HomeMy WebLinkAboutRandy Dolinger
Filing of Candidacy for Nonpartisan Nomination
SEL120
rev 1106: GAS 249.031
This information is a matter of public record and may be published or reproduced.
please type or print legibly in black ink
o Incumbent for Office of Judge
J. candidate name
R I+NFYi 120 t..; /VC"EtJ..
how name should appear on ballot
R f}Nl:> "-_-t> 0 L i N b f?-R
residence address street/route, city, state, zip code
(LJ}ck '5:0_1..1
county of residence
filing for office of
jJ.~HL-lt--uD uCOCJ /.JCIL PO_Z. 4-f:__0:;
district, department or position number
4~~-?5!jC,7
home phone
work phone
fax
r doL ~4 ~C @ Y O-L.~_ . c~
email address
website
mailing address where all correspondence will be sent
~4o
o H-ICJ
~!Sr
A 5_IiLIf-~~
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o Secretary of State of Oregon 0 County Elections Official of __ _ ___
.C;ty Reemde, IAud;to<l, C;ty of ~~ - -- -- LJ
.Filing of C-;~didacy by D~~aration, with the Req~ired Filing Fee (ORS 249.056111 rr I uIP
County
Statewide Offices
Circuit Court Judge
District Attorney
County Judge
MSD Executive Officer, MSD Auditor
MSD Councilor
County Office
City Office
Justice ofthe Peace
Filing of Candidacy
by Declaration (ORS 249.056)
$ 100
$ 50
$ 50
$ 50
$ 100
$ 25
$ 50
$ 300
$ 300
$ 300**
$ 300
*
n/a
'set by charter or ordinance
"for cities with a population of 50,000 or more (ORS 251.005)
-.---.. -_._--~ -~--- --- -------- ~----- ........:..~;~~.----. . .'
_Filing of candidacy by prospective petition, with the required proposed signature sheet signed on Line 1 by t~~~~.."..,1ii.
candidate (SEL 121) and statement one or more circulators will or will not be paid (SEL 300) (ORS 249.020)
, Filing of candidacy by completed petition, wi
elections officials (ORS 249.020, 249.064)
equir d signature sheets properly certified by the appropriate county
Filing for Candidacy
First Day
September 8,2005
May 31,2006
Last Day
March 7, 2006
August 29, 2006
Filing for State
Voters' Pamphlet
First Day
September 8,2005
May 31,2006
Last Day
March 9, 2006
August 29,2006
Last Day
March 10,2006
September 1, 2006
Primary Election:
General Election:
Primary Election:
General Election:
Withdrawing Candidacy
SEL120
continued on the reverse side of this form
required inform,stion
J. occupation present employment - paid or unpaid
Cl-lE52_ 7C&:J:lctCt___ ____
occupational backgrou nd previous employment - paid or unpaid
fY) 1\ bA ?IJ,JE P tJ '[) L; 5 lH?!Q LeX P QES5 .t)
J. educational background schools attended, use attachment if needed
complete name of school no acronyms
last grade level
completed
dip 10m al d eg ree 1 ce rtifi c ate
(AA,BA, BS, MA, PhO,etc)
course of study
optional
U IV J tJ ER<:; rry
of
tJ . c
C"--t ~ r~e~5>ftpfY) )
Hu 8'n-lt GfTIE;' 5
other
J. prior governmental experience elected or appointed
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 governmental experience, is true to the best of my knowledge
~~~ D~"'_ __
~d =1-____ _~_
candidate's signature - / --~ .
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~e:igneP:-
This information is 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
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Statement One or More Petition Circulators Will Be Paid
SEL 300
rev 1106. OAS 248.008,
ORS 249.061. ORS 249.078.
ORS 249.740. ORS 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 minor political party on prospective petition: or name of officeholder on recall petition
signed'
date signed
signed'
date signed
signed'
date signed
'Statement must be signed by one ofthe following:
--7candidate for nomination
--7 chief petitioner for recall petition
--7 chief sponsor for certificate of nomination
--7 chief sponsor for minor political party formation petition
Statement No Petition Circulators Will Be Paid
SEL 300
rev 1/06: QRS 248.008,
ORS 249.061. ORS 249.078.
ORS 249.740. ORS 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
';"Oli(" ~" be p,;d Dol'~;ng ,;gn'tu<e,__ Cmnct! fo.s._1F h_
",o'if, '''''''0 ~f ,"od"",,, m~ p,n, '0 ","""'" p,m,o"" ",m, of offi"ho/d" 00 ","II po",,"?
~~- J2A~ ---- ?/J-?_/t:JU'
signed r u ~e ~lgne<V ...
signed'
date signed
signed'
-Rt'Cl:IVED
I~
'Statement must be signed by one of the following:
--7 candidate for nomination
--7 chief petitioner for recall petition
--7 chief sponsor for certificate of nomination
--7 chief sponsor for minor political party formation petition
"':""--~'~'-"Y "., .
---=S<L;;.;~_~
Statement of Organization for Candidate Committee
SEL 220
rev 11105: GRS 260.037,
GRS 260.039. GRS 260.041
Filing a New Committee: This form, along with the Campaign Account Information form (SEL 2231. must be completed
and filed within 3 business days of first receiving a contribution or making an expenditure. The "Ori~linal" box should
be marked on both forms. A date stamped copy of this form, which includes the committee's identification number, will be
returned to the candidate or treasurer as an acknowledgment of the 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 fOnTl also changes.
Discontinuing: A final contribution and expenditure report that shows a zero balance must be filed, along with a
completed SEL 220 with the "Discontinuation" box marked. The final report may be filed at any time.
please type or print legibly in black ink
o Primary~~-=~~ ~General20 ()~
o Other election date:
This filing is an:
(g-Qriginal
o Amendment
o Discontinuation
,j. name of committee
_tf1f1t!P1 [)OL/ItJ~t:=E.. .f... /!..5r;~LtNZ;>
committee address street/route, city, state, zip code; no post office box numbers
2tfO eko 51- As0.~
campaign phone - ----------------
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name of treasurer
o Mr 0 Ms
mailing address for committee correspondence
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work phone home phone
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fax
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email address
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,j. name of candidate
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I< It JJDV 7;)c::J L.,: AJb CR
---------------- .-----
residence address street/route, city. state, zip code; no post office box numbers
;;2 '-10 C)HIO .:;r.
mailing address for candidate correspondence
4-.9IL.~p CJ/<
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work phone
fax
email address
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continued on the reverse side of this form SEL 220
J, occupation of candidate
C. H55 TE'+CHF R
employer's name or self-employed
city and state of employer
6'FLF - E:IVJPLO'IJ:l?
name of office sought include county, position, department or zone number, if applicable
A-SHt..A-Nl?J o/< c/71? COuNCIL
political party affiliation choose one if filing for a partisan office
pes /T/OAl 4- 2-
o Constitution
o Republican
o Democratic
4'Nonaffiliated
o libertarian
o Other:
o Pacific Green
.
name of committee director
address including zip code
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phone number
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employer's name or self-employed
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city and state of employer
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.
name of committee director
address. including zip code
phone number
occupation
employer's name or self-employed
city and state of employer
. e name of committee director
address including zip code
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phone number
occupation
employer's name Oi..self~employed
c.,ty and state of ttmpfQyer
j~~~
J, If two or more'directors of this political committee 'are also directors of _nother politica
those directors and the name and address of the other political committee.
~~
.~
~
J, sign.ture .~...''''~
---
By signing this document I acknowledg!J that I am personally liable for any penalties imposed 'ttnder ORS chapter 260.
canl2~ V~ ~ife:rjPb
Attached is a Campaign Account Information for!," (S~L 223)
o yes 0 no
treasurer's signature if different than candidate
date signed
! .:. .; . . ~.:~.:. .' ::~.~. ._~~f-'~:.~~~:;~.~ .'
forofftc. us. only
initials
committee 10 number
office number
candidate 10 number
date SEL 223 received
date acknowledgment sent
II: I
July 27, 2006
Randy Dolinger
240 Ohio Street
Ashland OR 97520
CITY OF
ASHI.~AND
A prospective petition has been completed and filed with the City Recorder's Office for City Council
Position #6.
A petition has been approved for circulation.
Barbara Christensen
City Recorder
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
~.1I
...11
Statement of Organization for Candidate Committee
SEl 220
rev 11/05: ORS 260.037,
GAS 260.039. GAS 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 of this form, which includes the committee's identioFication 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.
Discontinuing: A final contribution and expenditure report that shows a zero balance must be filed, along with a
completed SEL 220 with the "Discontinuation" box marked. The final report may be filed at any time.
please type or print legibly in black ink
o Primary 20____
~General 20 0 ~_
o Other election date:
This filing is an:
o Original
~mendment
o Discontinuation
.j. name of committee
P. )}ND'I lXJl-llVf/t::7'< FCJI2 1J6.4L-I1-.kIj/
committee address streeUroute, city, state, zip code; no post office box numbers
-;).!f(J _(2&O~_t5L Asl/L~Z>
campaign phone
_~~_~'1 ~ ~ =-8 !i_~_7 _______________
name oftreasurer
CV"Mr OMs MEL CAN IJ '-
mailing address for committee correspondence
02 '-/0
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email address
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residence address streeUroute. city, state: zip code; no post office box numbers
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mailing address for candidate correspondence
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SEl 220
continued on the reverse side of this form
J. occupation of candidate
otl-e55 r~~
employer's name or self-employed
5>G"""t- P - e:- /111' Lo~r:;l:>
city and state of employer
name of office sought include county, position, department or zone number, if applicable
A? #?-IHV..P (7 ~ . CITY ~ 0 0 A.JC/ t...
