HomeMy WebLinkAboutPublic Disclosure Forms (1992-1993) •
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Public Disclosure
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IP --p . 1993 Campaign
Disclosure Instructions
"The public's right to know of the financing of political
campaigns and lobbying and the financial affairs of elected
• officials and candidates far outweighs any right that these
matters remain secret and private."
RCW 42.17.010(10)
MillNIAL%111011.411111#314C1.TYLra . 1 .t..:.__
THE PUBLIC DISCLOSURE LAW
Adopted as Initiative 276 in 1972
Codified as Chapter 42.17
Revised Code of Washington
The Public Disclosure Commission, five citizens and a small full time staff, administers
the law and the rules implementing it.
Objectives:
to promote citizens' confidence to encourage broad participation
in government by disclosing the in campaigns, and
financing of election campaigns,
to assist candidates and political
to require campaign committees to organize and
contributions to be fully operate their campaigns in an
accounted for, orderly, businesslike manner.
Instructions in this booklet are provided to assist in the preparation of local and judicial
candidate reports required by chapter 42.17 RCW. Care has been taken to make
these instructions accurate yet concise. However, these instructions cannot be
substituted for the applicable provisions of chapter 42.17 RCW and 390 WAC. The
law and rules are controlling in the event of any conflict with or omission in the
instructions. Copies of the law and rules are available on request.
All reports on file with the Commission are public records. Copies are available at cost:
Microfiche: 25 cents per film page plus
25 cents for postage and handling.
(Each film page contains up to 96 pages of reports.)
We welcome your suggestions for revision of these instructions. Direct them to:
Public Disclosure Commission
711 Capitol Way Room 403
PO Box 40908
Olympia, WA 98504-0908
(206) 753-1111; FAX (206) 753-1112
This instruction booklet is for local and judicial candidates using full reporting. There
are separate instructions for state executive and legislative candidates (full reporting),
political committees (full reporting), as well as candidates and committees using mini
or abbreviated reporting.
•
REP• RTING SUMMARY '
What To Do When To Do It
1. • Get PDC instructions and for s. When candidate decides to run for office.
2. File Personal Financial Affairs Within 2 weeks of becoming a candidate.
Statement (F-1 form). - (You become a candidate when you begin
(Incumbents who filed report •y raising or spending money, make a public
April 15 need not file again.) announcement, reserve space or officially file
for office, whichever occurs first.)
3. Resister cam•ai•n on C-1 for . Within 2 weeks of becoming a candidate.
Appoint a treasurer. Open a
bank account. (File a C-4 report
if your campaign has already
received or spent money.)
4. De•osit mone and fill out C Within 5 business days after receipt. From
form. Send report to PDC a d' July 1 through general election, file C-3 same
County Elections Office. day a deposit is made. All other times, file C-
3 along with C-4.
5. File monthl contribution an• On 10th of month covering preceding month
expenditure C-4 reports. Su•mit (or period since last C-4 was filed). Not
reports to PDC and County required in months where one of the special
Elections office if contributio s C-4 reports listed below is filed.
or expenditures exceed $200
since last C-4 report was fil d.
6. File Primary Election C-4 • Aug 24 (21 days before primary election)
Reports. Report all campai n • Sep 7 (7 days before primary election)
contributions and expenditu es. • Oct 10 (10th of the first month following the
election) 1
• 7. File General Election C-4 Oct• 12 (21 days before general election)
Reports. Report all campai n • Oct 26 (7 days before general election)
contributions and expenditures. • Dec 10 (10th of the first month following the
election) 2
1 This post-primary C-4 report is not r-quired from candidates whose names will appear on the general
election ballot. - '
2 If all bills are paid and surplus funds disposed of, this post general election C-4 report is your final report.
If unpaid bills;loans or surplus funds -main,you must continue to file monthly C-4's.
If you are reporting for a special elec*on held on a date other than the primary or general election, ask for
the s ecial election re I ortin schedul:. •
Summary of Disclosure Reports
•
Filed by Judicial and Local Office Candidates
PDC Form What it Contains When it's Due
F-1 Financial Affairs Sources of income,real estate Within 2 weeks of becoming a candidate.
Statement transactions, bank accounts, (Incumbents who have a current report on
stocks,debts owed, business file with PDC do not need to file another
holdings and business customers. F-1 statement.)
•
C-1 Candidate Office sought, reporting option, Within 2 weeks of becoming a candidate.
Registration committee officers,treasurer's name,
time and place for public inspection
of records.
C-3 Cash Receipts, Names of contributors, amounts, For primary and general elections--
Monetary addresses. Between July and general election day,within
Contributions 5 business days of receipt of contribution.
For special elections--During last 4 months
Schedule L(Part 1) Name and address of contributor before election,within 5 business days of
(lender), amount of loan, interest contribution's receipt
rate,repayment schedule. • Other periods--When C-4 is filed.
Contributions over$500--See instructions.
Attachment Au Names and addresses of contributors
donating and purchasing auction items.
C-4. Receipts and Totals for campaign. Same day as C-1 if contributions received
Expenditure _ or expenditures made.
Summary •21 days before each election
Schedule A Itemized expenses, .7 days before each election
• contribution totals for period .10th of the first month after election
Schedule B In-kind contributions, pledges, For periods not covered by the above
orders placed. reports,10th of each month to cover
Schedule C Corrections,adjustments. preceding calendar month when there are
Schedule L Details regarding loan payments and $200 in contributions or expenditures since
(Parts 2-4) loans forgiven and outstanding. last C-4.
Special Situation Reports
C-5 Contributions and Expenditures by Out-of-State Committees is used by political committees domiciled
outside Washington State to report contributions made to in-state candidates and committees. This
report must be filed by the out-of-state committee within ten days of contribution's receipt.
C-6 Independent Expenditures is used by persons making campaign expenditures of$100 or more that
are not made to, or in conjunction with, a candidate or political committee.
File Campaign Disclosure Reports ("C" series) with PDC and your county elections office. -
Reports are considered filed as of postmark date.
1993 Key 'Deporting Dates for Candidates
Date . Activity C-4 Report Period
Within two weeks of . File a C-1 (non-i cumbents also file an F-1)
becoming a candidate •
Jan 10 File monthly C & C-3, if necessary close of last report thru Dec 31
Feb 10 close of last report thru Jan 31
Mar 10 close of last report thru Feb 28
Apr 10 close of last report thru Mar 31
May 10 close of last report thru Apr 30
Jun 10 . . close of last report thru May 31
Jul 1 Begin filing C-3 he same day as bank deposit
Jul 10 File monthly C -, if necessary close of last report thru Jun 30
Jul 26-30 Declaration of c:ndidacy filing week
Aug 24 21 day pre-primary C-4 due Jul 1 thru Aug 19
Sep 6-13 Records open fur public inspection .
•
Sep 7 7 day pre-prima C-4 due Aug 20 thru Sep 6
Sep 7-13 Special reports •ue if candidate makes or
receives contrib tions over$500
Sep 14 PRIMARY ELE.TION DAY
•
Oct 10 Post-primary C due* Sep 7 thru Sep 30
Oct 12 21 day pre-gen-ral.C-4 due Sep 7 thru Oct 7
Oct 12-Nov 1 Special reports •ue if candidate makes or
receives contrib tions over$500 in the aggre- .
gate. Candidat- now prohibited from making
•or receiving co tributions over$5,000 in the
aggregate unle-s contribution is from WA state
major political •arty.**
Oct 25-Nov 1 Records open f•r public inspection
Oct 26 7 day pre-gene al C-4 due Oct 8 thru Oct 25
Nov 2 GENERAL ELECTION DAY
Dec 10 Post-general C-4 due (and C-3, if necessary) Oct 26 thru Nov 30
*Only required of candidates whose name will not appear on general election ballot.• .
**Neither provision constitutes authority to xceed any applicable local or state contribution limit.
CONTENTS
Public isclosure Law Revised 1
Introdu lion to Full Reporting Instructions - 1
Who M st Report 2
Candidates for Elective Office 2
Candi ates Exempt From Reporting 3
Politi I Committees 3
Bona ide Political Party and Caucus Committees 5
Out-of State and Federal PACs • 5
Indep ndent Expenditures 6
Report' g Options 7
Mini eporting 7
Abbre iated Reporting 7
Full R porting 8
Reque is for Reporting Modifications 8
Specia Reports of Contributions Exceeding $500 8
Prohib ions and Restrictions 9
Conc alment 10
Cand date Loan Repayments 10
Persons Prohibited from Making Contributions 10
Contr bution Limits 11
Anonymous Contributions 11
. Cont butions from Out-of-State and Federal PACs 12
Persdnal Use of Contributions 12
Expe diture Restriction 12
Curr ncy Transactions 13
Surpl s Campaign Funds 13
Use f Public Agency Facilities 14
Public Inspection of Campaign Records 14
Bank ccounts 15
Bank Deposits 15
Politic I Advertising 15
Spo sor Identification 16
Item Exempt From Sponsor Identification 17
Politi I Party Identification 18
Political Party Abbreviations 18
Cont§nt of Advertising 18
Violations 19
• Che k List 19
PDC I quiries and Audits 20
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CONTENTS (continued)
Registering as a Candidate 20
The C-1 Statement 20
•
Cash and In-kind Contributions 23
General Information 23
Exempt Activities 23
Recording a Contribution 24
"Receipt" of Contributions 24
Sources of Contributions 25
Contributions of Uncertain Origin 26
Fund Raising Events 26
Qualifying Low-Cost Fund Raisers 26
Loans 27
Schedule L (Part 1) . 28
Auctions (Attachment Au) 28
The C-3 Report 31
Cash Receipts and Expenditures [Sch. A, Part 1] 34
In-Kind Contributions [Schedule B, Part 1] ' 34
Pledges [Schedule B, Part 2] 36
Expenditures and Debts 37
General Information 37
Itemizing Expenses 37
Coding Expenditures 38
"Special Attention" Expenditures 39
Schedule A Example (Parts 2, 3 &4) 39
Outstanding Debts.[Schedule B, Part 3] 42
Loans 42
Loan Payments [Schedule L, Part 2] 43
Loan Forgiven [Schedule L, Part 3] 43
Loans Still Owed [Schedule L, Part 4] 43
Corrections [Schedule C] 45
The C-4 Report 47
Report Close-Out Dates • 47
After the Election 49
Post-Election Reports 49
Investment of Campaign Funds 49
Start-up of New Campaign 50
Bookkeeping Hints 52
Computer Reports . 52
Cash Transactions 52
Contributions 52
Expenditures 53
Cash Expenditures 53
Petty Cash 53
Orders Placed - 53
Miscellaneous Records - 54
Deducting Cost of Consumables 54
CONTENTS (continued)
Acco 1 nting Periods 54
Help vailable 55
Appen ix
Sam le 3"x5" Contribution Cards 56
Orde s Placed Journal 57
Pertinent Government Agencies 58
County Election Officials 59
State Department of Transportation Contacts 60
State Department of Transportation District Boundaries 61
•
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•
PUBLIC DISCLOSURE LAW REVISE •
• On De ember 3, 1992, Initiative 134 became law, having been approved
by ove 72% of the voters at the November 3rd general election. The
official ballot title-read: Shall campaign contributions be limited, public
• fundin of state and local campaigns be prohibited; arid campaign
relate activities be restricted? Emphatically, the vast majority of voters •
' said " es!"
Not Not since the 1972 adoption of the original state campaign reform
meal re, Initiative 276, have such sweeping changes confronted those
who p rticipate actively in electoral politics in Washington, especially
those rrivolved at the state level: candidates for statewide and legislative
Office; state, county and legislative district political party committees;
• • legisl. ive caucus committees; lobbyists and those who employ them;
politi .I action committees; unions and businesses.
Howe er, candidates seeking local and judicial offices and those who
make independent expenditures to influence the election of these
•candi.ates are also subject to changes imposed by 1-134. The follow-
ing p ovisions of 1-134 relate to all state, local and judicial campaigns:
• disposal of surplus campaign funds;
• maximum $3,000 repayment of candidate campaign loans;
♦ changes to the political advertising identification requirements;
• • special identification and reporting of political ads funded with
• independent expenditures;
♦ annual reporting by major contributors;
♦ prohibition against public financing of campaigns; and
♦ repeal of language authorizing and requiring the reporting of
public office funds.
In a•dition, other provisions of 1-134-protect employees from
discr urination for failure to support particular candidates or political
parti s and require that anyone who withholds wages for political
cont ibution purposes obtains annual, written approval from the
indiv dual before making the deductions.
Cop es'of Initiative 134 as it appeared in the 1992 Voters Pamphlet and
of R W 42.17 as amended by Initiative 134 are available'from the Public
Disc osure Commission. At the time this instructional manual went to
pres , the Commission was in the process of adopting policies and
inte pretations implementing 1-134, with the expectation that formal
administrative rules would be considered no sooner than July, 1993.
INTRODUCTION TO FULL REPORTING INSTRUCTIONS
• The primary purpose of the campaign disclosure provisions of the Public
Disclosure Law is to provide citizens of this state with the means for
becoming informed about the financing of political campaigns. The law
- req ires that records be kept and reports be filed of all contributions •
and expenditures. Detailed reporting of small contributions and
exp nditures is.not mandated..
1
All candidates and committees subject to the.Public Disclosure Law
must do some reporting, regardless of the amount of money they will
• receive from contributors or spend on their campaigns.
Depending on the level of campaign activity planned, campaign
reporting can vary from easy to time consuming and complicated.
Treasurers for most campaigns using full reporting will have to devote •
several hours to keeping exact records and filing accurate, detailed
reports of receipts and expenditures. This instruction manual is
designed for those persons doing the record keeping and reporting for
candidates seeking local and judicial office positions.
The-key to complying with the Public Disclosure Law is to keep detailed
records of each contribution and expenditure and file reports on time.
All records acquired with respect to the campaign must be kept for five
years from the date of the election.
Reports are considered filed as of the postmark or hand delivery date.
The original of each campaign disclosure report completed is filed with
PDC. A copy of each report is also sent to the elections office of the
county in which the candidate resides (usually the County Auditor's
office; in King County, it's the Division of Records and Elections). A
listing of the name and address-of each county's election office may be
found on page 59 of this manual.
•
All reports, schedules and attachments should be typewritten or printed
in black ink. Use 8 1/2"x 11"white paper for attachments or
enclosures. Reports filed with PDC are kept on microfiche, and those
completed..in pencil, blue or light colored ink or on oversized paper
cannot be acceptably reproduced on the film.
WHO MUST REPORT •
Candidates for Candidates who seek public office in jurisdictions that had 5,000 or
Elective Office. ) more registered voters as of the last general election or in jurisdictions
that encompass an entire county are subject to all provisions of the
State Public Disclosure Law. Candidates for some offices are exempt
- from the law's record keeping and reporting requirements; that list of
offices is-located below in the "Candidates Exempt From Reporting"
section. •
A person who seeks a non-exempt public office becomes a candidate
and subject to the registration and reporting requirements of the law
when he or she:
♦ receives contributions,, makes expenditures or reserves space or
facilities to promote his or her candidacy;
♦ publicly announces he or she is seeking office (even if this candidacy,
is conditioned on a future occurrence, like the outcome of polling
the receipt of a'certain level of campaign funding or other indications
of significant public support); or
• officially files for office.
•
Candi ates who,will only use their own funds and not accept
contri utions from others to conduct their campaigns must still keep
recor s and file disclosure reports.
A ca idate is limited to one campaign committee. However, a
candi ate may also participate in a committee organized to support a
slate f candidates. Candidates may participate in,joint fund raising
effort when a separate committee is organized for that purpose. After
expe ses, such committees must distribute the remaining funds to the
•
parti•ipating candidates on a pro rata basis.
Candidates Exempt Can•idates seeking election to the following offices are
From Reporting . exe pt from the record keeping and reporting requirements
of th- State Public Disclosure Law:
• P ecinct committee officer;
• F-deral office (subject only to federal campaign laws);
• •ffices in a small city or other jurisdiction having fewer than 5,000
r:.gistered voters as of the last general election and not
e compassing an entire county (However, candidates in towns or
•istricts that had 1,000 or more registered voters as of the last
•eneral election are required to file Statements'of Financial Affairs --
DC Form F-1.); and
• •►ffices for which voters must have special qualifications not specified
i the State Constitution (such as owning property). Examples
i dude the following districts:
•
Agricultural Pest •
Cemetery
Conservation
Diking i
Drainage
Education Service
Flood Control
Intercounty Weed
Irrigation .
Irrigation and Reclamation
Irrigation and Rehabilitation -
Mosquito Control
Public Waterway
Sewer Improvement
Weed '
N s e: Candidates for the above offices must still adhere to the law and
rul-s governing political advertising.
Political Committees W.shington State political committees that raise and spend money to
in'uence certain elections must register and report in accordance with
th- Public Disclosure Law. Following adoption of Initiative 134, a
p•litical committee (other than a bona fide political party and caucus
c mmittee) may receive unlimited contributions from its donors, but is
3
limited in the amount it may give to candidates for state office, to bona
fide political party committees and`to legislative caucus committees.
There is a separate PDC instruction manual for political committees that
discusses registering, reporting, and 1-134 restrictions in detail.
A political committee is any person, group, club or organization (except
a candidate or individual dealing with his or her own funds) expecting to
receive contributions or make expenditures in support of or in opposi-
tion to any candidate or ballot proposition. Although a group may be a
civic, social or professional organization primarily, it also may be a
political committee if it accepts contributions specifically for use in
election campaigns.
Political committees typically spend money to:
• support or oppose candidates;
• support or oppose any levy, referendum, initiative, recall or other
ballot proposition; and/or
• make contributions to candidates or other committees.
A political committee is exempt from reporting if its sole purpose is to
support or oppose a local ballot measure in a town or district that had
fewer than 1,000 registered voters as of the last general election.
If a committee does not dissolve, pay all outstanding debts and dispose
of any surplus money as of the report filed the 10th of the first month
following the election, it must continue to file reports until the campaign
account has a zero balance and all debts are paid.
Continuing political committees are those committees that are
organized for more than one election season. Examples include
business or labor committees and other on-going PACs.
Contribution Limits: No PAC,political committee or continuing political
committee (except bona fide political parties and caucus committees)
may contribute more than the following amounts to these recipients:
State Executive Candidate $1,000 in primary
1,000 in general
State Legislative Candidate 500 in primary
500 in general
Local &Judicial Candidates No State Limit*
Major or Minor State Political
Party Committee 2,500 per year
County Central Committee 2,500 per year
Legislative District Committee 2,500 per year
Legislative Caucus Committee 500 per year
Ballot Proposition Committee & Others No State Limit*
*$5,000 maximum during the 21 days before the general election.
Check with local jurisdiction on other limits.
4
Bona Fide Political Since December 3, 1992, the effective date of Initiative 134, new
Party and Caucus privile es and obligations were granted bona fide political party
Committees and I gislative caucus committees that are not shared by other political
corn ittees or continuing political committees. Bona fide political party
and ucus committees are now restricted in the amount of contribu-
tionshey may accept from many donors, but they are allowed to
contr bute more to candidates than are their PAC counterparts.
Ther are separate PDC instructions available for bona fide political
party and caucus committees. However, it must be emphasized that
not a I committees that consider themselves political party organizations
(e.g., Mens and Womens political clubs, Young Democrats or
Republicans, and the like) fit the legal definition of"bona fide political
party." As such, these tangential party clubs and organizations must
follow the directives governing continuing political committees.
By I.w, "bona fide political parry" means: 1) the governing body of the
stag organization of a major political party; 2) the official county central
corn ittees of a major party; 3) the official legislative district committees
of a ajor party; and 4) an organization that has filed a valid certificate
of n 0 mination with the secretary of state under the state election code.
Out-of-State & Co mittees registered with the Federal Election Commission or
Federal PACs do iciled in other states are not required to register with PDC, but are
req ired to file C-5 reports if they give over$50 to an in-state candidate
for -tate or local office or to an in-state political committee. These
rep•rts also disclose the names of Washington State contributors who
gay the out-of-state or federal PAC over$25.
C-5 reports are due within 10 days of the date the contribution triggering
the eport is received. Candidates and committees receiving
co tributions from out-of-state and federal PACs that fail to file C-5
rep rts must immediately return the contributions or forfeit them to
the state of Washington.
Onl "qualified" PACs -- including out-of-state and federal PACs -- may
ma e contributions to 1) a candidate for the state legislature or
sta ewide office, 2) a state official against whom recall charges have
be n filed, or 3) a political committee expecting to make expenditures in
su port of the recall of a state official.
Th qualifying criterion is: during the 180 days before making a
co tribution to one or more of these recipients, the PAC must have
re eived contributions of$10 or more from no fewer than ten persons •
re istered to vote in Washington state. In other words, during the 180
da s prior to making the contribution, were at least 10 of the PAC's
co tributors registered to vote in WA? Did these same contributors
do ate at least$10 to the PAC? Only if the answer to both of these
qu stions is "yes" may the PAC contribute to state office candidates and
•to tate officials and committees involved in recall elections.
Th Contribution Limits s ecified on a e 4 for olitical committees also
a I to out-of-state and federal PACs.
•
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Independent Any person --an individual, corporation, union, business, association or
Expenditures group --that does not have to register with PDC will, nonetheless, have
to file C-6 reports if that person makes expenditures totaling $100 or
C-6 Reporting more in support of or opposition to a candidate or ballot proposition
and the expenditure was not made to or through a reporting candidate
or political committee. Typically, reportable independent expenditures
are made for political ads (including mailings to voters) that support or
• oppose a candidate, a slate of candidates or a ballot proposition.
The first C-6 report is due within five business days of reaching the $100
expenditure level. Subsequent reports are required if additional
independent expenditures are made. These C-6 reports are due
according to the same reporting schedule followed by candidates filing
C-4 reports.
Annual Reporting In addition to C-6 reporting discussed above, every business, union,
organization, group, political committee or other entity--except
individuals --who made political contributions totaling more than
$10,000 or independent expenditures totaling more than $500 during the
preceding calendar year must file an annual report with the Commission
no later than February 28. This report will disclose any state level
lobbying-related expenditures and re-cap independent expenditures
made to support or oppose state or local candidates and statewide
ballot propositions. Contact PDC for additional information and copies
of the reporting form.
Special Notice on Ads All political advertising must comply with the sponsor and party
affiliation identification requirements. See Political Advertising section of
this manual beginning on page 15. In addition, with the exception of
yard signs and other forms of advertising identified by PDC as too
impractical,
• ads undertaken as an independent expenditure by anyone other than
a candidate or a bona fide political party committee must include the
following language: "NOTICE TO VOTERS (required by law): This
advertisement is not authorized or approved by any candidate. It is
paid for by (name, address, city, state.)"
• independent expenditure ads sponsored by a non-individual (that is,
a group, organization, PAC, business, union, etc.) must also show
this notation: 'Top Five Contributors" followed by a list of the names
of the five persons or entities making the largest contributions
reportable under the public disclosure law during the twelve months
before the ad is published.
The sponsor and party identification and this Notice to Voters and Top
Five Contributors information must appear on each page or fold of a
printed or written ad in 10 point type or type at least 10% of the largest
type used in the ad, whichever is larger. It may not be half-toned or
screened and it must be printed in a box set apart from any other
printed matter on the page or fold. For radio and TV ads, this notice
and contributor information must be clearly spoken.
6
Samples of Ads Any erson or entity--other than a party organization --that as part of
an independent expenditure mails 1,000 or more identical or nearly
identical cumulative pieces of political advertising in a single calendar
year must do the following:
• File a statement disclosing the number of pieces in the mailing and
an exam•le of the mailed ad with the election officer of the county of
residence for the candidate supported or opposed in the ad.
• If the mailing supports or opposes a ballot proposition, the
i formation is filed with the election officer of the county of residence
f•r the person making the expenditure. (When this person is an out-
, o-state resident, the information must be filed with the Thurston
•ounty Auditor if a statewide ballot measure is supported or
apposed; similarly, for expenditures targeting local ballot measures,
tkie information is filed with the county auditor of the local
j I risdiction.)
♦. he statement and ad sample is to be filed within two working days
f the mailing.
•
REPORTING OPTIONS
Regardless of which optionoutlined below is chosen, all candidates
and political committees must keep accurate,'detailed records and
make these records available oufor public inspection during the eight
days preceding the primary, general or special election in which
they're participating.
•
Mini Reporting Th's reporting option is only available to candidates (not political •
co mittees) who will raise and spend no more than $500, in addition to
th amount spent on their filing fee, and receive no more than $200
fro any one contributor other than themselves. Candidates choosing
mi i reporting must file registration statements (C-1) and keep records
of heir contributions and expenditures. However, they do not need to
fil contribution and expenditure reports. A Personal Financial Affairs
St tement (F-1) is required. See Mini and Abbreviated Reporting
In tructions.
Abbreviated Reporting , C ndidates and political committees raising and spending no more than
$ ,000 on their campaigns may select this option. The amount spent by
c ndidates for any filing fees counts toward this qualifying threshold.
C ntinuing political committees are limited to$2,000 per year. Neither
c ndidates nor committees may accept more than$200 from any one
c ntributor.. Persons using abbreviated reporting file the appropriate
r gistration statement (either C-1 or C-1 pc) and one post-election report
( BB C-4) that summarizes their contribution and expenditure activity.' A
ersonal Financial Affairs Statement (F-1) is also required of candidates.
ee Mini and Abbreviated Reporting Instructions.
7
Full Reporting All candidates and political committees raising and spending over
$2,000 on their campaigns (or per year, for continuing political commit-
tees) must use the,full reporting method. Full reporting filers will submit
frequent, detailed reports of the contributions they receive (C-3 reports)
and the expenditures they make (C-4 reports with various schedules).
The C-4 itself is used to summarize the campaign's financial activity.
Candidates must also-file a Personal Financial Affairs Statement (F-1).
REQUESTS FOR REPORTING MODIFICATIONS
The Public Disclosure Commission may suspend or modify the reporting
- requirements of persons subject to the disclosure law if the members
decide that the law works a"manifestly unreasonable hardship" on the
filer and the modification "will not frustrate the purposes" of the law. If
you believe your circumstances meet these two statutory tests and you
can provide convincing arguments to that effect, you have the option of
requesting the Commission to grant a reporting modification.
•
To apply for a modification, write the Commission a letter stating all the
reasons why reporting the required information would cause a hardship,
why the purposes of disclosure would not be frustrated, and suggest a .
modification that would relieve the hardship. Apply for the modification
early so that your record keeping system can be organized without
delay to comply with the Commission's decision.
A hearing will be scheduled to consider your request. It's best if you
attend the hearing, but your presence is not required. A modification
may only be granted for one year or the duration of one campaign.
Another application must be made in following years if you still need the
modification.
r '
SPECIAL REPORTS FOR CONTRIBUTIONS EXCEEDING $500
•
During the 7 days before the primary and the 21 days before the general
election, candidates must file special reports of contributions they
receive from one source that exceed $500 in the aggregate, whether
cash or in-kind or a combination of the two. For example, if a
candidate receives$550 from one contributor during the 7 days before
the primary or the 21 days before the general, whether the amount
came in one lump sum-or two or more payments, a special report must
be filed.
The report discloses:
♦ -the amount-of the contribution(s), -
♦ the date or dates received,
• the name and address of the donor, and
♦ the receiving campaign's name and address.
A similar report is needed if a candidate makes one or more contribu-
tions from his/her campaign funds totaling over$500 in the aggregate
8
to a other candidate or political committee during the 7 days before the
prim-ry or 21 days before the general election.
This report discloses:
• t e amount of the contribution(s),
♦ t e date or dates on which the contributions were made,
• t e contributing candidate's name and address, and
• t e receiving campaign's name and address.
Cana idates receiving one or more contributions from a single source
totaling over$500 must deliver a written report to PDC within 48 hours
of r-ceiving the contribution triggering the report, or the first working
day thereafter. Candidates making one or more contributions from their
ca paign funds to another candidate or committee totaling over$500
mu-t deliver a written report to PDC within 24 hours of making the
trig.ering contribution, or on the first working day thereafter.
The-e written reports may be delivered to PDC in person or via
fac-imile, telegram, mailgram or nightletter. You may fax this special
rep•rt (but not regular C-3 or C-4 reports) to PDC at (206) 753-1112.
Thi is a dedicated fax line, so you need not call before sending a
tra smission. Be sure to keep the transmission confirmation sheet as
pa of your records.
If a written report cannot be delivered within the respective 48,or 24
ho rs, call PDC within the applicable time frame and mail written
co firmation of the telephone report the same day.
If y.0 call PDC with the information, you'll be given a log number to
verify that you called. Reference that log number on the written report
yo file.
An official form for reporting these over$500 contributions has not been
ad pted by the Commission. Simply supply the necessary information
on a sheet of paper, or within the text of a telegram. A unofficial form
ha been developed by PDC staff for those intending to fax these
re orts. It's available on request.
(N te: Except for the special notice requirement, these large, last-
mi ute contributions are treated like all other contributions: monetary
donations are deposited within five business days and included on the
• C-c report reflecting the deposit; in-kind contributions are disclosed on
S•hedule B to the C-4.) .
PROHIBITIONS AND RESTRICTI o NS .
St:te and federal law impose certain prohibitions and restrictions on
ndidates for local and judicial office. Carefully study--and adhere
to --.the information provided below. .
L
9
Concealment You must accurately record and report the actual sources and amounts
[RCW 42.17.120] of contributions as well as the true recipients and amounts of expendi-
tures. It is a violation of the law to use a fictitious name, no name or
substitute name in order to conceal the truth.
Candidate Loan Candidates may give an unlimited amount of monetary and in-kind
Repayments [42.17.125(3)] contributions to their own campaigns. However, in order for a
candidate's contribution to be eligible for repayment, it must be
recorded in a written loan agreement.and properly reported on PDC
Form C-3 and Schedule L as a loan. A candidate who loans his or her
campaign committee an aggregate amount of$3,000 or less may be
repaid in full by the committee up to the amount loaned.
A candidate who loans his or her campaign committee an aggregate
amount of over$3,000 may be repaid by the committee a maximum of
$3,000 in the aggregate. Once an aggregate of$3,000 has been repaid
to the candidate for one or more loans made to the committee, no
additional loan repayments may be made to the candidate for the
duration of that election campaign. •
If a candidate makes documented out-of-pocket campaign expenditures
on behalf of his or her campaign and expects repayment (that is, is not
making an in-kind contribution), the campaign committee must repay
the candidate promptly or the candidate will have made a loan to his or
her committee. Repayment of this loan, when combined with the
repayment of other loans, may not exceed an aggregate of$3,000.
Undocumented out-of-pocket campaign expenditures by the candidate
are in-kind contributions not eligible for repayment.
Persons Prohibited from Federal election law prohibits candidates and political committees in
Making Contributions this country from receiving contributions from foreign nationals
(individuals, corporations or other foreign business entities).•
Federally chartered banks, corporations, unions and insurance
companies should consult their legal advisors to determine whether
other state or federal statutes prohibit their making contributions.
State law includes the following constraint on officers and employees of
cities with a commission form of government: 'Any appointive officer or
employee of the city who in any manner exerts his influence to induce
other officers or employees of the city to favor any particular candidate
for any city office or who contributes anything in any way to any person
for election purposes shall be discharged by the commission.' [RCW
35.17.160]
The Code of Judicial Conduct restricts the activity of both judges and
candidates for judicial office. Persons interested in more information
concerning these restrictions should contact the Judicial Conduct
Commission at 908 East 5th, PO Box 1817, Olympia, WA 98507 or
(206) 753-4585.
10
None of the prohibitions noted in this prohibited contributions section
are a ministered by the Public Disclosure Commission. If you have
quest ons concerning their applicability, please consult your legal
coun el or contact the agency involved. The Federal Election
Corn ission may be reached at 1-800-424-9530.
•
Contribution Limits Pers ns who select mini or abbreviated reporting are limited in the
[RCW 42.17.105(8)] amo nts they may raise and spend on their campaigns. See the
Repo ing Options section on page 7.
. In a•dition, during the 21 days before the general election, no
cand date for statewide office may accept aggregate contributions
of m•re than $50,000 from any one source, including him or herself.
Can•idates for other offices and political committees may not
acce it contributions totaling more than $5,000 from any one source
duri g this three-week period. These limitations do not apply to
cont ibutions accepted from a Washington State major political party.
•
The tatutory language imposing the$50,000/$5,000 contribution limit
has •een interpreted by PDC to mean:
♦ T e contribution limit applies to a candidate's own contributions to
h s or her campaign during the 21 days prior to the general election;
•
• A contributor may give up to the applicable limit regardless of the
a ount contributed more than 21 days before the general election;
• campaign loan received during the 21 days prior to the general is
s bject to the limit, as are any loan co-signers or guarantors; •
♦ pledge in excess of the amounts allowed by the limit received by a
-ndidate more than 21 days prior to the general --and made in
•ood faith, with every expectation that it will be honored in full -- may
:e paid to the candidate during the 21 days prior to the election, _
•rovided the pledge was initially reported in a timely fashion;.
• candidate or committee that receives a contribution in excess of
t e allowed amount may retain the maximum permitted by law so __
long as the excess amount is immediately returned to the
•ontributor;
• he contribution limit applies to all forms of contributions, including
•.sh, in-kind, loans, etc., and any combination of them; and
♦ Earmarked contributions given to an intermediary or conduit for the
enefit of a candidate or other committee may not exceed the
• pplicable limit for the candidate or committee and must be'
ombined with contributions from the same contributor given directly
• t the candidate or committee. -
Anonymous Oc sionally, campaigns receive funds from truly anonymous sources;
Contributions that is, you or others involved in the campaign do not know who
[RCW 42.17.060] don ted the money. Up to a point, the law allows you to keep these -
ano ymous contributions. Specifically, candidates may receive as much
as 00 or one percent of the total contributions received to date for
11
•
this campaign, whichever is greater. (The one percent won't come into
play until your campaign receives over$30,000 in contributions.)
If you reach the limit applicable to your campaign, you may not use or
spend any additional anonymous funds you receive. These excess
dollars must be returned to the donors if they can be identified or
forfeited to the state's general fund. If the contributors cannot be
identified, immediately send a check to PDC payable to the State
Treasurer in the amount of the overage, along with an explanation of the
circumstances surrounding receipt of excess anonymous funds.
You may not legally use this.anonymous contribution provision to avoid
identifying contributors, whether you or they wish their names to go
undisclosed. Only contributors who give a total of$25 or less (or who
give $50 or less in conjunction with a qualifying low-cost fund raiser)
need not be identified on your reports.
Contributions From In order for you to keep contributions received from political committees
Out-of-State and not registered with PDC (that is, PACs registered with the Federal
Federal PACs Election Commission or domiciled in other states, the political commit-
[RCW 42.17.090(1)(k)] tee must file a C-5 report within ten days of your receiving the
contribution. If the committee does not file this report, you must
immediately return the donation to the contributor or forfeit it to the
state. •
•
PDC suggests you keep a small supply of C-5 forms on hand and mail
one or two, along with a note about the urgency of filing, to any out-of-
state or federal PAC that contributes to your campaign. Ask the group
to send you a copy of the report. In this way, you'll know whether the
funds are yours to spend or not.
Personal Use of Campaign contributions may only be spent for the personal use of the
Contributions • - candidate, the treasurer or other person associated with the campaign
[RCW 42.17.125] under the following circumstances: -
♦ reimbursement for loans or to cover earnings lost as a result of
campaigning or for services performed for the campaign, .
♦ reimbursement for direct out-of-pocket campaign or post-election
campaign expenses, and
• • repayment of loans made by the person to a political committee or
campaign. (Candidate loan repayments limited to an aggregate of
$3,000. See Candidate Loan Repayments above.) •
Complete documentation, including copies of expenditure receipts, must
be kept as part of the campaign records. A full explanation of all
payments to the candidate or campaign workers must be submitted with
the C-4 report showing the payment to the individual.
Expenditure Restriction No expenditure may legally be made unless it's authorized by the candi-
[RCW 42.17.070] - date or'campaign treasurer. Campaign treasurers are also required to
12 . .
maint.in a complete record of all expenditures, including obligations that
have of yet been paid by the campaign.
Currency Transactions In or•er to accept cash contributions exceeding $50, the contributor
must be given a receipt, signed by both the contributor and a campaign
repre entative, with a copy of the receipt kept as part of the campaign
records. Cash contributions must be deposited into the campaign bank
acco nt, and not spent directly or mingled with petty cash funds.
If the campaign makes expenditures of over$50 in cash, rather than by
chec , be sure to obtain a receipt signed by both the vendor and a
cam•.ign representative and keep it as part of your records. We
reco mend cash transactions be kept to a minimum.
Surplus Campaign Surp us campaign funds --the balance of contributions remaining after
Funds [RCW 42.17.095] all ..mpaign obligations are paid -- may only be disposed of in one or
mor: of the following ways:
• -eturned to contributors (so long as the amount returned to a donor
•oes not exceed the aggregate contributed by that donor and
•-ndidate loan repayments do not exceed an aggregate of$3,000).
• 'aid to the candidate as reimbursement for lost earnings incurred as
result of campaigning; the lost earnings must be verifiable, •
•ocumented and recorded in the campaign records; copies of this
i formation must be included with the C-4, Schedule A, showing
-ach payment.
• ransferred to a bona fide political party committee or a legislative
.ucus committee; these transfers are subject to the recipient's
nnual contribution limit unless the contributions are earmarked for
•urposes exempted in law or for the recipient's own internal organi-
.tion or fund raising.
♦ i onated to a charitable organization registered with the.Secretary of
.tate's Office pursuant to RCW 19.09.
• ransmitted to the State Treasurer for deposit into the general fund.
• Held in-the campaign depository or depositories for possible use in a
future election campaign for the same office last sought by the
candidate. •If a subsequent office is not sought, the surplus held
must be disposed of according to these requirements.
♦ No candidate or authorized committee may transfer funds to any
other candidate or other political committee (except a bona fide
• political party or legislative caucus committee).
N de: A candidate is considered to be seeking the same office last
-- . - so ght when he or she seeks: 1) the identical office last sought; 2) a
di erent position or seat of the same office last sought within the same
ju isdiction; or 3) the same office in a revised district or political
•
13
•
•
subdivision whenever the boundaries of a district or political subdivision
are officially altered through redistricting, consolidation or other official
procedure.
Disbursement of surplus funds, like any other campaign expense, is
reported as an expenditure on Schedule A to the C-4 report.
Use of Public Agency Elected and appointed officials as well as public employees are
Facilities prohibited from using or authorizing the use of any facilities of a
[RCW 42.17.130] facilities of a public office or agency, directly or indirectly, to assist a
candidate's election campaign or to promote or oppose a ballot propo-
sition. Public agency facilities include, but are not limited to, office
stationery, postage, machines, equipment, employees during working
hours, vehicles, office space, office publications and client lists.
The above restriction does not apply to:
• action taken at an open public meeting by members of an elected
legislative body to express a collective decision, or to actually vote
upon a motion, proposal, resolution, order, or ordinance, or to
support or oppose a ballot proposition so long as any required
notice of the meeting includes the title and number of the ballot
proposition, and members of the legislative body or members of the
public are afforded an approximately equal opportunity for the
expression of an opposing view;
• a statement by an elected official in support of or in opposition to
any ballot proposition at any open press conference or in response
to a specific inquiry;
.• ♦ activities that are part of the normal and regular conduct of the office
or agency. "Normal and regular" has been interpreted to mean those
activities that are authorized by law and are customary for the
• - agency. -
PUBLIC INSPECTION OF CAMPAIGN RECORDS
During the eight days preceding a primary, general or special election,
campaign records must be open and available for public inspection by
anyone who wants to see them. These records must be available daily
(excluding holidays and weekends) for two consecutive hours between
8:00 a.m. and 8:00 p.m. at the campaign headquarters or other place
designated by the campaign on the registration statement
(C-1). -
The time and place of inspection,may not be changed without first
notifying PDC and the County Elections Officer.
Candidates may keep records concerning their-personal finances
private. In addition, the separate list of contributors giving $25 or less
does not need to be included with the records open for-public
inspection. •
•
14 '
BANK ACCOUNTS
Cand dates seeking offices with one-county jurisdictions may only
main in one campaign checking account. Although candidates
cond cting campaigns in more than one county may establish a bank
acco nt in each county, we don't recommend it because of the
problems inherent in tracking and combining the activity of the various
acco nts into a single C-4 reports.
Cam ign accounts may be established at banks,-savings and loan
come.Hies as well as credit unions. Surplus campaign funds may also
be i vested: See page-49 for more information,about investing
campaign funds.
At t e start of the campaign, the candidate or treasurer should open the
ban account. We suggest you use the same name for your campaign
acc unt as you use for the candidate's committee.
Wh:n opening the account,you'll be asked to supply a tax ID number.
Call 1-800-829-3676 and request Form SS-4. Once this form arrives,
you II be able to obtain a number immediately by telephone.
Th• bank will report any interest earned on the campaign account to the
IRS, using the tax number you provide. Consult the IRS, your
ac•ountant or tax advisor regarding any tax liability or requirement to
file a tax return.
Bank Deposits Ea h contribution received by the campaign must be
de'osited within five business days of receipt. Practically speaking,
th.t means each campaign can make a weekly deposit and be in
co pliance with the law. A high volume of contributions may make
mere frequent deposits advisable, however.
E ch time you make a bank deposit, prepare a Cash Receipts &
M netary Contributions Report (C-3). Prior to the fourth
m nth before the eneral or a s ecial election (prior to July 1
fo general election candidates), file your C-3 reports each time a C-4
re ort is filed.
Within four months or less before the general or special election
(beginning July 1 for general election candidates), file the C-3 on the
same day the bank deposit is made.
POLITICAL ADVERTISING
olitical advertising'includes-any advertising displays,.newspaper ads,
b'llboards, signs, brochures, articles, tabloids, flyers; letters, radio or
t levision presentations, or other means of mass communication, used
f r the purpose of appealing, directly or indirectly, for votes or for
f nancial or other support in any election campaign. [RCW
2.17.020(23)] .
15
This legal definition makes it clear that any communication --whether
written,_audio or video—that is produced and/or distributed in
conjunction with your campaign is probably subject to the requirements
governing political advertising:
All political advertising is subject to political party identification and most
ads must show the sponsor ID. See below for details.
Sponsor Identification The sponsor of a political ad --the candidate, committee or other
person paying for the ad -- usually must be identified. If a person acts
as an agent for someone else or is reimbursed for the funds actually
used to pay for the ad, the original source of the payment (or the
person doing the reimbursing) is the sponsor. It's illegal to use an
assumed name when identifying an ad's sponsor.
In print ads (newspaper display ads, flyers, brochures, letters, etc.), to
identify the sponsor use the words "Paid for by" or"Sponsored;by" •
followed by the name and full mailing address of the sponsor. Since the
effective date of Initiative 134 (December 3, 1992) the sponsor
identification information (and the candidate's party affiliation — see
below) must:
• appear on each page or fold of the communication in at least 10
point type, or
• for ads such as billboards or posters, appear in type at least,10% of
the largest size type used in the ad, and
• not be screened or half-toned (i.e., not made lighter through some
printing or photographic process), and
• be located in a printed or drawn box set apart from any other printed
text in the ad.
Treasurer's name is not required as part of the sponsor identification. If
the advertisement is more than one page, identify the sponsor on each
page of the ad (including the front page and the back page). Identifica-
tion on a mailing envelope is optional, but is not sufficient to meet the
sponsor ID requirement. The ad enclosed in the envelope must be
properly identified.
In broadcast ads (radio and television ads), the sponsor (and
candidate's party affiliation -- see below)must be clearly spoken. Use
the words "Paid for by" or "Sponsored by"followed by the name of the
person or group paying for the ad. No address is required. Broadcast
ads must also conform with the requirements of the Federal Communi-
cations Commission (FCC). Contact the station where you're planning
to run the ad or the FCC for details on these requirements.
If the sponsor is:
♦ a candidate show the name and address of the candidate or the
candidate's committee (No address if broadcast ad);
16
•
• a olitical committee,show the name and address of the committee
( o address if broadcast ad);
• a or anization or business show the name and address of the
o ganization or business (No address if broadcast ad);
♦ ore than one erson or rou show the name and address of
e ch sponsor. (No address if broadcast ad) If one person pays for
pinting and another person pays for mailing, both persons should
qe shown as sponsors. (If a person contributes cash, goods or
s rvices to a campaign in order to assist in paying for an ad, it is not
ecessary to show this contributor's name as a sponsor provided the
ontribution is included on the appropriate disclosure report.)
Items Exempt From So e advertising items, like yard signs that are 8' x 4' or smaller (32 sq.
Sponsor ID feet , need not include the sponsor identification. Other items exempt
fro sponsor ID are:
shtrays ribbons
adges & badge rulers (12" or
holders smaller
balloons erasers
bingo chips frisbees
brushes glasses
bumper stickers golf balls &tees
(4" x 15" or hand-held signs
smaller) hats
business cards horns
buttons ice scrapers
cigarette lighters inscriptions
clothes pins key rings
clothing knives
coasters labels
combs letter openers
cups magnifying glasses
earrings match books
emery boards nail clippers &files
envelopes newspaper ads (one
noisemakers - -column inch or smaller)
official state or local shoe horns
voter pamphlets skywriting
paper& plastic cups staple removers
paper& plastic plates stickers (2-3/4"x 1"
paper weights or smaller)
pencils sun glasses
"pendants sun visors
pennants swizzle sticks
pens tickets to fund raisers
pinwheels water towers
plastic tableware' whistles
pocket protectors yard signs (8' x 4"
pot holders or smaller)
reader boards with yo-yo's
• moveable letters all similar items
17
Political Party All political ads supporting or opposing a candidate for partisan
Identification office are required to identify the candidate's party affiliation.
This rule applies whether the sponsor is a candidate, a candidate's
committee, another political committee, an individual, or an organization,
acting with the knowledge of, or independent of, the candidate.
In print ads (newspaper ads, brochures, mailings and similar printed •
advertising, the party ID (and the sponsor ID) must:
• appear on each page or fold of the communication in at least 10
point type, or
• for ads such as billboards or posters, appear in type at least 10% of
the largest size type used in the ad, and '
• not be screened or half-toned (Le., not made lighter through some
printing or photographic process), and
• be located in a printed or drawn box set apart from any other printed
text in the ad.
The party affiliation also must be printed in a color that contrasts with
the background of the area in which the ID appears.
In broadcast ads, the party ID (the sponsor ID) must be clearly spoken.
Political Party The following abbreviations may be used in advertising to
Abbreviations identify political party affiliation:
• Citizens -- Cit
♦ Communist-- Corn
• Democrat -- D, Dem, Demo
♦ Independent or Unaffiliated -- Ind, Indep
• Libertarian -- Lib
• Republican -- GOP, R, Repub, Rep (Do not use Rep abbreviation
when it could erroneously imply that the candidate holds the office of
State Representative)
• Socialist-- Soc
• Socialist Workers -- Soc Workers, SWP
Official symbols or logos adopted by state party committees may be
used in place of the full party name or abbreviation to denote affiliation.
Send a-copy of the symbol or logo to PDC.
Content of Advertising There are some additional rules to follow when composing
political advertising:
• Be sure the ad is truthful;
• If candidate photos are used in any ad, at least one of them must
have been taken within the last five years and be no smaller than the
largest candidate photo appearing in the ad;
18
•
• _"I cumbent" means a person who now holds an elected office;
• " e-elect" represents that the candidate is presently holding the
o ice being sought, was elected to it and is seeking another term in
t at same office in the same district or political subdivision.
• T e term "re-elect" may be used in a political ad by a non-incumbent
ho has previously been elected to the position being sought
.rovided that it is clearly stated in the same ad that the candidate is
of the incumbent;
•
♦ etain" represents that the candidate is the incumbent, but does not -
i ply that the candidate obtained the position by election;
♦ "'Return" represents that the candidate now holds, or has previously
held, the position being sought but not necessarily by election.
Sta e law does not require candidates to identify the office or position
the are seeking in their political ads.
Violations It i a violation of the political advertising provisions of the statute to
• kn i wingly or with reckless disregard of the truth:
• sponsor an ad that contains a false statement of material fact;
• falsely claim or imply a person or group endorses a candidate when
that person or group does not; or
• falsely represent a candidate as the incumbent. On letterheads, yard
signs and other forms of advertising, non-incumbents must actually
state they're seeking the office. Example: Mary Smith for State
Senate or Elect Mary Smith State Senator. It is not permissible to
say"Mary Smith, State Senate," unless Mary Smith is the incumbent.
It' also illegal to distribute campaign material that is deceptively similar "
in design or appearance to the voters and candidates pamphlets
p blished by the Secretary of State. Similarly, it is illegal to use the
st te.seal or its likeness to assist or defeat any candidate for elective
o ice.
Check List . When developing and proofreading political ads, be sure they are:
♦ properly identified with political party and sponsor ID;
truthful;
in compliance with the definitions of"incumbent," "re-elect," "retain,"
and "return;"
accurate with respect to claimed or implied endorsements;
not representing the candidate as the incumbent unless he or she is;
and
not deceptively similar to official voters and candidates pamphlets.
19
•
PDC INQUIRIES AND AUDITS
PDC staff may contact your campaign advising you that a report is
missing or incomplete, asking for clarification of a report or requesting
additional information. Please cooperate with these informal contacts
and supply the requested information promptly.
Random audits of some campaigns may occur after each election.
Some of these are in-depth and you will be asked to make available all
your records, including receipts and other documentation. These audits
are routine and we suggest you approach them matter of factly.
Audits also are conducted for cause because a complaint has been
received or there is reason to believe disclosure reports are not
accurate. If you are the subject of such an audit, be assured you will
have every opportunity to explain your position.
REGISTERING AS A CANDIDATE (C-1 Form)
Candidates who run for state or local office in jurisdictions that had
5,000,or more registered voters as of the last general election or in juris-
dictions covering an entire county must register with PDC on Form C-1.
This registration must be filed within two weeks of becoming a
candidate. You become a candidate when you receive contributions,
make campaign-related expenditures, publicly announce your
candidacy, reserve space or file for office, whichever occurs first. It's
very common for persons to become candidates for purposes of the
Public Disclosure Law well before they officially file for office in July.
Amended C-1 forms must be filed within ten days of any changes that
make the previously filed C-1 outdated. Incumbents should file a new
C-1 when they begin a new campaign by raising money (for purposes
other than paying off,old campaign debts), making expenditures for the
upcoming election, publicly announcing their intention to run or
- reserving space to make their announcement.
After making copies of the C-1 for your files and the County Auditor
(Elections Department) of'the county in which the candidate lives; send
the signed C-1 to PDC. C-1 forms, like other standard PDC reports, are
considered filed as of the postmark date or date hand-delivered to PDC.
The C-1 Statement Please type or print clearly using black ink: (The reports.are
microfilmed for security, and colors other than black do not
reproduce well.)
State the candidate's first name, middle initial, and last name (as it will
appear on the ballot). For example, John A. "Jack' Jones or Margaret
C. "Maggie" Smith.
Identify the candidate's committee name that will be used for political
advertising purposes. For example, Citizens for Jones.
20
Item No Description
1 S ow the office being.sought, the district, county or city as well
a the position number.
2 If you're seeking a partisan office, specify your political party.
• 3 cive the date of the general or special election in which you're
p.rticipating.
4 •hoose a reporting option after carefully noting the limitations
t at apply to mini and abbreviated reporting.
5 I o entify your treasurer, the person who will be responsible for
r-ceiving contributions, making expenditures and keeping
.ccurate, detailed records. You may be your own treasurer. It's
-Iso important to include the treasurer's daytime phone number.
lease note that candidate's are ultimately responsible for the
.ccuracy of their records and reports.
6 ist the name, address and title of your campaign chairperson,
ice-chair, manager, coordinator and other key people in the
organization. There is no legal requirement specifying what
officers your committee must have.
7 ame the financial institution where your campaign account is
ept, along with the branch office location and city.
8 f you are affiliated with any joint fund raising committee or a
ommittee organized to support a slate of candidates, give the
ame and address of the committee(s) and explain your
elationship. •
.
9 •uring the eight days before the election, your records must be
open for public inspection for two consecutive hours between
8 am and 8 pm, Monday through Friday. Identify the location and
give the hours the records will be available.
10 For information only. .
11 The registration-statement is not considered filed unless signed by
the candidate. .
See e ample of completed C-1 on page 22.
•
• 21
•
PUBLIC DISCLOSURE COMMISSION .
711 CAPITOL WAY RM 403 REGISTRATION. .
PO BOX 40908
OLYMPIA WA 98504-0908 CANDIDATES/CANDIDATE COMMITTEE .
(206)'53-1111 PDC OFFICE USE
Candidate's Name(Do no:abbreviate.Include candidates lull name) P M
John A. "Jack" Jones, Jr. CSSR
T K
Candidate's Committee Name(Do not abbreviate.)
Jones for City Council (4/93y R
• E
Mailing Adoress C
123 Miller Way
City County Zip-4 V
Anyplace Grassland 98000-0000 e
1.What office are you running tor? Office District.County or City Position No. ,
City Council Anyplace 2
2. Political party(if partisan office) I 3. Date of general or special election
November 6, 199X
Independent I.
4. How much do you plan to spend dunng your entire election campaign.including the primary and general elections?Based on that estimate.choose one of the reporting options below.
If no box is checked you are obligated to use Option III.Full Reporting.See instruction manuals for information about reports required and changing reporting options.
❑ Option I MINI REPORTING
I will limit contributions or expenditures during this campaign to my filing fee of$ plus no more than$500,including
charges for the voters pamphlet.I will accept no more than$200 in the aggregate from any contributor except myself. -
❑ Option II ABBREVIATED REPORTING
I will use the Abbreviated Reporting System.I will raise and spend no more than$2.000 and will accept no more than$200 in the aggregate from any
contributor except myself.
❑( Option III FULL REPORTING
I will use the Full Reporting System.I understand frequent.detailed reports are required.
5.Treasurers Name and Address(Candidate may be treasurer.)(List deputy treasurers on attached sheet.) I Daytime Telephone Number
. Michael Kennedy 1 ( 509) 555-1212
6.Committee's Principal Officers.List name,address and title.
Carol Jean Jones, Manager, 123 Miller Way, Anyplace, WA 98000-0000
George Anthony, -Finance Chair, 400 Main Street, Anyplace, WA 98000-0000 -
Karen Lynn, Volunteer Coordinator, 42' Second Avenue, Anyplace, WA 98000-0000
• 7.Campaign Bank or Depository Brancn City
Anyplace Savings and Loan Oak Creek Mall Anyplace
8. Related or Affiliated Political Committees.List name,address and relationship.
People for Responsible Government, PO Box 85, Anyplace WA 98000-0000; Sharing Advertising
9.Campaign records are to be open for public inspection the last eight days before election.(Two sours daily between 8 AM-8 PM.Monday-Friday.)Show location and hours below: .
Street Address(Do not use a Post Office Box Number) • Hours
123 Miller Way 9:00 a.m. -- 11 :00 a.m.
Anyplace, WA 98000-0000
v
10. Fair Campaign Practices:All candidates and committee 11.CERTIFICATION:
officers are encouraged to.subsscribe to the Code of " \ I certify that this report is true,complete and correct to the best of my knowledge.
