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FILING OF CANDIDACY FOR NONPARTISAN NOMINATION
PLEASE TYPE OR LEGIBLY PRINT IN BLACK INK.
NOTE: This information is a matter of public record and may be published or reproduced.
FILING FOR OFFICE OF
o INCUMBENT FOR OFFICE OF JUDGE
NAME OF CANDIDATE
t'l A.'~ C R
:so
~
e0'
DISTRICT, DEPARTMENT OR POSITION NUMBER
F\~"" \a.V,.~
NAME SHOULD APPEAR ON BALLOT AS FOLLOWS
RESIDENCE ADDRESS (STREET/ROUTE, crT". STA TE, ZIP CODE)
:Jo 't'\N ~\CRQ..'\~ON
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A.~,^\Q..V\~ 0 R q .,~: ao
TELEPHONE (HOME) TELEPHONE (WORK)
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COUNTY OF RESIDENCE
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FAX
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V'v\Or("\'';)OV\ ~ ~~.'
MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT
WEBSITE
o SECRETARY OF STATE OF OREGON
o COUNTY ELECTIONS OFFICIAL OF
~A{9 lAY \ \\.0\ ~,,- ~. J -# A..L t>
-'\~\a.~ O'R... '1"1 S ~O
COUNTY
~ITY RECORDER (AUDITOR), crTY OF ~4
o FILING OF CANDIDACY BY DECLARA nON, WITH THE REQUIRED FILING FEE (ORS 249.056).
FILING FEES
FILING OF CANDIDACY BY DECLARA nON
(ORS 249056)
OFFICE
STATEWIDE OfFICES
CIRCUIT COURT JuDGE
DISTRICT ATTORNEY
COUNTY JUDGE
MSD EXECUTIVE OFFICER. MSD AUDITOR
MSD COUNCILOR
COUNTY OFFICE
CITY OFFICE
JUSTICE Of THE PEACE
. Set By Charter or Ordinance
$100
$ 50
$ 50
$ 50
$100
$ 25
$ 50
NONE
c{
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Filing of candidacy by COMPLETED petition, with the required signature sheets
officials (oRS 249.020, 249.064).
Primary Election
2004 FILING DATES
Filing For Candidacy: First Day March 3],2003
Filing For Candidacy: Last Day March 9, 2004
Deadline to Withdraw Candidacy: March ]2.2004
Filing For State Voters' Pamphlet: March]], 2004
FOR OFFICE USE ONt Y
STATE VOTERS' PAMPHLET
ORS 251.095)
elections
CASH OR CHECK NUMBER
INITIALS
RECEIPT NUMBER
CANDIDATE ID NUMBER
PRINCIPAL CAMPAIGN COMMITTEE ID #
OFFICE NUMBER
SEl120 REV. 12/03 ORS 249.031
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STATEMENT ONE OR MORE PETITION CIRCULATORS WILL BE PAID
(Initiative/Referendum Only)
D Prospective Petition (Initial filing with filing officer) 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.
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 compensated for obtaining signatures. By signing this document, I
hereby state that no circulators will be compensated on this petition based on the number of signatures obtained by the
circulator.
D Completed Petition (Signatures submitted for verification) By signing this document, I hereby state that no
circulators have been compensated on this petition based on the number of signatures obtained by the circulator.
r;D~ Ii:::;-~-;:;-;::~:"--_.
fI i I '-::.; (( -. 't.-., D - .~-~ -'...--
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If"', \ ;
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,I .: '. i^J 1
U I, el, 0
Signed 1 ;
Identify Petition
ject of Initiative or Referendum Petition)
Date signed
Date signed
Date signed
* All chief petitioners for an initiative or referendum petition must sign this statement.
WARNING: Supplying false infoffi1ation on this form may result in conviction of a felony with a fine of up to S100.000 and lor prison for up to five years.
STATEMEN~ETITION CIRCULATORS WILL BE PAID
c;;- (Initiative/Referendum Only)
~rospective Petition (Initial filing with filing officer) 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. IjWe
understand the filing officer must be notified not later than the tenth day after Ijwe first have knowledge or should have
had knowledge that any petition circulator will be compensated for obtaining signatures. By signing this document I hereby
state that no circulators will be compensated on this petition,
D Completed Petition (Signatures submitted for verification) By signing this document, I hereby state that no
circulators were compensated for obtaining signatures on the attached petition.
-~~~pe:itiO~oY of lMl1vJ
~ _ . (Subject of Initiative m Refe,endum Petition)
Signe~ / ~\~ Date signed
Date signed
~1
Date signed
* All chief petitioners for an initiative or referendum petition must sign this statement.
WARNING: Supplying false information on this form may result in conviction of a felony with a fine of up to $100,000 and lor prison for up to five years.
SEL 301 REV 12/02
ORS 250.045, ORS 250.165, ORS 250.265, ORS 255.135
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City of Ashland
City Hall
City Recorder's Office 20 E. Main 51.
Barbara Christensen, City Recorder Ashland. Oregon 97520
(541) 488-5307 (phone)(541) 552-3059 (fax)
July 23, 2004
John Morrison
249 Wimer 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 of Ashland
Mayor.
Please let me know if I can be of any further assistance during this upcoming election time.
Barbara Christensen
City Recorder/Treasurer
SEL 220
Rev. 11103
Candidate's Statement of Organization
ORS 260.037
ORS 260.039
ORS 260.04\
Please type or print legibly in black ink.
Primary 20 General 20 ~ Other election date
2 This filing is an: I1J Original 0 Amendment
3 Name of principal campaign committee
o Will exist for more than one year
o Discontinuation
Co~\,\ -
\~J \-\ N
Committee address (street/route, city, state, zip code) - no post office box numbers
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Name of treasurer
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OMs.
Mailing address to which all committee correspondence will be sent
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Work phone number
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5 Additional address that may be used on political publications (PO box or street/route, city, state, zip) Campaign phone number
6 Party affiliation (complete only if filing for partisan office)
o Constitution 0 Democratic 0 Libertarian
o Republican 0 Not a member of a party 0 Other
7 Political committee intends to solicit funds by (mark all that apply):
lL9..Direct mail rz:I Personal contact 0 Radio 0 Television
o Events 0 Newspaper !.3LWebsite 0 Other
Please complete and sign the reverse side of this form.
o Pacific Green
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City of Ashland
City Hall
City Recorder's Office
Barbara Christensen, City Recorder
(541) 488-5307 (phone)
20 E. Main 51.
Ashland, Oregon 97520
(541) 488-5311 (fax)
October 1, 2004
John Morrison
249 Wimer Apt 40
Ashland, OR 97520
I have examined your first pre-election contribution and expenditure report for the General
Election of November 2, 2004 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.
Sincerely,
~
Barbara Christensen
City Recorder/Treasurer
PC 1
Summary Statement of Contributions and ExpenditlJlres Rev. 12/03
Please type or print legibly in black ink. Page 1 of2
Candidate or Political Committee Name (use full name):
John Morrison
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
249 Wimer Street, Apt. 40, Ashland, OR 97520
Treasurer's Name: I Telephone Number (day):
Dan Moore 541-664-6676 X 217
Committee ID Number: Committee Type, Measure Number or Office:
Office of Mayor of Ashland
IX! Original D Primary 20_ ~ General 20_ o Other
o Amendment 00 1 st Pre-election o 2nd Pre-election o Post-election 020_ S{:ptember Supplemental
A-TOTALS FOR THIS B-CUMULATIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS
1. Cash Contributions 1,113.00 1,113.00
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 2)
3. Total Cash Contributions = 1,113.00 = 1,113.00
(lines 1 + 2)
4. In-Kind + 0,00 + 0.00
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS = 1,113.00 = 1,113.00
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures 738.00 738.00
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 738.00 = 738.00
(lines 6 + 7)
9. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
10. TOTAL EXPENDITURES = 738.00 = 738.00
(lines 8 + 9)
CASH BALANCE
l1. Beginning Cash Balance 0.00 l)~@~~~~ ~
(line 20 of previous report)
l2. Total Contributions + 1,113.00 "\ ~EP 2 4 2004
(line 5)
l3. Other Receipts + 0.00
(Accounting Period Total from PC 4A) .::.
