HomeMy WebLinkAboutJack Hardesty
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.
NAME OF CANDIDATE
VMc/l
D INCUMBENT FOR OFFICE OF JUDGE
-r+
HA-ROl?'~ i'-
:fr{
NAME SHOULD APPEAR ON BALLOT AS FOLLOWS
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WA~Dr:s7'f
RESIDENCE ADDRESS (STREET/ROUTE, CITY, STATE, ZIP CODE)
51 S- D lJ1 OJ 6TJ D u'4:Y
,As J) L.A-)/ \::J... DR t:t 7 s-,;>-?J
TELEPHONE (HOME)
TELEPHONE (WORK)
COUNTY OF RESIDENCE
d- ~ 1.J,
-
"AI
FAX
{~j)'f~J- tlJ77
EMAIL .
1+/H1P~ryFbIlLOUir/J- ~
C. # n~t
MAILING ADDRESS WHERE ALL CORRESPONDENCE WILL BE SENT
~ '1 ~ Dtlc] Wad b UJ~
As lJ.-LAV t:', () J? Cf 7k- ;~
WEBSITE
o SECRETARY OF STATE OF OREGON
o COUNTY ELECTIONS OFFICIAL OF
COUNTY
Ii!l""CITY RECORDER (AUDITOR), CITY OF
D FILING OF CANDIDACY BY DECLARATION, WITH THE REQUIRED FILING FEE (ORS 249.056).
FILING FEES
FlUNG OF CANDIDACY BY DECLARA no;\!
(ORS 249.056)
STATE VOTERS' P AivlPHLET
(ORS 251.095)
OFFICE
STATEWIDE OFFICES
CIRCUIT COURT JUDGE
DISTRICT A TIORNEY
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
$1000
$ 300
$ 300
$ 300
$ 300
$ 300
$ 300
**$ 300
N/A
NONE
" For Cities With a Population of 50,000 or More (ORS 251.005)
[if
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: Last Day March 9, 2004
Deadline to Withdraw Candidacy: March 12, 2004
Filing For State Voters' Pamphlet: March 11, 2004
Filing For Candidacy: First Day September 1.5, 2003
Filing For Candidacy: Last Day August 24, 2004
Deadline to Withdraw Candidacy: August 27, 2004
Filing For State Voters' Pamphlet: August 24, 2004
FOR OFFICE USE aNt y
INITIALS
CASH OR CHECK NUMBER
RECEIPT NUMBER
CANDIDA TE ID NUMBER
OFFICE NUMBER
PRINCIPAL CAMPAIGN COMMITTEE ID #
SEL 120 REV. 12/03 ORS 249.031
REQUIRED INFORMATION
occur A TION (PRESENT EMPLOYMENT - PAID OR UNPAID)
PI-
r~
occur A TIONAL BACKGROUND (PREVIOUS EMPLOYMENT _ PAID OR UNPAID)
U.~.. 6~~'i= -2 l ~?-S
EDUCA TIONAL BACKGROUND (SCHOOLS ATTENDED, use attachment if needed)
Complete name of school - no acronyms Last grade level Diploma/Degree/Certificate
com leted (A A, BA, BS, MA, PhD, etc.)
Course of study (optional)
Other:
PRIOR GOVERNMENTAL EXPERIENCE (ELECTED OR APPOINTED)
By signing this document, I hereby state:
THA T I accept the nommation for the office indicated above;
THA T I shall qualify for said office if elected; and
THA T 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.
~~~
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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)).
SEL 120 REV. ]2/03 ORS 249.031
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STATEMENT ONE OR MORE PETITION CIRCULATORS WILL BE PAID
IjWe 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.
--------------------------------------------------
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.
Identify Petition
(Name of Candidate or Minor Political Party on Prospective Petition; or
J (C', _ '" Name of Officeholdec on Recall Petition)
Signed~",JJ0Mh Dalesigned ~21 /2
(
*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 12103
oRS 248.008. oRS 249.061, oRS 249.078, ORS 249.740,
ORS 249.865, ORS 250045. ORS 250.165, ORS 250.265, ORS 255.135
City of Ashland
City Recorder's Office 20 E. Main St.
Barbara Christensen, City Recorder AsWand, Oregon 97520
(541) 488-5307 (phone)(54l) 552-3059 (fax)
Jack Hardesty
575 Dogwood Way
Ashland OR 97520
City Hal:l
July 27, 2004
A prospective petition has been completed and filed with the City Recorder's Office for Council
Position # 1.
A petition has been approved for circulation.
Barbara Christensen
City Recorder/Treasurer
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City of Ashland
City Recorder's Office 20 E. Main St.
Barbara Christensen, City Recorder AsWand, Oregon 97520
(541) 488-5307 (phone)(541) 552-3059 !fax)
Jack Hardesty
575 Dogwood Way
Ashland OR 97520
City Hall
August 5,2004
A completed petition, with the required signature sheets properly certified by the county
elections office has been received and is filed with the City Recorder's Office for City Council
Position # 1.
Please let me know if I can be of any further assistance during this upcoming election time.
Barbara Christensen
City Recorder/Treasurer
SEL 220 ORS 260.037 I
Rev. 11/0.1 Candidate's Statement of Organization ORS 260.039
ORS 260.041
Please type or print legibly in black ink.
I Primary 20 &cneral 20fjL/ ) Other election date o Will exist for more than one year
~ Original I
2 This filing is an: o Amendment o Discontinuation
3 Name of principal campaign committee
-;4c I<. l-l-J1. 12 I) t:;"Stvl fiJy 4fLt LtJlU1Cl L
Committee address (street/route, city, state, zip code) - no post office box numbers
5'15"" 001l.V~ Wp]
I:J.s )..J,l-4u D / 6e 1-'1r-?-i)
~ftreasurer
Mr.
OMs. VM,D ()UUI:11(
Mailing address to which all committee correspondence will be sent
~7ti" fJ d~uJ~ 0 ~
kJt~o~ be q 7)-d-C)
Work phone number Home phone number Fax number E-mail address 'Jr. . B
~/) LfgJ-~~1h VftJ)4~/-~~76 ~/)1f9;-gt177 ~J.I,4QDii,Jl~Ft'fZP(J I J
GYV'AJ.... .. nt-r
4 ~ of candidate
Mr. JA-t,~ l~D~7tf
OMs.
Residence address (street/route, city, state, zip code) - no post office box numbers
5"7 ~ D tq weld D LuALt
.As I.U.~.u 9 , 6e: q1~
Mailing address to which all candidate correspondence will be sent
51~- DOqWHfUJ W.ftt
/J5JJ..~O I /)FC '}7Jf?U
Work phone number Home phone number Fax number E-mail addre~~c.iXJ)JOL gz
tf1l0 J..j ~~"'8 01 h {S7Il)LfAB-8b 1.6 ~J)'fM-gb?1 J-}ARD~ 7Ff I
c~.. tvr
Occupation of candidate
t~J-~d
Name of office sought (include county, position, department or zone number, if applicable)
/-k ~L4-n 0 CI-ry, L1)U'1lC1L I pr)~rr/~ I
5 Additional address that may be used on political publications (PO box or street/route, city, state, zip) Campaign phone number
IJY/)Y8J..fJCJ1-6
6 Party affiliation (complete only if filing for partisan office) i
o Constitution o Democratic o Libertarian o Pacific Green I
!
o Republican o Not a member of a party o Other
7 Politica committee intends to solicit funds by (mark all that apply):
~nail ~l contact 0 Radio o Television I
vents ewspaper 0 Website D Other
Please complete and sign the reverse side of th is form.
8
Name
Committee Directors (if any)
Address (including zip code)
Occupation
Phone Number
If two or more directors of this political committee are also directors of another political committee, list the names of those
directors and the name and address of the other political committee.
By signing this document I acknowledge that I am personally liable for any penalties imposed under ORS chapter 260.
Date signed
Date signed
Important: Both the candidate and treasurer of a principal campaign committee must sign the Statement of Organization.
Instructions
Filing an original Statemenlt of Organization
The completed form must be filed within three business days of first receiving a contribution or making an expenditure. A date
stamped copy, which includes your identification number, will be returned to you as an acknowledgment of your filing. NOTE: A
candidate may have only one principal campaign committee.
A candidate who serves as the treasurer
A candidate may either serve as the candidate's own treasurer or may appoint a separate treasurer. A candidate who serves as their
own treasurer and who does not expect to receive or spend more than $300 for the entire election is not required to file a Statement
of Organization or contribution and expenditure reports. However, if at any time they exceed $300 in either contributions or
expenditures, they must then file a Statement of Organization and contribution and expenditure reports.
Amending information on this form
Any change in the information on this form must be filed within ten (10) days of the change. To notify the filing officer of a change in
information, submit this form, completed in its entirety, and mark the "Amendment" box.
For Office Use Only
Discontinuing
You must file a final contribution and expenditure report that shows a zero balance, along with a
"Discontinuation" box marked. The final report may be filed at any time.
Initials
Committee ID Number
Office Number
Candidate ID Number
City of Ashland
City Hall
City Recorder's Office
Barbara Christensen, City Recorder
(541) 488-5307 (phone)
20 E. Main SI.
Ashland, Oregon 97520
(541) 488-5311 (fax)
October I, 2004
Jack Hardesty
575 Dogwood Way
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:
o Your committee report is sufficient.
If you have any questions regarding this examination letter, please feel free to contact my office.
Sincerely,
f?
Barbara Christensen
City Recorder/Treasurer
Summary Statement of Contributions and ExpenditUlres
PC I
Rev. 12/03
Please type or print legibly in black ink.
Candidate or Political Committee Name (use fu~~ame):
jj . liARD ~';n FOR L\ 1" .
Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip cod(:):
Treasurer's Name:']:) a\l\Q
Committee ID Number:
Ol\~e\
Committee Type, Measure Numbcr or Officc:
IX1 Original
o Ame~dment
o Primary 20_
] st Pre-election
~ Gcneral 2~
o 2nd Pre-election
o Other
o Post-election
A-TOTALS FOR THIS
ACCOUNTING PERIOD
CONTRIBUTIONS
I. Cash Contributions
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt)
(Accounting Period Total from PC 2)
3. Total Cash Contributions
(lines 1+ 2)
4. In-Kind +
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures
(Accounting Period Tota] from PC 3)
7. Loan Payments (Non-Exempt)
(Accounting Period Total from PC 3)
8. Total Cash Expenditures
(lines 6 + 7)
9. In-Kind
(Accounting Period Total from PC 2)
] O. TOTAL EXPENDITURES
(lines 8 + 9)
Db
.4CJ
4D
,
1l
+
t.; 1bcr,
CASH BALANCE
] ]. Beginning Cash Balance
(line 20 of previous report)
]2. Tota] Contributions
(]ine 5)
]3. Other Receipts
(Accounting Period Total from PC 4A)
]4. Loans Received (Exempt)
(Accounting Period Total from PC 4A)
]5. CONTRIBUTION SUBTOTAL
(lines II + 12 + 13 + ]4)
] 6. Tota] Expenditures
(]ine 10)
] 7. Other Disbursements
(Accounting Period Tota] from PC 48)
18. Loan Payments (Exempt)
(Accounting Period Total from PC 48)
] 9. EXBENDITURE SUBTOTAL
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE
(line IS minus line 19)
4; 0
. 1- q '36 , 4D
o
o
+
+
+
=
1.
+
=
=
Page I of2
Telephone Numbcr (day):
020
September Supplemental
B-CUMULA TlVE TOTALS
FOR THIS ELECTION
+
=
+
={
+
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=
+
=:f
rl~ cr. rr
U:;:;J ~
Summary Statement of Contributions and Expenditures
PC I
Rev. 12103
Page 2 of2
o Original
o Amendment
T ~C\L.-
o Primary 20_ 'g] General 2~
~ 1st Pre-eleetion 0 2nd Pre-election
LOAN SUMMARY
Committee ID Number:
o Other
o Post-election
o 20 September Supplemental
2 I. Beginning Outstanding Loans
(line 29 of previous report)
22. Loans Reeeived (Non-Exempt)
(line 2)
23. Loans Reeeived (Exempt)
(line 14)
24. LOANS RECEIVED SUBTOTAL
(lines 21 + 22 + 23)
25. Loan Payments (Non-Exempt)
(line 7)
26. Loan Payments (Exempt)
(line 18)
27. Forgiven Loans
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28)
<6
FOR OFFICE USE ONLY
+ I
OD
+
=
+
+
=
=, 0
PERSONAL EXPENDITURE SUMM RY
30. Beginning Outstanding Personal Expenditures
(line 36 of previous report)
3 I. Pers&mal Expenditures
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL
(lincs 30 + 31)
33. Personal Expenditurc Reimbursemcnts
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures +
(Total personal expenditures forgiven this acctg. period)
, 35. REIMBURSEMENT SUBTOTAL
(lines 33 + 34)
36. OUTSTANDING PERSONAL l" l"")H
EXPENDITURES q.. ~ I
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance /) 09
(line 20) f......J 6.\
38. Accounts Receivable
(Accounting Period Total from PC 5)
39. SUBTOTAL
(lines 37 + 38)
40. Total Outstanding Loans
(line 29)
41. Outstanding Personal Expenditures
(line 36)
42. Accounts Payable
(Accounting Period Total from PC 6)
43. SUBTOTAL
(lines 40 + 41 + 42)
44. BALANCEIDEFICIT
(line 39 minus line 43: indicate + or - balance)
DO
,
o
+ \l~. iJ~
17
=
+
=
+
+
=
=
I, DA\i lD (() L \ VE!2-. (name of candidate or trcasurer), hercby ccrtify that thc above
tement and the attached supporting reports are true and correct.
q/2l /rYt
Date signed
Personal Expenditures for Reimbursement
PC3A
Rev. 12/03
Candidate or Political Committee Name:
JACk \i~TY ft>{L.C\TY CD(X\\L~L
~ General 2~
o 2nd Pre-clection
Committee ID Number;
Page L of -l--
Election:
Report:
o Primary 20_
~ I st Pre-election
D Other
o Post-election
D 20_ Septcmbcr Supplemcntal
PURPOSE CODES (see back of form for instructions and code definitions)
A Agent 0 Othcr Advertising (yard signs, buttons, etc.)
B Broadcast Advcrtising (Radio, TV) P Postagc
C Cash Contributions S Surveys and Polls
F Fundraising Event Expcnses T Travel Expenses (dcscribe if over $50)
G Gcneral Operational Expenses (dcscribe if ovcr $50) U Utilities
I Interest Payment W Wages, Salarics, Benefits
L Literature, Brochures, Printing Y Petition Circulators
M Management Services Z Preparation and Production of Adveltising
N Newspaper and Other Periodical Advertising
Line #
Date
Payee's Name
Purpose Amount of
Expenditure
9 $ to, 77
G $ '2,00
$
$
$
$
1. "9/1./C4 IA · Skeet- ~~J'I
2. q/t/L4 ~.\ ~(l\t
3.
4.
5.
6.
7.
$
8.
r ~ ~~ D"#_~ n
~ EP ~ . . i
Ju
_."'u~J
$
9.
$
10.
$
See
Instructions
on Back and
in Campaign
Finance
Manual
Page Total
$l7~" rrl
Accounting Period Total (Complete only for last page and
transfer this amount to the Summary Statcment, PC I.)
11 '1'7
Personal Expenditures $ Iv I
Enter on Summary Sltatement, Line 31
Personal Expcnditurcs
PC3A
Cash Contributions, Loans Received and In-Kiind
PC 2
Rev. 12/03
Candidate or Political Committee Name:
I\~ ~QDE6\ iW- . G T
Election:
Report:
D.Primary20_
I st Pre-election
~C\L
~ Gencral 20~
o 2nd Pre-election
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type
B Business Entity
C Political Committee (includcs business
F Candidate's Immediate Family (include
I Individual
L Labor Organization
o Other
P Political Party Committee
Line #
Name and Address of Contributor
Date Received
Occupational Information or
Contributing Committee's ID#
2.
1/1-1/04
3.
See
Instructions
on Back and
in Campaign
Finance
Manu\ll
)
Page Totals (Add all amounts with the saml.:
contribution typc. Do not include aggrel!atp.s.)
$JJ,B\1.20,
D
Cash (CA)
In-Kind (IK)
$
PC 2
Loans Received (LR) $ \ I {X.{), CfO
Committee ID Number: ]
PageLof b
o Othcr
o Post-election
SEP 2 1
":\n~
,~\J lJ't
o 20__ September Supplemental
"
In-Kind Purpose
(see manual for suggested purpose codes)
Code 1=1 Code 2
I
cA
CODE 2: Contribution Type
,::.::, rc:= 0 \\ fl rc:::::' Cash
, . l~ W LS Cosigner Obligation
In-Kind
Loan Rcceived
u
Contribution
Contributor
Aggregate
$ l !411,l2n
$
$ \)Dt:O ,~
$
$ 2~. ()O
$
$
~.co
F
LR
$
$ \00,00
$
F
CA
I
cA
I
cA
Accounting Period Totals (Complete only for last page and
transfcr these amounts to the Summary Statement, PC 1.)
Cash (CA) $
Enter on Summary Stalement, Column A. Line I
In-Kind (IK) $
Enter on Summary Statement, Column A, Lines 4 and 9
Loans Received (LR) $
Emer on Summary Slalement, Column A, Line 2
<>
_"'_...r-I~"'""""'-'_''''.'.''''''''''-'''''''''"'''''''''''''''''~'''''_'''1"It1~,~~~i~'St1.''<1il~;!I;~~~~~{mm~lI\~jft"""Jli1l~;;lllll!ll1l"Of~~~~__.
Cash Contributions, Loans Received and In-Kiind
PC :'
Rev. 1210~
l2- G.l C~C\l--
~General 20~
o 2nd Pre-election
Ca.rdidate or Political Committee Name:
Election:
Rcport;
o Primary 20_
1st Prc-clcction
Commhlcc ID Numbc" ] /) I"l
Pagc L- of ~
o Other
o Post-election
020
September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type
B Busincss Entity
C Political Committee (includes busincss and union PACs)
F Candidate's Immcdiate Family (includcs candidate)
I Individual
L Labor Organization
o Othcr
P Political Party Committcc
Line #
NameandAddressofConmburor
Date Received
3.
C>
4.
5.
Scc
Instructions
on Back and
in Campaign
Financc
Manual
Page Totals (Add all amounts with thc same
contribution typc. Do not include aggrcgatcs.)
$ J.B ,1..0
o
D
Cash (CA)
In-Kind (IK)
$
PC 2
Loans Received (LR)
$
CODE 2: Contribution Type
CA Cash
CO Cosigner Obligation
IK In-Kind
LR Loan Received
Amount of
Contribution
Contributor
Aggregate
In-Kind Purpose
(see manual for suggested purpose codes)
Code 1=1 Code 2
$ J:=":ft W
I
cA
$
~
$G9,60
I
LA.
$
$
"
$
$
$
$
$
Accounting Period Totals (Complete only for last pagc and
transfer these amounts to the Summary St~tement, PC I.)
$' ~~ 6 ,4D
Enter n Summary Statement, Column A, Line I
'D
Cash (CA)
In-Kind (IK)
$
Enter on Summary Statement. Column A, Lines 4 and 9
Loans Received (LR) $ , Or1:J I 00
En~nary Statement, Column A, Line 2
.' "W'l" ',' , -)1 'I ~ or'.!: .,,! i,1.:' :,;1 ~ I",:, J:'I ~~' :~'~i '.IIi :I! n' : '., \' "';1 ;;;1 ;:~!f)~ ':;~' !~, *:/~~Ij~: r: U,:l~;!, 'n I; jy:r;'ln,!:~ !t~ : if i.1 ,:1:.~:;~i:'
:'~~ ::~;; ~:::;;~~~,'J ',I:~:';); '~~l,~~~} ~ ~:~~~;;;;~~~ ~~ ;:tr':~!'j~~~~ll,~!t~ l ::,~:~i~:~ i; '~', ,;.'~ :;~t:ltr:~
----~_..-.-._,._,--_......_._---.-....~_._....__..,~_...._........._.-.-..._,~-"' ...-.~ ._- ._'-"-~-_._"
PC -'
Cash Expenditures and Loan Payments Rev. 12/0)
Candidatc or Political Committec Name: Commi ttcc ID N umbcr:
:s~ tAArofS\Y ~ (rry l1JN(\L- Pagc L of t.
Election: o Primary 20_ ~ Gcncral 2~ D Othcr
Rcport: Jia 1st Prc-clection o 2nd Prc-clection o Post-e1cction 020 Scptcmber Supplcmcntal
"
PURPOSE CODES (sec back of form for instructions and codc dcfinitions) EXPENDITURE TYPES
A Agcnt 0 Othcr Advcrtising (yard signs, bUllons, ctc.) CA Cash
B Broadcast Advcrtising (Radio, TV) P Po~tage _. ~ ~~ ~ I~~~
C Cash Contributions R R"mbur.;ument for I'",ooul Expeud, J ~"~ 1If!j C~ ~
"
F Fundraising Evcnt Expcnscs S Survuy,"od Polls [ l
G Gcncral Operational Expcnses (dcscribc if ovcr $50) T Tmvul Expuos" (d""ibc if over $< Ii I
1 Interest Paymcnt U Utilitics I S E P 2 1 2004
L Litcrature, Brochurcs, Printing W Wages, Salarics, Bcnclits.l !
M Managcmcnt Scrvices y Petition Circulators __ j c.J
N Ncwspapcr and Othcr Pcriodical Advcrtising Z Prcparation and Production of Adverti mg
\ ~
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
s/4/t4 &~ ste,\\~ ~~\rqs ~~ I I ~"'I
1. ~ 'q- c={. CA $ll.CO D
.. -.'
2. B/2/t4 ID \ B~ ~ Il'-Y 0 cA. $~.CD D
3. 8/6/ot {'D2 L\~h-\-\i\l~ G:vy L CA $ Bl2D D
4. B/qJC4 IOl 1j\ kbxt 0 Ct\ $ 4.1S D
5. sj\\/CYt \D'I LBvm;w~ C~ L C/\ $'20, bb D
6. 8(26/04 \D3 R-~my s.w\\-ES 6 CA $l~,qq D
7. o {Z61t4 lc4 Jfuh::oY\ Cw'^ty S CA $~2 ,oc D
8. 3jLbJc4 ICY? ~sle:\ P CA $ \4 ~ Bo D
9. ej?f:)!4 lDb ~d W'i\ \ 1(\ bxe.- ~ cA $ e6040 D
10. q~/C4 101 ff\~~t L CA $ 2~A t9 D
See Page Totals (Add all expcnditurcs with thc samc Accounting Period Totals (Complctc only for last pagc and
Instructions expcnditurc typc.) transfcr thcsc amounts to thc Summary Statcment, PC I.)
on Back and Cash (CA) $4b2.11 Cash (CA) $
in Campaign Enter on Summary Slalemenl. Column A. Line (,
Fin<y1ce 6
Manual Loan Payment (LP) $ Loan Paymcnt (LP) $
Enler on Summary Slatement, Column A. Line 7
PC3
I'C3
Cash Expenditures "and Loan Payments Itcv. 121113
Candidatc or Political Committec Namc: Commi ttec I D N umbcr: pagc~Of 7-
J1\d< 'h/{2uD;\'j ~GlY LD0t'-\ L\ l-
Election: o Primary 20_ 'g Gcneral 2~ o Othcr
Reporl: B-Lst Pre-e1cction D 2nd Pre-clcction D Post-clcction 020 Septcmbcr Supplcmcntal
PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES
A Agent 0 Othcr Advcrtising (yard signs, bUllons, ctc.) CA Cash
B Broadcast Advcrtising (Radio, TV) P Postagc LP Loan Paymcnt
C Cash Contributions R Reimburscmcnt for Pcrsonal Expcnditurcs
F Fundraising Event Expcnscs S Surveys and Polls
G Gcneral Operational Expenscs (describc if over $50) T Travcl Expcnscs (dcscribc if ovcr $50)
I Intcrest Payment U Utilitics
L Litcraturc, Brochurcs, Printing W Wagcs, Salarics, Bcnelits
M Managcmcnt Scrvices y Petition Circulators
N Ncwspaper and Other Periodical Advertising Z Prcparation and Production of Advcrtising
.
" 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) .toAfP
1. CVb/L4 \06 l\6tt-r~h~ UJfJY S CA ~CfJ D
$ .
2. R {rr \Dt (D9 :J&cbV) CooIJ\-\-1 Lb~ 0 cA $\DO.6() D
3. ~1\~t4 t\D 9~ P~\J le.W }) cA $\\S~CO D
4. qJt5/4 t\l 'Nvi1n SJ{,Ge- L- eA $ 4. CO D
5. $ 0
"
.6. $ D
7. $ D
8. $ D
9. $ D
10. $ D
Sec Page Totals (Add all cxpcnditurcs with thc samc Accounting Period Totals (Completc only for last page and
Instructions expcnditurc typc.) $?D7,DO transfcr thcsc amounts to thc sunllnyy Statcmcnt, PC l.)
on Back and Cash (CA) Cash (CA) $ '169, 1
in Campaign Enter on Sumnmry SI.dcl1\cnl. Column A. Line ()
Finance 0 0
Manual Loan Paymcnt (LP) $ Loan Payment (LP) $
Entcr on Summary Statemcnt. 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)
October 20, 2004
Jack Hardesty
575 Dogwood Way
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.
If you have any questions regarding this examination letter, please feel free to contact my office.
SinjY'"
/dtf/~'ztz a~4 t4<U
Barbara Christensen
City Recorder/Treasurer
PC I
Rev. 12/03
Summary Statement of Contributions and Expenditures
Committee Typc, Mcasure Numbcr or Office.: .
~ Original
o Amcndment
1'8l Gcncral 20~
2nd Pre-elcction
D Othcr
o Post-election
o Primary 20_
o 1st Prc-elcction
A-TOTALS FOR THIS
ACCOUNTING PERIOD
CONTRIBUTIONS
I. Cash Contributions
(Accounting Pcriod Total from PC 2)
2. Loans Rcceivcd (Non-Excmpt) +
(Accounting Pcriod Total from PC 2)
3. Total Cash Contributions =
(lincs 1+ 2)
4. In-Kind +
(Accounting Pcriod Total from PC 2)
5. TOTAL CONTRIBUTIONS =
(lines 3 + 4)
EXPENDITURES
6. Cash Expcnditurcs
(Accounting Pcriod Total from PC 3)
7. Loan Payments (Non-Exempt) +
(Accounting Pcriod Total from PC 3)
8. Total Cash Expcnditurcs =
(lincs 6 + 7)
9. In-Kind +
(Ac~ounting Period Total from PC 2)
10. TOTAL EXPENDITURES =
(Iincs 8 + 9)
CASH BALANCE
( OQC? 0 ; /...
o
\ DD?32
o
\ 0 C)? ~2.
