Escolar Documentos
Profissional Documentos
Cultura Documentos
PAGE 1 OF
CAMPAIGN FINANCE REPORT —,««§,?«,=)
(NOTE: This report must be clear and legible, tt may be typed or printed in blue or black ink.)
. 6TH TUESDAY . . • 2ND FRIDAY AMENDMENT - " • ''•' •'-:'• '-' ' ,
TYPE OF :."; PRErPSlMARY ; PRE-PRJ'MAHY X POST PRIMARY REPORT?.-"'- -/
REPORT
A S 6p
- . " 6TH TUESDAY' "• - ; •• SND'FRIDAY '- -' 3D DAY -TERM1NAT-10N ' • ' •' ' \./
YES N
'. ! PRE-ElECTlON . 1 . PRE-ELECTION POST ELECT ON REPORT? ' °' >
(place X to
the right of ANNUA1. 7
- m^ YEAR
FILING METHOD |0. DAp«* ~r> ntcvPTTc
report type)
' •REPORT" ' ^..J^. ' CHECK
°NE * - '' y> • • • • • • - • - • •
District Office Party County
•ffi
Numtier Codo Code Code
(ODftT^ A^'Ai^T6fO O-LJO^VX £)Ctf^(JT\L'^ IMO. DAY I YEAR
!
E
^}T^r t\t~M 4^
t^\^m (SEE INSTRUCTIONS FQil CODES)
PART H - if this s a report- of s Candidate's Authorized Committee, csrsd date shali sign here.
7 d.y .,
,-/
*5L O -SOS>
SCHEDULE PAGE 2 OF
T \n £$"M.C) s %% ijj^^l^ui
:
IS CONTRIBUTIONS $50.01 TO $250.00 {FROM PART
:. -, . .• _•. '.. .- -. . . ' . • ' . • ; • . - • • - ' •
A AND PART B) ,: , : ;
Contributions Received from Political Committees (Part A) $ ) t~-x I \
$
Ail Other Contributions (Part B) S'&S'fr^
$
TOTAL for the Reporting Period (2)
^^o^" 0
3- eON'TRiBUTlONS OVER $250.00 {FROM PART C AND PART D) : • ,: v
:_
Contributions Received from Political Committees (Part C) $ q->(^^
Al Other Contributions (Part D) / / N ^C 's.'/i
^5^
DSEB-502 (7-99)
PAGE OF
PART A
CONTRIBUTIONS RECEIVED FROM POLITICAL COMMITTEES
$50.01 TO $250.00
Use this Part to itemize only contributions received from political committees
with an aggregate value from $50.01 to $250.00 in the reporting period.
Namefpf Filing Committee or Candidate Reporting Period
From (-/-*9 To
^P
DATE AMOUNT
3
M3i nnjg A ddr ess DAY : YEAR
Mfl/ YEAR
i<^P
Mailing Address DAY
•MO. YEAR
DSEB-502 (7-99)
PARTB
DATE AMOUNT
Full Nap™* of Contributor )
$
ou
VSK\ V<
Mailing Address MO. DAY YEAR.
$
Zip Code (Plus 4) MO.; DAY YEAB
$
MO. DAY
m
YEAH
Mailing Address
STREET - . $
SWe« Zip Code (Plus 41 MO. DAY . YEAR
$
Full .Name of Contributor
lOaL.-7tff\j(L
-*-—
Auue. 2 6
$
Mailing Address MO. DAY YEAR
$
te 1 Zip Code (Plus 41 MO. 'DAY YEAW
$
ful Contributor
D
Mail MO. DAY YEAR
$
Zip Code (Pius 4) MO. ; DAY YEAR
Full N
<
Mailing Address MO. DAY YEAR
Use this Part to itemize alt other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Name of Filing Committee or Candidate Keporting rjenod
From
T
DATE AMOUNT
Full fiflmBNOf Contributor
$
Mailing Address MO. DAY YEAR
ai>5
Moiling Address
MO.
DAY
DAY
YEAR
YEAH .
$
$
gr 0-7
Mailing Address
Vi a-t
T-N ,^-
MO.
DAY
DAY
YEAR
YEAH
$
$
FurfrJiine p< Contributor
ibutor l\~~Y5 \0 CX ( 1 MO. ' DAY
MO. YEAR
Mailing Address
a
MO. DAY YEAR
^r To
ri Lfe- From l-h
DATE AMOUNT
Full Wame of Contributor K DAY
ip Code tPius 4)
IE
Cit i v~ MO. DAY 'YEAR'-
DAY YEAR
Eg $
MO."- DAY YEAR
$
Zip Code (Pius 4i MO. DAY: . YEAR.
$
DAY YEAR
s
MQ.
M$.
DAY
23
DAY
:
YEAR
07
YEAR
$
Zip b^de r!us 4} MO. • DAY YEAR
$
DAY YEAR
(^:
MO. DAY YEAR
D s
MO. DAY.. YEAR
$
Full Name of Contribulor rwo. DAY YEAR
$
WS a i!Ing Addr ess MO. DAY YEAR
PAGE TOTAL
From TO 6~ • 4 •
DATE AMOUNT
$
Mailing Address MO. YEAft
$
c Zip Code (Plus 4) MO. YEAH
"""B>ef H YEAB
$
$
MO. DAY YEAR
$
Stsia I ^Zip Code (Plus 4) MO. DAY
$
ES? MO. DAY YEAR
$
$
MO. '
'DAY
BAY
YEAS
$
u
MO.L DAY YEAR
$
MO.
