HomeMy WebLinkAboutDiana Yohanna Storm
Filing of Candidacy for Nonpartisan Nomination
SEL120
rev 1/06: ORS 249.031
This information is a matter of public record and may be published or reproduced.
pl.... type or print I.gibly in black ink
o Incumbent for Office of Judge
J, candidate name filing for office of
])/A~1f\- YO"AAJj.J~ ~erL ,l Crr1t2~ ASHUl,OO O~
how name shoulJ ~ppear on ballot district. depJrtment or position number'
'10 HIt,~~A- S1-0el1 Crr'f O~ ASHLf\J..ib
residence address street/route, city, stete, zip code 1 :3 J S cr 0
5+1 ~ .~:r~I:!!-S Asi\U\IJDtO e q~SZo 5 J- 0 - Z
county of residence home phone
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51CJ E. S\I2EeT '5 As~.o"b De ~t:;>5ZD
mailing address. where all correspondence will be sent ,
5fq 13. STet::G:1 ~ 5 AstlLAP)). oe 'i ~9o
o Secretary of State of Oregon 0 County Elections Official of
~ City Recorder (Auditor), City of -A Si\LJ\AJ~ <<. t) fZ-
~f:Xp~~
s 41'1&-
work phone
_County
o Filing of Candidacy by Declaration, with the Required Filing Fee (ORS 249.056)
Statewide Offices
Circuit Court Judge
District Attorney
County Judge
MSD Executive Officer, MSD Auditor
MSD Councilor
County Office
City Office
Justice of the Peace
Filing of Candidacy
by Decleretion (ORB 249.058)
$ 100
$ 50
$ 50
$ -SO
$ 100
$ 25
$ 50
*
State Voters' Pamphlet
(ORS 2&1.095)
, $1000
$ 300
$ 300
RECeIVED
$ 300 ·
$ ~qQ,c.'} 0 .~ .y... M-I
$ -* . ~; l..UU6 I~
$ 300
nla
*set by charter or ordinance
**for cities with a population of 50,000 or more (ORS 251.005)
KEiling of candidacy by prospective petition, with the required proposed signature sheet-s...ed..9.n ,Line 1 by th.
candidate (SEL 121) and statement one or more circulators will or will not be paid (SEL 300) (ORS 249:02l)l~'-' '-"~" ,_
o Filing of candidacy by completed petition, with the required signature sheets properly certified by the appropriate county
elections officials (ORS 249.020, 249.064)
Filing for Candidacy
Filing for Stet.
Voter.' Pamphlet
Fi rst Day
September 8, 2005
May 31,2006
Last Day
March 9, 2006
August 29, 2006
Withdrawing Candidacy
Primary Election:
General Election:
Fi rst Day
September 8, 2005
May 31,2006
Last Day
March 7, 2006
August 29, 2006
Last Day
M'arch 10, 2006
September 1, 2006
Primary Election:
General Election:
contlnu.d on the r.".r.. .Id. of this form
SEL120
I II
,equlred Information
J, occupation present employment
l5u'L1::U)(;- DESI~~ (2AFTER ~TfLE"l\RT~ esf8,J 'S ,
occupational background previous employment - ai r unpaid ~ It
C6N~ tJ.,~C 'S-A-H= ~COIefhl?f\Te (-ttIAlKiMt:::: Sett1wlV'S ..
1"1 .G . TA"1~, 'oC, Dl1l'1e5 '. Doc um~11\TloJ), ~"'Tc:=Bl>'~WS) FAaI Ll'iJ\Te- O<BI\TtVC=:-
IJt#SIPe5'3:> 9X-o'rfOUS SE:ttt(,(JA~S, wetTttOG, ~N-,eblT1~tS- .'.
lusre~lOe: b>ec::e t:JJ\\JEfSiij T::J.?~'" ~ ~e C~ICtX.-l.W\ ~ T~t<&
J, educational. background schools attended, use attachment if needed
complete name of school no acronyms
last grade level
completed
diploma/degree/certificate
(AA,BA,BS,MA,PhO,etc)
course of study
options'
LJA>~\)eesctt O"F' kAAJSAS
(f.ep~~ COLL~
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other
J, prior governmental experience elected or appointed
~
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By signing this document, I hereby state:
~that I will accept the nomination for office indicated
~ that I will qualify for said office if elected
~ that all information provided by me on this form, including my occupation, educational and occupational background, and
prior gover.nmental experien~e, is true to the best of my knowledge
......
<6-lsr 2
date signed
This inform~t;on ;s a matter of public record and may be published or reproduced.
. for office use only
initials
cash or check number
candidate 10 number
receipt number
office number
candidate committee 10 number
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Statement One or More Petition Circulators Will Be Paid
SEL 300
rev 1/06: OAS 248.008,
ORS 249.061. GRS 249.078.
GAS 249.740, GRS 249.865
I/We hereby declare one or more petition circulators will be paid money or other valuable consideration for obtaining
signatures of active 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 that no
petition circulator will be paid for obtaining signatures.
identify petition name of candidate or min-or political party on prospective petition; or name of officeholder on recall petition
sig ned*
date sig ned
signed*
date signed
signed*
date signed
~",~(
. Statement must be signed by one of the following:
-7candidate for nomination
-7 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 Paid
SEL 300
rev 1106: GRS 248.008.
ORS 249.061. ORS 249.078.
GAS 249.740, GAS 249.865
I/We hereby declare no petition circulators will be paid money or other valuable consideration for obtaining signatures of
active 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 that one or more petition
circulators will be paid for obtaining signatures.
~t:\AAJ~-JI ~1c-"I?Yl ' CL1_L 7c~t-(ri?JJLi.? ~ ____ _ __ _
idaq~:~tlonlfname of candidate or ':"~:~/itica' party on prospective petition; or name of officeholder ;;;ecall petition
< 1_ ); J ka \~)(-A __ _ <:s-1Q"",,2r='- _____ _ _____ _ ~_S~2c{J0'--___
signe~ date signed
signed*
date signed
signed*
\"\€.t'C-\\j~\)~
. Statement must be signed by one of the following:
-7candidate for nomination
~ chief petitioner for recall petition
~ chief sponsor for certificate of nomination
~ chief sponsor for minor political party formation petition
."~---_....,,,._-
..~-~
"..r"":"
CITY OF
ASHLAND
August 8, 2006
Diana Y ohanna Storm
549 B Street #5
Ashland OR 97520
A prospective petition has been completed and filed with the City Recorder's Office for City Recorder.
A petition has been approved for circulation.
Barbara Christensen
City Recorder
CITY RECORDERfTREASURER
20 E Main Street
Ashland, Oregon 97520
wwwashland.or.us
Tel: 541-488-5307
Fax 541-552-2059
TTY 800-735-2900
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I
CITY OF
ASHLAND
August 15,2006
Diana Y ohanna Storm
549 B Street #5
Ashland OR 97520
A completed petition, with the required signature sheets properly certified by the county elections office
has been received and is filed with the City Recorder's Office for City Recorder.
Please let me know if I can be of any further assistance during this upcoming election time.
