Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Election Info: Chris Hearn
City of Ashland ~i~ , ~ ? CityRecorder's Office Barbara Christensen, City Recorder (541) 488-5307 (phone) City Hall 20 E. Main St. Ashland, Oregon 97520 (541) 488-5311 (fax) September 14, 2001 Committee to Elect Chris Hearn c/o Martin H Levine, Treasurer PO Box 465 Ashland, OR 97520 I have examined your September Supplemental contribution and expenditure report for the General Election of November 7, 2000 and found the following: [~Your committee's report is sufficient. If you have any questions regarding this examination letter, please feel free to contact my office. Sincerely, Barbara Christensen City Recorder/Treasurer PC 1 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page I of 2 Candidate or Political Committee Name: Committee to Elect Chris Hearn Address (street or route, city, state, zip code): %Martin H. Levine, CPA P.O. Box 465 Ashland, OR Treasurer's Name: Martin g. Levine, CPA Committee ID Number: I Committee Type, Measure Number or Office: NJA [] Original ] [] Primary 20 [] General 20 00 [] Other [] Amendment I [] 1st Pre-election [] 2nd Pre-election [] Post-election Teleph. one Number (day): 541/482-7801 [~] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ~ ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1, Cash Contributions (A'ccouniing Period Total from PC 2) + 1379.35 + 5098.35 2. Loans Received (Non-Exempt) (Accounting Period Total from PC 2) + 0.00 + 0 o 00 3, Total Cash Contributions (lines 1+ 2) = 1379.35 = 5098 35 4. In-Kind (Accounting Period Total from PC 2) + 0.00 + 650.00 5. TOTAL CONTRIBUTIONS (lines 3 + 4) = 1379.35 = 5748.35 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) Loan Payments (Non-Exempt) (Accounting Period Total from PC 3) 1760.36 + 5098.35 + 0.00 + 0.00 8.Total Cash Expenditures (lines 6 + 7) 1 760.36 5098,35 9. In-Kind (Accounting Period Total from PC 2) + 0.00 + 650,00 10. TOTAL EXPENDITURES (lines 8 + 9) = 1760.36 = 5748.35 CASH BALANCE Il. Beginning Cash Balance (Ending Cash Balance from previous report) 12. Total Contributions (line 5) 13. Other Receipts (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL (lines 11 + 12 + 13 + 14) 16. Total Expenditures (line 10) 17. Other Disbursements (Accounting Period Total from PC 4B) 18. Loan Payments (Exempt) (Accounting Period Total from PC 4B) 19. EXPENDITURE SUBTOTAL (lines 16 + 17 + 18) 20. ENDING CASH BALANCE (line 15 minus line 19) 3R1 -f)l + 1379.35 + 0.00 + 0.00 = 1760.36 + 1760.36 + 0.00 + 0.00 = 0.00 0.00 PC i Rev.,..9 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: [ Committee ID Number: Committee to Elect Chris HearnI N/A [] Original [] Primary 20 [~] General 20 0 0 [] Other [] Amendment [] 1st Pre-election [] 2nd Pre-election ~ Post-election [] September Supplemental LOAN SUMMARY 21. Beginning Outstanding Loans (Total Outstanding Loans from previous report) 0 0 0 ' ~' FOR OFF CE use oNLy 22. Loans Received (Non-Exempt) ".' ~ " ' ' ' ' (line 2) + 0 o 0 0 23. Loans Received (Exempt) (line 14) + 0 o 00 24. LOANS RECEIVED SUBTOTAL (lines21 +22+23) = 0.00 25.%Loan Payments (Non-Exempt) (line 7) 26. Loan payments (Exempt) Oinel85 + 0.00 27. Forgiven Loans (Total loans forgiven during this accounting period) + 0 0 0 28. LOAN PAYMENT SUBTOTAL ' ' ~:' ' ' ' ' (lines 25 + 26 +27) 0 _ 00 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) = fl.00 PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures · . . ' (line 34 of previous report) 1760.36 .' 31. Personal Expenditures · (Accounting Period Total from PC 3A) + 32. PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) = 1760.36 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) I 7 6 0.3 6 34, OUTSTANDING PERSONAL EXPENDITURES (line 32 minus line 33) 0 , 0 0 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 35. Ending Cash Balance (line 20) 0. 36. Accounts Receivable 37. (AccountingSUBTOTALPeriod Total from PC 5) + O .0 0 {-~.' i; .i : i~,~), i . .... (lines 35 + 36) 0 00 38. Total Outstanding Loans - (line 29) 0.00 39. Outstanding Personal Expenditures (line 34) + 0.00 '" ' 40. Accounts Payable (Accounting Period Total from PC 6) + 0.0 41. SUBTOTAL (lines 38 + 39 + 40) = 0 · 42. BALANCE/DEFICIT.,::_. -x= (line 37 minus line 41: i~tl~cate-~r- balance) O · 00 I, Martin H Levi ne, CPA (name of candidate or treasurer), hereby certify that the above S~ .:nt~a~ the ~lattache~? ~-'-~ ,~'ng reportsl/~~are true and correct. 05/15/01 Signature of can)idate or treasurer ~ "' ' ' ~ Date signed PC2 R v.,, 99 Cash Contributions, Loans Received and In-Kind Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 1 of 1 Election: [] Primary 20 ~ General 20 O0 [] Other Report: [] 1st Pre-election [] 2nd Pre-election ~ Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other "~ P Political Party Committee Amount of In-Kind Purpose Line # '. Name and Address of Contributor · Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code I I Code 2 Date Received Committee's ID#, or Description if Code 1 is "0" Aggregate I Douglas & Dionne Irvine 1. 311 North Main Street $ 1179.35 Ashland t OR 97520 2/23/01 Developer $ 1279.35 I CA 2. Jed and Celia Meese $ 88 Granite Street 200 A.qhl Rncl (31~ q7q?