Sara Nelson - 1989/09/24 - 1989/10/21
. ,
CANDIDATE AND OFFICEHOLDER CAMPAIGN STATEMENT .- lONG FORM
AND
CONSOllDA TED CAMPAIGN STATEMENT
(Government Code Sections 84200-84217)
(Type or Print in Ink)
Statement covers period 9/;; '-I /19 through !()/.;>/!19
FORM 490
1989
CHECK ONE OF THE FOllOWING BOXES TO INDICATE THE TYPE OF STATEMENT BEING FilED ('
~ 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.)
o TERMINATION STATEMENT
Attach a Form 415 to this Form 490.
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OA 1E Of H,CTION (MO.. OA Y, YR) (If APPliCABLE)
}./, /9/
CANDIDA TEJOFFICEHOlDER INCLUDED IN THIS CONSOLIDATED REPORT
A
fOR OffiCIAL uSE ONl Y
NAME OF CANDIDA TE/OFFICEHOLDER:
OFFICE SOUGHT OR HELD: (In,ludolo<.uon ana dl>tr'C1 number If .pp"'.blo)
C. NEt.
RESIDENTIAL OR BUSINESS ADDRESS: NO. AND STREET CI1Y
71.//7 t2..D9~Jt,.r LAIV$. ~/1.~0'1 f2A
II CONTROLLED COMMITTEE* INCLUDED IN THIS CONSOLIDATED REPORT
C () UAle..
AREA COllliauSINESS PHONE NUMBER
95~)o
l./OJ' - f't/J' - !:JI.3/
NAME OF COMMITTEE:
~"AIlA ~. NEL.~ tJ
ADDRESS OF COMMITTEE: NO, AND STREE I
10 NUMBER
N (!O J?9IS~3
CITY STATE liP CODE AREA COllE/BUSINESS PHONE NUMBER
Gll/ltJJ ~A 9.5?JiJO 'IaI-,fiQ - 397/
CITY ST A TE liP CODE AREA CODE/BUSINESS PHONE NUMB, R
GIL120r ell 9stJtJtJ 'lOr! - ,f '17 - ~ 9~--:S-
7Vf7 l208P IlS LANe
NAME OF TREASURER:
f1AP.~ J:.NE /J()'wA I2IJ
PERMANEN ADDRESS OF TREASURER: NO AND STREET
33 () 0
~IlN~()A !2IJ.
· 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" the candidate, the candidate's agent. or any other committee he or
she controls, has signifit:ant mfluence 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?
YES NO
Attach additional information on appropriately labeled continuation sheets.
CANDIDA TE OR OFFICEHOLDER:
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 CONTAIN EO
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.
EXECUTED ON Oe.r"SEIt :1'./9f9 AT G II. 12. D:t. CA UF
(OATIl' (CITY A STATEI
VERI FICA TlON
B
TREASURER (if appliablel:
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 ANO COMPlETE.
I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT,
EXECUTEDONOc.-rDJ.2e~ b', /9/9 AT ~/I../~J 0..lIl..lP BY f)..~ b ~
lOATlI ICl AND STAnl l<.NAfU.E 01 lilt"~Jhlll
PAGE
~ OF /7
ALLOCATION PAGE
FORM 490
STATEMENT COVERS PERIOD
FROM THROUGH
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
s: (!.. NE.L..S(),.j
9
I.D. NUMBER
R9 S. l3
LIST CONTRIBUTIONS AND INDEPENDENT EXPENDITURES TOTALING $100 OR MORE MADE FROM THE CANDIDA TE'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 CUMULA TIVE
DATE EXP, AMOUNT TO DATE
SUPPORT OPPOSE
CALENDAR YEAR
$
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
CALENDAR YEAR
-
$
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
*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 FU NDS (Not
itemized) ..... ....... ....... ,.... ,.... ......"...,.' ,.. ,. .....",.. ..,...., ..,.., ,. ,......" .'..., ..', ,. ,..,. ,. ,......... '...,.. ,.._
3. TOTAL CONTRIBUTIONS MADE THIS PERIOD OUT OF PERSONAL FUNDS (Do Not carry $
this total to the Summary Page) ., ",..................,..",.....,.......,.....,.........,..........
-
CAMPAIGN DISCLOSURE STATEMENT SUMMARY PAGE
FORM 490
(Amounts May Be Rounded To Whole Dollars)
:AME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
S A ~ E.l.! ,..;
:ONTRIBUTIONS RECEIVED
COLUMN A
Cumulative total
from previous period*
COLUMN B
Total this period from
attached schedules
$ '179-
SCHEDULE A. LINE 3
1. Monetary contributions. . . . . . . . . . . . . . . . . . . .. $ d9J-
2. Loans received. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. SUBTOTAL CASH RECEIPTS. ... .. . ..... .... .. $
SCHEDULE B, LINE 7
$ 779-
LINES 1 . 2
SCHEDULE C. LINE 3
779 -
LINES 3 . 4
-
SCHEDULE O. LINE 7
$ 779-
LINES 5 . 6
$ 757-
SCHEDULE E. LINE 5
4. Non-monetary contributions. . . . . . . . . .'. . . . . .
~9J-
LINES 1 . 2
5. TOTAL CONTRIBUTIONS WITHOUT
ENFORCEABLE PROMISES. . . . . . . . . . . . . . . . . . .
~9/-
6. Enforceable Promises (Except loan
guarantees, see Line 18 below). . . . . . . . . . . . . .
LINES 3 . 4
7. TOTAL CONTRIBUTIONS. ...................
$ cJ.91-
LINES 5 . 6
:XPENDITURES MADE
$
8. Payments......... . . . . . . . . . ". . . . . . . . . . . . . . .
5D-
9. Loans Made. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. SU BTOT AL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5()-
, LINES B . 9
/93-
$ dl.f:d-
SCHEDULE fE.lINE 7
757-
LINE S B . 9
"/7 -
SCHEDULE f.lINE 5
$ IOI../f./-
11. Accrued expenses (unpaid bills) . . . . . . . . . . . . .
12. TOTAL EXPENDITURES.....................
LINES 10 . 11
LINES 10 . 11
(SHOULD EQUAL LINE 12,
COLUMNS A . B)
LINES 10 . 11
*IF THIS IS THE FIRST REPORT FilED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK
I EXCEPT FOR LINES 2,6,9 AND 11.
PAGE 3
OF 17
STATEMENT COVERS PERIOC
FROM THROUGH
q/~L/ /1'1
IOpt/lf
/.0. NUMBER
COLUMN C
Cumulative to date
(Columns A + B)
$ /077-
$ /077-
LINES 1 . 2
/077 -
LINES 3 . 4
$
/077-
LINES 5 + 6
(SHOULD EQUAL LINE 7.
COl,ljMNS A + B)
$ ~01-
107-
LINES 8 + 9
t.j J'{) -
$ /~?7-
STATEMENT OF CHANGES IN FINANCIAL CONDITION
13. Cash on hand at the beginning ofthis period. (Enter "Cash on hand
at end of reporting period" from previous statement filed.) .. . . . . . ,
14. Cash receipts this period (line 3, Column B above). . . . . . . . . . . . . . . . . . .
15. Miscellaneous increases to cash (Schedl"lIe 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)
(Ifthis is a Termination Statement, line 17 must be Zero.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18. Amount of loan guarantees received (Schedule B, Part I, Column (b)). . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
(J'{f -
779-
757-
$ )70-
ENDING CASH ON HAND SHOULD
NOT BE A NEGA TIVE AMOUNT
$
$
$ 'lID -
1/1 THRU 6130
7/1 TO DATE
SUMMARY FOR CANDIDATES IN BOTH A JUNE AND NOVEMBER ELECTION (See Instructions on Reverse)
21. CONTRIBUTIONS RECEIVED:
22. EXPENDITURES MADE:
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
c... N E. ,j
DATE
REC'D,
q 10. 7/19
q I~? 119
c; J~9 //9
IO/:;'/P9
FULL NAME AND ADDRESS OF CONTRIBUTOR
OCCUPATION
EMPLOYER
PAGE I.{
OF /7
STATEMENT COVERS PERIOD
FROM THROUGH
I.D, NUMBER
!9/Sd3
AMOUNT
RECEIVED CUMULA TlVE
THIS PERIOD TO OA TE
/95-
cJ()O -
/00-
/O() -
$ S95-
CALENDAR YEAR:
$ /95"'-
FISCAL YEAR:
$ 1'5-
CALENDAR YEAR:
$ ~O() -
FISCAL YEAR:
$ ,;100 -
CALENDAR YEAR:
$ /ao -
FISCAL YEAR:
$ jOt)-
CALENDAR YEAR:
$ /00-
FISCAL YEAR:
$ 10D -
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE $ 595-
(Include all Schedule A subtotals) . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . _ . . . . . . . . . .
2. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF LESS THAN $100 (Not IIL{-
itemized). . . . . . . . . . .. . _ . _ . . . . . . . . . . . . . , . . . _ . . , . . . _ . . . . . . . . . , . . . . . . . _ . . . . . . _ . . . . .
(If COMMITTEE. IN ADDITION TO COMMITIEE'S NAME AND ADDRESS.
ENTER 1.0, NUMBER OR. If NO 1.0. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS)
(If SELF-EMPLOYED. ENTER
NAME Of BUSINESS)
U;w,c H~ WAIlD
3300 Q.ANAPA /2t;
~ 11..1lO~ : ell 9Sb~O
JAe..k B. KAz4Njla.1U
f3/ !t;,U) S r:
G/~lloy I C,.. ttS{)tP~
CArUfEN PAmIJE
P750 /JEW AvE..
(;JI.1l0~, ~A- 9s(>~()
1-1 Hv AI-a E ~./'TE ~ {'PI.! e.,s
P?o Bfl.d~() W,4.J
~E.f)WO()(j C!.17-J I C ~ If Vv(,J
Occupation:
(}.nN -r1l{)i,.i..E~
Employer:
-
PI he.e-Is W FJ' r, ..LAIC".
Occupation:
eN
Employer:
SEI..F
Occupation:
F.
Employer:
~ELF
Occupation:
Ee
Employer:
!lowAl1.1J he hva..
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
SUBTOTAL
SUMMARY
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(line 1 + line 2) Enter here and on line 1, Column B of Summary Page_ , . ,
$
77'-
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
(CONTINUATION SHEET)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
~ Fto._f, Q. N E L.SfJ,J
DATE
REC'D,
FULL NAME AND ADDRESS OF CONTRIBUTOR
(If COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS.
ENTER 1.0. NUMBER OR. If NO 1.0, NUMBER HAS BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS)
OCCUPATION
EMPLOYER
(IF SElF-EMPLOYED, ENTER
NAME Of BUSINESS
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
SUBTOTAL $
PAGE S
OF 17
I.D, NUMBER
J'9/s~.3
AMOUNT
RECEIVED CUMULATIVE
THIS PERIOD TO OA TE
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
-
SCHEDULE B -- LOANS RECEIVED (PART 1)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
s:
PART I: LOANS RECEIVED
DATE
REC'D,
FULL NAME AND ADDRESS OF LENDER
OCCUPA TlON
EMPLOYER
INT.
RATE
(IF COMMIITEE. IN ADDITION TO COMMIITEE'S NAME AND ADDRESS.
ENTER 1.0. NUMBER OR. If NO 1.0 NUMBER HAS BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS)
(IF SElf.EMPLOYED, ENTER
NAME Of BUSINESS)
Occupation:
Employer:
Occupation:
Employer:
PAGE &
OF /7
I.D. NUMBER
If IS:;'
DUE
DATE
AMOUNT CUMU-
OF LOAN LA TIVE
TO DATE
CALENDAR YEAR
$
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
SUBTOTAL
FUll NAME AND ADDRESS OF GUARANTOR
OCCUPATION
EMPLOYER
(IF SELf.EMPLOYEO, ENTER
NAME Of BUSINESS)
Occupation:
(If COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS,
ENTER 1.0. NUMBER OR, If NO 1.0. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS)
: NAME Of LENDER
Employer:
: NAME Of LENDER
Occupation:
Employer:
SUBTOTAL
DO NOT CARRY THIS AMOUNT TO THE
SUMMARY BELOW, ENTER ON LINE TB
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. . . . . . . . , . . . . . .
AMOUNT
GUARANTEED
CUMU-
LA TIVE
TO DATE
CALENDAR YEAR
$
THIS
PERIOD
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
(May be neg-
ative figure!
SCHEDULE B -- LOANS RECEIVED (PART 1)
(CONTINUATION PAGE)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
N
PART I: lOANS RECEIVED
DATE
REeD
FULL NAME AND ADDRESS OF LENDER
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS,
ENTER 1.0. NUMBER OR. IF NO 1.0. NUMBER HA!', BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS)
FUll NAME AND ADDRESS OF GUARANTOR
(If COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS,
ENTER 1.0. NUMBER OR, If NO 1.0. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS)
NAME Of LENDER
NAME OF LENDER
NAME OF LENDER
NAME OF LENDER
OCCUPA TION
EMPLOYER
(If SEI ,.EMPlOYED. ENTER
NAME Of BUSINESS)
OCCUlla{lun.
Employer:
Occupation:
Employer:
Occupation:
Employer:
SUBTOTAL
PAGE
7
OF /7
I.D. NUMBER
!
INT. DUE AMOUNT
RATE DA TE OF LOAN
SUBTOTAL
$
CUMU-
LA TIVE
TO DATE
CALENDAR YEAR:
S
FISCAL YEAR:
CALENDAR YEAR:
FISCAL YEAR:
S
CALENDAR YEAR:
FISCAL YEAR:
S
(a)
OCCUPA TION
EMPLOYER
(If SElf-EMPLOYED, ENTER
NAME OF BUSINESS)
Occupation:
AMOUNT
GUARANTEED
THIS CUMU-
PERIOD LA TIVE
TO DATE
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
CALENDAR YEAR:
S
FISCAL YEAR:
S
CALENDAR YEAR:
S
FISCAL YEAR:
CALENDAR YEAR:
S
FISCAL YEAR:
S
CALENDAR YEAR:
S
FISCAL YEAR:
S
(b)
SCHEDULE B -- LOANS RECEIVED (PART 3)
ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED
FORM 490
PAGE f
OF /7
(Amounts May Be Rounded To Whole Dollars)
STATEMENT COVERS PERIOD
FROM THROUGH
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
I.D, NUMBER
PART 3 -- ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED -- SEE INSTRUCTIONS ON REVERSE BEFORE COMPLETING.
FULL NAME OF THE LENDER
ORIGINAL DATE
OF LOAN
AMOUNT OF
ORIGINAL LOAN
UNPAID
PRINCIPAL
UNPAID
INTEREST
TOTAL
$
-
(NOTE: THIS TOTAl
SHOULD BE THE SAME
AMOUNT AS ENTERED
ON LINE 1. COLUMN C
Of THE SUMMARY PAGE)
SCHEDULE B -- LOANS RECEIVED (PART 2)
FORM 490
PAGE 9
OF /7
(Amounts May Be Rounded To Whole Dollars)
I.D. NUMBER
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
S ~A C-. NE
PART 2: lOAN REPAYMENTS MADE, lOANS FORGIVEN OR PAID BY A THIRD PARTY
DATE OF
REPAY-
MENT OR
FORGIVE-
NESS
DATE OF
ORIGINAL
LOAN
FULL NAME OF LENDER
INT.
RA TE (If FORGIVEN*
CHANGED)
AMOUNT REPAID
OR FORGIVEN ON
PRINCIPAL (DO NOT
INCLUDE PAYMENT
OF INTEREST)
OUTSTANDING
PRINCIPAL
INTEREST
PAID**
*IMPOATANT: IF ANY PART OF A LOAN IS FORGIVEN OR REPAID BY A THIRD PARTY, THE PERSON
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
THAT IT IS A FORGIVEN LOAN, OR THIRD PARTY REPAYMENT OF LOAN
(c)
$
-
* *TOT Al All INTEREST PAID THIS PERIOD. ALSO ENTER
ON LINE 3 Of THE SUMMARY SECTION Of SCHEDULE E.
DO NOT CARRY THIS TOT AL TO THE SCHEDULE B SUMMARY
TOTAL INTEREST PAID
THIS PERIOD
(d)
$ -
SCHEDULE C
NON-MONETARY CONTRIBUTIONS RECEIVED
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SAi.A Q. NEL.sO,J
1. NON-MONETARY CONTRIBUTIONS OF $100 OR MORE RECEIVED THIS PERIOD. . ..: ... $
2. NON-MONETARY CONTRIBUTIONS UNDER $100 RECEIVED THIS PERIOD (Not
itemized). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . . .
DATE
REC'D,
FULL NAME AND ADDRESS
OF CONTRIBUTOR
(If COMMITTEE. IN ADDITION TO COMMITTEE'S
NAME AND ADDRESS. ENTER 1.0 NUMBER
OR. If NO 1.0. NUMBER HAS BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS)
OCCUPATION
EMPLOYER
DESCRIPTION OF
GOODS OR SERVICES
(If SELf.EMPLOYEO. ENTER
NAME Of BUSINESS)
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
SUBTOTAL
SUMMARY
3. TOTAL NON-MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 4 Column B of Summary Page. . . . . . . . . . . . . . .
PAGE
J()
OF /7
q
LD NUMBER
?9/sd..3
FAIR
MARKET
VALUE
RECEIVED
CUMU-
LA TIVE
AMOUNT
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
$
--
$
-
SCHEDULE D
ENFORCEABLE PROMISES RECEIVED
(Other Than Loan Guarantees,
Loan Endorsements and Loan Security)
FORM 490
NOTE: Loan guarantees, loan endorsements and loan security are
"enforceable promises." However, suchpromises must
be reported on Schedule 8, NOT Schedule D.
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SAflA C. N ELS ,J
DATE
REC'D.
FULL NAME AND ADDRESS
OF CONTRIBUTOR
(If COMMITTEE. IN ADDITION TO COMMITTEE'S
NAME AND ADDRESS, ENTER I,D NUMBER
OR. If NO 1.0. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS)
OCCUPATION
EMPLOYER
AMOUNT
PROMISED
THIS PERIOD
(If SElf.EMPLOYEO, ENTER
NAME Of BUSINESS)
Occupatlun:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
(a)
SUBTOTAL $
SUMMARY
1. PROMISES RECEIVED OF $100 OR MORE THIS PERIOD (Column (a))... . .. . . . . . ... . . . . .
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)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. . . . . . . ' . , . . . . . .
PAGE
/I
OF 17
STATEMENT COVERS PERIOD
FROM THROUGH
q/JI//f9 /O/~IIJ9
I.D, NUMBER
1'9 /s ~3
AMOUNT
PAID
THIS PERIOD
CUMU-
LA TIVE
AMOUNT
UNPAID
(ALSO ENTER ON
SCHEDULE A)
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
(b)
$
(May be neg-
ative figure]
SCHEDULE E
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
FORM 490
PAGE I~ OF 17
(Amounts May Be Rounded To Whole Dollars)
STATEMENT COVERS PERIOD
THf}OUG):!
