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Home My WebLink AboutPANICK SEMIANN99(2) COVER PAGI Recipient Committee Type o~ ..ntin ~.~ Det. S,~. Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement :ers pe~od f~om (~/-~J-~ thro.~h /,k-~/- ~ 1. Type of Recipient Committee: ~Ji Committea~ - Complete Parts t, 2, 3, and 7. ~_Primarily Formed Candidate/ Officeholder Committee (Also Col~ete Part 6J [] General Puq3ose Committee 0 Sponsored 0 Broad Based [~:Ofliceholder, Candidate Controlled Committee (Also Complete Part 4.) [] Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Comp/ets Part 5.) Date of e~ectlon if applicable: (Month, Day, Year) S- 2 1 ~71 9:08 Page (/ of ~'~ Fo~ Official Use Only 2. Type of Statement: ~ Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarledy Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information COMMITTEE NAME STREET ADDRESS (NO P.O. BOX) l'-7 CITY STATE ZIP CODE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE 661'32, 'q7/ ' Treasurer(s) NAME O~ TREASURER STATE ZIP COOE AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP COOE AREA CODF-/PHONE OPTIONAL: FAX/E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADORESS FPPC Form 460 (a/~) For Technical Asslltance: 916/3~2-5660 State of California Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE-PART2 4, Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (iNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 5. Ballot Measure Committee NAME OF BALLOT MEASURE Identify tho ~n~olling o~o~, ~n~te, or s~ m~sum propon~ if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ,' 6. Primarily Formed Committee u,t,em, of officeholder(si orcandldata(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE AREA CODE~PHONE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD []SUPPORT [] OPPOSE 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 laws of the State of California that the~i_s~correct. Executed on - ---- -- By By Executed on By Executed on By FPPC Form 460 (8/99) For Technical A~lstance: 916/322-5660 State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dolMr$. S~,;.~,~,c-,~; covers from ~ I )c~,~ through '~- ~ , ~ Page of __ SUMMARY PAGE NAME OF FILER Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLines t + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines 3 + 4 Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ AddLines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 Column A TOTAL ~ FER~OD I.D. NUMBER Column B* Column C 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 + 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 ................................... AddLIne2+Llne91nColumnCabove · From previous statement Summery Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank e~cept for Loans Received (Line 2), Loans Made (Line 7), end Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 20, Contributions Received ............$ ~ '"~*.. 21. Expenditures Made .................. FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule A Ty~* or print in ink. SCHEDULE A ~mtoun~ may ~e roun~e~l S.'-;,~,~=nt covers p~r;o~ I Moneta~ Contributions Received to who~ dollam, from ,~ SEE 'NSTR~ONS ON R~RSE ~rough DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIB~OR ~CUPA~ AND EMPLOYER RECEIVED ~IS C~ENDAR Y~R O~ER .... - ~ cOM ~ COM ~ OTH ~IND ~ COM ,. ~ ~'~'DDD~ OTH COM OTHiND ~i;I ~ .... SUBTOTALS 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 $100 ......................................... $ 3. Total monetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ *Conlributor Codes IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/822-5660 Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.) Monetary Contributions Received Amo.n. may~e roun~eo St~;=~,~¢~,ve~ period ~ .~ ~; to whole dollars. , ri from~D~U / ~11 through of NAME OF FILER MBER IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EM PLOYER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED (m COeAMiTTE E, ~ ENTER I.D. NUMBER) CODE * (IF SELF-EM[CLOYED, ENTER NAME PERIOD (JAN I * DEC 31 ) (IF APPLICABLE) OF BUSINESS) I-liND [] COM '-~-~ · [] OTH []IND [] COM [] OTH [] IND [] COM ~ [] OTH '~' [] OTH ~ [] IND '"'* [] COM ~'~,... [] OTH I-I COM [] OTH SUBTOTALS I'C_,ontn*butor Codes IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/822-5660 Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ..~-'--;~,,,ent covers period from ~rough SCHEDULE El - PART 1 NAME OF FILER DATE RECEIVED OF LENDER OR GUARANTOR I-I Lender CONTRISUTOR COOE * [] Lender [] Guarantor [-] Lender [] Guarantor I-liND [] eOM [] OTH [] IND [] COM [] OTH [] IND ~ COM [] OTH IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER LENDER INFORMATION DUE DATE DUE DATE (.) $ GUARANTOR INFORMATION $ SUBTOTALS Schedule B - Part I Summary 1. Loans of $100 or more received this pedod. (Include all 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 1 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 party, 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 [*Contdbuto~ Codes IND - Incrwidual COM - Recipient Committee OTH - Other FPPC Form 460 For Technical Assistance: 916~22-5660 Schedule B - Part 1 (Continuation Sheet) Type or print in Ink. SCHEDULE B- PART 1 (CONT.) ............... · ..................... · Amounts may be rounded S;=;m,ie,,; covers period '~r~ '' · L.oans Received to whole dollars, from~U i~ through M~R of ' 4AME ~ FILER IF AN INOI~DUAL. ENTER LENDER INFORMATION GUARANTOR INFORMATION DATE FULL NAME, MAILING ADDRESS AND ZIP CODE CO~IB~OR ~CUPA~ON AND EMPLOYER (a) ~ CUMU~ RECE~D OF LENDER OR GUARANTOR CODE * (iF SE~'~LOYED* E~R ~E DA~ CUrSiVE ~ IND ~. ..... ~ O~H ~ O~ER ~ Omar D Len~i'~' - ~.~uarantor ~ DUE DATE CALENDAR YEAR ALENDAR YE~ -~ ~IND ~ OTH OmER S OmER ~ Len~r 0 Guarantor % . $ ~ IND -- , ~ ~ COM ~'mR~S~TE '~, COM ~"~...~ ~mE.EST ~ Lender DIND ~ COM I~.EST ~TE -- ~ OTH Omar ~ L~r SUBTOTALS *Contributor Codes IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Aeslstance: 916/322-5660 Schedule B - Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party SEEINSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULEB-PART2 NAME OF FILER DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN FULL NAME OF LENDER INTEREST RATE (IFCHANGED) (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 patti4, 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. OUTSTANDING PRINCIPAL (d) INTEREST PAID TOTAL INTEREST PAID '~H19 PERIOD $ ~-~-~ Enter the arnount n column (d) ln U~e Sch6dule E Summa~ Dna 3. Do not can), this total to the Schedule B Summa~ FPPC Form 460 (8/99) For Technical Assistance: 916~322-5660 Type or print in ink. SCHEDULE B - PART 3 OUll~UUlt~ D -- i-~1; i. 0 Amo:.~-~- m~-.. be roundedunto .y ;== · ~-,,~ e----,,,~,- covers--'~ Annual Repod of Outstanding Loans Received to who* dollars, ko~W~ ~ , ~ / ~ ~~ SEEINSTR~NSONREVERSE ~rough ~ ~i, ~ I Pa~ [ of__ L NAME ~ RLER~ ~ ~ ~D~ ~I'D' NUMBER F~ N~E OF LENDER ~IGINAL DA~ OF LOAN A~U~ OF ORIGINAk LOAN UNPAID PRINCIPAL UNPAIO iNTEREST Attach additional information on appropriately labeled continuation sheets. TOTAL NOTE: This total should be the same amount as entered on the SummaryPage, Column C, Line 2. FPPC Fomt 460 (8/99) For Technical Asaistanca: 916/322-5660 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amount~ may be rounded to whole dollars. S~,t~,~&~ c,~ve~s period through SCHEDULE C NAMEOFFILER DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRIBUTOI CODE * [] IND [] DOM [] OTH [] IND [] COU [] OTH IF AN INDIVIDUAI~ ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPt. OYED. ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES []IND [] COM [] OTH [] IND [] COM [] OTH Attach additional information on appropriately labeled continuation sheets. SUB~ AMOUNT/ FAIR MARKET VALUE I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN I - DEC 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) 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 period. ~ (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL $ *Contributor Codes IND - Indi~Adual 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 NAME OF FILER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE [] Supper ~ Oppose [] smpo~ [] Oppose Type or print in ink. Amounts may be rounded to whole dollars, TYPE OF PAYMENT [] ~ndap~n~e~ Expenditure [] ~onetary [] [] ~da~da~ E~pe~d~m [] No~-Monetary Conbibut~on [] Independent Expenditure -~;-;--,~.; covers from -'~.4~ through DESCRIPTION OF NONMONETARY CONTRIBUTION (IF REQUtRED) AMOUNT THIS PERIOO SCHEDULE D Page '7 of1 I.O. NUMBER CUMULATIVE AMOUNT Calendar Year $ Other $ Calendar Year $ $ Calendar Year $ $ 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 Tschnlcel Assistance: 916A322-5660 Schedule D (Continuation Sheet) Summary of Expenditures Typ, or print In ink. Amountsmayberounded S~.;.~..~,,;cove~s~a,-:a~ le~_,ll I i~i~lfa/-· Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees from through I Page __ of__ NAME OF FILERI I.D. NUMBER DESCRIPTION OF NONMONETARY DATE CANDIDATE AND OFFICE. TYPE OF PAYMENT AMOUNT THIS PERIOD CUMULATIVE AMOUNT MEASURE AND JURISDICTION, OR COMMITFEE CONTRIBUTION (IF [] Monetary Calendar Year Contribution [] Non'Monetary $ ~ -~-~--~.~-~.~ Contribution Ob~er ~ -~-.~ [] Independent [] Support [] Oppose ~- Expenditure $ [] ~ Calendar Yoar [] Non-Mo~. $ Contribution '~ O~ha~ [] Independe~ [] Support [] Oppose Expenditure '~. $ [] Monetary ~'~..~ Calendar Year [] No.-~k~eta~ '~ $ Con~ ~ Othar [] Support [] Oppose Expend~um '-. $ Co¢~ibu~on Con~ibu'don [] Support [] O~x~e Expen~tu~e SUBTOTAL $ FPPC Form 460 (8/99) For Technical Assistance: 916~22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E NAMEOFRLER I.D. NUMBER CODES: I1 one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalie/misc. CNS campaign co~soltants CTB contrib~on (ex~in nonmonetary)' CVC civic dona~ns FND fundraising evsots IND independent exponditum supporting/opposing olhers (explain)' LIT campaign literature and mailings MTG mee§ngs and appearances DFC offica expenses PET po§tion circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger sawicas PRO professienal san'ices (legal, accounling } PRT print ads RAD radio airiime and production costs RFD retumed contributions SAL campaign workers salaries TEL t.v. or cable ai~me and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter registra*~on WEB information technology costs (intamet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR {IF COMMITTEE, ALSO ENTER ID NUMBER) 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 mom. (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. Amounts mw be rounded to whole dollm's, SEE INSTRUCTIONS ON REVERSE NAME OF RLER from through Page I.D. NUMBER SCHEDULEE(CON~) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaiia/mlsc. CNS campaign consultants CTB contrib~ion (a)q~i)in nonmonetary)' CVC civic donations FND fundraising events IND independent expend~ure suppo~ng/'opposing others (explain)* LIT campaign literature and mailings MTG meetings and appearances DFC office expenses PET peti~on circulating PHO phone banks POL politng and survey research POS postage, daiivery and messenger services PRO professkxtal services (legal, accounting) PRT print ads RAD radio airtime and prnduction costs RFD retumed contributioes SAL campaig~workers salaries TEL t.v. or cable airtime and production costs TRC candidate travai, lodging and meais (explain) TRS staff/spouse travel, Indging and meals (explain) TSF transfer between committees of the same candidate/spor~sor VDT voter registration WEB inforrnation technology costs (intemet, e-meil) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) * Paymenta that are contributions or independent expendl~res must also be summarized on Schedule D. SUBTOTAL FPPC Form 460 (8/99) For Technical Assistance: 916/~22-5660 Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SEEINSTRUCTIONSONREVERSE Statement covers period through ~' ~.='~ NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DFC offica expenses PET peliflon circulating PHO phone banks POL polling and survey mseamh POS postage, delivery and messenger services PRO professional servicas (tsgal, accounting) PRT p~int ads RAD radio ai~me and production costs CMP campaign paraphemalia/rnisc. CNS carn~ consultants CTS contn~utfon (explain nonmonetary)' CVC civic do~alions FND fundraJsing events IND independent expenditure supporting/opposing othem (explain)* LIT campaign literature and mailings MTG meelthgs end appearancas SCHEDULE F * Payments that ere contributions or independent expenditures must also be summarized on Schedule D. Page / of' / I.D. NUMBER RFD returned contfibu~ons SAL campaign workers salaries TEL t.v. ef cable airtime and production costs TRC car~date travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter registralJon WEB inforrnaflcn technology costs (intemet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMHITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 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 $ 2. Total accrued expenses paid this period. (Include ali 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 ~,,<.-.~ on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ FPPC Form 460 (8/99) For Technical Asslatsnce: 916/322-5660 Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME OF FILER Type or print In ink. Amount~ may be rounded to whole dollars. SCHEDULE F (CONT.) Page of I.D. NUMSER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphe malia/rnisc. CNS campaign consultants CTB cont~bufion (explain nonmonetar/)' CVC civicd~qa~/ons FND fundraistng events IND ~. t expenditure supporting/opposing others (explain)* LIT campmgn ~emtumandmatiings MTG meetings and appearances CFC offica ex]3eoses PET petition circulating PHC phone banks POL Ix~andsun/eyresearch POS postage, delivery and messenger servicas PRO professional se trices (legal, accounting ) PRT prior ads RAD radio airtime and production costs * Payments that are contributions or independent expenditures must also be summarized on Schedule O. RFD returned contdbu~ons SAL campaign wo;kers saJades TEL t.v. or cable airlime and production costs TRC cane,;date travel, kx~ng and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter mgis~ra~on WEB infon'nation technology costs (intemet, e.mail) (a) (b) (~=) (d) ~ ~d~HE ~.