~ 01 /04/01 Retired Executive $ 200 I CA 3. $ $ $ 5. $ <mOO/ $ Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC I.) Instructions Cash (CA) $ 1379-35 Cash (CA) $ 1379.35 on Back and Enter on Summary Statement, Column A, Line I in Campaign Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00 Enter on Summary Statement, Column A. Lines 4 and 9 Manual Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 Emcr on Summary Statement, Column A. Line 2 Rev.,,,99 Cash Expenditures and Loan Payments Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Page 1 of 1 committee to Elect Chris Ho_~rn N/A Election: [] Primary 20__ [~ General 200 0 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) I Interest Payment W Wages, Salaries, Benefits L IaJterarure, Brochures, Printing Z Preparation and Production of Advertising M I~anagement Services Payee's Name Exp. Amount of [] Line ¢¢ Date Check Ct (as it appears on invoice, receipt or check) Purpose Type Expenditure Paid to A./P 1. $ E~ 2/26/01 1012 Chris Hearn R C'A !760_36 4. $ 5. $ 6. $ [--] 7. $ E~ 8. 10. $ E~] Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and See expenditure type.) transfer these amounts to the Summary Statement, PC 1.) Instructions Cash (CA) $ I 7 ~ o ~ ~ Cash (CA) $ 1760; '46 on Back and ..... Enter on Summa~ Statement, Column A, Line 6 in Campaign Finance Loan Payment (LP) $ 0,00 Loan Payment(LP) $ 0 ~ 00 Enter on Summary Statement, Column A. Line 7 Manual City of Ashland City Recorder's Office Barbara Christensen, City Recorder (541) 488-5307 (phone) City Hall 20 E. Main St. Ashland, Oregon 97520 (541) 488-5311 (ftzr) December 11, 2000 Committee to Elect Chris Heam c/o Martin H. Levine, Treasurer P.O. Box 465 Ashland, OR 97520 I have examined your Post-Election contribution and expenditure report for the General Election of November 7, 2000 and found the following: Your committee's report is sufficient. If you have any questions regarding this examination letter, please feel free to contact my office. Sincerely, Barbara Christensen City Recorder/Treasurer REMINDER: If you have a ending cash balance on your Contribution and Expenditure Post-Election Report, the Supplemental Report for Accounting Period November 28, 2000 to September 2001 filing period is no sooner than September 2, 2001 and no later than September 10, 2001. PCI Re,.,, 99Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name: Committee to Elect Chris Hearn Address (street or route, city, state, zip code): c/o Martin H. Levine, CPA, P.O. Box 465 Ashland, OR 97520-0016 Treasurer's Name: Telephone Number (day): Martin H. Levine, CPA 541/482-7801 Committee ID Number: Committee Type, Measure Number or Office: N/A Principal Campaign Commit, tee [] Original I[] Primary 20 [] General 2000 [] Other [] Amendment I [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS ACCOUNTING PERIOD B-CUMULATIVE TOTALS FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) + 200.00 + 3719.00 2. Loans Received (Non-Exempt) (Accounting Period Total from PC 2) + 0 . 00 + 0.00 3. Total Cash Contributions (lines 1+ 2) = 200.00 : = 3719.00 4. In-Kind (Accounting Period Total from PC 2) + 0 · 00 + 650 · 00 5. TOTAL CONTRIBUTIONS (lines 3 + 4) = 200.00 = 4369.00 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) + I 273.34 + 3337.99 7. Loan Payments (Non-Exempt) (Accounting Period Total from PC 3) + 0.00 + 0.00 8. Total Cash Expenditures (lines 6 + 7) = 1273.34 = 3337.99 9. In-Kind + 0.'00 + 650.00 (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES = 1273.34 = 3987.99 (lines 8 + 9) ~-- CASH BALANCE 11. Beginning Cash Balance (Ending Cash Balance from previous report) 12. Total Contributions (line 5) 13. Other Receipts 1454.35 200.00 (Accounting Period Total from PC 4A) + 0.00 14. Loans Received (Exempt) (Accounting Period Total from PC 4A) + 0.00 15. CONTRIBUTION SUBTOTAL (lines 11 + 12 + 13 + 14) = 1 654.35 16. Total Expenditures . (line 10) + 1 273.34 17. Other Disbursements (Accounting Period Total from PC 4B) + 0.00 18. Loan Payments (Exempt) (Accounting Period Total from PC 4B) + 0 · 00 19. EXPENDITURE SUBTOTAL = 1273.34 (lines 16+ 17+ 18) 20. ENDING CASH BALANCE = 381 .01 (line 15 minus line 19) FOR OFFICE USE ONLY PCI R.v..,~ Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page 2 of 2 Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A [] Original [] Primary 20 [] General 200 0 [] Other [] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental LOAN SUMMARY 21. Beginning Outstanding Loans O. 0 0 (Total Outstanding Loans from previous report) oNL~? 22. Loans Received (Non-Exempt) (line 2) + 0 .'0 0 23. Loans Received (Exempt) (line 14) + 0 . 00 ~,~::'.,,.* .... ~;:,' ~ ,.~ 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) 0 O0 "~ 25. Loan Payments (Non-Exempt) ~:.::,,",~. ,;'~,',, :..: "": , -':.: ',- .;: 26. Loan Payments (Exempt) (line'lS) + 0.00 27. Forgiven Loans (Total loans forgiven during this accounting period) + 0 0 0 ' ; ' : ,: " 28. LOAN PAYMENT SUBTOTAL ::~.: i' ;'. -:::.. ,' ~ .. :;:' (lines 25 + 26 +27) ';0.0 0 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) = O, O O ~?,,:3-: :':, ~?:;:'; ? : ' ;,,' ~ ', :", PERSONAL EXPENDITURE SUMMARY . , - . ,...~ . 30. Beginning Outstanding Personal Expenditures (line 34 of previous report) ! 760.3 6 (A~count~ng Per~od Total from PC 3A) + 0.0 0 32. PERSONAL EXPENDITURE SUBTOTAL (lines30+31) = 1 760 36 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) 0.0 0 34. OUTSTANDING PERSONAL EXPENDITURES (line 32 minus line 33) = 1 7 6 0 . 3 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 35. Ending Cash Balance 36. Accounts Receivable (Accounting Period Total from PC 5) + 0 0 0 · 3?. SUBTOTAL (lines 35 + 36) = 381 .Ol 38. Total Outstanding Loans (line 29) 0,00 4o. Accounts Payable (Accounting Period Total from PC 6) + 0.00 41. SUBTOTAL (,nes 3~ + 39 + 40) -- ~ 7 6 0.3 6 42. BALANCE/DEFICIT , (line 37 minus line 41: indicate + jt~- lialance) = - 1 3 7 9 I, ~art±n ~. ~evine e C?A ) , (name of candidate or treasurer), hereby certify that the above stalen e~it and' lie attached suppor~ lng repolTs are true and correct. // \ /o,/oo ( Date signed Si~ nature of candidate or treasurer PC2 Cash Contributions, Loans Received and In-Kind Plea,se type or print legibly in black ink. Candidate or Political Commit'tee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 1 of 1 Election: [] Primary 20 [] General 2000 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity ;' CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization O Other P Political Party Committee Amount of la-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor I Date Received Code 1 Code 2 Committee's ID#, or Description if Code I is 'O" Aggregate I Miscellaneous Contributions :: 1. $50.00 and under $ 200.00 10/30/00- 11/27/00 N/A $3519.00 I CA 2. $ $ 3. $ 4. $ 5. $ Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) Instructions Cash (CA) $ 200.00 Cash (CA) $ 200.00 on Back and Enter on Summary Statement. Column A. Line I in Campaign Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ 0 _ 00 Enter on Summao, Statement. Column A. Lines 4 and 9 Manual Loans Received (LR) $ 0,00 Loans Received (LR) $ 0.00 Enter on Summary Stalement. Column A. Line 2 Cash Expenditures and Loan Payments Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page I of 1 Election: [] Primary 20 [] General 20 0 0 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) I Interest Payment W Wages, Salaries, Benefits L Literature, Brochures, Printing Z Preparation and Production of Advertising M Management Services Payee's Name Exp. Amount of [] Line # Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure Paid to AlP Key Bank ~ 1. 11/01/0C N/A Reversal of Bank Charges G CA $ -7.00 [] 11/03/0£ 1010 Erin Andrews G-Data $ [] 2. Entry CA 75.00 3. 11/07/0f 1011 Valley Web Printing L CA $ 1205.34 [] 6. $ [] 8. $ [-'-] 10. $ ~] Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and See expenditure type.) transfer these amounts to the Summary Statement, PC 1.) Instructions Cash (CA) $ 1 2 7 3.3 4 Cash (CA) $ 1 2 7 3.3 4 on Back and Enter on Summary Statement, Column A, Line 6 in Campaign Finance Loan Payment (LP) $ 0 o 0 0 Loan Payment (LP) $ 0.0 0 Enter on Summary Statement, Column A, Line 7 Manual City of Ashland City Recorder's Office Barbara Christensen, City Recorder (541) 488-5307 (phone) ,O~EGO ?' City Hall 20 E. Main St. Ashland, Oregon 97520 (541) 488-5311 (far) November 3, 2000 Committee to Elect Chris Hearn c/o Martin H Levine, Treasurer PO Box 465 Ashland, OR 97520 I have examined your 2nd Pre-Election contribution and expenditure report for the General Election of November 7, 2000 and found the following: ~/Your committee's report is sufficient. If you have any questions regarding this examination letter, please feel free to contact my office. Barbara Christensen City Recorder/Treasurer PC 1 Rcv.,, 99Summary 'Statement of Contributions and Expenditures Please type or print legibly in black ink. Page I of 2 Candidate or Political Committee Name: Committee to Elect Chris Hearn Address (street or route, city, state, zip code): c/o Martin H. Levine, CPA, P.O. Box 465, Ashland, OR 97520-0016 Treasurer's Name: [ Telephone Number (day): Martin H. Levine, CPA [ 541/482-7801 Committee ID Number: [ Committee Type, Measure Number or Office: N/A [ Principal Campaign CommLttee 1[~ Original [] Primary 20__ ~ General 20 00 [] Other [] Amendment [] l st Pre-election 1~ 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS Cash Contributions (Accounting Period Total from PC 2) + 9 9 5.0 0 + 3 51 9.0 0 · 2. Loans Received (Non-Exempt) + 0.00 + 0.00 (Accounting Period Total from PC 2) 3. Total Cash Contributions = 99'5.00 = 3519.00 (lines 1+ 2) 4. In-Kind + 400.00 + 650.00 (Accounting Period Total from PC 2) 5. TOTAL CONTRIBUTIONS (lines 3 + 4) -- 1395.00 = 4169.00 EXPENDITURES 6. Cash Expenditures + + (Accounting Period Total from PC 3) 11 57.50 2064.65 7. Loan Payments (Non-Exempt) + 0.00 + 0.00 (Accounting Period Total from PC 3) 8. Total Cash Expenditures (lines 6 + 7) = 1157.50 = 2064.65 9. In-Kind (Accounting Period Total from PC 2) + 400.00 + 650.00 10. TOTAL EXPENDITURES (lines 8 + 9) = 1557.50 : 2714.65 CASH BALANCE 1 ]. FOR'OFFICE USE ONLY Beginning Cash Balance (Ending Cash Balance from previous report) 1616.85 12. Total Contributions + (line 5) 1395.00 13. Other Receipts (Accounting Period Total from PC 4A) + 0.00 14. Loans Received (Exempt) + 0.00 (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL (lines 11 + 12+ 13+ 14) 3011 .85 16. Total Expenditures + (line 10) 1557.50 17. Other Disbursements (Accounting Period Total from PC 4B) + 0.00 18. Loan Payments (Exempt) + (Accounting Period Total from PC 4B) 0.00 19. EXPENDITURE SUBTOTAL (lines 16+ 17+ 18) = 1 557.50 20. ENDING CASH BALANCE (line 15 minus line 19) 1454.35 PC ~ Rev,,,,99 Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Candidate or Political Committee Name: Committee to Elect Chris Hearn ~]~ Original [] Amendment [] Primary 20 [] 1st Pre-election General 20 0 0 2nd Pre-election ICommittee ID Number: N/A Page 2 of 2 [] Other [] Post-election [] September Supplemental LOAN SUMMARY 21. Beginning Outstanding Loans (Total Outstanding Loans from previous report) 22. Loans Received (Non-Exempt) 0,,- 0 0 (line 2) + 0.0 0 23, Loans Received (Exempt) (line 14) + 0 . 00 24. LOANS RECEIVED SUBTOTAL (lines 21 + 22 + 23) = 0.0 0 25. Loan Payments (Non-Exempt) (line 7) + 0 . 0 0 26. Loan Payments (Exempt) (line 18) + 0.00 27. Forgiven Loans (Total loans forgiven during this accounting period) + 0.0 0 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) = 0.00 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) = 0.00 PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (line 34 of previous report) 1 576.38 31. Personal Expenditures (Accounting Period Total from PC 3A) + 1 8 3.9 8 32. PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) -- 1 760.36 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) 0.0 0 34. OUTSTANDING PERSONAL EXPENDITURES (line 32 minus line 33) = 1 760.36 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 35. Ending Cash Balance (line 20) 1 4 5 4.3 5 36. + Accounts Receivable (Accounting Period Total from PC 5) 37, SUBTOTAL (lines 35 + 36) 38. Total Outstanding Loans (line 29) 39. Outstanding Personal Expenditures (line 34) 40. Accounts Payable (Accounting Period Total from PC 6) 41. SUBTOTAL (lines 38 + 39 + 40) 0.00 = 1454.35 0.00 + 1760.36 + 0.00 = 1760.36 42. BALANCE/DEFICIT (line 37 minus line 41: indicate +~--l~ance) = I, Mart~n H. LeVi.ne," 'X~Cj/PA state~.Z ~~ [ ~o~en d th attached, supIborting re,~rts are true and correct. Signature of candidate or treasurer -306.01 FOR OFFICE USE ONLY (name of candidate or treasurer), hereby certify that the above Date signed R,v.,,,99 Cash Contributions, Loans Received and In-Kind Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 1 of 1 Election: [] Primary 20 ~ General 20 fl 0 [] Other Report: [] 1st Pre-election ~ 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity ~ CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Amount of la-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code 1 Code 2 Date Received Committee's ID#, or Description if Code 1 is "0" Aggregate Scott Calhoun 1. 276 Ninth Street $ 100.00 Ashland, OR 97520 I 10/5/00 Retired $ 100.00 T [ CA Brandon Goldman 2. 106 Hargadine Street $ 400.00 Web Page Ashland, OR 97520 10/13/00 Web Designer $ 400.00 I I IK Miscellaneous Contributions 3. $50.00 and under $ 895.00 9/29/00- 10/29/00 N/A $3319.00 I CA 4. $ $ 5. $ Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) Instructions Cash (CA) $ 9 9 5.0 0 Cash (CA) $ 9 9 5.0 0 on Back and Enter on Summary Statement. Column A, Line I in Campaign Finance In-Kind (IK) $ 4 0 0.0 0 In-Kind (IK) $ 4 0 0.0 0 Enter on Summary Statement. Column A, Lines 4 and 9 Manual Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 Enter on Summary Statement, Column A, Line 2 FC 3 Rev, 11/99 Cash Expenditures and Loan Payments Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 1 of1 Election: [] Primary 20 ~ General 20 O O [] Other Report: [] 1st Pre-election /~] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) O Other Advertising (yard si,gns, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) I Interest Payment W Wages, Salaries, Benefits L Literature, Brochures, Printing Z Preparation and Production of Advertising M Management Services Payee's Name Exp. Amount of [] Line # Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure Paid to A/P 1. 10/11/0~) 1005 Ashland Sneak Preview L CA $ 238.00 [] 2. 10/18/01) 1006 Ashland Daily Tidings N CA $ 558.50 [] 3. 10/18/0) 1007 Ashland Sneak Preview L CA $ 241.00 [] 4. 10/25/03 1008 Crystal Castle Graphics L CA $ 60.00 [] 5. 10/25/03 1009 JK Systems G- Data CA $ 60.00 [] entry $ [] Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and See expenditure type.) transfer these amounts to the Summary Statement, PC 1.) Instructions Cash (CA) $ 1 1 57.50 Cash (CA) $ 1 1 57.50 on Back and Enter on Summary Statement, Column A, Line 6 in Campaign Finance Loan Payment (LP) $ 0.0 0 Loan Payment (LP) $ 0.0 0 Enter on Summary Statement. Column A, Line 7 Manual Pq 3A Rev, Il/99 Personal Expenditures For Reimbursement Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 1 of 1 Election: [] Primary 20 [~[General 20 0 0 [] Other Report: [] 1st Pre-election [~2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) A Agent N Newspaper and Other Periodical Advertising B Broadcast Advertising (Radio, TV) O Other Adv, ertising (yard signs, buttons, etc.) C Cash Contributions P Postage F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) I Interest Payment W Wages, Salaries, Benefits L Literature, Brochures, Printing Z Preparation and Production of Advertising M Management Services Amount of Line # Date Payee's Name Purpose Expenditure 1. 