Candidate, AMENDMENT COVER PAGE - LONG FORM Type or print in ink. Statement covers period Date Stamp ' ai R and Controlled Committee 1i1i99 CALIFORNIA at(� Campaign Statement — Long Form from y y 1994 FORM 4,90 (Government Code Sections 84200- 84216.5) 10/16/99 SEE INSTRUCTIONS ON REVERSE through RECEIVED Page 1 of 8 Check one of the following boxes to indicate the type of statement being filed: Dale of election if applicable: I For Official Use Only jC Pre - election Statement (Month, Day, Year) MAY 3 1 2001 ❑ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) E] Special Odd -Year Campaign Report 11 12199 CITY CLERKS DEPT. ❑ Semi - annual Statement ❑ Termination Statement (Attach a completed Form 415 to this statement.) I Officeholder Candidate, and Controlled Committee II Other Committees Not Included in this Statement: cistanyother Included in N s Statement committees not included In this consolidated statement that are controlled by you and NAME OF OFFICEHOLDER OR CANDIDATE any committees of which you have knowledge that are primarily formed to receive A S. "Sam" Pratt contributions or to make expenditures on behalf of your candidacy. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) COMMITTEE NAME I.D. NUMBER City Council Temecula RESIDENTIAL OR BUSINESS ADDRESS (NO. AND STREET) NAME OF TREASURER CONTROLLED COMMITTEE? 40470 Brixton Cove ❑Yes ❑No CITY STATE ZIP CODE AREA CODE /DAYTIME PHONE COMMITTEE ADDRESS (NO. AND STREET) Temecula CA 92591 (909) 699 -8689 COMMITTEE NAME I.D. NUMBER CITY STATE ZIP CODE AREA CODE /DAYTIME PHONE Com mittee to Elect Sam Pratt 1235262 COMMITTEE NAME I.D. NUMBER COMMITTEE ADDRESSING. AND STREET) 40470 Brixton Cove CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE NAME OF TREASURER CONTROLLED COMMITTEE' Temecula CA 92591 (909) 699 -8689 ❑ YES [:]NO COMMITTEE ADDRESS (NO. AND STREET) NAME OF TREASURER Sam Pratt CITY STATE ZIPCODE AREA CODEIDAYTIME PHONE PERMANENT ADDRESS OFTREASURER (NO. AND STREET) 40470 Brixton Cove CITY STATE ZIP CODE AREA CODE /DAYTIME PHONE Attach additional information on appropriately labeled continuation sheets. Temecula CA 92591 (909) 69 - 868 9 III Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the be o my k wled e t ormati n co i e herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true a d r c y Executed on e 1.31101 At Terre w lA 6A B Y SIGNATURE FT DATE CITY AND STATE REASUEER An officeholder or candidate who controls a committee must also verify the campaign statement. I have ad all r sonable dill a an o the Vbesl my knowle dge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledg a inf anon co d h rei andached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on S L51 If a 1 At TQ/+�cu,l A BY ' DATE CITY AND STATE SIGNATUREO NDID E/OFFICEHOLDER Executed on At BY DATE CITY AND STATE SIGNATURE OFCANDIDATE /OFFICEHOLDER Executed on At BY DATE CITY AND STATE SIGNATURE OFCANDIDATE /OFFICEHOLDER FOR INFORMATION REOUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977, SEE INFORMATION MANUAL N QAMPAIGN DISCLOSURE PROVISIONS F THE POLITICAL RLI`Q9M A T . State of California Fair Political Practices Commission AMENDMENT Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period ' e t W, Summary Page to whole dollars. yCALIFORNIA,,, from 1/1/99 1994,FORM= 4Ap SEE INSTRUCTIONS ON REVERSE through 1 0116199 Page 2 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 Column A Column B' Column C Contributions Received TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMNS A. B) 1. Monetary Contributions ...................... ............................... Schedule A, Line 3 $ 2,107.29 $ -0- $ 2,107.29 2. Loans Received .................................. ............................... Schedule e, tine? 425.00 -0- 425.00 532.29 3. SUBTOTAL CASH CONTRIBUTIONS ... ............................... Add Lines 1 +2 $ 2, $ - $ 2,532.2 4. Non - monetary Contributions ............. ............................... Schedule C, Linea 72 0.28 -0- 720.28 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Add Lines 3 +4 $ 3,252.57 $ - 0 - $ 3,252.57 6. Enforceable Promises - 0- -0- - 0- (Exclude Loan Guarantees, Line 18 below) .............................................. .... ._..... Schedule D, Line 7 3,252.57 - 0 - 3,252.57 7. TOTAL CONTRIBUTIONS RECEIVED . ............................... Addtmes5+6 $ $ $ Expenditures Made 8. Cash Payments (Other than Loans Made) .................... Schedule E, Line 5 $ 1,808.93 $ -0- $ 1,808.93 9. Loans Made ......................................... ............................... Schedule H. Line 7 93 808. 10. SUBTOTAL CASH PAYMENTS .............. ............................... Add Lines e +g $ 1 $ -0- $ 1,808.93 11. Accrued Expenses (Unpaid Bills) ..... ............................... Schedule F. Line -p- -0- -Q- 12. TOTAL EXPENDITURES MADE ........... ............................... Add Lines Ib+ It $ 1 808.93 -0- $ $ 1,808.93 Current Cash Statement - 0 13. Beginning Cash Balance .............................. Previous Summary Page, Line 17 $ From previous Statement Summary Page, Column C. However, it 2, 532.29 this is the first report filed for the calendar year, Column B should 14. Cash Receipts .............................. ............................... Column A, Line 3 above be blank except for Loans Received (Line 2), Enforceable Promises 15. Miscellaneous Increases to Cash ..... ............................... Schedule 1, Line 4 -0 (Line 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ........................... ............................... Column A, Line lO above 1,805.93 17. ENDING CASH BALANCE ............. Add Lines I3 + ro m 729.36 Summar y for Candidates in Both June and t 15, tnensubtract[ Line 1s $ ENDING CASH BALANCE SHOULD November Elections If this is a termination statement, Line 17 /rust be Zero. NOT BE A NEGATIVE AMOUNT 1/1 through 6/30 7/1 to Date 18. LOAN GUARANTEES RECEIVED ................... Schedule B. Part /. Column (b) $ 0- 21. Contributions Received........... $ Cash Equivalents and Outstanding Debts 22. Expenditures 19. Cash Equivalents ..................... ............................... See instructions on reverse $ - 0- Made.................. $ 425.00 20, Outstanding Debts. ............................... Add Line 2 + Line nm Column cabove $ AMENDMENT Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded y i r L ._ Statement covers period w Monetary Contributions Received to whole dollars. CALIFORNIA;/ (�'O^ from 1 1 _ v SEE INSTRUCTIONS ON REVERSE through 10/16/99 Page 3 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE DATE (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. ENTER I.D. NUMBER (IF SELF - EMPLOYED, ENTER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) PERIOD (JAN. I. DEC. 31) (IF APPLICABLE) May Lorah 8119199 41886 Corte Lara Homemaker 100.00 100.00 Temecula, CA 92592 8121199 June Blair 30115 Via Monterey Retired 100.00 100.00 Temecula, CA 92591 8124199 Kathleen Cassard 31616 Paseo Goleta Retired 100.00 100.00 Temecula, CA 92592 Gail Hoxey 9122199 43318 Gielo De Azul Homemaker 100.00 100.00 Temecula, CA 92592 9123199 Dr. Edward Cowan Dentist 32203 Corte Carmela Self Employed 100.00 100.00 Temecula, CA 92592 SUBTOTAL $ 500.00LL,+Ir .�3f :i,''4�''�u Monetary Contributions Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ................................................................................................................. ............................... $ 1,435.07 2. Amount received this period — contributions of less than $100. 