The URL can be used to link to this page

Home My WebLink AboutTAKII SEMIANN01(1) AMEND ecipient Committee Campaign Statement (Government C..<xJe Sec'do~s 84200-84216.6) SEEINSTRUCTIONSONREVERSE Statement ~ov~ period from c'~\_k.~\. ~ \ through C:3~ 1. Type of Recipient Committee: A:I Committee~- Complete Parle 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee (Also Con~ete Par~ 4.} [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete parr 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete pa.'f S.] Date of election If applicable: (Moolh, Day, Year) 2. Type of Statement: [] Pre-election Statement [] Semi-annual Statement [] Termination Statement [] General Purpose Committee COVER PAGE 0 Sponsored 0 Broad Based Pag. \ o~ '-~ Fo~ official Use Only 3:?3 [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election ~"-4~mendment (Explain below) Statement - Attach Form 495 3. Committee Information lID. NUMBER COMMITTEE NAME STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP COOE AREA CODE/PHONE MAI~ING ADORE,SS (IF OIFFERENT) NO. AR[) STREET OR P.O. BOX CiTY STATE ZiP COOE AREA CODE/PHONE Treasurer(s) NAME OF TREASURER MAIMHG ADORESS CITY STATE ZIP COOE AREA CODFJPHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP COOE AREA COOFJPHONE OPTIONAL: FAX I E-MAIL ADORESS OPTIONAL: FAX I E-MAL ADDRESS FPPC Form 460(8/99) For Technical A~slltance: g1~3:~2-5560 $~le of Celifocnla · . · · Type or pdnt m ink- COVER Reclple. nt Committee ~ 4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee NAME OF OFFICEHOLOER on CANDIDATE OFFICE SOUGHT Off HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RES~NT~USINESS ~ESS (NO.A~O STREE~ C~ STATE ZIP Related Commi~ees Not Included in this Statement: Ll~l=nycommllfee~ not Included In ~ls consoflda fed s firemen f the t ire con~Ml~ by you or which are primarily for~d to receive contrlbutlon~ or to make expendl~re~ on behalf of your candidacy. N~E ~ TRE~URER CO~R~LED COMM~EE? COMMITTEE AOURESS STATE ZIPCOOE AREA cOOFJPHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION ~ [] SUPPORT ~ [] OPPOSE Identify the con,oiling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD NO. IF ANY 6. Primarily Formed Committee us! names o(officeholder(s) or candldete(e) for which thl~ committee I~ prlmar#y formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD .FFICE SOUGH'~ OR HELD NAME OF OFF ICEHOLDER Of~ CANDIDATE []SUPPORT []OPPOSE E]suPPORT {-]OPPOSE A~tach continua~on sheels if necessaq/ 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certily under penalty of perjuiy under the laws of the State of California that the foregoing is true and correct. Executed on DATE Executed on DATE By FPPC Form 460 (8/99) For Technical Asaiatance: 916J322-5660 State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amount~ may be rounded to whole dollars. Statement covers from ~-~\ ~-:'\ ~-' \ through r.~ ~ c~. SUMMARY PAGE NAME OF FiLER Contributions Received 1. Monetary Contributions ...................................................... Schedule A. Line 3 $ 2. Loans Received ................................................................... Schedule S. Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add LInes I + 2 $ 4. Nonmonetary Contributions ............................................... Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4. $ Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................Add Lines 6 + ? 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonelary Adjustment ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines a + 9 + lo Column A Column S $ Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summery Page. Line 16 13. Cash Receipts .............................................................. Column A, Line 3 above 14. Miscellaneous Increases fo Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines r2 + 13 + r4. then subtract Line t5 I! this is a termination statement. Line f 6 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B. Part I. Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See inslruclions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above · From previous slalemeni Summary Page. Column C. However. if this is the first report §led for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 111 through 6/30 711 to Dale 20. Contributions Received ............$ ' ~-':~-~% ~'~ 21. Expenditures Made .................. $ ~ q~ FPPC Form 460 (8~99) For Technlcol Assistance: 916~122-5660 Schedule A Type or print in ink. SCHEDULE A Amount~ may De rounded ,~.;~,~t ,.,,~& period I SEE INS~ONS ~ RE~E IF AN IN~ E~R ~NT CUM~TIVE TO DA~ C~TI~ TO DATE DATE ~L NAME. MAiUNG ADDRESS AND ZIP CODE OF CON~IB~OR CONTRI~OR ~UPA~N AND ~PLOYER RECE~O ~IS C~END~ YEAR OTHER ~,~ ~ ~OTH ~ IND D COM ~ OTH ~ IND D COM ~ OTH ~ IND ~ COM ~ OTH ~IND ~ COM ~ OTH SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... $ 2. Amount received this period - unitemized contributions of less than $100 ......................................... $ 3. Total monetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ 'Contrtlxdo~ Cc]des IND - IndivtduaJ COM - REcipient Co(nmittee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916,~22-5660 Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE 4AME OF FILER DATE FULL NAME. MAILING ADORESS AND ZiP CODE OF LENOER OR GUARANTOR RECEIVED pP COMMITTEE. ALSO ENTER I.O. NUMBER) Lender [:] Guarantor I-~Lendsr DGuarant°r Lender [:~Guaranlor Type or print In Ink. Amounts may be rounded to whole dollars.~ IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCGUPATION AND EMPLOYER Ou~ OAI1FJ [] IND [] COM INTEREST RATE [] OTH []INO [] COM ~mE~ST RArE [] OTH ~ OATE •IND [] COM [] OTH ..% SUBTOTAL $ Statement covers period from ~'\ through LENDER INFORMATION I.D. NUMBER GUARANTOR INFORMATION CUMULA'fWE $ OTHER $ CALENDAR YEAR $ ~ t7 Schedule B - Part I Summary 1. Loans of $100 or more received this period. (include all Loans Received - Part 1 (a) subtotals.) ................... 2. Amount received this period - unitemized loans ol less than $100 ................................................................... 3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL Schedule B - Part 2 Summary 4. Loans ol $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. I! forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. Loans under $100 repaid, lorg yen, or paid by a third party. (OD not itemize.) If Iorgiven or 5. paid by a third party, include this amount on Schedule A Summary, Line 2 ................................................. 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL 7. Net change this period. (Subtract Line 6 Irom'Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET I'Contn'butor Codes INO - Individual COM - Recipient Committee OTH - Other u~ ~, · n~.~, .,,mw~- FPPC Form 460 (8/99) For Technical Assistance: 916/~22-5660 Schedule E Payments Made SEE INSTRtJCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from ~-~\ ~L~\ through Page SCHEDULE F NAME OF FILER LO. NUMaER CODES: If one of the following codes accurately describes the payment, you may enter the code. Othenvise, describe the payment. CMP campaign paraphe malia/rnisc. CNS campaigll consultants CTB conldbutio~ (e~plein nonmo~e tary)' CVC civic donali~ns FND fundraJsktg events IND independent expenditure supporflr~opposing o~hers (explain)* LIT campaign literature and mailings MTG mooings end appearances DFC office expenses PET petilion circulating PHO phone banks POL p~Jling and suwey research POS postage, delivery and messanger services PRO pro~assicgtai se~ces (legal, acco4.m§ng) PRT p~nt ads RAD radio airtima and production costs RFD returned contributions SAL campaign workers salaries TEL Lv. o; cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS stall/spouse travel, lodging a~l meals (explain) TSF bansfer between committees of the same candidate/sponsor VDT votsr reg~stra§on WEB informatio~ lechnology costs (intsmet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER I D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIO * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 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 period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL FPPC Form 460 (8/99) For Technical Asslstartco: 9r6/322-5660 Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. S~;.~,,,~nt covers period from through q~¼' CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphe maiia/rnis~. CNS campaign consultants CTB co~ (explain nonrnonelar/) * CVC civic dona~ons FND fundraising events IND indepef~ent experioiture supporting/opposing olhers (explain)' LIT campaign literature and mailings MTG mae§rigs end sppearancas DFC office expenses PET pelion circulating PHO phone banks POL posing and survey research POS poslage, delivery and messenger sewicas PRO professional carvices (legal, accoun§ng) PRT print ads RAD radio airtime and production costs * Payments that ore contributions or independent expenditures must also be summarized on Schedule D. SCHEDULEF Psge "~ of' /'[ I.D. NUMeER RFD returned conl~bulJons SAL campaign wooers salaries TEL t.v. or cable aktime and production costs TRC candidate Iravel, lodging and meats (explain) TRS staff/spouse travel, Indging and meals (explain) TSF transler belween committees of Ihs same candidate/sponsor VDT voler registration WEB information technology costs (inlemet. e-mail) (al ' lb) (c) NAME ANO ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (iF COMklITTEE. ALSO ENTER I O. N*.JM~E R) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD V'L$O nE~ORf ON EI OF THIS PERIOD SUBTOTALS$ \-L.~,.%% $ %-~.~% $ %-%% $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column lb) subtotals for accrued expenses o! $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column lc) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ ~-~-~% 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660