9/20/00 Pizza Hut G $ 21.00 2. 9/27/00 Pizza Hut G $ 18.36 3. 9/29/00 Lightning Copy O $ 90.00 4. 10/11/00 The Black Sheep G- Campaign Planninc $ Meetinq ~ 54.62 5 $ 6. $ 7. $ 8. $ 9. $ Page Total Accounting Period Total (Complete only for last page and transfer this amount to the Summary Statement, PC 1.) See Personal Expenditures $ 1 $ 3.9 8 Instructions Personal Expenditures $ 1 8 3.9 8 on Back and Enter on Summary Statement, Line 31 in Campaign Finance Manual City of Ashland City Recorder's Office Barbara Christensen, City Recorder (541) 488-5307 (phone) City Hall 20 E. Main St. Ashland, Oregon 97520 (541) 488-5311 gar) October 5, 2000 Committee to Elect Chris Hearn c/o Martin H. Levine, Treasurer P.O. Box 465 Ashland, OR 97520 I have examined your 1 st Pre-Election contribution and expenditure report for the General Election of November 7, 2000 and found the following: Yourcommittee's report is sufficient. If you have any questions regarding this examination letter, please feel free to contact my office. Barbara Christensen City Recorder/Treasurer Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Page I of 2 Candidate or Political Committee Name: Committee to Elect Chris Hearn Address (street or route, city, state, zip code): c/o Martin H. Levine, Treasurer, P.O. Box 465, Ashland, OR 97520 Treasurer's Name: Telephone Number (day): Martin H. Levine, CPA 541/482-7801 Committee ID Number: t Committee Type, Measure Number or Office: N/A I Principal Campaign Committee ~ Original [] Primary 20__ [~Genera120 00 [] Other [] Amendment 1~ 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental A-TOTALS FOR THIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTFIIBUTIONS 1. Cash Contributions (Accounting Period Total from PC 2) + 2524.00 + 2524.00 2. Loans Received (Non-Exempt) (Accounting Period Total from PC 2) + 0.00 + 0.00 3. Total Cash Contributions (lines 1+ 2) = 2524.00 = 2524.00 4. In-Kind (Accounting Period Total from PC 2) + 250.00 + 250 . 00 5. TOTAL CONTRIBUTIONS (lines 3 + 4) 2774.00 2774.00 EXPENDITURES 6. Cash Expenditures (Accounting Period Total from PC 3) + 907.1 5 + 907.15 7. + Loan Payments (Non-Exempt) (Accounting Period Total from PC 3) 8. Total Cash Expenditures (lines 6 + '7) 9. In-Kind (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES (lines 8 + 9) + 0,00 = 907.15 0.00 907.15 0,00 907.15 N.NN 907.15 CASH BALANCE I 1. Beginning Cash Balance (Ending Cash Balance from previous report) 0.00 12. Total Contributions (line 5) + 2524.00 13, Other Receipts (Accounting Period Total from PC 4A) + 0.00 14. Loans Received (Exempt) (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL (lines 11 + 12 + 13 + 14) 16. Total Expenditures (line 10) 17. Other Disbursements (Accounting Period Total from PC 4B) 18. Loan Payments (Exempt) (Accounting Period Total from PC 4B) 19. EXPENDITURE SUBTOTAL (lines 16 + 17 + 18) 20. ENDING CASH BALANCE (line 15 minus line 19) + 0.00 = 2524.00 + 907.15 + 0.00 + 0.00 = 907.15 1616.85 FOR OFFICE USE ONLY PC I Summary Statement of Contributions and Expenditures Rev. 11/99 Please type or print legibly in black ink. Candidate or Political Committee Name: Committee Original to Elect Chris IV~_~ Primary 20 I st Pre-election Hearn Committee ID Number: N/A General 20 00 Page 2 of 2 [] September Supplemental [] Amendment [] Other [] 2nd Pre-election [] Post-election 21. LOAN SUMMARY Beginning Outstanding Loans (Total Outstanding Loans from previous report) 0.0 0 22. Loans Received (Non-Exempt) (line 2) + 0.00 23. Loans Received (Exempt) (line 14) + 0.00 24. LOANS RECEIVED SUBTOTAL (lines 21 +22+23) = 0.00 25. Loan Payments (Non-Exempt) (line 7) + 0 . 00 26. Loan Payments (Exempt) (line 18) + 0 . 00 27. Forgiven Loans (Total loans forgiven during this accounting period) + 0 · 0 0 28. LOAN PAYMENT SUBTOTAL (lines 25 + 26 +27) = 0 . 00 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) = 0. O0 PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (line 34 of previous report) 0.0 0 31. Personal Expenditures (Accounting Period Total from PC 3A) + 1 5 7 6 · 3 8 32. PERSONAL EXPENDITURE SUBTOTAL (lines 30 + 31) = 1576.38 33. Personal Expenditure Reimbursements (Total expenditures on PC 3 with purpose code R) ' 0.0 0 34. OUTSTANDING PERSONAL EXPENDITURES (line 32 minus line 33) = 1576.38 FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 35. Ending Cash Balance (line 20) 1 61 6.85 36. Accounts Receivable (Accounting Period Total from PC 5) + 0.0 0 37. SUBTOTAL (lines 35 + 36) = 1616.85 38. Total Outstanding Loans (line 29) 0. O0 39. Outstanding Personal Expenditures (line 34) + 1576.38 40. Accounts Payable (Accounting Period Total from PC 6) + _ 0.0 0 41. SUBTOTAL (lines 38 + 39 + 40) = 1576.38 42. BALANCE/DEFICIT (line 37 minus line 41: indicate t~r - b"'~ance) = I, M.::ari-ir~l-l_ T,ovinol. CPl.~q~raa.~urar st~t~/]pt ant t}ae attalhe~ supporting rep'°/}ts are true and c°rrect. S i~naitur~ of candidate or ire~sur{: ~" / ' +40.47 FOR OFFICE USE ONLY (name of candidate or treasurer), hereby certify that the above Date si~ned/ Cash Contributions, Loans Received and In-Kind / I Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 1 of 1 Election'. [] Primary 20__ J~ General 2000 [] Other Report: ~lst Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity °' CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Amount of In-Kind Purpose Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) Occupational Information, Contributing Contributor Code 1 I Code 2 Date Received Committee's ID#, or Description if Code 1 is "0" Aggregate Christopher Briscoe 1. 287 4th Street $ 250.00 Photo Shoot Ashland, OR 97520 8/1 5/00 Photographer $ 250.00 B IK Rhonda Lewis 2. P.O. Box 3322 $ t00.00 Ashland, OR 97520 9/12/00 Realtor $ 100.00 I I CA 3. Miscellaneous Contributions $ $50.00 and under 2424.00 7/20/00- N/A $ 2424.00 I CA o /oQ lan 4. 5. $ Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC Instructions Cash (CA) $ 2524,00 Cash (CA) $ 2524. O0 on Back and Enter on Summary Statement, Column A. Line I in Campaign Finance In-Kind (IK) $ 250,00 In-Kind (IK) $ 250.00 Enter on Summary Statement, Column A, Lines 4 and 9 Manual Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 Emcr on Summary Siatement, Column A, Line 2 REG'D OCT 0 4:2000 -~C 3 Rev. Iii99 Cash Expenditures and Loan Payments Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 1 of 1 Election: [] Primary 20 >~j~J General 20 0 O [] Other Report: X~ I st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage " F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls if over $50) T Travel Expenses (describe if over $50) 1 Interest Payment W Wages, Salaries, Benefits L Literature, Brochures, Printing Z Preparation and Production of Advertising M Management Services Payee's Name Exp. Amount of Line # Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure Paid to A/P 1. 8/2/00 N/A Key Bank G CA 21 .70 2. 8/31 /00 N/A Key Bank G CA 7.00 3. 9/6/00 1001 Crystal Castle Graphics L CA $ 165.00 [] 4. 9/20/00 1002 Crystal Castle Graphics O CA $ 35.00 [] 5. 9/20/00 1003 Valley Web Printing L CA $ 313.00 [] 6. 9/27/00 1004 Valley Web Printing L CA $ 365.45 [] 7. $ [] 9. $ [] 10. $ [--] Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and See expenditure type.) transfer these amounts to the Summary Statement, PC 1.) Instructions Cash (CA) $ 907.15 Cash (CA) $ 907.15 on Back and Enter on Summary Statement, Column A. Line 6 in Campaign Finance Loan Payment (LP) $ 0.0 0 Loan Payment (LP) $ 0,0 0 Enter on Summary Statement, Column A, Line 7 Manual REC'D OOT 0 2000 '~C .SA Rev.,,/99 Personal Expenditures For Reimbursement Please type or print legibly in black ink. Candidate or Political Committee Name: committee ID Number: Committe to Elect Chris Hearn N/A Page 1 0f 2 Election'. [] Primary 20__ [] General 2000 [] Other Report: [] 1st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) A Agent N Newspaper and Other Periodical Advertising B Broadcast Advertising (Radio, TV) O Other Advertising (yard signs, buttons, etc.) C Cash Contributions P Postage F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) I Interest Payment W Wages, Salaries, Benefits L Literature, Brochures, Printing Z Preparation and Production of Advertising M Management Services Amount of Line # Date Payee's Name Purpose Expenditure 1. 6/10/00 Ashland 4th.of July Parade O $ 10.00 2. 7/3/00 Lightning Copy 0 $ 9.54 3. 8/7/00 Jackson County Clerk G $ 11 .15 4. 8/9/00 Geppetto' s G $ 40.75 5. 8/30/00 Pizza Hut G $ 17.58 6. 8/31/00 Christopher Briscoe L $ 60.00 7. $ 9/4/00 Pizza Hut G 20.00 8. 9/9/00 Cantwell ' s G $ 5.56 9, 9/9/00 Printfast L $ 241 .72 10. 9/11/00 Jackson County Clerk- Filinc $ G 100.00 Fee Page Total Accounting Period Total (Complete only for last page and transfer this amount to the Summary Statement, PC 1.) See Personal Expenditures $ 51 6.30 Instructions Personal Expenditures $ on Back and Enter on Summary Statement. Line 31 in Campaign Finance Manual !PC 3A Personal Expenditures For Reimbursement Please type or print legibly in black ink. Candidate or Political Committee Name: Committee ID Number: Committee to Elect Chris Hearn N/A Page 2 of 2 Election: [] Primary 20 [] General 20 O0 [] Other Report: [] l st Pre-election [] 2nd Pre-election [] Post-election [] September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) A Agent N Newspaper and Other Periodical Advertising B Broadcast Advertising (Radio, TV) O Other Ady. ertising (yard signs, buttons, etc.) C Cash Contributions P Postage F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) I Interest Payment W Wages, Salaries, Benefits L Literature, Brochures, Printing Z Preparation and Production of Advertising M Management Services Amount of Line Pt Date Payee's Name Purpose Expenditure 1. 9/12/00 U.S. Postmaster P $ 165.00 2. 9/13/00 Pizza Hut G $ 18.36 3. 9/15/00 Printfast L $ 32.77 4. 9/18/00 Copeland Lumber O $ 101.45 5. 