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Home My WebLink AboutTAVORN SEMIANN99(2) ecipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print in ink. SEE INSTRUCTIONS ON REVERSE Statement covers pedod through /--/~ - O~ 1. Type of Recipient Committee: All Committee~- Complete Pa~ts t, 2, 3, and 7. {~ Officeholder, Candidate Controlled Committee (Also Complete Part 4 J [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6J [] General Purpose Committee O Sponsored O Broad Based Date of elecUon if applicable: (Month, Day, Year) Dale SI;~mp I0 J~.~! 21 F?, 3:0'7 K~;~or~L.b Cii'Y CL£i 2. Type of Statement: [] Pre-election Statement . Semi-annual Statement Termination Statement [] Amendment (Explain below) COVERPAGE Page /; of ~" Fm Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pm-election Statement - Attach Form 495 3. Committee Information COMMITTEE NAME I.D. ~:MBER 7'? o/75" Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CCOE AREA COOF-/PHONE NAME OF ASSISTANt' TREASURER, IF ANY STREET ADDRESS (NO RO. BOX) CID/ STATE Zl~ C~E ~EACO~HONE MAILING ADORESS (IF DIFFERENT) NO. AND STREET DR RS. BOX CITY STATE ZIP COOE OPTIONAL: FAX / E-MAIL ADDRESS AREA CODE/PHONE FPPC From 4~0 (~g) For Technical Assistance: Stale of C~llt~rnl~ Recipient Committee Campaign Statement Cover Page -- Part 2 Ty~e or print in ink. COVER PAGE-PART2 Page ~ of ~ 4. Officeholder or Candidate Controlled Committee NAME OF OFF ICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DIS]RICT NUMBER IF APPLICABLE) RESIDENTIA/UBUSINE S S ADDRESS (NO. AND STREET) CITY STATE ZiP Related Committees Not Included in this Statement: Llstanycommlttees not Included In this consolidated statement the t are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy, ILO. NUMBER COMMITI~E ADDRESS STREETADDRESS ("O P.O. CITY STATE ZIP CODE 7. Verification 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION[][] OPPosESUPPORT Identi~ the conb'olling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee LIst names of officeholder(s) orcandldat,(,) for which this committee la primarily formed. NAMEOFOFFICEHOLDERORCANDIOATE OFFICE SOUG~HT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD AREA CODFJPHONE Attach con#nua~on sheets if necessary []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 foregoing is true and correct. Executed on /~/? - ~ o By DATE Executed on By DATE Executed on By Executed on By DATE FPPC Form 4~0 (~/99) For Technical Aealetanee: g!6/~22-5660 State of California Schedule A Typ. or print in ink. SCHEDULE A Monetary Contributions Received ~moumsmayoerou~eeo SEE INSTRUC~ONS ON RE~RSE ~rough / DATE FULL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIB~OR CONTRIBUTOR ~CUPATION AND ~PLOYER RECEIVED ~IS CALENDAR Y~R OTHER D COM DOTH O ~NO D COM ~ OTH ~ COM ~ OTH 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. Tolal monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ FP~C ;on. 4~0 (~) For Technical Aeslstence: 916~22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars, through Page SCHEDULE E NAME OF FILER I.D. NUMBER CODES: I1 one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP careDaign paraphe mails/misc. CNS campaign consultants CTB cont ributio~ (explain n~nnmnetmy)' CVC civic dona~ons FND fundraising events IND independent expenditure supporling/opposing others (explain)* LIT campaign literature and mailings MTG n~e§ngs and appearances DFC office expenses PET pe§fion circulating PHO phone banks POL pelling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT p~int ads RAD radio airtime and production costs RFD returned contribulJo~s SAL campaign workers salaries TEL t.v. o~ cable aidime and production costs TRC candidate travai, Iodgthg and meals (explain) TRS staff/spouse travai, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter reg~strafio~q WEB information technology costs (intemet, e-mail} NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PArD * Payments that ~re contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ / ~_. ~.~, O0 Schedule E Summary 1. Payments made this period o! $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 $ /Z ?5, oo FPPC Fm'm 460 (8/99) For Technical Aaalstance: 916~22-5660 Campaign Disclosure Statement Summary Page Type or pdnt in ink. Amount~ may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Sta~,~r,~ covers period from through SUMMARY PAGE P,g* ~' of -~ I.D. NUMBER Column B* Column C TOTAL PREVIOUS PERIOD TOTAL TO DATE $ $ $ $ $ $ $ $ $ $ $ Contributions Received 1. Monetary Contributions ...................................................... ScheduleA, Line 3 2. Loans Received ................................................................... Schedule B. Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLines 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 .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + z 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 THIS PERIOD /,~5~, ~ o ~5, o ~ Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 1 3. Cash Receipts .............................................................. column A, Line 3 above 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 1 5. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + t4, then subtract Line 15 If this is a termination statement. Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule S, Pert l, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... AddLIne2+LlneginColumnCabove · From previous statement Summery Page. Column C. However. if ~is is the first report filed for the calendar year, Column B should be biank 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 thr~Jgh 6/30 711 I00ate 20. Contributions Received ............ $ 21. Expenditures Made .................. FPPC Fort. 4~0 (MJ9) For Technical Assistance: 916~22.5660