~.E. SS OF PAYEE OR CREDITOR COOE OR OIJTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANOING FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 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 INDEPENDENT CONTRACTOR Type or print In ~nk. Amounts may be rounded to whole dollars. ~;~;~,,,~nt covera period from . ~'~[/Vt }/ ~ ~*~ Page .... I.D. NUMBER SCHEDULE G CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment. CMP campa/gn paraphemalia/rn/sc. CNS campaig~con~ultants OFC ofl~ceexpenses RFD retumeqcon~buffons PET pe~UoncimulaUn9 SAL campaign workers salades CTB contribution (explain nonmonetary)* PHO phone banks CVC civic donations FNO fundraisingevants POL pollingandsurveyresearch POS Fostage, de~vmy and messenger services IND iodependantexpen~uresul~opposingo~ers(exp~), PRO Professkmalservices(legal, accountJng) LIT campaign literature and mailings MTG meefingsandabpearances PAT pdntads * Payment' th't 're contflbution, or independent expenditure, mu,t also b~RAsDum'ma erCr~er~ ;c~:rd°uleUC~.°n c°sts TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meaJs (explain) TRS stafffspouse travel, lodging and meals (explain) TSF transfer between committees of ~he same caodidale/sponsor VDT voter registration WEB information technology costs (intemet. e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR -- ~ (IF COMMI~i'EE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT ~_ach additiona/ information on a~oroo#ate/v /ah~_l~ ,~,.~;,,,,~;.~. ~,. ~ ~ · Do not transfer to any other schedule or to the Summary Page. Thi~ ~otal may not equal the amount paid to the agent or independent contractor as reported on Schedule E. TOTAL* FPPC Form 460 (8/99) For TechntcM Assistance: 916~322-$660 Schedule H - Part 1 Loans Made to Others* SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. through Page SCHEDULEH-PART1 ! of ~ NAME OF FILER DATE OF LOAN NAME AND ADDRESS OF RECIPIENT INTEREST RATE DUE DATE *Loans that are contributions to another candidate or committse must also be summarized on Schedule D. SUBTOTAL $ LD. NUMBER AMOUNT Schedule H - Part I Summary 1. Loans of $100 or more made this period. (Include all Loans Made - Part 1 subtotals.) ............................................... $ 2. Unitemized loans under $100 made this period ............................................................................................................. $ 3. Total loans made this period. (Add Lines 1 and 2.) .......................................................................................... TOTAL $ Schedule H - Part 2 Summary 4. Payments received on loans of $100 or more. (Include all loan payments received and all 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 Joan payments received this period. (Add Lines 4 and 5.) ........................................................................................................................................ TOTALS 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 $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule H - Part 2 Repayments on Loans Made to Others and Loans Forgiven SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. _~:__-:_-_+~i~;. covers from ~"-~/~ through P,.e ~ ot ~ E I-~. PAPer 2 NAME OF FILER DATE OF REPAYMENT OR FORGIVENESS INTEREST RATE (IFCHANGEO) DA~ OF ORIGINAL LOAN FULL NAME OF RECIPIENT OF LOAN AMOU.T ;~PA,D OR FORGIVEN ON PRINCIPAL* -=XCLUDE RECEIPT OF INTEREST SUBTOTAL (b) OUTSTANDING INTEREST PRINCIPAL RECEIVED TOTAL INTEREST RECEIVED 'l~lS PERIOD Attach additional information on appmprfately labeled continuation sheets. * IMPORTANt:' If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Entertheamountincalumn(b)in the from a third partJ4, enter the name and address of third parJy in the 'FULL NAME OF RECIPIENT OF LOAN" column above, along with the Schedule I Summa~ Line 3. Do not can7 name of the recipient of the loan. this total to the Schedule H Summaq~ FPPC Form 460 (8/99) For Technical Assistance: 916/~22~660 SCHEDULE H - PART 3 Schedule H - Part 3Amou~.'r'pe o, p,lnt in ink.may b~ rounded _~-'-_-' _-,,,~, covers ~r,~ J i~ Annual Report of Outstanding Loans Made to whole dollara, from ~,~ Ij ~ SEE INSTRUCTIONS ON REVERSE / NAME OF FILER MB 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 totalshouldbe the same amount as entered on the Summary Page, Column C, Line 7. FPPC Fo~m 460 (8/99) For Technical Assistance: 916/322-5660 Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. SCHEDULEI F.., / or? NAME OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT I.D. NUMBER AMOUNT OF INCREASE TO CASH Attach additional information on approp#ately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. increases to cash of $100 or more this period ........................................................................................................... $ 2. Unitemized 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