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Home My WebLink AboutSteve Hauck ~/g~~D"'~ ~ ..., L ~G OF CANDIDACY FOR NONPARTISAN NOMINATION JUL 1 5 2004 I PLEASE TYPE OR LEGIBLY PRINT IN BLACK INK. ~ TE: This information is a matter of public record and may be published or reproduced. .. n 11\.lrT OF JUDGE FILING FOR OFFICE OF J'\ t NAME OF CANDIDATE DISTRICT, DEPARTMENT OR PO:.r~UMBER 5 -\-~~" 3. \:-\to.v~ L~~ ~~~ ~~'n\~~ NAME SHOULD APPEAR ON BALLOT AS FOLLOWS - RESIDENCE ADDRESS (STREET /ROUTE. CITY. STATE, ZIP CODE) S\e.v ~ \\0\ '-.J ~ \'3b\. Q....~ 5~\ ~\2....~ ~""W'l ~'5:)D TELEPHONE (HOME) TELEPHONE (WORK) COUNTY OF RESIDENCE 5"-\ \ ~ "'~ - \ l. ~5 5'"'" - <;1, <6 - ~ 'D?- -::5o.c~ FAX EMAIL MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT ~\,.. t\l-2-'1O'~ ~~~~&;i ~CI~"C..,f\, PGCJ5~ C- ~~J~\c:.rJ.. ~2~.... ~\'~1f WEBSITE ~'O'-'\~, c.{~ C\15~tJ. o SECRETARY OF STATE OF OREGON I 0 COUNTY ELECTIONS OFFICIAL OF COUNTY I {jI"(::;TY RECORDER (AUDITOR), CITY OF ~<(j"'L .1 D FILING OF CANDIDACY BY DECLARATION, WITH THE REQUIRED FILING FEE (ORS 249.056). FILING FEES FILING OF CANDIDACY BY DECLARATION STATE VOTERS' PAMPHLET (ORS 249.056) (ORS 251.095) OFFICE STATEWIDE OFFICES $100 $1000 CIRCUIT COURT JUDGE $ 50 $ 300 DISTRICT ATTORNEY $ 50 $ 300 COUNTY JUDGE $ 50 $ 300 MSD EXECUTIVE OFFICER, MSD AUDITOR $100 $ 300 MSD COUNCILOR $ 25 $ 300 COUNTY OFFICE $ 50 $ 300 CITY OFFICE * **$ 300 JUSTICE OF THE PEACE NONE N/A * Set By Charter or Ordinance '* For Cities With a Population of 50,000 or More (ORS 251.005) e Filing of candidacy by PROSPECTIVE petition, with the required proposed signature sheet signed by the candidate (SEL 121) and statement one or more circulators will or will not be paid (SEL 300) (ORS 249.020). D Filing of candidacy by COMPLETED petition, with the required signature sheets properly certified by the appropriate county elections officials (ORS 249.020, 249.064). Primary Election 2004 FILING DATES General Election Filing For Candidacy: First Day March 31, 2003 Filing For Candidacy: First Day September 15,2003 Filing For Candidacy: Last Day March 9, 2004 Filing For Candidacy: Last Day August 24, 2004 Deadline to Withdraw Candidacy: March 12, 2004 Deadline to Withdraw Candidacy: August 27, 2004 Filing For State Voters' Pamphlet: March 11,2004 Filing For State Voters' Pamphlet: August 24, 2004 FOR OFFICE USE ONt y INITIALS CASH OR CHECK NUMBER RECEIPT NUMBER CANDIDATE ID NUMBER OFFICE NUMBER PRINCIP AL CAMPAIGN COMMITTEE ID # SEL 120 REV. 12/03 ORS 249.031 SEL 120 REV. 12/03 ORS 249.031 WARNING: Supplying false information on this form may result in conviction of a felony with a fine of up to $100,000 and/ or prison for up to five years. (ORS 260.715). No person shall file a nominating petition or declaration of candidacy for more than one lucrative office before the date of the primary election, unless the person first files a written withdrawal with the officer who accepted the filing (ORS 249.013(2)). \~ ~-O,-\ Date signed ~l~ Candidate's signature p By signing this document, I hereby state: THAT I accept the nomination for the office indicated above; THAT I shall qualify for said office if elected; and 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. NOTE: This information is a matter of public record and may be published or reproduced. PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED) P-..5~\~ c..'~:j ~;~ ~ ~~\ C:~~~ ~~~\~ CV<~I!fL\- COTT"\n\~U~ R~~ \J:\\~ l:.,"~~~_ O)~o-\. Gc~ DS; (),~e-k, C~~.---.. o~ 0oc-i., ~'\J"'"ro ~.\-- to#'~~ ~~\-A ~A O')9M-t- 6 ~4-\-- ~~~ O~~ l~'9\"'t~ ~~..