9/1 9/00 Spearco O $ 742.50 6. $ 7. $ 8. $ 9, $ 10. $ Page Total Accounting Period Total (Complete only for last page and transfer this amount to the Summary Statement, PC 1.) See Personal Expenditures $ 1 0 60.08 Instructions Personal Expenditures $ 1 576.38 on Back and Enter on Summary Statement, Line 31 in Campaign Finance Manual REC'D OCT 0 2000 SCL 120 REV. ~0/99 FILING OF CANDIDACY FOR NONPARTISAN NOMINATION oRs2~90~ PLEASE TYPE OR LEGIBLY PRINT IN BLACK INK. NOTE: This information is a matter of public record and may be published or reproduced. FILING FOR OFFICE OF ~-] INCUMBENT FOR OFFICE OF JUDGE Ja~,~:~f-d c..-,,azt,,--kz.f_~ , NAME OF CANDIDATE ~t::~CZ)~ ! "T'-(' O DISTRICT AND DEPARTMENT OR POSITION NUMBER RESIDENCE ADDRESS (STREET/ROUTE, CITY, STATE, ZIP CODE) NAME SHOULD APPEAR ON BALLOT AS FOLLOWS COUNTY OF RESIDENCE: / TELEPHONE (HOME) TELEPHONE (WORK) x,77--,/~.d~--,_~ ~J~ ~--O~'~ ~L~:~_~,2] ~ ( MAILING ADDRESS TO WHICH ALL CORRESPONDENCE WILL BE FAX EMAIL SENT TO THE E SECRETARY OF STATE OF OREGON r~ COUNTY ELECTIONS OFFICIAL OF COUNTY [~CITY RECORDER (AUDITOR), CITY OF [~] FILING OF CANDIDACY BY DECLARATION, WITH THE REQUIRED FILING FEE (ORS 249.056). FILING FEES FILING OF CANDIDACY BY DECLARATION STATE VOTERS' PAMPHLET (ORS 249.056) OFFICE STATEWIDE OFFICES $100 $1000 CIRCUIT COURT JUDGE $ 50 $300 DISTRICT ATTORNEY $ 50 $300 MSD EXECUTIVE OFFICER, MSD AUDITOR $100 $300 MSD COUNCILOR $ 25 $300 COUNTY OFFICE $ 50 $300 CItY OFFICE * **$300 JUSTICE OF THE PEACE NONE N/A · SET BY CHARTER OR ORDINANCE · *FOR CITIES WITH A POPULATION OF 50,000 OR MORE (ORS 251~ ng of candidacy by PROSPECTIVE petition, with the required proposed signature sheet signed by the candidate (SCL 121) and statement one or more circulators will or will not be compensated (SCL 300) (ORS 249.020). t/ Filing of candidacy by PERFECTED petition, with the required signature sheets properly certified by the appropriate county ele~ officials (ORS249.020, 249.064). REG ) JUL o ?nO0 ?- 2000 FILING DATES PRIMARY ELECTION GENERAL ELECTION FILING FOR CANDIDACY: FIRST DAY SEPTEMBER 9, 1999, 8:00 A.M. MAY 31, 2000, 8:00 A.M. FILING FOR CANDIDACY: LAST DAY MARCH 7, 2000, 5:00 P.M. AUGUST 29, 2000, 5:00 P.M. FILING FOR STATE VOTERS' PAMPHLET: MARCH 9, 2000, 5:00 P.M. AUGUST 29, 2000, 5:00 P.M. FOR OFFICE USE ONLY INITIALS CASH OR CHECK NUMBER RECEIPT NUMBER PRINCIPAL CAMPAIGN COMMITTEE IDENTIFICATION NUMBER OFFICE NUMBER CANDIDATE IDENTIFICATION NUMBER REQUIRED INFORMATION (ORS 249.031) OCCUPATION (PRESENT EMPLOYMENT - PAID OR UNPAID) OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT - PAID OR UNPAID) EDUCATIONAL BACKGROUND (SCHOOLS AWENDED; LAST GP~DE COMPLETED; DEGREE(S), IF ANY) ,~-~..~ ~R[OR GOV~M~NTAL ~X~R]~NC~ (~cT~ o~ NOTE: This information is a matter of public record and may be published or reproduced. By signing this document, I hereby state: THAT I shall accept the nomination for the office indicated above; THAT I shall qualify for said office if elected; THAT all information provided by me on this form, including my occupation, educational and occupational background, and prior governmental experience, is true to the best of my knowledge. Candidate's signature Date signed WARNING: Any person who supplies any information on this form, knowing it to be false, is subject upon conviction to imprisonment in the penitentiary for up to five years or to a fine of $100,000, or both (ORS 260.715). No person shall file a nominating petition or declaration of candidacy for more than one lucrative office before the date of the primary election, unless the person first files a written withdrawal with the officer who accepted the initial filing (ORS 249.013(1)). SEL 300 REV. 10/99 STATEMENT ONE OR MORE PETITION CIRCULATORS WILL BE COMPENSATED ORS 248,008 ORS 249.061 ORS 249.078 ORS 249.74O ORS 249.865 ORS 250.045 ORS 250.165 ORS 250.265 ORS 255.135 I/We hereby declare one or more petition circulators will be paid money or other valuable consideration for obtaining signatures of registered voters on the attached petition or certificate. I/We understand the filing officer must be notified not later than the tenth day after I/we first have knowledge or should have had knowledge no petition circulator is being paid for obtaining signatures. Identify Petition (Name of Candidate or Minor Political Party on Prospective Petition; or Subject of Initiative, Referendum Petition or Name of Officeholder on Recall Petition) Signed* Date signed Date signed Date signed *Statement must be signed by one of the following persons or groups: - candidate for nomination; - all chief petitioners for initiative or referendum petition; - chief petitioner for recall petition; - chief sponsor for certificate of nomination; - chief sponsor for minor political party formation petition. STATEMENT NO PETITION CIRCULATORS WILL BE COMPENSATED I/We hereby declare no petition circulator will be paid money or other valuable consideration for .obtaining signatures of registered voters on the attached petition or certificate. I/We understand the filing officer must be notified not later than the tenth day after I/we first have knowledge or should have had knowledge one or more petition circulators is being paid for obtaining signatures. Identify Petition (Name of Candidate or Minor Political Party on Prospective Petition; or Subject of Initiative, Referendum Petition or Name of Officeholder on Recall Petition) Signed* [ ~,1. ~_--~\ "-" Date signed ~ '" ~=' ~C~O Date signed Date signed *Statement must be signed by one of the following persons or groups: - candidate for nomination; - all chief petitioners for initiative or referendum petition; - chief petitioner for recall petition; - chief sponsor for certificate of nomination; - chief sponsor for minor political party formation petition. R£0I) dUt S ZOO0 ',-' c; .'