l4. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A)
l5. CONTRIBUTION SUBTOTAL = 1,113.00
(lines 11 + 12 + 13 + 14)
16. Total Expenditures 738.00
(line lO)
17. Other Disbursements + 0.00
(Accounting Period Total from PC 4B)
l8. Loan Payments (Exempt) + 0.00
(Accounting Period Total from PC 4B)
19. EXPENDITURE SUBTOTAL = 738.00
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE = 375.00
(line 15 minus line 19)
PC 1
Summary Statement of Contributions and Expenditures Rev. 12/03
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
John Morrison
IKI Original D Primary 20_ ~ General 20_ D Other
D Amendment IRIl st Pre-election D 2nd Pre-election o Post-election 020 S~:ptember Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans 0.00
(line 29 of previous report)
22. Loans Received (Non-Exempt) + 0.00
(line 2)
23. Loans Received (Exempt) 0.00
(line 14) +
24. LOANS RECEIVED SUBTOTAL 0.00
(lines 2l + 22 + 23) ==
25. Loan Payments (Non-Exempt) 0.00
(line 7)
26. Loan Payments (Exempt) + 0,00
(line 18)
27. Forgiven Loans + 0.00
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL == 0.00
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS == 0.00
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 0.00
(line 36 of previous report)
31. Personal Expenditures + 458.00
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL 458.00
(lines 30 + 3l) ==
33. Personal Expenditure Reimbursements 0.00
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures + 0.00
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL == 0.00
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES == 458.00
(line 32 minus line 35)
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 375.00
(line 20)
38. Accounts Receivable + 0.00
(Accounting Period Total from PC 5)
39. SUBTOTAL == 375.00
(lines 37 + 38)
40. Total Outstanding Loans 0.00
(line 29)
41. Outstanding Personal Expenditures + 458.00
(line 36)
42. Accounts Payable + 0.00
(Accounting Period Total from PC 6)
43. SUBTOTAL == 458.00
(lines 40 + 41 + 42)
44. BALANCE/DEFICIT == -83.00
(line 39 minus line 43: indicate + or - balance)
I, Van (VI OOt'1:?- (name of candidate or treasurer), hereby certify that the above
''("'"";V.... ,hod ,upporting "po,," '" IT", ond 'OITOCt. q I~J-/o ~~
1/ - J
Signature oi'Candidate or treasurer Date signed r
PC 2
Cash Contributions, Loans Received and In-Kind Rev. 12/03
Candidate or Political Committee Name: Committee 10 Number:
John Morrison Page~of~
Election: D Primary 20_ IKI General 20_ D Other
Report: IKIl st Pre-election D 2nd Pre-election D Post-election D 20_ September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type CODE 2: ContributiOIl1 Type
B Business Entity CA Cash
C Political Committee (includes business and union PACs) CO Cosigner Obligation
F Candidate's Immediate Family (includes candidate) IK In-Kind
I Individual LR Loan Received
L Labor Organization
0 Other
P Political Party Committee
Line # Name and Address of Contributor Amount of In-Kind Purpose
Contribution (see manual for suggested purpose codes)
Date Received Occupational Information or Contributor Code 1 I Code 2
Contributing Committee's 10# Aggregate
Geraldine Unmack & William Snell
1. 478 Laurel $
Ashland, OR 97520
7/29/04 Retired $ 100.00 I I CA
JACPAC
2. 629 Franquette Street $
Medford, OR 97501-7831
9/1/04 Polictical Committee (Jackson County only) 500.00 C I CA
$
Miscellaneous cash contributions $50 and under
3. $
9/6/04 - 9/13/04 NA $ 55.00 I I CA
John Morrison
4. 249 Wimer Street, Apt. 40 $
Ashland, OR 97520
9/2/04 - 9/7/04 Manager of community development program $ 458.00 F I CA
5. $
$ I
See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and
Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC l.)
on Back and Cash (CA) $ 1,113.00 Cash (CA) $ 1,113.00
in Campaign
Finance Enter on Swnmary Stat'ment, Column A, Line I
Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Enter on Surmnary Stat'ment, Column A, Lines 4 and 9
pe2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on SllI111I1ary Stat'ment, Column A, Line 2
PC 3
Cash Expenditures and Loan Payments Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page ~ of 1
-
Election: D Primary 20_ IKI General 20_ D Other
Report: IKIlst Pre-election D 2nd Pre-election D Post-election D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services Y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 10#, Exp. Amount of ~
Line # Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
9/2/04 NA Ashland Camera Digital Products 0 CA D
1. $ 8.00
9/7/04 2504 Voters' Pamplet Filing 0 CA $ D
2. 100.00
9/3/04 2500 Spearco Graphics 0 CA D
3. $ 350.00
9/8/04 001 Spearco Graphics 0 CA $ 1RI
4. 280.00
5. $ D
6. $ D
7. $ D
8. $ D
9. $ D
10, $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC l.)
on Back and Cash (CA) $ 738.00 Cash (CA) $ 738.00
in Campaign
Finance Enter on Summary Statement, Colunm A, Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Enter on Summary Stafi'ment, Colunm A, Line 7
PC 3
PC3A
Personal Expenditures for Reimbursement Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page ~ of 1
Election: o Primary 20_ IRI General 20_ o Other
Report: IRIl st Pre-election o 2nd Pre-election o Post-election 020 September Supplemental
PURPOSE CODES (see back ofform for instructions and code definitions)
A Agent 0 Other Advertising (yard signs, buttons, etc.)
B Broadcast Advertising (Radio, TV) P Postage
C Cash Contributions S Surveys and Polls
F Fundraising Event Expenses T Travel Expenses (describe if over $50)
G General Operational Expenses (describe if over $50) U Utilities
I Interest Payment W Wages, Salaries, Benefits
L Literature, Brochures, Printing Y Petition Circulators
M Management Services Z Preparation and Production of Advertising
N Newspaper and Other Periodical Advertising
Line # Date Payee's Name Purpose Amount of
Expenditure
9/2/04 Ashland Camera Digital Products 0
1. $ 8.00
9/7/04 Voters' Pamplet Filing 0
2. $ 100.00
9/3/04 Spearco Graphics 0
3. $ 350.00
4. $
5. $
6. $
7. $
8. $
9. $
10. $
See Page Total Accounting Period Total (Complete only for last page and
Instructions Personal Expenditures $ 458.00 transfer this amount to the Summary Statement, PC l.)
on Back and 458.00
in Campaign Personal Expenditures $
Finance Enter on Summary Statement. Line 31
Manual
PC3A
PC 1
Summary Statement of Contributions and Expenditures Rev. 12/03
Please type or print legibly in black ink. Page 1 of2
Candidate or Political Committee Name (use full name):
John Morrison
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
249 Wimer Street, Apt. 40, Ashland, OR 97520
Treasurer's Name: Telephone Number (day):
Dan Moore 541-664-6676 X 217
Committee ID Number: Committee Type, Measure Number or Office:
Office of Mayor of Ashland
l&1 Original o Primary 20_ ~ General 20 o Other
o Amendment O(J 1 st Pre-election 2nd Pre-election D Post-election D 20_ September Supplemental
A-TOTALS FOR THIS B-CUMULA TIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS
1. Cash Contributions 1,113.00 .j 1,113.00
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 2)
3. Total Cash Contributions = 1,113.00 = 1,113.00
(lines 1+ 2)
4. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS = 1,113.00 = 1,113.00
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures 738.00 J 738.00
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 738.00 = 738,00
(lines 6 + 7)
9. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
lO. TOTAL EXPENDITURES = 738.00 = 738.00
(lines 8 + 9)
CASH BALANCE
11. Beginning Cash Balance 0.00 TI~ ~~D~\E, -"\
(line 20 of previous report)
12. Total Contributions 1,113.00
+ ~l~EP 24 2004
(line 5)
13. Other Receipts + 0.00 .::
(Accounting Period Total from PC 4A)
l4. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A)
l5. CONTRIBUTION SUBTOTAL = 1,113.00
(lines Il + 12 + 13 + 14)
l6. Total Expenditures 738.00
(line 10)
17. Other Disbursements + 0.00
(Accounting Period Total from PC 4B)
l8. Loan Payments (Exempt) + 0.00
(Accounting Period Total from PC 4B)
19. EXPENDITURE SUBTOTAL = 738.00
(lines 16 + 17 + l8)
20. ENDING CASH BALANCE = 375.00 oj
(line 15 minus line 19)
PC I
Summary Statement of Contributions and Expenditures Rev. 12/03
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee II) Number:
John Morrison
IKI Original o Primary 20_ 1&1 General 20_ D Other
o Amendment IKll st Pre-election o 2nd Pre-election D Post-election 020 September Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans 0.00
(line 29 of previous report)
22. Loans Received (Non-Exempt) 0.00
(line 2) +
23. Loans Received (Exempt) + 0.00
(line 14)
24. LOANS RECEIVED SUBTOTAL 0.00
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt) 0.00
(line 7)
26. Loan Payments (Exempt) + 0.00
(line 18)
27. Forgiven Loans + 0.00
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL = 0.00
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS = 0.00
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 0.00
(line 36 of previous report)
31. Personal Expenditures + 458.00 {
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL = 458.00
(lines 30 + 31)
33. Personal Expenditure Reimbursements 0,00
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures + 0.00
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL = 0.00
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES = 458.00
(line 32 minus line 35)
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 375.00
(line 20)
38. Accounts Receivable + 0.00
(Accounting Period Total from PC 5)
39. SUBTOTAL = 375.00
(lines 37 + 38)
40. Total Outstanding Loans 0.00
(line 29)
41. Outstanding Personal Expenditures + 458.00
(line 36)
42. Accounts Payable + 0.00
(Accounting Period Total from PC 6)
43. SUBTOTAL = 458.00
(lines 40 + 41 + 42)
44. BALANCE/DEFICIT = -83.00 v'
(line 39 minus line 43: indicate + or - balance)
I, Van fr1 00 r if?- (name of candidate or treasurer), hereby certify that the above
star;;; '")hed '"pporting repn'" ore truo ond oorrecl. q I~J-/o r~
//- 'I
Signature otCandidate or treasurer Date signed (
PC3
Cash Expenditures and Loan Payments Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page~of~
Election: D Primary 20_ IKI General 20_ D Other
Report: IKIlst Pre-election D 2nd Pre-election D Post-election D 20_ S{:ptember Supplemental
PURPOSE CODES (see back ofform for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc,) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services Y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 10#, Exp, Amount of ~
Line # Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
9/2/04 NA Ashland Camera Digital Products 0 CA D
1. $ 8.00
9/7/04 2504 Voters' Pamplet Filing 0 CA $ D
2, 100.00
9/3/04 2500 Spearco Graphics 0 CA $ D
3. 350.00
9/8/04 001 Spearco Graphics 0 CA $ 280,00 ~
4.
5. <' D
,)
6. S D
7. S D
8. S D
9. S D
10. S D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ 738.00 Cash (CA) $ 738.00 /'
in Campaign
Finance Enter on Sunnnary Statement, Colunm A. Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Enter on Summary Statement, Colunm A, Line 7
PC 3
PC2
Cash Contributions, Loans Received and In-Kind Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page~of~
Election: D Primary 20_ IKI General 20_ D Other
Report: IKIl st Pre-election D 2nd Pre-election D Post-election D 20_ Sl~ptember Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type CODE 2: Contribution Type
B Business Entity CA Cash
C Political Committee (includes business and union PACs) CO Cosigner Obligation
F Candidate's Immediate Family (includes candidate) IK In-Kind
I Individual LR Loan Received
L Labor Organization
0 Other
P Political Party Committee
Line # Name and Address of Contributor Amount of In-KJfld Purpose
Contribution (see manual for suggested purpose codes)
Date Received Occupational Information or Contributor Code 1 I Code 2
Contributing Committee's 100 Aggregate
Geraldine Unmack & William Snell
1. 478 Laurel $
Ashland, OR 97520
7/29/04 Retired $ 100.00 I I CA
JACPAC
2. 629 Franquette Street $
Medford, OR 97501-7831
9/1/04 Polictical Committee (Jackson County only) 500.00 C I CA
$
Miscellaneous cash contributions $50 and under
3. $
9/6/04 - 9/13/04 NA $ 55,00 I I CA
John Morrison
4. 249 Wimer Street, Apt. 40 $
Ashland, OR 97520
9/2/04 - 9/7/04 Manager of community development program $ 458,00 F I CA
5. $
$ I
See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and
Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statem:;7pc l.)
on Back and Cash (CA) $ 1,113.00 Cash (CA) $ 1,113,.00
in Campaign
Finance Enter on Summary Statement, Column A, Line I
Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Enter on Swnmary Statement, Column A, Lines 4 and 9
pe2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on Swnmary Statement, Column A, Line 2
PC 3A
Personal Expenditures for Reimbursement Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page ~ of 1
-
Election: D Primary 20_ IRI General 20_ D Other
Report: IRIlst Pre-election D 2nd Pre-election D Post-election D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions)
A Agent 0 Other Advertising (yard signs, buttons, etc.)
B Broadcast Advertising (Radio, TV) P Postage
C Cash Contributions S Surveys and Polls
F Fundraising Event Expenses T Travel Expenses (describe if over $50)
G General Operational Expenses (describe if over $50) U Utilities
I Interest Payment W Wages, Salaries, Benefits
L Literature, Brochures, Printing Y Petition Circulators
M Management Services Z Preparation and Production of Advertising
N Newspaper and Other Periodical Advertising
Une# Date Payee's Name Purpose Amount of
Expenditure
9/2/04 Ashland Camera Digital Products 0
1. $ 8.00
9/7/04 Voters' Pamplet Filing 0
2. $ 100.00
9/3/04 Spearco Graphics 0
3. $ 350.00
4. $
5. $
6. $
7. $
8. $
9. $
10. $
See Page Total Accounting Period Total (Complete only for last page and
Instructions Personal Expenditures $ 458.00 transfer this amount to the Summary State"t, PC 1.)
on Back and
in Campaign Personal Expenditures $ 458.00
Finance Enter on Summary Statement, Line 31
Manual
PC3A
City of Ashland
City Recorder's Office
Barbara Christensen, City Recorder
(541) 488-5307 (phone)
ICity Hall
20 E. Main St.
Ashland, Oregon 97520
(541) 488-5311 (fax)
October 21,2004
John Morrison
249 Wimer Apt 40
Ashland, OR 97520
I have examined your second pre-election contribution and expenditure report for the General
Election of November 2,2004 and found the following:
~ Your committee report is sufficient. *please note comments below.
Please note the enclosed copy of your Cash Contributions, PC2 form with noted corrections that
should be incorporated into your next filing.
Please be sure to include the inclusive dates for miscellaneous cash contributions under $50,
amount of contribution should be in correct box, and aggregate amount should reflect total
amounts received.
If you have any questions regarding this examination letter, please feel free to conta,::;t my office.
S;L~
Barbara Christensen
City Recorder/Treasurer
/1/ ~
V/tJu;~
Cash Contributions, Loans Received and In-Kind
Pe2
Rev. 1211>3
Candidate or Political Committee Name:
John Morrison
Election:
Report;
o Primary 20_
o 1 st Pre-election
IRI General 20_
1R12nd Pre-election
SEE BACK FOR INSTRUCTIONS AND CODE DEFINI
CODE 1: Contributor Type
B Business Entity
C Political Committee (includes business and
F Candidate's Immediate Family (includes ca
I Individual
L Labor Organization
o Other
P Political Party Committee
Une#
Name and Address of Contributor
Date Received
Occupational Information or
Contributing Committee's 100
Miscellaneous cash contributions $50 and under
1.
Sid DeBoer
2. 234 Vista Street
Ashland, OR 97520-2734
9/27/04
CEO of Corporation
3.
Allyn Stone
474 Williamson Way
Ashland, OR 97520
9/26/04
Homemaker
4.
5.
See Page Totals (Add all amounts with the same
Instructions contribution type. Do not include aggregates.)
on Back and Cash (CA) $ 465.00
in Campaign
Finance
Manual In-Kind (IK) $ 0.00
pe2 Loans Received (LR) $ 0.00
Committee ID Number;
Page~of~
o Other
o Post-election
020
September Supplemental
o ~~~D CA
AC6cT 2 1 20~
LR
ribution Type
h
igner Obligation
ind
n Received
Amount of
Contribution
Contributor
Aggregate
In-/'.lnd Purpose
(see manual for suggested purpose codes)
Code 1
Code 2
$
CA
$
CA
$
$
CA
$
$
$
$
Accounting Period Totals (Complete only for last page and
transfer these amounts to the Summary Statement, PC l.)
Cash (CA). $ 46!i.00 V
Enter on Summ8l)' Sto.tement, Column A, Line I
In-Kind (IK)
0.00
$
Enter on Summary Sto.tcment, Column A, Lines 4 and 9
0.00
Loans Received (LR) $
Enter on Summary Stotcment, Column A, Line 2
PC I
Summary Statement of Contributions and ExpenditUlres Rev. 12/03
Please type or print legibly in black ink. Page 1 of2
Candidate or Political Committee Name (use full name):
John Morrison
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip cod(~):
249 Wimer Street, Apt. 40, Ashland, OR 97520
Treasurer's Name: I Telephone Number (day):
Dan Moore 541-664-6676 X 217
Committee ID Number: ~ Committee Type, Measure Number or Office:
Office of Mayor of Ashland
IKI Original D Primary 20_ IKI General 20_ o Other
D Amendment D 1 st Pre-election 1K12nd Pre-election o Post-election D 20_ S(~ptember Supplemental
A-TOTALS FOR THIS B-CUMIJLATIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS
1. Cash Contributions 465.00 1,578,00
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 2)
3. Total Cash Contributions = 465.00 = 1,578.00
(lines 1 + 2)
4. In-Kind + 0.00 + 0,00
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS = 465.00 = 1,578,00
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures 699.00 1,437.00
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 699,00 = 1,437.00
(lines 6 + 7)
9. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
lO. TOTAL EXPENDITURES = 699.00 = 1,437.00
(lines 8 + 9)
CASH BALANCE
l1. Beginning Cash Balance 375.00 FOR OFFICE USE ONLY
(line 20 of previous report)
l2. Total Contributions + 465.00
(line 5)
13. Other Receipts IT ~~~~D~~ ~
+ 0.00
(Accounting Period Total from PC 4A)
l4. Loans Received (Exempt) + 0.00 ".l~CT 2 1 2004
(Accounting Period Total from PC 4A)
l5. CONTRIBUTION SUBTOTAL = 840.00 ~
(lines Il + l2 + 13 + 14)
l6. Total Expenditures 699.00
(line 10)
17. Other Disbursements + 0.00
(Accounting Period Total from PC 4B)
18. Loan Payments (Exempt) + 0.00
(Accounting Period Total from PC 48)
19. EXPENDITURE SUBTOTAL = 699,00
(lines 16 + 17 + l8)
20. ENDING CASH BALANCE = 141.00
(line 15 minus line 19)
PC 1
Summary Statement of Contributions and Expenditures Rev. 12103
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
John Morrison
D Original D Primary 20_ D General 20_ D Other
o Amendment o 1 st Pre-election o 2nd Pre-election o Post-election 020 Se:ptember Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans 0.00
(line 29 of previous report)
22. Loans Received (Non-Exempt) 0.00
(line 2) + D~~~O~~~
23. Loans Received (Exempt) 0.00
(line 14) +
24. LOANS RECEIVED SUBTOTAL 0.00 ~~~
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt) 0.00
(line 7)
26. Loan Payments (Exempt) 0.00
(line 18) +
27. Forgiven Loans + 0.00
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL 0.00
(lines 25 + 26 +27) =
29, TOTAL OUTSTANDING LOANS 0.00
(line 24 minus line 28) =
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 458.00
(line 36 of previous report)
31. Personal Expenditures + 0.00
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL = 458.00
(lines 30 + 3l)
33. Personal Expenditure Reimbursements 0.00
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures + 0,00
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL = 0.00
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES 458,00
(line 32 minus line 35) =
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 141.00
(line 20)
38. Accounts Receivable + 0.00
(Accounting Period Total from PC 5)
39. SUBTOTAL = 141.00
(lines 37 + 38)
40. Total Outstanding Loans 0.00
(line 29)
41. Outstanding Personal Expenditures + 458.00
(line 36)
42. Accounts Payable + 0.00
(Accounting Period Total from PC 6)
43. SUBTOTAL = 458.00
(lines 40 + 41 + 42)
44. BALANCE/DEFICIT = -317.00
(line 39 minus line 43: indicate + or - balance)
I, Dan Moore, Treasurer (name of candidate or treasurer), hereby certify that the above
'tatefinh; ,"pporting repo"" "'" tme ond eorrect. Dj~i!4 0 'f
Signature of ca6didate or treasurer
PC 2
Cash Contributions, Loans Received and In-Kind Rev. 12/03
Candidate or Political Committee Name: Committee 10 Number:
John Morrison Page ~ of 1
-
Election: D Primary 20_ IX! General 20_ D Other
Report: D 1 st Pre-election IX! 2nd Pre-election D Post-election D 20_ September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINI
CODE 1: Contributor Type D ~ ~ ~ 0 ~/l rs;.;)' ributiol1 Type
B Business Entity CA C h
C Political Committee (includes business and 1 '0, AC8cT 2 1 20~ c igner Obligation
F Candidate's Immediate Family (includes can . i~ I ind
I Individual LR :r. n Received
L Labor Organization
0 Other
P Political Party Committee
Line # Name and Address of Contributor Amount of In-Kind Purpose
Contribution (see manual for sU9gested purpose codes)
Date Received Occupational Information or Contributor Code 1 I Code 2
Contributing Committee's 10# Aggregate
Miscellaneous cash contributions $50 and under
1. $
$ 140.00 I I CA
Sid DeBoer
2. 234 Vista Street $
Ashland, OR 97520-2734
9/27/04 CEO of Corporation 250.00 I I CA
$
Allyn Stone
3. 474 Williamson Way $
Ashland, OR 97520
9/26/04 Homemaker $ 75.00 I I CA
4. $
$ I
5. $
$ I
See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and
Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC l.)
on Back and Cash (CA) $ 465.00 Cash (CA) $ 465.00
in Campaign
Finance Enter on Summary Statement, Column A, Line 1
Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Enter on Summary State ment. Column A, Lines 4 and 9
PC2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on Summary Statement, Column A, Line 2
PC 3
Cash Expenditures and Loan Payments Rev. 12/03
Candidate or Political Committee Name: Committee 10 Number:
John Morrison Page~of~
Election: D Primary 20_ IRI General 20_ D Other
Report: D lst Pre-election 1R12nd Pre-election D Post-election D 20_ September Supplemental
PURPOSE CODES (see back ofform for instructions and code definitions) EXF'ENDlT PES
A Agent 0 Other Advertising (yard signs ;ii~~W~~
B Broadcast Advertising (Radio, TV) P Postage . Lt- Loan Pay! n
C Cash Contributions R Reimbursement for Personal 4J 1 tures
F Fundraising Event Expenses S Surveys and Polls ..., 50peT 2 1 2004
G General Operational Expenses (describe if over $50) T Travel Expenses (describe i
I Interest Payment U Utilities I L::::I
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production 0 . AOvertIsmg
Payee's Name and Payee's Committee 10#, Exp, Amount of ~
Line # Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
9/20/04 002 Norton Lumber Co. 0
1. CA $ 39.00 D
10/13/04 100 Mail Tribune N D
2. CA $ 660.00
3. $ D
4. $ D
5. $ D
6. $ D
7. $ D
8. $ D
9. $ D
10. $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC l.)
on Back and Cash (CA) $ 699.00 Cash (CA) $ 699.00
in Campaign
Finance Enter on Summary Statement, Colunm A, Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Enter on Summary Statement, Column A, Line 7
PC 3
City of Ashland
City Recorder's Office
Barbara Christensen, City Recorder
(541) 488-5307 (phone)
City Hall
20 E. Main St.
Ashland, Oregon 97520
(541) 488-5311 (fax)
November 1, 2004
John Morrison
249 Wimer Apt 40
Ashland, OR 97520
I have examined your 2nd Supplemental to 2nd Pre-election contribution and expenditure report
for the General Election of November 2, 2004 and found the following:
0' Your committee report is not sufficient.
· Summary Statement is missing.
I have included copies of your submitted PC-2 and PC-3 to assist you in completing the needed
Summary Statements. Please submit the amended returns no later than November 5, 2004.
If you have any questions regarding this examination letter, please feel free to contact my office.
Barbara Christensen
City Recorder/Treasurer
. I
Cash Contributions, Loans Received and In-Kind
PC2
Rev. 12/03
John Morrison
Candidate or Political Committee Name:
Page~of~
Election:
Report:
Committee ID Number:
D Primary 20_
D 1st Pre-election
iii General 20_
D 2nd Pre-election
!XI Other 2nd Supplement to 2nd Pre-election Report
D Post-election D 20_ September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type
B Business Entity
C Political Committee (include
F Candidate's Immediate Fami
I Individual
L Labor Organization
o Other
P Political Party Committee
Line #
Date Received
1.
10/22/04
2.
10/22/04
3.
10/22/04
4.
10/22/04
5.
10/22/04
See
Instructions
on Back and
in Campaign
Finance
Manual
PC2
-; I
In-Kind Purpose
(see manual for su~,gested purpose codes)
Code 2
Occupational Information or Code 1
Contributing Committee's 10#
Russ Dale
585 Allison Street $ 500.00
Ashland, OR 97520
Property Development $ 500.00
Evan Archerd
120 N. Second Street $ 500.00
Ashland, OR 97520
General Contractor $ 500.00
Hal Dresner
P.O. Box 699 $ 500.00
Ashland, OR 97520
General Contractor $ 500.00
Bill Patridge
333 Granite Street $ 500.00
Ashland, OR 97520
Business Management $ 500.00
Rhett Chang
585 Allison Street $ 250.00
Ashland, OR 97520
Physician $ 250.00
CA
CA
CA
CA
CA
Page Totals (Add all amounts with the same
contribution type. Do not include aggregates.)
Cash (CA) $ 2,250.00
Accounting Period Totals (Complete only for last page and
transfer these amounts to the Summary Statement, PC 1.)
Cash (CA)
$ 2,250.00
Enter on Swnmary Statement, Colunm A, Line 1
In-Kind (IK)
0.00
In-Kind (IK)
$ 0.00
Enter on Swnmary Statement, Colunm A, Lines 4 and 9
$
Loans Received (LR) $
0.00
Loans Received (LR) $
Enter on Swnmary Statement, Colunm A, Line 2
0.00
PC3
Cash Expenditures and Loan Payments Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page~of~
Election: D Primary 20_ 1M General 20_ !XI Other 2nd Supplement to the 2nd Pre-election Report
Report: D 1 st Pre-election D 2nd Pre-election D Post-election D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPJENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee lOll, Exp. Amount of ~
Line # Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
10/22/04 101 Friends of the Animal Shelter C D
1. CA $ 50.00
10/22/04 102 Mail Tribune N ~
2. CA $ 577.71
10/28/04 103 Project A - Website B D
3. CA $ 250.00
4. $ D
5. ~ $ D
~ \ D
6. , $
l~~~
7. \ ~\ Oel 1 ~ IS)iJ~ ~ 1\ $ D
---
~~ ~~----- .......-1 D
8. $
9. ~ $ D
10. $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ 877.71 Cash (CA) $ 877.71
in Campaign
Finance Enter on Summary Statement, Colunm A, Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Enter on Sununary Statement, Colunm A, Line 7
PC3
. I
City of Ashland
City Recorder's Office
Barbara Christensen, City Recorder
(541) 488-5307 (phone)
City Hall
20 E. Main St.
Ashland, Oregon 97520
(541) 488-5311 (fax)
December 10,2004
John Morrison
249 Wimer Apt 40
Ashland, OR 97520
I have examined your Post Election contribution and expenditure report for the General Election
of November 2,2004 and found the following:
0' Your committee report is sufficient.
Please note that because you have a balance on your report your next filing period for the
Supplemental Report is from November 23,2004 through September 1,2005. This report will
need to be filed with my office NST September 2,2005 and NLT September 12,2005.
If you have any questions regarding this examination letter, please feel free to contact my office.
Barbara Christensen
City RecorderlTreasurer
PC 1
Summary Statement of Contributions and Expenditures Rev. 12/03
Please type or print legibly in black ink. Page 1 of2
Candidate or Political Committee Name (use full name):
John Morrison
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
Treasurer's Name: Telephone Number (day):
Dan Moore 541-664-6676 X 217
Committee ID Number: Committee Type, Measure Number or Office:
Office of Mayor of Ashland
D Original D Primary 20_ IXI General 20_ D Other
IKI Amendment D 1 st Pre-election D 2nd Pre-election IKI Post-election D 20_ September Supplemental
A-TOTALS FOR TillS B-CUMULA TIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS
1. Cash Contributions 2,350.00 3,928.00
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 2)
3. Total Cash Contributions = 2,350.00 = 3,928.00
(lines 1 + 2)
4. In- Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS = 2,350.00 = 3,928.00
(lines 3 + 4) I
EXPENDITURES
6. Cash Expenditures 1,897.71 3,334.71
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 1,897.71 = 3,334.71
(lines 6 + 7)
9. In- Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
10. TOTAL EXPENDITURES = 1,897.71 = 3,334.71
(lines 8 + 9)
CASH BALANCE
11. Beginning Cash Balance 141.00 FOR OFFICE USE ONLY
(line 20 of previous report)
12. Total Contributions + 2,350.00
(line 5)
13. Other Receipts + 0.00
(Accounting Period Total from PC 4A) ReCeiVeD
14. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL = 2,491.00
(lines 11 + 12 + 13 + 14)
16. Total Expenditures 1,897.71 Ofe la
(line 10) . -,
17. Other Disbursements + 0.00
(Accounting Period Total from PC 4B) .