political party affiliation choose le if filing for a partisan office
,;70.5 InCA; ~ 2....
o Constitution
o Republican
o Democratic
~naffiliated
o Libertarian
o Other:
o Pacific Green
8
name of committee director
f2-1tNv.:;y
phone number
address including zip code
Zb~/I1J~~
c~
occupation
~
employer's name or self-employed
city and state of employer
8 name of committee director
address including zip code
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 ofthe other political committee.
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.
~~ c;;L?:~/O~
/~ ~J7C)~(b
f( , "'""'mo"""d;d",' BFQ~IVED
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;1, <- ~.- - J -- ;"); - <r,~h:~
. .1(~~~fA'viF
'.'<-'."..\
for office use only
'"
initials
.. .......'...-
'-". -';f~ ~umber
committee 10 number
candidate 10 number
date SEL 223 received
date acknowledgment sent
Statement of Organization for Candidate Committee
SEL 220
rev 1'/05: ORS 260.037,
CAS 260.039. OAS 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 offirst receiving a contribution or making an expenditure. The "Ori~linal" box should
be marked on both forms. A date stamped copy of this form, which includes the committee's identification number, will be
returned to the candidate or treasurer as an acknowledgment of the 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.
-------- ----- ------ - --
Discontinuing: A final contribution and expenditure report that shows a zero balance must be filed, along with a
completed SEL 220 with the "Discontinuation" box marked. The final report may be filed at any time.
please type or print legibly in black ink
o Primary 20u_ - ----;Gen~ral ;0__0(,---
o Other election date:
This filing is an:
o Original
.Amendment
o Discontinuation
,J. name of committee
j-:{ I1-I\JO u DOL. ;Nb c/l. ro/2 Coo Iu~/ L
_____.. _____1._ ___._~______ ____
committee address street/route, city, state, zip code: no post office box numbers
/t~ S' #,C~)
!?tzt2_ ~!-f/o _S~_ __/J-'5I--tkA-I/-D-___
campaign phone
L-f& 2~_~ '/ G._L_
name oftreasurer
o Mr 0 Ms
mailing address for committee correspondence
work phone
home phone
fax
email address
,J. name of candidate
~r 0 Ms ;:{ ;r1t.~_J) ~_ Z22 L ~AJ{;._~---B- _
residence' address street/route, city, state, zip code: no post office box numbers
d. ?j 0
0)//6 5/;
__/!~ I-i ~ 4!V?J -J---L2K____9 "757 CJ
__/45 ",,-{-.J}v 0_2 P,-_ Cf '/ r 2~~
home phone
c;; L/O oh'-/O '5T:
mailing address for candidate correspondence
work phone
fax
Lf&--;J .-- ::B~b '7
email address
I c/?/~'17e/ @ Cj'L~C>O' C o")y)
.
continued on the rellerse side of this form
SEL 220
J, occupation of candidate
i:HE~~ 1 FD4~K
employer's name or self-employed
city and state of employer
SC;-L--F - f!M))LoLrFJ>
name of office sought include county, position, department or zone number, if applicable
/f 51f~l}-tlJ~CJ ~_c:! ry c:l?EItJC/ L I?O~:
political party affiliation thoose one iffiling for a partisan office
o Constitution 0 Democratic 0 Libertarian
:d-eo
o Pacific Green
o Republican
o Nonaffiliated
o Other:
e
name of committee director
address including zip code
P 1t-~'0f__,. J'"2;;L-i /Vb eR ___._
phone number
occupation
employer's name or self-employed
city and state of employer
o
- --- ~
name of committee director
address including zip code
phone number
occu pation
-----------
employer's name or self-employed
-------------- - --..-----------
city and state of employer
8
name of committee director
address including zip code
-- E\\ll:D
,m,"'"'' Mm, m ""-,m,',,,, '''' .od "'" ,f ,m",,",--R EC-- - - -~
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.
phone number
::""
occupation
1\
~p..-
..-:..:;;::;-~'" ---
Attached is a Campai~ln Account Information form (SEL 223)
o yes
0_
J, signature
By syqng this document I acknowledge that I am personally liable for any penalties imposed under ORS chapter 260.
L~~}__. J7. 11, . _ __ _ __ 7 L';)."7 / C-2~ _
candidate's signatuj;e 4.~ date sf9led (
treasurer's signature if different than candidate
date signed
A~.:~fn . .
V, '.
. .;,r;e:';8ot
Committee must sign the Statement of Organization.
for office use only
initials
committee ID number
office number
candidate ID number
date SEL 223 received
date acknowledgment sent
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CITY OF
ASHILAND
August 14,2006
Randy Dolinger
240 Ohio Street
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 Council Position #6.
Please let me know if I can be of any further assistance during this upcoming election time.
k~ {!kw
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERlTREASURER
20 E Main Street
Ashland, Oregon 97520
www.ashland.orus
Tel: 541-488-5307
Fax: 541-552-2059
TTY: 800-735-2900
~~,
CITY OF
ASHLAND
October 4,2006
Randy Dolinger
240 Ohio Street
Ashland, OR 97520
I have examined your ]" Pre-Election Contribution and Expenditure report for the Genera] Election of November 7, 2006 and
found the following:
D Your committee report is sufficient.
~Your committee report is not sufficient in the following way(s).
· Reporting of contributions and expenditures for this accounting period ended September 2] st. You have included
items in your report dated after this period ending.
· Include the year ending on your dates.
· Indicate filing information on forms
· Contributor aggregate amounts are incorrect
· Missing page 2 of 2 on PC]
· Missing signature of Candidate or Treasurer on PC]
For your convenience, I have included a copy of your reporting with the areas indicated that need correcting. Please feel
comfortable to either call me or come and see me if you need any assistance with these corrections.
The deadline for re-submitting your filing is Tuesday, October] 0,2006.
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
~~,
CITY OF
ASHLAND
October 9, 2006
Randy Dolinger
240 Ohio Street
Ashland, OR 97520
I have examined your I sl Pre-Election Contribution and Expenditure report for the General Election of November 7,2006 and
fOOO~ ;(:w;ng
Your committee report is sufficient.
D
Your committee report is not sufficient in the following way(s).
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: 541488-5307
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
iJ
~ f+ I\.)D ~ D 6c I tJJ() etL '-k,r Co G tv C t L G
mailing address as it appears on Statement of Organization po box or street, city, state, zip code
A L{o 0 t+ I 0 c;-r, ~ 8- L IAN 0 ( 0 e.
name of treasurer
,J, nameofcommittee useful/name
commitee type, measure number or office
This filing is an:
,:) Primary 20
~ 1st pre-election
r~ Original
C' General 20
o 2nd pre-election
o Amendment
,~1 other:
o Post-election
B Cumulative Totals
for this Election
page 1 of 2
rev 1/06
committee id number
97S"Z 0
day phone number
C' 20
Sept. Suppl.
o Report of Initial Assets
A Totals for this
Accounting Period
e cash contributions accounting period total from PC 2
G loans received (non-exempt) accounting period total from PC 2
e total cash contributions lines 1+2
8 in-kind accounting period total from PC 2
e total contributions lines 3+4
.) 7D ~)
+
J-.70 ;l,6
+ ~o em
'7 "2...D 00
:~s~ q-:$:-
+
:2~7 c.' .,,.......
, -c>
+ .,
'2~'~ 'I .:)
+
+
e cash expenditures accounting period total from PC 3
e loan payments (non-exempt) accounting period total from PC 3
8 total cash expenditures lines 6+7
e in-kind accounting period total from PC 2
8 total expenditures lines 8+9
+
+
G 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
e 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
for office use only
+
+
RECEIVED
+
~~
+
+
.. r""
PC 1
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
Q It- $j D Cf CV c;. ( JJ0 eO (20 (l COu.DC / L. .J1 (p
o Primary 20
--€) 1 st pre-election
o General 20
o other:
rev 1/06
committee ID number
page
of
o 2nd pre-election
o Post-election
020
Sept. Suppl.
o Report of Initial Assets
Code 1 Contributor Type
- -- ----
B Business Entity
C Political Committee
F Candidate's Immediate Family
I Individual
L Labor Organization
o Other
P Political Party Committee
Code 2 Contribution Type
CA Cash
CO Cosigner Obligation
IK In-Kind
LR Loan Received
date received name and address of contributor
occupational information- or contributing committee's ID#
i amount of contribution
1 contributor aggregate
in-kind purpose
code 1
code 2
*occupational information includes occupation, employer's name, city and state or self-employed
e
1/r3
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L
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page totals add al/ amounts with the same contribution type; do not include aggregates
cash (CA) in-kind (lK)
$ ~ ( 0 · (YO $ sO; 00
loan received (LR)
$
accounting period totals complete only for last page and transfer these amounts to the Summary Statement, PC 1
cash (cAf in-kind OK) loan received (LR)
$ ;2 { 0 ,00 $ z;JO o-CJ $
enter on PC 1, Column A, Line 1 enter on PC 1, Column A, Lines 4 and 9 enter on PC 1, Column A, Line 2
PC2
see instructions on back and in Campaign Finance Manual
PC 3 Cash Expenditures and Loan Payments
Pie, ase type or print legibly in black ink; list only one entrY0P r line
J, na'P1'ofcommittee useJf<'name ~ ~ /"1 u(l d committeelDnumber
k 4/Uo~ LJDtl JJfoc-",- f ZJ(' GO
rev 1/06
page
of
o Primary 20
~ 1 st pre-election
o General 20
o other:
o 2nd pre-election
o Post-election
020
Sept. Suppl.
o 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 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
Expenditure Types
CA Cash
LP Loan Payment
date
check # I name and address of payee.
committee 10# if applicable
purpose
amount of
expenditure
paid
to AlP
e tf/1t/
- Q/20
· q)'J0
e
*address includes city, or county if no city, and state
--1kk-5:J/J (J!j. &ZLz:TJ::~])
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$
o
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o
page totals
accounting period totals
add all expenditures with the same expenditure type
cash (CA) ~ C.JC loan payment (LP)
$ ){3 ~ (J $
complete only for last page and transfer these amounts to the Summary Statement, PC 1
cash lCA) loan payment (LP)
$ $
enter on PC 1, Column A, Line 6
enter on PC 1, Column A, Line 7
PC3
see instructions on back and in Campaign Finance Manual
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
! na'A1 committee USl);Z/J. L'" r -4 r ~v "C-/ J 4h
mailing~ it appears on stat'tent 01 Organization po box or srreet, ciry, stare, zip code
name of treasurer
commitee type, measure number or olfi-ce
This filing is an:
('Primary 20
,%t pre-election
~mendment
,=, Original
'D-6eneral 20 ~
() 2nd pre-election
'::' other:
o Post-election
B Cumulative Totals
for this Election
day phone number
() 20
Sept. SuppL
page 1 of 2
rev1J06
committee id number
() Report of Initial Assets
contributions
A Totals for this
Accounting Period
e cash contributions accounting period total from PC 2
e loans received (non-exempt) accounting period total from PC 2
e total cash contributions lines 1+2
e in-kind accounting period total from PC 2
e total contributions lines 3+4
expenditures
e cash expenditures accounting period total from PC 3
8 loan payments (non-exempt) accounting period total from PC 3
e total cash expenditures lines 6+7
e in-kind accounting period total from PC 2
e total expenditures lines 8+9
cashbillance
;<7tJ.60
+
+
~/~
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3 L..eJ . t70
. crt::)
~ c:ro
/S"3. 9'.r
+
+
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30"3 9'S-
beginning cash balance line 20 of previous report
-
e
e
e
e
e
e
e
48
fj
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
total expenditures line 10
other disbursements accounting period total from PC 48
loan payments (exempt) accounting period total from PC 48
expenditure subtotal lines 16+ 17+ 18
+ 3~&.~
+
+
3UJ-oeJ
:;;0" . C?6
+
+
.;203.9':r-
1/6 ,or
ending cash balance line 15 minus line 19
PC 1
+
+
+
+
for office use only
:RECEIVED .
. ,
. ,. ,-.
~..
'.. ,
"';"'!l'!"...1~.
-~-~-~-_.._--~-_._--- --, --._--."
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
_ __ _ ~ _ _.__..~____.__~ _~ __u' _
J. name of committee use full name / dI
- ~&1 ~c~___~_~~~ . g. _
This filing is in: 0 Original ~Amendment
o Primary 20 -rYGeneraI20_cJ'--'o oth~-r~ - - -
- .-. - ---------_.'. - ---- --------~.- ---- -- ------_.._-~ ---- --
o 1st pre-election 0 2nd pre-election 0 Post-election
IOaJi1$umma1ry '" ," '.. (:.'}"
page 2 of 2
re\l1/06
---- -~---------'-'--_._- ---
committee id number
o 20. __ Sept. Suppl. 0 Report of Initial Assets
't;<rM,\~~~~~i;f~~ I for office use only
8
fa
8
e
GO
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*'
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beginning outstanding loans line 29 of previous report
-- ~ --. - -----.-------,---..--.-..--. - -
loans received (non-exempt) line2
loans received (exempt) line 14
loans received subtotal lines 21+22+23
loan payments (non-exempt) line 7
- ----
loan payments (exempt) line 18
forgiven loans total loans forgiven during this acctg. period
loan payme~t subtotal lines 25+26+27
total outstanding loans line 24 minus line 28
+
+
+
+
ptu;"!ional ~jp:ejutit~~~;~\I,niffll!ryX:.J./;': '
, y-;;-':-'\,;-,-),-:,,:;
co
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beginning outstanding personal expenditures
line 36 of previous report
personal expenditures accounting period total from PC 3A +
personal expenditure subtotal lines 30+31
__.___. ._. .__._n__. ___._ ~~ __ _ _ ___ n__ __
personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
,.. co. "t.;>, ""__~;,'I'_
, :'0';,:~~:":::\?~'<n-/-"~'i'-~ -;
:;':~: ':c1l: ,~::{;)f;~'?iti{~~!,:&i::~~~r%~r}
+
reimbursement subtotal lines 33+34
forgiven personal eXJ'ler:'.d~~lJ!~~__~t~!~rgiv.:n this aC~!f!..p~~ioc:i__.: _~_.
