William Childers - 1975/01/07 - 1975/01/20
'7. :;J.u'
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(Interim Fonn)
CANDIDA TE'S
CAMPAIGN STATEMENT
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GOVERNMENT CODE SECTION 84200 . 8421.{
;:. "",,: ..,,31:
Statement covers period from
r~:::~,.loe:N"iAL. .-.iJOR
L - -":1-
'.tJ"'i1i'lil".~'.. Ar'c~a.ss
;J '.mi> 1
-. U)4.1t~
'.'tAc. OF CA.NC'H,)A~rE.
.~. _'lJ:_l.
E.' f~~
. ! :1._~aJj . . Cf s- 02-,) 1* cf P ~~ ! \2LLP
(CIT I $Aff':q{ZIP CODE) {ARI;:A COOE.I. P>iON~
~_~__ CoJrI . ~-D201~x ~_i<f~3/~ J
(C!T ) ~r- (ZIP CODE) IA I;:A CODEI {PHOtH: NO.1
Other
(I[ o'her, provide n,). and street (or P.O. Box) city, state and Zip code)
- . .--.--...--_ . 'l 1_
~'~..L')'~r :~I_~~.T1_N (PRIMARY. .GENERAL. SPECIAL, ~E;~EXION IMONI;Q7iAR1 j:;FC=~ANDI:_:
F :.':..,,' ~ L PARTY AND DISTRICT NUMBER (It Applicable! TOTAL PAGES THIS~O~T OFFICIAl. USE ONLY
-,. ............
_.~~
I ~I~"" J~LL COMMITiEES SUBJECT TO YOUR CONTROL WHICH HAVE RECEIVED CONTRIBUTIONS OR MADE
~}:FENr;TURES ON BEHALF OF YOUR CANDICACY
(1\ cMtro:l-.d committee is one which is controlled directly or indirectly by you or whicf. acts jointly with you or one of your c;ontrollecl
cl>lr.mithes in cannectian 'Nith the moking af expenclit\.lres. You control a committee If you, your ogent or any olher committee you
_ ..__. ~..~tr:1 has siY~I;ficont influence on the octior.s or decisions of the c;ommlttee.)
Cr)Ml,,11TTE~ NAME
p.ND 1.0. ~lUMB!::R
CCMMITTEE
ADDRESS
TREASURER.
ADDRESS
PHONE
NUMBER
v
iLl" I iacC"
__TJ-..:t:JY "I
t1~ 00/2,
::n...J . ~. ....... . Or. f)J !\J'
~
~~i~ in/onTIation I)n appropriately labeled continuation sheets.
~4~"-'
il LIST AL.L ADDtTJONAL COMMITTEES OF WHICH YOU HAVE KNOWLEDGE WHICH HAVE RECEIVED
CONTqlBUTIONS OR MADE EXPENDITURES ON BEHALF OF YOUR CANDIDACY
., ...""'-'""'". ---~.... J -~-~
COMMITTEE N,iME COMMITTEE PHONE
AND I.D. NUMBER ADDRESS TREASURER ADDRESS NUMBE
-- -- -- . "
- '"00-''' ._ L....___ - --
- ~_.
R
. Attach additional information on appropriately tl'lbeled continuation sheets.
C
VERIFICATION
I)
E
I declare under penalty of perjury that to the best of my knowledge this statement and its a.ttached
schedules are true, correct, and corrfllete and that I have used all reasonable diligence in their preparation.
F
E>'6Cuted onL..-_~-70~t
(DATE)
~~
~~. · .... (;t.' .
.. -.,' by~ " -;.~
. . {CITV AN TAl'.. (SIGNATURE. OF CAN DATEI
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SUMMARY PAGE
.
.'a~~~f/A, ~.1
l.D. NUIr.~er
(;: c ommjttt?t:')
~ -.
COLUMN. C
COLUMN B
COLUMN A
Cumulative
total from
previous period
Cumulative
to dat~
This period
F~CEIPTS
s~
$~ 0;2.5:0,,;)
$ I 0 25. () i
j
(Column A +
Column B)
1. Monetary cl'lntiibutions (Line 5, Part 3 of Schedule A)
~
-
2. Unpaid loa.'1s (Line 9, ParI 3 of Schedule B)
(Total at en.:;
of period)
(Net chanqe
for period)
(Total elt beginning
of penod)
-
-
3. Miscf;llaneou$ receipts (attach explanation)
(Coiurm ^ +
Colurm B) . '. <
$~ tJ7S~ 0$ t tJ ~-;:Q
(Column A'"
Column B)
$
-,4. Tot:!1 monetary contributions, Net cash receipts (Lines 1+2+3)
-
-
5. Nor.-fTI0nbtary contributions (Line 3 of Schedule C)
(Colurm A +
Colurm B)
6. Pled~f,s (Line 70f Schedule D)
(Total'at beginning
;::1' .
(Total at end
of period)
(Net change
for period)
$1, 0 ~.OO $ II ():J~""'~~l
(CoIUlffi A +
Colurm B) -
$
1. Total receipts (Lines 4+5+6)
EY.PEMCITURES
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$/'$..73'-
(Colutm A +
Column Bf
$/3,"1 }f
s
6. Payments (Line 6, Part 3 of Schedule E)
J. A(1crued expenses (unpaid bills) (Line 5 of Schedule F)
(Total at end
of period)
$/"3.7 K'
. (Column A +
Colurm B)
(Total at beginning (Net dlange
of period) for period)
$ $
1
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':1
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10; Total expenditures (Lines 8+9)
. ST A TEMEN! ~J=.~IiANGES IN FINANCIAL CONOI TIOSN , , ~._.._ ..
11. Cash on hand at the beginning of this period ~
f);.~~: ~i)
11 1)_::;2..
12, Cash receipts thisperiod (Line 4, column B)
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13. Cash payments this period (Line 8, column B)
14. Cash on hand at Closing date (Lines 11+12-13)
1
15. Liabilities (Line 2,'column C + Line 9, column C)
16. Surplus (if Line'14 is greater than Line 15, subtract
, Line 15 from Line 14) . .
$ lOll. ~ "2 -
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$ ( )
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17. Deficit (if Line 15 is greater than Line 14, subtiaci
Line 14 from Line 15) .-.. .'
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':(\~,1E -'Li.."Ld~-;:: (~L~ 1.0. NUMBER (It CooYnittee)
SCHEDULE A, FORM 420 or 430
(continup.d)
.~ART :2 -- REC:=.IVEO FROM OTI-lERS: (See information manual for directions and examples)
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.----. ' ._~
o~~.-T- '::ULL NJ\/,U':' AND ADDResS (Stre,:t EMPLOYER (IF CONTRIBUTOR IS AMOUNT CUMULATIve
OCCUPATION SELF.EMPLOYED LIST STREET RECEIVED AMOUNT
Clt/. :;tatel OF CONTRIBUTOR' ADORES,) & CITY OF BUSINESS)
---.-j-------.-..
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Attach additional information on appropriately labeled continuation sheets
SUBTOTAL (Carry with additional Subtotals to lina 3, part 3) $
* If the contribution was made by an intermediary provide the information for both the intermediary and the principal
contri butor.
PART 3 - SUMMARY OF MONETARY CONTRIBUTIONS (See information manual for directions and examples)
1. RECEIVED FROM COMMITTEES THIS PERIOD (Part 1) Include all Subtotals
2. RE.CEIVED FROM COMMITTEES UNDEF; $50 THIS PERIOD (Not Itemized)
3. RECEIVED FROM OTHERS THIS PERIOD (Part 2) Include all Subtotals
4. RECEIVED FROM OTHERS UNDER $50 THIS PERIOD (Not Itemized)
5, TOTAL MONETARY CONTRIBUTIONS THIS PERIOD (line 1 + 2 + 3 + 4,
Enter this total on Line 1, Column B of Summary Page)
$
$
-,-
---
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:. '/ "c_f'l.; -, '-"""":2 '~~-" 'J'''''V' P".")~' r-l ,.."....d..-_".C_............_..... ' ... --,' -- .
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r,-...:-yr.;~....te..<_.,--~-iJ=.rL:!--+-C~-_J- -"::SCHtDULE -,?,FORM 420 or 430
(continued)
-'
P~.[lT 2 _ REC!::!V::O F;:;0~ OTHERS: (Se9 informalion mi'.lnual.for dirt!ctiolls and examples)
['.41'E
Fl"LL NAM: ;"'i0 ADDRESS (Sl~t
City. SIal!!) 0;= CONTR18UTOR*
OCCUPATION
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EMPLOYER (IF CONTRIBUTOR IS
SELF.EMPLOYED LIST STREET
ADDRESS & CITY OF BUSINESS'
AMOUNT
RECEIVED
CUItlULATI"
AMOUNT
C~00.~
. >>&p
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1/;; -">~ r o~
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hO:9
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.-,
,)-;OD
SUBTOTAL (Carry with additional Subtotals to line 3, part 3) $
>/: It the contribution was mace by an intermediary provide the information for both the intermediary ar.d the principal
contri butor.
~,-
PAR~ 3 - SUMMARY OF MOHETARY CON~.AleUTIONS (S~ information manual for direction:! and e;xampl~~)
1. RE;C!:;IVED FROM CO~'MITTEES TrllS PERIOD (Part 1) Include all Subtotals
2. ReCEIVED FROM COMMITTEES UNDER $50 THIS PERIOD (Not Itemize<i)
3. RECEIVED FROM OTHERS THIS PERIOD (Part 2) Include all Subtotals
4. RECEIVED FROM Oll-iERS UNDER $50 THIS PERIGO (Not Itemized)
5. TOTAL MONETARY' CONTRIBUTIONS THIS PERIOD (linEt 1 + 2 + 3 + 4,
Enter this total on Line 1, Column 8 ot Summary Page)
$
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:"'> '>. ._~..,..:
$ .~%<=~
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t;:''.~E . ~~t!.;"" ^ , . ~~ C. . _ . JUMBE:R (I r Co1mi He'!!)
. . SCHEDUtE A, F'ORM 420 or 430
(continued)
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p~.nT 2 - RECEIV~D FROM OTHERS: (See infonnalion manual. tor diractiofls and examples)
Fl'LL NA'>iE ANO ADDRESS (SInw>1
C;ty, Stell". OF CONTRI8UTOi'lx
OCCUPATION
EMPLOYER (IF CONTRIBUTOR IS
SELF.EMPLOYED LIST STREET
ADDRESS & CITY OF BUSINESS}
A,',IOUNT
F1ECEIVE.D
CUMULATIV
AMOUNT
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fOo'.: ;)'i~. /I'-,c -,,)0 I/:j~.r (
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"3 j-/ ~f 14~f. I/:.
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SUBTOTAL (Carry wHh additiona. Subtotals to line 3, part 3) $
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~ If the contribution was madl!t by an intermediary provide the information for both the intermediary ar.d the principal
contributor.
PAR~ 3 - SUMMARY OF MONETARY CON~_RI8UTIONS (See information manual tor djr~ctjon3 and exampl~s)
l...;"......~
~
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1. RECEIVED FROM COMMITTEES THIS PERIOD (Part 1) Include all Subtotals
2. RECEIVED FROM COMMITTEES UNDER $50 THIS PERIOD (Not Itemized)
3. RECEIVED FROM OTHERS THIS PERIOD (Part 2) Include all Subtotals
4. RECEIVED FROM OTHERS UNDER $50 THIS PERIGO (Not Itemized)
5. TOTAL MONETARY~CONTAI8UTIONS THIS PERIOD (line 1 + 2 + 3 + 4,
Enter this total on Line t, Column 8 of Summary Page)
$ ~
1~!0' .~?f2_
$ ~~c') .08
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. '" SCHEDUwi'A, FaRM 420 or 430
(continued)
P;.flT 2 - RECE!\I~D FFlG.Y OTHERS: (Sett information manual. for dirt;ctions and examples)
t'ATE
OCCUPATION
EMPLOYER (IF CONTRIBUTOR 15
SELF.-EMPLOYED LIST STREET
ADDR.ESS & C}TY OF' ElUSINESS-i
I . '"", ~ /'1
AMOUNT
RECEIVED
CUMULATI
A\IOUN r
~/~ '~ nt-('o/l''1 {/o"7" () r
'- L /):,>()~,'
1/7 - ") /) .'~. 5..-.;..0,.,
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SUBTOTAL (Carry with additional Subtotals to line 3, part 3) $
/? ~ DO
>/: If the contribution was mace by an intermediary provide the information for both the intermediary and the principal
con~ributor.
~--~
PART 3 - SUMMARY OF MONETARY CONl.".RIBUTIONS (S~ informatio" manual for dir~tions and exam?le~)
>il
1.
2-
3.
. 4.
5.
RECE:IVED FROM COMMITTEES THIS PERIOD (Part 1) Include all Subtotals
ReCEIVED FROM COMMITTEES UNDER $50 11-0S PERIOD (Not Itemized)
RECEIVED FROM OTHERS THIS PERIOD (Part 2) Include all Subtotals
. , .
RECEIVED FROM OTHERS UNDER $50 THIS PERIOD (Not Itemized)
TOTAL MONETARY CONTRIBUTIONS THIS PERIOD (line 1 + 2 + 3 + 4,
Enter this total on Line " Column B of Summary Page}
$
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',~.?(~.'..-9.
".--
$ / c;~~ t$2 !.
1"1
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1iliU!~ C. ~k.
(Interim Form)
SCHEDULE B, FORM 420 or 430
LOANS
(Amounts may be rounded off to whole dollars)
10 NUMBER (If corrmittee)
r
"
:;.r,T 1 __ L..OANS RECElVED: (see information manual for directions and examples)
,;>:t.""':
FULl NAME ANI') ADDRESS OF L.ENDER
AMO ANV aUARANTORS OR COSIGNERS
OCCUPATION
EMPL.OYER (If self..mploy6CI
list street address and city
of buslnes8.)
Inter-
est
Rate
AMOUNT OF
L.OAN
CUMUL.ATlVe
AMOUNT
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.-.-...-- : -..--
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d:c..:h "aditlonal inliJrm<ltion on appropriately labeled Continuation sheets.
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SU BTOT AL $
-
,ft. " ..... _...--.-
P.\R"i 2 _ LOANS REPAID, FORGIVEN, OR PAID BY A THIRD PARTY:
(sei> infc,rmaiion manual for directions and examples)
(a)
(b)
(c)
(d)
AMOUNT AMOUNT PAlO
GATE FULL. NAME AND ADDRESS AMOUNT fORGIVEN BY A THIRD UNPAID
REPAID ~t.r on PARTY (Enter BALANCE
eeL A) on ScheeL A)
~
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...... ,.-., ,.'-- .
Attach additiorlal information on appropriately labeled continuation sheets. , . .-.. --~_....
SUBTOTAL $
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PART 3 - SUMMARY
1. LOANS OF $50 ORMORE THIS PERIOD (Part 1) Include all Subtotals
2. LOANS UNDER $50 THIS PERIOD (Not Itemized)
3. TOTAL LOANS RECEIVED (Line 1 + 2)
4. LOANS REPAID OF $50 OR MORE THIS PERIOD (Part 2, Column a) Include all Subtotals
5, LOANS FORGIVEN OF $50 OR MORE THIS PERIOD (Part 2, Column b) Include all Subtotals
6. LO.A.NS PAID BY A THIRD PARTY OF $50 OR MORE THIS PERIOD (Part 2, Column c) Include all
Subtotals
7. LOANS REPAIO, FORGIVEN, OR PAID BY A THIRD PARTY UNDER $50 THIS PERIOD (Not Itemized)
8. TOTAL LOANS REPAID, FORGIVEN OR PAID BY A THIRD PARTY THIS PERIOD (Line 4 + 5 + 6 + 7)
9. NET CHANGE THIS PERIOD (Line 3-8, Enter this total on line 2, Column B of Summary Page)
$
$
$
$
$ :h~L~-~
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""" f/ f///.L /JOg 1//' ~ ~
I'JAME~',~L~~_(./~t'/'~'4'L~- -
,..,
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1.0. NUMBER (If Corrmittee)
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, (Irli::m Form)
SCHEDULE C, FORM 420 or 430
NON-MONETARY CONTRIBUTIONS
(Amount.:; may be rounded off to whole dollars)
See information manual for directions and examples
DATE
FULL N 4ME AND ADDRESS N.;O
1.0. NUMBER (II Corrrnlttn)
Cr.CUPATlON
EMPLOYER*
DESCRIPTION OF
CONSIDERATION
FAIR MARKET CUMULATIVE
VALUE AMOUNT
RECEI VEO
~/~~
.......,..,.:......,,~.........C,l. '''''l'''_' _..~....s~;.,.; .'. ~,-:......'...'..
:,;~' . ~.;
. ....~.__ .......-'0;.
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~ ";"'. ..it' ;. ".~....,!~ .~' ~;. ,. , "'" .~ ,.,~ '~.....;.~..............:,.
SUBTOTAL S
Al~a. additional informetion on appropriately labeled continuation she9ts
* If contri butor is self.employed list street address and ci ty of business I
SUMMARY
- 1.
..... 2.
. ,-.".,. . 3.
NON~ONETARY CONTRIBUTIONS OF $50 OR MORE THIS PERIOD (Include all Subtotals)
NON-MONETARY CONTRIBUTIONS UNDER $50 THIS PERIOD (Not Itemized)
TOTAL NON-MONETARY CONTRIBUTIONS THIS PERIOD (Line 1 + 2. Enter on
.Line 5, Column B of Summary Page)
$~. 7 q
$~-7?-
-6-
.
.~x..t:'___.___1&!A1t~~J t: et.~~J.iAA-
(Interim F onn)
SCHEDULE 0, FORM 420 or 430
PLEDGES
(Amounts may be rounded off to whole dollars)
10 NUMBER <If CQI'IYTlittee)
:1'\(. i:,hmnatiC\n manual fer directions and instructions
'-'~f>,~~-r-FULL NAME AND ADDRESS EMPLOYER* AMOUNT AMOUNT CUMULATIVE
OCClIPATION PLEDGED PAID (Enter PLEDGE
." .__~ AND 1.0. NUMBER (If commlttH) THIS PERIOD on Scheel. A) UNPAID
.-----
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-
,,,..-.-.. ..
-- -
-'., ,.
. ".- ,.-
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,.....,....,......,.......-.,
Attach additional infonnation on appropriately labeled continuation sheets
SUBTOTALS - .,.-
~----
(a)
(b)
(c)
)
}
* If contributor is self-employed list street address and city of business
SUMMARY
1. PLEDGES OF $50 OR MORE lHlS PERIOD (Column a) Include all Subtotals
2. PLEDGES UNDER $50 THIS PERIOD (Not Itemized)
3. TOTAL PLEDGES RECEIVED (Line 1 + 2)
4. PLEDGES OF $50 OR MORE PAID THIS PERIOD (Column b) Include all Subtotals
5. PLEDGES UNDER $50 PAID THIS PERIOD (Not Itemized)
6. TOTAL PLEDGES PAID (Line 4+ 5)
7, NET CHANGE THIS PERIOD (Line 3 - 6, Enter this total on line 6. Column B of Summary
Page) .,.1
$ ~--~-^-~..
~..,..,~,.,.....,~,~~,.,.-.
$---~-,
~.-.--=-
,...,--..............-.~
$
$ "n~l
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N,";\': ~..~7,jL,a~. ~ e~~-tdtA-4
(Interim form)
SCHEDULE E, FORM 420 or 430
PAYMENTS
1.0. NUMBER (If CoIrmittee)
(Amounts may be rounded off to whole dollars)
::::"if, 1 - MAD~ TO CC'JMMIlTEES: (See information manual for directions and examples)
~;;i:IC1,e.L
, ;s~~ ~\~4:" '!
FUI.L NAME OF PAYEE COMMITIe.E AND 1.0. NUMBER (If the conwnlttee has no I,D. Number,
state full name 1JI1d addre.. of the Treasurer)
u_ _ __I
I
Attach additional information on appropriately labeled continuation sheets
SUBTOTAL (Carry with additional subtotals to Line 1, part 3, page 9) $
-8-
AMOUNT
THIS PERIOD
"j:):'::
,-~. .1ndt&-- t " c Lik 1.0. NUMBER (It Committee)
. SCHEDULE E, FORM 420 or 430
( contil.ued)
"
[,!'.T,'2 -. MJ\!)E TO OTHERS: (See ir,fonnation manual for directions and examples)
FULL NAME Al~O ADDRESS OF PA'fee*
(Street. City, State)
DESCRIPTION OF PAYMENT
AMOUNT
THIS PERIOD
f /3,7J ~~~
~
f
37J'
.- --,._.
Attadl additional information on appropriately labElled continuation sheets
SUBTOTAL (Carry with additional subtotals to Line 3, part 3) $
i *If the person providing th~_goods or services was different than the payee, list e~chp'~rson's name_and address.
DULK RATE NO.
POSTAGE METER NO.
Enter your bulk rate and/or postage meter number lIsed in campaign mass'
mailings. In addition a copy of each mass mailing should be sent to the
Fair Political Practices Commission.
PART 3 - SUMMARY OF PAYMENTS (See information manual for directions and example!i)
1. MADE TO COMMITTEES THIS PERIOD (Part 1) Include all Subtotals $
2. MADE TO COMMITTEES UNDER $50 THIS PERIOD (Not Itemized)
3. MADE TO OTHERS THIS PERIOD (Part 2) Include al! Subtotals
4. MADE TO OTHERS UNDER $50 THIS PERIOD (Not Itemized)
5. TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Schedule F, Line 4)
6. TOTAL PAYMENTS THIS PERIOD (Linas 1 + 2 + 3 + 4 + 5, Enter this
total on line 8, Column B of Summary Page) $
~~'
-9-
.-.'i.:.....}~
~.:_.t<)~~ t/c<de~
1.0. NUMBER (If Committeei _
"
(Interim Form)
SCHEDULE F, FORM 420 or 430
ACCRUED EXPENSES (Unpaid Bills)
(Amounts may be rounded off to whole dollars)
;.:, hl'orm:-ttior. martual for direct:OtlS and examples
FULL NAME AND ADDRESS
'"
(Street, CIty, State) .
DESCRIPTION OF
ACCRUED EXPENSES
-----.----.-.'
_" .-...-------
ttach a-:ditional information on appropriately labeled continuation sheets.
" SUBTOTAL..$
A~OUtfT
ACCRUED
THIS PERIOD
--,".-' .' . .~. ......".y.,,,:.....,-~....
"'IT the accrued expense is owed to a committee, list the committee's name and 1.0. number (or the full name and address 0:]
the treasurer). If the person providing the goods or services was different from the payee, list each person's full name, street
address, ci tv and state. . , .
SUMMARY
1. ACCRUED EXPENSES OF $50 OR MORE THIS PERIOD. Include all Subtotals
2. ACCRUED EXPENSES OF UNDER $50 THIS PERIOD. (Not Itemized)
3. TOTAL ACCRUED EXPENSES INCURRED THIS PERIOD (Line 1 + 2)
4. ACCRUED EXPENSES PAID THIS PERIOD (Not Itemized, Enter on Line 5, Part 3, Schedule E)
5. NET CHANGE THIS PERIOD (Line 3-4, Enter on Line 9, Column B of the Summary Page,
This may be a negative amount)
-10.-
$
$
$
$
/2.,1_