HomeMy WebLinkAbout1998 officeholder, Candidate, Type or print In Ink. COVERPAGE - LONGFORM
and Controlled Committee Statement covert period Date Stamp
Campaign Statement — Long Form from 07/01/98
Government Code Sections 84200- 84216.5) 12/31/98
TEE INSTRUCTIONS ON REVERSE through 1 3
:heck one of the followin ones to indicate the IRCV of
q type of statement being filed: Date of election H applicable:
Pre - election Statement - - - -- {Month; Day;Year)--------- - - - - -- orO icial Use Only
Supplemental Pre- eleCtion Statement (Attach a completed Form 495 to this statement.) 01- 25- 99P02 :21
Spec ial Odd -Year Campaign Report
Semi - annual Statement
Termination Statement (Attach a completed Form 415 to this statement.)
Ice O er a I ate, and Controll C ommittee 11 Other Committees Not Includ In th is Statement: Elstanyorher
Included in tAis Statement committees not included in this consolidated statement that are controlled by you and any
NAME OF OFFICEHOLDER OR CANDIDATE committees of which you have knowledge that are primarily formed to receive contributions
STEVEN J. FORD or to make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
OFF ICE SOUGHT OR HEM DNCLUDE IOUTgN AND DISTRICT NUMBER NUMBER If APPLICABLE)
CI COU TEMECULA, CA
AESIDENTIAL OR BUSINESS ADDRESS (NO.ANDSTREET) NAME OF TREASURER CONTROLLED COMMRTEE7
29900 VILLA ALTURAS ❑ YES ❑ NO
COY STATE ZIP CODE AREA CODE/DAYTIME PHONE COMMITTEE ADDRESS (NO. AND STREET)
TEv1ECULA CA 92592 (909)676 -3756
COMMITTEE NAME I.D.NUMBER CITY STATE ZIPCODE AREA CODDDAYTIME PHONE
CO211MITTEE TO ELECT STEVEN FORD 962340
COMMITTEE NAME E.D. NUMBER
COMMITTEE ADDRESS (NO. AND STREET)
43500 RIDGE PARK DR.,.STE. 104
CRY STATE ZIP CODE AREA CODE/DAYTIME PHONE NAMEOFTMASURER CONTROLLED COMMITTEE?
TD- IECULA C 9 ( 9 0 9) 6 76 -3 ❑ YES ❑ NO
NAME OF TREASURER COMMITTEE ADDRESS (NO.ANDSTMET)
DEREK D. THOMAS
PERMANENT ADDRESS Of TREASURER (NO. AND STREET) CRY STATE ZIPCODE AREA CODE/DAYTIME PHONE
41802 CORTE LARA
CRY STATE ZIP CODE AMA CODE/DAYTIME PHONE
TFMECULA CA 92592 (909)676 -3013 Attach additional Information onapproprlateylabeledcont inuatlonsheem
eri IcaUon '
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 perjury underthe laws of the State of California thatthe foregoin�`�`� a�n d
Executed on �/' At TEMECULA, CA BY � �
DATE CITY AND STATE SIGNATURE OF TREASURER DEREK D. THOMAS
An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable dilig ce 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 informati C ined 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.
Executedon " — �� At TEMECULA, CA ey
DATE CITY AND STATE SIG TUREOFCANDIDATE /OFFICEHOLDER STEVEN J. FORD
Executed on - At By
DATE CRY AND STATE - SIGNATURE OF CANDI DATEIOF f ICE HOLDER
Executed on At By
DATE CRY AND STATE SIGNATURE OF CANDIDATE /OFFICEHOLDER
FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES AR OF 1977, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS Of THE POLITICAL REFORM AR .
:ampaign Disclosure Statement T or print In Ink. SUMMARY PAGE
Amounts may be rounded Statement covers period
summary Page to whole dollars.
- .. from 07/01/98
EE INSTRUCTIONS ON REVERSE through 12/31/98 Page 2 of 3
TAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
COMMITTEE TO ELECT STEVEN FORD 962340
: ontributions Received Column A Column B Column C
TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE
(FROM ATEACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMNS A . a)
I. Monetary Contributions ............................... SchedukA, Line 3 S .00 S .00 S .00
t. Loans Received Schedule e, Line 7 .00 .00 .00 •
3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add Lines I +2 S .00 S .00 S .00
1. Non - monetary Contributions ......................... Schedule C Line 3 .00 .00 .00
5. SU BTOTAL CONTRI B UTIONS:(Exdude Enforceable Promises) Add Lines 3 +4 $ • 00 $ .00 $ .00
5. Enforceable Promises 00 .00 .00
(Exclude loan Guarantees, Line iB below) ................... Schedule D, Line 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... Acid Lines 5 +6 $ . 00 S .00 S .00
Expenditures Made
3. Cash Payments (Other than Loans Made) ............ schedule E, Lines S 70.50 S \ 77.40 $
147.90
3. Loans Made .............................................. Schedule H, Line 7 •00 .00 .00
10. SU BTOTAL CAS H PAYM ENTS ............................ Add Lines 8 +9 S 70.50 S 77.40 q 147.90
11. Accrued Expenses (Unpaid Bills) ........................ Schedule F, Line 5 .00 .00 00
12. TOTAL EXPENDITURES MADE ......................... Add Lines to + IF $ 70.50 $ 77.40 147.90
Current Cash Statement •
13. Beginning Cash Balance Previous summary Page, Line 17 S 3,444.17 • From previous Statement Summary Page, Column C. However, if
14. Cash Receipts """"""""" " " " " " "" ...... Column A, Linea above • 00 this is the first report filed for the calendar year, Column B should be
_ blank except for Loans Received (Line 2) Enforceable Promises (Line
15. Miscellaneous Increases to Cash . ....................... schedule f, Line .00 6), loans Made (Line 9), and Accrued Expenses (Line 11).