outstanding personal expenditures
ft...... n.~i...;ncijl'ii..lltjV5~4i)l~iftiftj~;8I'ti.. it(n~"jWi~iWa1i~tt~:$ti,i{~~#t~":"'f,i~
- -- - - - _ _____,:,;-:,,''::,'::,__,-.__}'i':,,:'-.!i~;.c:..':, _;>"_:-_,'-;:__'~-}:_<,::_;_--:_,,,_!:.~--_d"--~'--'---'-';~,-:.-.:'~,,-,",--, :- -, ~,~~..~-.^ o"t.~",--",,",)~,_.,j.'';'-'-'',''<;o.\i--'t<;':''-;"-~'~-';'t..,::,--,~ - ~
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ending cash balance line 20
---~-~--~----.----.- ---- --- --~.._------- -- - -
accounts receivable accounting period total from PC 5
subtotal lines 37+38
total outstanding loans line29
~ ~!~.t_~ nd i ~Q.J'l e rso n ~!...ex pen~itu !~~ ~0~..~~__._
accounts payable accounting period total from PC 6
~------- - ~-------~---
subtotal lines 40+41+42
/f/.tJJ
, hereby certify that the above
___un --- nm .----- --If} L~~
I, name of candidate or treasurer
signature ofcandidateortreasu,;r -
PC 1
~__ 1'--6. ~f~
+
= 1/ rR ,or
----- -~-~-~~--~----
+
+
PC 2 Amendment Cash Contributions, Loans Received and In-Kind
please type or print legibly in black ink; list only one entry per line
L fla~m-~;;;ittee use f~Ba~e\ lJ\. ,e,y- ~ &0 nirtiitee ID number
~ ~ . ~... "~~._~._m
(1 Primary 20 ~General 200~ (1 other:
.1 st pre-election
rev 1106
page~ ..
lOf I
o 2nd pre-election
CJ Post-election
020
Sept. Suppl.
o Report of Initial Assets
.:t(:1<:::
Co~~_' C_~ptriJ)utc)rTYP$
B Business Entity
C Political Committee
F Candidate's Immediate Family
I Individual
amending- .
page~ ancfiinel#
;':,,:::':::'r;'!,.':',:":.,:',:';;'"
da,~ r~c:~Jve"'_
L Labor Organization
o Other
P Political Party Committee
gddit2. ~(j"lfli)lltiq~1Ty~.;
CA Cash
CO Cosigner Obligation
IK In-Kind
LR Loan Received
naine andaddiess of ~ntributor amount of
col1trlbbtion
occu~~tiQ~.tinf,br~itio...~..o{~~ntributi...g comll1itte~'~'P#' contrib!.lto~ .~~r.9~",
'occupational information includes occupation, employer's name, city and state or self-employed
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.;,"t:~",.,,~ ..
d-- c2d~ -~ t!2 ~ - - ----
ate slgne ---,----fbl
PC 2 Amendment
see instructions on back and in Campaign Finance Manual
PC 3 Amendment Cash Expenditures and Loan Payments
please type or print legibly in black ink; list only one entry per line
rev 1/06
J, naumeofcommitteeuse7UiT name ~_____U__ ------------
R/}jjLJ-'t-__ l22 t.. ~A.?_~ ~ -f~r Cc> ~~<".J" 1__ _
o Primary 20_ <V-GeneraI20C16 0 other:
committee ID number
page___oL__
o 1st pre-election
o 2nd pre-election
o Post-election
o 20 _Sept. Suppl.
o 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
V Petition Circulators
Z Preparation and Production of Advertising
'address includes city, or county if no city, and state
page1_line_0-_
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for office use only
date signed
see instructions on back and in Campaign Finance Manual
CITY OF
ASHLAND
October 27, 2006
Randy Dolinger
240 Ohio Street
Ashland, OR 97520
I have examined your 2nd Pre-Election Contribution and Expenditure report for the General Election of November 7, 2006
and found the following:
g Your committee report is sufficient.
D
Your committee report is not sufficient in the following way(s).
y 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: 541488-5307
Fax: 541-552-2059
TTY: 800-735-2900
ria'
."