672.22 (Do not itemize.) .............................................................................................................................................. ............................... $ 3. Total monetary contributions received this period. 2,107.29 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............................ ..........................TOTAL $ AMENDMENT Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers eriod to whole dollars. p i CALIFORNIA*�"l(i] E� from 1/1/99 1994 "FORM a l � > x through 10116199 Page 4 of _8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER 1235262 DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER (IF SELF - EMPLOYED, ENTER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF APPLICABLE) 9122199 Alan Copeland 31286 Santiago Road Retired 495.00 495.00 Temecula, CA 92592 1016199 Barry Wilson Teacher 200.00 200.00 30396 Veranda Place Temecula Valley Temecula, CA 92592 Unified ,School Clarence Lee 10112199 30125 Via Monterey Retired 240.07 240.07 Temecula, CA 92591 W AIN' '��t e € aIz sF3� e SUBTOTAL $ 935.07 ' ij�rl- I'v`:. a i. AMENDMENT Schedule B — Part I Type or print in ink. SCHEDULE B - PART I Amounts may be rounded Statement covers period ; Loans Received to whole dollars. t . CALIFORNIA 1 190, from 111199 1994 FORM,�� SEE INSTRUCTIONS ON REVERSE through 10116199 Page 5 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER /GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION RECEIVED (IF COMMITTEE, ENTER FULL NAME, ADDRESS AND I. D. NUMBER. IF NO I.D. OCCUPATION AND EMPLOYER (IF SELF NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) EMPLOYED, ENTER BUSINESS NAME) DUE AMOUNT CUMULATIVE AMOUNT CUMULATIVE INTERESST T RATE OF LOAN TO DATE GUARANTEED TO DATE Albert S. Pratt DUE DATE CALENDAR YEAR CALENDAR YEAR 8111199 40470 Brixton Cove Retired n/a 425.00 $ 425.00 $ Temecula, CA 92591 INTEREST RATE OTHER OTHER [X Lender ❑ Guarantor — 0 — % $ — 9 — $ DUE DATE CALENDAR YEAR CALENDAR YEAR $ $ INTEREST RATE OTHER OTHER ❑ Lender ❑Guarantor x $ $ DUE DATE CALENDAR YEAR CALENDAR YEAR $ $ INTEREST RATE OTHER OTHER ❑ Lender ❑ Guarantor • % $ $ (a) I (b) Enre,(b)an "See important instructions on reverse. SUBTOTAL $ Summary Page, 425 00 - tI.. ;r2: $ Line lean. Loans Received — Part I Summary 1. Loans of $100 or more received this period. (Include all Loans Received- Part I (a) subtotals.) ...................... $ 425.00 2. Loans under $100 received this period. (Do not itemize.) ................................................... ............................... $ -0- 3. Total loans received this period. (Add Lines 1 and 2.) ......................................... ............................... TOTAL $ 425.00 Loans Received — Part II Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) 0 subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ....................... $ 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ................... ............................... $ -0- 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ............................................................................................... ............................... TOTAL $ ( -o ) 7. Net change this period. (Subtract Line 6 from Line 3.) 425.00 Enter the net here and on the Summary Page, Column A, Line 2 ....................... ............................... NET $ May be a negative number. AMENDMENT Schedule C Type or print in ink. SCHEDULE C Contributions Received Amato whole m ay be Mars. rou nded Non-Monetary to whole dollars. Statement covers period CALIFORNIA 111199 i 1994'FORM, � (1 ppc from am.; SEE INSTRUCTIONS ON REVERSE through 10/16/99 page 6 of 8 NAME OF ORRICEFIOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I. D. NUMBER Committee to Elect Sam Pratt 1235262 FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER CUMULATIVE TO CUMULATIVE TO DATE (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, (IF SELF EMPLOYED, ENTER NAME OF DESCRIPTIONOF FAIR MARKET DATE CALENDAR YEAR DATE OTHER RECEIVED ENTER ID. NUMBER TREASURER NAME AADDRESS) NUM E ENTER TREAEA SURER'S NAME AND ADORESS ASSIGNED. BUSINESS) GOODS OR SERVICES VALUE SS) (JAN. 1 - DEC. 31) (IF APPLICABLE) 1016199 Barry Wilson Teacher Voting "CD" 720.28 720.28 30396 Veranda Place Temecula Valley Information Temecula, CA 92592 Unified School Gift in Kind Distriet Attach addition/ information on appropriate l abe l e d continuation sheets. SUBTOTAL $ 720.28 lti" +1 u�3r� I s� a1 Non - Monetary Contributions Summary 1. Amount received this period — non - monetary contributions of $100 or more. Include all Schedule C subtotals. ........................................................ ............................... $ 720.28 2. Amount received this period — non - monetary contributions of less than $100. _0_ (Do not itemize.) ................................................................................................................. ............................... $ 3 Total non - monetary Contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) ........ ......................... TOTAL $ 720.28 AMENDMENT SCHEDULE Schedule E Type or print in ink. Statement covers period f Amounts may be rounded CALIFORNIA' " Payments and Contributions y 111199 yr (Q 3 y to whole dollars. 1994 FORMxI Vt0 ` (Other Than Loans) Made from " 10/16/99 7 8 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment" column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. "C" -- MONETARY AND IN -KIND (NON - MONETARY) "B" -- BROADCAST ADVERTISING "G" -- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES "N' -- NEWSPAPER AND PERIODICAL ADVERTISING "T" -- TRAVEL, ACCOMMODATIONS AND MEALS "I" -- INDEPENDENT EXPENDITURES 'O' -- OUTSIDE ADVERTISING (MUST BE DESCRIBED) "P" -- PROFESSIONAL MANAGEMENT AND CONSULTING "L" -- LITERATURE "S" -- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR SOLICITATIONS SERVICES "F" -- FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENTOF CONTRIBUTION IMPORTANT. DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. (IF COMMITTEE, IN ADDITION TO COMMITTEES NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF No I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Temecula 43200 Business Park Drive Filing Fee for Candidacy 425.00 Temecula, CA 92590 A -1 Sign 27570 Commerce Center Drive, Suite 118 Campaign Signs 748.80 Temecula, CA 92590 Pamela Miod Miscellaneous Printing & Expense 159.29 31995 Via Saltio Temecula, CA 92592 Important Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL $ 1,333.09 officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part 1. Payments and Contributions Made Summary 1,693.04 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................. ............................... $ 2. Payments made this period of under $100. (Do not itemize.) ................................................................................................ ............................... $ 115.89 -0- 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part ll, Column (d).) .......................... ............................... $ 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...................................... ............................... $ - 0- 5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ....................... TOTAL $ 1,808.93 AMENDMENT Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink., r �, *m Amounts may he rounded Statement covers period CALIFORNIA ( p (Other Than Loans) Made Contributio to whole dollars. from 490 111199 1994FORM� SEE INSTRUCTIONS ON REVERSE through 10116199 Page 8 of _R NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER 1235262 Committee to Elect Sam Pratt CODES FOR CLASSIFYING EXPENDITURES "C" -- MONETARY AND IN-KIND (NON - MONETARY) "B• -- BROADCAST ADVERTISING "G" -- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES 'N" -- NEWSPAPER AND PERIODICAL ADVERTISING "T" -- TRAVEL, ACCOMMODATIONS AND MEALS "I" -- INDEPENDENT EXPENDITURES 'O" -- OUTSIDE ADVERTISING (MUST BE DESCRIBED) "P" -- PROFESSIONAL MANAGEMENT AND CONSULTING "L" -- LITERATURE "S" -- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR SOLICITATIONS SERVICES "F" -- FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OFCONTRIBUTION (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Bodacid JC T- Shirts 31805 Highway 79S, Suite #319 T- Shirts 157.00 Temecula, CA 92592 Signs for Sucess 26811 Hobie Circle Magnetic Signs 202.95 Murrieto, CA 92562 SUBTOTAL $ 359 95 9firehclder, Candidate, COVER PAGE LONG FORM Type or print in ink. Statement covers period Date Slamp d a , Controlled Committee CAUFORNIn Campaign Statement — Lon Form �' fro 1 tss4 FORM �'q (GOv"e7nm Code Sections 84200 - 842155) �•�� IuG� SEO STRUCTIONS ON REVERSE through ACT 1 0 1999 Page / of Sa— Check one of the following boxes to Indicate the type of statement being filed: Date of election if applicable: J For Official Use Only 17 Pre - election Statement (Month, Day, Year) Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) CITY ^❑ Special Odd -Year Campaign Report I/ Q O 1 0- 1 9- 9 9 P 01 : 4 1 REF ,❑ Semi-annual Statement ❑ 'Termination Statement (Attach a completed Form 415 to this statement.) I Officeholder Candidate, and Controlled Committee II Other Committees Not Included in this Statement; ustenyother Included in th Statement committees not Included Inthis consolldatedstatement that are controlled by you and NAME OF OFFICEHOLDER 5M CA DI DATE any committees of which you have knowledge that are pdmadly formed to receive � a , � d contributions or to make expenditures on behalf of your candidacy. Pug OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DIS RICT NUMBER IF APPLICABLE) COMMITTEE NAME I.D. NUMBER 40 - to a s Iti Tet�l Ca ot RESIDENTIAL OR BUS' ,NESSTDDRESS (NO. AND STREET, NAME OF TREASURER NTROLLED COMMITTEE? - T t= i , -4 f C ,ate Ca q 1)591 -got 49 -�G Psi El YEe ❑ ND CITY- c STATE ZIP CODE AR EJ EA ODDAYTIME PHONE COMMITTEE ADDRESS (NO. AND STREET) COMMITTEE NAME I.D. NUMBER CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE COMMITTEE NAME I.D. NUMBER COMMITTEE ADDRESS(NO. AND STREET) CITY STA ZIP CODE AREA CODE/OAVTIME PHONE NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) NAME OF TREASURER CITY STATE ZIP CODE AREA CODEIDAYTIME PHONE PERMANENT ADDRESSOFT SURER (NO. AND STREET) CITY STATE ZIP CODE AREA COOEIDAYTIME PHONE Attach additional information on appropriately labeled continuation sheets. { • III Verification ? I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the be j of, n ledg rrn do ntained rein and in the attached schedules is true and complete. I certify u at pe ally o erryry under the laws of the State of C Iifomla that the foregoing is true a r..f.'. Executed on At Tfrmi j y r� BY D m AMP STATE SIVATUREiwtAEAsuRER An officeholder or candidate who controls a committee must also verity the campaign statement. I have uped all reasonable diligence.ond to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledgl the Information Fantained herein and In the attached schedules is true and complete. I certity under penalty of pe ury u er the laws of Iheiate GI Califomia that the foregoing Is true and correct. Executed on �. F C _ At 1�'K ICJ �', By A E Cm AND STATE SIGNARIaE O &DATEJDFFICEHOLDER (J Executed on DATE CITY AND STATE At BY SIGNATURE OF CANDIDATE/OFFICEHOLDER Executed on At By DATE CITY AND STATE SIGNATURE OF CANDIDATErVFFICEHOLDER FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM A T . State of California Fair Political Practices Commission Campaign Disclosure Statement Type or print in Ink. SUMMARY PAGE Summary Page Amounts may be rounded Statement covers p eriod to whole dollars. ( - P CLO NIA /�, 4 � -- from ' t EE INSTRUCTIONS ON REVERSE through ID ` Page Z of , NAME OF OFFICEHOLDER OR CANDIDATE AND CON OLLED COMMITTEE I.D. NUMBER (t Column A Column B' Column C Contributions Received TOTAL THIS PERIOD TOTAL PREMUS TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) :` (ADDCOLUMNSA 1/1. Monetary Contributions ...................... ............................... Schedule A, Line 3 $ 2 $ $ N 1 t 2c( Loans Received .................... Schedule 8, Line 7 4�s' dd �zS'1) ° SUBTOTAL CASH CONTRIBUTIONS ... ............................... Add Lines t.2 $ �5 -/ �2, tq. $ $ 153 Q I Z 9 g p yZ[f. - ...1T LO 4. Non - monetary Contributions ................. Schedule C. Linea �i 5. SUBTOTAL CONTRIBUTIONS ( ErdudeEnlorceablePramiseS ) ....... Add Lines 3.a $ 3Z5Z.s, $ $ 6. Enforceable Promises (Exclude Loan Guarantees, Line 16 bel ow) ........................... ............................... schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED . ............................... Add Lines 5+6 $ 325Z. b� $ $ Expenditures Made _8. Cash Payments (Other than Loans Made) .................... Schedule E, Lines 9. Loans Made ............................... Schedule H, Line 7 .......... ............................... 10. SUBTOTAL CASH PAYMENTS .............. ............................... Add Lines 8+9 $ �t�Sr `7 $ $ 11. Accrued Expenses (Unpaid Bills) .......... :......................... Schedule F Lines 12. TOTAL EXPENDITURES MADE ........... ............................... Add Lines to r 11 $ d S•�t 3 $ $ .Current Cash Statement _ , 13. Beginning Cash Balance .............................. Previous Summary Page. Line 17 $ ' From previous Statement Summary Page, Column C. However, it ?r 9 this is the first report filed for the calendar year, Column B should 14. Cash Receipts .............................. ............................... column A, tine 3 above .5 be blank except for Loans Received (One 2), Enforceable Promises 15. Miscellaneous Increases to Cash ..... ............................... Schedule /, Line a I q � � Q (Line 6), Loans Made (Une 9), and Accrued Expenses (Line 11). 16. Cash Payments ........................... ............:........ ........... Column A, Line to above 1 6b .] r ` 4� 17. ENDING CASH BALANCE ............. Add L ines 13+ 1a. 15. then subtract Line 16 $ ENDI 3(. Summary for Candidates in Both June and BE N GA I LD If this IS 8 termination statement, ( /Aa 17 mUaf be Zero. � NOT T fiE A NEGATIVE TIVE AM AM OUNT November Elections 1/1 through 6/30 7/1 to Date 18. LOAN GUARANTEES RECEIVED ................... Schedule e, Pert 1, Column lb) $ 21. Contributions 'Zrj T Z. Received........... $ Cash Equivalents and Outstanding Debts 22. Expenditures gCJ S. 3 19. Cash Equivalents ..................... ............................... See instructions on reverse $ Made.................. $ 20. Outstanding Debts . ............................... Add Line 2. Line IIin Column ceeove $ 'Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period unetary Contributions Received to whole dollars. CALIF p from t I 1 1p4 ORM 49 through Page of SEE INSTRUCTIONS ON REVERSE ' I i NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE _ CUMULATIVE TO DATE DATE (IF SELF EMPLOYED, ENTER RECEIVED THIS CALENDAR YEAR OTHER AND IF NO OR. F NO RECEIVED (IF I .AS N BE731IVE ASSIGNED. E RE NA ER TRE/SURUR S W1ME AND I. ND MDnE3D ADDRESR 31 ( NAME OF BUSINESS) PERIOD JAN. 1 -DEC. 31 ) (IF APPLICABLE) I.D. D. NUMUMBEPI R HAS "I` PAPA- I nm n0 #499 Go l<.T E14" TF M F cw IAA. CA, � I I S `I Id F{D►�TE(2� i T5 AGcJ 2591 g �� aticI,,PetJ I 100 top 31G (C. PA00 C„otZrA — 2�qZ C4(L �6XS't` 100 0 0 4 33 ( S ",$05 l >S �ZJL f� �314� 3 i�2a job 3 C�oI¢.?