\ 2bb. 4k>
o
A6
II. Bcginning Cash Balancc
(Iinc 20 ofprcvious rcport)
12. Total Contributions
(Iinc 5)
13. Othcr Rcceipts
(Accounting Pcriod Total from PC 4A)
14. Loans Rcccived (Excmpt)
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL
(lincs II + 12+ 13+ 14)
16. Total Expenditures
(linc 10)
17. Other Disbursemcnts
(Accountin Pcriod Total from PC 48)
18. Loan Payments (Exempt)
(Accounting Period Total from PC 48)
19. EXPENDITURE SUBTOTAL
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE
(line 15 minus line 19)
o
\j 2bb,4b
\bb, bq
+ OOS~ 32
+ 0
+0
= 0 I l'-';t, b \
1. _ 4b
+ D
+ 0
= \ Z "b \ 4b
= \ 9 00, ~
Pngc I of2
D 20_ Scptcmbcr Supplcmcntnl
B-CUMULATIVE TOTALS
FOR TillS ELECTION
7... , rr?.
+ \ DOC I Co
= ~. 72
,
+ a
= ~94 L rr2.
~ C)3b4 \7
+ ()
= ~ ()%, rr
+ a
= 0% I l'1
. !
Summary Statement of Contributions and Expenditures
Please type or print Icgibly in black ink.
Candidate or Pol"tical Committce Name:
\:) U~~ \-
o Primary 20_ ~ Gcncral 2~ 0 Other
o 1st Prc-clcction 2nd Prc-election 0 Post-election
LOAN SUMMARY
21. Beginning Outstanding Loans
(Iinc 29 ofprcvious rcport)
22. Loans Reccivcd (Non-Excmpt)
(Iinc 2)
23. Loans Reccived (Excmpt)
(linc 14)
24. LOANS RECEIVED SUBTOTAL
(lincs 21 + 22 + 23)
25. Loan Paymcnts (Non-Excmpt)
(Iinc 7)
26. Loan Payments (Excmpt)
(linc 18)
27. Forgivcn Loans
(Total loans forgiven during this accounting pcriod)
28. LOAN PAYMENT SUBTOTAL
(Iincs 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS
(line 24 minus linc 28)
+
laD . 00
0
0
OtJ
0
0
0
+
=
+
+
=
DCXJ 00
PERSONAL EXPENDITURE SUMM" Y
30. Beginning Outstanding Pcrsonal Expenditurcs \ 2 rrrr
(Iinc 36 ofprcvious rcport) .
31. Pcrsonal Expcnditurcs + '0
(Accounting Pcriod Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL = l'1 rr'l
(lincs 30 + 31) ~ .
33. Personal Expenditurc Reimburscmcnts 0
(Total cxpcnditurcs on PC 3 with purposc codc R)
34. Forgiven Pcrsonal Expcnditures + 0
(Total personal cxpcnditures forgiven this acctg. pcriod)
35. REIMBURSEMENT SUBTOTAL = 0
(Iincs 33 + 34)
36. OUTSTANDING PERSONAL = \ 2 '1'1
EXPENDITURES I
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance \ 0- r=.. t::..
(linc 20) r:>.. ~:..J
38. Accounts Rcceivable + 0
(Accounting Pcriod Total from PC 5)
39. SUBTOTAL = 0 - 8;
(Iincs 37 + 38)
40. Total Outstanding Loans DAD 00
(Iinc 29) U .
41. Outstanding Pcrsonal Expenditures + \,...,"11
(linc 36) ~ .
42. Acgounts Payablc
(Accounting Period Total from PC 6)
43. SUBTOTAL
(lines 40 + 41 + 42)
44. BALANCEIDEFICIT
(Iinc 39 minus line 43: indicate + or - balance)
1, 'D~~~D ~ft OL\~E(L
\ atcmcnt and thc attached supporting reports arc true and correct.
=
+
=
Commitlce lD Numbcr:
020
PC I
Rev. 12/03
Pagc 2 of2
Scptember Supplemcntal
I ,
FOR OFFICE USE ONLY
I "
i'
,
'~ri
I ) i
- Lc.'
!i
i
'I
Ii
i
!
I
i:
I
I,
,.
'I
,
"
'.
;1
i
i;
(name of candidatc or treasurcr), hcreby ccrtify that the above
\6 )\81 D4
Dat~ signcd
PC 3
Cash Expenditures and Loan Payments Rev. 12/03
C'~d.~ POJi;I~~~~:C 7n~o Ct Committce ID Numbcr: Page L of '2...
C\ nj COUC\\C\l-
Election: o Primary 20_ ~ Gcncral 20ci- o Othcr
Report: o 1st Prc-e1cction. ~ 2nd Prc-clcction o Post-clcction 020 Scptcmbcr Supplcmental
PURPOSE CODES (see back of form for instructions and code definitions) Jt'YI)"~Nf)lTllRF TYPES
A Agent 0 Qtl'CI Advcrti,;ng (yanl ,ih"". bUll"'" IT ~~ U 'VI ~ ~
B Broadcast Advcrtising (Radio, TV) P Po"agc I [~ Loan "aymcn'
C Cash Contributions R Rcimburscmcnt for Pcrsonal Expcndit "i
F Fundraising Event Expenscs S Surveys and Polls OCT 1 9 2004
G General Operational Expenses (dcscribc if ovcr $50) T Travel Expcnscs (dcscribe jf ovcr $5 ~
I lnwrest Paymcnt U Utilitics
L Litcraturc, Brochurcs, Printing W Wages, Salarics, Bcnefits
M Managcmcnt Serviccs y Petition Circulators
N Ncwspaper and Other Pcriodical Advcrtising Z Preparation and Production of Advcrtising
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) toNP
1. CJ 11'7/04 ll2 ~~W7}Y F tA $ b \. 70 0
2. q/r6!D4 \\~ A\~e t-\. ~~( F cA $1~?2 0
.,
3. q(ZO/A \ \4- LD\NeJ s () cA $ Z\.4B 0
4. ~jzJ/4 ll- 5pe~rC1 er\Di~ lCS L Ct~ $275 :5 0
?
5. <=\, ~O~ \ \~ A~(\ :r;\tA'f\e~c\ L ~ $ 218 ~iG 0
6. q/Zl~ 1\1 tt'irWaSf L CA $ \ 77, 04 0
\
9fi1/W \ \ <6 1'2 J ~ --P cA 14. 6D
7. \ U/\ \1 uS e '( $ 0
8. lD~ /04 \ lq C\- 'fS1cJ ~S tle G\Of~lCS L cA $ \ CO ,00 0
9. lO/hM \10 A\J3 "0 %C\.Yt\~~ 0 CA $ 7b :44 0
10. \0/\14 \1\ L tthtv~-k~\fY L CA $ Z2.QB 0
Sce Page Totals (Add all cxpcnditurcs with thc samc Accounting Period Totals (Complete only for last pagc and
Instructions cxpcnditurc typc.) $lr\OS.26 transfcr thcsc amounts to thc Summary Statcmcnt, PC I.)
on Sack and Cash (CA) Cash (CA) $
in Campaign Enler on Summary Stalemenl. Column A. Line 6
Finance 0
Manual Loan Payment (LP) $ Loan Paymcnt (LP) $
Enter on Summary Slatclllenl. Colullln ^. Line 7
"
PC 3
PC 3
Cash Expenditures and Loan Payments Rev. I ~IIJJ
C:1-;:px;;:;cr;~ eny CCx:x\\C\l.- Committee 1D Number: PagcLof "2
Election: o Primary 20_ ~cneral 2~ o Othcr
Report: o I st Pre-election I&l2nd Pre-elcction o Post-elcction 020_ Scptcmbcr Supplcmental
PURPOSE CODES (sce back of form for instructions and code definitions) ." n__H . ..
C\ ,-!" ~!:X.
A Agcnt 0 Othcr Advcrtising (yard signs, butto D~~~,U'WL~ U
B Broadcast Advertising (Radio, TV) P Postage i e~> Lo,,, P'y"~,~,,
C Cash Contributions R Rcimbursement for Pcrsonal EXpCI li{ OCT 1 9 2004
F Fundraising Event Expenses S Survcys and Polls
G Gen7:ral Opcrational Expcnscs (desclibe if ovcr $50) T Travcl Expcnses (dcscribc if ovcr OJ t=:)
I Intercst Paymcnt U Utilitics
L Litcrature, Brochurcs, Printing W Wagcs, Salarics, Bcncfits
M Managcment Scrviccs y Pctition Circulators
N Newspaper and Othcr Pcriodical Advcrtising Z Prcparation and Production of Advcl1ising
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) toNP
,
1. JO/l4fo \22 B, lfurt F elt $'lql~ D
2. It)f\eo(D4 \'Z~ :Pr~V\-t-W L P\ $l3 \0 % D
3. $ D
4. $ D
5. $ D
6. $ D
7. $ D
.