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERlTREASURER Tel: 541-488-5307
20 E Main Street Fax: 541-552-2059
Ashland, Oregon 97520 TTY: 800-735-2900
www.ashland.or.us
~~,
Statement of Organization for Candidate Committee
SEL 220
rev 1 "05: ORS 260.037.
ORS 260.039. ORS 260.041
Filing a New Committee: This form, along with the Campaign Account Information form (SEL 223). must be completed
and filed within 3 business days of first receiving a contribution or making an expenditure. The "Original" box should
be marked on both forms. A date stamped copy ofthis form, which includes the committee's identification number, will be
returned to the candidate or treasurer as an acknowledgment ofthe filing.
A candidate may have only one Candidate 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, does not have an existing candidate's
committee and does not expect to receive or spend more than $300 for the entire election is not required to establish
a campaign account, file a Statement of Organization or file contribution and expenditure reports. However, if at any time
the candidate exceeds $300 in either contributions or expenditures, the candidate must then establish a campaign
account, file a Statement of Organization and file contribution and expenditure reports.
Amending Information on this Form: Any change in the information on this form must be filed within 10 days of
the change. To notify the filing officer of a change in information, submit this form, completed in its entirety, and mark
the "Amendment" box. An amended SEL 223 should not be filed unless the information on that form also changes.
o;.,o";ouI09: A final co""'but;on and expendltu,e ,epo'tthat shows a ,",0 balance must be filed. alonit w~h ,
completed SEL 220 with the "Discontinuation" box marked. The final report may be filed AE6 E I V ED
please type or print legibly in black ink
~-_._- /i/-.
o Primary 20_~_ ~ General20~
This filing is an: Original
o Other election date:
o Amendment
o Discontinuation
~Y;O~~:i~~ S\6f1/1 fOr<: G~1 Rl30R~e<
committee address street/route, city, state, zip code; no post office box numbers
54 ~ f3. STf2E'E1 df 5
campaign phone
_S41-=-~} - -Z 5' r ~"___"
name oftreasurer
~Mr 0 Ms r1 A.~K ~ LJ ID
mailing address for committee correspondence
'"8.
~i
ILsttLT1.0 b
,
6'R
9 '/52'0
:sc H uS IL7C:
54~
work phone
~l,- '< 0(-2590
fax - ~ ~~~------
).JIlT
S T~ t::. 't. {
f}st\~ A; D. (J t" 79-5 Z (5
home phone
~5T()fYl@ J' -e -('~..el____C?'-5.~________
email address --..J
~ name of candidate
OMr~Ms ''!oHfWrJA SfORY{
residence address street/route, city, state, zip code; no post office box numbers
54; t3. Sil?-Er/ :=i:J-. 5-
mailing address for candidate correspondence
*- '
54-0; G. ~TeE1t-' I '5
work phone
51-1- ~c0/-Z o'7d
fax
JUj'A
IbtiLi'gtlJDJ
.
6R
? ?$C ()
f1s+t-A,U D
"home phone
S 1\ 'Y'I L-
email address
'IS 10 1C.>y{~!
~ f -( if\ -+' -f
, CJ 12\.)
SEL 220
continued on the ..verse side of this form
'~~~,:;';:!&:~;,0;~ '/L L,G~l Pr(leU~~~~~M~i::KU~ /kf~+
Su F E M'PloYtI::>
name of office sought include county, position, department or zone number, if applicable
(' 1\( V2 E::-ccRbE-e
political party affiliation choose one if filing for a partisan office
o Constitution
o Republican
o Democratic
o Nonaffiliated
o Libertarian
o Other:
o Pacific Green
e
6ttRrtJfJtt- ~IdR
phone number
54
address including zip code
"f3 > STR :#-:5
Astk.
Ole 99620
,5f-1-30j- 2c;90
empioyer's name or self-employed
occupation
bcS/6N AssO:::'" I f\TC= 'tote Aec'tf ITe::-Cruet=
city and state of employer
I'b+IUHJ'D. Ol2
. address including ziplcode
e
~e.L r t'1-"fPLO'--/-ep
name of committee director
phone number
occupation
employer's name or self-employed
city and state of employer
e name of committee director
address including zip code
phone number
occupation
employer's name or self-employed
city and state of employer
J. 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,
11)/ A-
I
,,> ,
I
Attached is a Campaign Account Information form (SEL 223)
o yes 0 no
J. signature
By signing this document I acknowledge that I am personally liable for any penalties imposed under ORS chapter 260.
canm:u~ <b ~k
tre~surer's signature if different than candidate
date signed
~4 2g>
fate signed
(
Oc;
for office use only
initials
committee 10 number
office number
candidate 10 number
date SEL 223 received
date acknowledgment sent
CITY OF
ASHLAND
October 4, 2006
Y ohanna Storm
549 B Street #5
Ashland, OR 97520
I have examined your 151 Pre-Election Contribution and Expenditure report for the General Election of November 7, 2006 and
found the following:
B Yom ",mm;U" "port ;s suffi,;,"!
If you have any questions regarding this examination letter, please feel free to contact my office.
~
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERfTREASURER
20 E Main Street
Ashland, Oregon 97520
www.ashland.or.us
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
~..
...11
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
.J, name of committee use full name
~70I-\A~)AJA SlO,E'r-f F"'oe C'rf'i K(5'oK~e.
mai:..g address as it appears on Statement of Organization pb box or street, city, state, Zip code
549 6' .ST-r<-~I * -=:; As HU\{;'o () e C1t) 52 CJ
name oftreasu~e~ . .. . day phone number
)j~t<-- () I Yl{LJS.tee
c mmitee type, measure number or office
This filing is an:
:J Primary 20
C 1 st pre-election
XO~iginal
X Gen~raI2-o00
C' 2nd pre-election
o Amendment
C' other:
C\ Post-election
page 1 of 2
committee id number
. L 1'0& :35<0
020
Sept. Suppl.
o Report of Initial Assets
A Totals forthis
Accounting Period
B Cumulative Totals
for this Election
contributions
I
e cash contributions accounting period total from PC 2
8 loans received (non-exempt) accounting period total from PC 2
e total cash contributions lines 1+2
o in-kind accounting period total from PC 2
8 total contributions lines 3+4
expenditures
~ G, '>Q.,OO
'0
&3{),()O
o
& 30. CO
i ~ 30 ' uo
o
Lv '3 {), 60
o
(;''$0. CJC)
/
..t
+
+
+
+
;'
cash expenditures accounting period total from PC 3
41
8
e
e
8
loan payments (non-exempt) accounting period total from PC 3
total cash expenditures lines 6+7
in-kind accounting period total from PC 2
total expenditures lines 8+9
for office use only
cash balance
G beginning cash balance line 20 of previous report
48 total contributions line 5
e other receipts accounting period total from PC 4A
e loans received (exempt) accounting period total from PC 4A
e contribution subtotal lines 11+12+13+14
8 total expenditures line 10
e other disbursements accounting period total from PC 48
<<I loan payments (exempt) accounting period total from PC 48
e expenditure subtotal lines 16+17+18
e ending cash balance line 15 minus line 19
+
41<i~.3 t-
O
t 79,3'7-.
o
4-7cr.5.?-
rP1't-9.3?-
o
fJ:; 7 . '3 'f-
o
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+
+
+
=
o
+ f..JJ 3D .O{)
o
o
= 03().QO
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+ 0
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+
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>
,:
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+
;,~
;L!&~
,I" "''''
:".t:,ii'IPsil
!, ~
"'.q,~'lI~<
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
,l. name of committee use full name
Y 6 H-A IV fIJ Pr ~I vRt'l F6 t2'
This filing is an: ~riginal
o Primary 20 )(G~-;:;eraI20 0&____ 0 other:
C) 1st pre-election 0 2nd pre-election
loan summary
e
8
e
CO
CD
e
48
e
i
J
page 2 of 2
rev 1/06
committee id number
Crr-j 'F?tcol;?[)e:fC
o Amendment
o Post-election
_ beginning outstanding loans line 29 of previous report
fa loans received (non-exempt) Iine2
e loans received (exempt) line 14
e loans received subtotal lines 21+22+23
8 loan payments (non-exempt) line 7
8 loan payments (exempt) line 18
e forgiven 10an~_t()t~~/oans forgiven during this acctg. period
e loan payment subtotal lines 25+26+27
e total outstanding loans line 24 minus line 28
personal expenditure summary
e
fa
e
fa
e
CD
e
beginning outstanding personal expenditures
line 36 of previous report
p~rsonal expenditures accounting period total from PC 3A
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
forg~\len personal expendit~!es total forgiven this acctg. period
reimbursement subtotal lines 33+34
020
Sept. Suppl.
o Report of Initial Assets
for office use only
+
o
()
o
._~--_...._-
o
o
o
--~_._----
o
o
o
+
+
+
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+ 0
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+
+
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..
outstanding personal expenditures
financial~~tus at close of a~~~nting period
ending cash balance line20
+
accounts receivable accounting period total from PC 5
subtotal lines 37+38
total outstanding loans line 29
outstanding personal expenditures line 36
accounts payable accounting period total from PC 6
subtotal lines 40+41+42
balance/deficit line 39 minus line 43; indicate + or - balance
I, name of candidate or treasurer 10HAA;(; 11-__.3'7D(C'M
s.t atement an i.the a. t..t ached sup~.r..ting r orts are true and correct.
_ or' . __ __~'\'\)~. Z,')Y)
signature 0 ida or treasurer - un -- -~.-
, hereby certify that the above
I () - "J-.... - 0 Co
date signElcr- . .
PC 2 Cash Contributions, Loans Received and In-Kind
please type or print legibly in black ink; list only one entry per line rev 1/0f
· 09~f:::~'~;~ _ Fo~ Crt J2~(~l:;':''''~t~/O~ 350~ page I of Q,
o Primary 20 - "f. General 20 00 0 other:
o 1st pre-election
o 2nd pre-election
o Post-election
o 20_, ,Sept, Suppl.
o Report of Initial Assets
C~.'c;.ttib..~..TY..fJ'
BBusinessEntTty -
C Political Committee
F Candidate's Immediate Family
I Individual
dat.r"J~d.'~'" narii....fi .....~.fexmM..ut'"
oCQtlpati~llnfqnnll1i_" oi'COfttrif)Qti.." ~ee's 10#
L Labor Organization
o Other
P Political Party Committee
Codtt2 ContribptiOllc~'<,
CA Cash
CO Cosigner Obligation
IK In-Kind
LR Loan Received
'!"~of@'Att_..it<-. '
. (
c_tributora""9ate
ili..Jdmt-~
I
code 1 .
, . 00de2
*occupational information includes occupation, employer's name, city and state or self-employed
e DiAtvA: '/OMA1VCA 3iO 12 t-"'I
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$ I d--O., co
$ I)u.Co
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$ 150,00
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'r
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$ =~i;~~&7M."";~o3~~~IVED $ ","~WdlLRI
accoUbti......e..iod tClta'sColtlPfete ontijior fil$t/Jsge ind trsnsferthes8 8mountiibthe'Summ8tYSt.rteIl'l8~t,Pc 1 .
cash ((;A) ..' in-kind OK)' loan recehie'cf(LR}
$
$
$
enteronPC1, ColurrlnA;Line 1
enter on PC 7, Column A Lines 4 and 9
enter on PC 1; Column A Line 2
~""';""'"
,III
PC 2 Cash Contributions, Loans Received and In-Kind
please type or print legibly in black ink; list only one entry per line
J, name of committee use full name - '.. -committee ID number
'jOt+AAJ,tdft S~Rr-1 FoK ell{ R~cofi?l>c:e /9003:5 0
page :A of Q
o Primary 20__
o General 20
otn e r:
o 1st pre-election
o 2nd pre-election
=::;,s:-e e::+cn
~ 20
Sept. Suppl.
o Report of Initial Assets
Code 1 ContrtbClttt'lYpa
-'~En3usj nElss'Eritity~-
C Political Committee
F Candidate's Immediate Family
I Individual
4a_fllt~"~.} .h.m...ndlltt~..f~~
occ~.tt""Il'. ipformatlon" or~~butihlJ,,"'~...~'J)!I
l _2::- _":2-':=:':-
o Other
P Politica:Pc":. ::-- ::72
~2"..............tift.~_!U.'" ,
, ----.~~CA~~~<..........~..:J""'''''
CO Cosigner Obligation
IK In-Kind
LR Loan Received
''';';'!;~}f.~,.(J'.JI~;~
f;~~ ......te
in.ldftd~
code 1
.~.5-~<:,,<:ij::,::/,
"""1"''''''"
code lot
8
9 - d- 6-0(0
*occupational information includes occupation, employer's name, city and state or s~.." -:- c ",-
k ()1H- M ILLefC
'7se IS, ~1f2e-eT
ASi4LAfv'b oK:. 9'/620
, .., --i-..---~-~
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s
75.00
$
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I
leA
8 -p i-\ it_ I'-p L ~\.}..)6-
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page. totals add all amount$Wifh th~s~;c(}~ti;bf)tli!Jh~;(knOt fncltide IJggreg$$
$ cash (CA)-j 50 . QC) $in:kind OKlO
., ,','}2":'.;':;',;:I:,::,:t\1',Xt,;;,':::~:,:,'
!\}", :. ",,~,.,,' ;,'tM~""i';'," y~:';,'~:'-"J;,1
s (5
accountingp4H'lod totals compfeteonfy ft,rt~stP8~eand transfer these amounts to the Sum marl' $t3tJ~~~; .,
casl1{CA) .. ill=kind OK) , ..
$ ~ ~ .60 $ C
enter on PC 1, Column A Line 1 ,J
C)
._._-~--
enter on PC 1, Column A Lines 4 and 9
PC 3 Cash Expenditures and Loan Payments
please type or print legibly in black ink; list only one entry per line
.j, name of committee use full name committee ID number
"'!OftAtJtJA. 510eYJ 'f-DIC Cn-'-( Rt:-cof2~R /9()(P<350
o Primary 20 p.. General 20 elL) 0 other:
rev 1/06
page J of J
.1st pre-election
o 2nd pre-election
C' Post-election
" 20
Sept. Suppl.