>b~ , ~'v€. \)....~\'j Co.J/\.<!A ..Q- G~ \J,~-c.~~~~ 6-; C:>~ Grff a,~~ t'\~trn>~-~'\;~ ~~'\l... C>'r~ 5o('~ \ (}O~ ~ U:"PoQ-d S~-,'.,L O~-SW~ ~~(~~~ C)~ ()~ (~ O;)"~~ Other: Course of study (optional) Last grade level I Diploma/Degree/Certificate completed 0A, BA, BS, MA, PhD, etc.) S~~ U~I~ \)~\A)i aC- O~ "",'W- ~.K ~""'\ ~'---~.. EDUCA TIONAL BACKGROUND (SCHOOLS ATTENDED, use attachment if needed) Complete name of school - no acronyms OCCUPATIONAL BACKGROUND (PREVIOUS EMPLOYMENT _ PAID OR UNPAID) ~,~-Ac:a.....\- E'")I)ec~ O\~c.""c.r- PD\',k\C-A\ ~)~~-u\.-\A,<""t-\- 50""'....\\ 'ov~}'i>E!:v- L)\.UrQ(- r e.."3*~er-..~ "'C""\A.~~ '......~"'....-~.......- occur A TION (PRESENT EMPLOYMENT - PAID OR UNPAID) e '-t'e~';'e' D,~ec-.k\ \..J ~C-C- "'.,--,...., '~.'" ......~.....,.- ""~""" ~.--,. Wi.. . ,....~.-. _'4'''''_. .-. ..,:~'_~'~"-.,..r. 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Oregon 97520 (541) 488-5307 (phone)(541) 552-3059 (fax) Steve Hauck 1361 Quincy #12-G Ashland OR 97520 City Hall July 19,2004 A prospective petition has been completed and filed with the City Recorder's Office for Mayor of Ashland. A petition has been approved for circulation. Barbara Christensen City Recorder/Treasurer STATEMENT ONE OR MORE PETITION CIRCULATORS WILL BE PAID 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 Date signed Date signed "Statement must be signed by one of the following: . candidate for nomination; · chief petitioner for recall petition; · chief sponsor for certificate of nomination; or · chief sponsor for minor political party formation petition. --------------- ----------------------__1______----- STATEMENT NO PETITION CIRCULATORS WILL BE PAID I/We hereby declare no petition circulator will be paid money or other valuable consideration for obtaining signatures of active registered voters on the attached petition or certificate. I/We understand the filing officer must be notified not later than the tenth day after I/we first have knowledge or should have had knowledge that one or more petition circulators will be paid for obtaining signatures. &<<e.- B-Mc.k - ~W Identify Petition (Name of Candidate or Minor Political Party on Prospective Petition; or Name of Officeholder on Recall Petition) Signed'~ ). C~ Date signed "Statement must be signed by one of the following: · candidate for nomination; . chief petitioner for recall petition; · chief sponsor for certificate of nomination; or · chief sponsor for minor political party formation petition. SEL 300 REV 12/03 ORS 248.008. ORS 249.061. ORS 249.078, ORS 249.740, ORS 249.865. ORS 250.045, ORS 250.165, ORS 250.265, ORS 255.135 u Z - cu ~u Z<(Cl I ~~~1 O~cu Z tn cu"-- ~~~ ~ <lJ .c: 9cucu .... o Z > ;>.: ~ 0 Zui= ...J 0 <(-u Z 0.. .... ui<(?; 0 ::l z ~O~Ul 1:: '"0 ~Etn~ ~ <lJ 0 U '" - :r:t;:j~~ 0 "5- E-o - I-Q.. 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CJ)~ .....Z ~O ~Z ~~ e> ~.~ t'Ii"'":l CJl~ ::r:CIl t'I1> t'IiZ ~ Z o ~ ..... Z ~ ~ ..... o Z '" tT1 >-i ::i o Z ~ o City of Ashland City Hall City Recorder's Office 20 E. Main St. Barbara Christensen, City Recorder Ashland. Oregon 97520 (541) 488-5307 (phone)(541) 552-3059 (fax) August 5, 2004 Steve Hauck 1361 Quincy Street Apt 12G 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 Ashland City Mayor Please let me know if I can be of any further assistance during this upcoming election time. Barbara Christensen Ci ty Recorder/Treasurer City of Ashland City Hall City Recorder's Office Barbara Christensen, City Recorder (541) 488-5307 (phone) 20 E. Main St. AsWand, Oregon 97520 (541) 488-5311 (fax) October 1,2004 