. Fair Campaign Practices primed in the instruction manuals. , ,, FAIR
Candidate's signature Date
AMPAIGN'
91-714a3 3/1/199X
•
Please advise us about which forms and instructions you need.Remember,candidates must file a Financial Affairs
Statement(F-1)unless a current one is already on file with PDC.Check all boxes which apply.
I already have financial affairs and campaign disclosure forms and instructions. . -
❑ I am using Mini Reporting and,therefore,do not need the other campaign disclosure forms.In addition.I have already filed DISTRIBUTION OF THIS REPORT:
my Financial Affairs Statement and need no additional F-1 forms. ORIGINAL—Public Disclosure Commission
❑ I will obtain all forms and instructions from my county elections office. COPY—County Elections Dept.(Auditor)
® I want PDC to mail me: 4. the F-1 instruction booklet(which includes forms) COPY—Your own records 1
the appropriate campaign disclosure forms and instructions.
•
22
CASH & IN-KIND CONTRIBUTION
General Information "Co tribution" includes a loan, gift, deposit, subscription, forgiveness of
ind btedness, donation, advance, pledge, payment, transfer of funds
be een political committees, or transfer of anything of value, including
per onal and professional services for less than full consideration.
Con ributions, other than money, have a dollar value equivalent to the
fair arket value of the item.
Doll rs received from the sale of tickets to fund raising events such as
dinn rs, concerts, parties and the like are contributions. The purchasers
of t e tickets are the contributors, even if the tickets are given to others.
The record keeping associated with a-fund raiser may be greatly
red ced if the event qualifies as a low-cost fund raiser. See page 26 for ,
further information.
The mount of contributions generated by a fund raiser may be reduced
for r porting purposes by the actual-cost of consumables furnished in
con ection with the event, and only the excess over the actual cost of
the onsumables is a contribution. See the discussion on,Deducting
Cost of Consumables on-page 54. (If you're holding a low-cost fund
raise , you would not also deduct the cost,of consumables.)
Exempt Activities The llowing activities are NOT considered contributions and need not
be r ported on your campaign disclosure forms: -
♦ -O dinary home hospitality, including coffee hours, cocktail parties,
w ne and cheese parties and similar gatherings where the purpose is
to meet the candidate or organize a campaign and where no
a mission fee is charged,or contributions expected from those
a ending;
• -p rsonal services of the sort commonly performed by volunteers so
to g as the volunteers are not compensated by anyone;
♦ in idental expenditures by volunteers of$50 or less in the aggregate
fo the duration of the campaign (if this limit is exceeded, the entire
a ount is reported as an in-kind contribution and subsequent
ex enditures by the volunteer would be disclosed as contributions
on future reports;
• ne s, feature or editorial comment in a broadcast media program or
in regularly scheduled issue of a printed periodical (including
pe iodicals published by businesses and organizations for their
re pective employees or members) to communicate ratings,
ev luations, endorsements or recommendations for or against a
ca didate or ballot proposition;
• int rnal political communications from a corporation or similar
ent rprise to its officers, management staff and stockholders or from
a u ion, association or other membership organization to its
, me bers;
- • me sages in the form of reader boards, banners, yard or window
sig s displayed on a person's own property or property occupied by
the organization, business or union. However, if the person normally
23
•
charges a fee to display a message, an in-kind contribution would
occur if no fee were charged for display of a political ad.
Everything else of value given the candidate or the candidate's
committee for use in the election campaign -- including discounts on
items purchased or services rendered -- is a contribution and must be
recorded as such in your records and included on the appropriate
report.
Recording a For each contribution received, the following information should be
Contribution noted in your records:
• date contribution was received by the campaign;
• name, address, city and zip code of the contributor;
• amount of the contribution (or the value and description of an in-kind
contribution);
• total amount the contributor has given since the start of your
campaign, including pledges and monetary and in-kind contributions.
Each monetary contribution must be deposited into your account within
five business days of receipt. This means that campaigns must make
bank deposits of all monetary contributions at least weekly. Remember,
a contribution of more than$50 in currency may not be accepted unless
a written receipt signed by the contributor and a campaign
representative is made part of your financial records.
For each deposit made, prepare a C-3 report and a bank deposit slip
listing all cash and checks received since your last deposit.
For each in-kind contribution received, include information about the
contribution in Part 1 of Schedule B to the C-4 covering the period when
the contribution was received. In-kind contributions include such things
as goods and services, discounts on products or services, free
transportation provided the candidate or campaign staff or other things
that have a value to your campaign.
Refer to the Bookkeeping Hints section in the back of this manual for
some pointers on setting up and keeping books.
"Receipt" of In the past, some campaigns have had difficulty determining when a
Contributions contribution is officially considered received. In order to remedy this
confusion, the Commission has adopted the following administrative
rule.
• "Receipt" of a campaign contribution . . . shall be deemed to occur at
the earliest of the following:
• the date that the candidate, treasurer, deputy treasurer, campaign
_ manager, campaign chairperson or similarly situated campaign
official obtains possession of the contribution, or
24
♦ tie date that the candidate, treasurer, deputy treasurer, campaign
manager, campaign chairperson or similarly situated campaign
• official is informed of the contribution,-or becomes aware that the
campaign, or in the case of an earmarked contribution, the
intermediary, has possession of the contribution, or
• the date that the contribution becomes available for use by the
ndidate or committee.
Sources of Contributions Can idates and treasurers who file disclosure reports listing their
sour es of contributions must often make decisions about whom to
• sho as the contributor, even though the true identity of the contributor
may not be readily apparent.
•
Con ributors have the obligation to inform campaigns of the true and
actu I sources of the donation at the time the contribution is made.
How ver, in the absence of other information concerning a
cont ibution's true source, follow the interpretations given below when
keep ng records,'itemizing your contributors on the C-3 report and when
corn lying with the contribution limit imposed during the 21 days before
the eneral election. .
On Party Personal Checks: List the name printed on the top of the
chec as the contributor, unless the contribution is from a lobbyist who
will a reimbursed by his or her employer for the contribution (and the
lobb ist notifies the campaign of this fact in writing).
Join Personal Account Checks: Attribute equal parts of the
contr bution to the names of the parties printed on the.check, or the
whol amount to both parties, unless a written explanation to the
contr ry accompanies the contribution. (For example, in the case of a
$100 check drawn on the account of John and Mary Smith, the entire
amo nt could be attributed to John and Mary, or$50 to John and $50
toMry.)
Checks Drawn on Sole-Proprietor Business Accounts: For
contribution purposes, the owner of the business and the business entity
are considered one and the same. The proprietors aggregate
contribution total must include donations from his/her personal funds as
well s from the business. -
Partn rship Account Checks: List the partnership as the contributor,
unles the contribution is to be paid from one or more of the partners'
capit I accounts, in which case the contribution is attributed to the
• partn r or partners whose funds are being used. Written notice of this
arran ement should accompany the check.
Corp rate, Union or Association Account Checks: Show the
contribution as coming from the'corporation, union or association
whos name is printed on the check, unless the giver is owned or •
contr lied by another entity, in which case the contribution is attributed
to the controlling entity.
25
Contributions of Do not deposit any contribution or accept any in-kind contribution if you
Uncertain Origin know or suspect it has been made in a fictitious name, or by one
person through an agent, relative, political committee, or any other
person so as to conceal the true source or to exceed the contribution
limit in effect during the 21 days before the general election. Return
such a contribution within ten calendar days to the source, if known, or
endorse the check and make it payable to the Washington State
Treasurer. Send the check to PDC, along with an explanation, for
deposit in the state's general fund.
Fund Raising Events All the dollars raised in connection with a fund raising event are
considered contributions, must be deposited into your campaign
account and reported on a C-3 report. However, the amount donated
by each contributor may be reduced by the pro-rated cost of
consumables provided.
Consumables include food, beverages, preparation or catering,
entertainment and the fair market value of items sold, raffled or given as
prizes. If you reduce contributions by the cost of consumables, the
purchase of these consumables is not reported as an expenditure. The
decreased contribution amount already accounts for obtaining these
items. See page 54 for more information.
All in-kind contributions received in connection with a fund raising event
are also considered contributions and are reported on Schedule B to
the C-4 report. In-kind contributions are reported at their fair market
value. The fair market value is the amount a well-informed buyer or •
lessee, willing but not obligated to buy or lease, would pay; and which a
well-informed seller, or lessor, willing but not obligated to.sell or lease,
would accept.
Unless the event is a "Qualifying Low-Cost Fund Raiser" as discussed
below, the campaign must keep track of how much each contributor
donated, and identify on the C-3 report the names and addresses of
those who gave over$25 and those whose cumulative totals for the
campaign are now over$25.
Frequently, at fund raisers, candidates receive contributions from
anonymous sources. Any anonymous funds received at a fund raiser
count toward the limit placed on the amount of anonymous funds you
may legally receive ($300 or 1% of the total contributions received to
date for this campaign). Funds received in connection with a "Qualifying
Low-Cost Fund Raiser" are not considered anonymous, even though the -
sources are unidentified.
Qualifying Low-Cost If you hold a qualifying low-cost fund raiser, you only need report on the
Fund Raisers C-3 the activity's date, a description of the event, and the total amount
received from contributors paying $50 or less. You do not have to keep
track.of how much each person contributed and record that information
in your records and on a contribution report. In-kind contributions of
$50 or under received in connection with one of the events need not be
reported at all. Any event satisfying one of the criteria listed on page 26
qualifies as a low-co'st fund raiser.
26
Ifs meone a s over 0 to participate in the event (or pays more than
$50 to purchase auction or sale items) or contributes goods or services
val ed at more than 50 in connection with the event, you must record
tha information in our contributor records and ident' that erson's _
name and address on the C-3 resort or if in-kind, on the Schedule B to
the C-4 . However, the remainder of the funds collected from
pa icipants paying $50 or less may still be lumped together and
rep•rted as a single sum in Part 2 of the C-3.
So e people invited to low-cost fund raises will not pay at the door, but
rat er will forward a check either before or after the event. So long as
the attend the event you may treat their contribution like other funds
received in connection with the event. It's not expected that all the
funs s received in relation to an event will appear on one C-3, since
mo ey will trickle in both before and after the event. However, if
so eone informs ou that he or she does not 'Ian to attend the fund
rai-er,-but sends along a-contribution anyway, that money is treated as
a r6gular contribution and is not lumped together with fund raiser
rec ipts.
Ev nts qualifying as low-cost fund raisers:
• retail sales of goods or services at a reasonable approximation of
heir fair market value;
• licensed and legally operated gambling event;
• food and beverage event where the admission price is no more
han$25;
• an entertainment event (concert, dance, theater performance, etc.)
here the admission price is no more than $25; and
• an auction or similar sale where the total fair market value of items
donated by any person is no more than $50.
No e: If you sell goods or services at a price that exceeds their fair
m.rket value, or hold events having an admission price of more than
$2 , or hold an auction and anyone donates items worth more than $50,
the entire event does not •ual' as a low-cost fund raiser and you must
record and report the amounts given by each contributor participating in
th: event.
Loans Lo.ns received by the candidate or the campaign from individuals,
po itical committees, corporations, unions or other organizations are
co tributions to the campaign. Persons who co-sign a loan have made
•
a ontribution in the amount for which they are liable. The amount
co tributed by these co-signers and others who loan the campaign
m ney is reduced as loans are repaid.;
C didates may also choose to make loans to their own campaigns
fro their personal funds. Candidates who receive loans for which they
ar personally liable from commercial financial institutions and use those
fu ds in their campaigns are considered as having made a personal
co tribution to their campaign.
27
•
In order for a candidate's contribution to his or her own campaign
to be eligible for repayment by the campaign, it must be recorded in
a written loan agreement and be properly reported on PDC Form C-
3 and Schedule L as a loan. According to state law, a candidate may
not be repaid more than an aggregate of$3,000 for loans made to his
or her own campaign. See Candidate Loan Repayments on page 10.
For each loan received, complete Part 1 of Schedule L and attach the
. schedule to the C-3 that reflects the loan's deposit into your account.
•
Schedule L (Part 1) To complete this portion of Schedule L, first identify the
name of the candidate filing the report. In Part 1, include:
• the date the loan was received; •
• the lender's name and address;
• the amount of the loan;
•
• the rate of interest charged (if any);
•
• the terms for repayment;
• the date by which the loan is to be repaid in full; and
• the names of any endorser, co-signer or loan guarantor.
Be sure the loan amount is included on line 1c of the C-3 report
showing deposit of the loan. Attach the Schedule L to this C-3.
SCHEDULE
L •
LOANS TO C3
OR C4 ctreol
Candidate or committee name
John A. "Jack" Jones, Jr. (Citizens for Jones)
1. LOAN RECEIVED.
Date loaned Lender's name and address Amount of loan Annual interest rate Repayment schedule Date due
5-15-9X Ralph Jones • 5,000 12% as funds Dec. 31 , 199X
P 0 Box 42, Oceanside, WA allow.
•
Also include this amount .�
on line lc,C3 report •
•rj 0D0
Name and address of each endorser,co-signer,guarantor or other person liable for the loan:
Carol Jean Jones, 123 Miller Way, Anyplace, WA 98000
•
Auctions Auctions that qualify as low-cost fund raisers are not reported on •
(Attachment Au) Attachment Au to the C-3; the in-kind donations go unreported
altogether and the receipts generated by the event are lumped together
•
and reported in part 2 of the C-3.
However, auctions that do not qualify as low-cost fund raisers
• (because at least one contributor donated items valued at more than
$50) must be fully reported on an Auction Report (Attachment Au), with
the total received noted on line 1d of the C-3.
28 •
Prepar-tion is the key to simplifying the reporting process. As each
donat-. item is received, take the following steps:
• Ass gn it a number and a brief description;
• Rec.rd the contributor's name and address as well as the item's fair
ma et value;
• Put this information on Attachment Au and in your contributor
records;
•
♦ Inc! de this contributor's cumulative total on Attachment Au.
•
When he auction occurs, keep track of who purchased each item, the
sale p lice and the purchaser's address. After the auction, include this
inform Lion on Attachment Au.
i �illin in the information for each item byfiguring out the
Finish�i g 9 9
differe ce between the item's fair market value and the sale price. If the
•
differe ce exceeds the fair market value, the buyer made a contribution
in the mount of the difference. Add this figure to previous
contri utions to arrive at a new cumulative total for the buyer.
If the le price was less than or equal to the fair market value:
♦ no contribution was made by the buyer (This person may have an •
exi ting cumulative total to put on the form, however.) and
• r-.uce the donor's contribution amount so it matches the sale price
a ount. (See example #6 on the Auction Report example.)
Total p the "sale price" column. (This total should equal the amount of
mone, generated by the auction for deposit into your bank account.)
Enter the total received on line id of the C-3 report that corresponds
with t e deposit of this money.
•
•
•
•
29
•
. AUCTION REPORT ATTACHMENT
Use this form as an attachment to.C3 to report items donated and sold at auctions. TO C3 Au
Please see the reverse for an example of a report.
Candidate or committee name • Dale auction wee held
John A. "Jack" Jones, Jr. (Citizens for Jones) May 17, 199X
Item No. Fair market Amount over Total given by
description Name and addressvalue Sale price lair market this person
. value during campaign
Contrlbulor
#1 Year-Round Tanning
5 tanning 483 Benjamin Avenue, Anyplace, 98002 50 50
sessions Buyer
Patty Hammer
85 Oak Street, Anyplace, 98001 65 15 15
Contributor
#2 John Doe
Use 200 A Street, Seattle, 98101 • 100 100
Beach Buyer Mary Smith
Cabin 400 B Street, Tacoma, 98402
_ 125 25 25
Contributor
#3 The Steak House
Dinner 201 Anyplace Mall, Anyplace, 98001 40 40
for 2 Buyer David Adams
P 0 Box 22, Anytown, 98003 40 -- --
Contributor
. #4 Constance North.
Micro- 1212 Boulevard Avenue,-Seattle, 98102 200 300
wave Buyer
B.M. Carpenter -
oven 1125 Apple Avenue, Olympia, 98500. 250 50 50
Contributor
#5 Capt. Moby Dick •
Boat 401 Waterfront, Poulsbo, 98708 75 • 75
•
Cruise Buyer Merri Ryder
204 E. Land, Myberg, 99100 90 15 15
Contributor
#6 Glamour Boutique . •
Haircut 385 State Street, Anyplace, 98000 20 15
Beyer Susan Montgomery •
_
4820 Harrison, Anytown, 98003 15 -- --
Contributor
#7 Puget Sound Hot Air Balloons
Balloon 2801 Cloud Street, Bestview, 98020 120 " 120
ride Buyer Orville Wright 98020
for 2 203 Kitty Hawk Place, Bestview, 150 30 30
Cash receipts,this page
(Total,sale price column) 735
Total from attached pages > 480
, Total cash receipts 1 ,215
(Put this amount In part Id of C3 report)
I certify that the information herein is true,correct and complete to the best of my knowledge.
/!!�/J
Tres rer,e a 0.4 Dale
older 52.17-9X
30
The C-3 Report Listed bove are directions for how to complete the two possible ,
attachments to the C-3 (Schedule L and Attachment Au). Once you've
filled out any of these that must, if they apply, accompany a C-3, it's
time to move on to the report itself.
Fill out a C-3 report for each bank deposit made, showing the sources of
the money being deposited. If you're a regular general election candidate
(as opposed to a special election candidate), prior to July 1 you'll file C-3
reportgwith your C-4 reports. Beclinhinci with July 1, you'll file your C-3
re ort6 the same da ou make our bank de osits. If you're in a special
electio , contact PDC for more information about filing dates.
Listed below are the steps for completing the C-3. Refer to the
examp e on page 33.
Give t e candidate's name, full mailing address and office being sought.
Line N . Description of Entry
la Include the amount of any contributions being deposited that
came from unknown sources. Give the total of anonymous
contributions received to date since the beginning of your
campaign. (Do not build into this total money received from low-
cost fund raisers or from contributors who have given $25 or less.
These dollars are reported elsewhere on the form.)
If your total anonymous contributions are over the$300 or 1%
limit discussed earlier, send a check to PDC in the amount of the
txcess payable to.the State Treasurer. It will be deposited into
he state's general fund. As part of your next C-4, complete Parts
1 &2 of Schedule C in order to reduce both contributions and
L
xpenditures by the amount of the excess.
1 b Show the amount of any of the candidate's personal funds being
deposited into the account as outright contributions. These
contributions are not eligible for repayment. Don't include loans
from the candidate in this section.
1 c Show the total amount of loans from the candidate and others
being deposited. Attach a Schedule L giving the details of each
loan deposited. ,
id If you're depositing any interest earned on the investment of
campaign dollars, refunds from vendors, auction receipts or other
miscellaneous receipts, show the combined total from these
sources. Attachment Au and written explanation of other funds
being included must accompany the C-3. Receipts from low-cost
fund raiser auctions are not shown on line 1d, but rather appear
on a separate line in Part 2.
1 e If you're depositing funds from contributors who have given $25
or less to your campaign, you may show the combined total
received from these contributors. Also state the number of
contributors whose donations are being-included in this total.
These are the small contributors whose names you keep on a
separate, private list. (Many treasurers find it easier to give the
name and address of all contributors in Part 2, regardless.of how
31
much has been donated, and to leave line 1 e blank.) Low-cost
•fund raiser receipts are reported as a lump sum in Part 2 and are
not included on line 1e.
2 When the total amount donated by a contributor is over$25, even
if a very small amount is given as part of this deposit, show the
date of the new contribution, the contributor's name and full
address, the amount given this time and the total given since the -
beginning of the campaign. If you have more than 15 entries, use
• additional C-3 report forms or include the required information on
8-1/2"x 11"white paper.
In Washington, candidates for local office may usually accept
contributions from individuals, businesses, corporations, unions,
organizations, groups and political committees so long as these
entities are not foreign nationals or owned by foreign nationals.
See the Prohibitions and Restrictions section for more details. If
you receive a contribution from an out-of-state or federal PAC,
you may only keep it if the PAC files a C-5 report within ten days
of your receiving the contribution. See page 5 for more
information.
3 Add up the amounts listed on the C-3 report; the total should
equal the amount being deposited. Include the total in Part 1 of
Schedule A.
At the bottom, supply the date the deposit was made and the treasurer's
• daytime phone number. Be sure the report is appropriately signed
and dated.
A C-3 report is required for each bank deposit.
Study the example below. It will give you clues regarding how to report
contributions received, including those generated through Qualifying
Low-Cost Fund Raisers.
•
•
•
32
•
•
--PUBLIC(JuRE
COMMISSION CASH RECEIPTS
MONETARY CONTRIBUTIONS PDC OFFICE USE
C3M
Candidate or Committee Name(Do not abbreviate.Use full name.) O A
S
S R
T K
John A. "Jack" Jones, Jr. (Jones for City Council ) ( ) R
Mailing Address E
• 123 Miller Way e
•
City dip+4 Office Sought(candidates) • V
Anyplace WA 98000-0000 City Council o
1. MONETARY CONTRIBUTIONS DEPOSITED IN ACCOUNT
Date Received Please type or print clearly In Ink. Amount Total
5/18/9X 34.12 • 84.12
a. Anonymous
5/14/9X 500.00 564.85
b. Candidate's personal funds deposited in thichedule
bank(Include candidate loans In 1 c)
5/15/9X c. Loans,notes,security agreements.Attach L 5,000.00
5/17/9X fail Ci0fi• $t isj• 1 ,225.00
d. Micellaneous receipts(Interest,refunds,au Ions,other).Attach explanation•
5/15/9X 4 (refund•'SiD)-.. 80.00
e. Small contributions S25.00 or less not Ite ized and number of persons giving (persons)
2. CONTRIBUTIONS OVER$25.00• Total given by this
person during caw
Date Received Contributor's Name Street Address City State Zip Amount pelgn Cr yew
•
5/15/9X Receipts from low-cost neighborhood potluck fund raiser 200.00
5/15/9X Maureen Kennedy, PO Box 711 , Olympia, .WA 98500 20.00 70.00
5/15/9X Sally Perkins, 200 - 140th Avenue S., Beachview, WA 75.00 150.00
•
5/16/9X XYZ, Inc. (thru lobbyi.t Peter Doe) 400 B Avenue, Bend, WA 100.00 100.00
5/16/9X United Workers Union, 100 K Street, Monaco, RI 50.00 125.00
•
5/16/9X Save the Sound Committee, PO Box 1180, Beachview, WA 25.00 75.00
•
5/17/9X Paul Harris, 1212 Sum•erset, Spokane, WA 99000 15.00 30.00
•
•
Sub-total 7,324.12
0 Check here it additional Amount from
pages are attached attached pages ---
3. TOTAL FUNDS RECEIVED AND DEPOSITED OR CREDIT TO ACCOUNT •
Sum of parts 1 and 2 above.Enter this amount In line 1,Sch ule A to C4. 7 a
12
This report Includes contrbudons deposited I certify that this report Is true and complete to the best of my knowledge
•
en(date) 5-19-9 x surer's signebue mm
T'emmer'sDa'en'are" one"O-'( 509 )- 555-1212 5-19-9X
PDC term C-3(3/S3)••f 4111(1.• SEE INSTRUCTIONS ON REVERSE
•
33
Cash Receipts and In order that the deposits you make during a C-4 reporting period are
Expenditures built into the totals of that summary report, you must include the
[Schedule A, deposited amounts in Part 1 of Schedule A to the C-4 report. In Part 1
Parts 1 & 2] you'll list each individual deposit made since the last C-4 report was
filed. Put the total on line 2 of the Schedule A and line 2 of the C-4.
In order that you"don't overlook including any deposits on the Schedule
A, we recommend you put the information on the schedule as soon as
the deposit is made, or keep a file of all the copies of the C-3s that need
to be included on your next C-4 report.
CASH RECEIPTS AND EXPENDITURES SCHEDULE A
to C4 (,reo)
Candidate or committee name(Do not abbreviate.Use full name) _
John A. "Jack" Jones, Jr.
1. CASH RECEIPTS(Contributions)which have been reported on C3.Lint each deposit made elnce lead C4 report wee aubmilled.
Dale of deposit Amount Dale of deposit Amount Dale of deposit Amount Total deposits
5-12-9X 1 ,925.00 5-26-9X 2,872.89 ,
5-19-9X 7,324.12 5-31-9X 8.18
_._ (bank interest)
2. TOTAL CASH RECEIPTS Enter also on line 2 of C4 12,130.19
•
In-Kind Contributions Monetary contributions are not the only things of value received by
[Schedule B, Part 1 (C-4)] campaigns. Frequently, contributors will donate goods and services in
lieu of or in addition to cash. These in-kind contributions must be fully
reported in Part 1 of Schedule B to the C-4. You'll show:
♦ the date the contribution was received,
• the name and full address of the contributor,
• a brief description of the contribution,
• its fair market value, and
• the cumulative total this contributor has given since the onset of the
campaign.
The contribution's fair market value is the amount a well-informed buyer
or lessee, willing but not obligated to buy or lease, would pay; and what
a well-informed seller, or lessor, willing but not obligated to sell or lease,
would accept.
Common examples of in-kind contributions are materials for campaign
signs, personal services, office space, printing, polling services, training
campaign workers, professional assistance to campaign managers or
help with preparation of your political advertising. -
The services of campaign volunteers are not reportable as in-kind
contributions so long as they are not paid by anyone for the campaign
work they do. However, if a person assists your campaign while on the
company payroll or is otherwise compensated by his or her employer
for the campaign work performed, that person's employer is making an
in-kind contribution to your campaign.
•
34
A ca didate's time spent on his or her own campaign is not reported as
a co tribution unless an employer gives a candidate time off with pay to
cam ign. If this happens, the employer Is making a reportable In-kind
contribution. An employer does not make a contribution if an employee
who happens to be a candidate or other campaign staff member takes
•
earn , paid leave time to campaign.
In t e example on page 35, the following in-kind contributions were
rece ed:
1 orporate Donation — Cascade Computers donated the services of
ne of its employees to install two computers and train campaign
taff.
2 ut-of-Pocket Expenses -- If the candidate makes out-of-pocket •
• mpaign expenses while traveling and is not reimbursed for these
xpenses, report those expenses as an in-kind cont'ribution from the
• ndidate. (Were he or she reimbursed, no in-kind results and the
ayment to the candidate is listed as an expenditure on Schedule A.)
3 iscounts and Services -- If goods or services are provided the
ampaign at no cost or at a reduced cost, and these goods or
• ervices are not also available to other candidates for the same
rice, a reportable contribution has occurred.
4 onated Goods & Services -- Report the receipt of sign materials,
ffice space, free advertising and similar donations at their estimated
lalue, unless they are donated for a Qualifying Low-Cost Fund Raiser
and their value is$50 or less. Remember, if you don't pay full price •
for an item or service or the vendor forgives a bill or settles for less
than full value, you've received an in-kind contribution.
5 Bulk Mailing Permit--The county committee of your political party
agrees to use its bulk mailing permit and pay the postage of a
mailing supporting your candidacy. Report the face value of the
postage costs paid by the committee.
•
Orce you total up the value of the in-kind contributions received during
th, reporting period, that total will be entered on lines 3 and 12 of the
C-4. (Note: these contributions are also shown as in-kind expendi-
• to es in order to balance your books.)
IN KIND CO IBUTIONS, PLEDGES, ORDERS, SCHEDULE 8
DEBTS, OBLIGATIONS to Ca nm
c.andldel•m commits.name(Da not abbr. l.Una fdl name)
John A. "Jack" Jones. J .
I. IN KIND CONTRIBUTIONS RECEIVED(goods;cervices.diecounte.etc.)
Date Contrlbut a name end addreos Description of contribution Fair market Total given by tht.person
received value during campaign or vane
5/9 1 Cascade Comp ters 8 hrs of training 200.00 200.00
711 Market S reet, Anyplace, 98000 services @ $25/hr
5/12 2 Jack Jones, '23 Miller Way travel & meal 64.85 564.85
expenses for self
5/12 3 AAA Print Shop, 30 Main St, Discount on printing 112.40 112.40 .
Anyplace, 98000 letterhead & envelopes
5/30 4 XXX Realty, 98 Main St., Anyplace Free June rent for . 500.00 500.00
campaign headqtrs
•
5/30 5 Grassland Co my Independent Mailed 10,000 pieces 1,800.00 1,800.00
Party, P 0 B x 1080, Anyplace of literature with
bulk permit
TOTAL
(E««also on line a sad Me to of CI) 2,677.25
35
Pledges A pledge is a promise of a future contribution. Pledges of$100 or more
[Schedule B, Part 2 (C-4)] are reportable in Part 2 of Schedule B. A pledge may be written or oral
and for cash or in-kind contributions. Pledges are built into a contribu-
tor's cumulative total. Pledges must be made for a specific amount,
with every intention of the giver to pay the stated amount in its entirety.
When payment on a pledge is received, report the cash contributions on
a C-3 and in-kind contributions on Schedule B. Be sure to adjust your
contribution records to show receipt of the pledged money.
A line of credit constitutes a pledge of a loan. Report the total amount
of the line of credit as a pledge. As funds are drawn or the credit is
used, report the amount as a loan on the C-3 and Part 1 of the
Schedule L. Reduce outstanding pledges by the same amount.
Payments to the lender (person who extended the credit),are reported
as loan repayments on Schedule A and Schedule L, Part 2.
If you have new or existing pledges, each time you file a C-4, you'll •
complete Part 2 of Schedule B and include the form as part of your C-4
filing. You'll show all new pledges received during the reporting period
as well as the total amount of pledges previously reported but still.
unpaid. Don't include any pledges that are considered uncollectible.
Note: If your campaign makes a pledge to another candidate or
political committee, it may be reportable in Part 3 of Schedule B as an
outstanding debt or obligation, depending on the amount of the pledge.
See page 42 for an example of a reportable pledge to another
committee.
•
IN KIND CONTRIBUTIONS, PLEDGES, ORDERS, SCHEDULE B
• DEBTS, OBLIGATIONS to C4 (um
2. PLEDGES RECEIVED BUT NOT YET PAID.List each pledge of$100.00 or more.
Total given by this person
Dale you were Name and address of person making pledge(Including organizations) Amount during campaign or year
notified of
pledge
5/20 Janice Smith, 1843 State Street, Anyplace 150.00 • 250.00
5/29 Patrick Brown, 7263 Birch Street, Bestview 250.00 250.00
(materials for signs)
TOTAL(Include new pledges above
and all other outstanding pledges.)
(Enter also on line 9 of C4) 400.00
36
EXPENDITURES AND DEBTS
General Information "Ex enditure" includes a payment, contribution, subscription,
distr bution, loan, advance, deposit, or gift of money or anything of
valu . It includes a contract, promise or agreement, whether or not
lega ly enforceable, to make an expenditure.
The term "expenditure" also includes a promise to pay, a payment or a
tran er of anything of value in exchange for goods, services, property,
facil ies, or anything of value for the purpose of assisting, benefiting, or
hon ring any public official or candidate, or assisting in furthering or
opp sing any election campaign. Agreements to make expenditures,
con racts, and promises to pay are reported as estimated obligations
unti actual payment is made. Payments of bank service charges are
.als included as expenditures.
Loa repayments are listed as expenditures even though they are
act ally reductions in the amount contributed by the person making the
ca paign loan. The reporting forms make accounting adjustments to
tot I contributions reported when loans are repaid.
All xpenditures made by the candidate or the candidate's committee
(in luding any filing fee) must be reported. Expenditures of$50 or less
ne d not be itemized, but may be lumped together and reported as a
co bined sum. Campaign volunteers may each spend as much as$50
of their own funds for unreportable incidental expenses. However, if the
ca paign reimburses volunteers for expenses, a reportable expenditure
ha been made.
Tr nsfers between bank accounts (from checking to savings, for
ex mple) are not considered expenditures, nor are purchases of bonds
or ertificates of deposit. Notify PDC in writing if you invest campaign
fu ds. See page 49 for more information on Investment of Campaign Funds.
An expenditure of$50 or more in currency (actual cash dollars) may
no be made unless a written receipt signed by the vendor (or the
re ipient of the money) and a campaign representative is made part of
yo r committee's records. •
R member, expenditures may only be made, incurred or authorized
b the candidate or the campaign treasurer.
Itemizing Expenses Only campaign expenses that exceed $50 need to be itemized on the
S hedule A (that is, listed by date, vendor or recipient, code or purpose
a d amount). Individual expenses of$50 or less are lumped together
a d entered on the first line of Part 3 of Schedule A. Many campaigns
prefer to itemize all expenses rather than going through the trouble of
identifying and lumping together individual expenses of$50 or less.
Listing small expenditures is also helpful when you want to check your
P C reports against other financial records.
B cause of their nominal amount, petty cash expenditures are usually
r ported as expenses of$50 or less.-Whatever their amount, include
37
•
petty cash expenditures on.Schedule A. Remember, every expense
made with campaign funds is accounted for on Schedule A, even
though it may not be itemized on the report.
•
Coding Expenditures In an effort to streamline reporting, PDC has developed expenditure
codes for use in describing campaign expenses on the Schedule A.
Treasurers who choose to use the codes to describe their expenses•will
save themselves time and aggravation. Codes also will aid
computerized campaigns in determining whether actual expenses are in
line with budget projections for that stage of the campaign.
Nevertheless, code use is optional and treasurers may continue to
supply a more lengthy description in lieu of designating a code.
The codes have been designed to accommodate reporting of many
typical campaign expenditures. However, if your campaign makes an
expenditure that is not accurately described by one of the codes (e.g.,
loan repayments), give a brief yet specific description in the Purpose of
Expense column on the Schedule A and forego specifying an
expenditure code.
•
EXPENDITURE COPE DEFINITIONS AND USES
C MONETARY,IN-KIND AND EARMARKED F FUNDRAISING EVENTS.Use"F"for expendi-
CONTRIBUTIONS(including transfers)your tures associated with holding a fundraiser,
campaign makes to other candidates and corn- including payments to restaurants,hotels, •
mittees.Put a"C"in the.Code column,in the caterers,other food and refreshment vendors,
Description column specify who was benefited entertainers and speakers.Use"L"for expendi-
and,if in-kind,what was purchased. tures for printed matter produced in connection
with fundraising events. .
I INDEPENDENT EXPENDITURES(those
expenditures that benefit other candidates or S SURVEYS AND POLLS.Use"S"for expendi-
. . committees but are made independently of tures associated with designing or producing
them).Put an"I"in the Code column and fully polls,reports on election trends,voter surveys,
describe purpose. telemarketing,telephone banks,GOTV drives,
etc.
L LITERATURE.Use"L"for expenditures made
for the preparation and production of campaign T TRAVEL,ACCOMMODATIONS,MEALS.Use
literature and printed solicitations,including "T'for expenditures associated with travel.If
expenditures for mailing lists,design,photogra- • vendor has been paid directly,identify the tray-
phy,copy,layout,printing and reproduction. eller in Description column.If travel payment
Use"P"for literature mailing costs. was made to credit card company or traveller
(for out-of-pocket expenses),itemize expenses
on separate sheet and attach to Schedule A.
B BROADCAST ADVERTISING.Use"B"for
expenditures associated with the production M MANAGEMENT AND CONSULTING SER-
and purchase of radio and television advertis-
ing. • VICES.Use"M"for salaries,fees and commis-
sions paid to campaign management
companies and contract consultants,including
N NEWSPAPER&PERIODICAL ADVERTIS- law firms,whether the person is retained or for-
ING.Use"N"for expenditures associated with mally employed by the campaign(for tax with-
• the production and purchase of advertising in holding purposes).
newspapers,periodicals and other publications.
• W WAGES,SALARIES,BENEFITS.Use"W"for
• O OTHER ADVERTISING.Use"0"for expendi- expenditures associated with hiring campaign
tures associated with the production and pur- employees and other freelance workers who
chase of advertising on billboards,yard signs provide miscellaneous services other than cam-
and campaign paraphernalia such as buttons, paign management or consulting.
bumper stickers,T-shirts,etc.
G GENERAL OPERATION AND OVERHEAD.
•P POSTAGE.Use"P"for expenditures for Use"G"for general campaign operating
stamps,postage,United Parcel Service,Fed- expenses and overhead,including filing fees,
eral Express and direct mail services(postage miscellaneous campaign expenses,headquar-
•
only).Use"L"for design and other production ters rental,utilities,and purchase or rental of
costs associated with producing campaign liter- office equipment and furniture for the cam-
ature. paign.
38
"Special-Attention" ,Th following kinds of expenditures require special attention,
Expenditures wh ther or not you are coding expenditures:
• When reporting direct payments to vendors for campaign-related
fravel expenses incurred by the candidate or a campaign worker,
i clude on your Schedule A the date of payments, the vendor's
i entity, awl." for travel expenses in the code column, the traveler's
ame in the Purpose of Expense block, and the amount spent.
• hen reporting payments to advertising agencies, public relations
firms and credit card companies, supply all the information required
I#y the Schedule A, except the code classification (since more than
one likely applies) and attach a statement from the ad agency, PR
firm or credit card company that fully explains what services were
performed or what charges are being paid. You may need to
elaborate on the information shown on the statement if it does not
fully and clearly explain the services or items that were purchased
with the payment.
• When reporting payments to the candidate or another campaign staff
member for reimbursement of out-of-pocket campaign expenses,
s pply all the information required by the Schedule A (including an
e penditure code, unless more than one applies), and attach a list
it mizing each expense included in the total or copies of receipts
that support each reimbursement.
• When reporting payments to the candidate or another campaign staff
member to offset salaries or wages lost as a result of campaigning,
supply all the information required by the Schedule A, and attach an
explanation supporting the level of earnings paid.
• hen making in-kind or earmarked contributions that benefit another
c ndidate or committee, include on your Schedule A, the
expenditure's date, the vendor or recipient's identity, a "C"for
Contributions in the code column (or the appropriate description),
the benefiting candidate's or committee's name in the Purpose of
Expense block, and the amount spent in the amount column.
• When reporting any independent expenditures that benefit another
candidate or committee, show the expenditure's date, the vendor's
identity, an "I" in the code column (or the appropriate description),
the benefiting candidate's or committee's name in the Purpose of •
Expense block, and the amount spent in the amount column.
Schedule A Example See age 40 for an example of how to complete this portion of
(Parts 3 & 4) Sche ule A.
Entry No:, Description of Entry
1 Expenditures of$50 or less
2 Rental of campaign headquarters, 5/1-5/31/9X, $500.
3 Air time buy from KWAS-TV, $745.
39
•
4 Billboard space bought from ABC Sign Co., $450.
5 When expenditures are made jointly with other candidates or
committees, each committee reports its share of the expenditure.
For instance, if two candidates equally share the cost of
newspaper ads, each reports one-half of the total charges.
6 - If your committee makes a payment to another candidate or
political committee for an item or service you received from that
committee or makes a contribution to another candidate or
committee, show that expenditure in this'section.,
7 The payment of an order or pledge is a cash expenditure. If the
amount of the order was previously shown as an "order placed •
but not paid" on Schedule B (because it was over$250 or
outstanding for over 30 days and over$50), be sure to remove it
from your list of debts before completing your new Schedule B.
8 Bank service charges are reportable as campaign expenditures.
•
9 When you repay loans made to your campaign, you need to list
that repayment in Part 2 of Schedule L as well as on Schedule A.
Also, be sure to reduce the contributor's cumulative total shown •
in your records by the amount repaid.
• 10 Reimburse candidate for out-of-pocket campaign expenses.
(Attach itemized list of expenses or copies of receipts.)
Use the Expenditures Continuation Sheet if more expenditures are made -
than will fit on the Schedule A. Show the total from attached pages in ',,
the space provided. Compute your total campaign expenditures for this
reporting period (sum of all figures in the Amount column) and enter this
total on line 4; also show this amount on line 11 of the C-4 report.
• CASH RECEIPTS AND EXPENDITURE SCHEDULE A
toC4
3.EXPENDITURES •
' a)Expenditures of$5o nr Ievc,including those from petty cash,need not be itemized.Add up these expenditures and show the total in the amount
• - column on the first line below.
b)Itemize each expenditure of more than$5Q by date paid,name and address of vendor,code/description,and amount.
c)For each payment to a candidate,campaign worker,PR firm,advertising agency or credit card company,attach a list of detailed expenses or copies
of receipts/invoices supporting the payment.
Vendor or Recipient Purpose of Expense
Date Paid - (Name and Address) Code and/or Description Amount
• • N/A Expenses of$50 or less N/A N/A •
1.-
65.84
XXX Realty
•
.5/1 2. 898 Main Street, Anyplace G 500.00
KWAS-TV
5/1 3. P 0 Box 80, Anyplace B 745.00
•
•
ABC Signs • •
5/3 4. 200 River Road, Olympia 0 450.00 .
•
Daily News Sponsored' jointly with Senator
-5/7 5. 500 Fleet Street, Bestview N Alice Smith 175.00
Independent Party
5/14 6. P 0 Box 1892, Tacoma G • 135.00
Success Agency
5/18 7. Tower Building, Spokane Copy of invoice attached - 500.00
•
•
5/31 '8. Oak Creek Mall G 23.00
•
Total from attached pages 142.12
•
4.TOTAL CASH EXPENDITURES Enter also on line 11 of C4 2.735.96
40
EXPENDITURES CONTINUATI N SHEET (Attachment to Schedule A) Page 2
Candidate or Committee Name(Do not abbreviate.Use full name.) Report Date
John A. "Jack" Jones, Jr. (Jones for City Council )
Vendor or Recipient Purpose of Expense
Date Paid (Name and Address) Code and/or Descnption Amount
Betty Morgan
5/31 9. 85 4th Street, Podun. Loan repayment 100.00
Reimbursement to candidate
5/31 10. Jack Jones (See attached) 42.12
•
•
•
•
•
•
•
(Adopted 3/93)• f • Page Total 142.12
41
•
•
Outstanding Debts Since one of the purposes of campaign disclosure reporting is to show
[Schedule B, Part 3 (C-4)] how the campaign dollars are spent, your reports would be incomplete
without including those debts the campaign is obligated to pay but
•
hasn't yet.
In Part 3 of Schedule B, you'll list each order placed (but not yet paid),
debt or other obligation (except loans) that has an actual or estimated
cost of over$250..You'll also include other debts (except loans) if their
actual or estimated cost is over$50 and the debt has been outstanding
•
for more than 30 days.
On each Schedule B filed, include all debts that meet the criteria •
mentioned above that have been acquired since the beginning of
the campaign (not simply those accumulated during the reporting
period). For each such debt, show the date the order was placed or the
obligation entered into, the vendor's name and address, the amount
owed and the purpose of the expenditure. Include the total of these
outstanding debts (along with the total of loans you owe) on line 19 of
• the C-4 report.
•
•
IN KIND CONTRIBUTIONS, PLEDGES, ORDERS, SCHEDULE B
DEBTS, OBLIGATIONS toC4 ae„
3.ORDERS PLACED,DEBTS,OBLIGATIONS,ESTIMATED EXPENDITURES(Excluding loans.Report loans on Schedule L.)
• a.Ust each debt,obligation or estimated expenditure that is more than S250.00. 1
b.Ust each debt,obligation or estimated expenditure that is more than S50.00 and has been oustandirg for over 30 days.
•
Expenditure Vendor's/Recipient's Name end Address) Amount Owed Code' OR Description of Obligation
Date
3/15 Success Agency, Tower Building, Spokane 10,000.00 M
(agree to pay $10,000 if win general
election)
4/20 Rent-a-Wreck, 801 A Street, Anyplace 150.00 G
5/1 Success Agency, Tower Building, Spokane 500.00 See attached invoice
•
5/10 People for Responsible Government 400.00 C (Pledge)
P 0 Box 85,. Anyplace
•
•
TOTAL
•
(Include in line 19 of C4) 11,050.00
•
•
•
•
•
Loans [Schedule L, • Each time a loan is received, Part 1 of Schedule L is completed and
Parts 2, 3 & 4 (C-4)] . • the schedule is attached to the C-3 showing the loan's deposit. •
• Complete and attach Schedule L to each C-4 report as long as any
•
campaign loans remain outstanding or there is any loan repayment •
or forgiveness activity to report. Show each loan payment made -_
during the reporting period (Part 2), each loan forgiven or partially
• 42 -
forgiven during the reporting period (Part 3) and recap the details
concerning each loan received since the beginning of your campaign
that till has a balance due (Part 4).
Loan Payments If du ing the reporting period you made a full or partial payment against
a loa received by your campaign, you include that payment in Part 2 of
Sch dule L.
When completing this portion of Schedule L, show
• the date payment was made,
• the lender's name and address,
♦ the amount of principal repaid,
• the amount of interest paid,
• lie total amount of the payment, and
• the balance still owed on the loan.
Add up all the principal repayments made during the period and put that
total on lines 5 and 14 of the C-4 report. Also tally up the separate total
pay ents (if there was more than one).and list that combined total as
an expenditure on the Schedule A. (If you prefer, you may list each
loa repayment separately on the Schedule A.) In your records, be sure
to r duce the amount of the lender's cumulative contribution total by the
am unt of the principal repaid.
Se example on page 44.
Loan Forgiven Occasionally, a lender will decide that the campaign doesn't have to
rep' y a loan (particularly if it's the candidate who made the loan). This
fac needs to be reported in Part 3 of Schedule L.
If loan is forgiven, specify
• the date forgiven,
♦ the lender's name and address,
• the original amount of the loan,
♦ the total principal repaid to date on this loan,
• the amount forgiven, and
• the balance owed (if"none," so state).
This forgiveness information is not included on the C-4. However, your
coIntributor records should be altered to show that the amount forgiven
is ow a regular contribution, not a loan. In addition, when you re-do
P rt 4, be sure to exclude any loans that have been entirely forgiven
a d to adjust those that have been partially forgiven.
S e example on page 44.
Loans Still Owed In Part 4 of Schedule L, you will show each loan received from the
b ginning of your current campaign that still has a balance due.
43
•
For each loan on Which your campaign still owes money, list
• the date the loan was originally received,
♦ the lender's name and address,
• the original amount of the loan,
• the total amount of the principal repaid and forgiven, and
• the balance remaining to be paid.
Add together the amounts still owed on these outstanding loans and put
that subtotal on the line provided. List the total amounts of any new
loans that were received during this reporting period, itemized in Part 1,
and reported on an accompanying C-3 and place that figure on the line
provided. Add these two subtotals together to arrive at your total loans
owed. Include this total, along with your outstanding debts from
Schedule B, on line 19 of the C-4 report.
SCHEDULE
LOANS To.C3
OR C4
WWI
Candidate or commm.e name
John A. "Jack" Jones, Jr. (Citizens for Jones)
1. LOAN RECEIVED.
Delo loaned Lander's name and address Amount of loan Annual interest rale Repayment schedule Dole due
Also include this amount
on line 1 c,C3 report
Name and address of each endorser.co•eloner.guarantor or other person liable for the loan:
2. LOAN PAYMENTS.
Data paid Lender's name and address Principal paid Interest paid Total payment Balance owed
5/31 Betty Morgan 100.00 -- 100.00 200.00
• 85 4th Street, Podunk
Total Principal Paid
(Enter also on lines 5 and 14,C-4 report) 100.00 •
Total Payments- 100.00
(Enter as an expenditure on Schedule A)
• 3. LOAN FORGIVEN.
Dale Lender's name and address Original amount Principal repaid Amount forgiven Balance owed
• 5/25 John A. Jones, Sr. 600.00 -- 300.00 300.00
8620 Circle Court, Seattle
4. LOANS STILL OWED.Llel each loan which has previously been reported and Will has a.alance due.
Loan date Lender's name and address Original amount Principal repaid I Amount owed
3/10 John A. Jones,S" or forgiven
8620 Circle Court, Seattle 600.00 300.00 300.00
4/28 Betty Morgan
85 4th Street, Podunk 300.00 100.00 200.00
5/15 Ralph Jones
• P 0 Box 42, Oceanside 5,000.00 -- 5,000.00 -
•
Subtotal ,5,500.00
New loans received during this reporting period -- _
Total Loans Owed
' 0 Check here II continued on attached sheet. (Include in total on line 19,C-4 report) 5,500.00
44
Corrections Schedule C is used to make adjustments to your C-4 totals. These
[Schedule C] corre tions could be caused by mathematical errors, recording errors,
recei't of a non-sufficient funds check,an expenditure payment error,
recei t of refunds from vendors or a host of other circumstances.
Only mounts or entries already built into your C-4 totals can be
corre ted on a Schedule C. If a contribution or expenditure was left off
an earlier filed C-3 or Schedules A or B, add it to the next filed report
and ttach a note explaining the circumstances surrounding the error.
Corr ctions to the contributions portion of the C-4 are made in Part 1,
• corr ctions to the expenditures section are made in Part 2, and refunds
you'ye received on expenditures previously made to vendors are
• included in Part 3.
• In P rts 1 and 2, when the amount originally reported was more than
• the rue amount, the correction is shown as a minus (-); if the original
amount was less than the true amount, the correction is shown as a
plus (+).
Bel w is an explanation of the example found on page 46.
Exa1nple
Number Description of Correction
1 Error in recording amount received.
2 Non-sufficient funds check returned from bank.
3 Math error in computing total contributions.
4 Underestimated value of in-kind contribution. (Note: When
adjusting in-kind contributions, you must also adjust in-kind
expenditures. See example #8 below.)
5 Refund a portion of contribution received from Sue Thomas.
6 A contribution made to the party was previously over reported.
7 Originally under-reported amount of expenditure.
8 Adjusting in-kind expenditures to match adjustment to in-kind
contributions.
9 Adjustment to expenditures for refunded contribution to Sue
Thomas.
10 Partial deposit returned from service provider. (This refund check
must be deposited into your account and reported on line 1d of a
C-3 report.)
Fellow the directions of each section for transferring the adjusted
a punts to the C-4 report. On that C-4, be sure to show whether any
c rrection is a plus (+) or a minus (-).
•
45
• CORRECTIONS SCHEDULE
•
to C4 y
Candidate or Committee Name(Do not abbreviate.Use lull name.)
John A. "Jack" Jones (Jones for -City Council)-
1..CONTRIBUTIONS AND RECEIPTS(Include mathematical corrections.)
Date of Contributor's name or description of correction Amount Corrected Difference
report reported amount (+or-) •
5/10/9X 1 . PSZ Company (recording error) 25.00 75.00 +50.00
5/10/9X 2. James P. Smith (NSF check) _ 25.00 0 -25.00
5/10/9X 3. Math error in computing total 4,670.00 4,680.00 +10.00
contributions
5/10/9X 4. Morris Typing Service (undervalued 280.00 375.00 +95.00
worth of service)
5/10/9X 5. Refund contribution to Sue Thomas 50.00 25.00 . -25.00
•
Total corrections to contributions
Enter on line 6 of C4.Show+or(-). +105.00
2. EXPENDITURES(Include mathematical corrections.)
Date of Vendor's's name or description of correction _Amount Corrected Difference
report reported ' amount (+or-)
5/10/9X 6. Independent Party Central Committee 100.00 75.00 -25.00
(over-reported amount)
5/10/9X 7. WKEE Radio (under-reported amount) - 210.00 245.00 +35.00
5/10/9X 8. Morris Typing Service 280.00 375.00 +95.00
(adjust for increase in in-kind
contributions) -
5/10/9X 9. Refund contribution to Sue Thomas 50.00 25.00 -25.00
Total corrections to contributions
Enter on line 15 of C4.Show+or(-). +80.00
3. REFUNDS FROM VENDORS.The below listed amounts have been received as refunds on expenditures previously reported.The refund has been deposited
and reported on C3 report,Line 1d.
• Date of Source/person making refund •
Amount of
refund
refund
5/17/9X 10. NW Gas Company (refund on service deposit) • 10.00
•
•
Total refunds
•
Enter as(-)on line 6&line 15ofC4. 10.00
46
•
The C-4 Report If y u completed the various schedules to the C-4 (Schedules A, B, C
and L) and transferred the totals arrived at on those forms to the
appropriate lines on the C-4, there is little remaining to fill in on the C-4,
except your previous contribution total (line 1) and your previous
expenditure total (line 10). After supplying those figures, it's a matter of
ad ing up the columns to compute your new totals.
L
Assuming you have no funds in a separate investment account,
Lin 18 should equal the sum of your checkbook balance and your
pe cash balance as of the last day covered by the report.
• If lie 18 does not agree with your checkbook balance once its
co bined with petty cash on hand, verify that all C-3 reports for the
period were included in Part 1 of Schedule A, make sure each
expenditure was included in Part 3 of Schedule A, and double check
your arithmetic. If this doesn't work and you are off by a significant
a ount, you may be in for a time-consuming review of every schedule
• yo `re filing with the C-4. Call and speak with a PDC political finance
sp cialist about your difficulties.
A p-4 report is not legally filed unless it is signed by the candidate
and the campaign treasurer. So, be sure to take this requirement into
ac ount when planning travel schedules.
Report Close-Out Dates C reports must include activity through a certain point prior to the due
d.to of the report. That is,
• 21-day pre-election reports must be current within five business days,
• 7-day pre-election reports must be current within one business day,
and
• 10t-of-the-month reports cover activity through the end of the
previous calendar month.
Also see page 54, Accounting Periods.
•
•
•
47
PUBLIC DISCLOSURE COMMISSION SUMMARY, FULL REPORT
RECEIPTS AND EXPENDITUREC4
POC OFFICE USE
P M
Candidate or Committee Name(Do not abbreviate.Use full Caine.) 0 A
•
S R
John A. "Jack" Jones, Jr. ) AK
Mailing Address •
C
123 Miller Way
•
City County Ztp+4 V
Anyplace Grassland 98000-0000
Report From:(last C-4) To:(end of period)
co riod May 1 ; 199X May 31., 199X Is this your f)pgreport?' Yes No X
RECEIPTS
1.Previous total cash and In kind contributions(From line 8,last C-4)
(If beginning a new campaign or calendar year see instruction booklet) 6,244.29
2.Cash received(From line 2,Schedule A) 12,130,19
3.in kind contributions received(From line 1,Schedule B) 2,677.25
4.Total Cash and in kind contributions received this period(Line 2 plus 3) •
\\ 14,807.44
5.Loan principal repayments made(From line 2,Schedule L) ( 100.00
J
(refund') -10.00
6.Corrections(From line 1 or 3,Schedule C) Show+or(-) +1 05.00
7.Net adjustments this period(Combine line 5.&6) Show+or(-)
-5.00
' 8.Total cash and in kind contributions during campaign(Combine lines 1,4&7) • 21 .046.73
9.Total pledge payments due(From line 2,Schedule B) 400.00
00.00 •
EXPENDITURES
10.Previous total cash and in kind expenditures(From line 17,last C-4) 3,085.14
•
(If beginning a new campaign or calendar year,see instruction booklet)
• 11.Total cash expenditures(From line 4,Schedule A or line 5,Schedule A-s/I) 2,735.96
12.In kind expenditures(goods&services) (From line 1,Schedule B) 2,677.25.