Cl Report of Initial Assets
A Agent
B Broadcast Advertising (Radio, TV)
C Cash Contributions
F Fundraising Event Expenses
G General Operational Expenses
I Interest Payment
L Literature, Brochures, Printing
M Management Services
N Newspaper and Other Periodical Advertising
o Other Advertising (yard signs, buttons, etc.)
P Postage
R Reimbursement for Personal Expenditures
S Surveys and Polls
T Travel Expenses
U Utilities
W Wages, Salaries, Benefits
Y Petition Circulators
Z Preparation and Production of Advertising
CA Cash
LP Loan Payment
*address includes city, or county if no city, and state
e ~CL.-Vit=7;:'C/<) }AcK,9?0 Cc-,OA..'""r--{ ("((::"'1<1<
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add all expenditures with the same expenditure type
cash (eA) loan payment (LP)
$ 1'79. '3'i- $
cash)FA)
$ 1 't-C{ . 5 ~
complete only for last page and transfer these amounts to the Summary Statement PC 7
loan payment (LP)
$ 0
j
enter on PC 1. Column A Line 6
enter on PC 7, Column A Line 7
PC3
see instructions on back and in Campaign Finance Manual
'" I
CITY OF
ASHLAND
October 4, 2006
Y ohanna Storm
549 B Street #5
Ashland, OR 97520
I have examined your 151 Pre-Election Contribution and Expenditure report for the General Election of November 7, 2006 and
found the following:
B Yom oommitt" report is oot suffi,i,o!
*
PCI page 2 of2 -lines 37 through 43 - Ending cash balance should come from line 20 on PCI page I of2.
Please submit amended Summary Statement no later than November 1,2006. If you have any questions regarding this
examination letter, please feel free to contact my office.
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERlTREASURER
20 E Main Street
Ashland. Oregon 97520
www.ashland.or.us
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
'it'
e
e
e
e
-
e
-
8
-
fa
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J. nameofcommittee usefullname--~--- - m ~-~-"
'I c,,". r r __ . r.->
. 1Q~A/lJJ\iPr 0 iC~---IQ 1<:.. -~'(K.E CC:>K'7DE1C-
mailing address as it appearsqn Statement of Organization po box or street city, state, zip code
511'E .3l ::t,~ As.8Lt1~D _DK-:> ~1~S?O
name oftreasurer,__ T day phone number .
1:J ~K J.l.. :X--t\L~'{ClC 5'11- ~~() 1'-?~~"2()._~
commitee type, measure number or office
page 1 of2
""e".... ':\'5
_.~-~-"
-;./1. committee id nu"mbe-r~..
_=-120&3,50
This filing is an:
o Primary 20
o 1st pre-election
---'1(()rigin~ "
o General20Ck'
A2nd pre-electio~-
o Report of Initial Assets
B Cumulative Totals
forthis Election
o Amendment
o other:
---_.~-. ~~_._--
o Post-election
-= 20_
Sept. Suppl.
A Totals for this
Accounting Period
comrilMltlcms
~':"\""::'\;:;,:~~.:~~::~~%~~~~~/{;1~,~
e
8
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-
(.i'
cash contributions accounting period total from PC 2
-.- I J [I , t 9-
+ 0
Jlo.4i
+ 0
1)0.4-1-
fp1{J,4
loans received (non-exempt) accounting period total from PC 2
-~-~-------- ----
+
o
-/1;- . if/')
& ,e) I 7 r
total cash contributions lines 1+2
in-kind accOunting period total from PC 2
+
c'
total contributions lines 3+4
.~re.
-
8
--
fa
41)
cash expenditures accounting period total from PC 3
l~ 1(' .1i-
o
6101:L2:.
D
&, (
____ "~21.t }.) 0
loan payments (non-exempt) accounting period total from PC 3 + 0
~~ =nj~'L~l ()
o
= -~& J. J ()
total cash expenditures lines 6+7
in-kind accounting period total from PC 2
+
total expenditures lines 8+9
.~
,',.."....,.....<,.:.....,..........,.,.,....,.-.,....".:.,;"-.,,,.,-
~.,.hat..._ '
:v,' -0, 't..'_,-,-.,
for office use only
beginning cash balance line 20 of previous report
" I So~ If.3
/ LQ~ 1.1-
c'
{J
~
8'
$
I
total contributions line 5
+
other rec~ipts~ accounting period total from PC 4A
+
contribution subtotal lines 11+12+13+14
+ 0
to . I
= ')l! .JO
~--~-~____J ~? ~J ./ 6
()
o
i .
.'
yf
'.<:>.~ns received (ex~mpt) accounting period total from PC 4A
total expenditures line 10
~t..he~ disbursements acc()unting period total from PC 48
+
loan payments (exempt) accounting period total from PC 48
~-~ _.~._._----
+
expenditure subtotal lines 16+17+18
)/p . / ()
o
/
ending cash balance line 15 minus line 19
I
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
~-~ _.~ ~ -- --
.j. navof c. o. m...mittee useful/name
/6-HAAJ/.JPr :>TZ!_k~ __FClt<?(iTl KG--ci5J?'D~_
This filing is an: ~ Original . 0 Amendment
o Primary 20----- ~ General20 OC? 0 other:
-~"-'-'- ~~-_.._-_._--_._- -_.__.~-~
o 1st pre-election nd pre-election 0 Post-election
~~~~"ltf~.!"~________."
o 20_ ____Sept. Suppl.
page 2 of 2
rev 1/06
~ committee id number
___I ~Oll'_~$O
o Report of Initial Assets
for office use only
e
e
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fa
--
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fa
fa
total outstanding loans line 24 minus line 28
~anciaf~atct~.ef:~.ting,-~.
---~ : ff, ~.~
= :}&J._L6
C'
+ (\
+ 0
~~._--
= ;)6), I()
o
ending cash balance Iine20
accounts receivable accounting period total from PC 5
---- -~--_.._------
subtotal lines 37+38
o
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fi}
.s
~
W
&
li~
~"
-
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e
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e
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beg ~ni n~ outstandi ng .Io_an~ line 29 of pr~vious report
loans received (non-exempt) !ine2_ ~____~
loans received (exempt) line 14
- --~--
+
+
.r-
(../
loans received subtotal lines 21+22+23
=
('
o
(\
Ci
o
o
loan payments (non-exempt) line 7
-~---~-~---'-'-
loan payments (exempt) line 18
_._--~._---.---.._._--, ---- -----
+
forgiven loans total loans forg~e.n during t~ a~ctg. period
+
loan payment subtotal lines 25+26+27
~~~naI~~!,~~~~bHy _________
I)
--
--
8
--
e
8
beginning outstanding personal expenditures
line 36 of previous report
+
c
o
C)
personal expenditures accounting period total from PC 3A
----~--_.- -- --'--~--
+
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
---'- ~- -- ~-~--
'""
(.\
forgiven personal expenditures total forgiven this acctg. period +
/.:0.