>4 4aa�rt�(.,t� goo YEµfC,,, G4 92 z SUBTOTAL $ A 0 Monetary Contributions Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ...............:................................................................................................. ............................... $ 2. Amount received this period — contributions of less than $100. (Do not itemize.) ............... .............................................................................................. ............................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ....................... ............................... TOTAL $ z 1 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetar y Contributions Received Amounts ma be rounded Statement c ers period to whole dollars. q CA� cl from 5 199 . through I C> Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER .,. DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE , CUMULATIVE TO DATE RECEIVED (IF COMWTTEE,WApefrIDNTOODAYImEES NAPE AIO ADDRESS,EWER I.D. NUMBER NAME SELF - EMPLOYED. ENTER RECEIVED THIS CALENDAR YEAR OTHER OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, EWER TREASURER'S NAME AND ADDRESS) NAME OF BIISINESSI PERIOD (JAN.1 - DEC. 31) (IF APPLICABLE) �� ii /9�i ��A�C�p�.IA'�� R�1i�.ca • 4 �S a lL ;3 iPF•t�c�4A L)uIFl4..p (�,2c^iCE `F_ �C�fILED y yO•o7 2Vo•d" SUBTOTAL $ Ax • Sch edule B - Pa l Type or print in ink. SCHEDULE B - PARTI Loans R eceived Amounts may be rounded Stateme c vers period CALIFORNIA � to whole dollars. d from I 1994 491 ,'t EE INSTRUCTIONS ON REVERSE through 1 Page J of A_ NAME OF OFFICEHOLDER OR CAND AND CONTROLLED COMMITTEE I.D. NUMBER I-\ L% e& C, �\ 2 t� "f 7 DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER/GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION RECEIVED (IF COMMITTEE, ENTER FULL NAME, ADDRESS AND LD. NUMBER. IF NO I D. OCCUPATION AND EMPLOYER (IF SELF NUMBER HAS MEN ASSMEO, ENTER TREASURER'S NAME AND ADDRESS) EMPLOYED, EWER BUSINESS NAME) DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE INTEREST RATE OF LOAN TO DATE GUAFfANTEED TO DATE DOE /ANTE ^^/�� CALENDAR YEAR CALENDAR YEAR • `"11 4o 4 --7 o � � i•�L f $ k ' ^ I INTEREST RATE lMF OTHER OTHER ender ❑ Guarantor % f S DUE DATE CALENDAR YEAR CALENDAR YEAR S 3 INTEREST RATE OTHER OTHER' ❑ Lender ❑ Guarantor A % S s DUE DATE CALENDAR YEAR CALENDAR YEAR;`' :& INTEREST RATE OTHER OTHER ❑ Lender ❑ Guarantor % S $ (e) 'See important (b) Enter(b)on ant instructions on reverse. SUBTOTAL $ $ Summery Page, une to W. _oans Received - Part i Summary A � , 1. Loans of $100 or more received this period. Include all Loans Received — Part I a subtotals. 445 _ Z oo 2. Loans under $100 received this period. (Do not itemize.) ................................................... ............................... $ 3. Total loans received this period. (Add Lines 1 and 2.) ......................................... ............................... TOTAL $ ^0 0 Loans Received — Part II Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ....................... $ 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ................... ............................... $ 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ............................................................................................... ............................... TOTAL $ ( D ) 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 ....................... ............................... NET $ Mey be a negetna ,camber. 8theduie C Type or print in ink. SCHEDULE C Amounts may be rounded Non-Monetar tatem nt overs erlod : r 1 'uj Contributions Received p k`�ssq Fol�l`� ` ry C ibti R ied to whole dollars. CA NIA from z.. 's J.. t SEE INSTRUCTIONS ON REVERSE _ through ` Page of NAME OF OFFICEHOLDER OR CANDIDATE AND C NTROLLED COMMITTEE I.D. NUMBER 1T FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER CUMULATIVE TO CUMULATIVE TO DATE (IFOOMMRTEE, IN ADDmCN NM:OEWIREE'B NAME ANDADDREBB. (IF SELF "EMPLO(ED, ENTER NAME OF DESCRIPTIONOF FAIR MARKET DATE DATE OTHER RECEIVED ENTER I.D. NUMBER OR, IFNO ID. NUMBER NAB BEENASSIGNED, eusmess) GOODS OR SERVICES VALUE CALENDAR YEAR (IF APPLICABLE) ENTER TREASURERS NAME AND ADDRESS) (JAN. 1 -DEC. 31) G; q¢ ,i3p,R�z' . �t "5 o► 7C—ACACrVL Vo-ri 720,29 - 7 2o,zg `�cT3^Z�f, 1��keJJA 'PCAG� Y =CJf/a L 2a z tFT Iti K IND Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ , Q Q IZ, Non - Monetary Contributions Summary 1. Amount received this period — non - monetary contributions of $100 or more. M �p (Include all Schedule C subtotals.) :.................................................................................... ............................... $ - 1 y 2. Amount received this period — non - monetary contributions of less than $100. _ (Do not itemize.) ................................................................................................................. ............................... $ 3. Total non - monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) ... ............................... TOTAL $ .. - SCHEDULE E Type or print in Ink. Statement covers p eriod k 4 a Amounts may be rounded , Lb? ,$�hedule E p e,� a } CAI.} Q 1'F x;' Payments and Contributions to whole dollars. I'1 I 199 (Other Than Loans) Made fr °mf`''r t ¢ SEE INSTRUCTIONS ON REVERSE through I (` Page of . NAME OF OFFICEHOLDER OR` ( CCA AND . CONTROLLED COMMITTEE I.D. NUMBER LZ S CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment" column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. MONETARY AND IN -KIND (NON- MONETARY) "0' -- BROADCAST ADVERTISING 'G' -- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES "N• -- NEWSPAPER AND PERIODICAL ADVERTISING 'T' -- TRAVEL, ACCOMMODATIONS AND MEALS 'O' -- OUTSIDE ADVERTISING (MUST DESCRIBED) 'I' -- INDEPENDENT EXPENDITURES 'P' -• PROFESSIONAL MANAGEMENT AND CONSULTING 'L' -- LITERATURE "S• -- SURVEYS, SIGNATURE GATHERING, DOOR TO-DOOR SOLICITATIONS SERVICES "F• -- FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT. DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. (IF C@°AnTEE, IN ADOMCIN TO COuNIMEES NAIIE AND ADDRESS, ENTER I.D. NUMBER OR. IF NO I. D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUA®ER HAS BEEN ASSIGNED, ENTER n1EASURER1 NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID GI T o -r- 7 Ek I C.0 444 n 4 3 1 -oz ) � rJ4 E TG . �2S — �.t S tGv,) T c�,�lpat4►� St4►15. -:7 .tFg,go FAQ = NALOD MsC, I e�(ows' 1�91Zg Important. Cbntdbutions and expend /cures made out of campaign hinds to or on behalf of other officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Pan f SUBTOTAL $ (t33 �] Payments and Contributions Made Summary 1. Payments made this period of $1 00 or more. (Include all Schedule E subtotals.) ................................................................. ............................... $ 2. Payments made this period of under $100. Do not itemize. ? 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .......................... ............................... $ �- 4. Total accrued ex enses aid this Do not itemize. Enter amount from Schedule F, Line 4. (] 5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ....................... TOTAL $ • - ' SOnbd'ule E SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CA '1F9 1 A � i )I ' Payments and Contributions to whole dollars. a 490` (Other Than Loans) Made from / I 19941F0�1�� 1 1 9 1V r1ft SEE INSTRUCTIONS ON REVERSE through 10 Page —9— of NAME OF OFFICEHOLDER OR CANDIDATE � AND CONTROLLED COMMITTEE I.D..NUMBER DIn ID CODES FOR CLASSIFYING EXPENDITURES 'C' -- MONETARY AND IN -KIND (NON - MONETARY) 'B' -- BROADCAST ADVERTISING 'G' -- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES 'N' -- NEWSPAPER AND PERIODICAL ADVERTISING 'T' -- TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) 'I' -- INDEPENDENT EXPENDITURES '0' -- OUTSIDE ADVERTISING 'P' -- PROFESSIONAL MANAGEMENT AND CONSULTING •• -- LITERATURE 'S' -- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR SOLICITATIONS SERVICES 'F' -- FUNDRAISING EVENTS - NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COWBTIEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. ENTER I.D. NUMBER OR. IF NO I.D. NUMBER IIAS OEM ASSIGNED. ENTER TREASURER'S NAME MID ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Zo'oxc JS T- S LA) 12TS 1-Svki 0.76 I51,oa 3 1 50 �A Z5 1•r 514 JS r�2 SJc.iSS v(CLOS k C4 SUBTOTAL $ 3 5 I,q 5 Officeholder, Candidate, AMENDMENT COVERPAGE - LONGFORM Type or print in ink. amp Statement covers period Date Stam "� a " i ;t' and Controlled Committee 10117199 cauFOR .1 ° �F7 Campaign Statement — Long Form from ` -7994 FORM (Government Code Sections 84200 - 84216.5) 12131199 RECEIVED SEE INSTRUCTIONS ON REVERSE through I Page Of 8 Check one of the following boxes to indicate the type of statement being filed: Date of election if applicable: MAY 3 1 2001 For Official Use Only ❑ Pre - election Statement (Month, Day, Year) ❑ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) CLERKS DEPT E] Special Odd -Year Campaign Report WY ❑ Semi - annual Statement 11/ 2199 Termination Statement (Attach a completed Form 415 to this statement.) 1 Officeholder, Candidate, and Controlled Committee II Other Committees Not Included in this Statement: cistanyother Included in this Statement committees not includedin this consolidated statement that are controlledbyyouand NAME OF OFFICEHOLDER OR CANDIDATE any committees of which you have knowledge that are primarily formed to receive Alb ert S . "Sam" Pratt contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Temecula RESIDENTIALOR BUSINESS ADDRESS (NO. AND STREET) NAME OF TREASURER CONTROLLED COMMITTEE? 40470 Br ixto n Cove [:] ❑ No CITY STATE ZIP CODE AREA COOE/DAYTIME PHONE COMMITTEE ADDRESS (NO. AND STREET) Temecula CA 92591 (999) 699 -8689 COMMITTEE NAME I.D. NUMBER CITY STATE DECODE AREA CODE /DAYTIME PHONE Committee to Elect Sam Pratt 1235262 COMMITTEE NAME I.D. NUMBER COMMITTEE ADDRESS(NO. AND STREET) 40470 Brixton Cove CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE NAME OF TREASURER CONTROLLED COMMITTEE? Temecula CA 92591 (909' 699 -8689 E] v L] N COMMITTEE ADDRESS (NO. AND STREET) NAME OF TREASURER Sam Pratt CITY STATE ZIPCODE AREA CODE /DAYTIME PHONE PERMANENT ADDRESS OF TREASURER (NO. AND STREET) 40470 Brixton Cove CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE Attach additional information on appropriately labeled continuation sheets. Temecula CA 92591 (909) 699 -8689 III Verification I have used all reasonable diligence in preparing this statement. 1 have reviewed the statement and to the has of y kn led a th forma'on co tamed a in and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true a d ct. Executed on 51 At Te-V ..I A (A By DATE CITY AND STATE N OF EASURER An officeholder or candidate who controls a committee must also verify the campaign statement. I ve sed al )asonab dilig ce a d to the bes of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my kno edg the i rmation ontai d h rein d i t attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on S�3i /0 I At Tic A � BY LJ DATE CITY AND STATE SIGN CAN I T FFICEHOLDER Executed on At BY DATE CITY AND STATE SIGNATURE OF CANDIDATE/OFFICEHOLDER Executed on At BY DATE CITY AND STATE SIGNATURE OFCANDIDATE /OFFICEHOLDER FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS F THE POLITICAL EILFORM T . State of California Fair Political Practices Commission AMENDMENT Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary Pag CALIFORNIA � y g to whole dollars. + n/ (� from 10117/99 19941FORM4 ,`t ', , FU .. SEE INSTRUCTIONS ON REVERSE through 12,131199 Page 2 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sara Pratt 1235262 Column A Column B' Column C Contributions Received TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMNS A. B) 2,9 107 00 . 1. Monetary Contributions ...................... ............................... Schedule A, Line 3 $ 20. $ 2, $ 2,127.29 2. Loans Received .................................. ............................... Schedule e. Line 7 425.00 - 3. SUBTOTAL CASH CONTRIBUTIONS ... ............................... Add Lines 1:2 $ - 40 5.00 2, 532.29 $ $ 2 .127.2 4. Non - monetary Contributions ............. ............................... Schedule C. Line -0- 720.28 720.28 57 252. 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) �- �- �Add Lines s +a $ $ 3, $ 2,847.57 6. Enforceable Promises -0- --0 - 0 - (Exclude Loan Guarantees, Line 18 bel ow) ........................... ............................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED . ............................... Add Lines 5 +6 $ - 405.00 $ 3,252.57 $ 2,847.57 Expenditures Made 8. Cash Payments (Other than Loans Made) .................... Schedule E. Line 5 $ 801.67 $ 1 ,808.93 $ 2,610.60 -0- -0- - -0- 9. Loans Made ......................................... ............................... Schedule H, Line? 10. SUBTOTAL CASH PAYMENTS ............. ............................. _. AddLines8 801.67 1,808.93 +9 $ $ $ 2,610.60 11. Accrued Expenses (Unpaid Bills Schedule F Line 5 - - - 12. TOTAL EXPENDITURES MADE ........... ............................... Add Lines 10+ 11 $ 801.67 $ 1,808. $ 2,610.60 Current Cash Statement 13. Beginning Cash Balance .............................. Previous Summary Page, Line /7 $ 729. ' From previous Statement Summary Page, Column C. However, if - 405.00 this is the first report filed for the calendar year, Column B should 14. Cash Receipts .............................. ............................... Column A, Line 3 above be blank except for Loans Received (Line 2), Enforceable Promises 15. Miscellaneous Increases to Cash ..... ............................... Schedule 1, Line 4 52.31 (Line 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ........................... ............................... Column A, Line to above 376.67 17. ENDING CASH BALANCE ............. Add Lines 13 +14+ 15, then subtract Line 16 $ -U Summary for Candidates in Both June and ENDING CASH BALANCE SHOULD November Elections If thi is a termination statement, Line 17 must be Zero. NOT BE A NEGATIVE AMOUNT 1/1 through 6/30 7/1 to Date 18. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, Column (b) $ -0- 21. Contributions Received........... $ Cash Equivalents and Outstanding Debts -0- 22. Expenditures 19. Cash Equivalents ..................... ........................... See instructions on reverse $ Made .................. $ .... 20. Outstanding Debts ........ ....................... Add Line2+ Line ll in Column Cabove $ -0 AMENDMENT Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. CA 6 1". 1 0117199 NIA6 ) from ilc1994.FORM 12131199 3 8 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER LO. NUMBER (IF SELF - EMPLOYED, ENTER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) PERIOD (JAN.1 -DEC. 31) (IF APPLICABLE) SUBTOTAL $ -0— •r,. et �, ' ,� ) `�4 T'IN, r 1 },� i i7!!eu if rt7.h" t,^ni Rs ;> s U'. Monetary Contributions Summary 1. Amount received this period - contributions of $100 or more. -0- (Include all Schedule A subtotals.) ................................................................................................................. ............................... $ 2. Amount received this period - contributions of less than $100. 