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Home My WebLink AboutHEAP PREELEC00(3) ecipient Committee Cah~paign Statement (Govemment Code Sections 84200.84216,5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers pedod from through Data of election if applicable: (Month, Day, Year) Dale Stamp COVERPAG Page_ of_ For Official Use Only 1. Type of Recipient Committee: A, Committees- Complete Pads I. 2. 3. and 7. [-'1 Officeholder, Candidate Controlled Committee (Also Complele 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 6,) [] General Purpose Committee O Sponsored O Broad Based 2. Type of Statement: [] Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quaderly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information COMMITTEE NAME Treasurer(s) NAME O~ TREASURER MAILINGADDRESS CITY STATE ZIP CODE AREA CODE~HONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/~HONE OPTIONAL: FAX/E-MAIL ADDRESS STREET ADDRESS (NO P.O. SOX) CiTY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RD. SOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8/99) For Technical Ae.letanco: 916/3~2-5660 State of California ,Reci'pient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE-PART2 Page__ of_ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE O~FFICE SOUGHT OR ~ELD (II;ICL0'~E ~OC~ATIO N AI~D DIS"TRICT NUMBER IF APPLICABLE) 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION ~] SUPPORT I [] OPPOSE RESIDENT~AL/RUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ~' ~"~ ~-~'~'~-~'~ ~ NAMEOFOFFICEHOLDER,CANDIDATE. OR PROPONENT Related Committees Not Included in this Statement: Llstanycommltteas not Included In this consolidated statement that 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 C~ TREASURER CONTROLLED COMMITrEE? ~ES [] NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Identify the controlling officeholder, candidate, or state measure proponent, if any. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY : 6. Primarily Formed Committee £1,t.amo$ ofo,lceholde~(,) orcandldate(s) for which this committee Is primarily formed, NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []§UPPORT []OPPOSE Affach contlhuaflon 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 laws of the State of California that the foregoing is true and correct. Executed on DATE E ecutedo. DATE Executed on DATE Executed on DATE SlGNA~JRE OF CONTROLUN~ OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of CMifornia Campaign Disclosure Statement Summary Page Type or print in ink, Amounts may be rounded to whole doters. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ...................................................... ScheduleA, Line 3 2. Loans Received ................................................................... Schedule B. Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Line= I + 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 ....................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 13. Cash Receipts .............................................................. Column A, Line S 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 + ~4, then subtract Line ~5 ff 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 Equivalents ..................................................... see instructions on reverse 19. Outstanding Debts ................................... AddLIne2+Llne9inColumnCebove Ststemeat covers perlod from through SUMMARYPAGF Page, of I.D. NUMBER Column A Column B* Column C TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE $ $. $ * From previous statement Summary Page, Column C. However. if this is the first rsporl 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 Assistance: 916/~22.5660 Schedule A Type or print in ink. SCHEDULE A Arnoume may oe rounDeD $~;.ei~ent covers period Monetary Contributions Received towholedollare. · ' P' l ZEE INSTRUCTIONS ON REVERSE through '~AME 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 EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED (iF COMMITTEE, ALSO ENTER LO. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 ' DEC. 31 ) (IF APPLICABLE) OF BUSINESS) "~C~"~I'~---&~ ~'~ ~'~1 I-lIND [] COM i--I OTH l-liND [] COM [] OTH {-lIND [] COM [] OTH SUBTOTAL $ !, Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include ail 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 *Contributor Codes IND - Individual COM - Recipient Cemmittee OTH -Other FPPC Form 460 (8/99) For Technical Assistance: g*I6A22-5660 Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) MonetaryContributions Received p. moumsmayoerounnen Sta~,,~e,,~coversperlod to whole dollars. from~ i iI~ /dl through of __ NAME OF FILER I I.D. N~BER IF AN INDIVIDUAL, ENTER AMOUNT CUMULATtVE TO DATE CUMULATIVE TO DATE DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AN D EMPLOYER RECEIVEO THIS CALENDAR YEAR OTHER RECEIVEO (IFCOMMITrEE. ALSOENTERI.D. NUMBER) CODE * (IFSELF*EMPLOYED. ENTERNAME PERIOD (JAN1-DEC31) (IFAPPLICABLE) OF BUSINESS) i-liND [] COM [] OTH [] [-1 COM [-I OTH I-lIND ID COM [] OTH [] IND i-'i COM i-'l OTH F-lIND [] COM [] OTH [] IND [] COM [] OTH SUBTOTALS "Contributo~ Codes IND - Individual CONi - Recipient Committ ee OTH - Other FPPC Form 460 (8/99) For Technlca! Assistance: 916~22-5660 SchedUle B - Part 1 L, oans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR (IF COMMITTEE, ALSO ENTER LO. NUMEER) [] Lender [] Guarantor [] Lender [] Guarantor [] Lender [] Guarantor CONTRIBUTOR CODE * [] IND [] COM [] OTH [] IND [] COM [] OTH DIND [] COM [] OTH Type or print in Ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER from through LENDERINFORMATION DUE DATE/ INTEREST RATE DUE DATE INTEREST RATE DUE DATE INTEREST RATE DUE DATE INTEREST RATE SUBTOTAL $ AMOUNT CUMULA~VE OF LOAN TODATE CALENDAR YEAR $ OTHER $ CALENDAR YEAR OTHER ICALENDARYEAR OTHER SCHEDULE B ' PART 1 GUARANTOR INFORMATION $ $ Enter (b) o~ Summe~y Pegs, $ L~ ~7 Schedule B - Part I Summary 1. Loans of $100 or more received this period. (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 pedod. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ *Contributor Codes IND - ImlividuaJ COM - Recipient Committee OTH - Other May be a negative numbe~. FPPC Form 460 (8/99) For Technical Assistance: g16/~22-$660 Schedule B - Part I (Continuation Sheet) Typn or print in ink. SCHEDULE B* PART 1 (CONT.) .. .... ,,.. ......... ~ ..................... / Amo-~nts may be rounded Statement covers period Loans Received to whole dollars. through Page of__ ~AMEOF 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) RECEIVED OF LENDER OR GUARANTOR CODE * (IF SELF-EMPLOYED, ENTER DUE DATE/ AMOUNT CUMULATIVE AMOUNT CUMULATiVE (IF COMMII~rEE, ALSO ENTER LD. NUMBER) NAME OF BUSINESS) INTEREST RATE OF LOAN TO DATE GUARANTEED TO DATE DUE DATE CALENDAR YEAR CALENDAR YEAR []IND $ $ [] ODE iNTEREST RATE [] OTH OTHER OTHER [] Lender [] Guarantor -- % $ $ DUE DATE CALENDAR YEAR CALENDAR YEAR ~IIND [] COM INTEREST RATE $ $ [] OTH OTHER OTHER [] Lender [] Guarantor __ % $ $ DUE DATE CALENDAR YEAR CALENDAR YEAR r-liND [] COM INTEREST RATE $ $ [] OTH OTHER OTHER [] Lender [] Guarantor __ % $ $ DUE DATE CALENDAR YEAR CALENDAR YEAR r-liND [] COM iNTEREST RATE $' $ [] OTH OTHER OTHER [] Lender [] Guarantor __ % h S DUE DATE CALENDAR YEAR CALENDAR YEAR [] IND COM INTEREST RATE $ I r-1 [] OTH OTHERI OTHER [] Lender [] Guarantor __ % $ $ ~1 Enter (b) on SUBTOTAL $ $ Summa~/Page. Line 17 I'Contributor Codes IND - Individual 1 COM - Recipient CommitteeOTH - Other J 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 SEEINSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. S[a[,=ii~ent covers period from SCHEDULEB-PART2 through Page of NAME OF FILER I.D. NUMBER DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN FULL NAME OF LENDER INTEREST RATE (IF CHANGED) AMOUNT REPAID OR FORGIVEN ON PRINCIPAL* IEXCLUOE PAYMENT OF INTEREST~ (d) OUTSTANDING INTEREST PRINCIPAL PAID TOTAL INTEREST Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ PAID THIS PERIOD $ * IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter Ihe amountin column (d)in the Schedule 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 cam/this total to the forgiven or paid. Schedule BSummary. FPPC Form 460 (8/99) For Technical Asslstsnce: 916/322-5660 Type or print in Ink. SCHEDULE B ~ PART 3 Annual Report of Outstanding Loans Received towholedollare, ~a: /~i ~IAME~EE INSTRUCTIONSoF FILER ON REVERSE through ,.D. NuPageMBER of Attach additional information on appropriately labeled continuation sheets. TOTAL $ NOTE: This total should be the same amount as entered on the Summary Page, Column C, Line2. FPPC Form 460 (8/99) For Technical 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. S;.,~;.