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Home My WebLink AboutBENHAM SEMIANN01(2) Re ip'ient Committee COVER PAGE Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from "~/i/~) ~ 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also C~w p~ete PartS) [] General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3.' Committee Information [] Ballot Measura Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 6) [] PHmarily Formed Candidate/ Officeholder Committee COMMITFEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ADDRESS (NO P.O. BOX) Z S eet AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date Stamp Date of election if applicable: (Month, Day, Year) Page I of /~ For OIficiat Use Only 2. Type of Statement: [] Preelection Statement ~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDRESS STATE ZIP CODE NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the nformation contained herein and in the attached schedules is true and complete· certiP/under penalty of perjury under the laws of the State of California that the fore~q~t~T~'~nd correct./ Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print In ink. COVER PAGE- PART 2 Page ~ of ~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS ( Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy, COMMITi-EE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITFEE ADDRESS STREET ADDRESS (NO RO. BOX} CITY STA~E ZIP CODE AREA CODE/PHONE COMMWrEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMFC~'EE? [] YES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STA3E ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO. OR LETTER JURISDICTION [] SUPPORT []OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [::]SUPPORT []OPPOSE OFFICE SOUGHT OR HELD I']SUPPORT r-]OPPOSE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I--'J SUPPORT [::]OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Junef01) FPPC Toll-Free Helpllne: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEEINSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2, Loans Received ......................................................Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines I + 2 4. Nonmonetary Contributions .................................... ScheduleC, Line3 5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... Add Lines 3 + 4 Statement covers period from -~/i //O [ through 12-/~/~ /0 I Column A Column B TOTALTH~S PERIOD CALENDAR YEAR O ~ 14,400 0 0 0 s Z4, ~00 0 0 Expenditures Made 6. PaymentsMade ....................................................... Schddule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 ' - 0 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+ 10 $ $ 0 $ 0 Current Cash Statement 12. Beginning Cash Balance ....................... Pret4ousSummaryPage, Line 16 13. Cash Receipts ................................................... ColumnA. Line3above 14. Miscellaneous Increases to Cash ........................... Schedule I. Line 4 15. Cash Payments .................................................. C=lumn A, Line 8 above 16. ENDING CASH BALANCE .......... Add LInes 12+ 13+ t4, then sublract Une 15 ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Pa~12 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + LIne g in Column B above SUMMARY PA{~F Page .~ of ~ 0 $ J 3: I~r3, Ul~ To calculate Column B. add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted fmm previous pedod amounts. If this is the first report being filed for this calendar year, only cany over the amounts from Lines 2. 7. and 9 (if any). I,O. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 7/1 to Date $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) / /.__ $ ! / $ / / $ / / $ / / $ __J / $ 'Since January 1. 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/C1) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ,rom through ~-~/~1 /~::)1 Page z~ of ~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment, QVP campaign paraphernalia/misc. CNS campaign consultants ~ contribution (explain nonmonetary}* CVC civic donations F}L candidate filing/ballot fees FND fundmising events iqD independent expenditure supporting/opposing others (explain)* LEG legal defense U'I' campaign literature and mailings I.D. NUMBER M~={ member communications MTG meetings and appearances OFC office expenses PET petition cimulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) FRT print ads PAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE {IFCOMMITFEE,ALSOENTERLD. NDM~ER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Ci~3 ~lav' ?i~eies£ Celt Pho~c ?, ~FC I~O. O2 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ 3. Total interest paid this pedod on loans. (Enter amount from Schedule B, Part 1, Column (el.) ............................................................................... $ 4. Total payments made this Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .............................TOTAL $ z~; ~5~', ~,-'-]" FPPC Form 460 (JuneJ01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Stat~mea~ covers period ,rom through CODES: If one of the following codes accurately describes the ~ campaign paraphernalia/misc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure SUpporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings SCHEDULE E(CONT. Page -~ of ~ I.D. NUMBER payment, you may enter the code. Otherwise; describe the payment. membercommunications RAD radio aillime and production costs meetings and appearances RFD returned contributions OFC office expenses SAL campaign workers' salades PEr petition circulating TEL t.v. or cable airtime and production costs Pr'lO phone banks ~ candidate travel, lodging, and meals POL polling and survey research TRS staff/spouse travel, lodging, and meals POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor PRO professional services (legal, accounting) VOT voter registration PRT pdnt ads WEB information technol NAME AND ADDRESS OF PAYEE (IF COMMITi' E E. ALSO ENTER I,O. NUMeER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 35 . i~ Iso be summarized on Schedule O. SUBTOTAL FPPC Form 460 (JuneJ01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. from ~//0 I /0 j CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise', describe the payment. CM3 campaign paraphematia/misc. MBR membercommunications (3NS campaign consultants C3B contribution (explain nonmonetary)' CVC civic donations RL candidate fiting/ballot fees PND fundraising events ~ independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign Itteralure and mailings brig meetings and appeamnces OFC office expenses PET petition circulating PHO phone banks polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads SCHEDULE E (CON1' Page '~ of ~-~ rD, NUMBER NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUM~E R) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Doc tqo or-c. 0~'c¢ zoeo ~o bc, x PAD radio airttme and productio~ costs returned contributions SAL campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (inlernet, e-mail ~P~,~,,tax~ei~d;~areamuetalsobeaummartzedonScheduleD. SUBTOTAL $ "~t ~Z~. ~ ~ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC