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HomeMy WebLinkAboutKC EMPLOYEES PAC SEMIANN99(2)Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement cove~s period ,,om Date of etectlon it a~pticable: (Mon~, Day. Year) COVER PAGE Page I of ~ 1. Type of Recipient Committee: All Committees - Complete Parts 1,2, 3, and 7. r-] Officeholder, Candidate Controlled Committee (A/so Complete Pert 4) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (AlsO Complete Pat15) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) ~ General Purpose Committee O Sponsored ~L. Broad Based 3. Committee Information STREET ADDRESS (NO PO. SOX) STATE ZIP COOE AREA CODE~PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX 2. Type of Statement: [] Pre-election Statement ~. Semi-annual Statement [] Termination Statement I--I Amendment (Explain below) [] Quartedy Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) CITY STATE ZIP CODE AREA CODE/PRONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 46O (8/~) Fo r Tec~mlcal A~lltrt~lCe: 916~3~2-5660 State of ~lifornia Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. Page ~-- or ~ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (iNCLUDE LOCATION AND DISI~ilCT NUMBER ~F APPLICABLE) RESIDENTIAL/~USINESS ADDRE SS (NO. AND STREET) CITY STATE ZiP Related Committees Not Included in this Statement: Llstany¢omm#toe~ not Included in this consolidated sMtemenr that ere controlled by you or which are prlmatfly formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I,D. NUMBER NAME OF TREASURER CONTROl_LED COMMITTEE? [] ~ES [] .o COMMITTEE ADDRESS STREET ADDRESS (NO PO. BO;< CITY STATE ZIP CODE AREA CODFJPHONE BALLOT NO. OR LETTER I JURISOICTK~N [] SUPPORT I [] OPPOSE IdenUfy the conlrolling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. tF ANY 6. Primarily Formed Committee Lletnemesofofflceholder(s)orcandldate(~) for whlch this committee la prfrnarJly formed. [] o~osE NAME OF OFFICEHO~R OR CANDIDATE OFFICE SOUCV~IT OR HELD [] SUPPORT Attac~ continuation sheets if necessary 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 certify under penalty of perjury under the lav~s of t~hat~,.~ f/~..iregoing is true and correct. Executed on' ,/~' DI~'~-'(~00 B~,,~/~ ~ Executed on By DATE Executed on By DATE Executed on By DATE FPPC Form 4~0 (8/99) For Technical A~tance: State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars. ,r om~:~/~n~=' 7~"~ throughl'~'/~} /~(~ Page NAMEOF FILER Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 4. Nonmonetary Conlributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+4 I.D. NUMBER Column A Column B* Column C Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 7. Loans Made .......................................................................... Schedule H, Line 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 9. Accrued Expenses (Unpaid Biffs) ............................................ Schedule F, Line 10. Nonmonetary Adjustment ....................................................... ScheduleC. Line3 11. TOTAL EXPENDITURES MADE ......................................... AddLInes8+9+ tO 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 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + t3 + 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 pmViOUS statement SummaJy Page, Cotumn C. However, if this is the first report filed 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 1/1 Ihmugh 6/30 711 to Date 20. Contributions Received ............ $ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) Fo~Teehnlcal Aaeietunce: 916/322-6660 Schedule A Type or print In ink. SCHEDULE A ........... Amounts may be rounded Moneta~ Contributions Received ,owbe,edo,,.r.. from FULL NAME. MAILING ADDRESS AND ZIP CODE OF CON~IBUTOR CONTRIBUTOR ~CUPA~N AND ~PLOYER RECEDED ~IS C~ENDAR YEAR O~ER ~ ~ ~OTH ~ ~ OTH ~TH SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... $ 2. Amount received this pedod - unitemized contributions of less than $100 ......................................... $ 3. Total monetaw contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ ~'"~ '~'~' ' IND - Individual COM - Recipient C<xnmiltee OTH - Other FPPC Form 460 (8/99) F~' Technical Aaslstsnce: 916/~22 .~,~0 Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ,sCHE~ULE D NAME OF FILER DATE CANDIDATE AND OFFICE, MEASURE AND JU~tSD~CTION. OR COMMITTEE J~.. Sugpe~t [] Oppose ~. Support [] O~pose ~--Support [] Oppose TYPE OF PAYMENT [] Independent Expend~re Contl~ution Contribu~on E~3enditure DESCRIPTION OF NONMONETARY CON3~IBLmON (IF REQUIRED) SUBTOTAL $ I.D. NUMBER AMOUNT THtS PERIOD Calendar year O~her Calendar Year Olher Olher 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 $ 0 ESO0. FPPC Form 460 (8~9] For Technical A~slstance: 916~22-5660 Schedule E Tybe or print in Ink. SCHEDULE F Payments Made Amounts may be rounded _c::_:__,,e~ covers to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP carnPmgn paraphemaJia/misc. CNS campaign ca~suJtants CTB cont,~butiun (explain nonmofleta~/) ' CVC cMc donaliofls FND fundraising events IND independent expan~lure suppofling/opposing olhers (explain)' LIT campmg~ literature and rnmlings MTG rneei~xjs and a~pearances OFC office expenses PET peK~'t ckculating PHO phofle banks POS postage, delivery and mes~unger sewicea PRO pfo~eeskx~l sen'icas (legal, accounting) PRT p~nt ada FIAD radio airlime and production costs Page ~ of ~ I.D. NUMBER RFD retumed co~trlbu~ofls SAL campaign wooers selarles TEL t.v. or cable ai~rne and production costs TRC cano~date t ravel, lodging and mseJs (ex,)lain) TRS staff/spouse l~avel, lodging and meaJs (explain) TSF transfer between committees of ~e same candidate/sponsor rOT voter registra~un WEB informatfon technology costa (internal. e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR {iF COMMITTEE. ALSO ENTER lid NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID *Paymentathat~~ec~ntribut~~n~~r~ndependuntexpunditure~mu~ta~s~be~umrunriz~d~nS~bedule~~ SUBTOTAL $ ~.~ C:)<~::). 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 Summan/Page, Column A, Dna 6.) ......................... TOTAL FPPC Fort 460 (8/99) For Technical Aselatance: 916/822-5660