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HomeMy WebLinkAboutRoberta Hughan - 1977/01/24 - 1977/02/21 ......... ~., - forlll 420 - COMMITTEE CAMPAIGN STATEMENT (GOVERNMENT CODE SECTION 84200-84214) Statement covers period from I d ~ through ~/~- 7.7 ICITY) I.D. N'UMBER ~ 9' ...r tJ' l.. d I.TATE) IZIP CODE) U ySOdlO I.TATE) IZIP COllI[) I.TATK) IZIP CODE) IPHONe NO.) I 14RIlA COOl:) NAME 2 ?~~t? RDIDIENTIAL ADDRae 0.. TREA.URER lNO. AND nRltllT) 3 BU8INE88 ADDRE.. OP'TREASURER I NO. 4ND .TREIlT) o Line 1 ~ine 2 0 Line 3 0 Other CHECK APPLICABLE BOX FOR MAILING ADDREN (If o,h.r, Ii., No. and S'r..' (or P.O. lox), City, S'a'. and Zip Cod.) ~/: 91'7 dY 14l1li... CODlt) IA..... CODE) ALLOCAnON OF EXPENDITURES IY CANDIDATES AND MEASURES (Allocate the totals of Schedules E and F by Candidates and Mea sures; Amounts may be rounded off to whole dollars) AMOUNT Of EXPENDITURES THIS PERIOD OffICIAL USE ONLY C D E F A DATE OF ELECTION (NO.. DAY. YR.) TOTAL PAGES OFFICIAL U8E ONLV NAME Of CANDIDATE AND OffICE; NAME Of IALLOT MEASURE AND BALLOT NUMBER OR LETTER CHECK ONE CUMULATIVE TO DATE 8UJOPORT ',;?f'1 0 OPPOSE 0 8UPPORT 0 OPPOIJE 0 8UPPORI' OPP08E 8UPPORT OPP081t 8UPPORT OPI"08& 8UPPORT OPPOSE 8UPPORT OPPOSE 8UPPOln' OPP08E BUPPORT OPPOSE SUPPORT OPPOSE ~ ;~ 1':7 ATTACH ADDITIONAL INFORMATION ON APPROPRIATELY LABELED CONTINUATION SHEETS VEIU"CAlION I declare under penalty of perjury that to the best of my knowledge this statement and its schedules are true, correct and complete and that I have used all reasonable diligence in their preparation. Executo<! on .2~,!!/d/t/at /~".~ by ~#V ,t.Z.~.":..:",", A candidate who controls a committee must also verHy the campaIgn statement. I declare under penalty of perjury that to the best of my knowledge this statement and its schedules are true, correct and complete and the treasurer of this committee has used all reasonable diligence in the preparation of this statement and its schedules. Executed on d..i<f/17 I DA'nE) L at /U~ __ by (el "NO .-TATE) SUMMARY PAGE Name ,fZ<~-~ Statement covers period from I-,;(Y through ~4/ -/7 -/,1tfp./.~ )'/r:~~~. (Total at beginning (Net change (Total at end of period) for period) of period) c:?S-O - :2~O. - \~ () 0 ~~O.- (Column A + Column Bl $ $ '7 ;)~. -- $ '7,3S: - (Column A + Column B) (Column A + Column B) (To,al at begin..i"g (Net change (Total a' end of perlllCl) for period) of period) $ $ ~r $ 1J,S-OO (Column A + Column B) 1.0. Number (If Committee) COLUMN A Cumulative total from previous period RECEIPTS 1. Monetary contributions (Line 5, Part 3 of Schedule A) $ 2. Unpaid loans (Line 9, Part 3 of Schedule B) 3. Miscella"/jus receipts (attach explanation) . . . . . . . ~~~ 1-.;2,;5-77- .. . (J .:2. - 17- ? 7 4. Total monetary contributions, Net cash receipts (Lines 1 + 2 + 3) . . . . . . . . . . . . . . . 5. Non-monetary contributions (Line 3 of Schedule C) 6. Pledges (Line 7 of Schedule D) . . . . . . . . . . . 7. Total receipts (Lines 4 + 5 + 6) . . . . . . . . . . EXPlNDITURES 8. Payments (Line 6, Part 3 of Schequle E) $ . . . . . . . . 9. Accrued expenses (unpaid bills) (line 5 of Schedule f). . . (Total at betlinnlng of period) 10. Total expenditures (Lines 8 + 9) . . . . . . . . .... . $ $ STATEMENT OF CHANGES IN FINANCIAL CONDlnON 11. Cash Qn hand at the beginning of this period 12. Cash receipts this period (Line 4, column 8) 13. Cash payments this period (line 8, column 8) 14. Cash on hand at closing date (Lines 11 + 12 - 13) 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). . . . . . . . . . $ 17. Deficit (if line 15 is greater than line 14, subtract Line 14 from line 15) .... $ ( -2- COLUMN B COLUMN C This period Cumulative to date $ .;{ 3$.-- $ ~::is- (Coluftln A + Coluftln B) $ 4.J1,J 11 $ (Coluftln A + Column B) (Net change for period) 1 (~-f? (T oIal at end of period) $ (Column A + Column B) $ g -:?~.$. ~ .?/Y:J.57 c2tf:2 . I~, .ME 1.0. NUMBER (If Committ..) Statement covers period from 1-..2L-through ~4y SCHEDULE A, FORM 420 or 430 MONETARY CONTRIBUTIONS (Amounts may be rounded off to whole dollars) PART 1 - RECEIVED FROM COMMlnEES: (See information manual for directions and examples) DATE fULL NAME AND ADDRESS Of COMMITTEE 1.0. NUMBER OR TREASURER'S AMOUNT CUMULATIVE (Str..t, City, S'at.) fULL NAME AND ADDRESS RECEIVED TO DATE .. Attach additional information on appropriately lab.led continuation Ih..tl. SUBTOTAL (Carr with additional Subtotals to line 1 art 3 e 4) $ y I P I pag - 3 - N.'ME _ 1.0. NUMBER (If Committ..)____ _______ Statement covers period fromL:::d-4_throug~:?-I__ SCHEDULE A, FORM 420 or 430 (Continued) PART 2 - RECEIVED FROM OTHERS: (See information ma nual for dlredlon. and example.) I FULL NAME AND ADDRESS (Str..t EMPLOYER (If CONTRIIUTOR IS AMOUNT CUMULATIVE DATE Cit.... Stat.) Of CONTRIBUTOR' OCCUPATION SELf.EMPLOYED US, STREET RECEIVED AMOUNT ADDRESS & CITY Of BUSINESS) -, - ~Mlc.t0 Ml,1.-~tJ.L.... Izh<< f 0<.7]1 J? t'7 -~~ . ;0/ f7--ft-1~ Sf, d'lr~7 . atf..~"1 ._ J- -- - 771A/l (~( IL ~<-ilC(~ !tf1VJ-{ /-VIle- JOr?-' /HJ ;-(.7 . J')'" - / .' '1 ~3J'- JJuf"..itl < --z.lv'v-v 1 j .,. Atlach additional inforlllation on appropriately labeled continuation .a...... I~ SUaTOTAL Car with additional Subtotal. .. I.. a I) $ ry , ..... * If the contribution was made by an intermediary provide the inf.),lnGtion for both the inlwmediary and the principal c;ontributor. PART 3 - SUMMARY Of MONITAIlY CONlRlaUnONS (See "'ormatlon ........ .... dIrectIo.. .nd example.) . /t)-t) ~ 1. RECEIVED FROM COMMITTEES THIS PERIOD (Part 1) . . . . . . . $ 2. RECEIVED fROM COMMITTEES UNDER $.50 THIS PERIOD (Not INmlz,d). I 3 S~ 3. RECEIVED FROM OTHERS THIS PERIOD (Port 2) . . . . . . . . . 4. RECEIVED FROM OTHERS UNDER $50 THIS PERIOD (Not Itemized) . . . 5. TOTAL MONETARY CONTRIBUTIONS THIS PERIOD (liM 1 + 2 + 3 + .., Enter this total one Line 1, Column B of Summary Page). . . . . . . $ 02- 3 ~~ -4- . . NAME 1.0. NUMBER (If Committee) Statement covers period from through SCHEDULE 8, FORM 420 or 430 LOANS (Amounts may be rounded off to whole dollars) PART 1 - LOANS RECEIVED: (See Information manual for directions and examples) fULL NAME AND ADDRESS Of LENDER EMPLOYER (If self..mployed Inter. AMOUNT Of CUMULATIVE DATE AND ANY GUARANTORS OR COSIGNERS OCCUPATION list street add,ell and city est LOAN AMOUNT of bulinell.) Rate Attach additional information on appropriately labeled continuatio/l sheets. SUITOTAL $ PART 2 - LOANS REPAID, FORGIVEN, OR PAID BY A THIRD PARTY: (See information manual for dlrectians and examples) (a) (b) (c) (d) AMOUNT AMOUNT PAID DATE fULL NAME AND ADDRESS AMOUNT fORGIVEN BY A THIRD UNPAID REPAID (Enter on PARTY (Ente, BALANCE Sched. A) on Sched. A> ., Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ PART 3 - SUMMARY 