HomeMy WebLinkAboutCommittee to Support Hartzell
,"
PC I Summary Statement of Contributions and Expenditures
Rev. 9/98
Please type or print legibly in black ink. Page I of 2
Candidate or Political Committee Name:
Committee to ~b n.n ~ ~ntP- Hnrtzell
Address (street or route, city, state, zip code):
P.O. Box 465, Ashland, OR 97520
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 Committee
B Original o Primary 19 o General 19 qA [X] Other Post-election SUDDlementaJ
o Amendment o 1 st Pre-election o 2nd Pre-election o Post-election o September Supplemental .
A-TOTALS FOR THIS B-CUMULA TIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS -. -
1. Cash Contributions
(Accounting Period Total from PC 2) + 0.00 + 3,579.50
2. Loans Received (Non-Exempt)
(Accounting Period Total from PC 2) + 0.00 + 0.00
3. Total Cash Contributions
= 0.00 = 3,579.50
(lines 1 + 2)
4. In-Kind
(Accounting Period Total from PC 2) + 0.00 + 0.00
5. TOT AL CONTRIBUTIONS
= 0.00 = 3,579.50
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures
(Accounting Period Total from PC 3) + 98.95 + 3,579.50
7. Loan Payments (Non-Exempt)
(Accounting Period Total from PC 3) + 0.00 + 0.00
8. Total Cash Expenditures
= 98.95 = 3,579.50
(lines 6 + 7)
9. In-Kind +
(Accounting Period Total from PC 2) + 0.00 0.00
10. TOTAL EXPENDITURES =
(lines 8 + 9) - = 98.95 3,579.50
CASH BALANCE
11. Beginning Cash Balance FOR OFFICE USE ONLY
( (Ending Cash Balance from previous report) 98.95
12. Total Contributions ~
t "
(line 5) + 0.00
13. Other Receipts.
(ACcounting Period Total from PC ~A) + 0.00
, 14. Loans Received (Exempt)
(Accounting Period Total from PC 4A) + 0.00
15. CONTRIBUTION SUB TOT AL
(lines 11 + 12 + 13 + 14) = 98.95
-"
16. Total Expenditures
(line: 10) + 98.95
17. Other Disbursements 0.00
(Accounting Period Total from PC 4B) +
18. Loan Payments (Exempt) 0.00
(Accounting Period Total from PC 4B) +
(
19. EXPENDITURE faTAL 98.95
=
(lines 16 ~ 17 + 18) RECTI [) E C 11 1998~ '1
: 20. ENDll'iG CASH BALANCE
(line 15 minus line 19) = none
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PC I
Rev. 9/98 Summary Statement of Contributions and Expenditures
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
Committee to SUDcort Cate Hartzell n/a
fXJ Original o Primary 19 [& General 19--21L- []I Other Post-electi.on Supplemental
o Amendment o I st Pre-election o 2nd Pre-election o Post-election o September Supplemental
LOAN SUMMARY
21. Beginning Outstanding Loans
(Total Outstanding Loans from previous report) none FOR OFFICE USE ONL Y
22. Loans Received (Non-Exempt)
(line 2) +
23. Loans Received (Exempt)
(line 14) +
24. LOANS RECEIVED SUBTOTAL !
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt)
(line 7) +-
26. Loan Payments (Exempt)
(line 18) +
27. Forgiven Loans
(T otalloans forgiven during this accounting period) +
28. LOAN PAYMENT SUBTOTAL
(lines 25 + 26 +27) =
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28) = none
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures
(line 34 of previous report) 77.10
31. Total Personal Expenditures
(Accounting Period Total from PC 3A) + 21 _At;
32. PERSONAL EXPENDITURE SUBTOTAL
(lines 30 + 31) = 98.95
33. Total Personal Expenditure Reimbursements
(Total expenditures on PC 3 with purpose code R) - 98.95
34. OUTSTANDING PERSONAL EXPENDITURES
(line 32 minus line 33) = nonp-
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
35. Ending Cash Balance
(line 20) - none
36. Accounts Receivable
(Accounting Period Total from PC S) +
37. SUBTOTAL
(lines 3S + 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) =
42. BALANCEIDEFICIT rt.C'D DEe 111998,,>
(line 37 minus line 41: indicate + or - balance) = none
It Mj=i rr; n H r,,,,,d Ti'~ "D~ "'ro~a"ror (name of candidate or treasurer), hereby certify that the above
s~ ~I nt aJi~ttached ~"ppo7orts are aue and c~rrect.
V ~y \. eM-- 12/11/98
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Signature of candidate or treasurer I Date signed
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PCJ
Rev. 9198 Cash Expenditures and Loan Payments
Please type or print legibly in black ink.
Candidate or Political Committee Name: Committee ID Number: I Page -L 0 f -...!..:..-
Committee to Support Cate Hartzell n/a
Election: o Primary 19_ 1m G<:neral 19 98 IKJ Other Pn~t--election Supolemental
Report: o I st Pre-election o 2nd Pre-election . 0 Post-election o September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent M Management Services CA Cash
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising LP Loan Payment
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses P Postage
G General Operational Expenses (describe. R Reimbursement
if over S50) S Surveys and Polls ,
1 Interest Payment T Travel Expenses (describe if over $50)
L Literature, Brochures, Printing W Wages, ~larie~, Benefits
-
Payee's Name Exp. Amount of [gJ.
Une# Date Check # Purpose
(as n appears on invoice, receipt or check) Type Expenditure Paid
to AlP
1. 12/10/98 1016 VOID $ D
2. 12/10/98 1017 Cate Hartzell R CA $ 98.95 D
3. $ 0
. . D
4. c~
.)
5. $ D
. . D
6. $
7. $ D
. .
~
; . $ D
8.
9. :) D
10. 'S 0
Page Totals (Add all expenditures with the sarn.e Accounting Period Totals (Complete only for last page and
See expenditure type.) transfer these amounts to the Summary Statement, PC I.)
Instructions Cash (CA) $ 98.95 Cash (CA) $ 9A.QS
on Back and Enter on Swnmuy Sc.atemcnt. Column A. Line 6
in Campaign Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Finance EntCf on Summuy Statement. Column A. Line 1
Manual
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PC3A Personal Expenditures For Reimbursement
9198
Please type or print legibly in black ink. 1
Candidate or Political Committee Name: I Committee 10 Number:
Committee to Suooort Cate Hartzell n/a Page --L- of --1-
Election: o Primary 19_ U General 19 98 IX] Other Post-election Supplemental
Report: o 1 st Pre-election d 2nd Pre-election o Post-election o September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions)
A Agent M Management Services
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses P Postage
G General Operational Expenses (describe if over $50) S Surveys and Polls
~
I Interest Payment T Travel Expenses (describe if over $510)
L Literature, Brochures, Printing W Wages. Salaries, Benefi~
-
Une# Date Payee's Name Purpose Amount of
Expenditure
1. 12/10/98 Cate Hartzell P $ 21 .85
2. $
3. $
4. $
5. $
6. $
-
7. $
. .......
, . ' . $
8.
9. $ ~
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I, ~
10. $ ,.....
\ Page Total Accounting Period Total (Complete c:mly for last page and T'"-J
transfer this amount to the Summary Statement, PC 1.)
See Personal Expenditures $ 21 . AS (..)
Instructions Personal Expenditures $ 21.AS l1J
~ on Back and Enter on Swnmary Statement. Line 31 C
in Campaign
II
Finance
Manual
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I Rev. 919& Summary Statement of Contributions and Expenditun~s
t
I
i Please type or print legibly in black ink. Page 2 of2
I Candidate or Political Committee Name: I Committee ID Number:
Committee to SUPpOrt Cate Hartzell n/a
I [] Original o Primary 19 ~ General 19 ~ o Other
o Amendment o 1 st Pre-election o 2nd Pre-election [X) Post-election o September Supplemental
i LOAN SUMMARY
! 21. Beginning Outstanding Loans
(Total Outstanding Loans from previous repon) none FOR OFFICE USE ONLY
: 22. Loans Received (Non-Exempt)
(line 2) +
23. Loans Received (Exempt)
(line 14) +
i 24. LOANS RECEIVED SUBTOTAL
(lines 21 + 22 + 23) = .'
