HomeMy WebLinkAboutTATUM PREELECTION 20(1)Recipient Committee
Campaign Statement
:over Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period
-7—/-Lo2 a
through
/2-3/_ 2- -5'20
1. Type of Recipient Committee: All Committees – complete Parts 1, 2, 3, and 4.
LJ Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Pad 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
❑ Primarily Formed Ballot Measure
Committee
0 Controlled
0 Sponsored
(Also Complete Pad 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pad 7)
3. Committee Information I I.D. NUMBER 0120 7 Q
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) I
(Sire 90 r-1
-� w►
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
, cu
Date Stamp
COVER PAGE
Date of election if applicable: Pageof —
(Month, Day, Year) SEP 30 P 3: I} �}' For Offida use only
"D
3
2. Type of Statement:
Preelection Statementarl
Semi-annual Statement Quarterly Statement
Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
krjS•f w w D I " Y.1, t-.
MAILING ADDRESS
�-
STATE ZIP CODE AREACODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
A-
NIf -
CITY QSTATE ZIP CODE AREA CODE/PHONE
A-14,�
OPTIONAL: FAX/ E-MAILADDRESS
4. 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
certify under penalty of perju under the laws of the State of California that the foregoing is true and correct.
Executed on �Oao By
Date Signatur fatur TAssistantTreasurer
Executed on
9- .3a - 202 - By 0 �-
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
{Monetary Contributions Received w wnolr uuuairs'
Statements period
CALIFORNIA 460
t
:5r--•
•
'
from
�G
SEE INSTRUCTIONS ON REVERSE
ea
through
Page of
NAME OF FILER `'t SEP PV){ 3: 38
6?re96�
I.D. NUMBER
l y3o-79'�
l �fy 8rk. ; ; - .-.._.
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IFAN INDIVIDUAL, ENTER'
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
CODE *
OCCUPATION AND EMPLOYER,RECEIVED
"'.
THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
-•-
(IFSELF-EMPLOYED, ENTER NA �
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
/%»/sIe►�
❑ IND
-..
PTY
❑ SCCTi
r� L�/i s/e t
�. do • e
10Q9- G
❑ IND
El COM
El PTY El SCC
�00•6�
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $
Schedule A Summary
Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.).........................................................................................................$
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$
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 (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Page
SEE INSTRUCTIONS ON REVERSE
Amountsey berounded
to w§ummary
NAME OF FILER
Gregory �rk►�.,
SEF 30 PN
A
Contributions ReceivedColumn
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
t?
1. Monetary Contributions...................................................
Schedule A, Line 3
$
2. Loans Received................................................................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 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.................................................................I..... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3
10_ Nonmonetary Adjustment......................................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE....................................Add Lines 6+9+10
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16
13. Cash Receipts........................................................:.. Column A, Line 3 above
14. Miscellaneous Increases to Cash .................................. Schedule t, 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 ................................ Schedule e, Parte $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ see instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $
Statement covers period
from
through
Column B
CALENDAR YEAR
fOA.LTODATE
$
$
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 first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
SUMMARY PAGE
Page of
I.D. NUMBER
I y_; a -79 f
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6130 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(if Subject to Voluntary Expend@ure Limit)
Date of Election Total to Date
(mm/dd/yy)
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov