HomeMy WebLinkAbout1989 CANDIDOAND OFFICEHOLDER CAMPAIGN STATE -- LONG FORM
AND
CONSOLIDATED CONSOLIDATED CAMPAIGN STATEMENT r •'' 1;
(Government Code Sections 84200- 84217) PAGE 1 OF 7
(Type or Print in Ink)
^ Statement covers period 10/22/89 through 12/31/89 71 'U 21 _
CNFCX ONE OF THE FOLLOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FILED l, •I t �'w
❑ PRE - ELECTION STATEMENT ❑ SUPPLEMENTAL PRE- ELECTION RECIST jj f;;r •) +.
FORM 490 SEMI - ANNUAL STATEMENT L tL I .
❑ STATEMENT (If hhng a SuPPlemen[al COUNTY Of R ;V11, 5 i tIE
1989 Pre - Election Statement, you must
)(3xTERMINAT10N STATEMENT complete Form 495 and attach It to
Attach a Form 415 to this Form 490. this statement.)
OA .. 1989 AY APP AeI
LCE) A FOR OFFICIAL USE ONLY
November
1 CAN DI DATE/OF FICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANDIDATEJOFFICEHOLDER: OFFICE SOUGHT OR HELD: U «ivae l «uwn .nB aovlO numeeTlLrweuBp)
Patricia H. Birdsall City Council Member
RESIDENTIAL OR BUSINESS ADDRESS: No. AND STREET CITY STATE ZIP CODE AREA CODUBUSINLSS PHONt NUMBtN
42041 Avenida Alvarado Temecula Ca 92390 714 - 676 -3642
It CONTROLLED COMMITTEE' INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF COMMITTEE: I 1.0. NUMBER
.A.DORESS OF COMMITTEE:, NO. AND SIMII CITY STATE EV CODE AREA COU01SWUNESS MONt NUMBt
NAME OF TREASURER:
PERMANENT ADDRESS OF TREASURER: NO AND STREET CITY STATE tIPCWE AREA COOEAUSINESS PHONE NUMBS
• A controlled committee is one which it controlled directly a indirectly by a candidate or which actrjointly with a candidate or controlled committee /T
connection wrth the making of eapenditurelL A candidate controls a committee of the candidate, the candidate's agent, or any other committee he o
she controls, his signirRant rnNuelme on the actions or decrsiost of the committee.
III OTHER COMMITTEES: UST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH
ARE CONTROLLED BY YOU AND ANY COMMITTEES PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY
CONTROLLED
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
Its NO
Attach additional in on approci is rely labeled continuation th"M
y VERIFICATION
CANDIDATE OR OFFKEHOLDER:
I HAVE USED ALL REASONABLE DILIGENCE AND 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 KNOWLEDGE THE INFORMATION CONTAINEC
HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE. I CERTIFY UNDER P AL OF PERJURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. 1f �
EXECUTED ON 1/31/90 AT Temecula Ca BY
(DaRI ICmI AND STATE) (kIGNAIIIIII OF CANDIDATE OR OFFICEHOLDER)
TREASURER (H applicable):
1 HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION
CONTAINED HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE.
1 CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA? H THE F�NG IS TRUE NO CORRECT.
EXECUTEDON 1/31/90 AT Temecula Ca
PAR) 10" AND STATE) (S AIURIOF IMAWMIJ
• • PAGE 2 OF 7
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE STATE ME NT COVERS PERI
FORM 490 FROM THROU(
(Amounts May Be Rounded To Whole Dollars) 10/22/89 12/31/!
TAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
:ONTRIBUTIONSRECEIVED Cumulative total COLUMNS COLUMN o
from previous period* T T sch ed from Cumulative to + 8)
.. attached schedules (Columns A + e)
1. Monetary contributions ..................... $ 7 241.70 S 4458.20 S 11699.90
SCHEDULE A. LINE 3
2. Loans received ............................. 1000.00 (1000.00) -0-
SCHEDULE a, LINE 7
3. SUBTOTAL CASH RECEIPTS .................. S 8241.70 i 3458.20 i 11699.90
LINES I . 2 LINES 1 . ! LINES 1 . l
4. Non-monetary contributions ................ 122.40
SCHEDULE C. LINE 3
5. TOTAL CONTRIBUTIONS WITHOUT
ENFORCEABLE PROMISES ...................
LINES 3. 4 LINES 3. A LINES 3. 4
6. Enforceable Promises (Except loan
guarantees, see Line 18 below) ..............
SCHEDULE D, LINE I
7. TOTAL CONTRIBUTIONS .................... i 8364.10 S 3458.20 $ 11822.30
LINES S. 6 LINES 5. 6 LINES 5. 6
EXPENDITURES MADE
(SHOULD AL LIE ),
NS A . N
COLUMNS N
S 4085.37 S 7614.53 $ 11699.90
8. Payments :. ............................... SCHEDULE E. LINES
9. Loans Made ...............................
SCHEDULE E9. LINE 2
4085.37 7614.53 11699.90
10. SUBTOTAL . ............................... LINES&.s
LINESB .9 LINEia .9
11. Accrued expenses(Linpaid bills) ............. SCHEDULE F, LINES
12. TOTAL EXPENDITURES ..................... i 4085.37 $ 7614.53 S 11699.90
LINES III . I1 LINES 10. 11 LINES 10. 11
(SHOULD EQUAL LINE 12,
COLUMNS A . 81
*IF THIS IS THE FIRfT REPORT FILED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK
EXCEPT FOR LINES 2, 6, 9 AND 11.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on hand S 4156.33
at end of reporting period ",from previous statement filed.) ........
14. Cash receipts this period (Line 3, Column B above) ................... 3458.20
15. Miscellaneous increases to cash (Schedule G, Line 4) .................
16. Cash payments this period (Line 10, Column B above) ................ 7614.53
17. Cash on hand at end of reporting period (Lines 13 + 14 + 15- 16 above) i -0-
(If this is a Termination Statement, Line 17 must be Zero.) .. ............................... ENDING CASHON HAND SHOULD
NOT BE A NEGATIVE AMOUNT
18. Amount of loan guarantees received (Schedule B, Part I, Column (b)) ....................... i
19. Cash equivalents (other assets held including outstanding loans made to others).
Important: See instructions on reverse ................... ............................... S
20. Outstanding debts (Line 2 + Line 11 of Column C above) .... ............................... S
SUMMARY FOR CANDIDATES IN BOTH AJUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
I/1 THR 6 7/1 TO DATE
21. CONTRIBUTIONS RECEIVED: 11822.30
22. EXPENDITURES MADE: 11699.9 I
SCHEDULE A PAGE 3 OF 7
MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
10/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee to elect Pat Birdsall for City Council 891031
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
DATE � AMOUNT
RECD. (IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER
ENTER I.D. NUMBER OR. IF NO 1.0. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS) (IF SELF-EMPLOYED, ENTER RECEIVED CUMULATIVE
NAME OF BUSINESS) THIS PERIOD TO DATE
10/30/89 Temecula Valley Pipe gar�ware sales CALENDAR YEAR:
28074 Del Rio. Rd s
Temecula, Ca 92390 geplgyer: 150.00 FISCAL YEAR:
S 1i s
10/31/89 Jaylee, Inc. Reteirea CALENDAR YEAR:
s
P. 0. Box 159 Employer:
Murrieta, Ca 92362 100.00 FISCAL YEAR:
s
10130189 Cameron Welding WeYd n Sup CALENDAR YEAR:
9 s
27886 Del Rio Road
Temecula, Ca 92390 �eplgye.: 150.00 FISCAL YEAR:
1T s
Occupation: CALENDARYEAR:
10/30/89 Birdsall Tax Service Bookkeeping & Tax s
42041 Avenida Alvarado prm ara io
Temecula, Ca 92390 RTWef' 1000.00 FISCAL YEAR:
- s
Occupation: CALENDAR YEAR:
10/30/89 Samual C. Alhadoff Retired $
101 West Broadway Employer:
San Diego, CV 92101 200.00 FISCAL YEAR:
$
Occupation: CALENDAR YEAR:
11/2/89 Temecula Creek Inn Resort s
44501 Rainbow Canyon Road Emplo er:
Temecula, Ca 92390 Self 500.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
11/2/89 Johnson + Johnson Real Estate Developm nt $
29377 Rancho California Rd. Ste 202 Emplo
Temecula, Ca 92390 Sell 1000.00 FISCAL YEAR:
s
SUBTOTAL $ 3100.00
SUMMARY
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE $ 4149.00
(Include all Schedule A subtotals) .................. ...............................
2. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF LESS THAN $100 (Not 309.20
itemized) .......................................... ...............................
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 ± Line 2) Enter here and on Line 1, Column 8 of Summary Page .............. $ 4458.20
•
SCHEDULEA
MONETARY CONTRIBUTIONS RECEIVED PAGE 4 OF 7
(CONTINUATION SHEET)
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
10/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AMOUNT
RECD. (IF CDMMITTEE.O TO COMMITTEE'S " B N ASEADDRESS, EMPLOYER
ENTER LO. NUMMBER ER ON, R. If NO I.D. D. N "S S ASSIGNED.
ENTEP THE iNEAS UNEN'S NAME AND aDOPUESSSONESS) (IF SE AMEOFBUSIN F SSI HIS RE
PE N IO O CUMULATIVE
N
NAME fE SINSS iN15 PERIOD TO AT
OE
Occupation: CALENDAR YEAR:
11/3/89 BIA of Southern California Political Committee f
1571 Beverly Blvd Employer: FISCAL YEAR:
Los Angqeles Ca 90026 Self 500.00 f
Kennet Willis Treasurer
Address same as above Occupation: CALENDAR YEAR:
11/3/89 J. F. Davidson Engineering s
3880 Lemon St Em to er:
Riverside, Ca 92502 elf 100.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
11/13/89 Inland Disposal Waste Management
37210 Wentworth Dr
Hemet, Ca 92344 E �a"t Management of FISCAL YEAR:
North America 249.00 f
Occupation: CALENDAR YEAR:
11/29/89 Kaufman & Broad Real Estate Develo m nt f
12520 High Bluff Dr. Ste 120 Employer: FISCAL YEAR:
San Diego, Ca 92130 Self 200.00 f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
/ S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
Occupation: CALENDAR YEAR:
S
Employer: - FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
SUBTOTAL S
1049.00
• • PAGE 5 OF 7
SCHEDULE B -- LOANS RECEIVED (PART 2)
FORM 490
STATEMENT COVERS PERIOD
L
(Amounts May Be Rounded To Whole Dollars) FROM THROUGF
10/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART2: LOAN REPAYMENTS MADE, LOANS FORGIVEN OR PAID BY A THIRD PARTY
DATE OF INT. FA AMOUNT RE PAID
REPAY- DATE OF RATE (IE • REPAID BY OR FORGIVEN ON OUTSTANDING INTERES'
MENTOR O FULL NAME OF LENDER FORGIVEN INCLUDE PAL(DO ENT PRINCIPAL PAID--
FORGIVE- cHANC[DI PARTD OFINT PAYMENT
NESS OFINTEREST)
7/7/89
10/27/89 &
7/13/89 Patricia H. Birdsall 1000.00 -0-
r ,
-IMPORTANT: IF ANY PART OF A LOAN IS FORGIVEN OR REPAID BY A THIRD PARTY, THE PERSON (E)
FORGIVING THE LOAN OR THE THIRD PARTY MAKING THE PAYMENT AND THE AMOUNT
FORGIVEN OR PAID MUSE BE ITEMIZED ON SCHEDULE A. WITH A NOTATION SUBTOTAL S
THAT IT IS A FORGIVEN LOAN. OR THIRD PARTY REPAYMENT OF LOAN.
1000.00
••TOTAL ALL INTEREST PAID THIS PERIOD. ALSO ENTER TOTAL INTEREST PAID (d)
ON LINE 7 OF THE SUMMARY SECTION OF SCHEDULE E. THIS PERIOD E
DO NOT EAMY THIS TOTAL TO THE SCHEDULE IT SUMMARY.
• SCHEDULEE •
7
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE PAGE 6 OF
FORM 490 STATEMENT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 10/22/89 12/31/89
NUMBER D
I
H. Birdsall . .
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H 891031
Committee for Pat Birdsall for
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back of this schedule for code "T ".) Refer to the back of this schedule and the back of the Schedule E
Continuation Sheet for detailed explanations of each category.
'L' - LITERATURE 'F' -- FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING "G' - GENERAL OPERATIONS AND OVERHEAD
"N'- NEWSPAPER AND PERIODICAL ADVERTI SING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
'O' - OUTSIDE ADVERTISING 'P' - PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
'S' - SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment' column.
pay ments
IMPORTANT: D o o t itemize S a l of ac rued expenses on Schedule E. Report only the lump sum of these
NAME AND ADDRESS OF PAYEE, CREDITOR OR AMOUNT
RECIPIENT OF CONTRIBUTION PAID
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S
NAME AND ADDRESS. ENTER I.D. NUMBER
OR . IF NO ,D NUMBER HAS ENTER THE CODE OR DESCRIPTION OF PAYMENT
TREASURER'S NAME AND ADDRESS)
Registrar of Voters 0 154.50
4175 Main Street
Riverside, Ca 92507
U. S. Postmaster 0 662.51
28630 Front St
Temecula, Ca 92390
Temecula Week N 473.86
40945 County Center Drive
Temecula, Ca 92390
Signtech, Inc 0 289.32
6618 Federal Blvd
Lemon Grove, Ca 92045
SUBTOTAL $ 1584.19
SUMMARY
I . PAYMENTS OF $100 OR MORE MADE THIS PERIOD 7290.94
(Include all Schedule E subtotals) ................................................................ ...............................
2. PAYMENTS UNDER S100 THIS PERIOD (Not itemized) ................................ ...............................
323.59
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
(Schedule B, Part 2, Column (d)) ................................................................... ...............................
4. TOTALACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4) .....................
S. TOTAL PAYMENTS THIS PERIOD (Line 1 + 2 + 3 + 4) Enter here and on Line 8, Column B of $ 7614.53
c„mmaEV Pane
........................................................................................... ...............................
SCHEDULE E PAGE 7 OF 7
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
I (CONTINUATION SHEET) STATE ME NT COVERS PE RIO
FORM 490 FROM I THROUGH
(Amounts May Be Rounded To Whole Dollars) 0/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patrlcla H. BITCISa11 I.D.NUMBER
Committee to elect Pat Birdsall for City Council 891031
CODES'FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. Refer to the back
of this schedule for detailed explanations of each category.
'F' - FUNDRAISING EVENTS
"L' - LITERATURE
'B" - BROADCAST ADVERTISING "G' - GENERAL OPERATIONS AND OVERHEAD
"N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
'S'- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR "P'- CONSULTING MENT AND
C
SOLICITATIONS CONSULTING SERVICES
'O' - OUTSIDE ADVERTISING
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment" column.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S PAID
NAME AND ADOMSS, ENTER I.D. NUMBER
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER THE DESCRIPTION OF PAYMENT
TREASURER'S NAME AND ADDRESS) CODE DR
Maurice Printers 0 1322.74
42327 Rio Nedo
Temecula, Ca 92390
U. S. Postmaster 0 871.60
28630 Front St
Temecula, Ca 92390
Press Enterprise N 1975.44
27645 Jefferson Ave.
Temecula Ca 9239
The Californian N 770.16
28636 Front St
Temecula, Ca 92390 ,
K -Hi Radio B 201.60
28910 Rancho California Rd
7emeucla, Ca 92390
Mark Birdsall G 130.60
42041 Avenida Alvarado
Temecula, Ca 92390
Temecula Town Association Donation to Non Profit
28816 Pujol Association 438.61
Temecula, Ca 92390
SUBTOTAL S
5710.75
CANDIDA9AND OFFICEHOLDER CAMPAIGN STATEM#• LONG FORM
AND
CONSOLIDATED CAMPAIGN STATEMENT R Ei; E "' {, "('
(Government Code Sections 84200.84217) PAGE 1 OF 7
l (Type or Print in Ink)
00 10/22/89
• ^,ti Statement covers period through 12/31/89 � [ 10 ppUU Q
CHECK ONE OF THE FOLLOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FILED 2'] Hr s JU
❑ PRE - ELECTION STATEMENT ❑ SUPPLEMENTAL PRE - ELECTION � ry fii- y0 i«S
FORM 490 ❑ SEMI - ANNUAL STATEMENT STATEMENT(itfilingaSupplementa lAT7 zFRIYERSIDE
1989 Pre - Election Statement, you must n
)EXTERMINATION STATEMENT Complete Form 495 and attach t to
Attach a Form 415 to this Form 490. [his statement.)
DATEDFEILRION(MO..OAY.YR) (IFAIM.ICAME) FOR OFFICIAIUSEONLI
November 7 1989
I CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANDIDATE /OFFICEHOLDER: OFFICE SOUGHT OR HELD: U «IW<I «.uae LAa a.Dln ROmee,n.PPL.ael
Patricia H. Birdsall City Council Member
RESIDENTIAL OR BUSINESS ADDRESS: No, AND STREET - CITY STATE LIP CODE AREA CODUBUSINL SS PNONt NUMAtR
42041 Avenida Alvarado Temecula Ca 92390 714 - 676 -3642
II CONTROLLED COMMITTEE' INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF COMMITTEE: I. o. NUMBER
ADDRESS OF COMMITTEE: NO.ANOSTREEI CITY STATE 11P CODE AREA COUEAULNESS PHONt NUMBt4
NAME OF TREASURER:
PERMANENT ADDRESS OF TREASURER: No..mosTREcT CIT', STATE 11PCOOE AREA COMAIULrtE Ss PHONE NUMetA
• A controlled committee is one which is controlled directly or indirectly by • candidate or which acts jointly with a candidate or controlled committee in
conMttion with the making of expenditures. A candidate controls a committee if the candidate, tM candidate's agent, or any other committee he or
sM controls, has signi/Rant influence on the actions or decisions of the committee.
III OTHER COMMITTEES: LIST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH
ARE CONTROLLED BY YOU AND ANY COMMITTEES PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY
CONTROLLED
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
Its NO
Attach additional in on appro labeled continuation sheets.
y
CANDIDATE OR OFFICEHOLDER: VERIFICATION
I HAVE USED ALL REASONABLE DILIGENCE AND TO THE BEST OF MY KNOWLEDGE THE TREASURER HAS USED ALL REASONABLE DILIGENCE IN
PREPARING THIS STATEMENT. 1 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 PEIfA ■
L OF PERJURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. l/\ n
EXECUTED ON 1/31/90 AT Temecula Ca BY
(DAR) ICErI AND STATE) ISIONATIIM OF CANDIDATE W OFFKEHOLOEII
TREASURER (R applicable):
I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS 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 CALIPORN Z EGOI IS TR ,kkD
EXECUTED ON 1/31/90 AT Temecula Ca ,t�
IDATt) ION AND STATES II AIUIIL OF IALAlultAI
PAGE 2 OF 7
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE STATE ME NT COVERS PERK
FORM 490 FROM THROUG
(Amounts May Be Rounded To Whole Dollars) 10/22/89 12/31/8
;AME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
:ONTRIBUTIONSRECEIVED COLUMNA COLUMNS COLUMN
Cumulative total Total this period from Cumulative to date
from previous period* attached schedules (Columns A + 8)
1. Monetary contributions ..................... $ 7241.7 S 4458.20 ; 11699.90
SCHEDULE A. LINE 1
2. Loansreceived ............................. 1 (1000.00) -0-
SCHEDULE B, LINE
3. SUBTOTAL CASH RECEIPTS .................. S 8241.70 S 3458.20 S 11699.90
LINES I. l LINES 1. 2 LINES I. 1
4. Non - monetary contributions ................ 122.40
5. TOTAL CONTRIBUTIONS WITHOUT SCHEDULE C.LINE3
ENFORCEABLE PROMISES ...................
• LINES3 .
6. Enforceable Piomises(Except loan LINES 3 A A LINES 3. a
guarantees, see Line 18 below) ..............
SCHEDULE D. LINE 7
7. TOTAL CONTRIBUTIONS .................... S 8364.10 3 3458.20 $ 11822.30
LINES 5. 6 LINES S . 6 LINES 5. 6
XPENDITURES MADE s" COLUMNS A. 8) E' '
S 4085.37 E 7614.53 S 11699.90
B. Payments ................................. SCHEDULE E, LINES
9. Loans Made ...............................
SCHEOUL£ EE, LINE 7
10. SUBTOTAL . ............................... 4085.37 7614 11699.90
LINES$.9
LINES 8.9 LINES • 9
11. Accrued expenses (unpaid bills) ............. SCHEDULE F. LINE 5
12. TOTAL EXPENDITURES ..................... 3 4085.37 E 7614.53 S 11699.90
LINES la . 11 LINES la . 11 LINES la . 11
(SHOULD EQUAL LINE 12,
`IF THIS IS THE FIRST REPORT FILED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK COLUMNS A . 91
EXCEPT FOR LINES 2, 6, 9 AND 11.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on hand S 4156.33
at end of reporting period " from previous statement filed.) .........
14. Cash receipts this period (Line 3, Column B above ) ................... 3458.20
15. Miscellaneous increases to cash (Schedule G, Line 4) .................
16. Cash payments this period (Line 10, Column B above) ................ 7614.53
17. Cash on hand at end of reporting period (Lines 13 + 14 + 15- 16 above) S -0-
(If this is a Termination Statement, Line 17 must be Zero.) .. ............................... ENDING USHQN HAND SHOULD
NOT BE A NEGATIVE AMOUNT
18. Amount of loan guarantees received (Schedule B, Part I, Column (b)) ....................... S
19. Cash equivalents (other assets held including outstanding loans made to others).
Important: See instructions on reverse ................... ............................... $
20. Outstanding debts (Line 2 + Line 11 of Column C above) .... ............................... $
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See instructions on Reverse)
1/1 THR 6 7/1 TO DATE
21. CONTRIBUTIONS RECEIVED: 11822.30
22. EXPENDITURES MADE: 11699.90
SCHEDULE A PAGE 3 OF 7
MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
10/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee to elect Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
AMOUNT
RECD. (IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER
ENTER I.D. NUMBER OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS) (IF SELF - EMPLOYED, ENTER RECEIVED CUMUE TIVE
NAME OF BUSINESS) THIS PERIOD TO DATE
10/30/89 Temecula Valley Pipe gar ware sales CALENDAR YEAR:
28074 Del Rio Rd q l s
Temecula, Ca 92390 Sel dy FISCAL YEAR:
y i er.
150.00 s
10/31/89 Jaylee, Inc. FRetgrea: CALENDAR YEAR:
s
P. 0. Box 159 Employer:
Murrieta, Ca 92362 100.00 FISCAL YEAR:
s
10/30/89 Cameron Welding Weldin Supply CALENDAR YEAR:
Welding s
27886 Del Rio Road
Temecula, Ca 92390 Ee"T?er. 150.00 FISCAL YEAR:
S li s
Occupation: CALENDAR YEAR:
10/30/89 Birdsall Tax Service Bookkeeping & Tax s
42041 Avenida Alvarado Mp ara
Temecula, Ca 92390 Seg 1000.00 FISCAL YEAR:
Occupation: CALENDAR YEAR:
10/30/89 Samual C. Alhadoff Retired s
101 West Broadway Employer: FISCAL YEAR:
San Diego, Ca 92101 200.00
s
Occupati n: CALENDAR YEAR:
11/2/89 Temecula Creek Inn Resort t
44501 Rainbow Canyon Road Em Io er:
Temecula, Ca 92390 Se 500.00 FISCAL YEAR:
Occupation: CALENDAR YEAR:
11/2/89 Johnson + Johnson Real Estate Developm nt
29377 Rancho California Rd. Ste 202 Employer:
Temecula, Ca 92390 Selt 1000.00 FISCAL YEAR:
t
SUBTOTAL $
3100.00
SUMMARY
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE s 4149.00
(Include all Schedule A subtotals) .................. ...............................
2. AMOUNT RECEIVED THIS PERIOD —CONTRIBUTIONS OF LESS THAN $100 (Not 309.20
itemized) .......................................... ...............................
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 1, Column 8 of Summary Page .............. $ 4458.20
SCHEDULEA
MONETARY CONTRIBUTIONS RECEIVED PAGE 4 OF 7
(CONTINUATION SHEET)
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
10/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AMOUNT
RECD. (IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER
ENTER I.D. NUMBER OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS) (IF SELF-EMPLOYED, ENTER RECEIVED CUMULATIVE
NAME OF BUSINESS) THIS PERIOD IODATE
Occupation: CALENDAR YEAR:
11/3/89 BIA of Southern California Political Committee $
1571 Beverly Blvd Employer: FISCAL YEAR:
Los Angqeles Ca 90026 Self 500.00 f
Kennet F Willis Treasurer
Address same as above Occupation: CALENDAR YEAR:
11/3/89 J. F. Davidson Engineering s
3880 Lemon St Em r. to e
Riverside, Ca 92502 �e�f 100.00 FISCAL YEAR:
s
Occupation: I CALENDAR YEAR:
11/13/89 Inland Disposal Waste Management
37210 Wentworth Dr
Hemet, Ca 92344 E ta e Management of rFISC YEAR:
North America 249.00
Occupation: CALENDAR YEAR:
11/29/89 Kaufman & Broad Real Estate Develo m nt
12520 High Bluff Dr. Ste 120 Employer: FISCAL YEAR:
San Diego, Ca 92130 Self 200.00 s
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
f
Occupation: LENDAR YEAR:
Employer: FISCAL YEAR:
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: NDAR YEAR:
S
Employer: FISCAL YEAR:
S
SUBTOTAL $
1049.00
SCHEDULE B -- LOANS RECEIVED (PART 2) PAGE 5 OF 7
FORM 490
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
10/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART2: LOAN REPAYMENTS MADE, LOANS FORGIVEN OR PAID BY A THIRD PARTY
DATE OF INT. F A AMOUNT REPAID
REPAY- DATE OF ORFORGIVEN ON OUTSTANDING INTEREST
MENTOR ORIGINAL FULL NAME OF LENDER RATE(IF FORGIVEN- REPAID BY PRINCIPAL(DONOT PRINCIPAL PAID *'
FORGIVE- LOAN cHANGE01 THIRD INCLUDE PAAYMENT
NESS PARTY• OF INTEREST)
7/7/89
10/27/89 &
7/13 8 Patricia H. Birdsall 1000.00 -0-
*IMPORTANT: IF ANY PART OF A LOAN IS FORGIVEN OR REPAID BY A THIRD PARTY. THE PERSON (c)
FORGIVING THE LOAN OR THE THIRD PARTY MAKING THE PAYMENT AND THE AMOUNT
FORGIVEN OR PAID MUST BE ITEMIZED ON SCHEDULE A. WITH A NOTATION SUBTOTAL E
THAT IT IS A FORGIVEN LOAN. OR THIRD PARTY REPAYMENT OF LOAN.
1000.00
•� TOTAL ALL INTEREST PAID THISPERIOD. ALSO ENTER TOTAL INTEREST PAID t (d)
ON LINE 3 O THE SUMMARY SECTION OF SCHEDULE E. THIS PERIOD t
DO NOT CARRY THIS TOTAL TO THE SCHEDULE B SUMMARY.
SCHEDULEE
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE PAGE 6 OF 7
FORM 490 STATEMENT COVERS PE RIO
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 10/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for 891031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back of this schedule for code "T ".) Refer to the back of this schedule and the back of the Schedule E
Continuation Sheet for detailed explanations of each category.
'L' - LITERATURE "F' -- FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
"O' - OUTSIDE ADVERTISING 'P" - PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
'S' - SURVEYS, SIGNATURE GATHERING. DOOR -TO -DOOR
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment" column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the lump sum of these
payments on Line 4 of the Summary section, below.
NAME AND ADDRESS OF CONTRIBUTION OR AMOUNT
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S - PAID
NAME AND ADDRESS, ENTER I.D. NUMBER
OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER THE
TREASURER'S NAME AND ADDRESS) CODE DR DESCRIPTION Of PAYMENT
Registrar of Voters 0 154.50
4175 Main Street
Riverside, Ca 92507
U. S. Postmaster 0 662.51
28630 Front St
Temecula, Ca 92390
Temecula Week N 473.86
40945 County Center Drive
Temecula, Ca 92390
Signtech, Inc 0 289.32
6618 Federal Blvd
Lemon Grove, Ca 92045
SUBTOTAL $ 1580.19
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD $ 7290.94
(Include all Schedule E subtotals) ................................................................ ...............................
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ................................ ............................... 323.59
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
(Schedule B, Part 2, Column (d)) ................................................................... ...............................
4. TOTALACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4) .....................
S. TOTAL PAYMENTS THIS PERIOD (Line 1 + 2 + 3 + 4) Enter here and on Line 8, Column B of $ 7614.53
r..MMAM Pane ............................................................................................ ...............................
SCHEDULE E PAGE 7 OF 7
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
(CONTINUATION SHEET) STATEMENT COVERS PERIOD
FORM 490 FROM I THROUGH
(Amounts May Be Rounded To Whole Dollars) 1 0/22/89 12/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee to elect Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. Refer to the back
of this schedule for detailed explanations of each category.
'L' - LITERATURE 'F'- FUNDRAISING EVENTS
'B' -BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
'S'- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR 'P'- PROFESSIONAL CONSULTING MENT AND
CONSU
SOLICITATIONS CONSULTING SERVICES
'O' - OUTSIDE ADVERTISING
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written descript in the " D e scrip t i o n of Payment" column.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S AMOUNT
NAME AND ADDRESS. ENTER I.D. NUMBER PAID
OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER THE
TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
Maurice Printers 0 1322.74
42327 Rio Nedo
Temecula, Ca 92390
U. S. Postmaster 0 871.60
28630 Front St
Temecula, Ca 92390
Press Enterprise N 1975.44
27645 Jefferson Ave.
Temecul
The Californian N 770.16
28636 Front St
Temecula, Ca 92390
K -Hi Radio B 201.60
28910 Rancho California Rd
7emeucla, Ca 92390
Mark Birdsall G 130.60
42041 Avenida Alvarado
Temecula, Ca 92390
Temecula Town Association Donation to Non Profit
28816 Pujol, Association 438.61
Temecula, Ca 92390
SUBTOTAL $
5710.75
F
CANDIDATE OFFICEHOLDER CAMPAIGN STATEMENOLONG FORM
AND
CONSOLIDATED CAMPAIGN STATEMENT
•e' \; (Government Code Sections 84200- 84217) PAGE 1 OF 17
(Type or Print in Ink)
Statement covers period 9/1/89 through 10/21/89 ar..
CHECK ONE OF THE FOLLOWING BOXESTO INDICATE THE TYPE OF STATEMENT BEING FIL '
FORM 490 ® SEMI-ANNUAL STATEMENT ❑SUPPLEMENTAL PREELECTION £(EISMAR OE
❑ STATEMENT (It filing a Supplemental OUHTY OF RIVERSIDE
1989 Pre - Election Statement, you must QV �r r �a;1
❑ TERMINATION STATEMENT complete Form 495 and attach It to 5
Attach a Form 415 to this Form 490. this statement.)
OATEOFkI1Cf10N(MO.,OAY,YR) (IFAMIUYLE) f OF OFFICIAL USE ONLY
November 7, 1989 A
I CAN DIDATEIOFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANOIDATEFOFFICE HOLDER: OFFICE SOUGHT OR HELD: li «iwu «Anon trw AnUia wmlx. d.00eulN <I
Patricia H. Birdsall City Council Member
RESIDENTIAL OR BUSINESS ADDRESS: NO ANOSTREET CITY STATE ZIP CODE ANNA COOL,EUSINL SS PNONt NUNmtN
42041 Avenida Alvarado Temecula Ca 92390 714- 676 -3642
11 CONTROLLED COMMITTEE' INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF COMMITTEE: L O. NUIMEN
Committee to Elect Pat Birdsall for City Council 891031
ADDRESS OF COMMITTEE: NO. AND STREET CITY STATE LIP CODE AREA COOVOUSINESS PNONt NUMakA
42041 Avenida Alvarado Temecula Ca 92390 714 - 676 -3642
NAME OF TREASURER:
Linda Becker
PERMANENT ADDRESS OF TREASURER: NO AND STREET CITY STATE ZIP CODE AMACODkIaUuMSSPNONE NUM&A
41850 Borealis P. 0. Box 1207 Temecula Ca 92390 714- 676 -7487
• A controlled committee is one which is controlled directly or indirectly by a candidate a which actsiointly with a candidate or controlled committee in
connection with the making of expenditures. A candidate controls a commrtee if the candidate, the candidates agent, o any other committee he or
she controls, has slgnif Cant Influence on the actions or decision of the committee.
III OTHER COMMITTEES: UST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH
ARE CONTROLLED BY YOU AND ANY COMMITTEES PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY
CONTROLLED
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
YES NO
Attach additloFMl in on appropriately labeled continuation shoe¢
CANDIDATE OR OFFICEHOLDER: VERIFICATION
I HAVE USED ALL REASONABLE DILIGENCE AND 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 O Y KNOWLEDGE THE INFORMATION CONTAINED
HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE. I CERTIFY UNDERPE AL OF PENURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
EKECUTEDON 10/24/89 A T Temecula, Ca BY �--
panl Runt AND STATE) ( NA IURE OF GNpOATE Oa OFFKEFEOEOEq
TREASURER (H applicable):
I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION
CONTAINED HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE.
1 CERTIFY UNDER PENALTY OF PENURY UNDER THE LAWS OF THE STATE OF CALIFOR THE GIST ; RRECT.
1
E ON 0/24/89 AT Temecula, Ca B
OAT" KM A" STAr" (soya AIUM OF IaEASJatal
1
PAGE 2 OF 17
ALLOCATION PAGE STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Pa t r l c la H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
LIST CONTRIBUTIONS AND INDEPENDENT EXPENDITURES TOTALING $100 OR MORE MADE FROM THE CANDIDATE'S OR OFFICEHOLDER'S PERSONAL
FUNDS TO SUPPORT OR OPPOSE OTHER OFFICEHOLDERS, CANDIDATES AND COMMITTEES. (SEE INSTRUCTIONS ON REVERSE.)
IND NAME OF CANDIDATE, OFFICEHOLDER OR COMMITTEE CHECK ONE AMOUNT CUMULATIVE
DATE EXP. TO DATE
SUPPORT OPPOSE
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
_ s
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
f
FISCAL YEAR
S
CALENDAR YEAR
_ f
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
S
'See reverse regarding independent expenditures. SUBTOTAL $
SUMMARY
1. CONTRIBUTIONS OF $100 OR MORE MADE THIS PERIOD OUT OF PERSONAL FUNDS $
(Include all Allocation Page Subtotals) -- - -.... .
2. CONTRIBUTIONS UNDER $100 MADE THIS PERIOD OUT OF PERSONAL FUNDS (Not
itemized) ............................
3. TOTAL CONTRIBUTIONS MADE THIS PERIOD OUT OF PERSONAL FUNDS (Do Not carry $
this total to the Summary Page) - _._ ....... ............................... .._..._.........._......._.....
PAGE 3 OF 17
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE STATEMENT COVERS PERIO
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/8'.
:AME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. 1:31T sa LD. NUMBER
Committee for Pat Birdsall for City Council 891031
:ONTRIBUTIONSRECEIVED COLUMNA COLUMNS COLUMN total Total this period from Cumulative to date
from previous period+ attached schedules (Columns A . B)
1. Monetary contributions ..................... $ 3716.70 E 3525.00 ; 7241.70
SCHEDULE A, LINE 3
2. Loansreceived ............................. 1000.00 1000.00
SCHEDULE B. LINE 7
3. SUBTOTAL CASH RECEIPTS .................. S 4 7 16. 70 $ 3525.00 $ 8241.70
LINES 1. 2 LINES 1. 2 LIN 5 I
4. Non - monetary contributions ................ 122.40 1 �2.4to
5. TOTAL CONTRIBUTIONS WITHOUT SCHEDULE C. LINE 3
ENFORCEABLE PROMISES ...................
6. Enforceable Promises (Except loan LINES 3. 4 LINES 3. 4 LINES 3. 4
guarantees, see Line 18 below) ..............
SCHEDULE 4 LINE 7
7. TOTAL CONTRIBUTIONS .................... E 4716.70 S 3647.40 y 8364.10
LINES S . 6 LINES S. 6 LINES 5. 6
EXPENDITURES MADE ( SHO ULD OLUMNSAL IBE7
3004.50 $ 1080.87 $ 4085.37
8. Payments .. ............................... f SCHEDULE E. LINE
9. Loans Made ...............................
SCHEDULE EE. LINE 7
3004.50 1080.87 4085.37
10. SUBTOTAL . ............................... LINES B .9 164.51 (614 ) LINES8.9 LINES 8.9
.51
11. Accrued expenses (unpaid bills) ............. SCHEDULE F. UNES
12. TOTAL EXPENDITURES ..................... f 3619.01 $ 466.36 S 4085.37
LINES 10 . 11 LINES 10 . I I LINES 10 . 11
(S33OULD EQUAL LINE 12.
+ IF THIS IS THE FIRST REPORT FILED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK COLUMNS A B)
EXCEPT FOR LINES 2, 6, 9 AND 11.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on hand $ 1712.20
at end of reporting period " from previous statement filed.) ........
14. Cash receipts this period (Line 3, Column B above) ................... 3525.00
15. Miscellaneous increases to cash (Schedule G, Line 4) .................
16. Cash payments this period (Line 10, Column B above) ................ 1080.87
17. Cash on hand at end of reporting period (Lines 13 + 14 + 15 - 16 above) S 415 6.33
(If this is a Termination Statement, Line 17 must be Zero.) .. ............................... ENDING CASH ON HAND SHOULD
18. Amount of loan guarantees received (Schedule B, Part I, Column (b)) ....................... NOT BE A NEGATIVE AMOUNT
S
19. Cash equivalents (other assets held including outstanding loans made to others).
Important: See instructions on reverse ................... ............................... $
20. Outstanding debts (Line 2 + Line 11 of Column C above) .... $ 1000.00
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
1/1 THRU 6130 711 TO DATE
21. CONTRIBUTIONS RECEIVED: 8364.10
22. EXPENDITURES MADE:
4085.37
SCHEDULE A PAGE 4 OF 17
MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/24/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
AMOUNT
RECD. (If COIM. NUMBER OR TO COME B E ADDRESS, EMPLOYER .
ENTERERI.DBERER .IF I.D. N HAS HAS BEEN ASSIGNED.
ENTER THE TREASURER'S URERER'S NAA AND ONO ADDRESS) (Ii SELE R RECEIVED CUMULATIVE
NAMM OF BUSINESS)
E Of BUSINESS) THIS PEP100 i00AiE
Occupation. CALENDAR YEAR:
A & B Water Well Drilling Inc Water Well Drilling s
42041 AVenida Alvarado Ste M ' Employer:
9/1/89 Temecula, Ca 92390 Self 100.00 FISCAL YEAR:
s
S & A Surveying Inc Occupation: CALENDAR YEAR:
Surveying s
27715 Jefferson Ave Ste 104 Employer:
9/5/89 Temecula, Ca 92390 SElf 100.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
Loyd A. Sever Retired
30105 Cabrillo Ave Employer:
9/12/89 Temecula, Ca 92390 100.00 FISCALYEAR:
s
Occupation: CA LENDAR YEAR:
David Lowry Real Estate
27349 Jefferson Ave. Ste 206 Employer: FISCAL YEAR:
9/25/89 Temecula, Ca 92390 Self 100.00
Occupation: CALENDAR YEAR:
Josephine M. Hudson - TTEE s
1 Dixons Lane Employer:
9/25/89 Escondido, Ca 92025 100.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
Kemmis Equipment Heavy Equipment
P. 0. Box 422 Employer:
9/25/89 Temecula, Ca 92390 Self 250.00 FISCAL YEAR:
Occupation: CALENDAR YEAR:
Paul E. Capps Retired
38040 Calle Confite Employer: FRIOCL YEAR:
10/2/89 Murrieta Hot Springs, Ca 93562 100.00
SUBTOTAL ;
850.00 IM
SUMMARY
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE
(Include all Schedule A subtotals). . ..... ........................................ $ 3350.00
2. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF LESS THAN $100 (Not 175.00
itemized ) ............................ ........... ...............................
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD 3525.00
(Line 1 + Line 2) Enter here and on Line 1, Column B of Summary Page .............. $
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED PAGE 5 OF 1 7
(CONTINUATION SHEET)
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. BiraSaI I. D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
AMOUNT
RECD. (If COMMITTEE,ADDITION TO COMMITTEE" E ADDRESS, EMPLOYER
ENTER 1.0. NUMBER HAS BEEN OR, IF NO LO. NUMBER HAS AS ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS) (IF SELF-EMPLOYED. ENTER RECEIVED CUMULATIVE
NAME OF BUSINESS) THIS PERIOD TO DATE
Occupation: CALENDAR YEAR:
To -Mac Engineering Civil Engineering $
41934 Main Street Employer: FISCAL YEAR:
10/2/89 Temecula, Ca 92390 Self 100.00 s
Occupation: CALENDAR YEAR:
Daniel L. Stephenson Real Estate 5 200.00
27720 Jefferson Employer: FISCAL YEAR:
10/5/89 Temecula, Ca 92390 Self 100.00 s
200.00
Occupation: CALENDAR YEAR:
Jon Van Gaale Architect $
36687 Van Gaale Lane Employer:
10/5/89 Winchester, Ca 92396 Self 100.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
Margarita Village Development, Inc Real Estate Developmen $
16536 Bernardo Center Drive #200 y
10/5/89 San Diego, Ca 92128 Sellfpyer. 1000.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
Bedford Development Co Real Estate Development $
P. 0. BOX 1267 Em I f per: FISCAL YEAR:
10/12/89 _Lafayette,, Sel 900.00
S
Occupation: CALENDAR YEAR:
Edward V. Salitore Retired g
42733 -'San _Julian -Place Employer:
10/17/89 Temecula, Ca 92390 100.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
Gene R. Tobin Real Estate
27720 Jefferson Ave Ste 101 Employer: FISCAL YEAR:
10/17/89 Temecula, Ca 92390 Ran Con 100.00 IS
Occupation: CALENDAR YEAR:
Judy Rosen & Assoc Real Estate $
29373 Rancho California Rd Employer: FISCAL YEAR:
10/5/89 Temecula, Ca 92390 Self 100.00 $
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
SUBTOTAL $ 2500.00
SCHEDULE B -- LOANS RECEIVED (PART 1) PAGE 6 OF 17
FORM 490 STATE ME NT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PARTI: LOANS RECEIVED
DATE
FULL NAME AND ADDRESS OF LENDER OCCUPATION
RECD. (IFCOMMITTEE,M ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER TNT. DUE AMOUNT CUMU-
RATE GATE OF LOAN ODAT
ENTER I.D. NUMBER I LD. NUMBER HAS BEEN ASSIGNED. OF SEL NAME BUSINESS) E ENTER TO DATE
ENTER THE TREftf ASS URERE R'S NAME AND ADDRESS) NAME OF
Occupation: CALENDAR YEAR
S
500.00
Employer: FISCAL YEAR
S 500.00
Occupation: CALENDAR YEAR
S
500.00
Employer: FISCAL YEAR
S
500.00
(a)
SUBTOTAL $
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION AMOUNT
GU ARANTEED
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER THIS CUMU-
ENTERI. O. NUMBER OR IF NO I. D. NUMBER HAS BEEN ASSIGNED, (IF SELF - EMPLOYED, ENTER PERIOD LATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) TO DATE
NAME Of LENDER Occupation: CALENDAR YEAR
S
Employer: FISCAL YEAR
S
NAME OF LENDER Occupation: CALENDAR YEAR
S
Employer: FISCAL YEAR
S
SUBTOTAL (b)
DO NOT CARRY THIS AMOUNT TO THE
SUM MARY BELOW. ENTER ON LINE IB
OF THE SUMMARY PAGE. $
SUMMARY
1. LOANS OF $100 OR MORE RECEIVED THIS PERIOD (Part 1 (a)) ..... ................ $
2. LOANS UNDER $100 RECEIVED THIS PERIOD (Not itemized ) ........................
3. TOTAL LOANS RECEIVED THIS PERIOD (Line 1 + 2) . ...............................
4. LOANS OF $100 OR MORE REPAID, FORGIVEN OR PAID BY A THIRD PARTY
THIS PERIOD (Part 2, Column (c)) ................ ............................... .
5. LOANS UNDER $100 REPAID, FORGIVEN OR PAID BY A THIRD PARTY
(not previously itemized) (If forgiven or paid by a third party, also enter
amount on Line 2 of the summary section of Schedule A) ..........................
6. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD
(Line 4 + 5) .................................... ...............................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) $
Enter the difference here and on Line 2, Column B of Summary Page ...............
(Max �le neg-
atIV Igure
SCHEDULE B -- LOANS RECEIVED (PART 1) PAG OF 17
(CONTINUATION PAGE)
FORM 490 STATE MEN T COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
911189 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PARTI: LOANS RECEIVED
FULL NAME AND ADDRESS OF LENDER OCCUPATION
DATE INT. T
DUE AMOUNT CUMU-
RECD. (IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER RATE DATE OFLOAN LAT
ENTER I.O. NUMBER OR. If NO I.D. NUMBER HAt BEEN ASSIGNED, D DATE
E
ENTER THE TREASURER'S NAME AND ADDRESS) lIF SF NAME OOF f R B EMPLOYED, USI NESS) I ESS) R
Occupation. CALENDAR YEAR:
S
Employer: FISCAL YEAR.
t
Occupation: CALENDAR YEAR:
S
Employer: HSUL TEAR:
t
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
i
(a)
SUBTOTAL
S
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION AMOUNT
A AMOUNT D
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER THIS CU
ENTERLD. NUM BE OR. IF NO I. D. NUMBE R HAS BE E N ASSIGNE D, (IF SELF -E MPLOYE D. ENTER PERIOD LATIVE
ENTER THE TREASURE A'S NAME AND ADORE SS) NAME OF BUSINESS) TO DATE
NAME Of LENDER Occupation: CALENDAR YEAR:
I
Employer: FISCAL YEAR:
f
NAME OF LENDER Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR.
S
NAMf Of LENDER Occupation: CALENDAR YEAR
S
Employer: HSCAL YEAR.
f
NAME Of LENDER Occupation: CALENDAR YEAR:
t
Employer: FISCAL YEAR:
S
(b)
SUBTOTAL
SCHEDULE B -- LOANS RECEIVED (PART 2) PAGE 8 OF 17
FORM 490
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM I
i THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART2: LOAN REPAYMENTS MADE, LOANS FORGIVEN OR PAID BY A THIRD PARTY
DATE OF D ATE OF INT. A AMOUNT REPAID
RATE (IP OR FORGIVEN ON OUTSTANDING INTEREST
MENTOR ORIGINAL FULL NAME OF LENDER FORGIVEN* REPAIDBY PRINCIPALIDONOT
FORGIVE- LOAN cHANl;eO) THIRD
INCLUDE PAYMENT PRINCIPAL PAID-*
NESS PARTY OF INTEREST)
*IMPORTANT: IF ANY PART OF A LOAN IS FORGIVEN OR REPAID BY A THIRD PARTY. THE PERSON (E)
FORGIVING THE LOAN OR THE THIRD PARTY MAKING THE PAYMENT AND THE AMOUNT A. WITH A
FORGIVEN THAT IT IS A FORGIVE LOAN. OAN. OR PA O RTY REPAYMENT OF LOAN. NOTATION SUBTOTAL E
« TOTAL ALL INTEREST PAID THIS PERIOD. ALSO ENTER TOTAL INTEREST PAID ` (d)
ON LINE 30E THE SUMMARY SECTION OF SCHEDULE E. THIS PERIOD a
DO NOT CARRY THIS TOTAL TO THE SCHEDULE 8 SUMMARY.
SCHEDULE B --LOANS RECEIVED (PART 3) PAGE 9 OF 1
ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council L 891031
PART 3 --ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED — SEE INSTRUCTIONS ON REVERSE BEFORE COMPLETING
FULL NAME OF THE LENDER ORIGINAL DATE AMOUNT OF UNPAID UNPAID
OFLOAN ORIGINAL LOAN PRINCIPAL INTEREST
TOTAL
(NOTE: THIS TOTAL
SHOULD BE THE SAME
AMOUNT AS ENTERED
ON LINE 7. COLUMN C
OF THE SUMMARY PAGEJ
SCHEDULE C PAGE 10 OF 17
NON - MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATE M ENT COVERS PE RIO
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OCCUPATION
RECD. OF CONTRIBUTOR DESCRIPTION OF FAIR CUMU-
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S EMPLOYER GOODS OR SERVICES MARKET CUMU
NAME AND ADDRESS, ENTER I.D NUMBER VALUE AMOUNT
OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, (IF SELF- EMKOYED, ENTER RECEIVED
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS)
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer:
FISCAL YEAR:
S
Occupation: CALENDARYEAR:
f
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
SUBTOTAL $
SUMMARY
1. NON - MONETARY CONTRIBUTIONS OF $100 OR MORE RECEIVED THIS PERIOD........ $
2. NON - MONETARY CONTRIBUTIONS UNDER $100 RECEIVED THIS PERIOD (Not
itemized) ........................................ ............................... 122.40
3. TOTAL NON - MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD 1 22.40
(Line 1 + Line 2) Enter here and on Line 4 Column 8 of Summary Page ............... $
SCHEDULE D
ENFORCEABLE PROMISES RECEIVED
(Other Than Loan Guarantees,
Loan Endorsements and Loan Security)
FORM 490 PAGE 11 OF 17
NOTE: Loan guarantees, loan endorsements and loan security are
"enforceable promises." However, such p romises must STA7EMENTCOVERSPEft10D
be reported on Schedule B, NOT Schedule D.
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 1 9/1/89 1 10/21/89
NAME OF CANDIDATE OR OFFICE HOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 1 891031
DATE FULL NAME AND ADDRESS OCCUPATION AMOUNT
RECD. OFCONTRIBUTOR AMOUNT PAID CUMU-
(IF COMMITTEE. IN ADDITION TOCOMMITTEE S EMPLOYER PROMISED THIS PERIOD LATIVE
NAME AND ADDRESS. ENTER 1.0 NUMBER THIS PERIOD AMOUNT
OR. If NO 1 (IF SELF- EM
.0. NUMBER HAS BEEN ASSIGNED. UNPAID ON
NAME OF F B BUSINESSI SCCHEDUHEDULE A
ENTER THE TREASURER'S NAME AND ADDRESS) (AER)
USINESS) )
O ccupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
f
Occupation: CALENOARYEAR:
f
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
f
(a) (b)
SUBTOTAL $ E
SUMMARY
1. PROMISES RECEIVED OF $100 OR MORE THIS PERIOD (Column (a)) ................... loo m = $ 1
2. PROMISES RECEIVED UNDER $100 THIS PERIOD (Not itemized) ......................
3. TOTAL PROMISES RECEIVED THIS PERIOD (Line 1 + 2) .............................
4. PAYMENTS ON PROMISES OF $1000R MORE RECEIVEDTHIS
PERIOD (Column (b)) ............................. ...............................
5. PAYMENTS ON PROMISES UNDER $100 RECEIVED THIS
PERIOD (Not itemized) ........................... ...............................
(Also enter on Line 2 of the summary section of Schedule A)
6. TOTAL PAYMENTS ON PROMISES RECEIVED (Line 4 + 5) ...........................
7: NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) $
Enter the difference here and on Line 6, Column B of Summary Page ................
(Ma� be
el
atly flgur
SCHEDULEE
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE PAGE 12 OF 17
FORM 490 STATE ME NT COVERS PE RIO
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back of this schedule for code "T ".) Refer to the back of this schedule and the back of the Schedule E
Continuation Sheet for detailed explanations of each category.
'L' - LITERATURE 'F' -- FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING 'G" - GENERAL OPERATIONS AND OVERHEAD
"N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
'O' - OUTSIDE ADVERTISING 'P' - PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
'S' - SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR
SOLICITATIONS -
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment" column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the lump sum of these
payments on Line 4 of the Summary section, below.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S PAID
NAME AND ADDRESS. ENTER I.D. NUMBER
OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER THE
TREASURERS NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
U. S. Postmaster
28630 Front St.
Temecula, Ca 92390 L 120.00
SUBTOTAL $ 120.00
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD
(Include all Schedule E subtotals) 120.00
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ............................... 346.36
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
(Schedule 8, Part 2, Column (d)) ................................................................... ...............................
4. TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4) .................... 6
S. TOTAL PAYMENTS THIS PERIOD (line 1 + 2 + 3 + 4) Enter here and on Line 8, Column 8 of E 1080.87
SummaryPaoe ............................................................................................ ...............................
SCHEDULE E PAGE 13 OF 17
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
(CONTINUATION SHEET) STATE M ENT COVERS PE RIO
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 1 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committ f Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. Refer to the back
of this schedule for detailed explanations of each category.
'L' - LITERATURE "F" - FUNDRAISING EVENTS
'B" - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
"N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL. ACCOMMODATIONS AND MEALS
'S'- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR 'P - PROFESSIONAL MANAGEMENT AND
SOLICITATIONS CONSULTING SERVICES
"0' - OUTSIDE ADVERTISING
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description o Payment" co
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S AMOUNT
NAME AND ADDRESS, ENTER I.D. NUMBER PAID
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER THE
TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
SUBTOTAL $
SCHEDULE EE PAGE 14 OF 17
LOANS MADETO OTHERS STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART I: LOANS MADE TO OTHERS
DATE FULL NAME AND ADDRESS OF RECIPIENT INTEREST DUE DATE AMOUNT CUMULATIVE
OF RATE AMOUNT
LOAN
SUBTOTAL f
PART 2: LOAN REPAYMENTS RECEIVED BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE AND LOANS FORGIVEN
BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE
DATE OF FORGIVEN/PAID BY THIRD PARTY AMOUNTREPAID OUT- INTEREST
REPAY- DATE OF FULL NAME OF INT. ORFORGIVENON STANDING RECEIVED
MENTOR ORIGINAL RECIPIENT OF LOAN RATE OF FORGNEw LD En to FOrgiven.'AISO PRINCIPAL(DONOT PRINCIPAL
FORGIVE. LOAN CHANGED) Itemize for iven loans on Schedule E. maum main
NESS FAvwEwr Rv FFOx m: Entername OF iNTEUSTI
and (a)
SUBTOTAL $
TOTAL ALL INTEREST RECENEO THIS EERN3D. ALSO ENTER TOTAL INTEREST RECEIVED (b)
ON LINE 3 OF THE SUNINIARV SECnON OF SCHEDULE G. DO THIS PERIOD E
NOT CAARV THIS TOTAL TO THE SUMRIARY ULM.
SUMMARY I Ip
1. LOANS OFf 1000R MORE MADE THIS PERIOD (Part 1 ) .............................. $ � �1II
2. LOANS UNDER $100 MADE THIS PERIOD (Not itemized ) ............................. iii
3. TOTAL LOANS MADE (Line 1 + 2) ................ ............................... .
4. PAYMENTS RECEIVED ON LOANS OF $100 OR MORE (Including a forgiveness
or payment by a third party) (Part 2, Column (a)) ..................................
5. PAYMENTS RECEIVED ON LOANS UNDER $100 (Including a forgiveness
or payment by a third party) (Not itemized) .......................................
6. TOTAL LOAN REPAYMENTS RECEIVED THIS PERIOD (Line 4 + 5) ....................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3)
Enter the difference here and on Line 9, Column B of Summary Page ................ S
May be negative
1914 el
SCHEDULE EE - LOANS MADE TO OTHERS (PART 3) PAGE 15 OF 17
ANNUAL REPORT OF OUTSTANDING LOANS MADE STATE ME NTCOVERS PERIOD
FORM 490 FROM I THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsa f City Council 8910
PART 3: ANNUAL REPORT OF OUTSTANDING LOANS MADE TO OTHERS - - SEE INSTRUCTIONS ON REVERSE
BEFORE COMPLETING
FULLNAME OFRECIPIENTOF LOAN ORIGINAL DATE AMOUNT UNPAID UNPAID
OFLOAN ORIGINAL PRINCIPAL INTEREST
LOAN
SUBTOTAL ;
(NOTE: THIS TOTAL
SHOULD BE THE SAME
AMOUNT AS ENTERED
ON LINE 9, COLUMN C
OF THE SUMMARY
PAGE.)
SCHEDULE F
ACCRUED EXPENSES PAGE 16 OF 17
(UNPAID BILLS) STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING ACCRUED EXPENSES
If one of the following codes is used to describe the accrued expense, no written description is needed. (Note
exceptions on the back of this schedule for code "T ".) Refer to the back of this schedule for detailed explanations of
each category.
'L" - LITERATURE 'F' - FUNDRAISING EVENTS
"B "- BROADCAST ADVERTISING - 'G'- GENERAL OPERATIONS ANDOVERHEAD
'N "- NEWSPAPER AND PERIODICAL ADVERTISING 'T"- TRAVEL, ACCOMMODATIONS AND MEALS
"O' - OUTSIDE ADVERTISING 'P' - PROFESSIONAL MANAGEMENT AND
'S'- SURVEYS. SIGNATURE GATHERING, DOOR -TO -DOOR CONSULTING SERVICES
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Outstanding Payment" column.
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 THE CODE OR DESCRIPTIONOF OUTSTANDING PAYMENT AMOUNT
TREASURER'S NAME AND AD R ACCRUED
SUBTOTAL
IMPORTANT: Do not itemize the payment of accrued expenses on Schedules E or F. Report the lump sum of these
payments on Schedule F, Line 4 and on Schedule E, Line 4. Do not re- itemize accrued expenses which have been
reported in a previous period.
SUMMARY
1. ACCRUFD EXPENSES OF$1000R MORE THIS PERIOD ............... ............................... $
2. ACCRUED EXPENSES OF UNDER $100 THIS PERIOD (Not itemized) .........................
3. TOTALACCRUED EXPENSES INCURRED THIS PERIOD (Line 1 + 2) .......................
4. ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Enter here
andon Schedule E, Line 4) .........._ ......................................... ...............................
S. NET CHANGE THIS PERIOD (Subtract Line 4 from Line 3) Enter difference here and on E
Line 11, Column B of Summary Page ...................................... ...............................
(May be
negative figure)
SCHEDULE G PAGE 17 OF 17
MISCELLANEOUS INCREASES TO CASH
FORM 490 STATEMENT COVERS PERIOD
FROM I THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: PatrlCla H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECD. (IF COMMITTEE .INADOITIONT000MMITTEE'S DESCRIPTION OF ADJUSTMENT
NAME AND ADDRESS. ENTER W NUMBER INCREASE
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED, TO CASH
ENTER THE TREASURER'S NAME AND ADDRESS)
SUBTOTAL $
SUMMARY
1. INCREASES TO CASH OF $100 OR MORE THIS PERIOD .............................. $
2. INCREASES TO CASH UNDER $100 THIS PERIOD (Not itemized) ......................
3. TOTAL OF ALL INTEREST RECEIVED THIS PERIOD ON LOANS MADE TO OTHERS
(Schedule EE, Part 2( b)) .......................... ...............................
4. TOTAL MISCELLANEOUS INCREASES TO CASH THIS PERIOD
(Line 1 + 2 + 3) Enter here and on Line 15 of Summary Page ....................... $
CANDIDATE AND OFFICEHOLDER CAMPAIGN STATEMENT -- LONG FORM
AND
CONSOLIDATED CAMPAIGN STATEMENT
(Government Code Sections 84200- 84217) PAGE E fi ' L OF 17
(Type or Print in Ink)
Statement covers period 9/1/89 through 10/21/89 t
CHECK ONE OF THE FOLLOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FILED Oct 25 9 48 AM{ By
® PRE - ELECTION STATEMENT ❑ SUPPLEMENTAL PRE ELECTION
FORM 490 SEMI - ANNUAL STATEMENT STATEMENT (it filing a Supplemental COUNT Of OF RI VE RS IDE
1 Pre- Election Statement, you must Ot1NT. E
TERMINATION STATEMENT complete Form 495 and attach It to '
Attach a Form 41 S to this Form 490. this statement)
Novems I er MO 71 19 ��(1 w OAOfiICMIUSEONLt
I CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT A
NAME OF GNDIDATE)OFFICE HOLDER: OFFICE SOUGHT OR HELD: II «Ime «AOOn Ena aoma numgr d AowmAlLq
Patri H. Bir City Counci Member
RESIDENTIAL OR BUSINESS ADDRESS: NO. AND STMO an STATE LIP CODE AMA COMiDUSINESS PHONE NUMUK
42041 Avenida Alvarado Temecula Ca 92390 714 - 676 -3642
II CONTROLLED COMMITTEE' INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF COMMITTEE: I. o. NU MMA
Committee to Elect Pat.Birdsall for City Council 891031
ADDRESS OF COMMITTEE: NO.ANOSTMLI cur STATE ZIP coo AMA COU"IEONESS MOVE NUMete
42041 Avenida Alvarado Temecula Ca 92390 714 - 676 -3642
NAME OF TREASURER:
Lin Be ck e r
PERMANENT ADDRESS OF TREASURER: No AND SIMEI CITY STATE nP coos AMA CODEMSIM$1 PHONE NUMMA
41850 Borealis P. 0. Box 1207 Temecula Ca 92390 714 - 676 -7487
A controlled committee is one which is controlled directly or indirectly by a candidate or which acts jointly with a candidate or controlled committee in
corvlection with the making of saperlditures. A candidate controls a committee if the candidate, the candidate's agem, or any other committee he or
she controls, has signiFRanttnFlronca on the actions; or decisions of the committee.
III OTHER COMMITTEES: UST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH
ARE CONTROLLED BY YOU AND ANY COMMITTEES PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY
CONTROLLED
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
,is No
Attach additional i n /ur mation On appropriately labeled coTtinwtion sheets.
CANDIDATE OR OFFICEHOLDER: VERIFICATION
1 HAVE USED ALL REASONABLE DILIGENCE AND 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 0 Y KNOWLEDGE THE INFORMATION CONTAINED
HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE. ICERTIFY UNDER PE Al OFF ERIURY UNDER THE LAWS OF THE STATE Of
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT. _
EXECUTEDON 10/24/89 AT Temecula, Ca By �
(Wt11 (CITY AND Starts ( NM Of CMI OIDATE Oe W EKENOLO(q
TREASURER (R applicable):
I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION
CONTAINED HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE.
1 CERTIFY UNDER PENALTY Of PEIUURY UNDER THE LAWS OF THE STATE Of CALIfOR THE F EGO G IS TeA / �o RRE
10/24/89
EXECUTED ON AT Temecula, Ca 0 16
(GAT14 IOTY AND STATE) ISNINAIUM OF IMAWMAI
PAGE 2 OF 17
ALLOCATION PAGE STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for City Council 891031
LIST CONTRIBUTIONS AND INDEPENDENT EXPENDITURES TOTALING $100 OR MORE MADE FROM THE CANDIDATE'S OR OFFICEHOLDER'S PERSONAL
FUNDS TO SUPPORT OR OPPOSE OTHER OFFICEHOLDERS, CANDIDATES AND COMMITTEES. (SEE INSTRUCTIONS ON REVERSE.)
E N D NAME OF CANDIDATE. OFFICEHOLDER OR COMMITTEE CHECKONE CUMULATIVE
DATE E r AMOUNT TO DATE
SUPPORT OPPOSE
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
f
FISCAL YEAR
$
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
f
FISCAL YEAR
f
_ CALENDAR YEAR
f
FISCAL YEAR
f
CALENDAR YEAR
f
FISCAL YEAR
$
CALENDARYEAR
f
FISCAL YEAR
f
'See reverse regarding independent expenditures. SUBTOTAL $
SUMMARY
1. CONTRIBUTIONS OF $100 OR MORE MADE THIS PERIOD OUT OF PERSONAL FUNDS $
(Include all Allocation Page Subtotals) - -
2. CONTRIBUTIONS UNDER $100 MADE THIS PERIOD OUT OF PERSONAL FUNDS (Not
itemized) ........................................................................................... ...............................
3. TOTAL CONTRIBUTIONS MADE THIS PERIOD OUT OF PERSONAL FUNDS (Do Not Carry $
this total to the Summary Page) ...... ..... _..... _ .................................. ..........:....................
PAGE 3 OF 17
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE STATEMENT COVERS PE Rio
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/85
:AME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall LD.NUMRER
Committee for Pat Birdsall for City Council 891031
A COLUMN A
NTRIBUTIONS RECEIVED Cumulative total COLUMN COLUMN
from previous period* Total this period from Cumulative to date
attached schedules (Columns A + a)
1. Monetary contributions ................. 3716.70 IS 3525.00 $ 7241.70
I SCHEDULE A, LINE 3
2. Loans received ............................. 10 00.00 1000.00
SCHEDULE B, LINE 7
3. SUBTOTAL CASH RECEIPTS .................. $ 4 716.70 S 3525.00 $ 8241.70
LINES 1. 2 LINES 1. 7 LIN S
4. Non - monetary contributions ................ 122.40 1 : 4o
S. TOTAL CONTRIBUTIONS WITHOUT SCHEDULE C. LINE I
ENFORCEABLE PROMISES. . . ............... .
LINES) . 4 LINES 3. a LINES 3. 4
6. Enforceable Promises (Except loan
guarantees, see Line 18 below) ..............
SCHEDULE C. LINE 7
7. TOTAL CONTRIBUTIONS .................... 4716.70 3647.40 8364.10 E E
LINES S. 6 LINES S. 6 LINES S. 6
EXPENDITURES MADE (SHOULD EQUAL LINE 7,
COL M S A .
S f
B. Payments... ........ .' .... ..... ..: ......... 3004.50 1080.87 S �i0 ? 5. SCHEDULE E. LINES
9. Loans Made ...............................
SCHEDULE EE. LINE 7
10. SUBTOTAL . ............................... 3004.50 1 080.87 4085. LINE56.9
LINESB . 9 LINESa . r
11. Accrued expenses (unpaid bills) ............. 164.51 (614.51)
SCHEDULE F. LINE S
12. TOTAL EXPENDITURES ..................... $ 3619.01 $ 466.36 $ 4085.37
LINES 10 . 11 LINES 10 . 11 LINES 10 . 11
(SHOULD EQUAL LINE 12.
*IF THIS IS THE FIRST REPORT FILED FOR THE CALENDAR YEAR COLUMN A SHOULD BE BLANK COLUMNS A . B)
EXCEPT FOR LINES 2, 6, 9 AND 11.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on hand S 1712.20
at end of reporting period " from previous statement filed.) ........
14. Cash receipts this period (Line 3, Column 8 above ) ................... 3525.00
15. Miscellaneous increases to cash (Schedule G, Line 4) .................
16. Cash payments this period (Line 10, Column B above) ................ 1080.87
17. Cash on hand at end of reporting period (Lines 13 + 14 + 15 - 16 above) S 415 6.33
(If this is a Termination Statement, Line 17 must be Zero.) .. ............................... ENDING CASH ON HAND SHOULD
18. Amount of loan guarantees received (Schedule B, Part I, Column (b)) NOT 6E A NEGATIVE AMOUNT ....................... S
19. Cash equivalents (other assets held including outstanding loans made to others).
Important: See instructions on reverse.. ................................................ S
20. Outstanding debts (Line 2 + Line 11 of Column C above). E 1000.00
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
III THR 711 TO DATE
21. CONTRIBUTIONS RECEIVED: 8364. 10
22. EXPENDITURES MADE:
4085.37
SCHEDULE A PAGE 4 OF 17
MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/24/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall - I.D. NUMBER
Committee for Pat Birdsall for Citv Council 891031
DATE
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
AMOUNT
RECD. (Ii CO 1 E,OmON TO C OMMITT E E 'S EAMU ADDRESS . EMPLOYER
r
ENTER 10, E HAS AS BEEN ASSIGNED,
INTER THE TREASURER'S ENTER THE TREASASURER'S NUMBER
NAA A ME AND ADDRESS) (IT SELE ENTER RECEIVED CUMULATIVE
NAMM Of BUSINESS) Of BUSINESS) THIS PERIOD TO DATE
Occupation I CALENDAR YEAR:
A & B Water Well Drilling Inc Water Well Drilling s
42041 Avenida Alvarado Ste M Employer:
9/1/89 Temecula, Ca 92390 Self 100.00 FISCAL YEAR:
s
S & A Surveying Inc Occupation: CALENDAR YEAR:
Surveying s
27715 Jefferson Ave Ste 104 Employer:
9/5/89 Temecula, Ca 92390 SElf 100.00 FISCAL YEAR:
s
Occupation: CALENDARYETMi.
Loyd A.,Sever Retired
30105 Cabrillo Ave Employer:
9/12/89 Temecula, Ca 92390 100.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
David Lowry Real Estate
27349' Jefferson Ave. Ste 206 Em toyer: FISCALYEAR:
9/25/89 Temecula, Ca 92390 Seff 100.00
Occupation: CALENDAR YEAR:
Josephine M. Hudson - TTEE Rptirpd
1 Dixons Lane Employer:
9/25/89 Escondido, Ca 92025 100.00 FISCAL YEAR:
s
Kemmis Equipment Heavati n: C ALENDAR YEAR:
y �quipment
P. 0. Box 422 Emp loyer:
9/25/89 Temecula, Ca 92390 Self 250.00 FISCALYEAR:
Occupation: CALENDAR YEAR:
Paul E. Capps Retired
38040 Calle Confite Employer: rFIS YEAR:
10/2/89 Murrieta Hot Springs, Ca 93562 100.00
' SUBTOTAL f
850.00
SUMMARY
1. AMOUNT RECEIVED TH15 PERIOD -- CONTRIBUTIONS OF f 100 OR MORE
(Include all Schedule A subtotals) .................. ............................... $ 3350.00
2. AMOUNT RECEIVED THIS PERIOD - CONTRIBUTIONS OF LESS THAN $100 (Not 175.00
itemized) .............................................. ...........
..............:
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD 3525.00
(Line 1 + Line 2) Enter here and on line 1, Column 8 of Summary Page .............. $
SCHEDULEA
MONETARY CONTRIBUTIONS RECEIVED PAGE 5 OF 1 7
(CONTINUATION SHEET)
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) y/1/ M 1 0/21 / THROU
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patrlci H. B1T Sa I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
AMOUNT
RECD.
(Ii COMMITTEE, ER R .If TO COM HASB EN AS ADDRESS, EMPLOYER
ENTER I.D. NUMBER OR, If NO 1.0. NUNRER HAS BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS) (If SESf- EMPEOYED, ENTER RECEIVED CUMULATIVE
NAME OF BUSINESS) THIS PERIOD TODATE
Occupation: CALENDAR YEAR:
To -Mac Engineering Civil Engineering $
41934 Main Street Employer: FISCAL YEAR:
10/2/89 Temecula, Ca 92390 Self 100.00 S
Occupation: CALENDAR YEAR:
Daniel L. Stephenson Real Estate $200.00
27720 Jefferson Employer:
FISC YEAR:
10/5/89 Temecula, Ca 92390 Self 100.00
5 200.00
Occupation: LENDAR YEAR:
Jon Van Gaale Architect
36687 Van Gaale Lane Em loser:
10/5/89 Winchester, Ca 92396 Se 100.00 FISCAL YEAR:
S
Occupation: LENDAR YEAR:
Margarita Village Development, Inc Real Estate Developmen
16536 Bernardo Center Drive #200 E I yer:
10/5/89 San Diego, Ca 92128 Se f 1000.00 FISCAL YEAR:
S, •
Occupation: CALENDAR YEAR:
Bedford Development Co Real Estate Development $
P. 0. Box 1267 Em
10/12/89 Lafayette,'.Ca 94549 Self 900.00 FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Edward V. Salitore Retired $
42733 San Julian Place Employer:
10/17/89 Temecula, Ca 92390 100.00 FISCAL YEAR:
s
Occupation: CALENDAR YEAR:
Gene R. Tobin Real Estate S i
27720 Jefferson Ave Ste 101 Employer: FISCAL YEAR:
10/17/89 Temecula, Ca 92390 Ran Con 100.00
Occupation: CALENDAR YEAR:
Judy Rosen & Assoc Real Estate S
29373 Rancho California Rd Employer: FISCAL YEAR:
10/5/89 Temecula, Ca 92390 Self 100.00 S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
SUBTOTAL $ 2500.00
SCHEDULE B -- LOANS RECEIVED (PART 1) PAGE 6 OF 1 7
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat!Birdsall for City Council 891031
PARTI: LOANS RECEIVED
DATE FULL NAME AND ADDRESS OF LENDER OCCUPATION
REC'O. EMPLOYER INT. DUE AMOUNT CUMU-
ENTERL(Ii COMMITTEE. D. NUM OCO NUMBER NAS EE'SNAMEAND S. RATE DATE OFLOAN IATIVE
D. NUBER OR, If N. NUMB BEEN ASAGNf O. (If SELF - EMPLOYED. ENTER TO DATE
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS)
Occupation: CALENDAR YEAR
f 500.00
Employer: FISCAL YEAR
f 500.00
Occupation: CALENDAR YEAR
f 500.00
Employer: FISCAL YEAR
f
500.00
(a)
SUBTOTAL $
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION AN GUARAN
(IF COMMITTEE. IN ADDITION to COMMITTEE'S NAME AND ADDRESS, EMPLOYER �UINV_
ENTER I.D. NUMBER OR, IF NO I. D. NUMBER HAS BEEN ASSIGNED, (IF SEtf- EMPLOYEDENTER THIS CUMU
ENTER THE TREASURER'S
R'S NAME AND 400Rf551 NAME OF BUSINESS) PERIOD TO LATIVE
DATE
:NAME Of LENDER Occupation: CALENDARYEAR
f
_ Employer: FISCAL YEAR
S
NAME OF LENDER Occupation: - CALENDARYEAR
S
Employer:
FISCAL YEAR
S
SUBTOTAL (b)
Do NOT CARRY THIS AMOUNT TO THE
SUMMARY ME". ENTER ON UNE IB t
OF THE SUMMARY PAGE.
SUMMARY
1. LOANS OF $1000R MORE RECEIVED THIS PERIOD (Part 1 (a)) ...................... $ sm
2. LOANS UNDER $100 RECEIVED THIS PERIOD (Not itemized ) ........................
3. TOTAL LOANS RECEIVED THIS PERIOD (Line 1 + 2) . ...............................
4. LOANS OF $100 OR MORE REPAID, FORGIVEN OR PAID BY A THIRD PARTY
THIS PERIOD (Part 2, Column (c)) ................................................
S. LOANS UNDER $100 REPAID, FORGIVEN OR PAID BY A THIRD PARTY
(not previously itemized) (If forgiven or paid by a third party, also enter
amount on Line 2 of the summary section of Schedule A) ..........................
6. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD
(Line 4 + 5)..... " ..................... ......... ...............................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) $
Enter the difference here and on Line 2, Column 8 of Summary Page ...............
(May pe neg-
SCHEDULE B -- LOANS RECEIVED (PART 1) PAGE OF 1_
(CONTINUATION PAGE)
FORM 490 STATE ENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat'Birdsali for City Council 891031
PARTI: LOANS RECEIVED
DATE FULL NAME AND ADDRESS OF LENDER OCCUPATION
RECD. EMPLOYER TNT DUE AMOUNT CUMVE
(I FCOMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. RATE DATE OFLOAN
ENTER LD. NUMBER OR, IF NO 1.0. NUMBER HAi BEEN ASSIGNED, TO DATE
NAME E O OF
ENTER THE TREASURER'S NAME AND ADDRESS) llF SEA M ENTER
OF BUSINESS)
OCCupatiun. CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR.
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
f
Employer: fISCAI TEAR:
Y
f
(a)
SUBTOTAL
S
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION G AMOUNT
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER THIS CUMU'
ENTER I.D. NUMBEROR,IFNOI.D. NUMBER HAS BEEN ASSIGNED. (IF SELF- EMPLOYEO. ENTER PERIOD LATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) TO DATE
HAMf OF lfNO(R Occupation: CALENDAR YEAR:
f
Employer: F1sul YEAR:
s
NAME DF LENDER Occupation: CALENDAR YEAR:
f
Employer: nsuL YEAR:
s
NAME Of IfNDER Occupation: CALENDAR YEAR:
t
Employer: FISCAL YEAR:
f
NAME OF LENDER Occupation: CALENDAR YEAR:
{
Employer.
FISCAL YEAR:
f
(b)
SUBTOTAL
SCHEDULE B --LOANS RECEIVED (PART 2) PAGE 8 OF 17
FORM 490
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 2: LOAN REPAYMENTS MADE, LOANS FORGIVEN OR PAID BY A THIRD PARTY
DATEOF CHECK IF APPLIrARI F AMOUNTREPAID
REPAY- DATE OF INT. OR FORGIVEN ON
MENTOR ORIGINAL FULL NAME OF LENDER RATE OF FORGIVEN* REPAID BY PRINCIPAL (D O NOT OUTSTANDING INTEREST
FORGIVE- LOAN CHANC¢DI PARTY* INCLUDE PAAYMENT PRINCIPAL PAID**
OFINTEREST)
*IMPORTANT: IF ANY PART OF A LOAN IS FORGIVEN OR REPAID BY A THIRD PARTY. THE PERSON (d
FORGIVING THE LOAN OR TH THI RD PARTY MAKING THE PAYMENT AND THE AMOUNT
THAT IT IS A R P FORGIVEN OAN OR PA O RTY REPAY ENT OF OAN. NOTATION SUBTOTAL $
•R TOTAL A L L INTERS ST PAID THIS PERIOD. AL SO ENTER TOTAL INTEREST PAID (C)
ON LINE T Of THE SUMMARY SECTION OF SCHEDULE E. THIS PERIOD $
00 NOT CARRY THIS TOTAL TO THE SCHEDULE IT SUMMARY .
SCHEDULE B -- LOANS RECEIVED (PART 3) PAGE 9 OF 17
'ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED
1 FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall W. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 3 -- ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED — SEE INSTRUCTIONS ON REVERSE BEFORE COMPLETING
FULL NAME OF THE LENDER ORIGINAL DATE AMOUNT OF UNPAID _ UNPAID
OFLOAN ORIGINALLOAN PRINCIPAL INTEREST
TOTAL $
(NOTE: TWSTOTAL
SHOULD Of THE SAME
AMOUNT AS ENTERED
ON LINE ]. COLUMN C
OF THE SUMMARY PAGE.)
•I
SCHEDULE C PAGE 10 OF 17
NON - MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall 1_0.NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OCCUPATION '
RECD. OF CONTRIBUTOR FAIR T CUMU-
EMPLOYER DESCRIPTIONOF
(IF COMMITTEE, IN ADDITION TOCOMMITTEE'S MARKET LATIVE
NAME AND ADDRESS. ENTER I.0 NUMBEp GOODS OR SERVICES VALUE AMOUNT
OR. IF NOLO. NUMBS R HAS BEEN ASSIGNE D, (OF SELVEMKOVED. ENTER .RECEIVED
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS)
Occupation: - CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer:
FISCAL YEAR:
f
Occupation: \ CALENDAR YEAR:
f.
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
SUBTOTAL f
SUMMARY
1. NON - MONETARY CONTRIBUTIONS OF $100 OR MORE RECEIVED THIS PERIOD........ S
2. NON - MONETARY CONTRIBUTIONS UNDER $100 RECEIVED THIS PERIOD (Not
itemized) ........................................ ............................... 122.40
3. TOTAL NON - MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD 122.
(Line 1 + Line 2) Enter here and on Line 4 Column 13 of Summary Page ............... s
SCHEDULE D
ENFORCEABLE PROMISES RECEIVED
(Other Than Loan Guarantees,
Loan Endorsements and Loan Security)
FORM 490 PAGE 11 OF 17
NOTE: Loan guarantees, loan endorsements and loan security are
enforceable promises.' However, such p romises must STATEMENT COVERS PERIOD
be reported on Schedule B, NOT Schedule D.
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for PatlBirdsall for City Council 891031
DATE
RECD. FULL NAME AND ADDRESS OCCUPATION gMOUNT PAID CUMU-
OF CONTRIBUTOR AMOUNT
IF COMMITTEE, IN ADDITION TO COMMITTEE'S EMPLOYER PROMISED THIS PERIOD LATIVE
NAME AND ADDRESS, ENTER 1.0 NUMBER THIS PERIOD AMOUNT
OR, If NO I.D. NUMBER HAS BEEN ASSIGNED. (if SELFEMRLOYED. ENTER (ALSO ENTERON UNPAID
ENTER THE TREASURER'S NAME AND ADDRESS) NAME Of BUSINESS) SCHEDULE A)
«upauun: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
(a) (b)
SUBTOTAL S $
SUMMARY
1. PROMISES RECEIVED OF $100 OR MORE THIS PERIOD (Column (a)) ................... S I
2. PROMISES RECEIVED UNDER $100 THIS PERIOD (Not itemized) ......................
3. TOTAL PROMISES RECEIVED THIS PERIOD (Line 1 + 2) .............................
4. PAYMENTS ON PROMISES OF $100 OR MORE RECEIVED THIS
PERIOD (Column (b)) ............................. ...............................
S. PAYMENTS ON PROMISES UNDER $100 RECEIVED THIS
PERIOD (Not itemized) ........................... ...............................
(Also enter on Line 2 of the summary section of Schedule A)
6. TOTAL PAYMENTS ON PROMISES RECEIVED (Line 4 + 5) ...........................
7: NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) $
Enter the difference here and on Line 6, Column B of Summary Page ................
0 y ha THE9-
aUNY £Igurel
0 •
SCHEDULEE
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE PAGE 12 OF 17
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back of this schedule for code 'T'.) Refer to the back of this schedule and the back of the Schedule E
Continuation Sheet for detailed explanations of each category.
'L" - LITERATURE 'F' -- FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING 'G"- GENERAL OPERATIONS AND OVERHEAD
'N" - NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
"O' - OUTSIDE ADVERTISING *P'- PROFESSIONAL MANAGEMENT AND
'S' - SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR CONSULTING SERVICES
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment" column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the lump sum of these
payments on Line 4 of the Summary section, below.
NAME AND ADDRESS OF PAYEE. CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(if COMMITTEE. IN ADDITION TO COMMITTEE'S PAID
NAME AND ADDRESS, ENTER I.O. NUMBER
OR, If NO LO. NUMBER HAS BEEN ASSIGNED, ENTER THE
TREASURETS NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
U. S. Postmaster
28630 Front St.
Temecula, Ca 92390 L 120.00
1
SUBTOTAL $ 120.00
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD E 120.00
(Include all Schedule E subtotals) ................................................................ ...............................
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ................................ ............................... 346.36
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
(Schedule 8, Part 2, Column (d)) ................................................................... ...............................
4. TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4) ......... ........... 614.51
S. TOTAL PAYMENTS THIS PERIOD (Line 1 + 2 + 3 + 4) Enter here and on Line 8, Column 8 of
SCHEDULE E PAGE 13 OF 17
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
(CONTINUATION SHEET) STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING EXPENDITURES,
If one of the following codes is used to describe the expenditure, no written description is needed. Refer to the back
of this schedule for detailed explanations of each category.
'L' - LITERATURE "F' - FUNDRAISING EVENTS
"8' - BROADCAST ADVERTISING 'G" - GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING "T'- TRAVEL, ACCOMMODATIONS AND MEALS
'S'- SURVEYS SIGNATURE GATHERING, DOOR -TO -DOOR 'P -PROFESSIONAL MANAGEMENT AND `
SOLICITAtIONS CONSULTING SERVICES
'0' - OUTSIDE ADVERTISING
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description o P ay m en t" co l u mn.
NAME AND ADDRESS OF PAYEE, CREDITOR OR '
RECIPIENT OF CONTRIBUTION
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S AMOUNT
NAME AND ADDRESS, ENTER I.O. NUMBER PAID
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER THE
TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
SUBTOTAL f
SCHEDULE EE PAGE 14 OF 17
LOANS MADE TO OTHERS STATE ME NT COVERS PERIOD
FORM 490
(Amounts May Be Rounded To Whole Dollars) FROM I THROUGH
9/1/89 110 /21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for City Council 891031
PART1: LOANS MADE TO OTHERS
DATE FULL NAME AND ADDRESS OF RECIPIENT INTEREST DUE DATE AMOUNT C AMOUNT E
OF
RATE
LOAN
SUBTOTAL f
PART 2: LOAN REPAYMENTS RECEIVED BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE AND LOANS FORGIVEN
BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE
DATE OF FORGIVEN/PAID BY THIRD PARTY AMOUNT REPAID OUT -
REPAY- DATE OF FULLNAME OF NT. FoRONVENLOANS: Enter'FOr iven.'Also OR FOR(IVENON STANDING INTEREST tif MENTOR ORIGINAL RECIPIENT OF LOAN RATED itemize forgiven loans on E. PRINCIPAL to rat PRINCIPAL • RECEIVED
FORGIVE. LOAN CHANGED) INCLUDE RFFZUR
NESS PAYYENTeYTRROPAREY: Entername OF IFTFNIESTI
(a)
SUBTOTAL $
a TOTAL AU INTEREST RECEIVED TNn nano, Also ENTER TOTAL INTEREST RECEIVED (b)
ON LINE S OF ME wSOAANY SKIION Or SCHEDULE a DO THIS PERIOD $
NOT CARRY THIS TOTAL To NNE SUSUwY BELOW.
SUMMARY
1. LOANS OF$ 1000R MORE MADE THIS PERIOD (Part 1 ) .............................. $
2. LOANS UNDER $100 MADE THIS PERIOD (Not itemized ) .............................
3. TOTAL LOANS MADE (Line 1 + 2) ................ ............................... .
4. PAYMENTS RECEIVED ON LOANS OF S1000R MORE (Including a forgiveness
or payment by a third party) (Part 2, Column (a)) ..................................
5. PAYMENTS RECEIVED ON LOANS UNDER $100 (Including a forgiveness
or payment by a third party) (Not itemized) .......................................
6. TOTAL LOAN REPAYMENTS RECEIVED THIS PERIOD (Line 4 + 5) ................:.. .
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3)
Enter the difference here and on Line 9, Column B of Summary Page ................
f( S
ig9 uye) negative
I
SCHEDULE EE - LOANS MADE TO OTHERS (PART 3) PAGE 15 OF 17
ANNUAL REPORT OF OUTSTANDING LOANS MADE STATEMENT COVERS PERIOD
FORM 490 FROM I THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 3: ANNUAL REPORT OF OUTSTANDING LOANS MADE TO OTHERS — SEE INSTRUCTIONS ON REVERSE
BEFORE COMPLETING
FULL NAME OF RECIPIENT OF LOAN ORIGINAL AMOUNT UNPAID UNPAID
OF LOAN ORIGINAL PRINCIPAL INTEREST
LOAN
SUBTOTAL f,
(NOTE: THIS TOTAL
SHOULD K THE SAME
AMOUNT AS ENTERED
ONLINE 9. COLUMN C
Of THE SUMMMY
PAGE)
SCHEDULE F PAGE 16 OF 17
ACCRUED EXPENSES
(UNPAID BILLS) STATEMENT COVERS PERIOD
FORM 490 1 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING ACCRUED EXPENSES
If one of the following codes is used to describe the accrued expense, no written description is needed. (Note
exceptions on the back of this schedule for code "T'.) Refer to the back of this schedule for detailed explanations of
each category.
'L' - LITERATURE 'F' -- FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING 'G" - GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL. ACCOMMODATIONS AND MEALS
'O' - OUTSIDE ADVERTISING 'P' - PROFESSIONAL MANAGEMENT AND
'S'- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR CONSULTING SERVICES
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the 'Code" column blank and
provide a written description in the "Description of Outstanding Payment" column.
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 NOI.D. NUMBER HAS BEEN ASSIGNED, ENTER THE CODE OR DESCRIPTIONOF OUTSTANDING PAYMENT AMOUNT
TR A R'SN A A
1
I
SUBTOTAL
IMPORTANT: Do not itemize the payment of accrued expenses on Schedules E or F. Report the lump sum of these
payments on Schedule F, Line 4 and on Schedule E, Line 4. Do not re- itemize accrued expenses which have been
reported in a previous period.
SUMMARY
1. ACCRUED EXPENSES OF $100 OR MORE THIS PERIOD ............... ............................... $
I
2. ACCRUED EXPENSES OF UNDER $100 THIS PERIOD (Not itemized) .........................
3. TOTAL ACCRUED EXPENSES INCURRED THIS PERIOD (Line 1 + 2) ..................... ...
4. ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Enter here
and on Schedule E, Line 4) ...................................................... ...............................
5. NET CHANGE THIS PERIOD (Subtract Line 4 from Line 3) Enter difference here and on $
Line 11, Column S of Summary Page ................. ...... ........ ... ............. I.......................
. (May be
negative figure)
SCHEDULE G PAGE 17 OF 17
'MISCELLANEOUS INCREASES TO CASH
FORM 490 STATEMENT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/1/89 10/21/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECD. (IF NAME ADDRESS. . ENT R10 COMMITTEE'S NUMB ER DESCRIPTION OF ADJUSTMENT INCREASE
M IN ADD) IONT ID NUMB
OR, IF NO 10. NUMBER HAS BEEN ASSIGNED, TO CASH
ENTER THE TREASURER'S NAME AND ADDRESS)
I
i
SUBTOTAL $
SUMMARY
1. INCREASES TO CASH OF $100 OR MORE THIS PERIOD .............................. $
2. INCREASES TO CASH UNDER $100 THIS PERIOD (Not itemized) ......................
3. TOTAL OF ALL INTEREST RECEIVED THIS PERIOD ON LOANS MADE TO OTHERS
(Schedule EE, Part 2(b)) ............ _ ........... ...............................
4. TOTAL MISCELLANEOUS INCREASES TO CASH THIS PERIOD
(Line 1 + 2 + 3) Enter here and on Line 15 of Summary Page .......................
CANDIDATE ArOFFICEHOLDER CAMPAIGN STATEMENA NG FORM
AND REP.:
CONSOLIDATED CAMPAIGN STATEMENT
- (Government Code Sections 84200.84217) PAGE _1 OF 1_
(Type or Print in Ink)
r Statement covers period 7/1/89 through 8/31/89 SIP- T9 9 33
CHECK ONE OF THE FOLLOW BOXES TO INDICATE THE TYPE OF STATEMENT BEING FILED
� OLLOWI RECfSTRAR VF VOTERS
Q PRE - ELECTION STATEMENT ❑ SUPPLEMENTAL PRE- ELECTION COUNTY OF RIVERSIDE
FORM 490 ❑ SEMI - ANNUAL STATEMENT STATEMENT (it filing a Supplemental
1989 Pre - Election Statement, you must
❑ TERMINATION STATEMENT complete Form 495 and attach It to
-Attach a Form 415 to this Form 490. this statement.)
DATE Or LLLCTION (MO.. DAY. ITT) (IF APPLIGALE) A 'OR OFFICIAL USE ONII
November 7 1989
1 CANDIDAT&OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANDIDATWFFICEHOLDER: OFFICE SOUGHT OR HELD: 0 «IWe «uBR rna anDln numner II nweuelo
Patricia H.= .Birdsall: City Council Member
RESIDENTIAL OR BUSINESS ADDRESS: NO. AND STREET CITY STATE lie CODE AMA CODUBUSINLSS PHONE NUMBER
42041 Avenida Alvarado Temecula Ca 92390 714- 676 -3642
II CONTROLLED COMMITTEE' INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF COMMITTEE: I. O. NUMBER
Committee to e lect Pat Birdsall for City Council 891031
ADDRESS OF COMMITTEE: NO. AND STREET CITY STATE ZIP CODE AREA COUbBULNESS NONE NUMBER
42041 AVenida Alvarado TEmecula Ca 92390 714- 676 -3642
NAME OF TREASURER:
Linda BEcker
PERMANENT ADDRESS OF TREASURER: NO ANOSTMET CITY STATE ZIP CODE AREA CODE /BUSINESS PHONE NUMBER
41850 Borealis P. 0. Box 1207 Temecula Ca 92390 714 - 676 -7487
A controlled committee is one which is controlled directly or indlrealy by a candidate w which acts jointly with a candidate or controlled committee in
. connection with the making of expenditures. A candidate controls a committee it the candidate, the candidate's agent, or any other committee rY or
she controls, has signiikant Influence On the actions w decisions of the committee.
III OTHER COMMITTEES: LIST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH
ARE CONTROLLED BY YOU AND ANY COMMITTEES PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY
CONTROLLED
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
Its No
Attach additbnal in on appropriately labeied continuation Sheets.
VERIFICATION
CANDIDATE OR OFFICEHOLDER:
I HAVE USED ALL REASONABLE DBJGENCE AND TO THE BEST OF MY KNOWLEDGE THE TREASURER HAS USED ALL REASONABLE DILIGENCE IN
PREPARING THIS STATEMENT. 1 HAVE REVIEWED THE STATEMENT AND TO THE BEST Y KNOWLEDGE THE INFORMATION CONTAINED
HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE. I CERTIFY UNDER PE AL OF PERJURY UN ER T E LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
EXECUTEDON Sept. 28, 19 Temecula, Ca BY
(DATES ICnY AND STATE) ISNMIATUeE OF CANDIDATE W OFFICEMOIDERI
TREASURER (H applicable):
1 HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMATION
CONTAINED HEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE.
ICERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CAL 6ORN VTE EXECUTED ON Sept. a8, 19 i ? Temecula, Ca e
JOATU IUTn AND STATES nN.MAIUAE OF IAEASJAEAI
PAGE 2 OF 18
ALLOCATION PAGE STATE ME NT COVERS PERIOD
FORM 490 FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: I. D. NUMBER
Patricia H. Birdsall Campaign for Pat Birsall for C' 891031
LIST CONTRIBUTIONS AND INDEPENDENT EXPENDITURES TOTALING $100 OR MORE MADE FROM THE CANDIDATE'S OR OFFICE HOLDER'S PERSONAL
FUNDS TO SUPPORT OR OPPOSE OTHER OFFICEHOLDERS, CANDIDATES AND COMMITTEES. (SEE INSTRUCTIONS ON REVERSE.)
IND NAME OF CANDIDATE, OFFICEHOLDER OR COMMITTEE- CHECKONE CUMULATIVE
DATE EXP. AMOUNT TO DATE
SUPPORT OPPOSE
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
E
CALENDAR YEAR
' f
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
f
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
E
FISCAL YEAR
S
*See reverse regarding independent expenditures. SUBTOTAL $
SUMMARY
1. CONTRIBUTIONS OF $100 OR MORE MADE THIS PERIOD OUT OF PERSONAL FUNDS $
(Include all Allocation Page Subtotals) ..... •••
2. CONTRIBUTIONS UNDER $100 MADE THIS PERIOD OUT OF PERSONAL FUNDS (Not
itemized) ............................................................................................. ...............................
3. TOTAL CONTRIBUTIONS MADE THIS PERIOD OUT OF PERSONAL FUNDS (Do Not carry
this total to the Summary Page) ............................................................. ...............................
PAGE 3 OF 18
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE STATE ME NTCOVERS PERIO
FORM 490 FROM THROUGF
(Amounts May Be Rounded To Whole Dollars)
1/89 8/31/8
LAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patr.icial H. Birdsall I.D. NUMBER
Cam ai n for Pat Birdsall for Citv Council 891031
: ONTRIBUTIONS RECEIVED COLUMNA COLUMN COLUMN
Cumulative total Total this pperiod from Cum ulative to date
from previous period* attachedschedules (Columns A +8)
1. Monetary contributions ..................... S S 3716.70 S 3716.70
SCHEDULE A. LINE 3
2. Loans received ............................. 1nnn.nn lnnn_nn
SCHEDULE S. LINE 7
3. SUBTOTAL CASH RECEIPTS .................. S S 4716.70 S 4716.70
4. Non - monetary contributions ................ LINES I. 2 LINES 1. 2 LINES 1 r 2
5. TOTAL CONTRIBUTIONS WITHOUT SCHEDULE C. LINE
ENFORCEABLE PROMISES ...................
.
6. Enforceable Promises (Except loan LINES 3 4 LINES 3. 4 LINES 3. 0
guarantees, see Line 18 below) ..............
SCHEDULE D. LINE 7
7. TOTAL CONTRIBUTIONS .................... S S 4716.70 S 4716.70
LINES 5. 6 LINES 5. 6 LINES 5. 6
(SHOULD EQUAL LINE 7,
EXPENDITURES MADE $ �nn71 sn $ CO LUMNS 3004.
B. Payments .. ............................... + SCHEDULE E, LINES
9. Loans Made ...............................
SCHEDULE EE. LINE 7
10. SUBTOTAL . ............................... 3 3n04.50
LINES 8.9 LINES$.9 LINES 8.9
11. Accrued expenses (unpaid bills) ............. 614.51 614.51
SCHEDULE F, LINE S
12. TOTAL EXPENDITURES ..................... $ S 3619.01 S 3619.01
LINES 10 . 11 1 LINES 10 . I I LINES 10 . I I
(SHOULD EQUAL LINE 12,
COLUMNS A . 8)
`IF THIS IS THE FIRST REPORT FILED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK
EXCEPT FOR LINES 2.6. 9 AND 11.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on hand $
at end of reporting period " from previous statement filed.) ........
14. Cash receipts this period (Line 3, Column 8 above) ................... 4716.70
15. Miscellaneous increases to cash (Schedule G, Line 4) .................
16. Cash payments this period (Line 10, Column B above) ................
17. Cash on hand at end of reporting period (Lines 13 + 14 + 15 - 16 above) S 171 2.20
(If this is a Termination Statement, Line 17 must be Zero.) .. ............................... ENDING CASH ON HAND SHOULD
18. Amount of loan guarantees received (Schedule B, Part I, Column (b)) ....................... NOT BE A NEGATIVE AMOUNT
S
19. Cash equivalents (other assets held including outstanding loans made to others).
Important: See instructions on reverse ................... ............................... S
20. Outstanding debts (Line 2 + Line 11 of Column C above) .... ............................... S 1614.51
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
1/1 THR 7/1 TO DATE
21. CONTRIBUTIONS RECEIVED: 4716.70
22. EXPENDITURES MADE:
SCHEDULE A PAGE [ OF 18
MONETARY CONTRIBUTIONS RECEIVED
FOAM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7 /1/89 8/3
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:P a r i c i a 1 Z s 8ZT !, D. NUMBER
Campaign for Pat Birdsall for City Council 891031
DATE
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
t AMOUNT RECD. (If COMMITTEE.OION TOE EANO S, EMPLOYER ENTER I.D. NUM BEREfl ORR, If NO I.O. .D. NUMB NUMBER R HAS NAS B BEEN 45SICIG THE TREASURER'S NAME AND ADDRESS) (IF SELF-EMPLOYED, ENTER RECEIVED CUMULATIVE
NAME OF BUVNESS) THIS PERIOD TO DATE
Occupation.- NDAR YEA L. F. Grove Management rove Mana ement 150.U6 P. 0. Box 754 Employer: CAL YEAR:
7/13/89 Temecula, Ca 92390 Self 150.00
s 150.00
Occupation: CALENDAR YEAR:
Jack Liefer etired s 200.00
29801 Camino Del Sol Employer:
7/15/89 Temecula, Ca 92390 200.00 FISCAL YEAR:
s 200.00
Occupation: CALENDAR YEAR:
Scotty's Mini Mart onvenience Store s 250.00
27670 Jefferson Ave Employer: FISCAL YEAR:
7/21/89 Temecula, Ca 92390 elf 250.00 s
250.00
Occupation: CALENDAR YEAR:
Russ Watkins d s 100.00
30152 Villa Alturas Employer: FISCAL YEAR:
7/10/89 Temecula, Ca 92390 100.00
100.00
Occupation: LENDAR YEAR:
Bill Jackson s 100.00
30250 Via Corsica Employer:
FISCAL YEAR:
7/24/89 Temecula, Ca 92390 ostex 100.00 s
100.00
Occupation: CALENDAR YEAR:
Daniel L. Stephenson 'hairman s 100.00
27720 Jefferson Ave ran ployer: FISCAL YEAR:
7/17/89 Temecula, Ca 92390 Con 100.00
$ 100.00
Occupation: CALENDAR YEAR:
Paul R. Humbert Virp PrRgident 100.00
42320 Via Nortada Employer: FAICAL YEAR:
7/29/89 Temecula, Ca 92390 verland Bank 100.00
100.00
SUBTOTAL $
1000.00
SUMMARY
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE
(Include all Schedule A subtotals) .................. ............................... $ 2800.00
2. AMOUNT RECEIVED THIS PERIOD —CONTRIBUTIONS OF LESS THAN $100 (Not 916.70
itemized) ........................................ ...............................
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 1, Column B of Summary Page .............. $3716.70
SCHEDULE A PAGE 5 Of 18
MONETARY CONTRIBUTIONS RECEIVED
(CONTINUATION SHEET) STATEMENT COVERS PERIOD B
FORM
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars)
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFI<EHOLOER AND CONTROLLED COMMITTEE:
Patricia H. Birdsall I.D. NUMBER
Committee fo" Pat for. rollpri 1 891031
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AMOUNT
DATE
RECD. (If COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER
ENTER I.D. NUMBER OR. IF NO I.D. HUM BE IS HAS BEEN ASSIGNED, RECEIVED CUMUTATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) (IF SELF - EMPLOYED, ENTER THIS PERIOD TO DATE
NAME OF BUSINESS
Occupation: CALENDAR YEAR:
David Maurice Printpr S 1nn.nn
29405 Via Norte Employer: FISCAL YEAR:
7/29/89 Temecula, Ca 92390 Self 100.00 S 100.00
Occupation: CALENDAR YEAR:
S
Kenneth Wright RptirpH 1nn.on
31130 General Kearney Rd #50 Employer: FISCALYEAR:
7/24/89 Temecula, Ca 92390 100.00 S 100.0.0
Occupation: CALENDAR YEAR:
M & J Ramsay Corp Investor $ 200.0
27420 Jefferson Ave. Employer: FISCAL YEAR:
7/27/89 Temecula, Ca 92390 Self 200.00 S 200.00
Occupation: CALENDAR YEAR:
C & C Ltd Grading & Paving 200.00
P. 0. BOX 251 Employer: FISCAL YEAR:
7/28/89 Temecula, Ca 92390 Self 200.00 s 200.00
Occupation: CALENDAR YEAR:
Strachota Insurance Insurance s 100.00
635 N. La Cadena Dr. Employer: FISCAL YEAR:
7/28/89 Colton, Ca 92324 100.00 S 100.00
Occupation; CALENDAR YEAR:
Marc Laxineta, DVM Veterinarian S 100.00
40512 Corte De Opalo Employer: FISCAL YEAR:
8/9/89 Murrieta, Ca 92362 Self 100.00 S 100.00
Occupation: CALENDAR YEAR:
S
Kevin Cochran orse Tr airlLr inn nn
4686 Sleeping Indian Employer: FISCAL YEAR:
8/16/89 Fallbrook, Ca 92028 Self 100.00 i s 100.00
Occupation: rYEAR: R:
Employer:
Alan R. Reese 41540 AVenida Barca
8/17/89 Temecula, Ca 9290 5 Occupation: R: Norman Achen ttorney 43805 Villa Del Sur Employer: 8/20/89 Temeulca, Ca 92390 elf 100.00
SUBTOTAL 1500.00
SCHEDULE A PAGE 6 OF 18
MONETARY CONTRIBUTIONS RECEIVED
(CONTINUATION O
NU TIONSHEET) STATEMENT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars)
7 8/31 IB3-
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: PatrlC is H. Birdsall I.D.NUMBER
Committee for Pat Bird 891031
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AMOUNT
DATE
RECD. (IF COMMITTEE. IN ADDITION TOCOMMITTEE 'SHAME ANDADDRESS. EMPLOYER
ENTERLD. NUMREROR,IF HOLD. NUMBER HAS BEEN ASSIGNED, RECEIVED CUMULATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) (IF SELF EMPEOVED.ENTER THIS PERIOD TO DATE
NAME F B SINE SS
Occupation: CALE NDAR YEAR:
oe Gagnon Union 76 S 100.00
8903 Rancho California Rd Employer: FISCAL YEAR:
21/89 vemecula, Ca 92390 Self 100.00 S 100.00
Occupation: CALENDAR YEAR:
traightline Construction Inc Landsca e S 200.00
0. BOX 503 Employer: FISCAL YEAR:
'16/89 emecula, Ca 92390 Self 200.00 S 200.00,
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: LENDARYEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
Occupation: LENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
SUBTOTAL E
300.00
• � I
SCHEDULE B -- LOANS RECEIVED (PART 1) PAGE 7 OF 18
FORM 490 STATE MENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Pat r i C i a H . Birds all I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART I: LOANS RECEIVED
DATE FULL NAME AND ADDRESS OF LENDER OCCUPATION
RE (IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER INT. DUE AMOUNT CUMU
RATE DATE Of LOAN LATIVE
ENTER I.ER,OI.D. NUMBER NASSIGNfO, (If SEI OF E BUSINESS) EN TER TO DATE
ENTER T
ENTER THE TREREASUSURER'S NAME AND ADDRESS) NAME OF BUSINESS)
Occupation: CALENDAR YEAR
atricia H. Birdsall Bookkeeper x50 0.00
1540 Avenida Barca Employer:B i r d s a 11 s 500 . OC FISCALYEAR
7/7/89 Temecula, Ca 92390 Tax Service 0 10/31 89 s
Occupation: CALENDAR YEAR
atricia H. Birdsall Bookkeeper 500.00' 500.00
1540 Avenida Barca Employer: Birdsall's FISCALYEAR
7/13/89 Temeulca, Ca 92390 Tax Service 0 10/31 89 S 500.00
(a)
SUBTOTAL S
1000.00
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION AMOUNT
GU ARANTEED
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER THIS CUMU-
ENTERI. D. NUMBER OR, IF NO I.D. NUMBER HAS BEFN ASSIGNED. (IF SELF-EMPLOYED. ENTER PERIOD LATIVE
ENTER THE TREASURER'S NAME AND ADORESSI NAME OF BUSINESS) TO DATE
NAME Of LENDER Occupation: CALENDAR YEAR
s
Employer: FISCALYEAR
S
NAME OF LENDER Occupation: CALENDAR YEAR
S
Employer:
FISCALYEAR
S
SUBTOTAL (b)
SUM MOT RYB EL THIS AMOUNT TO II TIIE
THE . ENTER ON MF tt
OF
Of TNF UMMARYYYARY RAGE. $
SUMMARY
1. LOANS OF$ 1000R MORE RECEIVED THIS PERIOD (Part 1(a)) ...................... $ 1000.00 '�
2. LOANS UNDER $100 RECEIVED THIS PERIOD (Not itemized ) ........................
3. TOTAL LOANS RECEIVED THIS PERIOD (Line 1 + 2) . ............................... 1000.00
4. LOANS OF $100 OR MORE REPAID, FORGIVEN OR PAID BY A THIRD PARTY
THIS PERIOD (Part 2, Column (c)) ................ ............................... .
5. LOANS UNDER $100 REPAID, FORGIVEN OR PAID BY A THIRD PARTY
(not previously itemized) (If forgiven or paid by a third party, also enter
amount on Line 2 of the summary section of Schedule A) ..........................
6. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD
(Line 4 + 5) .................................... ...............................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3)
Enter the difference here and on Line 2, Column B of Summary Page ............... $ 1000 .00
(May�ene9-
SCHEDULE B -- LOANS RECEIVED (PART 1) PAGE 8 OF 18
(CONTINUATION PAGE)
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia.. H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for City Council 891031
PARTI: LOANS RECEIVED
FULL NAME AND ADDRESS OF LENDER OCCUPATION
DATE INT DUE AMOUNT CUMU-
REC'D. (If COMM InEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER RATE DATE OFLOAN ODAT
ENTER I.D. NUMBER OR, IF NO I.D. NUMBER HAt BEEN ASSIGNED, TO DATE
(IF SE O TER
ENTER THE TREASURER'S NAME AND ADDRESS) E
NAME Of f BUSINESS INESS)
OCCupa Uun( CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
s
Occupation: CALENDAR YEAR
S
Employer FISCAL YEAR
S
(a)
SUBTOTAL
5
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION AMOUNT
GU
AMOUNT
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER THIS CUMU"
ENTER I.O. NUMBER OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. (IF SELF - EMPLOYED. ENTER PERIOD LATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) TO DATE
NAME Of LENDER Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR
S
NAME Of LENDER Occupation: CALE NOAR YEAR:
f
Employer.
FISCAL YEAR:
f
NAME Of LENDER Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR.
t
NAME Of LENDER Occupation. CALENDAR YEAR:
f
Employer:
FISCAL YEAR:
f
(b)
SUBTOTAL
SCHEDULE B -- LOANS RECEIVED (PART 2) PAGE 9 OF 18
FORM 490
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia i T s a I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART2: LOAN REPAYMENTS MADE, LOANS FORGIVEN OR PAID BY A THIRD PARTY
DATE OF INT. FA AMOUNTREPAID
REPAY- DATE OF RATE (IF REPAID BY OR FORGIVEN ON OUTSTANDING INTEREST
MENTOR ORIGINAL FULL NAME OF LENDER FORGIVEN • PRINCIPAL TO NOT pRINCIPAL PAID **
FORGIVE- LOAN CHANGEDI THIRD INCLUDE PAYMENT
NESS PARTY* OFINTEREST)
*IMPORTANT: IF ANY PART OF A LOAN IS FORGIVEN OR REPAID BY A THIRD PARTY, THE PERSON I C)
FORGIVING THE LOAN OR THE THIRD PARTY MAKING THE PAYMENT AND THE AMOUNT
THAT OR PAID ITEMIZED REPAYMENT OF LOAN. ON SUBTOTAL S
** TOTAL ALL INTEREST PAID THIS PERIOD. ALSO ENTER TOTONTERESTPAID (d)
ON LINE l OF THE SUMMARY SECTION OF SCHEDULE E. THIS
DO NOT CARRY THIS TOTAL TO THE SCHEDULE 8 SUMMARY.
0
SCHEDULE B -- LOANS RECEIVED (PART 3) PAGE 10 OF 18
ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Ha t ric1a 1 cl s I I I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 3 --ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED -- INSTRUCTIONS ON REVERSE BEFORE COMPLETING
FULL NAME OF THE LENDER ORIGINAL DATE AMOUNT OF UNPAID UNPAID
OFLOAN ORIGINAL LOAN PRINCIPAL INTEREST
TOTAL $
(NOTE: THIS TOTAL
SHOULD BE THE SAME
AMOUNT AS ENTERED
ON LINE 1. COLUMN C
OF THE SUMMARY PAGE.)
SCHEDULE C PAGE — 1 1 OF 18
NON - MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATE ME NT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
C irdsall - for City it 891031
DATE FULL NAME AND ADDRESS OCCUPATION FAIR CUMU-
REC'D. OFCONTRIBUTOR DESCRIPTION OF MARKET LATIVE
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S EMPLOYER GOODS OR SERVICES VALUE AMOUNT
NAME AND ADDRESS. ENTER I.D NUMBER RECEIVED
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. (IF SELF - EMPLOYED, ENTER
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS)
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDARYEAR:
f
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
SUBTOTAL S
SUMMARY
1. NON - MONETARY CONTRIBUTIONS OF $100 OR MORE RECEIVED THIS PERIOD........ $
2. NON - MONETARY CONTRIBUTIONS UNDER $100 RECEIVED THIS PERIOD (Not
itemized) ........................................ ...............................
3. TOTAL NON - MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD $
(Line 1 + Line 2) Enter here and on Line 4 Column B of Summary Page ...............
SCHEDULED
ENFORCEABLE PROMISES RECEIVED
(Other Than Loan Guarantees,
Loan Endorsements and Loan Security)
FORM 490 PAGE 1? OF 18
NOTE: Loan guarantees, loan endorsements and loan security are
"enforceable promises." However, suchpromises must $TATEMENTCOVERSPERIOD
be reported on Schedule 8, NOT Schedule O. FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 8 / 3 1 / 89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 1 891031
DATE FULL NAME AND ADDRESS OCCUPATION AMOUNT
RECD. OF CONTRIBUTOR AMOUNT PAID cumu-
(If COMMITTEE. IN ADDITION TO COMMITTEE'S EMPLOYER PROMISED THIS PERIOD AMOUNT
NAME AND ADDRESS, ENTER 1.0 NUMBER THIS PERIOD
OR. If NO I. D. NUMBER HAS BEEN ASSIGNED. IIF SELF - EMPLOYED. ENTER (ALSO ENTENON UNPAID
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) SCHEDULE A)
Occupauun: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
s
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
_ _ f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
SUBTOTAL S S
SUMMARY
1. PROMISES RECEIVED OF $100 OR MORE THIS PERIOD (Column (a)) ................... s
2. PROMISES RECEIVED UNDER $100 THIS PERIOD (Not itemized) ......................
3. TOTAL PROMISES RECEIVED THIS PFRIOD (Line 1 + 2) .............................
4. PAYMENTS ON PROMISES OF 5100 OR MORE RECEIVED THIS
PERIOD (Column ( b)) ............................. ...............................
S. PAYMENTS ON PROMISES UNDER $100 RECEIVED THIS
PERIOD (Not itemized) ........................... ...............................
(Also enter on Line 2 of the summary section of Schedule A)
6. TOTAL PAYMENTS ON PROMISES RECEIVED (Line 4 + 5) ...........................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) $
Enter the difference here and on Line 6, Column B of Summary Page ................
(Ma a ney-
atry Igure
SCHEDULE E
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE PAGE 13 OF 18
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back of this schedule for code "T ".) Refer to the back of this schedule and the back of the Schedule E
Continuation Sheet for detailed explanations of each category.
'L' - LITERATURE "F' - FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T "- TRAVEL, ACCOMMODATIONS AND MEALS
'O' - OUTSIDE ADVERTISING 'P' - PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
'S' - SURVEYS, SIGNATURE GATHERING, DOOR -TO•DOOR
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment" column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the lump sum of these
payments on Line 4 of the Summary section, below.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S PAID
NAME AND ADDRESS, ENTER I.D. NUMBER
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER THE
TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
Temeulca Town Association L
28816 Pujol Street
Temeulca, Ca 92390 200.00
U. S. Postmaster L
28630 Front Street
Temeulca, Ca 92390 400.00
Sally Ringdahl L
3663 C. Canyon Crest Dr
Riverside, Ca 92507 112.50
Terry's Super Shop 0
31901 Miswion Trail
Lake Elsinore, CA 92330 286.25
SUBTOTAL $ 998.75
SUMMARY
1. PAYMENTS OF 5100 OR MORE MADE THIS PERIOD
(Include all Schedule E subtotals) ..... .............................. .................................................... I...... $ 2571 .96
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) 432.54
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
(Schedule 8, Part 2, Column (d)) ................................................................... ...............................
4. TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4) .....................
5. TOTAL PAYMENTS THIS PERIOD (Line 1 + 2 + 3 + 4) Enter here and on Line 8, Column 8 of
SummamPane... _....... _ ............ .......... ......... ..- ...._.... -__..- -- - - - - -- -- - -- - -- $ v nnT cn
SCHEDULE E PAGE 14 OF 18
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
(CONTINUATION SHEET) STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 8/31/8c
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: P at I i c a H . B 1;" 5 a L J I.D. NUMBER
Committee for Pat Birdsall for City Council aq1031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. Refer to the back
of this schedule for detailed explanations of each category.
'L' -- LITERATURE 'F' - FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
'N "- NEWSPAPER AND PERIODICAL ADVERTISING T'- TRAVEL, ACCOMMODATIONS AND MEALS
'S' - SURVEYS SIGNATURE GATHERING, DOOR -TO -DOOR 'P'- PROFESSIONAL MANAGEMENT AND
SOLICITAirIONS CONSULTING SERVICES
'O' - OUTSIDE ADVERTISING
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the " D esc ription of Payment column.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION
(If COMMITTEE, IN ADDITION TO COMMITTEE'S AMOUNT
NAME AND ADDRESS, ENTER I.D. NUMBER PAID
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER THE
TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
Temecula Toun Association Deposit 420.00
28816 Pujol Street Refund - 317.50
Temeulla, Ca 92390 F' Net 102.50
Maurice Printers
42327 Ric Nedo
Teneulca, Ca 92390 F 640.07
The Studio
27620 Commerce Center DR #10
Temeccul CP 92390 Candidate Photo ra hs 129.92
Registrar of Voters
4175 Main Street
Riverside, Ca 92507 File Candidate Statement 150.00
Temecula V:i1ey Soccer Assn
P. 0. Box 1875
Temecul, Ca 92390 0 225.00
Cameron Welding
27386 Del Rio Rd
Temecula, Ca 92390 0 192.59
Advantage Sign Co
.P. 0. Box 1552
Wil.domar, Ca 92395 0 133.13
SUBTOTAL E
1573.21
SCHEDULE EE PAGE OF
LOANS MADE TO OTHERS STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 7/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Pc t_ ^LLcla H. B rd s all I.O. NUMBER
Corwittee for Pat Birdsall for City Council 891031
PARTI: LOANS MADE TO OTHERS
DATE FULL NAME AND ADDRESS OF RECIPIENT INTEREST 'DUE DATE AMOUNT CUMULATIVE
OF RATE AMOUNT
LOAN
SUBTOTAL S
PART 2: LOAN REPAYMENTS RECEIVED BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE AND LOANS FORGIVEN
BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE
DATEOF FORGIVEN/PAID BY THIRD PARTY AMOUNTREPAID OUT- INTEREST
REPAY DATEOF FULL NAME OF INT. FORGIVEN LOANS: Enter'Or F Iven.'AISD ORFORGIVENON STANDING RECEIVED*
MENTOR ORIGINAL RECIPIENT OF LOAN RATE DE itemize for iven loans on E. PRINCIPAL (DONOT PRINCIPAL
FORGIVE. LOAN CHANGED) mcwm RECEIPT
NESS PAYMENT ET THIRD PARTY: Enter name OF INTEREST)
and addrpsS Of third p
(a)
SUBTOTAL $
* TOTAL ALL INTEREST RECEIVED THIS PERIOD, ALSO ENTER TOTAL INTEREST RECEIVED (b)
ON MESOF THE SUMMARY SECTION OF SCHEDULE G. DO THIS PERIOD S
NOT CARRY THIS TOTAL TO THE fUY MARY ULM.
SU MMARY
2. LOANS UNDER $1000 MADE THIS PERIOD (MoD (
O O $
. ........' ...... • • •
3. TOTAL LOANS MADE (Line 1 + 2) ................. ...............................
4. PAYMENTS RECEIVED ON LOANS OF $100 OR MORE (Including a forgiveness
or payment by a third party) (Part 2, Column (a)) ..................................
S. PAYMENTS RECEIVED ON LOANS UNDER $100 (Including a forgiveness
or payment by a third party) (Not itemized) ........ ...............................
6. TOTAL LOAN REPAYMENTS RECEIVED THIS PERIOD (Line 4 + 5) ....................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) S
Enter the difference here and on Line 9, Column B of Summary Page ................