10/,)/1/9
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SA.€ We. I IV
I.D. NUMBER
?9/.5
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
"B" .. BROADCAST ADVERTISING
"N" .- NEWSPAPER AND PERIODICAL ADVERTISING
"0" .. OUTSIDE ADVERTISING
"S" -- SURVEYS, SIGNATURE GATHERING, DOOR- TO-DOOR
SOLICITATIONS
"F" -- FUNDRAISING EVENTS
"G" -. GENERAL OPERATIONS AND OVERHEAD
"T" -. TRAVEL, ACCOMMODATIONS AND MEALS
"P" -;PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
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 1.0. NUMBER
OR, If NO 1.0, NUMBER HAS BEEN ASSIGNED, ENTER THE CODE OR DESCRIPTION OF PAYMENT
TREASURER'S NAME AND ADDRESS)
BEN G nl1ol2.fV
p.O Boy; ({os P c.AI1P/l/~AJ AJ V,~()g) #500-
f1 ()fJ.G. II"; )/ ,i./.. , CA 95037
VI AI {'M; E. PILES$'
1'97 :rNJ.epe/l..Je,...eo- Ave BIJS ~-o L /3 R. () c-It. U It t..,S .q :;50 -
11 0 /i..AI "'04 I~ VI E WI C IJ 91(0 1/3
SUBTOTAL $ 750-
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD $
{Include all Schedule E subtotals) ..... ...., ..... ,. .........' ..... ,. .......... '.... ,...... .,... ....." .,."",.. .......... ......
7so-
7-
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ...............................................................
3. TOTAL INTEREST PAID THIS PERIOD ON OUTSTANDING LOANS
{Schedule B, 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) EnterhereandonLine8,ColumnBof $
Summary Page ............ ......... ........................ ..... .......... '........... ........' .................. ..... .... .......
757-
SCHEDULE E
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
(CONTINUATION SHEET)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SA e.. }J ELSON
PAGE IB
OF /7
STATEMENT COVERS PERIOD
FROM THROUGH
9/~t{ II? ~I /!~
I.D. NUMBER
19/5 tP3
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
"B" -- BROADCAST ADVERTISING
"N" -- NEWSPAPER AND PERIODICAL ADVERTISING
"S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR
SOLICITATIONS
"0" - OUTSIDE ADVERTISING
"F" - FUNDRAISING EVENTS
"G" -- GENERAL OPERATIONS AND OVERHEAD
"T" -- TRAVEL, ACCOMMODA TIONS AND MEALS
"P" -. PROFESSIONAL MANAGEMENT AND
CONSULTING SE RVICES
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
(If COMMITTEE, IN ADDITION TO COMMITTEE'S AMOUNT
NAME AND ADDRESS. ENTER 1.0. NUMBER PAID
OR. If NO 1.0, NUMBER HAS BEEN ASSIGNED, ENTER THE DESCRIPTION OF PAYMENT
TREASURER'S NAME AND ADDRESS) CODE OR
SUBTOTAL $ -
SCHEDULE EE
LOANS MADE TO OTHERS
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SAR.. Q. N
PART/: lOANS MADE TO OTHERS
DATE
OF
LOAN
FULL NAME AND ADDRESS OF RECIPIENT
INTEREST
RATE
DUE DATE
SUBTOTAL $
PAGE 1-1.( OF /7
STATEMENT COVERS PERIOD
THROUGH
I.D. NUMBER
f? IS&'3
AMOUNT
CUMULATIVE
AMOUNT
PART 2: LOAN REPAYMENTS RECEIVED BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE AND lOANS FORGIVEN
BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE
DATE OF
REPAY- DATE OF
MENT OR ORIGINAL
FORGIVE- LOAN
NESS
FULL NAME OF
RECIPIENT OF LOAN
FORGIVEN/PAID BY THIRD PARTY AMOUNT REPAID OUT-
INT. OR FORGIVEN ON STANDING INTEREST
RA TE (If FORGIVEN LOANS: Enter "Forgiven,. Also PRINCIPAL (DO NOT PRINCIPAL RECEIVED-
CHANGED) itemize for iven loans on Schedule E. INCLUDE RECEIPT
PAYMENT BY THIRD PARTY: Enter name Of INTEREST)
SUBTOTAL $
* TOTAL ALL INTEREST RECEIVED THIS PERIOD. ALSO ENTER
ON LINE] OF THE SUMMARY SECTlON OF SCHEOULE G. DO
NOT CARRY THIS TOTAL TO THE SUMMARY BELOW.
SUMMARY
1. LOANS OF $100 OR 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 $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. . . . . . . . . . . . . . . .
(a)
(May be negative
figure)
IS OF /7
STATEMENT COVERS PERIOD
FROM THROUGH
9/~'1/1'l /O/,;J.///9
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: I.D. NUMBER
SAILI't- Q.. NeLSDN 1~/S~3
PART 3: ANNUAL REPORT OF OUTSTANDING lOANS MADE TO OTHERS -- SEE INSTRUCTIONS ON REVERSE
BEFORE COMPLETING.
SCHEDULE EE - LOANS MADE TO OTHERS (PART 3)
ANNUAL REPORT OF OUTSTANDING LOANS MADE
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE
FULL NAME OF RECIPIENT OF LOAN
ORIGINAL
DATE
OF LOAN
AMOUNT
OF
ORIGINAL
LOAN
UNPAID
PRINCIPAL
UNPAID
INTEREST
SUBTOTAL
$
-
(NOTE THIS TOT AL
SHOULD B, THE SAME
AMOUNT AS ENTERED
ON LINE 9. COLUMN C
OF THE SUMMARY
PAG,)
SCHEDULE F
ACCRUED EXPENSES
(UNPAID BILLS)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE Ita
OF /7
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
~A~1r e. IV cl.. S 0,.)
I.D, NUMBER
jJ9/s ,;)3
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
"B" .. BROADCAST ADVERTISING
"N" .. NEWSPAPER AND PERIODICAL ADVERTISING
"0" .. OUTSIDE ADVERTISING
"S".. SURVEYS, SIGNATURE GATHERING. DOOR-TO-DOOR
SOLICITATIONS
'T' .. FUNDRAISING EVENTS
"G" ,. GENERAL OPERATIONS AND OVERHEAD
"T" -,' TRAVEL. ACCOMMODATIONS AND MEALS
"p".. PROFESSIONAL MANAGEMENT AND
CONSULTING SERVICES
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 1.0. NUMBER AMOUNT
OR. If NO 1.0, NUMBER HAS BEEN ASSIGNED. ENTER THE CODE OR DESCRIPTION OF OUTSTANDING PAYMENT
TREASURER'S NAME AND AOORESSl ACCRUED
Vi IV"-II G E- PilE S S
if? TIVJ.efe/l.Je ^~ e.- Ave. P/Jj !J-O L I3Il () c.-A. u. /l e.r :;~7 -
11 Ot.LAlTAfV VI EW QA 9 t{O '-13
SUBTOTAL df7-
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 ?ERIOD .............................................. $ Jf?-
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 B of Summary Page .....................................................................
(May be
negative figure)
F RM 4 STATEMENT COVERS PERIOD
FROM I THROUGH
(Amounts May Be Rounded To Whole Dollars) 9/;;'1//? ItJ/P1/ //9
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: 1.0. NUMBER
SA/J..Jj e. IV J:. L .~ ^A) cf9 IS' ;J .3
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
REeD. (IF COMMITTEE. IN ADDITION TO COMMITTEE'S DESCRIPTION OF ADJUSTMENT INCREASE
NAME AND ADDRESS, ENTER I.D NUMBER
OR. If NO 1.0. NUMBER HAS BEEN ASSIGNED. TO CASH
ENTER THE TREASURER'S NAME AND ADDRESS)
SUBTOTAL $
-
SCHEDULE G
MISCELLANEOUS INCREASES TO CASH
o 90
PAGE /7 OF 17
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. . . . . . . . . . . . . . . . . . . . . . . $