HomeMy WebLinkAboutSALVAGGIO SEMIANN02(1) ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement, covers period
,,o.
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
[] Ballot Measure Committee O Primarily Formed
O Controlled
O Sponsored
[] Primarily Formed Candidate/
Officeholder Committee
~ Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Cc~np~te Part 5)
Date Stamp
COVER PAGE
[] Gene ral Purpose Committee O Sponsored
O Small Contributor Committee
O Political Patty/Central Committee
Date of election if applical~
(Month, Day, Year)
For Oificial Use Only
2. Type of Statement: [] Preelection Statement
J~ Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Statement - Attach Form 495
3. CommJ.ee Information I,.D. N~.~,~.~ ~ .~. S
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMI~rEE) (~
Treasurer(s)
NAME OF TREASURER
STREET ADDRESS (NO P.O. BOX) .
C~TY ' - ~TATE'-- ZIP CODE AREA CODE/PHONE
MA LI-NG ADDh~S ( F DIFFERENTI NO, AND S~R~ET OR P.O. BOX ~' · .e ~ e MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZiP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / EoMAIL ADDRESS
4. Verification
t 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
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. /,
Execut~ on By
Execuled on By
FPPC Toll-Free Helpline: 86~ASK-FPPC
Recipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
(~Fi:ldE ~(~UG~H~- OR HELD (iNCLUDE LOCATION A~I~TRICT NUMBER IF APPLICABLE)
RESIDENTI~USI~SS AD~SS (
~ol i~clud~ i~ this statement that are co~trolled by you or ~re primarily formed lo receive
cont~butions or make expenditu~s on ~half of your candidacy.
COMMI"CrEE NAME I.D, NUMBER
NAME DE TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMI3~EE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITrEE NAME I.D. NUMBER
NAMEOFTREASURER
COMMI3-FEE ADDRESS
CONTROLLED COMMittEE?
[] YES [] NO
STREETADDRESS (NO P.O. BOX
COVER PAGE - pART 2
6. Ballot Measure Committee
Page~._~ of ,3~.-~
NAME OF BALLOT MEASURE
BALLOT NO. OR LEI~ER 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 OFFICE SOUGHT OR HELD I [] SUPPORT
I
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
I[~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 STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from / ///~.
through
SUMMARY PAGE
Page~,~ of ~,~'
NAME OF FILER
I.D, NUMBER
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ......................................................Schedule B, Line 7
3. SUBTOTALCASHCONTRIBUTIONS ......................... AddLines 1 +2
4. Nonmonetary Contributions .................................... ScheduleC, Line3
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 .................................... AddLines6+ 7
9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, Line3
1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 6 + 9 + tO
Current Cash Statement
12. Beginning Cash Balance ....................... PreviousSumrnaryPage, Line 16
13, Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments .................................................. Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED .......'~....(~.....'~... ..... ScheduleB, PartZ
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... AddLine2+Line9inColumnBabove
TOTAL THIS PERIOD
(FROM A'rTACH ED SCH EDU LES)
$
, //4
Column B
CALENDAR Y~AR
TOTALTO DATE
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, tt this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions /~//~
Received $
21. Expenditures
Made $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject lo Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
/ / $
/ /__ $
/
/ L__ $
/ /
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A Type or print in ink. SCHEDULE A
Amounts may De roun=eo Statement covers period
Monetary Contributions Receivedto whole dollars, from /// /6 .~
SEE INSTRUCTIONS ON REVERSE through ~~-%~ I ,~g~UMB~ER of ~.~-
IF AN INDIVIDUAL. ENTER ~OU~ CUMU~TIVETODATE PER ELECTION
DA~ FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IF~EE.A~OENTERLD. NU~ER} CODE * (IF SELF-EMPLOYED. ENTER N~E PERIOD {JAN I - DEC. 31 ) (IF REQUIRED)
sco
75'0
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 $1 O0 .............................................
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) .......................TOTAL
*Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC- Small Contributor Committee
FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A (Continuation Sheet) Type or print in ink, SCHEDULE A (CONT,)
Monetary contributions Received Amounts may be rounded S~.;.~h=nt covers period
,o whole dollars, from
qAME OF FILER
IF AN INDIVIDUAL, ENTER ~OUNT CUMU~TIVETO DATE PER ELECTION
DA~ FULL NAME, STREET ADDRESS AND ZiP OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IFCO~I~EE, ALSOENTERLD, NUM~R) CODE * (IFSELF-EMPLOYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
C scc ~ ~ ~ ~ ~.~ /
~ PTY
~ scc
~ ~- - -,/. / -
C
' *Contributor Codes
tND - IndMdual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A (Continuation Sheet)
Monetary Contributions Rem
NAME OF FILER
Type or print in ink SCHEDULE A (CONT.)
celveo Amounts may be rounded S~;~i~ie,,~ covers period
,o whole dollars, j jir~
,rom
/ I.D. NUMBER
IF AN INDIVIDUAL, ENTER ~OUNT CUMU~VETO DATE PER ELECTION
:S AND ZIP CODE OF CONTRIBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR Y~R TO OA~
~o ENTER LD. NUMBER) CODE * (~F SE~-EM~OYED. E~ER N~E PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRED)
~scc
~ ~ ' · D~NO
RECEIVED
FULL NAME, STREET ADDRES
//
r 'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH- Other
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SChedule A (Continuation Sheet) Type or print in ink, SCHEDULE A (CONT,)
anone~ary t.;onlrlDUtlOnS Heceive(l Amountsmayberounded S[={~iiie, 4coversperiod , . . ,
,o.,,,o,..,o,.r.. ,r.
~/~ ~--~(~ /[/~ I.D. NUMBER
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO CATE
RECEIVED (IFCOMMI~rEE,ALSOENTERLO. NUMI~ER) CODE * (IFSELF-EMPLOYED, EN3ERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIREO)
Dscc J~ ,~,.
,~. ~scc ~c~~
~,~.~ ,'~, /~ Dscc
'Contributor Codes
IND I Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
SUBTOTALS /, .,~,,,~) ~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SChedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT,)
Moneiary ~;ontrlOUtlOnS Heceive(l Amountsmayberounded
DA~ FULL NAME, STREET ADDRESS AND ZIP CODE ONTRIB~OR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IF~i~EE,A~OENTERI.D. NUMBER) CODE * (IFSE~-~OYED, EN~RN~E PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED)
OF BUSINESS)
· *Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC- Small Contributor Committee
SUBTOTALS 3, ~(~ ~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SChedule A (Continuation Sheet) Typo or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received n m °~ontwSt ~,Ydbc~,r~ ~ ~u.n d e d 'r ° :t"~'7) i)~s ~=~'° d ~
IF AN INDIVIDUAL, ENTER ~OU~ CUMU~VETO DATE PER ELECTION
DA~ FULL NAME, STRE~ ADDRESS AND ZiP CODE OF CONTRtBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (~F ~I~EE, A~O ENTER I.D. NUMBER} CODE * (IF SELF.EMPLOYED, ENTER N~E PERIOD (JAN. 1 ' DEC. 31 ) (IF REQUIREO)
OF BUSINESS)
1['
:> '" '
SUBTOTAL $-~. 5(~ ~ I
/
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC- Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
DATE
RECEIVED
Type or print in ink.
Amounts may be rounded
to whole dollars.
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
({F COMMITTEE, ALSO ENTER I.D, NUMBER) CODE *
E]OTH
E]PTY
Dscc
[~OTH
r-IPTY
Dscc
DOTH
[] PTY
rqscc
cco%
DOTH
[] PTY
[] SCC
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH- Other
PTY- Political Party
SCC - Small Contributor Committee
S~a;.~,,,=,,~ covers period
,,om
through ~
IF AN INDIVIDUAL, ENTER AMOUNT
OCCUPATION AND EMPLOYER RECEIVED THIS
(IF SELF-EMPLOYED, ENTER NAME PERIOD
OF BUSINESS)
Page
LD. NUMBER
SCHEDULE A (CONT.)
