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Home My WebLink AboutTAVORN PREELEC00(2) ecipient Committee Campaign Statement (Govemmeat Code Sections 84200-84216.5) Type or print in ink. SEEINS~:IUCTK~NSONREVERSE Statement coverI period from · ro.gh /-- ~ ~- a a 1. Type of Recipient Committee: All Committeea- Complete Parts 1, 2, 3, and 7. Officeholder, Candidate [] Primarily Formed Candidate/ Controlled Committee (Also Co~lete part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) Officeholder Committee (Also Complete Patf 6.) [] General Purpose Committee O Sponsored O Broad Based Date of election if applicable: (Mo~th, Day, Year) Date Stamp 2. Type of Statement: r Pre-election Statement Semi-annual Statement [] Termination Statement [] Amendment (Explain below) COVER PAGE [] Quatteriy Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information ILO. NUMBER Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CODE AREA CODFJPHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODF-~HONE OPTIONAL: FAX/E-MAIL ADDRESS STREET ADORESS (NO RO. BOX) CITY STATE MAILING ADDRESS (IF DIFFERENT) NO. ARD STREET OR P.O. BOX CITY STATE ZIP COOE OPTIONAL: FAX / E-MAIL-ADDRESS ZIP CODE AREA COOE/PHONE AREACODEJPHONE FPPC Form 4;0 (8/99) For Technical Aealstan~e: 916/3~2-5650 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE-PART2 page__ ,~ of. ~ 4. Officeholder or Candidate Controlled Committee OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL~DSINESS ADORESS STATE (NO. AND STREET) CJ~Y ZIP Related Committees Not Included in this Statement: Llstanycomm~s not Includ~ In ~ls consolldat~ stat~ t ~a t are con~l~ by y~ or which are primarily NAME OF TREASURER COMMITTEE ADDRESS CONTROLLED COMMI~rEE? [] ~s [] NO STREET ADDRESS (NO P.O. BO) CITY STATE ZIP COOS 7. Verification 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER ~ JURISDICTION [] SUPPORT I [] OPPOSE Identify the con~'olling officahold~', candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY I 6. Primarily Formed Committee ust,,mo, of o~=.ho~d.,~,) or candidate(a) for which this committee Is I~lmadly formed, NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE AREA CODF_JPHONE NAME OF OFFICEHOLDER OR CANDIDATE Attach conb~luati~n sheets ff necessary OFFICE SOUGHT OR HELD N SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD 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 OATE Executed on DATE Executed on DATE Executed on By By J~'~ ~ TREASURER OR ASSIS?ANT mEASURER SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT OR RESPONSIBLE; OFFICER OF SPONSOR By By FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California Schedule A Typ* or print In ink. SCHEDULE A Contributions Received to whole dollars, from FULL NAME, MAIUNG ADDRESS AND ZIP CODE OF CON~IB~OR CO~IB~OR ~CUPA~ AND ~PLOYER RECEIVED ~lS CALENDAR YEAR O~ER (,. ~. ~o ~.~.,.~..~.) CODE * (.. s~.~..~ PER~OD (JA.. ~ -O~C. 3~) ~ COM ~ OTH ~ COrn BOTH ~ IND D COM ~ OTH Monetary SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED SUBTOTAL 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 pedod. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A. Line 1.) ................... TOTAL 'Contdbutor Codes IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 For Technical Assistance: 916~22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amount~ may be rounded to whole dollar~. ;Tom ._ SCHEDULE CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP cami~ign paraphemaliaknisc. CNS campaign ~onsultants CTB conlribufi(~ (explain no~lrnoneta~) * CVC civic d~nalJcms FND lundraising events IND tnde~ ex--lure $~por'~n~cffi:~alng others (exl~ah)' LIT campaign literature and mailings DFC office expenses PET pelil~on circulating PHO ph(me banks POL polling and survey research POS postage, delive~ and messenger sen/ices PRO professkxwaiseryices(Jegal, accoun~ng} PRT print ads I.D, NUMBER RFD returned contributions SAL campaign workers salaries TEL t.v. o~ cable airtime and production costs TRC ~te traval, lodging and meals {explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees o~ Ihe same car~date/sp<~sor VOT voter registra~on MTG meetingsandappearances RAD radioairtimeandproductfoncos~s wee inforrna~iontechndogycos~s(intemet, e_mailj NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMNITTEE. AL~O ENTER I D NI.hV~ER) CODE OR DESCR~PI30NOFPAYMENT AMOUNT PAID ~F"=,,':=nt expenditures must also be summarized on Schedule D. SUBTOTALS 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 lhis period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL / ZqS'. OD FPPC Form 460 (8/99) For Technical A.'~abtance: 916/327.-5660 Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF 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 Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 Column A TOTAL THIS FERIOD Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ AddLInes6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjuslment ....................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... AddLinesd+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 tS 2. If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalenls ..................................................... See instructions on reverse $ 19. Outstanding Debls ................................... Add Line 2 + Line 9 in Column C above $ from through SUMMARy PARF I.D. NUMBER Column B* Column C TOTAL PREV1OUS PERIOD TOTAL TO DATE $ $ $ $ $ $ $ $ $ $ $ · From previous statement Summmy Page, Column C. However, if this is the flint repod 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 through 6/30 7/1 tO Date 20. Contributions Received ............ $ 21. Expenditures Made ..................$ FPPC Form 460 (8/99) For Technical Aeelstsnce: 916/322-5660