18. Loan Payments (Exempt) + 0.00 · f!olltf>., :... .
(Accounting Period Total from PC 4B) .....,
----. ..,
19. EXPENDITURE SUBTOTAL .... ~....
= 1,897.71 '..
(lines 16 + 17 + 18) '0
'"- .-.,
20. ENDING CASH BALANCE = 593.29
(line 15 minus line 19)
PC 1
Summary Statement of Contributions and Expenditures Rev. 12/03
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
John Morrison
D Original D Primary 20_ D General 20_ o Other
D Amendment D 1 st Pre-election D 2nd Pre-election o Post-election D 20_ September Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans 0.00
(line 29 of previous report)
22. Loans Received (Non-Exempt) + 0.00
(line 2)
23. Loans Received (Exempt) + 0.00
(line 14)
24. LOANS RECEIVED SUBTOTAL ::: 0.00
(lines 21 + 22 + 23)
25. Loan Payments (Non-Exempt) 0.00
(line 7)
26. Loan Payments (Exempt) + 0.00
(line 18)
27. Forgiven Loans + 0.00
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL ::: 0.00
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS ::: 0.00
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 458.00
(line 36 of previous report)
31. Personal Expenditures + 250.00
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL ::: 708.00
(lines 30 + 31)
33. Personal Expenditure Reimbursements 700.00
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures + 0.00
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENTSUBTOTAL ::: 700.00
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES ::: 8.00
(line 32 minus line 35)
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 593.29
(line 20)
38. Accounts Receivable + R~C
(Accounting Period Total from PC 5)
39. SUBTOTAL ::: 593.29
(lines 37 + 38) . ~/J/~D
40. Total Outstanding Loans 0.00
(line 29)
41. Outstanding Personal Expenditures + 8.00 OEe 03
(line 36) 1004
42. Accounts Payable
(Accounting Period Total from PC 6) + 0.00
\ I
43. SUBTOTAL 8.00 ......
(lines 40 + 41 + 42) ::: ,
44. BALANCE/DEFICIT --... ." -.......... ~
(line 39 minus line 43: indicate + or - balance) ::: 585.29 .
" -.""
.~
I, ----. Dan Moore (name of candidate or treasurer), hereby certify that the above
STDhed SUPPOrti: reports are true and correct. /J-j JI () r
sigrurtlm/6f candidate or treasurer Date signed '
PC2
Cash Contributions, Loans Received and In-Kind Rev. 12103
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page~of~
Election: D Primary 20_ (XI General 20_ D Other
Report: D I st Pre-election D 2nd Pre-election IKI Post-election D 20_ September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type CODE 2: Contribution Type
B Business Entity CA Cash
C Political Committee (includes business and union PACs) CO Cosigner Obligation
F Candidate's Immediate Family (includes candidate) IK In-Kind
I Individual LR Loan Received
L Labor Organization
0 Other
P Political Party Committee
.
Une# Name and Address of Contributor Amount of In-Kind Purpose
Contribution (see manual for suggested purpose codes)
Date Received Occupational Information or Contributor Code 1 I Coc/e2
Contributing Committee's 10# Aggregate
Miscellaneous cash contributions $50 and under
1. $ 100.00
10/20/04 - $ 100.00 I I CA
10/28/04
2. $
$ I
3. $
~
4 -~ ~-~' I
1"::- - rr=-:: ~ ~
D' ~"::::J ~ '-:- -' I 1
4. $ r l-J
r\ \\:! :.. ..
\ .v.
$ Hr~~ ]
- -----
5. $ L-----
$ I
See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and
Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statem, PC I.)
on Back and Cash (CA) $ 100.00 Cash (CA) $ 100.00
in Campaign
Finance Enter on Summary Statement, COIUDUl A, Line I
Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Enter on Summary Statement, COIUDUl A, Lines 4 and 9
PC2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on Summary Statement, C.OIUDUl A. Line 2
.&f- 5/h wUtcbAeJ ~ Sa
PC2
Rev. 12/03
Cash Contributions, Loans Received and In-Kind
Candidate or Political Committee Name:
John Morrison
Committee 10 Number:
Election:
Report:
D Primary 20_
D I st Pre-election
iii General 20_
o 2nd Pre-election
Page ---1- of ---1-
IRJ Other 2nd Supplement to 2nd Pre-election Report
D Post-election D 20_ September Supplemental
SEE BACK FOR INSTRUCTIONS AND, CODE DEFINITIONS
Une# Name and Address of unt of In-Kind Purpose
Contribution (see manual for suggested purpose codes
Date Received Occupationallnfonnation or Contributor Code 1 Code 2
Contributing Committee's 10# Aggregate
Russ Dale
1. 585 Allison Street $ 500.00
Ashland, OR 97520
10/22/04 Property Development $ 500.00 CA
Evan Archerd
2. 120 N. Second Street $ 500.00
Ashland, OR 97520
10/22/04 General Contractor 500.00 CA
$
Hal Dresner
3. P.O. Box 699 $ 500.00
Ashland, OR 97520
10/22/04 General Contractor $ 500.00 CA
Bill Patridge
4. 333 Granite Street $ 500.00
Ashland, OR 97520
10/22/04 Business Management $ 500.00 CA
Rhett Chang
5. 585 Allison Street $ 250.00
Ashland, OR 97520
10/22/04 Physician CA
$ 250.00
See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and
Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement; PC I.)
on Back and Cash (CA) $ 2,250.00 2,250.00
in Campaign Cash (CA) $
Finance Enter on Summary Statement, Column A, Line I
Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Enter on Summary Statement, Column A, Lines 4 and 9
PC2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on Summary Statement. Column A, Line 2
PC3
Cash Expenditures and Loan Payments Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page ~ of -L-
Election: D Primary 20_ rKI General 20_ D Other
Report: D 1st Pre-election D 2nd Pre-election rKI Post-election D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G' General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 10#, Exp. Amount of ~
Une# Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
917/04 2505 Umpqua Bank C
1. CA $ 250.00 D
11/23/04 104 John Morrison R D
2. CA $ 700.00
11/23/04 105 Project A B ~
3. CA $ 70.00
4. $ D
5. ~ $ D
-
~~~ ~~ \\ D
6. --------\ $
\ \\ /-:~~;...--
\
\\~\ .. f ~I\ D
7. \ \ (' \ I ;.... $
\''1 J;
---'
8. \ u ~ L.------ ~ $ D
\ -------
-
9. $ D
10. $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, .PC 1.)
on Back and Cash (CA) $ 1,020.00 Cash (CA) $ 1,020.00,j'
in Campaign
Finance Enter on Summary Statement, Colunm A, Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Enter on Summary Statement, Colunm A, Line 7
PC3
PC3
Cash Expenditures and Loan Payments Rev. 12103
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page -L- of ~
Election: D Primary 20_ 1M General 20_ IKI Other 2nd Supplement to the 2nd Pre-election Report
Report: D 1st Pre-election o 2nd Pre-election D Post-election D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 100, Exp. Amount of I&l
Line # Date Check # ifapp/icable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) toNP
10/22/04 101 Friends of the Animal Shelter C
1. CA $ 50.00 D
10/22/04 102 Mail Tribune N ~
2. CA $ 577.71
10/28/04 103 Project A - Website B D
3. CA $ 250.00
4. $ D
5. ~ $ D
6. ~~~' \\ l' $ D
~-~<6~1 , \
~ 0:,r ~. ~ 1\
9 (,\,', \.:r D
'- 1.,,-, $
7. \ rV \ aC\ ". ~
---
,~ \\~----- ~ D
8. $
9. ~ $ D
10. $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC I.)
on Back and Cash (CA) 877.71 Cash (CA) $ 877.71 .;/
in Campaign $
Finance Enter on Summary Statement, Colwm A, Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Enter on Summary Statement, Colwm A, Line 7
PC3
-If- S/1; .uzdudtd.u.. ~",~
~
Personal Expenditufes fOf Reimbursement
Candidate or Political Committee Name:
John Morrison
Election:
Report:
D Primary 20_
D 1 st Pre-election
Committee 10 Number:
PC3A
Rev. 12103
Page~of~
IRI General 20_
D 2nd Pre-election
o Other
IKI Post-election
D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions)
A Agent 0 Other Advertising (yard signs, buttons, etc.)
B Broadcast Advertising (Radio, TV) P Postage
C Cash Contributions S Surveys and Polls
F Fundraising Event Expenses T Travel Expenses (describe if over $50)
G General Operational Expenses (describe if over $50) U Utilities
I Interest Payment W Wages, Salaries, Benefits
L Literature, Brochures, Printing Y Petition Circulators
M Management Services Z Preparation and Production of Advertising
N Newspaper and Other Periodical Advertising
Une#
Date
917/04
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Umpqua Bank
See Page Total
Instructions
on Back and Personal Expenditures $
in Campaign
Finance
Manual
PC3A
Payee's Name
Purpose
c
$
$
$
If: :::--F.:-.;-'~,~~ F~ fli .~\ /;-r:~. ,.~-'I~;;\,. i $
.... '- . J t '.. i rOO ~ \. " ..". ~
i \ I) \ ;="~="-"-C:-'-- - \ 11 $
II ""\\ \ !,..-.,'
u\ . .... -
-
U
::J$
..