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. 1 - DEC. 31) (IF REQUIRED)
G
600
FPPC Form 460 (June/01)
FPPC Toff-Free Helpline: 866/ASK-FPPC
Schedule A (Continuation Sheet) Typo or print in ink. SCHEDULE A {CONT.)
~v, onezary ~.onzrmuuons Hecelveo Amo~ontwSh~eYdbo~lra~,nded from S~=i~m~n/t co~ers period
IF AN INDIVIDUAL, ENTER ~OU~ CUMUB~VETO DATE PER ELECTION
DA~ FULL NAME, STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED 0F CO~I~EE, A~O ENTERI.D. NU~R} CODE * (IF SE~-~OYED, ENTER ~E PERIOD (JAN. t - DEC. 31 ) (IF REQUIRED}
,>-.,
Ocou
SUBTOTAL
'Contributor Codes
IND - Individual
COM ~ Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC ~ Small Contributor Committee
I
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
SChedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
~v~oneary ~,on[nou[ions Hecelvea Amountsmayberoundedto wholedollars, fromStatu'"en~c°~rs period.//4/0.'~ j ~ ~',
DA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIB~OR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR Y~R TO DA~
RECEIVED (IF~I~EE, A~OENTERI.D. NU~R) CODE * (IFSE~-EMPLOYED, ENTERN~E PERIOD (JAN. 1 -DEC. 31) (IF REQUIREO)
SUBTOTAL
*Contributor Codes
IND- Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Politica~ Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT,)
Amounts may be rounded S~=;.=.,ent covers period
aone[ary uonzrlou.ons Hece,vea to whole dollars, from ?/.//<0~ ~ j~
IF AN INDIVIDUAL. ENTER ~NT CUMU~TIVETO CATE PER ELECTION
DA~ FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED TH~S CALENDAR YEAR TO DA~
RECEIVED 0~CO~EE.A~E~TEm,D. NU~eEB) CODE * (~FSE~-E~OYES. E~TERN~ PERIOD (JAN. 1 ' DEC. 31) (IF REQUIRED)
SUBTOTAL $
*Contributor Codes
IND - I~MduN
COM- Redpient ~mmi~ee
(other th~ P~ or SCC)
OTH - Other
P~- Politic~ Pa~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866]ASK-FPPC
Schedule A (Continuation Sheet) Typ* or print in ink. SCHEDULE A (CONT.)
,wonetary ~,ontrlOUtlOnS Hecelveo Amountsmayberounded $~[ementcoversperiod . .
,°who,..,°,,... ,.om.
· , t..o.,,
IF AN INdIVIdUal, ENTER JOUNT CUMUBTIVETO ~ATE P~ ELECTION
DA~ FULL NAME, STREE ~RESS ~N~ ZIP CO~E OF CO~TRIBUTOB CONTRI~OB OCCUPATION AND EMPLOYER RECEIVE~ T~IS CALEN~R YEAR TO DATE
RECEIVED 0F ~I~EE, A~ EN~R I.D. NUMBERI CODE * (IF SE~-EM~OYED, ENTER ~ PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRED)
OF ~SINESS)
SUBTOTALS
· "Contributor Codec
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC - Smell Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
i¥1Di1u[ary ~onzrlOUZlOnS r~ecelveo Amounts may be rounded Stat=,,,ent covers period
,o.,.o,.,o,,.r.. "°'"' -
DATE FULLNAME'STRE~ETADDRESSANDZIP~EOFCONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED IIFCOMMI~fEE'ALSOENTERLD'NUMBERI CODE * (IFSELF-EMPLOYED. ENTERN~E PERIOD (JAN. 1 ' DEC. 31) (IF REQUIRED)
OF BUSINESS)
'" %' ' ' ~ ' 'A'" W," ' ' z - -
DCOM
.... ' , , .. ~S P:__:-~'
SUBTOTALS
· 'Contributor Codes
IND- Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SChedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.)