20.00 (Do not itemize.) .............................................................................................................................................. ............................... $ 3. Total monetary contributions received this period. 20.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............................ ..........................TOTAL $ AMENDMENT Schedule B — Part I Type or print in ink. SCHED B PART Amounts may be rounded Statement covers period„ v CALIFORNIA �I Loans Received to whole dollars. 10117199 1994 Oo -' from 4.t F RM SEE INSTRUCTIONS ON REVERSE through 12/31/99 Page 4 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sum Pratt 1235262 DATE LENDER OR GUARANTOR's FULL NAME AND ADDRESS LENDER /GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION RECEIVED (IF COMMITTEE, ENTER FULL NAME. ADDRESS AND I. D. NUMBER, IF NO I.D. OCCUPATION AND EMPLOYER (IF BEEF- NUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) EMPLOYED, ENTER BUSINESS NAME) DUE DATU AMOUNT CUMULATIVE AMOUNT CUMULATIVE INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE DUE DATE CALENDAR YEAR CALENDAR YEAR S E INTEREST RATE _ OTHER OTHER ❑ Lender ❑ Guarantor % f E DUE DATE CALENDAR YEAR CALENDAR YEAR S E INTEREST RATE OTHER OTHER ❑ Lender ❑ Guarantor % f f DUE DATE CALENDAR YEAR CALENDAR YEAR $ E INTEREST RATE OTHER OTHER ❑ Lender ❑ Guarantor A % $ E (a) (b ) Enter (b) on See important instructions on reverse. SUBTOTAL $ LLu, g S i te edge Loans Received — Part I Summary 1. Loans of $100 or more received this period. Include all Loans Received - Part I a subtotals. -� 2. Loans under $100 received this period. (Do not itemize.) ................................................... ............................... $ -0 3. Total loans received this period. Add Lines 1 and 2. TOTAL $ -� Loans Received — Part II Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) 425.00 subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ....................... $ 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or -0- paid by a third party, include this amount on Schedule A Summary, Line 2 ................... ............................... $ 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ............................................................................................... ............................... TOTAL $ ( 425.00 ) 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 ....................... ............................... NET $ - 425.00 May be a negative number. AMENDMENT SCHEDULE B - PART II Schedule B.— Part II Type or print in ink. Statement covers period sW Amounts may be rounded CALIFORNIA, o Repayments Made on Loans Received, Loans to Whole dollars. from 10117199 4'19 - 9 iFORM q #$ ®a Forgiven, and Loans Repaid by a Third Party SEE INSTRUCTIONS ON REVERSE through 121311 Page 5 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 DATE OF REPAYMENT DATE OF INTEREST AMOUNT REPAID OR OUTSTANDING INTEREST OR ORIGINAL LOAN FULL NAME OF LENDER RATE FORGIVEN ON PRINCIPAL PRINCIPAL PAID FORGIVENESS (IF CHANGED) (EXCLUDE PAYMENT OF INTEREST) 12/31/99 8111199 Albert S. Pratt -0- 425. On -0- -0- Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 425.00 (`) TOTALINTEREST -0- (d) PAID THIS PERIOD $ IMPORTANT.' ff any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter the amount in column (d) in the summary including the name and address of the person forgiving the loan or the third party making the payment, and the amount section of Schedule E, Line 3. Do not carry this forgiven or paid total to the summary section of Schedule B. AMENDMENT Schedule B — Part III Type or print in ink. SCHEDULE B PART III Amounts may be rounded Statement covers period 'CALIF�ORNIA,' Annual Report of Outstanding Loans Received to whole dollars. 10 /17/99 �yissalFOaM * 4k9� from y1rJ �' g SEE INSTRUCTIONS ON REVERSE through 12131199 Page 6 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 FULL NAME OF LENDER ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST Albert S. Pratt 8111199 425.00 -0- -0- Attach additional information on appropriately labeled continuation sheets. TOTAL $ -0- NOTE This total should be the same amount as entered on the Summary Page, Column C, Line 2. AMENDMENT SCHEDULE E Schedule E Type or print in ink- I a m Statement covers period q Amounts may be rounded � CALIFORNIA Payments and Contributions to whole from 10117196 f lggq( ®; (Other Than Loans) Made 12/31/99 SEE INSTRUCTIONS ON REVERSE through Page 7 of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. "C" -- MONETARY AND IN -KIND (NON- MONETARY) °B" -- BROADCAST ADVERTISING "G" -- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES "N" -- NEWSPAPER AND PERIODICAL ADVERTISING "T" -- TRAVEL, ACCOMMODATIONS AND MEALS "1" -- INDEPENDENT EXPENDITURES "O" -- OUTSIDE ADVERTISING (MUST BE DESCRIBED) "P" -- PROFESSIONAL MANAGEMENT AND CONSULTING "L" -- LITERATURE "S" -- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR SOLICITATIONS SERVICES "F" -- FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENTOF CONTRIBUTION IMPORTANT. DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. (IF COMMITTEE, IN ADDmON TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID A -1 Sign Campaign Signs 150.05 27570 Commerce Center Drive, Suite 118 Temecula, CA 92590 Pamela Miod Food Expense - Campaign Meeting 100.00 31995 Via Saltio Temecula, CA 92592 Important.' Contributions and expenditures made out of campaign funds to or on behalf of other 250.05 officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Pan / SUBTOTAL $ Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................. ............................... $ 250.05 2. Payments made this period of under $100. (Do not itemize.) ................................................................................................ ............................... $ 126.62 3. Total interest paid this period on outstanding loans. Enter amount from Schedule B, Part II, Column (d). -0 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...................................... ............................... $ -0- 5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ....................... TOTAL $ 376.67 AMENDMENT Schedule I Type or print in ink. SCHEDULE[ Am may be rounded Statement covers period jd T %' ` Miscellaneous Increases to Cash to whole dollars. CA (� from 10117199 01994 FORM � rTu SEE INSTRUCTIONS ON REVERSE through 12131 Page 8 Of 8 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Committee to Elect Sam Pratt 1235262 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNTOF RECEIVED (IF COMMITTEE, IN ADDITION TO COMMITTEE'SNAME AND ADDRESS, ENTER I. D. NUMBER DESCRIPTION OF RECEIPT INCREASE TO CASH OR, IF NO LD. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) 12120199 City of Temecula Refund of excess filing fees 52.31 43200 Business Park Drive previously paid Temecula, CA 92590 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 52.31 Miscellaneous Increases to Cash Summary 1. Increases to cash of $100 or more this period .............................................................................. ..............................