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Home My WebLink AboutDICKERSON SEMIANN14(2)Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200. 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement,*!ov rs period from / through / Type ecipient Committee: AN Committees — Complete Parts 1, Z 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Forted Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Afto Con *m Pail 6) 0 Sponsored ❑ General Purpose Committee (AIeD Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (aSO cOff*kft Part n 3. Committee Information I I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF N COMry1LTTE`)� e-0, t., A r, A 'i i749--� MAILING ADDRESS (IF DIFFERENT) NO. AND STREET 9R P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification COVER PAGE Dee Stamp Treasurer(s) NAME OF NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contai in the attached schedules is true and complete. I certify under penalty of perjury under laws of the te of California that the foregoing is true and correct. ExecLAted �0- IF By Signor u T Executed on V 16– By Dole I Sign kma#Cwfto iVOftdwUw.Cw4dMe.Smb Or ExeclAedon Deb By SWmdmafCwft1rg0Tcehold9r .Car6dab.SfarMeamPmwrwt Executed on Dab By siWaa"amm"oigommWier carx§ ab. stab Me nP"Wnwd FPPC Forth 160 (January(0'S) FPPC Toll-Free Helpline: SWASK -FPPC (866fZT54rM State of CaNrornle Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Paget, of 7- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER APPLICABLE) BALLOT NO. OR I JURISDICTION I [] SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMTITEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) 7. Primarily Formed Candidate /Officeholder Committee Ust names of officeholder(s) or candidate(s) for which this committee is primarily formed- NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY S1ATE ZIP CODE AREA CODEIPHONE Attach continaadon sheets H necessary 11 Form 160 (Januwy/05) FPPC T* fine HMPNr . 80NASKfPPC (8661275 -3772) State or cawornia Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME VILER Contributions Received 1. Monetary Contributions ............ ............................... Schedule A Line 3 2. Loans Received ....................... ............................... Schedule B. Lune 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lanes 1 * 2 4. Nonmonetary Contributions ..... ............................... Schedule C, Lane 3 5. TOTAL CONTRIBUTIONS RECEIVED •...... .••••• .............•AddLinec3 +4 Expenditures Made Column B 6. Payments Made ........................ ............................... Schedule E. Line 4 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... ScheddeC. Line 3 11. TOTAL EXPENDITURES MADE . ............................... Add Lines s + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Surnma yPage, Line 16 13. Cash Receipts .................... ............................... Column A. Line 3ahwe 14. Miscellaneous Increases to Cash ........................... Sdnedt* i, Line 4 15. Cash Payments ................... ............................... Column A. Line a above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 b this is a termination statement, Line 16 must be zero. Statement ove period CALIFORNIA from t FORM through Page ✓ of 7— Column A Column B TOTALTMSPERIOD CALENDARYEAR P MATTAC/EDS0*1XJ ES) TOTALTODATE $ $ ' _ D� s s -4!!t 950 $ $ . $ 4 1. z- ADO— s2 L2�' $ .� 17. LOAN GUARANTEES RECEIVED ........................... Schedute A Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............ ............................ see instructions on reverse 19. Outstanding Debts ......................... Ado Line 2 + Line 9 in Colunm B above S s $ _ 74 $ r s 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 from previous period amounts. If this is the fast report being filed for this calendar year, only carry over the amounts from lines 2, 7, and 9 (if any). I.D. NUMBER t(ZL Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ ill through 6130 7/1 to Date s Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' 1M subject to Vblun ary Experm0ture Limit' Date of Election Total to Date (mm /ddtyy) —I —J $ I $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January105) FPPC Toil -Free Melpline: 86WASK -FPPC (s6W275.3772) e. -h,nA@ re e Type or print In ink. SCHEDULE A Monetary Contributions Received Amounts whole dollars. nded Stateme "` c irs Pe, njo CALIFORNIA . • ' from e %� through �`�'` Page of SEE INSTRUCTIONS ON REVERSE —4— NAME OF FILER -7 I.D. NUMBER $3 ll Z-1 �� RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCOAM FUEE.ALSOBMM1D.NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IFSELF-EWLOYED.EIirRWJAE AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) OFSWINEW 1¢�� !�- `�� 0SC C C Seac'ty o I t.l b 0SCC dor ❑IND ❑com ❑OTH ❑ PTY ❑SCC ❑IND ❑COM []0TH ❑ PTY ❑SCC SUBTOTAL; a Schedule A Summary 1. Amount received this period — itemized monetary contributions. d� (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. p� Add Li 1 d 2 E t h d th S mma On a Column A Line 1) TOTAL S •Contributor Codes IND- Individua COM - Recipient Committee -(other than PTY or,SCC) OTH — Other (e.g., business entity) PTY — Political Party sCC — Small Contributor Committee ( nes an n er ere an on e u ry 11 , • ....................... --�— FPPC Form 460 (JanuarylOS) FPPC Toll -Free Helpline: WWASK -FPPC (86627S -=2) SCHEDULE B - PART 1 r7PM w FwnIa m ran. Schedule B — Part 1 Amounts may be rounded Statement ve Period CALIFORNIA Loans Received to whole dollars. - T Z�( FORM J • from �I Page SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ' OUTSTANDING BALANCE (b) AMOUNT W AMOUNT PAID (d) OUTSTANDING ETHIS (e► INTEREST ( ORIGINAL (9 CUMULATIVE OF LENDER pFCOMN7TTEE .ALSOENTERI.D.Nl1MBER) (IF S- EMPLOYED.g,�� NAMEOF�serESS) BEGINNING RECEIVED O THIS PERIOD OR FORGIVEN THIS PERIOD' CLOSE PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO GATE IM RATE �^ S PER EL�"' ❑ S td S� S = DATE INCURRED DATE DUE IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ PAID CALENDAR YEAR S S % S S ❑ FORGIVEN RATE PER ELECTION" S S S S S DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR S $ ❑ FORGIVEN RATE PER ELECTION " S S S $ S DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period ..... ..................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ................ (Total Column (c) plus loans under $100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ ' Enter the net here and on the Summary Page, Column A. Line 2. Amounts forgiven or paid by another patty also must be reported on Schedule A. If required. (Enter (e) - SdroduleI Line 3) tContributor Codes IND- Individual COM - Recipient Commitlee (other than PTY or SCC) OTH - Other (e.g.. business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline. 8661ASK -FPPC (8661275 -3772) Schedule E Type or print in ink. Payments Made Amoto wholedollars. Statement gov*s period from SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER � I.D. NUMBER rei*N'CS CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/misc. N IR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL Lv. or cable airtime and production costs FL candidate filinglballot fees PFD phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL poling and survey research TRS staff/spouse travel, lodging, and meals + IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRD professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (iinternet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMWTFE, ALSO ENTFRID_NUMget) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ' A( M 3v- .1201- ` Payments that are contributions or independent expenditures must also be summarized on tchedule D. SUBTOTAL$ dS� . Schedule E Summary +7 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............ ........................ $ `r ' ... ............................... 2. Unitemized payments made this period of under $100 ... $ - ....................................................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $^ 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 (January/O5) FPPC Toll -Free Melpline: 8661ASK -FPPC (866f27S -3772) N Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement 7e/speriod e - Payments Made to wholedalars. from ,/ • - ` C�tW SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia /mist. NBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fifing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidateh ponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE " (IF COMMITTEE. ALSO ENTER 1.0 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CA-L1, jf�1 � r ^• Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 62 FPPC Form 460 (JanuaryMS) FPPC Toll-Free Helpline: 86WASK -FPPC (86612753772)