The URL can be used to link to this page

Home My WebLink AboutPANICK PREELEC00(2)Recipient Committee Campaign Statement (Government Code SeclJons 84200-84216.5) Type or print in Ink. SEEINSTRUCTIONS ON REVERSE through d~/- ,~-~ Statement covere imdod 1. Type of Recipient Committee: MI Committee~- Complete Parts 1, 2, $, and 7. Date of deotion if applicable: (Month, Day, Year) Date Stamp O0 FEB -7 2. Type.of Statement: ~"~fficeholder, Candidate Controlled Committee (Also Complete Part 4.) [] Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) [] General Purpose Committee O Sponsored O Broad Based [~re-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) COVER PAGE / of ~ / [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information NUMBER Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP COOE AREA COOE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP COOE AREA COOE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS STREET ADDRESS (NO RO. BOX) CITY STATE ZIP COOE AREA COOF~HONE MAILING ADRRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP COOE AREA CODEJPHONE OPTIONAL: FAX/E-MAIL ADORESS FPPC Fo~n For Technical 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 DIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISIRICT NUMBER IF APP~LICABLE) RESlDENTIAL~USINESS ADDRESS ('(NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Llstanycommltteas not included In this consolidated s tatemen t fha t are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] Ms [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE 7. Verification 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION [] SUPPORT I [] OPPOSE Identify the controlling 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 Llstnamesofofficeholder(s)orcandldate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE AREA CODE/PRONE NAME OF OFFICEHOLDER OR CANDIDATE Attach continuation sheets if necessary 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 o! 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 By Executed on By Executed on By DATE Executed on By DATE FPPC Form 460 (~/99) For Technical A~$~tance: 91G/322-~G60 State of C~ifornla Campaign Disclosure Statement Summary Page Type or print in Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER from ~:)/ -8/ '-~ through Page I.D. NUMBER SUMMARY PA~: of ~/ Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 $ 2. Loans Received ................................................................... Schedule B, LiNe 3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLtnes I + 2 4. Nonmonetary ConlribulJons ............................................... Schedule C, Line 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 + 7 $. 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule ~ Line 3 10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... AddLInese+ 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 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14, then subtract Line 15 Ii this is a termination statement, Line t 6 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................... See instructions on reverse 19. Outstanding Debts ................................... AddUne2+LlneginColumnCabove Column A TOT~J. T~S ~RIOD ATT~D Column B* TOTAL PRE'~(~)S PERIO0 Column C TOTAL TO DATE $ $ Iexcept lot Loans Received (Une 2), Loans Made (Line 7), and Accrued Expenses (Une 9). · From previous statement Summary Page, Column C. However, if this is the first reflo~t filed for the calendar year, Column B should be blank Summary for Candidates in Both June and November Elections 20. Contributions 1/~thr~gh ~.0 Received ............ $ \~.~ 21. Expenditures Made ..................$ FPPC Form 460 (~Jg) For Technical Assistance: 916A22-5660 Schedule A Typ* or print In ink. SCHEDULE A Monetary Contributions Received ~mount~mayDerounaea ~.'~-.'--,~ent covers period I from SEE IHSTRUCTIONS ON REVERSE IF AN INDI~DUAL, E~ER ~UNT CUM~TIVE TO DATE CUMU~TIVE TO DATE DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIBUTOR ~CUPATI~ AND EMPLOYER RECEIVED ~lS CALENDAR YEAR OTHER ~ IND ~ COM ~ OTH ~IND ~ COM ~ OTH D ;NO ~ COM ~ OTH ~ IND D COM ~ OTH ~IND D COM ~ OTH SUBTOTALS Schedule A Summary 1. Amount received this pedod - 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 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ IND - Individual COM - Re~ Cemmlltee '~' ~"~ ~ F~ (~) For Technical AssMta.ce: g1~-5660 Schedule A (Continuation Sheet) Typ~ or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amoumamay~)erounoeo S~,;,=,,,~i~[coveraperiod to whole do#ara. ~U ~ ~ r through (~ ~ --~--~---"~ of '~/ NAME OF FILER M IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE DATE FULL NAME. MAIUNG ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED pF COMMITTEE. ALSO ENTER I.D, NUMBER) CODE * (IF SELF-EMP~.OYED. ENTER N~E PERIOD (JAN 1 - DEC 31 } (IF APPLICABLE) i-lIND [] cou [] OTH [] IND [] COM [] OTH []IND [] COM [] OTH []IND [] COM [] OTH []IND [] COM [] OTH [] IND [] COM [] OTH ['Contfibut~r Codes IND - Individual COM - Reclp~nt Committee OTH - Other SUBTOTALS FPPC Form 460 (8/99) For Technical Assistance: 9~6~22-5660 Schedule B - Part 1 Loans Received Type or print in Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE through (~/ -.-'~"'~ NAME OF FILER DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUM6ER} [] Lender [] Guarantor [] Lender [] Guarantor [] Lender [] Guarantor CONTRIBUTOR CODE * [] IND i'-I COM [] OTH i-liND i--i COM I-I OTH I-lIND [] COM I-10TH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUE DATEI INTEREST RATE DUE DATE DUE DATE DUE DATE LENDERINFORMATION t SCHEDULE B - PART 1 GUARANTOR INFORMATION t SUBTOTAL $ Schedule B - Part 1 Summary 1. Loans of $100 or more received this pedod. (include ail Loans Received - Pad I (a) subtotals.) ................... 2. Amount received this pedod - 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 *Contdbutm' Codes IND - tn~vidual COM - Recipient Commiltee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916~22-5660 SchedUle B - Part I (Continuation Sheet) Type or print In Ink. SCHEDULE B* PART 1 (CONT.) ............... ~, ..................... l Amounts ~ay be rounded Statement c,,Ye~ period Loans Received to whole dollars. from ~AME OF FILER I.D. NUMBER IF AN INDIVIDUAL. ENTER LENDER INFORMATION GUARANTOR INFORMATION DATE FULL NAME. MAILING ADDRESS AND ZIP CODE CONTRIBUTOR OCCUPATION AND EMPLOYER (a) (b) RECEIVED OF LENDER OR GUARANTOR CODE * (IF SELF-EMPLOYED, ENTER DUE DATE/ CUMULATIVE CUMULATIVE (IF COMM4TTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE DUE DATE CALENDAR YEAR CALENDAR YEAR [] IND [] COM INTEREST RATE [] OTH OTEER OTF~R [] Lender [] Guarantor __ % $ DUE DATE CALENDAR YEAR CALENDAR YEAR [~] IND [] COU INTEREST RATE $ $ [] OTH OTHER O~HER [] Lender [] Guarantor -- % $ $ DUE DATE CALENDAR YEAR CALENDAR YEAR i'--~ IND [] COM INTEREST RATE $ $ [] OTH OTHER OTHER [] Lender [] Guarantor __ % $ DUE DATE CALENDAR YEAR CALENDAR YEAR [] COM INTEREST RATE $' $ [] OTH OTHER OTHER [] Lender [] Guarantor % $ $ DUE DATE CALENDAR YEAR CALENDAR YEAR i--liND $ $ [] COM ~NTEREST ~TE [] OTH OTHER [] Lender [] Guarantor -- % $ SUBTOTAL $ ~ $ s~,~.~, 'Contribut(x Codes IND - IndivlduaJ COM - Recipient Committee 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 SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. from (~/ Q / ~' through ~'/0,/~ 7 '~'~ NAME OF FILER DATE OF REPAYMENT DATE OF OR ORIGINAL LOAN FORGIVENESS INTEREST RATE (c) AMOUNT REPAID OR FORGIVEN ON PRINCIPAL FULL NAME OF LENDER (IF CHANGED) OUTSTANDING PRINCIPAL SCHEDULE B - PART 2 (d) ID. NUMBER INTEREST PAID Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ~ PAIDTOTALTHIsINTERESTpERIOD $ * IMPORTANT: If any part of a loan is forgiven or repaid by a third part~, also itemize the transaction on Schedule A, Entertheam°untinc°lumn(d)totheSchedufe~E including the name and address of the person forgiving the loan or the third party making the payment, and the amount Summa~ Line 3. Do not cany #tis total to forgiven or paid. Sch~ule B Summa~. FPPC Form 460 (9/99) For Technlcsl Assistance: 916/322-5660 Type or print in Ink. SCHEDULE B - PART 3 Attach additional information on appropriately labeled continuation sheets. TOTAL $ NOTE: This Iotal should be the same amount as entered on ~e Summary Page, Colurnn C, Line 2. FPPC Form 4~O (81~9) For Tenhnlcel Assistance: 916/322-5660 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Ststement covers period from /'~/ through Pege /c/') SCHEDULEC NAME OF FILER I.D. NUMSER DATE RECEDED FULL NAME, MAILING ADORE'SS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * [] INO [] COM [] OTH [] IND [] COM [] OTH IFAN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER OF SELF-EMPtOYED, ENTER DESCRIPTION OF GOODS OR SERVICES [] IND [] COM [] OTH I-lIND [] COM [] OTH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (,lAN 1 - DEC 31) CUMULATIVE TO DATE OTHER (IF APPLICAB~.E) 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 'Contributo~ Codes IND - Individual COM- Recipie~ Committee OTH - Other FPPC Form 460 For Technlcel Aseletence: 916~322-5660 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. from through SCHEDULED p,ga // of ~/ NAMEOF RLER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE [] Support [] Oppose [] suppo, [] oprx~ [] suppo~ [] Oppose TYPE OF PAYMENT [] Uo~ta~ ConbJbution Contribution Expenditure [] Monetary Conb~bution Contn~ut~on [] Independent Expenditure [] Monetary [] Non-Monetary Conbibution [] Independent Expenditure DESCRIPTION OF NONMONETARY CONTRIBUTION (IF REQ~JIRED) I.D. NUMBER AMOUNT MIS PERIOD CUMULATIVEAMOUNT Calendar 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 Fm'm 460 (Sf~) For Technical Assistance: 916~22-5660 Schedule D (Continuation Sheet) % ..................... I SCHEDULE D jCONT~ Summary of Expenditures T~p, or print in ink. S~,[=,,,e,,~ covers [,~*;oG Supporting/Opposing Other to whole dollars. 0 ? '~/--~ ! Candidates, Measures and Committees from i ~ I~ ~li through ~/-??-//~ I Psge /2 of ~/ ~AMEOFFILER I IDNUMBER DESCRIPTION OF NONMON~ARY (~F REQUIRED) ~ ~ Cale~r Year ~b~ ~ ~M~ $ ~bu~ O~er ~ Sup~ff ~ Op~e Expire $ ~ ~ Cale~r Y~r ~n~ ~ ~er ~ Sup~ ~ ~ D~E~i~re $ ~le~rY~r ~b~ ~ ~ O~er ~ Su~ ~ ~ E~ SUBTOTAL $ FPPC Form460(8/99) For TechnlcslAsslstsncs: 916J~22~660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole do#ara. from through SCHEDULEE Page /'~ 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 lhe payment. CMP campaign paraphe rnalia/misc. CNS campaign co{3sultants CTB contribution (explain nonmcnetary)' CVC civic decagons FND fundraising events IND independent expenditure suppo~ling/opposing others (explain)' LiT campaign literature end mailings MTG meelthgs and appearances DFC office expenses PET peri,on cimulating PHO phone banks POL polling and survey research POS postage, delivery and messenger sar~ices PRO professional sewicss (legal, accounting) PRT pdnt ads RAD radio airtime and production costs RFD retumed contribulJons SAL campaign workers salaries TEL t.v. or cable aidime and production costs TRC caodidate travel, lodging and meals (explain) 'FRS staff/spouse travel, lodging and meals (explain) TSF transferbetween commiltees of the same candidate/sponsor VDT voter registration WEB infolmatiou technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. 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 more. (Include all Schedule E subtotals.) ............................................................................................... $ ~ 2. Unitemized payments made this pedod of under $100 ........................................................................................................................................ $ ~'~J~.,~ .