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HomeMy WebLinkAboutRogue Valley Assoc. of Realtors Summary Statement of Contributions and Expenditul~ PC 1 Rev, 12/01 I~~ Please type or print legibly in black ink. <a.6... Candidate or Political Committee Name (use full name): -) -- Rogue Valley Association of REAL TORS Political Action Committee Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): .629 Franquette Street, Medford, OR 97501-7831 Treasurer's Name: I Telephone Number (day): Gary Stine 541-779-9421 Committee ID Number: I Committee Type, Measure Number or Office: Miscellaneous [8] Original D Primary 20_ [8] General 2004 D Other ~ D Amendment D 1 st Pre-election D 2J?d Pre-election [8] Post-election D September Supplemental A-TOTALS FOR THIS B-CUMULA TIVE TOTALS ACCOUNTING PERIOD FOR TIllS ELECTION CONTRIBUTIONS 1. Cash Contributions 4970.00 30H95.50 (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 = 4970.00 = 30H95.50 (lines 1 + 2) 4. In-Kind + 59.54 + ~~77.76 (Accounting Period Total from PC 2) 5. TOTAL CONTRIBUTIONS = 5029.54 = 31273.26 (lines 3 + 4) EXPENDITURES 6. Cash Expenditures 445.64 30499.14 (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 = 445.64 = 30499.14 (lines 6 + 7) 9. In-Kind + 59.54 + 'L.?7.76 (Accounting Period Total from PC 2) 10. TOTAL EXPENDITURES = 505.18 = 30776.90 (lines 8 + 9) CASH BALANCE 11. Beginning Cash Balance 5758.59 FOR OFFICE USE ONL Y (Ending Cash Balance from previous report) 12. Total Contributions + 5029.54 (line 5) ~ 13. Other Receipts + 251.71 - (Accounting Period Total from PC 4A) 14. Loans Received (Exempt) + 0.00 (Accounting Period Total from PC 4A) 15. CONTRIBUTION SUBTOTAL = 11039.84 (lines II + 12+ 13 + 14) 16. Total Expenditures 505.18 (line 10) 17. Other Disbursements + 0.00 (Accounting Period Total from PC 4B) 18. Loan Payments (Exempt) + 0.00 (Accounting Period Total from PC 4B) 19. EXPENDITURE SUBTOTAL = 505.18 (lines 16 + 17 + 18) 20. ENDING CASH BALANCE = 10534.66 (line 15 minus line 19) Summary Statement of Contributions and Expenditures PC 1 Rev. 12/01 Please type or print legibly in black ink. Page 2 of2 Candidate or Political Committee Name: I Committee ID Number: Rogue Valley Association of REAL TORS Political Action Committee [g) Original D Primary 20_ ~ General 2004 D Other _ D Amendment D 1 st Pre-election o 2nd Pre-election [8] Post-election D September Supplemental LOAN SUMMARY FOR OFFICE USE ONL Y 21. Beginning Outstanding Loans (Total Outstanding Loans from 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. LOANPAYMENTSUBTOTAL = 0.00 (lines 25 + 26 +27) 29. TOTAL OUTSTANDING LOANS = 0.00 (line 24 minus line 28) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures 0.00 (line 36 of previous report) 31. Personal Expenditures + 0.00 (Accounting Period Total from PC 3A) 32. PERSONAL EXPENDITURE SUBTOTAL = 0.00 (lines 30 + 31) 33. Personal Expenditure Reimbursements 0.00 (Total expenditures on PC 3 with purpose code R) 34. Forgiven Personal Expenditures + 0.00 (Total personal expenditures forgiven this acctg. period) 35. REIMBURSEMENT SUBTOTAL = 0.00 (lines 33 + 34) 36. OUTSTANDING PERSONAL EXPENDITURES = 0.00 (line 32 minus line 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance 10534.66 (line 20) 38. Accounts Receivable + 0.00 (Accountin2 Period Total from PC 5) 39. SUBTOTAL = 10534.66 (lines 37 + 38) ~ 40. Total Outstanding Loans - (line 29) 0.00 41. Outstanding Personal Expenditures + 0.00 (line 36) 42. Accounts Payable + 2671.50 (Accounting Period Total from PC 6) 43. SUBTOTAL = . 2671.50 (lines 40 + 41 + 42) 44. BALANCE/DEFICIT = 7863.16 (line 39 minus line 43: indicate + or - balance) I, Gary Stine (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are nu~~ \\~~~\ "\ . ~ Signature of candid/te or treasurer Date signed , PC2 Cash Contributions, Loans Received and In-Kind Rev, 12101 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of 14 Election: D Primary 20_ 12] General 2004 D Other_ Report: D 1st Pre-election D 2nd Pre-election 12] Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contributio,n Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kilild Purpose Contribution (see manual for su:ggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's lOR, or Description if Code 1 is "0" Aggregate Oregon REAL TORS Political Action Committee 1. PO Box 351 $ 360,00 Salem, OR 97308 10/18/04 10 #000191 $ 825.50 C I CA Oregon REAL TORS Political Action Committee 2. PO Box 351 $ 60.00 Salem, OR 97308 10/21/04 10 #000191 $ 885.50 C I CA Home Lenders Mortgage 3. 835 E. Main Street Ste C $ 50.00 Medford, OR 97504 10/21/04 Mortgage Firm $ 80.00 B I CA Duncan Development, LLC 4. PO Box 5656 $ 30.00 Central Point, OR 97502 10/21/04 Real Estate Firm $ 60.00 B '"- CA Krista Berry-Bolf 5. 2508 Juanipero Way $ 100,00 Medford, OR 97504 10/22/04 REAL TOR $ 100.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 600.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Colmnn A, Line I Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Swnmary Statem~ Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 pr. 7. Enter on Summary StateIIl<~t, Colmnn A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev, 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page ~ of 14 Election: o Primary 20_ ~ General 2004 o Other Report: o 1st Pre-election o 2nd Pre-election ~ Post -election o 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Desaiption if Code 1 is "0" Aggregate Debbie Crouse 1. 290 Sparrow Way $ 100.00 Medford, OR 97501 10/22/04 REALTOR $ 100.00 I 1 CA Ramsay Realty 2. 7604 Hwy 238 $ 60.00 Jacksonville, OR 97530 10/22/04 Real Estate Firm $ 60.00 B r CA James Chambers 3. 1517 Pebble Beach Ct $ 30.00 Medford, OR 97504 10/22/04 REALTOR $ 60.00 I r CA Dayspring Real Estate Corporation 4. PO Box 309 $ 30.00 Medford, OR 97501 10/22/04 Real Estate Firm $ 60.00 B I '. CA David Myers 5. 3089 Madrona Lane $ 30.00 Medford, OR 97501 10/23/04 REALTOR $ 60.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC I.) on Back and Cash (CA) $ 250.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statem.ent, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12101 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page ~ of14 Election: D Primary 20_ ~ General 2004 D Other _ Report: D 1st Pre-election D 2nd Pre-election ~ Post-election o September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODe 1: Contributor Type CODE 2: Contributi(tn Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Description if Code 1 ;s "0" Aggregate Oregon Opportunities 1. 4024 Crater Lake Ave Ste 101 $ 90.00 Medford, OR 97504 10/25/04 Real Estate Firm $ 220.00 B CA Kyle Ahrberg 2. 2529 Heritage Way $ 30,00 Medford, OR 97504 10/25/04 REALTOR $ 130.00 I CA Ron Galbreath 3. 406 S. Riverside $ 30.00 Medford, OR 97501 10/25/04 REALTOR $ 60.00 I CA Karen McLaughlin 4. 2979 Old Stage Road $ 30.00 Central Point, OR 97502 10/25/04 REALTOR $ 60.00 I . CA - Ken Reeder 5. 3216 Sycamore Way $ 50.00 Medford, OR 97504 10/25/04 REALTOR $ 80,00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 230.00 Cash (CA) $0.00 in Campaign Enter on Summ8l)' Statement, Column A, Line I Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on SWIlIlIaIy Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 Pr7. Enter on Summ8l)' Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of 14 Election: D Primary 20_ ~ General 2004 D Other_ Report: D 1st Pre-election D 2nd Pre-election ~ Post -election D 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for su~ggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Evergreen Realty 1. 485 E. Main Street #5 $ 50.00 Ashland, OR 97520 1 0/25/04 Real Estate Firm $ 80.00 B I CA Jerry Scheffler 2. 1360 Lexington Dr. $ 30.00 Eagle Point, OR 97524 10/25/04 REALTOR $ 60.00 I I CA Mary Toney 3. 891 Sunrise Ave. $ 30.00 Medford, OR 97504 10/25/04 REALTOR $ 60.00 I I CA Boyd Westeren 4. 534 Barnes Ave. $ 30.00 Medford, OR 97504 10/25/04 REALTOR $ 60.00 I I ~- CA Courtesy Commercial Property & Develpmnt, Inc 5, 3103 Biddle Road $ 60.00 Medford, OR 97504 10/26/04 Real Estate Firm $ 60.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC I.) on Back and Cash (CA) $ 200.00 Cash (CA) $0.00 in Campaign Enter on Summary Statement, Column A, Line I Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Cohnnn A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 I PC? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12101 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page ~ of 14 Election: D Primary 20_ ~ General 2004 D Other_ Report: D 1st Pre-election D 2nd Pre-election ~ Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contributi()fn Type B Business Entity CA Cash C Political Committee (includes business and union P ACs) CO Cosigner Obligation F Candidate's Ilnmediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for sug~ ested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's 10#, or Desaiption if Code 1 is "0" Aggregate Jack Eckhardt 1. 701 B Street $ 30.00 Phoenix, OR 97535 10/26/04 REAL TOR $ 65.00 I CA Harold Lee 2. 258 Orange $ 30,00 Ashland, OR 97520 10/26/04 REALTOR $ 60.00 I CA Brunner and White REALTORS 3. 77 N, Main Street $ 60.00 Ashland, OR 97520 10/27/04 Real Estate Firm $ 120.00 B CA RW Cox & Associates, LLC 4. 502 W. Main Steet Ste 101 $ 50.00 Medford, OR 97501 10/27/04 Mortgage Firm $ 80.00 B 1"- CA John L Scott RE Southern & Central Oregon 5, 406 S. Riverside $ 90,00 Medford, OR 97501 10/27/04 Real Estate Firm $ 300.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 260.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. ]2/0] Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page Q. of 14 Election: D Primary 20_ ~ General 2004 D Other_ Report: D 1st Pre-election D 2nd Pre-election ~ Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contributi(m Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is ''0. Aggregate RF Vaughn Realty, Inc. 1. PO Box 134 $ 30.00 Shady Cove, OR 97539 10/27/04 Real Estate Firm $ 60.00 B I CA Rick Harris 2. 320 E. Main Street Ste 100 $ 50.00 Ashland, OR 97520 10/28/04 REALTOR $ 5100.00 I I CA Sandy DeSimone 3. 7604 Hwy 238 $ 30.00 Jacksonville, OR 97530 10/29/04 REALTOR $ 60.00 I I CA Carol Stuart 4. 495 Bowmont Circle $ 30.00 Medford, OR 97504 10/29/04 REALTOR $ 60.00 I I ~- CA John L Scott RE Southern & Central Oregon 5, 406 S. Riverside $ 30.00 Medford, OR 97501 10/30/04 Real Estate Firm $ 330.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 170.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line I Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 Pr? Enter on Summary State:ment, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. ]2/0] Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page I of 14 Election: o Primary 20_ ~ General 2004 o Other _ Report: o 1 st Pre-election o 2nd Pre-election ~ Post -election o September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODe 1: Contributor Type CODe 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for SUl~gested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's ID#, or Description if Code 1 is "on Aggregate Shannon Mahar-Krug 1. 2642 Kerrisdale Ridge $ 30.00 Medford, OR 97504 10/30/04 REAL TOR $ 60.00 I I CA Leota Cantrall 2. 1111 Stevens Street #12 $ 50.00 Medford, OR 97504 10/31/04 REALTOR $ 80.00 I I CA Commercial Property Management 3. 718 Black Oak Dr. Ste A $ 120,00 Medford, OR 97504 10/31/04 Real Estate Firm $ 120.00 8 1 CA Rogue Valley Association of REALTORS 4. 629 Franquetle Street $ 59.54 Postage & Copies Medford. OR 97501 10/31/04 REAL TOR Association $ 277,76 8 1'- IK United Country Johnson & Associates 5. 800 N. Main Street $ 100.00 Ashland, OR 97520 11/01/04 Real Estate Firm $ 160.00 8 I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 300.00 Cash (CA) $0.00 in Campaign Enter on SUIIUll8l}' Statement, Column A, Line ] Finance In-Kind (IK) $ 59.54 In-Kind (IK) $0.00 Manual Enter on SUIIUll8l}' Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $0.00 Pr? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page ~ of14 Election: D Primary 20_ ~ General 2004 D Other_ Report: D 1st Pre-election D 2nd Pre-election ~ Post -election D Sepltember Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINmONS 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Landline Real Estate 1. 905 E. Jackson $ 60.00 Medford, OR 97504 11/01/04 Real Estate Firm $ 120,00 B I CA John L Scott RE Southern & Central Oregon 2. 406 S. Riverside $ 30.00 Medford, OR 97501 11/01/04 Real Estate Firm $ 360.00 B I CA Ashland Mortgage, Inc. 3. 1109 Siskiyou Blvd Apt A $ 30.00 Ashland, OR 97520 11/01/04 Mortgage Firm $ 60.00 B I CA Donna Ehlers 4. 1020 Calloway Dr. $ 50.00 Medford, OR 97504 11/01/04 REALTOR $ 80.00 I 1'- CA Jerry Ehlers 5. 1020 Calloway Dr. $ 30.00 Medford, OR 97504 11/01/04 REALTOR $ 60.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 200.00 Cash (CA) $0.00 in Campaign Enter on Summary StaterJrlent, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 I Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC "- Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev, ]2/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page ~ of14 Election: D Primary 20_ ~ General 2004 D Other _ Report: D 1 st Pre-election D 2nd Pre-election [gI Post -election D Septe:mber 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for sugl1ested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Michael Meek 1. 329 Donna Way $ 50.00 Central Point, OR 97502 11/01/04 REALTOR $ 80.00 I I CA Deanna Dirks 2. 1416 Britt Dr. $ 80.00 Medford, OR 97501 11/02104 REALTOR $ 80.00 I I CA Thomas Malot 3. PO Box 3847 $ 100.00 Central Point, OR 97502 11/02104 REALTOR $ 100.00 I I CA Sandra Malot 4. PO Box 3847 $ 100.00 Central Point, OR 97502 11/02104 REALTOR $ 100.00 I I ~- CA S&J Martin Corporation 5. 1382 Dixie Lane $ 60.00 Medford, OR 97501 11/02104 Real Estate Firm $ 60.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 390.00 Cash (CA) $0.00 in Campaign Enter on Surmnary StaterDllIlt, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Surmnary Stateml:nt, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 pc; 7. Enter on Surmnary Stateml:nt, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev, 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 10 of 14 Election: D Primary 20_ ~ General 2004 D Other _ Report: o 1st Pre-election o 2nd Pre-election [8J Post -election o Septl~mber Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Enti~y CA Cash C Political Committee (includes business and union P ACs) CO Cosigner Oblligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Receivtxl L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kim' Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's ID#, or Description if Code 1 is "0. Aggregate Gayle Johnson 1. 8232 Atlantic Ave. $ 50.00 White City, OR 97503 11/02104 REALTOR $ 80.00 I I CA Larry Levens 2. 908 st. Andrews Way $ 30.00 Eagle Point, OR 97524 11/03/04 REALTOR $ 110.00 I I CA Cynthia Naumes 3. 406 S. Riverside $ 50.00 Medford, OR !~7501 11/03/04 REAL TOR $ 80.00 I I CA Lynn Powell 4. 2477 Old Greensprings Hwy $ 30.00 Ashland, OR ~~7520 11/03/04 REALTOR $ 60.00 I "- CA Barbara Traynor 5, PO Box 4399 $ 30.00 Medford, OR ~H501 11/03/04 REAL TOR $ 60,00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 190.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statem~ Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC: ? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/0l Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. JPage 11 of 14 Election: D Primary 20_ [8] General 2004 D Other _ Report: D 1st Pre-election D 2nd Pre-election [8] Post -election D September Supplemental SEE BACK FOR INSTRUC110NS 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Mark Gosnell 1, 1065 McDonough Rd $ 30.00 Gold Hill, OR 97525 11/04/04 REALTOR $ 60.00 I I CA Mitzi Gosnell 2. 1065 McDonough Rd $ 30.00 Gold Hill, OR 97525 11/04/04 REALTOR $ 60.00 I I CA Tiffany Malot 3. 624 Lynn Lane $ 30.00 Central Point, OR 97502 11/05/04 REALTOR $ 60.00 I I CA Robin Tankersley 4. 16060 Antioch Rd $ 50.00 White City, OR 97503 11/06/04 REALTOR $ 80.00 I "- CA Lithia Realty 5. 370 Lithia Way $ 90.00 Ashland, OR ~97520 11/08/04 Real Estate Firm $ 190.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 230.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Colwnn A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Colwnn A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Statement, Colwnn A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 12 of 14 Election: o Primary 20_ [8] General 2004 o Other _ Report: o 1 st Pre-election D 2nd Pre-election ~ Post -election o September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contributiolll Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for SU!7gested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "a" Aggregate Judith Foltz 1. 406 S. Riverside $ 50.00 Medford, OR 97501 11/08/04 REALTOR $ 80.00 I I CA Premium Properties Realty 2. 10 Crater Lake Ave. $ 30.00 Medford, OR 97504 11/09/04 Real Estate Firm $ 60.00 B I CA Richard Chezik 3. 1301 Highcrest Dr. $ 30.00 Medford, OR 97504 11/10/04 REALTOR $ 60.00 I I CA Robert Seldon 4. 2594 E. Barnett $ 30.00 Medford, OR 97504 11/10/04 REALTOR $ 60.00 I I ~- CA John L Scott RE Southern & Central Oregon 5. 406 S. Riverside $ 30.00 Medford, OR 97501 11/11/04 Real Estate Firm $ 390.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 170.00 Cash (CA) $0.00 in Campaign Enter on Smnmmy Statement, Column A, Line I Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 I Loans Receivc'd (LR) $ 0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Staten lent, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12101 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 13 of 14 Election: D Primary 20_ ~ General 2004 D Other _ Report: D 1st Pre-election D 2nd Pre-election ~ Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contributiolll 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 Une# Name and Address of Contributor Amount of In-KimJ Purpose Contribution (see manual for SU~1~ ested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's 10#, or Description if Code 1 is "0. Aggregate Barbara Baxter 1. 958 Mindy Sue $ 30.00 Medford. OR 97501 11/11/04 REAL TOR $ 60.00 I CA Gwen Bornhoft 2. 639 Golden Lane $ 30.00 Medford. OR 97504 11/12/04 REALTOR $ 130.00 I CA Dan Theilman 3. 310 N. Mountain $ 50.00 Ashland. OR 97520 11/14/04 REALTOR $ 100.00 I CA Marie Donovan 4. 110 Westwood St. $ 250.00 Ashland, OR 97520 11/15/04 REALTOR $ 250.00 I ~ CA - Curtis Riegel 5. 3432 Britt Ave. $ 50.00 Medford, OR 97501 11/15/04 REALTOR $ 80.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete OJnly 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) $ 410.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $ 0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC, Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev, 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 14 of14 Election: D Primary 20_ ~ General 2004 D Other_ Report: D 1st Pre-election D 2nd Pre-election ~ Post -election D Sept1ember 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for su~'gested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's ID#, or Description if Code 1 is "0" Aggregate Umpqua Bank 1. 4000 S. Pacific Hwy $ 30.00 Medford, OR 97501 11/17/04 Mortgage Department $ 60.00 B I CA Pulver & Leever Real Estate 2. 1060 Crater Lake Ave. Ste C $ 180.00 Medford, OR 97504 11/17/04 Real Estate Firm $ 380.00 B I CA Meredith Foxx 3. 1527 Pebble Beach Court $ 30.00 Medford, OR 97504 11/19/04 REALTOR $ 60.00 I I CA Miscellaneous Contributions $50.00 and under 4. $ 1130.00 10/18/04 thru $ I ~- CA 11/22/04 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) $ 1370.00 Cash (CA) $ 4970.00 in Campaign Enter on Summary Statement, Column A, Line ] Finance In-Kind (IK) $0.00 In-Kind (IK) $ 59.54 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Statement, Column A, Line 2 PC3 Cash Expenditures and Loan Payments Rev. ]2/0] Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of 1 Election: D Primary 20_ ~ General 2004 D Other Report: D 1st Pre-election D 2nd Pre-election [8] Post -election D September Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXP]~NDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) LP JLoan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls 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 Z Preparation and Production of Advertising Payee's Name and Payee's Committee /0#, ~ Une Date Check # if applicable Purpose Exp. Amount of Paid # (as it appears on invoice, receipt or check) Type Expenditure to AlP 1. 10/25/04 594 Oregon REAL TORS Political Action C CA $ 130,00 ~ Committee 10 #000191 2. 10/25/04 595 ORPAC 10 #000191 C CA $ 130.00 D 3. 10/31/04 Harland Checks G CA $ 23.14 D 4. 11/22/04 596 ORPAC 10 #000191 C CA $ 162.50 D 5. $ D 6. $ D 7. $ D 8. $ ,I 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 Cash (CA) $ 445.64 Cash (CA) $ 445.64 in Campaign Enter on Summary Statemmt, Co]umn A, Line 6 Finance Loan Payment (LP) $0.00 Loan Payment (LP) $0.00 Manual Enter on Summary Statelll(:nt, Column A, Line 7 Pr1 PC4A Other Receipts Rev, 12101 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of 1 Election: D Primary 20_ ~ General 2004 D Other _ Report: D 1 st Pre-election D 2nd Pre-election ~ Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Receipt Transaction Type Codes EL Exempt Loan Proceeds FM Items Sold at Fair Market Value IN InterestJInvestment Income OM Miscellaneous (provide a description) RF Refunds, Rebates and Returns Une Date Name other Receipt # Received (required for codes EL, OM and RF; Transaction Type Other Receipt Amount optional for codes FM and IN) Code 1. 10/29/04 Don Laws RF $ 250.00 2. 10/31/04 IN $ 1.71 3. $ 4. $ 5. $ 6. $ 7. $ 8. $ . - 9. $ 10. $ See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and Instructions Type Codes specified.) transfer these amounts to the Summary Statement, PC 1.) on Back and Codes FM, IN, OM, RF $ 251.71 Codes FM, IN, OM, RF $ 251.71 in Campaign Enter on Summary Statement, Column A, Line 13 Finance Code EL $0.00 Code EL $0.00 Manual Enter on SUDlII1aI)' Sul1ement, Column A, Line 14 PC4A PC6 Accounts Payable Rev, 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Valley Association of REAL TORS :Page 1 of 1 Election: D Primary 20_ t8] Genernl 2004 D Other_ Report: D 1st Pre-election D 2nd Pre-election ~ Post-election D September Supplemental PURPOSE CODES (see back for instructions and code definitions) A Agent N Newspaper and Other Periodical Advertising B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) C Cash Contributions P Postage F Fundraising Event Expenses S Surveys and Polls G Genernl Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production iOf Advertising Note: Accounts Payable must include all amounts not paid by the end of the accountinjl period. See back of Jiorm for instructions. Une Date Payee's Name Purpose Amount of # Account Payable 1. 11/21/04 Oregon REAL TORS Political Action Committee 10 #000191 C $ 2671.50 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 8. $. - 9. $ 10. $ See Page Total (Add all accounts payable on this Accounting Period Total (Complete only for last page and Instructions form. ) transfer these amounts to the SUIIlIllaIy Statement, PC 1.) on Batk and Accounts Payable $ 2671.50 Accounts Payable $ 2671.50 in Campaign Enter on Summary Statement, Column A, Line 42 Finance Manual 'Pet; Summary Statement of Contributions and Expendit PC 1 Rev. 12/01 Please type or print legibly in black ink. Candidate or Political Committee Name (use full name): Rogue Valley Association of REALTORS Political Action Committee Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): 629 Franquette Street, Medford, OR 97501-7831 Treasurer's Name: Ga Stine Committee ID Number: Telephone Number (day): 541-779-9421 [2] Original o Amendment Committee Type, Measure Number or Office: Miscellaneous o Primary 20_ [2] General 2004 o 1 st Pre-election r8J 2nd Pre-election o Other _ o Post-election o September Supplemental B-CUMULA TIVE TOTALS FOR THIS ELECTION A-TOT ALS FOR THIS ACCOUNTING PERIOD 1 J.. CONTRIBUTIONS 320.00 26025.50 2. + 0.00 + 0.00 3. = 320.00 26025.50 4. Period Total from PC 2 5. TOTAL CONTRIBUTIONS lines 3 + 4 + 32.57 + 218.22 = 352.57 = 26243.72 8. + 5678.00 0.00 + 5678.00 = 32.57 + 5710.57 = 11014.54 352.57 102.05 0.00 11469.16 5710.57 0.00 0.00 5710.57 5758.59 30053.50 6. 7. 0.00 30053.50 9. Period Total from PC 2 1 O. TOTAL EXPENDITURES lines 8 + 9 CASH BALANCE 11. Beginning Cash Balance (Ending Cash Balance from revious reoort) 12. Total Contributions line 5 13. Other Receipts Accountin Period Total from PC 4A 14. Loans Received (Exempt) Accountin Period Total from PC 4A 15. CONTRIBUTION SUBTOTAL lines 11 + 12 + 13 + 14 16. Total Expenditures line 10 17. Other Disbursements (Accounting Period Total from PC 4B) 18. Loan Payments (Exempt) Accountin Period Total from PC 4B 19. EXPENDITURE SUBTOTAL lines 16 + 17 + 18 20. ENDING CASH BALANCE line 15 minus line 19 + 218.22 = 30271.72 + + + = + + Summary Statement of Contributions and Expenditures PC 1 Rev. 12/01 Please type or print legibly in black ink. Candidate or Political Committee Name: Rogue Valley Association of REALTORS Political Action Committee [gJ Original 0 Primary 20_ [gJ General 2004 0 Other_ o Amendment 0 1st Pre-election [gJ 2nd Pre-election 0 Post-election LOAN SUMMARY Page 2 of2 Committee ID Number: o Sept(~mber Supplemental 21. Begiooing Outstanding Loans (Total Outstanding Loans from 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) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (line 36 of previous report) 31. Personal 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 EXPENDITURES = (line 32 minus line 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance (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. BALANCEIDEFICIT (line 39 minus line 43: indicate + or - balance) FOR OFFICE USE ONLY 0.00 . + 0.00 + 0.00 . . . '. 0.00 + 0.00 . . . . . .. . . '. . . .' .' ',. .' . . ~- -. ... :. :"51 . ~~~': .c..c ~ ..... . .... . . :.' . ....... .... ... . . .' .: . '.' . . ..... . . . '. . . : '. . .' .... . . .'. . . .... '. . . '. . . .. .' . . '. . . . . . '.' ". .' . '.' . . . '. .. '. . . .:...... .' '. '. '.. . ":.' ..' '.' .'. : .... , . .... .... '. i" . .... . . '. I '''. '. .... '. . : .' . '. . .. . .... .... .... .'. '.' . . : . .... . .... . '. . I ..... .' . '. ',' I .... . , .... . '.' .'. . '. .' '. . . I 0.00 + 0.00 + 0.00 = 0.00 0.00 0.00 = 0.00 0.00 0.00 = 0.00 0.00 5758.59 + 0.00 5758.59 0.00 + 0.00 + 130.00 = 130.00 .:..... / = 5628.59 I, Gary Stine (name of candidate or treasurer), hereby certify that the above statement and the attached supporting reports are true:;::... ~..~ l~{~, \ O~f Signature of candidate or Jeasurer Date signed PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of 1 Election: o Primary 20_ ~ General 2004 o Other _ Report: o 1 st Pre-election ~ 2nd Pre-election o Post-election o Septt~mber 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 Receivt:d L Labor Organization 0 Other P Political Party Committee Line # Name and Address of Contributor Amount of In-Kiner Purpose Contribution (see manual for sU9gested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Richard Cronberg 1. 170 Keystone Court $ 100.00 Central' Point, OR 97502 09/20/04 REAL TOR $ 200.00 I I CA Pulver & Leever Real Estate 2. 1060 Crater Lake Ave. Ste C $ 200.00 Medford, OR 97504 09/24/04 Real Estate Firm $ 200.00 B I CA Rogue Valley Association of REAL TORS 3. 629 Franquette Street $ 32.57 Postage & Copies Medford, OR 97501-7831 09/30/04 REAL TOR Association $ 218.22 B I IK Miscellaneous Contributions $50.00 and under 4. $ 20.00 09/17/04 thru $ I CA 10/17/04 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) $ 320.00 Cash (CA) $ 320.00 in Campaign Enter on Sununary Statement, Column A, Line 1 Finance In-Kind (IK) $ 32.57 In-Kind (IK) $ 32.57 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 pe2 Enter on Summary Statement, Column A, Line 2 PC 3 Cash Expenditures and Loan Payments Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of 1 Election: o Primary 20_ ~ General 2004 o Other _ Report: o 1 st Pre-election ~ 2nd Pre-election o Post-election o Sept(~mber Supplemental PURPOSE CODES (see back of form for instructions and code definitions) EXPENDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls 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 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. 09/23/04 584 Oregon REAL TORS Political Action C CA $ 78.00 0 Committee ID #000191 2. 1 0/05/04 585 Mike Morris C CA $ 250.00 0 3. 10/05/04 586 Don Laws C CA $ 250.00 D 4. 1 0/05/04 587 Tom Giordano C CA $ 250.00 D 5. 10/05/04 588 Carol Fischer C CA $ 250.00 0 6. 10/05/04 589 Jim Lewis C CA $ 500.00 0 7. 10105/04 590 Michael T orguson C CA $ 100.00 0 8. 10/05/04 591 Dan Sauro C CA $ 500.00 0 9. 1 0/05/04 592 Bob Strosser For Mayor C CA $ 1000.00 0 10. 10/05/04 593 ORPAC 10 #000191 C CA $ 2500.00 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 1.) on Back and Cash (CA) $ 5678.00 Cash (CA) $ 5678.00 in Campaign Enter on SummaI)' Statement, Column A, Line 6 Finance Loan Payment (LP) $ 0.00 Loan Payment (LP) $ 0.00 Manual Enter on SummaI)' Statement, Colunm A, Line 7 PC 3 PC4A Other Receipts Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of1 Election: D Primary 20_ [gJ General 2004 D Other _ Report: D I st Pre-election [gJ 2nd Pre-election o Post-election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Receipt Transaction Type Codes EL Exempt Loan Proceeds FM Items Sold at Fair Market Value IN Interest/Investment Income OM Miscellaneous (provide a description) RF Refunds, Rebates and Returns Date Name Other Receipt Line # Received (required for codes EL, OM and RF; Transaction Type C~her Receipt Amount optional for codes FM and IN) Code 1. 09/27/04 Leon Sherman RF $ 100.00 2. 