Mone[ary ~ongrlDuTions Hecelve{:l Amounts may be rounded
to whole dollars, from S:--;.=~,~ent covers period
IF AN INDIVIDUAL, ENTER ~OU~ CUMU~VETO DATE PER ELECTION
DA~ FULL NAME, STREET AODRESS AND ZIP CODE OF CONTRtBUTOR CONTRIBUTOR ~CUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (~ CO~I~EE, ~O ENTER I.D. NUMBER) CODE * (IF SE~-EM~OYED, ENTER N~E PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIREO)
OF BUSINESS)
SUBTOTALS
'Contributor Codes
IND - IndNidual
eOM- Recipient Committee
(other than PlY or $C0)
OTH - O~her
PTY - PoBtical Party
SCC- Small Contributor committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule A (Continuation Sheet) Type er print in ink. SCHEDULE A (CONT.)
I '~ I.D. NUMBER
DATE FULLNAME, STREETADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED 0F COMMITFEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. t ' DEC. 31 ) (IF REQUiRED)
OF BUSINESS)
-,::c;,
· 'Contributor Codes
IND - Individua~
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A (Continuation Sheet) Typo or print in ink. SCHEDULE A (CONT,)
IVl~.~l iuLi~ry ~UIttrIDuTIons r~ecelvea Amounts may be roundedS~;.=,,ent covers period
..,..,o,.r.. "0' -
DA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF A~ INdIVIdUAL, ENTER ~UNT CUBU~TIVETO DATE PER ELECTION
RECEIVED (IF ~I~EE. A~ EN~R I.D. NU~R) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IFSE~'~OYED. EN~RN~E PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF ~INESS}
' ~ PTY
Dsoc
· 'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC- Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A (Continuation Sheet) ~pe or print in ink.
Moneta Contrit SCHEDULEA (CONT.)
,rom
~COM
gOTH
~ PTY
~scc
~IND
DCOM
DOTH
~ PTY
Dscc
~IND
Dcou
~OmH
~ PTY
Dscc
· 'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEEINSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
NAME OF CANDIDATE, OFF~CE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
Suppod D oppose
[] supped [] oppose
[] supped [] oppose
Type or print in ink.
Amounts msy be rounded
to whole dollars.
Statement covers period
from
I / //Iv I
t.rou,.
TYPE OF PAYMENT DESCRIPTION AMOUNT THIS
(IF REQUIRED) PERIOD
/~Monetary
Contribution
[] Nonmonetary
Contribution
[] Independent
Expenditure
[] Monetary
Contribution
[] Nonmonetary
Contribution
[] Independent
Expenditure
[] Monetary
Contribution
[] Nonmonetary
Contribution
[] Independent
Expenditure
SCHEDULE D
I.D. NUMBER
CUMULATIVE TO DATE PER ELECTION
CALENDAR YEAR TO DATE
{JAN. 1 -DEC. 31 ) (IF REQUIRED)
SUBTOTAL $/~/ ~) ~ ~
Schedule D Summary
1. c~ntributi~ns~ndindepen~ent~xp~nditur~smad~thisperi~d~~$~~~~rm~re.(~nc~ud~a~~$chedu~eDsubt~ta~s.) .............................................. $/v~
2. Unitemized contributions and independent expenditures made this pedod of under $100 ...................................................................................... $ ---......(::~ ,--,,
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ ~//, O (::) (~
FPPC Form 460 (June/01)
FPPC Tell-Free Helpline: 8661ASK-FPPC
Schedule E
Payments Made
SEE iNSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
,,om
through ~
P.ge2! o, 5
NAME OF FILER
¥o. cr l
CODES: If one of the following codes accurately describes the payment, you may enter the code· Otherwise, describe the payment,
(3v~ campaign paraphernalia/misc.
CNS campaign consultants
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
I.D, NUMBER
MBR member communications
MTG meetings and appearances
OFC office expenses
PEr petition cimulating
R-lO phone banks
POL polling and survey research
FOS postage, delivery and messenger services
PRO professional services (legal, accounting)
FRT print ads
RAD radio aidime and production costs
RFD returned contributions
SAL campaign workers' salaries
TEL t.v. or cable air~ime and production costs
TRC 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 (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITFEE, ALSO ENTER I.D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $/,,,~ 07 ~..,~
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $
/
2. U nitemized 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
FPPC Toll-Free Helpline: 866/ASK-FPPC
· Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CODES: If one of the following codes
QVP campaign paraphernalia/misc.