Steve Hauck 2305-C Ashland Street 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: ill Your committee report is sufficient. *Please note comments below. D Your committee report is not sufficient in the following way(s). PC2 was missing Code 2 on all lines. Code 2 is the contributor type. As you reported all of these contributions on the sheet total as cash I will accept the report this time, but you will need to indicate on future reports the Contributor type. If you have any questions regarding this examination letter, please feel free to contact my office. Sincerely, Bar&stensen City Recorder/Treasurer Enclosures Summary Statement of Contributions and Expenditures PC 1 Rev. 12/03 Please type or print legibly in black ink. Page I of2 Candidate or Political Committee Name (use full name): Neighbors for Steve Hauck Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): 2305-C Ashland Street, #198 Treasurer's Name: I Telephone Number (day): Lysa McDowell 541-488-1623 Committee ID Number: I Committee Type, Measure Number or Office: Ashland Mayor [gJ Original o Primary 20 [gJ General 2004 o Other o Amendment [gJ I st Pre-election o 2nd Pre-election o Post-election 020 September Supplemental A-TOTALS FOR THIS B-CUMULA TIVE TOTALS ACCOUNTING PERIOD FOR llHIS ELECTION CONTRIBUTIONS 1. Cash Contributions 1,990,00 1,990.00 (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 1,990.00 0.00 (lines 1 + 2) = = 4. In-Kind + 0.00 + 0.00 (Accounting Period Total from PC 2) 5. TOTAL CONTRIBUTIONS 1,990.00 1,990.00 (lines 3 + 4) = = EXPENDITURES 6. Cash Expenditures 910.00 910.00 (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 910.00 910.00 (lines 6 + 7) = = 9. In-Kind + 0.00 + 0.00 (Accounting Period Total from PC 2) lO. TOTAL EXPENDITURES 910.00 910.00 (lines 8 + 9) = = CASH BALANCE 11. Beginning Cash Balance 0.00 FOR OFFICE USE ONI Y (line 20 of previous report) IT ~~~OVl~ l2. Total Contributions ... (line 5) + 1,990,00 13. Other Receipts + 0.00 "\ .[ SEP 2 7 2004 (Accounting Period Total from PC 4A) l4. Loans Received (Exempt) + 0.00 .: (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL 1,990.00 (lines II + l2 + 13 + l4) = l6. Total Expenditures 910.00 (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 910.00 (lines 16 + 17 + 18) = 20. ENDING CASH BALANCE 1,080.00 (line 15 minus line 19) = Summary Statement of Contributions and Expenditures PC 1 Rev. 12/03 Please type or print legibly in black ink. Page 2 of2 Candidate or Political Committee Name: Committee ID Number: Neighbors for Steve Hauck ~ Original o Primary 20 ~ General 2004 o Other o Amendment ~ I st Pre-election o 2nd Pre-election o Post-election 020 September Supplemental LOAN SUMMARY 2l. Beginning Outstanding Loans FOR OFFICE USE ONLY (line 29 of previous report) 0,00 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 oforevious reoort) 3l. Personal Expenditures + 0.00 (Accountinl! Period Total from PC 3A) 32, PERSONAL EXPENDITURE SUBTOTAL 0.00 (lines 30 + 31) = 33. Personal Expenditure Reimbursements 0.00 (Total exoenditures on PC 3 with ouroose code R) 34. FOIgiven Personal Experxlitures + 0.00 (Total personal expenditures forgiven this acctg. oeriod) 35. REIMBURSEMENT S UBlOT AL 0,00 (lines 33 + 34) = 36. OUTSTANDING PERSONAL 0.00 EXPENDITURES = FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance 1,080.00 (line 20) 38. Accounts Receivable 0.00 (Accounting Period Total from PC 5) + 39. SUBTOTAL 1,080.00 (lines 37 + 38) = 40. Total Outstanding Loans 0.00 (line 29) 41. Outstanding Personal Expenditures + 0.00 (line 36) 42. Accounts Payable 0.00 (Accounting