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Roberta Hughan - 1987/07/01 - 1987/09/19 ~M....,..>"ih.~ '" ,,"-_..\,...*'~~..~<>.~.~~ 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 CHECK ONE OF THE FOLLOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FILED. IX PRE, ELECTION STATEMENT 0 SUPPLEMENTAL PRE-ELECTION o SEMI-ANNUAL STATEMENT STATEMENT (If filing a Supplemental Pre' Election Statement. you must complete Form 495 and attach it to this statement.) DATE OF ELECTION (MO.. DAY. YR.) (IF APPUCABLE): November 3. 1987 CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT TOTAL PAG~S.: A . OFFICIAL USE ONLY ,1', .....u .f<.,..' " ,~ Roberta Hughan RESIDENTIAL ADDRESS: NO. AND STREET 338 Fifth Street CA STATE OFFICE SOUGHT OR HELD (Include location end diatrict number if applicable) Mayor of Gilroy ZlPCODE.,~l. I, ,~ ;', 95020 ,A. REA CODE/PHONE NU~BER . ~ ," ."r ",," I i_. ; 408-842-5375 ~..... NAME OF CANDIDATE/OFFICEHOLDER NO. AND STREET CITY Gilroy CITY STATE BUSINESS ADDRESS: ZIP CODE AREA CODE /PHONE NU~~~~ 408-842-4954.,;'~ 7530 Eigleberry Street Gilroy CA 95020 II CONTROLLED COMMITTEES* INCLUDED IN THIS CONSOLIDATED REPORT (IF APPLICABLE) NAME OF COMMITTEE: 1.0. NUMBER Campaign to Re-Elect Roberta Hughan #811428 ADDRESS OF COMMITTEE: NO. AND STREET CITY STATE ZIP CODE , j ;..~,' , . "f w^;'''' "'~ri' :4 7530 Eigleberry Street NAME OF TREASURER: , Maryann Mattos PERMANENT ADDRESS OF TREASURER: NO. AND STREET 8300 Rancho Real Gilroy CA 95020 AREA CODE/ PHONE NU"l4}lE~ 408-842-4954 .. " ~. ~"l~\ ,-,,~ CITY Gilroy STATE CA ZIP CODE 95020 . ,.,.,q AREA CODE/ BUSINESS PHONE NU~BER 408-842-8417 NAME OF COMMITTEE: Campaign to Re-Elect Roberta Hughan ADDRESS OF COMMITTEE: NO. AND STREET CITY 7530 Eigleberry Street Gilroy NAME OF TREASURER: Maryann Mattos 1.0. NUMBER /1811428 I. ~H i .'"1A'-; , STATE,,' CA ZIP CODE 95020 , ,.;:; ,AREA CODE/ pHONE NU~B.ER 408-842-4954' ;.,; . :.;,":..;, l'j0Q . ~VG:q ~~J:-n PERMANENT ADDRESS OF TREASURER: NO. AND STREET 8300 Rancho Real CITY Gilroy STATE CA ZIP CODE 95020 , AREA CODE/BUSINESS' PHONE NUMBER 408-842-8417 * 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 significant influence on the actions or decisions of the committee. ., . Attach additional information or appropriately labeled continuation sheets. III CANDIDATE/OFFICEHOLDER ONLY: LIST ANY OTHER COMMITTEES NOT INCLUDED IN THIS CONSOLIDATED STATEMENTWHICH ARE CONTROLLED BYYOU ORARE PRIMARILY FORMEDTO RECEIVE CONTRIBUTIONS OR MAKE EXPENDITURES ON BEHALF OF YOUR CANDIDACY. .. . ." ....n:;;. " CONTROLLED COMMITTEE NAME AND 1.0. NUMBER COMMITTEE ADDRESS " " 'TREASURER COMMITJ'EE1 T .. YES NO ~i: I' . . Attach additional Informat/on on appropriately labeled continuation sheets. VERIFICA TION CANDIDATE OR OFFICEHOLDER: I have used all reasonable diligence and. if one or more controlled committees 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 penalt of per'ury under the laws of the State of California that the foregoing i true and correct. Executed on (} J 1- 'P /' at 6;/ r't! ..j 1 C.: Pt bY) '- ~ (Date ICily and Slate) (Signalure of Candida I , r "icenolder) TREASURER(S) (if 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 penalt of perjury under the laws of the State of California that the foregoing is true and correct. p') at /J//Ll' C:--eJ by , if (Cily an; "ate) by (City and Sial e) . . . JJ7/ZZZ:;~' Executed on at Executed on (Signalure of Treasurer) (Dale) ~~_",,:,<,w,,__.,. CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE FORM 420 OR 490 (Amounts May Be Rounded To Whole Dollars) NAME OF CANDIDATE, OFFICEHOLDER OR COMMITTEE: . Campaign to Re-Elect Roberta Hughan Li:j,;.\., . " CONTRIBUTIONS RECEIVED 1. Monetary contributions ....,..."...,.,... ..' '-; . COLUMN A Cumulative total from previous period · > COLUMN B .J Tolallhis period from allached schedules $ j!;.:';,E;~ $ ., 870 . 00 SCHEDULE A, LINE 3 2. Loans received ......................... 3. SUBTOTAL CASH RECEIPTS ............... $ UNES1+2 SCHEDULE B, LINE 7 $ 870.00 UNES 1 + 2 4. Non-monetary contributions. . . . . . . . . . . . . . . , 5. TOTAL CONTRIBUTIONS WITHOUT PLEDGES UNES3+4 SCHEDULE C, LINE 3 870.00 LINES 3 + 4 6. Pledges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. TOTAL CONTRIBUTIONS.. .. .. .. .. . . . .... . UNESS+6 SCHEDULE 0, LINE 7 870.00 LINES 5 + 6 EXPENDITURES MADE 8. Payments ............................. $ $ SCHEDULE E, LINE 5 9. Loans made. . . . . . . . . . . . . . . . . . . . . . . . . . . . SCHEDULE EE, LINE 7 10. SUBTOTAL............................ LINES 8 + 9 LINES 8 + 9 11. Accrued expenses (unpaid bills) . . . . . . . . . . . . SCHEDULE F, LINE 5 12. TOTAL EXPENDITURES $ $ -... -............- LINES 10 + 11 LINES 10 + 11 '-"'-~''''''~'~ STATEMENT COVERS PERIOD FROM THROUGH 7-1-87 9-19-87 1.0. NUMBER (IF COMMITTEE) 1811428 , . COLUMN C Cumulative 10 dale (Columns A + B)t ,~. i,.. $ :.870.00 .. LINES 5 + 8 (SHOULD EQUAL LINE 7, COLUMNS A + BI $ LINES 8 + 9 $ o LINES 10 + 11 (SHOULD EOUAL LINE 12, COLUMNS A + BI . 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 FINANCIAL CONDITION 13. Cash on hand at the beginning of this period. (Enter "Cash on Hand at Closing Date" from previous statement filed.) . . . . . . . . . . . . . . . . . . $ 543.82 870.00 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 outstal1ding loans made to others). Important: See instructions on reverse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . 19. Outstanding debts (Line 2 + Line 11 of Column C above) ............".....,........ $ 1,413.82 ENDING CASH ON HAND SHOULD NOT BE ~NE\:iATIVE AMOUNT $ $ 1/1 thru 6/30 7/1 to date SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse) 20. CONTRIBUTIONS RECEIVED: I 21. EXPENDITURES MADE: 870.00 o . . SCHEDULE A MONETARY CONTRIBUTIONS RECEIVED FORM 420 OR 490 (Amounts May Be Rounded To Whole Dollars) NAME OF CANDIDATE. OFFICEHOLDER OR COMMITTEE: Campaign to Re-Elect Roberta Hughan DATE REC'D 9-10- 7 9-10-8 9-10-8 9-10-87 9-10-87 9-10-87 9-10-87 FULL NAME AND ADDRESS OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0, NUMBER OR TREASURER'S NAME AND ADDRESS) EMPLOYER OCCUPATION (IF SELF,EMPLOYED. ENTER NAME OF BUSINESS) Al Fortino '7840 Rilice Dr., Gilroy Contractor Al Fortino Corporation Larry & Sally Connell Real Estate Bro er 7970 Princevalle, Cilroy P AGE OF STATEMENT COVERS PERIOD FROM THROUGH 7-1-87 9-19-87 1.0. NUMBER (IF COMMITTEE) . 11811428 AMOUNT RECEIVED C MULATIVE TO DATE 100.00 100.00 100.00 100.00 Jack & Sue Pate Merchant 7581 Carmel St., Gilroy Montgomery Auto Parts 100.00 100.00 Frank and Frances Vigna 670 Denio, Gilroy Walnut Shelling - Agriculture L.F. & Lynn Howson 7525 Princevalle, Gilroy Frances Howson P.D.Box 2327,Gilroy Various 100.00 100.00 100.00 100.00 100.00 100.00 270.00 270.00 D If more space is needed, check box at left and attach additional Schedules A. SUBTOTAL 870.00 SUMMARY 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.... ............ " - 600.00 .870.00