CNS campaign consultants
C'TB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
F'ND fundraising events
I~D independent expenditure supporting/opposing others (explain)*
LEG legal defense
Type or print in ink.
Amounts may be rounded
to whole dollars.
S[.;.~rnunt covers period
from ////~-~
throug~ //~/~(~ 2._
'
SCHEDULE E (CONT.)
.,go 2.2, of 25
I.D. NUMBER
the payment, you may enter the code. Othe~ise, describe the payment.
MBR membercommunications RAD radio aidirse and production costs
MTG meetings and appearances RFD returned contributions
OFC office expenses SAL campaign workers' salaries
PET petition cimulating TEL t.v. or cable airtime and production costs
PHO phone banks TRC 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
LIT campaign literature and mailings PRr print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMfU~EE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or Independent expenditures mue~ gso be summarized on Schedule D.
SUBTOTAL $,.,~
FPPC FZ~ 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
S(~hed~le E
(Continuation Sheet)
~pe or print in ink.
Amounts may be rounded
Statement covers period
PaYments Made to whole dollars, from ////~_ ~-
SENSE I/o~Ri i~/~TI2NS ON REVERSE through/ /_~/~ ~/0 ,~
CODES: If one of the following codes accurately describes the payment, y y enter the code. Othe~ise~ ~scribe the payment.
SCHEDULE E (CONT.)
OVP campaign paraphernalia/misc.
CNa campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
~ fundraising events
I',ID independent expenditure supporting/opposing others (explain)*
LEG legal defense
I.D. NUMBER
MBR 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
Pt:K) professional services (legal, accounting)
RAD radio airtime and production costs
PR) 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
LiT campaign literature and meltings FFCt' print ads WEB information technolo<
NAME AND ADDRESS OF PAYEE
(IF COMMITr EE, ALSO ENTER LO, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
· ,,-,~..%.,,;, ........ ,....,;_.:.,~: ...... : ................ L.. % 'H ~ ~!~T~ l ~aD ~9 /
pendente;':Pa"'1;["relimustala° besummerized°n'cheduleD. SUI $ ~,~/~ p. ~1
FPPC F~r'n~ ~-~0'~June/01)
S~hedl~le E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
payment, you may enter the code. Otherwise,
member communications PAD
from
SCHEDULE E (CONT.)
NUMBER
CODES: If one of the following codes accurately describes the
DVP campaign paraphemaliaJmisc. MBR
CNS campaign consutiants MTG
CTB contribution (explain nonmonetary)"
CVC civic donations
FIL candidate filing/ballot fees
F:ND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
describe the payment.
radio airtime and production costs
meetings and appearances F~3 returned contributions
DFC office expenses SAL campaign workers' salades
PET petition circulating TEL t.v. or cable airtime and production costs
PHO phone banks 3RC candidate travel, lodging, and meals
POL polling and survey research 'IRS staff/spouse travel, lodging, and meals
POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
PRO professional services 0egal, accounting) VDT voter registration
UT campaign literature and mailings FRT print ads WEB information technok costs ~
NAME AND ADDRESS OF PAYEE
(IF C~MI~EE, A~O ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
~-~., -~- - - ~[~, ~/
expenditures must also be summarized on Schedule D.
FPPC F"orm 4~0 (Jun~J01)
Schedule I
Miscellaneous Increases to Cash
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMI~'EE, ALSO ENTER I.D. NUMBER)
Stat=ment covers period
,to.
SCHEDULEI
I.D. NUMBER
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attachadditionalinformaeiononappropriaeelylabeledcontinuationsheets. SUBTOTALS { 3 'JO
Schedule I Summary
1. Increases to cash of $100 or more this period ........................................................................................................... $ /.~ ('/~ <ff(~
2. Unitemized increases to cash under $100 this period ............................................................................................... $ ~,~..a]j~
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ '"'O ~
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the ~ ~, 1~,3
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ '~' '
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC