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HomeMy WebLinkAboutPANICK PREELEC99(1) ecipient Committee Campaign Statement (Government Code Secdons 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers pe~od Date of election if applicable: (Month, Day, Year) 9! OCT I I /~1~ 9:1,5 RSFi~LD CiTY CLERI' COVER PAGE Page of __ For official Use Ork'y 1. ~Ty/pe of Recipient Committee: [~-- Officeholder, Candidate Controlled Committee (AI~o Complete Part 4.) [] Ballot Measure Committee 0 Primarily Formed O Controlled O Sponsored (Also Complete part 5.) 3. Committee Information All Commiltee~ -Complete Parts 1, 2, 3, eadT. f-I Primadly Formed Candidate/ Officeholder Committee (Also Complete Part 6.) [] General Purpose Committee O Sponsored O Broad Based I.D. NUMBER COMMITTEE NAME STREET ADDRESS (NO RO. BOX) CITY STATE ZIP COOE AREA CODE/PHONE MAILING ADORESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA COOF-JPHONE OPTIONAL: FAX / E.MAIL AO~RESS 2. Type of Statement: [~,Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) NA"E TREAS"R ¢ SO 9p, P i' CJC- MAILING ADDRESS ~ ~7 CITY ZIP COOE AREA CODE/PHONE STATE ZIP COOE AREA COOFJPHONE OPTIONAL: FAX/E-MAIL ADDRESS FPPC Form 460 (8~9) For Technical Aealatenca: 916/3~2-S660 State of California Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER R~,GE - PART 2 Pag~_ of_ 4. Officeholder or Candidate Controlled Committee NAMEOF FF EHOLD~ROR DIDATE , OFFICE SOUGHT OR HELD (INCL(JO~ LOCATION AND DISTRICT yUMBER IF APPLICABLE) REsID~HT)A!J~USINES S ADORE S~ (NO. AND Related Committees Not Included in this Statement: Llstanycommlttees not Included In this consolidated statement the t are controlled by you or which are pr/madly formed to receive contr/butlo~ndlturee on behalf of your candidacy. .~.__~- ~ I.D. NUMBER NAME OF TREASURER !~>~ ~EE? COMMIE ADDRESS S~REET ADDRESS (NO P.O. BO) CITY STATE ZIP CODE AREA CODE)PHONE 5. Ballot Measure Committee BALLOT NO. OR LET[ER JURISDICT [] SUPPORT [] OPPOSE Identify the conll'olling officeholder, candidete, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee Llstn,mesofofflceholder(s/orcandldate(,/ for which this commlflee Is pHn~dly formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD E'I SUPPORT E1 OPPOSE I-] SUPPORT E] OPPOSE SUPPORT OPPOSE Attach con#nuation sheets if necessaO/ 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. Icertify under penalty of perjury under the laws of the State of Califomiathattheforego~_e ~ SIGNA'RJRE OF CONTR~ lNG OFFICEHOLDER, C ANDI~ATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNAI~RE OF CONTROLLING OFFICEHOLDER, CAN~DATE, STATE MEASURE PROPONENT Executed OR By FPPC Form 460 (8/99) For Technical Asshilance: 016/322-5660 Static of CMIfomla Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Amounts may be rounded ~,;~,,.;.; covers period Summary Page to whole dollars. from SEE INSTRUCTIONS ON REVERSE through Page NAME OF FILER I.D. NUMBER Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 2. Loans Received ................................................................... Schedule B, Line 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 4. Nonmonetary Contributions ............................................... Schedule C, Line 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + Column A Column B* TOTAL PRE~flOUS PERIO0 (SEE NOTE BELOW} $ $ $ $ Column C Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 $ 7. Loans Made .......................................................................... Schedule H, Line 7 , 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 O, 10. Nonmonetary Adjustment ....................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... AddLInesS+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 I, Line 4 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 B, Part 1, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above · From previous statement Summary Page, Column C. However, If this is the first report flied for the calendar year, Column B should be blank except for Loans Recek, ed (Moa 2), Loans Made (Line 7), and Accrued Expenses (Une 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/t to Date 20.Contributionsl-"~. ~ Received ............ $ 21. Expenditures ~ ~ Made ..................$ FPPC Form 460 (8/99} For Tachnlcal Assistance: 916~22-5660 Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAMEOFRLER Type or print In ink. Amounts may be rounded to whole dollars. ,rom SCHEDULE A Page _ of .__ I.D. NUMBER DATE RECEIVED 0o ' \ FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * J~'IND [] COM [] OTH _~D [] COM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH IF AN INDMOUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS PERIOD CUMULATIVE'FODATE CALENDARYEAR (JAN. 1-DEC. 31) CUMULATIVE TO DATE OTHER (IF: APPLICABLE) Sbu'l U reAL $ Schedule A Summary 1. Amount received this period - contributions of $100 or more. (tnclude all Schedule A subtotals.} ....................................................................................................... 2. Amount received this period - unitemized 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 I 'Co.t,~orCodes ] ! IND- ~ndividUal m COM - Recipient Committee [ OTH- Other' FPPC Form 460 {8/99) For Technical Aaalatsnce: 9'16/~22-5660 Schedule A (Continuation Sheet) Typo or print in Ink. SCHEDULE A (CONT.) Monetary Contril)utions Received ~mounm may oe roun~eo R'--_-"_--,,~;. covers ~e~;~,G IF AN INDI~DUAL, ENTER AM~NT CUMU~TIVE TO DA~ CUMU~TIVE TO DATE DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF C~IB~OR CONTRIB~OR ~CUPATI~ AND EMPLOYER RECEI~D ~IS CALENDAR YEAR O~ER RECE~D ~ ~EE. A~O E~R I.D. N~R) CODE * ~F SELF'~OYEO* ENTER N~E PER~ (JAN 1 - ~ 31 ) (iF APPLiCA~E) ~ IND ~ COM ~ OTH ~IND ~ COM DOTH D lED ~ COM ~ OTH DIND D COM ~ OTH ~ IND D co~ ~ OTH D COM ~ U o~8 SUBTOTALS IND-lndi~ COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) ForTechnlcal Assistance: 916/322-5660 Schedule B - Part 1 Loans Received SEEINSTRUCT;ONSONREVERSE NAME OF RLER Type or print in ink. Amounts may be rounded to whole dollars, from "~ through DATE RECEIVED FULL NAME, MAIUNG ADDRESS ANO ZIP CODE OF LENDER OR GUARANTOR Lender [] Guarantor [] Lender [] Guarantor [] Lender [] Guarantor CONTRIBUTOR CODE * ~ IND [-I eOM [] OTH [] IND [] COM [] OTH [] IND [] cou [] OTH IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER LENDERINFORMATIOt DUE DATE/ INTEREST RATE DUE DATE DUE DATE AMOUNT CUMUI. ATIVE OF LOAN TO DATE CALENDAR YEAR $ OTHER $ CALENDAR YEAR OTHER CALENDAR YEAR OTHER GUARANTOR AMOUHT GUARAN~EO SCHEDULEB-PART1 OTHER $ CALENDAR YEAR OTHER $ SUBTOTAL $ En~ (bl~ Schedule B - Part I Summary 1. Loans of $100 or more received this period. (Include ail Loans Received - Part 1 (a) subtotals.) ................... 2. Amount received this period - unitemized loans of less than $100 ................................................................... 3. Total loans received this period. {Add Lines i and 2.) ....................................................................... TOTAL Schedule B - Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. $ 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third parb/, 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 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ IND - indiv~duaJ COM - Recipient Committee OTH- Other M.y ~ ,, n~g~tt~..u~b~. FPPC Form 460 (8/99) For Technical Assistance: 916/922-5660 Schedule B - Part 1 (Continuation Sheet) Type or print in Ink. SCHEDULE B- PART 1 (CONT.} ............... · ..................... i Amounts ~ey be rounded Loans Received to ~ ~llars, through Page of N~E ~ RLER I.D. NUMBER IF AN INDI~DUAL, ENTER LENDER INFORMATION GUARANTOR INFORMATION DA~ FU~ NAME, MAILING ADDRESS AND ZIP COOE CO~RIB~OR ~CUPA~ANDEMPLOYER RECEDED ~ LENDER OR GUARA~OR ~ INO ~ COM I~EREST ~TE ~ OTH OmEn o~n ~IND ~ OTH Omar O~R 0 0 COM IN.REST RATE 00TH 0 ~NO 0 COU ~ES~ ~ 00TH ~ o~ 0 COM ~.~s~ O OTH O~ER SUBTOTAL $ $ ['Contn'but~x Codes IND -In~dduaJ COM - Redpl~t OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule B - Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party Type or print in Ink. Amounts may be rounded to whole doltars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER from ~-~ through SCHEDULE B - PART 2 Page_ of__ I.D. NUMBER DATE OF REPAYMENT OR FORG~ENESS DATE OF ORIGINAL LOAN FULL NAME OF LENDER INTEREST RATE (IF CHANGED) (c) AMOUNT REPAID OR FORGIVEN ON PRINCIPAL * Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ * IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, including the name and address of the person forgiving the loan or the third party making the payment, and the amount forgiven or paid. (d) OUTSTANDING INTEREST PRINCIPAL PAID TOTAL INTEREST PAID THIS PERIOD $ Enter the amount in column ( d) in the Schedule E Summary. Line 3. Do not carry this total to the Schedule B Summa~ FPPC Form 460 (8/g9) For Technical Assistance: 916/322-5660 Type or print in Ink. SCHEDULE B - PART 3 Annual Report of Outstanding Loans Received ,o ~,ho~ do,*,,. ,rom -7-/~j%~_~-- ~'~ ~ ~~ Attach additional information on appropriately labeled continuation sheets. TOTAL $ NOTE: This tofal should be the same amount as enfemd on ~he Summa~ Page, Cclumn C, Line 2. FPPC Form 460 (8/99) For TechnlcM Assistance.' 916/322-5660 Schedule C Type or print in ink. SCHEDULE C netary Contributions Received ~.S ON R~RSE through R M6E ~L NAME, MAILI~ ADDR~ AND ~IB~OR ~ IF AN INDIVIDUAL. E~R A~/ C~U~E TO ZIP ~OE OF CO~RIB~ CODE * ~UPA~ A~ EM~OYER DE'RIP'ON OF FA~ MARK~ DATE CUM~TIVEoA~ O~ERTO (IF ~E. A~O E~R I.D. N~ER) gF S~-~O~O. ~R GOODS OR SERVICES VALUE CALENDAR YEAR N~ ~ ~) (JAN 1 - DEC 31 ) (IF APPLIC~LE) ~ COM ~ OTH ~IND ~ OTH ~ IND D coM ~ OTH D IND D COM DOTH Nonmonetar SEE INSTRUC'Ft NAME OF FILER OATE RECEIVED Attach additional information on appropriately labeled continuation sheets. $ Schedule C Summary 1. Amount received this period - nonmonetary contributions of $100 or more. (Include all Schedule C subtotals,) ................................................................................................................... $ 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ................................ $ 3. Total nonmonetary contributions received this pedod. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL $ 'Contributor Codes IND - Individual COM- Recipient Committee OTH - Other FPPC Form 460 (8'99) For Technical Assistance: 916/322-5660 Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Type or print tn ~nk. Amounts may be rounded to whole dollars. S~;~%; c~w~, period through Page__ SCHI~DULE D of__ NAMEOFflLER LD. NUMBER DATE CANDIDATE AND OFFICE. MEASURE AND JURISDICTION, OR COMMFi-TEE [] s~p~o. [] o..o~ [] su~po~ [] oppose [] sumo. [] o.r.~ TYPE OF PAYMENT [] ~.d~ [] Contr~uflon [] No~Mo~a~ DESCRIPTION OF NONMONETARY CONTRIBUTION [] Contribution [] ~ Expire {IF R~QUIREO) AMOUNT THIS PERIOD C~lendar Year $ Other Calendar Year $ Other $ Calendar Year $ Other $ SUBTOTAL $ Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................ $ 2. Unitemized contributions and independent expenditures made this period 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 $ FPPC Form 460 (8/99) For Technical Assistance: 916~22-S660 'Schedule D (Continuation Sheet) % ..................... I SCHEDULE D (CONT Summary of Expenditures Typ, or print In ink. Supporting/Opposing Other to whole dollara. Candidates,Measures and Committees from -~ - I - C/ ~ NAME OF FILER lID. NUMBER / DESCRIPTION OF NONMONETARY DATE CANDIDATE AND OFFICE, TYPE OF PAYMENT AMOUNT ~TIIS PERIOD CUMULATIVE AMOUNT [] IV, o~etary CeJendar Year C, ontr~out~ Cofl~ibuflon Other [] Support [] Opp~e Expenditure $ [] Monetar/ Calendar Year Co~tbibufion Contribufiea Olher [] Support [] Oppose Expendibxe $ [] Monetar~ Calendar Year [] No..Uo~tary $ Corttribub~ Other [] Support [] Oppose Expendilum $ [] ~ CaJendar Year Cont~but~n r Other [] sm~ [] ~ ~ SUBTOTAL $ FPPC Form 460 (8/99) For Technical Assistance: g16/B22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. from 7- 1'~ C~ -'~ through Page_ of I.D. NUMBER SCHEDULEE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP cempalgn paraphernalia/misc. CN$ camp~gn consultants CVC civic denaflons INO ;nd~ ex~e su~ o~le~ (exi:~a~ LIT campaign literature and mailings MTG meetings end appearances OFC office expenses PET petit;~on circulating PHO I~one banks POL polling end survey research POS postage, de~ive;y and messenger services PRO professio~alsen4ces(~gnl, accoun~ng) PRT print ads RAD radio airtime and production costs RFD retumed contribul~ons SAL campaign workers salafles TEL l.v. or cable airtima and production costs TRC candidate travel, lodging and meals (explain) TRS stalf/spouse travel, lodging end maals (explain) TSF tmr~fer belween committees of the same cendidate/sponsor VOT voter registralJon WEB Information technology costs (intemet. e-mail} NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMIT'i~E. ALSO ENTER I.D. N~MEI/R) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * 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 Assistance: 916/322-5660 'Schedule E (Continuation Sheet) Payments Made Type or print In Ink. Amount~ may be rounded to whole dollars. SEE INS~UCTIONS ON REVERSE NAME OF FILER S;-;,~,,e*,t covers period through ~ ' '~'~*' ? ~ Page I.D. NUIV~ER SCHEDULEE(CONT.) of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaigflparephemalta/mlsc. DFC offiseaxpenses RFD retumedcontflbu~ofls CNS campaign coflsultants CTB contrfm~ (e~piain nonmonetary)' CVC cMc doflatiofls FND fundmistng events IND indapendeflt ex--re supporting/opposing o~ers (explain)* LIT campaig~ ~eralure andmsilings PET peti~co circulating PHO phofle banks POL poif~g and suwey research POS Postage, delivery and messonger servLces PRO professk~al so trices (legal, accounting) pRT print ads SAL sempeign workers selmies TEL t.v. o~cable ~rlime and produclk)n costs TRC candidate trevel, lodging and meals (explain) TRS staff/spouse travel, IocIging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voler reg~stretlon MTG mee~ngsandappearences RAD radio eirlime and production sosts WEB Infofl~ab3fltechr NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COM~'I"FE E. ALSO ENTER I.D, NUMB~ R) CODE OR D ESC RIPTION. OF PAYMENT AMOUNT PAID * ?aymeflts that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL FPPC Form 460 (8/99) For Technical Asslatancs: 9t6/822-5660 Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amount~ may be rounded to whole dollara. Statement covers period from '7- ~ - ~ ~ through Page SCHEDULE F 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. DFC office eAoenses PET pntition cimulaflng PHO phone banks POL polling and suwey research POS postage, delivery and messenger services PRO professlunal sewicos (legal. accounting) PRT pflnt ads RAD radio ~ and production costs CMP campaign paraphernalia/misc. CNS campalgn co~sultsnts CTB contn'bution (explain nor. monetary)' CVC cMc donations FND fundralstng events IND independent e~penditum suppo~rtg/opposing othem (explein)' LIT campaign lifemture and mailings MTG mee~gs attd appearances * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RFD mlumed co~tfibu'~ons SAL campai~ workem salaries TEL t.v. or cable airflme and production costs TRC candidafe travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer betwee~ committees of the same candidate/sponsor VDT voter mgistralion WEe Inforrcation tschnoiogy costs (inlemet, e-mail) (i) ' (b) (c) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITI'EE, ALSO ENTER I.D. NUMBER) DESCRIP~IION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD SUBTOTALS Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $~(.~' o 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) 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 /~ . O on the Summary Page, Column A, Line 9 ) ................................................................................................................... NET $ ~ FPPC Form 460 (8/99) For Technfea! Assistance: 9tSl'322-SSSO Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through NAME OF FILER SCHEDULE F (CONT.) Page__ of__ I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. CNS campaign consuitartts CTB conth'bution (explain no~monetary)* CVC civic dona~s FND fundraislng evers IND independent expenditure supporting/opposing others (explain)* LIT campaign Ifferature and mailings MTG meetings and appearances DFC office expenses PET petition cimulating PHO phons banks POL polling and sun, ay research POS postage, delivery and messenger servtces PRO profesaionai se rvicas (legal, accounting ) PRT print ads RAD radio airfime and production costs * Payments that ere contHbutiuns or independent expenditures must also be summarized on Schedule O. RFD returned conth'bu~xts SAL campaignwod(erssalades TEL t.v. or cable aiFdme and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spoues travel, lodging and meals (explain) TSF bansfer between committees of the same candidate/sponsor VDT voter re~istra~ WES in fo~nation technology costs (int emet. e-mail) (I) (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMent EE, AI~O ENTER I+[:)+ Nh~V~E R) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (^CAD REPORT ON E) OF THIS PERIOD SUBTOTALS FPPC Form 460 (8/99) For Technical Aaalstsnce: 916/322-$660 · Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER NAME OF AGENT OR IND;-I'I=NOENT CONTRACTOR Type or print in Ink. Amount~ may be rounded to whom doilera. through Page of . I.D. NUMSER SCHEDULE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP can~uaignparaphemalia/mlsc. DFC olrmee~oenses RFD mtumedcontfib~ons CTB contribu~n (explal~ noornonetary)- CVC dvfc donalions INO independent expenditure suppor~opposing others (e)~plein)' LIT campaign literature and mailings PET ge0tion circulating PHO phone ba~ks POL po#lng and survey research PRO proles$~ se trices (leg~, acco~ng) PRT print ads MTG me elings and apgearances RAD radio airtime and praducflo~ costs SAL campaignworkers salaries TEL t.v. or cable airttme and production costs TRC car~r~date ffavel, todgin~ and meals (explain) TRS stoff/spouse travel, lodging and meais (explain) TSF ffanslerbeh'raencommittoesofthese~necandidate/sponsor VDT voter registration WEB Information techr~ogy costs (intemet, e.mail) * Payments that are contrffautlorm or Independent expenditures must also be summarized on Schedule D. NAME AND ADult:S;5 OF PAYEE OR CREDrrOR (IF COMMT/EE. ALSO EN1ER I.D. NUMeEn) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAiD apprup#atelj ation sheets. TOTAL* $ · Do not bar ,=~'~r to any other schedule or to the Sun3~ary Page. This total may not equal the amount paid to the agent or independent contractor as ralx~rted on Schedule E. FPPC Form 460 (~99) For Technical Aeatatence: 916/322-5660 Schedule H - Part 1 Loans Made to Others* Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE SCHEDULE H - PART Page of NAMEOFRLER I.D. NUMBER NAME AND ADDRESS OF RECIPIENT INTEREST RATE DUE DATE AMOUNT DATE OF LOAN OF COMMITTEE. ALSO ENTER I.D, NUMBER) *Loans that ere contributions to another' candldets or commlttse must also be summarized on Schedule D. SUBTOTAl. $ Schedule H - Part I Summary ~2 ~ 1. Loans of $100 or more made this period. (Include all Loans Made - Part I subtotals.) ............................................... $ ~-~ ' 2. Unitemized loans under $100 made this period ............................................................................................................. $ ~'~ ' c' ~ 3. Total loans made this period. (Add Lines 1 and 2 ) ........................................... TOTAL $ © ' Schedule H - Part 2 Summary 4. Payments received on loans · ,uu u, u,,,--,,,; ,~,, ,',=,, ,-y ........ loans of $100 or more forgiven by this committee - Part 2 (a) subtotals. If forgiven, also itemize on Schedule E.) ................................................................................................................... $ 5. Unitemized payments received on loans under $100. (Including a forgiveness.) ............................................................................................................................................ $ 6. Total loan payments received this period. ' (Add Lines 4 and 5.) ......... · ........... TOTALS ~ o0 7. Net change this period. (Subtract Line 6 from Line 3. Enter the net here and on the Summary Page, Column A, Line 7.) ................................................................ NET $ 0 FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule H - Part 2 Repayments on Loans Made to Others and Loans Forgiven Type or print in ink. Amounts mey be rounded to whole dollare. SEE INSTRUCTIONS ON REVERSE NAME OF FILER SCHEDULE I" DA~E OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN INTEREST FULL NAME OF RECIPIENT OF LOAN RATE (IF CHANGED) AMOUNT ;~'PAID OR FORGIVEN ON PRINCIPAL* EXCLUDE RECEIPT OF INTEREST Co) OUTSTANDING INTEREST PRINCIPAL RECEIVED TOTAL INTEREST Atfach additional information on approptfately labeled continuation sheets. SUBTOTAL $ RECEIVED THIS $ * IMPORTANT: If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Entertheamountincolurnn(b)in the from a third par~, enter the name and address of third party in the 'FULL NAME OF RECIPIENT OF LOAN" column above, along with the Schedule I Sumrnaq~, Line 3. Do not can)' name of the recipient of the loan. this total to the Schedule H Surnmaq~. FPPC Form 460 (8/99) For Technical Assistance: g16~22-~660 SCHEDULE H- PAR~'3 ~,nnual Report of Outstanding Loans Made towfloledollara, from 7 ~EE INSTRUCTIONS ON REVERSE dAME OF FILER I.D. NUMBER FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST Attach additional information on appropriately labeled continuation sheets. TOTAL $ NOTE: This total should be the same amount as entered on the Summaq/ Page, Column C, Line 7. FPPC Farm 4~0 For Technical Asslstanca: 916/322-5660 Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollare. period SCHEDULEI SEEINSTRUCTIONSONREVERSE through (~ - '~ - ~ '~ Page__ of__ NAME OF FILER I.D. NUMBER DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVEO {IF COMMrI'rEE. At. SO ENTER I.D. N*~MBER) INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... 2. Unitemtzed increases to cash under $100 this period ............................................................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660