~ 3. Total interest paid this pedod 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 Aaalstsnca: g16/322-5660 Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars, Ststsrnent covers period CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.' CMP campaignparaphemalia/rntsc. DFC officeexpenses RFD returnodconttibutions CNS cam~cons~tants CTB contribution (explai~ ~e~)- CVC c~s FND ~sing evils LIT ~gn literature ~d ~ilings PET ~e~On circuJating PHO phone banks POL pollingandsurveyresearch POS postage, delivery and rnessenger services PRO professionat services (tegai, acoounting) PRT print ads LD. NUMBER MTG meel~gsandeppearances RAD radloairtimea,sdproductioncosts SCHEDULE E (CONT. SUBTOTAl. ~ '~ FPPC From 4~0 (8/99) Fo~Tochnlcal Assistance: 91611~22-5660 ........... ~nmrmaao~ ;echnoiogycosts (intemet mai/) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTIOI~I OF PAYMENT AMOUNT PAID SAL campaign workers sala~es TEL t.v. or cable airtime and production costs TRC candidate trav~, lodging and meals (expla/n} TRS staff/spouse travel, lodging and meals (explain) TSF transfer between comn~ees of ~he same candidatelsponco¢ VOT voter registration Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Typo or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 0 / '~/'~ through ~"~ / ~77'~/ SCHEDULEF Page /~'~ of' NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaiia/misc. CNS campaign consultants CTB cent dbution (exlY, ain nonmoneta~)' CVC civic donal~ns FND fundraJsing events IND independent expenditura suppoding/opposing others (explain)* LIT campaign literature and mailings MTG meelJngs and appearances dFC oftica expenses PET pel~fion circulating PHO phone banks POL polling and survey research POS postage, de~ml¥ ancl messenger services PRO professk~al san, ices (legal. accounting) PRT print ads RAD radio airtime and production costs * Payments that are contributions or independent expenditures must also be summarized on Schedule D. I.D. NUMBER RFD returned contributions SAL campaign workers salaries TEL t.v. or cable aidime add production costs TRC candidate travel, lodging add meals (explain) TRS staff/spouse travel, lodging and rneals (explain) TSF transfer between committees of the same candidate/sponsor VdT voter reg~st ration WEB information technology costs (intemet, e-mail) (~) ' (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR COOE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAiD OUTSTANDING (IF COMMITTEE. ALSO ENTER I O NUMBER) DESCRIPTION OF PAYMENT SALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOd (^Cad REPORT ON E) OF THIS PERIOD SUBTOTALS Schedule F Summary 1. Total accrued expenses incurred this pedod. (Include alt 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 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 pedod. (Subtract Line 2 from Line 1. Enter the difference here and ~.~ on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ Mw FPPC Form 460 (8/99) For Technical Asalatsnca: 9 t 6/'322-5660 Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. from ~/-~ /-'0~ through (~)l' '~'~ NAME OF FILER Page I.D. NUMBER SCHEDULE F (CONT.) of 2_/ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DFC office expanses PET petiton circulating PHO phone banks POL polling and survey reseamh POS postage, delive~ and messanger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and producUon costs CMP campaign paraphemalie/misc. CNS campmgn consultants CTB conthbution (explain nonmonetaP/) * CVC civic donatans FND fundraising events IND independent expanditum supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetings and appearances * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RFD returned cont.~lxflions SAL campaignworkers salaries TEL t.v. or cable airtime and production costs TRC cancr~ate travel, lodging and meals (explain) TRS stafl/spousa travel, lodging and meals (explain) TSF transfer belwean committees of the same candidate/sponsor VDT voter ragistration WEB information 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 COM~JTTEE. 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 FPPC Form 460 (8/99) For Technical Assistance: 9167322-5660 Schedule G Payments Made by an Agent or independent Contractor (on Behalf of This Committee) Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER NAMEOFAGENTORINDEPENDENTCONTRACTOR SCHEDULE G through ~:~/-~? '~::~ Page /7 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 campaignparaphema~/a/m/so. DFC officeexponsas RFD retumedcontribulions CNS campaign consultants CTB contribution (exl:~ain nonrrx~nelaq/)* CVC civic donations FND fondraJsing events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings PET peril]on circulating PHO phone banks POL polling and suwey research POS postage, delivery and messenger sa~ices PRO professionaJ services (legal, accounting) PRT print ads MTG mee§ngs and appearances RAD radioeir~meandproducticncosts SAL campaign workers salaries TEL t.v. or cable aidJme a~,d pr~uction cosls TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, Indg~g and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter registration WEB information technology costs (intemet, e.mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND AODRESS OF PAYEE OR CREDITOR (iF COkI~IITFEIE. ALSO ENT~ER LO. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on aooro~fiatelv lab~_terl ~,'lntin, z~ti/*~ c~,~a~e ~ ~ · DO not. ~ ~ ~ to any other schedule or to the Summary Page. This total may not equal the amount pard to the agent or independent con t~actor as repo~led on Schedule E. FPPC Farm 460 For Technical Assistance: 916/322-5660 Schedule H - Part 1 Loans Made to Others* SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE OF LOAN NAME AND ADDRESS OF RECIPIENT Type or print in ink. Amounts may be rounded to whole dollars. from through SCHEDULEH-PARTI Page /~' of ~-/ LD. NUMBER INTEREST RATE DUEDATE AMOUNT *Loans that are contributions to another candidate or committee must also be summarized on Scheriule D. SUBTOTAL $ 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 loan payments received this period. (Add Lines 4 and 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 7.) ................................................................ NET FPP(: 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. from (~ t ~ 0/-~' through ~1-~) ~ SCHEDULE I-~ - PART 2 Page /~ of ~/ NAME OF FILER DATE OF REPAYMENTOR FORG~ENESS DATE OF ORIGINAL LOAN FULL NAME OF RECIPIENT OF LOAN INTEREST RATE (~ECH~NGEDI AMOUNT ~PAIO OR FORGIVEN ON PRINCIPAL* [XCLUOE RECEIPT OF INTEREST I.D. NUMBER OUTSTANDING INTEREST PRINCIPAL RECEIVED Attach additional information on appmprfately labeled continuation sheets. SUBTOTAL $ RECEIVED THIS $ I* iMPORTANT: If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Entertheamountincolumn(b)inthe from a third part~, enter the name and address of third pan'y in the 'FULL NAME OF RECIPIENT OF LOAN' column above, along with the Schedule I Summa~ Line 3. Do not carry name of the recipient of the loan. this total to the Schedule H Surnma~ FPPC Form 460 (8/99) For Technical Assistance: 916~22-5660 SCHEDULE H o PART 3 ~chedule H- Part 3 Type or print In Init St.l.=.,ent covers period ~ ~j~ Amounts may be rounded ~,nnual Report of Outstanding Loans Made towholedollars, from (~ ?(~) /' ~'~O through ~/~ ~ ~ I Page ~) of ~ ~EE'"STRUC~ONS ON R~VERSE ~AMEOF 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: Thistotalshouldbe the same amount as entered on the Summary Page, Column C. Line 7. FI)PC Form 460 (8/99) For Technical Assistance: 9~6)322-5660 Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars, S;.;~ent covers period through ~ [ -~-~ ~ $CHEDULEI SEEINSTRUCTIONSONREVERSE Page ~-) of ~( NAME OF FILER I.D. NUMBER BATE FULL NAME AND ACDRESS OF SOURCE AMOUNT OF RECEIVED (~F COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH Attach additional information on approphately 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 Aselstance: 916/322-5660