$ -0- 2. Increases to cash under $100 this period. Do not itemize. ....................... ............................... $ 52.31 3. Total of all interest received this period on loans made to others. (Schedule H, Part II ( b).) ..... ..............................$ -0- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 52.31 SummaryPage, Line 15.) ............................................................................................. ............................... TOTAL $ C'3fide'iibider, Candidate, RECEI COVER PAGE LONG FORM Type or print in ink. Stateme amp t cov rs period Date St - av �w, It and Controlled Committee CAI FOHNIA AN Campaign Statement — Long Form from ) o I� JAN 0 4 ,'i g94jFORM a - (Government Code Sections 84200- 84216.5) E-ii SEE INSTRUCTIONS ON REVERSE through � I / Page of Check one of the following boxes to Indicate the type of statement being filed: Date of election if applicable: \ For Official Use Only Pre - election Statement (Month, Day, Year) l \ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) \ . ❑ Special Odd -Year Campaign Report p \ 1Z Semi - annual Statement �\ 2 01- R C V D ❑ Termination Statement (Attach a completed Form 415 to this statement.) I Officeholder, Candidate, and Controlled Committee II Other Committees Not Included in this Statement: Listanyother Included in this Statement committees not included in this consolidated statement that are controlled by you and NAM OFFICEHOLDER OR CANDIDATE n any committees of which you have knowledge that are primarily formed to receive OFFICEHOLDER G . + �� U �p . contributions or to make expenditures on behalf of your candidacy. E K. V J IL COMMITTEE NAME I.D. NUMBER OFFICE SOUGHT OR HE ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) OF IS 4o4g0 I_*kyTw �6Js RESIDENTIAL OR BUSINESS ADDRESS (NO. AND STREEETT)p \ �j NAME OF TREASURER CONTROLLED COMMITTEE? 1 1 H'L CO Y? `-'N .1 l I (2� 1 V 1 /�/ 1 - g l/^ V ! �} F] YES E] NO CITY STATE ZIP CODE 'AREA E/DAYTIME PHONE COMMITTEE ADDRESS - (NO. AND STREET) COMMITTEE NAME I.D. NUMBER CITY STATE ZI E AREA CODE /DAYTIME PHONE COMMITTEE NAME I.D. NUMBER COMMITTEE ADDRESS(NO. AND STREET) NAME OF TREASURER CONTROLLED COMMITTEE? CITY STATE ZIP CODE AREA CODEIDAYTIME PHONE E] YES [] NO COMMITTEE ADDRESS (NO. AND STREET) NAME OF TREASUR CITY STATE ZIP CODE AREA CODE /DAYTIME PHONE PERMANENT ADDRESS OF TREASURER (NO. AND STREET) CITY STATE ZIP CODE AREA CODE(DAYTIME PHONE Attach additional information on appropriately labeled continuation sheets. III Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of y now dg the r I o in herein a d in the attached schedules is true and complete. I certify u er pe airy of perjury und er the laws o the Stak alifornia that the foregoing is true and rre Executed on O 1 b M 0 At I � G C I t V7+' � o � By r DATE CITY AND STATE S NAT THE ER An officeholder or candidate who controls a committee must also verify the campaign statement. I have use*fot diligence a es f m kno edge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge th on a nd in a Biwa hedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on At BY DATE CITY AND STATE SIGNATURE OF CANDIDATE(OFFICPHOUDER Executed on At BY DATE CITY AND STATE SIGNATURE OF CANDIDATE/OFFICEHOLDER Executed on At BY DATE CITY AND STATE SIGNATURE OF CANDIDATE/OFFICEHOLDER FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1911, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT State of California Fair Political Practices Commission Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE p eriod Amounts may be rounded Statement covers p Summary Page to whole dollars. CALIFORNIAr/�(�O from O I 199FORM v SEE INSTRUCTIONS ON REVERSE through I Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTRU LED COMMITTEE I.D. NUMBER C 1.t 11 T T Column A Column B' Column C Contributions Received TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMNS A r BI 1. Monetary Contributions ............................................ Schedule A. Lines $ 7;Z 3l $ 2�07'Z / $ 2r,1��.G• 2. Loans Received .................................. ............................... Schedule e, Line 7. "e'" ,. y.,'Z� , O y ... U , C3 L) �3. SUBTOTAL CASH CONTRIBUTIONS ... ............................... Add Lines 1 +2 $ ZS�,�..2'.`7i $ o-k O 4. Non - monetary Contributions ................................... c....... Schedule C, Line 3 '�D I�� '7ZU• �� 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Add Lines 3 +a $ - $ 3 25Z ,'57 $ 3324.°n 6. Enforceable Promises (Exclude Loan Guarantees, Line 16 below) ........................... ............................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED . ............................... Add Lines 5 +6 $ �� $ $ 2�2',� Expenditures Made 8. Cash Payments (Other than Loans Made) .................... Schedu E, Line 5 $ I `t- �� $ ,'I J $ 7 )Z-��,ISZ 9. Loans Made ......................................... ............................... Schedu H, Line? -- 10. SUBTOTAL CASH PAYMENTS .............. ............................... Add Lines 8 +9 $ Tu - GG'i �' $ I ��.43 $ ?ZZ2,1"L 11. Accrued Expenses (Unpaid Bills) ..... ............................... Schedule F Line 5 '�� -PI ••E� 12. TOTAL EXPENDITURES MADE ........... ............................... Add Lines 10+ 11 $ $ �urrent Cash Statement 1 3 Beginning Cash Balance Previous Summa P Line 17 $ l g g .............................. y g I..)r From previous Statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should 14. Cash Receipts .............................. ............................... Column A, Line 3 above 7 2'" 3 i be blank except for Loans Received (Line 2), Enforceable Promises 15. Miscellaneous Increases to Cash ..... ............................... Schedule 1, Line 4 (Line 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ........................... ............................... Column A, Line to above ..1 17. ENDING CASH BALANCE ............. Add Lines 13+ 14+ 15, then subtract Line 16 $ ` Summary for Candidates in Both June and ENDING CASBBALANCE SHOULD November Elections If this is a termination statement, Line 17 must be Zero. NOT BE A NEGATIVE AMOUNT 1/1 through 6130 7/1 to Date 18. LOAN GUARANTEES RECEIVED ................... Schedule B, Parr I, Column (b) $ - 21. Contributions '1j'L'12,� Received........... $ 1 Cash Equivalents and Outstanding Debts 22. Expenditures 19. Cash Equivalents ..................... ............................... See instructions on reverse $ Made.................. $ 20. Outstanding Debts . ............................... Add Lme2+Line 11 in Column Cabove $ Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement cover period ,"'' Monetary Contributions Received to whole dollars. ,CALIFORNIAN Q from t C( 1994tFORM��±e SEE INSTRUCTIONS ON REVERSE through t W Page Of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER L 7 U S A Pl 2 -r DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. ENTER I.D. NUMBER (IF SELF - EMPLOYED, ENTER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED `` IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) PERIOD (JAN.1 -DEC. 31) (IFAPPLICABLE) L o k 2j I , smlz� qla TPd --i�FcJ\A Z5 3�1�1(e t ASF0 G On =-74 I m re-co G "t 0A zS 4.3 TL- 1�(�rwb CA �2 3 Cvf27z Gil �L� �c.LC.;� �) , C t L.s c ?a SUBTOTAL $ xyt !iw�yS,�ik4trh'i� tatY'`. '3t; Monetary Contributions Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ................................................................................................................. ............................... $ 2. Amount received this period — contributions of less than $100. (Do not itemize.) .............................................................................................................................................. ............................... $ 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .... ................. ...... TOTAL $ Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary ontributions Received Amounts may be rounded Statement covers period r .. Y to whole dollars. - �.1CAL RNIA , ; I from O I �o ° ,1994fFORM�� C tr through j f `" 00 Page - of NAM OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER (IF SELF EMPLOYED, ENTER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) PERIOD (JAN. t - DEC. 31) (IFAPPLICABLE) 5,ntillw,reD7'< p� Fdao�- S 00 D .3q ( ��- gok.