HomeMy WebLinkAboutSara Nelson - 1989/01/01 - 1989/09/23
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 1-1-89 through 9-23-89
P AGE --L- OF ---.12.......
.'1/
FORM 490
1989
CHECK ONE OF THE FOLLOWING BOXES TO INOICA TE 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.)
o TERMINATION STATEMENT
Attach a Form 415 to thiS Form 490
DArE Of ELECTION (MO.. DAY, YR.) (If APPliCABLE)
NOVEMBER 7, 1989
CANDIDATE/OFFICEHOLDER INCLUDED IN THIS CONSOLIDATED REPORT
A
f OR OffiCIAL uSE ONl Y
NAME OF CANDIDA TE/OFFICEHOLDER:
SARA C. NELSON
RESIDENTIAL OR BUSINESS ADDRESS:
7487 ROGERS LANE
OFFICE SOUGHT OR HELD: (In<ludo I<x.tlon ana al>trICl numoor,' .pp"'.OJo)
GILROY CITY COUNCILWOMAN
NO.ANOSTRHT
CI1Y
SIA IE
ll~ CODE
AREA COllE/BUSINESS PHONE NUMBER
GILROY
CA
95020
408-848-5131
II CONTROLLED COMMITTEE* INCLUDED IN THIS CONSOUDA TED REPORT
NAME OF COMMITTEE:
SARA C. NELSON FOR COUNCILWOMAN COMMITTEE
I D. NUMBER
ApPLIED FOR
ADDRESS OF COMMITTEE:
7487 ROGERS LANE
NAME OF TREASURER:
MARY JANE HOWARD
PERMANENT ADDRESS OF TREASURER: NO AND STREET
NO. AND STREE T
ClfY
STATE
liP CODE
AREA COllE/BUSINESS PHONE NUMBER
GILROY
CA
95020
408-848-3971
ClfY
STATE
liP CODE
AREA CODt/BUSINESS PHONE NUMBER
3300 CANADA ROAD
GILROY
CA
95020
408-758-8700
. 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 upenditures. A candidate controls a commIttee" the candkUte, 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: UST 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 ID NUMBER COMMITTEE ADDRESS TREASURER COMMITTEE'
YES NO
Attach additional information on appropriately labeled continuatIon sheets.
CANDIDATE OR OFFICEHOLDER:
I HAVE USED ALL REASONABLE DIUGENCE 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 CONTAINED
HEREIN ANDIN THE ATTACHED SCHEDULES IS TRUE AND COMPLETE. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT T fFOREGOING IS TRUE AND C RREa.
EXECUTED ON 1/028 A T ~ B
(Dol I
VERI FICA TlON
TREASURER (if appliubMt):
I HAVE USED AU REASONABLE DILIGENCE IN PREPARING THIS STATEMENT AND TO THE BEST OF MY KNOWLEDGE THE INFORMA TlON
CONT AINEDHEREIN AND IN THE ATTACHED SCHEDULES IS TRUE AND COMPlETE.
I CERTIFY UNDER PE~ALTY OF PERJURY UNDER THE LAWS OF THE ~TATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND ~ORREa.
EXECUTEDON 9//)1//9 AT ~ . (t~~J BY 1h~ ~A\L. ~~
joAn, ( TV/AND STAT ( I<oNAfUat Of Illt"~".tlli
PAGE 2
OF 17
ALLOCATION PAGE
FORM 490
STATEMENT COVERS PERIOD
FROM THROUGH
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
1-1-8
ID. NUMBER
ApPLIED FOR
LIST CONTRIBUTIONS AND INDEPENDENT EXPENDITURES TOTALING S 1 00 OR MORE MADE FROM THE CANDIDA TE'S OR OFFICE HOLDER'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 AMOUNT TO DATE
EXP,
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 FUNDS (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)
PAGE
3 OF 17
STATEMENT COVERS PERIOC
FROM I THROUGH
1-1-89 9-23-89
,ME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
ID. NUMBER
ApPLIED FOR
:ONTRIBUTIONS RECEIVED
COLUMN A
Cumulative total
from previous period*
1. Monetary contributions. . . . . . . . . . . . . . . . . . . .. $
2. Loans received. . . . . . . , . . . . . . . . . . . . . . . . . . . . .
3. SUBTOTAL CASH RECEIPTS. . . . . . .... . .. . . . .. $
4. Non-monetary contributions. . . . . . . . . .'. . . . . ,
LINES 1 . 2
5. TOTAL CONTRIBUTIONS WITHOUT
ENFORCEABLE PROMISES. , . .. ... . .. . .... .. .