1...:
o
o
reimbursement subtotal lines 33+34
outstanding personal expenditures
total outstanding loans line 29
--------
outsta~dingpersonal eXJJ~~ditur_~~/ine 36
accounts payable accounting period total from PC 6
- ---- --
subtotal Iines40+41+42
balance/deficit line 39 minus line 43; indicate + or - balance
J, name of candidate ortreasurer___L 1~ ~~(._ ~Y\<..)_
~tatement and th~ attached su",,~ J"orts are "ue and correct.
~ ~ L~M <-~Y\<-;
~~candi~ortreasurer - --~ ~.-
"'. .
I
I
. ----, hereby certify that the above
I()~. 2 &'"- 2e-:,0([
datesigned-~
PC 2 Cash Contributions, Loans Received and In-Kind
please type or print legibly in black ink; list only one entry per line
.j. name ofCommittee-use full iia~ --~ ---- -- - --- - committee iO-numher
Yo~t\ J1Cli~~-' (,l 'i--g~=({~~- -:i.-I 90 lo:J$C
o Primary 20_ p.General 2000- 0 other:
o 1st pre-election ~ 2nd pre-electio~~-~~st-election . -- 0 20_SePt. s~~~i~
fev1/0E
----,-- . .. .-
I
! P8geLof_l_
o Report of Initial Assets
B Business Entity
C Political Committee
F Candidate's Immediate Family
I Individual
L Labor rganization
o Other
P Political Party Committee
CA Cash
CO Cosigner Obligation
IK In-Kind
LR Loan Received
*occupational information includes occupation, employer's name, city and state or self-employed
e ,_1 ~ lZA.vv'J-LL ~. t'\C~llJS
/(; U ~ ~ 35 _J' 't'kLDit\IAJ
AsNA j;''\) 0 (( 9 f6Z 0
-. - -- -{' - .
,$
J 00 cD
---------" --------...
1)50L;0
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16-/ q _(:~, I 1J-6 8 (J M E:~R I Jw'1f\ f.J kb.
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I
/6,4i-
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i
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8
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:$
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I i
RECEIVED
$
$
e
$
I
I
j -'.
~iI!
.. ~"-'2::_;>",
I
$
$
$
,roo,
L'
enter on PC 1, Column A, Lines" afidB - u_
$
cash (eA) . 4 ~
$ /ID. r-
---
enteron PC " Column A, Line 1
enter on pC1, Column A, Line 2
PC 3 Cash Expenditures and Loan Payments
please type or print legibly in black ink; list only one entry per line
J. na~me ofcommittefluse full name- ~-------committee II) numbe'
li1-lA"'t;ILSTC'R'M_~t (IJ::LRVCI!~' ff:.. -J! /7 Ok, 3.50
o Primary 20~_ )(General20 ') 0 other:
'-'----- .~- ~-~ -_._-~-,-
o 1st pre-election 'f.. 2nd pre-election 0 Post-election
page
J_ot /
o 20__~_Sept. Suppl.
::: Report of Initial Assets
PU,"POS$ Codes
A Agent------- -- ----~--- ~
B Broadcast Advertising (Radio, TV)
C Cash Contributions
F Fundraising Event Expenses
G General Operational Expenses
I Interest Payment
L Literature, Brochures, Printing
M Management Services
N Newspaper and Other Periodical Advertising
--~---(j-OtfierAdvertis-ing-(yarcrsTgns, buttons, etc.)
P Postage
R Reimbursement for Personal Expenditures
S Surveys and Polls
T Travel Expenses
U Utilities
W Wages, Salaries, Benefits
Y Petition Circulators
Z Preparation and Production of Advertising
Expenditure't~
-.cA-cash
LP Loan Payment
date
check 1#
namea,na addrSS$ of payee"
committee lDt ifeppticable
purpose
expo
type
amount of
expenditure
.~
wAJ
"address includes city, or county if no city, and state
elf) '?~I.l.q-Ftlsr
I/)~ /-()h 16t~) l'7c\() k;Hlf\~'l::>S-T, L
AS'tU..ANI) , Deq~5 20
fa I - ~'15TtTLCltSrU:? @1<t\Pl+tC>3.,
,tJ:iJ-oft.> (OL"6 IOCf ftlC+\ ~ST. L
ASHLA,c1>. ti/C ~'9s~o
e
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CA- $ / &). 10
C'Pr ! $ lUG ,CO
$
e
$
e
$
"
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'-
e
$
AECE(VEO
o
e
c
$
o
o
$
o
e
"- !..
1$
.-
page totals
accoUftti"B.J$ri~ tOtaf$.
$
add all expenditures with the same expenditure type
cash (CAT~-~ - -------. 108n payment{Lpj-
-21ll~1 0
$
. ___ c~mplete only for last page and transfer these amounts to the Summary Statement. PC "!
-----cashTcAj--- - .... --n-~n paymllnt ILP)
Q______~ $ :J~., I · I (; $ ()
enter on PC 1;Column A. Line 6
enteron PC " ColumnA:Lineni
CITY OF
ASHLAND
October 4, 2006
Y ohanna Storm
549 B Street #5
Ashland, OR 97520
^~
I have examined your )tPre-Election Contribution and Expenditure report for the General Election of November 7, 2006 and
found the following:
B Y oue committe, "port i, not "ffioi",
*
PCI page 2 of2 -lines 37 through 43 - Ending cash balance should come from line 20 on PCI page lof2.
Please submit amended Summary Statement no later than November I, 2006. If you have any questions regarding this
examination letter, please feel free to contact my office.
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERlTREASURER
20 E Main Street
Ashland, Oregon 97520
www.ashland.or.us
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
r~'
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
,L. name of Committee use ful/ name
'J. c-" r C r-") ,
1Q~A~fr ,-:) Icrc~;LI-C Fe Il--'I nK-.E C(Jk.-'1DE1C-
mailing ad,dress as it appears ,n Statement of Organization po box or street, city, state, zip code
541J5 ""2. :t ~ Asl::~.ll~D ~(,K 91620
name oftreasurer,__ T day phone number
Jj~Kn j)L_n:::Ct\l;~'IC1C __ 5'1/- ~~oj'-?,5.CZ().~
commitee type, measure number or office
page 1 of2
..;:;; \;" ~ ::'5
-:.11. committeeTd number
-:J!M W'-~O
ThIs.!i.~ng is an: __~OrIginal____ .
o Primary 20 ....~ 0 GeneraI20C~,
o 1st pre-~i~~tIon A2nd pre-electIo~-
o Amendment
o other:
o Post-election
::: 20
Sept. Suppl.
o Report of Initial Assets
A Totalsforthis
Accounting Period
B Cumulative Totals
for this EJection
com'rlbutions
",'i ;'~::"i~,i;:!":~k:JJt?~:i!t:*t~i'k
"'."..J,..:,.,;.,;....,,::,,.;
e
8
8
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4ft
UI
~ash contribution~.cc_ounting pe!!..od to!al fro,!, PC 2 _
/Jo.1-9-
o
110.41
o
110.4+
ft,{{J,4
loans received (non-exempt) accounting period total from PC 2
-----~
+
+ 0
nnn ~n tJR ~
& ,e) I 7 r
_____.. __n.w__m. _..~~~
total cash contributions lines 1+2
in-kind accounting period total from PC 2
+
c'
+
total contributions lines 3+4
=
.x~u...