8. I $ D
9. $ D
10. $ D
Sce Page Totals (Add all expcnditures with the samc Accounting Period Totals (Complete only for last page and
Instructions expenditurc typc.) 2D transfer thcsc amounts to the Summary Statcment, PC 1.)
on Back and $ lbL Cash (CA) $ ~ 2./ckJ' Ab
in Campaign Cash (CA) . Enter oJsummary Statement. Column A. Line 6
Financc 0 C)
Manual Loan Payment (LP) $ Loan Paymcnt (LP) $
Q Enter on Summary Statement, Column A, Line 7
PC 3
Cash Contributions, Loans Received and In-Kind
Candidate or Political Committce Name:
;r~ ~~STY
Elcction:
Rcport:
k\'2 C\TY C00t\jC.I~
~ Gencral 20(tL
2nd Prc-election
o Primary 20_
o 1st Prc-election
Committee ID Number:
rc 2
Rev. 12103
pageLOf~
o Othcr
o Post-clection
o 20_ Septcmber Supplcmental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINI
CODE 1: Contributor Type
B Business Entity
C Political Committcc (includes busincss and
F Candidate's Immcdiatc Family (ineludcs ca
I Individual
L Labor Organization
o Other
P Political Party Committce
Line #
Name and Address ofContriburor
Date ReJ;eived
Occupational Information or
Contributing Committee's 10#
1.
9 -IB -041:>
10-11 -
4.
tDj\6/D4
5.
See
Instructions
on Back and
in Campaign
Finance
Manual
Page Totals (Add all amounts with the samc
contribution type. Do not ineludc aggregatcs.)
Cash (CA) $1 ootS.o2-
I
In-Kind (IK) $
PC2
Loans Rcceived (LR) $
Amount of
Contribution
Contributor
Aggregate
In~ivnd Purpose
see manual for suggested purpose codes)
Code 1
$~;1)..
I
$
$
S~. roo
F
$
$ r:::f) OU
I
$$
$~pD
~
$
$
$
Code 2
CA
CA
Cb\'
cA.
Accounting Period Totals (Complctc only for last pagc and
transfcr thesc amounts to the Summary Statcmcnt, PC I.)
Cash (CA) $ \ )0CJ'7.. '3)..
Enlcr un Sumlllary Stalemenl. Culumn A. Line I
In-Kind (IK)
$
Enler on SUlllmary Slalemenl. Column A, Lincs 4 and 9
Loans Rcccived (LR) $
Entcr on Summary Statcment, Column A, Linc 2
PC3A
Personal Expenditures for Reimbursement Rev. 12103
Candidatc or Political Committec Namc: Gu~Ci \- Committcc ID Numbcr: pagCLOfL
:J~ t\nn~~ 'Ft~ G-rY
~~\.
Election: o Primary 20_ 8f;cneral 2<Ctt- D Othcr
Rcport: D 1st Prc-elcction ~2nd Prc-clcction o Post-clection o 20_ Septcmbcr Supplcmcntal
-- - .
PURPOSE CODES (>0, baok orrorm ror in,'ru,lion, ond ,nd, d,finilinn,) IT ~ ~ ~ n VI ~ ~
A Agent 0 Othcr Advertising (y. i" "",-~U"vns; Ck.)
B Broadcast Advcrtising (Radio, TV) P Postagc
C Cash Contributions S Survcys and Polls r\ OCT 1 9 2004
F Fundraising Evcnt Expenscs T Travel Expcnscs (dcs b f over $50) L.:::I
G Gcncral Operational Expcnscs (dcscribc if over $50) U Utilities
I Interest Paymcnt W Wagcs, Salarics, Bcn /its
L Litcrature, Brochures, Printing Y Pctition Circulators
M Management Serviccs Z Prcparation and Production of Advcrtising
N Newspaper and Other Pcriodical Advcrtising
Line # Date Payee's Name Purpose Amount of
Expenditure
1. $
"
2. $
3. $
4. $
5. $
6. $
7. $
8. $
9. $
10. $
See Page Total D Accounting Period Total (Complctc only for last pagc and
Instructions transfcr this amount to thc Summary Statcment, PC 1.)
Personal Expenditures $ 0
on Back and Pcrsonal Expcnditurcs $
in Campaign Enter on Summary Statement. Line 31
Financc
Manual
PC3A
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
Jack Hardesty
575 Dogwood Way
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:
[{]
Your committee report is sufficient.
If you have any questions regarding this examination letter, please feel free to contact my office.
sm~
Barbara Christensen
City Recorder/Treasurer
/J' / ...._~
~~
PC 1
Rev. 12/03
Summary Statement of Contributions and Expenditures
Please type or print legibly in black ink.
Candidate or Politica Committee Name (use full name):
.:; ~CK Ac<..DE-~T' ~C< ~ T (\ l- .
Mail~1;ss aD6~ars on Statement OfOrganizatio~<:;:~~~eDr bOlUmber. e1~le. zip code):
Treasurer's Name: Telephone Number (day):
D~v\D Dl-\VFR
Committee ID Number:
Committee Type, Measure Number or Office:
~ Original
D Amendment
D Primary 20__
D 1 st Pre-election
D General 20~ D Other
D 2nd Pre-election Post-election
A-TOTALS FOR THIS
ACCOUNTING PERIOD
CONTRIBUTIONS
1. Cash Contributions 0
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt) + 0 +
(AccOunting Period Total from PC 2)
3. Total Cash Contributions = 0 =
(lines 1+ 2)
4. In-Kind + 0 +
(Accounting Period Total from PG2)
5. TOTAL CONTRIBUTIONS = 0
(lines 3 + 4)
EXPENDITURES
6. Cash Expenditures 8 ~. '1~
(Accounting Period Total from PC 3) J
7. Loan Payments (Non-Exempt) + \ () 00 * 00' +
(Accounting Period Total from PC 3)
8. Total Cash Expenditures = \ 18. =
(lines 6 + 7) I
9. In-Kind + 0 +
(Accounting Period Total from PC 2)
10. TOTAL EXPENDITURES = t 3~~~r-rB =
(lines 8 + 9)
CASH BALANCE
11. Beginning Cash Balance \ ?~ ~ "
(line 20 of previous report)
12. Total Contributions + 0
(line 5)
13. Other Receipts + 0
(Accounting Period Total from PC 4A)
14. Loans Received (Exempt) + 0
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL = 0 6S
(lines II + 12 + 13 + 14)
16. Total Expenditures \ Q2, 1~
(line 10)
17. Other Disbursements + 0
Accountin Period Total from PC 4B)
18. Loan Payments (Exempt) + b
(Accounting Period Total from PC 4B)
19. EXPENDITURE SUBTOTAL = \. ~9 2, 'l~
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE = lA., 'f'1
(line 15 minus line 19)
Page I of2
D 20_ September Supplemental
B-CUMULATIVE TOTALS
"OR THIS ELECTION
\ f '12
-2 2 ~'=> rI
\ 0 ()04 00
,., q Z S., 9~
o
3 <12e, 9~
. I
FOR OFFICi U~.~ ONL~'
, I"
,"., I
i!
-'-'
SUl1nmary Statement of Contributions a'nd 'Expenditures J'e I
Rev. J 2/03
I
Please type or print legibly in black ink. Page 2 of2
Candidate or Political Committee Name: C\TY lCY )NU~ Committee 1D Number:
~ACx:. \\~~ DeSTV R>\"<
goriginal D Primary 20~ D General 20_ D Other
D Amendment D 1 st Pre-election D 2nd Pre-election I)l Post-election D 20_ September Supplcmcntal
LOAN SUMMARY FOR OFFICE USE ONLY
21. Beginning Outstanding Loans ta:n.OO :
(line 29 of previous report)
22. Loans Rcceived (Non-Exempt) , 0 ,
(line 2) + !'
23. Loans Received (Exempt) ;
+ 0
(line 14)
24. LOANS RECEIVED SUBTOTAL I
l,CXb, (X) ,
(lines 21 + 22 + 23) = ,
:
25. Loan Payments (Non-Exempt) oa I
(line 7) \ '\ DCO . : I
26. Loan Payments (Exempt) ..,' I
+ 0
(line 18) i
27. Forgiven Loans + () : i
(Total loans forgiven during this accounting period) , '
28. LOAN PAYMENT SUBTOTAL f 1000. DO I
(lines 25 + 26 +27) =
29. TOTAL OUTSTANDING LOANS 0 ~ ;
= ,
(line 24 minus line 28) I
. .