# Ma� be negative
Igu el
SCHEDULE EE - LOANS MADE TO OTHERS (PART 3) . PAGE OF 18
ANNUAL REPORT OF OUTSTANDING LOANS MADE STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 9
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: P at r i C l a H. B i r d s al l I.D. NUMBER
Committee for Pat Birdsall for Ci.t)T Council 891031
PART 3: ANNUAL REPORT OF OUTSTANDING LOANS MADE TO OTHERS- - SEE INSTRUCTIONS ON REVERSE
BEFORE COMPLETING
FULL NAME OF RECIPIENT OF LOAN ORIGINAL AMOUNT UNPAID UNPAID
DATE OF PRINCIPAL INTEREST
OF LOAN ORIGINAL
LOAN
SUBTOTAL $
(NOTE: THIS TOTAL
SHOULD BE THE SAME
AMOUNT AS ENTEMO
ON LINE 9. COLUMN C
OF THE SUMMARY
PAGE.)
SCHEDULE F PAGE 17 OF '18
ACCRUED EXPENSES
(UNPAID BILLS) STATE ME NT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
CODES FOR CLASSIFYING ACCRUED EXPENSES
If one of the following codes is used to describe the accrued expense, no written description is needed. (Note
exceptions on the back of this schedule for code "T ".) Refer to the back of this schedule for detailed explanations of
each category.
"L" - LITERATURE 'F' -- FUNDRAISING EVENTS
"8 "- BROADCAST ADVERTISING 'G "- GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL. ACCOMMODATIONS AND MEALS
'O' - OUTSIDE ADVERTISING "P' - PROFESSIONAL MANAGEMENT AND
'S'- SURVEYS. SIGNATURE GATHERING. DOOR -TO -DOOR CONSULTING SERVICES
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Outstanding Payment" column.
NAME AND ADDRESS OF PAYEE, CREDITOR
OR RECIPIENT OF CONTRIBUTION
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S
NAME AND ADDRESS. ENTER 10. NUMBER AMOUNT
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER THE CODE OR DESCRIPTIONOF OUTSTANDING PAYMENT ACCRUED
TR AS RER'S NAME AND ADDR SS
Maurice Printers
42327 Rio Nedo
T =mecula Ca 92390 0 614.51
SUBTOTAL
6 14. 51
IMPORTANT: Do not itemize the payment of accrued expenses on Schedules E or F. Report the lump sum of these
payments on Schedule F, Line 4 and on Schedule E, Line 4. Do not re- itemize accrued expenses which have been
reported in a previous period.
SUMMARY
1. ACCRUF4F_XPENSES OF $100 OR MORE THIS PERIOD ............... ............................... $ 6 14.51 �,
2. ACCRUED EXPENSES OF UNDER $100 THIS PERIOD (Not itemized) ........................
3. TOTALACCRUED EXPENSES INCURRED THIS PERIOD (Line 1 + 2) ] E F S 1
4. ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Enter here
and on Schedule E. Line 4) ...................................................... ...............................
S. NET CHANGE THIS PERIOD (Subtract Line 4 from Line 3) Enter difference here and on $ 61 4.51
Line 11, Column B of Summary Page ....................................... ...............................
(May be
negative figure)
SCHEDULE G PAGE 18 OF 18
MISCELLANEOUS INCREASES TO CASH
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH 7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Pa`r icia H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for Cit Council 891031
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECD. (IF COMMITTEE. IN ADDITION TO COMMITTEE'S DESCRIPTION OF ADJUSTMENT
NAME AND ADDRESS. ENTER 1.0 NUMBER INCREASE
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. TO CASH
ENTER THE TREASURER'S NAME AND ADDRESS)
SUBTOTAL $
SUMMARY
1. INCREASES TO CASH OF $100 OR MORE THIS PERIOD .............................. $
2. INCREASES TO CASH UNDER $100 THIS PERIOD (Not itemized) ......................
3. TOTAL OF ALL INTEREST RECEIVED THIS PERIOD ON LOANS MADE TO OTHERS
(Schedule EE, Part 2(b)) ............ ............. ...............................
4. TOTAL MISCELLANEOUS INCREASES TO CASH THIS PERIOD
(Line 1 + 2 + 3) Enter here and on Line 15 of Summary Page ....................... $
' 0
f t CANDIDATE AtJD OFFICEHOLDER CAMPAIGN D STATEMENT -- LONG FORM REC[! Vc;)
CONSOLIDATED CAMPAIGN STATEMENT
_ OF 1 g
) \, (Government Code Sections 84200.84217) PAG
(Type or Print in Ink)
Statement covers period 7/1/89 through 8/31/89 $fP29 933
dH e89
CHECK ONE OF THE FOLLOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FILED REGISTRAR Ur VOTERS
Q PRE - ELECTION STATEMENT 0 SUPPLEMENTAL PRE- ELECTION COUNTY OF RIVERSIDE
FORM 490 0 SEMI - ANNUAL STATEMENT STATEMENT (It filing a Supplemental
1989 Pre - Election Statement, you must
0 TERMINATION STATEMENT complete Form 495 and attach It to
Attach a Form 415 to this Form 490, this statement.)
OA FE OF LLECTION(MO.. DAY. YR.) (If AM ALMILE) A OR OFFICIAL USE ONLY
November 7 1989
1 CANDIDATEIOFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANDIDATE /OFFICEHOLDER: OFFICE SOUGHT OR HELD: UMIWE•ImuoN +m mans nemblyd +RVM1.....
Patricia H. Birdsall: —__ .. City Council Member
RESIDENTIAL OR BUSINESS ADDRESS: NO AND STIIEET City StATt LIP CODE AREA COOUBU$INS SS PHONE NUMaER
42041 Avenida Alvarado Temecula Ca 92390 714- 676 -3642
11 CONTROLLED COMMITTEE' INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF COMMITTEE: I.O. NUMBER
Committee to elect Pat Birdsall for City Council 891031
ADDRESS OF COMMITTEE: NO, AND STREEI city STATE DP cow AREA CODEAUSINESS PHONE NUMBER
42041 AVenida Alvarado TEmecula Ca 92390 714 - 676 -3642
NAME OF TREASURER:
Linda BEcker
PERMANENT ADDRESS OF TREASURER: NO AND STREET CITY STATE ZIP cow AREA CODEAUSINESS PHONE NUMBER
41850 Borealis P. 0. Box 1207 Temecula Ca 92390 714 - 67 - 74 8 7
° A controlled committee is one which is controlled directly or indirectly by a candidate or which actsjointly with a candidate or controlled committee in
connection with the making of expenditures. A candidate controls a committee if the candidate, tM candidate't agent, or any other committee ire or
the controls, has u9olfRant influence on the actions or decisions of the committee.
III OTHER COMMITTEES: UST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH
ARE CONTROLLED BY YOU AND ANY COMMITTEES PRIMARILY- FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY
CONTROLLED
COMMITTEE NAME AND I.D. NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE?
,is NO
Attach addidaul information an appropriately labeled continuation sheets -
VERIFICATION
CANDIDATE OR OFFICEHOLDER:
I HAVE USED ALL REASONABLE OBJGENCE AND TO THE BEST OF MY KNOWLEDGE THE TREASURER HAS USED ALL REASONABLE DILIGENCE IN
PREPARING THIS STATEMENT. 1 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 PE OF PERJURY UNDER T E LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
EXECUTED ON Sept. 28, 19 Temecula, Ca Br '(l17.,c.� -,w
("T21 Kfn AUDI STAR) (SKa MM OF 4NOWA TE w WFKEMMOE14
TREASURER (R applicable):
I HAVE USED ALL REASONABLE DILIGENCE IN PREPARING THIS STATEMENT AND TO THE BEST OFF CyMY KNOWLEDGE THE INFORMATION FIR
CONTAINED ER AND IN THE ATTACHED SCHEDULES IS TRUE �/z i( , E
I CERTIFY UNDER STATE O CALLF ER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFOR T TH RE ING IS T ND CT.
EXECUTED ON Sept. J8, 19 th Temecula, Ca
IDATU K1PF ANp start) (SKAMIUM to 1"Aw"A)
1
PAGE 2 OF 18
ALLOCATION PAGE STATE ME NT COVERS PE RIO
FORM 490 FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: I.D. NUMBER
Patricia H. Birdsall Campaign for Pat BiAall for City Qoimcij 891031
LIST CONTRIBUTIONS AND INDEPENDENT EXPENDITURES TOTALING 5100 OR MORE MADE FROM THE CANDIDATE'S OR OFFICEHOLDER'S PERSONAL
FUNDS TO SUPPORT OR OPPOSE OTHER OFFICEHOLDERS, CANDIDATES AND COMMITTEES. (SEE INSTRUCTIONS ON REVERSE.)
INO NAME OF CANDIDATE, OFFICEHOLDER OR COMMITTEE CHECK ONE CUMULATIVE
DATE EXP • AMOUNT TO DATE
SUPPOPL OPPOSE
' CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
f
FISCAL YEAR
f
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
f
FISCAL YEAR
S
CALENDAR YEAR
_ S
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
S
CALENDAR YEAR
S
FISCAL YEAR
S
*See reverse regarding independent expenditures. SUBTOTAL $
SUMMARY
1. CONTRIBUTIONS OF $100 OR MORE MADE THIS PERIOD OUT OF PERSONAL FUNDS
(Include all Allocation Page Subtotals)
2. CONTRIBUTIONS UNDER $100 MADE THIS PERIOD OUT OF PERSONAL FUNDS (Not
itemized)
3. TOTAL CONTRIBUTIONS MADE THIS PERIOD OUT OF PERSONAL FUNDS (Do Not carry
this total to the Summary Page) ....... ... _ ..... .. ............................... _.. ..._....................._.....
i. PAGE 3 OF 18
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE STATE ME NT COVERS PER IO
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars)
1/R9 8/31/8
:AME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricial H. Birdsall I.D. NUMBER
Cam ai n for Pat Birdsall for City Council 891031
= ONTRIBUTIONS RECEIVED COLUMNA COLUMNS COLUMN
Cumulative total Total this pFeriod from Cumulative to date
from previous period* attachedschedules (Columns A +B)
1. Monetary contributions ..................... $ S 3716.70 E 3716.70
SCHEDULE A. LINE 3
2. Loans received ............................. 1nnn.nn lnnn_nn
SCHEDULE S. LINE 7
3. SUBTOTAL CASH RECEIPTS .................. ; $ 4716.70 $ 4716.70
.
4. Non - monetary contributions ................ LINES 1 2 LINES I. 2 LINES 1. 2
5. TOTAL CONTRIBUTIONS WITHOUT SCHEDULE C. LINE 3
ENFORCEABLE PROMISES ...................
.
6. Enforceable Promises (Except loan UNES3 4 LINES • 4 LINES 3 • 4
guarantees, see Line 18 below) ..............
SCHEDULE 0. LINE 7
7. TOTAL CONTRIBUTIONS .................... S S 4716.70 E 4716.70
LINES 5. 6 LINES 5. 6 LINES 5. 6
(SHOULD EQUAL LINE 7,
EXPENDITURES MADE $ Anna sn E CO LUMNS
A. ] B S
8. P ayments .. ............................... $ SCHEDULE E. LINE 5
9. Loans Made ...............................
SCHEDULE EE. LINE 7
10. SUBTOTAL . ............................... 3004.50 3004.50
lINE56 • 9 LINES a.9 UNES9.9
11. Accrued expenses (unpaid bills) ............. 614.51 61 4 . 5 1
SCHEOULE F, UNE5
12. TOTAL EXPENDITURES ..................... $ E 3619.01 E 3619.01
LINES 10 . 11 1 LINES 10 ♦ 11 LINES 10 • 11
(WOULD EQUAL LINE 12,
*IF THIS IS THE FIRST REPORT FILED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK COLUMNSA • B)
EXCEPT FOR LINES 2, 6, 9 AND 11.
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on hand $
at end of reporting period " from previous statement filed.) ........
14. Cash receipts this period (Line 3, Column B above) ................... 4716.70
15. Miscellaneous increases to cash (Schedule G, Line 4) .................
16. Cash payments this period (Line 10, Column B above) ................
17. Cash on hand at end of reporting period (Lines 13 + 14 + 15 - 16 above) $ 171 2.20
(If this is a Termination Statement, Line 17 must be Zero.) .. ............................... ENDING CASH ON HAND SHOULD
18. Amount of loan guarantees received (Schedule 8, Part I, Column (b)) ....................... NOT BE A NEGA TIV E AMOUNT
S
19. Cash equivalents (other assets held including outstanding loans made to others).
Important: See instructions on reverse ................... ............................... S
20. Outstanding debts (Line 2 + Line 11 of Column C above) ...................... $ j614,51
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See instructions on Reverse)
1/1 THR 7/1 TO DATE
21. CONTRIBUTIONS RECEIVED: 471 6.70
22. EXPENDITURES MADE:
SCHEDULE A PAGE [ OF 18
MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:P a t r 1 c 1 a 1 r s�.T I.D. NUMBER
Campaign for Pat Birdsall for City Council 891031
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION
DATE AMOUNT
RECD. (Ii COMMIT . N ADDITION TO COMMITTEE'S NAME ADDRESS. EMPLOYER
ENTER R I.D.UM BER OR. If N I.O. NUMBER HAS BEEN AS ASSIONFD.
ENTER THE TREASURER'S NAME AND ADDRESS) (if SELE ENTER O CUMULATIVE
NAM OF BUSIN ESS) E OF BUSINESS) THIS HIS PERIOD TO DATE
Occupation., CALENDAR AR:
L. F. Grove Management Grove Management s 150. 0
P. 0. BOX 754 Employer: FISCAL YEAR:
7/13/89 Temecula, Ca 92390 Self 150.00
s 150.00
Occupation: CALENDAR YEAR
Jack Liefer Retired s 200.00
29801 Camino Del Sol Employer:
7/15/89 Temecula, Ca 92390 200.00 FISCAL YEAR:
s 200.00
Occupation: CALENDAR YEAR:
Scotty's Mini Mart onvenience Store s 250.00
27670 Jefferson Ave Employer:
7/21/89 Temecula, Ca 92390 elf 250.00 F250.00 CAL YEAR:
Occupation: LENDAR YEAR:
Russ Watkins Retired 100.00
30152 Villa Alturas Employer: FISCAL YEAR:
7/10/89 Temecula, Ca 92390 100.00
100.00
Occupation: LENDAR YEAR:
Bill Jackson 1dnnnqPr 100.00
30250 Via Corsica Employer:
FISCAL YEAR:
7/24/89 Temecula, Ca 92390 ostex 100.00 s
100.00
Occupation: CALENDAR YEAR:
Daniel L. Stephenson hairman S 100.00
27720 Jefferson Ave Employer: FISCAL YEAR:
7/17/89 Temecula, Ca 92390 an Con 100.00 s 100.00
Occupation: CALENDAR YEAR:
Paul R. Humbert Virg President S 100.00
42320 Via Nortada Employer:
7/29/89 Temecula, Ca 92390 verland Bank 100.00 FISCAL YEAR:
s
100.00
SUBTOTAL $
1000.00
SUMMARY
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OFS1000RMORE
(Include all Schedule A subtotals) .................. ............................... f 2800.00
2. AMOUNT RECEIVED THIS PERIOD —CONTRIBUTIONS OF LESS THAN $100 (Not 916.70
itemized) ........................................ ...............................
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD $3716.70
(Line 1 + Line 2) Enter here and on line 1, Column 8 of Summary Page ..............
SCHEDULE A PAGE 5 OF 1 8
MONETARY CONTRIBUTIONS RECEIVED
(CONTINUATION SHEET)
STATE MENIT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7, 1 8/31/89
NAME OFCANDIDATEOROFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee fo" Pat Di 891031
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AMOUNT
DATE
RECD. (If COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER
ENTER I.D. NUMBER ON,IF NO I.O. NUMBER HAS BEEN ASSIGNED. RECEIVED CUMULATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) (If SELF- EMKOYE0. ENTER THIS PERIOD TOOATE
NAME f BUSINESS
Occupation: CALENDAR YEAR:
David Maurice Printer $ 100.nn
29405 Via Norte Employer: FISCAL YEAR:
7/29/89 Temecula, Ca 92390 Self 100.00 $ 100.00
Occupation: CALENDAR YEAR:
S
Kenneth Wright Rpfirprl inn-nn
31130 General Kearney Rd 4150 Employer: FISCAL YEAR:
7/24/89 Temecula, Ca 92390 100.00 s 100.0.0
Occupation: CALENDARYEAR:
M & J Ramsay Corp Investor $ 200.
27420 Jefferson Ave. Employer: FISCAL YEAR:
7/27/89 Temecula, Ca 92390 Self 200.00 S 200.00
Occupation: CA LENDAR YEAR:
C & C Ltd Grading & Paving S 200.00
P. 0. Box 251 Employer: FISCAL YEAR:
7/28/89 Temecula, Ca 92390 Self 200.00 $ 200.00
Occupation: CALENDAR YEAR:
Strachota Insurance Insurance S 100.00
635 N. La Cadena Dr. Employer: FISCALYEAR:
7/28/89 Colton, Ca 92324 100.00 s 100.00
Occupation: CALENDAR YEAR:
Marc Laxineta, DVM Veterinarian S 100.00
40512 Corte De Opalo Employer: FISCAL YEAR:
8/9/89 Murrieta, Ca 92362 elf 100.00 S 100.00
Occupation: CALENDAR YEAR:
Kevin Cochran orse Tr
4686 Sleeping Indian Employer: FISCAL YEAR:
8/16/89 Fallbrook, Ca 92028 Self 100.00 100.00
Occupation: LENDAR YEAR:
S
Alan R. Reese FISCAL YEAR:
41540 Avenida Barca Employer.
S �nn nn
8/17/89 Temecula, Ca 9290 0
Occupation: CALENDAR YEAR:
Norman Achen ttorney S 100.00
43805 Villa Del Sur Employer: FISCALYEAR:
8/20/89 Temeulca, Ca 92390 Felf 100.00 s 100.00
SUBTOTAL 5
1500.00
SCHEDULE A PAGE 6 OF 18
MONETARY CONTRIBUTIONS RECEIVED
(CONTINUATION SHEET) STATE ME NT COVERS PE RIO
FORM 490
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7
NAMEOF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall 1.0 NUMBER
Committee for Pat Birdsall 891031
FULL NAME AND ADDRESS OF CONTRIBUTOR OCCUPATION AMOUNT
DATE
RECD. (IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER
ENTERI.D. NUMBER OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. RECEIVED CUMULATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) (IF SELF-EMPLOYED, ENTER THIS PERIOD TOOATE
NAME rtl 1H.I.NFSS
Occupation: CALENDAR YEAR:
Joe Gagnon Union 76 S 100.00
8903 Rancho California Rd Employer: FISCAL YEAR:
8/21/89 Femecula, Ca 92390 Self 100.00 S 100.00
Occupation: CALENDAR YEAR:
traightline Construction Inc Landsca e S 200.00
0. BOX 503 Employer: FISCAL YEAR:
8/16/89 Femecula, Ca 92390 Self 200.00 S 200.00.
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Employer: FFS"C' L YEAR:
Occu pation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
Occupation: LENDAR YEAR:
S
Employer: _ FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
SUBTOTAL $
300.00
o �.
SCHEDULE B -- LOANS RECEIVED (PART 1) PAGE 7 OF 18
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART I: LOANS RECEIVED
DATE FULL NAME AND ADDRESS OF LENDER OCCUPATION
RECD. (IF COMMITTEE, MADOITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER INT DUE AMOUNT CUMU
RATE DATE OFLOAN LATIVE
ENTER T
ENTERT D ER
HE TREASURER'S IF ASURER'S NUMBER HAS NAME AND ADDRESS) (IF SELF - EMPLOYED. ENTER TO DATE
ENTER TRERE R'S ADDRESS) NAME OF BUSINESS)
Occupation: CALENDAR YEAR
atricia H. Birdsall Bookkeeper '500.00
1540 Avenida Barca Employer:B irdsall's 5 00 . 00 FISCAL YEAR
7/7/89 Temecula, Ca 92390 Tax Service 0 10/31 89 IS
Occupation: CALENDAR YEAR
atricia H. Birdsall Bookkeeper 500.00' 500.00
1540 Avenida Barca Employer: Birdsall 's FISCALYEAR
7/13/89 Temeulca, Ca 92390 Tax Service 0 10131 89 s 500.00
(a)
SUBTOTAL
= $
1000.00
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION AMOUNT
ARANTEED
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, EMPLOYER THIS CUMU
ENTER I.D. NUMBER OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, (IF SELF-EMPLOYED, ENTER PERIOD LA'TIVE
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) TO DATE
NAME Of LENDER Occupation: CALENDAR YEAR
f
Employer: FISCAL YEAR
f
NAME Of LENDER Occupation: CALENDAR YEAR
S
Employer: FISCAL YEAR
S
SUBTOTAL (b)
DO NOT CARRY THIS AMOUNT TO THE
SUMMARY BELOW. ENTER ON UNE IB
OF THE SUMMARY PAGE. $
SUMMARY 49 I'i
1. LOANS OF $1000R MORE RECEIVED THIS PERIOD (Part 1 (a)) ...................... $ 1000.00
2. LOANS UNDER $100 RECEIVED THIS PERIOD (Not itemized ) ........................
3. TOTAL LOANS RECEIVED THIS PERIOD (Line 1 + 2) . ............................... 1000.0
4. LOANS OF $100 OR MORE REPAID, FORGIVEN OR PAID BY A THIRD PARTY
THIS PERIOD (Part 2, Column (c)) ..... ..........................................
5. LOANS UNDER $100 REPAID, FORGIVEN OR PAID BY A THIRD PARTY
(not previously itemized) (If forgiven or paid by a third party, also enter
amount on Line 2 of the summary section of Schedule A) ......................... .
6. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD
(Line 4 + 5) .................................... ...............................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3)
Enter the difference here and on Line 2, Column B of Summary Page ...............
$1000-000
(M!X pe ne9-
SCHEDULE B -- LOANS RECEIVED (PART 1) PAGE 8 OF 18
(CONTINUATION PAGE)
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Pa t r lc la, H. B r d s a 11 I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART1: LOANS RECEIVED
DATE FULL NAME AND ADDRESS OF LENDER OCCUPATION
RECD. EMPLOYER INT DUE AMOUNT CUMU-
BF COMMITTEE. IN ADDITION TO COMMITTEE'SNA ME AND ADDRESS, RATE DATE OFLOAN DIVE
ENTER CO, NUMBER OR, NAME OF BUSINESS) OF BUSINESS)
IF NO I.D. NUMBER HA& BEEN ASSIGNED, TD O DATE
ENTER THE TREASURER'S NAME AND ADDRESS) (IF E
NAM
OCCUpatiun. CALENDAR YEAR.
S
Employer: FISCAL YEAR.
S
Occupation: CALENDAR YEAR
S
Employer: FISCAL YEAR
t
Occupation: CALENDAR YEAR
t
Employer: FISCAL YEAR
f
(a)
SUBTOTAL
E
FULL NAME AND ADDRESS OF GUARANTOR OCCUPATION AMOUNT
GU ARANT E ED
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS. EMPLOYER THIS CUMU-
ENTERLCD UMBEROR, IFNOI.O. NUMBER HAS BEEN ASSIGNED, (IF SELF-EMRLOYED. ENTER PERIOD LATIVE
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) TO DATE
: NAME Of LENDER Occupation: CALENDAR YEAR:
t
Employer: FISCAL YEAR
s
NAME OF LENDER Occupation: CALENDAR YEAH:
t
Employer:
FISCAL YEAR
S
NAME OFLENDER Occupation: CALENDAR YEAR.
f
Employer: FISCAL YEAR.
t
NAME OF LENDER Occupation: CALENDAR YEAR
1
Employer:
FISCAL YEAR
t
(b)
SUBTOTAL
SCHEDULE B -- LOANS RECEIVED (PART 2) PAGE 9 OF 18
FORM 490
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM
THROUGH
/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: H a t r1C1a it u s I. D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 2: LOAN REPAYMENTS MADE, LOANS FORGIVEN OR PAID BY A THIRD PARTY
DATE OF F A AMOUNT REPAID
REPAY- DATE OF INT, OR FORGIVEN ON
MENTOR ORIGINAL FULL NAME OF LENDER RATE (IF FORGIVEN* REPAID BY PRINCIPAL (DO NOT OUTSTANDING INTEREST
FORGIVE- LOAN CHANGED) THIRD
INCLUDE PAYMENT PRINCIPAL PAID **
NESS PARTY* OF INTEREST)
*IMPORTANT: IF ANY PART OF A LOAN IS FORGIVEN OR REPAID BY A THIRD PARTY. THE PERSON ( E )
FORGIVING THE LOAN OR THE THIRD PARTY MAKING THE PAYMENT AND THE AMOUNT WITH A
THAT IT IS A FORGVVENN BE LOAN OR PARTY D RESCHEDULE ENT OF LOAN NOTATION SUBTOTAL $
•R TOTAL ALL INTEREST PAID THIS PERIOD. ALSO ENTER TOTONTEREST (d)
ON LINE I OF THE SUMMARY SECTION OF SCHEDULE E. THIS
DO NOT CARRY THIS TOTAL TO THE SCHEDULE 6 SUMMARY.
= SCHEDULE B -- LOANS RECEIVED (PART 3) PAGE 10 �F 18
ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED
FORM 490
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: P atricia i t s a I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 3 --ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED - SEE INSTRUCTIONS ON REVERSE BEFORE COMPLETING
FULL NAME OF THE LENDER ORIGINAL DATE AMOUNT OF UNPAID UNPAID
OFLOAN ORIGINAL LOAN PRINCIPAL INTEREST
TOTAL E
(NOTE: THIS TOTAL
SHOULD BE THE SAME
AMOUNT AS ENTERED
ON LINE 2, COLUMN C
OF THE SUMMARY PAGE.)
r SCHEDULE C PAGE 1 1 OF 18
NON - MONETARY CONTRIBUTIONS RECEIVED
FORM 490 STATEMENT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/11/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D. NUMBER
Co mmi tee for Pat Birdsall for C' it 891031
DATE FULL NAME AND ADDRESS OCCUPATION
RECD. OFCONTRIBUTOR DESCAIR CUMU-
(IF COMMITTEE. IPTION OF M
EE IN ADDITION TO COMMITTEE'S EMPLOYER GOODS RIPTIO OF MARKET LATIVE
NAME AND ADDRESS. ENTER 10 NUMBER RECEIVED AMOUNT
OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED, )IF SELF EMKOYED, ENTER
ENTER THE TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS)
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
S
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
S
Employer:
FISCAL YEAR:
S
Occupation: CALENDARYEAR:
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
S
SUBTOTAL s
SUMMARY
1. NON - MONETARY CONTRIBUTIONS OF 5100 OR MORE RECEIVED THIS PERIOD........ S
2. NON - MONETARY CONTRIBUTIONS UNDER $100 RECEIVED THIS PERIOD (Not
itemized) ........................................ ...............................
3. TOTAL NON - MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 4 Column B of Summary Page ............... $
r
SCHEDULE D
ENFORCEABLE PROMISES RECEIVED
(Other Than Loan Guarantees,
Loan Endorsements and Loan Security)
FORM 490 PAGE J? OF 18
NOTE: Loan guarantees, loan endorsements and loan security are
enforceable promises." However, such promises must STATEMENT COVERS PERIOD
be reported on Schedule B, NOT Schedule D.
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 1 7/1/89 8/ 31 /89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for City Council 891031
DATE FULL NAME AND ADDRESS OCCUPATION
RECD. OFCONTRIBUTOR AMOUNT A PAIONT CUNI
OF COMMITTEE , IN ADDITION TO COMMITTEE'S EMPLOYER PROMISED iH15 PERIOD LATIVE
NAME AND ADDRESS, ENTER 1.0 NUMBER THIS PERIOD AMOUNT
OR IF NO I.D. NUMBER HAS BEEN ASSIGNED. (IF SELF EMRLOYED. ENTER UNPAID
(ALSO ENTER ON
ENTER THE TREASURER'S NAME AND 4DORE55) NAME Of BUSINESS) SCHEDULE AI
ccupauun: CALENDAR YEAR
S
Employer: FISCAL YEAR:
S
Occupation: CALENDAR YEAR:
s
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
Employer: FISCAL YEAR:
f
Occupation: CALENDARYEAR:
- f
Employer: FISCAL YEAR:
f
Occupation: CALENDAR YEAR:
f
Employer: FISCAL YEAR:
f
SUBTOTAL $ $
SUMMARY
1. PROMISES RECEIVED OF$ 1000R MORE THIS PERIOD (Column (a)) ................... $
2. PROMISES RECEIVED UNDER $100 THIS PERIOD (Not itemized) ...................:..
3. TOTAL PROMISES RECEIVED THIS PFRIOD (Line 1+ 2) .............................
4. PAYMENTS ON PROMISES OF $100 OR MORE RECEIVED THIS
PERIOD (Column ( b)) ............................. ...............................
S. PAYMENTS ON PROMISES UNDER $100 RECEIVED THIS
PERIOD (Not itemized) ........................... ...............................
(Also enter on Line 2 of the summary section of Schedule A)
6. TOTAL PAYMENTS ON PROMISES RECEIVED (Line 4 + 5) ...........................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3) $
Enter the difference here and on Line 6, Column B of Summary Page ................
(Main Pe ne9-
atry Igure
SCHEDULEE
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE PAGE 13 OF 18
FORM 490 STATE ME NT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH 7/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. Birdsall I.D.NUMBER
Committee for Pat Birdsall for City 1
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. (Note exceptions
on the back of this schedule for code "T ".) Refer to the back of this schedule and the back of the Schedule E
Continuation Sheet for detailed explanations of each category.
'L' - LITERATURE 'F' - FUNDRAISING EVENTS
'B' - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
"N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
'O' - OUTSIDE ADVERTISING 'P" - PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
'S' - SURVEYS. SIGNATURE GATHERING. DOOR -TO -DOOR
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Payment' column.
IMPORTANT: Do not itemize the payment of accrued expenses on Schedule E. Report only the lump sum of these
payments on Line 4 of the Summary section, below.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S - PAID
NAME AND ADDRESS, ENTER I.D. NUMBER
OR, IF NO I.D. NUMBER HAS BEEN ASHGNED, ENTER THE
TREASURERI NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
Temeulca Town Association L
28816 Pujol Street
Temeulca, Ca 92390 200.00
U. S. Postmaster L
28630 Front Street
Temeulca, Ca 92390 400.00
Sally Ringdahl L
3663 C. Canyon Crest Dr
Riverside, Ca 92507 112.50
Terry's Super Shop 0
31901 Miswion Trail
Lake Elsinore, CA 92330 286.25
SUBTOTAL $ 998.75
SUMMARY
1. PAYMENTS OF 5100 OR MORE MADE THIS PERIOD
(Include all Schedule E subtotals) ................................................................ ............................... $ 2571.96
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ......... 432.54
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
(Schedule B, Part 2, Column (d)) .................................................................. ...............................
4. TOTALACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Schedule F, Line 4) .....................
5. TOTAL PAYMENTS THIS PERIOD (Line 1 + 2 + 3 + 4) Enter here and on Line 8, Column 8 of
SummaryPage .................................. .......................... ........:... ................... .4a.. _
SCHEDULEE PAGE 14 OF 18
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
(CONTINUATION SHEET) STATE ME NT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 8/31 /8c
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Pat I i c a BJ_ I.D. NUMBER
Committee for Pat Birdsall for City Council 1031
CODES FOR CLASSIFYING EXPENDITURES
If one of the following codes is used to describe the expenditure, no written description is needed. Refer to the back
of this schedule for detailed explanations of each category.
"L" -- LITERATURE "F' - FUNDRAISING EVENTS
"B" - BROADCAST ADVERTISING 'G' - GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
'S'- SURVEYS, SIGNATURE GATHERING, DOOR -TO -DOOR P' - PROFESSIONAL VICES MENT AND
CONSULTING
SOLICITATIONS CONSULTING SERVICES
"O' - OUTSIDE ADVERTISING
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Desc o Payment" c olumn.
NAME AND ADDRESS OF PAYEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S AMOUNT
NAME AND ADDRESS. ENTER I.D. NUMBER PAID
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER THE
TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
Temecula Tolin Association Deposit 420.00
28816 Pujol Street Refund - 317.50
Temeulca, Ca 92390 F Net 102.50
Maurice Printers
42327 Rio Nedo
Teneulca, Ca 92390 F 640.07
The Studio
27620 Commerce Center DR #10
Temerui CP 92390 Candidate Photographs 129.92
Registrar of Voters
4175 Main Street
Riverside, Ca 92507 File Candidate Statement 150.00
Temecula Val-ley Soccer Assn
P. 0. Box 1875
Temecul, Ca 92390 0 225.00
Cameron Welding
2.7386 Del Rio Rd
Temecula, Ca 92390 0 192.59
Advantage Sign Co
P. 0. Box 1552
4dil.domar, Ca 92395 0 133.13
SUBTOTAL $
1573.21
SCHEDULE EE PAGE 1 9 OF 18
LOANS MADETO OTHERS STATEMENT COVERS PE RIO
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 7/31/89
NAME OF CANDIDATE OR OFFICEHOLDER ANO CONTROLLED COMMITTEE: Pat -r i C i a H . Birds a 11 I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 1: LOANS MADE TO OTHERS
DATE FULL NAME AND ADDRESS OF RECIPIENT INTEREST - DUE DATE AMOUNT CUMULATIVE
OF RATE AMOUNT
LOAN
SUBTOTAL $
PART 2: LOAN REPAYMENTS RECEIVED BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE AND LOANS FORGIVEN
BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE
FORGIVEN/PAID BY THIRD PARTY AMOUNTREPAID OUT-
DATE OF INT. OR FORGIVEN ON STANDING INTEREST
REPAY- DATE OF FULL NAME OF RATE DE, FOAGNEN LOANS: Enter'FOrgiven,' Also PRINCIPAL too NOT PRINCIPAL RECEIVED
MENTOR ORIGINAL RECIPIENT OF LOAN CHANGED) itemize for iven loans on Schedule E. INC RECEIPT
LOAN CLUDE REST
NESS PAYMENT BY THUD rum: Enter name
(a)
SUBTOTAL $
TOTAL ALL INTEREST RECEIVED THIS PERIOD. ALSO ENTER TOTAL INTEREST RECEIVED (b)
ON LINE I OE THE SUMMARY SECTION OF SCHEDULE G. DO THIS PERIOD E
NOT CARRY THIS TOTAL TO THE SUMMARY BELOW.
SUMMARY 99
1. LOANS OF $100 OR MORE MADE THIS PERIOD (Part 1) .............................. $ ,I'
2. LOANS UNDER $100 MADE THIS PERIOD (Not itemized ) ............................. r �I'
3. TOTAL LOANS MADE (Line 1 + 2) ................ ............................... .
4. PAYMENTS RECEIVED ON LOANS OF $100 OR MORE (Including a forgiveness
or payment by a third party) (Part 2, Column (a)) ..................................
5. PAYMENTS RECEIVED ON LOANS UNDER $100 (Including a forgiveness
or payment by a third party) (Not itemized) ........ ...............................
6. TOTAL LOAN REPAYMENTS RECEIVED THIS PERIOD (Line 4 + 5) ....................
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3)
Enter the difference here and on Line 9, Column B of Summary Page ................ S
(May be negative
igu e)
I �
SCHEDULE EE - LOANS MADE TO OTHERS (PART 3) PAGE 1 OF 18
ANNUAL REPORT OF OUTSTANDING LOANS MADE STATEMENT COVERS PERIOD
FORM 490 FROM THROUGH
(Amounts May Be Rounded To Whole Dollars)
112 9
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Patricia H. B irdsall I.D. NUMBER
Committee for Pat Birdsall for City Council 891031
PART 3: ANNUAL REPORT OF OUTSTANDING LOANS MADE TO OTHERS — SEE INSTRUCTIONS ON REVERSE
BEFORE COMPLETING
FULL NAME OF RECIPIENT OF LOAN O RIGINA L DATE AMOUNT UNPAID UNPAID
OF LOAN ORIGINAL PRINCIPAL INTEREST
LOAN
SUBTOTAL ;
(NOTE: THIS TOTAL
SHOULD RE THE SAME
AMOUNT AS ENTERED
ON LINE 9. COLUMN C
Of THE SUMMARY
PAGE.)
SCHEDULEF PAGE 17 OF 18
ACCRUED EXPENSES
(UNPAID BILLS) STATE ME NT COVERS PERIOD
FORM 490 '- FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7/1/89 1 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: PatrlC.la H. Birdsall I. D. NUMBER
Committee for Pat °irdsall for City Council 891031
CODES FOR CLASSIFYING ACCRUED EXPENSES
If one of the following codes is used to describe the accrued expense, no written description is needed. (Note
exceptions on the back of this schedule for code "T ".) Refer to the back of this schedule for detailed explanations of
each category.
'L' - LITERATURE "F' -- FUNDRAISING EVENTS
'B'- BROADCAST ADVERTISING 'G "- GENERAL OPERATIONS AND OVERHEAD
'N'- NEWSPAPER AND PERIODICAL ADVERTISING 'T'- TRAVEL, ACCOMMODATIONS AND MEALS
'O'- OUTSIDE ADVERTISING 'P' CO FESSI NAL S ERVICES MANAG EMENT AND
'S' - SURVEYS, SIGNATURE GATHERING. DOOR -TO -DOOR
SOLICITATIONS
If one of the above codes does not accurately or fully describe the expenditure, leave the "Code" column blank and
provide a written description in the "Description of Outstanding Payment" column. AND NAMEOR EC PIIENT TR BUTION CRED ITOR
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S
NAME AND ADDRESS. ENTER I.D. NUMBER AMOUNT
OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER THE CODE OR DESCRIPTIONOF OUTSTANDING PAYMENT ACCRUED
TR AS R R'S HAM AND ADDRESS
Maurice Printers
42327 Rio Nedo
Ta Ca 92390 0 614.51
SUBTOTAL
614.51
IMPORTANT: Do not itemize the payment of accrued expenses on Schedules E or F. Report the lump sum of these
payments on Schedule F, Line 4 and on Schedule E, Line 4. Do not re- itemize accrued expenses which have been
reported in a previous period.
SUMMARY
�I
1. ACCRUED EXPENSES OF $100 OR MORE THIS PERIOD ............... ............................... s 614.51
2. ACCRUED EXPENSES OF UNDER $100 THIS PERIOD (Not itemized) ........................
3. TOTALACCRUED EXPENSES INCURRED THIS PERIOD (Line 1 + 2) ............. L4 S 1
4. ACCRUED EXPENSES PAID THIS PERIOD (Not itemized) (Enter here
andon Schedule E, Line 4) ...................................................... ...............................
5. NET CHANGE THIS PERIOD (Subtract Line 4 from Line 3) Enter difference here and on 5 61 4. 51
Line 11, Column 8 of Summary Page ....................................... ...............................
(May be
negative figure)
SCHEDULE G PAGE 18 OF 18
MISCELLANEOUS INCREASES TO CASH
FORM 490 STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars) FROM THROUGH
k/1/89 8/31/89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: Pa`r1Cla H. Birdsall I.D. NUMBER
Connittee for Pat Birdsall for Cit Council 891031
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECD. BF COMMITTEE. IN ADDITION TO COMMIREE'S DESCRIPTION OF ADJUSTMENT
NAME AND ADDRESS, ENTER 6.13 NUMBER INCREASE
OR, IF NO L0. NUMBER HAS BEEN ASSIGNED, TO CASH
ENTER THE TREASURER'S NAME AND ADDRESS)
SUBTOTAL g
SUMMARY
1. INCREASES TO CASH OF $100 OR MORE THIS PERIOD .............................. S
2. INCREASES TO CASH UNDER $100 THIS PERIOD (Not itemized) ......................
3. TOTAL OF ALL INTEREST RECEIVED THIS PERIOD ON LOANS MADE TO OTHERS
(Schedule EE, Part 2( b)) .......................... ...............................
4. TOTAL MISCELLANEOUS INCREASES TO CASH THIS PERIOD
(Line 1 + 2 + 3) Enter here and on Line 15 of Summary Page ....................... $