Don Gage - 1981/08/25 - 1981/10/17
CONSOLIDATED
CAMPAIGN STATEMENT
, /:;~ REcliVfD'(<i~
\~ OCT 19 '81 ~-1
.' liII r H;~iiil'a ..'LIt. 1
\~ OFFICE /1::../
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(Government Code Section 84200-84~,17J
F<<m 490
1981
For use by candidates/officeholders and their controlled committees.
DATa OF ELECTIOI'4
JL" IJ~'"iS~~
I CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT (If applicable)
(Type or Print in Ink)
- (/ C
Statement covers period from f'. z.) - (;. throuah / t)- /7 - ~. ,
. J ,
I TOT :r-AGES: I
A
OFFICIAL USE ON L Y
(MO., DAY. YR.):
'3 I ~<=6 (
,
(l~ ........JCA."'.)
-
...~OH. Nlu.......
/
/
F'I2 ~?:::li..p
_looIC"C ,.........."
?'!ME OF COMMITTEE:
U () rYI ,.... ,'T'T1f t:..
ADDRESS OF COMMITTEE:
(;ITY'
JTATS
:I- cao.
..."IEA COC"
'-MQH. HUM....
4 S .4~\lrL
I.D. NUMBER
ADDRESS OF COMMITTE&::
,..O~ AND ST"..T
::,'1"V
STATS
Dill CODe
4IllC.... COD.
"''''ONe HUM.."
HAM. OF TREASURER:
~"MAHEI'4T ADDRESS OF TREASURER: HO. AHO ST....T
caTV
'TAT.
a. caDa
"'''.A c::ooc
.....e.... ,...........
Attach Miditional information on accroonatf!1Y laof!II!d continuation sheets.
III CANDIDATE/OFFICEHOLDER ONLY: I F YOU HAVE KNOWLEDGE OF ANY OTHER COMMITTEES
NOT INCLUDED IN THIS CONSOLIDATED STATEMENT WHICH HAVE RECEIVED CONTRIBUTIONS OR
MADE EXPENDITURES ON BEHALF OF YOUR CANDIDACY, IDENTIFY THEM IN THIS SECTION.
COMMITTEE NAME I COMMITTEE I CONTROLLED COMMITTEE.'
AND J.D. NUMBER AODRESS TREASUReR YES NO
I
I
Attxh additional information on aoprapriarely !abeled conrinuatlon sheets.
-fA Controlled committee is on" wnich is conrrolled directly or ind;'~;Cr/Y by 3 canaiaare -or which- acts jomtly with a candidate or controlled comml'ttee /'n
conn~on with rhe malCinq of expenditures. A candidate controls a committee. if he. his agent or any otllercomm,ttee he conrrols. has Significant Influence on
the M:fions or decisions of tne comm,ttfltl.)
VERIFICAT10N
I dedare under penaltY of p. rjury that to the best of mv
I have used all reaso Ie. Igence in~r preparation.
Executed on at G ; L4!. ·
( T
plete and that
Executed on
at
lC:1TY ...",0 STATe,
.. T.
For information required to b. provided to
of m. Political Reform Act," Part X.
..
.. .
to
...
. IV ALLOCATION OF EXPENDITURES BY CANDIDATES, OFFICEHOLDERS AND MEASURES
(Allocate expenditures from Schedules E & F by candidates, officeholders and measures. Amounts may be
rounded off to whole dollars.)
'f...,
V'
CUMULATIVE
TO DATE
OFFICIAL
USE aNL V
NAME OF CANDIDATE OR OFFICEHOLDER AND OFFICE OR
MEASURE AND BALLOT NU BER OA LETTER
CHECK ONE
Support Oppose
Attach additiona' information on atJproprist&!y labeled continusrion sht18ts.
INSTRUCTIONS FOR PREPARING COVER PAGE
CONSOLIDATED CAMPAIGN STATEMENT
FORM 490
PERIOD COVERED BY STATEMENT:
The period covered begins the day after the closing date of the last campaign statement filed for the current
calendar year. I f a previous statement has not been filed, the period begins on January 1 of the current calendar
year, The period ends an the closing date for the current statement. The closing date is specified in the "I nfor-
mation Manual an Campaign Disclosure."
DATE OF ELECTION:
If this statement is filed in connection with an election, enter the date of the election.
PART I:
Provide the candidate's or officeholder's full name, residential address, business address and telephone numbers,
and the office sought or held.
PART II:
Identify the controlled committees included in the consolidated report and the treasurers of the committees. Use
the same information that appears on the committees' Statements of Organization filed with the Secretary of
State. Do not use abbreviations. A permanent business or residential address must be provided for the treasurers.
The identification numbers must be included. (If not yet received from the Secretary of State's office, that fact
must be noted.)
PART III:
The candidate or officeholder must list all additional committees not included in this consolidated report which
the candidate knows have received contributions or made expenditures an the candidate's behalf and whether
or not they are controlled committees.
VERIFICATION:
The statement must be signed by each committee treasurer included in the consolidated report and by the
candidate or officeholder who controls the committee.
ALLOCATION OF EXPENDITURES BY CANDIDATES, OFFICEHOLDERS AND MEASURES:
List the candidates or officeholders supported or opposed, and identify the office. Also list ballot measures
supported or apposed, including the number or the letter of the measures. Check the appropriate "support" or
"appose" box. To determine the "Amount of Expenditures This Period," turn to Schedule E (Payments and
Contributions Made) and Schedule F (Accrued Expenses) of this statement. Expenditures related to a particular
candidate or measure must be added together, and the total for each candidate or measure is recorded for This
Period. The "Cumulative to Date" column should include the same total or the sum total of expenditures far
each candidate or measure since January 1 of the current calendar year. (See "'nformation Manual an Campaign
Disclosure" for disctJssion and examples of "cumulation.")
..
~
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE
FORM 420,430 OR 490
(Amounts May Be Rounded To Whole Dollarsl
(,} .4 (. Ii-
COLUMN A
Cumulative
tOUlI from
previous period.
COLUMN 8
Total this period
from att:lCMd
scn.dul.
$...l1o~" 00
SCHII:CUI.II: A. '-INII: J
SCHIECUI..c e. '-!Nil: .
S 11 D.s-~ 00
UN':. I ... l
SCHII:CUI.. C. '-INII: J
SCHII:CUI.. o. '-INII: 1
. i '1 n. r~ rH3
s
L.JHC. 1 ... .. . J
$ 4lJ,. (p c(
SCHEDULe c. L.JN. ~
S 'CHLT6f~'/;I?'
UN.. 7 .. .
CONTRIBUTIONS RECEIVED
1, Monetary contributions
s
2. Loans.,.:,..,.,...,..,...,.
3. Subtotal.,.....",...",..,.
s
I.JNII:S I ... Z
4. Non-monetary contributions. , . . , . .
5. Pledges,..,.....,....,......
6. TOTAL CONTRIBUTIONS. . . , . . . .
s
L.JN.. 1 ... " .. ,
EXPENDITURES MADE
7. Payments......,...,."....,.
s
8. Accrued expenses (unpaid bills) , . . . .
9. TOTAL EXPENOITURES . , . . . . . ,
$
UNa. 1 . .
STATEMENT OF CHANGES IN FINANCIAL CONDITION
10. Cash on hand at the beginning of this period. . , . , . , , . , . . , . , . . , S
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/7rJJ,o t)
1U1~
'-I6/. (; ~(
r
i 2- i.f3 . '3 "
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11. Cash receipts this period (Line 3. Column B abovel ' , . , . . . , . , . , .
12. Miscellaneous adjustments to cash (Schedule G, Line 71 . . . , . , . . . . . ,
13. Cash payments this period (Line 7, Column B abovel. , . , , . . , . . . . .
14. Cash on hand at closing dau (Lines 10+11+12- 13 above I , , , . , . . . . .
15. Outstanding debts (Line 2 + Line a of Column C abovel ' , , . . , , , . , . , . .
16. Ending surplus (if Line 14 is greater than Line 15, subtract Une 15 from Line 14). , . . . , . , . . , ,
17, Ending deficit (if Line 15 is greater than Une 14, subtract Line 14 from Line 151 , , , , , , , . , , . , S
Olf thil i, rM flttt tWpOrf fjl<<J for th. alMSdr y_. Column A should ~ bl.,.,/C uc.pt fo, u"".id I".",. bill, MId fJl<<1gw.
STATEMENT COV1!:RS P1!:RIOO
COLUMN C
Cumulative
to date
(Columns A + 81
s
i1tJf, (yO
$ (7o.f' , 0 0
'-INIE. I . :
5 (qt){.... 0 C)
UN.' J . <l . ,
(SHOUI." EQUAl.
C"I.UMNS A 0 -I
s
16/i t (I
$
t/,I. (;, {
UN.. 1 . .