-
$
$
$
$
Amount of
Expenditure
250.00
Accounting Period Total (Complete only for last page and
transfer this amount to the Summary State7t, PC 1.)
Personal Expenditures $ 250.00
Enter on Swnmary Statement, Line 31
250.00
City of Ashland
City Recorder's Office
Barbara Christensen, City Recorder
(541) 488-5307 (phone)
City Hall
20 E. Main S1.
Ashland, Oregon 97520
(541) 488-5311 (fax)
November 29, 2004
John Morrison
249 Wimer Apt 40
Ashland, OR 97520
I have examined your Post Election contribution and expenditure report for the General Election
of November 2,2004 and found the following:
o Your committee report is not sufficient.
· Summary Statement is incomplete. Missing totals from Cash and Expenditure PC2
and PC3 2nd Supplement to 2nd Pre-election reporting.
I have included copies of your submitted reports to assist you in completing the needed Summary
Statements. Please submit the amended returns no later than December 8, 2004.
If you have any questions regarding this examination letter, please feel free to contact my office.
Barbara Christensen
City Recorder/Treasurer
PCI
Summary Statement of Contributions and Expenditures Rev. 12103
Please type or print legibly in black ink. Page I of 2
Candidate or Political Committee Name (use full name):
John Morrison
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
Treasurer's Name:
Dan Moore
Committee 10 Number:
IKI Original
o Amendment
Committee Type, Measure Number or Office:
Office of Mayor of Ashland
D Primary 20_ fKI General 20_
o 1 st Pre-election D 2nd Pre-election
D Other
IKI Post-election
A-TOTALS FOR THIS
ACCOUNTING PERIOD
CONTRIBUTIONS
l. Cash Contributions ~~Sl>. 00 ~
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0.00
(Accounting Period Total from PC 2)
3. Total Cash Contributions = ~3Sb. 00 100.00
(lines 1+ 2)
4. In-Kind + 0.00
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS = ~.350 .01) 100.00
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures IB97.7/ 1,020.00
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 18~7. 7/ 1,020.00
(lines 6 + 7)
9. In- Kind + 0.00
(Accounting Period Total from PC 2)
10. TOTAL EXPENDITURES = 16'17. 7 J 1,020.00
(lines 8 + 9)
CASH BALANCE
11. Beginning Cash Balance fQI.6D 1 ,S13.2~
(line 20 of previous report)
12. Total Contributions + ~.350. 00 ~
(line 5)
13. Other Receipts + 0.00
(Accounting Period Total from PC 4A)
14. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL ~qq,. 00 1-;613.29
(lines 11 + 12 + 13 + 14)
16. Total Expenditures I
(line 10)
17. Other Disbursements +
(Accountin Period Total from PC 4B)
18. Loan Payments (Exempt) +
(Accounting Period Total from PC 4B)
19. EXPENDITURE SUBTOTAL = 1P/n.71 1 ,6l0.~C1
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE = 593.29 ./
(line 15 minus line 19)
Telephone Number (day):
541-664-6676 X :217
020_ September Supplemental
B-CUMULA TIVE TOTALS
FOR THIS ELECTION
3,928.00 ./
+
0.00
3,928.00
+
0.00
=
3,928.00
~35'f, 1/ -6,884. n
+ 0.00
= 33~tf, 7 &;084:11
+ 0.00
= 333'1'. 71 3.QS1.71
FOR OFFICE USE ONLY
PC 1
Summary Statement of Contributions and Expenditures Rev. 12103
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee lD Number:
John Morrison
o Original o Primary 20_ o General 20_ o Other
o Amendment o I st Pre-election o 2nd Pre-election D Post-election 020 September Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans 0.00
(line 29 of previous report)
22. Loans Received (Non-Exempt) 0.00
(line 2) +
23. Loans Received (Exempt) 0.00
(line 14) +
24. LOANS RECEIVED SUBTOTAL 0.00
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt) 0.00
(line 7)
26. Loan Payments (Exempt) + 0.00
(line 18)
27. Forgiven Loans + 0.00
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL = 0.00
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS = 0.00
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 458.00 V
(line 36 of previous report)
31. Personal Expenditures + 250.00 v'
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL = 708.00
(lines 30 + 31) V
33. Personal Expenditure Reimbursements 700.00 t/
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures + 0.00
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL = 700.00 "
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES = 8.00
(line 32 minus line 35) V
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 593.29 V ~
(line 20)
38. Accounts Receivable + ~ ~~~~
(Accounting Period Total from PC 5)
39. SUBTOTAL 593.29 ' G
(lines 37 + 38) = :EL~ .
.
40. Total Outstanding Loans """
(line 29) 0.00 \
41. Outstanding Personal Expenditures + 8.00 V \.\
(line 36)
42. Accounts Payable + 0.00 L
(Accounting Period Total from PC 6)
43. SUBTOTAL = 8.00 ~
(lines 40 + 41 + 42)
44. BALANCEIDEFICIT = 585.29 V
(line 39 minus line 43: indicate + or - balance)
f (name of candidate or treasurer), hereby certify that the above
I, Dan Moore
statement and the attach"j!.snpPO)ing reports are true and correct. //~3ItJv
,~ - .
Signature of candidate of treasurer Date s. ed
PC 1
Summary Statement of Contributions and Expenditures Rev. 12/03
Please type or print legibly in black ink. Page I of2
Candidate or Political Committee Name (use full name):
John Morrison
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code):
Treasurer's Name: Telephone Number (day):
Dan Moore 541-664-6676 X 21l
Committee 10 Number: Committee Type, Measure Number or Office:
Office of Mayor of Ashland
IKl Original D Primary 20_ IKI General 20__ D Other
D Amendment D I st Pre-election D 2nd Pre-election IKI Post-election D 20_ September Supplemental
A-TOTALS FOR THIS B-CUMULA TIVE TOTALS
ACCOUNTING PERIOD FOR THIS ELECTION
CONTRIBUTIONS
1. Cash Contributions 100.00 3,928.00 ./
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 2)
3. Total Cash Contributions = 100.00 = 3,928.00
(lines 1+2)
4. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS = 100.00 = 3,928.00
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures 1,020.00 3,084.71
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt) + 0.00 + 0.00
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = 1,020.00 = 3,084.71
(lines 6 + 7)
9. In-Kind + 0.00 + 0.00
(Accounting Period Total from PC 2)
10. TOTAL EXPENDITURES = 1,020.00 = 3,084.71
(lines 8 + 9)
CASH BALANCE
11. Beginning Cash Balance 1,513.29 FOR OFFICE USE ONL Y
(line 20 of previous report)
12. Total Contributions + 100.00
(line 5)
13. Other Receipts + 0.00
(Accounting Period Total from PC 4A)
14. Loans Received (Exempt) + 0.00
(Accounting Period Total from PC 4A) /'
...."".-::~; \
15. CONTRIBUTION SUBTOTAL .- r''': .-)
= 1,613.29 ~<:'" i \.:;.;,
(lines 11 + 12 + 13 + 14)
16. Total Expenditures 1 ,020.~~~ fJ ..... -..-
'-=~. -----
(line 10) -----
17. Other Disbursements O.O(~ J I\ ~ '- ~ t
+ \\CN 1 ~
(Accounting Period Total from PC 4B)
18. Loan Payments (Exempt) + 0.00 ~ ,\~ ~.
(Accounting Period Total from PC 4B)
",.
19. EXPENDITURE SUBTOTAL = 1 ,020.00
(lines 16 + 17 + 18) \
20. ENDING CASH BALANCE '"
= 593.29
(line 15 minus line 19)
PC 1
Summary Statement of Contributions and Expenditures Rev. 12/03
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: I Committee ID Number:
John Morrison
D Original D Primary 20_ D General 20__ o Other
o Amendment D 1 st Pre-election D 2nd Pre-election D Post-election 020 September Supplemental
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans 0.00
(line 29 of previous report)
22. Loans Received (Non-Exempt) 0.00
(line 2) +
23. Loans Received (Exempt) + 0.00
(line 14)
24. LOANS RECEIVED SUBTOTAL 0.00
(lines 21 + 22 + 23) =
25. Loan Payments (Non-Exempt) 0.00
(line 7)
26. Loan Payments (Exempt) + 0.00
(line 18)
27. Forgiven Loans + 0.00
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL = 0.00
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS = 0.00
(line 24 minus line 28)
PERSONAL EXPENDITURE SUMMARY
30. Beginning Outstanding Personal Expenditures 458.00
(line 36 of previous report)
31. Personal Expenditures + 250.00
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL = 708.00
(lines 30 + 31)
33. Personal Expenditure Reimbursements 700.00
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures + 0.00
(Total personal expenditures forgiven this acctg. period)
35. REIMBURSEMENT SUBTOTAL = 700.00
(lines 33 + 34)
36. OUTSTANDING PERSONAL EXPENDITURES = 8.00
(line 32 minus line 35)
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance 593.29 -~~
(line 20) -;:l
~. c: ~ .::;~
38. Accounts Receivable + ~ ~~~0 .\
(Accounting Period Total from PC 5) t~ .-_-----
39. SUBTOTAL = 593.29 \ \\J '~C'.
(lines 37 + 38)
40. Total Outstanding Loans 0.00 \ .:'
(line 29)
41. Outstanding Personal Expenditures + 8.00 L\
(line 36)
42. Accounts Payable + 0.00 L
(Accounting Period Total from PC 6)
43. SUBTOTAL = 8.00
(lines 40 + 41 + 42)
44. BALANCEIDEFICIT = 585.29
(line 39 minus line 43: indicate + or - balance)
I, Dan Moore (name of candidate or treasurer), hereby certify that the above
starement and the attached ~lingr:ort= rrue and correct. Jllc23)tJY
;1,
,~---- // Date stned
Signature of candidate or treasurer
Cash Contributions, Loans Received and In-Kind
PC 2
Rev. 12/03
Election:
Report:
D Primary 20_
D 1 st Pre-election
00 General 20_
D 2nd Pre-election
I. Committee ID Number: I
.. ~'age ~ of ~
D Other
!XI Post-election D 20_ September Supplemental
Candidate or Political Committee Name:
John Morrison
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type
B Business Entity
C Political Committee (includes business and union P ACs)
F Candidate's Immediate Family (includes candidate)
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 Receiv,ed
Date Received
Occupational Information or
Contributing Committee's 10#
Amount of
Contribution
Contributor
Aggregate
In-KineJ Purpose
(see manual for sug'gested purpose codes)
Code 1 I Code 2
Line #
Name and Address of Contributor
Miscellaneous cash contributions $50 and under
1.