Moiling
$
MO. DAY YEAR
$
Zip Code (Plus 41 MO. DAY YEARJ
$
MO. YE^ft
MO.
m
YEAR
$
$
^^sZip/^pode (Plus 4) MO. ...PAT,, Y£Aft
$
PAGE TOTAL
Enter Grand Total of Part B on Schedule I, Detailed Summary Page, Section 2. $
DSEB-502 (7-99)
PAGE OF
PART B
ALL OTHER CONTRIBUTIONS
$50.01 TO $250,00
Use this Part to itemize all other contributions with an aggregate value from
$50.01 to $250.00 in the reporting period.
(Exclude contributions from political committees reported in Part A.)
Name of tf\\\ng Committee or Candidate Reporting Period
From I ' ~
DATE AMOUNT
$
L-
-JC33 MO. .0**.
$
p Code (Plus 4) MO. YEAH
$
mDAY Y^AR
Miu4fims MO.
u
MO> DAY YEAR
$
$
Stats, Zip MO. ; DAV YEAR
D?
Mailing Address 1
MO . DAY YEAR
YEAR
$
MO. DAY YEAR
$
'AGE TOTAL
DATE AMOUNT
E
PART D PAGE OF C
From I
6 av L_L
rr M
To
DATE AMOUNT
Full NafneVrf Contributor pA>
PAY YEAR
H 64
Mailing Address •MP. ..BAY . ..YEAR--
Occ
LicpfeKgeo
Employer yWeiling Address/Principal Piece o"f Business
bfcl
z
MO. DAY-
lii J^.
WO: YEAR
Mailing Address DAY
$
Zip Code (Plus 4) MO. .DAY YEAR-
""
MBilino Address
H MO. DAY. YEAR-
Empioyer Occupation
Meiling Address
a
MO. DAY YEAR
PAGE TOTAL
Enter Grand Iota! of Part D on Schedule !, Detailed Summary Page, Section 3.
DSEB-502 (7-99)
PART D PAGE J c - OF
From TO
DATE AMOUNT
Full fSama of Contributor MO. DAY YEAR
! (1 ff r> fl a 5
Mailing Acraress YEAR
Full
a
MO. DAY YEAR
$
$
9. Zip Code (Plus 4) YEAR-
WO.
$
Emp Qccuoaiicm
Mailing Aiidress
M
MO.' DAY YEAR
$
Mailing Address y-
MO
JZtii
DAY YEAR.
[e
Full MO. .,. DAY YEAR :
Employer of Businsss
PAGE TOTAL ,,
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3,
OSEB-502 (7-99) « nr)/) 0
PART D PAGE OF
DATE AMOUNT
MD, DAY YEAR
Y6AR
"tt
M
Mail MO. BAY YEAR
Occupatio
" '
MO. DAY YEAH:
MO.
zDAY YEAR :
Employ^
Ernplo rlnci
PAGE TOTAL
Enter Grand Total of Part D on Schedule I, Detailed Summary Page, Section 3.
DSEB-502 (7-99)
PAGE OF
SCHEDULE III
STATEMENT OF EXPENDITURES
SST J.
TAT/6
Zip Code (Plus 4)
\l\li
Amount
MO..
as
BAY
(s
Description o
To Whom Paid
i*-
Zip Code (Plus 4)
1
MO. DAY
PAGE TOTAL
Enter Grand Total of Expenditures on Page 1, Report Cover Page, Item D.
OSEB-5D2 (7-991
E
PAGE i S~~ OF / C
SCHEDULE 111
STATEMENT OF EXPENDITURES
W 5" f- OS
To Whom. Paid A MO." YEAR: J Amount
^0)6 Description of Expenditure
iX/L/if
Zip Code (Pius 4!
TulSP
To WhamiPeid MO. DAY YEAR J Amount
$
Mailing Address Description of Expenditure
p Code (Plus 4}
y_
To Whom Paid MO. YEAR: I Amount
3.
Zip Code (Plus 4)
PAGE TOTAL
Enter Grand Total of Expenditures on Page t. Report Cover Page, item D.
DSEB-502 (7-99)
PAGE OF
SCHEDULE IV
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
which are outstanding at the end of the reporting period.
Name off\Fiiing Committee or Can Reporting Period
$ | , Q^ °P
Mailing Addresg , DATE gl / MO. • . D A Y ::: 'YEAR
Vb>D t^>^QLt>^rsN£>ftJ£- U^-O^ ^5 \ ^-~ c3~O6"7
Stato Zip Cods Plus 4)
C V
" ^Si^S-k le ko ^
Description of Debt .
Description of Debt
$
Mailing Address DATE MO. _ • CSAY YEAR'::
DEBT
INCURRED
City State Zip Code (Plus 4.)
Description of Debt
$
Mailing Address DATE mo. .: .• DAY: :. ;YEAR.: ..
DEBT
INCURRED
City State Zip Code !P;us 4i
Description of Debt
I
Description of Debt
1$
Mailing Address DATE MO. '. :
:..t?,AY : .YEAR
DEBT
INCURRED
City Slaty Zip Cods (Pius 4!
Description of Debt
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Itam G.
DSEB-502 (7-9<5i