PERSONAL EXPENDITURE SUMMARY :
30. Beginning Outstanding Personal Expenditures '~lrrf7 , ,
(line 36 of previous report)
31. Personal Expenditures j i'
(Accounting Period Total from PC 3Al + b I
32. PERSONAL EXPENDITURE SUBTOTAL 12_'l7 ,
(I incs 30 + 31) = I.
I I
33. Personal Expenditure Reimbursements i2 q '1~ II
(Total expenditures on PC 3 with purpose code R) :
I.
34. Forgiven Personal Expenditurcs I
+ 0 I
(Total personal expenditures forgiven this acclg. period)
35. REIMBURSEMENT SUBTOTAL \L. 'l"1 i
= .. .
(lines 33 + 34) I
36. OUTSTANDING JPERSONAL l~ . '(\1 it .
EXPENDITURES = I. I,
I
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
37. Ending Cash Balance \ ~ . r-rr-r
(line 20)
38. Accounts Reccivable I
(Accounting Period Total from PC 5) + a
39. SUBTOTAL l2, try i
= ' .
(lines 37 + 38) I :
40. Total Outstanding Loans 0 I
(line 29) I
41. Outstanding Personal Expenditures ,
+ \'2. 1c !
(line 36)
42. Accounts Payable + 0
(Accounting Period Total from PC 6) I
; i
43. SUBTOTAL tj" ,r"J' i ~ i
= 'l-A
(lines 40 + 41 + 42) ; I
44. BALANCE/DEFICIT = '0 ; !
(line 39 minus line 43: indicate + or - balance) I :
I, ~"\D ~:)L\"~ (name of candidate or treasurer), hereby certify that the above
stat~nd ~e attached supp~rting reports are true and correct. \\L~ I D4
_V~~~
Signature of candidate or treasurer Date slgncd
'.
"n~-C:~~'i~'.. . ...I."'...---.,--l__"""""'-",..........___................W.......~.;,;.... .:.\.......~.~.;:.;.AA~~~'.1:J~~~~~lBi2~{'ii~~illiii.tiiA11~;f~~~~ill1fl1ilj~~~_~JD~~ii[bi:::=.
I'C2
Cash Contributions, Loans Received and In-Kind Rev. 12103
Candidate or Political Committee Name: C~TY (u)I\l(1 \- Committee 10 Number:
\~N~TY -- Page L of --1-
_0J\CK .f--6R
Election: CI Primary 20_ o General 20_ o Other
Report: CII st Pre-election o 2nd Pre-election ~Post-election 020 September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type CODE 2: Contribution Type
B Business Entity CA Cash
C Politiical 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
0. Amount of
Line # Name and Address of Contributor In-Kind Purpose
Contribution (see manual for suggested purpose codes)
Date Received Occupational Information or Contributor Code 1 I Code 2
Contributing Committee's ID# Aggregate
0.
1. $
\
$ I
2. $
$ '. I 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 L)
on Back and Cash (CA) $ 0 Cash (CA) $ D
in Campaign
Finance D Enter on Summary Statement, Column A, Line I
Manual In-Kind (IK) $ In-Kind (IK) $ 0
Enter 011 Summary Statement, Column A, Lines 4 and 9
PC2 Loans Received (LR) $ 0 Loans Received (LR) $ ()
Enter on Summary Statement, Column A, Line 2
I'C 3
Cash Expenditures and Loan Payments Rcv. 12/03
Candidate or p~~mmittee Name: G'TY UuiGl\- Commiuee ID Number: Page -L of ?-
:3 k-\C. ~ Y toR.
. o Other
Election: o Primary 20_ o General 20_
Report: o 1 st Pre-election o 2nd Pre-eleetion ~ Post-election o 20_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitions) EXl)ENDITURE TYl)ES
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 Reimbursemcnt for Personal Expenditures
F Fund~aising Event E:llpenses 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 Servic<:s y Petition Circulators
N Newspaper and Oth<:r 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
1. leftY tA \~14 ~~ ~~~Ty R Lf $ \ ,OCJ::), <!2 0
lDjI~b4 ~PCt. ~DE5\'f \ ~ :1 '1 ' '
2. l7 .... R Lr $ 0
~-IJ
3. tD )o..jA l,2.b MA.\\- T\2-\3\JNc N CA $S5~.~ 0
4. 10/1-0 / tit. ~l21 -m~ M~~ ~o0~CE 0 cA $ ,4, '=D 0
5. \O/ZVt4 \2~ -m~ Mi\t~ ~RC~ 0 LA $ 4,bCl 0
\6/2O!cit l2.Cf . fD0TN\~R P ~ 2-3.00 I
6. $ 0
7. tc(1-?fC4 \30 f\9.H~Wt> ~Wj\~ #0 cA $ 4A21 0
\c:(Z:?/04 \~~ ~,^L-~N\) L0~< ~O CA l'[pC\'=> ,
8. $ ,0
9. 11>/2iA \?2 L \T~(t\ ~ltNAA'f L CA $ ~3498 0
10. \\/2/04. \?~ f05\~~ r CA $ 22.20 0
See Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
Instructions exp,cnditure type.) ~:j. 6~ transfer these amounts to the Summary Statement, PC 1.)
on Back and Cash (CA) $ Cash (CA) $
in Campaign
Finance $~ Entcr on Summary Statcmcnt. Column A. Line Cl
(}o
Manual Loan Payment (LP) Loan Payment (LP) $
Enter on Summary Statement. Column A. Line 7
PC3
PC 3
Cash Expenditures and Loan Payments Rev. 12/03
J;;r~CyNa~ ~tbL Committee 10 Number:
GlY Page 2 of 2.
Election: o Primary 20_ o General 20_ o Other
Report: o I st Pre-election o 2nd Pre-election Er Post-election 020_ September Supplemental
PURPOSE CODES (see back of form for instructions and code definitio~s) . . EXPENDITURE TY()ES
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 Expcnditurcs
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50)
I I nterest 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 Advcltising
Payee's Name and Payee's Committee 10#, Exp. Amount of ~
Une# Date Ci~eck # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) to AlP
1. \ VO-/rx r:~ MP\\\-lRleu~ N cA $ .t~~~ 24 '0
2. \\/20..J4 1'35 T\A€- J c\NEl~Y SrOD\O F r' $ ~fCl) 0
3. \'I~/D4 \% Pl=-AC~ ~~ M cA $ C:;() ,eu, 0
"'
4. $ 0
5. $ 0
6. $ 0
0
7. $ J 0
I
8. $ 0
\
9. $ 0
10. $ 0
See Page Totals (Add all expenditures with the same Accounting l)criod Totals (Complete only for last page and
Instructions expenditure type.) transfer. these alTIOunts to the Summary Statement, PC 1.)
on Back and 2~9. W R 97. I '1~ \
in Campaign Cash (CA) $ Cash (CA) $
Entcr on Summary Statcmcnt, Column A, Line 6
Finance 0 \ "<1'2... r]1
Manual Loan Payment (LP) $ Loan Payment (LP) $
Entcr o~ Summary Statement, Column A, Line 7
PC3
'IT.)~~ ~;,.l~ ,....." i,j..~..'!;:\'If'~;~l.I~~~~4.ytln.~~~,,~~,.,i. : >r....;,;il~.<i-, ,'1.:'.' ~ ~";'l: ~,j:--i.;.:~"J<"J~':,~ :',,:': ~'-~.li'l.t'~.;'~"kilMli~,;;"''; (~'~"'-~;"I'~l~.,~;~,:~"'J~
.. ~~- ~-..IJ~It.'l\~""";';.b~,tWirirll'~"''''''''f'~~ 1",~IIII\~i\t.tlil'.f';:,I,"-.l.II-.LI': '.;~ ...\4l;~;~l"",i,~\.tr_,,:' ~-\ ..,-~jol"~~~.....~.IN,~'. 'to,'" "';'of\:~~
r-~-:"
Summary Statement of Contributions and Expenditures
PC I
Rev. 12/03
Page I of2
Treasurer's Name:]) a.\I\Q
Committee ID Number:
OlWe\
Tdephone Number (day):
Committee Type, Measure Number or Office:
~ Original
D Ame~dment
D Primary 20_
I st Pre-election
~ General 2~
D 2nd Pre-election
D Other
D Post-election
D 20_ September Supplemental
B-CUMULA TIVE TOTALS
FOR THIS ELECTION
A-TOT ALS FOR THIS
ACCOUNTING PERIOD
CONTRIBUTIONS
1. Cash Contributions
(Accounting Period Total from PC 2)
2. Loans Received (Non-Exempt)
(Accounting Period Total from PC 2)
3. Total Cash Contributions
(lines 1+ 2)
4. In-Kind +
(Accounting Period Total from PC 2)
5. TOTAL CONTRIBUTIONS =
(lines 3 + 4)
EXPENDITURES
~
Db V +
.4D
4D
I
=
+
6. Cash Expenditures
(Accounting Period Total from PC 3)
7. Loan Payments (Non-Exempt)
(Accounting Period Total from PC 3)
8. Total Cash Expenditures
(lines 6 + 7)
9. In-Kind
(Accounting Period Total from PC 2)
1 O. TOTAL EXPENDITURES
(lines 8 + 9)
v
+
cr(
1l
=
+
+
CASH BALANCE
11. Beginning Cash Balance
(line 20 of previous report)
12. Total Contributions
(line 5)
13. Other Receipts
(Accounting Period Total from PC 4A)
14. Loans Received (Exempt)
(Accounting Period Total from PC 4A)
15. CONTRIBUTION SUBTOTAL
(lines II + 12 + 13 + 14)
16. Total Expenditures
(line 10)
17. Other Disbursements
(Accounting Period Total from PC 4B)
18. Loan Payments (Exempt)
(Accounting Period Total from PC 4B)
19. EXgENDITURE SUBTOTAL
(lines 16 + 17 + 18)
20. ENDING CASH BALANCE
(line 15 minus line 19)
~ 1 b cr.
$
=:f
'l~ Cf. rr
=
o
1- q3b,~
o
o
-- ,
+
+
=
1.
+
+
=
~"iIDfl\~;...-:..rJ<.~~,,(Itlft~~"'~.il;1l....,,~I.;-~,*~.:~~J~;'t>;I;, .-...'~ ~-'-"i':"'1~:"'_ ~" ',..t:;,;;,- ':..:,,'t"!,., .-.__,..j.~,~.~_t <I:......i.c.;,..;:..'\.',~I"'" b"'''h!',;'~'.M;...,q
,_''''~~,r..a''.~....,:_ ,;..,:,...- t'>ill!,W>N,......."..,.-'~...'"'.....~,...".,.'.. -,,'-"f .............',.."H' "-"'4' -. '~~-'''''/I''''''''~':'.'.I'' I 'lhl..U'." \..........
,,," "W"
Summary Statement of Contributions and Expenditures
PC I
Rev. 12/03
Page 2 of2
~
D Original
D Amendment
T ~C\l-
D Primary 20_ 'K1 General 2<<A-
~ 1 st Pre-election D 2nd Pre-election
LOAN SUMMARY
Committee ID Number:
D Other
D Post-election
D 20 September Supplemental
21. Beginning Outstanding Loans
(line 29 of previous report)
22. Loans Received (Non-Exempt)
(line 2)
23. Loans Received (Exempt)
(line 14)
24. LOANS RECEIVED SUBTOTAL
(lines 21 + 22 + 23)
25. Loan Payments (Non-Exempt)
(line 7)
26. Loan Payments (Exempt)
(line 18)
27. Forgiven Loans
(Total loans forgiven during this accounting period)
28. LOAN PAYMENT SUBTOTAL
(lines 25 + 26 +27)
29. TOTAL OUTSTANDING LOANS
(line 24 minus line 28)
<6
FOR OFFICE USE ONLY
+ I
oC)
+
=
+
+
=
= \ 0
PERSONAL EXPENDITURE SUMM RY
30. Beginning Outstanding Personal Expenditures
(line 36 of previous report)
31. Persgnal Expenditures
(Accounting Period Total from PC 3A)
32. PERSONAL EXPENDITURE SUBTOTAL
(lines 30 + 31)
33. Personal Expenditure Reimbursements
(Total expenditures on PC 3 with purpose code R)
34. Forgiven Personal Expenditures
+
(Total personal expenditures forgiven this acctg. period)
.. 35. REIMBURSEMENT SUBTOTAL
(lines 33 + 34)
36. OUTSTANDING PERSONAL = l'i ~'1
EXPENDITURES "" "
FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD
3 7. Ending Cash Balance n b9
(line 20) ~ &\
38. Accounts Receivable
(Accounting Period Total from PC 5)
39. SUBTOTAL
(lines 37 + 38)
40. Total Outstanding Loans
(line 29)
41. Outstanding Personal Expenditures '
(line 36)
42. Accounts Payable
(Accounting Period Total from PC 6)
43. SUBTOTAL
(lines 40 + 41 + 42)
44. BALANCE/DEFICIT
(line 39 minus line 43: indicate + or - balance)
DO
,
o
+ \l~. ~'l
17
=
=
v
+
=
+
+
=
, I
=
1, ~\J iD <<:) L I ~ (name of candidate or treasurer), hereby certifY that the above
tement and the attached supporting reports are true and correct.
q,/2l~
Date signed
PC3A
Personal Expenditures for Reimbursement Rev. 12/03
Candidate or Political Committee Name: Committee lD Number: [ L
SACk t\~lY FW- (\ TY CD~JL Page Of~
Election: o Primary 20_ :ro General 2~ o Other
Report: ~ I st Pre-election o 2nd Pre-election o Post-election o 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 (dc:scribe 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 PUlpose Amount of
Expenditure
1. 00(2/C4 'A t Skeet ~~'I 9 $ to, 77
2. Q/t/C4 ~\ ~(lX' t G $ '2 , co
"
3. $
4. $
5. $
6. $
7. $
8. ITl~ ~~D~~rr=\\ $
~<. ~ EP ? -
9. - I $
L LJ)
10. $
See Page Total $ t ~, r"{V"J Accounting Period Total (Complete only for last page and
Instructions transfer this amount to the Summary Statement, PC :J;
on Back and Personal Expenditures Ilv .1 q
in Campaign Personal Expenditures $ ,
Finance Enter on Summary Statement, Line 3\
Manual
PC3A
"'~.='.41";- ~., ,,:.. ,:...; "-'J'~_",( ,"'''''V:,j; ~.:-', :.';".,.;',,~f-::;Y: J
Cash Contributions, Loans Received and In-Kind
PC2
Rev. 12103
Candidate or Political Committee Name:
~.~QDe3\ ~.GT
Election:
Report:
D. Primary 20_
I st Pre-election
~C\L
~ General 20~
D 2nd Pre-election
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type
B Busines.s Entity
C Political Committee (includes business
F Candidate's Immediate Family (include
I Individual
L Labor Organization
o Other
P. Political Party Committee
Line #
Date Received
2.
'l/1-1/o4
3.
4.
See
Instructions
on Back and
in Campaign
Finance
Manual
PC2
Committee ID Number: ]
PageLof b
D Other
D Post-election
D 20__ September Supplemental
CODE 2: Contribution Type
~ rc= 0 'VI ~ Cash
_..:::1 ] 0 cosigne.r Obligation
date) In-Kind
S E~. 2 ~ Loan Received
Name and Address of Contributor
Occupational Information or
Contributing Committee's ID#
Page Totals (Add all amounts with the sam~
contribution type. Do not include aggre(!atr.s.)
$Jf\~\'1.2D\
D
Cash (CA)
In-Kind (IK)
$
Loans Received (LR) $ \ ) (XX). CfO
u
Contribution
Contributor
Aggregate
$lAl1.l)O
$
$ \) ()(X) .(J:J
$
$ Z~, 00
$,
$
~.~
$
$ \00.00
$
"
In-Kind Purpose
(see manual for suggested purpose codes)
Code ~,
Code 2
I
cA
r
LR
f
CA
I
cA
I
cA
Accounting Period Totals (Complete only for last page and
transfer these amounts to the Summary Statement,PC 1.)
Cash (CA)
In-Kind (IK)
$
Enter on Summary Statement, Column A, Line I
$
~nter on Summary Statement, Column A, Lines 4 and 9
Loans Received (LR) $
Enter on Summary Statement, Column A, Line 2
o
~'''~:..." I'"
" .'.;", ........
PC ~
Rev. 1210)
Cash Contributions, Loans Received and In-Kind
Committee ID Number: ] I') /1
Pagc~of~
Candidatc or Political Committcc Namc:
, R- G. t CCUJC\l-.
t&GeneraI20~
o 2nd Pre-election
o Othcr
. 0 Post-election
o Primary 20_
I st Pre-election
Election:
Rcport:
020__ September Supplemental
SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS
CODE 1: Contributor Type
B Busincss Entity
C Political Committee (includcs busincss and union P ACs)
F Candidatc's Immcdiatc Family (includcs candidatc)
I Individual
L Labor Organization
o Other
P Political Party Committcc
CODE 2: Contribution Type
CA Cash
CO Cosigncr Obligation
IK In-Kind
LR Loan Received
Amount of
Contribution
Contributor
Aggregate
In-Kind Purpose
(see manual for suggested purpose codes)
Code 1 I Code 2
Line #
Name and Address of Contributor
Date Received
C1\
l
$~'~
$
$ G9 ,bO
LA
I
$
$
3.
.;)
<:>
$
$
4.
$
$
5.
$
Accounting Period Totals (Complete only for last page and
transfer these amounts to the Summary Statement, PC 1.)
Cash (CA) . , 4D
Page Totals (Add all amounts with the same
contribution type. Do not include aggrcgates.)