25. Loan Payments (Non-Exempt)
(line 7) +-
, 26. Loan Payments (Exempt)
(line 18) +
r Forgiven Loans
! 27. +
(Total loans forgiven during this accounting period)
, 28. LOAN PAYMENT SUBTOTAL
(lines 25 + 26 +27) =
I
. 29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28) = none
:
I PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures
(line 34 of previous report) 177.10
31. Total Personal Expenditures
(Accounting Period Total from PC 3A) + 0.00
32. PERSONAL EXPENDITURE SUBTOTAL
(lines 30 + 31) ., = 1 77 . 10
33. Total Personal Expenditure Reimbursements
(T o tal expenditures on PC 3 with purpose code R) - 100.00
34. OUTSTANDING PERSONAL EXPENDITURES
(line 32 minus line 33) = 77.10
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
: 35. Ending Cash Balance
(line 20) - 98.95
36. Accounts Receivable
(Accounting Period Total from PC 5) + 0.00
I "
37. SUBTOTAL "
(lines 35 + 36) = 98.95
i 38. T oral Outstanding Loans
I (line 29) 0.00
i 39. Outstanding Personal Expenditures
(line 34) + 77.10
40. Accounts Payable
(Accounting Period Total from PC 6) + 0.00
41. SUBTOTAL RECTI 0 IE C 2 1998 ~
(lines 38 + 39 + 40) = 77 .10 t
42. BALANCE/DEFICIT
i (line 37 minus line 41: indicate + or - balance) = 21 .85
f
I, Martin H. LevinE . CPA. Treasurer (name of candidate or treasurer), hereby certify that the above
. sy~ntEaqh\ 7g reports are true and correct.
~-~ - ~ 12/01/98
~-
Signature of candidate or treasurer ( Date signed
s
. I
PC I \.
Rev. 9191 Summary Statement of Contributions and Expenditure!s
Please type or print legibly in black ink. Page I of2
Candidate or Political Committee Name:
Committee to SUDDO:r;.t Cate Hartzell
Address (street or route, city, state, zip code): ..
P.o- Rox 4hS. A~hl~nn_ OR 97520
Treasurer's Name: Telephone Number (day):
Martin H.' Levine, CPA 541/482-7801
. Comminee ID Number: Committee Type, Measure Number or Office:
n/a Principal Campaign Committee
. [XJ Original o Primary 19 [] General 19 9 8 o Other
o Amendment o 1 st Pre-election o 2nd Pre-election [] Post-election o September Supplemental
A-TOTALS FOR THIS B-CUMULATIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS -. -
1. Cash Contributions
(Accounting Period Total from PC 2) + 1,192.00 + 3,579.50
2. Loans Received (Non-Exempt)
(Accounting Period Total from PC 2) + 0.00 + 0.00
3. Total Cash Contributions
(lines 1 + 2) = 1,192.00 - 3,579.50
4. In-Kind
(Accounting Period Total from PC 2) + 0.00 + 0.00
5. TOT AL CONTRIBUTIONS
(lines 3 + 4) = 1,192.00 = 3,579.5>0
EXPENDITURES
6. Cash Expenditures .-.
(Accounting Period Total from PC 3) + 1,992.26 + ~,O 3'"1Bo.55
7. Loan Payments (Non-Exempt) 0.010
(Accounting Period Total from PC 3) + 0.00 +
8. Total Cash Expenditures ~~ 3&.{8fJ.SS-
(lines 6 + 7) = 1,992.26 =
9. In-Kind 0.00 ' 0.00
(Accounting Period Total from PC 2) + +
10. TOTAL EXPENDITURES 3.,..5,79 .~~ BlfSb.SS-
(lines 8 + 9) - = 1,992.26 =
CASH BALANCE
11. Beginning Cash Balance 899.21 FOR OFFICE USE ONL Y
(Ending Cash Balance from previous report)
12. Total Contributions
(line 5) + 1,192.00
13. Other Receipts . 0.00
(Accounting Period Total from PC ~A) +
14. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL ~ llo'f I.A) Mv
(lines 11 + 12 + 13 + 14) =
16. Total Expenditures + 1,992.26
(line: 10)
17. Other Disbursements
(Accounting Period Total from PC 4B) + 0.00
18. Loan Payments (Exempt) 0.00
(Accounting Period Total from PC 4B) +
19. EXPENDITURE rOT AL 1,992.26
(lines 16 T 17 + 18) = RECTI DEC 2 1998 d
)
20. ENDl~G CASH BALANCE
(line: 15 minus line: 19) = 98.95
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Jtcv.919& ' , Cash Expenditures and Loan Payments
Please type or print legibly in black ink.
Candidate or Political Committee Name: I Committee 10 Number:
Committee to ~llnnort Cate Hartzell n/a Page -L- of ~
Election: o Primary 19_ ~ G(neral 19 98 o Other
Report: o I st Pre-election o 2nd Pre-election [XJ Post-election o September Supplemental
PURPOSE CODES (see back of form (or instructions and code definitions) EXPENDITURE TYP ES
A Agent M Management Serv~ces CA Cash
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising LP Loan Payment
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses p Postage
G General Operational Expenses (describe, R Reimbursement
if over $50) S Surveys and Polls ,
I 1 Interest Payment T Travel Expenses (describe if over $50)
'L Literature, Brochures, Printing W Wage-s, ~larie~, Benefits
I -
Payee's Name Exp. Amount of [g].
Une# Date Check # Purpose
I (as it appears on invoice, receipt or check) Type Expenditure Paid
to AlP
.
1. 10/27/98 1008 Ashland Daily Tidings N CA $ 548.44' D
;
2. 10/28/98 1009 Jackson County Clerk S CA $ 26.20 0
3. 10/29/98 1010 Valley .web Printing L CA $ 400.00 ,.0
4. 11/03/9E 1011 VOID $ D
145.00 [X]
5. 11/03/98 1012 Crystal Castle Graphics 0 CA $150.00
6. 11/03/98 1 01 3 Cate Hartzell R CA $ 100.00 D
7. 11/11/98 101 4 Val+ey Web" Printing L CA $ 238.38 D
162.30 ~
8. 11/11/98 1 01 5 Printfast L CA $ 221 .94
9. $ D
10. $ D
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 I.)
Instructions Cash (CA) $ 1.992.26 Cash (CA) $ 1,992.26
on Back and Enter on Swnmuy S~temclll. Column A. Line 6
in Campaign Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Finance Enter on Summuy Stltemcnl. Column A. un( 7
Manual
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PC2
Rev. 11/97 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 Support Cate Hartzell n/a Page --L of --1-
Election: o Primary 19_ KJ General 19-2.L o Other
Report: o 1 st Pre-election o 2nd Pre-election KJ Post-election D September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODe 1: Contributor Type CODe 2: Contributic)n 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
Line # Name and Address of Contn'butor Amount of In-1<7nd Purpose
Contribution (see manual for suggested purpose codes)
Dale Received Occupationallnfonnation, Contn'buling Contn'bulor Code 1 I Code 2
Committee sID#, or Descripb'on if Code 1 is .0. Aggregate
Madeline Hill
1. 828 Boulder Creek Lane $ 100.00
Ashland, OR 97520
10/26/98 Realtor $ 100.00 I I CA
Harold B. Jamison
2. 60 Golden Spike Way $ 100.00
Ashland, OR 97520 '.
10/31/98 Retired $ 100.00 I I CA
Karen L. Salley
3. 801 Pinecrest Terrace $ 100.00
Ashland, OR 97520
11/01/98 Educator $ 100.00 I I CA
Ear th - \'1 or ks Press, Inc.
4. P.O. Box 111 7 $ 100.00
Ashland, ., OR .97 520
11/01/98 Printing $ 100.00 B I CA
Miscellaneous Contributors
5. $50.00 and under $ 792.00 VtJ/
10/26 - ('2.00 ~ .. I" I
n/a $ '" -- I CA
11/?1/QP, ;.....trT T U 't . 5 0
Page Totals (Add all amounts with the same Accounting Period Totals (Complet~: only for last page and
See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.)
Instructions Cash (CA) $ 1,192.00 Cash (CA) $ 1 ,192.00
on Back and Enter on Swnmary Statement. Colwnn A. Line 1
in Campaign In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Finance
Manual Enter on Summary Slatement, Colwnn A. Lines 4 and 9
Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on Summary Scatement, Colwnn A. Line 2
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"<:1 Summary Statement of Contributions and Expenditure~;
tev.9198
Please type or print legibly in black ink. Page 1 of2
Candidate or Political Committee Name:
Committee to Support Cate Hartzell
Address (street or route, city, state, zip code): ..
P.O. Box 465. Ashland, ORo97520
Treasurer's Name: Telephone Number(day):
M~rtin 'J.f T.p-vinp ~PA S41/4A2 7801
Committee ID Number: Committee Type, Measure Number or Office:
n/a Principal Campaign Committee
o Original o Primary 19 B General 19 98 o Othe.~.
50 Amendment o 1 st Pre-election B 2nd Pre-election o Post-election o September Supplemental
A-TOTALS FOR THIS B-CUMULA TIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS -, -
1. Cash Contributions
(Accounting Period Total from PC 2) + 2,387.50 +
2. Loans Received (Non-Exempt)
(Accounting Period Total from PC 2) + 0.00 +
) . Total Cash Contributions
(lines 1 + 2) = 2,387.50 =
L In-Kind
(Accounting Period Total from PC 2) + 0.00 +
) . TOT AL CONTRIBUTIONS
(lines 3 + 4) = 2,387.50 =
EXPENDITURES ./
) . Cash Expenditures 1,488.29 .,
(Accounting Period Total from PC 3) + +
1 Loan Payments (Non-Exempt) ..
(Accounting Period Total from PC 3) + 0.00 +
>. Total Cash Expenditures
(lines 6 + 7) = 1,488.29 =
) In-Kind
(Accounting Period Total from PC 2) + 0.00 +
O. TOTAL EXPENDITURES ..
(lines 8 + 9) - = 1,488.29 =
CASH BALANCE
1. Beginning Cash Balance ..
.. 0.00 FOR OFFICE USE ONLY
(Ending Cash Balance from previous report) ..
2. Total Contributions
(line: S) + 2,387.50
3. Other Receipts . 0.00
(Accounting Period Total from PC ~A) +
4. Loans Received (Exempt) 0.00
(Accounting Period Total from PC 4A) +
5. CONTRIBUTION SUBTOTAL 2,387.50
(lines 11 + 12 + 13 + 14) =
6. T ota} Expenditures 1,488.29 ~ 00.,.
(line: 10) +
7. Other Disbursements 43
(Accounting Period Total from PC 4B) + 0.00 o 1.990
8. Loan Payments (Exempt)
(Accounting Period Total from PC 4B) + 0.00
9. EXPENDITURE faTAL 1,488.29
(lines 16... 17 + 18) =
O. ENDI~G CASH BALANCE 899.21
(line 15 minus line 19) =
. ,.
PC 1
Jt.cv. 919. Summary Statement of Contributions and Expenditures
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Comminee ID Number:
Committee to Suppor.; Cate Hartzell n/a
o Original o Primary 19 Dd'~eneraI19~ o Other
r&] Amendment o 1 st Pre-election ~ 2nd Pre-election o Post-election ' 0 S.eptember Supplemental
LOAN SUMMARY
21. Beginning Outstanding Loans
(Total Outstanding Loans from previous report) FOR OFFICE USE ONLY
22. Loans Received (Non-Exempt)
(line 2) +
23. Loans Received (Exempt)
(line 14) +
24. LOANS RECEIVED SUBTOTAL /
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt)
(line 7) +- .
26. Loan Payments (Exempt)
(line 18) +
27. Forgiven Loans
(Total loans forgiven during this accounting period) +
28. LOAN PAYMENT SUBTOTAL
(lines 25 + 26 +27) =
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28) , = none
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 0.00
(line 34 of previous report)
31. Total Personal Expenditures
(Accounting Period T oral from PC 3A) + 401.95 ".
32. PERSONAL EXPENDITURE SUBTOTAL
(lines 30 + 31) ..' = 401 .95
33. Total Personal Expenditure Reimbursements
(T otal expenditurcs on PC 3 with purpose code R) - 224.85
34. OUTST ANDING PERSONAL EXPENDITURES
(line 32 minus line 33) = 177 . 10
FINANCIAL STATUS AT C,"-OSE OF ACCOUNTING PERIOD
35. Ending Cash Balance
(line 20) - 899.21
36. Accounts Receivable
(Accounting Period Total from PC 5) . .. + 0.00
37. SUBTOTAL "
(lines 3S + 36) = 899.21,
38. Total Outstanding Loans
(line 29) 0.00
39. Outstanding Personal Expenditures ~t{;
(line 34) + 177_10
40. Accounts Payable
(Accounting Period Total from PC 6) + 107 10 OC?'
41. SUBTOTAL 30
(lines 38 + 39 + 40) = 484.40 l.998
42. BALANCElDEFICIT
(line 37 minus line 41: indicate + or - balance) = 414.81
1, Martin H. LeVir~A. Treasurer (name of candidate or treasurer), hereby c:ertify that the above
sute1~ IJ.nd u ~ attache~ supp Vorts are true and correct
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AIJ -, A~ -I. cPA-- 10/10/QR
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Signature of candidate or treas~er \ Date signed
PC2
Rev. 11/97 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 Support Cate Hartzell n/a Page -1- of 1--
Election: D PrimhY 19_ fi General 19-91L- D Other
Report: D 1 st Pre-election ~ 2nd Pre-election D Post,.election D Septl:mber 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
Line # Name and Address of Contributor Amount of In-Kind Purpose
Contribution (see manual for suggested purpose codes)
Date Received OccupationallnformaUon, Conln"buting Conln"butor Code 1 I Code 2
Committee ~ to#, or Oescripbon if Code 1 is .0. Aggregate
Paul Copeland
1. P.O. Box 806 $ 200.00
Ashland, OR 97520
10/04/98 Computer Consultant $ 200.00 I I CA
John Morrison
2. 500 Helman $ 100.00
Ashland, OR 97520 .. .
10/15/98 Public Relations " $ 100.00 I I CA
James F. Moore, Jr.
3. 1 217 Park Street $ 100.00
Ashland, OR 97520
10/16/98 Retired .' . $ 100.00 'I I CA
Anne F. Decker
4. 1070 Emma street.. $ 100.00
Ashland, OR 97520
10/19/98 Retired $ 100.00 I I CA
Alan & Myra Erwin Trust -t't'b O^
5. 300 Grandview Drive $ 100.00
Ashland, OR 97520
10/19/98 Trust/Retired $ 100.00 0 I CA w r "/J
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) $ 600.00 Cash (CA) $
on Back and Enter on Swnmary Statement. Colwnn A, Line 1
in Campaign In-Kind (IK) $ 0.00 In-Kind (IK) $
Finance
Manual Enter on Swnmary Statement, Colwnn A, Lines 4 and 9
Loans Received (LR) $ 0.00 Loans Received (LR) $
Enter on Summary Statement, Column A, Line 2
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PC2
Rcv.11191 Cash Contributions, Loans Received and In-Kind
Please type or print legibly in black ink.
Candidate or Political Committee Name: I Committee 10 Number:
Committee to Support Cate Hartzell n/a Page -'-- of ....2-
Election: o Prim1Uy 19_ flGeneral19~ o Other
Report: o 1 st Pre-election g 2nd Pre-election o Post~election o 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
Line #. Name and Address of Confn'butor Amount of In-KJi7d Purpose
Confn'buUon (see manual for stJ'ggested purpose codes)
Date Received Occupationallnfonna/ion, Confn'bu/ing Confn'butor Code 1 I Code 2
Committee:S ID#, or DescripUon if Code 1 is "0. Aggregate
Northwest Nature Shop
1. 154 Oak Street $ 100.00
Ashland, OR 97520
10/20/98 Retail Store $ 100.00 B I CA
Richard L. Hay
2. 1 5 S. Pioneer Street $ 200.00
Ashland, OR 97520 . .
10/21/98 Theatre Scenic Designer $ 200.00 I I CA
Rose Inget pessak
3. 51 Hersey Street $'~',.75.00
Ashland, OR 97520
10/21/98 Retired . . $ 75.00 -I I CA
The Arborist, Inc. 100.00
4. 2305 Ashland st~, #C-500 $
Ashland, OR 97,520
10/21/98 La~dscape Maintenance $ 100.00 B I CA
Miscellaneous Contributors .~tl;
5. $50.00 and under $1,312.50
O~~
.,
I .. '"'>
n/a n/a $1,312.50 I CA (.,- ,c
V
Page Totals (Add all amounts with the same Accounting Period Totals (Complete ~:>nly for last page and
See contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.)
Instructions Cash (CA) S 1,787.50 Cash (CA) $ 2,387.50
on Back and Enter on Swnmary Stat,:me:nt, Colwnn A. Line: I
in Campaign In-Kind (lK) S 0.00 In-Kind (IK) $ 0.00
Finance
Manual Enter on Swnmary Statj:me:nt. Colwnn A. Line:s 4 and 9
Loans Received (LR) S 0.00 Loans Received (LR) $ 0.00
Ente:r on Summary Stat,:me:nt. Column A, Line: 2
~-%>
?CJ
Rev. 919. Cash Expenditures and Loan Payments
Please type or print legibly in black ink.
(''''f'1didate or Political Committee Name: Committee ID Number:
\ .Jrnmittee to Support Gate Hartzell n/a Page 1-- of --L-
Election: o Primary 19_ [X] GQnera1 19' 98 o Other
Report: o 1 st Pre-election ~ 2nd Pre-election o Post-election o September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent M Management Services CA Cash
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising LP Loan Payment
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses P Postage (_:. "
G General Operational Expenses (describe. R Reimbursement
if over S50) S Surveys and Polls "
I Interest Payment T Travel Expenses (describe if over S50)
L Literature, Brochures, Printing W Wage-s, ~alarie~, Benefits
-
Payee's Name Exp. Amount of [g],
Une# Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure Paid
to AlP
, . 10/13/9f:. 1001 Spearco Graphics 0 CA $200.00 D
2. 10/14/98 1002 U.S. Postmaster P CA $ 1 3 .44 D
10/14/98 1003 Spearco.Graphics 0 CA $ 2S0.00 ...0
. . 0
4. 10/16/98 1004 Print fast 0 CA $ 200.00
5. 10/20/98 1.005 Ashland Daily T iding.s N CA $ 300.00 D
. . D
6. 10/21/98 1006 Ashland Daily Tidings N CA $ 300.00
7. 10/24/98 1007 Ca te" Hart::,ze'll R CA $ 224.85 D
8. $ D
9. $ D
10. $ D
Page Totals (Add all expenditures with the same Accounting Period Totals (Complete OnlY~t page and
See expenditure type.) transfer these amounts to the Summary State ~ I.)
ructions Cash (CA) S 1 ,488.29 Cash (CA) $ 1. 488 . 29 V)'- ~
0.. dack and Enter on Swnmuy Statement. Column A. Line 6 tJ ()
in Campaign 0.00
Loan Payment (LP) S Loan Payment (LP) S 0.00 1/
Finance Enter on Summary Slatemen!. Column A. Line 7
Manual
C99c9
IpcJ"
9191 Personal'Expenditures For Reimbursement
I Please type or print legibly in black ink.
Candidate or Political Committee Name: Committee 10 Number:
Committee to Support Cate Hartzell n/a Page -L of -L-
: Election: o Primary 19_ -EX) General 19 q A D Other
Report: o 1 st Pre-election '[XI 2nd Pre-election o Post-election o September Supplemental
PURPOSE CODES (see back or form for instructions and code definitions) "
A Agent M Management Services
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses P Postage ,I
G General Operational Expenses (describe if over $50) S Surveys and Polls
;
I Interest Payment T Travel Expenses (describe if over $50)
L Literature, Brochures, Printing W Wages, Salaries, Benefi~
-
Une# Date Payee's Name Purpose Amount of
Expenditure
1. 9/27/98- Various Retail $ 46.32
10/19/98 stores G
2. 9/28/98 Jackson County Clerk S ~> 12.13
,
3. 10/03/98 Pam Danielle Photography N ~. 165.00
.>
:
4. 10/14/98 Spearco Graphics : 0 ~. 93.50
.>
5. 10/16/98 Pr.intfast L C. 25.10
,~
6. 10/17/98 Ashland Lumber 0 $ 39.90
-
7. 10/23/98 Suzi Aufderheide B c" 20.00
.11
.- .-
8. :s
j ~~~
\ 9. :s
10. $ vc>)'
~/.
......
\ Page Total Accounting Period Total (Complete only for last page and /
See Personal Expenditures $ transfer this amount to the Summary Statement, PC 1.)
401 _qS
Instructions Personal Expenditures $ 401 _ qS
, on Back and Enter on Summary Statement. Line 31
:\ in Campaign
Finance
'; Manual
~03
C9
PC6
Rev. 11191 Accounts Payable
Please type or print legibly in black ink.
Candidate or Political Committee Name: Committee ID Number: I Page -----1- of....1-
Committee to Support Cate Hartzell n/a
Election: o Primciry 19_ ua General 19-9..8...- o Other
Report: o 1 st Pre-election [XJ 2nd Pre-election o Post-election . . o September Supplemental
, ,
PURPOSE CODES (see back for instructions and code definitions) ....
A Agent M Management-Services
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses . .. P Postage
G General Operational Expenses (describe if over $50) . .. S " 'Surveys and Polls
I Interest Payment T Travel Expenses (describe if over $50)
L Literature, Brochures, Printing W Wages, Salaries, Benefits
Note: Accounts Payable must include all amounts not paid by the end of the accounting period. See back of form for instructions.
Line # Date Payee's Name Purpose Amount of
(as it appears on invoice, receipt or check) Account Payable
1. 10/14/98 Crystal Castle Graphics 0 $ 145.00
2. 10/20/98 Print fast 0 $ 1 6 2 .3 0
3. $
4. . , $
5. $
6. . . $
7. $
8. $
9. $ ~
.,,~.
10. $ OC>p
Page Totals (Add all accounts payable on this Accounting Period Totals (Complete only for last page ~
See fonn.) transfer these amounts to the Summary Statement, PC 1.) ~
Instructions Accounts Payable S 307.30 Accounts Payable S 307.30
on Back and Enter on Summaty Statement, Column A, Line 34
in Campaign
Finance
Manual
C&
(9
City of Ashland
City Hall
City Recorder's Office
Barbara Christensen, City Recorder
(541) 488-5307 (phone)
20 E. Main St.
Ashland, Oregon 97520
(541) 488-5311 (fax)
October 29, 1998
Martine Levine
Committee to Support Cate Hartzell
881 E Main Street
Ashland, OR 97520
Dear Marty:
Please find enclosed copy of the filing on Contributions and Expenditures for 2nd pf(~-election
period ending October 25, 1998 for Cate Hartzell. You will find areas where I have made
corrections in red and highlights in yellow on a copy of the filing submitted to my office on
October 28, 1998.
Please submit a corrected amended 2nd Pre-election form and return it to my office by November
2, 1998.
If you have any questions, please feel free to contact me.
Sincerely,
It-
Barbara Christensen
City Recorder
Attachments
1
v. 919. Summary Statement of Contributions and Expenditures
lease type or print legibly in black ink. Page I of2
andidate or Political Committee Name:
Committee to SUppOit Cate Hartzell
ddress (street or route, city, state, zip code): ..
P.O. Box 465. Ashland, OR 97520
reasurer's Name: Telephone Number (day):
Martin H. Levine, CPA 541/482-7801
ommittee ID Number: Committee Type, Measure Number or Office:
n/a princioal Campaiqn Committee
o Original o Primary 19 ~ General 19 q A o Oth~.r
] Amendment o 1 st Pre-election ~ 2nd Pre-election o Post-election o September Supplemental
A-TOTALS FOR THIS B-CUMULA TlVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS -, -
Cash Contributions
(Accounting Period Total from PC 2) + 2,387.50 +
Loans Received ~on-Exempt) + +
(Accounting Period Total from PC 2) 0.00
Total Cash Contributions
(lines 1 + 2) = 2,387.50 =
In-Kind
(Accounting Period Total from PC 2) + 0.00 +
TOT AL CONTRIBUTIONS 1=
(lines 3 + 4) = 2,387.50
EXPENDITURES
Cash Expenditures "
(Accounting Period Total from PC 3) + 1.488.29 +
Loan Payments (Non-Exempt) ..
(Accounting Period Total from PC 3) + 0.00 +
Total Cash Expenditures = 1,488.29
(lines 6 + 7) =
In-Kind
(Accounting Period Total from PC 2) + 0.00 +
TOT AL EXPENDITURES
(lines 8 + 9) - = 1,488.29 =
CASH BALANCE
Beginning Cash Balance 0.00 FOR OFFICE USE ONLY
(Ending Cash Balance from previous report)
Total Contributions
(line S) + 2,387.50
Other Receipts. 0.00
(Accounting Period Total from PC ~A) +
Loans Received (Exempt) 0.00
(Accounting Period Total from PC 4A) +
CONTRIBUTION SUBTOTAL
(lines 11 + 12 + 13 + 14) = 2,387.50
Total Expenditures
(line 10) + 1,488.29
Other Disbursements
(Accountine Period Total from PC 48) + 0.00
Loan Payments (Exempt)
(Accounting Period Total from PC 4B) + 0.00 Rfev Ocr 2
EXPENDI'TURE rOT AL
(Iine:s 16"'" 17 + 18) = 1,488.29 8 7998
ENDIl'G CASH BALANCE
(line 15 minus line: (9) = Aqq ?1
PC I
Rev. 919&
Summary Statement of Contributions and ExpenditurE~s
Please type or print legibly in black ink.
Candidate or Political Committee Name:
Committee to Su art Cate Hartzell
B Original 0 Primary 19 B .General 19 ~
o Amendment 0 1 st Pre-election f]J 2nd Pre-election
LOAN SUMMARY
21. Beginning Outstanding Loans
(Total Outstanding Loans from previous report)
22. Loans Received (Non-Exempt)
(line 2)
23. Loans Received (Exempt)
(line 14)
24. LOANS RECEIVED SUBTOTAL
(lines 21 + 22 + 23)
25. Loan Payments (Non-Exempt)
(line 7)
26. Loan Payments (Exempt)
(line 18)
27. Forgiven Loans
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL
(lines 2S + 26 +27)
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28)
o Other
o Post-e1'ection
+
.'
+
= .'
+ -
+
+
=
=
none
PERSONAL EXPENDITURE SUMMARY
Beginning Outstanding Personal Expenditures
(line 34 of previous report)
Total Personal Expenditures
(Accounting Period Total from PC 3A)
PERSONAL EXPENDITURE SUBTOTAL
(lines 30 + 31)
Total Personal Expenditure Reimbursements
(Total expenditures on PC 3 with purpose code R)
OUTSTANDING PERSONAL EXPENDITURES
(line 32 minus line 33) =
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
Ending Cash Balance
(line 20)
Accounts Receivable
(Accounting Period Total from PC S)
SUBTOTAL
(lines 3S + 36)
Total Outstanding Loans
(line 29)
Outstanding Personal Expenditures
(line 34)
Accounts Payable
(Accounting Period Total from PC 6)
SUBTOTAL
(lines 38 + 39 + 40)
BALANCEIDEFICIT
(line 37 minus line 41: indicate + or . balance)
30.
31.
+
32.
=
33.
34.
35.
36.
+
37.
=
38.
39.
+
40.
+
41.
=
42.
=
0.00
.5
4DJ.'fS
224
11.' D
899.21
.00
0.00
197.S:r
. 11)
307. ~o
'I~ · 40
'-II .8'1
-+-9)" . O~
uS:. 1 ~
Page 2 of2
Committee ID Number:
n/a
. 0 September Supplemental
FOR OFFICE USE ONLY
IitC!) 0. '"
~J'2
8 1998
(name of candidate or treasurer), hereby c:ertify that the above
10/?7/98
Date signed .
PC2
Rev. 11/97 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 Support Cate Hartzell n/a Page -1- of ~
Election: D Primary 19_ fia General 19 -9...B..- D Other
Report: D 1 st Pre-election ~ 2nd Pre-election D Post,.election D 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
Line # Name and Address of Contributor Amount of In-Kind Purpose
Contribution (see manual for suggested purpose codes)
Date Received Occupational Information, Contributing Contributor Code 1 Code 2
Committee's ID#, or Descdption if Code 1 is .0. Aggregate
Paul Copeland
1. P.O. Box 806 $ 200.00
Ashland, OR 97520
Computer Consultant $ 200.00 1 CA
John Morrison
2. 500 Helman $ 100.00
Ashland, OR 97520 "
Public Relations -- $ 1.00.00 1 CA
James F. Moore, Jr.
3. 1217 Park Street $ 100.00
Ashland, OR 97520
Retired .- $ 100.00 '1 CA
Anne F. Decker
4. 1070 Emma Street _, $ 100.00
Ashland, OR 97-520
Retired $ 100.00 1 CA
".
Alan & Myra Erwin Trust ~b
5. 300 Grandview Drive $ 100.00 . 00
Ashland, OR 97520 r_
Trust/Retired $ 100.00 0 CA <:8~ '")
l
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) $ 600.00 Cash (CA) $
on Back and Enter on Summary Stat4:ment, Column A, Line I
in Campaign In-Kind (lK) $ 0.00 In-Kind (lK) $
Finance
Man ual Enter on Summary Stat4:ment, Column A, Lines 4 and 9
Loans Received (LR) $ 0.00 Loans Received (LR) $
Enter on Summary Stat4:ment, Column A, Line 2
~c9
PC2
Rev. 11197 Cash Contributions, Loans Received and In-Kind
Please type or print legibly in black ink.
Candidate or Political Committee Name: I Committee 10 Number:
Committee to Support Cate Hartzell n/a Page -L- of -1-
Election: DPrim!ry 19_ fl General 19 ~ D Other
Report: D 1 st Pre-election IDJ 2nd Pre-election o Post-election D 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 Receiv~:d
L Labor Organization
0 Other
P Political Party Committee
Line #, Name and Address of Contributor Amount of In-Kind Purpose
Contdbution (see manual for SU9!.7ested purpose codes)
Date Received Occupational Information, Contdbuting Contnoutor Code 1 Code 2
Committee:SO ID#, or Description if Code t is .0. Aggregate
Northwest Nature Shop
1. 154 Oak street $ 100.00
Ashland, OR 97520
Retail Store $ 100.00 B CA
Richard L. Hay
2. 1 5 s. Pioneer street $ 200.00
Ashland, OR 97520
Theatre Scenic Designer $ 200.00 I CA
Rose 1nget pessak
3. 51 Hersey Street $, .75.00
Ashland, OR 97520
Retired , $ 75.00 'I CA
The Arborist, Inc. 100.00
4. 2305 Ashland st .~" #C-500 $
Ashland, OR 97,520
Landscape Maintenance $ 100.00 B CA
....
Miscellaneous Contributors ~C'{)
5. $50.00 and under $1,312.50 . OD
/'~
n/a $1,312.50 I CA < c9 Ih
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) $ 1,787.50 Cash (CA) $ 2,387.50
on Back and Ent" on Swnmary Statement. Colwnn A, Line 1
in Campaign In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Finance
Manual Ent" on Swnmary Statement, Colwnn A, Lines 4 and 9
Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on Summary Statement, Column A, Line 2
~c9
:3
:y.919& Cash Expenditures and Loan Payments
.lease type or print legibly in black ink.
:andidate or Political Committee Name: I Committee ID Number:
Committee to Support Cate Hartzell n/a Pagl~ 1-- of -L-
~ lection: o Primary 19_ [XJ General 19 98 o Other
~eport: o I st Pre-election ~ 2nd Pre-election o Post-election o S~ptember Supplemental
'URPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
~ Agent M Management Services CA Cash
~ Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising LP Loan Payment
Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
Fundraising Event Expenses P Postage .
"
J General Operational Expenses (describe R Reimbursement
if over $50) S Surveys and Polls ~
Interest Payment T Travel Expenses (describe if over 550)
Literature, Brochures, Printing W Wag~. ~alMl
-
Payee's Name Exp. Arnount of ~.
ine# Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure Paid
toNP
1. 10/13/9E 1001 Spearco Graphics 0 CA $200.00 D
2. 10/14/98 1002 u.S. Postmaster P CA $ 1 3 .44 , D
3. 10/14/98 1003 Spearco, Graphics 0 CA $ 2~)0.00 D
4. 10/16/98 1004 Print fast 0 CA $ 200.00 D
5. 10/20/98 1005 Ashland Daily Tidings N CA $ 300.00 D
6. 10/21/98 1006 Ashland Daily Tidings N CA $ 300.00 D
7. 10/24/98 1007 Cat~ Hartzell R CA $ 2:24.85 D
8. $ 0
9. $ D
....
iO. ~~ D
$ < 'O^
Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for'r~page and
See, expenditure type.) transfer these amounts to the Summary Sta1:ement, Pe 6i
nstructions Cash (CA) $ 1 ,488.29 Cash (CA) $ 1 ,488.29 {~
'n Back and Entcr on Summazy Statcment. Column A. Line 6 >c9
1 Campaign Loan Payment (LP) S 0.00 Loan Payment (LP) $ 0.00
Finance Enter on Summary Slalcmcnl Column A Line: 7
Manual
-,
jA Personal Expenditures For Reimbursement
I
lease type or print legibly in black ink.
andidate or Political Comminee Name: I Committee ID Number:
~ommittee to Suooort Cate Hartzell n/a Page -1- of -1-
lection: o Primary 19 ~ [g] General 19 '18 o Other
eport: o I st Pre-election IXJ 2nd Pre-election o Post-election o September Supplemental
URPOSE CODES (see back of form for instructions and code definitions)
Agent M Management Services
Broadcast Advertising (Radio, TV) N Newspape,r and Periodical Advertising
Cash Contributions 0 Other Advertising (yard signs, bunons, etc.)
Fundraising Event Expenses P Postage
General Operational Expenses (describe if over $50) S Surveys and Polls
~
Interest Payment T Travel Expenses (describe if over $50)
Literature, Brochures, Printing W Wages, Salaries, Benefi~
-
ne# Date Payee's Name Purpose Amount of
Expenditure
9/27/98 -
1. 10/19/98 Various Retail stores G $ 46.32
2. 9/28/98 Jackson County Clerk S $ 12.13
3. 10/03/98 Pam Danielle Photography N $ 165.00
4. 10/14/98 Spearco Graphics 0 $ 93.50
5. 10/16/98 Printfast L $ 25.10
6. 10/17/98 Ash~and Lumber 0 $ 39.90
7. 10/23/98 Suzi Aufderheide B $ 20.00
3. 10/26/98 Ashland Lumber 0 $ 19.95
I
'L-. .sf b (1Y\ Sdpp. tfY' :pr;st ,e,{.tc;f, ~ 1oT.~
3. $
"',...