16. Cash Payments ..... ............................... column A, Line to above \ 70.50
17. ENDING CASH BALANCE ..... Add Lines 13 + 14 + 15, then subtract Line 16 S 3,373.67 Summary for Candidates in Both June and
ff thi i sa termination statement, Line l7mustbezero. ENDING CASH BALANCE SHOULD November Elections
NOT BE A NEGATIVE AMOUNT
u 111 through 00 711 to Date
18. LOAN GUARANTEES RECEIVED .............. Schedule 6, Partl, Column(b) s 00 21. Re a ved tions S
....
Cash Equivalents and Outstanding Debts
22. Ex nditures
19. Cash Equivalents . ............................... See inst onreverse S 00 Mace ....... S
20. Outstanding Debts ................. AddLine2 +Llnellin Column Cabove $ .
Schedule E Typeorprintinink. SCHEDULE E
Amounts may be rounded Statement covers period
Payments and Contributions to whole dollars. 07/01/98 l
(Other Than Loans) Made from
SEE INSTRUCTIONS ON REVERSE through 12/31/98 Page 3 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 (NO N- MONETARY) 'B' — BROADCAST ADVERTISING 'G'— GENERAL OPERATIONS AND OVERHEAD •
CONTRIBUTIONS TO OTHER CANDIDATES 'N' — NEWSPAPER AND PERIODICAL ADVERTISING 'T" — TRAVEL, ACCOMMODATIONS AND MEALS
ANDCOMMITTEES "0 "— 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.
(IE COMMITTEE. IN ADDITION TO COMMITTEE'S FAME AND ADDRESS, ENTER I.D. NUMBER OR. IF NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ONLINE 4 OF THE SUMMARY SECTION BELOW.
NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS)
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
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 Al location 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.) 70.50
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.) ...... ...............................
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 $
70.50
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 -98
Government Code Sections 84200- 84216.5) ,T 1 "' ��I
NEE INSTRUCTIONS ON REVERSE through 6 -98 -.'' �_ -; t- I 1 3
Page of
:heck one of the following boxes to Indicate the type of statement being filed: Date of election If applicable - 4 1998 - j
r Pre - election Statement (Month, Day, Year) JUL
2 f t For Official Use Only
Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.)
Special Odd -Year Campaign Report U 1
Semi - annual Statement --
Termination Statement (Attach a completed Form 415 to this statement.)
Off icehold er Cand idate, and C ontroll ed C ommittee 11 O Committees I lot Includ in th is Statement: ustanyother
Included in tAis Statement committees not Included in this consolidatedstat ement that are controlled byyou and any
NAME OF OFFICEHOLDER OR CANDIDATE committees of which you have knowledge that are primarily formed to receive contributions
STEVEN J. FORD or to make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
OFf BDDGNT OR NELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) )
CITY COUNCIL, TEMECULA, CA
RESIDENTIAL OR BUSINESS ADDRESS DICIANDSTREET) NAME OF TREASURER CONTROLLED COMMITTEE?
29900 VILLA ALTURk1S ❑ YES ❑ No
CRY TEMECULA STATE OA ZIP CQQE_ APEA CODMAYTIME PH ONE COMMITTEE ADDRESS (NO. AND STREET)
y (909)676 -3756
COMMITTEE NAME I.D. NUMBER CRY STATE ZIPCODE AREA CODMAYTIME PHONE
COMMITTEE TO ELECT STEVEN FORD 962340
COMMITTEE NAME I.D. NUMBER
COMMITTEE ADDRESS (NO.ANDSTREET)
43500 RIDGE PARKDR., STE.104
CRY STATE ZIP CODE AREA CODMAYTIME PHONE NAME OF TREASURER CONTROLLED COMMITTEE?
TEMECULA CA 92590 ( 909)676 -3013
❑ TES ❑ NO
NAME OF TREASURER COMMITTEE ADDRESS (NO. AND STREET)
DEREK D. THOMAS
PERMANENT ADDRESS OF TREASURER (NO.ANDSTREET) CITY STATE ZIPCODE AREA CODMAYTIME PHONE
31820 VIA LEVANTAR
MY STATE ZIPCODE AREA CODEAAYTIME PHONE
TEMECULA CA 92592 (909)676 - 3013 A tta ch additional information on appropriately labeledcontinuatlonsheett.
Verification
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 perjury under the laws of the State of California that the foregoing is true a
Executed on 7_(, _5S7 At TEMECULA, CA gy
DATE CRY AND STATE SIGNATURE OF TREASURER DEREK D. THOMAS
An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonabl dilige eandtothebestofmyknowledgethetreasurerhaSusedall
reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the I for atio ontainedhereinandintheattachedschedulesistrueand
complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executedon 7 dI 9P At TEMECULA, CA By fL
DATE CRY AND STATE - GNATU EOFCANDIDATEI STEVEN J. FORD
Executed on At By
DATE CITY AND STATE SIGNATURE OF CANDIDATEIOFIIC [MOLDER
Executed on At BY
DATE CRY AND STATE SIGNATURE OF CANDIDATEIOFFICEHOIDF R
FOR INFORMATION REWIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1971. SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS Of THE POLITICAL REFORM AR . ' ppµ
Campatyr9 DiSclosure Statement Type or print In ink. SUMMARY PAGE
Amounts maybe rounded Statement covers period
Summary Page to whole doliars.
from 1 -1 -98
SEE INSTRUCTIONS -30 -98 TIONS ON REVERSE through Page 2 of 3
NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER
COIV ITTEE TO ELECT STEVEN FORD 962340
Contributions Received Column A Column B• Column C
TOTALTHISKRIOD TOTAL PREVIOUS PERIOD TOTALED DATE
(FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMN$A 9)
1. Monetary Contributions ............................... Schedule A, Line 3 S .00 S S .00
2. Loans Received .......... ............................... Schedule 8, Line 7 .00 .00
3. &TOTALCASH CONTRIBUTIONS ...................... Add Lines I +2 S . S S .00
4. Non - monetary Contributions ......................... schedule C, Line 3 .00 .00
S. SUBTOTAL CONTRIBUTIONS (E Enforceable Promises) Acid Li nes 3+4 S . 0 0 S ' S .00
6. Enforceable Promises .00 .00
(Exclude Loan Guarantees, Line 18 below) ................... Schedule D, Line 7
7. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines s + 6 S .00 S S .00
Expenditures Made
8. Cash Payments (Other than Loans Made) ............ Schedule E Line S $ 77.40 S S 77.40
9. Loans Made ........................ ..................... Schedule H Line 7 .00 .00
10. SUBTOTALCASH PAYMENTS ............................ Add Lines 8 +9 S 77.40 S $ 77.40
11. Accrued Expenses (Unpaid Bills) ..........1 ............. Schedule F Line S .00 .00
12. TOTAL EXPENDITURES MADE ......................... Addunes 10 + 11 S 77.40 S S 77.40
0 1 '
` r�eentCash Statement
.seginning Cash Balance Previous summary Page, Line 17 S 3 ,521-57 • From previous Statement Summary Page, Column C. However, if
14. Cash Receipts ' Column A , Linea above .00 this is the first report filed for the calendar year, Column B. should be
""""""""' " " " " " " " " blank except for Loans Received (Line 2), Enforceable Promises (Line
15. Miscellaneous Increases to Cash ....................... Schedule 1 , Line l .00 6), Loans Made (Line 9), and Accrued Expenses (Line 11).
16. Cash Payments ..... ............................... column A, Line 10above 77.40
17. ENDING CASH BALANCE ..... AddLlnes 13 + 14 + 15, then subtract Line 16 S 3 ,444.17 Summary for Candidates in Both June and
ffthis isa termination statement, Line l 7 must be zero. E NDING CASH BALANCE SHOULD November Elections
NOT BE A NEGATIVE AMOUNT
u 1/1 through 6130 WE to Date
1 (b) 8. LOAN GUARANTEES RECEIVED .............. schedule e ,PSrt l,Column S 00 21.eeevetltions S
...
Cash Equivalents and Outstanding Debts
,00 22. Exp�+nditures
19. Cash Equivalents . ............................... seelnsirudlonsonreverse $ Mar7e ....... S
20. Outstanding Debts ................. AddLlne2 + Line 11inColumnCabove S .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 from I —I -9s
SEE INSTRUCTIONS ON REVERSE through 6 730 -98 Page 3 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.
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.
fir COMMITTEE, IN ADDITION TO COMMmEE•S IiAME AND ADDRESS, EWER I.D. NUMBER OR, IF NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ONLINE 4 OF THE SUMMARY SECTION BELOW.
NUMBER NAS SEEN ASSIGNED. EWER TREASURER'S NAME AND ADDRESS)
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL S
officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part I.
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.) ......................................... ............................... $ 77.40
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.) ...... ............................... $
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 $ 77.40