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
t nR;~o~ttee5:i~;;;/E1t ~! ~~ ..,~~! lus_# ~
mailing address as it appears on Statement of Organization po box or street, city, state, zip code
d.4CJ OHio 5/ qfs-;;.- $4 ~7
name of treasurer day phone number
commitee type, measu-re numbe-ro-r offic;--
This filing is an:
o Primary 20
o 1st pre-election
~riginal
g.,General 20 06
o 2nd pre-election
o Amendment
o other:
o Post-election
020_
Sept. Suppl.
B Cumulative Totals
. for this Election
A Totalsforthis
Accounting Period
page 1 of 2
rev 1106
committee id number
o Report of Initial Assets
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contributions
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cash contributions accounting period total from PC 2
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loans received (non-exempt) accounting period total from PC 2
+
total cash contributions lines 1+2
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total contributions lines 3+4
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8 loan payments (non-exempt) accounting period total from PC 3
o total cash expenditures lines 6+7
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other receipts accounting period total from PC 4A
+
loans received (exempt) accounting period total from PC 4A
+
contribution subtotal lines 11+12+13+14
(q~rp,o~
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total expenditures line 10
other disbursements accounting period total from PC 48
+
loan payments (exempt) accounting period total from PC 48
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PC 1 Summary Statement of Contributions and Expenditures page 2 of 2
please type or print legibly in black ink ,ev 1/06
.j. name of committee use full name committee id number
This filing is an:
o Primary 20
o 1st pre-election
o Original
o General 20
o 2nd pre-election
o Amendment
o other:
o Post-election
o 20~Sept. Suppl.
fa
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beginning outstanding loans line 29 of previous report
----- -.--
loans received (non-exempt) line 2
+
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
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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
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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~__
o Report of Initial Assets
for office use only
-~-, hereby certify that the above
statement and the attached supporting reports are true and correct.
signature of candidate or treasurer
PC 1
date signed
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J. name-of committee -usefullname-~--~-----)-~#- 7 ---
!?:'A-jJt2y_ i;bL-I_~ ~_ ~; _~o!,! "'-- ~
This filing is an: c:1""'Original a Amendment
- ".-- ________n"____ n_ ______ ~_ -.--_________n_
a Primary 20 g..General20 ___ a other:
------~ ..------------ ------------ -".-------
a 1st pre-election CMnd pre-election '. a Post-election
page 2 of 2
rev 1/06
committee id number
_____ _u.___~_ ,,__._ ________~__
a 20_Sept. Suppl.
--~---~--~---------~--------_.._.._-
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+
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
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8
beginning outstanding personal expenditures
line 36 of previous report
+
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rersonal expenditures accounting period total from PC 3A
+
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personal expenditure reimbursements
total expenditures on PC 3 with purpose code R
forgiven personal expenditures total forgiven this acctg. period
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outstanding personal expenditures
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ending cash balance Iine20
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accounts receivable accounting period total from PC 5
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subtotal lines 37+38
- ---- -~- -~---/7-:iir__ _~~=~
total outstanding loans Iine29
--. - --~--_._--_.__._~~-~---
outstanding personal expenditures line 36
--.-..-.-.,.,-. - ---'.- .~--'_._---~-~------
+
accounts payable accounting period total from PC 6
- ..- ---'------~-~---- --..-
+
subtotal lines 40+41+42
17.7~
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e - balance/deficit line 39 minus line 43; indicate + or - balance
I, name of candidate or treasurer
statement and the attached supporting re rts are true and cor
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a Report of Initial Assets
for office use only
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_____-10 (2~ IV 6
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PC 2 Cash Contributions, Loans Received and In-Kind
please type or print legibly in black ink; list only one entry per line
.t. name of committee use full name k committee 10 number
RlrlJbY '[)::x,1J)6~ ~/' Loune)/ b
-----~-~--
rev 1/06
---.-- _.~_.~ -----~---_.- --~---_._--~.-
page_l_ of /
o Primary 20~
~eneral 20~_
o other:
o 1st pre-election
~nd pre-election
---~-----~ -"--~-,-.-,.- ------- ---- -----,- ------,_._-------
o Post-election
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
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enter on PC " Column A, Lines 4 and 9
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PC2
aee InuNctiona on back and in Campaign Finance Manual
"
PC 3 Cash Expenditures and Loan Payments
please type or print legibly in black ink; list only one entry per line
'''f;;'''~;~;;~ 2- G"I7CJ~ jj ~~ oomm,u,.'O"mb., __
o Primary 20 l/YG'eneral20_ __ 0 other:
rev 1/06
page
I. of J
o 1st pre-election
~d pre-election
o Post-election
o 20 _Sept. Suppl.
o Report of Initial Assets
A Agent
8 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
ther Advertising (yard signs, buttons, etc.)