'~r~
o. $ ~a
r/)..
Page Total Accounting Period Total (Complete only for last pa{; Jjd
See Personal Expenditures ~ transfer this amount to the Summary Statement, PC 1.) &
nstructions 1../ 0 f. 'IS Personal Expenditures $ -4-Z'1. '~1f l-llJ } .q~ ~ b
n Back and Entcr on Summary S~tcmcnt. Linc 31
, Campaign
Finance
Manual
(9
PC6
Rev. 11i97 Accounts Payable
Please type or print legibly in black ink.
Candidate or Political Committee Name: Committee ID Number:
Committee to Support Cate Hartzell n/a Page --L- of -L
Election: D Primary 19_ 1]1 General 19....9..B- D Other
Report: D I st Pre-election (Ja 2nd Pre-election D Post-election o Septl~mber Supplemental
PURPOSE CODES (see back for instructions and code definitions)
A Agent M Management Services
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses .. P Postage
G General Operational Expenses (describe if over $50) .. S ... Surveys and Polls
I Interest Payment T Travel Expenses (describe if over $50)
L Literature, Brochures, Printing W Wages, Salaries, Benefits
Note: Accounts Payable must include all amounts not paid by the end of the accounting period. See back of form for instructions.
Line # Date Payee's Name Purpose Amoun/of
(as /1 appears on invoice, receipt or check) Account Payable
1. 10/14/98 Crystal Castle Graphics 0 $ 145.00
2. 10/20/98 Print fast 0 $ 1 6 2 .3 0
3. $
4. .. $
5. $
6. $
7. $
8. $
9. $
10. $
Page Totals (Add all accounts payable on this Accounting Period Totals (Complete only for last page and
See form.) transfer these amounts to the Summary Statement, PC 1.)
Instructions Accounts Payable $ 307.30 Accounts Payable $ 307.30
on Back and Enter on Summary Statement, Column A, Line 34
in Campaign
Finance
Manual RECD OCT 2 8 1998
CIO
cv.9198
Candidate's Attributable Expenditure Calculation
Please type or print legibly in black ink.
Candidate or Principal Campaign Committee's Name:
Committee to Suppor~ Cate Hartzell
gg Original 0 Primary 19 @ General 19 98
=:J Amendment 0 1 st Pre-election @ 2nd Pre-election
Committee ID Number:
n/a
o Other
o Post-election
o September Supplemental
ATTRIBUTABLE EXPENDITURE AMOUNTS
TOTALS FOR THIS
ACCOUNTING ERIOD
I. Cash Expenditures: The accounting period total for cash expenditures reported on form
PC 3, minus any expenditures with the purpose code R and minus any amounts paid to
accounts payable, as indicated by a checkmark on form PC 3, only if attributed "
previously.
Z. Personal Expenditures for Reimbursement: The accounting period total for personal /
expenditures reported on form PC 3A.
3. Accounts Payable: Include only amounts for accounts payable reported on tPc 6 r
this accounting period that have not previously been included as an a~ibutab
expenditure. ,
t In-Kind Contributions: Accounting period total for in-kind contrib orted on
form PC 2.
421 .90
$ 307.30
$ 0.00
$ 0.00
$ 1,992.64
$ 0.00
$ 0.00
5. Previously Reported Expenditures that Apply to the C
SUBTOTAL A: Add lines I through 5.
5. Any Portion of Expenditures Attributable to the Ne
7. Other Adjustments to Subtract from Attributa Expenditures. This may include:
a) Amounts for expenditures made from other r eipts, rather than from contributions; or
b) For candidates who participated in the gen al election, expenditures made after
December 31 of the election year. Use attached letter to explain adjustments.
;UBTOT AL B: Add lines 6 and 7.
$
0.,00
L Total Attrib'utable Expenditur for this Accounting Period: Subtotal A minus
Subtotal B.
) Total Attributable Expe Itures for this Election: Add the total atttibutable
expenditures (line 8 of rm CC 10) for each accounting period for the election (first pre-
election, second pre- ection, post-election and supplemental accounting periods, as
applicable.) "
$ 1,992.64
$ 1,992.64
Martin R. Levine,
" Treasurer,
(name of candidate or treasurer), hereby certify that the above
10/27/98
Date signed
FOR OFFICE USE ONLY
REeD OCT 2 8 1998
PC.,I Summary Statement of Contributions and Expenditure's
Rev. 9198
Please type or print legibly in black ink. Page 1 of2
Candidate or Political Committee Name:
Committee to SUppO:5"t Cate Hartzell
Address (street or route, city, state, zip code): ..
P.O. Box 465, Ashland, OR 97520
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 Camoaiqn Committee
[Xl Original o Primary 19 ua General 19 9 R [J Oth~,r
o Amendment o 1 st Pre-election [] 2nd Pre-election o Post-election o September Supplemental
A-TOTALS FOR THIS B-CUMULA TIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS - -
1. Cash Contributions
(Accounting Period Total from PC 2) + 2,387.50 +
2. Loans Received <N:on-Exempt)
(Accounting Period Total from PC 2) + 0.00 +
3. Total Cash Contributions
(lines 1+ 2) = 2,387.50 =
.:t. In-Kind
(Accounting Period Total from PC 2) + 0.00 +
5. TOT AL CONTRIBUTIONS
(lines 3 + 4) = 2,387.50 =
EXPENDITURES
5. Cash Expenditures u
(Accounting Period Total from PC 3) + 1,488.29 +
7. Loan Payments (Non-Exempt) '.
(Accounting Period Total from PC 3) + 0.00 +
L Total Cash Expenditures
(lines 6 + 7) == 1,488.29 =
) . In-Kind
(Accounting Period Total from PC 2) + 0.00 +
to. TOTAL EXPENDITURES
(lines 8 + 9) = 1,488.29 =
CASH BALANCE
1. Beginning Cash Balance FOR OFFICE USE ONLY
(Ending Cash Balance from previous report) 0.00
2. Total Contributions
(line 5) + 2,387.50
3. Other Receipts.
(Accounting Period Total from PC ~A) + 0.00
4. Loans Received (Exempt)
(Accounting Period Total from PC 4A) + 0.00
5. CONTRIBUTION SUBTOTAL
(lines 11 + 12 + 13 + 14) = 2,387.50
6. Total Expenditures
(line: 10) + 1,488.29
7. Other Disbursements
(Accountin2 Period Total from PC 4B) + 0.00
8. Loan Payments (Exempt)
(Accounting Pcriod Total from PC 4B) + 0.00 RfC'D OCT
':f. EXPENDITuRE rOT AL
(lines 16.,. 17 + 18) = 1,488.29 28 1998
J. ENDIl'G CASH BALANCE
(line: 15 minus line: 19) = Aqq 7.1
. I
'PC 1 Summary Statement of Contributions and Expenditulres
Rev. 919&
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
Committee to Suooort Cate Hartzell n/a
B Original o Primary 19 B .General 19...91L- o Other
o Amendment o 1 st Pre-election U 2nd Pre-election o Post-el'ection o September Supplemental
LOAN SUMMARY
21. Beginning Outstanding Loans
(Total Outstanding Loans from previous report) FOR OFFICE USE ONLY
22. Loans Received (Non-Exempt)
(line 2) +
23. Loans Received (Exempt) .'
(line 14) +
24. LOANS RECEIVED SUBTOTAL !
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt)
(linc 7) +-
26. Loan Payments (Exempt)
(line 18) +
27. Forgiven Loans
(Total loans forgiven during this accounting period) +
28. LOAN PAYMENT SUBTOTAL
(lines 25 + 26 +27) =
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28) =
none
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures
(linc 34 of prcvious report) 0.00
31. Total Personal Expenditures
(Accounting Period Total from PC 3A) + 4?1 . 90
.
32. PERSONAL EXPENDITURE SUBTOTAL
(lincs 30 + 31) ~ = 4?1 q()
33. Total Personal Expenditure Reimbursements
(T otal expenditures on PC 3 with purpose code R) - 224_85
34. OUTST ANDING PERSONAL EXPENDITURES
(line 32 minus line 33) = 1Q7 nt;
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
35. Ending Cash Balance
(line 20) - 899.21
36. Accounts Receivable
(Accounting Period Total from PC 5) + 0.00
"
37. SUBTOTAL
(lines 35 + 36) = Aqq ?1
38. Total Outstanding Loans
(line 29) 0.00
39. Outstanding Personal Expenditures ~tV 0. .
(line 34) + 197.05
40. Accounts Payable ~()I
(Accounting Period Total from PC 6) + 0.00 ~ ,g
41. SUBTOTAL 8 7998
(lines 38 + 39 + 40) = 197.05
42. BALANCE/DEFICIT
(line 37 minus line 41: indicate + or - balance) = +702.16
I, M~r+-; n J.f T ~'dC\Pll I'J1rA.::I<::nrpr (name of candidate or treasurer), hereby (;ertify that the above
staym' nt jd the attached ~ing reports are true and correct
VJ~ ~
iAJ~ ~I_ '" I .t J =A A -'- . r J> A:- 10!?7/98
Signature of candidate or d easurer I . Date signed
. I
PC,2 Cash Contributions, Loans Received and In-Kind
Rev. 11/97
Please type or print legibly in black ink.
Candidate or Political Committee Name: Committee ID Number:
Committee to Support Cate Hartzell n/a Page ..1.- of -L-
Election: o Prim~ry 19_ fi General 19 -9..B...- o Other
Report: o 1 st Pre-election ~ 2nd Pre-election o Post,.e1ection D September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type CODE 2: Contributicm 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
Line # Name and Address of Contributor Amount of In-Kind Purpose
Contnoution (see manual for suggested purpose codes)
Date Received Occupational Information, Contnouting Contributor Code 1 Code 2
Committee siD#, or Description if Code 1 is "0. Aggregate
Paul Copeland
1. P.O. Box 806 $ 200.00
Ashland, OR 97520
Computer Consultant $ 200.00 1 CA
John Morrison
2. 500 Helman $ 100.00
Ashland, OR 97520 "
Public Relations " $ 100.00 1 CA
James F. Moore, Jr.
3. 1 21 7 Park Street $ 100.00
Ashland, OR 97520
Retired ., $ 100.00 '1 CA
Anne F. Decker
4. 1070 Emma Street.. $ 100.00
Ashland, OR 97-520
Retired $ 100.00 1 CA
"".
Alan & Myra Erwin Trust I.~ti>
5. 300 Grandview Drive $ 100.00 , 00
Ashland, OR 97520 r_
Trust/Retired $ 100.00 0 CA ""&~ ~
~
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) $ 600.00 Cash (CA) $
on Back and Enter on Swnmary Statement, Colwnn A. Line I
in Campaign In-Kind (IK) $ 0.00 In-Kind (IK) $
Finance
Manual Enter on Swnmary Stal:ement, Colwnn A, Lines 4 and 9
Loans Received (LR) $ 0.00 Loans Received (LR) $ I
Enter on Summary Sta,ement, Column A, Line 2 I
~c9
. I
.~ .
PC~
Rev. 11197 Cash Contributions, Loans Received and In-Kind
Please type or print legibly in black ink.
Candidate or Political Committee Name: I Committee lD Number: I Page -L of ..2-
Committee to Support Cate Hartzell n/a
Election: o PrimM-y 19_ fl General 19-9..B..- o Other
Report: o 1 st Pre-election ~ 2nd Pre-election D Post-election D 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. ,I.
I Individual LR Loan Received
L Labor Organization
0 Other
P Political Party Committee
Line #. Name and Address of Contributor Amount of In-Kli.1d Purpose
Contribution (see manual for su,qgested purpose codes)
Date Received Occupational Information, Contributing Contnbutor Code 1 Code 2
Committee's ID#, or Description if Code 1 is .0. Aggregate
Northwest Nature Shop
1. 154 Oak Street $ 100.00
Ashland, OR 97520
Retail Store $ 100.00 B CA
Richard L. Hay
2. 1 5 S. Pioneer Street $ 200.00
Ashland, OR 97520
Theatre Scenic Designer $ 200.00 I CA
Rose Inget Pessak
3. 51 Hersey Street $ , - .75.00
Ashland, OR 97520
Retired , $ 75.00 'I CA
The Arborist, Inc. 100.00
4. 2305 Ashland st .", #C-500 $
Ashland, OR 97520
Landscape Maintenance $ 100.00 B CA
...
Miscellaneous Contributors .?t'Q>
5. $50.00 and under $1,312.50 . OD
r~
n/a $1,312.50 I CA <&ih
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) $ 1,787.50 Cash (CA) $ 2,387.50
on Back and Enter on Swnmary Statement, Colwnn A, Line I
in Campaign In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Finance
Manual Enter on Swnmary Statement, Colwnn A, Lines 4 and 9
I Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on Summary Statement, Column A, Line 2
~c9
. I
PCJ
Rev. 9198 Cash Expenditures and Loan Payments
Please type or print legibly in black ink.
Candidate or Political Comminee Name: Comminee 10 Number:
Committee to Support c;ate Hartzell n/a Page L- of -----L-
Election: o Primary 19_ [XJ General 19 98 o Other
Report: o 1 st Pre-election ~ 2nd Pre-election o Post-election o September Supplemental
! PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent M Management Services CA Cash
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising LP Loan Payment
C Cash Contributions 0 Other Advertising (yard signs. bunons, etc.)
F Fundraising Event Expenses P Postage
G General Operational Expenses (describe R Reimbursement
if over S50) S Surveys and Polls /
I Interest Payment T Travel Expenses (describe if over $50)
L Literature, Brochures, Printing W Wages, ~larie~, Benefits
-
Payee's Name Exp. Amount of ~.
Une# Date Check # (as it appears on invoice, receipt or check) Purpose Type Expenditure Paid
to AlP
1. 10/13/9E 1001 Spearco Graphics 0 CA $200.00 D
2. 10/14/98 1002 u.S. Postmaster P CA $ 1 3 .44 D
3. 10/14/98 1003 Spearco. Graphics 0 CA $ 250.00 D
4, 10/16/98 1004 Printfast 0 CA $ 200.00 D
5. 10/20/98 1005 Ashland Daily Tidings N CA $ 300.00 D
6. 10/21/98 1006 Ashland Daily Tidings N CA $ 300.00 D
7. 10/24/98 1007 Cat~ Hartzell R CA $ 224.85 D
8. $ D
9, $ D
10. ~Q> 0
$ f ~a
~
Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for'r~page and
See expenditure type,) transfer these amounts to the Summary St2Ltement, Pe if
Instructions Cash (CA) $ 1,488.29 Cash (CA) $ 1.488. 29 {~
on Back and Enter on Swnmary Stalemer.,t. Column A. Line 6 .7'&
in Campaign Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Finance Enter on Summary Slaleme~ll. Column A. Line: 7
Manual
-.
Ipc3A Personal Expenditures For Reimbursement
919&
Please type or print legibly in black ink.
Candidate or Political Committee Name: Committee 10 Number:
~ommittee to SUDDort Cate Hartzell n/a Page -1- of --L-
Election: o Primary 19 ~ [g] General 19 'J 8 o Other
Report: o 1 st Pre-election 1X12nd Pre-election o Post-election o September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions)
A Agent M Management Services
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses p Postage
G General Operational Expenses (describe if over $50) S Surveys and Polls
"
I Interest Payment T Travel Expenses (describe if over $50)
L Literature, Brochures, Printing W Wages, Salaries, Benefi~
-
Une# Date Payee's Name Purpose Amount of
Expenditure
9/27/98 -
1. 10/19/98 Various Retail stores G $ 46.32
2. 9/28/98 Jackson County Clerk S $ 12.13
3. 10/03/98 Pam Danielle Photography N $ 165.00
4. 10/14/98 Spearco Graphics 0 $ 93.50
s. 10/16/98 Printfast L $ 25.10
6. 10/17/98 Ash~and Lumber 0 $ 39.90
7. 10/23/98 Suzi Aufderheide B $ 20.00
8. 10/26/98 Ashland Lumber 0 $ 19.95
9. $
.~~
"'~~
10. $ ~a
. /') ..
7~Y
Page Total Accounting Period Total (Complete only for last p ~e~d
See Personal Expenditures $ 421 .90 transfer this amount to the Summary Statement, PC 1.) cP
/r
Instructions Personal Expenditures $ 421. 9 0 \~ :)
on Back and Enter on Swnmary S~lemcnt. line 31
in Campaign
Finance
Manual
C9
'1
t
PC6
Rev. 11/97 Accounts Payable
Please type or print legibly in black ink.
Candidate or Political Committee Name: Committee ID Number:
Committee to Support Cate Hartzell n/a Page -L of -L..
Election: o Primary 19_ ~ General 19....9...8..- o Other
Report: o I st Pre-election rxI2nd Pre-election o Post-election o September Supplemental
PURPOSE CODES (see back for instructions and code definitions)
A Agent M Management Services
B Broadcast Advertising (Radio, TV) N Newspaper and Periodical Advertising
C Cash Contributions 0 Other Advertising (yard signs, buttons, etc.)
F Fundraising Event Expenses .. P Postage
G General Operational Expenses (describe if over $50) .' S .,. Surveys and Polls
I Interest Payment T Travel Expenses (describe if over $50)
L Literature, Brochures, Printing W Wages, Salaries, Benefits
Note: Accounts Payable must include all amounts not paid by the end of the accounting period. See back of form for instructions.