�Po 7 E I I ciW rIri-c) T 1 rCr1 1 CA c t Ig L `c 7� �. 7 Q.ic io��Zlc( CGI�F'ivC l= ✓ Tl/Lc.� 20,07 3� I L� V I A F• J• 1 �_iC � :2 cz�M�-I o SUBTOTAL $ Schedule B — Part I T y pe or print in ink. SCHEDULE B -PART yP P Statement covers period Amounts may be rounded CALIFORNIA 49 � Loans Received to whole dollars. from SEE INSTRUCTIONS ON REVERSE through 0 t I1 i� Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER DATE LENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER /GUARANTOR'S I LENDER INFORMATION GUARANTOR INFORMATION RECEIVED (IF COMMITTEE. ENTER FULL NAME, ADDRESS AND I. D. NUMBER. IF NO I.D. OCCUPATION AND EMPLOYER (IF SELF- DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATIVE NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) EMPLOYED, ENTER BUSINESS NAME) INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE (T 1 � !( q(,� _ ,4 �' +•� { t ATE /I l i / � � L'1.75 '' ' q lQ-•l K7 , / � DUE l l f (1 ��;� �/L"^• Iw � yZ7)OD CALENDAR YEAR CALENDAR YEAR 4 0 4— (0 •)•„t 1 w TO �•"� '^c.J INTER ST RATE S S ��r � OTHER OTHER Lender 71 Guarantor - x $ $ DUE DATE CALENDAR YEAR CALENDAR YEAR f S INTEREST RATE OTHER OTHER Lender A El Lender x $ E DUE DATE CALENDAR YEAR CALENDAR YEAR f $ INTEREST RATE OTHER OTHER ❑ Lender ❑ Guarantor x f S (a) (bl Enter (b) on ' See important instructions on reverse. SUBTOTAL $ u $ Summary Page, Line ans Received — Part I Summary ` Loans of $100 or more received this period. (Include all Loans Received— Part I (a) subtotals.) ...................... $ 2. Loans under $100 received this period. (Do not itemize.) ................................................... ............................... $ tk- 3. Total loans received this period. (Add Lines 1 and 2.) ......................................... ............................... TOTAL $ Loans Received — Part 11 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ....................... $ 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ................... ............................... $ 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ............................................................................................... ............................... TOTAL $ ( ) 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 ....................... ............................... NET $ May be a negative number. Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded Statement covers period "�`''n� . Non- Monetary Contributions Received to whole dollars. p �CnLoRNta�90Q from 199r4e,FORMi SEE INSTRUCTIONS ON REVERSE through Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AND EMPLOYER CUMULATIVE TO CUMULATIVE TO DATE DESCRIPTION OF FAIR MARKET DATE (I EWER I. TEE, INADDI I TO fEE'SNAMEEN A SSIGNED. BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (IF APPLICABLE) ENTER TR EA S URER'S DRESS. (IF SELF EMPLOYED. NAME OF DATE OTHER RECEIVED ENTER I. NUMBER O I . NUM EA S URER'S NAME A HAS BEEN A SSIGNED. NAME AND ADDRESS) (JAN. 1 - DEC. 31) f '71 4,Gt1eVL c1tI'_Y,. l Cpl 12.0Iz j "7zo,VZ I-) P, PLA.G -C I�rL a'tA-1 I0l.l. - (�.C;J i G• G �,S�t L Gtr: °t to tC,N`A a Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ + , '", " ) �'�0.'�«� ,t'�Ju�r Non - Monetary Contributions Summary 1. Amount received this period - non - monetary contributions of $100 or more. (Include all Schedule C subtotals.) ..................................................................................... ............................... $ 2. Amount received this period - non - monetary contributions of less than $100. (Do not itemize.) ................................................................................................................. ............................... $ 3. Total non - monetary contributions received this period. �- (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) ... ............................... TOTAL $ • SCHEDULE E Schedule E Type or print in ink. Statement covers period ; 4441 "M ` Amounts may be rounded HCALIFORNIA A rc'! fi ,Payments and Contributions to whole dollars. from I� C. 9 6 994PFOAM z (Other Than Loans) Made 01 1 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER A��r SFS P2a CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment" column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. "C" -- MONETARY AND IN -KIND (NON - MONETARY) "B" -- BROADCAST ADVERTISING "G" -- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES "N" -- NEWSPAPER AND PERIODICAL ADVERTISING "T" -- TRAVEL, ACCOMMODATIONS AND MEALS INDEPENDENT EXPENDITURES "O" -- OUTSIDE ADVERTISING (MUST BE DESCRIBED) "P" -- PROFESSIONAL MANAGEMENT AND CONSULTING "L" -- LITERATURE "S" -- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR SOLICITATIONS SERVICES "I" -- FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT. DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. BF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF No I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 1 iPIE-1 VA 1- f LOA 0 21S70 CpVA'K:EI2U �FN'ir?2 R��J� �VITc D0 TL ttr �I, c Zx9 Important Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL $ officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part 1. Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ................................................................. ............................... $ 2. Payments made this period of under $100. (Do not itemize.) ..........................................................................................:..... ............................... $ ID,'JC 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part Il, Column (d).) .......................... .............................. $ 4. Total accrued expenses paid this period. Do not itemize. Enter amount from Schedule F, Line 4. ................. $ 5. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ....................... TOTAL $ ��_ Schedule E SCHEDULE E (CONT.) Continuation Sheet Type or print in ink. Amounts may of rounded Statement covers period CALIFORNIA��490 ( v 'Payments and Contributions to whole dollars. (Other Than Loans) Made from SEE INSTRUCTIONS ON REVERSE through of ) Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER 7, s. P ,-T CODES FOR CLASSIFYING EXPENDITURES "C" -- MONETARY AND IN -KIND (NON- MONETARY) "B" -- BROADCAST ADVERTISING "G" -- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES AND COMMITTEES "N" -- NEWSPAPER AND PERIODICAL ADVERTISING "T" -- TRAVEL, ACCOMMODATIONS AND MEALS (MUST BE DESCRIBED) "I" -- INDEPENDENT EXPENDITURES "0' -- OUTSIDE ADVERTISING "P" -- PROFESSIONAL MANAGEMENT AND CONSULTING "L" -- LITERATURE "S" -- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR SOLICITATIONS SERVICES r "F" -- FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID ��S C�C�S �G v�� 7E f i • 6, 2- 97 to F Jc>L T , KA E_ C.,) CAL �2S p 4 r i f L SntJ �Js2J �K�f, ]c<��C7 r SUBTOTAL $