Postage
Reimbursement for Personal Expenditures
Surveys and Polls
Travel Expenses
U Utilities
W Wages, Salaries, Benefits
Y Petition Circulators
Z Preparation and Production of Advertising
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PC3
complete only for last page and transfer these amounts to the Summary Statement, PC 1
cash ICA) loan payment ILP)
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enteron PC 1, Column A, Line 6
enter on PC " Colu-mnA,Une7-' ..---.-
see instructions on back and in Camosian FinanCA M/fn";"
PC 3A Personal Expenditures for Reimbursement
please type or print legibly in black ink; list only one entry per line
J. name of committee use full name committee 10 number
~MtJY _ L)l}~'-A16 ~fo~___ ~V ~ It _~(g_
rev 1/06
page
/ I
of_
o Primary 20
er-General 20 ___
o other:
o 1st pre-election
e-2nd pre-election
o Post-election
o 20 _Sept. Suppl.
o 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
Other Advertising (yard signs, buttons, etc.)
Postage
Surveys and Polls
Travel Expenses
U Utilities
W Wages, Salaries, Benefits
V Petition Circulators
Z Preparation and Production of Advertising
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personal expenditures
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____ ...2 s-. -
PC3A
see instructions on back and in Campaign Finance Manual
CITY OF
ASHLAND
December 19,2006
Randy Dolinger
240 Ohio Street
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:
~ 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
~~,
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black i.nk
--.-. ---..--- --
J, name of committee use full nl.me -d
(G-V' J1 f)o I'~~ ,2r-+" r C b v y\ G, 1 Vv s G
m~iling address'as it dppears on Stalement of Organization po box or street, city, state, zip code
:J. Lf () 0 4/0 57~ 4g? f:t; ?7
name of treasurer
day phone number
------ --
commitee type, measure number or office
This filing is an:
r-::, Primary 20
() 1st pre-election
w Original
(() General 20
o 2nd pre-election
o Amendment
(L; other: L Ic' S e ou-+
Q Post-election r::1 20
c ~ ;, ,), elate
Sept. Suppl.
page 1 of 2
rev 1/06
committee id number
4> 1rv-- IY) I -I-lc:~
o Report of Initial Assets
A Totals forthis
Accounting Period
B Cumulative Totals
for this Election
contributions
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8 loans received (non-exempt) accounting period total from PC 2
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8 in-kind accounting period total from PC 2
o total contributions lines 3+4
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8 loan payments (non-exempt) accounting period total from PC 3 +
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8 in-kind accounting period total from PC 2 +
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_ beginning cash balance line 20 of previous report
48 total contributions line 5
8 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 totalfrom PC 48
e loan payments (exempt) accounting period total from PC 48
e expenditure subtotal lines 16+/7+18
e ending cash balance line 15 minus line 19
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PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
J. name of committee use full name
'T2 /f1J dPCj___l)c) /,; i J~ -C;, f
This filing is an: ~ Original
- - ----- ----
o Primary 20 f) General 20 O.G,
() 1 st pre-election 0 2nd pre-election
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o Amendment
-@l~ther: c I~-;", ocA--~t-d,M~
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loans received (non-exempt) line 2
+
loans received (exempt) line ;'4
+
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
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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
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ending cash balance line 20
.~-
accounts receivable accounting period total from PC 5
+
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total outstanding loans line 2:9
outstanding personal expenditures line 36
+
accounts payable accounting period total from PC 6
+
subtotal lines 40+41+42
~.......l.
~)
balance/deficit line 39 minus line 43; indicate + or - balance
I, name of candidate or treasurer
page 2 of 2
rev 1106
committee id number
c~-;:...- ,::g-:;- '-"' --
o Report of Initial Assets
! for office use only
J~@~JJ1V-'~ :
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...............
...........
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---, hereby certify that the above
statement and the attached supporting reports are true and correct.
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Signatd:~~~treas~~~~ - - -
PC 1
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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
D!,; 1'" d
W General 20 tic.
i2 a V\~_~m
o Primary 20
_~_fm C l- " c, I
'(!} other:
rev 1106
J )c 5 +-J C,
page
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a. Post-election
020
Sept. Suppl.
I) Report of Initial Assets
o 1st pre-election
o 2nd pre-election
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
*address includes city, or county if no city, and state
P Postage
R Reimbursement for Personal Expenditures
5 Surveys and Polls
T Travel Expenses
U Utilities
W Wages, Salaries, Benefits
V Petition Circulators
Z Preparation and Production of Advertising
LP Loan Payment
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complete only for last page and transfer these amounts to the Summary Statement, PC 7
cash (CA) ----- loan payment ILP)
$ f7.Qr $
enter on PC 7, Column A, Line 6
enter on PC 7, Column A, Line 7
PC3
see instructions on back and in Campaign Finance Manual