09/30/04 IN $ 2.05 3. $ 4. $ 5. $ 6. $ 7. $ 8. $ 9. $ 10. $ See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and Instructions Type Codes specified.) transfer these amounts to the Summary Statement, PC 1.) on Back and Codes FM, IN, OM, RF $ 102.05 Codes FM, IN, OM, RF $ 102.05 in Campaign Enter on SW1Ullary Statement, Colwnn A, Line 13 Finance $ 0.00 Code EL $ 0.00 Manual Code EL Enter on SW1UlIary Statement, Colwnn A, Line 14 PC4A PC 6 Accounts Payable Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Valley Association of REAL TORS Page 1 of1 Election: o Primary 20_ ~ General 2004 o Other _ Report: o 1 st Pre-election ~ 2nd Pre-election o Post-election o September Supplemental PURPOSE CODES (see back for instructions and code definitions) A Agent N Newspaper and Other Periodical Advertising B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) C Cash Contributions P Postage F Fundraising Event Expenses S Surveys and Polls G General Operational Expenses (describe if over $50) T Travel Expenses (describe if over $50) I Interest Payment U Utilities L Literature, Brochures, Printing W Wages, Salaries, Benefits M Management Services Z Preparation and Production of Advertising Note: Accounts Payable must include all amounts not paid by the end of the accounting l)eriod. See back offonn for instructions. Line # Date Payee's Name Purpose Amount of Account Payable 1. 09/24/04 Oregon REAL TORS Political Action Committee 10 #000191 C $ 130.00 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 8. $ 9. $ 10. $ See Page Total (Add all accounts payable on this Accounting Period Total (Complete only for last page and Instructions form. ) transfer these amounts to the Summary Statement, PC 1.) on Back and Accounts Payable $ 130.00 Accounts Payable $ 130.00 in Campaign Enter on Sununary Statem:nt, Column A. Line 42 Finance Manual PC6 PC 1 Summary Statement of Contributions and Expenditures Rev. 12/01 Please type or print legibly in black ink. Page 1 of 2 Candidate or Political Committee Name (use full name): Rogue Valley Association of REALTORS Political Action Committee Mailing Address as it Appears on Statement of Organization (street, route or box number, city, state, zip code): 629 Franquette Street, Medford, OR 97501-7831 Treasurer's Name: Ga Stine Committee ID Number: Telephone Number (day): 541-779-9421 . [8] Original D Amendment Committee Type, Measure Number or Office: Miscellaneous D Primary 20_ [8] General 2004 [8] 1 st Pre-election D 2nd Pre-election D Other _ D Post-election D Septt~mber Supplemental B-CUMULA TIVE TOTALS FOR THIS ELECTION 257'05.50 + 0.00 = 257'05.50 + 185.65 = 25891.15 24~175.50 + 0.00 = 24~~75.50 + '185.65 = 24!>61.15 1. A-TOTALS FOR THIS ACCOUNTING PERIOD 25705.50 2. + 0.00 3. = 25705.50 4. Period Total from PC 2 5. TOTAL CONTRIBUTIONS lines 3 + 4 + 185.65 = 25891.15 8. 24375.50 6. 7. + 0.00 = 24375.50 9. Period Total from PC 2 10. TOTAL EXPENDITURES lines 8 + 9 CASH BALANCE 11. Beginning Cash Balance Endin Cash Balance from 12. Total Contributions line 5 13. Other Receipts Accountin Period Total from PC 4A 14. Loans Received (Exempt) Accountin Period Total from PC 4A 15. CONTRIBUTION SUBTOTAL lines 11 + 12 + 13 + 14 16. Total Expenditures line 10 17. Other Disbursements (Accounting Period Total from PC 4B) 18. Loan Payments (Exempt) Accountin Period Total from PC 4B 19. EXPENDITURE SUBTOTAL lines 16 + 17 + 18 20. ENDING CASH BALANCE line 15 minus line 19 + 185.65 = 24561.15 + 0.00 9304.68 + 25891 .15 + 379.86 = 35575.69 24561.15 + 0.00 + 0.00 24561.15 = 11014.54 Summary Statement of Contributions and Expenditures PC 1 Rev, 12/01 Please type or print legibly in black ink. Candidate or Political Committee Name: Page 2 of2 Committee ID Number: Rogue Valley Association of REALTORS Political Action Committee [8] Original 0 Primary 20_ [8] General 2004 0 Other _ o Amendment I:8J 1st Pre-election 0 2nd Pre-election 0 Post-election o Septt~mber Supplemental ...... ......... LOAN SUMMARY 21. Beginning Outstanding Loans (Total Outstanding Loans from 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. LOANPAYMENTSUBTOTAL (lines 25 + 26 +27) 29. TOTAL OUTSTANDING LOANS (line 24 minus line 28) PERSONAL EXPENDITURE SUMMARY 30. Beginning Outstanding Personal Expenditures (line 36 of previous report) 31. Personal 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 EXPENDITURES (line 32 minus line 35) FINANCIAL STATUS AT CLOSE OF ACCOUNTING PERIOD 37. Ending Cash Balance (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) fOR OFFICE USE ONLY 0.00 + 0.00 . + 0.00 , = 0.00 + 0.00 .' '. .:. . ~.~ '~"j 'j"! . if I .' ..... .... ." . .... .... ". . ..'. :"'.'. . " ,.... ,..,. . '. :.. . '. ... I' '. .... .." .... ... .' . ..' '.' .':.. .' ..... ". . . '. . . .... . . . ". ..' I ..' . . .: '. . '. .... '. .... :'.. .' '. . ..:...... . ..... .'. !, " .~ . . : '. . '. .... ." . . . . . '. . . , . .', .... .....,. .... .,,: , . '. . .... '. .'. '. ;",' '.~\' ..' ..' ". " .. . '. ..' I..: ......... ...... . ' .. . .' .' . . '. , ',.' . .'. , . . '. "".' . . ..... '. : ~;.> '. . . . . '. " . '. '. . ". . .... .":' .' I . . ". ....::.. . ",' . . '.. .... '. I . ... .... . .' I.'. .' ." ." ...... . "" . '.' 0.00 + 0.00 + 0.00 = 0.00 = 0.00 0.00 + 0.00 = 0.00 0.00 0.00 = 0.00 = 0.00 11014.54 = 11014.54 0.00 . . + 0.00 + 0.00 . = 0.00 = 11014.54 I, Gary Stine (name of candidate or treasurer), hereby certifY that the above statement and the attached supporting reports are ~ "'\~~\~~~ Signature of carAiidate or treasurer Date signed ' PC2 Cash Contributions, Loans Received and In-Kind Rev. 12101 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of 14 Election: o Primary 20_ ~ General 2004 o Other _ Report: ~ 1st Pre-election o 2nd Pre-election o Post -election o Sep1tember Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINmONS 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 Une# Name and Address of Conbibutor Amount of In-Kind Purpose Conbibution (see manual for suggested purpose codes) Date Received Occupational Information, Conbibuting Conbibutor Code 1 I Code 2 Committee's 100, or Description if Code 1 is UO" Aggregate Larry Levens 1. 908 St. Andrews Way $ 30.00 Eagle Point, OR 97524 09/04/03 REALTOR $ 30,00 I I CA Follett & Associates, Inc. 2. 320 Hillhouse Ave. $ 25.00 Medford, OR 97504 09/09/03 Real Estate Firm $ 25.00 B I CA Don Doty 3. 2874 Creekside Cir. #312 $ 30.00 Medford, OR 97504 10/01/03 REALTOR $ 30.00 I I CA Bob Strasser 4. 3917 Bridgeport Dr. $ 30.00 Medford, OR 97504 10/26/03 REALTOR $ 30.00 I I CA Stacey Boals 5. 221 N. Central PMB 328 $ 50,00 Medford, OR 97501 10/28/03 REALTOR $ 50.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC I.) on Back and Cash (CA) $ 165.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 pc; ? Enter on Swnmary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 2. of 14 Election: D Primary 20_ ~ General 2004 D Other _ Report: ~ 1 st Pre-election D 2nd Pre-election D Post -election D 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for su:ggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 100, or Desaiption if Code 1 is "a" Aggregate Gateway Real Estate 1. 5 N. Main $ 60.00 Ashland, OR 97520 10/28/03 Real Estate Firm $ 60.00 B I CA Larry Levens 2. 908 st. Andrews Way $ 50.00 Eagle Point, OR 97524 10/28/03 REALTOR $ 80.00 I I CA Oregon Opportunities 3. 4024 Crater Lake Ave. #101 $ 130.00 Medford, OR 97504 10/29/03 Real Estate Firm $ 130.00 B I CA Richard Cronberg 4. 170 Keystone Ct. $ 100,00 Central Point, OR 97502 10/30/03 REALTOR $ 100.00 I I CA Follett & Associates, Inc. 5. 320 Hillhouse Ave. $ 50.00 Medford, OR 97504 10/31/03 Real Estate Firm $ 75.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 390.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Stakment, Cohunn A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Stau:ment, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 1>(;7. Enter on Summary Statt:ment, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page ~ of 14 Election: o Primary 20_ C8] General 2004 o Other _ Report: C8] 1st Pre-election o 2nd Pre-election o Post -election o 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for su~~~ested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's ID#, or Description if Code 1 is "0. Aggregate Gwen Bornhoft 1. 1133 Winchester St $ 25.00 Medford, OR 97501 11/03/03 REALTOR $ 25.00 I CA Rick Harris 2. 320 E. Main st $ 50.00 Ashland, OR 97520 11/03/03 REALTOR $ 50.00 I I CA Brunner & White REALTORS 3. 77 N. Main $ 60.00 Ashland, OR 97520 11/04/03 Real Estate Firm $ 60.00 B I CA United Country Johnson & Associates 4. 800 N. Main St. $ 60.00 Ashland, OR 97520 11/04/03 Real Estate Firm $ 60.00 B I CA Lallo Real Estate 5. 1092 Casino Rd. $ 30.00 Medford, OR 97501 11/05/03 Real Estate Firm $ 30.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 225.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $ 0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 I Pc. ? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page! of 14 Election: D Primary 20_ [8J General 2004 D Other _ Report: [8J 1st Pre-election D 2nd Pre-election D Post -election D Sep1tember Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's fOO, or Desaiption if Code 1 is "0" Aggregate Coldwell Banker Pro West Real Estate 1. 1150 Crater Lake Ave. #L $ 30.00 Medford, OR 97504 11/05/03 Real Estate Firm $ 30.00 B CA Landline Real Estate 2. 905 E. Jackson $ 60.00 Medford, OR 97504 11/05/03 Real Estate Firm $ 60.00 B I CA Tom Malot Real Estate, LLC 3. PO Box 3847 $ 60.00 Central Point, OR 97502 11/05/03 Real Estate Firm $ 60.00 B I CA James Scott 4. 3073 Eden Court $ 100.00 Medford, OR 97504 11/06/03 REALTOR $ 100.00 I I CA John L Scott Real Estate So. & Central Oregon 5. 406 S. Riverside $ 60.00 Medford, OR 97501 11/07/03 Real Estate Firm $ 60.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 310.00 Cash (CA) $0.00 in Campaign Enter on Summary Statement, Colwnn A, Line 1 . Finance In-Kind (IK) $ 0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statt:ment, Colwnn A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 pc? Enter on Summary Statmnent, Colwnn A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ill Nwnber: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page~ of14 Election: o Primary 20_ t8l General 2004 D Other_ Report: t8llst Pre-election D 2nd Pre-election D Post -election o Sepltember 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Conbibution (see manual for sUl~~ ested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate John L Scott Real Estate So. & Central Oregon 1. 406 S. Riverside $ 90.00 Medford, OR 97501 11/10/03 Real Estate Firm $ 150.00 B CA Kyle Ahrberg 2. 2529 Heritage $ 100.00 Medford, OR 97504 11/12/03 REALTOR $ 100.00 I I CA Tom Malot Real Estate, LLC 3. PO Box 3847 $ 120.00 Central Point, OR 97502 11/12/03 Real Estate Firm $ 180.00 B I CA Rogue Valley Realty Group 4. 1560 Biddle Road Ste E $ 120.00 Medford, OR 97504 11/12/03 Real Estate Firm $ 120.00 B I CA Coldwell Banker Pro West Real Estate 5. 1150 Crater Lake Ave. #L $ 30.00 Medford, OR 97504 11/13/03 Real Estate Firm $ 60.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC I.) on Back and Cash (CA) $ 460.00 Cash (CA) $0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 p~? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev, 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page Q of 14 Election: o Primary 20_ [8J General 2004 D Other_ Report: [8] 1st Pre-election D 2nd Pre-election D Post -election D Sepltember 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for SU:flgested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's ID#, or Description if Code 1 is "0" Aggregate John l Scott Real Estate So. & Central Oregon 1. 406 S. Riverside $ 30.00 Medford, OR 97501 11/14/03 Real Estate Firm $ 180.00 B I CA GJ Smith Realty 2. 205 Crater lake Ave. $ 60.00 Medford, OR 97504 11/17/03 Real Estate Firm $ 60.00 B I CA Action Realty 3. 1762 E. McAndrews Road $ 130.00 Medofrd, OR 97504 11/17/03 Real Estate Firm $ 130.00 B I CA Reed & Hamlin Real Estate, Inc. 4. 10 Crater lake Ave. $ 60.00 Medford, OR 97504 11/18/03 Real Estate Firm $ 60.00 B I CA Kennedy Realty Group, Inc. 5. 320 E. Main Street $ 60.00 Ashland, OR 97520 11/18/03 Real Estate Firm $ 60.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 340.00 Cash (CA) $ 0.00 in Campaign Enter on Swnmary Statement, Column A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00 Manual Enter on Swnmary Statement, Column A, Lines 4 and 9 I Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/0I Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page I of 14 Election: D Primary 20_ ~ General 2004 D Other _ Report: ~ 1st Pre-election D 2nd Pre-election D Post -election D 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) II( In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for sU~rJgested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 100, or Description if Code 1 is "0" Aggregate John L Scott Real Estate So. & Central Oregon 1. 406 S. Riverside $ 30.00 Medford, OR 97501 11/19/03 Real Estate Firm $ 210.00 8 I CA Patricia Sprague Real Estate, Inc. 2. 99 N. Main $ 60.00 Ashland, OR 97520 11/20/03 Real Estate Firm $ 60.00 8 I CA Century 21 Crater Realty 3. 767 S. Riverside $ 120.00 Medford, OR 97501 11/20/03 Real Estate Firm $ 120.00 8 I CA Van Horn Real Estate, Inc. 4. 3126 State Street Ste 100 $ 80.00 Medford, OR 97504 11/21/03 Real Estate Firm $ 80.00 B I CA Judy Davis 5. 3049 Sycamore Way $ 30.00 Medford, OR 97504 11/21/03 REAL TOR $ 30.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 320.00 Cash (CA) $0.00 in Campaign Enter on SmnmaI)' Statmnent, Column A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $0.00 Manual Enter on SmnmaI)' Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 pr. ? Enter on SummaI)' Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev, 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page!! of 14 Election: D Primary 20_ [8] General 2004 D Other _ Report: [8] 1st Pre-election D 2nd Pre-election D Post-election D Sep1tember 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) II( In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for su;ggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Lithia Realty 1. 370 Lithia Way $ 100.00 Ashland, OR 97520 12/03/03 Real Estate Firm $ 100.00 B I CA Oregon REAL TORS Political Action Committee 2. PO Box 351 $ 350.00 Salem, OR 97308 12/10/03 10 #000191 $ 350.00 C I CA Exit Realty Group 3. 3629 Aviation Way $ 90.00 Medford, OR 97504 12/16/03 Real Estate Firm $ 90.00 B I CA Allen, Mullarz, LLC 4. 375 Lithia Way $ 90.00 Ashland, OR 97520 12/17/03 Real Estate Firm $ 90.00 B I CA Don Rist 5. 260 Joy Dr. $ 200.00 Talent, OR 97540 12/23/03 REALTOR $ 200.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 830.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $ 0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 I Loans Received (LR) $ 0.00 PC ? I Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12101 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page!! of 14 Election: o Primary 20_ [8J General 2004 o Other _ Report: [8J 1st Pre-election o 2nd Pre-election o Post -election o 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Don Doty 1. 2874 Creekside Cir. #312 $ 30.00 Medford, OR 97504 01/01/04 REALTOR $ 60.00 I I CA Exit Realty Group 2. 3629 Aviation Way $ 30.00 Medford, OR 97504 01/02104 Real Estate Firm $ 120.00 B I CA Bernie Young 3. 3929 Monte Vista $ 970.00 Medford. OR 97504 01/13/04 REALTOR $ 970.00 I I CA Gwen Bornhoft 4. 1133 Winchester St. $ 75.00 Medford, OR 97501 01/16/04 REALTOR $ 100.00 I I CA Rick Harris 5. 320 E. Main St. $ 5000.00 Ashland, OR 97520 01/23/04 REALTOR $ 5050.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 6105.00 Cash (CA) $0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 J>(;?, Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 10 of14 Election: D Primary 20_ ~ General 2004 D Other _ Report: ~ 1st Pre-election D 2nd Pre-election D Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINmONS 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for sUl1gested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate John Zupan 1. 2850 Seckel Ct. $ 250.00 Medford, OR 97504 02117/04 REALTOR $ 250.00 I I CA Leo Zupan 2. 1115 Barrington Cir $ 1000.00 Ashland, OR 97520 02/17/04 REALTOR $ 1000.00 I I CA Barbara Pulver 3. 248 Kensington Square $ 100.00 Medford, OR 97504 03/08/04 REALTOR $ 100.00 I I CA Carlene Hester 4. 820 Pinecrest $ 250.00 Ashland, OR 97520 03/12/04 REAL TOR $ 250.00 I I CA Stacey Boals 5. 221 N. Central PMB 328 $ 500.00 Medford, OR 97501 03/13/04 REALTOR $ 550.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 2100.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line I Finance In-Kind (IK) $ 0.00 In-Kind (IK) $0.00 Manual Enter on SummllI)' Statement, Column A, Lines 4 and 9 I Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 Pl;? Enter on SummllI)' Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12101 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 11 of 14 Election: D Primary 20_ [8J General 2004 D Other _ Report: [8J 1st Pre-election D 2nd Pre-election D Post -election D Sepltember 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for sug~ ested purpose codes) Date Received Qccupationallnformation, Contributing Contributor Code 1 Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Barbara Biedak 1. 341 Ardmore Ave. $ 70.00 Medford, OR 97504 04/05/04 REALTOR $ 70.00 I CA Oregon REAL TORS Political Action Committee 2. PO Box 351 $ 28.00 Salem, OR 97308 04/07/04 10 #000191 $ 378.00 C I CA Bob Strosser 3. 3917 Bridgeport Dr. $ 220.00 Medford, OR 97504 04/07/04 REALTOR $ 250.00 I I CA Gloria Young 4. 3929 Monte Vista $ 100.00 Medford, OR 97504 04/09/04 REALTOR $ 100.00 I I CA lallo Real Estate 5. 1092 Casino Rd $ 75.00 Medford, OR 97501 04/09/04 Real Estate Firm $ 105.00 B I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete .only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 493.00 Cash (CA) $0.00 in Campaign Enter on Swnmary Stakment, Column A, Line 1 Finance In-Kind (IK) $ 0.00 In-Kind (IK) $0.00 Manual Enter on Summary Stat~:ment, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 12 of14 Election: D Primary 20_ ~ General 2004 D Other_ Report: ~ 1st Pre-election D 2nd Pre-election D Post -election D 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for su!~gested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Don Livingood 1. 609 E. Jackson $ 250.00 Medford, OR 97504 04/09/04 REAL TOR $ 250.00 I CA Bonnie Pickering 2. 2317 E. Main $ 100.00 Medford, OR 97504 04/09/04 REALTOR $ 100.00 I I CA RElMAX Ideal Properties 3. 3539 Heathrow Way #200 $ 775.00 Medford, OR 97504 04/14/04 Real Estate Firm $ 775.00 B I CA Carlene Hester 4. 820 Pinecrest $ 250.00 Ashland, OR 97520 05/07/04 REALTOR $ 500.00 I I CA Oregon REAL TORS Political Action Committee 5. PO Box 351 $ 87.50 Salem, OR 97308 05/14/04 10 #000191 $ 465.50 C I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the Summary Statement, PC 1.) on Back and Cash (CA) $ 1462.50 Cash (CA) $ 0.00 in Campaign Enter on Sununaxy Statl:ment, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK) $0.00 Manual Enter on Summaxy Statement, Column A, Lines 4 and 9 I Loans Received (LR) $ 0.00 I Loans Received (LR) $ 0.00 pc; 1. I Enter on Sununaxy Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12101 Candidate or Political Committee Name: I Committee ill Number: ~)age 13 of14 Rogue Vly Assoc. of REAL TORS Political Action Comm. Election: D Primary 20_ [8J General 2004 D Other_ Report: [8J 1st Pre-election D 2nd Pre-election D Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINmONS CODe 1: Contributor Type CODE 2: Contribution Type B Business Entity CA Cash C Political Committee (includes business and union PACs) CO Cosigner Obligation F Candidate's Immediate Family (includes candidate) IK In-Kind I Individual LR Loan Received L Labor Organization 0 Other P Political Party Committee Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suggested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Steve & Lori Hawkins 1. 809 Ridgeview Dr. $ 440.00 Medford, OR 97504 06/04/04 REALTORS $ 440.00 I I CA Karen Blair 2. 32 N. Orange $ 500.00 Medford, OR 97501 06/07/04 REALTOR $ 500.00 I I CA Judy Davis 3. 3049 Sycamore Way $ 75.00 Medford, OR 97504 06/15/04 REALTOR $ 105.00 I I CA Carlene Hester 4. 820 Pinecrest $ 250.00 Ashland, OR 97520 07/09/04 REAL TOR $ 750.00 I I CA Thomas & Ruby Guthrie 5. 1905 Orchard Home Dr. $ 100.00 Medford, OR 97501 07/21/04 REAL TORS $ 100.00 I I CA See Page Totals (Add all amounts with the same Accounting Period Totals (Complete only for last page and Instructions contribution type. Do not include aggregates.) transfer these amounts to the SUlIllIlal)' Statement, PC 1.) on Back and Cash (CA) $ 1365.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 1 Finance In-Kind (IK) $0.00 In-Kind (IK.) $0.00 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $0.00 Loans Received (LR) $ 0.00 1>(;'7. Enter on Summary Statement, Column A, Line 2 PC2 Cash Contributions, Loans Received and In-Kind Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 14 of14 Election: o Primary 20_ ~ General 2004 o Other_ Report: ~ 1st Pre-election o 2nd Pre-election o Post -election o September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS CODE 1: Contributor Type CODE 2: Contributiolll 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 Une# Name and Address of Contributor Amount of In-Kind Purpose Contribution (see manual for suJ7gested purpose codes) Date Received Occupational Information, Contributing Contributor Code 1 I Code 2 Committee's 10#, or Description if Code 1 is "0" Aggregate Stacey Boals 1. 221 N. Central PMB 328 $ 500.00 Medford, OR 97501 08/13/04 REALTOR $ 1050.00 I I CA Bob Strasser 2. 3917 Bridgeport Dr. $ 750.00 Medford, OR 97504 08/17/04 REALTOR $ 1000.00 I I CA Rogue Valley Association of REALTORS 3. 629 Franquette St. $ 185.65 Postage, Copies, & Mailing Supplies Medford, OR 97501 09/30/03 - REAL TOR Association $ 185.65 B I IK 08/31/04 Miscellaneous Contributions $50.00 And Under 4. $ 9890.00 09/02103 - $ I CA 09/16/04 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) $ 11140.00 Cash (CA) $ 25705.50 in Campaign Enter on Summary Statement, Column A, Line I Finance In-Kind (IK) $ 185.65 In-Kind (IK) $ 185.65 Manual Enter on Summary Statement, Column A, Lines 4 and 9 Loans Received (LR) $ 0.00 Loans Received (LR) $ 0.00 PC? Enter on Summary Statement, Column A, Line 2 PC3 Cash Expenditures and Loan Payments Rev. 12/01 Candidate or Political Committee Name: Committee ID Number: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 of ~ Election: D Primary 20_ [8] General 2004 D Other_ Report: [8] 1st Pre-election D 2nd Pre-election D Post -election D September Supplemental PURPOSE CODES (see back of form for instructions and code def"mitions) EXP)~NDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls 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 Z Preparation and Production of Advertising Payee's Name and Payee's Committee IDII, ~ Une Date Check # if applicable Purpose Exp. Amount of Paid # (as it appears on invoice, receipt or check) Type Expenditure to AlP 1. 09/02/03 544 Oregon REAL TORS Political Action C CA $ 1000.00 D Committee 10 #000191 2. 09/02/03 545 Stop The Charter Amendment C CA $ 1000.00 D 3. 09/08/03 547 ORPAC 10 #000191 C CA $ 65.00 D 4. 09/12/03 548 ORPAC 10 #000191 C CA $ 16.25 D 5. 10/10/03 549 ORPAC 10 #000191 C CA $ 19.50 D 6. 11/11/03 550 ORPAC 10 #000191 C CA $ 19.50 D 7. 