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HomeMy WebLinkAbout1997 Officeh older, Candidate, Type Or print in ink. COVER PAGE • LONG FORM and Controlled Committee Statement covers period Date Stamp Campaign Statement — Long Form from 7 -1-97 (Government Code Sections 84200- 84216.5) throug 12 -31 -97 : rT nn�. SEE INSTRUCTIONS ON REVERSE g Page 1 of 3 Check one of the following boxes to Indicate the type of statement being flied: Date of election H applicable: J 7a �� Z 19'J g For Official Use Only g Preelection Statement (Month, Day, Year) Supplemental Pie - election Statement (Attach a completed Form 495 to this statement.) Special Odd -Year Campaign Report VI - Semi - annual Statement 11 - - Termination Statement (Attach a completed Form 415 to this statement.) Ice O er an 1 ate, an C ontroll ed C ommittee ter C ommittees O Includ In th is statement: LlsTonyother Included in this Statement committees not Included in this consolidated statement that are controlled by you an d a my NAME Of OFFICEHOLDER OR CANDIDATE committees of which you have know /edge that are prl madly /ormedto receive contributions STEVEN J. FORD or to make expenditures onbehaf/o/ ourcasdldacy. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF AMICABLE) COMMITTEE "ME I.D. NUMBER CITY COUNCIL, TEMECULA, CA RESIDENTIAL OIL BUSINESS ADDRESS (NO. AND STREET) NAME OF TREASURER CONTROLLEDCOMMTEE/ 29900 VILLA ALTURAS . ❑ YES ❑ NO CRY STATE ZIPCODE AREA COOMAYTILE PHONE COMMTEE ADDRESS (NO. AND STREET) TEMECULA CA 92592 (909)676 -3756 COMMITTEE NAME I.D. NUMBER CT STATE ZIP CODE AMACODENAYTIME PNOIIF COMMITTEE TO ELECT STEVEN FORD 962340 COMMITTEE NAME I.D. NUMBER COMMITTEE ADDRESS (NO. AND STREET) 43500 RIDGE PARK DR., STE. 104 CRY STATE ZIP CODE AMA COOMAYTIME PHONE NAME OF TREASURER CONTROLLEDCOMMTEE/ TEMECULA CA 92590 ( 909)676 -3013 ❑ YES ❑ No NAME OF TREASURER COMMITTEE ADDRESS (NO. AND STREET) DEREK D. THOMAS PERMANENT ADDRESS OF TREASURER (NO. AND STREET) CT STATE ZIP CODE AMA CODEMAYTIME PHOM 31820 VIA LEVANTAR • CRY STATE ZIP CODE AMA CODMAYTIEE PHONE TEMECULA CA 92592 (909)676 -3013 Attach additional Information on appropriately labeled continuation sheen. III V erification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the Information contained herein and in the attached schedules is true and complete. I certify under penalty of peTrlF the laws of the State of California that the foregoing ru red co Executed on �—�� — 9a At """'CUB CA By L DATE CRY AND STATE SIGNATURE OF TREASURER DEREK D. THOMAS An officeholder or candidate who controls a committee must also verify the campaign statement. l have used all reasonable dilige ce nd to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and tothe best of my knowledge the informati c rained 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 and correct. L Execute don '� � 5 f f At TFMRCTTT.A, CA By ' DATE CRY AND STATE SIG ATUM Of CANDIDATE/OFFKE DER STEVEN FORD Executed on At - By DATE CRY AND STATE SIGNATURE OF CANDIDATEMFFKEHOLDER Executed on At By DATE CRY AND STATE SIGNATURE OF CANOIDATEASFICEHOLDER FOR INFORMATION M WIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1577. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT . s.- Campaign Disclosure Statement Type Or print In Ink. SUMMARY PAGE Summe Pa Amounts may be rounded Statement covers period Summary Page to whole dollars. from 7 -1 -97 SEE INSTRUCTIONS ON REVERSE t 12 -31 -97 Page 2 of 3 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER COMMITTEE TO ELECT STEVEN FORD 962340 Contributions Received Column A Column BR column C TOTALTHHKNOO TOTAL PREVIOUS KAM TOTAL TO DATE PROM ATTACHED SCHEDULES) (SEE MOTE BELO" SAW COLUAImA e) 1. Monetary Contributions ............................... Schedule A, Line 3 f .00 S .00 S . 00 Loans Received .......... ............................... schedule 8, Line 7 .00 .00 .00 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add unesI+2 f .00 t .00 f .00 4. Non- monetary Contributions ......................... schedule 4 Line 3 .00 .00 .00 S. SUBTOTAL CONTRIBUTIONS (Exdude Enforceable Promises) AddUnes3+4 S .00 f .00 f .00 6. Enforceable Promises 00 .00 .00 (Exclude Loon GuaranMes, Line 18 below) ................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Aduuness + 6 s .00 f .00 f .00 Expenditures Made 104.00 138.00 \ 242.00 B. Cash Payments (Other than Loans Made) ............ Schedule E, Lines f f s 9. Loans Made .............. ............................... Schedule H, Line 7 .00 .00 00 10. SUBTOTAL CASH PAYMENTS ............................ Add Lines 8 +9 f 104.00 f 138.00 f 242.00 11. Accrued Expenses (Unpaid Bills) ........................ schedule F, Lines .00 .00 .00 12. TOTAL EXPENDITURES MADE ......................... Addunes ID + II S 104.00 f 138.00 f 242.00 urrent Cash Statement 13. Beginning Cash Balance .................. Previous Summary Line e I7 f 3,625.57 From previous Statement Summary Page, Column C. However, It 14. Cash Receipts ....... ............................... Column A, Line 3 above .00 this is the first report filed for the calendar year, Column B should be blank except for Loon& Received (Line 2), Enforceable Promise (Line 15. Miscellaneous Increases to Cash ........................ Schedule 1, Une 4 .00 6), Loars Made (Line 9). a nd Accrued Expenses (Line 11). 16. Cash Payments ..... ............................... Column A, Line 10 above 104.00 17. ENDING CASH BALANCE ..... Add lines 13 + 14 + Is, then subtract Line I6 f 3,521.57 Summary for Candidates in Both June and N this 1s a termi statement, Line 17 must bezero. E NDING US" BALANCE SHOULD November Elections NOT BE A NEGATIVE AMOUNT C 1I1 through 6A0 7J1 to Data 18. LOAN GUARANTEES RECEIVED .............. Schedule a, Part I,CoANnn(b) s '00 21. Recevegtions ... s Cash Equivalents and Outstanding Debts oo zz. EExp4e 19. Cash Equivalents . ............................... see instructions on reverse f Ma nditure iture s f 20. Outstanding Debts Add Line 2 +Line I I In Column C above f .00 AType mounts may print roan SCHEDULE E Schedule E Amounts maybe rounded Statement covers period Payments and Contributions to whole dollars. (Other Than Loans) Made from 7 -1 -97 SEE INSTRUCTIONS ON REVERSE through 12 - 31 -97 Page --L of 3 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER COMMITTEE TO' ELECT STEVEN FORD 962340 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' – GENERALOPERATIONS AND OVERHEAD- CONTRIBUTIONS TO OTHER CANDIDATES 'N' – NEWSPAPER AND PERIODICAL ADVERTISING 'T' – TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES 'O' – OUTSIDE ADVERTISING - (MUST BE DESCRIBED) '1' – INDEPENDENT EXPENDITURES 'S' – SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P' – PROFESSIONAL MANAGEMENT AND CONSULTING 'L' – LITERATURE 'F' – FUNDRAISING EVENTS SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR. OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. PT COMMITTEE. IN ADDITION TO COMMITTIVS RAW AND ADDRESS, ENTER I.U. NUMBER (R. N No I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMBER HAS BEEN ASSIGNED, ENTER TREASURERS NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID KUEBLER, THOMAS & CO.. 43500 RIDGE PARK DR., STE. 104 ACCOUNTING /CAMPAIGN STATEMENT FILING $104.00 TEMECULA, CA 92590 Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL S 104.00 officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part L Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................... . ........... . .......... $ 104.00 2. Payments made this period of under $100. (Do not itemize.) ...... $ - 0 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) j -0- 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) $ -0 S. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ........... TOTAL S 104.00 i Officeholder, Candidate, Type or print In Ink. COVER PAGE - LONG FORM and Controlled Committee Statement covers period Date Stamp Campaign Statement — Long Form from 1 -1 -97 (Government Code Sections 84200- 84216.5) 6 -30-9] RECEIVE SEE INSTRUCTIONS ON REVERSE through 7Page 3 Check one of the following boxes to Indicate the type of statement being filed: Date of election R applicable: of Pre - election Statement (Month, Day, Year) JUL 2 9 1997 icial Use Only Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) _ Special Odd -Year Campaign Report 11 -05 -96 CITY CLERKS ULPT, Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) Ice O er an 1 ate, an C ontroll ed C ommittee O th er Committees Not Includ In th is tatement: Listanyother Included in tAis Statement committeesnot included in this consolidated statement that are controlled by you and any AME OF OFFICEHOLDER OR CANDIDATE commtttees of which you have knowledge that are primarily formed to receive contributions Steven J. Ford or to make expenditures on behalf of your candidacy. COMMETEE NAME I.D. NUMBER OFFICE SOUGHT OIL HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Cooncil, Temecula, C A RESIDENFEUM A OR BUSINESS ADDRESS IND. AND STREET) NAME OF TREASURER CONTROLLED COMMITTEE 299 Villa l turas ❑ YES ❑ NO CITY STATE DP CODE AMACODEAIAYTIMEPHONE COMMITTEE ADDRESS (NO. AND STREET) Temecula CA 92592 (909)676 -3756 COMMITTEE NAME I I.D. NUMBER CT' STATE ZIPCODE AREA CODMAYTIME PHONE Committee to Elect Steven Ford •962340 COMMITTEE NAME I.D. NUMBER COMMITTEE ADDRESS (NO. AND STREET) 43500 Ridge Park Dr., Ste. 104 CITY STATE IIPCODE AREA CODE/DAYTIME PHONE NAME OF TREASURER CONTROLLED COMMITTEEI Temecula CA 92592 (90 -3013 ❑ YES ❑ No NAME OF TREASURER COMMITTEE ADDRESS (NO. AND STREET) Derek D. Thomas PERMANENT ADDRESS OF TREASURER (NO. AND STREET) CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE S 31820 via Levantar IT T®ecula, Ca 92592 STATE ZIP CODE AZ9�9oJ67T6ME3013 l Jl/`J J Attach additional information on appropriately labeled continuation sheets. III V erification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledgSibeminfounation contained herein and in the attached schedules is true and complet 1 ce rt if under penalty of perjury under the laws of the State of California that the foregoing is true and correct Executedon /1/91 At Tmemla, CA B �•- DATE CITY AND STATE SIGNATURE OF 79FASURER Derek D. Thoolas An officeholder or candidate who controls a committee must also verify the campaign statement. Ihaveusedallreasonable iii ce and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. l have reviewed the statement and to the best of my knowledge the info, at' contained sin an he 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 7/1/97 At TaBecula, CA By DATE CITY AND STATE IGNATuMOFCANDIDA FFICEHOLOER Steven FO rd Executed on At By DATE CRY AND STATE SIGNATURE OF CANDIDATE/OI HC[HOIDER Executed on At By DATE CITY AND STATE SIGNATURE OF CANDIDATEIOFFICEHOLDER FOR INFORMATION MOUIREOTO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF I977, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS OF THE POLITICAL REFORM ACT Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Amounts may be rounded Statement covers period i . Summary Page to whole dollars. IIIjIH from 1 -1 -97 SEE INSTRUCTIONS ON REVERSE - - - - - - - - - through 6 -30-97 7 F6N N 2 of 3 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE BER COMMI=— TO GLI7CP STL?M FORD 2340 Contributions Received Column A Column B` Column C TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE (I ROM ATTACHE D SCHEDULES) (SEE NOTE BELD" (ADD COLUMNS A B) 1. jonetary Contributions ............................... Schedule A, Line 3 S •00 S s •00 2. ans Received Schedule 8, arse 7 •00 •00 .......... ............................... 