-
8
o
8
-
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D
61o{1~__
cash expenditures accounting period total from PC 3
9-&}./D
+ 0
= #2 Ct, J ~I{)
o
= -Ate I. J ()
t,
loan payments (non-exempt) accounting period total from PC 3
total cash expenditures lines 6+7
in-kind accounting period total from PC 2
+
':'
C'
total expenditures lines 8+9
f-
casft....__. ~.
for office use only
e
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be'ginning cash balance line 20 of previous report
IS6. ~3
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total contributions line 5
+
~ther receipts accounting period totalf!()m PC_4..A
+
loans received (exempt) accounting period total from PC 4A
+ 0
.~- --
fll' --
= 9&/.JO
_~? ~ ). I 6
o
o
to'
/
contribution subtotal lines 11+12+13+14
total expenditures line 10
~ther disbursem.E!l'lts acc:ounting period total from PC 48
~()an payments ~-",empt) accounting periot:!.!otal from PC 48
expenditure subtotal lines 16+17+18
+
+
:J{p ./ ()
o
/
ending cash balance line 15 minus line 19
I
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
-. ~--_._- ----- -
J. na:::) of C. 0.. mmittee use fu/l n..8...m. e
./o-HAAJ'.J A- Slr k~ClK
This filing is an: ~ Original
o Pri;;'ary 20~~--- "'l& G~n~;:;1 20ntC
- - -~---,-,- --..---------.,-
o 1st pre-election nd pre-election
~c:!~~ii~~_'!~_____________ . __.____ __ . _<"_"_~~~~~~~_~..
en) K &<oet>~ . _
o Amendment
o other:
o Post-election
e
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beg!':1!'lLr1.go_utstandingl()_a/1~-'~e 29 of previous report
loans received (non-exempt) Iine2
page 2 of 2
rev 1/06
.Jt T10ee id 35(;;
_f.r_~ __
o 20 _ _ Sept. Suppl.
+
o
C)
loans received (exempt) line 14
loans received subtotal lines 21+22+23
loan payments (non-exempt) line 7
..-----------
loan payments (exempt) line 18
forgiven loans total loans forgiven during this acctg. period
loan payment subtotal lines 25+26+27
+
/'
'-..--"
;:
tl
o
+ 0
+ CI
;: 0
;: 0
total outstanding loans line 24 minus line 28
~_!~1l81 ~~~~':H'&~Mal'!__ _~_____ _
G
-
8
8
e
8
-
beginning outstanding personal expenditures
line 36 of previous report
pers_c>"al expenditurEl!... accounting period total fr!!m PC ~~_
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
forgiven personal expenditures total forgiven this acctg. period
~-_..__.- "--,-. ------------ -~._-~
reimbursement subtotal lines 33+34
outstanding personal expenditures
+
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I, nameofc8nd;d8teortre8surer_.J~_ ~ /~_\.5r. IYK..;
~t.tement: t:::~3%t.: .'et,ue .~d co"ect.
~""d;*'re""re'
~ciel}.ta~at~.ef:~n9~..~.
--
8
e
-
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-
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ending cash balance line 20
accounts receivable accounting period total from PC 5
subtotal lines 37+38
total outstanding loans line 29
------
outstanding personal expenditures line 36
-_._----~ _.__.._._-~ -
accounts payable accounting period total from PC 6
subtotal Iines40+41+42
balance/deficit line 39 minus line 43; indicate + or - balance
o Report of Initial Assets
for office use only
fiJ
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--~-, hereby certify that the above
I(J- 2 &, - 2CO([
. datesignei:l-~
PC 2 Cash Contributions, Loans Received and In-Kind
please type or print legibly in black ink; list only one entry per line
.j. name- of committee- use fuil name ~ ~~ --- ~ _n -- - committeeTO-n-ulllbllr
'jHJil;J;fr _S,oiYI Foe ('l'tJ?R~~_n_ -J-/90 1.o3$C
o Primary 20_ fS-General 20CJ.k 0 other:
o 1st~re-el~cti~~2nd pre-electi~~~ --;P~st-election
revl10f
-Tp~ge~OLL_
o 20~~_Sept. Suppl.
o Report of Initial Assets
B Business Entity
C Political Committee
F Candidate's Immediate Family
I Individual
L labor Organization
o Other
P Political Party Committee
CA Cash
CO Cosigner Obligation
IK In-Kind
LR loan Received
*occupational information includes occupation, employer's name, city and state or self-employed
e '_' ,l2A,\;'1>~LL ~ . l-\ciYIGS
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enter onfiC7, Column A, Liili?
$
,/'..
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enteron PC 7, Column A, Lines 4and 9 -
loan received (LR)
$ 0
enter on PC 1, Column A, Line 2
PC 3 Cash Expenditures and Loan Payments
please type or print legibly in black ink; list only one entry per line
J. name of committee' rise fullname--- ..-. --.committee 10 number
.~ ~Jq61,d..-~~
-LtfJA/utJLST"R'M Tot (1r-t_f"'ccR~ ~ I Ie:>-=-'
o Primary 20__ ){GeneraI20" 0 other:
.~- -~.-
"f. 2nd pre-election
page
.I._of I
o 1st pre-election
o Post-election
o 20.__Sept. Suppl.
::: Report of Initial Assets
Purpose Codes
A Agent . ".'--- ..-----.. - -
B Broadcast Advertising (Radio, TV)
C Cash Contributions
F Fundraising Event Expenses
G General Operational Expenses
I Interest Payment
L Literature, Brochures, Printing
M Management Services
N Newspaper and Other Periodical Advertising
....-O-.btherAavertlsln~nyarcrsrgns, buttons, etc.)
P Postage
R Reimbursement for Personal Expenditures
S Surveys and Polls
T Travel Expenses
U Utilities
W Wages. Salaries. Benefits
Y Petition Circulators
Z Preparation and Production of Advertising
EXpenditu..et~
'.CA-Cash
LP Loan Payment
date
check If
name and address of payee"
coll1mittee lot ifspplir;tJble
Pfll'pose
expo
type
amount of
expenditure
paid
'to. Ai
"address includes city, or county if no city, and state
'~~~ ',U, +-Ilsr
~ () () !t;Hli\ J,;'~ S'T .
. sttL-A).:'I), c,r' q ,yG 20
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page totals
accouRti_s period totals.
$
^~"'------_._~
add all expenditures with the same expenditure type
cash(CAT~-- ---~._.- loanpayment([p)'-
.2Jil~J O. ___..!_ 0
$
.~--~~~~-
complete only for last page and transfer these amounts to the S~m;';~ Statement. PC 7
cashICA).-- . .-----roan paymiiFit-iLP)
:) Lt.., I ./ 0 $ ()
enter on PC 1, Column A. Line 6
enteron PC " Column A,'l./iiii7.
CITY OF
ASHLAND
November 2, 2006
Y ohanna Storm
549 B Street #5
Ashland, OR 97520
] have examined your amended 2nd Pre-Ejection Contribution and Expenditure report for the General Election of November
7,2006 and found the following:
~ Y om comm;U,e report ;, ,uffidcot.