(SHOU"''' II:OUAI.
CQ'-UMNS A . _I
s
12 ;.j3. J~
SUMMARY OF JUNE AND NOVEMBER ELECTIONS rSH Inmucrions on RBVemJ
1/1 tnru 6/30 ~ 7/1 to date
la. CONTRIBUTIONS RECEIVED: . _ nOs, 00
19. EXPENDITURES MAOE:
-2-
..
t .
. SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
FORM 420, 430 OR 490
OP' CANDIDATE OR COMMITTEE:
\/0 e..Lrze r
DATE
REC'O
P'UL.L. NAME AND ADDRESS OP'
CONTRIBUTOR
fur COMM'TT... aNT." 1.0. HUM.." 0..
T"C"'SU...Ilt'S N...M. ANa ADo.....t
( /Y1o meikAif..e
$'f? '
Of J.~I m4 "'-"~ (g t\\ .lL I f-
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G((..rqr, JA-L/;::,
S'J S W~ /.kva
~. ,~") 9 I r;: Ii--' .t1/L tC..
/ ,;; {;tf.. r2.7A.' ~e4 L, rr '
(j 't t 1t1 Cf (1/ ES' ,<7
It()({6 ~t...j71 VI ~I"I1 W.~i
r'~. 'SY9-N v ,I....;:. I (..'fL, r,
f f; lit-€-.
o
If more space is needed, check box at left
and anach additional Schedules A.
(Amounts May Be Rounded To Whole Dollars)
EMPL.OYER
OCCUPATION
{I~ Sal.'-CM..t..avao, aNT."
NAMa 0'" .U.IN...~
STATEMI!:NT COVERS PERIOD
AMOUNT
Rcc:alvCD
CUMUL,AT1VK
TO DATa
/1
Ken (2/l.{
(.l
IDO. co
/t.>'~ . (yO
fL77fZ!i-1)
N/4
/00 ' (J':"" "hk:J. ty 0
/bo. () 0
/0 o. DO
~~ft $# '
~'V vi ~~7 m ft/l./T
I o~. 00 /lJd. DO
/O{J.C)O /~O. Dr)
SUBTOTAL ~.~
SUMMARY
2. AMOUNT RECEIVED LESS THAN $100 (Not itemized) , , . , , , , . , , , . , . , , , . , , , . . , , , . , , , ,
~cn 12.<-0
;e:ti4 c:
C ~ i)97e.
~~
!
I+&i-N r
~.
....../-IV~;)S7r2dl L-
H~~7J Ii s
1, AMOUNT RECEIVED. $100 OR MORE (Include all Schedule A subtotals) . , , . , . , , , . , . , , , . , . ,$
3. TOTAL MONETARY CONTRIBUTIONS THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 1 Column B of Summary Page. . , . , , , , , , , . . . , . , . , , , ,
-3-
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'II
. SCHEDULE E
PAYMENTS AND CONTRIBUTIONS MADE
FORM 420,430 OR 490
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars)
1.0. UMBER (ll' c:o....'TT..1
~ /0 ~",
NAM. AND ADDRESS OP' PAVE..
CREDITOR, OR RECIPIENT OP' CONTRIBUTION
(." CO"MITT... aNT." ,.a. HUM.." QR
T".A.U"."'S NAM. ANO Aoa"...t
- 11' €....
E OP' CANDIDATE OR ~TTEE:C.' ,
. .' ([:fi.. / ?1 ~L
DESCRIPTION OP' EXPENDITURE
AMOUNT
PAID
eAtL.;G r2"'/' II IlL S
Z<e 3';- 'FtJl.JJ\JIm.u
/ "'2 6,nJ HI {. { .
(),,~~5:
/ .
c: 4L. ir-
/~
t7e>K~ s /t?v25
~7J-#---r2 dz7tJ~) 4/~r:
123.'10
D
If more space is needed, check box at left
and attach additional Schedules E.
SUBTOTAL
tfzt YO
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD (Include all Schedule E subtotals) , . , , . . , . $
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) , . , , . . . . , . . . , . , . . . . , , , , , , . , , . , ,
3. TOTAL ACCRUED EXPENSES PAID THIS PERIOD (Schedule F, Line 4) . , , , . , . , , . , , . . . . . . . .
4. TOTAL PAYMENTS THIS PERIOD
(Lines 1 + 2 + 3) Enter total here and on Line 7, Column B of Summary Page. , , . , . . . . . . , " . , , . .
-7-