Paul Kloecker - 1987/07/01 - 1987/09/19
FORM 490
1987
CANDIDATE AND OFFICEHOLDER CAMPAIGN STATEMENT-LONG FORM
AND
CONSOLIDATED CAMPAIGN STATEMENT
(Government Code Sections 84200-84217)
Type or Print in Ink
Statement covers period 7-1-87 through 9-19-87
c':tS.K ONE OF THE FOllOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FilED.
NRE.ElECTION STATEMENT 0 SUPPLEMENTAL PRE.ElECTION
o SEMI-ANNUAL STATEMENT STATEMENT (If filing a Supplemental
Pre.Electlon Statement, you must
complete Form 495 and attach it to
this statement.)
"
DATE OF ELECTION (MO.. DAY. YR.IIIF APPLICABLE):
November 3, 1987
TOTAL PAGES:
~
A
OFFICIAL USE ONLY
CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
NAME OF CANDIDATE I OFFICEHOLDER OFFICE SOUGHT OR HELD Ilnclude location and district number if applicable)
?1=\\')L \j. 'l.LOE c."-'1.~ C\"t"\ eo.., t-l c..\\..- 6-\ \..~'"
RESIDENTIAL ADDRESS: NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE NUMBER
54'6\ '1::>e;L~ C.OV\a"' Gr\\..tA1~. C\1rO"l.O (408) 84Cb\bl..
BUSINESS ADDRESS: NO. AND STREET CITY STATE ZIP CODE AREA CODE/PHONE NUMB,,~
\0.,'7 Ii', ~~<JUes S,)~~",,\..~~. C\ 4-0810 Yea) 7ZO-.b6l7
II CONTROLLED COMMiTTEES*' lNCLUDED IN THiS CONSOLIDATED REPORT (iF APPLICABLE)
NAME OF COMMITTEE: 1.0. NUMBER ,.,
~5-~ ~O\Se~6'" ~G.. ~~QLtI\"tJ CoI\'Y\"W~
ADDRESS OF COMMITTEE: NO. AND STREET CITY STATE
'"P.O. VSox "2. -, l ~ C-~qtQ'1 c...~.
ZIP CODE
q ~"'bZ--{ - L 7 t '\
8~0>8\"7
AREA CODE/ PHONE NUMBFR
NAME OF TREASURER:
~N~ ~"tl-
PERMANENT ADDRESS OF TREASURER: NO. AND STREET
,?>f> L ~\JJ <<"\'i!: '" 0\:f '\>(L.
CITY
6-\,-v>'i
STATE
ZIP CODE
PHONE NUMBER
c~.
,\~'L> 'Z.-C>
NAME OF COMMITTEE: 1.0. NUMBER
'" \\
ADDRESS OF COMMITTEE: NO. AND STREET
CITY
STATE
ZIP CODE
AREA CODE/ PHONE NUMBER
NAME OF TREASURER:
PERMANENT ADDRESS OF TREASURER: NO. AND STREET
CITY
STATE
ZIP CODE
-'--
ARE.,I:CODE/BUSINESS PHONE NUMBER
* 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
connection with the making of expenditures. A candidate controls a committee if the candidate. the candidate's agent, or. any other committee he or she
controls, has signific-ant influence on the actions or decisions of the committee.
Attach additional infQrmation or appropriately labeled continuation sheets.
III CANDIDATE/OFFICEHOLDER ONLY: LIST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED
STATEMENT WHICH ARE CONTROLLED BYYOU OR ARE PRIMARILY FORMED TO RECEIVE CONTRIBUTIONS OR MAKE
EXPENDITURES ON BEHALF OF YOUR CANDIDACY.
I I CONTROLLED
COMMITTEE NAME AND 1.0. NUMBER COMMITTEE ADDRESS TR.EASURER COMMITTEE?
YES NO
~J~
Attach addItIOnal /IlformatlOn on appropnately labeled cont/lluatlon sheets.
VERIFICATION
CANDIDATE OR OFFICEHOLDER:
I have used all reasonable diligence and, if one or more controlled commillees are included in this report, 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 infor'
mation contained herein and in the attached schedules is true and complete.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. , :4
Executed on 1/1.,1/9'1 at &\'-~o'1' J c..~. bY~A...../JI ~ --
( ate) , (City and State) (Signature of Candidate or Officeholder)
TREASURER(S) (if applicable):
I have used all reasonable diligence in preparing this Statement and to the best of my knowledge the information containelj herein and in the
allached schedules is true and complete.
I certify under penalty of perjury under the laws of the State of California that the foregOing is true a:1d correct.
Executed on Cf!:l/ / Y7 at &/Yc)' . by ~.
, (Dat~ and Stale)
Executed on
by
at
(Date)
(Cily and State)
(Signature of Trea3urer)
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE
FORM 420 OR 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF ~DIDATE, OFFICEHOLDER OR COMMITTEE:
\~U\",. V, \t..l.O~C~6f2-
COLUMN A COLUMN B
Cumulative total Total this period from
from previous period . attached schedules
CONTRIBUTIONS RECEIVED 590 \C4.0
1. Monetary contributions .................. . $ $
SCHEDULE A, LINE 3
2. Loans received q '1.-"3 .-
........................ .
SCHEDULE B, LINE 7
3. SUBTOTAL CASH RECEIPTS. . . . . . . . . . . . . . . $ \5" \ "3 $ \~O
LINES I + 2 LINES 1 + 2
4. Non-monetary contributions. . . . . . . . . . . . . . . . - -
SCHEDULE C, LINE 3
5. TOTAL CONTRIBUTIONS WITHOUT PLEDGES \ S- \3 \~
LINES 3 + 4 LINES 3 + 4
6. Pledges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SCHEDULE D, LINE 7
7. TOTAL CONTRIBUTIONS. . . . . . . . .. . . . . . . . . \5'\3 t~
LINES 5 + 6 LINES 5 + 6
EXPENDITURES MADE \415"
8. Payments $ $ -
............................ .
SCHEDULE E, LINE 5
9. Loans made. . . . . . . . . . . . . . . . . . . . . . . . . . . . -
SCHEDULE EE, LINE 7
10. SUBTOTAL ........................... . \415"""
LINES 8 + 9 LINES 8 + 9
11. Accrued expenses (unpaid bills) . . . . . . . . . . . .
SCHEDULE F, LINE 5
12. TOTAL EXPENDITURES $ \4,5" $ --
................. . ~-
LINES 10 + 11 LINES 10 + 11
'FbZ-
STATEMENT COVERS PERIOD
FROM THROUGH
7-\ -fs1 q-\ 't- s-,
1.0. NUMBER (IF COMMITTEE)
8l,
COLUMN C
Cumulative to date
(Columns A + B)
$
'1e<'
f\U
\703
$
LINES 1 + 2
\ "103
LINES 3 + 4
\103
LINES 5 + 6
(SHOULD EQUAL LINE 7,
COLUMNS A + B)
$ \ 415""
\ 4r1S"
LINES 8 + 9
-
$
\.\tb
LINES 10 + 11
(SHOULD EQUAL LINE 12,
COLUMNS A + B)
· IF THIS IS THE FIRST REPORT FILED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK EXCEPT FOR
UNPAID LOANS RECEIVED, PLEDGES, OUTSTANDING LOANS MADE AND UNPAID BILLS (LINES 2, 6, 9 AND 11).
STATEMENT OF CHANGES IN F!NANCIAL CONDITION
13. Cash on hand at the beginning of this period. (Enter "Cash on Hand
at Closing Date" from previous statement filed.) . . . . . . . . . . . . . . . . . . $
-
\'\0
14. Cash receipts this period (Line 3, Column B above) ...............
15. Miscellaneous adjustments to cash (Schedule G, Line 8) ...........
16. Cash payments this period (Line 10, Column B above) .............
17. Cash on hand at closing date (Lines 13 + 14 + 15 - 16 above) . . . , . . . . . . . . . . . . . . . . . . .
-
18. Cash equivalents (other assets held including outstanding loans made to others). Important:
See instructions on reverse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . .
19. Outstanding debts (Line 2 + Line 11 of Column C above) ............................
\,\0
$
ENDING CASH ON HAND SHOULD
NOT BE A NEGA liVE AMOUNT
$
$
-
111 thru 6/30
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
20. CONTRIBUTIONS RECEIVED, I
21. EXPENDITURES MADE:
7/1 to date
"'\ 9 0
o
o
o
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PAGE
3:J
OF
5
FORM 420 OR 490 STATEMENT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars) 7""r -67 I Cf-;~-B7
NAME ~ANDIDATE. OFFICEi~ER OR COMMITTEE: 1.0. NUMBER (IF COMMITTEE)
~L '\J. cS:t~d.... 8~o8A-'
DATE FULL NAME AND ADDRESS OF EMPLOYER AMOUNT
REC'D CONTRIBUTOR OCCUPATION
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER OR (IF SELF-EMPLOYED. ENTER RECEIVED CUMULATIVE
TREASURER'S NAME AND ADDRESSI NAME OF BUSINESS) TO DATE
D If more space is needed, check box at left SUBTOTAL - lI~lfff!
and attach additional Schedules A.
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
SUMMARY
$\t:t0>
1. AMOUNT RECEIVED - CONTRIBUTIONS OF $100 OR MORE ......-..
(Include all Schedule A subtotals) .......,......,...,.....,............,............$
2. AMOUNT RECEIVED - CONTRIBUTIONS OF LESS THAN $100 (Not itemized)
3. TOTAL MONETARY CONTRIBUTIONS THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 1 Column B of Summary Page
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SCHEDULE B
LOANS RECEIVED
FORM 420 OR 490
(Amounts May Be Rounded To Whole Dollars)
PAGF
A--
OF .;
STATEMENT COVERS PERIOD
FROM THROUGH
NAM~ CANDIDATE, OFFICEHOLDER OR COMMITTEE:
. ' '('~~ v. \L~oeC~(L
PART I: LOANS RECEIVED
DATE
REC'D
FULL NAME AND ADDRESS OF LENDER AND ANY
GUARANTORS OR COSIGNERS (If committee. OCCUPATION
also enter 1.0. number or treasurer's name and address).
EMPLOYER
(If self-employed. enter
name of business)
(J1
~~ -V. ~Ee~fill- C.OUWc:.\\.~~
~O't~- ~~O~~li. \..OM' OF'
Cn~ of ~~.,
~ 'TG d>F ~l1T t>~V \ T:'
D If more space is needed, check box
and attach additional Schedules B.
SUBTOTAL ~~3
PART 2: LOAN REPAYMENTS MADE, LOANS FORGIVEN OR PAID BY A THIRD PARTY
CHECK IF APPLICABLE
AMOUNT REPAID
OR FORGIVEN ON
PRINCIPAL.IDO NOT
INCLUDE PAYMENT
OF INTEREST)
OUTSTANDING
PRINCIPAL
INTEREST
PAID**
DATE OF RE.
PAYMENT OR
FORGIVENESS
DATE OF
ORIGINAL
LOAN
FULL NAME OF lENDER
INT. REPAID BY
RATE (IF *
CHANGED) FORGIVEN THIRD
PARTY*
* IMPORTANT: IF A LOAN IS FORGIVEN OR REPAID IN WHOLE OR IN PART BY A THIRD PARTY, THE PERSON FORGIVING
THE LOAN OR THE THIRD PARTY MAKING THE PAYMENT AND THE AMOUNT PAID MUST BE ITEMIZED ON SCHEDULE A
AS A CONTRIBUTION, WITH A NOTATION THAT IT IS A FORGIVEN LOAN, OR THIRD PARTY REPAYMENT OF LOAN.
D If more space is needed, check box
and attach additional Schedules B. SUBTOTAL
(a)
TOTAL INTEREST PAID
THIS PERIOD
** TOTAL ALL INTEREST PAID THIS PERIOD. ALSO ENTER
ON LINE 3 OF THE SUMMARY SECTION OF SCHEDULE E.
DO NOT CARRY THIS TOTALTO THE SUMMARY BELOW.
SUMMARY
1. LOANS OF $100 OR MORE THIS PERIOD (Part 1), . . . , , . , . , . . . . . , . . . . . . . . . . . . . . . . , .. $
2. LOANS UNDER $100 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 (a)) ...,..",.....,...".......,......................
5. LOANS UNDER $100 REPAID, FORGIVEN OR PAID BY A THIRD PARTY (not previously
itemized). (If forgiven or paid by a third party, also enter amount on Line 2
of the summary section of Schedule A) ...,...."...........,.............,....,',.
6. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD
(Line 4 + 5) , . , . , , , , , , , , . . , , , . . . , , . , . , , . . . , . , , . . . . , , . . , , . . . . , . . , , , . , . , . , . , , . . . , . , ,
7. NET CHANGE THIS PERIOD (Subtract Line 6 from Line 3)
Enter the difference here and on Line 2, Column B of Summary Page., " . ., . " . .. , , , .
AFTER COMPLETING THE SUMMARY SECTION OF SCHEDULE B. REFER TO THE INSTRUCTIONS
ON THE REVERSE SIDE OF PAGE 5. BEFORE COMPLETING PART 3 OF SCHEDULE B.
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.
,
.
~
SCHEDULE B-LOANS RECEIVED (PART 3)
ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED
FORM 420 OR 490
...-
PAGF 77
OF ~
STATEMENT COVERS PERIOD
FROM THROUGH
(Amounts May Be Rounded To Whole Dollars)
PART 3-ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED-SEE INSTRUCTIONS ON REVERSE BEFORE COMPLETING.
~
, ,
FUll NAME OF THE lENDER ORIGINAL DATE AMOUNT OF UNPAID UNPAID
OF lOAN ORIGINAL lOAN PRINCIPAL INTEREST
'to ~LO~'t.6$.r.. " f"30 J&4- )I i>
~l. C\.~3 ~~:l
~O,.\{" - ~'a.t>V~ ~lt> ~tl.\~'I> ~~"O~,,\.. L O~ W WA ~,~ N ~
~ efF~aT '\)I.F\CV~ " F 'l.3
I I
4' ~~i~iiililli\i; :i
D If more space is needed, check box at left TOTAL ~'t~
and attach additional Schedules B, Part 3. ............
(NOTE: THIS TOTAL
SHOULD BE THE
SAME AMOUNT AS
ENTERED ON LINE 2.
COLUMN C OF THE
SUMMARY PAGE.)
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