-'. < ~ Z ,'" ' l~ ~.E - ~ ~ ~ ~ ~ ,- ,~ I hereby certify /9 ,i~nature, on,is petiti~are ,hose~r~istere~o~si~;~ ,~ SIGNATURE OF COUNTY ELECTION¢ O~FI~AL-~,~/ ~Z;'/~/ NOTE TO CANDIDATE: PETITION SIGNATU~S MUST BE ~HED 8E~ A PETITIO~AN BE FILED, BE SUrE YOU SUBMIT YOUR PETITION IN AMPLE TIME FOR THIS P~ESS TO BE COMPLETED BEFO~ 5:~ P,M. ON THE FILING DEADLINE DAY, r~'~O ~ > · ~> m> REC'D J U L - 5; 2000 n ~ ~'~ ,. ~ ' ?- ,~ I ~=~'0 ~ . i.~ : Count, Ore.on. D~TE CERTIFIED INOTE TO CANDIDATE: P~ION SIGNATU~S MU~ BE VE~FIED BE~ A P~ION CAN ~E PILED. BE SU~ YOU $~M~ YOUR P~ION IN AMP~ TIME FOR THIS PR~E~ TO ~E COMPLIED BE~ 5:~ P.M. ON THE HLING DEADLINE DAY. · ©> > REO'D J U L - 5 ~000 SEL 220 ORS 260.037 Rev. 9,99 Candidate's Statement of Organization oRs260.039 ORS 260.041 Please type or print legibly in black ink. 1 Primary 20__ General 20 0 0 Other election date [] Will exist for more than one year 2 This filing is an: [] Original [] Amendment [] Discontinuation 3 Name of principal campaign committee Committee to Elect Chris Hearn Committee address (street/route, city, state, zip code) - no post office box numbers c/o Martin H. Levine, CPA- Treasurer 167 East Main Street Ashland, OR 97520 Name of treasurer Telephone numbers Martin H. Levine, CPA 541 /482-7801 541/482-.5430 (work) (home) Mailing address to which all committee correspondence will be sent c/o Martin H. Levine, CPA- Treasurer P.O. Box 465 Ashland, OR 97520-0016 4 Name of candidate Christian E. "Chris" Hearn Residence address (street/route, city, state, zip code) - no post office box numbers 350 Wimer Street Ashland, OR 97520 Mailing address to which all candidate correspondence will be sent 350 Wimer Street Ashland, OR 97520 Occupation of candidate Telephone numbers ~ ~01 -.5'~..~6, Attorney 541 /482-3111 541 /482-0338 (work) (home) Name of office sought (include county, position, department or zone number, if applicable) Ashland C±ty Councilor 5 Additional address that may be used on political publications (post office box or street/route, city, state, zip code) bione 6 Party affiliation (complete only if filing for partisan office) bl/A [] Democratic [] Libertarian [] Pacific Green [] Republican [] Not a member of a party [] Other 7 Political committee intends to solicit funds by (mark all that apply): [] Direct mail [] Personal contact [] Radio [] Television [] Banquet [] Newspaper [] Other Please complete and sign the back side of this fortr~ 8 Committee Directors (if any) Name Address (including zip code) Occupation 1385 Windsor Street Beverly Kenefick Ashland, OR 97520 Retired 1284 Orchid Graham Lewis Ashland, OR 97520 Counselor 1290 Munson Drive Susan Saladoff Ashland, OR 97520 Attorney If two or more directors of this political committee are also directors of another political committee, list the names of those directors and the name and address of the other political committee(s). BY signing this d°cument I ackn°wledge that I am pers°nally liable f°r any Pe 7es;~i under ORS :~~ CandiakattOg~gnature %, , .... Treasurer s si-gnatur~ (if dil ferent than candidate) Juno 26, 2000 Juno 26, 2000 Date signed Date signed Important: Both the candidate and treasurer of a principal campaign committee must sign the Statement of Organization. Instructions Filing an original Statement of Organization Three (3) copies of this completed form must be filed within three business days of first receiving a contribution or making an expenditure. A date stamped copy, which includes your identification number, will be returned to you as an acknowledgment of your filing. NOTE: A candidate may have only one principal campaign committee. A candidate who serves as the treasurer A candidate may either serve as the candidate's own treasurer or may appoint a separate treasurer. A candidate who serves as their own treasurer and who does not expect to receive or spend more than $300 for the entire election is not required to file a Statement of Organization or contribution and expenditure reports. However, if at any time they exceed $300 in either contributions or expenditures, they must then file a Statement of Organization and contribution and expenditure reports. Amending information on this form Any change in the information on this form must be filed within ten (10) days of the change. To notify the filing officer of a change in information, submit three (3) copies of this form, completed in its entirety, and mark the "Amendment" box. Discontinuing You must file a final contribution and expenditure report that shows a zero balance, along with a completed SEL 220 with the "Discontinuation" box marked. For Office Use Only Initials Committee ID Number Office Number Candidate ID Number