13.Total cash and in kind expenditures made this period(Une 11 plus line 12) 5,413.21
14.Loan principal100.00 repayments made(From line 2,Schedule L) -10.00 -
15.Corrections(From line 2 or 3,Schedule C) Show+or(-) +80.00
16.Net adjustments this period(Combine lines 14&15) Show+or(-) 3 .00
•
17.Total cash and In kind expenditures during campaign(Combine lines 10,13 and 16) 8,468.35
CANDIDATES
Please complete: CASH SUMMARY
' Name not 18.Cash on hand(Line 8 minus line 17) 12,578.38
Won Lost Unopposed on ballot (Line 18 should equal your checkbook balance plus your petty cash balance.)
Primary election ❑ ❑ ❑ ❑
General election ❑ ❑ ❑ ❑
19.Liabilities:(Sum of loans and debts owed) ( 16,550.00
7ltfasurer's Daytime Telephone No.: 20.Balance(Surplus or deficit) (Line.18 minus.line 19) (3,971 .62)
509 ) 555-1212
CERTIFICATION:I certify that the information herein and on accompanying schedules and attachments is true to the best of my knowledge. .
Candidate's Signature Date Treasurer's Signature Date
Qvn, A-, 'L u. 6-9-9X - 6/9/9X
PDCC form C-4(3/93)•.f °+ SEE INSTRUCTIONS ON REVERSE
48
AFTER THE ELECTION .
Post-Election Reports They C-4 report filed on the 10th of the first month following the election
(De ember 10 for regular general elections) is your final report if the
campaign is concluded, there are no outstanding debts, loans or other
obl gations, you've disposed of any surplus funds and you've dissolved
yo r campaign. (Candidate's who lose in the primary may file their final
rep rt on October 10 if they have settled all their accounts.)
W en you file your final report, please answer the question "Is this
your final report?" affirmatively. If you plan to retain any remaining
funds for a future campaign, see page 50 for an explanation of how to -
ca,ry forward funds to the new campaign. Remember, you may only
us these remaining funds for your next campaign if you are seeking the
sa a office last sought.
If you do not or cannot file a final report on December 10, you must
continue to file C-3 and C-4 reports until all debts and other
obligations are satisfied. These reports are filed on the 10th of each
m nth (covering the previous calendar month, or the period since your
la t report) whenever contributions received or expenditures made total
$2 0 or more since the last C-4 report was filed. If you have a
ca paign surplus, but receive no new contributions or make no new
expenditures, no C-4 reports are required until campaign financial
a ivity resumes. See Start-up of New Campaign on page 50.
R member, surplus campaign funds may only be spent in ways
s ecified by law. See page 13 for the discussion on the uses to which
th se funds maybe put.
Investment of S rplus campaign funds may,be invested in bonds, savings accounts,
Campaign Funds certificates, tax-exempt securities, mutual funds and similar instruments -
available in financial institutions. Banks, savings and loan institutions
ad credit unions are recognized as financial institutions. Stock
brokerage houses and other investment companies do not qualify as
"f nancial institutions" and may not be used for investment of campaign
f nds.
•
If you invest campaign funds, take the following steps:
Notify PDC by letter of the date, amount and the name of the
financial institution where the surplus is invested. Do not report the
investment as an expenditure on Schedule A or on the C-4 report.
Deposit all interest, dividends or income earned by the investment
into the investment account Report this income as miscellaneous
receipts on line 1d of the C-3 report.
When the investment is terminated, re-deposit the principal plus the
accrued earnings into the original campaign account and notify PDC
by letter that this re-deposit has been made. Do not report this
transfer as a contribution on the C-3.
• Check with the IRS or your personal tax consultant about any tax
liability that the investment may create.
• 49
•
Start-up of New A candidate's committee does not "net out" annually, but
Campaign aggregates contributions and expenditures throughout the
existence of the candidacy or campaign. For example, a candidate
might begin seeking contributions and making expenditures two or three
years before an election. The aggregate of all contributions and
expenditures is shown on C-4 reports until the election is over. •
Similarly, there might be bills to pay off after the election. You may
collect money and hold fund raising events to pay off these debts
without establishing a new campaign. However, once you begin
receiving contributions after there are no debts to pay off from a
previous election, or you're considering making expenditures which
relate to your next election, you must close-out the previous election
and.begin a new campaign.
Here are the steps to follow to start a new campaign:
• File a final C-4 report with the appropriate schedules for the earlier
campaign. Include all transactions since the last C-4 was filed.
Indicate in the space provided that this is the final report.
• File a C-1 registration statement for the new campaign.
• File a C-4 report for the new campaign. The surplus carried forward
from the old campaign is reported on line 1 of the C-4 as shown on
page 51. Appropriate schedules are attached showing new
contributions and expenditures.
• File future C-3 and C-4 reports for the new campaign.
L
50
SUMMARY, FULL REPORT PDC OFFICE USE
RECEIPTS AND EXPENDITURE C4 PM
OA
Candidate or committee name(Do not abbreviate.Include full namle.) S R
John A. "Jack" Jones, Jr. (CitizEns for Jones), 1/90 TRK
Address t:
C
123 Miller Way
City County Zip V
Anyplace Grassland 98000
Report From:(last C-4) To:(end of period)
Period
1/1/9X 1/31/9X
RECEIPTS '
carried forward from
I. Previous total cash and In kind contributions(From I ne 8,last C-4)
(If beginning a new campaign or calendar year,see instruction booklet) previous campaign 8]2.65
2. Cash received(From line 2.Schedule A) 280.00
3. In kind contributions received(From line 1,Schedul B) ---
4. Total cash and In kind contributions received this p riod(Line'2 plus 3) ( 280.00
5. Loan principal repayments made(From line 2,Sch dule L) ` --- •
6. Corrections(From line 1 or 3,Schedule C) Show+or(-) ---
7. Net adjustments this period(Combine lines 5&6) Show+or(-) ---
8. Total cash and in kind contributions during campaign(Combine lines 1,4&7) 1,152.65 .
9. Total pledge payments due(From line 2,Schedule B) ---
EXPENDITURES
10. Previous total cash and in kind expenditures(Fro line last C-4)
Start-up of new campaign --
(If beginning a new campaign or calendar year,see I structi17,on booklet)
11. Total cash expenditures(From line 4,Schedule A or line 5 Schedule A-s/I) 50'00
——
12. In kind expenditures(goods&services)(From tin 1,Schedule B)
13. Total cash and in kind expenditures made this period(Line 11 plus line 12) 50.00
14. Loan principal repayments made(From line 2,Schedule L)
15. Corrections(From line 2 or 3,Schedule C) Show+or(-) --
16. Net adjustments this period(Combine lines 14& 16) Show+or(-) ---
17. Total cash and in kind expenditures during campaign(Combine lines 10, 13 and 16) 50.00
CANDIDATES •
Please complete: CASH SUMMARY
Name not '
Won Lost Unopposed on ballot 1 102.65
Primary election 0 18. Cash on hand(Line 8 minus line 17)
General election (Line 18 should equal your checkbook balance.)
DOLE
19. Liabilities:(Sum of loans and debts owed) " ( --- ' )
20. Balance(Surplus or deficit)(Line 18 minus line 19) 1 ,102.65
CERTIFICATION:I certify that t information herek and on accompanying schedules and attachments is true to the best of my knowledge.
Candidate's i attire 21 1 Date Tr asurer,e Signature(it a political committee) Date
(th 2-9-9X 6 ( iz i �Itize
0
PDC loon A'(Rev.1l90) -1499
51
BOOKKEEPING HINTS
Both reason and the law dictate that treasurers be able to support the
information reported on PDC forms.. This section includes some hints to
assist treasurers in compiling and reporting campaign finance
information.
This section is strictly advisory. The law requires only that accurate •
records be maintained. Use any bookkeeping system that meets this
requirement. The hints outlined here are ones that have been used -
effectively in other campaigns. If you have ideas that would help other
treasurers, please share them.
Computer Reports Many campaigns have access to home or small business computers.
Records may be kept on these computers and PDC reports generated
from them. If you plan to use computer generated reports in lieu of
PDC forms (other than the program distributed by PDC), submit a
sample copy of each report to PDC for approval unless the reports are
substantially similar to the standard format.
Guidelines for computer reports:
• approximately the same format used in PDC forms (you may.
eliminate the explanatory information, however);
• clearly label all data;
• use 8-1/2" by 11" paper; .
• data must be placed on the page vertically so reports can be
microfilmed; and
• use a good quality printer that leaves a dark impression.
Cash Transactions A contribution or expenditure of more than $50 in cash or currency may
not be accepted or made unless a written receipt signed by the
contributor.(or recipient of an expenditure) and a campaign
representative is made part of the campaign's financial records.
Contributions Record currency and check contributions directly on C-3 reports. File
copies of these C-3 reports in chronological order in a loose-leaf binder.
Contributions must be deposited within five business days of receipt.
Your C-3 report could, therefore, cover a one-week period. You must
include the cumulative total of contributions received from each
contributor on the C-3. This total would,include all donations received
. . , from a contributor from the beginning of your current campaign through
- the last day covered by the report. Also keep a record of contributions
on individual contribution indexoards. .Examples of contribution cards
may be found at the end of this section.
Your bank statement is another supporting document for monetary
contributions. 'If you prepare a C-3 report every time you make a bank
- deposit, you will always be able to match your C-3 reports with the
deposits appearing on your bank statements.
52 .
Ot er types of contributions, such as in-kind contributions and pledges,
ma, be kept track of by recording the relevant information about them
on notebook paper. If you use a notebook, add section dividers and
convert it into an all-purpose book for recording campaign financial
information.
Expenditures Expenditure information may fall into one of three categories: cash
expenditures, petty cash disbursements, and orders placed but not yet
pa d (debts).
Cash Expenditures R cord cash expenditures directly on a Schedule A. The check number
sh uld be recorded on your work copy of the schedule.
•
Petty Cash T establish and replenish a petty cash fund, determine the amount
needed for approximately one month ($100 to $250). Write a check for
the amount to the person who will be responsible for the petty cash
fu d. Do not include this check setting up your petty cash fund as an
e penditure on Schedule A.
D n't use the petty cash fund to pay expenses when a check can be
c nveniently written. A check gives you a record of the payment.
ASS small purchases are made, receipts are placed in the petty cash fund
records. (Note: The sum of cash and receipts must always equal the
starting amount.) Periodically, the receipts are totaled and a check for
that amount is made out to the person in charge of the fund. (Again,
t is replenishment check is not listed as an expenditure on Schedule A.)
eep the receipts as supporting documents for the replenishment
ceck.
tIhe checks establishing the fund and those used to replenish it are not
included on the Schedule A because each petty cash expenditure will
appear on the schedule as it occurs, probably on the "expenditures of
$50 or less" line. If you also report the checks establishing and
r plenishing the fund, you'd be inflating the amount actually spent by
t e campaign.
Orders Placed reportable expenditure is made when an order is placed, whether it
as been paid or not. Therefore, you must make a summary of orders
placed but not yet paid when you prepare each C-4 report. If the exact -
cost is unknown, estimate the cost. Each time a summary is prepared,
orders placed that have now been paid are deleted. On the Schedule
B, you'll report those remaining orders (outstanding debts) that will cost
you more than $250 or more than $50 if they were ordered over 30 days
ago. An example of an orders placed journal is located at the end of
this section.
Remember that contingency salary agreements --those promises to pay
consultants or others a certain amount if the election is won --are
reported as outstanding debts when the agreements are entered into.
53
Miscellaneous Records A miscellaneous section in your notebook will be helpful. It
provides a place to record plans for disposition of surplus funds,
insurance policies taken out by the campaign, potential liabilities from
lawsuits, disputed payments, and other correspondence or conversation
regarding the campaign's finances or reporting procedures.
Deducting Cost of Review the discussion on Fund Raisers and Qualifying Low-
Consumables Cost Fund Raisers beginning on'page 26.
The law permits that the amount of a contribution received in
connection with a fund raising event (such as a dinner) may be reduced
by the cost of the consumables provided.
•
If you choose to do this, some special bookkeeping techniques are
necessary and you'll probably want to set up a subsidiary set of records
for the event.
In order to deduct the cost of consumables from contribu-tions,
determine the amount to be deducted per person. (Note: In your
records, show the total amount received from each person, the amount
deducted as consumables, and the net contribution.) The net
contribution is then reported on your C-3.
Do not include the total cost of consumables as an expenditure on
Schedule A. (However,'your records should show that the total
expenditure for consumables equals the total amount you deducted
from the contributions received.)
•
To summarize, your C-3 report will not equal the amount deposited and
the amount reported on Schedule A as fund raiser expenditures will not
equal the amount actually spent. The difference in both cases is the
cast of the consumables consumed by the contributors.
If the admission price to your fund raiser is more than$25, it may
not be reported as a Qualifying Low-Cost Fund Raiser, even if
deducting the cost of consumables would reduce each ticket.
purchaser's contribution to$25 or less.
Accounting Periods Each transaction, contribution or expenditure that occurred during the
• reporting period must be included on the C-4 report covering that
period. Shown below are C-4 due dates and the earliest time when
books may closed.
With C-1 report (if pre-registration contributions received
or expenditures made); close books same day as report filed; include all
activity to date.
10th-of-the-month reports (required if no special C-4 reports are due that
month and contributions or expenditures exceeded $200 since last C-4);
close books as of last day of preceding month; include all activity since
last C-4.
54 •
21-day pre-election report; close books no more than five
days before report due date; include all activity since last C-4.
7-dhv pre-election report; close books no more than one day
bef re report due date; include all activity since last C-4.
Post-election 10th-of-the-following month report (this post
pri i ary report not required of candidates going on to the general);
close books as of last day of preceding month; include all activity since
las C-4.
Final report; close out books as of date campaign ends;
include all activity since last C-4.
Help.Available PDC welcomes calls and office visits if you need assistance.
In addition, you are encouraged to contact your county auditor or local
political party committee and ask them to host a PDC instruction
workshop in your area.
55
SAMPLE 3" BY 5" CONTRIBUTION CARDS
Name STYLIth, )oar
Address ,321 Flower St.
City-Zip 4/vwn 98OOO CASH CONTRIBUTIONS
Campaign
Date Amount Total PDC Remarks
7-/o rot,oo boo.co C-3 ✓ Thank yocc,Settt.
8-08 £ .00 /4-0s0 C-3✓
You may also find it handy to add additional
information to these cards such as precinct '
number, willingness of the contributor to
volunteer time or services, special talents, -
etc. ,,vary Types and, will doorbell 7ues,
Wed, Tiutrs,
Name Johes) cJolry N. 6vlfe 6/15a t)
Address 4a+ Tttibet' Drive,
City-Zip , 4 row►i. q 800o CASH AND IN-KIND
CONTRIBUTIONS
Campaign
Date Amount Total PDC Remarks
-15 25,00 2S.40 C-3 Pinot eais f
Ticket#177
8-IB I6-0.00 175:0o B sheets p✓yWuoct
. (/N-K/ND)
Susa , Is preuneCcontinit nicj.-Lakes precinct:
Name Doe, Tam F.
Address /Z3 Ch err �0-ve
City-Zip �tOWf ' PLEDGE CARD
Amount Amount Unpaid
Date Pledged Paid Balance PDC Remarks
ISO.dO $✓45-0 du e-
g��4,q/.2031/0 •
Note: It is handy to-have pledge cards a
different color from basic contributor
cards.
56
• ORDERS PLACED JOURNAL
MONTH OF AUGUST
•
Date
Ordered Vendor & Address Est. Amt. Amt. Paid Ck # Balance PDC Purpose, Remarks
8/08/9x Ace Printing 1000 silk screen signs for delivery
123 "A" St., Atown $2,000 $2,000 B 10/8/9x. Payment due on delivery
8/09/9x ABC Billboards Billboard rent 9/1 through 11/1/9x.
402 Front, Atown 1,550 $ 550 103 1,000 A,B Balance due by 10/1.
8/10/9x Lazy Lumber Co.
417 oat, Atown 500 500 107 0 A 40 sheets plywood. Paid 8/31/9x.
Outstanding orders as of 8/31/9x ' 3,000 Reported to PDC on Schedule B
MONTH OF SEPTEMBER
8/08/9x Ace Printing 2,000 2,000 B
8/09/9x V ABC Billboards 1,000 500 115 500 A,B
9/02/9x PDQ Lumber Co. Plywood and sign stakes for delivery
123 Back St., Atown 250 250 10/1/9x.
Outstanding orders as of 9/11/9x 2,750 Reported to PDC on Schedule B
MONTH OF OCTOBER
8/08/9x Ace Printing 2,000 2,000 125 0 A Delivered 10/1/9x.
8/09/9x Billboards 500 500 127 0 A Paid 10/01/9x.
9/02/9x PDQ Lumber 250 • 250 128 0 A Paid 10/01/9x.
cri
Outstanding orders as of 10/16/9x 0
•
Pertinent Government Agencies
QUESTIONS ABOUT AGENCY TELEPHONE
Federal Income Tax Internal Revenue Service 1-800-829-1040
(Form 1120-POL) (local office)
Employer ID Number (if campaign has employees) " 1-800-829-3676
(Form SS-4) •
Employee Withholding (W-4 form) "
Social Security Social Security Administration (local office)
Federal Campaign Reporting Federal Election Commission 1-800-424-9530
999 E Street, N.W.
Washington, D.C. 20463
State Taxes Department of Revenue 206-753-5540
PO Box 47462
Olympia, WA 98504-7450
Employment Security Department 206-753-5116
212 Maple Park, M/S 6000
Olympia, WA 98507-9046
Business Licenses Department of Licensing 206-753-6918
1125 Washington St SE, M/S 8001
Olympia, WA 98504
or
Local City Clerk or Treasurer
Liquor and Banquet Permits Local WA State Liquor Store
or
Liquor Control Board 206-753-6262
1025 E. Union, PO Box 43076
Olympia, WA 98504-3076
Gambling Permits Gambling Commission 206-438-7654
(bingo, raffles) 1100 S. Jefferson, M/S 2400
Olympia, WA 98504-2400
•
Health Permits (food sales) County or City Health Department
Incorporation Secretary of State 206-753-7115
505 E. Union, PO Box 40234
Olympia, WA 98504-0234 ,
Postal Permits • Local U.S. Post Office
Declarations of Candidacy County Auditor or
Secretary of State 206-753-2334
Candidates Voter Pamphlet County Auditor or Secretary of State
Election Laws County Auditor/County Prosecutor
Political Broadcasting Federal Communications Commission 202-632-7586
Broadcast Bureau
Washington, D.C. 20554
Sign Regulations See page 60
58
County Election Officials
•
ADAMS COUNTY AUDITOR -
210 W BROADWAY RITZVILLE WA 99169-1860
ASOTIN COUNTY AUDITOR 135 2ND ST PO BOX 129 ASOTIN WA 99402-0129
BENTON COUNTY AUDITOR
620 MARKET ST PO BOX 470 PROSSER WA 99350-1300
CHELAN COUNTY AUDITOR
WASHINGTON &ORONDO ST PO BOX 400 WENATCHEE WA 98807-2886
CLALLAM COUNTY AUDITOR
223 E 4TH PORT ANGELES WA 98362-3025
CLARK COUNTY AUDITOR
1200 FRANKLIN ST PO BOX 5000 VANCOUVER WA 98660-2872
COLUMBIA COUNTY AUDITOR
341 E MAIN ST DAYTON WA 99328-1361
COWLITZ COUNTY AUDITOR
207 4TH AVE N KELSO WA 98626-4190
DOUGLAS COUNTY AUDITOR -
213 S RAINIER PO BOX 456 WATERVILLE WA 98858-0456
FERRY COUNTY AUDITOR
350 E DELAWARE PO BOX 498 REPUBLIC WA 99166-0498
FRANKLIN COUNTY AUDITOR
1016 N 4TH AVE PASCO WA 99301-3706
GARFIELD COUNTY AUDITOR
PO BOX 278 POMEROY WA 99347-0278
GRANT COUNTY AUDITOR
C ST NW PO BOX 37 EPHRATA WA 98823-0037
GRAYS HARBOR COUNTY AUDITO
100 W BROADWAY PO BOX 751 MONTESANO WA 98563-3614
ISLAND COUNTY AUDITOR
NE 6TH &MAIN ST PO BOX 5000 COUPEVILLE WA 98239-9998
JEFFERSON COUNTY AUDITOR
1820 JEFFERSON ST PO BOX 563 PORT TOWNSEND WA 98368-6951
KING CO RECORDS 8 ELECTION
COUNTY ADMINISTRATION BG #553 500 4TH AVE SEATTLE WA 98104-2337
KITSAP COUNTY AUDITOR
614 DIVISION ST PORT ORCHARD WA 98366-4676
KITTITAS COUNTY AUDITOR
5TH &MAIN ELLENSBURG WA 98926-2897
KLICKITAT COUNTY AUDITOR
205 S COLUMBUS AVE #203 GOLDENDALE WA 98620-9293
LEWIS COUNTY AUDITOR
351 NW N ST PO BOX 29 CHEHALIS WA 98532-1926
LINCOLN COUNTY AUDITOR
450 LOGAN ST PO BOX 366 DAVENPORT WA 99122-0366
MASON COUNTY AUDITOR
411 N 5TH PO BOX 400 SHELTON WA 98584-3400
•
OKANOGAN COUNTY AUDITOR
149 3RD N PO BOX 1010 OKANOGAN WA 98840-1010
PACIFIC COUNTY AUDITOR
300 MEMORIAL AVE PO BOX 97 SOUTH BEND WA 98586-0097
PEND OREILLE COUNTY AUDIT.R -
625 W 4TH PO BOX 5000 NEWPORT WA 99156-5000
PIERCE COUNTY AUDITOR
2401 S 35TH #200 TACOMA WA 98409-7460
SAN JUAN COUNTY AUDITOR
350 COURT ST PO BOX 638 FRIDAY HARBOR WA 98250-0638
SKAGIT COUNTY AUDITOR
205 KINCAID ST PO BOX 1306 MOUNT VERNON WA 98273-4225
SKAMANIA COUNTY AUDITOR
240 NW VANCOUVER PO BOX 790 STEVENSON WA 98648-9704
SNOHOMISH COUNTY AUDITOR
3000 ROCKEFELLER AVE 1ST FLR M/S 505 EVERETT WA 98201-4046
SPOKANE COUNTY AUDITOR
W 1116 BROADWAY SPOKANE WA 99260-0430
STEVENS COUNTY AUDITOR
215 S OAK ST PO BOX 189 COLVILLE WA 99114-2836
THURSTON COUNTY AUDITOR
2000 LAKERIDGE DR SW OLYMPIA WA 98502-6045
WAHKIAKUM COUNTY AUDITOR
64 MAIN ST PO BOX 543 CATHLAMET WA 98612-9602
WALLA WALLA COUNTY AUDIT.R
315 W MAIN ST PO BOX 1856 WALLA WALLA WA 99362-2820
WHATCOM COUNTY AUDITOR
311 GRAND AVE PO BOX 398 BELLINGHAM WA 98227-4186
WHITMAN COUNTY AUDITOR'
N 404 MAIN ST PO BOX 350 COLFAX WA 99111-2071
YAKIMA COUNTY AUDITOR
128 N 2ND ST YAKIMA WA 98901-2646
59
WA State Department of Transportation
District Outdoor Advertising Control Representatives
Washington State is divided into six transportation districts. See map on reverse. Each district has a
traffic engineer and other staff who are able to advise campaigns on the size, spacing and placement of
political signs so that they conform with federal and state highway laws. (Campaigns may need to
contact local police or sheriff departments regarding additional local ordinances regulating signs.)
Campaigns intending to erect signs within a transportation district should contact the appropriate office.
District 1 Nancy Guinn • (206) 440-4390
Department of Transportation
15325 SE 30th Place
Bellevue, WA 98007-6538
District 2 Dave Eakin (206) 663-9759
Department of Transportation
1551 North Wenatchee Avenue
PO Box 98
Wenatchee, WA 98801
District 3 Jack Smith (206) 357-2620
Department of Transportation
5720 Capital Blvd.
PO Box 9327
Olympia, WA 98504
District 4 Dave Pirello (206) 696-6509
Department of Transportation
4200 Main Street
PO Box 1709
Vancouver, WA 98668
District 5 Matt Griswold (509) 457-7118.
Department of Transportation
PO Box 12560
Yakima, WA 98909
District 6 Robert Earnest (509) 456-3007
Department ofTransportation
N 2714 Mayfair Street
PO Box 5299, North Central Sta.
Spokane, WA 99205
•
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•
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WHATCOM OKANOGAN FERRY STEVENS OREILOLE
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CLALLAM BNOHOMIBH [�
CHELAN 2
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JEFFERSON — —LiNCOLN
KITBA• KING
MASON A
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GRAYS HARBOR •
KITTITAB / GRANT -
- PIERCE ' ADAMS•
.WHITMAN •
\" •
Y _____-
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• THURSTON
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YAKIMA H
PACIFIC i I1.
LEWIS , FRANKLIN
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BENTON • . ' • WALLA
1 41, WALLA COLUMBIA
ABOTIN
COWLITZ SKAMANIA
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CLARK
WASH STATE
a,
DEPARTMENT OF TRANSPORTATION_
DISTRICT BOUNDARIES
•
LOCAL AND JUDICIAL CANDIDATES
PUBLIC DISCLOSURE COMMISSION 1993 FULL REPORTING CAMPAIGN DISCLOSURE FORMS
711 CAPITOL WAY RM 403
PO BOX 40908
OLYMPIA WA 98504-0908
(206)753-1111
This pad contains the blank forms required by the average candidate for local and judicial office who
selects the full reporting option. Additional blank forms are available from your county auditor
(elections department) or PDC. Forms may be ordered from PDC by phone.
The forms and the quantity of each contained in this packet are described below. All reports must be
typed or completed in black ink. Report attachments must be on 8-1/2" x 11" white paper (in order
that they may be photographed onto microfiche).
Form No Quantity Color Use
C-1 3 Canary Registration
C-3 21 White Cash Receipts
C-4 12 Ivory Receipts & Expenditure Summary
Schedule A to C-4 9 Ivory Cash Receipts & Expenditures
Expenditure 9 Ivory Expenditures
Continuation Sheet
Schedule B to C-4 12 Ivory In-kind Contributions, Pledges and Debts
Schedule C to C-4 3 Ivory Corrections
Schedule L to C-3 or C-4 9 White Loans
Attachment Au to C-3 3 White Auction Report
Special Report E 3 White Earmarked Contributions
C-5 3 White Out-of-State & Federal PACs*
(* Out-of-state and federal PACs must file C-5 reports when they contribute over $50 to Washington
candidates for state and local office. It's to your benefit to supply copies of the form to your
contributors who must file it You may duplicate the two-sided form or obtain copies from PDC. See
instruction manual for more information.)
Mini and Abbreviated Reporting: Candidates using the Mini or Abbreviated Reporting option DO
NOT complete the forms included in this pad. Refer to the Mini and Abbreviated instruction manual.
Computer Reports: PDC welcomes reports prepared by computer. If your computer format deviates
from the standard PDC form, submit a sample report for format approval prior to filing computer
generated reports. PDC also has designed computer record keeping and reporting programs for use
with Lotus 1-2-3 and TWIN software. Contact PDC for more information.
Copies of Reports: PDC supplies copies of reports filed by candidates and political committees upon
request. The copies are on microfiche and each sheet of film (containing up to 96 report pages) costs
$.25 plus postage. No charge if your order costs under $1.00. Copies may be ordered by phone.
Office visitors may make paper copies of filmed reports at a cost of $.10 per page.
1993 Key Reporting Dates for Candidates
Date Activity C-4 Report Period
Within two weeks of File a C-1 (non-incumbents also file an F-1)
becoming a candidate
Jan 10 File monthly C-4 & C-3, if necessary close of last report thru Dec 31
Feb 10 close of last report thru Jan 31
Mar 10 close of last report thru Feb 28
Apr 10 close of last report thru Mar 31
May 10 close of last report thru Apr 30
Jun 10 " close of last report thru May 31
Jul 1 Begin filing C-3 the same day as bank deposit
Jul 10 File monthly C-4, if necessary close of last report thru Jun 30
Jul 26-30 Declaration of candidacy filing week
Aug 24 21 day pre-primary C-4 due Jul 1 thru Aug 19
Sep 6-13 Records open for public inspection
Sep 7 7 day pre-primary C-4 due Aug 20 thru Sep 6
Sep 7-13 Special reports due if candidate makes or
receives contributions over $500
Sep 14 PRIMARY ELECTION DAY
Oct 10 Post-primary C-4 due* Sep 7 thru Sep 30
Oct 12 21 day pre-general C-4 due Sep 7 thru Oct 7
Oct 12-Nov 1 Special reports due if candidate makes or
receives contributions over$500 in the aggre-
gate. Candidate now prohibited from making
or receiving contributions over $5,000 in the
aggregate unless contribution is from WA state
major political party.**
Oct 25-Nov 1 Records open for public inspection
Oct 26 7 day pre-general C-4 due Oct 8 thru Oct 25
Nov 2 GENERAL ELECTION DAY
Dec 10 Post-general C-4 due (and C-3, if necessary) Oct 26 thru Nov 30
*Only required of candidates whose names will not appear on general election ballot.
**Neither provision constitutes authority to exceed any applicable local or state contribution limit.
PUBUC DISCLOSURE COMMISSION
711 CAPITOL WAY RM 403 REGISTRATION:
PO BOX 40908
OLYMPIA WA 98504.0908 CANDIDATES/CANDIDATE COMMITTEE
(208)753-1111 PDC OFFICE USE
Candidate's Name(Do not abbreviate.Include candidate's full name) C 1 P M
O A
S R
T K
Candidate's Committee Name(Do not abbreviate.)
(4/93)
Mailing Address C
E
City County Zip+4
D
1. What office are you running for? Office District,County or City Position No.
2. Political party(if partisan office) 3. Date of general or special election
4. How much do you plan to spend during your entire election campaign,including the primary and general elections?Based on that estimate,choose one of the reporting options below.
If no box is checked you are obligated to use Option III,Full Reporting.See instruction manuals for information about reports required and changing reporting options.
❑ Option I MINI REPORTING
I will limit contributions or expenditures during this campaign to my filing fee of$ plus no more than$500,including
charges for the voters pamphlet.I will accept no more than$200 in the aggregate from any contributor except myself.
❑ Option II ABBREVIATED REPORTING
I will use the Abbreviated Reporting System.I will raise and spend no more than$2,000 and will accept no more than$200 in the aggregate from any
contributor except myself.
❑ Option III FULL REPORTING
I will use the Full Reporting System.I understand frequent,detailed reports are required.
5. Treasurer's Name and Address(Candidate may be treasurer.)(List deputy treasurers on attached sheet.) //Daytime Telephone Number
l /
6. Committee's Principal Officers.List name,address and title.
7. Campaign Bank or Depository Branch City
8. Related or Affiliated Political Committees.List name,address and relationship.
9. Campaign records are to be open for public inspection the last eight days before election.(Two hours daily between 8 AM-8 PM,Monday-Friday.)Show location and hours below:
Street Address(Do not use a Post Office Box Number) Hours
ti\ S
10. Fair Campaign Practices:All candidates and committee // �`l 11. CERTIFICATION:
officers are encouraged to subscribe to the Code of �/ y! I certify that this report is true,complete and correct to the best of my knowledge.
Fair Campaign Practices printed in the instruction manuals. FAIR l
Candidate's signature Date
CAMPAIG
pd(
Please advise us about which forms and instructions you need.Remember,candidates must file a Financial Affairs
Statement(F-1)unless a current one is already on file with PDC.Check all boxes which apply.
❑ I already have financial affairs and campaign disclosure forms and instructions.
❑ I am using Mini Reporting and,therefore,do not need the other campaign disclosure forms.In addition,I have already filed DISTRIBUTION OF THIS REPORT:
my Financial Affairs Statement and need no additional F-1 forms. ORIGINAL—Public Disclosure Commission
❑ I will obtain all forms and instructions from my county elections office. COPY—County Elections Dept.(Auditor)
El I want PDC to mail me: _ the F-1 instruction booklet(which includes forms) COPY—Your own records
the appropriate campaign disclosure forms and instructions.
PDC form C-1(rev.4/93) -1499-C1- See instructions on reverse
PUBU DISCLOSURE COMMISSION PDC FORM CANDIDATE
711 CAPITOL WAY RM 403
PO BOX 40908 C
1 REGISTRATION
P
OLYMPIA WA 98504.0908 STATEMENT
(206)753-1111
INSTRUCTIONS
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42.17 RCW and 390-16 WAC.
WHO MUST FILE Candidates who run for state or local office in jurisdictions that had 5,000 or more
registered voters as of the last general election or in jurisdictions covering an entire
county.
WHEN TO FILE Within 2 weeks of becoming a candidate (that is, receiving contributions, making
expenditures, announcing candidacy, reserving space or filing for office, whichever
occurs first). File an amended registration within 10 days of changes affecting
accuracy of previously filed C-1. Report is considered filed as of postmark date or
date hand-delivered to PDC.
WHERE TO FILE Send the original to PDC at the above address. Send a copy to County Auditor
(County Elections Department) of the county in which the candidate resides.
REPORTING Option I (MINI): May be used by candidates who raise and spend no more than $500
OPTIONS on their campaigns (including personal funds), in addition to the filing fee amount.
Limited to receiving $200 or less from any contributor other than the candidate (who
may give the entire $500).
Option II (ABBREVIATED): May be used by candidates who raise and spend no
more than $2,000 on their campaigns (including personal funds). Filing fee costs
count toward this limit. No more than $200 may be accepted from any contributor
other than the candidate.
Option III (FULL): Required of candidates who do not qualify for Mini or Abbreviated
Reporting. Frequent, detailed reports of contributions and expenditures are required
as long as the campaign account remains open.
OTHER REPORTS F-1 (Financial Affairs Statement): Filed by candidates within 2 weeks of becoming a
candidate, unless a previous F-1 filing has been made in the same calendar year.
C-3 (Cash Receipts Report): Used with Full Reporting only.
C-4 (Contribution and Expenditure Report): Used with Full Reporting only.
C-4 ABB (Receipts and Expenditures Summary): Filed by candidates using
Abbreviated Reporting.
FAIR CAMPAIGN This is a voluntary code adopted by PDC to stress the importance of ethical
PRACTICES CODE campaign practices. All candidates and campaign workers are encouraged to follow
the Code's principles.
For assistance, call or write PDC!
• PUBLIC DISCLOSURE COMMISSION CASH f•
i1i6VETTS
MONETARY CONTRIBUTIONS C3 P M PDCOFFICEUSE
Candidate or Committee Name(Do not abbreviate.Use full name.) O A
T K
S R
(3/93) R
Mailing Address E
C
E
I
City Zip+4 Office Sought(candidates) E
D
1. MONETARY CONTRIBUTIONS DEPOSITED IN ACCOUNT •
Date Received Please type or prin clearly In Ink. Amount Total
a. Anonymous
b. Candidate's personal funds deposited in the bank(i clude candidate loans in 1 c)
c. Loans,notes,security agreements.Attach Schedule L '
d. Micellaneous receipts(interest,refunds,auctions,of er).Attach explanation
e. Small contributions$25.00 or less not itemized ant number of persons giving (persons)
2. CONTRIBUTIONS OVER$25.00 Total given by this
person during cam-
Date Received , Contributor's Name Street Address City State Zip Amount paign or year
•
•
•
•
Sub-total
in Check here if additional Amount from
pages are attached • attached pages .
3. TOTAL FUNDS RECEIVED AND DEPOSITED OR CREDITED TO ACCOUNT
•
Sum of parts 1 and 2 above.Enter this amount in line 1,Schedule A to l C4.
This report Includes contrbutions deposited I certify that this report Is true and complete to the best of my knowledge
on(date) Treasurer's Signature Date
Treasurer's Daytime Telephone No.: f!
•
PDC form C•3(3/93)-*f w-rao�. SEE INSTRUCTIONS ON REVERSE
PUB "DISCLOSURE :COMMISSION
aoc.FORM 'CA'SH RECEIPTS
• a U raoCAPITOL AYRM403 .AND�MONETARY
OLYMP.IA'YYA 9850M0908 C'3 f
• 1208)753-MA11 i ;(3f93� 'CONTRIBUTIONS
INSTRUCTIONS •
. :Please consult PDC instruction manuals when.completing'this report.
; ' . ' Reporting requirements are contained in and governed bychapters,42;17:RCW and 39046-WAC.
"ENERAL 1) All contributions and miscellaneous receipts must'be deposited into Te,campaign ibank
GUIDELINES . •account.Complete a C3 for each bank deposit.File'the reports:as,described below.
. �2) Anonymous contributions (those for which you do not'have the:contributor's name and
.address) are limited to the larger of'$300 or 1%of the total-contributions,received to'date for th's
election.'Unidentified small contributions raised through qualifying fund raising tvents'do rmot
count toward the anonymous contribution limit. •
• 3)•A candidate's cash contributions to the campaign are reported on Form.C-.3. Loans'from the
candidate are reported,on line 1 c of the C-3 as well as Schedule'L.'Unreimbursed out-of-pocket •
expenditures are reported as in-kind contributions on Schedule B to the 0-4.'.Reimbursed but=of-
pocket expenditures are reported on Schedule A to'the C-4..
4). Contributions of$25 or less may be combined and the total amount reported on line Se-of the
C-3. While the names and.addresses of contributors giving $25 or less.need not'be reported,
treasurers must keep a private list of these small contributors and the amounts given. When the
' total donated by any of these contributors exceeds$25,that person's name and address must Pe .
• included On the relevant C-3 report.
5) During the 21 days before the general election,contributions from one source may not'exceed .
• . $50,000..to a state-wide candidate or$5,000 to any other candidate or committee.These limits do
not apply to contributions received from major WA State political parties.
'WHO MUST FILE Treasurer of each candidate and political committee using Full Reporting. No C-3s are filed with
• . • Mini and Abbreviated Reporting. C-3 reports may be signed by designated deputy treasurers.
• FILING DATES During the four months or more before the'general or a special election (prior to July 1 for general
elections),file C-3s each time a C-4 report is filed. ,
• • Within,four months or less before the general or special election (beginning July 1 for general
elections),,file the C-3 on the same day the bank deposit is made. (Contributions are to be •
deposited'within:five business days of receipt.)
WHERE:To FILE. Send.original'C.-3.reports, along with Schedule L's, if necessary,to PDC at the above address.
• ' • Candidates.send a duplicate copy to their County Auditor(County Elections Department): •
. Political',committees send a copy to County Auditor of the county in which their headquarters is
located,or, if nol headquarters,the county in which their treasurer resides.
.CQNTRIBUTI.ONS. During.the 7 days•before the primary and'the 21 days before the general election. candidates
.OVERi$50ct and committees.must file'special reports of each contribution received that exceeds.$500. The
report,discloses;the amount of the contribution,.the date received, the name and address of the
donor as.well.as the name and.address of the recipient.
•
if possible, a written.report,(C-3 form,telegram, mailgram, or nightletter) of these large
contributions should be delivered to•PDC within 48 hours (or the first working day after receipt): '
Otherwise:call PDC with,the.information required within the 48-hour or first-working day
timefreme:and'mail written confirmation,of this telephone report within two days of receiving the'
' contribution.
Any,'political committee„lobbyist or lobbyist employer who makes'a contribution.over$500 during
. the 7 days,before the primary or 2.1 days_before the general election must notify PDC and the ' '
• . recipient of the contribution:within 24 hours or the first working day after the contribution was .
made:, . , •
For assistance, cal or write PDC!
••PUBLIC dISCLOSURE COMMISSION SUMMARY, FULL REPORT
RECEIPTS AND EXPENDITURE C4P M PDCOFFICEUSE
Candidate or Committee Name(Do not abbreviate.Use full name.) S R
• T K •
• (3/93)
Mailing Address
E
City County Zip+4 V
r
Report From:(last C-4) To:(end of period
coved
ove ed Is this your Ping report? Yes No •
RECEIPTS .
1: Previous total cash and in kind contributions(From line 8,last C-4) •
(If beginning a new campaign or calendar year,see instruction booklet)
2. Cash received(From line 2,Schedule A)
3. In kind contributions received(From line 1,Schedule B)
4.Total Cash and in kind contributions received this period(Line 2 plus 3) r V
- 5.Loan principal repayments made(From line 2,Schedule L)
6.Corrections(From line 1 or 3,Schedule C) Show+or(-)
• 7. Net adjustments this period(Combine line 5&6) Show+or(-) •
8.Total cash,and in kind contributions during campaign(Combine lines 1 4&7)
9.Total pledge payments due(From line 2,Schedule B) •
EXPENDITURES. •
10.Previous total cash and in kind expenditures(From line 17,last C-4)
• - (If beginning a new campaign or calendar year,see instruction bookie) .
11.Total cash expenditures(From line 4,Schedule A or line 5,Schedule •-s/I)
12.In kind expenditures(goods&services) (From line 1,Schedule B)
•
13.Total cash and in kind expenditures made this period(Line 11 plus lin.12) 1
• 14.Loan principal repayments made(From line 2,Schedule L) /
•
15.Corrections(From line 2 or 3,Schedule C) Show+or(-)
16.Net adjustments this period(Combine lines 14&15) Show+or(-)
17.Total cash and in kind expenditures during campaign(Combine lines 10,13 and 16)
CANDIDATES • '
Please.complete: CASH SU MARY • ' •
Name not 18.Cash on hand(Line 8 minus line 17) •
Won Lost Unopposed on ballot (Line 18 hould equal your checkbook balance plus your petty cash balance.) •
Primary election ❑ ❑ ❑ ❑ •
General election ❑ ❑ ❑ ❑ )
19.Liabili ies:(Sum of loans and debts owed)
Treasurer's Daytime Telephone No.: 20.Balance(Surplus or deficit) (Line 18 minus line 19)
CERTIFICATION:I certify that the information herein and on accompanying schedules and attachments is true to the best of my knowledge. •
Candidate's Signature Date Treasurer's Signature Date
- - r
PDC form C-4(3/93)••f u SEE INSTRUCTIONS ON REVERSE
PUBLIC DISCLOSURE COMMISSION PDC FORM
711 CAPITOL WAY RM 403 CONTRIBUTION AND
pa 0908
OL sox WA 98504-0908 C 4 EXPENDITURE SUMMARY
(206)753-1111
(3/93)
INSTRUCTIONS
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42.17 RCW and 390-16 WAC.
•
WHO MUST FILE Each candidate and political committee using Full Reporting.
FILING DATES 1) File with C-1 (Registration) if you received contributions or made expenditures before
registering.
2) File on the 10th of each month if contributions or expenditures were over$200 since last C-4
was filed. (Note:These 10th-of-the-month reports are not required if another C-4 must be filed
during that month. See#3 below.)
3) For each primary, general and special election in'•which the candidate or political committee
makes an expenditure,file
♦ :21 days prior to the election
•
• 7 days prior to the election
• 10th of the first month after the election*
(*Not required after primary from candidates who will be in the general election or from continuing
political committees.)
4) File final report when campaign is finished or committee closes operation.Often,this coincides
with the primary or general post-election, 10th-of-the-month report.
All reports are considered filed as on the postmark date or the date hand-delivered to PDC.
SCHEDULES AND State executive and legislative candidates will file Schedules A-s/I, B-s/I, C and L, as
ATTACHMENTS appropriate, along with the C-4.
Judicial and local office candidates and all political committees will file Schedules A, B, C and L,
as appropriate, along with their C-4 reports.
All candidates and committees must attach any C-3 reports that were due but not filed.
WHERE TO SEND Send original C-4 reports along with any attachments to PDC at the above address:
REPORTS Candidates send a duplicate copy to their County Auditor(County Elections Department).
Political committees send a copy to County Auditor of the county in which their headquarters is
located or, if no headquarters,the county in which their treasurer resides.
OTHER REPORTS C-3 (Cash receipts Report): Used with Full Reporting only.
C-4 (Contribution and Expenditure Report): Used with Full Reporting only.
C-4 ABB (Receipts and Expenditures Summary);Filed by candidates using Abbreviated
Reporting.
Special Report E (Earmarked Contributions Report): Filed by committees that receive funds
earmarked for use on behalf of another candidate or committee.
For assistance, call or write PDC!
•
CASH RECEIPTS AND.EXPENDITURE• sCHEDULE
•I toC4 . M
Candidate or Committee Name(Do not abbreviate.Use full name.) • .
1.; CASH RECEIPTS(Contributions)which have been reported on C3.List each deposit made since last C4 report was submitted.
Date of deposit Amount Date of deposit • . Amount Date_of deposit Amount Total deposits
2..TOTAL CASH RECEIPTS . Enter also on line 2 of C4
CODES FOR CLASSIFYING EXPENDITURES:If one of the fol owing codes is used to describe an expenditure;no other description is generally needed.
The exceptions are:1)if expenditures are in-kind or earmarked contributions.to another candidate or committee or independent expenditures that benefit
another candidate,or committee,identify the candidate or committee in the Description block;and 2):.when reporting payments to vendors for travel
expenses,identify the traveller in'the Description block..• •
C-Contributions(monetary,in-kind&transfers) • P-Postage,Mailing Permits
• I :Independent Expenditures • .. S-Surveys andPoils •
CODE L -Literature,Brochurles,Printing _ .. F-Fundraising Event Expenses
DEFINITIONS I.
ON.REVERSE B-Broadcast Advertising(Radio,TV) T-Travel,Accommodations,Meals
. • N-Newspaper and Periodical Advertising ' •,M=Management/Consulting Services
0-Other Advertising(yard signs,buttons;etc.) ' ' .W-Wages,Salaries,Benefits •
. G General Operation and Overhead
3. EXPENDITURES
a)Expenditures of$50 or less,including those from petty cash,need not be itemized.Add up.these expenditures and show the total in the amount
column on the first line below.
b)Itemize each expenditure of more than$50 by date paid,name and address of vendor,code/description,and amount.
c)For each payment to a candidate,campaign worker,PR firm,advertising agency or credit card•company,attach alist of detailed expenses or copies
of receipts/invoices supporting the payment. •
Vendor or Recipient . . Purpose of Expense
Date Paid (Name and Address) . Code - _ and/or Description Amount
N/A Expenses of$50 or less N/A • N/A
•
•
•
•
Total from attached pages'
4.TOTAL CASH EXPENDITURES •Enter also on line 11 of C4 •
PDC form C4A(3/93)••f . CODE DEFINITIONS ON REVERSE
EXPENDITURE:CODE DEFINITIONS AND USES
C MONETARY,IN-KIND AND EARMARKED F FUNDRAISING EVENTS.:Use"F"for expendi-
CONTRIBUTIONS(including transfers)you!' tures associated with holding'a fundraiser, :
campaign makes to other candidates and corn including payments.to•restaurants,hotels,
rntttees. Put a"C'.'in the Code column, in the: • caterers, other food and refreshment 9endors,
Description column specify who was benefited - entertainers and speakers. Use"L"for"expendi-
and, if in-kind, what was purchased. tures forprinted matter produced in connection
with fundraising events.
1 INDEPENDENT EXPENDITURES(those
expenditures that benefit other candidates or S. SURVEYS AND POLLS. Use"S"for expendi-
committees but are made independently of tures associated with:designing or-producing
them). Put an "I in the Code column and fully - polls, reports on election trends,voter surveys;
describe purpose, telemarketing,telephone banks, GOTV drives,. •
etc. < . •
L LITERATURE.Use"L"for expenditures made
for the preparation and production of campaign:' T TRAVEL,ACCOMMODATIONS,MEALS. Use
literature and printed solicitations,including ."T"for expenditures associated With travel; If ,
expenditures for mailing lists, design, photogra- -vendor has been paid directly, identify the tray-
phy, copy, layout, printing and reproduction. eller in Description column: If travel payment
Use"P"for literature mailing costs: was made to credit card company or traveller
(for out-of-pocket expenses),.itemize expenses
B BROADCAST ADVERTISING. Use"B"for
on separate sheet and attach to Schedule A.
•
expenditures associated with the production
and purchase of radio and television advertis= M . MANAGEMENT AND CONSULTING SER.
ing.. VICES. Lisp"M"for salaries; fees and commis-,
sions paid to campaign management
N NEWSPAPER& PERIODICAL.ADVERTIS• companies:and contract consUltants, including
law firms, whether-the person is retained or for-
ING. Use"N"for expenditures associated with mally employed by the campaign (for tax with-
the production and purchase of advertising•in holding purposes).
newspapers,periodicals and other publications; '
• W WAGES;SALARIES;BENEFITS..Use"W":for •
O OTHER ADVERTISING. Use"O"for expendi- expenditures associated with hiring campaign
tures associated with the production and pur- • employees and other freelance workers who,
chase of advertising on billboards, yard signs provide miscellaneous services other than cam-
and campaign paraphernalia such as buttons, paign management or consulting.
bumper stickers, T-shirts, etc.
G GENERAL'OPERATION AND OVERHEAD:. •
P POSTAGE. Use"P"for expenditures for Use"G"'for general campaign operating -
stamps, postage, United Parcel Service, Fed- expenses and overhead,including filing fees,
eral Express and direct mail services (postage miscellaneous campaign expenses, headquar-.
only). Use"L"for design and other production ters rental, utilities, and purchase or rental of
costs associated with producing campaign liter- office equipment and furnitUre.for the cam-
ature. paign.
•
•
•
•
_
EXPENDITURES CONTINUATION.SHEET (Attachment to Schedule A) . Page
Candidate or Committee'Name(Do'not abbreviate.Use full name.) ' . . . Report Date
•
•
Vendor or Recipient Purpose of Expense
Date Paid (Name and Address) . Code .. and/or Description Amount
•
•
•
•
•
•
•
•
•
•
•
•t
(Adopted•3/93)`*f • ' Page Total •
IN KIND CONTRIBUTIONS, PLEDGES, ORDERS, SCHEDULE B •
DEBTS, OBLIGATIONS to C4 (3/93)
Candidate or Committee Name(Do not abbreviate.Use full name.) •
1' IN KIND CONTRIBUTIONS RECEIVED(goods,services,discoLnts,etc.) `
Date Contributor's name and address Description of contribution Fair market Total given by this person
received - value during campaign or year
•
•
TOTAL
(Enter also on line 3 and line 12 of C4)
2. PLEDGES RECEIVED BUT NOT YET PAID.List each pledge of$100.00 or more.
Date you were Name and address of person making pledge(including organizations) Amount Total given by this person
notified of during campaign or year
pledge -
g
y
TOTAL(Include new pledges above
and all other oustanding pledges.
(Enter also on line 9 of C4) • '
3. ORDERS PLACED,DEBTS,OBLIGATIONS,ESTIMATED Et(PENDITURES(Excluding loans.Report loans on Schedule L.)
a. List each debt,obligation or estimated expenditure that is more th I n$250.00.
b. List each debt,obligation or estimated expenditure that is more th n$50.00 and has been oustanding for over 30 days.
Expenditure • Vendor's/Recipient's Name a d Address) Amount Owed Code* OR Description of Obligation
Date
•
•
•
TOTAL
(Include in line 19 of C4) •
PDC form C4B(3/93)•*f ..-; ,g *Code Definitions on Reverse
EXPENDITURE CODE DEFINITIONS AND USES
C MONETARY, IN-KIND AND EARMARKED F FUNDRAISING EVENTS. Use"F"for expendi-
CONTRIBUTIONS (including transfers) your tures associated with holding a fundraiser,
campaign makes to other candidates and com- including payments to restaurants, hotels,
rnittees. Put a"C" in the Code column, in the caterers, other food and refreshment vendors,
' • ' Description column specify who was benefited entertainers and speakers. Use"L"for expendi-
and, if in-kind, what was purchased. tures for printed matter produced in connection
with fundraising events.
I INDEPENDENT EXPENDITURES (those
expenditures that benefit other candidates or S SURVEYS AND POLLS. Use"S"for expendi-
committees but are made independently of tures associated with designing or producing
them). Put an "I"in the Code column and fully polls, reports on election trends, voter surveys,
describe purpose. telemarketing,telephone banks; GOTV drives,
etc.
L LITERATURE. Use "L"for expenditures made
for the preparation and production of campaign T. TRAVEL,ACCOMMODATIONS, MEALS.Use
literature and printed'solicitations, including .' "T"for expenditures associated with travel. If
expenditures for mailing lists, design, photogra- vendor has been paid directly, identify the tray-
• phy, copy, layout,printing and reproduction.- eller in Description column. If travel payment
Use "P"for literature mailing costs. ` was made to credit card company or traveller
(for out-of-pocket expenses), itemize expenses
B BROADCAST ADVERTISING. Use"B"for
on separate sheet and attach to Schedule A.
expenditures associated with the production
and purchase of radio and television advertis- M MANAGEMENT AND CONSULTING SER-
ing. VICES. Use"M"for salaries,fees and commis-
sions paid to campaign management
companies and contract'consultants, including
N NEWSPAPER & PERIODICAL ADVERTIS- law firms,whether the person'is retained or'for-
ING. Use"N"for expenditures associated with mally employed by the campaign (for tax with-
the production and purchase of advertising in ' holding purposes).
newspapers, periodicals and-other publications. •
W . WAGES,SALARIES, BENEFITS. Use"W"for
0 OTHER ADVERTISING. Use"O"for expendi-. expenditures associated with hiring campaign
tures associated with the production and pur- employees and other freelance workers who
chase of advertising on billboards, yard signs provide miscellaneous services other than cam-
and campaign paraphernalia such as buttons, paign,management or consulting.
bumper stickers;T-shirts, etc. .
G GENERAL OPERATION AND OVERHEAD.
P POSTAGE. Use"P"for expenditures for Use"G"for general campaign operating -
stamps,, postage, United Parcel Service, Fed- expenses and overhead, including filing fees,
eral Express and direct mail services-(postage • miscellaneous campaign expenses, headquar-
only). Use "L"for design and other production ters rental,'utilities, and purchase or rental of
costs associated with producing campaign liter- office equipment and furniture for the cam- -
ature. paign.
•
CORRECTION I . SCHEDULEC
to C4 •
Candidate or Committee Name(Do not abbreviate.Use full name.) Date
•
1. CONTRIBUTIONS AND RECEIPTS(Include mathematical Corr{ctions.)
Date of Contributor's name or description of correction Amount 'Corrected .Difference
, report reported amount (+or-)
•
•
•
•
•
•
•
•
•
•
•
Total corrections to contributions
•
Enter on line 6 of C4.Show+or(-).
2. EXPENDITURES(Include mathematical corrections.) •
Date of Vendor's's name or descri.tion of correction Amount Corrected Difference
report reported amount (+or-) •
•
•
•
•
Total corrections to expenditures
Enter on line 15 of C4.Show+or(-).
3. REFUNDS FROM VENDORS.The below listed amounts have been received as refunds on expenditures previously reported.The refund has been deposited
and reported on C3 report,Line 1 d.
Date of •' Source/person making refund Amount of
refund refund
•
•
•
•
Total refunds
3
• Enter as(-)on line 6&line 15 of C4.
PDC form C4C(3/93)'•f K w .
. SCHEDULE
See instructions and TO C3
LOANS examples on reverse OR C4
(1/90)
•
Candidate or committee name
1. LOAN RECEIVED.
Date loaned Lender's name and address • Amount of loan Annual interest rate Repayment schedule Date due
•
Also include this am aunt
on line 1c,C3 report •
Name and address of each endorser,co-signer,guarantor or other.erson liable for the loan:
2. LOAN PAYMENTS.
Date paid . Lender's name and address Principal paid Interest paid Total payment Balance owed
Total Principal Paid
(Enter also on lines 5 and 14,C-4 report)
Total Payments -
(Enter as an expenditure on Schedule A)
3. LOAN FORGIVEN.
Date Lender's name and address Original amount Principal repaid Amount forgiven Balance owed
4. LOANS STILL OWED. List each loan which has previously been reported and still has a.alance due.
.Loan date Lender's name and address Original amount Principal repaid Amount owed
or forgiven
•
•
•
Subtotal
New loans received during this reporting period
Total Loans Owed
D Check here if continued on attached heet. (Include in total on line 19,C-4 report)
PDC form C4L (1/90) -1500-
PUBLIC DISCLOSURE COMMISSION
• SCHEDULE ,
• 0PO BOX 4 908 WAY RM 403 TO C3 LOANS
OLYMPIA WA 98504-0908 ' OR C4 (1/90) -
• (206)753-1111 •
•
. INSTRUCTIONS
• • Please consult PDC instruction manuals when completing this schedule. ,
Reporting requirements are contained in and governed by chapters 42.17 ROW and 390-16 WAC.
WHO MUST FILE Each candidate and political committee using.full,reporting that receives one or
, more campaign loans.
FILING DATES When a loan is received by the campaign. complete Part 1 and file the Schedule
L with the C-3 report that corresponds with the loan's deposit into the account.
Use a separate schedule for each loan received.
When a loan is paid or forgiven.in whole or in part,complete Part.2 and/or Part 3
and• file the Schedule L with the C-4 covering•the period when the payment
• or forgiveness occurred. .
When one or more loans remain unpaid, complete Part 4 and.file the schedule
• with each•C-4.report'until all loans are repaid in full or forgiven. ,(The same
schedule may be used to show loan payments,forgiveness information and to
show which loans remain unpaid.) •
SCHEDULE
•
LOANS , Sbnr,r.�d.n..w .I TO Ca
n.mple•nrenm -OR Cs waa -
Adrian Adams for State House
LOAN RECEIVED _0_, 1.LOAN RECEIVED. •
.('Information would Dale loaned Lender's nano and.ddr... Amonrol loan Anneal lernea..r: Rep•n:nt.ehedera Dare due
' , appear on-separate 2/40/9x 1 Candidate 45;000 12% $200/month Not fixed'Schedule L)
Alpo Incade this an,ounl
Donne 1g14=rt $5.000
Name and•ddr..s of non endorse.,co-dorm gu•.anlor or other pn.on Cable Ion the loam •
Commercial loan to the candidate from Washington State Bank. Loan,co-signed by Sam P. Smith,
145(Boulevard Drive, Podunk, WA and Jane S. Paul, 541 8 Street. Podunk, WA. Each:guaranteed
$2,500 of the loan.
•
LOANPAYMENTS-► 2•-LOAN PAYMENTS.
.oar.pd0 laMerl n.ma.nd•dmo. . '.Prbdpal paid .NNW paid Toler payment Balance owed
•
3/30/9X . Candidate , $200 $50 $250 ' -$4,800
1 •
'3/31/9X , Michael , $100 None $100 .:S :400
.
Tobl Pnlneipel P•Id—�
(Ent.r.Mao on Hoes 6 ad 14,C.4 repod) $300 .
Totalp.ymenle-- $350 '
(Few a an expendnuro on Schedule A) ,
LOAN FORGIVEN--0- 3.'LOAN.FORGIVEN. •
.Dab 1 .L•rder•e name and address Original Amor. Principal',meld Amount lorpb.n .Delenee owed
i 3/15/9X Kelly'Adams '$250 None $150 ^ $100
l
4.LOANS STILL.0WED.•Oat each leen which ha.previously been reposed and.uen.e••Mance der. '
•
LOANS•Sl'}'ILL�� loan dale . Lander.nem.and add.... Original P.Melpa regal Amount o.W .
OWED 2/10/9x Candidate ' • , or forgiven
$5;000 $200 • 14.800 ,
1/22/9X .Michael.Murray sbo 100 400
' 3/01/9X Kelly Adams • 250 .150 100
3/11/9X • K.M. Lawrence 1;000 0 1,000
I .
subtaal 16;300 .
New lanes r.c.hed durinn tha wpo:lingperiod'_ .0
TolslLoans Owed
• $6,300
0 Caec•'nese II eontau.d on.taeh•d-.OW. - (Includelnlolil on Wm 19.C•4,.porn
' ,
AUCTION REPORT! ATTACHMENT
•
Use this form as an attachment to C3 to report items donated land sold at auctions. TO C3 Au
Please see the reverse for an example of a report.
Candidate or committee name Date auction was held
•
Item No. Fair market •
Amount over Total given by
description Name and address value Sale price fair market this person.
value during campaign
Contributor
Buyer
Contributor -
•
Buyer
•
Contributor
1
Buyer
•
Contributor
Buyer • _
•
Contributor
•
•
Buyer •
•
Contributor •
•
•
•
Buyer
Contributor .
•
Buyer •
•
Cash receipts,this page •
(Total,sale price column)
•
•
Total from attached pages
Total cash receipts
•
(Put this amount in part 1 d of C3 report)• •
- I I certify that the information herein is true,correct and complete to the best of my knowledge.
See instructions on reverse Treasurer's signature Date
•
PDC C3Au (1/90) -1319-
. Instructions
Use this form as an attachment to your C3(Cash Receipts and Bank Deposits). •
Item No. description: As each item to be auctioned is received,assign it a number and a brief description.
Contributor: The person or organization.which donates an article to be auctioned. if your committee purchases
items for auction, state"purchased by committee" under contributor's name.
Buyer: The person who buys the item being auctioned.
Fair market value: The retail value of the article. If the retail value cannot be estimated or found,state"unknown."
Sale price: The amount the buyer paid for the item.
' ' Amount over fair market value: The amount the sale price exceeds fair market value. If sale price is less than fair,
market value, leave blank.
Total given by this person during campaign: •
Contributor—Fair.market value of the item.(substitute sale price, if lower) plus all previous contributions made to the
candidate or committee. ,
Buyer—Amount over fair market value plus all previous contributions made to candidate or committee. .
Cash payments: A payment of more than$50.00 may not be accepted unless a receipt, signed by the buyer and
the candidate,treasurer or deputy treasurer is prepared and made part of the committee's financial records.
•
• .AUCTION REPORT .
Use this form as an attachment to C3 to report items donated and sold at auctions.
Candidate or committee name ) Date auction was held
•
JONES FOR SHERIFF COMMITTEE • 9/14/XX
Item No. Fair market Amount over Total given by
description Name and address value Sale price fair market this person
value during campaign
NO. 1 Contributor JOHN DOE •
USE 200 "A" STREET, SEATTLE 98101 .$100. . $100
BEACH Buyer MARY SMITH
CABIN 400 "B" STREET,. TACOMA 98402 . $125' $25 $25
Contributor SAM BROWN
NO.2 123 MILITARY ROAD, ANYTOWN 99101 $80 $60
' DINNER Buyer TOM MIX •
i FOR 4 RT. 2, BOX 1, SADDLE MT.' 98900 , $60
contributor CAPT. MOBY DICK
' NO.3 401 WATERFRONT, POULSBO 98701 $75 . • $75 .
BOAT 80yer MERRI RYDER
CRUISE 204 E. LAND, MYBURG 99100 $90 $15 $15
Contributor .
Buyer
Cash receipts,this page
(Total,sale price column) . $275.00
' Total from attached pages 0
Total cash receipts $275.00
• (Put this amount in part Idol C3 report) .. . .
, i
PDC C3Au (1/90) -1319- .
StATe OF IA WASHINGTON
:;? w 3 EARMARKED
4 ".:k;� �,<a;.,� �; PDC OFFICE USE
U O CONTRIBUTION REPORT SPECIAL s R
? =I PUBLIC DISCLOSURE COMMISSION S R
TK
1. Name of committee filing this report (Candidate or committee which received a contribution E ,
earmarked to another.)•
c
•
V
E
-D
Address
City County Zip
2: Original source of earmarked contribution
Name
Address
City State Zip
3. Contribution Date Amount/Value Description (Fully describe in kind contributions)
•
4. Name of candidate or committee to be benefited
•
Address
City Cou lty Zip
If candidate, what office is the person seeking?
5. Certification: I certify that the information contained herein is true, complete and correct.to the best of my knowledge.
Treasurer's signature Date
INSTRUCTIONS:
The purpose of this report is to highlight receipt of an earmarked contribution. (That is, a contribution given to one candidate
, or political committee with the understanding, intent or instruction that it be used to benefit another candidate or committee.)
This report iS filed in addition to any other req aired reporting of the transaction.
A separate "Special Report E" is filed for each earmarked contribution received by any candidate or political committee.
File this report within two working days of receiving the earmarked contribution. Mail or deliver the original to PDC.
Send a copy to the benefiting candidate or committee, also withintwo working days.
NOTE: Candidates or committees for whom the earmarked contribution is ultimately intended report the contribution when
they actually,receive it. Such oandidates'and committees will use form C-3 or Schedule B to the C-4 to show receipt
of the contribution.•See PDC instruction manual for examples and more information.
Public Disclosure Commission
711 Capitol Way, Room 403 ♦ PO Box 40908 • Olympia, WA 98504-0908 ♦ (206) 753-1111
PDC 1/90•E -1500-
PUBLDISCLOSURE COMMISSION FORM PDC OFFICE USE
P M
711 CAPITOL WAY RM 403 s a
1j:: CJc.I'
t PO BOX 40908 I T K
OLYMPIA WA 985 4-0908 i is0
(206)753-1111
OUT OF STATE OR FEDERAL CO MITTEE CONTRIBUTION
TO WASHINGTON CANDIDATES OR COMMITTEES o
1. Name and address of committee making contribution 2. Check appropriate box
• n This is the first report submitted during
19-
nThis shows new expenditures, contributions
or information changed from reports
submitted previously this calendar year.
3. Explain briefly the purpose or affiliation of the committee. (e.g., A PAC of employees of XYZ Trade Assn., or the candidates committee of US
Senator John Doe, or a'PAC of members of the United Worker's Union.) •
•
4. Officers or responsible leaders of committee , •
Name and address Title •
5, Candidate contributions:List each Washington candidate for stl to or local office to whom you have made a contribution of more than$50.00
Candidate'stname Office sought Political party Date •' Amount given
6. Ballot measure committee contributions:List each Washington committee supporting or opposing a ballot measure to whom you have made a contribution of
more than$50.00.
Committee name,and address Ballot number For or against? Date Amount given
•
7. Other contributions and expenditures:List each other contribution or expenditure of more than$50.00 made to or on behalf of any Washington state or local
candidate,ballot measure or political committee.
• Recipient's name and address Purpose Date Amount
•
•
•
Check here ❑ if continued on attached sheet
8. Total contributions and expenditures (Add parts 5,,8, 7) •
•
CAUTION: Failure.to report transactions withhn ten days will cause the funds to forfeit to Washington State.
PDC form C-5(Rev. ;reo) -1500- . • Continue on reverse
9.
List all contributions of more -then $25.00`in aggregate to this out of state, federal or. other
Contributions received from Washington residents: committee during the current calendar year from Washington residents,or corporations with a
place of business•in Washington.
Name and address Date Amount.
•
•
•
•
•
•
Check here ❑ if continued on attached sheet •
INSTRUCTIONS
to. CERTIFICATION: I certify the information contained in this (Statutory reference: RCW42,17.090(1)(K)) .
. report Is true• and correct to the best of .
my knowledge. ' '
_ • . WHO. MUST REPORT
•
A political committee not domiciled in the State. of .Washington, a
I federal committee or other.committee not required to register..under
. Washington law, which, has, made contributions to- a state or local
candidate-or political committee in Washington state. .
Signature of committee official . . •
WHEN TO REPORT -
•
A C-5 report is:due within ten days of a Washington state candidate.or:
political committee receiving a contribution of more than$50from an out-of-'`'
Name state or federal.PAC. After filing an.initial C-5 report, subsequent reports - -.'
during the same calendar year may,be'filed by letter updating or amending ':-
the information'previously reported.'These-follow-up reports are also due
within ten days of contributions's receipt. •,
Title Sato ' '
•
SEND REPORT TO•
Public Disclosure Comirtlssion
711 Capitol Way,Room 403, '
PO Box 40908
BE -SURE TO NOTIFY Olympia;WA 9a504-o90a._. . .
VIOLATIONS,-AND PENALTIES
EACH CANDIDATE It is a violation of law for any person to make, or for any candidate
or political committee to accept from any one person, contributions in
AND COMMITTEE ' 'the aggregate' 'exceeding $50,000 for any campaign for state-wide
office or $5,000 for any other campaign within 21 days' of a general
THAT YOU HAVE election. ,
Failure to report.contributions and file the information required' by this
report within 10 days 'after the Washington candidate or committee
FILED THIS REPORT receives the funds will cause the funds to be forfeited to the state.
' FOR ADDITIONAL INFORMATION , -
Contact the Public Disclosure Commission at (206) 753-1111. -
-1500•C5S.-. - —
•
PUBLIC DISCLOSURE COMMISSION PDC FORM LOBBYING BY STATE AND
•
711 CAPITOL WAY RM 403 L-5 LOCAL GOVERNMENT AGENCIES
PO BOX 40908 (Rev.11(79)
OLYMPIA WA 98504-0908 THIS SPACE FOR OFFICE USE
(380)753-1111 •
FILE NUMBER P.M.DATE DATE RECEIVED
'Instructions Are Printed On Reverse
AGENCY OR GOVERNMENTAL ENTITY NAME AND ADDRESS DATE PREPARED REPORT FOR CALENDAR
*QUARTER ENDING
•
•
COUNTY MONTH YEAR
1=.#'"a.AMA ".: ,'".•s,'.< ; .-s p„'e>.v.xma.., r 'T .< , ,;.�v .>,,:.,;.„i..w.:>F .u,��. - ,• �.,•r 7 redi< ,...
�H •3" ,.� xr A�• ''R .`� i��!F °. >�' 1> '�IX• .,;f r ra:
fyr • :.•2.,: lfi... .a r °:, .W'° i6xma �' ir1E .m c rY# �ff :r. xr3K, 141; - '
NAME JOB TITLE ANNUAL SALARY % OF TIME SPENT LOBBYING
• DURING QUARTER
GENERAL DESCRIPTION OF LOBBYING ACTIVITIES OR OBJECTIVES. (Include Bill or WAC Numbers If Any)
❑ CHECK IF PERSON SPENT MORE THAN $15 OF NON-PUBLIC FUNDS IN LOBBYING. SEE INSTRUCTIONS ON REVERSE
NAME JOB TITLE ' ANNUAL SALARY % OF TIME SPENT LOBBYING
• DURING QUARTER
•
• GENERAL DESCRIPTION OF LOBBYING ACTIVITIES OR OBJECTIVES. (Include Bill or WAC Numbers If Any)
❑ CHECK IF PERSON SPENT MORE THAN $15 OF NON-PUBLIC FUNDS IN LOBBYING. SEE INSTRUCTIONS ON REVERSE
NAME JOB TITLE' ANNUAL SALARY % OF TIME SPENT LOBBYING
DURING QUARTER
GENERAL DESCRIPTION OF LOBBYING ACTIVITIES OR OBJECTIVES. (Include Bill or WAC Numbers If Any)
•
•
I 1 C.HFr`K IF PFR8r1N SPFNT MARF THAN SI5 r1F NON•PIIRI IR FIIN_ nS IN I ORRYINm SFF INSTRIICTIANR r�N RFVFCCF
•
r• FCx'E3 +3 $Ism,K.I>,rcr: ;.<c�rsi.:arogy<.x•-'s', ,¢ ; >R3 'a - §ae.,• x .� %RR
. VEXENIMENE
t wrikaa-•vr li���x
• N
•
•
!say •. ....... .., T�1�?s�����N��. •,... .., .. ?\ .., .. ...
SALARIES OF PERSONS WHO LOBBIED (Include only portion iof quarterly salary attributable to lobbying) $
TRAVEL(Include food, lodging, per diem payments and cost of transportation used.) $
BROCHURES AND OTHER PUBLICATIONS WHOSE PRINCIPAL PURPOSE IS TO INFLUENCE LEGISLATION $
CONSULTANTS OR OTHER CONTRACTUAL SERVICES • $
TOTAL THIS QUARTER $
TOTAL TO DATE THIS YEAR $
CERTIFICATION: I certify that to the best of my knowledge the atiove is SIGNATURE OF AGENCY HEAD
a true,complete and correct statement in accordance
with RCW 42.17.190.
•
•rr A i+u A n nrrinki A I CIJCCTC IC \/n=F iannu IS REQUIRED
THESE INSTRUCTIONS APPLY ONLY TO GOVERNMENT AGENCIES REPORTING PURSUANT TO RCW 42.17.190.
•
WHO SHOULD REPORT?
Each state agency, county, city, town, municipal corporation, quasi-municipal corporation or special purpose
district which expends public funds for "lobbying". Please study the definitions of what is and is not included in
lobbying to determine if your agency is required to report.
"Lobbying" means attempting to influence the passage or defeat of any legislation by the state legislature or the
adoption or rejection of any rule, standard, rate or other legislative enactment by any state agericy under chapters
28.19 and 34.04 RCW. "Legislation" means bills, resolutions, motions, amendments, nominations, and other matters
pending or proposed in either house of the state legislature,and includes any other matter which may be the subject of
action by either house, or any committee of the legislature and all bills and resolutions which having passed both
houses,are pending approval by the Governor.
LOBBYING DOES NOT INCLUDE
1. Requests for appropriations by a state agency to OFM pursuant to RCW 43.88 or requests by OFM to the
legislature for appropriations other than its own agency budget. Note that an agency representative who, in person,
contacts a legislator or committee on appropriations matters is lobbying.
2. Recommendations or reports to the legislature in response to a legislative request expressly requesting or
directing a specific study,recommendation or report on a particular subject.
3. Official reports including recommendations submitted annually or biennually by a state agency as required by law.
4. Requests,recommendations or other communications between or within state agencies or between or within local
agencies.
5. Telephone conversations or preparation of written correspondence.
6. Preparation or adoption of policy positions within an agency or group of agencies. Note that once a position is
adopted,further action to advocate it may constitute lobbying.
7. Attempts to influence federal or local legislation.
LOBBYING NOT REPORTABLE
1. In person lobbying totaling no more than four days or parts of days during any three month period in aggregate for
all officials and employees of the agency. In person lobbying includes testifying at legislative committee hearings and
state agency hearings on rules and regulations but does not include attendance merely to monitor or observe
testimony and debate.
2. In person lobbying by any elected official on behalf of his agency or in connection with his powers, duties or
compensation.
EXPENDITURES OVER $15 OF NON-PUBLIC FUNDS
Any person (including an elected official) who expends more than $15 of personal or non-public funds for or on
behalf of one or more legislators, state elected officials or state public officers or employees in connection with in-
person lobbying must be listed on the L-5 report.Attach a page showing the spender's name, and date,the source of
funds and amount spent, and for whom the money was spent. Examples of these expenditures include entertainment,
dinners and campaign contributions.
REPORTS REQUIRED
The L-5 report is submitted to cover each calendar quarter in which lobbying occurs. No report is required if no
reportable lobbying has taken place during the quarter.
DUE DATES
April 30(1st quarter) July 31 (2nd quarter)
October 31 (3rd quarter) January 31 (4th quarter)
ONE CONSOLIDATED REPORT SHOULD BE SUBMITTED TO INCLUDE LOBBYING ACTIVITIES OF ALL DIVISIONS
OR OFFICES OF AN AGENCY.
•
Send Reports To: PUBUC DISCLOSURE COMMISSION
711 Capitol Way,Rm 403,
. PO Box 40908
Olympia,WA 98504-0908
SPECIAL NOTE: In lieu of reporting as provided in RCW 42.17.190 any agency or lobbyist for an agency may elect to register and report as
provided in RCW 42.17.150, .160, .170 and.180.An agency so choosing must notify PDC of that fact and obtain necessary reporting forms and
' instructions.
_14se-a-
CITY OF RENTON -
MEMORANDUM
DATE: January 15, 1997
TO: Jay Covington, E ecutive Assistant °' ' '•
FROM: Marilyn Petersen, City Cler
SUBJECT: Annual Lobbyin Disclosure Form, L-1
The attached L-1 form is required to be completed, signed by the agency official, and
submitted to the State Disclosure Commission quarterly under the following
circumstances:
1. If City staff expended public funds or over $15 of personal funds and lobbied the
State legislature in person for more than four days or parts of days during any
three month period in aggregate for all officials and employees of the agency; or
2. If elected officials lobbied the legislature in person expending public funds or over
$15 of personal funds.
The back of the form defines "lob ying" and explains what it does not include.
Examples of expenditures of non-public funds include entertainment, dinners and
campaign contributions over $15.
Submission of the L-5 report is required quarterly. If the City accrues reportable
lobbying during the 1997 Legislatikve Session, please return the completed form, signed
by the Mayor, to this office for Mailing by the April 30, 1997, deadline. If the City had
no reportable lobbying, please return the form to this office so noted.
If you would like me to survey staff or elected officials regarding this matter, please let
me know.
Attachment
CANDIDATE DECLARATION
CANDIDATE FILING INFORMATION
The filing period is the fourth Monday in July through the next succeeding Friday for all offices.
A filing fee of $10 is required for all offices with a fixed annual salary of$1,000 or less; a filing fee equal to 1%of the
annual salary is required for offices with a fixed annual salary of more than $1,000. The fee should be based on the salary
to be received when the candidate assumes office.
A nominating petition containing signatures of registered voters equal to the dollar amount of the filing fee is
permitted for those candidates without sufficient assets or income to pay the filing fee.
Filings made in person must be made during normal business hours. If the office sought is Federal, statewide, or
encompasses more than one county,the filing is made with the secretary of state. All other offices file with the county
auditor(Division of Records and Elections, Elections Section, in King County).
Filings made by mail may be submitted up to ten business days prior to the first day for candidates to file. All filings,
whether in person or by mail, must be received by the filing officer not later than close of business on the last day of the
filing period. Filings received after this date, regardless of the postmark, are invalid.
Minor Party/Independent candidates have separate nominating procedures, some of which must be completed
prior to the beginning of the filing period. Information regarding these procedures may be obtained from the Office of the
Secretary of State.
Withdrawals may be made through the Thursday following the close of the filing period. In the case of special filing
periods,the last day to withdraw is the last date on which to file. FILING FEES ARE NOT REFUNDABLE.
NOTE: Once filed,your Declaration of Candidacy may not be altered or amended. Should you decide during
the filing period that you wish to change any part of the Declaration, you will be required to withdraw and re-file.
This would also entail a second filing fee or nominating petition, if applicable. THE LAST DAY FOR
CANDIDATES TO WITHDRAW IS THE THURSDAY FOLLOWING THE CLOSE OF THE FILING PERIOD,
EXCEPT IN THE CASE OF SPECIAL FILING PERIODS. AFTER THAT DATE YOUR NAME MAY BE REMOVED
FROM THE BALLOT ONLY BY JUDICIAL ACTION.
The following are designated as Code Cities under Washington State law:
Algona Carnation Issaquah North Bend
Auburn Des Moines Kent Redmond
Bellevue Duvall Kirkland Renton
Black Diamond Enumclaw Medina Sea-Tac
Bothell Federal Way Mercer Island Snoqualmie
Tukwila
PUBLIC DISCLOSURE INFORMATION
IF THE OFFICE YOU ARE RUNNING FOR HAS: PUBLIC DISCLOSURE REPORTS REQUIRED:
Less than 1,000 registered voters None
1,000 - 5,000 registered voters and area less than entire Financial Affairs Statement
county (Form F-1)
5,000 or more registered voters Financial Affairs Statement
or (Form F-1) and Campaign Finance
County - Wide and larger area Reports ("C"series forms)
Exempt from state public disclosure reporting are candidates for U.S. Senate, U.S. Representative, precinct
committee officer, cemetery districts, and districts where voters must have special qualifications such as the
ownership of land. Check with the county elections department regarding these offices.
INITIAL PUBLIC DISCLOSURE REPORTS MUST BE FILED WITHIN TWO WEEKS OF BECOMING A CANDIDATE
Please see Reverse
E-18
CANDIDATES PAMPHLET INFORMATION
(Applies to State Pamphlet)
Candidate statements and photographs should be submitted with the Declaration of Candidacy at the time of filing.The final deadline
for submitting statements and photographs for publication in the Candidates Pamphlet is Friday before the state primary. Can-
didate information should be sent or questions can be directed to: Elections Division, Office of the Secretary of State, P.O. Box 9000
(AS-22), Olympia, WA 98504, (206) 753-2336.
Candidate Statements—Statutory Allocation of Space and Fees
Word
Position Space Limit Fee
Governor, U.S. Senator, U.S. Representative One page 300 $200
AD state offices,except that of Governor 1/2 page 200 100
State Senator,judges of superior court or court of appeals,justice of the
Supreme Court 1/2 page 200 50
State Representative 1/4 page 100 25
A candidate filing a nominating petition in lieu of a filing fee is not required to pay this candidate pamphlet fee.No statement or photograph
will be printed in the Candidates Pamphlet for a person who is the sole nominee for a non-partisan or judicial office.Candidates may
include their campaign mailing address and telephone number for inclusion in the Candidates Pamphlet. If a candidate wishes the
campaign address and telephone number printed, he or she should specifically indicate that this information is to appear with the
statement.Statements should be typed,double-spaced and in standard paragraph form.Statements should not contain any obscene,
profane,libelous or defamatory language.This information applies only to the offices above.Check with the county auditor/elections
division for requirements for any local voters pamphlet.
Specifications for Candidate Photographs
All photographs must be black-and-white glossy prints not smaller than 4"x5"or larger than 8"x10",limited to the head and shoulders
of the candidate,and on a light(not white)background to provide the best contrast.The photograph must be no more than five years
old and must not show the uniform or insignia of any organization which advocates or teaches racial or religious intolerance. Place
candidate's name on the back of the photo.
INSTRUCTIONS FOR COMPLETING FORM
PLEASE READ CAREFULLY BEFORE COMPLETING DECLARATION OF CANDIDACY
Line 1. Print your name as you are registered to vote.
Line 2. Print the address at which you are registered to vote.The telephone number is optional, but it is recommended that you
include it. Each candidate is responsible for ensuring that he or she meets all of the qualifications for the office sought at the time
he or she files.
Line 3. Print the name of the office for which you are a candidate. For example, "State Representative. . .22nd District. . .Posi-
tion 1" or "City Councilman . . . Olympia. . . Position 4." You should check prior to the filing period in order to be sure that you
know for which offices you are entitle to file. The responsibility for filing for the correct office is yours.
Line 4. Check the appropriate box.
Line 5. Insert the year.
Line 6. Check the appropriate box.If the office for which you are filing is partisan and you are filing as a minor party or independent
candidate you must comply with the provisions of Chapter 29.24 RCW.
Line 7. Check the appropriate box. If you assert that you are without sufficient assets or income to pay the filing fee you must ac-
company the Declaration of Candidacy with a nominating petition.
Line 8. Print your name as you wish it to appear on the ballot.Nicknames are acceptable.Titles denoting past or present occupa-
tion, including military rank, are not.
Line 9. Read the oath. You should then sign the Declaration of Candidacy only in the presence of a notary public or other officer
with whom the declaration is filed.
DECLARATION AND AFFIDAVIT OF CANDIDACY
1. I, am a registered
(PRINT NAME AS YOU ARE REGISTERED TO VOTE)
voter residing at:
2.
(STREET ADDRESS OR RURAL ROUTE) (TELEPHONE NO.)
, Washington
(CITY) (COUNTY) (ZIP CODE)
and at the time of filing this declaration I am legally qualified to assume office if elected.**
3. I declare myself as a candidate for nomination to the office of:
(NAME OF OFFICE)
Resident for , year(s).
(CONGRESSIONAL OR LEGISLATIVE DISTRICT,COUNTY,CITY, OR OTHER JURISDICTION)
(POSITION NUMBER IF APPLICABLE) (DIRECTOR OR COMMISSIONER DISTRICT,IF ANY)
**A candidate for office in a code city must be a registered voter of the city
at the time of filing his/her declaration of candidacy and have been a
resident of the city for a period of at least one year next preceding his/her
election. RCW 35A.12.030.
4. For the following term of office:
❑ a full term 0 an unexpired year term
❑ or a short and full term or
5. At the primary in September, 19
6. This office is:
❑ Nonpartisan, or
❑ Partisan, and I am:
❑ a candidate of the party, or
❑ an independent candidate nominated pursuant to chapter 29.24 RCW.
7. Filing Fee (Check one):
❑ There is no filing fee because the office has no fixed annual salary, or
❑ I am submitting a filing fee of $ , an amount equal to 1% of the annual salary, or
❑ I am without sufficient assets or income to pay the filing fee required by law and I have attached a nominating
petition in lieu of this fee, pursuant to RCW 29.18.050.
8. Please print my name on the ballot exactly as follows:
(PLEASE PRINT)
I swear, or affirm, that this information is, to the best of my knowledge, true. I also swear, or affirm, that
I will support the Constitution and laws of the United States and the Constitution and laws of the State of
Washington.
*Note: Your signature must be 9. Sign Here
personally witnessed by (SIGNATURE OF CANDIDATE AS REGISTERED TO VOTE)
either a notary public or
by the officer with whom
the declaration is filed.
Subscribed and sworn before me this day of , 19
(SIGNATURE OF ACKNOWLEDGING OFFICIAL)
(TITLE OF ACKNOWLEDGING OFFICIAL)
Candidate: Return all copies of this declaration to your Elections Dept.
Distribution by Elections Dept.: White—County; Yellow—PDC; Pink—Candidate
SSE 84-I (1984) OX A-191
FILING DATA. . . FOR OFFICE USE ONLY
Date Fee Paid$_ File No.
Paid By(Check one)
❑ AM ❑ Check ❑ Other
Time ❑ PM ❑ Cash ❑ Nom.Petition Clerk/Cashier initials
DECLARATION AND AFFIDAVIT OF CANDIDACY
1. I, am a registered
(PRINT NAME AS YOU ARE REGISTERED TO VOTE)
voter residing at: ,
2. .
(STREET ADDRESS OR RURAL ROUTE) (TELEPHONE NO.)
(MAILING ADDRESS)
, Washington
(CITY) (COUNTY)
(ZIP CODE)
and at the time of filing this declaration I am legally qualified to assume office if elected.
3. I declare myself as a candidate for nominatio to the office of:
(NAME OF OFFICE)
(CONGRESSIONAL OR LEGISLATIVE DISTRICT,COUNTY,CITY,OR OTHER JURISDICTION)
(POSITION NUMBER IF APPLICABLE) (DIRECTOR OR COMMISSIONER DISTRICT,IF ANY)
4. For the following term of office:
❑ a full term or a full term and a short term,or
❑ an unexpired term
5. At the primary in September, 19 .
• 6. This office is:
❑ Nonpartisan,or
❑ Partisan,and I am:
❑ a candidate of the _party,or
❑ an independent candidate nominated pursuant to chapter 29.24 RCW.
7. Filing Fee (Check one):
El There is no filing fee because the office has no fixed annual salary,or
❑ I am submitting a filing fee of$ ,an amount equal to 1%of the annual salary,or
❑ I am without sufficient assets or income to pay the filing fee rquired by law and I have attached a nominating petition in lieu of this fee,
pursuant to RCW 29.18.050.
8. Please print my name on the ballot exactly as follows:
(PLEASE PRINT)
I swear, or affirm,that this information is,to the best of my knowledge,true. I also swear, or affirm,that I will support
the Constitution and laws of the United States and the Constitution and laws of the State of Washington.
*Note: Your signature must be 9. Sign Here >
personally witnessed by (SIGNATURE OF CANDIDATE AS REGISTERED TO VOTE)
either a notary public or
by the officer with whom
the declaration is filed.
Subscribed and sworn before me this day of , 19
• (SIGNATURE OF ACKNOWLEDGING OFFICIAL)
(TITLE OF ACKNOWLEDGING OFFICIAL)
Candidate: Return all copies of this declaration to your Elections Dept.
SSE 84-1(1991)—f Distribution by Elections Dept!: White—County; Yellow—PDC; Pink—Candidate
E
Contribution Limits Explanation of Reports •
A candidate for state executive or legislative office Financial Affairs Report(PDC F-1). Used by candidates Candidate's
must limit contributions received to the amounts shown: to indicate some personal and business financial relation-
ships and property holdings. It shows citizens what per- Campaign Reporting
To State Executive To Legislative sonal financial interests might conflict with service as an
Source of Contribution Candidate Candidate elected official. However, in most cases, filing this report Pocket Guide
gives candidates the opportunity to show that no conflict
Individual $10001 $5001 of interest potential exists.
Union or Business 10001 5001 Campaign Finance Reports(PDC forms C-1,C-3,C-4).
Political Action Committee 10001 5001 Required from candidates and political committees. All -
State Party Central Corn. .50/voter2 .50/voter24 candidates and committees not exempt from reporting
County Party Central Corn. .25/voter3 .25/voter register with PDC and their county elections office by fil
Legislative District Corn. 25lvoter .25/voter4 ing a registration statement (C-1 or C-1pc).
Minor Party Committee .50/voter2 .50/voter20-fr:;
Legislative Caucus Corn. .50/voter2 .50/voter2 When completing the C-1, you will choose which of three
reporting options will be used during the campaign. This _
1 Separate limit for primary election and general election. choice is based on how much money you plan to raise 'VI
2 Limit for election cycle (i.e., from start of candidate's and spend. During the campaign most candidates must Ill'
campaign through Nov. 30 of election year). periodically report campaign contributions and expenses. •✓
3 All county central committees and legislative district fox ~ --__-
committees share a combined limit per candidate of "�,
$.25 per registered voter during the election cycle. Forms and Instructions i 4
4 A county central committee and the legislative district i.
committees in that county may only give to candidates Available from county election offices or PDC ��
in their areas and they share one limit of$.25 per regis- �.
tered voter for the election cycle. Mini-Abbreviated Campaign ��
Reporting Instructions and Forms
Candidates for other offices are not limited by state law Full Reporting Campaign Instructions: A in Pri i i 1 i
iiiiiiiIIIIII
regarding amounts that may be accepted. Unless limited • State Executive& Legislative Candidates . s.pCC FORMby local ordinance, contributions in any amount may bele
• Judicial and Local Office Candidates
accepted from contributors. • Political Committees
• Bona Fide Political Parties
However, no candidate may accept: Full Reporting Forms:
•anonymous contributions in excess of $300 or 1% ofC 1 - Registration Statementall contributions received to date,whichever is greater. 0 3 Cash Receipts
C-4-Receipts&Expenditure Summary -
•more than $5,000 from one source (except the state Schedule A- Cash Receiptsparty) during the last 21 days before a general elec- and Expenditures L ��
tion. ($50,000 limit for state executive candidates. '
) Schedule B- In-kind Contributions, ,-
Orders Placed, Debts .�_�.
Keeping Books Schedule C-Corrections ��` _ 1
p 9 Schedule L- Loans
The key to campaign finance reporting is up-to-date, Special Report E- Earmarked
detailed records of each contribution and expenditure. Contribution Report
Report all campaign income (contributions, loans, can- Attachment Au -Auction Report
didate's personal funds, etc.) and expenditures (includ- Special Reporting Forms: PUBLIC DISCLOSURE COMMISSION
ing orders you have placed). Include in your records C-5-Out-of-State and Federal PACs
bank deposit slips, bank statements, receipts and can- 711 CAPITOL WAY RM 403
P P P C-6- Independent Campaign Expenditures ® Po BOX 40908
celled checks. OLYMPIA WA 98504-0908
C-7-Special Political Expenditures (360)753-1111
You must keep your records for five years from the F-1 - Financial Affairs Statement April 1995
date of the election.
®e 18 0
Are Disclosure Reports Required? 1995
Full Reporting Schedule
Are you a candidate? Have you solicited contribu-
tions or made expenditures (including placing C-3 All contributions must be deposited
orders), publicly announced candidacy, filed for within 5 business days of receipt;fill out
a C-3 for eaPio to July 1,
office or reserved space for a campaign?AV- 10
C 3 may bech seatposit.with Cr4 rafter July
Relax. No reports are required. 1, mail C-3 same day deposit is made.
C 4 With initial C-1 report if contributions
were received or expenditures made.
Are you a candidate for federal office; in a town or
district that had fewer than 1,000 registered voters C-4 Due by the 10th of each month if no
as of the last general election; for precinct commit- other C-4 is required during that month
tee officer; or for an office in a district where voters and if contributions or expenditures are
must own property or have other special qualifica- you don't have to file state over$200 since last C-4.
tions (e.g., irrigation, diking, or flood control)? 1110 reports. [Federal candidates check with the Federal Election Commis- C 4 Aug. 29 21 days before primary
NO sion (FEC) 1-800-424-9530.] C-4 Sept. 12 7 days before primary
C-4 Oct. 10 Post-primary report (See note below)
Are you a candidate in a town or taxing district that C-4 Oct 17 21 days before general
does not include the entire county and that had
fewer than 5,000 registered voters as of the last gen- C-4 Oct. 31 7 days before general
eral election? (Check with county elections office.) File a financial affairs statement C-4 Dec. 11 Post-general report
110 (Form F-1) within two weeks of
No becoming a candidate. No other Dates shown are for 1995 primary and general elec-
tions only. Committees participating in special elec-
File a financial affairs report (Form F 1) within two tions file C-4 reports 21 and 7 days before and on the
10th of the first month following the election.
weeks of becoming a candidate.
Reports Required Summary NOTE: The post primary report is not required from
and candidates who will be in the general election or from
Option F-1 C-1 C-3 C-4 continuing political committees.
During your election campaign will you spend:
MINI Yes Yes No No
Q°' Political Advertising
ABBRE- Yes Yes No Yes
$0 to$500 $501 to$2000 Over$2000 VIATED ABB C-4 The law requires that campaign advertising meet
(&receive$200 or less from any donor) due 12/11/95 requirements for sponsor identification, political party
USE MINI RE- USE ABBREVIAT- USE FULL RE- FULL Yes Yes Yes Yes affiliation and truthfulness. Detailed information is con
PORTING: File ED REPORTING: PORTING: File tained in campaign reporting instructions and the bro-
Forms F-1 and C-1 File Forms F-1 and Forms F-1 and C-1 chure on political advertising.
within two weeks of C-1 within two within two weeks of See Full Reporting
becoming a candi- weeks of becoming becoming a candi- Schedule Generally, political ads, whether broadcast or printed,
date. No other re- a candidate. File a date, File C-3 and must identify the sponsor of the ad. In partisan cam-
ports are required. Summary of Contri- C-4 reports according F-1 is due within two weeks of becominga candidate.
butions and Expendi- to the Full Reporting paigns, all ads and signs must show the candidate's
tures(Form ABB C-4) Schedule included in C-1 is due within two weeks of becoming a candidate. political party.
on 12/11/95. That's this pamphlet.
all. Send Reports To: It is a violation for a person to sponsor political adver-
tising that contains a false statement of material fact,
(Get Mini/Abbreviated or Full Campaign Reporting Instructions from
F-1 PDC when the sponsor knew or should have known the
your county elections office or PDC.) C-1, C-3 & C-4 PDC and County Elections Office statement was false.
SPONSOR IDENTIFICATION
P o I i t i ca l `Sponsor" means the candidate, committee Items Exempt from
or other person who pays for the advertise-
ment. If a person acts as an agent for another Sponsor ID
or is reimbursed for payment, the original
Advertising
source of the payment is the sponsor.
ashtrays newspaper ads(one col-
badges&badge holders umn inch or smaller)
balloons noisemakers
What's Needed bingo chips official state or local voter
brushes pamphlets
State, Local & Judicial Candidates—show the bumper stickers paper& plastic cups
candidate's name and address or the candidate's (4"x 15"or smaller) paper& plastic plates
committee name and address. business cards paper weights
Federal Candidates—only subject to federal law. buttons pencils
••,. r11 .p
I� ' -Ott1 Political committees—show the committee's cigarette lighters pendants
name and address. The treasurer's name is not clothes pins pennants
11' �Y, ° #•. required. clothing pens
Organizations or businesses—show the orga coasters pinwheels
� combs lastic tableware
1ti. ,► I k ;'(1! nization or business name and address. Presi- p'' P° '' i 0 dent's or treasurer's name is not required. cups pocket protectors
1111
' _ earrings pot holders
_ Multiple sponsors—show each sponsor s name
iolp I = f emery boards reader boards with
, liti l,, .l ;1 I and address. If one person pays for printing and
,',I'I �I envelopes moveable letters
I�. , Nil another pays for mailing, list both as sponsors. p
erasers ribbons
I101, Il, Ill;i�,I; Collection of items from more than one candi- frisbeeserar rulers (12" or smaller)
o//jl(4;I i llilikI' date or committee—show the respective spon-
sor name and address on each item. glasses shoe horns
` golf balls&tees skywriting
I Printed ads—show the sponsor's name, mailing hand-held signs staple removers
address and, if applicable, the candidate's party hats stickers(2-3/4" x 1"or
�•�� affiliation in an area apart from the ad text. If the horns smaller)
qiii....,...:.•o ad is more than one page, identify the sponsor
(and party) on the first page. Identification on a ice scrapers sun glasses
mailing envelope is optional; it's the ad enclosed inscriptions sun visors
in the envelope that must be properly identified. key rings swizzle sticks
Radio and TV ads—clearly say the sponsor's knives tickets to fund raisers
name. Address not required. labels water towers
letter openers whistles
PUBLIC DISCLOSURE COMMISSION magnifying glasses yard signs (8'x 4'or
711 CAPITAL WAY RM 403 To identify the sponsor, use the words "Paid matchbooks smaller)
u •` PO BOX 40908 for by" or "Sponsored by" followed by the nail clippers&files yo-yo's
,r, OLYMPIA WA 98504-0908
(360)753-1111 name and address of the sponsor. all similar items
July 1995
ID Size and Placement Independent Expenditure Advertising
According to state law, on written or printed politi- Political advertising that meets all of the follow- MAILINGS: Any person or entity, except a
cal advertising, the sponsor's name and address ing criteria must include more details about the political party, that in one calendar year mails
and the candidate's party affiliation must: sponsor(s): 1,000 identical or nearly identical pieces of
• appear on the first page of the communica- 1) the ad supports or opposes a candidate for advertising supporting or opposing a candidate
tion in at least 10 point type, or state or local office; or ballot measure as an independent expenditure
must provide the appropriate county auditor with
• for ads such as billboards or posters, 2) the ad is paid for by someone other than a a copy of the ad and written notice of the number
appear in type at least 10% of the largest candidate, a candidate's committee, political of pieces mailed within two working days of the
size type used in the ad, and party or agent; mailing. Contact PDC for more information.
• not be screened or half-toned (i.e., not 3) the sponsor does the advertising completely
REPORTING INDEPENDENT EXPENDITURES:
made lighter through some printing or pho- independently of any candidate supported in Anyone (except a PAC already filing with PDC)
tographic process), and the ad (or the opponent of the candidate that spends a total of$100 or more supporting or
opposed), or a candidate's committee, agent
• be set apart from any other printed text in or political party; opposing a candidate or ballot measure—and
the ad. the expenditures are not made in conjunction
4) the sponsor did not receive the candidate's with a candidate or ballot issue committee—must
The sponsor and party identification appearing in encouragement or approval to do the ad; and file independent expenditure reports (Form C-6).
any radio or TV political ad must be clearly spo- 5) the ad costs at least $500, or the cost of this
ken. In addition, any business, union, association or
ad when combined with the cost of earlier ads other entity that during one calendar year makes
supporting or opposing the candidate total independent expenditures totaling over $500
$500 or more.
supporting or opposing state office candidates
If all five conditions are met, the political ad and statewide ballot measures must also file
must contain the following: Form C-7 (unless the entity also reports as a
PAC or lobbyist employer).
Abbreviations "NOTICE TO VOTERS (Required by law): This
advertisement is not authorized or approved by For More Information Contact:
The following abbreviations may be used in any candidate. It is paid for by (name, address, State and local candidates, ballot measure commit
advertising. PDC believes they clearly iden- city, state)" tees, PACs,political parties:
tify political party affiliation.
Communist—CornFurther, if this type of ad is sponsored by a politi- Public Disclosure Commission Phone:
cal committee or PAC, the following must also PO Box 40908 (360)753-1111
Democrat—D, Dem, Demo appear: "Top Five Contributors"followed by a list Olympia WA 98504-0908
Independent or unaffiliated—Ind, Indep of the names of the five persons or entities mak- Federal candidates, federal PACs, ads for federal
Libertarian—Lib ing the largest contributions to the PAC during campaigns:
the 12 months before the ad runs. Federal Election Commission Phone:
Republican—R, GOP, Rep (Use the latter 999"E"St 1-800-424-9530
only when it could not erroneously imply the Both the "Notice to Voters" and `Top Five Con- Washington DC 20463
candidate is a State Representative.) tributors" messages must comply with the ID Broadcast advertising, rates, equal opportunity and
Socialist—Soc Size and Placement standards noted above. access to radio or TV,"900"line telephone messages.
Socialist Workers—Soc Workers, SWP If independent expenditure advertising is in the Federal Communications Commission Phone:
Official symbols or logos adopted by the form of yard signs, bumper stickers, skywriting or Fairness/Political (202)632-7586 state committee of the party may be used in other items exempt from sponsor ID (as dis-
Programming Branch
cussed on the reverse), these ads are also 2025"M"St NW
lieu of other identification; a copy of the sym- cuss cuss t from the Notice to Voters and Top Five Washington DC 20554
bol or logo should be provided to PDC. p
Contributors requirements. 0«s�e,�e frame
\ . ---,,, ,,,,,-„cc ,_,,A'^',' ,,, ,,-`,3
sou-.
"Y 't
STATE 4 Washington State
.:. _ -' :s..,x Public Disclosure
4'..' 1 04' Commission
#4. 1889
Personal
Financial
Affairs
Statement
ril .:
i,i.,
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1
3i
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ti
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: ,,;., ..„, .
, ,,,„: ,,,,„ .:
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•:: :.,..,. „,,,,,,,,.. ,, ,,,, ‘ ,.,„,,..„:„,„, „,,.,k` ,..''', ,7:,`,''T;,`-
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F3." g.t`
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' :. , Instruction Manual
:,..,,, K:: and Blank Forms
wb
61111
`'` "The public's right to know of the financing of political
: ,: ': campaigns and lobbying and the financial affairs of elected
x,
' .;k 1' officials and candidates far outweighs any right that these
.5 matters remain secret and private."
RCW 42.17.010(10)
I (Revised November 1994)
�► r
- F-1 Report Due Dates
Between
Elected officials currently in office (annual report) Jan. 1 - April 15
Elected officials who left office during Between
preceding calendar year (final report) Jan. 1 - April 15
Between
State appointed officials (annual report) Jan. 1 - April 15
Officials appointed to fill vacancy Within two weeks
in elective or state appointive office of appointment
Within two weeks
Candidates (non-incumbents) of becoming a candidate
All reports filed with the Commission are public records. Copies are available at cost:
Microfiche -- 25 cents per film page plus 25 cents postage and handling
(Each film page contains up to 96 pages of reports.)
We welcome your suggestions for improving these instructions. Direct your comments to:
Public Disclosure Commission
711 Capitol Way, Suite 403
PO Box 40908
Olympia, WA 98504-0908
Telephone (206) 753-1111
SCAN 234-1111
Fax (206) 753-1112
Instructions in this booklet are provided to assist in the preparation of reports required
by chapter 42.17 RCW. Care has been taken to make these instructions accurate yet
concise. However, these instructions cannot be substituted for the applicable
provisions of chapter 42.17 RCW and chapter 390 WAC. The law and rules are
controlling in the event of any conflict with or omission in the instructions. Copies of
the law and rules are available on request.
Blank Forms Located in Back of This Manual.
•
Contents
•
Introduction 1
•
Who Must Report -- When 1
Exempt From Reporting " 2
Time Frame Covered by Report • 2
• Types of Reports • 2
Requests for Reporting Modifications 3
Other Key Points S3 •
The F-1 Statement 5
Section-by-Section InstrUctions 5
Heading 5
Part 1. Income, Employment and Compensation 5
• Part 2. Real Estate 7
Part 3. Other Assets and Financial Holdings 9
Part 4. Creditors 10
• Are You Done? 12
•
The Supplement Page 13
A. Offices Held, Business Interests 13
Identification of Entity 14
payments Entity Received From Governmental Unit . . . 14
Payments Entity Received From Business
land Government Customers • 14
Business Real Estate • 15
Supplement Page Examples 16
B. Lobbying 20
C. Gifts 20
Definition • 21
Explanation 21
Gifts Exempt From,Reporting 22
Reportable Gifts 22
• Notice of Gifts 23
Gift Reporting Example 23
Blank Forms •
• • Statement of Personal Financial Affairs (F-1)
Supplement Page to F-1
Personal Financial Affairs Short Form (F-1A) •
•
•
List of Executive State Officers Required to File
Why We Have Financial Disclosure
In 1972, nearly one million Washington residents -- or 72% of the voters --
supported an initiative designed to bring more openness and accountability
to this state's.political process.. With the adoption of that initiative, the
voters declared that the personal and business finances of elected officials
should be disclosed and available for public review. Four years later, voters
reaffirmed this position on financial disclosure when they added state-level
appointed officials to the list of persons who must file these disclosure
reports.
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Since 1973, over 100,000 financial disclosure statements have been filed by
Washingtonians who have been candidates or elected officials, or were
serving in key appointive positions in state government.
1 Filing reports that disclose financial interests and holdings is more than a
formality. It's a means for the public to have tangible proof that officials are
acting in the public interest and not for their private gain. Conversely,
completing the reports gives officials an opportunity annually to review their
holdings and be more sensitive to subjects that might pose an actual or
perceived conflict of interest.-
Some form of conflict of interest or ethics laws have been on the books for
generations. They stem from common law and the biblical caution that "no
man can serve two masters." These laws, and their inherent prohibitions, go
hand-in-hand with financial disclosure. Each is virtually meaningless without
the other. .
What to do in Case of a. Conflict
If, during the preparation of your financial affairs report or later while serving
in public office, you think you may have a conflict of interest, PDC suggests
the following course of action:
► Take no action until it's decided whether you have a conflict.
► Seek advice from your agency attorney, your jurisdiction's ethics
agency, your own attorney or the State Auditor's Office.
► Discuss the matter with members of your government agency. Inform
them of the potential or actual conflict
The Public Disclosure Commission has no legal authority to consider
whether an action does or does not constitute a conflict of interest or a
violation of any state or local ethics law.
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Introduction • If you have questions, comments or suggestions on
ways to improve these instructions, please contact
PDC. If you write to us with questions, also include a
Preparing a financial affairs statement cannot be done daytime telephone number.
• casually, but neither should it be seen as a task that
is necessarily overwhelming or somehow beyond the
ability of any person who is, or seeks to be, a public Who Must Report-When
official. Completing the statement will take time and a p
thorough review of your finances and investment
holdings. This instruction manual will helpi but it may Elected Officials: Report between January 1
not answer all your questions. You are encouraged and April 15 during each year you hold office.
to contact PDC or your attorney for guidance on how Also, if your term of office ends December 31 or in
to report special situations. January, you're required to file a final report by April
15. Generally, reports cover the preceding calendar
We recommend you scan the F-1 and F-1 Supple- year: (For those leaving office on December 31,
ment reports (located in the back of this manual) and reports cover the year ending on that December 31.) .
then read the instructions carefully before completing
each section of the report. The forms have not been (NOTE: Remember, if you filed a report as a
changed since 1991. candidate last year and were elected, you must file
again by April 15 of this year. Every year you hold
Persons filing their annual report are reminded that office you're required to file a report between January
they need to report the receipt of gifts valued at over 1 and April 15.)
$50 received during the previous calendar year. This
obligation only applies to officials filing their annual Local elected officials who resign or are removed
financial affairs statement, not to candidates or new from office prior to the end of their term must file a
state appointees filing their initial report. Please note report covering that portion of the year they were in
that the gift reporting provisions of the Pubic office. This report is due by April 15 of the following
Disclosure Law have not been affected by adoption of year. (For example, if a local elected official resigns
the new Ethics Law that is effective January 1, 1995. on August 31, he or she will file by April 15 of the
That law regulates, among other activities, what state following year for the eight-month period he or she
officials (including state elected officials and was in office.)
employees) may accept as gifts. However, it uses a
different definition of "gift" than is used for purposes Appointees to Elective Office: Report within
of reporting under the disclosure law. Officials two weeks of being appointed to fill a vacant
needing more information about the Ethics Law elective office. Thereafter, report as described
should contact either the Executive Ethics Board, the above for Elected Officials.
Legislative Ethics Board or the Judicial Conduct
` Commission. .
Candidates: Report within two weeks of
Each F 1 you file must include certain financial becoming a candidate. You become a candidate
information on you, your spouse, your dependent
when you first receive contributions or make
children and other dependent relatives if they lived expenditures, when you reserve space or facilities for
with you during the reporting period. In other words, your race, when you make a public announcement
that you're a candidate or when you file for office,
include information regarding dependent chlildren
regardless of where they lived. (Do not report
whichever occurs first.
. information about independent adult children who .
Candidates who already have a current F-1 or F-1A
lived at home or away from home.) Include on file -- because they're the incumbent or hold
information about other dependent relatives'only if • another position that makes them subject to the law --
they lived with you.
do not file a second report. Only one financial affairs
This booklet contains general information, report per person per year is required. However,
many candidates will be required to report campaign
section-by-section instructions for completing the
disclosure information during the election. Check
forms and the forms themselves. The section with your county elections office or with PDC
by-section format consists of a quotation from the
statute, an explanation of the statutory language, and regarding which reports are necessary.
an example.
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Appointed State Officials (Including ► elected and appointed state officials holding office
professional staff of Governor's Office and in January of current year and filing annual report
Legislature): Report within two weeks of ► elected local officials holding office in January of
appointment. Thereafter, file annually by April 15. current year and filing annual report
See inside of back cover for list of those appointed
officials who must file personal financial affairs (Note: Persons filing their annual report will disclose
reports. (The list of"executive state officers" who information for the entire preceding calendar year,
must file F-1 reports is found in RCW 42.17.2401.) even if doing so means the report now being filed
duplicates part of the activity included on their first
Persons who assume a position designated in report that covered the 12 previous calendar months.)