]fyou have any questions regarding this examination letter, please feel free to contact my office.
--......
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERlTREASURER
20 E Main Street
Ashland. Oregon 97520
www.ashland.or.us
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
~~,
fPlC 1] Summary Statement of Contributions and Expenditures
pDease type or print legibly in black ink
.J,sa eofcommittee uSefUl/name, ,0
OttAMVA- 3~ FOiC (I,t' K-- ECCeDeK u___
ailing;fdr;ss as it appears o;1tatern;rfPf organi:ltion po box or street cit}' state, zip code '" _
5 1-115 ,__ST. -f!.S A~~,(Jb cJfC__Cfr;:529__
name of treasurer~... ( ca', p~one number
MAf2r::- U-_uSCI1US~ 51{~30IZ$90
commitee type, measure number or office
This filing is an:
- ._~----
:-: Primary 20
: 1st pre-election
\f;. Amendment
C: other:
:) Post-election
Sept. SuppL
o Original
. ~G_e~e~aI2o-dp
2nd pre-election
= 20 Uu
A Totals forthis
Accounting Period
:,a"'9!.f:
commJtee ': -. -: ".-
J 7 () 1.tJ S5{)
o Report of Initial": 5;",' 5
e
$ J J 0 ,f~
+0
1/ (J '_ 4-?-
in-kind accounting period total from PC 2 + C
t:;;;;-;;-~~;;:~n. Un_s 3+4 __ . _ ._ .~~~fo'I!P' 1J
B Cumulative Ts:" 5
for this Electio-
..~ ~-,-~-- .. ^ ~
,~o :~:'f'~t'~i!:M~~~i]}t't1.:3
cash contributions accounting period total from PC 2
loans received (non-exempt) ac~oun!ing peri?? total from PC ?_
total cash contributions lines 1+2
~?:~fJer:le.fit~J1;;,es
cash expenditures accounting period total from PC 3
76) I D
+J4- C
__='JU I ./ ()
+0
.l ~ {p I . I 0
loan 'payments (non-exempt) accountin9, period total from PC 3
total cash expenditures lines 6+7
in-kind accounting period total from PC 2
total expenditures lines 8+9
; -
-.,-....,.., '''l'I r,~ .-
,,,;,,,,~, blli,e,ft"-"S'
beginning cash balance line 20 of previous report
150,{;3
+ I J (J I -4i:;-
e
total contributions line 5
other receipts accounting period total from PC 4A
+
loans received (exempt) accounting period total from PC 4A
contribution subtotal lines 11+ 12+ 13+ 14
+ 0
. + ' .-~---'
= ~ J Cv 1~K-!___
)U I . I 0
- - ------ -- - .----
C>
+,0
~ rriLR I . I 0
C
total expenditures line 10
other disbursements accounting period total from PC 48
+
loan paymel1~~e_f!lpt) accounting period to!al from PC 48
expenditure subtotal lines 16+17+18
ending cash balance line 15 minus line 19
~--~~~, -...-, -,' '- -
+
#&~f?-
o
.G 10 1_?--
+
for office use only
~ ~@~jIWllE:1ffi
ill NOV 0 1 2006 JW
B Y: ~_________________..;_
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J, ~ji(}e~fAc.o.I~,;.i:e usefu/lname
TC ,I fV'Vf\ S'TlJf2M Fc.JC lrr'j REZ'oPDeR_
Thisfiling is an: ::: Original 'XA~e- :-e-.
C Primary 20~eneral 20 0 if> o:i- e-:
() 1st pre-election nd pre-election Post-e e:: :-
loan summary
e
-
e
I)
CD
CD
CD
_ beginning outstanding loans line 29 of previous repo';
e loans received (non-exempt) Iine2
e loans received (exempt) line 14
e loans received subtotal lines 21+22+23
e loan payments (non-exempt) line 7
e loan payments (exempt) line 18
e forgiven loans total loans forgiven during this acctg, period
fa loan payment subtotal lines 25+26+27
CD total outstanding loans line 24 minus line 28
personal expenditure summary
8
8
G
CD
--
G
8
beginning outstanding personal expenditures
line 36 of previous report
personal expenditures accounting period total from PC 3A
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
forgiven personal expenditures total forgiven this acctg. period
reimbursement subtotal lines 33+34
+
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o
~'~9"'~' 2 :,! :2
L1 commj~::?7: - _ - ,- :"~
u~/9()&36C)
Sept. Suppl.
C Report of Initial Assets
for office use only
+
+ Q
+ 0
0
0'
+ ()
0
()
~ lb cg ~ rc 'WI ~ rffi
1m NOV 0 1 2006 1W
BY: ____________________
outstanding personal expenditures
c\
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o
+ 0
+ 0
o
C)
.c Ii '10 t:WwtJft ~f2l4-
supporting repo~d correct.
\~j)\fYt~~~
financi~1 status at close of ac~~~nt!".l!~tt~io!'_~ __
ending cash balance line 20
accounts receivable accounting period total from PC 5
subtotal lines 37+38
total outstanding loans line 29
outstanding personal expenditures line 36
accounts payable accounting period total from PC 6
subtotal lines 40+41+42
e balance/deficit line 39 minus line 43; indicate + or - balance
I, name of candidate or treasurer
statement and t e
signature of candidate 0
+
,hereby certify that the 3:::', '"
J (, , -?OD(P
date signed
CITY OF
ASHLAND
December 12, 2006
Y ohanna Storm
549 B Street #5
Ashland, OR 97520
1 have examined your Post-Election Contribution and Expenditure report for the General Election of November 7,2006 and
found the following:
Cf1/
Your committee report is sufficient.
If you have any questions regarding this examination letter, please feel free to contact my office.
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERlTREASURER
20 E Main Street
Ashland. Oregon 97520
www.ashland.or.us
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
r~'
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J, n~e of committee use full name -- ---
\.. ot-\-AJJ.JJA S~ 'FQe (/','1 K E::C()~____
ailing address as it app~;;;:~-;;~ Statement of Organization po box or street, city, state, zip code
54'1 15. ~ST. -.1:\=- 5 ASt\LA,u'D C' fC q ~9-??1)
nMo;;a~eb, ~MU3~ (54or:~2){- 259Q
commitee type, measure number or office
This filing is an:
=; Primary 20
e, 1st pre-election
~Original
't..- General 20 ()fo
':.: 2nd pre-election
C' Amendment
c other:
/(Post-election
page 1 of 2
rev 1/06
- - ~committee id number
_L9 Ot.c 550
020 _ _ Sept, Suppl.
Ci Report of Initial Assets
A Totals for this
Accounting Period
B Cumulative Totals
for this Election
contributions
e cash contributions accounting period total from PC 2
8 loans received (non-exempt) accounting period total from PC 2
8 total cash contributions lines 1+2
o in-kind accountingperiodtotalfromPC2
e total contributions lines 3+4
expenditures
+
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o
o
o
{J
(j fo 14~
o
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O
= &10 . <1 9-
+
+
+
cash expenditu res accounting period total from PC 3
--- -- -----
e
8
e
e
e
loan payments (non-exempt) accounting period total from PC 3
total cash expenditures lines 6+7
in-kind accounting period total from PC 2
total expenditures lines 8+9
for office use only
cash balance
_ beginning cash balance line 20 of previous report
8 total contributions line 5
e other receipts accounting period total from PC 4A
e loans received (exempt) accounting period total from PC 4A
e contribution subtotal lines 11+12+13+14
e total expenditures line 10
e other disbursements accounting period total from PC 48
_ loan payments (exempt) accounting period total from PC 48
8 expenditure subtotal lines 16+17+18
e ending cash balance line 15 minus line 19
+
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B Y: _~i:_________nu_ .
+
+
+
+
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
~ Yu:~~~~AuseS;;r:r7 Re. ~-ll1 KecC5if2f>EK
This filing is an: ') Original.. .. /"Amendment
e,Primary 20 ~GeneraI209~' 0 other:
J 1st pre-election 0 2nd pre-election 0 Post-election
lOan summary
fI
fa
fa
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8
fJ
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fa
8
beginning outstanding loans line 29 of previous report
- ----
loans received (non-exempt) line2
loans received (exempt) line 14
loans received subtotal lines 21+22+23
loan payments (non-exempt) line 7
loan payments (exempt) line 18
forgiven loans total loans forgiven during this acctg. period
loan payment subtotal lines 25+26+27
total outstanding loans line 24 minus line 28
page 2 of 2
rev 1/06
c~mittee id number
J. ()/j '$:5C
__ __. U _________..___
o 20__ Sept. Suppl.
o Report of Initial Assets
for office use only
personal expenditure summary
.-..--- -
beginning outstanding personal expenditures
line 36 of previous report
personal expenditures accounting period total from PC 3A
personal expenditure subtotal lines 30+31
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
forgiven personal expenditures total forgiven this acctg. period
reimbursement subtotal lines 33+34
outstanding personal expenditures
fill,~ncial statlJ~.!'~ close of accoun~~Il~period
e ending cash balance line20
__ ~c,counts rec~J~!>'~ accounting period total from PC 5
e subtotal lines 37+38
CD) total outstanding loans line 29
_ outstanding personal expenditures line36
e accounts payable accounting period total from PC 6
8 subtotal lines 40+41+42
e balance/deficit line 39 minus line 43; indicate + or - balance
+
o
o
o
o
CJ
o
o
o
C)
~~~~TIW~1ffi
ml DEe 0 7 2006 lW
B Y: ~______________
+
+
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CD
8
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8
+
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+
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+
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I, name of candidate or treasurer
nt and the\" attaG~ed supporting r
\} a, _ ~,_
idat~treat er
--'~
+
0___
a
c
o
o
0'
o
o
=
+
+
=
--, hereby certify that the above
/7 - r..o " ZC,O/p ______~
date signed
PC 2 Cash Contributions, Loans Received and In-Kind
please type or print legibly in black ink; list only one entry per line
J. name ofcommitt~use fuIFname-------. committeeIDnumber . - u_ _ . --~
16 HAJJ.oft S'''Tben--1::--=OK' eIT, f: CCD~__n I LP (p 356~_Y' ----fJllgt-_~-i~~-dr_j_
o Primary 20 "'Ii General 20 ()(p 0 other:
o 1st pre-election 0 2nd pre-election ~~st-election
1m l1: (g IT: K\W IT:~i
1m DEe 0 7 2006 lliL/06
020
Sept. Suppl.
o Report of Initial Assets
Code 1 l:ontfibtftorType
BS.uSlness Entity--
C Political Committee
F Candidate's Immediate Family
I Individual
d.te~"v8d. l'l..m. and add..... of contrfttutot
e
"occupational information includes occupation, employer's name, city and state or self-employed
occupational infonnatioo- or contributing committee's 10'
.-olnrt of contrlblrtion
cOntri!Ju,tor ~"
COd.t ContributiOl11'YP$
CA Cash
CO Cosigner Obligation
IK In-Kind
LR Loan Received
tn~Pb~_.
--~---i.. LaborOrg~lnTzation
o Other
P Political Party Committee
.~f)CI. 1
code 2
tJ/A- ~OLr; ) $ ~
$
0~1 f+ 6~ov~ $ ~
$
~
e
B
8
$
----.-.-
$
e
$
$
e
$
$
pas. totals adcJ811~fTliJtJnts with t~ "me cbhtfibuticm type;dJJnl)t imrfude Ilggregafes
$ cash (CA) 0 $ in-kind (lK) C
loan received (lR)
$ 0
itCC(JUllt1n9period totals completeCrllYfor lastPBge and transfer these amounts toth~ Sun'/fnatyStat~enr, PC 1
$ cash(CA) 0 $ in-kind(lKj C $ 10anrCiVe-dTLF\l
enter on PC 7, Colii"," A Line 7
enter on PC 7, Column If: Lines 4 and 9
~-- --enteron PC 7, Column7CLine2
PC 3 Cash Expenditures and Loan Payments
please type or print legibly in black ink; list only one entry per line
'%~~~C::'s;;~ Fo~Cl1'trt:cRD~i""D"I~9~3Y;'
C) Primary 20 _, ~ General20_Q0 0 other:
o 1st pre-election 0 2nd pre-election ){:Post-election
rl?'.' ~
page
L_of /
o 20_Sept. Suppl.
~- Report of Initial Assets
-
Pm'pose Codes
A Agent
B Broadcast Advertising (Radio, TV)
C Cash Contributions
IF Fundraising Event Expenses
G General Operational Expenses
! Interest Payment
l Literature, Brochures, Printing
M Management Services
i\! Newspaper and Other Periodical Advertising
Expenditure Types
o Otl1e'r Advei-iising (yard signs, buttons, etc.) CA Cash
P Postage LP Loan Payment
R Reimbursement for Personal Expendit]~ (j{J lj[;'l 'i7~f7lj[;'lW
S Surveys and Polls ~ \87 ~.!..!:. 'I!J ~ ~
T Tr~~~1 Expenses DEe 0 7 2006 ~
U Ut,httes <
W Wages, Salaries, Benefits
Y Petition Circulators B Y: -\.l~______________
Z Preparation and Production of Advertising
date
check i:J
name and address of payeeft
t::Qrnmit~e9IDf# if applicable
expo
type
amount of
expenditure
paid
to fC,J:
purpose
~-,..".,---
~""__XJ~
*address includes city, or county if no city, and state
@
JO/~ k>otL€
()
o
$
$
o
$
o
$ 0
e
$ 0
$
o
e
$
o
e
$
o
$
o
o
$
"
v
B2'e;~e t.otais
-"~..----,~-" --.-.,-
-
1'llccm.lFilting period totals
add all expenditures with the same expenditure type
cash (CA) - --- loan payment-(Lp)
$ C $ 0
complete only for last page and transfer these amounts to the Summary Statement, PC I
---'casilTcAj" ~-- --~n-paym_ent([~-
$ 0 $ 0
enter-on PC I, Column'J[Iine 6-- enteron PC 1, Colum"n A, Line 7