=i~=i~;. covers period from through Page of__ SCHEDULE C NAME OF FILER LD. NUMBER DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITrEE, ALSO ENTER I.D. NUMEER) CONTRIBUTOR CODE * [] IND [] COM [] OTH i--liND [] COM [] OTH I-lIND [] COU [] OTH [] IND [] cou [] OTH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYEO, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNW FAIRMARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JANI~DEC 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) Attach additional information on appropriately labeled continuation sheets. SUBTOTAL 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 - Individual 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 Type or print in ink. Amounts may be rounded to whole dollars. St&~ei~zei~;. covers period from through Page__ of__ SCHg:DULE D NAME OF FILER I.O. NUMBER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE [] Support [] Oppose [] Support [] Oppose TYPE OF PAYMENT [] Monetary Contribution [] Non-Monetary Contribution [] Independent Expenditure [] Monetary Contribution [] Non-Monetary Contribution [] Independent Expenditure [] Monetary Contribution [] Non-Monetary Contribution [] Independent Expenditure DESCRIPTION OF NONMONETARY CONTRIBUTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE AMOUNT Calendar Year Other $ Calendar Year $ Other $ Calendar Year $ Other $ [] Support [] Oppose 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 Technical Assistance: 916/e22-5660 Schedule D (Continuation Sheet) · ..................... · SCHEDULE D ICONT. Summary of Expenditures Typoor print In Ink. Statement covers SuppoSing/Opposing Other ~o~ho~o.~. Candidates, Measures and Committees through ~ ~ge of NAMEOFFILER ] ~NUMBER DESCRIPTION OF NON MON~ARY DATE CANDtDATE AND OFFICE, ~PE OF PAYMENT AMOUNT ~IS PERIOD CUMU~TIVE AMOUNT M~SURE AND JURISDICTION, OR COMMI~EE CONTRIB~ON (IF REQUIRED) ~ ~e~ Calen~r Year ~nt~bution ~ Non'M~eta~ $ ~nt~bufion O~er D I~e~ent ~ suppo~ ~ op~e Expe~i~re $ ~ ~e~ Calen~r Year ~ntdbution ~ ~n'M~e~ $ ~n~buUon O~er ~ I~e~ndent ~ Suppod ~ Op~se Expe~i~re $ ~ ~e~ Calen~r Year Cont~but~n ~ Non*M~e~ $ ~ntHbuti~ O~er ~ I~ependent D sup~ D op~e E~e~i~m $ ~ ~e~ C~e~r Year ~t~b~on ~ N~'M~ ~tdbu~ O~er ~ I~pe~ent D sup~ ~ op~ E~i~re $ 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. S~a[e,,,ent covers period from through Page SCHEDULE E of.-- NAME OF FILER I.D. NUMBER CODES: I! one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. CNS campaign consultants CTB contributE)n (explain nonmonetary)* CVC cMc dona§ohS FND fundraising events IND independent expenditure supponlng/opposing obhers {explain)' LIT campaign literature and mailings MTG meetings and appearances OFC office expenses PET petition cimulaling PHO phone banks POL polling and survey reseamh POS postage, delivery and messenger services PRO professional sewices (legal, accounting) PRT print ads RAD radio airllme and production costs RFD returned contribu§ons SAL campaign workem salaries TEL l.v. or cable airtime 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 VOT voter registration WEB infon~nation technology costs (intemet, e.mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (iF COMMITTEE. ALSO ENTER I.D. NUMS£R) 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 pedod 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 pedod. (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 Sch ,edule E ,(Continuation Sheet) Payments Made Type or print in th~. Amounts may be rounded to whole dollars. SEE iNSTRUCTIONS ON REVERSE NAME OF FILER from through Statement covers period CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphemalia/misc. OFC office expanses RFD retumedcontdbutions CNS campaign consultants CTB contribution (exptain nonmonetary)' CVC civic donations FND fufidraistng events IND independent expenditure supporting/opposing others (explain)' LIT campaign lite rature and mailings PET pel~lion circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professlonal services (legal, accounting) PRT print ads Page, I.D. NUMBER MTG meet~ngsandappearances RAD radioa'~rtimeandproductioncosts WES informationtech, SCHEDULE E (CONT.) of~ SAL campaignworkers salaries TEL t.v. or cable airtirne 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 rOT voter registration NAME AND ADDRESS OF PAYEE OR CREDITOR (~F CO~M~Ti'EE. ALSO ENTER ~.D. NUM~Ee) CODE OR DESCRiPTIO~N OF PAYMENT AMOUNT PAID su.~,,~a[;~ed on Schedule D. SUBTOTAl. FPPC Form 460 (8/99) For Technical Aaalstance: 916/322-S660 ,Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through Page__ of' $CHEDULEF NAME OF FILER I.D, NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc, CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FND fundraising events iND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetings and appearancas OFC office expenses PET petition cimutating PHO phone banks POL polling and survey reseamh POS postage, delivery and messanger services PRO professional services (legal, accounting) PRT print ads RAD redio airtime and production costs * Payments that are contributions or independent expenditures must also be summarized on Schedule E RFD returned contributions SAL campaign workers saladss TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spousa travel, Indging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registral~on WEB information technology costs (interest, e-mail) (s) ' (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTAN DING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMJTr EE, 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 SUBTOTALS $ $ $ $ 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 $ M.y~*..