11/11/03 551 ORPAC 10 #000191 C CA $ 19.50 D 8. 01/22/04 552 ORPAC 10 #000191 C CA $ 2093.00 D 9. 01/22/04 553 ORPAC 10 #000191 C CA $, 5148.00 D 10. 02/02/04 554 ORPAC 10 #000191 C CA $; 305.50 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 Cash (CA) $ 9686.25 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 6 Finance Loan Payment (LP) $0.00 Loan Payment (LP) $0.00 Manual Enter on Summary Statement, Column A, Line 7 Pf'~ PC3 Cash Expenditures and Loan Payments Rev. 12101 Candidate or Political Committee Name: I Committee ID Number: I~'age 2 of 1 Rogue Vly Assoc. of REAL TORS Political Action Comm. Election: D Primary 20_ [gI General 2004 D Other _ Report: [gIlst Pre-election D 2nd Pre-election D Post -election o September Supplemental PURPOSE CODES (see back of form for instructions and code defmitions) EXPF:NDlTURE TYPES A Agent N Newspaper and Other Periodical Advertising CA C~ash B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls 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 Z Preparation and Production of Advertising Payee's Name and Payee's Committee 10#, ~ Une Date Check # if applicable Purpose Exp. Amount of Paid # (as it appears on invoice, receipt or check) Type Expenditure to AlP 1. 02/02104 555 ORPAC 10 #000191 C CA $ 4179.50 D 2. 02104/04 556 ORPAC 10 #000191 C CA $ 78.00 D 3. 02104/04 557 ORPAC 10 #000191 C CA $ 97.50 D 4. 03/10/04 558 ORPAC 10 #000191 C CA $ 929.50 D 5. 03/17/04 559 ORPAC 10 #000191 C CA $ 487.50 D 6. 04/09/04 560 ORPAC 10 #000191 C CA $ 549.25 D 7. 04/19/04 561 ORPAC 10#000191 C CA $ 503.75 D 8. 05/07/04 562 ORPAC 10#000191 C CA $, 19.50 D 9. 05/07/04 563 ORPAC 10 #000191 C CA $; 162.50 D 10. 06/15/04 564 ORPAC 10#000191 C CA 3; 611.00 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 Cash (CA) $ 7618.00 Cash (CA) $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 6 Finance Loan Payment (LP) $0.00 Loan Payment (LP) $ 0.00 Manual Enter on Summary Statement, Column A, Line 7 J>rl PC3 Cash Expenditures and Loan Payments Rev. 12101 Candidate or Political Committee Name: I Committee ill Number: G'age ~ of 1 Rogue Vly Assoc. of REAL TORS Political Action Comm. Election: D Primary 20_ [gI General 2004 D Other _ Report: ~ 1st Pre-election D 2nd Pre-election D Post -election D September Supplemental PURPOSE CODES (see back of form for instructions and code defmitions) EXPI:NDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls 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 Z Preparation and Production of Advertising Payee's Name and Payee's Committee 10#, IE Une Date Check # if applicable Purpose Exp. Amount of Paid # (as it appears on invoice, receipt or check) Type Expenditure to AlP 1. 06/22/04 565 ORPAC 10#000191 C CA $ 32.50 D 2. 07/02104 566 ORPAC 10#000191 C CA $ 48.75 D 3. 07/12/04 567 ORPAC 10#000191 C CA $ 162.50 D 4. 07/16/04 568 ORPAC 10#000191 C CA $ 1000.00 D 5. 08/03/04 569 ORPAC 10#000191 C CA $ 65.00 D 6. 08/04/04 570 Bob Strosser For Mayor C CA $ 1500.00 D 7. 08/20/04 571 ORPAC 10#000191 C CA $ 812.50 D 8. 09/01/04 572 Alan Curriston C CA $ 100.00 D 9. 09/01/04 573 Russell Groves C CA $ 100.00 D 10. 09/01/04 574 Garey Walruff C CA $ 100.00 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 Cash (CA) $ 3921.25 Cash (CA) $0.00 in Campaign Enter on Summary Statement, Column A, Line 6 Finance Loan Payment (LP) $0.00 Loan Payment (LP) $0.00 Manual Enter on Summa!)' Statement, Column A, Line 7 Prl PC3 Cash Expenditures and Loan Payments Rev. 12/01 Candidate or Political Committee Name: I Committee ID Number: G'age 1 of 1 Rogue Vly Assoc. of REAL TORS Political Action Comm. Election: o Primary 20_ [8J General 2004 o Other_ Report: [8J 1st Pre-election o 2nd Pre-election o Post -election o September Supplemental PURPOSE CODES (see back of form for instmctions and code definitions) EXPICNDITURE TYPES A Agent N Newspaper and Other Periodical Advertising CA Cash B Broadcast Advertising (Radio, TV) 0 Other Advertising (yard signs, buttons, etc.) LP Loan Payment C Cash Contributions P Postage F Fundraising Event Expenses R Reimbursement G General Operational Expenses (describe S Surveys and Polls 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 Z Preparation and Production of Advertising Payee's Name and Payee's Committee 10#, rg) Une Date Check # if applicable Purpose Exp. Amount of Paid # (as it appears on invoice, receipt or check) Type Expenditure to AlP 1. 09/01/04 575 Leon Sherman C CA $ 100.00 D 2. 09/01/04 576 Richard Bailey C CA $ 500.00 D 3. 09/01/04 577 Committee To Elect John Morrison C CA $ 500.00 D 4. 09/01/04 578 Edward Lindbloom C CA $ 250.00 D 5. 09/01/04 579 Committee To Elect CW Smith, County C CA $ 1000.00 D Commissioner 6. 09/01/04 580 Greg Jones C CA $ 100.00 D 7. 09/01/04 581 Jim Kuntz C CA $ 100.00 D 8. 09/01/04 582 Jason Anderson C CA $ 100.00 D 9. 09/01/04 583 Hank Williams C CA $ 500.00 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 Cash (CA) $ 3150.00 Cash (CA) $ 24375.50 in Campaign Enter on Summary Statement, Column A., Line 6 Finance Loan Payment (LP) $0.00 Loan Payment (LP) $0.00 Manual Enter on Summary Statement, Column A., Line 7 PC'l PC4A Other Receipts Rev. 12/01 Candidate or Political Committee Name: Committee ill Nwnber: Rogue Vly Assoc. of REAL TORS Political Action Comm. Page 1 ofZ Election: D Primary 20_ [8] General 2004 D Other _ Report: [8] 1st Pre-election D 2nd Pre-election D Post -election D September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Receipt Transaction Type Codes EL Exempt Loan Proceeds FM Items Sold at Fair Market Value IN Interest/Investment Income OM Miscellaneous (provide a description) RF Refunds, Rebates and Returns Une Date Name other Receipt # Received (required for codes EL, OM and RF; Transaction Type Other Receipt Amount optional for codes FM and IN) Code 1. 09/30/03 IN $ 1.49 2. 10/31/03 IN $ 1.25 3. 11/30/03 IN $ 1.83 4. 12/31/03 IN $ 2.92 5. 01/31/04 IN $ 3.51 6. 02/29/04 IN $ 3.04 7. 03/31/04 IN $ 2.65 8. 04/30/04 IN $ 2.57 9. 05/31/04 IN $ 2.68 10. 06/30/04 IN $ 2.68 See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and Instructions Type Codes specified.) transfer these amounts to the Summary Statement, PC 1.) on Back and Codes FM, IN, OM, RF $ 24.62 Codes FM, IN, OM, RF $ 0.00 in Campaign Enter on Summary Statement, Column A, Line 13 Finance Code EL $ 0.00 Code EL $ 0.00 Manual Enter on Summary Statement, Column A, Line 14 PC4A PC4A Other Receipts Rev. 12/01 Candidate or Political Committee Name: Committee ill Number: Rogue Vly Assoc. of REAL TORS Political Action Comm,. Page ~ of~ Election: o Primary 20_ [gI General 2004 o Other_ Report: [gII st Pre-election o 2nd Pre-election o Post -election o September Supplemental SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS Other Receipt Transaction Type Codes EL Exempt Loan Proceeds FM Items Sold at Fair Market Value IN InterestJInvestment Income OM Miscellaneous (provide a description) RF Refunds, Rebates and Returns Une Date Name other Receipt # Received (required for codes EL, OM and RF; Transaction Type Other Receipt Amount optional for codes FM and IN) Code 1. 07/31/04 IN $ 2.74 2. 08/31/04 IN $ 2.50 3. 09/10/04 Alan Curriston RF $ 100.00 4. 09/15/04 Edward Lindbloom RF $ 250.00 5. $ 6. $ 7. $ 8. $ 9. $ 10. $ See Page Totals (Add all Other Receipt Transaction Accounting Period Totals (Complete only for last page and Instructions Type Codes specified.) transfer these amounts to the Summary Statement, PC 1.) on Back and Codes FM, IN, OM, RF $ 355.24 Codes FM, IN, OM, RF $ 379.86 in Campaign Enter on Summary Statement, Column A, Line 13 Finance Code EL $0.00 Code EL $ 0.00 Manual Enter on Summary Statement, Column A, Line 14 PC4A