6. Enforceable Promises (Except loan
guarantees, see line 18 below). . . . . . . . . . . . . .
LINE S 3 . 4
7. TOTAL CONTRIBUTIONS.... . . . .. . . . . ... ....
$
LINES S + 6
:XPENDITURES MADE
$
8. Payments......... . . . . . . . . . . . . . . . . . . . . . . . .
9. Loans Made. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J. SUBTOTAL................................
LINES B . 9
11. Accrued expenses (unpaid bills) . . . . . . . . . . . . .
12. TOTAL EXPENDITURES..........,..........
$
LINE S 10 . 11
COLUMN B
Total thlSJerrOd from
attache ~hedules
$ 29
SCHEDULE A. LINE 3
SCHEDULE B.lINE 7
$ 298
LINES 1 + 2
SCHEDULE C. LINE 3
298
LINES 3 + 4
SCHEDULE O,lINE 7
$ 298
LINES S + 6
$ 50
SCHEDULE E.lINE ~
SCHEDULE EE.lINE 7
50
LINE S 8 + 9
193
SCHEDULE f.lINE S
$ 243
LINES 10 + 11
COLUMN C
Cumulative to date
(Colum ns A + B)
$ 298
$
298
LINES 1 + 2
298
LINES 3 + 4
$
298
LINES S + 6
(SHOULD EQUAL liNE 7.
COLUMNS A + B)
$ 50
50
LINES B + 9
$
193
243
LINES 10 + 11
(SHOULD EQUAL LINE 12,
COLUMNS A + B)
*IF THIS IS THE FIRST REPORT FilED FOR THE CALENDAR YEAR, COLUMN A SHOULD BE BLANK
EXCEPT FOR 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 end of reporting period" from previous statement filed.) . . . . . . . ,
14. Cash receipts this period (Line 3, Column B above). . . . . . . . . . . . . . . . . . ,
15. Miscellaneous increases to cash (Schedule G, line 4) .. . . . . . . . . . . . . . . .
16. Cash payments this period (Line 10, Column B above) . . . . . . . . . . . . . . . .
17. Cashon hand at endofreporlingperiod (lines 13 + 14 + 15-16above)
(If this 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, . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
-0-
298
50
20. Outstanding debts (line 2 + line 11 of Column C above). . . . . . . , , . . . . , . . . . . . . . . . , . . . . . . . . . .
$ 248
ENDING CASH ON HAND SHOULD
NOT BE A NEGA TIVE AMOUNT
$
$
$ 193
111 THRU 6r10
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:
SARA C. NELSON
DATE
REC'D.
FULL NAME AND ADDRESS OF CONTRIBUTOR
OCCUPA TION
EMPLOYER
(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)
(If SELf-EMPLOYED, ENTER
NAME Of BUSINESS)
Qccupatlon:
eXECUTIVE SECRETARY
8-29-89
SARA C. NELSON
7487 ROGERS LANE
GILROY, CA
Employer:
CENTURY INSULATION,
INC.
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
PAGE 4
OF 17
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 9-23-89
I.D. NUMBER
ApPLIED FOR
AMOUNT
100
RECEIVED CUMULA liVE
THIS PERIOD TO DA TE
~
I
I
SUBTOTAL $ 100
SUMMARY
1. AMOUNT RECEIVED THIS PERIOD -- CONTRIBUTIONS OF $100 OR MORE
(Include all Schedule A subtotals) . . . . . . . _ _ _ . . . . . , . _ , _ ' _ ' . . _ _ . . . . . . . . . . . . . _ _ . . . . . . .
2. AMOUNT RECEIVED THIS PERIOD u CONTRIBUTIONS OF LESS THAN $100 (Not
itemized). . _ . . _ . . . . .. . . . _ . . . . ' . . , . , _ _ _ , ' . . . . , , . . . . , _ _ , . . ' , ' , _ _ _ . , . . . . . . . , _ _ . _ . . .
3. TOTAL MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 + line 2) Enter here and on Line 1, Column B of Summary Page, _ _ , , , , , , , . _ _ .
$
CALENDAR YEAR:
$ 100
FISCAL YEAR:
$ 100
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
CALENDAR YEAR:
$
FISCAL YEAR:
$
100
198
$
298
SCHEDULE A
MONETARY CONTRIBUTIONS RECEIVED
(CONTINUATION SHEET)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
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 5
OF 17
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 9-23-89
1.0. NUMBER
ApPLIED FOR
AMOUNT
RECEIVED CUMULATIVE
THIS PERIOD TO DATE
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:
$
$
INT DUE AMOUNT CUMU-
RATE DATE OF LOAN LA TIVE
TO DATE
CALENDAR YEAR
$
FISCAL YEAR
$
CALENDAR YEAR
$
FISCAL YEAR
$
(a)
SCHEDULE B -- LOANS RECEIVED (PART 1)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
PART I: LOANS RECEIVED
DATE
REeD,
FULL NAME AND ADDRESS OF lENDER
OCCUPA TION
EMPLOYER
(IF COMMITIEE. IN ADDITION TO COMMITTEE'S NAME AND ADORE SS.
ENTER 1.0. NUMBER OR. If NO I.D NUMBER HAS BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADDRESS)
(If SEl.r.EM~LOYED, ENTER
NAME OF BIJSINESS)
Occu patlan:
Employer:
Occupation:
Employer:
PAGE 6
OF 17
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 -2 -8
I I.D. NUMBER
I ApPLIED FOR
SUBTOTAL
FUll NAME AND ADDRESS OF GUARANTOR
OCCUPATION
EMPLOYER
(If SElf.EMPLOYED, ENTER
NAME Of BUSINESS)
Occupation:
(IF COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADORE IS,
ENTER 1.0. NUMBER OR, If NO I.D NUMBER HAS BEEN ASSIGNED.
ENTER THE TREASURER'S NAME AND ADORE IS)
: NAME Of LENUER
Employer:
: NAME Of I ENUEH
Occupation:
Employer:
SUBTOTAL
DO NOT CARRY THIS AMOUNT TO THE
SUMMARY BELOW. ENTER ON LINE lB
OF THE SUMMARY PAGE.
1.
SUMMARY
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.
atlve figure)
SCHEDULE B -- LOANS RECEIVED (PART 1)
(CONTINUATION PAGE)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE
7
OF 17
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 9-23-89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
ID NUMBER
ApPLIEO FOR
PART/: lOANS RECEIVED
DATE
REeD.
FULL NAME AND ADDRESS OF LENDER
(if COMMITTEE. IN ADDITION TO COMMInEE'S NAME AND ADDRESS,
ENTER 10. NUMBER OR. If NO 10 NUMBER HA. BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND AllDRE SS)
FUll NAME AND ADDRESS OF GUARANTOR
(IF COMMITTEE, IN ADDITION TO COMMITTEE'S NAME AND ADDRESS.
ENTER 1.0. NUMBER OR. If NO 10 NUMBER HAS BEEN ASSIGNfD.
ENTER THE TREASURER'S NAME AND ADDRESS)
NAME Of LENDER
NAMt Ot I..fNUlH
NAME OE lENVER
NAME Of LENDER
OCCUPA TION
EMPLOYER
(If SH HMPI OYEO. ENTER
NAMlOf BIJSINlSS)
OCCUpallUrl.
Employer:
Occupation.
Employer:
Occupation:
Employer:
SUBTOTAL
(NT DUE AMOUNT
RATE DATE OF LOAN
CUMU-
LA TIVE
TO DATE
OCCUPATION
EMPLOYER
(If SELf.EMPLOYED, ENTER
NAME 0; BUSINE SS)
Occupation:
Employer:
Occupation:
Employer:
OccupatIOn:
Employer:
Occupation:
Employer:
SUBTOTAL
$
CALENDAR YEAR'
S
FISCAL YEAR:
CALENDAR YEAR:
S
FISCAL YEAR.
S
CALENDAR YEAR:
S
FISCAL YEAR:
(a)
AMOUNT
GUARANTEED
THIS CUMU-
PERIOD LA TIVE
TO DATE
CALENDAR YEAR:
fiSCAL YEAR:
CALENDAR YEAR:
S
FISCAL YEAR:
S
CALENDAR YEAR:
S
FISCAL YEAR:
S
CALENDAR YEAR:
S
FISCAL YEAR'
S
(b)
SCHEDULE B -- LOANS RECEIVED (PART 2)
FORM 490
PAGE 8
OF 17
(Amounts May Be Rounded To Whole Dollars)
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 9-23-89
NAME OF CANDIDA TE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
I.D. NUMBER
ApPLIED FOR
PART 2: lOAN REPAYMENTS MADE, lOANS FORGIVEN OR PAID BY A THIRD PARTY
DATE OF
REPAY-
MENTOR
FORGIVE-
NESS
DATE OF
ORIGINAL
LOAN
FULL NAME OF LENDER
INT.
RATE (If FORGIVEN*
CHANGED)
AMOUNT REPAID
OR FORGIVEN ON
PRINCIPAL (DO NOT
INCLUDE PA YMENT
OF INTEREST)
OUTSTANDING
PRINCIPAL
INTEREST
PAID**
*IMPORTANT: 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)
(d)
$
**TOTAI ALllNTfREST PAID THIS PERIOD ALSO ENTER
ON LINE 3 Of THE SUMMARY SECTION Of SCHEDULE E.
DO NOI CARRY THIS TOT Al TO lHE SCHEDULE B SUMMARY
TOTAL INTEREST PAID $
THIS PERIOD
SCHEDULE B -- LOANS RECEIVED (PART 3)
ANNUAL REPORT OF OUTSTANDING LOANS RECEIVED
FORM 490
PAGE 9
OF 17
(Amounts May Be Rounded To Whole Dollars)
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 9-23-89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
I.D, NUMBER
ApPLIED FOR
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 2, COLUMN C
Of THE SUMMARY PAGE)
SCHEDULE C
NON-MONETARY CONTRIBUTIONS RECEIVED
FORM 490
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
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.EMPLOYED, ENTER
NAME Of BUSINESS)
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
Occupation:
Employer:
SUBTOTAL
SUMMARY
1. NON-MONETARY CONTRIBUTIONS OF $100 OR MORE RECEIVED THIS PERIOD... . .. .. $
2. NON-MONETARY CONTRIBUTIONS UNDER $100 RECEIVED THIS PERIOD (Not
itemized). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . ' . . . . . . . . . . . . . . . . . , . . . . . . . . . , . . . . . . .
PAGE 10
OF 17
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 9-23-89
1.0. NUMBER
ApPLIEO FOR
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:
$
3. TOTAL NON-MONETARY CONTRIBUTIONS RECEIVED THIS PERIOD
(Line 1 + Line 2) Enter here and on Line 4 Column B of Summary Page. . . . . . . . . . , . . . . $
. .
SCHEDULE D
ENFORCEABLE PROMISES RECEIVED
(Other Th'an Loan Guarantees,
Loan Endorsements and Loan Security)
FORM 490
NOTE: Loan guarantees, loan endorsements and loan security are
"enforceable promises." However, such promises must
be reported on Schedule 8, NOT Schedule D.
(Amounts May Be Rounded To Whole Dollars)
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
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 I.D. NUMBER HAS BEEN ASSIGNED,
ENTER THE TREASURER'S NAME AND ADDRESS)
OCCUPA TION
EMPLOYER
AMOUNT
PROMISED
THIS PERIOD
(If SElF,EMPlOYED. ENTER
NAME Of BUSINE SS)
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. . . . , . . , . . . . . . . .
(May tie neg-
atlv~ figure)
SCHEDULE E
PAYMENTS AND CONTRIBUTIONS (OTHER THAN LOANS) MADE
FORM 490
PAGE
12 OF 17
STATEMENT COVERS PERIOD
(Amounts May Be Rounded To Whole Dollars)
FROM
1-1-89
THROUGH
9-23-89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
I.D. NUMBER
ApPLIEO FOR
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 PA YEE, CREDITOR OR
RECIPIENT OF CONTRIBUTION AMOUNT
(If COMMITTEE, IN ADDITION TO COMMITTEE'S PAID
NAME AND ADDRESS. ENTER 10 NUMBER
OR. If NO 1.0. NUMBER HAS BEEN ASSIGNED. ENTER THE CODE OR DESCRIPTION OF PAYMENT
TREASURER'S NAME AND ADDRESS)
SUBTOTAL $
SUMMARY
1. PAYMENTS OF $100 OR MORE MADE THIS PERIOD
(Include all Schedule E subtotals) .........",...,.....'.,.......""........,..,..,.....,......,...,
$
2. PAYMENTS UNDER $100 THIS PERIOD (Not itemized) ..................
so
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. TOTALPAYMENTSTHISPERIOD(Linel + 2 + 3 + 4) Enter here and on Line8,ColumnBof $ 50
Summary Page ........., .............. ....... ...,... '.."......., .....,.,............. ................. .......,.... .......
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:
SARA C. NELSON
OF 17
PAGE 13
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89
9-23-89
I.D. NUMBER
ApPLIED FOR
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 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.
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
TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT
SUBTOTAL $ -
SCHEDULE EE
LOANS MADE TO OTHERS
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE 14
OF 17
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
1.0. NUMBER
ApPLIED FOR
PART/: lOANS MADE TO OTHERS
DATE
OF
LOAN
FULL NAME AND ADDRESS OF RECIPIENT
INTEREST
RATE
DUE DATE
SUBTOTAL $
AMOUNT
CUMULATIVE
AMOUNT
PART 2: LOAN REPAYMENTS RECEIVED BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE AND lOANS FORGIVEN
BY THIS CANDIDATE, OFFICEHOLDER OR COMMITTEE
FULL NAME OF
RECIPIENT OF LOAN
FORGIVEN/PAID BY THIRD PARTY AMOUNT REPAID OUT-
INT OR FORGIVEN ON STANDING INTEREST
RA TE (If FORGIVEN LOAN.S: Enter "Forgiven." Also PRINCIPAL (DO NOT PRINCIPAL RECEIVED*
CHANGED) Itemize for Iven loans on Schedule E, INClUDE RECEIPT
Of INTEREST)
DATE OF
REPAY- DATE OF
MENT OR ORIGINAL
FORGIVE- LOAN
NESS
SUBTOTAL $
* TOTAL AU INTEREST RECEIVED THIS PERIOD, ALSO ENTER
ON LINE] OF THE SUMMARY SECTION OF SCHEDULE 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)
SCHEDULE EE - LOANS MADE TO OTHERS (PART 3)
ANNUAL REPORT OF OUTSTANDING LOANS MADE
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE 15
OF 17
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89 9-23-89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
ID NUMBER
ApPLIED FOR
PART 3: ANNUAL REPORT OF OUTSTANDING LOANS MADE TO OTHERS -- SEE INSTRUCTIONS ON REVERSE
BEFORE COMPLETING.
FULL NAME OF RECIPIENT OF LOAN
ORIGINAL
DATE
OF LOAN
AMOUNT
OF
ORIGINAL
LOAN
UNPAID
PRINCIPAL
UNPAID
INTEREST
SUBTOTAL $
(NOTE THIS TOTAL
SHOULD BE THE SAME
AMOUNT AS ENTERED
ON LINE 9. COLUMN (
OF THE SUMMARY
PAGE)
SCHEDULE F
ACCRUED EXPENSES
(UNPAID BILLS)
FORM 490
(Amounts May Be Rounded To Whole Dollars)
PAGE 16
OF
17
STATEMENT COVERS PERIOD
FROM THROUGH
1-1-89
9-23-89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE:
SARA C. NELSON
I.D. NUMBER
ApPLIED FOR
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 "r.) Refer to the back of this schedule for detailed explanations of
each category.
"l" -- LITERATURE
"B" -- BROADCAST ADVERTISING
"W -- 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 Outstanding Payment" column.
NAME AND ADDRESS OF PA YEE. CREDITOR
OR RECIPIENT OF CONTRIBUTION
(If COMMITTEE. IN ADDITION TO COMMITTEE'S
NAME AND ADDRESS. ENTER J.D. NUMBER AMOUNT
OR. If NO J.D. NUMBER HAS BEEN ASSIGNED. ENTER THE CODE OR DESCRIPTION OF OUTSTANDING PAYMENT
TREASURER'S NAME AND AOORESS\ ACCRUED
G & L ASSOCIATES G 193
2005 DELACRUZ BL V D . , STE. 230
SANTA CLARA, CA 95050
SUBTOTAL 193
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 .........
(May be
negative figure)
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 ....................................,..............................
,..,1
SCHEDULE G
MISCELLANEOUS INCREASES TO CASH
PAGE 17
OF 17
FORM 490 STATEMENT COVERS PERIOD
FROM I THROUGH
(Amounts May Be Rounded To Whole Dollars) 1-1-89 9-23-89
NAME OF CANDIDATE OR OFFICEHOLDER AND CONTROLLED COMMITTEE: I.D. NUMBER
SARA c. NELSON ApPLIEO FOR
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
REC'D (If COMMITTEE. IN ADDITION TO COMMITTEE'S DESCRIPTION OF ADJUSTMENT INCREASE
NAME AND ADDRESS. ENTER I.D NUMBER
OR. If NO I.D NUMBER HAS BEEN ASSIGNED. TO CASH
ENTER THE TREASURER'S NAME AND AllORESS)
-.-
SUBTOTAL $ -
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, , . . , . . . . . . . , . . . . . . . . . . $