42.17.2401 in an acting capacity, by virtue of an ex
officio appointment or as a designee of the,official
must also file F-1 statements. Non-voting ex officio Previous 12 Calendar Months for:
members of state boards and commissions are not •
required to file unless specifically required to do so ► persons newly appointed to fill a vacant state or
elsewhere in law. local elected office
► persons newly appointed to fill a vacant state
executive office
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Exempt From Reporting c ' persons appointed to fill a newly created executive
state office
►. candidates for local or state elected office
The following people do not need to file state financial
disclosure reports with PDC: Special Situations:
► candidates for federal office or officials holding If you resigned, or were otherwise removed, from a,
federal government positions. local elected office prior to the expiration of your
► candidates and elected officials in jurisdictions that term, file a report covering the portion of the year you
had fewer than 1,000 registered voters at the time were in office.
of the last general election. (Check with your
county,elections officer.) If you're a local elected official and your term ends on
► cemetery district commissioners and candidates
► precinct committee officers and
reandidates or before December 31, file a report covering that
► calendar year.
officials and candidates in'districts that have.
special qualifications for voting, such as property
ownership.• These districts include the following: '
Types of Reports
agricultural pest control irrigation and reclamation
conservation irrigation and Although some type of financial affairs report is
diking rehabilitation required annually from persons subject to the law, it
drainage mosquito control may not be necessary'to file the full F-1' (long form)
educational service (ESD)* public waterway :every year if there are no or only minor changes to
flood control sewer improvement the full F-1 already on file.
irrigation weed,
intercounty weed F-1: This form is used by persons completing their
first financial affairs report or by persons otherwise
(*This educational service district exemption does not ineligible to use the shorter F-1A form (see below).
apply to school district directors.)
• F-1 Supplement This form is filed with the F-1
report if the candidate or official or a'family member
Time Frame Covered by • had business dealings that require reporting, or if
Report .S these individuals lobbied at the state level. Officials
p filing an annual report must also file the Supplement if
they or an immediate family member received one or
Previous Calendar Year (January - more reportable gifts. Submit this form only if it is
December) for: applicable to you or your immediate family.
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F-1A: Complete this "short-form" if you have no • To apply for a modification, write the Commission a
changes or only minor changes to your previously letter stating all the reasons why reporting the
filed full F-1 report. Read below to see if you qualify. required information would cause a hardship, suggest
a modification that would relieve the hardship and
When To Use Form F-1A: You are eligible to give reasons why granting this change would not
"frustrate the purposes" of the disclosure law. Send
use the F-1A short form to satisfy your annual
financial affairs filing requirement so long as you meet your F-1 report, as complete as possible, with your
both of these criteria: letter. Apply at least a month or two in advance of
your filing deadline so that the Commission will have
1) the full F-1 (long form) that is already on file with time to act on your request before the due date of the
PDC from you is no more than three ye rs old (for report.
example, if you filed a long form in 1993,E •
potentially you could file the F-1 A in 1994, 1995- A hearing will be scheduled to consider your request.
and 1996) and It's best if you attend the hearing, but your presence
is not required. A modification may only be granted
2) the information supplied on that previously filed full for one reporting period. Another application must be
F-1 is still accurate or there are only minor made in following years if you still need the
changes to reflect on the F-1A being submitted. modification.
A complete F-1 report must be filed at least every •
four years. Other Key Points
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The Commission reserves the right to require a Frequency: Officials only need file one report
complete report if it believes the information on an each calendar year. Therefore; if you have a current
F-1 A report could confuse or mislead a person report on file with PDC, you do not have to file
reading the report. • another report if you're up for re-election, you decide
Be sure to review your last full report before to run for another office, or are appointed to a
submitting an F 1A form. position that also makes you subject to financial
affairs reporting.
Requests for Reporting Corrections: File any report amendments as soon
q p g as you discover that a previously filed report is
Modifications incomplete or otherwise inaccurate. Include a cover
letter with the amendment explaining the
circumstances surrounding the error. Use 8-1/2" x
The Public Disclosure Commission may suspend or 11" white paper. (Remember, changes in your
modify the reporting requirements if it decides that financial holdings which happened after the reporting
the law works a "manifestly unreasonable hardship"
period do not trigger an amendment. These changes
on the filer and the modification "will not frustrate the will first appear on the report covering the period in
purposes" of the disclosure law. If you believe your which they occurred.)
situation meets these two statutory tests and you can
provide convincing arguments to that effect, you have Attachments: Since all reports are filmed on
the option of requesting the Commission to grant a microfiche and the machine can't film anything larger
reporting modification. than 8-1/2" x 11", you must use this standard sized
Usually, requests for modification come from white paper for any attachments. Also identify any
• i additional pages with your name, the time period
who are partners or owners of a business or who are covered by the report and the report section number.
officers, directors or trustees of an organization,
association or union. These types of filers often
request modifications because they must report the Current Events: Significant changes in your life
names'of commercial customers or governmental this year -- marriage, divorce, purchase of property,
agencies that paid their businesses, organizations, etc. -- do not affect.a report covering a previous year.
associations, and the like over $5,000 during the You'll report the financial effects of these changes on
reporting period. your next, regular report.
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Incomplete Reports: Filers are required to fill Reporting Amounts and Values: When
out each section of the F-1 and F-1 Supplement (or reporting the value of stocks, bonds and other
F-1A if using the short form) that applies to them and intangible property, use the highest fair market value
their immediate family members. Persons needing realized by the asset during the reporting period, not
extra time to file a complete report should request an the year-end value or the asset's value when you're
extension in writing from PDC's Executive Director completing the report.
indicating the amount of extra time needed: Persons
unable to disclose all the required information These amounts may be different from what you report
(perhaps because a spouse or business with whom • for income tax purposes. To the IRS you may report
they are associated refuses to cooperate) must only taxable income or profit from the sale of stock;
request a reporting modification from the Commission the F-1 report asks for the gross, fair market value.
(see above) rather than simply failing to include the
required information on the report. When reporting the amounts owed creditors, show
the original amount owed and the balance due as of
File Date: Reports are considered filed the day the day you file the report.
they are postmarked (Or hand-carried to the PDC
office). Due dates of the report are shown on the With the exception of two parts of the F-1
inside of the front cover. Supplement, when the report asks for amounts or
• • values, use the dollar code shown below and in the
Personal Copy: Be sure to keep a copy of your shaded boxes on the F-1 form, rather than showing
report. You'll want to refer to it next year and PDC actual or approximate dollar figures. Dollar figures
may not be able to supply one in time for you to are only disclosed when reporting gifts received or
meet your reporting deadline. disclosing payments from your (actual or potential)
governmental entity to a business with which you or a
Compensation: At various points in the report, family member is associated.
you will be asked,to disclose sources of
compensation for you,' your immediate family
members and businesses with which you are DOLLAR
involved. When doing so, it's important to know that, CQDE •AMOUNT-
by statutory definition, "compensation" means . .A $1 to$1,099
payment in any form for real or personal property or B $2,000_t0 $9,999
services of any kind.
C . $10,000 to $19,999
Compensation usually,does not include payments for D ' $20,000 to $49,999
per diem, mileage or other forms of expense E $50,000 or more
reimbursement paid to you or your immediate family
members by your or their respective employers.
However, if you or your family work in the private
sector and you or they realize a profit from these
expense payments over and above your actual
expenses, the profit is considered compensation.
See Part 1 of the Section-by-Section Instructions for
more information on sources of compensation.
On the report, you'll use one of the Dollar Amount
Codes (A, B, C, etc.) to show how much
compensation was received from a given source .
during the reporting period. Be sure to report the
code range that includes your gross compensation
figure, not the net figure you receive after taxes, .
deductions or (for businesses) operating expenses.
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your nine digit zip code. Be sure to identify your
Section-by-Section
spouse (Sp) and your dependents (D). Remember,
Instructions you must include financial information about yourself,
your'spouse, your dependent children (even if they
Heading: Please type or print in black ink. Use did not live with you during the reporting period) and
your full name, not a nickname. Provide.all the other dependent relatives if they,, in fact, lived with
information requested, including the last four digits.of you during the period covered by the report.
• Last Name First Middle Initial Nan.es of Spouse and Dependents Political Party
• II partisan office or
Parrot Polly . E Sp Barry D. pertinent toapppintmont
Mailing Address D Anita U. Non-Partisan
100 Perch Place D Dan D.
City County Zip+4 l of nga
Cagetown Aviary 99999-1111 t ` '
Filing Status(Check only one box.) • Office Held or Sought
a An elected or state appointed official filing annual report • Office title City Council Member .
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❑Final report as an elected official.Term expired County,city,district or agency of the office,
❑Candidate running in an election: month . I year name and number: Cagetown City Council
❑Newly appointed to an elective office Position number 2
❑Newly appointed to a state appointive office Term begins: Jan 199X ends: Dec 199X
Part 1 . Income, Employ- ► the name(s) and address(s) of your employer or
employers during the reporting period as well as
ment and Compensation those of your spouse, dependent children and
[RCW 42.17.241(1)(a) & (f)] other dependent relatives"living with you; •
► your occupations or the reasons you or your
The law says to report, for you and each member of relatives received the income; and.
your immediate family:
► the names and addresses of other (non-employer)
Occupation, name of employer, and business businesses and government agencies -- but not
address; and . individuals -- which compensated you, your
spouse or your dependent relatives $1,000 or
The name and address of each governmental entity, more during the reporting period. (For example, if
corporation, partnership, joint venture, sole ! you sold your pleasure boat to a business, you'd
proprietorship, association, union, or other business identify the buyer and specify a Dollar Code. If an
or commercial entity from whom compensation has individual purchased your boat, the sale would not
been received in any form of a total value of one , be reportable.)
thousand dollars or more; the value of the
compensation; and such'consideration given or Typical sources of income or compensation are:
performed in exchange for such compensatiin' ► Your Employers (Also show your occu•
pation and
Explanation: "Compensation" means payment in any the proper Dollar Code for compensation
form for real or personal property or services Hof any received. Include deferred compensation earned
kind. 'In other words, you show: I during the reporting period when selecting
appropriate dollar code.)
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► Employers of spouse or dependents (If your sales commissions (show the identity of each
spouse and/or dependents earned $1,000 or more business and government entity whose purchases•
from a business or government employer during generated a commission of$1,000 or more in the
'the reporting,period, show'names and addresses aggregate during,the reporting period as well as
of employers, occupations and appropriate Dollar the identity of the business that actually paid the
Codes. If.the employer wasan individual, no commissions, usually your employer or that of a
reporting of compensation received from that family member; attach a list of these sources of
'employer is needed.) income to your F-1 .form if the space provided in
► Other business or government sources from which Part 1 is insufficient.)
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you or your family received $1,000 or more during retirement income (unless it appears in Part 3)
the reporting period. For instance, you'd report honoraria, travel expenses (received as
the following income and identify the source if you
or a family member received $1,000 or more from: compensation for speeches.or other appearances,
rather than a reportable gift' as discussed near
social security income the end of this manual)
sale of personal property to business or Note: If you or a family member sold real estate
government during the reporting period, you need not include the
strike benefits purchaser's name as a source of income because
salary for government service (Do not include you will disclose this information in the Real Estate
travel or other office expense.reimbursements.) section below. However, if the sale took place before
the reporting period, the property was bought by a
government assistance or subsidies (welfare, child business or government agency, and you or a family
. support, disability compensation, farm subsidies, member realized $1,000 or more during the reporting
etc., but not payments received for foster child period from this earlier sale, the purchaser should be
care) listed as a source of income in Part i of this report. •
unemployment compensation I•
ncome of$1,000 or more generated by intangible
rent or lease payments for real property assets (bank accounts, stocks, bonds, securities,
insurance annuities, etc.) or the sale of intangible
partnership income
assets is disclosed'in Part 3 of this report.
trust income
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;INCOME nd 9 .�, 9 e s Y.
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..�:. •>...t 5.. ..�: ..<.K.„�. .,:..:,.,:.w m>.�.. `,;:,.,.::>w. ..>,.<.,. . ... .... �tt52•'n>fi;2t � s?�r..>'..:.?, ;ii
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srei sv Name and Address of Employer or Source of Compensation' Occupation or How Compensation Amount:
�„x Was Earned (Use Code)
S Gagetown Medical Center, 4 Longl.ife Court, CagetoWn Lab technician D
Sp Best Medical Supply Co., 1122 Happy Hollow, Cagetown Sales Rep. D
Sp Gagetown Hospital, Medical Park Avenue, Cagetown Commissions • B
Sp Professional Medical Clinic, Cagetown Commissions . B
Sp Medical Technology Magazine, 8400 5th Avenue Authored two
Hartford, Connecticut magazine articles B
D Cagetown Gazette, 420 Market Avenue, Cagetown Paper carrier B
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Check here ❑ if continued on attached sheet
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Part 2. ,Real Estate ; 3) What other property did I or a family member
own, fully or partially, any financial interest in
[RCW 42.17.241(h)(i) & (])] during the entire reporting period?
This is the portion of the report where you will You only have to list property located in Washington
disclose any real estate -- land, structures and mineral State that had, during the reporting period, an
rights -- located in Washington State in which you, assessed value of over$5,000.
your spouse, dependent children or a dependent
family member living with you held a financial interest
of$5,000 or more at any time during the reporting Typically reported are homes, farms, vacation cabins,
period. Do not include real estate owned by a inherited property, leased property, rental property,
raw land, and mineral rights.
partnership, joint venture or other business, since that
information is listed on the F-1 Supplement form. When listing property, use one of the following:
The law asks for: A list, including legal or other ► Street address, city and county (not rural route or
sufficient descriptions as prescribed by the box numbers);
commission, of all real property in,the state of ► Assessor's parcel number and county; or
Washington, the assessed valuation of which ► Complete legal description and county.
exceeds five thousand dollars in which any direct
financial interest was acquired (emphasis added) •
during the preceding calendar year; and a statement Property Sold or Interest Divested
of the amount and nature of the financial interest and
• of the consideration given for such interest; and. You are divested of a financial interest in property if
A list, including legal or other sufficient descriptions you no longer may claim full or partial legal
ownership. Generally, this happens through sales,
as prescribed by the commission, of all real property expiration of leases, condemnation or foreclosure.
in the state of Washington, the assessed valuation of
which exceeds five thousand dollars in which any •
direct financial interest was divested (emphasis If you or a family member sold or otherwise divested
added) during the preceding calendar year, and a
your interest in real property, give:
statement of the amount and nature of the ► its location,
consideration received in exchange for stlich interest, ► its assessed value (use Dollar Code shown on the
and the name and address of the person furnishing form),
such consideration; and ► the name and address of the new owner, and
► the kind of payment or consideration received as
A list, including legal or other sufficient descriptions well as the amount of payment or consideration
as prescribed by the commission, of all ra!property received (use Dollar Code).
in the state of Washington, the assessed valuation of
which exceeds five thousand dollars in which a
Payment or consideration" means such things as
direct financial interest was held (emphasis added). cash, cash plus mortgage, real estate contracts,
Provided, That if a description of such property has exchanges or trading of property, and promissory
been included in a report previously filed, such notes. The Dollar Code for each part of the payment
property may be listed, for purposes of this provision, should be shown: For example: Cash - "C";
by reference to such previously filed report. Mortgage- "E".
Explanation: It will be helpful to ask yourself these •
three questions: Property Purchased or Interest Acquired
1) What property did I or a family member sell or
otherwise divest any financial interest in (give You acquire an interest in real'property through cash
away, lose through legal judgment, etc.) during the transactions, mortgages, lease agreements, deeds of
reporting period? trust, options to buy or lease, real estate contracts
and the like.
2) What property did I or a family member buy or
otherwise acquire any financial interest;in (inherit, If you or a family member for whom you're reporting
receive as a gift, acquire through a leae/purchase acquired even a small financial interest in a piece of
agreement, etc.) during the reporting period?
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property that.is located'in Washington and was Other Property Entirely or Partially
assessed at over$5;000 you•must disclose the • Owned
following information:
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In this portion of the Real Estate section you'll report
► its location, • property in which an interest was held throughout the •
► 'its assessed value (use Dollar Code),
reporting period. Again, you'll•report for yourself and
► the creditor's name and address, appropriate family.members and you'll include all •
► the payment terms (example: 25 years at 10% Washington State property valued at over$5,000 --
interest), except that which was bought or sold during the
► the security given,' . period -- even if only a minor interest was held.
►• the amount owed on the mortgage, lease or .
contract (use Dollar Code). Report the same'information as listed above in
"Property'Purchased or Interest Acquired." 'The
For property acquired during the reporting period, the notation about the Creditors section also applies
"original mortgage amount" and the:"current here.
mortgage amount" may be the same. In this case, •
:"current"'refers to the amount owed on the last day Of Once you've'completed the Real Estate section,
the reporting period, not the day you complete the double check that you haven't forgotten to include, as
report. sources'of income in Part 1, businesses or •
• government'agencies'that rented or'leased property
NOTE: Since you're listing who extended you credit, from you or your family. •
the terms and the amount owed, you do not have to
repeat this information'in Part 4, Creditors. Atypical report might look like this: •
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'h: k,A,.,yr.>.riz::?sarh4 r;•.: .>�a .y K. .pr"" ..��.£' R:.s:>:,.a,.: :<!:;,..,o::;f"s>2!:'>.:'..:,:::.,..:a
y.>;.xx>,�:yu):�,ay ���.:>;> .ra artfn edra�d:i Show:: artne"shl :cam 'sn �'etc:<reak?esjtafe=an;�f.t�:su iemQn#: '<;��.,, f�;.> ':Na: x'a+
kd. �l/.')..C:iSYEit:'w'...$i.�oY:A2:Cf':1:.3:ai`l:f'.^..k".`>:':C'i,:.
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Property Sold or Interest Divested• Assessed Name and Address of Purchaser Nature and Amount(Use Code)of
Value Payment or Consideration Received
(UseC4de) Karen 'Adams
1515 Oak Street ' D. 1515 Oak Street ' Cash _ 'B
Gagetown Cagetown Real Estate Contract
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Property Purchased or Interest Acquired 'Creditor's Name/Address Payment Terms Security Given Mortgage Amount—(Use Code)
Original Current
100 Perch Place E• Medical Employees, 20% down; •
Gagetown Credit Union ' 10 1/2% for Mortgage E • E
20 years
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All'Other Property Entirely or'Partially Owned '
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635 'Maple Avenue 'C 'City Bank 10% down;
• Cagetown (vacant lot) 11 Cagetown Plaza '9% for Mortgage •
C B
Check heron if continued on attached sheet Cagetown 10 years
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Part 3. Other Assets and B. Insurance Policies (>10,000 Threshold)
Financial Holdings Give the name and•address of each insurance
[RCW 42.17.241(b)] company where you or a family member had a policy
with a cash or loan value of over $10,000 during
This is the category where you will report financial the reporting period. Also
holdings, investments and other intangible property -- •
such as checking and savings accounts, insurance ► identify the type of policy (life, disability, annuity,
policies, stocks and bonds, etc. -- if they meet or etc.);
exceed certain monetary thresholds. The ownership
► indicate the highest value of the policy during the
of tangible property (other than real estate), including reporting period using the Dollar Code; and
furniture, farm machinery, motor homes, automobiles .' use the Dollar Code to disclose how much income
and coin collections, is not disclosed on your; was produced (if at least$1,000 in income was
financial affairs statement. (However, if you sell generated by the policy).
tangible property, the income from the sale may be
reportable in Part 1 (or if real estate, in Part 2; see C. Other Investments (>$1,000 Threshold)
previous discussions for details.)
Show the name of each company, partnership;
• The law asks you to report: corporation, association, government agency, etc:, in
which you or a family member had a•financial interest
Each bank or savings account or insurance policy in worth over$1,000. Include an address for investment
which any such person or persons (you, your holdings that are not listed on a major stock
spouse, dependent children or other dependent exchange.
•
family members living with you) owned a direct •
financial interest which exceeded ten thousand This is the section in which you will show:
dollars at any time during such period; each other ► stocks, bonds, securities, commodities (list each
!' item of intangible personal property in which any holdingseparately if worth over$1,000 at anytime
such person or persons owned direct financial p y
interest, the value of which exceeded one thousand during the reporting period; it's insufficient simply
dollars during such period; and the name, address, to identify the brokerage house)
' nature of entity, nature and highest value o I each ► employer retirement system account (if you or a
such direct financial interest during the reporting family member paid into an employer-sponsored
• period. retirement system, that retirement account is a
reportable asset)
Explanation •
► IRA (if investor managed,list each holding worth
• A. Bank Accounts (>$10,000 Threshold) over$1,000; if managed by an agent, list name of
manager or management company that decides
In this section you will give the name and address of how IRA money is invested)
each bank, savings and loan, credit union or other ► money market accounts (if investor managed, list
financial institution in which you or an immediate each holding worth over$1,000; if managed by an
family member had an account over$10,000 at any agent, list name of manager or management
•
time during the reporting period. You will also:
company that decides.how money is invested)
► identify the type of account (savings, c ► businesses in which .you or your family had less
ecking,
sharedraft, certificate of deposit, individual than a 10% ownership interest (if 10% or more, file
retirement account (IRA or KEOGH if managed by F-1 Supplement)
the bank), etc.; I ► loans owed you or an immediate family.member
use the Dollar Code amount that reflec)s the • by individuals, candidates, political committees,
account's highest value during the period; • businesses, associations, churches, etc. (Do not
include accounts receivable due in the normal
•
► use the Dollar Code to disclose how much income
' was generated by the account (if at least $1,000 in course of business)
income was produced). ► legal judgments due you or your family
9
For•each item'listed, you are requested to provide a 'Note: Each stock, 'bond and other intangible asset
description,'a value code i(the highest value during holding worth.over'$1;000:at any time during the •
the period) and; 'if appropriate, an income amount reporting:period; whether held for the entire reporting
code For stocks.,bonds,and'securities, you may'list period or just a portion of it, must'be reported'in this
the highest'number'of shares held'during'the section. If you sold an intangible asset during the,
repotting period in lieu'Of giving the value'code. No period,simply select the code'amount that reflects
address is required to be listed fora security:holding •the sale price plus.any other:interest or dividend '
'that is traded on a major'exdhange. • income generated by the asset and put that'code in
the!Income Amount column. No'specific'notation of
. the sale or theidentity of the buyer is necessary. •
e•,•ri§:�'^:i±�,�.�.:�'•..+t+'�t:rc:*tlsR�:�ru��.x39:aY'exi"�4=��+7�t�:.n.r� a sa„ �� a:,a:: .l� li�e'Cro l"1`B''�'��"ck�b 1
l<QQ', r SET5%A STMENTS,-=INTEREST DIYIDE S ' ;Lie.10.6•rik�;,n �xeavfngs"eoro,n41i).0w.,•,n,e^;p.,I,c a ;.'s o atiO Mind
. !„V >T.,, h,:-4,:rsm !mv,",4,o.;t.,*imil..$ ,.,eitt.E,:mcom T>othet tnla`ngibie.:.pr'o`pertOrieltl;dur,n9vlho,•reFibrimg.peiiod .r.,+,+:'a. ,'..
"TYPE OF'ACCOUNT OR'DESCRIPTION OF'ASSET ' ASSET VALUE: 'INCOME'AMOUNT:
'A.+Name and•address'ofeach'bank'or'financial Jnstilulion:in.which ' (USE'CODE) I '(USECODE)
• you'or4a family.member,had'an''account over'$10,000 any lime
'during'the,report period. j
. i
'•Western 'Mutual 'Bank„ Local 'City ! Savings D . • A
National Savings 'Bank, Local 'City , Certificate of Deposit IC ' ' B
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113. Name and'address'of'each'Insurance(company Where'you'or'a i
laniily'member;had'a policy with a cash'or(loan'value over
.si0:oo0(during the;period. •
Friendly Insurance 'Company i 'Whole life ;& 'variable j B A
• 1101 Sunshine Blvd. i annuity 1
Anchorage, .AK 99999 ,
C.Name.and address'of each'company, association,government ' 1
agency,'etc. in which'you'or a'family me(Uber'owned or;had a
financial Interest worth over 31,000.'Include'stocks,'bonds,
'ownership,'retirement':plan,'IRA,motes,and other•Intangible
'property.
John Doe Trust (managed by City Bank) ! B.Fue Chip Stock Trust �E . 'C ,
'ABC Corporation, New York 'Stock 20 shrs B •
XY:Z 'Company, 'Local City Stock SO stirs 1 C ,
Publirc .Emp. :Retire. System, '01ymp'ta, '.WA Vested in retirement fund C None
'Kevin ''Doe, Local 'City, ''Loan to relative - 'B A
' 'Best Brokerage 'House :(managed by agent?) 'fiRA 'Account ID j None. '
Check'here ID if continued*on'attached sheet '
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Pa'rt 4. Creditors Explanation: (Generally,this section'of the law
requires you to report'loans and other indebtedness,
FRCW 42.17..241.(c)1 regardless cif whether money is'owed an individual, a .
• lending!institution,other commercial businesses'or
• The law.asks for: your'local,state'or federal government.
The:name'and.address of"each'creditor'to whom the In'this section,'include'only personal'obligations'of
value of one thousand dollars or more was owed;the '$1.;1300 or more that you,or:family!members owed at
'amount'of each debt:to each such'creditor. '
'original � any dime during the reporting period. Don t Include
the'amount of each debt:owed to each creditor as'of debts owed'by a'business you"might own,'unless you
the date of filing,'the:terms'of'repayment of each are personally'liable;for the repayment.
debt;•and.the security given,rif:any, for such'debt:
Provided, That debts arising.out'of'a"retail Install- You'need;not+report''(retail installment:transactions"
,ment transaction'.as defined!in'chapter(63.'14!ROW such as the ipurchase of an appliance on contract
r('Retail Installment,Sales Act)ineed not'be reported. • RevoMng charge accounts and'credit'card purchases
. are also{not reportable. "Also,rsince you'listed:any
• I
outstanding mortgages-and other real estate debts in ► finance company loans
Part 2, you need not repeat them here. ► home improvement loans
► loans against insurance
Be sure to state, using the Dollar Code, the amount. ► judgment or lien against you or your property
owed when the debt was first obligated, and the ► pledge to a political committee
amount owed as of the date you're completing this ► loans to your campaign committee for which you
report. (In the other sections of this report, you gave are personally liable
values based on what they were during the reporting ► automobile loans
period; however, in the case of debts and liabilities, ► taxes in arrears
the law specifically asks for the balance due at the , ► student loans
time you're filing this report.) ► business debts for which you are personally liable
► .farm equipment loans
Common items reported in this section are: ► notes you have co-signed
► leases for property, vehicles, machinery or other
► bank loans equipment or services
► loans owed to individuals or companies (not
including retail installment contracts) A typical report might look like this:
► margin accounts with stockbroker
»,}y .C . . v.REDITORS:•;LislKoach,credito you r a temlly4nember,owed 41;OOda;ovmore ansgdine<duriegahe perdd: •.any:,: _.
0oet? _ 3vaourn'M':µ_ S
;,: y' "°;lnclude;retail::;charge:accounts.credit cards or'riiori a'es,o�?ie`l estate:'r `orteil;in�tetor2;i":: ' !. .,, coD�),,
CREDITOR'S NAME AND ADDRESS I TERMS OF PAYMENT SECURITY GIVEN ORIGINAL PRESENT
Local City Treasurer, Local City 1 year @ 8% 198X Taxes B A
376 Elm
Internal Revenue Service, Ogden, UT ASAP @ 10% Back taxes C B
National Higher Ed Fund, US Government, 10 years @ 3-1/2% Student loan D C
Washington, DC
Farmers Credit Union, 200 2nd Avenue, 5 years @ 11% Auto loan C C •
Local City
Mary Smith, 840 Lincoln Ave, Distant City 2 years @ 10% - Note B A
Check here ❑ if continued on attached sheet
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Are You Done? you answer "yes" to any of the questions, you must
• also complete the Supplement Page.
•
For many people, this is the end of the line. Others, If you are a candidate or a new appointee filing ah
however, will have to file the F-1 Supplement as well. initial report and you answer"yes"to any of the
-Answer the questions in Part 5 of the report. If you questions posed in A thru D, you must also complete •
are an incumbent official filing an annual report and the Supplement Page.
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lAii filers answerquestlons.A,thr�u D�below.Athe answer.Is10,,,1oaanypf then quesatlor,�s;,the.F1•'Supple nent must- IA
a'jr. •
U nalsoolie com feted asspart'o,this report tl(ellyanswersaa.NOnandyoU are q non in'cumbent.candldate qr.a state '. i ;•
e;M
1.
rh,p, '� p M n ,.,."T�' 1 ,«, ,.!u n*soF�y��avx°sa.«•,,-. �F .•;
,,a executive'offlce�tlling.yotu nit(al•teport after appointment no F.1'Supplement Is required. �' x;� "" �_ t5 ' >
s•' ;Incumben elected5o tibia a F.1,R is executtve;officers flling.annual flnanclal ilVfs report elso answer uest 5.',11 An: rr g
e ?4 F-T.Su lemennt Is r rulred of these officeholders Unless alha"nsw"ers'fo'"riestloris A that E aye-NO'�"''+kza Q`
A. Were you,your spouse or dependents an officer,director,general partner or trustee of any corporation,company,union,association,joint venture or other entity at
any time during the reporting period?YAs If yes,complete supplement,Part A.
B. Did you,your spouse or dependents have an ownership of 10%or more in any company,corporation,partnership,joint venture or other business at any time during •
the reporting period? Yos If yes,complete supplement,Part A.
C. Did you,your spouse or dependents own your own business at any time during the reporting period? Yes If yes,complete supplement,Part A.
D. Did you,your spouse or dependents prepare,promote or oppose'state legislation,rules,rates or standards for current or deferred compensation(other than pay for
your currently-held public office)at any time during the reporting period? Vac If yes,complete supplement,Part B.
E. (Incumbent officeholders only.)Did you,your spouse or dependents receive during the previous calendar year any gilt valued at over$50 that may have been
intended to gain or maintain Influence with you or the governmental entity you serve?(See F-t manual for definition of'gift.") YPS If yes,complete Part C.
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REMEMBER. . .
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► YOUR REPORT IS NOT VALID UNLESS YOU SIGN IT!
• It's considered filed as of the postmark date shown on the envelope.
•
► Send it "Return Receipt Requested" if you want documentation that you •
• mailed the report in a timely,manner.
•
► Keep a copy of the report for your files.
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12
Supplement Page When you're making your list, keep in mind that:
► this disclosure requirement applies to both public
The F-,1 Supplement is used for disclosing the and private organizations, whether they are "for
following information: profit" or "not for profit" organizations;
► Relationships that you and your family members ► if you or a family member was an officer, director
had with businesses, organizations, associations, or trustee of an organization (entity), include it
unions and the like which could potentially impact even if you did not have an ownership interest in it
the decisions you make as a public official. (see discussion of"corporate officer" below);
Essentially, you will be asked to identify they entity, ► membership in an organization does not trigger
give the nature of your involvement with it, list any reporting unless you also held an office or had an
payments it has received from the government unit ownership interest of 10% or more;
where you seek or hold office, and list any l
compensation of over$5,000 it received from ► you will not include on your list an elected public
commercial or other governmental source office you held during the reporting period.
► Any state-level lobbying you and your immediate Corporate Officer: Some corporations, including
family may have undertaken for compensation banks and other financial institutions, use various
(other than in your official governmental capacity). titles (particularly vice president) to denote managerial
positions. These "titled" managers have no corporate
► Any reportable gifts you and your immediate family officer status within the organization and do not have
members received that are valued at over$50 and to complete Part A of the Supplement showing the
may have been intended to gain or maintain corporation's sources of income and real estate.
influence with you or the governmental entity on •
which you serve. A filer would only have to report as a corporate •
officer-- and disclose financial information about the
corporation -- if he or she held one of the offices
A. Offices Held Business described in the corporation's bylaws. However, if
the officer was excluded, by resolution of the board
Interests of directors or by the bylaws, from participation in the
[RCW 42.17.241(d) & (g)]
The law asks for: corporation's major policy making functions and the
officer did not actually participate in these functions,
then he or she does not have to report the
corporation's activity.
Every public or private office, directorship and • Listed below are some of the more common entities
position as trustee,held, and for which you'll have to file the Supplement Page:
The name of any corporation, partnership, joint • sole proprietor business
venture, association, union, or other entity in which is ; general partnerships
held any office, directorship, or any general
partnership interest, or any ownership interest of ten ' political organizations (if officer)
percent or more; the name or title of that office, ' fraternal organizations (if officer)
► charitable organizations (if officer or on board of
directorship, or partnership; the nature of tliie
ownership interest. directors)
► corporations (if corporate officer, on board of
Explanation: The first step is to write down the directors or 10% or more owner)
, names of every corporation, business, partnership, ' religious organizations (if officer or on board of
club, labor union, association and the like that you or directors)
your immediate family members were officers of, • real estate partnerships (if officer, general partner
general partners in, or had a 10% or more financial or 10% or more owner)
► labor unions (if officer)
interest in, during the reporting period. You will have • government boards or bodies (if officer)
-- to complete Part A of the Supplement Page for each , community clubs (if officer or on board of
name on your list. (If there are eight names on your directors)
list, you'll need four supplement forms because there , trusts of which you/family member were a trustee
is space for two entities on each form.)
13
.
Once you determine which entities you have a legal ► interest or service payments on bonds or loans
obligation to disclose information about, the ► contracts
discussion below will help you fill out the Supplement ► temporary services
form. ► retainers
► insurance purchases by government unit •
► commission payments received by entity as a
Identification of Entity result of sale of goods or services to government
unit
The initial information requested on the Supplement
Page is straight forward. You are asked to state: Note: These instructions should not be taken as
authorizing business activities between a person and
► the entity's legal name (as found on legal a governmental body that are otherwise prohibited by
documents establishing the entity); local or state law.
► the entity's trade or operating name if different
from the legal name; See F-1 Supplement examples on pages,16-19.
► whether you, your spouse, or dependent (or a
combination thereof) had the relationship with the
entity that triggers this report; Payments Entity Received From Business
► the office held with the entity or the percent of and Government Customers (if $5,000 or
ownership held (or both); more)
• a brief description of the entity's purpose, or of the •
products or services provided by it. The law asks you for:
See F- 1 Supplement examples on pages 16-19. The name of each governmental unit, corporation,
partnership,joint venture, sole proprietorship,
association, union, or other business or commercial
Payments Entity Received From entity from which such entity has received
Government Unit in Which You compensation in any form in the amount of five.
Seek/Hold Office (No Minimum Threshold) thousand dollars or more during the preceding
twelve months and the consideration given or
The law requires reporting: performed in exchange for such compensation:
Provided, That the term "compensation"for purposes
With.respect to a governmental unit in which the of this subsection shall not include payment for water
official seeks or holds any office or position, if such , and other utility services at rates approved by the
entity has received compensation in any form during Washington state utilities and transportation
the preceding twelve months from such govern- commission or the legislative authority of the public
mental unit, the value of-such compensation and the entity providing such service;
consideration given or performed in exchange for
such compensation; Provided, further, That with respect to any bank or
commercial lending institution in which is held any
Explanation: This means that if the governmental such office, directorship, partnership interest, or
unit in which you hold office or for which you're ownership interest, it shall only be necessary to
running has paid compensation to or purchased report either the name, address and occupation of
goods or services from the entity you're reporting for, every director and officer of such bank or
you need to disclose the purpose of the payment and commercial lending institution and the average
the actual amount received by the entity from the monthly balance of each account held during the
government unit during the reporting period. preceding twelve months by such bank or
commercial lending institution from the governmental
The following items are typically reported: entity for which the individual is an official or
candidate or professional staff member, or all interest
► retail goods and other supplies sold to government paid by a borrower on loans from and all interest
agencies paid to a depository by such bank or commercial
► goods sold through open competitive bids lending institution if such interest exceeds twelve
► repair and maintenance contracts hundred dollars;
► gasoline or fuel sales
14 •
•
. Explanation:. The first paragraph quoted above ► provide the name, address and occupation of
requires you to identify all business and government each officer or director of the institution as well as
customers that, during the reporting period, paid the average monthly balance of each account held
$5,000 or more in the aggregate for services or during the previous year by,the government body
products provided by the entity you're reporting in which you hold office (whether elected or
about on this Supplement Page. Include thei'•names appointed) or for which you're running; OR
of any government agency (other than the one in ► provide the total amount of interest paid by each
which you seek or hold office), corporation, partner-
ship, joint venture, sole proprietorship, association, borrower who paid over$1,200 in interest and the .
union or other business or commercial group if they total amount of interest paid to each depositor
meet or exceed the $5,000 reporting threshold. who received over$1,200 in interest during the
previous year.
Be sure to report the name and address of each
business or government agency for which aservice See F-i Supplement examples on pages 16-19.
•.was.rendered or to which a product was sold that _
resulted in a commission of$5,000 or more lin the
aggregate to the entity for which you are reporting. Business Real Estate [RCW 42.17.241(k)]
Do not list payments received from indivii uals The law requires:
acting in a private rather than a businesslcapacity.
A doctor, for example, would not disclose the names A list, including legal or other sufficient descriptions
of individual patients who paid his or her medical as prescribed by the commission, of all real property
corporation $5,000 or more; nor would this(doctor in the state of Washington, the assessed valuation of
include the names of insurance companies(paying on which exceeds ten thousand dollars, in which a .
behalf of patients. He or she would, howev eer, report corporation, partnership, firm, enterprise, or other
mployee entity had a direct financial interest, in which
the names of companies that paid,fees for
medical services and the names of hospitals that. corporation, partnership, firm or enterprise a ten
compensated the medical corporation. Similarly, percent or greater ownership interest was held;
__ lawyers, farmers and other business people would not
list "individual" customers, but would disclose their Explanation: This means that if you or an immediate
business, corporate and government clients. family member owned a 10% or more financial
interest in the entity for which you're reporting and
Do not include gifts or grants of$5,000 or ore the that entity in turn owned Washington real estate
entity may have received from a foundation, business assessed at over$10,000, you need to disclose that
fact. Show either the property's address, the
or governmental agency. These charitable)
contributions do not constitute "compensation" and assessor's parcel number and county, or the legal
are not reportable. description and county for each parcel assessed at
over$10,000.
You'll note from the form that you don't need to state
a Dollar Code or an actual dollar amount. However, Note: If you were an officer or director of an entity,
you do need to briefly describe what services or but did not own 10% or more of it or its stock, you
products the entity you're reporting about'provided in are not required to list real estate owned by the
order to earn the compensation. entity.
Banks and Other Lending Institutions Typically reported are:
• If you or a family member had an ownership interest ' rental houses
in a bank or lending institution, or you were a director ' plant sites
or corporate'officer of one (see discussion of ► office buildings
corporate officer above), the second paragraph of the ' store buildings
statutory excerpt above applies to you. I ► apartment buildings
► warehouses
Essentially, the law says that, for banks and other ' property leased to others
lending institutions, you don't have to supply a list of ' property on which the entity had an option to
all major commercial or governmental customers. purchase •
Rather, you can do one of the following: I ► farm land owned by family corporation
15
Howard M. Johnson is Mayor of the City of Anywhere and President and part owner, with his three
brothers,of the family farm corporation. During the reporting period,the farm had both wholesale and
retail customers,,a contract with the city's Department of Corrections(which did not require the Mayor's` '
approval), and; business customers which paid it over $5,000. The farmland was, also held 'in the
corporation's name. . ,
PUBLIC DISCLOSURE 'COMMISSION PDC FORM - -
0 - 711 CAPITOL WAY'RY403 FMF-1 SUPPLEMENT PAGE
• Po BOX 411so8 SUPPLEMENT
i; oLrsnPlAwA 98504 aca PERSONAL FINANCIAL AFFAIRS,STATEMENT
(10/s1)
r PROVIDE INFORMATION FOR YOURSELF,SPOUSE,DEPENDENT CHILDREN AND OTHER DEPENDENTS IN YOUR HOUSEHOLD .
LAST NAME FIRST MIDDLE INITIAL': ;DATE . .
r:`: Johnson Howard M March 13, 199X
' For each corporation, non-profit organization, association, union, partnership,joint venture.or other entity
A OFFICES HELD, in
BUSINESS INTERESTS: which you,your spouse or dependents are an officer,director,general partner,trustee,or 10 percent or more
owner—provide the following information:
• Legal Name: Report name used on legal documents establishing the entity.
• Trade or Operating Name: Report name used for business purposes if different from the legal name.
l` : • Position or Percent of Ownership: The office,title and/or percent of ownership held.
• Brief Description of the Business/Organization: Report the purpose,product(s),and/or the services)rendered.
• Payments from Governmental Unit: If the governmental unit in which you hold or seek office made payments to the business entity concern-
ing which you're reporting,show the purpose of each payment and the actual amount received.
, i.•,- • Payments from Business Customers and Other Government Agencies:"List each corporation,partnership;joint venture,sole,proprietorship,
union,association,business or other commercial entity and each government agency(other than the one you seek/hold office)which paid
i ., compensation of$5,000 or more during the period to the entity.Briefly say what property,goods,services or other consideration was given or
`_'• performed for the compensation.
: • Washington Ream Estate: Identify real estate owned by the business entity If the qualifications referenced below aro mot.
ENTITY NO.1 . Reporting for: Self X Spouse Dependent
. LEGAL NAME: Valley View Agricultural Company ' POSITION OR,PERCENT OF OWNERSHIP
' ': TRADE OR OPERATING NAME: Val ley 'Farm ' President, 25% owner
; ADDRESS:
•• Rt. 1, Box 100
•
•`' Anywhere,„ WA 98500
BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION:
Family farm owned equally with brothers. Produce—fruits and vegetables for
wholesale and retail' sales. •
PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD OFFICE:
I, Purpose of payments Amount(actual dollars)
•
Purchase fresh fruits for annual contract - $6,•.477.Pg
with Anywhere city jail
,: PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000:
' Customer name: Purpose of payment(amount not required)
Valle .y Coop, Anywhere, WA Purchase fruit
Safefood Grocer Purchase vegetables
��' y,. Tacoma, WA � ,
Mercy Hospital Corp., Spokane, WA • Purchase vegetables
1:: : .
WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST(Complete only if ownership in the ENTITY is 10%or more
and assessed value of property is over$10,000.List street address,assessor parcel number,,or legal dascri,;tion and county for each parcel):
f''::; Parcel numbers in Graceland Co: Parcel numbers in Mountain Co.
4:7311726079 03468209110
`: i 47341805126 ' •' ' 36901748222
54118624331 •
'„� .
y`;` I Check here O If continued on attached sheet
I r'
16
David C.Jones is a member of the state Gambling Commission. During the reporting period,his wife
was an officer and 30% owner of the local office supply store. The Gambling Commission did not
purchase any products or services from the store. The supply store did sell over $5,000 worth of
• merchandise to commercial and governmental customers during the reporting period. His wife's
, corporation owned the supply store property as well as the adjacent parking lot.
PUBLIC, DISCLOSURE COMMISSION PDC FORM
K�.'?l •
711CAFROL WAY RY4Iq lju F-1 SUPPLEMENT PAGE
+ o�itt�� Poeox400a SUPPLEMENT PERSONAL FINANCIAL AFFAIRS STATEMENT
Y OLYMPIA WA/8304.0104 '
:` (10/91)
PROVIDE INFORMATION FOR YOURSELF,SPOUSE,DEPENDENT CHILDREN AND OTHER DEPENDENTS IN YOUR HOUSEHOLD
1:1::7L, LAST NAME FIRST I MIDDLE INITIAL DATE
l'' Jones David i C. • January 27, 199X
`y For each corporation, non-profit organization, association, union,partnership,joint venture or other entity in
t3,-, A OFFICES HELD, which you,your spouse or dependents are an officer,director,general partner,trustee,or 10 percent or more
Pa; BUSINESS INTERESTS: owner—provide the following information:
, • Legal Name: Report name used on legal documents establishing the entity.
{ ; • Trade or Operating Name: Report name)used for business purposes if different from the legal name.
1'i.-• • Position or Percent of Ownership: The office,title and/or percent of ownership held.
sl'<"
. , • Brief Description of the Business/Organization: Report the purpose,product(s),and/or the service(s)rendered.
l,A1 • Payments from Governmental Unit: If the governmental unit In which you hold or seek office made payments to the business entity concern-
s;_::,
i.' ing which you're reporting,show the purpose of each payment and the actual amount received.
1 `, • Payments from Business Customers and Other Government Agendas: List each corporation,partnership,joint venture,sole proprietorship,
i";y union,association,business or other commercial entityand each government agency
.fib compensation of$5,000 or more during the period to the entity.Brifly say what propertygoods,services or other consideration deraattion which given or-
,;�' performed for the compensation.
!"> ` • Washington Real Estate: Identify real estate owned by the business entity if the qualifications referenced below are meL
ii:=v'
°:"-� ENTITY NO.1 •I Reporting for: Sell Spouse X Dependent
'`^' LEGAL NAME: A.C. Jones & Co., Inc..DBA POSITION OR PERCENT OF OWNERSHIP
<4,. TRADE OR OPERATING NAME: Quality; Office Supply Executive Vice President
ADDRESS: 1234 Wall Street 30% owner
k •Anywhere, WA 98500
!a"i
• (_R BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION:
` ' Sale of office furniture, machines and supplies
, PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD OFFICE:
1;:,, Purpose of payments Amount(actual dollars)
None
PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000:
Customer name: Purpose of payment(amount not required) .
'' Hamble•, Humble & Homer Law Firm, Anywhere, WA Furniture
'w-' State of WA, Public Disclosure Commission, Olympia Computer purchase
`: Anywhere Gas and Electric Co., Anywhere, WA Furniture, Office supplies •
;rrr
Ise a„
i?`«a
gg
€.
l?' '. WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST(Complete only if ownership in the ENTITY Is 10%or more
. f.w and assessed value of property Is over$10,000.List street address,assessor parcel number,or legal description and county for each parcel):
L.".:',,, Building at 1234 Wall Street, Anywhere, WA
k > Parking lot: Parcel No. 23478920113, Graceland County
is
- Clerk Mn"Q d coidYawd on attached sheet •
..:tea.:. ....:.:,.:
R:,w.,......................�,...,.,,..,_a....v,x„w...x awx.;...w :.z.: :::m...,.:.a;:•:,,a::>,.v,<,>.M::•,,,:.asxr.;;�a.o;m�a.,a._� w!w.a;:.sw.;.
17
Mary Kay Smith is a member of the Central City School Board. During the reporting period,she also
served as general partner and 9% owner of Smith and.Kerns Real Estate Company. The real estate
41, company owned, during the reporting period, several parcels of undeveloped land and three lots with
buildings on them. The company earned over$5,000 from four business customers.
PUBLICP DISCLOSURE COMMISSION PDC FORM
((i� yJ 711 CAPITOL WAY flM4tl3 "us F-1 SUPPLEMENT PAGE
�X� PO ., SUPPLEMENT PERSONAL FINANCIAL AFFAIRS STATEMENT
OLYMPIA WA 4.330�0000
(10/91) 1
114,: PROVIDE INFORMATION FOR YOURSELF.SPOUSE.DEPENDENT CHILDREN AND OTHER DEPENDENTS IN YOUR HOUSEHOLD
4; LAST NAME FIRST MIDDLE INITIAL. DATE
Smith Mary Kay L. February 27, 199X
P;r For each corporation,non-profit organization,association,union,partnership,joint venture or other entity in
',«;:Y OFFICES HELD,_. which you,your spouse or dependents are an officer,director,general partner,trustee,or 10 percent or more
;`, BUSINESS INTERESTS:
owner—provide the following information:
< • . Legal Name: Report name used on legal documents establishing the entity.
i''' • Trade orOperatingName: Report name used for business puiposes
po p Iposes it different from the legal name. •
rr • Position or Percent of Ownership The office,title and/or percent of ownership held.
_:' • Brief Description of the Business/Organization: Report the purpose,product(s),and/or the service(s)rendered.
A'
i;a` • Payments from Governmental Unit: It the governmental unit In which you hold or seek office made payments to the business entity concern-
a ? ing which you're reporting,dhow the purpose of each.r p rpo payment and the actual amount received.
;_.' • Payments from Business Customers and Other Government Agencies: List each corporation,
.°' union,association,buss^ass or other commercial entityand each rthan the One
youuist venture,sole proprietorship,
>� government agency(other the one seek/hold office)which paid
vzzd compensation of$5;Dty:or more during the period to the entity.Briefly say what property,goods,services or other consideration was given or
• performed for the compensation.
..`s` • Washington Real Estate: Identify real estate owned by the business entity if the qualifications referenced below are meL
.l ENTITY NO. Reporting for. Sell X Spouse Dependent
.LEGAL NAME:Smith and Kerns Partnership POSITION OR PERCENT OF OWNERSHIP
Lx. TRADE OR OPERATING NAME: Smith and Kerns Real Estate 9% general partner
e‘t ADDRESS: .456 Land Avenue'
'I.1Central City, WA 99500
t!,„ BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION:.
z`" Real estate brokerage partnershipwith Steven P. Kerns & Matthew W. Smith (father)
a 9
PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEKIHOLD OFFICE:
I :t ` Purpose of payments Amount(actual dollars)
P 'ril None
i•: :
>ri •
r:
''A PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000: •
yY Customer Kline:`�;;� Purpose of payment(amount not required)
ABC Construction Co., Central City, WA Commission 'on lots sold
z% ; `Safefood Stores Inc., Tacoma, WA Land Sale '
kr Trademark Building Co., Spokane, 'WA Commission on office space rentals
Far View Develop
ment pment Co., Anywhere, WA 100 shares of stock in lieu of
4. cashpayment for land. sale
I, Yk '
r`; • WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST(Complete only if ownership In'the'ENTITY Iv!0 A or more
and assessed value of propertv'.�,ver•$10,000.List street address,'assessorparcel number,orlegal de
t.,, description and county for each parcel):
None reportable (since only 9% ownership interest)
,,,-,
rF,-,
,, i
t„,,,,
F...,„
Check here It continued on attached sheet 1
,
R+..n....,,.�..,.-a..>.,,zdxt5.....,+�:...:.a:.y<:+.�r:.Y............x...+...::...,,.....: .:.:::. .�. ..'�� .. .'..:,... ..:+..,..�:, �':T'.s ii'i.:l.
ii:
:,..w,...:V...X....' ........,...:u.a:e::.,.x.x,G:td: ;:r :.he:;Ax' A
18 '
Terry Thomas recently announced he's a candidate for the State Legislature. [Thomas filed his
• • campaign disclosure registration statement (Form C-1) in a timely manner.] Thomas is a partner with
' the Earnest, Goode, Smart & Eager law firm. . This firm served as a consultant to a legislative
committee in March of last year. Earnest, Goode, Smart & Eager specializes in criminal defense law,
but does have a few commercial and governmental clients. Since Thomas is a partner in'the firm, he
must report the names of those commercial and governmental clients that paid the firm over $5,000
during the reporting period.
LAST NAME , FIRST MIDDLE INITIAL DATE
Thomas Terry , C. January 30, 199X
a OFFICES HELD, For each corporation, non-profit organization,association, union, partnership,joint venture or other entity in
!n ': BUSINESS INTERESTS: which you,your spouse or dependents are an officer,director,general partner,trustee,or 10 percent or more
owner—provide the following information:
, ' • Legal Name: Report name used on legal documents establishing the entity.
:1 • • Trade or Operating Name: Report name
" used for business purposes if different from the legal name.
r`'.'
1 . • Position or Percent of Ownership: The office,title and/or percent of ownership held.
`: £ •
• Brief Description of the Business/Organization:ation: Report the purpose,product(s),and/or the service(s)re'dened.
A •
' • Payments from Governmental Unit: If the governmental unit in which you hold or seek office made payments to the business entity concem-
!A Ing which you're reporting,show the purpose of each payment and the actual amount received.
• Payments from Business Customers and Other Government Agencies:'List each corporation,partnership,joint venture,sole proprietorship, '
1'1? union,association,business or other commercial entity and each government agency(other than the one you seek/hold office)which paid
:-:i( compensation of$5,000 or more duringlthe period to the entity.Briefly say what property,goods,services or other consideration was given or
1; performed for the compensation.
• Washington Real Estate: Identify real estate owned by the business entity if the qualifications referenced below are met.
i >', ENTITY NO.1 { Reporting for: Self X Spouse Dependent
LEGAL NAME: Earnest, Goode, Smart & Eager, P.C. POSITION OR PERCENT OF OWNERSHIP
i TRADE OR OPERATING NAME: Same I Partner; 3 1/2%
>-'M ADDRESS: 1111 Park Avenue _
'` Hometown, WA 99400
s'; rt
BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION:
''> Legal Firm •
',: PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD OFFICE:
. Purpose of payments I Amount(actual dollars)
Legislative Committee Consultation $12,650 •
F s
.:`; PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000:
y Customer name: Purpose of payment(amount not required)
N XYZ Labor Union • Contract.mediation services
• mi., ABC Corporation i Contract mediation services
Toddler's Disposable DiapeitCompany Legislative lobbying services
City of Hometown i Legal, fees
` Mom & Pop Corner Grocery Legal services '
,;< WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST(Complete only if ownership in the ENTITY is 10%or more
and assessed value of property is over$10,000.List street address,assessor parcel number,or legal description and county for each parcel):
i
None reportable (under 10%' ownership interest)
f Check horn❑it continued on attached sheet .
lac' •
.. .,. .: . ...fit: . ....... ..... c;....�:..:.::...,..,."^..a...,: ,. ............,....v. > .. ,.e,;:R.:.:x A.t:
r ^
19
•-i •
B. Lobbying ► the name of the person, organization or business
on.whose behalf the work was done;
[RCW 42.17.241(e)] • ► a description of the legislation or rule; and
• ► the Dollar Code that reflects the amount paid or
The law asks you to name: 'promised.
•
All persons for whom any legislation, rule, rate, or If you or a family member was employed by, or a•
n .
standard has been prepared, promoted, or opposed officer of, a government agency and you or they
for current or deferred compensation: Provided, That prepared, promoted or opposed legislation or rules as
• for the purposes of this subsection, 'compensation' part of your normal duties, this activity does not need
does not include payments made to the person to be reported on the F-1 Supplement. ,(However,
•reporting by the governmental entity for which such this kind of lobbying activity on behalf of government
person serves as an elected official or state agencies should be reported to the agency's adminis-
executive officer or professional staff member for his trative officer because it may have to be reported by
service in office; the description of such actual or the'agency on its quarterly lobbying report.)
proposed legislation, rules, rates, or standards;and•
the amount of current or deferred compensation paid Typically reported in'this Supplement section are:
or promised to be paid;
► travel payments •
Explanation: You complete this part of the form if, ► salary for time spent lobbying
during the reporting period, you or a family member ► payments for meals and accommodations •
prepared or drafted legislation, proposed changes to legal fees paid for lobbying-related Services
state agency rules,,rates or standards and you.or , ► reimbursements for lobbying-related entertainment -
they were paid or were promised payment,for your or gifts '
efforts. If this section applies, provide: •
•
•
B LOBBYING: List persons for whom you or any immediate family member. lobbied'or prepared state legislation or • _-
•
state rules, rates or standards for current or deferred compensation. Do not list pay from government
body in which you are an elected or. appointed official or professional• staff member.
PERSON TO WHOM SERVICES RENDERED DESCRIPTION OP LEGISLATION.RULES.ETC. COMPENSATION (USE CODE)
ABC Contracting, Inc. H.B. 501 (building standards) B
General Contractors Assn. Increase budget provision for D •
_highway improvements
•
•
The Remainder.of These Instructions Only Applies to State
and Local Elected Officials and Executive State Officers Filing Annual F-1 Report.
C. Gifts • Read the information provided below carefully. .Keep
[ROW 42.17.2415]
• in mind that nothing in the statutory language.
requiring public officials and officers to report certain •
gifts they receive authorizes them to accept, or.any
As mentioned in the Introduction•section,of this person to give, a gift in violation of any state or local •
manual, the gift reporting provisions of the disclosure conflict of interest or ethics law.
law have not been affected by the Ethics Law which •
went into effect on January. 1, 1995. The types of First, note the difference between a "contribution"
gifts that have been reportable since 1991 by public reportable by your campaign and a "gift" reportable
officials filing their annual F-1 or F-1A report remain on your F-1 or F-IA:
reportable,'Including meals, entertainment, travel and
'the like costing over$50. . •
20 •
i
► anything of value'(both monetary and in-kind) you (c)A contribution that is required to be reported
receive for your campaign is disclosed as a under RCW 42.17.090 (campaign disclosure
contribution on your campaign'reports ("C" series); reporting) or 42.17.243 (public office fund reporting);
► funds and other goods and services dohated to (d) Informational material that is transferred for the
defray non-reimbursed public office expenses (e.g., '
purpose of informing the recipient about matters
travel paid by others or tangible items like
pertaining to official business of the governmental
computers provided by others) are reported as entity of which the recipient is an official or officer,
• gifts on the F 1 Supplement and that is not intended to confer on that recipient
► anything of value received for personal use by you any commercial, proprietary, financial, economic, or
and/or an immediate family member is disclosed monetary advantage, or the avoidance of any
as a gift on the F-1 Supplement, unless a particular commercial, proprietary, financial, economic, or
gift is exempt from reporting (see discussion monetary disadvantage;
below). . _
(Q)A gift that is not used and that, within thirty days
The law specifies that: after receipt, is returned to the donor or delivered to
a charitable organization. However, this exclusion
• At the same time that an elected official or executive from the definition does not apply if the recipient of
state officer must file a statement of financial affairs the gift delivers the gift to a charitable organization
under RCW 42.17.240(1), the official or officer shall and claims the delivery as a charitable contribution
file a statement identifying each gift, as defined in for tax purposes;
RCW 42.17.020, which was received by the official or
officer or by a member of his or her immediate family (f)A gift given under circumstances where it is clear
during the previous calendar year. The statement beyond any doubt that the gift was not made as part
shall apply to that portion of the previous calendar of any design to gain or maintain influence in the
year during which the official or officer Meld an office governmental entity of which the recipient is an
or position for which a statement of financial affairs is officer or official or with respect to any legislative
- required under RCW 42.17.240. The statement shall matter or matters of that governmental entity; or
identify the nature of the gift, the date its was
received, and the name of the donor. (g)A gift given prior to the effective date of this 1991
- act (September 29, 1991). _
Gift - Definition: "Gift"means a rendering of
anything of value in return for which reasonable
consideration is not given and received and includes Explanation: The obligation to report gifts applies to
a rendering of money, property, services, discount, state and local elected officials and state appointed
loan forgiveness, payment of indebtedness, or officials who are required to file annual personal
reimbursements from or payments by 4ersons (other financial affairs statements (PDC forms F-1 or F-1A).
than the federal government, or the state of Any reportable gifts received by officials and their
Washington or any agency or political Isubdivision immediate family --that is, their spouse, dependent
thereof) for travel or anything else of value. The term children or other dependent relatives living in their
"reasonable consideration"refers to tie approximate household --during the preceding calendar year must
range of consideration that exists in transactions not be disclosed.
involving donative intent. However, the value of the .
gift of partaking in a single hosted reception shall be Any gift satisfying the statutory definition that you or
determined by dividing the total amount of the cost of an immediate family member received must be listed
conducting the reception by the total number of on your report unless it is exempt from reporting.
persons partaking in the reception. See "Gifts Exempt From Reporting" discussed below.
Reportable gifts are disclosed in Part C of the F-1
"Gift". . . does not include: Supplement form. You will be asked to supply:
(a) A gift, other than a gift of partaking in a hosted ► the date each reportable gift was received;
reception, with a value of fifty dollars;or less; ► the donor's name, city and state;
► a description of the gift; and
(b) The gift of partaking in a hosted reception if the ► the gift's approximate value, or if not known, it's '
. value of the gift is one hundred dollars or less; estimated fair market value.
.
21
Valuing Gifts: If.you receive a gift from a registered '9) Gifts given under circumstances where it is clear
lobbyist, you may use the value designated on the beyond any doubt that the intent was not to gain
lobbyist's report unless that value is clearly or maintain influence "in the governmental entity of
unreasonable. which the recipient is an officer or official or with
respect to any legislative matter or matters of that
It is not necessary for filers to contact the donor to governmental entity."
establish a gift's value. If a gift is available on the
open market, the value is Its -- or a similar item's -- . The exemption criteria set out in #9 above is the sole
retail price. If an item is not readily available, such as "general" exemption included in the law (the others
a piece of art, a hand made item, or an antique, the are quite specific) and it is, by design, very narrowly
filer may make a good faith, realistic estimate of the crafted. If you have any doubt whether an otherwise
item's value. reportable gift was given in order to "gain or maintain
influence. . .," disclose the gift on your report. It's
Gifts Exempt From Reporting: Not all items or - your only sure way of being in complete compliance •
services you or your immediate family might receive with the law.
are reportable gifts. The following are always exempt
from reporting: The following kinds of gifts are among those that
would be exempt from reporting so long as they
1) Anything having a•value of$50,or less, regardless satisfy the criteria established.in Exemption #9:
of the gift's source or the reason it was given.
2). Complementary attendance at a-reception, unless ' Gifts received from,family members;
the cost of holding the reception,is over$100 per ► Gifts received from friends with whom you or your
person attending the.event. If that threshold,is family associate for personal reasons;
exceeded, you would report the reception sponsor Gifts received in the normal,course of private
as having.provided you with a gift,and disclose.
other relevant information. The 'reception is,not business, totally outside your public,policy arena;
reportable as a gift, regardless,of the per person ► Bequests and other forms of inheritance;
cost of hosting the event, if it is not intended to ► Suitable mementos of a,function honoring,you or
gain or maintain influence (See Exemption #9). other symbolic presentations intended to honor,
3) Contributions to your campaign,or a political not,influence,,including protocol or diplomatic
committee with which,you or a.family member was exchanges;
associated so long.-as•.the contributions are ► Anything of value offered to the general public
disclosed.properly on campaign disclosure reports.
under like circumstances;, including investment
4) Informational material distributed with respect to opportunities, merchandize sales or bargains,
your official public responsibilities,that is not lottery winnings and contest prizes.'
intended to benefit you in any significant monetary •
or commercial manner. (That is, it's note,"inside" Reportable Gifts: It's not possible to provide
information that allows you,or a,family member to anything,approaching a complete list of all the gifts.
profit personally,or professionally, or that benefits a you or your family might receive.that"qualify for
business with which you or a family,member is. reporting. Anything received that's worth more than
associated.) $50 and isn't otherwise exempt must be reported on
5) Gifts that are not used and that are•returned within your F 1 Supplement Rage.
30 days of receipt.
The information provided below concerning
6) Gifts that are not used and that are-given,to.a categories:of reportable-gifts,will give you an,idea of
' charitable organization within30,days, unless such the range and types of gifts you would disclose. This
a gift is claimed as a tax,deduction. list is not exhaustive. Many other gifts are also.
reportable., Only if a gift satisfies,one of.the
7) Gifts,you accept on behalf of a governmental,unit exemptions is it not reportable:
or the people of,the State of Washington or,a.local,
jurisdiction and that are.not,intended to be, do not,
become and are not;used as your personal Entertainment: Anytime sorrmeone�.else:pays for--(or
otherwise.provides),the:food;and beverages you
property. and/or your immediate,family consumed; or the.stage
8) Gifts received prior to October 1, 1991. show you all attended, or.the lifttickets you used; or
•
22
the golf fees you weren't charged and the cost of the Other Gratuities: The leather briefcase you.received .
occasion for you and your family's entertainment was for your birthday from the chamber of commerce, the
over$50, you've received a potentially reportable gift. free-of-charge spinal adjustments your spouse
In determining whether the$50 threshold has been received from a local chiropractor, the towing service
exceeded, you must add together the val 'e of all the for which you were never billed, the plumbing work
food, beverages, admission charges, etc., provided on your home for which you were charged a reduced
you and your family by each donor. If the total is rate, the motor home you used for free, the real
over$50, the entertainment is reported as a gift estate that didn't cost you full value, your free cable
unless one of the exemptions applies. TV service, all of these and many other benefits and
presents that may be received by you or your
• immediate family are gifts that are probably
• Travel: If some person, business or group (other reportable. What might be viewed by some as
than the U.S. Government, the State of Washington, "perks" of the office are, by law, reportable gifts,
or a local governmental agency) pays -- or does not unless one of the exemptions applies.
charge the full amount --for your or any(member of
your immediate family's transportation and/or travel-
related expenses and the total value of the items and Public Office Related Gifts: Since the December 3,
services provided during the excursion v'as over$50, 1992, effective date of Initiative 134, all non-campaign
you've received a reportable gift unless one of the related "gifts" -- monies, goods and services --
exemptions applies. received by you and your immediate family members
must be reported as gifts on the F-1 Supplement.
Economic Opportunity: If you or any member of Therefore, in addition to any cash or checks, all in-
your immediate family is provided with an investment kind donations that offset your public office related
or business opportunity, or any potentially beneficial expenses, such as district newspaper subscriptions,
economic interest that,is not generally available to office equipment, travel for self or spouse, etc., will be
other investors and/or that is provided at less than reported as gifts on the F-1 Supplement.
fair market value, a reportable gift has been received
unless one of the exemptions applies. _
Notice of Gifts: Persons who lobby at the state level
and who give a reportable gift to a state elected
Complementary Membership or Free Access: If official are required to provide that official with a copy
you or any member of your immediate family is - of their monthly lobbying report (Form L-2 or the
provided with free or reduced-rate membership in a Memo Report) disclosing the gift's value. Although
club or organization that normally charges for gifts from any source are potentially reportable by
membership, or is allowed access to a facility without you, state-level lobbyists are the only persons
being required to pay the customary rate, or required by law to supply limited notice concerning
someone else pays the membership or. access fee, a gifts they give. You have the ultimate responsibility
reportable gift has been received unless one of the to make sure that your disclosure statement
exemptions applies. shows each reportable gift you or an immediate
family member received.
List the date,source,brief description,and value of each gift of entertainment,travel,goods,services economic
C GIFTS: advantage,etc.valued at more than$50(entertainment at receptions where pro-rata share exceeds$100).Exclude
gifts that,without doubt,were clearly not intended to gain or maintain influence with respect to your governmental
entity(e.g.,most intra-family and private sector business related gifts).See Gift section of F-1 manual for details.
Date Donor's Name,City and State Brief Description Approx.Dollar
Received t Value
10-14-9X School Supply Company, Tacoma Leather desk calendar $ 65
11-10-9X John Jones, ABC Corp., Seattle 3 UWfootball tickets (general adm.) 60
12-20-9X XYZ Paper Co., Bellevue Dinner for self &spouse @ Four Seasons 150
12-24-9X S.A. Smith, Yakima (Champagne Case of Yakima Valley Champagne 288
Association)
Check here t]if continued on attached sheet
•
23
•
PUBLIC DISCLOSURE COMMISSION • •
PDC FORM -
' R 711 PO BOX 4090 WAY RM 403 FJ42 F-al PERSONAL FINANCIAL o A PDC OFFICE USE
OLYMPIA WA 98504-0908 AFFAIRS STATEMENT S R •
(206)753-1111 (10/91) T K
Refer to Instruction manual for detailed assistance and examples. t =' �" .. • ; :-' `"�"rv'`,°:l. E
Deadlines:Incumbent elected and appointed officials—by April 15. ;,,.:.,,.AC Fa 5$146:$1;999 ::,•,:_, ;? �.;_' 1
Candidates and others—within two weeks of becoming r lti $2,p0Oto;$9,999�- •'a; _„' v
a candidate or being newly appointed to a position. ,,;• Ci;;"-e$10,0p0';to$19;999``. ':=a E
SEND REPORT TO PUBLIC DISCLOSURE COMMISSION. r''s.';"iYE ..'_.
I i a..:.: r0ee•O�Moroi- `s
Last Name • First I Middle Initial Names of Spouse and Dependents Political Party
If partisan office or
pertinent to appointment
Mailing Address
City County I Zip+4 i`;`j ; ';
Filing Status(Check only one box.) I • Office Held or Sought
❑An elected or state appointed official filing annual report Office title •
IDFinal report as an elected official.Term expired I County,city,district or agency of the office,
I
❑Candidate running in an election: month year name and number:•
•
❑Newly appointed to an elective office Position
❑Newly appointed to a state appointive office Term begins: ends:
_rt ,d: 2'!✓ faP:. -`i',sl'r"+.2'o^`+�� ^ti4".�,., :"P,. 'a'..'rv,� '-7'. :g':.`.....'.Y
';_<.rv.�. :,,;Llat:®acti`emPlo er;,or;otlier a'lource;of'1idcome�(Penslon►social?security;=1®galtjudgment).fromt�,wfitch!youior a family-
°;'_``INCOME w�'':member;received J000xormofeduring the, od Re `'rt�lnterest�andtl Idends`In.Rem3onreverse ' _.i.
maw,:: ',':' ,,' max"•,i 4-, -; r,,,,l r- 1ix o• ..a a. -^ :. - ,. �'+ ,-.'.t., ,, _ .. .,.,� �,-;., ?.s.,'.: E_:. .:.�:-f..^.i^^`:r... ..Y#,::`.:w.*.o-!.:.> .,e. ,. cr..`�.t5c.:.:.=�.c.;,:.:. .:',..�..,._. .�. ..."... -�.:'.>:.�. .. �;a
Name and Address of Employer or Source of Compensation Occupation or How Compensation Amount:
. Was Earned (Use Code)
•
•
•
•
Check here ❑ if continued on attached sheet
, ;ail'„ etreet daiess'ass®msor s;ry Iinumtier;'cif ti et d®acri tttwm0 cou"` .fafB, BChipamet+otvvashington eaf-
.H ALESTATE.! :estate witirvalue of Aver$5,000 In;whIch. ou;or A famll nember t eldia ersonal=flnanclal:Interestidurin the;:
.
�. r '} r.,,.-,
• , ,, re rtin` od"Show: Vitt ershl `°com etc:real estateon F 1 s i lenient' 'ti
Property Sold or Interest Divested Assessed Name and Address of Purchaser Nature and Amount(Use Code)of
Value • Payment or Consideration Received
(use Code)
•
Property Purchased or InterestiAcquired I Creditor's Name/Address Payment Terms Security Given MortgageAmount--(UseCode)
i 1 Original Current
All Other Property Entirely or Partially Owned
t
Check here 0 if continued on attached sheet
PDC FORM F-1(REV.10191)—f CONTINUE ON REVERSE
•
•
A ��/ ����/}�� � ��//}� t List tik and savings accuints lnsuiantpottctes,a4ock tioiids aisl <.
':ASSET r INVESTME RTS6-I( /DIVIDENDS:.3. , ,., 4.•W a eC"Y r • Y".N 'A K::�,d'the•.....,..�„.,,e x:�K wr.:.4',�.�
.. �, �.t, "`;�;`r._. ,r::�':�,;sr.'S,. ��'��'::•����-:-��';�,.. . ..., .,•�.._. ,,.,,.�.,,, ;•otherltiteiigibl®proP:erh►;heidduringtli®;+sporting;periods:h,,�..__:��:.','.:,:.._.s
A. Name and address of each bank or financial institution in which.' Type of Account.or,Description of Asset .Asset Value'.'Income Amount:
you or a family member had an account over$10,000 any time . ;(Use Code) •(Use Code)
during the report period.
•
B. Name and address of each insurance company where you or a •
family member had a policy with a cash or loan value over$10,000
during the period. • •
•
•
C. Name and address of each company,association,government
agency,etc.in which you or a family member owned or had a
financial interest worth over$1,000.Include stocks,bonds,owner-
•
•
ship,retirement plan,IRA;notes,and other intangible property.
•
•
Check here❑if continued on attached sheet
• .r ;,; :<�'. - :•.rr-S:<.. gym.y. •a.i>. .�. ,.. -r.�,..:., z; .� ,h5-,.;�- �ri.•r.Ustt each creditor; airora�ami meatier oweui 51;000;tir tt orei an a"Limo°dining the y �+on'# AMOUNT a
:I REDITOFIS 's� rg _c y i. a:.
,� ' iltielutte;restail:charge:ar�a�ints,,c>•edit°calls,,o'rrntortgagea;cr°r+eal:astate::r+e�io"►ted.in tl em:2.�>.�;< ��;;::� SE�CQD $.
Creditor's Name and Address • • •• Terms of Payment • Security Given Original Present
•
•
•
•
•
•
•
Check here❑if continued on attached sheet •
Ali filers answer.+questions A.ihru'D below.If the answer Is;YESto any of these.questions,the.F iASupplement must '�,°.e`i w'"�*,:�v'.�, -,V1.
. ,;.l ,d-< R X ,i, P'.'kt\ Y' 'P. K:w'-cE:'tw.�.. =R•,Y.
=alsofib e°ccin iated.as p�a��rt of.il is repo t.If,all answeirs are Fltt'and yati area non-incumbent candidate oa"a'state'm ;� '. .' : aY";<:;
,�?.: d p_..Y.•-,. �'q.;��, .�if�r•fu, vrftsab' ,+3Mra ;; <:esl.0 .'v. :k' X'an'i.a.� =12��°A: ,�hi.t;•.`+.�i'':..1.s,'.,s.t,?,. - '.:'X.."i
- :r;ezet�ttive�otfiex:'fgln•�:y0orin'`"i'fuel.rallort.e'ftera�;��rit;-noE=i� M'�i`.regtilred.:J�
:j�, r;' :, .,S � <s°. §°.f„'rip arc�` �`s•:n':_., ..Cr;'-:.,arn.: ':Y,.,,i..s.�%F`'�:5 -,4.:.5'.
Incumbent elected officials and state.executIve officers filing'annualfinanctataaffairs ort also answerquestion E M ew;-;v-..> v';c
;:Z• z"` ,.- r .., r^• 'v-•a•+=-r:., - ;.:,:von
^.r F=1;Supplementlsrequiredof�fJies®;officeholderauMe`ss,all°ensw+arsto.quasticiia i4thrirE'ara'NO:�:�._.4_'. "�:�, •-:�•�. � .�'�:�°��;:,�:"�
A. .Were you,your spouse or dependents an officer,director,general partner or trustee of any corporation,company,union,association,joint venture or other entity at
any time during the reporting period?. If yes,complete supplement,Part A.
B. Did you,your spouse or dependents have an ownership of 10%or more in any company,corporation,partnership,joint venture or other business at any time during
the reporting period? If yes,complete supplement,Part A.' •
C. Did you,your spouse or dependents own your own business at any time during the reporting period? If yes,complete supplement,Part A.
D. Did you,your spouse or dependents prepare,promote or oppose state legislation,rules,rates or standards for current or deferred compensation(other than pay for
your currently-held public office)at any time during the reporting period? If yes,complete supplement,Part B.
•
E. (Incumbent officeholders only.)Did you,your spouse or dependents receive during the previous calendar year any gift valued at over$50 that may have been
intended to gain or maintain,influence with you or the governmental entity you serve?(See F-1 manual for definition of"gift.") If yes,complete Part C. •
:; HAVE YOU ? ?
Certification: 1 hereby certify under penalty of perjury that•
...- .g"Amounty `i•f:-, ' the information contained in this report is true and correct to the
y;; ,, •( F-'
Answered each item? best of my knowledge.w. `A`,: �, ,,was:, fsti;to.; ,999-�":,•�.-.-�
'?Y.t ',`;pr��,rv..i,v..tl ".^•f� sj1.$2,000to$9,9'?�°'.'.q!^.
y� ', :::.�y x,: '� .x: Put your name on
• `a: ;M1.,.:. .f ,'.f; ..:w.•.., ;�.>. x .=� •
each attached page?
• D>•, ':''r Date
r 520�400'to,349 Signature
E 3=5 s5o,000 or�more F Kept a copy for (
Daytime Telephone
x: ,..,F,.„ � .. � xb your records?
PDC FORM F-1(REV.10/91)—t . REPORT NOT ACCEPTABLE WITHOUT FILER'S SIGNATURE
•
PUBLIC DISCLOSURE COMMISSION
C)
• PDC FORM
7PO BOX 40908 AY RM 403 FJ42 E-1 PERSONAL FINANCIAL PO A PDC OFFICE USE
OLYMPIA WA 98504-0908 AFFAIRS-STATEMENT S R
(206)753-1111 • (10/91) • 7 K •
Refer to instruction manual for detailed assistance and examples. e
Deadlines:Incumbent elected and appointed officials—by April 15. tl /NllO Ill' , . E
> A $1 t01;9s9 , I
Candidates and others—within two weeks of becoming B • 1209 999'.
a candidate or being newly appointed to a position: f. C'• O;1100,to:Z18,98R r 44 E
s' =v •D• "S20,t100 to`S49' k,. .,;.
SEND REPORT TO PUBLIC DISCLOSURE COMMISSION. '-�' r �` trN.�"��- '�
E .kSSO't100:orwe3
Last Name First Middle Initial Names of Spouse and Dependents Political Party,
if partisan office or
, pertinent to appointment
Mailing Address
I
City County I Zip+4 n r' z: ';
Filing Status(Check only one box.) _ Office Held or Sought
❑An elected or state appointed official filing annual repo Office title •
• ❑Final report as an elected official.Term expired County,city,district or agency of the office,
0 Candidate running in an election: month .1 year name and number:
❑Newly appointed to an elective office Position.number
❑Newly appointed to a state appointive office Term begins: ends:
�" .pNR��lI ;„1?Si!ea« chre np2l oye #r�,thF
oevs�oer",ctie-h.ii om9 (Pae.r�iiliii oar rse urity"" ,,�;�eg=aIl j ud-g2:entn)fr.
•
mro�m`w ic ii�oua'o:r;a4M/1
.,� `1w nr,�,xr SFt iAiberSSre:elvei;1 >40 oriieoie:duil n■tlePw�odd�_ �rtliEereat�andilidendeirilem•3on+ro ere` �`��."Y ,: "�,
. ,'wi4,,?" i,I •�s Yp�, "xT� ..�•., '..f. .�1?_ kv,..3 C'}�,;':VtYsTp„� YY'�;4te`1�8e. aee ...+-a8= {':se .M:t�"' •,.,.e�ta • •x.i.,.. �,^s» -�% Name and Address of Employer or Source of Compensation Occupation or How Compensation Amount:
r ..._.r Was Earned , (Use Code)
•
•
•
Check here ❑ if continued on attached sheet
F 'Iaatige-i aaaas{s,aaaa*'i pan krrumbe3><vorustdea N ptloi irANEiiiiiifo eactirpaiceloWesfiingo n rea
; 44,REA ESTATE: sC:etatewithelueofotirS,00ttinwhth ci to femxymemberFielarperronafrfinaneinteeadungth
• v1 ,� repoirtl4g perio�d,31oaY�wp,artniahlpconpanY; toreafeeat nlkaupp temern). ; , ‹>,•, .,;.` :: ..-..:-''�ti4.,'"''''. '�t: t«^.e: r1, ,xq>r.: .cY:". �t<. f€"Aa:" •. .C'•_. :},Y"`A;,-P.r;, ,1_ ;yy�,. '�.....
- 4:3
Property Sold or Interest Divested Assessed Name and Address of Purchaser Nature and Amount(Use Code)of
Value • Payment or Consideration Received
(Use Cole)
I
Property Purchased or Interest Acquired I Creditor's Name/Address Payment Terms Security Given Mortgage Amount--(UseCode)
•
Original Current
•
All Other Property Entirely or Partially Owned
Check here❑if continued on attached sheet
PDC FORM F-1(REV.10/91)—f CONTINUE ON REVERSE
•
• •
• . ,
. . - .
• , . • .v_ft,:;;: ,,;..-4,",,!"..,•?::.•,!•::-..,•i!,.!•,•-_-.kli:,,,y: 7:::•-„,iniTr.siw";-'icht,DEtiiii?:•:etief;*,!**zicticsi,!,:s*iget:"",!'•10:0'iniiiiiiii!,16,61-420iff0:4;;,'Srgiafeitioliji)Viiiir:,,s74
. 1!",,-•:;_14.•!"••.:."-'-",!•,';','•[--"!;<!';'•-•S:...';-37'..'••,r-'!,'!).!1?•!,.•!;.,-, 4!••.;.-:7S!'!-_,3%;!,;*!.•!:'•-!•, --!.4:,!;••1-".-•.;:e:';•:YX,'i',1,14??3,-.;:41f!!,*i,'.00,000i:40,0V1010,0:01'9*4-'1)*Otiti:0404i.4.73.-Ts':;,'Ilf,f]!•7,201 .
Type of Account or Description of As et ! ,•lit§et Value lb,Ptifil_b•IA.,0*-drift
A. - Name and address of eaChbankpr financial institution in which .
you or a family member had An account over$10;000 any time . '. • . . ,'.! (Use Code) !, (Use Code)
_ .
during the report.period. " ": ...• ." . ., . ..
. . . , , ,•
. • .. .. .. • . , .
. , .
• . . ' - ! • -
, .•
. ' •, . . . .. •
. . • • •
• . .• . .. '
. : . . •
. . , . . . . . •
B. Name and address of each insurincetompany where you or a " . -. . • •
. . ••
family member had a policy with a cash or loan yalueover'$10,000 • • - • ••
during the period. , .. .. . ..
., .. • . .
. ,, • - . . . . .
. , . .
. . . .
• . .. .
. . .
C. Name and address of each company,association,government • •
agency,etc.in which you or a family member owned or had a
financial interest worth over$1,000.Include stocks,bonds,owner- • ,
ship,retirement plan,IRA,notes,and other intangible property.
• '
• • . - ..
•
• . • , , •
r
. . , . - •. •
. •
• . -. .
, .
. •
. •
Check here 0 if continued on attached sheet .
. . .. •
. , .
,:",--ir":'":i:';'•'::::,•?:i'Atiifiiiiiii.:411',.',42iiiiiiiiiitiiiiiiiiiiiiiiiiiiiiitiiiiiiiiiiicalifita, iiiV Oki&tail F•:'.4' ,'5Abilittn1
ifORS PV#1),.:retail.,....„. ..,„. P.,FP.P.9,!#.,IP.,IP>4#.,.."F•11.)1.1 T.. ..)., 09,....esr.tr.141po,d,to ...F.1,01.it404,2,4-,„ tv USE'CODE) *
, . Creditor's Name and Address Terms of,Payment Sectirig Given Otigirial Ptetefit
• • . . .
• , . ,
• • • . •
• . . . , •
• - . . •
• • • : . .
. . . ,
- ,
. . .
. • _
•
• •
• ' •
•
Check here 0 if continued on attached sheet
, •
. ..... _____............___________
Igift„' 44111!filirrit arli. .4tastIonsIkthru:D Ilk,10v,k.tf,the'artswer.Is YES to any oft these question*tha RI;Supptartiarit reitist .
0,j.01-1:iiiii,*,414:adr,iiii'kiii;ti;ithiiifi*Oit,iiiidliiiia stato
[
0eiCiillie'otti**Iiiiii;riiii,:i@tiiiiiiiixiii7441.:40,61ttitiiiiii4itV_trii* iiiii)iiiiiiiia.-',AZirgc,',-;f:'Z'A'RTAL;••VeZ;Vei',M:',!•'?1:i
°."/;,?'.;'-:i-:',:',-.7,,; ,'S:i--''&':;',,:•:,'-‘;.`,Y..:',7'7'52:0:':.,4-::71.A.Mr.81,-:-•••::•:', "-'%''''.41:U.T,IW t ., '. .• "rtN'Wk:rtt'4:-. i..°:,'..-; ,.,-;1-',.f•iv:-:::.;.:•!,Z1;,,,,...?:..f.i'A..5..,';'$•-''.:;:'-i,;,:'','4i,01
ii_lotiriln*"t-tiiiictiiii'illiolals5ii*itateraxeitithi,k0141;illtn'sfentttiatfloatiO4ittratr*LeliOlf ataO.:attaiiiarAtlaiiiiin•E,Wki: . ::::if';',21-.
:il.'•11)',"•04:tiiiiiiiiiiiiiiiiitiiiiitiiiiiiii'd itiiiiiikiiit666liktiiiiiiireisiriltsiiiiiiiiiiiii'aueliiiiiiiiWthrii7taiii.146.-W4'Warfic;gt.',,,‘:2,',yAElfV1
A. Were you,your spouse or dependents an officer,director,general partner*trustee Of any corporation,company,union, joint venture or other entity at
,
any time during the reporting period? - ' If yes,complete Supplement,Part'A. • . . ,
. .
. .
• B. Did you,your spouse or dependents have an ownership of'I 06/e or more intinycoinpany;cerpqraticirt.partnership;joint Veritunicir other Budirfe'dd,at any tidiitind
the reporting period? If yes,complete supplement,Part A. '
.
.
C. Did you,your spouse or dependents own your own business at any timedUring the'repOrting,periodt . ___. If Sled,ddrYipteledUpPlerfientei4rt
D. Did,you,your spouse or dependents.prepare,promote or oppose state legislation,ruled,rates or dtaridardd-for aurtenttirdeferted aniPeridation(ether ttietipay fCr
your currently-held public office)at anytime during the reporting period? .. It yeercemplete duppfenTerit Pent:-
. . E. (Incumbent officehoidersonly.)Dicty,oU,,your spouie:or dependentereceive ctUringtheprevititideaferidar year giftvaltied et ciVitifOitnattrnay figie bike-
.
intended to gain or maintain influence with.you orthegovemmental:entityyou.derve?(SeEi.F4 rtieriiral ferdefiniticin of tiff:I._. ...... •If KS;ddpleie kif a':
HAVE you;?'?? 1. • . ,
certniaationt. [Heyeby dottily'Urideif.pelialty of iSerjtiial••
b011aitode;-.•,‘,:(:::.;•"..•:.:.;.*tiiiitine;:cli.,, YA,‘'f : '!'the''infoYrriatiCintdritairtect irt this•reliatt:i§teuearid-correct to.th
s‘!,.•'-1•,),:'7'.;•*!.2",-t,r.1.:3'..rt.,..:.:•;,:i..:::i;.c-::•,:qr ,1;,-ti•
',.!-"•,.,,,P-',40A•! --,-;-T•',:-•!':••••-•;.k--3-id.$11a.!$1;999,:••17,t444 :! Answered each.item? ' • begot rnyknciWtedg-dr, •
..,,?,".:', ..,,,..'4,.
13,:i4'-'1;i'V''i'''"W''''''''$2S004.0$9,999I- ' , •
.,,,,,, ,-•,.;-..-.-----.'t.'t''---,t-'s•-t, 4 y
.. ,-,4..k.Sia,nairtatts'ant0At' Putour name:on' )'. each gq page?'attached :. . .. .. ... . ......_....................................,......______.......................,_ . ,$20,400,ta,$4,4,99W.,-'. • signaturw
... . •
• f ,,•,,,,,v,z."••.-r•.,,,-. .,,!•;:p•t,,,,,,,,,,,,,-_,,,„..ffma,!!ak7 • :, , •
• ic
•-sri.,,k,.. .igt., 4!•,z. ,,sp,paq:orirnpret,t,,,,. • Kept a copy/fOr ',
• . ' -rein— -01 (. r
, ,2*.T.'''t;I::4'f'4.,L;',V.;i*::;',40:1,.e.t•: ,,,,T.,',,:ltc-,;"';,-;, .,#; your:records?' • . .._..,.. .•....„....._...............
• • ,
PDC FORM'F-1:(REV.1091)—f. REPORT NOT ACC LE EPTAB ,WITROUT.PiLEWV-Stik iteatE
..,
. ,
. .., • • . , . ,. .
•
. . • I'
PUBLIC DISCLOSURE COMMISSION PDC FORM '
mcurrOLwgRMIW F.142 F-1 SUPPLEMENT PAGE
PO BOX40900 SUPPLEMENT PERSONAL FINANCIAL AFFAIRS STATEMENT
OLYMPIA WA 015O40900 (10/91)
PROVIDE INFORMATION FOR YOURSELF,SPOUSE,DEPENDENT CHILDREN AND OTHER DEPENDENTS IN YOUR HOUSEHOLD
LAST NAME FIRST MIDDLE INITIAL DATE •
I .
AOFFICES HELD, For each corporation, non-profit organization, association, union, partnership,joint venture or other entity in
BUSINESS INTERESTS: which you,your spouse or dependents are an officer,director,general partner,trustee,or 10 percent or more
owner—provide the following information:
• Legal Name: Report name used on legal documents establishing the entity.
• Trade or Operating Name: Report name usedifor business purposes if different from the legal name.
• Position or Percent of Ownership: The office,title and/or percent of ownership held.
• Brief Description of the Business/Organization: Report the purpose,product(s),and/or the service(s)rendered.
• Payments from Governmental Unit: If the governmental unit in which you hold or seek office made payments to the business entity concern-
ing which you're reporting,show the purpose of each payment and the actual amount received.
• Payments from Business Customers and Other Government Agencies: List each corporation,partnership,joint venture,sole proprietorship,
union,association,business or other commercial entity and each government agency(other than the one you seek/hold office)which paid
compensation of$5,000 or more during the period to the entity.Briefly say what property,goods,services or other consideration was given or
performed for the compensation.
• Washington Real Estate: Identify real estate owned by the business entity if the qualifications referenced below are met.
ENTITY NO.1 Reporting for: Self Spouse Dependent
LEGAL NAME: POSITION OR PERCENT OF OWNERSHIP
TRADE OR OPERATING NAME:
ADDRESS:
BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION: '
•
PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD OFFICE:
Purpose of payments Amount(actual dollars)
•
PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000:
Customer name: Purpose of payment(amount not required)
•
•
•
•
WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST(Complete only if ownership in the ENTITY Is 10%or more
and assessed value of property is over$10,000.List street address,assessor parcel number,or legal description and county for each parcel):
/ '
SIC
Check here 11 continued on attached sheet
`PDC FORM F-1 SUPPLEMENT(REVISED 10/91)-1 i
CONTINUE PARTS B AND C ON REVERSE
• • I
•
ENTITY NO.2 Reporting for.' Self "-Spouse:;•' ,Dependent•
LEGAL NAME POSITION OR PERNT.CE `OF
TRADE OR OPERATING,NAME: • .,', .
ADDRESS: •
•
BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION:
PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD OFFICE
Purpose of payments Amount(actual dollars)
•
•
PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000: •••
Customer name: Purpose of payment.(amount not required)
•
•
•
•
•
WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL.INTEREST(Complete only if ownership In the ENTITY is 10%
or more and assessed value of property is over$10,000.List street address,assessor parcel number,or legal description and county for each parcel):
•
•
•
•
Check here 0 it continued on attached sheet
List persons for whom you or any immediate family member lobbied or'prepared state legislation or
B LOBBYING: state rules, rates or standards for current or deferred compensation Do not list pay from government
body in which you are an elected official or professional staff member:
Person to Whom Services Rendered Description of Legislation,Rules,.Etc. Compensation(Use Code)
•
Check here Q if continued'on attachedsheet }
• List the date,source,brief description,and value:of each gift of entertainment,travel,goods,services.economic
C GIFTS: advantage;etc.�valued at'more than$5q(entertainment,at receptions where pro-rata share exceeds'$100).Exclude
gifts that,without doubt,were clearly not intended to gain Or maintain influence with respect to your governmental
entity(e.g.,most intra-family and private sector business related gifts).See Gift section of F 1 manual for details.
Date Donor's Name,City and State Brief Description Approx.Dollar
Received Value
•
i.
•
Check,here E,If continued on attached sheet - -
PDC FORM.F-T SUPPLEMENT(REVISED10/91)—r' '>: •
a,.
•
•
•
PUBLIC DISCLOSURE COMMISSION PDC FORM
711CAP!TOL WAY RM403 Rr42 -1 SUPPLEMENT PAGE
PO BOX40908 SUPPLEMENT PERSONAL FINANCIAL AFFAIRS STATEMENT
OLYMPIAWA00SO4-0000 (10/91)
PROVIDE INFORMATION FOR YOURSELF,SPOUSE,DEPENDENT CHILDREN AND OTHER DEPENDENTS IN YOUR HOUSEHOLD •
LAST NAME FIRST MIDDLE INITIAL DATE
•
AFor each corporation, non-profit organization, association, union, partnership,joint venture pr other entity in
OFFICES HELD, which you,your spouse or dependents are an officer,director,general partner,trustee,or 10 percent or more
BUSINESS INTERESTS: owner—provide the following information:
• Legal Name: Report name used on legal documents establishing the entity.
1
• Trade or Operating Name: Report name used for business purposes if different from the legal name.
• Position or Percent of Ownership: The office,ltitle and/or percent of ownership held.
• Brief Description of the Business/Organization: Report the purpose,product(s),and/or the service(s)rendered.
• Payments from Governmental Unit: If the govemmental unit in which you hold or seek office made payments to the business entity concern-
ing which you're reporting,show the purpose of each payment and the actual amount received.
• Payments from Business Customers and Other Government Agencies: List each corporation,partnership,joint venture,sole proprietorship,
union,association,business or other commercial entity and each government agency(other than the one you seek/hold office)which paid
compensation of$5,000 or more during the period to the entity.Briefly say what property,goods,services or other consideration was given or
performed for the compensation.
• Washington Real Estate: Identify real estate owned by the business entity if the qualifications referenced below are met.
ENTITY NO.1 I Reporting for: Self Spouse Dependent
LEGAL NAME: POSITION OR PERCENT OF OWNERSHIP
TRADE.OR OPERATING NAME: I
ADDRESS: • i
BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION:
- I
PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD OFFICE:
Purpose of payments I Amount(actual dollars)
1
PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000:
Customer name: 1 Purpose of payment(amount not required)
WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST(Complete only if ownership in the ENTITY Is 10%or more
and assessed value of property is over$10,000.List street address,assessor parcel number,or legal description and county for each parcel):
I .
•
Check here❑11 continued on attached sheet
PDC FORM F-1 SUPPLEMENT(REVISED 10/91)—f i
CONTINUE PARTS B AND C ON REVERSE
•
•
•
•
•
•
•
ENTITY NO 2 Reporting for::' Self ' ' Spouse. 'Dependent•
LEGAL NAME • POSITION OR.PERCENT OF OWNERSHIP:
TRADE.OR OPERATING NAME: ,. j
ADDRESS: .
•
BRIEF DESCRIPTION.OF THE BUSINESS/ORGANIZATION:
•
PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEKMOLD OFFICE: •
Purpose of payments V Amount(actual dollars),
•
•
•
•
•
•
PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS AND OTHER GOVERNMENT AGENCIES OVER$5,000:.
Customer name: • Purpose of payment(amount not required)
I , •
•
•
•
•
•
•
WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST(Complete only if ownership In the ENTITY is 10% "
or more and assessed value of property is over$10,000.List street address,assessor parcel number,or legal description and county for each parcel):
•
• •
•
•
•
•
•
Check here❑if continued on attached sheet
List persons for whom you or any immediate family member lobbied or prepared state legislation or
B LOBBYING: state rules, rates or standards for current or deferred compensation. Do not list pay from government ,
body in which you are an elected official or professional staff member.
Person to Whom'Services Rendered Description of Legislation,Rules,•Etc. - Compensation(Use Code)
•
•
•
•
•
Check here❑II continued on attached sheet
List the date,source, brief description,and value.of each gift of entertainment,travel,goods,services economic
C Gins: advantage,etc.valued at more than$50(entertainment at receptions where pro-rata share exceeds$100).Exclude
gifts that,without doubt,were.clearly not intended to gain or maintain influence with respect to your governmental
• entity(e.g.,most intra-family and private sector business related gifts).See Gift section of F-1 manual for details.
Date Donor's Name,City and State Brief Description Approx.Dollar
Received Value
•
•
•
Check here Q II continued on attached sheet • .• •
•
PDC FORM F-1 SUPPLEMENT(REVISED 10/91)--I
i
•
PUBLIC DISCLOSURE COMMISSION PDC FORM
711 CAPITOL WAY RM 403 FJ42 PERSONAL FINANCIAL p M PDC OFFICE USE
,,,t PO Box 40908 F-1A AFFAIRS STATEMENT so A •
OLYMPIA WA 98504-0908
. (206)753.1111 (10/91) Short Form r I<
- . .The F-1A form is designed to simplify reporting for persons who have no - ,„;,, ;';;"< ;'. : f ''.�,V „ R
changes or onlyminor chan es to an F-1 report previouslyfiled. ;_,"`._ "'"''r 'vti,AMOUNT 44:a.'x",c`:- c •
9 9 P :: > • 'a
A complete F-1 form must be flied at least every four years;an F-1 A form :'.;:A} s;)$1'".tc44$1490 " ti,. . <. I
may be used for no more than three consecutive reports. I b ".N 8;:;1: $2;O0O to,$9,999 ' ,�"'''S v •
Deadlines:Incumbent elected and appointed officials—by April 15. : t, ; C'::• $10,000ito;$19,999='= .'s,:A' E
Candidates and others—within two weeks of becoming " 0'':-=$20,000'.to•$49,999;`::: D
• •a candidate or being newly appointed to a position. H ;`:..„E,: $50;000 ornittIrO' t; 't.
Last Name First I Middle Initial Names of Spouse and Dependents Political Party
if partisan office or
pertinent to appointment
Mailing Address
City County Zip+4 ;a' Px ; -
i
Filing Status(Check only one box.) Office Held or Sought
❑An elected or state appointed official filing annual report Office title
❑Final report as an elected official.Term expired County,city,district or agency of the office,
❑Candidate running in an election: month I year name and number:
❑Newly appointed to an elective office Position number
❑Newly appointed to a state appointive office •
Term begins: ends:
Select either"No Change Report"or"Minor Change Repo?", whichever reflects your situation.Supply all the requested information.
•
❑ NO CHANGE REPORT.I have reviewed my last complete F-1 report dated • _and F-1 A reports
(if any)dated(1) I and(2) .The Information disclosed on
those reports is accurate for the current"reporting period.
_ -- ❑ MINOR CHANGE REPORT.I have reviewed my last complete F-1 report dated .The changes
listed below have occurred during the reporting period.Specify F-1 Form Item numbers when describing changes.Provide all information required
on F-1 report.
I
GIFTS: (This information required of incumbent elected and appointed officials only.)List the date,source,brief description and value of each gift
of entertainment,travel,goods,services,economic advantage,etc.valued at more than$50(entertainment receptions where pro-rata share
exceeds$100)..Exclude gifts that,without doubt,were clearly not intended to gain or maintain influence with respect to your governmental entity
(e.g.,most intra-family and private sector business related gifts).See Gift section of F-1 manual for details.
Date I Approx.Dollar
Received Donor's Name,City and State Brief Description Value
•
•
Check here❑if continued on atta6hed sheet. I •
Signature Date
CERTIFICATION: I certify under penalty of perjury that the i
information contained In this report is true and correct to the
best of my knowledge. f
Daytime Telephone:
I
Report Not Acceptable Without Filer's Signature
PUBLIC DISCLOSURE COMMISSION PDC FORM
711 CAPITOL WAY RM 403 FJ42 F-1A PERSONAL FINANCIAL p M PDC OFFICE USE
PO BOX 40908 AFFAIRS STATEMENT s0 R
OLYMPIA WA 98504-0908
(206)753.1111 (10/91) Short Form T K
The F-1A form Is designed to simplify reporting,for persons who have no
changes or only minor changes to an F-1 report-previously filed. C0 E AMOUNT ;`; `; c
A complete F-1 form must be flied at least every four years;an F-1A form
may be used for no more than three consecutive reports. B` . $2,000 to.$9,999 v
Deadlines: Incumbent elected and appointed officials—by April 15. C $10 000'to;$19,990• - ;'' E
Candidates and others—within two weeks of becoming D• $20,000 to$49,999 D
• •a candidate or being newly appointed to a position. E $50,000.ormore-
Last Name First Middle Initial Names of Spouse and Dependents Political Party
If partisan office or
pertinent to appointment
Mailing Address
City County I Zip+4
Filing Status(Check only one box.) Office Held or Sought
❑An elected or state appointed official filing annual report Office title
❑Final report as an elected official.Term expired County,city,district or agency of the office,
❑Candidate running in an election: month I year name and number:
❑Newly appointed to an elective office Position number
❑Newly appointed to a state appointive office •
Term begins: ends:
Select either"No Change Report"or"Minor Change Report"whichever reflects your situation.Supply all the requested information.
•
❑ NO CHANGE REPORT.I have reviewed my last comlplete F-1 report dated • _and F-1 A reports
(if any)dated(1) I and(2) .The Information disclosed on
those reports is accurate for the currentreporting period.
❑ MINOR CHANGE REPORT.I have reviewed my last complete F-1 report dated .The changes
listed below have occurred during the reporting period.Specify F-1 Form Item numbers when describing changes.Provide all Information required
on F-1 report.
•
I .
i
GIFTS: /This information required of incumbent elected and appointed officials only.)List the date,source,brief description and value of each gift
of entertainment,travel,goods,services,economic;advantage,etc.valued at more than$50(entertainment receptions where pro-rata share
exceeds$100).Exclude gifts that,without doubt,were clearly not Intended to gain or maintain influence with respect to your governmental entity
(e.g.,most intra-family and private sector business related gifts).See Gift section of F-1 manual for details.
Date Approx.Dollar
Received Donor's Name,City and State Brief Description Value
•
•
Check here❑if continued on attached sheet.
Signature Date
CERTIFICATION: I certify under penalty of perjury that the
information contained in this report is true and correct to the
best of my knowledge.
Daytime Telephone: (
Report Not Acceptable Without Filer's Signature
Executive State Officers
(State Appointees Required to File Personal Financial Affairs Statements -- F-1 Forms)
November, 1994 ,
State Agency Officials Required to Report State Agency Officials Required to Report
Administrative Hearings, Office of Chief Administrative Law Judge Insurance Commissioner, Office of the Insurance Commissioner
Agriculture, Dept. of Director Investment Board, State Executive Director, Members
Attorney General. Office of Attorney General Labor and Industries, Dept. of Director
Auditor, Office of the State State Auditor Legislative Budget Committee Professional staff members
Legislative Eval. &Accountability Program Professional staff members
Colleges&Universities: Licensing, Dept. of Director
Central Wash University President,Trustees Lieutenant Governor, Office of the Lieutenant Governor
Community Colleges District&Campus Pres.,Trustees Liquor Control Board Members
Eastern Wash University President,Trustees Lottery Commission Director, Members
The Evergreen State College President,Trustees Marine Oversight Board Members
Wash State University • President, Regents Marine Safety, Office of Administrator
Western Wash University President,Trustees Maritime Commission, WA St Members
- University-of Washington President, Regents Minority&Women's Bus. Enterprises, Ofc. of Director
Natural Resources, Dept. of - Commissioner of Public Lands
Community&Technical Colleges, State Bd for Director, Members Outdoor Recreation, Interagency Comm. for Director, Members
Community,Trade& Economic Dev., Dept. of Director Pac. NW Elec. Power&Conserv. Plan. Council Members
Convention&Trade Center, State Board of Directors Parks and Recreation Commission Director, Members
Corrections, Dept. of Secretary Patrol,WA State Chief
Deferred Compensation, Committee for Members Personnel Appeals Board Members
Ecology, Dept. of Director Personnel Resources Board, WA Members
Economic Dev. Finance Authority, WA Members Personnel, Dept. of Director
Employment Security Department Commissioner Pilotage Commissioners, Board of Members
Energy Facility Site Evaluation Council Chairman Pollution Control Hearings Board Members
Energy Office Director Public Disclosure Commission Executive Director, Members
Finance Committee, State Secretary Public Employees' Benefits Board, State Members
Financial Management, Office of Director Public Instruction, Supt. of State Superintendent
Fish &Wildlife, Dept. of Director Public Pension Commission Members
Forest Practices Appeals Board Executive Secretary, Members Public Power Supply System Exec Bd, WA Members
Forest Practices Board (DNR) Members Retirement Systems, Dept. of Director
Gambling Commission Director, Members Revenue, Dept. of Director
General Administration, Dept. of Director Secretary of State, Office of the Secretary of State
Governor, Office of the Governor, Professional staff members Senate Professional staff members
Health, Department of Secretary Services far the Blind, Dept. of Director
Health Care Authority,WA Sate Administrator Shoreline Hearings Board Members
Health Care Facilities Authority Executive Secretary, Members Social and Health Services, Dept. of Secretary
Health Services Commission, WA Professional Staff, Members Tax Appeals, Board of Executive Secretary, Members
Higher Education Coordinating Board Members Transportation Commission Members
Higher Education Facilities Authority Executive Secretary, Members Transportation, Dept. of Secreta
Horse Racing Commission Executive Secretary, Members ry
Treasurer. Office of the State State Treasurer
House of Representatives Professional staff members Utilities&Transportation Commission Secretary, Members
Housing Finance Commission. State Members Veterans Affairs, Dept. of Director
Human Rights Commission Executive Secretary, Members
Indeterminate Sentence Review Board Executive Secretary, Members Other:
Industrial Ins. Appeals, Board of Members
information Services Board Members Supreme. Appeals& Superior Court Justices and Judges
Information Services, Dept. of Director
•
()dal
STATEO4' Washington State
x Public Disclosure
1889 Commission
Mini and
Abbreviated
Campaign
Reporting
1992 Manual & Forms
"The public's right to know of the financing of political
campaigns and lobbying and the financial affairs of
elected officials and candidates far outweighs any
right that these matters remain secret and private."
RCW 42.17.010 (10)
THE PUBLIC DISCLOSURE LAW
Adopted as Initiative 276 in 1972
Codified as Chapter 42.17
Revised Code of Washington
The Public Disclosure Commission, five citizens and a small full time staff, administers
the law and the rules implementing it.
Objectives:
to promote citizens' confidence in to encourage broad participation
government by disclosing the in campaigns, and
financing of election campaigns,
to assist candidates and political
to require campaign contributions committees to organize and
to be fully accounted for, operate their campaigns in an
orderly, businesslike manner.
This instruction manual is provided to assist in the preparation of campaign disclosure
reports required by chapter 42.17 RCW. Care has been taken to make these instructions
accurate yet concise. However, the information contained herein cannot be substituted
for the applicable provisions of chapter 42.17 RCW and 390 WAC. The law and rules
are controlling in the event of any conflict with or omission in the instructions. Copies
of the law and rules are available on request.
All reports on file with the Commission are public records. Copies are available at cost:
Microfiche: 25 cents per film page plus
25 cents for postage and handling.
(Each film page contains up to 96 pages of reports.)
We welcome your suggestions for revision of these instructions. Direct them to:
Public Disclosure Commission
711 Capitol Way Room 403
PO Box 40908
Olympia, WA 98504-0908
(206) 753-1111; FAX (206) 753-1112
This instruction booklet is for candidates and political committees using mini or abbre-
viated reporting. There are separate instructions for state executive and legislative
candidates (full reporting), judicial and local office candidates (full reporting), as well as
political committees using full reporting.
I
4
1
I
Is Mini'or Abbreviated Right for You?
' The mini reporting option limits campaigns to raising and spending no more than $500.
Campaigns using abbreviated reporting may raise and spend no more than $2,000. In
addition, under each of these options, no contributor may give more than $200 in the
aggregate, except candidates giving to their own campaigns.
Before deciding to restrict significantly your campaign buying power, consider such
factors as your level of name identification in the district (Do the voters know who you
are and what you stand for?), the calibre of your opposition (Are you challenging a-_n
incumbent or another person who's especially well-known and respected in your
community?), and have you considered the cost of printing and mailing brochures or of
newspaper and broadcast advertising? .
All these factors and more must b I taken into account before selectinga reporting
. P g
option. The Public Disclosure Commission (PDC) suggests you do some research and
rough out a budget for your campaign. You may find -- as experience has shown us at
PDC -- that $500 or $2,000 doesn't go very far,and is generally insufficient to wage a full-
scale, visible campaign. While there is a mechanism for changing reporting options, you
will save both time and aggravation if your first choice of options is the right one for you.
Mini and Abbreviated Reporting Chart . .
F-1 C-1 C-1pc ABB C-4
Candidates Yes1 Yes1 No . No
(Mini Reporting)
Candidates Yes1 Yes1 No Yes2
(Abbreviated Reporting) "
Political Committees No No ' Yes3 Yes2
(Abbreviated Reporting)
1 Due within 2 weeks of becoming a candidate.
2 Due October 10, 1992,'from candidates and committees participating in primary
election only; due December 10, 1992, from,candidates and committees participating in
primary and general elections or general election only; due January 10, 1993, from
continuing political committees;not taking part in an election during 1992; due on the
10th of the first month following a special election from levy committees and others
participating in the special election.
3 Due within 2 weeks of the committee's forming, unless committee forms within 3
weeks of the election, then due within 3 business days of forming. Continuing political
committees also file C-1pc annually between January 1 and January 31.
I
Mini and Abbreviated Reporting
Summary of Disclosure Reports Required
Candidates -- Mini Reporting -
F-1 Financial Affairs Shows sources of income, real Due within 2 weeks of becoming
Statement estate transactions, bank account a candidate.
holdings, stocks, debts,commercial
sources of business income.
C-1 Candidate Shows office sought, identifies Due within 2 weeks of becoming
Registration treasurer and other committee a candidate_.
officers, reporting option, bank
depository and specifies when
records are open for inspection.
Candidates -- Abbreviated Reporting
F-1 Financial Affairs Shows sources of income, real - Due within 2 weeks of becoming
Statement ' estate transactions, bank account a candidate.
holdings, stocks, debts, commercial
sources of business income.
C-1 Candidate Shows office sought, identifies Due within 2 weeks of becoming
Registration treasurer and other committee a candidate.
officers, reporting option, bank
depository and specifies when
records are open for inspection.
ABB Receipts and Summarizes cash and in-kind Due the 10th of the first month
C-4 Expenditures Report contributions received as well as following the election. Filial
cash and in-kind expenditures made report due if campaign not
during the election. closed out as of post-election
report.
Political Committees -- Abbreviated Reporting
C-lpc Political Committee Shows purpose of committee, If committee formed more than
Registration identifies treasurer and other 3 weeks before the election,
committee officers, reporting due within 2 weeks of forming;
option, bank depository and otherwise due within 3 days of
specifies when records are open forming. Also due annually
for inspection. between Jan. 1 & Jan. 31 from
continuing political committees.
ABB Receipts and Summarizes cash and in-kind Due the 10th of the first month
C-4 Expenditures Report contributions received as well as -following the election for
cash and in-kind expenditures made single-election committees and
•
during the election. continuing committees taking --
•
part in the election; due Jan.
10 from continuing committees
not taking part in the election.
f
f
•
CANDIDATES AND POLITICAL COMMITTEES
MINI & ABBREVIATED REPORTING INSTRUCTIONS
TABLE OF CONTENTS -
- Public Disclosure Law Revised 1
I
• Introduction , - 1
Who Must Report 2
Candidates for Elective Office 2
Candidates Exempt From Reporting 3
Political Committees 4
Independent Expenditures 5
Reporting Options - 5
Mini Reporting 5 r
Abbreviated Reporting 6
Full Reporting 6
All Filers 6
Changing Reporting Options 7
Special Reports for Contributions Exceeding $500 8
i z
• . • Earmarked Contributions 9
Prohibitions and Restrictions 9
Concealment 9
Persons Prohibited from Making Contributions 9
Contribution Limits 10
Anonymous Contributions 10
Contributions From Out-of-State and Federal PACs 10
• Personal Use of Contributions 11
Expenditure Restriction 11
Currency Transactions " 11
Surplus Campaign Funds 12
!Use of Public Agency Facilities 12
Public Inspection of Campaign Records 13
Bank Accounts 13
Bank Deposits - 13
1 Investment of Surplus Campaign Funds 14
.
TABLE OF CONTENTS (continued)
Political Advertising 14
Sponsor Identification 15
Items Exempt From Sponsor Identification 16
Political Party Identification 16
Political Party Abbreviations 17
Content of Advertising 18
Violations 18
Check List 19
The Fair Campaign Practices Code 19
Cash and In-kind Contributions 19
General Information 19
Exempt Activities 20
Recording a Contribution 21
"Receipt" of Contributions 22
Sources of Contributions 22
Contributions of Uncertain Origin 24
Loans 24
Fund Raising Events 24.
Qualifying Low-Cost Fund Raisers 25
Deducting Cost of Consumables 26
Expenditures and Debts 27'
General Information . 27
Candidate Registration and Reporting Requirements 28
Mini Reporting 28
Abbreviated.Reporting 28
Blank Forms 28
Registering as a Candidates 28
The C-1 Statement 29
The ABB C-4 Report (Candidates) 33
Due Dates 33
Step-by-Step Instructions 33
Political Committee Registration and
Reporting Requirements . 37
Abbreviated Reporting 37
Blank Forms 37
Registering as a Political Committee 37
The C-ipc Form 38
•
TABLE OF CONTENTS (continued)
The ABB C-4 Report (Political Committees) 40
Single-Election Political Committees 40
Continuing Political Committees 40
Due Dates 40
Step-by-Step Instructions 41
Appendix
Peitinent Government Agencies 45
County Election Offices 46
State Department of Transportation 47
Inde 49
Blanl Forms (included in back of manual)
Candidate Registration Statements (C-1)
Political Committee Registration Statements (C-1pc)
ABB C-4 Reporting Forms (for abbreviated filers only)
I -
•
j
1
1
PUBLIC DISCLOSURE LAW REVISED
The state legislature made no sweeping changes to the Public
Disclosure Law during 1990 or 1991. The one change that
did occur relates to candidates and committees making or
receiving contributions of over $500 during the 7 days before
the primary and 21 days before the general election. See
Contributions Over $500 discussed on page 8. This discus-
sion is limited to that portion of the provision that may affect
some filers using abbreviated reporting.
•
In addition, the Public Disclosure Commission adopted two
new rules. See Receipt of Contributions-and Sources of
Contributions on page 22.
INTRODUCTION
i 5
The purpose of the campaign disclosure provisions of the
Public Disclosure Law is to provide citizens of this state --
and especially voters -- with the means for becoming
informed about the financing of political campaigns. The law
requires that candidates and political committees keep
accurate and complete records and file periodic reports.
Campaign records must be kept for five years from the date
of the election.
All candidates and committees subject to the Public
Disclosure Law must do some reporting, regardless of the
amount of money received from contributors or spent during
the 'course of the campaign.
The key to complying with the Public Disclosure Law is to
keep detailed records of each contribution and expenditure
and file reports on time. Reports are considered filed with
the i Public Disclosure Commission (PDC) as of the postmark
or hand delivery date. Candidates also file copies of their
campaign disclosure reports with the county election office of
the county in which the candidate resides. Political
committees, including continuing political committees, file
• copies of their reports with the county election office of the
county in which the committee headquarters is located, or if
there is no headquarters, the county in which the treasurer
resides.
Mast election offices are part of the County Auditor's Office.
In;King County, however, it's the Division of Records and
•
Elections. A listing of the name and address of each county
election office may be found on page 46 of this manual.
All reports, schedules and attachments should be typewritten
or printed in black ink. Use 8 1/2" x 11" white paper for
attachments or enclosures. Reports filed with PDC are kept •
on microfiche, and those completed in pencil, blue or light
colored ink or on oversized paper cannot be acceptably
reproduced on the film.
This manual is designed to help candidates and political
committees that have chosen to use either the mini or
abbreviated reporting option.
• All mini and abbreviated filers should review pages 1
through 28, the general information section.
• • Candidates using mini or abbreviated reporting should also
read the discussion of the registration statement beginning
on page 28.
• Candidates using abbreviated reporting are advised to
study the information on the ABB C-4 Report beginning
on page 33. -
• After reviewing pages 1 through 28, treasurers for political
committees and continuing political committees are
directed to pages 37 through 43, that portion of the
manual devoted to their registration and reporting
requirements.
WHO MUST REPORT
Candidates for .Candidates who seek public office in jurisdictions that had
Elective Office 5,000 or more,registered voters as of the last general election
or in jurisdictions that encompass an entire county are subject
to the State Public Disclosure Law. Candidates for some
offices are exempt from the law's record keeping and
reporting requirements; that list of offices is located below in
the "Candidates Exempt From Reporting" section.
A person who seeks a non-exempt public office becomes a
candidate and subject to the registration and reporting
requirements of the law at the point when one of the
following occurs:
2
• I
• receives contributions, makes expenditures or reserves
space or facilities to promote his or her candidacy;
♦ publicly announces he or she is seeking office (even if this
candidacy is conditioned on a future occurrence, like the
outcome of polling, the receipt of a certain level of
campaign funding or other indications of significant public
support); or
• officially files for office.
Candidates who will only use their own funds and not accept ,
contributions from others to conduct their campaigns must
still register as a candidate with PDC, keep records and,
depeniding on the reporting option chosen, file disclosure
reports. •
A candidate is limited to one campaign committee.
However, a candidate may participate in a committee
organized to support a slate of candidates. Candidates may
also participate in joint fund raising efforts when a separate
committee is organized for that purpose. After expenses,
such committees must distribute the remaining funds to the
participating candidates on a pro rata basis.
Candidates Exempt Candidates seeking election to the following offices are
From Reporting exempt from the record keeping and reporting requirements
of the State Public Disclosure Law:
•
• Precinct committee officer;
• Federal office (subject only to federal campaign laws);
♦_ Offices in'a small city or other jurisdiction having fewer
than 5,000 registered voters as of the last general election
and not encompassing an entire county (However,
candidates in towns or districts that had 1,000 or more
registered voters as of the last general election are
required to file Statements of Financial Affairs -- PDC
Form F-1.); and
• Offices for which voters must have special qualifications
• riot specified in the State Constitution (such as owning
property). Examples include the following districts:
Agricultural Pest
Cemetery
Conservation
3
Diking
Drainage
Education Service
Flood Control
Intercounty Weed
Irrigation
Irrigation and Reclamation
Irrigation and Rehabilitation
Mosquito Control
Public Waterway
Sewer Improvement
Weed
Note: Candidates for the above offices must still adhere to
the law and rules governing political advertising and the
- prohibition against using public resources to.support or
oppose any election campaign.
Political Committees Washington State political committees that raise and spend
money to influence certain elections must register and report
in accordance with the Public Disclosure Law.
A political committee is any person, group, club, organization
or collection of individuals (except a candidate or individual
dealing with his or her own funds) expecting to receive
contributions or make expenditures in support of or in
opposition to any candidate or ballot proposition, including
annexation and incorporation ballot issues.
Although a group may be a civic, social or professional
organization primarily, it also may be a political committee if
it accepts contributions specifically for use in election
campaigns.
In addition, any group expecting to receive or spend funds to
assist its efforts to have an annexation or incorporation issue
placed on the ballot is a political committee and must
register and report accordingly. Deciding to hire a lawyer to
assist with getting an annexation or incorporation issue on the
ballot would trigger committee status for a new committee
and any legal costs incurred would be reportable campaign
expenditures.
Political committees typically spend money to:
4
•
♦ support.or oppose candidates;
• support or oppose any levy, referendum, initiative, recall,
annexation, incorporation or other ballot proposition;
and/or
• • make contributions to candidates or other committees.
A political committee is exempt from reporting if its sole
purpose is to support or oppose a local ballot measure in a
town or district that had fewer than 1,000 registered voters as
of the last general election. Exempt committees must still
comply with the legal provisions governing political
advertising and the prohibition against using public resources
to support or oppose any election campaign.
Continuing political committees are those committees that
are organized for more than one election season. Examples
include party central and district committees, business or
labor committees, and on-going PACs. Continuing political
committees are subject to the same general requirements as
committees organized for one election only. The major
difference between the two is that continuing political
committees keep books on a calendar year basis, while other
committees maintain their books for the duration of the
campaign (whether that period is a few weeks or months, or
a couple of years).
Independent Any person -- an individual, corporation, union, business,
Expenditures association or group -- that does not have to register with
PDC will, nonetheless, have to file C-6 reports if that person
makes expenditures totaling $100 or more in support of or
opposition to a candidate or ballot proposition and the
expenditure was not made to or through a reporting
candidate or political committee. Typically, reportable •
independent-expenditures are made for political ads
(including mailings to voters) that support or oppose a )
candidate, a slate of candidates or a ballot proposition.
The 1 first C-6 report is due within'five business days of
reaching the $100 expenditure level. Subsequent reports are
required if additional independent expenditures are made.
REPORTING OPTIONS
Mini Reporting This reporting option is only available to candidates (not
political committees) who will raise and spend no more than
J .
$500, in addition to the amount spent on their filing fee, and
receive no more than $200 from any one contributor other
than themselves. Candidates choosing mini reporting must
file registration statements (C-1) and keep records of their
contributions and expenditures. However, they do not need
• to file contribution and expenditure reports. A Statement of
Financial Affairs (F-1) is required. See "All Filers" section
below.
Abbreviated Reporting Candidates and political committees raising and spending no
more than $2,000 on their campaigns may select this option.
The amount spent by candidates for-any filing fees counts
toward this qualifying threshold. Continuing political
committees are limited to $2,000 per year.
Neither candidates nor committees may accept more than
• $200 from any one contributor (except that candidates may
contribute as much as $2,000 to their own campaigns):
Persons using abbreviated reporting file the appropriate
registration statement (either C-1 or C-1pc)-and one post-
election report (ABB C-4) that summarizes their contribution
and expenditure activity. (If a continuing political committee
using abbreviated reporting is not active with respect to an
election, a year-end ABB C-4 is required by January 31 in
lieu of a post-election report. Continuing committees must
also file a C-1pc each January if they want to.continue using
abbreviated reporting.)
A Statement of Financial Affairs (F-1) is also required of
candidates using this reporting option. See "All Filers"
section below.
Full Reporting All candidates and political committees that raise and
spend over $2,000 on their campaigns (or per year, for
continuing political committees) must use the full reporting
method. Full reporting filers will submit frequent, detailed
reports of the contributions they receive (C-3 reports) and
the expenditures they make (C-4 reports with appropriate
schedules). The C-4 itself is used to summarize the
campaign's financial activity. Candidates must also file a
Statement of Financial Affairs (F-1).
All Filers Regardless of which option is chosen, all candidates'and
political committees must keep accurate, detailed records
and make these records available for public inspection
6
during the eight days preceding the primary, general or
special election in which they're participating.
Changing Reporting The.Public Disclosure Commission realizes that candidates
Options and political committees are not always able to forecast
campaign costs accurately. In order to change from one
reporting option to another, follow these steps:
• Notify each opposing candidate or committee in writing of
Your plan to change reporting options. (We suggest
certified mail.)
• File a new registration statement (C-1 for candidates,
C-1pc for political committees) with PDC and your county
'election officer showing the new option.
• Send a letter to PDC that:
• explains why you anticipate the limits of the reporting
option originally chosen will be exceeded;
• explains why the factors contributing to the change were
not originally anticipated;
• confirms the date and manner in which each opposing
- candidate or committee was notified of the change:
• If you're changing to full reporting, prepare and send a
C-4 report and Schedules A or A-s/1, B or B-s/l, and L, as
appropriate, along with a list identifying each contributor
who has given over $25 to the campaign.
i File all future reports required by the new reporting
option.
From mini to abbreviated: If a candidate wishes to change
from mini to abbreviated reporting and all the steps outlined
above have been taken, permission to make the change will
•
be automatically granted by PDC.
From mini or abbreviated to full: If a candidate or political
committee wishes to change from mini or abbreviated to full
:reporting and the steps outlined above are taken more than
;30 days before the election, permission to make the change
• twill be automatically granted; if the change is requested
within 30 days of the election, the campaign must receive
prior approval from PDC's executive director before exceed-
ing the limits imposed by abbreviated reporting.
•
I
7
1
•
From full reporting to a lesser option: If a candidate wishes
to change from full to mini or abbreviated reporting, or a
political committee from full to abbreviated, no prior PDC
approval, notice to the opposition or letter of explanation is
necessary. The campaign simply files a new registration
statement (C-1 or C-ipc) and reports as required by the new
option.
SPECIAL REPORTS FOR CONTRIBUTIONS EXCEEDING $500
During the 7 days before the primary and the 21 days before
the general election, candidates and political committees
must file special reports if they make one or more contribu-
tions to the same recipient candidate or committee totaling
over $500 in the aggregate.
This report discloses:
• the amount of the contribution(s),
• the date or dates on which the contributions,were made,
• the contributing,campaign's name and address, and
• the receiving campaign's name and address.
i 1
Candidates and committees making one or more contribu-
tions from their campaign funds to another candidate or
committee totaling over $500 must deliver a written report to
PDC within 24 hours of making the triggering contribution,
or on the first working day thereafter.
These written reports may be delivered to PDC in person or
via facsimile, telegram, mailgram or.nightletter. You may fax
this special report (but not registration statements or ABB
C-4 reports) to PDC at (206) 753-1112. This is a dedicated
fax line, so you need not call before sending a transmission.
Be sure to keep the transmission confirmation sheet as part
of your records.
If a written report cannot be delivered within 24 hours, call
PDC and relay the information within that time period and
mail written confirmation of the telephone report the same
day. .
If you call PDC with the information, you'll be given a log 0
number to verify that you called. Reference that log number
• on the written confirmation you send.
8
An official form for reporting these over $500 contributions
has not been adopted by the Commission. Simply supply the
necessary information on a sheet of paper, or within the text
of a telegram. A unofficial form has been developed by PDC
staff for.those intending to fax these reports. It's available on
request.
EARMARKED CONTRIBUTIONS
If your campaign receives a contribution earmarked for
- another candidate or committee, contact a PDC political
finance specialist for instructions,on how to report the
contribution. •
PROHIBITIONS AND RESTRRICTIONS
The Public Disclosure Law does not include numerous
prohibitions and restrictions. However, there are some
regulations you need to be aware of and follow. Carefully
study the information provided below.
Concealment You must accurately record the actual sources and amounts
[RCW 42.17.120] of contributions as well as the true recipients and amounts of
expenditures. .It is a violation of the law to use a fictitious
• name, no name or substitute name in order to conceal the
truth. . •
Persons Prohibited from Federal election law prohibits candidates and political
• Making Contributions committees in this country from receiving contributions from
foreign nationals (individuals, corporations or other foreign
business entities). ,
;Federally chartered banks, corporations, unions and insurance
companies should consult their legal advisors to determine
whether other state or federal statutes prohibit their making
contributions.
State law includes the following constraint on officers and.
employees of cities with a commission form of government:
'Any appointive officer or employee of the city who in any
I manner exerts his.influence to induce other officers or employees ,,
of the city to favor any particular candidate for any city office or
who contributes anything in any way to any person for election
9
purposes shall be discharged by the commission." [RCW
35.17.160]
None of the prohibitions noted in this prohibited contribu-
tions section are administered by the Public Disclosure
Commission. If you have questions concerning their applica-
bility, please consult your legal counsel or contact the agency
involved. The Federal Election Commission may be reached
at 1-800-424-9530.
Contribution Limits Persons who select mini or abbreviated reporting are limited
[RCW 42.17.105(8)] in the amounts they may raise and spend on their campaigns.
See the Reporting Options section on page 5.
Anonymous Occasionally, campaigns receive funds from truly anonymous
Contributions sources; that is, you or others involved in the campaign do
[RCW 42.17.060] not know who donated the money. Up to a point, the law
allows you to keep these anonymous contributions. Specif-
ically, candidates and political committees may receive as
much as $300 in anonymous funds during the campaign.
Continuing political committees may receive as much as $300
per year in anonymous funds.
If you reach the limit, you may not use or spend any
additional anonymous funds you receive. These excess
dollars must be returned to the donors if they can be ,
identified or forfeited to the state's general fund. If the
contributors cannot be identified, immediately send a check
to PDC payable to the State Treasurer in the amount of the
overage, along with an explanation of the circumstances
surrounding receipt of excess anonymous funds.
Keep in mind that you may not legally use this anonymous
contribution provision to avoid accurately reflecting your
contribution sources in your records.
Contributions From In order for you to keep contributions received from political
Out-of-State and committees not registered with PDC (that is, PACs registered
Federal PACs with the Federal Election Commission or domiciled in other
[RCW 42.17.090(1)(k)] states), the political committee must file a C-5 report within
ten days of your receiving the contribution. If the committee
does not,file this report, you must immediately return the
donation to the contributor or forfeit it to the state.
10
•
PDC suggests you keep a small supply of C-5 forms on hand
and mail one or two, along with a note about the urgency of
filing, to any out-of-state or federal PAC that contributes to
your campaign. Ask the group to send you a copy of the
report. In this way, you'll know whether the funds are yours
to spend or not.
Personal Use of Campaign contributions may only be spent for the personal
Contributions use of a candidate, treasurer or other person associated
[RCW 42.17.125] with the campaign under the following circumstances:
♦ reimbursement for loans or to cover earnings lost as a
result of campaigning or for services performed for the
campaign,
• reimbursement for direct out-of-pocket campaign or post-
elction campaign expenses, and
• repayment of loans made by the person to_a political
committee or campaign.
Complete documentation, including copies of expenditure
receipts, must be kept as part of the campaign records.
Expenditure Restriction No expenditure may legally be made unless ifs authorized
[RCW 42.17.070] by the candidate or campaign treasurer. Campaign treasurers
are also required to maintain a complete record of all
expenditures, including obligations_that have not yet been
paid by the campaign.
Currency Transactions In order to accept cash contributions exceeding $50, the
contributor must be given a receipt, signed by both the
contributor and a campaign representative, with a copy of the
receipt kept as part of the campaign records. Cash contribu-
tions must be deposited into the campaign bank account, and
not spent directly or mingled with petty cash funds.
If the campaign makes expenditures of over $50 in cash,
rather than by check, be sure to obtain a receipt signed by
both the vendor and a campaign representative and keep it
as part of your records. We recommend cash transactions be
• kept to a minimum.
•
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Surplus Campaign Surplus campaign funds -- the balance of contributions
Funds [RCW 42.17.095] remaining after all campaign obligations are paid -- may only
be disposed of in one or more of the following ways:
• returned to contributors (so long as the amount returned
to a donor does not exceed the aggregate contributed);
♦ donated to a charitable organization registered with the
state;
• held for use in future elections; -
♦ transferred to other candidates or committees;
• transferred to the state general fund;
• used for community activities; or
• used to pay non-reimbursed public office related expenses
of the candidate if she or he is elected to office.
Use of Public Agency ,Elected and appointed officials as well as public employees
Facilities are prohibited from using or authorizing the use of any
[RCW 42.17.130] facilities of a public office or agency, directly or indirectly, to
assist a candidate's election campaign or to promote or
oppose a ballot proposition. Public agency facilities include,
but are not limited to, office stationery, postage, machines,
equipment, employees during working hours, vehicles, office
space, office publications and client lists.
The above restriction does not apply to:
e action taken at an open public meeting by members of an
elected legislative body to express a collective decision, or
to actually vote upon a motion, proposal, resolution, order, •
or ordinance, or to support or oppose a ballot proposition
so long as any required notice of the meeting includes the
title and number of the ballot proposition, and members of
the legislative body or members of the public are afforded
an approximately equal opportunity for the expression of
an opposing view;
• a statement by an elected official in support of or in
opposition to any ballot proposition at any open press
conference or in response to a specific inquiry;
• activities that are part of the normal and regular conduct .
of the office or agency. "Normal and regular" has been
• interpreted to mean those activities that are authorized by . .
law and are customary for the agency.
12
PUBLIC INSPECTION OF CAMPAIGN RECORDS
During the eight days.preceding a primary, general or special
election, campaign records must be open and available for
public inspection by anyone who wants to see them. These
records must be available daily (excluding holidays and
weekends) for two consecutive hours between 8:00 a.m. and
8:00 p.m. at the campaign headquarters or other place
designated by the campaign on the registration statement
(C-1 or C-lpc).
The time and place of inspection may not be changed without
first notifying PDC and the County Election Officer.
Candidates may keep records concerning their personal
finances private. In addition, the identities of the
contributors who have given a total of $25 or less to the
campaign need not be included with the records open for
public inspection.
BANK ACCOUNTS
Campaign accounts may be established at banks, savings and
loan companies as well as credit unions. Surplus campaign
funds may also be invested. See page 14 for more informa-
tion about investing campaign funds.
At I he start of the campaign,ai n the candidate or treasurer
should open the bank account. We suggest you use the same
name for your campaign account as you use for the
committee.
}
When opening the account, you'll be asked to supply a tax ID
number. Call the IRS at 1-800-829-3676 and request Form
SS-4. .Once this form arrives (approximately a week to ten
daiys), you'll be able to obtain a number immediately by
telephone.
The bank will report any interest earned on the campaign
account to the IRS, using the tax number you provide.
Consult the IRS, your accountant or tax advisor regarding any
tax liability or requirement to file a tax return.
Bank Deposits Each contribution received by the campaign must be
deposited within five business days of receipt. This means •
13
that during those times when contributions are received, (r
campaigns can make weekly deposits and be in compliance
with the law. A high volume of contributions may make
more frequent deposits advisable, however.
Investment of Surplus Surplus campaign funds may be invested in bonds, savings
Campaign Funds accounts, certificates, tax-exempt securities, mutual funds and
similar instruments available in financial institutions. Banks,
savings and loan institutions and credit unions are recognized
as financial institutions. Stock brokerage houses and other
investment companies do not qualify as "financial institutions"
and may not be used for investment of campaign funds.
If you invest campaign funds, take the following steps:
♦ Notify PDC by letter of the date, amount and the name of
the financial institution where the surplus is invested.
♦ Deposit all-interest, dividends and income earned by the
investment into the investment account.
♦ When the investment is terminated, re-deposit the
principal plus the accrued earnings into the original
campaign account and notify PDC by letter that this re-
deposit has been made.
♦ Check with the IRS or your personal tax consultant about
any tax liability that the investment may create.
POLITICAL ADVERTISING
•
"Political advertising"includes any advertising displays,
• - newspaper ads, billboards, signs, brochures, articles, tabloids,
flyers, letters, radio or television presentations, or other means of
mass communication, used for the purpose of appealing, directly
or indirectly, for votes or for financial or other support in any
election campaign. [RCW 42.17.020(23)]
This legal definition makes it clear that any communication --
whether written, audio or video -- that is produced and/or
distributed in conjunction with your campaign is probably
subject to the requirements governing political advertising.
All political advertising is subject to political party
identification and most ads must show the sponsor ID. See
below for details.
14
I -
Sponsor Identification The sponsor of a political ad -- the candidate, committee or
other person paying for the ad -- usually must be identified.
If a person acts as an agent for:someone else or is
reimbursed for the funds actually used to pay for the ad, the
original source of the payment (or the person doing the
reimbursing) is the sponsor. It's illegal to use an assumed •
- name when identifying an ad's sponsor.
I
In print ads (newspaper display ads, flyers, brochures, letters,
etc.),!to identify the sponsor use the words "Paid for by" or
"Sponsored by" followed by the name and full mailing address
- of the sponsor. Show this information in an area apart from
the body of the ad text. Treasurer's name is not required. If
the advertisement is more-than one page, identify the sponsor
on the first page. Identification on a mailing envelope is
optional, but is not sufficient to meet the sponsor ID require-
ment. The ad enclosed in the envelope must be properly identified.
In broadcast ads (radio and television ads), identify the
sponsor by using the words "Paid for by" or "Sponsored by"
followed by the name of the person or group paying for the
ad. No address is required. Broadcast ads must also
conform with the requirements of the Federal Communica-
tions Commission (FCC). Contact the station where you're
planning to run the ad or the FCC for details on these
retirements. •
If the sponsor is:
• a candidate/candidate's committee, show the name and
address of the candidate!or the candidate's committee (No
!address if broadcast ad);
• !a political committee, show the name and address of the
committee (No address if broadcast ad);
• !an organization or business, show the name and address of
the organization or business (No address if broadcast ad);
• !more than one person or group, show the name and
address of each sponsor. (No address if broadcast ad) If
one person pays for printing and another person pays,for
• mailing, both persons should be shown as sponsors. (If a
person contributes cash, goods or services.to your
campaign in order to assist in paying for an ad, it is not
necessary to show this contributor's name provided the
contribution is included in your records. The campaign
I would be identified as the sponsor, however.)
1 - 15
Items Exempt From Some advertising items, like yard signs that are 8' x'4' or
Sponsor ID smaller (32 sq. feet), need not include the sponsor
identification. Other items exempt from sponsor ID are:
ashtrays ribbons
badges & badge rulers (12" or
holders smaller
balloons erasers
bingo chips frisbees
brushes glasses
bumper stickers golf balls & tees
(4" x 15" or hand-held signs
smaller) hats
business cards horns
buttons. ice scrapers
cigarette lighters inscriptions
clothes pins key rings
clothing knives
coasters labels
combs letter openers
cups magnifying glasses
earrings match books
emery boards nail clippers & files
envelopes ' newspaper ads (one
noisemakers column inch or smaller)
official state or local shoe horns
voter pamphlets skywriting
paper & plastic cups staple removers
paper & plastic plates stickers (2-3/4" x 1"
paper weights. : or smaller) _
pencils 'sun glasses
pendants sun visors
pennants swizzle sticks
pens tickets to fund raisers
pinwheels' water towers
plastic tableware whistles
pocket protectors yard signs (8' x 4'
pot holders or smaller)
reader boards with yo-yo's
moveable letters all similar items
Political Party All political ads supporting or opposing a candidate for.
Identification partisan office are required to identify the candidate's party
affiliation. 'This rule applies whether the sponsor is a
candidate, a candidate's committee, a political committee, a
continuing political committee, an individual, or an organiza-
16 -
• I
tion, acting with the knowledge of, or independent of, the
candidate.
In newspaper ads, brochures, mailings and similar printed
• advertising, the party ID must be printed in letters no smaller
than 10 point bold face type. If type isn't used, the letters
must be at least 1/8" high. The party ID must be located in
an area apart from the body of the text of the ad.
I
On yard signs, bus signs, hand-held signs, banners, bumper
stickers, posters and/or similar ads, the party ID, must be in
letters no smaller than 60 point type, or 5/8" high if type is
not used. It also must be visible and be in a color that
contrasts with the background of the area in.which the ID is
printed.
In broadcast ads and other advertising, the party ID must be
of such size and prominence that the listener or viewer can
deafly recognize the candidate's political party.
Political Party The following abbreviations may be used in advertising to
Abbreviations identify political party affiliation:
• citizens -- Cit
• Communist -- Corn
• Democrat -- D, Dem, Demo
• Independent or Unaffiliated -- Ind, Indep _
• Libertarian -- Lib
• Republican -- GOP, R, Repub, Rep (Do not use Rep
abbreviation when it could erroneously imply that the
candidate holds the office of State Representative)
• Socialist -- Soc
♦ Socialist Workers -- Soc Workers, SWP
Official symbols or logos adopted by state party committees
may be used in.place of the full party name or abbreviation
to;denote affiliation. Send a copy of the symbol or logo to.
PDC.
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Content of Advertising There are some additional rules to follow when composing
political advertising:
• Be sure the ad is truthful;
• If candidate photos are used in any ad, at least one of
them must have been taken within the last five years and
be no smaller than the largest candidate photo appearing
in the ad;
• "Incumbent" means a person who now holds the office
being sought;
• "Re-elect" represents that the candidate is presently holding
the office being sought, was elected to it and is seeking
another term in that same office in the same district or
political subdivision;
• The term "re-elect" may be used in a political ad by a non-
incumbent who has previously been elected to the office
being sought provided that it is clearly stated in the same
ad that the candidate is not the incumbent;
• "Retain" represents that the candidate is the incumbent,
but does not imply that the candidate obtained the office
by election;
• "Return" represents that the candidate now holds, or has
previously held, the office being sought but not necessarily
by election.
State law does not require candidates to identify the office or
position they are seeking in their political ads.
Violations It is a violation of the political advertising provisions of the -
statute to knowingly or with reckless.disregard of the truth:
• sponsor an ad that contains a false statement of material
fact;
♦ falsely claim or imply a person or group endorses a
candidate when that person or group does not; or
• falsely represent a candidate as the incumbent. On
letterheads, yard signs and other forms of advertising, non-
incumbents must actually state they're seeking the office.
Example: Mary Smith for State Senate or Elect Mary
Smith State Senator. It is not permissible to say "Mary
Smith, State Senate," unless Mary Smith is the incumbent.
18 .
It's also illegal to distribute campaign material that is
deceptively similar in design or appearance to the voters and
candidates pamphlets published by the Secretary of State.
Similarly, it is illegal to use the state seal or its likeness to
assist,' or defeat any candidate for elective office.
Check List When developing and proofreading political ads, be sure they
are:
• properly identified with political party and sponsor ID;
• truthful;
• in compliance with the definitions of "incumbent," "re-
elect," "retain," and "return;"
• accurate with respect to claimed or implied endorsements;
• nt representing the candidate as the incumbent unless he
or she is; and
• not deceptively similar to official voters and candidates
pamphlets.
THE FAIR CAMPAIGN PRACTICES CODE
The purpose of the Fair Campaign Practices Code is to
encourage healthy competition and open discussion of issues
and candidate qualifications. At the same time, the code is
designed to discourage practices that cloud the issues or
unfairly attack opponents. Adherence to the code is
voluntary.
The full text of the Fair Campaign Practices Code for
Candidates and Political Committees is located on the inside
of the back cover. The Commission strongly urges candidates
as well as their campaign officials and volunteers to follow
the principles set out in the code. The people of this state
and our governmental system are shown respect when
campaigns are conducted fairly.
CASH & IN-KIND CONTRIBUTIONS
General Information Candidates using mini reporting may only receive a total of
$500 in contributions, no more than $200 of which may come
from any one source other than the candidate.
Candidates and political committees using abbreviated
reporting are limited to receiving a total of $2,000 ih
19
contributions, and no more than $200 may come from any
one source (except that candidates may contribute the entire
$2,000"to their own campaign).
"Contribution" includes a loan, gift, deposit, subscription,
forgiveness of indebtedness, donation, advance, pledge,
payment, transfer of funds between political committees, or
transfer of anything of value, including personal and
professional services for less than full consideration.
Contributions, other than money, have a dollar value
equivalent to the fair market value of the item.
Dollars received from the sale of tickets to fund raising
events such as dinners, concerts, parties and the like are
contributions. The purchasers of the tickets are the
contributors, even if the tickets are given to others. The
record keeping associated with a fund raiser may be greatly
reduced if the event qualifies as a low-cost fund raiser. See
page 25 for further information.
The amount of contributions generated by a fund raiser may
be reduced by the actual cost of consumables furnished in
connection with the event, and only the excess over the actual
cost of the consumables is a contribution. See the discussion
on Deducting Cost of Consumables on page 26.
Exempt Activities The following activities are NOT considered contributions
and need not be recorded in your records:
• Ordinary home hospitality, including coffee hours, cocktail
parties, wine and cheese parties and similar gatherings
where the purpose is to meet the candidate or organize a
campaign and where no admission fee is charged or
contributions expected from those attending;
• the services of volunteers engaging in activities for which
they are not compensated by anyone;
• incidental expenditures by volunteers of $50 or less in the
aggregate for the duration of the campaign or, for
continuing political committees, during the calendar year,
(if this limit is exceeded, the entire amount is reported as
an in-kind contribution and subsequent expenditures by
the volunteer are additional contributions, unless the
volunteer is reimbursed by the campaign);
20
.
•
• news, feature or editorial comment in a broadcast media
program or in a regularly scheduled issue of a printed
periodical (including periodicals published by businesses
and organizations for their respective employees or
members) to communicate ratings, evaluations,
endorsements or recommendations for or against a
candidate or ballot proposition;
• inte final political communications from a corporation or
similar enterprise to its officers, management staff and
stockholders or from a union, association or other
membership organization to its members;
• messages in the form of reader boards, banners, yard or
window signs displayed on a person's own property or
property occupied by the organization, business or union.
However, if the person normally charges a fee to display a
message, an in-kind contribution would occur if no fee
were charged for display of a political ad.
Everything else of value given the campaign -- including
discounts on items purchased or services rendered -- is a
contribution and must be recorded as such in your records.
Recording a For each contribution received, the following information
Contribution should be noted in your records:
• date contribution was received by the campaign; •
• name, address and city of the contributor;
• amount of the contribution (or the value and description
of an in-kind contribution);
• total amount the contributor has given, including pledges
and monetary and in-kind contributions, since the start of
the campaign (or, for continuing political committees,
since the start of the year).
Each(monetary contribution must be deposited into your
account within five business days of receipt. This means that
campaigns must make bank deposits of all monetary contribu-
tions lat least weekly. Remember, a contribution of more
than $50 in currency may not be accepted unless a written
receipt signed by the contributor and a campaign
representative is made part of your financial records.
21
In-kind contributions have a monetary value equal to the fair
market value of the item The fair market value is the
amount a well-informed buyer or lessee, willing but not
obligated to buy or lease, would pay; and which a well-
informed seller or lessor, willing but not obligated to sell or
lease, would accept.
In-kind contributions include such things as goods and
services, discounts on products or services, free transportation
provided the candidate or campaign staff or other things that
have a value to your campaign. Include information about
each in-kind contribution in your records and add the value
of the contribution to the donor's individual cumulative total
and to the overall contribution total.
"Receipt" of In the past, some campaigns have had difficulty determining
Contributions when a contribution is officially considered received. In
order to remedy this confusion, the Commission has adopted
the following administrative rule.
"Receipt" of a campaign contribution . . . shall be deemed to
occur at the earliest of the following:
• the date that the candidate, treasurer, deputy treasurer,
campaign manager, campaign chairperson or similarly
situated campaign official obtains possession of the
contribution, or
• the date that the candidate, treasurer, deputy treasurer,
campaign manager, campaign chairperson or similarly
situated campaign official is informed of the contribution,
or becomes aware that the campaign, or in the case of an
earmarked contribution, the intermediary, has possession
of the contribution, or
• the date that the contribution becomes available for use by
the candidate or committee.
Sources of Contributions Candidates and treasurers who keep disclosure records listing
their sources of contributions must often make decisions
about whom to show as the contributor, even though the true
identity of the contributor may not be readily apparent.
Contributors have the obligation to inform campaigns of the
true and actual sources of the donation at the time the
22
contribution is made. However, in the absence of other
information concerning a contribution's true source, follow
the interpretations given below when keeping records and
complying with the limits of your reporting option.
One-Party Personal Checks: List the name printed on the
top of the check as the contributor, unless the contribution*is
from a lobbyist who will be reimbursed by his or her
employer for the contribution (and the lobbyist notifies the
campaign of this fact in writing).
Joint Personal Account Checks: Attribute equal parts of the
contribution to the names of the parties printed on the check,
or the whole amount to both parties, unless a written
explanation to the contrary accompanies the contribution.
(For example, in the case of a $100 check drawn on the
account of John and Mary Smith, the entire amount could be
attributed to John and Mary, or $50 to John and $50 to
Mary.)
Checks Drawn on Sole-Proprietor Business Accounts: For
contribution purposes, the owner of the business and the
business entity are considered one and the same. The pro-
prietoris aggregate contribution total must include donations
from his/her personal funds as well as from the business.
Partnership Account Checks: List the partnership as the
contributor, unless the contribution is to be paid from one or
more of the partners' capital accounts, in which case the
contribution is attributed to the partner or partners whose
funds are being used. Written notice of this arrangement
should accompany the check.
Corporate, Union or Association Account Checks: Show the
contribution as coming from the corporation, union or
association whose name is printed on the check, unless the
giver is owned or controlled.by another entity, in which case
the contribution is attributed to the controlling entity.
Contributions from Minors: In order for a contribution to
be attributed to a child under 18 years of age, it must be
made voluntarily by the child, and come from funds
belonging to the child that are maintained exclusively in the
child's name, and not from the proceeds of a gift provided to
facilitate the contribution.
23
Contributions of Do not deposit any contribution or accept any in-kind
Uncertain Origin contribution if you know or suspect it has been made in a
fictitious name, or by one person through an agent, relative,
political committee, or any other person so as to conceal the
true source or exceed your contribution limit. Return such a
contribution within ten calendar days to the source, if known,
or endorse the check and make it payable to the Washington
State Treasurer. Send the check to PDC, along with an
explanation, for deposit in the state's general fund.
Loans Loans received by the campaign from individuals,
political committees, corporations, unions or other
organizations are contributions to the campaign. Persons
who co-sign a loan have made a contribution in the amount
for which they are liable. The amount contributed by these
co-signers and others who loan the campaign money is
reduced as loans are repaid.
Candidates may also choose to make loans to their own
campaigns from their personal funds. Candidates who
receive loans for which they are personally liable from
commercial financial institutions and use those funds in their
campaigns are considered as having made a personal
contribution to their campaign. This contribution also could
be considered a loan from the candidate to his/her campaign.
Fund Raising Events All the dollars raised in connection with a fund raising event
are considered contributions and must be deposited into your
campaign account. However, the amount donated by each
contributor may be reduced by the pro-rated cost of
consumables provided.
Consumables include food, beverages, preparation or
catering, entertainment and the fair market value of items
sold, raffled or given as prizes. See page 26 for more
information.
All in-kind contributions received in connection with a fund
raising event are also considered contributions. In-kind
contributions are reported at their fair market value. The
fair market value is the amount a well-informed buyer or
lessee, willing but not obligated to buy or lease, would pay;
and which a well-informed seller,or lessor, willing but not
obligated to sell or lease, would accept.
24
Unless the event is a "Qualifying Low-Cost Fund Raiser" as
discussed below, the campaign must keep track of how much
each contributor donates to attend the fund raiser.
Frequently, at fund raisers, candidates receive contributions
from anonymous sources. Any anonymous funds received at
a fund raiser count toward the $300 limit placed on the
amount of anonymous funds you may legally receive. Funds
received in connection with a "Qualifying Low-Cost Fund
Raiser" are not considered anonymous, even though the
sources are unidentified.
Qualifying Low-Cost If you hold a qualifying low-cost fund raiser you only need •
Fund Raisers record the activity's date, a description of the event, and the
total amount received from contributors paying $50 or less.
You do not have to keep track of how much each person
contributes and record that information in your records. In-
kind contributions of $50 or under received in connection
with one of the events need not be reported at all. Any
event satisfying one of the criteria listed on page 26 qualifies
as a low-cost fund raiser.
If someone pays over $50 to participate in the event (or pays
more than $50 to purchase auction or sale items) or
contributes goods or services valued at more than $50 in
• connection with an otherwise qualifying dinner or entertain-
ment event, you•must record that information in your
contributor records. However, the remainder of the funds
collected from participants paying $50 or less may still be
lumped together for record keeping purposes. _
Some people invited to low-cost fund raises will not pay at
the, door, but rather will forward a check either before or
after the event. So long as they attend the fund raiser you
may treat their contribution like other funds received in
connection with the event. However, if someone does not
attend the fund raiser, but sends along a contribution anyway,
that money is treated as a regular contribution and is not'
lumped together with fund raiser receipts.
25
Events qualifying as low-cost fund raisers:
• • retail sales of goods or services at a reasonable
approximation of their fair market value;
• a licensed and legally operated gambling event;
• a food and beverage event where the admission price is no
more than $25;
• an entertainment event (concert, dance, theater
performance, etc.) where the admission price is no more
than $25; and
• an auction or similar sale where the total fair market value
of items donated by any person is no more than $50.
Note: If you sell-goods'or services at a price that exceeds
their fair market value, or hold events having an admission
price of more than $25, or hold an auction and anyone
• donates items worth more than $50, the entire event does not
qualify as a low-cost fund raiser and you must,record each
contributor's name, address and amount given in connection
with the event.
Keep in mind, however, that even though your campaign is .
not limited to receiving $200 from a fund raising event, no
person attending an event (including a low-cost fund raiser)
may contribute more than $200 in the aggregate to your
campaign.
Deducting Cost of - As mentioned, the law provides that the amount of a
Consumables contribution received in connection with a fund raising
event -- such as a dinner -- may be reduced by the cost of the
consumables provided at the fund raiser. Consumables
include such things as food and beverages, disposable plates,
napkins and silverware, the cost of preparation, catering and
entertainment.and the fair market value of items sold, raffled
or given as prizes.
In order to deduct the cost of consumables from contribu-
tions, determine the amount to be deducted per person (the
total amount spent for consumables divided by the number of
persons attending the event). In your records, show the
actual amount received from each'person, the amount
deducted as consumables, and the net contribution. Abbre- . .
viated filers will multiply the net contribution amount by the
number of contributors and include that figure as part of
26 '
I _
• I
total cash contributions received on the ABB C-4 report.
Since the cost of the consumables has already been
accounted for by reducing contributions, do not include these
costs when reporting total cash expenditures on the ABB C-4.
•
EXPENDITURES AND DEBTS
General Information Candidates using mini reporting are limited to spending $500
on their election campaigns, in addition to the amount they
spend for their filing fee.
Candidates and political committees using abbreviated
reporting may spend no more than $2,000 during their
• campaigns (or, during the calendar year, for continuing
political committees). This $2,000 limit includes the amount
spent for filing fees by candidates.
•
"Expenditure" includes a payment, contribution, subscription,
distribution, loan, advance, deposit, or gift of money or
anything of value. It includes a contract, promise or agree-
ment, whether or not legally enforceable, to make an expenditure.
The term "expenditure" also includes a promise to pay, a
payment or a transfer of anything of value in exchange for
goods, services, property, facilities, or anything of value for
the purpose of assisting, benefiting, or honoring any public
offi dial or candidate, or assisting in furthering.or opposing
any election campaign. Agreements,to make expenditures,
contracts, and promises to pay are reported as estimated
obligations until actual payment is made. Payments of bank
se ce charges are also included as expenditures.
Loan repayments are listed in your records as reductions in
the amount contributed by the person making-the campaign
loan. That is, when loans are paid back, you'll reduce _
contributions by the amount of the payment, rather than
listing this payment as an expenditure. _
All expenditures made by the campaign committee (including
any filing fee) must be recorded in your records. Show the
date,"vendor or recipient and amount of each expenditure.
Any expenditure of $50,or more_in currency (actual cash
dollars) may not be made unless a written receipt signed by
the;vendor/recipient and a campaign representative is made .
part of the campaign's records. .
27,
Remember, expenditures may only be made, incurred or
authorized by the candidate or treasurer.
CANDIDATE REGISTRATION AND REPORTING REQUIREMENTS
Mini Reporting In order to comply with the Public Disclosure Law, candi-
dates using mini reporting need only file the C-1 registration
statement, the F-1 personal financial affairs statement, keep -
accurate and detailed records of their contributions and
expenditures, and make these records available during the
eight days preceding the election. No other reporting
obligations exist for mini filers.
Abbreviating Reporting Candidates using abbreviated reporting must file a C-1
registration statement, an F-1 personal financial affairs
statement, keep accurate and detailed records of their
contributions and expenditures, make these-records available
during the eight days preceding the election, and file a post-
election ABB C-4 report. Candidates losing in the primary
file the ABB C-4 on October 10, candidates going on to the
general election file on December 10, and candidates
participating in a special election file on the 10th of the first
month following the election.
Blank Forms Copies of the C-1 and ABB C-4 forms are included at the
end of this manual. Additional forms can be obtained from
county election offices and PDC.
Registering as a Candidates for state or local office in jurisdictions that had . •
Candidate 5,000 or more registered voters as of the last general election
or in jurisdictions covering an entire county must register
with PDC on Form C-1.
This registration must be filed within'two weeks of becoming
a candidate. You become a candidate when you receive - -
contributions, make campaign-related expenditures, publicly
announce your candidacy, or reserve space or file for office,
whichever occurs first. Amended C-1 forms must be filed
within ten days of changes that make the previously filed C-1
outdated. Incumbents must file a new C-1 when they begin a
new campaign. V
28
Send the original C-1 to PDC. Provide a copy to the county
election office of the county where the candidate lives. Keep
a copy for your own records. C-1 forms, like other standard
PDC reports, are considered filed as of the postmark date or
the date hand-delivered to PDC.
The C'-1 Statement Please type or print clearly using black ink. (The
reports are microfilmed for security, and colors other than
black do not photograph well.)
State the candidate's first name, middle initial, and last name
(as it will appear,on the ballot). For example, John A. "Jack"
Jones or Margaret C. "Maggie" Smith.
Identify the candidate's committee name. For example,
Citizeks for Jones.
• Item No. Description
•
1 Show the office being sought, the district, county or
city as well as the position number, if known.
2 If a partisan office is being sought, specify the
candidate's political party.
3 Give the date of the general or special election. -
4 If no option is designated, you are expected to comply
with the full reporting requirements.
5 Identify the campaign treasurer, the person who will
be responsible for receiving contributions, making
expenditures and keeping accurate, detailed records. -
Candidates may serve as their own treasurer. It's also
important to include the treasurer's daytime phone
number.
6 List the name, address and title of the campaign
chairperson, vice-chair, manager, coordinator and
other key people in the organization. There is no
legal requirement specifying what officers the
committee must have.
7 j Name the financial institution where the campaign
account is kept, along with the branch office location
and city.
29
8 If the candidate is affiliated with any joint fund raising
committee or a committee organized to support a slate
of candidates, give the name and address of the
committee(s) and describe the relationship.
9 During the eight days before the election, the
campaign records must be open for public inspection
for two consecutive hours, between 8 am and 8 pm,
Monday through Friday. Identify the location and give
the hours the records will be available.
• 10 For information only.
11 The registration statement is not considered filed
unless signed by the candidate.
30
REGISTRATION: .
CANDIDATES/CANDIDATE COMMITTEE PDC OFFICE USE
Candidate's Name(Do not abbreviate.Include candidate's lull name) C 1
P M
i S
Mary Beth Stevens SR •
R
Candidate's Committee Name(Do not abbreviate.) T K
Stevens for District Court Judge I (1r90) R
Address E
123 Miller Way I
City (County Zip Y
E
Anyplace i Grassland 98000 0
1. What office are you running for? Office District,County or City Position No.
1
District Court Judge - I Grassland County #1
2.Political party(it partisan office) 3.Date of general or special election
n/a 1 November 6, 199X
•
4.How much do plan youto spend during
p your entire election campaign,Including the primary and general elections?Based on that estimate,choose one of the reporting options below.
1
II no box Is checked you are obligated to use Option III,Full.
Reporting.See Instruction manuals for Information about reports required and changing reporting options.
❑ Option I MINI REPORTING
I
I will limit contributions or expenditures during this icampaign to my filing fee of$ plus no more than$500 which includes
charges for the voters pamphlet.I will accept no contribution over$200 from any single source.
OkJ ption II II ABBREVIATED REPORTING • I
I will use the Abbreviated Reporting System. I will raise and spend no more than$2,000 and will accept no more than $200 from any ,
one contributor except from the candidate's personal funds.
I Option III FULL REPORTING
I will use the Full Reporting System.I understand frequent,detailed reports are required.
5.Treasurer's name and address (Candidate may be treasurer.)(List,deputy treasurers on attached sheet.) Daytime phone no.
Michael Kennedy I • (509)555-1212
8.Committee's Principal Officers.List name,address and title. i
Carol Jean Jones, Manager, 123 Miller Way, Anyplace, WA 98000
Karen Lynn, Volunteer Coordinator, 42 Second Avenue, Anyplace, WA 98000
7.Campaign Bank or Depository. I Branch City
Anyplace Savings and Loan I Oak Creek Mall Anyplace
8.Related or affiliated political committees.List name,address and relationship.
None I i ,
9.Campaign records are to be open for public inspection the Iasi eight days before election.(Two hours daily between 8 AM-8 PM,Monday-Friday.)Show location and hours below:
Street Address(Do not use a Post Office Box Number) . Hours
123 Miller Place I 9 am. - 11 am.
Anyplace, WA 98000 .
I
10. Fair Campaign Practices: All candidates and commit- 11.CERTIFICATION:
lee officers are encouraged to subscribe to the Code J I certify that this report White,complete and correct to the best of my knowlege.
of Fair Campaign Practices printed in the instruction
manuals. ! -_ O%,,�, Candidate's signature Date
' FAIR�`;% July 5, 199X
't, .....
0
•
Please advise us about which forms and Instructions you need. Remember, candidates must file a financial
affairs statment (F-1) unless a current one Is already on file with PDC. Check all boxes which apply.
❑ I already have financial affairs and campaign disclosure forms and instructions.
❑ I am using Mini Reporting and,therefore,do not need the other campaign disclosure forms.In addition,I have DISTRIBUTION OF THIS REPORT:
❑ already filed my financial affairs statement and,need no additional F-1 forms. ORIGINAL—Public Disclosure Commission
•I will obtain all forms and instructions from my county elections office. COPY—County Elections Dept.(Auditor)
® I want PDC to mail me: the F-1 instruction booklet(which includes forms)
the appropriate campaign disclosure forms and instructions. COPY—Your own records
r .
31
f
THE ABB C-4 REPORT (Candidates)
The ABB C-4 is the report filed by candidates using
abbreviated reporting to show total contributions received
and el xpenditures made duffing the course of the campaign.
All funds received since the beginning of the campaign --
including any funds carried forward from a previous
campaign.-- and all expenditures made by the campaign must •
be shown on the report.
Due Dates . .The ABB VC-4 Report is due:
• on October 10 from candidates defeated in the primary
election;
• on December 10 from candidates participating in the
general election; .. -
• on the 10th.of the first month following the election from
clandidates participating in a special election; and
• ♦- whenever a candidate's committee ceases operation,
disposes of any surplus campaign funds and has a zero
• account balance. (Final reports may be filed at any time
and may coincide with one of the due dates listed above.)
File the original of the report with PDC and a copy with the
county election'officer of the county in which the candidate
resides. (See page 46 for a list of county election offices.)
Be sure to keep a copy as well. The law requires candidates .
to keep all their campaign records for five years from the
date of the election in which they participate.
Reports are considered filed as of the postmark date or the
date hand-delivered to PDC.
Step-by-Step In the identification section at the top of the ABB C-4
Instructions . report, give the.candidate's,full name, mailing address, city,
county and zip code.
Item No. Description
1 . Show the time frame covered by the report. (For
candidates, that's the start-up date of the campaign
• - through the end of the month in which the election
occurred.)
33
•
2a Indicate the amount of cash on-hand at the beginning
of the campaign that was carried forward from a
previous election. First-time candidates and
candidates who disposed of all funds remaining from a
previous election will put zero ("0") on line 2a.
2b Show the total amount of monetary contributions
received'from the beginning of the campaign through
the end of the month in which the election occurred.
Include all funds donated by the candidate and other
sources as well as loans received from any source.
The figure put on line 2b must be accurate and
supported by your records.
2c The sum of lines 2a and 2b.
2d Give the total monetary value of all in-kind
contributions received by the campaign. Include
candidate's and committee workers' out-of-pocket
expenditures of over $50, donated goods and services,
filing fees (if paid by the candidate or others and not
reimbursed by the campaign), as well as other non-
cash contributions received. See page 22 for a
discussion of the fair market value of in-kind
contributions. (NOTE: In order to comply with the
rules governing abbreviated reporting, the sum of
lines 2b and.2d may not exceed $2,000.)
•
2e The sum of lines 2c and 2d.
3a Show the total expenditures made during the
campaign. Include expenditures made from the
campaign account and petty cash purchases. (Out-of-
pocket expenditures made by the candidate or others
to-benefit the campaign are considered in-kind
contributions.) This figure, like all others disclosed on
the report, must be accurate and supported by
campaign records..
3b Enter the amount shown on line 2d. (In-kind contri-
butions must also be listed as in-kind expenditures.)
3c The sum.of.lines 3a and 3b. This total may not
exceed $2,000.
4a The difference between lines 2c and 3a. This figure
should equal your'bank account balance (plus any
petty cash on hand) as of the last day covered by the report.
4b Show the total of any outstanding campaign debts,
including loans that have not been repaid.
34.
• 4c The difference between lines 4a and 4b. (If 4b is
larger than 4a, show a deficit amount on line 4c.) If
4c is zero, this report is your final report. If the figure
on 4c is not zero, file a final ABB C-4 report when the
surplus or deficit has been disposed of. See page 12
for a discussion on how surplus funds may be used.
Both the candidate and treasurer must sign the report, certi-
fying that the information contained on it is true and complete.
SUMMARY, ABBREVIATED REPORT
RECEIPTS AND EXPENDITURES ABB PDC OFFICE USE
C4 °A
Candidate or committee name(Do not abbreviate.Include full memo) S
Mary Beth Stevens for District Court Ivaco) Tnx
Address E
123 Miller Way E "
City County Zip V
Anyplace Grassland 98000
1. PERIOD COVERED BY REPORT: From: July 7. 199X to, November 30, 199X
a.Candidates: Start of campaign through the end of the month- c.Continuing Committees filing post-election report: January 1
In which the election occurred. through end of the month In which election occurred.
b.Ballot Measure Committees: Start of campaign through the end d.Continuing Committees filing annual report: Calendar year
of the month in which the election occurred. I (January 1 through December 31).
2. RECEIPTS
a. Cash on hand from previous campaign or year None •
(Include money In checking,savings and other accounts)
b. Cash contributions received this campaign or year!
(Include monetary contributions,loans,fund raising 1,650.00
and cash contributions bye candidate)
1,650.00
c. Total cash receipts(Add lines 2a+2b)
d. Other contributions,including in-kind
(Include candidates and committee workers out of pocket
expenditures over$50.00,donated goods and services. 325.00 •
(Dingoes paid by others and similar non•cash contributions)
1,975.00
e. Total contributions(Add lines 2c+2d) r
3. EXPENSES •
1,587.16
a. Cash expenditures
b. Other expenditures.(Enter the amount shown on line 2d above here. •
Non•cesh contributions are listed as both received and expended. 325.00
Disregard any materials which may remain on hand.)
1,912.16
c. Total expenditures(Add lines 3a+3b) •
4. SURPLUS/DEFICIT
a. Cash on hand at end of reporting period(Subtract:line 3a(rem 2c) 62.84
b. Debts and obligations owed None
c. Surplus or deficit 62.84*
*Consider this my final report,; am donating surplus to charity.
CANDIDATES Won Lost Unopposed Name not on ballot
Primary election ❑
Please complete: Q ❑ ❑ ❑
General election Sk'
•
CERTIFICATION:I certify that this report is true and'correct to the best of my knowledge.
Candidate's signature/' ,��'' Date Treasurer's signature(if a political com
mittee) Dale
7)2a 6(z , r ' Dec. 9, 199X *0.44...L.-6 Dec. 9, 199X 3S
POLITICAL COMMITTEE REGISTRATION AND REPORTING REQUIREMENTS
Abbreviated Reporting Othei than full reporting, abbreviated is the only option
available to political committees. Committees using
abbreviated reporting must file a C-lpc registration
statement, keep-accurate and detailed records of their
contributions and expenditures, make these records available
during the eight days preceding the election, and file a post-
election ABB C-4 report. Continuing political committees
that do not participate in an election, file a year-end report
in lieu of the post-election ABB C-4.
Blank Forms Copies of the C-1pc and ABB C-4 forms are included at the
end of this section. Additional forms may be obtained from
county election offices and PDC.
Registering as a Political committees must register with PDC if 1) they
Political Committee support or oppose ballot measures in jurisdictions that had
1,000 or more registered voters as of the last general election
or 2) they support or oppose candidates in jurisdictions that
include an entire county or had 5,000 or more registered
voters as of the last general election.
Mot political committees must register within two weeks of
forming a committee or expecting to receive or spend funds,
• whichever occurs first. Committees that form within three
weeks of an election and expect to receive contributions and
make expenditures with respect to that election must register
within three business days of organizing. Amended C-1pc
reports are filed within ten days of changes that make the
previously filed C-1pc outdated.
Continuing political committees using abbreviated reporting
must also re-register annually between January 1 and
January 31 in order to keep their abbreviated reporting
status. Failure to re-register annually automatically makes
the!continuing committee subject to the full reporting
provisions of the law.
Send the original C-lpc to PDC. Provide a copy to the
county elections office of the county in which the committee
headquarters is located or, if there is no headquarters, the
county in which the treasurer. resides. (See page 46 for a list
of county election offices.) Keep a copy for your records.
C-1pc forms, like other standard PDC reports, are considered
filed as-of the postmark date or the date hand-delivered to PDC.
37
The C-lpc Form Please type or print clearly using black ink. (The reports
are microfilmed for security, and colors other than black do
not photograph well.)
Give the committee's complete, official name. Include any
acronym in the space provided (for example, "HALT' for
Homeowners Against Lofty Taxes). Give the committee's full
mailing address. Indicate whether this is a new or amended
registration and whether your group is a continuing
committee or organized for a specific election only.
Item No. Description
1 Specify the committee's purpose.
2 Give the name, address and relationship to any other
committee -- including a candidate's -- with which your
committee is affiliated either structurally,
philosophically or for joint fund raising purposes.
3 If you do not specify abbreviated reporting, you're
automatically subject to the full reporting
requirements.
4 Identify the committee treasurer's name, address and
daytime telephone number. This is the person who is
ultimately responsible for receiving contributions,
making expenditures, keeping accurate, detailed
records and filing timely and complete reports.
5 List the name, address and title of the committee's
chairperson, vice-chair, manager, coordinator and
other key'people. There is no legal provision
specifying what officers your committee must have,
other than a treasurer.
6 Name the financial institution where your campaign
account is kept, along with the branch office location
and city.
7 During the eight days before any election in which
your committee is spending money, the committee
records must be open for public inspection for two
consecutive hours, between 8 am and 8 pm, Monday
through Friday. Identify the location and give the
hours the records will be available.
8 For information only. Compliance with the Fair -
Campaign Practices Code is voluntary. •
•
38
.
• 9 ; Registrations are not considered filed unless signed by
the committee treasurer.
•
REGISTRATION:
• POLITICAL COMMITTEES P M PDC OFFICE USE
P D A
1
Committee Name(Show entire official name.) Acronym „, S R
• IiiT
Public Safety First .1 PSF (10r91) R
I
Address
C
PO Box 704 - . E •
City • I County Zip+4 V
Anyplace Grassland 98000-0000 D '
NEW REGISTRATION OR UPDATE OF PRIOR REGISTRATION? I COMMITTEE STATUS ,
XXNEW:Complete all Items In the registration 1 0 Continuing committee
0 AMENDED:Supply the information below which has changed xa 19 9 X election only:election dale_Nov ember 3, 199 X
. 1. COMMITTEES:What Is the purpose or description o1 the committee?
❑ Political Party,Central Committee,District Club.etc. I �-
Identity political party.II you are not supporting the entire
party ticket,attach a list of the candidates you support. Ballot Number FOR AGAINST
$](Ballot Committee(Initiative,Bond,Levy,Recail,elc.) Increased Funding for Public Safety 000 AEI -
Name or description of ballot measure: •
(
❑ Political Action Committee.II commlllee Is associated with a
business,association,labor union,or similar organization,list name:
❑ Other.Explain on attached sheet. .
i
2. Related or affiliated committees.List name,address and relationship. '
I
None i
7. HOW MUCH DO YOU PLAN TO SPEND DURING THIS ENTIRE ELECTION CAMPAIGN,INCLUDING THE PRIMARY AND GENERAL ELECTIONS?BASED ON THAT ESTIMATE.CHOOSE ONE OF THE
REPORTING OPTIONS BELOW.(II the committee is a continuing organizetion,estimate spending on a calendar year.)
II no box Is checked you are obligated to use Full Reporting.See reporting Instruction booklets for Information about reports required and changing reporting options. •
X( ABBREVIATED REPORTING • •
We will use the Abbreviated Reporting System.We will raise and spend no more than$2,000 and will accept no more than$200 Iron any one conlribulor.
❑ FULL REPORTING
We rill)use the Full Reporting System.We understand this means we must file frequent,detailed reports required by law.
•
4. Treasurer's name and address (Llsl deputy treasurers on attached sheet.) Daytime phone no,
Michael Kennedy, PO Box 704, Anyplace, WA 98000-0000 (509) 555-0000
5. Committee's Principal Officers.List name,address and title.
Susan Simpson, Chair, 711 Washiigton'St., Anyplace, WA 98000-0000 .
Adam Adamson, Vice—Chair, PO Box 85, Hometown, WA 99800-0000
•
•
6. Campaign Bank or Depository.
Anyplace Savings and Loan
Branch i City
Downtown Anyplace, WA
7. Campaign records are to be open for public inspection the last eight days before election.(Two hours daily between 8 AM-0 PM,Monday-Friday.)Show location and hours below:
Street Address(Do not use a Post Office Box Number) Hours
Kennedy & Associates 1 :00-3:00 pm
812 Hightower Avenue ,
Anyplace, WA -
8. Fair Campaign Practices:All committee officers are encouraged to 9. Signature end Certlllcation.I certify That this statement Is true,complete and correct to the -
subscribe fo the Code of Fair Campaign Practices printed In campaign best a1 my knowledge.
instruction booklets. n '
FAH, Committee treasurer•s_slgnalure Dale
-C-1/.. /�_ /� .U „n I July 10, 199X
Need campaign finance forms and Instructions for 1 e reporting system selected?
.Please check one of the following boxes:
0 I already have forms and instructions.
❑ I will get forms and instructions from my county elections office.
gy I want the Public Disclosure Commission to mail me the proper forms and instructions.
39
THE ABB C-4 REPORT (Political Committees)
Single-Election The ABB C-4 is the report filed by single-election political
Political Committees committees using abbreviated reporting to show total
contributions received and expenditures made during the
course of the campaign. All funds received and spent since
the beginning of the campaign must be accounted for in the
respective totals shown on the report.
Continuing Political The ABB-C-4 is the report filed by continuing political
Committees committees using abbreviated reporting to show total
contributions received and expenditures made since January 1
of the current calendar year. All funds,received and spent
since the beginning of the year must be accounted for in the
respective totals shown on the report.
Due Dates The ABB C-4 Report is due:
• on October 10 from all committees only supporting or
opposing ballot issues voted on in the primary election
and/or candidates who were defeated in the primary;
• on December 10 from all committees supporting or
opposing ballot issues voted on in the general election
and/or candidates whose names appeared on the general
election ballot;
• on the 10th of the first month following the election from
all committees supporting or opposing candidates or issues
appearing on a special election ballot;
• on January 10 from continuing political committees that
did not participate in any elections during the preceding
year; and
• whenever a committee ceases operation, disposes of any
surplus campaign funds and has a zero account balance.
(Final reports may be filed at any time and may coincide
with one of the due dates listed above.)
File the original report with PDC and a copy with the county
elections office of the county in which the committee
headquarters is located or, if there is no headquarters, the
county in which the treasurer resides. (See page 46 for alist
of county election offices.) Be sure to keep a copy of the
r
40 -
report. The committee is required to keep all campaign
records for five years from the date of the election.
Reports are considered filed as of the postmark date or the
date hand-delivered to PDC.
Step-by-Step In the identification section at the top of the ABB C-4
Instructions report, give the committee's full name, mailing address, city,
County and zip code:
i
Item No. Description
1 . Show the reporting period covered by the report. (For
single-election committees, it's the start of the
campaign through the end of the month in which the
election occurs; for continuing committees, it's the first
of the year through the.end of the month in which the
election occurs or the. end of the year, depending on
whether a post-election or annual report is being
filed.)
2a Indicate the amount of cash on-hand at the beginning
of the campaign that was carried forward from a
previous election. Committees that first organized
with respect to this election will put zero ("0") on line'
2a.
2b Show the total amount of monetary contributions
received during the reporting period. Include all funds
donated during the period as well as loans received
from any source. Be sure the figure put on line 2b is
accurate and supported by your records.
2c The sum of lines 2a and 2b.
2d Give the total monetary value of all in-kind
contributions received by the campaign. Include
committee workers' out-of-pocket'expenditures of.over
$50, donated goods and services, as well as other non-
• monetary contributions received. See page 22 for a
discussion of the fair market value of in-kind
contributions. (NOTE: In order to comply with the
rules governing abbreviated reporting, the sum of lines
2b and 2d may,not exceed $2,000.)
•
2e The sum of lines 2c and 2d.
41
3a Show the total expenditures made during the
campaign. Include expenditures made from'the
campaign account and petty cash purchases. (Out-of-
pocket expenditures made to benefit the campaign
that are not reimbursed by the campaign are consid-
ered in-kind contributions.) This figure, like all others
disclosed on the report, must be accurate and
supported by campaign records:
3b Enter the amount shown on line 2d. (In-kind
contributions must also be listed as in-kind
expenditures.)
3c The sum of lines 3a and 3b. This total may not
exceed $2,000.
4a The difference between lines 2c and 3a. This figure
should equal your bank account balance (plus any
petty cash on hand) as of the last day covered by the
report.
4b Show the total of any outstanding campaign debts,
including loans that have not been repaid.
4c The difference between lines 4a and.4b. (If 4b is
larger than 4a, show a deficit amount on line 4c.) If
4c is zero, this report is your final report. If the figure
on line 4c is other than zero, file a final ABB C-4
report when any surplus or deficit has been disposed
of. See page 12 for a discussion on how surplus funds
may be used.
The treasurer must sign the report, certifying that the
information contained on it is true and complete.
42
•
SUMMARY, ABBREVIATED REPORT
RECEIPTS. AND EXPENDITURES ABB PDC OFFICE USE
o�
Candidate or committee name(Do not abbreviate.Include lull name) C 4 s n
T K
Public Safety First (Iiac)
Address •
E
P 0 Box 704 I E
City I • County Zip V
Anyplace I Grassland 98000
1. PERIOD COVERED BY REPORT: From: July 2, 199X to: November 30, 199X
•
a.Candidates: Start of campaign through the end of:the month c.Continuing Committees filing post-election report: January 1
in which the election occurred. through end of the month in which election occurred.
b.Ballot Measure Committees: Start of campaign tlirough the end d.Continuing Committees filing annual report: Calendar year
of the month in which the election occurred. (January 1 through December 31).
2. RECEIPTS
a. Cash on hand from previous campaign or year zero
(Include money in checking,savings and other accounts)
b. Cash contributions received this campaign or year
(Include monetary contributions,loans,fund raising 1 225.00 and cash contributions by a candidate) i r
c. Total cash receipts(Add lines 2a+2b)
j 1 ,225.00
d. Other contributions,including in-kind
(Include candidates and committee workers out of pocket
expenditures over$50.00,donated goods and services, 110.00
filing fees paid by others and similar non-cash contributions)
ec Total contributions(Add lines 2c+2d) 1 ,335.00
I -
3. EXPENSES
a. Cash expenditures 1 ,225.00
b. Other expenditures.(Enter the amount shown on line 2d above here. •
Non-cash contributions are listed as both received and expended.
Disregard any materials which may remain on hand.) 110.00
1 ,335.00
c. Total expenditures(Add lines 3a+3b) •
•
I r
4. SURPLUS/DEFICIT I •
a. Cash on hand at end of reporting period(Subtract:line 3a from 2c) --
b. Debts and obligations owed --
c. Surplus or deficit --
CANDIDATES Won'. Lost Unopposed Name not on ballot
Primary election El
Please complete: OI ❑ ❑ ❑
General election •
CERTIFICATION:I certify that this report is true and correct to the best of my knowledge.
Candidate's signature Dale Treasurer's signature(if a political comm'lee) Date
12/7/9X
L-17//'
43
' I
Pertinent Government Agencies
QUESTIONS ABOUT AGENCY • TELEPHONE
Federal Income Tax Internal Revenue Service 1-800-424-1040
(Form 1120-POL) (local office)
Employer ID Number (if campaign has employees) " 1-800-829-3676
(Form SS-4)
Employee Withholding (W-4 form)
Social Security Social Security Administration (local office)
Federal Campaign Reporting I Federal Election Commission 1-800-424-9530
999 E Street, N.W.
Washington, D.C. 20463
State Taxes Department of Revenue 206-753-5540
PO Box 47462
Olympia, WA 98504-7450
Employment Security Department 206-753-5116
212 Maple Park, M/S 6000
Olympia, WA 98507-9046
Business Licenses Department of Licensing 1-800-562-8203
1125 Washington St SE, M/S 8001 or
Olympia, WA 98504 206-753-6918
or
Local City Clerk or Treasurer
Liquor and Banquet Permits Local WA State Liquor Store
or
Liquor Control Board 206-753-6262
1025 E. Union,PO Box 43076
• Olympia,WA 98504-3076
Gambling Permits Gambling Commission 206-438-7654
(bingo, raffles) 1100 S. Jefferson, M/S 2400
Olympia, WA 98504-2400
Health Permits (food sales) County or City Health Department
Incorporation i Secretary of State 206-753-7115
505 E. Union, PO Box 40234
Olympia, WA 98504-0234
Postal Permits Local U.S. Post Office
Declarations of Candidacy County Auditor or
Secretary of State 206-753-2334
Candidates Voter Pamphlet County Auditor or Secretary of State
Election Laws County Auditor/County Prosecutor
Political Broadcasting Federal Communications Commission 202-632-7586
Broadcast Bureau
Washington, D.C. 20554
Sign Regulations See page 47
45
•
•
•
County Election Officials •
ADAMS COUNTY AUDITOR
210 W BROADWAY RITOVILLE WA 99169-1860
ASOTIN COUNTY AUDITOR
PO BOX 129 ASOTIN WA 99402-0129
BENTON COUNTY AUDITOR
620 MARKET ST PO BOX 470 PROSSER WA 99350-1300
CHELAN COUNTY AUDITOR
WASHINGTON &ORON00 ST PO BOX 400 WENATCHEE WA 98801-2886
• CLALLAI4 COUNTY AUDITOR
223 E 4TH PORT ANGELES WA 98362-3025
CLARK COUNTY AUDITOR
1200 FRANKLIN ST PO BOX 5000 VANCOUVER WA 98660-2872
COLUMBIA'COUNTY AUDITOR
341 E MAIN ST DAYTON WA 99328-1361
COWLITZ COUNTY AUDITOR
207 4TH AVE N KELSO WA 98626-4190
DOUGLAS COUNTY AUDITOR
PO BOX 456 WATERVILLE WA 98858-0456
FERRY COUNTY AUDITOR
350 E DELAWARE PO BOX 498 REPUBLIC WA 99166-0498
FRANKLIN COUNTY AUDITOR
1016 N 4TH AVE PASCO WA 99301-3706
GARFIELD COUNTY AUDITOR
PO BOX 278 POMEROY WA 99347-0278
GRANT COUNTY AUDITOR
C ST NW PO BOX 37 EPIIRATA WA 98823-0037•
GRAYS HARBOR COUNTY AUDITOR
100 W BROADWAY PO BOX 751 MONTESANO WA 98563-3614
•
ISLAND COUNTY AUDITOR
7TH&MAIN ST PO BOX 5000 COUPEVILLE WA 98239-9998 •
JEFFERSON COUNTY AUDITOR
1820 JEFFERSON ST PO BOX 563 PORT TOWNSEND WA 98368-6951
KING CO RECORDS &ELECTIONS
COUNTY ADMINISTRATION BG 0553 500 4TH AVE SEATTLE WA 98104-2337
KITSAP COUNTY AUDITOR
614 DIVISION ST PO BOX 189 PORT ORCHARD WA 98366-4676
KITTITAS COUNTY AUDITOR
5TH A MAIN ELLENSBURG WA 98926-2897
KLICKIIAT COUNTY AUDITOR
205 S COLUMBUS AVE 0203 GOLDENDALE WA 98620-9293
LEWIS COUNTY AUDITOR
351 NW N ST PO BOX 29 CHEHALIS WA 98532-1926
LINCOLN COUNTY AUDITOR
PO BOX 366 DAVENPORT WA 99122-0366
MASON COUNTY AUDITOR
411 N 5TH PO BOX 400 SHELTON WA 98584-3400
OKANOGAN COUNTY AUDITOR
149 3RD N PO BOX 1010 OKANOGAN WA 98840-1010
PACIFIC COUNTY AUDITOR
300 MEMORIAL AVE PO BOX 97 SOUTH BEND WA 98586-0097
PEND OREILLE COUNTY AUDITOR
625 W 4TH PO BOX 5000 NEWPORT WA 99156-5000
PIERCE COUNTY AUDITOR
2401 S 35TH 0200 TACOMA WA 98409-7460
SAN JUAN COUNTY AUDITOR
350 COURT ST PO BOX 638 FRIDAY HARBOR WA 98250-0638
SKAGIT COUNTY AUDITOR
205 KINCAID ST PO BOX 1306 MOUNT VERNON WA 98273-4225
SKAMANIA COUNTY AUDITOR
2ND ST PO BOX 790 STEVENSON WA 98648-9704
SNOHOMISH COUNTY AUDITOR .
3000 ROCKEFELLER AVE 1ST FLR EVERETT WA 98201-4046
SPOKANE COUNTY AUDITOR
W 1116 BROADWAY SPOKANE WA 99260-0430
STEVENS COUNTY AUDITOR
'215 S OAK ST PO BOX 169 COLVILLE WA 99114-2836
THURSTON COUNTY AUDITOR
2000 LAKERIDGE DR SW OLYMPIA WA 98502-6045
WAHKIAKUM COUNTY AUDITOR
64 MAIN ST PO BOX 543 CATHLAMET WA 98612-9602
WALLA WALLA COUNTY AUDITOR
315 W MAIN ST PO BOX 1856 WALLA WALLA WA 99362-2820
WHATCOM COUNTY AUDITOR
311 GRAND AVE PO BOX 398 BELLINGHAM WA 98225-4186
WHITMAN COUNTY AUDITOR
404 N MAIN ST PO BOX 350 - COLFAX WA 99111-2071
YAKIMA COUNTY AUDITOR
N 2ND&E "B" ST YAKIMA WA 98901-2646
46
•
• WA State Department of Transportation
District Traffic Engineers
'Washington State is divided into six transportation districts. See map on reverse. Each
district has a traffic engineer and other staff who are able to advise campaigns on the
size, spacing and placement of political signs so that they conform with federal and state
highway laws. (Campaigns may need to contact local police or sheriff departments
regarding additional local ordinances regulating signs.)
Campaigns intending to erect signs within a transportation district should contact the
appropriate office.
District #1 Bill Garing (206) 562-4251
Department of Transportation
15325 SE 130th Place
Bellevue, WA 98007-6538
District #2 John Bak I r (509) 663-9638
Department of Transportation
1551 North Wenatchee Avenue
PO Box 98
Wenatchee, WA 98801
District #3 Charles D. Hornbuckle (206) 357-2670
Department of Transportation
5720 Capitol Blvd.
PO Box 9327
Olympia, :WA 98504
District #4 Jerry Sorrell (206) 696-6376
Department of Transportation
4200 Main Street
PO Box 1709
Vancouver, WA 98668
District #5 George R. Hilsinger (206) 575-2521
Department of Transportation
2809 Rudkin Road, Union Gap
(Mailing: PO Box 12562
Yakima, WA 98909-2560)
District #6 Robert R. Earnest (509) 456-3007
Department of Transportation
N 2714 Mayfair Street
Box 5299 North Central Station
Spokane,;WA 99205
47
1
STEVENS PEND
- WHATCOM OKANOGAN FERRY OREILLE
•
fl ‘
BAN JUAN SKAGIT -
A
,o__O
2
\?._•
I-LA
\--1 '
CLALLAM SNOHOMISH
�T� CHELAN
V 1 SPOKANE6r,
DOUGLAB
JEFFERSON J LINCOLN
KITBA KING
MASON
A.___________--,
A
GRAYS HARBOR •
NW.'_A() L , KITTITAB ' / GRANT .
• v \ U ADAMB WHITMAN
„�i O PIERCE
C
1 THURSTON r
YAKIMA I !
PACIFIC I - 1 ``
I.
LEWIB FRANKLIN
01' .. eARFIELD
BENTON WALLA
WALLA COLUMBIA
ABOTIN
COWLITZ SKAMANIA y-��r] _
• WAHKIAKU �+
•
KLICKITAT
WASHINGTON STATE
DEPARTMENT OF TRANSPORTATION
DISTRICT BOUNDARIES
I 1
• i
Index
_
Advertising 14
,Anonymous contributions 10
Bank service charges 27 •
Banks and banking 13
Bumper stickers 16 ILLUSTRATIONS
Campaign buttons 16
c. Candidate's money 19, 20, 34 C-1 (Candidate Registration) 31
Candidate's out-of-pocket expenses 34
Candidates required to report 2 C-lpc (Political Committee Registration) 39
) Concealment 9
Continuing political committee 5, 40 ABB C-4 (Candidate Report) 35
Contribution, defmition, 20
Contribution, personal use of, 11 ABB C-4 (Committee Report) 43
Contribution limits 5
Dates reports required (see front of manual)
• Discounts 20, 22 APPENDIX
Donated goods and services 22
Earmarked contributions 9 Pertinent Government Agencies 45
Exempt from reporting 3, 5 -
Expenditures, definition, 27 - County Election Offices 46
Fair Campaign Practices Code 19
Fair market value 22 Department of Transportation Contacts 47
Fund raising events 24 - (Sign Placement)
Garage sale 26
In-kind contributions 22
In-kind expenditures 34, 42
Interest 14
Investment of funds 14
Loans 24
Orders placed 27
Payments to the candidate 11
Pledges received 20 •
Political committee 4
Prohibitions and restrictions 9 -
Public inspection of fmancial books 13
Public office, use of, 12
Registration 2, 28, 37 •
Summary or reports (see front of manual)
Surplus, retention by candidates, 12 •
Surplus funds, disposition, 12 .
Unidentified contributions 10
Who must report 2 -
I .
49
•
PUBLIC DISCLOSURE COMMISSION
'i 711 CAPITOL PO BOX 40908 WAY RM 403 REGISTRATION: '
OLYMPIA WA 98504-0908 CANDIDATES/CANDIDATE COMMITTEE
(206)753-1111 PDC OFFICE USE
Candidate's Name(Do not abbreviate.Include candidate's full name). C 1 P M
0 A
S R
T K
Candidate's Committee Name(Do not abbreviate.)
(4/93) E
Mailing Address C
I E
I
City County Zip+4 E
I ••
1. What office are you running for? Office District,County or City Position No.
2. Political party(if partisan office) i 3. Date of general or special election
i
4. How much do you plan to spend during your entire election campaig 1,including the primary and general elections?Based on that estimate,choose one of the reporting options below.
If no box is checked you are obligated to use Option III,Full Rep forting.See instruction manuals for information about reports required and changing reporting options.
i
❑ Option I MINI REPORTING
•
I will limit contributions or expenditures during this campaign to my filing fee of$ plus no more than$500,including
charges for the voters pamphlet.I will accept no more than$200 in the aggregate from any contributor except myself.
❑ Option II ABBREVIATED REPORTING 1
I will use the Abbreviated Reporting System.I will raise and spend no more than$2,000 and will accept no more than$200 in the aggregate from any
contributor except myself.
❑ Option III FULL REPORTING 1
I will use the Full Reporting System.I understand frequent,detailed reports are required.
5.Treasurer's Name and Address(Candidate may be treasurer.)(List deputy treasurers on attached sheet.) Daytime Telephone Number
.
6. Committee's Principal Officers.List name,address and title. .
•
I
7. Campaign Bank or Depository i Branch City •
I
•
8. Related or Affiliated Political Committees.List name,address and relationship. •
9. Campaign records are to be open for public inspection the last eight days before election.(Two hours daily between 8 AM-8 PM,Monday-Friday.)Show location and hours below:
Street Address(Do not use a Post Office Box Number) 1 Hours
I
I '
I .
10. Fair Campaign Practices:All candidates and committee t� 11. CERTIFICATION:
officers are encouraged to subscribe to the Code of , \ I certify that this report is true,complete and correct to the best of my knowledge.
Fair Campaign Practices printed in the instruction manuals. > FAIR
�1 Candidate's signature Date
AMPAIG
•
pdc
Please advise us about which forms and instructions you need.Remember,candidates must file a Financial Affairs
Statement(F-1)unless a current one is already on file with PDC.Check all boxes which apply.
❑ I already have financial affairs and campaign disclosure forms and instructions.
❑ I am using Mini Reporting and,therefore,do not need the other campaign disclosure forms.In addition,I have already filed DISTRIBUTION OF THIS REPORT:
my Financial Affairs Statement and need no additional F-1 forms. k.
ORIGINAL—Public Disclosure Commission
❑ I will obtain all forms and instructions from my county elections office. COPY—County Elections Dept.(Auditor)
❑ I want PDC to mail me: _ the F-1 instruction booklet(which includes forms) COPY—Your own records
_ the appropriate campaign disclosure forms and instructions.
PDC form C-1(rev.4/93) -1499-C1- . See instructions on reverse
PUBLIC DISCLOSURE COMMISSION - PDC FORM_ CANDIDATE
w 711 CAPITOL WAY RM 403
3 PO BOX 40908 1 REGISTRATION
O WA 98504 0908 STATEMENT
(206)06)753 753-1111
J •
INSTRUCTIONS
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42.17 RCW and 390-16 WAC.
WHO,MUSTFILE Candidates who run for state or local office in jurisdictions that had 5,000 or more
registered voters as of the last general election or in jurisdictions covering an entire
county.
WHEN TO FILE Within 2 weeks of becoming a candidate (that is, receiving contributions, making
expenditures, announcing candidacy, reserving space or filing for office, whichever
occurs first). File an amended registration within 10 days of changes affecting
accuracy of previously filed C-1. Report is considered filed as of postmark date or
date hand-delivered to PDC.
WHERE TO FILE Send the original to PDC at the above address. Send a copy to County Auditor
(County Elections Department) of the county in which the candidate resides.
REPORTING Option I (MINI): May be used by candidates who raise and spend no more than $500
OPTIONS on their campaigns (including personal funds), in addition to the filing fee amount.
Limited to receiving $200 or less from any contributor other than the candidate (who
may give the entire $500).
Option II (ABBREVIATED): May be used by candidates who raise and spend no
more than $2,000 on their campaigns (including personal funds). Filing fee costs
count toward this limit. No more than $200 may be accepted from any contributor
other than the candidate.
Option III (FULL): Required of candidates who do not qualify for Mini or Abbreviated
Reporting. Frequent, detailed reports of contributions and expenditures are required
as long as the campaign account remains open.
OTHER REPORTS F-1 (Financial Affairs Statement): Filed by candidates within 2 weeks of becoming a
candidate, unless a previous F-1 filing has been made in the same calendar year.
C-3 (Cash Receipts Report): Used with Full Reporting only.
C-4 (Contribution and Expenditure Report): Used with Full Reporting only.
C-4 ABB (Receipts and.Expenditures Summary): Filed by candidates using
Abbreviated Reporting.
FAIR CAMPAIGN This is a voluntary code adopted by PDC to stress the importance of ethical
PRACTICES CODE campaign practices. All candidates and campaign workers are encouraged to follow
the Code's principles.
For assistance, call or write PDC!
PUBLIC DISCLOSURE COMMISSION i
° i 711 BOX 4 908 AY RM 403 REGISTRATION:
OLYMPIA WA 98504-0908 CANDIDATES/CANDIDATE COMMITTEE
(206)753-1111 PDC OFFICE USE
Candidate's Name(Do not abbreviate.Include candidate's full name) j P M
C 1 O AR
R
T K
Candidate's Committee Name(Do not abbreviate.)
(4/93) E
Mailing Address C
E
I
City County Zip+4 v
E
D
1.What office are you running for? • Office District,County or City Position No.
•
I •
2. Political party(if partisan office) ii 3. Date of general or special election
1
4. How much do you plan to spend during your entire election campaign,including the primary and general elections?Based on that estimate,choose one of the reporting options below.
If no box is checked you are obligated to use Option III,Full Reporting.See instruction manuals for information about reports required and changing reporting options.
1
❑ Option I MINI REPORTING
I will limit contributions or expenditures during this campaign to my filing fee of$ plus no more than$500,including
charges for the voters pamphlet.I will accept no more than$200 in the aggregate from any contributor except myself.
1
❑ Option II ABBREVIATED REPORTING 1
I will use the Abbreviated Reporting System.I will raise and spend no more than$2,000 and will accept no more than$200 in the aggregate from any
contributor except myself.
❑ Option III FULL REPORTING
I will use the Full Reporting System.I understand frequent,detailed reports are required.
5.Treasurer's Name and Address(Candidate may be treasurer.)(List deputy treasurers on attached sheet.) Daytime Telephone Number .
I ( )
6. Committee's Principal Officers.List name,address and title.
I
1
.
I
7. Campaign Bank or Depository 1 Branch City
i ,
8. Related or Affiliated Political Committees.List name,address and relationship.
9. Campaign records are to be open for public inspection the last eight days before election.(Two hours daily between 8 AM-8 PM,Monday-Friday.)Show location and hours below:
Street Address(Do not use a Post Office Box Number) I Hours
I
1
10. Fair Campaign Practices:All candidates and committee 11.CERTIFICATION:
. officers are encouraged to subscribe to the Code of [7;.._ I certify that this report is true,complete and correct to the best of my knowledge.
Fair Campaign Practices printed in the instruction manuals.
FAIR-, Candidate's signature • Date
. AMPAIG
y.,.r
V y
pdc
Please advise us about which forms and instructions you need.Remember,candidates must file a Financial Affairs .
Statement(F-1)unless a current one is already on file with PDC.Check all boxes which apply.
• ❑ I already have financial affairs and campaign disclosure forms and instructions.
i
❑ I am using Mini Reporting and,therefore,do not need the other campaign disclosure forms.In addition,I have already filed DISTRIBUTION OF THIS REPORT:
my Financial Affairs Statement and need no additional F-1 forms. ORIGINAL—Public Disclosure Commissic
❑ I will obtain all forms and instructions from my county elections office. • COPY—County Elections Dept.(Auditor)
❑ I want PDC to mail me: _ the F-1 instruction,booklet(which includes forms) COPY—Your own records
_ the appropriate campaign disclosure forms and instructions.
• 1
PDC form C-1(rev.4/93) -1499-C1- See instructions on reverse
PUBLIC DISCLOSURE COMMISSION PDC FORM CANDIDATE •711 CAPITOL WAY RM 403
PO BOX REGISTRATION
OLYMPIA WA 96504-0906 STATEMENT(206)753-1111 i"
INSTRUCTIONS
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42:17 RCW and 390-16 WAC.
WHO MUST FILE Candidates who run for state or local-office in jurisdictions that had 5,000 or more
registered voters as of the last general election or in jurisdictions covering an entire
county.
WHEN TO FILE Within 2 weeks of becoming a candidate (that is, receiving contributions, making
expenditures, announcing candidacy, reserving space or filing for office, whichever
occurs first). File an amended registration within 10 days of changes affecting •
accuracy of previously filed C-1. Report is considered filed as of postmark date or
date hand-delivered to PDC.
WHERE TO FILE Send the original to PDC at the above address. Send a copy to County Auditor
(County Elections Department) of the county in which the candidate resides.
REPORTING .Option I (MINI): May be used by candidates who raise and spend no more than $500
OPTIONS on their campaigns (including personal funds), in addition to the filing fee amount.
Limited to receiving $200 or less from any contributor other than the candidate (who
may give the entire $500).
Option II (ABBREVIATED): May be used by candidates who raise and spend no
more than $2,000 on their campaigns (including personal funds). Filing fee costs
count toward this limit. No more than $200 may be_accepted from any contributor
other than the candidate.
Option III (FULL): Required of candidates who do not qualify for Mini or Abbreviated
Reporting. Frequent, detailed reports of contributions and expenditures are required
as long as the campaign account remains open.
OTHER REPORTS F-1 (Financial Affairs Statement): Filed by candidates within 2 weeks of becoming a
candidate, unless a previous F-1 filing has been made in the same calendar year.
C-3 (Cash Receipts Report): Used with Full Reporting only.
C-4 (Contribution and Expenditure Report): Used with Full Reporting only.
C-4 ABB (Receipts and Expenditures Summary): Filed by candidates using
Abbreviated Reporting.
FAIR CAMPAIGN This is a voluntary code adopted by PDC to stress the importance of ethical
PRACTICES CODE campaign practices. All candidates and campaign workers are encouraged to follow
the Code's principles.
For assistance, call or write PDC!
PUBLIC DISCLOSURE COMMISSION
711 CAPITOL WAY RM 403 REGISTRATION:
C ,.ilia
PO BOX 40908
OLYMPIA WA965040908 ' POLITICAL COMMITTEES
(206)753-1111 P M PDC OFFICE USE
•
C1 P OA
lee Name(Show entire official name.) Acronym A S R
•
4 T K
• (4/93) R •
I
E -
Mailing Address C
E
i• I
City County Zip+4 V
E
D
NEW REGISTRATION OR UPDATE OF PRIOR REGISTRATION? COMMITTEE STATUS
0 NEW:Complete all items in the registration ❑Continuing committee
0 AMENDED:Supply the information below which has changed 0 19 election only;election date
1. What is the purpose or description of the committee?
❑ Bona Fide Political Party Committee(official state or county central committee .
or legislative district committee).If you are not supporting the entire party
ticket,attach a list or specify here the names of the candidates you support. -
❑ Ballot Committee(Initiative,-Bond,Levy,Recall,etc.) I Ballot Number FOR AGAINST
Name or description of ballot measure:
❑ Political Action Committee,Political Club or Organization(including party clubs).If PAC
is associated with a business,association,labor union,or similar entity,specify name: -
❑ Other.Explain on attached sheet. .
2. Related or affiliated committees.List name,address and relationship. i
;
3. HOW MUCH DO YOU PLAN TO SPEND DURING THIS ENTIRE ELECTION CAMPAIGN,INCLUDING THE PRIMARY AND GENERAL ELECTIONS?BASED ON THAT ESTIMATE,CHOOSE
ONE OF THE REPORTING OPTIONS BELOW.(If the committee is a continuing organization,estimate spending on a calendar year basis.)
If no box is checked you are obligated to use Full Reporting.See reporting instruction booklets for information about reports required and changing reporting options.
1
0 ABBREVIATED REPORTING I •
We will use the Abbreviated Reporting System.We will raise and spend no more than$2,000 and will accept no more than$200 in the aggregate from any one contributor.
FULL REPORTING
We will use the Full Reporting System.We understand this means we must file the frequent,detailed reports required by law.
I
4. Treasurer's Name and Address (List deputy treasurers on attached sheet.) Daytime Telephone Number
•
5. Committee's Principal Officers.List name,address and title. i
1
I
I
6. Campaign Bank or Depository.
I
Branch I City
7. Campaign records are to be open for public inspection the last eight days'before the election.(Two hours daily between 8 AM-8 PM,Monday-Friday.)Show location and hours below:
Street Address(Do not use a Post Office Box Number) I Hours
•
8. Fair Campaign Practices:All committee officers are encouraged to ! -.,''''' ..;i.� 9. Signature and Certification.I certify that this statement is true,complete and correct to the
subscribe to the Code of Fair Campaign Practices printed in campaign r% i# best of my knowledge.
instruction booklets. :r/ •
7' FAIR Committee treasurer's signature Date
. ;<,'cAIMPAIG 5
Need campaign finance forms and instructions for the reporting system selected?
• Please check one-of the following boxes:
❑ I already have forms and instructions.
❑ I will get forms and instructions from my county elections office.
❑ I want the Public Disclosure Commission to mail me the proper forms and instructions.
PDC form C-1(Rev.4/93)—f I See Instructions on reverse
•
•
,bv
PUBLIC DISCLOSURE COMMISSION PDC FORM POLITICAL COMMITTEE
711 CAPITOL PO BOX 4 906 AYRM403 �� C REGISTRATION --
OLYMPIA WA 98504-0908 STATEMENT(206)753-1111
(4/93)
INSTRUCTIONS
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42.17 RCW and 390-16 WAC.-
WHO MUST FILE Persons, committees, organizations and groups that receive contributions and make
expenditures in support of or opposition to: candidates in jurisdictions of 5,000 or more
registered voters as of the last general election; statewida ballot issues; or local ballot
issues in jurisdictions with 1,000 or more registered voters as of the last general election.
WHEN TO FILE Within 2 weeks of organizing a committee or first expecting to receive contributions or
make expenditures, whichever occurs first. (Committees that organize within three
weeks of an election must file within three business days of forming or of expecting
to receive contributions or make expenditures.) File an amended C-1 pc form within 10
days of significant changes to the registration information provided. Continuing political
committees using Abbreviated Reporting must also file a C-1 pc annually in January.
Reports are considered filed as of the postmark date or date hand-delivered to PDC.
WHERE TO FILE Send the original to PDC at the above address. Send'acopy to the County Auditor
(County Elections Department) of the county in which the committee headquarters is
located. If there is no headquarters, send to the County Auditor of the county in which the
treasurer resides.
REPORTING Abbreviated Reporting: May be used by committees that raise and spend no more than
OPTIONS $2,000 on their campaign activities. No more than $200 may be accepted from any
contributor. A 10th-of-the-month post primary, general or special election C-4 ABB report
is required. Continuing committees re-register annually and file a year-end C-4 ABB by
January 10 for any year in which they do not participate in an election.
Full Reporting: Required of all committees that do not qualify for,Abbreviated Reporting.
Frequent, detailed reports of contributions and expenditures are required until the _
•committee is disbanded and the campaign account is closed.
OTHER REPORTS C-3 (Cash Receipts Report): Used with Full Reporting only.
C-4 (Contribution and Expenditure Report): Used with Full Reporting only.
C-4 ABB (Receipts and Expenditures Summary): Filed by candidates and committees
using Abbreviated Reporting.
Special Report E (Earmarked Contributions Report): Filed by committees that receive
funds earmarked for use on behalf of a candidate or another political committee.
FAIR CAMPAIGN This is a voluntary code adopted by PDC to stress the importance of ethical campaign
PRACTICES CODE practices. All committee members and supporters are encouraged to follow the Code's
principles.
For assistance, call or write PDC!
PUBLIC DISCLOSURE COMMISSION
Po BCAPITOL OX 40908 AY RM 403 REGISTRATION:
OLYMPIA WA 98504-0908
(206)753-1111 POLITICAL COMMITTEES P M PDC OFFICE USE
C1 OA
Committee Name(Show entire official name.) Acronym S R
T K
(4/93) R
Mailing Address • E
C
City County Zip+4 V
� E
I D
NEW REGISTRATION OR UPDATE OF PRIOR REGISTRATION? COMMITTEE STATUS
❑ NEW:Complete all items in the registration ❑Continuing committee
❑AMENDEDrSupply the information below which has changed ❑ 19 election only;election date
1. What is the purpose or description of the committee? •
❑ Bona Fide Political Party Committee(official state or county central committee •
or legislative district committee).If you are not supporting the entire party
ticket,attach a list or specify here the names of the candidates you support.
❑ Ballot Committee(Initiative,Bond,Levy,Recall,etc.) Ballot Number FOR AGAINST
Name or description of ballot measure: i ❑ ❑
❑ Political Action Committee,Political Club or Organization(including partylclubs).If PAC
is associated with a business,association,labor union,or similar entity,specify name:
❑ Other.Explain on attached sheet.
2. Related or affiliated committees.List name,address and relationship.
3. HOW MUCH DO YOU PLAN TO SPEND DURING THIS ENTIRE ELECTION CAMPAIGN,INCLUDING THE PRIMARY AND GENERAL ELECTIONS?BASED ON THAT ESTIMATE,CHOOSE
ONE OF THE REPORTING OPTIONS BELOW.(If the committee is a continuing organization,estimate spending on a calendar year basis.)
If no box is checked you are obligated to use Full Reporting.See reportinglinstruction booklets for information about reports required and changing reporting options.
•
❑ ABBREVIATED REPORTING
We will use the Abbreviated Reporting System.We will raise and spend no more than$2,000 and will accept no more than$200 in the aggregate from any one contributor.
❑ ' FULL REPORTING
We will use the Full Reporting System.We understand this means we must file the frequent,detailed reports required by law.
•
4. Treasurer's Name and Address (List deputy treasurers on attached sheet.) Daytime Telephone Number
•
5. Committee's Principal Officers.List name,address and title. •
6. Campaign Bank or Depository.
Branch •
City
•
7. Campaign records are to be open for public inspection the last eight days before the election.(Two hours daily between 8 AM-8 PM,Monday-Friday.)Show location and hours below:
Street Address(Do not use a Post Office Box Number) Hours
•
8. Fair Campaign Practices:All committee officers are encouraged to "` •,r 9. Signature and Certification.I certify that this statement is true,complete and correct to the
subscribe to the Code of Fair Campaign Practices printed in campaign �' best of my knowledge. •
instruction booklets. FAIR
•
•
,5 Committee treasurer's signature Date
''z'CAMPAIGN
•
Need campaign finance forms and Instructions for the reporting system selected?
• Please check one of the following boxes:
❑ I already have forms and instructions.
❑ I will get forms and instructions from my county elections office.
❑ I want the Public Disclosure Commission to mail me the proper forms and instructions.
PDC form C-1(Rev.4/93)—f ,a ! See Instructions on reverse
PUBLIC DISCLOSURE COMMISSION PDC FORM POLITICAL COMMITTEE
711 CAPITOL WAY RM 403
E PO BOX 40908 Cl
C REGISTRATION
OLYMPIA WA 98504-0908
(208)753-1111 STATEMENT
(4/93)
INSTRUCTIONS
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42.17 RCW and 390-16 WAC.
WHO MUST FILE Persons, committees, organizations and groups that receive contributions and make
expenditures in support of or opposition to: candidates in jurisdictions of 5,000 or more
registered voters as of the last general election; statewide ballot issues; or local ballot
issues in jurisdictions with 1,000 or more registered voters as of the last general election.
WHEN TO FILE Within 2 weeks of organizing a committee or first expecting to receive contributions or
make expenditures, whichever occurs first. (Committees that organize within three
weeks of an election must file within three business days of forming or of expecting
to receive contributions or make expenditures.) File an amended C-1 pc form within 10
days of significant changes to the registration information provided. Continuing political
committees using Abbreviated Reporting must also file a C-1 pc annually in January.
Reports are considered filed as of the postmark date or date hand-delivered to PDC.
WHERE TO FILE Send the original to PDC at the above address. Send a copy to the County Auditor
(County Elections Department) of the county in which the committee headquarters is
located. If there is no headquarters, send to the County Auditor of the county in which the
treasurer resides.
REPORTING Abbreviated Reporting: May be used by committees that raise and spend no more than
OPTIONS $2,000 on their campaign activities. No more than $200 may be accepted from any
contributor. A 10th-of-the-month post primary, general or special election C-4 ABB report
is required. Continuing committees re-register annually and file a year-end C-4 ABB by
January 10 for any year in which they do not participate in an election.
Full Reporting: Required of all committees that do not qualify for Abbreviated Reporting.
Frequent, detailed reports of contributions and expenditures are required until the
committee is disbanded and the campaign account is closed.
OTHER REPORTS C-3 (Cash Receipts Report): Used with Full Reporting only.
C-4 (Contribution and Expenditure Report): Used with Full Reporting only.
C-4 ABB (Receipts and Expenditures Summary): Filed by candidates and committees
using Abbreviated Reporting.
Special Report E (Earmarked Contributions Report): Filed by committees that receive
funds earmarked for use on behalf of a candidate or another political committee.
FAIR CAMPAIGN This is a voluntary code adopted by PDC to stress the importance of ethical campaign
PRACTICES CODE practices. All committee members and supporters are encouraged to follow the Code's
principles.
_ For assistance, call or write PDC!
•
PUBLIC DISCLOSURE COMMISSION
PO BCAPITOL OX 4 908 AY RM403 ABBREVIATED REPORT
OLYMPIAWA98504-0908 RECEIPTSAND EXPENDITURES � ABB -
(206)753 1111 P M PDC OFFICE USE
O A
Candidate or Committee Name(Do not abbreviate.Include full name) ,4 T K
••
(7/92) R
Mailing Address I E
E
City County Zip+4 V
•
1. PERIOD COVERED BY REPORT: From: I To: Final Report:Yes No
a. Candidates:Start of campaign through the end of the month c. Continuing Committees filing post-election report:January 1
in which the election occurred. I through end of the month in which election occurred.
b. Ballot Measure Committees:Start of campaign through the end d. Continuing Committees filing annual report:Calendar year
of the month in which,the election occurred. I (January 1 through December 31).
•
2. RECEIPTS •
a. Cash on hand from previous campaign or year
(Include money in checking,savings and other accounts),
b. Cash contributions received this campaign or year
(Include monetary contributions,loans,fund raising
and cash contributions by a candidate)
c. Total cash receipts(Add lines 2a+2b)
d. Other contributions,including in-kind •
(Include candidate's and committee workers'out of pocket
expenditures,donated goods and services,
filing fees paid by others and similar non-cash contributions)
e. Total contributions(Add lines 2c+2d)
•
•
3. EXPENSES
a. Cash expenditures •
b. Other expenditures.(Enter the amount shown on line 2d above here.
Non-cash contributions are listed as both received and expended.
Disregard any materials which may remain on hand.)
c. Total expenditures(Add lines 3a+3b)
•
•
4. SURPLUS/DEFICIT
•
a. Cash on hand at end of reporting period(Subtract:line 3a from 2c) •
b. Debts and obligations owed
•
c. Surplus or deficit
CANDIDATES Won Lost Unopposed Name not on ballot
Please complete: Primary election ❑
General election ❑ ❑ ❑ ❑
CERTIFICATION:I certify that this report is true and correct to the best of my knowledge. .
Candidate's signature Date Treasurer's signature(if a political committee) Date ,
PDC form C4ABB(Rev.7/92) Frame See Instructions on reverse
•
PUBLIC DISCLOSURE COMMISSION PDC FORM
CAPITOL ION 03 ABB ABBREVIATED RECEIPTS
PLYMPIA & EXPENDITURES
OLYMPIA WA 98504-0908
(206)753-1111 C4 REPORT
(7/92)
INSTRUCTIONS
•
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42.17 RCW and 390-16 WAC.
WHO MUST FILE Each candidate and political committee using Abbreviated Reporting.
FILING DATES 1) Special election candidates and political committees supporting or
opposing special election candidates or ballot issues file on the 10th of
the month following the election.
2) Candidates who lose in the primary and political committees
supporting or opposing primary election ballot issues file on October 10.
3) Candidates who are in the general election and political committees
making expenditures supporting or opposing general election
candidates or ballot measures file on December 10.
4) Continuing political committees not taking part in elections during a
year file annual reports on-January 10 cover the preceding calendar
year.
_ 5) A final report is filed whenever a candidate's committee or a political
committee ceases operation, disposes of any surplus campaign funds
and has a zero account balance. Final reports may be filed at any time
and may coincide with one of the due dates listed above.
All reports are considered filed as of the postmark date or the date
hand-delivered to PDC.
WHERETO FILE Send original C-4 ABB report to PDC at the above address.
Candidates send a duplicate copy to their County Auditor (County
Elections Department). Political committees send a copy to County
Auditor of the county in which their headquarters is located or, if no
headquarters, the county in which their treasurer resides.
For assistance, call or write PDC!
PUBLIC DISCLOSURE COMMISSION •
711 CAPITOL WAY RM403 ABBREVIATED REPORT
PO BOX 40908
OLY(206)75MPIA3-1111 WA 985040.908 RECEIPTS AND EXPENDITURES' ABB PDC OFFICE USE
P M .
O A
Candidate or Committee Name(Do not abbreviate.Include full name) C4
S R
T K
• (7/92) R •
Mailing Address E
� C
` E
I
City County Zp+4 V
i D
1. PERIOD COVERED BY REPORT: From: • To: Final Report:Yes_ No
a. Candidates:Start of campaign through the end of the month _ c. Continuing Committees filing post-election report:January 1 •
in which the election occurred. through end of the month in which election occurred.
b. Ballot Measure Committees:Start of campaign through the end d. Continuing Committees filing annual report:Calendar year
of the month in which the election occurred. •+ (January 1 through December 31).
•
2. RECEIPTS
a. Cash on hand from previous campaign or year
• (Include money in checking,savings and other accounts)I
b. Cash contributions received this campaign or year
(Include monetary contributions,loans,fund raising
and cash contributions by a candidate)
c. Total cash receipts(Add lines 2a+2b)
•
d. Other contributions,including in-kind
(Include candidate's and committee workers'out of pocket
expenditures,donated goods and services,
filing fees paid by others and similar non-cash contributioins)
e. Total contributions(Add lines 2c+2d)
•
3. EXPENSES •
•
a. Cash expenditures •
�
b. Other expenditures.(Enter the amount shown on line 2d above here. -
Non-cash contributions are listed as both received and expended.
Disregard any materials which may remain on hand.)
c. Total expenditures(Add lines 3a+3b)
4. SURPLUS/DEFICIT •
a. Cash on hand at end of reporting period(Subtract:line 3a'from 2c)
•
b. Debts and obligations owed
c. Surplus or deficit
•
CANDIDATES Won 'Lost Unopposed Name not on ballot
Please complete: Primary election ❑
General election ❑ ❑ ❑ ❑
CERTIFICATION:I certify that this report is true and correct to the best of my knowledge. •
•
Candidate's signature Date Treasurer's signature(if a political committee) Date
•
•
PDC form C4ABB(Rev.7/92) Frame See Instructions'on reverse
1
ON
•
PUBLIC DISCLOSURE
CAPROMWAY)RM403 PDC ABB M ABBREVIATED RECEIPTS
POBOX40908 & EXPENDITURES
06)753 W 985040908
( Cm,' REPORT
206)75 -1111
(7/92)
INSTRUCTIONS
Please consult PDC instruction manuals when completing this report.
Reporting requirements are contained in and governed by chapters 42.17 RCW and 390-16 WAC.
WHO MUST FILE Each candidate and political committee using Abbreviated Reporting.
FILING DATES ' 1) Special election candidates and political committees supporting or
opposing special election candidates or ballot issues file on the 10th of
the month,following the election.
• 2) Candidates who lose in the primary and political committees
supporting or opposing primary election ballot issues file on October 10.
3) Candidates who are in the general election and political committees
making expenditures supporting or opposing general election
candidates or ballot measures file on December 10.
4) Continuing political committees not taking part in elections during a _
year file annual reports on January 10 cover the preceding calendar
year.
(
•
5) A final report is filed whenever a candidate's committee or a political
committee ceases operation, disposes of any surplus campaign funds
and has a zero account balance. Final reports may be filed at any time
and may coincide with one of the due dates listed above.
•
All reports are considered filed as of the postmark date or the date
hand-delivered to PDC.
WHERE TO FILE Send original C-4 ABB report to PDC at the above address.
Candidates send a duplicate copy to their County Auditor (County
Elections Department). Political committees send a copy to County
Auditor of.the county in which their headquarters is located or, if no
headquarters, the county in which their treasurer resides.
For assistance, call or write PDC!
•
FAIR CAMPAIGN PRACTICES CODE
for
CANDIDATES AND POLITICAL
COMMI'I'1'EES
1. I shall conduct my campaign, and to the extent reasonably possible shall insist that
my supporters conduct themselves, in a manner consistent with the best American
tradition, discussing the issues and presenting my record and policies with sincerity
and candor.
2. I shall uphold the right of every qualified voter to free and equal participation in the
election process.
3. I shall not participate in, and I shall condemn, personal vilification, defamation, and
other attacks on any opposing candidate or party which I do not believe to be
truthful, provable, and relevant to my campaign.
4. I shall not use or authorize, and I shall condemn material relating to my campaign
which falsifies, misrepresents, or distorts the facts, including but not limited to
malicious or unfounded accusations creating or exploiting doubts as to the morality,
patriotism or motivations of any party or candidate.
5. I shall not appeal to, and I shall condemn appeals to, prejudices based on race,
creed, sex or national origin.
6. I shall not practice, and I shall condemn practices, which tend to corrupt or
undermine the system of free election or which hamper or prevent the free
expression of the will of the voters.
7. I shall promptly and publicly repudiate the support of any individual or group which
resorts, on behalf of my candidacy or in opposition to that of my opponent(s) to
methods in violation of the letter or spirit of this code.
8. I shall refrain from any misuse of the Public Disclosure Law, chapter 42.17 RCW to
gain political advantage for myself or any other candidate.
The Public Disclosure Commission realizes that hard fought campaigns enhance the
electoral process. To this end, the code encourages healthy competition and an open, wide-
ranging discussion of issues and candidate qualifications. The code also encourages
candidates and committees not to cloud the issues in a campaign or unfairly attack
opponents.
You can proudly subscribe to the code as evidence that you will conduct political
debate and persuasion in a fair, honorable manner.