Period Total from PC 6) + 43. SUBTOTAL 0.00 (lines 40 + 4l + 42) = 44. BALANCE/DEFICIT 1 ,080.00 (line 39 minus line 43: indicate + or - balance) = I, Lvsa McDowell (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true and correct. Ut YV fI1 cW7tA /'~A /{~ - ~ / L ~/ / u LJ Signanyle of candidate or treasurer Date signed I 1/ PC 2 Cash Contributions, Loans Received and In-Kind Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: Neighbors for Steve Hauck Page 1 of 2 Election: D Primary 20 ~ General 2004 D Other Report: ~ 1 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: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Line # Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information or Contributor Code 1 I Code 2 Contributing Committee's 10# Aggregate Stephen J. Hauck 1. 2305-C Ashland Street, #198 $ ~OO.OO Ashland, Oregon 97520 07/19/2004 CEO of Nonprofit Corporation $ 300.00 F I Lysa McDowell 2. 1361 Quincy Street, #12-G $ 200.00 Ashland, Oregon 97520 07/23/2004 Graduate Student at SOU $ 200,00 I I Paul Nolte 3, 766 Glendale $ 50.00 Ashland, Oregon 97520 08/31 /2004 Retired $ 50.00 I I Pat Acklin 4. 270 Scenic Drive $ 50.00 Ashland, Oreon 97520 09/9/2004 Educator $ 50.00 I I DeeAnne Everson 5. 1442 Windsor Street $ 50.00 Ashland, Oregon 97520 09/14/2004 CEO of Nonprofit Corporation $ 50.00 I 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 I.) on Back and Cash (CA) $ 550.00 Cash (CA) $ in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ Manual Enter on Summary Statement, Column A, Lines 4 and 9 pe2 Loans Received (LR) $ 0.00 Loans Received (LR) $ Enter on Summary Statement, Column A, Line 2 PC 2 Cash Contributions, Loans Received and In-Kind Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: Neighbors for Steve Hauck Page 20f2 Election: D Primary 20 I:><:J General 2004 D Other Report: I:><:J 1 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: Contributicln 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 Miscellaneous Contributions $50 and under 1. $ 1,440.00 07/19/04 to 0 $ I I 09/16/04 2. $ $ I 3. $ $ I 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 1.) on Back and Cash (CA) $ 1 ,440.00 Cash (CA) $ 1 ,990.00 in Campaign Enter on Summary StHtement, Column A, Line I Finance In-Kind (IK) $ 0,00 In-Kind (IK) $ 0.00 Manual Enter on Summary StHtement, Column A, Lines 4 and 9 pe2 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 Enter on Summary StHtement, Column A, Line 2 PC 3 Cash Expenditures and Loan Payments Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: Neighbors for Steve Hauck Page 1 of2 Election: o Primary 20 [Z] General 2004 o Other Report: [Z] 1 st Pre-election o 2nd Pre-election o Post-election 020 September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE A Agent 0 Other Advertising (yatd 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 Gtneml QJemtional Expernes (describe if OVff $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 )t),pr ~ 'A . . 7 ale! ~ , of A . . Line Payee's Name and Payee's Committee 10#, Exp. Amount of ~ # Date Check # if applicable Purpose Type Expenditure Paid (as it appears on invoice, receipt or check) toNP 08/27 debit Shady Cove Market G CA $ 5.92 D 1, - card 08/27 debit US Postal Service P CA $ 1 9.40 D 2. card 08/28 debit RiteAid L CA $ 25.48 [J 3. card 08/28 debit Albertson's L CA $ 8.53 D 4. card 08/30 debit Albertson's L CA $ 3.15 D 5. card 09/01 debit US Postal Service P CA :$ 194.00 D 6. card 09/01 debit Shady Cove Market G CA :$ 3.29 D 7. card 09/02 debit Albertson's L CA $ 3.98 [J 8. card 09/05 debit Albertson's L CA $ 11.78 D 9. card 10. 09/07 584 Jackson County 0 CA $ 100.00 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) $ 375.53 Cash (CA) $ 0.00 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, Column A, Line 7 PC 3 PC 3 Cash Expenditures and Loan Payments Rev. 12/03 Candidate or Political Committee Name: Committee ID Number: Neighbors for Steve Hauck Page 20f2 Election: o Primary 20 ~ General 2004 o Other Report: ~ 1 st Pre-election o 2nd Pre-election o Post-election 020 September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE A Agent 0 Other Advertising (yarrl signs, mttons, etc,) CA Cash B Broadcast Advertising (Radio, TV) P Postage LP Loan Payment C Cash Contributions R Reimbursement for Perscnal Expenditures F Fundraising Event Expenses S Surveys and Polls G Gmeml QJemtional 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 lthf'r ' A . . 7. ~cl~ , of ^ . . Line Payee's Name and Payee's Committee 10#, Exp, Amount of ~ # Date Check # if applicable Purpose Type Expenditure Paid (as it appears on invoice, receipt or check) to AlP 09/08 debit Albertson's L CA $ 6.00 D 1, card 2. 09/10 585 Lysa McDowell L CA $ 150.00 D 09/12 debit Albertson's L CA $ 5.79 D 3. card 09/14 debit RiteAid L CA $ 16,68 D 4. card 5. 09/15 586 Lysa McDowell Z CA $ 350.00 D 09/16 debit Lightening Copy L CA $ 6,00 D 6. card 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) $ 534.47 Cash (CA) $ 910.00 in Campaign Enter on Summary StHement, Column A, Line 6 Finance Manual Loan Payment (LP) $ 0,00 Loan Payment (LP) $ 0,00 Enter on Summary St,.temcnt, Column A, Line 7 PC 3 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 Steve Hauck 2305-C Ashland Street 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. s~~ (Jk~ Barbara Christensen City Recorder/Treasurer Enclosures Summary Statement of Contributions and Expenditures RlO\ Please type or print legibly in black ink. Page I u).. Candidate or Political Committee Name (use full name): NeiQhbors for Steve Hauck - Mailing Address as it Appears on Statement of Organiz<ltion (street. route or box number. city. st<lte. zip code) 2305-C Ashland Street #198 Tre<lsurer's N<lme: I Telephone Number (day) Lvsa McDowell 541-488-1623 Committee ID Number: I Committee Type, Measure Number or Office: Ashland Mavor ~ Original o Primary 20_ ~ General 2004 o Other _ o Amendment o 1 st Pre-election ~ 2nd Pre-election o Post-election 020_ Septembe, _::iupplemt> I , A-TOTALS FOR THIS B-CUMULA TI' 'E TOT AL\ ACCOUNTING PERIOD FOR THIS EI ECTION CONTRIBUTIONS -. 1. Cash Contributions 515.00 2,505.00 (Accounting Period Total from PC 2) - 2. Loans Received (Non-Exempt) + 0.00 + 0.00 (Accounting Period Total from PC 2) _ _u -, Tot<ll Cash Contributions 2,5C$.00 -). = 515.00 = (lines 1+ 2) .f In-Kind + 0.00 + n.OO (Accounting Period Total from PC 2) 5 TOTAL CONTRIBUTIONS = 515.00 = 2,50S.00 (lines 3 + 4 ) -- EXPENDITURES -. . 6. Cash Expenditures 1,466.61 2,376.61 (Accountinu Period Total from PC 3) 7 LO<ln Payments (Non-Exempt) + 0.00 + :'00 (Accounting Period Totallrom PC 3) X. Tot<ll C<lsh Expenditures = 1,466.61 = 2,37661 (lines 6 + 7) 9. In-Kind + 0.00 + r) 00 (Accounting Period Totallrom PC 2) ------ 10. TOTAL EXPENDITURES = 1,466.61 = 2,37~.61 (lines 8 + 9) ----..