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add Lines 1 +2 S - 00 S S •00 4. Non - monetary Contributions ......................... Schedule C, Line 3 '00 00 S. SUBTOTALCONTRIBUTIONS (Exdude Enforceable Promises) Add Lines 3 +4 S • S S -00 6. Enforceable Promises •00 •00 (Exclude Loan Guarantees, line 18 below) ................... Schedule D, Lim 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 5 + 6 S '00 S S Expenditures Made B. Cash Payments (Other than Loans Made) ............ Schedule E, Line 5 S 13II.00 S 1 138.00 9. Loans Made .............. ............................... Schedule H, Llne 7 .00 .00 10. SUBTOTAL CASH PAYMENTS ............................ Add Lines 8+9 S 138.00 S S 138.00 11. Accrued Expenses (Unpaid Bills) ........................ Schedule F,Lirse5 •00 •00 12&TAL EXPENDITURES MADE ......................... Add Lines To + n S 138.00 S s 138.00 Current Cash Statement 13. Beginning Cash Balance Previous Summa Pa Line 17 s 3, 763.57 9 9 � � � �' 9 From previous Statement Summary Page, Column C. However, if 14. Cash Receipts Column A, Line 3 above QQ this is the first report filed for the calendar year, Column IS. should be p •. •.. • •......''"" """" ""' blank except for Loans Received (Line 2), Enforceable Promises (Line 15. Miscellaneous Increases to Cash ........................ Schedule 1, Line 4 .00 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ..... ............................... Column A, Line TO above 138.00 17. ENDING CASH BALANCE ..... AddLlnes 13 + 14 + 15, then subtract Line 16 S 3,625.57 Summary for Candidates in Both June and If this is a termination statement, Line T7must be zero. E NDING CASH BALANCE SHOULD November Elections NOT BE A NEGATIVE AMOUNT L( tions 1/7 through 6 7/1 to Date 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Part l, Column (b) S 00 21. Receve� ... 1 Cash Equivalents and Outstanding Debts 00 22. ExpQnditures 19. Cash Equivalents . ............................... See instructions on reverse 1 Mad 1 M e ....... In h„tnandinn nahtc . .....__. Add Llne24 Line TT in Column Cabove t •00 Type or print In Ink. SCHEDULE E Schedule E Amounts may be rounded Statement covers period Payments and Contributions to whole dollars. (Other Than Loans) Made ,,Dm 1 -1 -97 SEE INSTRUCTIONS ON REVERSE through 6 -30-97 Page 3 of 3 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER COMPIITfEE TO ELT STEVEN FORD 962340 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. 40 . — MONETARY AND IN-KIND (NON-MONETARY) 'B' — BROADCAST ADVERTISING "G' — GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES 'N'— NEWSPAPER AND PERIODICAL ADVERTISING 'T" — TRAVEL, ACCOMMODATIONS AND MEALS ANDCOMMITTEES 'O" — OUTSIDE ADVERTISING (MUST BE DESCRIBED) 'I' — INDEPENDENT EXPENDITURES 'S' — SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS P — PROFESSIONAL MANAGEMENT AND CONSULTING 'L' — LITERATURE 'F' — FUNDRAISING EVENTS SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. (if 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 TREASURERS NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Kuebler, Thomas S co. 43500 Ridge Park Dr., Ste. 104 Temecula Ca 92590 Accounting /Campaign Statement filing 138.00 • Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL S 138.00 officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part/. Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ....................... ............................... $ 1 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 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 B.) ........... TOTAL $ 138"00