1. LOANS OF $50 OR MORE THIS PERIOD (Part 1) 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) 5. LOANS FORGIVEN OF $50 OR MORE THIS PERIOD (Part 2, Column b) 6. LOANS PAID BY A THIRD PARTY OF $50 OR MORE THIS PERIOD (Part 2, Column c) 7. LOANS REPAID, 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) . $- $ $ $ $ - 5 - NAME 1.0. NUMBER (If Committee) Statement covers period from through SCHEDULE C, FORM 420 or 430 NON-MONETARY CONTRIBUTIONS (Amounts may be rounded off to whole dollQrs) See Information manual for directions and examples fULL NAME AND ADDRESS AND DESCRIPTION Of fAIR MARKET CUMULATIVE DATE 1.0. NUMBER (If Committee) OCCUPATION EMPLOYER * CONSIDERATION VALUE AMOUNT RECEIVED Attach additionai information on appropriately labeled continuation sheets. SUITOTAL $ * If contributor is self-employed list street address and city of business SUMMARY 1. NON-MONETARY CONTRIBUTIONS OF $50 OR MORE THIS PERIOD ......... 2. NON-MONETARY CONTRIBUTIONS UNDER $50 THIS PERIOD (Not Itemized) . . . . . . 3. TOTAL NON-MONETARY CONTRIBUTIONS THIS PERIOD (Line 1 + 2, enter on line 5, Column B of Summary Page) ........... . . . . . . . . . . . . -"6 - $ ___~_n_._ $ NAA\.~ 1.0. NUMBER (If Committee) Statement covers period from through SCHEDULE 0, FORM 420 or 430 PLEDGES (Amounts may be rounded off to whole dollars) See Information manual for directions and instructions (a) (b) (c) fULL NAME AND ADDRESS AMOUNT AMOUNT CUMULATIVE DATE OCCUPATION EMPLOYER · PLEDGED PAID (Enter PLEDGE AND 1.0. NUMBER (If committee) THIS PERIOD on Sched. A) UNPAID Attach additional information on appropriately labeled continuation sheetl. SUBTOTAL $ * If contributor is self-employed list street address and city of business SUMMARY 1. PLEDGES OF $50 OR MORE THIS PERIOD (Column a) .... . $ 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) 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) . $ -7- . NAME_~__________ '. 1.0. NUMBER (If Committee) _through Statement covers period from SCHEDULE E, FORM 420 or 430 PAYMENTS (Amounts may be rounded off to whole dollars) PART 1 - MADE TO COMM EES: (See information manual for directions and examples) OffiCIAL us~ ONLY Vy c2jc1. 02/1. C:;Y:7 /b. fa.? fU NAME OF PAYEE COMMITTEE AND 1.0. NUMBER (If the committee has no 1.0. Number, s'ate full name and address of the Treasurer) ~~~. tu/s .7 ,/ - ~ 7' v~"e-(.-d!./ - / ~7 tlt/tt1LdJ 4~ Attach additional information on appropriately labeled continuation sheets. SUBTOTAL (Carry with additional subtotal. to Line 1, part 3, page 9) $ - 8 - AMOUNT THIS PERIOD /I~. ~ /;Y -' c3~, - .2.... I. - . NAML- ... 1.0. NUMBER (If Committ..) Statement covers period from through SCHEDULE E, FORM 420 or 430 (Continued) PART 2 - MADE TO OTHERS: (See information manual for directions and examples) fUll NAME AND ADDRESS OF PAYEE · DESCRIPTION OF PAYMENT AMOUNT (Street, City, State) THIS PERIOD ~ R~~ (S4S 11-<- - J1b~~ J&az~~ tU /~- .. th-~v. 'I~ /~ ~ 3 -:s: - ~4-~? ~~d/- fd~ . -- y;~ ?V~ a-d2- ~/. - /;2u~ *~,~ - ~ ;( 3-dl. - tY+ &~ ~.;L~ ;2,97 lid ~.JT to/~ /6J~ I(~ 9- 9' d I' <' , /y - . ,. Attach additional information on appropriately labeled continuation sh.ets. Lfi2. :/1 SUBTOTAL (Carr with additional subtotals to Line 3 rt 3) $ y , pa * If the person providing the goods or services was different than the payee, list each person's name and address. POSTAGE METER NO. Enter your bulle rate and/ or postage meter numb.,. lJsed in campaign mass mailings, In addition a copy of each mass mailing in support of or opposition to a state candidate or state measure must be sent to the Fair Political Pradices Commission. BULK RATE NO. PART 3 - SUMMARY OF PAYMENTS (See information manual for directions and example.) 1, MADE TO COMMITTEES THIS PERIOD (Part 1) ..... $ 2. MADE TO COMMITTEES UNDER $50 THIS PERIOD (Not Itemized) 3. MADE TO OTHERS THIS PERIOD (Part 2) . . . . . . . . 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 (lines 1 + 2 + 3 + 4 + 5, Enter this total on line 8, Column 8 of Summary Page) ..... $ - 9 - . ,. . NA~E 1.0. NUMBER (If Committee) Statement covers period from through SCHEDULE F I FORM 420 or 430 ACCRUED EXPENSES (Unpaid Bills) (Amounts may be rounded off to whole dollars) See Information manual for directions and examples fULL NAME AND ADDRESS DESCRIPTION Of AMOUNT (Stre.t, City. Stat.) * ACCRUED EXPENSES ACCRUED THIS PERIOD . Attach additional information on appropriately label.d continuation .....tl. SUBTOTAL $ * If the accrued expense is owed to a committee, list the committee's name and 1.0. number (or the full name and address of the treasurer). If the person providing the goods or services was different from the payee, list each person's full name, street address, city and state. SUMMARY 1. ACCRUED EXPENSES OF $50 OR MORE THIS PERIOD . . . . $ 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 8 of the Summary Page, This may be a negative amount) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _ In _ # fI' ,..... . " .., . . CONSOLIDATED CAMPAIGN STATEMENT MUST BE FILED WITH FORM 420 OR 430 ATTACHED (Government Code Section 84200-84214) Form 490 Interim Statement covers period from /-,;)</-77 through o:?02/-77 !2-~ Election held {Y/77 for .Il;;"'0~ 4"'~J)m h?~,~ (primary, general, special, etc.) Date)' (Candidate or Meas' re) District No. (Legislative or Local) Political Part~ I. CANDIDATE INCLUDED IN THIS (If Applicable) l) kRlft w 0 Name of Candidate (Print) <;>~r ~S7 Residential Address (No, and /J~ei#- Street) (City CONSOLIDATED ~PORT 4 /, ' II / hi u. flJ c:1- (It L '-h- I-h-ti~c ' - !r- ~ . /</ Signature of Candidate. c~z.e ,S-c{-;2-c7 .:{ _ 5',iJ?~ (State) (Zip Code) (Area Code) (Phone No.) Business Address (No. and Street) (City) (State) (Zip Code) (Area Code) (Phone No.) II. CO~~ITTEES WHICH ARE INCLUDEO IN THIS CONSOLIDATED REPORT I.D. Number Attach additional information on appropriately labeled continuation sheets. III. CANDIDATES ONLY: LIST ALL ADDITIONAL COMMITTEES OF WHICH YOU HAVE KNOWLEDGE WHICH HAVE RECEIVED CONTRIBUTIONS OR MADE EXPENDITURES ON 8E~F OF YOUR CANDIDACY. Committee Name Committee Phone Number and 1. D. Number Address Treasurer Address Nwuber . ".- Attach additional information on appropriately labeled ~ontinuation sh$ets. IV. - . TING RECORDS FOR THE C&~DIDATE AND CO~TTEE(S) ARE ~INTAINED BY --~..--.~ d ~c:dct'-,~~~ Name 7: Yd /"dJf!;;v ~J Residential Address (No. and Street) &C!Z.~~& {!. (City (State) 7?J~;2d (Zip Code) (Area Code) (Phone No.) Business Adress PLEASE NOTE: (No. and Street) (City) (State) (Zip Code) (Area Code) (Phone No.) *Signature is under penalty of perjury and verifies that the signor has used reasonable diligence in preparation, and t~at to the best of his/her knowledge, the statement is true and correct and complete.