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