~,~,o..m~ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through SCHEDULE F (CONT.) Page of__ NAME OF FILER I.O. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OFC office expenses PET petition cimulating PHO phone banks POL potling and survey reseamh POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airt[me and prnduction costs CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmoneta~/)* CVC civic donaticns FND lundraising events IND independent expenditure supporting/opposlngothers (explain)* LIT campaign litsmture and mailings MTG meetings and appoarances * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RFD returned contribufions SAL campaign workers salaries TEL t.v. or cable airtime 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 VOT voter registration WEB information technotogy costs (intemet, e-mail) (.) (b) (c) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTAN DING (IF COMMITTEE, AESO ENTER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE REGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD SUBTOTALS $ $ $ $ FPPC Form 460 (8~39) ForTechnlcal Assistance: 916/322-5660 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. Statement covers peried from.. SEE INSTRUCTIONS ON REVERSE through_ NAME OF FILER -- NAME OF AGENT OR INDEPENDENT CONTRACTOR Page of ~ I.D, NUMBER SCHEDULE G CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphemalia/misc. DFC office expenses RFD returnedcontdbutions CNS campaignconsultants CTB contribution (exp!ain nonmonetary)* CVC cMc donatfons FND fundraising events iND independent expenditure supporting/opposing others (explain)* LIT camp~gnliteratureandmaJ~ings PET po~§oncimulaling PHO phone banks POL POlling and survey research POS postage, delivery and msasenger se~cas PRO Professional se~icas (legal, accounting) PRT printads MTG meetings add appearances RAD radio airtime and production costs SAL campaign wodrerssala~ies TEL t.v. or cable airtime 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 voterregistration WEB Information technology costs (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Sch, NAME AND ADDRESS OF PAYEE OR CREDITOR 'Donottransfertoanyo~herschedufeortofheSummaryPage. Th/s~otafmaynotequaftheamountpaidrothea entor[nde n as reported on Schedule E. g pe denlconlractor TOTAL* $ FPPC Form 460 (8/99) For Technical 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. from through SCHEDULEHoPART1 Page of.__ NAME OF FILER I.D. NUMBER NAME AND ADDRESS OF RECIPIENT DATE OF LOAN iNTEREST RATE DUE DATE AMOUNT *Loans that are contributions to another candidate or committee must also be summarized on Schedule 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.) ........................................................................................................................................ 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 $ May be a negative number 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. Statement covers period from through SCHEDULE I-~ - PART 2 Page__ of__ NAME OF FILER I.D. NUMRER DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN FULL NAME OF RECIPIENT OF LOAN INTEREST RATE (IF CHANGEDI ^MOU.T ~PAIO OR FORGIVEN ON PRINCIPAL* (EXCLUDE RECEIPT OF INTERESt) TOTAl. INTEREST Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ RECEIVED THIS PERIOD * IMPORTANT: If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received from a third par~, enter the name and address of third pady in the "FULL NAME OF RECIPIENT OF LOAN" column above, along with the name of the recipient of the loan. (b) OUTSTANDING INTEREST PRINCIPAL RECEIVED Enter the amount in column (b) in the Schedule I Summa~ Line 3. Do not carry this total to the Schedule H Summary. FPPC Form 460 (8~J9) For Technical Assistance: 916~J22-5660 SCHEDULE H - PART 3 Amounts may be rounded I ~,nnual Report of Outstanding Loans Madetowholedollars, from m through I Page of__ SEE INSTRUCTIONS ON REVERSE ~AME OF FILER 1,0, NUMBER FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID ~NTEREST 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 Form 460 (8/99) For Technical Assistance: 916/322-5660