Line # Date Payee S Name Purpose Amount of
(as it appears on invoice, receipt or cI7eck) Account Payable
1. 10/14/98 Crystal Castle Graphics 0 $ 145.00
2. 10/20/98 Print fast 0 $ 1 6 2 .3 0
3. $
4. ., $
5. $
6. $
7. $
8. $
9. $
10. $
Page Totals (Add all accounts payable on this Accounting Period Totals (Complete only for last page and
See form.) transfer these amounts to the Summary Statement, PC 1.)
Instructions Accounts Payable $ 307.30 Accounts Payable $ 307.30
on Back and Enter on Summary Statement, Column A, Line 34
in Campaign
Finance
Manual RECD OCT 2 8 1998
. I
CC 10 Candidate's Attributable Expenditure Calculation
F,ev. 9198
Please type or print legibly in black ink.
Candidate or Principal Campaign Committee's Name: Committee lD Number:
Committee to Suppor.t Cate Hartzell n/a
@ Original o Primary 19 @ General 1998 f o Other
o Amendment o 1 st Pre-election @ 2nd Pre-election o Post-election o Septt~mber Supplemental
ATTRIBUTABLE EXPENDITURE AMOUNTS TOTALS FOR THIS
ACCOUNTING PERIOD
1. Cash Expenditures: The accounting period total for cash expenditures reported on form
PC 3, minus any expenditures with the purpose code R and minus any amounts paid to $ 1 , 263'.44
accounts payable, as indicated by a checkmark on form PC 3, only if attributed "
previously.
2. Personal Expenditures for Reimbursement: The accounting period total for personal.' $ 421 .90
expenditures reported on form PC 3A.
3. Accounts Payable: Include only amounts for accounts payable reported on fonn PC 6 for
this accounting period that have not previously been included as an a~ibutable $ 307.30
expenditure.
4. In-Kind Contributions: Accounting period total for in-kind contributions reported on $
form PC 2. 0.00
5. Previously Reported Expenditures that Apply to the Current Election. $ 0.00
SUBTOT AL A: Add lines 1 through 5. $ 1,992.64
6. Any Portion of Expenditures Attributable to th~ Next Election. $ 0.00
7. Other Adjustments to Subtract from Attributable Expenditures. This may include:
a) Amounts for expenditures made from other receipts, rather than trom contributions; or $ 0.00
b) For candidates who participated in the general election, expenditures made after
December 31 of the election year. Use an attached letter to explain adjustments.
SUBTOTAL B: Add lines 6 and 7. $ 0.00
8. Total Attrib'utable Expenditures for this Accounting Period: Sllbtotal A minus $
Subtotal B. 1,992.64
9. Total Attributable Expenditures for this Election: Add the total attributable
expenditures (line 8 of form CC 10) for each accounting period for the election (first pre-
election, second pre-election, post-ele.~tion and supplemental accounting periods, as $ 1,992.64
applicable.)
I. Martin H.. Levine, ~, Treasurer, (name of candidate or treasurer), hereby certify that the above
I (
I
stateyyif ~ t c\ITect.
~~ cPA-
GA ,,"": )J , 10/27/98
,,"v .. \. .
Signature of candidate or treasurer I Date signed
FOR OFFICE USE ONLY
ReCD OCT 2 8 1998
, I
SEL 220 ORS 260.037
R~. 9/97 Candidate's Statement of Organization ORS 260.039
ORS 260.041
Please type or print legibly in black ink.
A candidate who serves as the candidate's own treasurer does not need to fill out sections 3 and 8.
I Primary 19_____ General 19 ~ Other election date D Will exist fbr more than one year
2 This filing is an: ~ Original D Amendment D Discontinuation
3 Name of principal campaign committee
C~m~4v SUWO~ Ca~ \-\~\-t2Q\\
Committee address (street/route, city, state, zip code) - no post office box numbers
86) East lv1a('(\ Sf-
f)~h (a."J I oK. '175 W
Name of treasurer Telr;tne numbers )
;Y} lit-A", J..J. t~v I r1.e. , ~A 5'11 '.I(-8P--7&o! 15'" '1-82. -S'fdo
(world (home \
Mailing address to ):iCh all committee cOlTespondence will be sent
c./o IV) t( r 1"1 1-1.. ~~} h-( C-~A .
fJ, t') < ~ y: '1 [,.:S- (
,4S), } I( 1'1 J . OR- 'f7..r:L.o - Db 1 Ie,
4 Name of candidate ,\ ACaii( t\-aft~ \\
~cn(\ Cht~€.r\(1~ ~G.rt 2e\ \
Residence address (street/route, ci~tate, zip code) - no post office box numben
~8 \ E:o..st Me-if\, *: ·
S,^\QAAc\ \ OR \~15lO
Mailing address to which all candidate correspondence will be sent
138 \ bAst MeAt\\ Sf ~
As~\Q\{\a.\OR. Q1520
Occupation of candidate Telephone numbers ~~\ tt~::~\~ \
Re~OOCA\ 'Ne\v..:OrLCro,difloAvr 5tfl ~~d- -L\\~ \
(work\
Filing committee for office of (inc1ude county, position, department or zone number, if applicable)
c.~ Cro<\c-~\ MeMbe,(', ~lDi.hO(\ ~i.\
5 Additional address that may be used on political publications (post office box or street/route, city, state, zip code)
6 Party affiliation (complete only if filing for partisan office)
D Democratic D Libertarian D Natural Law D Pacific D Reform
D Republican D Socialist D Not a member of a party D Other
7 Political committee intends to solicit funds by (mark all that apply):
D Direct mail )XJ Personal contact D Radio D Television
D Banquet D Newspaper D Other
Please complete and sign the back side of this form.
:' ,-
u. I ~
8
Naml~
Committee Directors (if any)
Address (including zip code)
Occupation
If two or more direc:tors 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).
1h.~ h~
Date signed
q l;lg }qg
,
Date signed
Important: Both the c::andidate and treasurer of a principal campaign committee must sign the Statement of Organization.
Instructions
Filing a new Statemen1t of Organization
Three (3) copies of this l:ompleted form must be filed before any contributions are received or expenditures made. A date stamped
copy, which includes your identification number, will be returned to you as an acknowledgment of your filing.
A candidate who servEls as the treasurer
A candidate may either :serve as the candidate's own treasurer or may designate a principal campaign committee and appoint a
separate treasurer. A calndidate who serves as the candidate's own treasurer does not need to complete sections 3 and 8 of this
form. NOTE: A candidate may have only one principal campaign committee.
Amending infonnation on this fonn
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 thret~ (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.
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LOCAL CANDIDATE FORUM: Ashland Chamber
of
Commerce Oct.
21,
Channel 31
7 -8PM
(Live)
Paid for by the Committee
to Support Cate Hartzell
PO Box 465 Ashland, OR 97520,
Martin Levine, Treasurer
· Training and experience
in consensus building
· Worked in downtown
Ashland retail business
· Worked on Community
Assessments and
Strategic Planning in six
Rogue Valley communities
Professional
· Coordinates regional
network of organizations
promoting healthy com-
munity and sustainable
forest practices
Experience
life Experience
· Lived in Southern Oregon for
· 2 children, 2 step-children
· BS Psychology, Southern Oregon University
Civic Volunteer
1
1
1
1
997 -1
996- 1
984- 1
990- 1
998
998
992
991
Activities
Ashland Watershed Partnership, Steering Committee
Citizens for Hillside Standards
Peace House Volunteer, Board of Directors,
Kids House Preschool Board of Directors
992
1998
1998
1998
1995- 1
1 994- 1
1997
QUALIFICATIONS:
Official Ci
WAITE-IN INSTRUCTIONS
TO VOTE FOR A PERSON NOT ON THE BAllOT, REMOve
THIS CARD FROM mE VOTING DEVICE AND PLACE ON A
FLAT SURFAce, WRITE IN FUll OFFICE TiTlE &
C"'NDlDATE NAME IN SPM:e BELOW,
OFFICE TITLE CANDIDATE NAME
9 years
ty Committees
Ashland Fiber Optic Network Strategic Steering Committee
Water Advisory Group for the Comprehensive Water Master
Ad Hoc Hillside Development Standards Committee
998 Chair, Ad Hoc Citizen's Communication Committee
998 Ashland City Budget Committee, Vice-Chair 1996- 1998
Selection Committee for Flood Restoration Consultant Firm
Plan
co~\..'
.<'t\~0<QO~'r' ~
:i. <:put<.
1Pf,i'.f\l-'-"01>' "'1'"",...,.0., ~
Write i n
Cat~ Hart~~11
~ ......... ..... ~ .. ....... ~ - ~ . .
City Council
Position #4
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