$
100.00
1 0/20104 -
1 0/28/04
$
100.00
I
CA
2.
$
$
I
3.
$
5.
-
---~~~._~~:::: r--~ I
f-~~;-~(?~;;'f~: ~\ j '~":' ,\\ \ \1
~ \ D \ f"-~C:~-;: ... ....-. \ \ \ \ \\
\\r\',\:. \\JJ\
$ \u D\~_____-J ]
L---------
$
4.
$
I
See Page Totals (Add all amounts with the same
Instructions contribution type. Do not include aggregates.)
on Back and Cash (CA) $ 1 00.00
in Campaign -
Finance
Manual In-Kind (IK) $ 0.00
-
PC2 Loans Received (LR) $ 0.00
-
Accounting Period Totals (Complete only for last page and
transfer these amounts to the Summary statem7 PC 1.)
Cash (CA) $ 100.00
Enter on Swnmary Statement, Column A, Line 1
In-Kind (IK)
$
0.00
Enter on Swnmary Statement, Column A, Lines 4 and 9
Loans Received (LR) $
Enter on Swnmary Statement, Column A, Line 2
0.00
PC 3
Cash Expenditures and Loan Payments Rev. 12/03
Candidate or Political Committee Name: I Committee ID Number: Gage~Of~
John Morrison
Election: D Primary 20_ IKI General 20__ D Other
Report: D 1 st Pre-election D 2nd Pre-election IKI Post-election D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 10#, Exp. Amount of ~
Line # Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
9/7/04 2505 Umpqua Bank C
1. CA $ 250.00 D
11/23/04 104 John Morrison R D
2. CA $ 700.00
11/23/04 105 Project A B
3. CA $ 70.00 ~
4. $ D
5. ~--~.. ..-::~~ $ D
~ ...,..,.~.; (.:~J \' .:.,,'
@\" ".,."~.--; \\ \~', '.." \0 'y
6. I' ~ . ...~ \~ j.\ $ D
\') \\\Ji\ D
7. ,\\\\\ \~ $
____-,...J
8. \\~~ --------~ $ D
""""".
9. $ D
10. $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ 1,020.00 Cash (CA) $ 1,020.00
in Campaign -
Finance Enter on Summary Statement, Column A, Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
- Enter on Summary Statement, ColunU) A, Line 7
I PC 3
PC3A
Personal Expenditures for Reimbursement Rev. 12/03
Candidate or Political Committee Name: I Committee ID Number: ~age~Of~
John Morrison
Election: o Primary 20_ IKI General 20__ o Other
Report: o 1 st Pre-election o 2nd Pre-election IKI Post-election 020_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions)
A Agent 0 Other Advertising (yard signs, buttons, etc.)
B Broadcast Advertising (Radio, TV) P Postage
C Cash Contributions S Surveys and Polls
F Fundraising Event Expenses T Travel Expenses (describe if over $50)
G General Operational Expenses (describe if over $50) U Utilities
I Interest Payment W Wages, Salaries, Benefits
L Literature, Brochures, Printing Y Petition Circulators
M Management Services Z Preparation and Production of Advertising
N Newspaper and Other Periodical Advertising
Line # Date Payee's Name Purpose Amount of
Expenditure
9/7/04 Umpqua Bank C
1. $ 250.00
2. $
3. $
.,..,
4. E:" .. H " \ ;\' $
r :"\ -,
\ 'I, 1,~ 1 ~ '\
\ : \
i' ; lit $
5. I
\ 'i \'., I " \ \ \ il
\ \ . - \~
i
6. \ \ ~ \ -..-----..---....j $
\ \ - l_---..~.-.--..
j
\ -
7. - $
8. $
9. $
10. $
See Page Total Accounting Period Total (Complete only for last page and
Instructions Personal Expenditures $ 250.00 transfer this amount to the Summary Statement, PC 1.)
on Back and 250.00
in Campaign Personal Expenditures $
Finance Enter on Swnmary Statement, Line 31
Manual
PC3A
PC 2
Cash Contributions, Loans Received and In-Kind Rev. 12/03
Candidate or Political Committee Name: Committee 10 Number:
John Morrison Page~of~
Election: o Primary 20_ iii General 20_ IKI Other 2nd Supplement to 2nd Pne-election Report
Report: o 1 st Pre-election o 2nd Pre-election D Post-election D 20_ September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type CODE 2: Contribution Type
B Business Entity _..---::~ ~ ~ CA Cash
C Political Committee (include ~~~_ l'~ co Cosigner Obligation
F Candidate's Immediate Fami \ t1\ .i!i! . ate) ~~K In-Kind
I Individual \ \~ LR Loan Received
L Labor Organization ~ ~ Clc\ 'I. 9 ,P
0 Other l~
P Political Party Committee ~ __~
, ~untof In-Kind Purpose
Une# Name and Address of Con\ibu~___ Contribution (see manual for sug:gested purpose codes)
Date Received Occupational Information or Contributor Code 1 I Code 2
Contributing Committee's 10# Aggregate
Russ Dale
1. 585 Allison Street $ 500.00
Ashland, OR 97520
10/22/04 Property Development $ 500.00 I I CA
Evan Archerd
2. 120 N. Second Street $ 500.00
Ashland, OR 97520
10/22/04 General Contractor $ 500.00 I I CA
Hal Dresner
3. P.O. Box 699 $ 500.00
Ashland, OR 97520
10/22/04 General Contractor $ 500.00 I I CA
Bill Patridge
4. 333 Granite Street $ 500.00
Ashland, OR 97520
1 0/22/04 Business Management $ 500.00 I I CA
Rhett Chang
5. 585 Allison Street $ 250.00
Ashland, OR 97520
1 0/22/04 Physician $ 250.00 I I CA
See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and
Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ 2,250.00 Cash (CA) $ 2,250.00
in Campaign
Finance Enter on Swnmary Statement, Column A, Line I
Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00
Enter on SummaI)' Statement, Cohunn A, Lines 4 and 9
PC2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00
Enter on SwnmaI)' Statement, Column A, Line 2
PC3
Cash Expenditures and Loan Payments Rev. 12/03
Candidate or Political Committee Name: Committee ID Number:
John Morrison Page~of~
Election: D Primary 20_ Iif General 20_ IKJ Other 2nd Supplement to the 2nd Pre-election Report
Report: D 1st Pre-election D 2nd Pre-election D Post-election D 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Other Advertising (yard signs, buttons, etc.) CA Cash
B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment
C Cash Contributions R Reimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Benefits
M Management Services y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
Payee's Name and Payee's Committee 10#, Exp. Amount of ~
Line # Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
10/22/04 101 Friends of the Animal Shelter C
1. CA $ 50.00 D
10/22/04 102 Mail Tribune N IRl
2. CA $ 577.71
10/28/04 103 Project A - Website B
3. CA $ 250.00 D
4. $ D
5. ~ $ D
6. ~~~1 ~l $ D
. r-::'\ ~ ~~:-:--
7. \ ~\ eel ') C\ . \~ 1\ $ D
t.-- ~
-----
~~ ~L--:==-- ,....J D
8. $
9. ~ $ D
10. $ D
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions expenditure type.) transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ 877.71 Cash (CA) $ 877.71
in Campaign
Finance Enter on Swnmary Stateffil~t, Colunm A, Line 6
Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00
Enter on Swnmary Statemc~t, Colunm A, Line 7
PC3
CITY OF
ASHLAND
October 27,2006
John Morrison
249 Wimer
Ashland, OR 97520
I have examined your Post-election contribution and expenditure report for the General Election of November 2,2004 and
found the following:
o Yom committe< "port i, 'ufficion\.
The next reporting deadline for you is no later than December 7, 2006.
If you have any questions regarding this examination letter, please feel free to contact my office.
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.l'
PC 1 Summary Statement of Contributions and Expenditures page 1 of 2
please type or print legibly in black ink lev 1/00
J, name of committee use full name committee id number
~\M~~ ~E:.~-T :rO,^V\ ~".(\~
mailing address as it appears on Statement of Organization po box or street. city, state, zip code
name of treasurer
day phone number
O~V\. V\C;()~_e u
commitee type, measure number or office
S^\ \ - <O<o^l: (~lc>(Co~_Ql.J/_
This filing is an:
Cl Primary 20
() 1st pre-election
':::. Original
(1 General 20
(1 2nd pre-election
(~; Amendment
'::' other:
o Post-election
20
Sept. SuppL
C, Report of Initial Assets
A Totals for this
Accountinq Period
B Cumulative Totals
for this Election
contributions
e cash contributions accounting period total from PC 2
o 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 lines6+7
e in-kind accounting period total from PC 2
e total expenditures lines 8+9
cash balance
+
+
+
+
-0
+
+
+
+
-0
for office use only
e
e
e
e
e
e
4D
e
e
e
beginning cash balance line 20 of previous report
~ 9-~~9
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
loan payments (exempt) accounting period total from PC 48
+
t( )-
F)lrt~
total expenditures line 10
other disbursements accounting period total from PC 48
+
expenditure subtotal lines 16+17+18
ending cash balance line 15 minus line 19
PC 1
8
fa
fa
e
CO
e
fa
*'
fi)
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
page 2 of 2
rev 1/06
.t name of committee use full name
committee id number
This filing is an:
----- ---- -- ------- ~
OPrimary 20
01st pre-election
10al1 sumlinlitv
o Original
(I General 20__
(I other:
o Amendment
o Post-election
20
Sept. Suppl. 0 Report of Initial Assets
..'!:" '~::;'.it%l:~-:~~l:~;~ I for office use only
o 2nd pre-election
i;.<,
~",,-
:~~,:;::/{
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
per~ofial- ~~peildit~~.sJihiijt~rv) .-:~i}..?~ .';;\;,J;~;~\:~:!r.';. i': .-:/~;}~!,;;~;~;'~4:::~;:~ ;%~;i'~~~~{~~(~4t~)' ?f~1j
e
G
CD
e
e
e
CO
---r-----
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
for~iYe:..n~ersonal expenditures total for~ivf!n this aC~!~'f!.e!io~_u__!_
reimbursement subtotal lines 33+34
outstanding personal expenditures
q;ij}lIj,~i.it~~f~!lii'~~Ji$J~!~()tl~~~~~ill!iij~~!i~I;~~:~'~l~i~~~~~f~':''' ~1lW~.,,/._:::t!~'- "':.
e
8
e
e
48
e
e
e
59"3. ~'1
ending cash balance line 20
accounts receivable accounting period total from PC 5
+
fd
I b 1\~0lt
subtotal lines 37+38
total outstanding loans line 29
outstanding personal expenditures line 36
------.------------.--- - ---'.- -'~'--'----~---
+
accounts paya ble accounting period total from PC 6
------------ -
+
subtotal lines 40+41+42
balance/deficit line 39 minus line 43; indicate + or - balance
-t- '573 ;;1.9'
.
I, name of candidate or treasurer , hereby certify that the above
statement and the attached supporting reports are true and correct.
- ~\~------------------9-lt~ ~
PC
CITY OF
ASHLAND
December 4,2006
John Morrison fFLf{J
249 Wimer
Ashland, OR 97520
Because you have a balance forward on your post-election report filing from 2004, you should be aware that there are
additional filing requirements. There have been changes to the Oregon Campaign Finance Law that is effective Januarv I,
2007 which will require you to file any additional reports electronically with the Secretary of State.
My office will no longer be the filing officer for Contribution and Expenditure reporting other than for local chief petitioner
committees as of January 2007.
If you should choose to close out your candidate committee, which would require you to have a "zero balance," you can do
so by filing final Contribution and Reporting reports to my office no later than December 29, 2006. You would indicate on
the reports that this is an "other" filing to "close out" your candidate committee.
Any candidate committees with ending balances will be forwarded to the Secretary of State in January 2007. Further
instruction on how to file any further reporting will follow.
If you have any questions or need assistance on this final reporting process, please feel free to contact my office.
SincerelY,/
~~
Barbara Christensen
City Recorder/Treasurer
CITY RECORDERfTREASURER
20 E Main Street
Ashland, Oregon 97520
www.ashland.or.us
Tel: 541488-5307
Fax: 541-552-2059
TTY: 800-735-2900
r~'
CITY OF
ASHLAND
December 29,2006
John Morrison
249 Wimer
Ashland, OR 97520
I have examined your Post-election contribution and expenditure report for the General Election of November 2,2004 and
found the following:
d You, ,"mm;ttee report ;s suffideot and is closed
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
page 1 of 2
J. name of committee use full name
._Co\M.~~'ttt.L ~-~\Ra' .~_1o_~~_ ~\O~~.~~~
mailing address as it appears on Statement of Organization po box or street, city, state, zip code
rev 1/06
committee id number
name of treasurer
day phone number
9Q..~_ _t-'.\OQ.rL.. __
commitee type, measure number or office
_______ "S_~= ~~l ~ (.~]~ _~_Q---__
This filing is an: 0 Original 0 Amendment
o~~I~ar-y-?_o-=--:- -~_~.Ge/"l:raI2oi?Cf----j5.oth;r~_OJ~-~ -=- __~_____
o 1st pre-election 0 2nd pre-election 0 Post-election 020__ Sept. Suppl. 0 Report of Initial Assets
A Totals for this
Accounting Period
B Cumulative Totals
for this Election
e
e
e
e
e
loans received (non-exempt) accounting period total from PC 2
----.- ____/:i ~ '-12 ~
,.
cash contributions accounting period total from PC 2
+
+
total cash contributions lines 1+2
--~1'1~~- .--- ===~~~-~_~
total contributions lines 3+4
in-kind accounting period total from PC 2
+
+
8
e
8
e
8
---<1 l3-~ - ---~9'i2,-2~
cash expenditures accounting period total from PC 3
----_.._---~--_.__.-.. ----- -----
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
~'7'"17.1'
for office use only
e
e
e
I>>
e
e
e
e
fa
total contributions line 5
+ ~L 'L 7fJ-_
other receipts accounting period total from PC 4A
+
loans received (exempt) accounting period total from PC 4A
+
contribution subtotal lines 11+12+13+14
.__'/~~
____?L~~ ~
expenditure subtotal lines 16+ 17+ 18
~~..~
c7
J~@~ll
Dte \Jf'~,
e y: /2 9 2006 'IJ/
.-
..............
"-"
........
.............
total expenditures line 10
other disbursements accounting period total from PC 48
+
loan payments (exempt) accounting period total from PC 48
+
ending cash balance line 15 minus line 19
PC 1
PC 1 Summary Statement of Contributions and Expenditures
please type or print legibly in black ink
_._------~-
~ ::~:com~nameM<rYrLSD() __~__~~~
This filing is an: . Original 0 Amendment
o ~~imary 20--=-=:- _General 20~ .other: alOs,(". ~
o 1st pre-election 0 2nd pre-election 0 Post-election 0 20~Sept. Suppl.
page 2 of 2
rev 1/06
committee id number
fa
fa
e
fa
fa
e
fa
fa
fa
beginning outstanding loans line 29 of previous report
loans received (non-exempt) Iine2
+
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
e
8
e
e
e
e
J
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
--
e
e
-
e
e
e
e
.:&-
ending cash balance line20
accounts receivable accounting period total from PC 5
+
subtotal lines 37+38
-e-
total outstanding loans line 29
outstanding personal expenditures line 36
+
accounts payable accounting period total from PC 6
+
subtotal lines 40+41+42
-::e-
:-0
balance/deficit line 39 minus line 43; indicate + or - balance
~\'{\~h
,
orting reports,are true and correct.
o Report of Initial Assets
for office use only
!ffJ~@~J1'Vf'
, DEe rt:mJ
8 'r'; :2 9 Z006 /!!J
..................
.................
-"
, hereby certify that the above
-~1re~'2/0 ~
\~
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 --------- committee ID number
~-~ VVt(5Yn~
~ General 20~
rev 1/06
page___loL L
o Primary 20_
. other:
&0Se
~
o 1st pre-election
o 2nd 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
· 10(1 ;l.(a..[ M \ o;.c.. C-... ~~ "'......~ ~4. I $
~::l~ IObl o\- !l(%O~ o...",~ u.,^"~ J
[$ ~\ \~ ~
i
319.~ I
lr:",
Co..
e
[$
I
I
------~._------+--
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1$
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8
:$
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'$
I
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---1 _
i
i
1$
I
$
e
al'r: -_____
, -.......
I --.
......
cash (CA)
cash (CA) ,to
$ ~ 19 ,-
enter on PC 7, Column A, Line 7
in-kind OK)
loan received (LR)
$
$
enter on PC 7, Column A, Lines 4 and 9
enteron PC 7, ColumnA, Line 2
PC2
see instructions 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
! nameOfC~~~n-~~---. committee ID number
o Primary 20__ . GeneraI20~-- ,. other: f!1..t;s,e (U;~
rev 1/06
_~ page _ _!__~!~-!__
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
*address includes city, or county if no city, and state
ther Advertising yard signs, buttons, etc.)
P Postage
R Reimbursement for Personal Expenditures
5 Surveys and Polls
T Travel Expenses
U Utilities
W Wages, Salaries, Benefits
Y Petition Circulators
Z Preparation and Production of Advertising
@
o
It
I d./d.c{
"
i\~ ~~~~
/OS" \ CQ.\k1:vu. \ \?o~"'- '\ o\Z
!
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o
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I
1
o
--
o
I
1
1$
It
o
It
I
1$
i
I
I
1$
!
____-1 -0
o
o
e
;$
I
1$
o
e
o
i
I
i$
I
I)
o
\$
add all expenditures with the same expenditure type
cash (CA~"-- -------"" loan payment (LPI
$ q/~ ~ $
PC3
1 complete only for last page and transfer these amounts to the Summary Statement, PC 1
leash tCAI loan payment (LP)
i$ $
i
enter on PC 1, Column A, Line 6
enter on PC 1, Column A, Line 7
see instructions on back and in Campaign Finance Manual