$119 ,1..'0
o
D
See
Instructions
on Back and
in Campaign
Finance
Manual
Cash (CA)
In-Kind (IK) $
Enter on Summary Statement, Column A, Lines 4 and 9
Loans Received (LR) $ ~ ,00
Enter Summary Statement, Column A, Line 2
$
In-Kind (IK)
$
Loans Received (LR)
PC2
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('.f"'''-','
PC 3
Cash Expenditures land Loan Payments Rev. 12/0)
Candidate or Political Committee Name: CommiUce ION umber: page'~ of ?-
Jf\dC ~(i(2\)ES;\y Ta2- G --c y l0o~C\ L-
Election: o Primary 20_ '6& General 2~ D Other
Report: ~st Pre-election o 2nd Pre-elcction o post-election D 20_ S<:ptcmbcr Supplcmcntal
PURPOSE CODES (see back of form for instructions and code definitions) EXI)ENDITURE'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 Rcimbursement for Personal Expenditures
F Fundraising Event Expenses S Surveys and Polls
G General Operational Expenscs (describe if over $50) T Travel Expenses (describe if ovcr $50)
I Interest Payment U Utilities
L Literature, Brochures, Printing W Wages, Salaries, Bencfits
M Management Services y Petition Circulators
N Newspaper and Other Periodical Advertising Z Preparation and Production of Advertising
0 Payee's Name and Payee's Committee 10#, ~
Exp. Amount of
Une# Date Check # if applicable Purpose Type Expenditure Paid
(as it appears on invoice, receipt or check) ,toNP
1. o/f/t4 lC>6 L\6tt-nJl'~ ~f?Y S CA :$~4 CfJ D
2. q h \D+ (09 3~\i) CooV\~j c:6r~ 0 cA $lDO.oO D
3. '\1\~t4. \\D 9V\eak f('e\l te.W N d\ $\\B~lXJ D
4. q} VS/4 t\l ~'f\ ~<'U2- L cA $ 4.tO D
5. $ D
0 D
.6. $
7. $ D
, .
8. '. $ D
9. $ D
10. $ D
See Page Totals (Add all expenditures with thc same ACCoul~ting Period Totals (Complete only for last page and
Instructions expenditure type.) $ ?5J7 f DO transfer these amounts to the sununiry Statement, PC 1.)
on Back and Cash (CA) Cash (CA) $ '(69.,1"'; .
in Campaign Entcr on Sumnmry Statcment. Column A. Line (,
Finance 0 ()
Manual Loan Payment (LP) $ Loan Payment (LP) $
Entcr on Summary Statcmcnt. Column A. Line 7
PC3
-
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. ",' .' '~~",.'
. " ,"". . . '".',,' ';" ,'.> .' .
__~______---..._...._...,..._...'________--..;,~_ ..__..___.__~...__.............._.;......,',..~__...;..,_~."_~. ,_1.._
Cash Expenditures and Loan Payments
Candidate or Political Committee Name:
.sPa: t\0WC>f5\Y W (r~Y ~NO~
'gf General 2~
D 2nd Pre-election
Election:
Report:
D Primary 20_
Jia I st Pre-election
Commiucc 10 Number:
D Other
D Post-election
PURPOSE CODES (see back of form for instructions and code definitions)
A A~~ 0
B Broadcast Advertising (Radio, TV) P
C Ca~h Contributions R
F Fundraising Event Expcnscs S
G General Operational Expenscs (dcscribc if over $50) T
I Interest Payment U
L Literature, Brochures, Printing W
M Managemcnt Services. Y
N Newspaper and Other Periodical Advertising Z
Une#
Date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Check #
~b~
)() \
lOl
\() '2
. i.. '. ",! J ,. I.... . : t.. ~,,! l.;,.,.
Page L of 1-
l'e .'
Rev. 12/03
D 20_ September Supplemental
EXPENDITURE TYPES
Other Advertising (yard signs, buttons, ctc.) CA Cash
~~f,~~~rsemenl for Personal Expendi ~ ~I~~ 'ti'~I~ ='-u
Surveys and Polls U J[ -,
Tr~~~1 Expenscs (dcscribe ifovcr$~ n"< - f\1-'-I~ II
UtIlIties , I S E P 2 I ['_\.h
Wagcs, Salarics, Bcncfits U! I
Pctition Circulators .J l.........)
Preparation and Production of Adverti mg
Payee's Name and Payee's C~mmittee 10#,
if applicable
(as it appears on invoice, receipt or check)
'3te\~i':9 ~~\rqs ~~
~~ ty\p\- \1).y
L\~~-htl~ Cbrv
~ \ k10-x-t
lbvm;w(j CQ(i
B-e.emy SW\\-e$
Jcuh~Y\ CcuV\.-ty
~~\
~J fJ\iJ\~~
g;~~+
Purpose
I I
~.
. - -.
o
L
o
L
6
S
P
~
L
Exp.
Type
""
CA
~
CA
Amount of
Expenditure
$ll,OO
$~.CO
$ 8~ 2()
$ 4 ,1S
$20, fd::>
CA
C/\
CA $lq,qq
CA $?2 .O~
~ 1$\4.80
cA $ e604c
CA $2~.~
~
Paid
toNP
D
D
D
D
D
D
D
D
D
D
See
Instructions
on Back and
in Campaign
Fincytce
Manual
Page Totals (Add all expenditures with the same Accounting Period Totals (Complete only for last page and
expenditure type.) transfer these amounts to the Summary Statement, PC 1.)
$4b2.11
$6
8/4 /04
B/2/c4
B/t/cxt ID2
efqj C4
8/\ ~fl::4.
8(2-6/01 ID3
~bnl~ 1 c4
~!4 Ith
e/?fJ!4 lDb
qf>/C4 107
PC3
Cash (CA)
Loan Payment (LP)
Cash (CA)
Loan Payment (LP)
$
Enlcr on SUlllmary Statcmcnt. Column A. Linc 6
$
Entcr on Summary Statcment, Column A, Linc 7
CITY OF
ASHLAND
;, (-), .('
'-.,.. ' ,
\
,(. \
( \, /t,--_
December 10,2004
Jack Hardesty
575 Dogwood Way
Ashland, OR 97520
Dear Jack:
Congratulations on your new position as City Councilor. I look forward to working with you.
City Council meetings are held on the first and third Tuesdays of the month at 7:00 p.m. in Council Chambers.
Study sessions are typically held on a Wednesday at noon following a Tuesday council meeting, but these vary
and can be scheduled at other times. Sandwiches are provided at study sessions that fall during lunchtime or at
6:00 p.m. (before a regularly scheduled council meeting). Please let me know at your convenience if you have
any special dietary needs (e.g. vegetarian). I have enclosed a copy of the "Lookahead" which is updated on a
regular basis and indicates upcoming actions and scheduled study sessions.
On Fridays before council meetings, I will hand-deliver to your home a council packet. Along with your council
packet, you may find other pieces of correspondence addressed to you that arrived during the week. If there is
anything of an urgent nature, I will try and let you know in advance of your packet arriving.
Enclosed is a calendar of council/commission meetings that is p~epared on a monthly basis. You will note the
City Administrator meets (in his office at City Hall) with two council members and the mayor on a rotational
basis. In the past these have been scheduled for Mondays at 4:00 p.m., but that may change in the New Year.
"Town Hall" is a monthly live call-in show hosted by Tim Bewley and held on the first Wednesday of the month
at 6 p.m. The Mayor and City Administrator appear as regular monthly guests, and city councilors take it in turns
each month. I will be in contact with you in the New Year with a new schedule and to check your availability.
I have also enclosed the following: Goals for 2004-2005; Adopted Budget and the Budget in Brief; a list of City
staff and their phone numbers; and a list of current city commissions, when they meet and where. The Mayor will
appoint new liaisons to the commissions at the first meeting in January so this part will change.
As a city councilor you will automatically become part of the Citizens' Budget COITlmittee. Committee meetings
usually take place during the spring. The Finance Department will advise you of any upcoming meetings.
*\ . City Recorder, Barbara Christensen, will advise you on your Oath of Office to take place at the January 4, 2005
. /\) council meeting, and will be in touch with you to provide further information and assistance in your transition to
./ your new council position. If you have any questions you can reach Barbara at 488-5307.
ADMINISTRA nON
20 East Main Street
Ashland, Oregon 97520
WWN.ashland.or.us
Tel: 541-488-6002
Fax: 541-488-5311
TTY: 800-735-2900
.-a~
..11
PRINTED ON RECYCLED PAPER
Jack Hardesty
December 10,2004
Page 2.
Lastly, it would be appreciated if you could provide me with your bio and a photograph at your convenience so I
may update the city council web site. If you do not have a photograph please let me lmow and we can ~rrange for
one.
Please call me at 488-6002 anytime you need assistance, my direct number at 552-2100 (also my voicemail), or e-
mail to berteauf@ashland.or.us.
Fra Berteau
Executive Secretary
Enc:
ADMINISTRATION
20 East Main Street
Ashland, Oregon 97520
www.ashland.or.us
Tel: 541-488-6002
Fax: 541-488-5311
TTY: 800-735-2900