- CASH BALANCE - - l1. Beginning C<lsh Balance 1,080.00 FOR OFFICE liSE ONLY (line 20 of previous report) 12. Tot<ll Contributions + 515.00 (line 5) IT ~<1:~~O~~ TI 13. Other Receipts + 0.00 (Accounting Period Total lrom PC 4A) l4 Loans Received (Exempt) + 0.00 ri ~:T 2 1 2004 t:::J (Accounting Period Total lrom PC 4A) IS. CONTRIBUTION SUBTOTAL = 1,595.00 (lines II + 12 + l) + 14) l6 Total Expenditures 1,466.61 (line 10) 17. Other Disbursements + 0.00 (Accounting Period Total from PC 4B) lX. Loan P<lyments (Exempt) + 0,00 (Accounting Period Total lrom PC 4B) 19. EXPENDITURE SUBTOTAL = 1,466.61 (lines 16 + 17 + 18) 20. ENDING CASH BALANCE = 128.39 (line IS minus line 19) --- Summary Statement of Contributions and Expenditures Please type or print legibly in black ink Candidate or Political Committee Name: I Committee ID Numbe . NeiQhbors for Steve Hauck I2.SJ Original o Primary 20_ I2.SJ General 2004 o Other o Amendment I2.SJ 1 st Pre-election o 2nd Pre-election o Post-election 020 September 51 LOAN SUMMARY FOR OFFICE U:- 21. Beginning Outstanding Loans 0.00 (line 29 of previous report) 22. Loans Received (Non-Exempt) + 0.00 (line 2 ) IT~(~~D 23. Loans Received (Exempt) + 0.00 (line 14) 24. LOANS RECEIVED SUBTOTAL = 0.00 I\~'CT 2 1 (lines 21 + 22 + 23) 25. Loan Payments (Non-Exempt) 0.00 (line 7) 26. Loan Payments (Exempt) (line I X ) + 0.00 27. Forgiven Loans + 0.00 CTotalloans 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 :16 of previous report) 31 Personal Expenditures + 0.00 (Accounting Period Total from PC :lA) 32. PERSONAL EXPENDITURE SUBTOTAL = 0.00 (lines:lO +:11) 33. Personal Expenditure Reimbursements 0,00 (Total expenditures on PC :I with pumose code R) 34. Forgiven Personal Expenditures + 0.00 (Total personal expenditures forgiven this acctg. 35 REIMBURSEMENT SUBTOTAL = 0.00 (lines :1:1 + :14) 36. OUTSTANDING PERSONAL = 0.00 EXPENDITURES FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance 128.39 (line 20) 38. Accounts Receivable + 0.00 (Accounting Period Total from PC 5) 39. SUBTOTAL = 128,39 (lines :17 + :18) 40. Total Outstanding Loans 0.00 (line 29) 41 Outstanding Personal Expenditures + 0.00 (line :16) 42. Accounts Payable + 0.00 (Accounting Period Total from PC 6) 43. SUBTOTAL = 0.00 (lines 40 + 41 + 42) 44. BALANCE/DEFICIT = 128.39 (line 39 minus line 43: indicate + or - halance) 1. Lsva McDowell (name of candidate or treasurer). hereby certify that the above statement and the attached support, are true and correct. LSIA d. In ?DV14~ /f/l1/ Ilt/ Signatureff candidate or treasurer . I Date SIgned Rt.'\ ~~agc 2 ('/-- Ipplemcl:~ -- t: ONLY !'b repon!- J-___ Cash Contributions, Loans Received and In-Kind hl'\ Candidate or Political Committee Name: Committee ID Number: Neighbors for Steve Hauck Page 1 of1 --- Election: o Primary 20_ o General 20_ o Other Report o 1 st Pre-election C8J 2nd Pre-election o Post-election 020 September Supplemc'l' ---- SEE BACK FOR INSTRUCTIONS AND CODE DEFINI CODE 1: Contributor Type D ~~U~~ .-:: tributil:>n Type B Business Entity LA sh C Political Committee (includes business and ACs) CO signer Obligation F Candidate's Immediate Family (includes ca ~d t ) OCT 2 1 ""04I Kind 6:' "K I Individual LR ~ an Recewed 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 cod Date Received Occupational Information or Contributor Code 1 ~~ode 2 Contributing Committee's 10# Aggregate Jerry & Denise Hauck 1. 845 Garden Way $ 50,00 Ashland, OR 97520 =c~-- 1 0/06/2004 Retired Educators $ 50.00 F CA Miscellaneous Contributions $50 and under 2 $ 465.00 9/17/2004 to 0 $ 1,900.00 I =Co CA 10/17/2004 3. $ $ L.__ 4. $ $ ] 5. $ $ =r=~=- See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last p:Jge a Instmctions contribution type. Do not include aggregates.) transfer these amounts to the SummaIY Statement. PC 1 ) on Back and Cash (C A) $ 515,00 Cash (CA) $ 515.00 in Campaign Enter nn Sununary Statement, Colulllil i\ I I Ill' ~ Finance Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00 Enter on Summary Statement, Column ,I .!111'> ...;. PC 2 Loans Received (LR) $ 0.00 Loans Received (LR) $Q Enter on Summary Statement. Colunm .-\~li1l" ~ c. Cash Expenditures and Loan Payments R,-,: 1_ Candidate or Political Committee Name: Neighbors for Steve Hauck Committee ID Number: Page 1 of .1 Election D Primarv 20 D General 20_ D Other_ Report D lst Pre-election [g] 2nd Pre-election D Post-election D 20 September SUl 0:elll\ lif, ----.--- PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITU!.:E A Agent 0 Other Advertising (yard signs ma,o~ I"E~ B Broadcast Advertising (Radio. TV) etc.) 01LS (Q; iEf! D~~ru~ C Cash Contnbutions P Postage I r --1 F Fundraising Event Expenses R Reimbursement for Personal I~' Itures G General Operdtional Expenses (describe if over S Surveys and Polls OCT 2 1 !'(;O + $50) T Travel Expenses (describe if 50) L..I1 I Interest Payment U Utilities .---.-J -./ L Literature. Brochures, Printing W Wages. Salaries. Benefits M Management Services Y Petition Circulators Line # Date Check # Payee's Name and Payee's Committee 10#, if applicable (as it appears on invoice, receipt or check) Purpose 9/25/2004 Debit Bi-Mart 1 Card 10/2/2004 Debit Albertson's 2. Card 3. 10/7/2004 596 URCC 10/15/200 Debit US Postal Service 4. 4 Card 10/16/200 Debit Albertson's 5. 4 Card 6. G o L P o 7. 8. 9 10. See InstOlctions on Back and in Campaign Finance Manual Page Totals (Add all expenditures with the same expenditure type) Accounting Period Totals (Complete only for las! Jage ; Ii;:, transfer these amounts to the Summary Statement PC I \ Cash (CA) $ 1.466.61 Cash (CA) $ 1.466.61 Enter on Summary Statement Column A. : inc () 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 5t. Ashland, Oregon 97520 (541) 488-5311 (fax) December 10,2004 Steve Hauck 2305-C Ashland Street 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: m Your committee report is sufficient. If you have any questions regarding this examination letter, please feel free to contact my office. ~ Barbara Christensen City RecorderlTreasurer Summary Statement of Contributions and Expenditures PC 1 Rev. l2/O3 Please type or print legibly in black ink. Page lof2 Candidate or Political Committee Name (use full name): NeiQhbors for Steve Hauck Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): 2305-C Ashland Street #198 Treasurer's Name: Telephone Number (day): Lvsa McDowell 541-488-1623 Committee ID Number: I Committee Type, Measure Number or Office: Ashland Mavor [8J Original D Primary 20_ [8J General 2004 D Other _ D Amendment D 1 st Pre-election D 2nd Pre-election [8J Post -election D 20_ September Supplemental A-TOTALS FOR mIS B-CUMULATIVE TOTALS ACCOUNTING PERIOD FOR THIS ELECTION CONTRIBUTIONS 1. Cash Contributions 245.00 t/ 2,750.00 v' (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 = 245.00 = 2,750.00 (lines 1+ 2) 4. In-Kind + 0.00 + 0.00 (Accounting Period Total from PC 2) 5. TOTAL CONTRIBUTIONS = 245.00 "" = 2,750.00 vi (lines 3 + 4) EXPENDITURES 6. Cash Expenditures 374.39 I 2,750.00 II' (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 = 374.39 = 2,750.00 (lines 6 + 7) 9. In-Kind + 0.00 + 0.00 (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES = 374.39 = 2,750.00 v' (lines 8 + 9) CASH BALANCE 11. Beginning Cash Balance 129.39 FOROFFICEUSE .ONLY (line 20 of previous report) 12. Total Contributions + 245.00 (line 5) IID~~~n~~ n 13. Other Receipts 0.00 .... + .... (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) I< + 0.00 ~ DEe 3 2004 (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL = 374.39 ~ (lines 11 + 12 + 13 + 14) 16. Total Expenditures 374.39 . (line 10) 17. Other Disbursements + 0.00 (Accountin2: Period Total from PC 4B) I 18. Loan Payments (Exempt) + 0.00 (Accounting Period Total from PC 4B) 19. EXPENDITURE SUBTOTAL = 374.39 (lines 16 + 17 + 18) 20. ENDING CASH BALANCE = 0.00 I (line 15 minus line 19) I Summary Statement of Contributions and Expenditures Please type or print legibly in black ink. Candidate or Political Committee Name: Nei hbors for Steve Hauck r8J Original 0 Primary 20_ r8J General 2004 o Amendment 0 1 st Pre-election 0 2nd Pre-election LOAN SUMMARY o Other _ ~ Post -election 21. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 22. + 23. + = 25. 26. + 27. + = 29. = 30. 0.00 0.00 0.00 0.00 0.00 0.00 31. + = 33. 34. + 35. = = 37. 38. + = 40. 41. + 42. + 43. = = 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PC 1 Rev. l2/03 Page 2 of2 Committee ID Number: 020 I, Lsva McDowell (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are tnle and correct. (1- Iv 2--/~ <f Date signe'd I PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/()3 Candidate or Political Committee Name: Committee ill Number: Neighbors for Steve Hauck Page 1 of 1 Election: D Primary 20_ D General 20_ D Other _ Report: D 1 st Pre-election D 2nd Pre-election ~ 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 P ACs) 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) I. Date Received Occupational Information or Contributor Code 1 I Code 2 Contributing Committee's 10# Aggregate Douglass Neumann 1. 931 Emigrant Creek Road $ 200.00 Ashland, OR 97520 10/21/2004 CEO of Development Firm $ 200.00 I I CA Miscellaneous Contributions $50 and under 2. $ 45.00 10/18/2004 to 0 $ 1,945.00 I I CA 11/2/2004 3, $ $ I 4. $ $ I 5. $ $ I 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 1.) on Back and Cash (CA) $ 245.00 Cash (CA) $ 245.00 ,/ in Campaign Enter on Summary Statement, Column A, Line 1 Finance Manual In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00 Enter on Summary Statement, Column A, Lines 4 and 9 I PC 2 Loans Received (LR) $ 0.00 Loans Received (LR) $Q Enter on Summary Statement Column A Line 2 PC3 Cash Expen~itures and Loan Payments Rev. l2/O3 Candidate or Political Committee Name: Committee ID Number: Neighbors for Steve Hauck Page 1 of 1 Election: o Primary 20_ o General 20_ o Other _ Report: o 1 st Pre-election o 2nd Pre-election ~ Post -election 020 September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE A Agent 0 Other Advertising (yard signs, buttons, CA Cash B Broadcast Advertising (Radio, TV) etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement for Personal Expenditures G General Operational Expenses (describe if over S Surveys and Polls $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 Une Payee's Name and Payee's Committee 10#, Exp. Amount of ~ # Date Check # if applicable Purpose Type Expenditure Paid (as it appears on invoice, receipt or check) to AlP 1 0/25/200 Debit US Postal Services P CA $ 370.00 D 1. 4 Card 11/2/2004 Debit Albertson's G CA $ 4.39 D 2. Card 3. $ 0.00 D 4. $ ~ 5. $ D 6. $ D 7. $ D 8. $ D 9. $ D 10. $ D . See Page Totals (Add all expenditures with the Accounting Period Totals (Complete only for last page and Instructions same expenditure type.) transfer these amounts to the Summary Statement, PC 1.) on Back and in Campaign Cash (CA) $ 374.39 Cash (CA) $ 374.39 Finance Enter on Summary Statement, Column A, Line 6 Manual Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00 Enter on Summary Statement, Colurrm A, Line 7 PC 3 I