The URL can be used to link to this page

Home My WebLink AboutPANICK PREELEC00(3) eCipient Committee Campaign Statement (Govemm ant Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from / ~ (~2 ('"~,~2 through 1. Type of Recipient Committee: All Committee~- Complete Parts 1, 2, 3, and 7. Date of election if applicable: (Month, Day, Year) Date Stamp O0 FEB 25 P~-! 3: 2. Type of Statement: COVER PAGE i:P~ge ~ of For Official Use Only [] Officeholder, Candidate Controlled Committee (Aisc Complete Part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Aisc Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Aisc Complete Part 6~) [] General Purpose Committee O Sponsored O Broad Based [~P'~'e-electio n Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information COMMITTEE NAME NUMBER Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZiP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS STREET ADDRESS (NO RD. BOX) CITY STATE ZIP CODE AREA CODFJPHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RD. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8/gg) For Technlcel Assistance: g16/3~2-5660 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (iNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALJ~USINESS ADDRESS (NO/7(ND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Llstanycommtttees not Included In this consolidated s tatemeat that are controlled by you or which are primarily formed to receive con trlbuttons or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COHTROi_LED COMM~FrEE? [] Rs [] NO STREET ADDRESS (NO P,O. COMMITTEE ADDRESS CiTY STATE ZIP COOE 7. Verification 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT .O. OR LETI'ER I JURISDICTION I[] SUPPORT[] OPPOSE Identify the controlling officeholder, eandidate, 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/PHONE NAME OF OFFICEHOLDER OR CANDIDATE Attach conb'nuation sheets if necessary OFFICE SOUGHT on HELD SUPPORT ~ OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT r~; OPPOSE OFFICE SOUGRT 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 foregoing is true and correct. Executed on OAT~ Executed oG DATE Executed on DATE Executed on DATE SIGNATURE URER OR ASSISTA TRE URER By SIGNATURE OF CONTROLLING OFPICEH ,(~e~'~ T~TE MEASURE PRORONEN~ OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CO OLDER, CANDIDATE, STARE MEASURE PROPONENT By FPPC Form 460 (8/99) For Technical Assistance: 9t6/322-5660 State of California Campaign Disclosure Statement Summary Page Type or print In ink. Amouots may be rounded to whole dollars. 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 Lines I + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+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 (Uopaid Bi~ls) ............................................ $chedul~ F, L/ne 3 10. Nonmonetary Adjustment ...................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MACE ......................................... AddLines8 + 9+ 10 Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 13. Cash Receipts .............................................................. Column A, Line 3 above '14. Miscellaneous Increases to Cash ....................................... Schedule [, Line 4 15. Cash Payments ............................................................ ColumnA, LineSabove 16; ENDING CASH BALANCE .............. Add Lines t2 + t3 + t4, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Column A ?OTAL THr$ PER[O0 (FROM ATTACHED SCHEDULES) from. through 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 ................................... Add Lille 2 + Line 9 in Column C above $ $ $ Column B* TOTAL PREV[OUS PERIOD Page SUMMARY PAG I.D. NUMBER Column C * From previous statement Summary Page, Column C. However, if this is the first report Iliad for the calendar year, Column El shou/d be b~ank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (L{ne 9). ummary 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: 956)322-5660 Schedule A *ryp. or print In ink. SCHEDULE A NAMESEE INSTRUCTIONS ON REVERSEoF FILER~ ~A~ L/,._ ~/. [~% ~ ~/~ 'hr°ugh '~'"~'~ ~ ,:r:: ;O,~MB IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIB~OR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED ~lS CALENDAR YEAR OTHER RECEIVED (~F CO~I~EE, A~O ENTER I.O. NUMBER) CODE * (IF SE~-EM~OYED, ENTER N~E PERIOD (JAN. 1 ' DEC. 31 ) (IF APPLICABLE) ~IND ~ COM ~ OTH ~IND ~ COM ~ OTH ~IND ~ D COU ~ OTH ~ ~[ND ~ COM ~ OTH ~IND ~ COM ~ OTH 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 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ *Contributor Codes IND -Individua] COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule A (Continuation Sheet) Typs or print in ink. SCHEDULE A (CONT.) Monetary Contributions ReceivedAmounts may 13e rouncle~l S[a;e,~ent covers period through ~'~ I Pag,~ of '4 ~AME OF FILER I I.D. NUMBER IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE FULL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~CUPATION AND EMPLOYER RECEIVED ~[S CALENDAR YEAR OTHER RECEIVED (IF COMM~EE. A~O ENTER I.D. NUMBER) CODE * (IF SELF-EM~OYEO, ENTER N~E PERIOD (JAN 1 - DEC 31 ) (IF APPLICABLE) ~ IND D COM ~ OTH ~IND D cou ~ OTH ~ IND D COM ~ OTH ~ IND D cou DOTH ~ lED D COM ~ OTH ~IND D COM ~ OTH ~} *Contributor Codes IND - IndMduaJ COM - Recipient Committee OTH - Other SUBTOTALS FPPC Form 460(W99) ForTechnlcalAsslstance: 916~22-5660 schedule B - Part I Loans Received Type or print in ink. Amounts may be rounded towhole dollars. S;a;.eiii=ii;.covers period from /~0 1 ~ 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 LO. NUMBER) I--JLender r-lGuarantor I-ILender r~Guarantor Lender [] Guarantor CONTRIBUTOR CODE * []IND []COM [] OTH [] IND [] COU [] OTH I'~ IND [] eOM [] OTH IFAN iNDIvIDUAL, ENTER OCCUPATION AND EMPLOYER (IF EELF-EMPLOYEO, ENTER NAME OF BUS~NESS) DUE DATE/ INTEREST RATE DUE DATE INTEREST RATE DUE DATE INTERESTRATE DUE DATE INTEREST RATE SUBTOTAL $ LENDER INFORMATION AMOUNT CUMULATIVE OF LOAN TO DATE CALENDAR YEAR $ OTHER CALENDAR YEAR $ OTHER CALENDAR YEAR OTHER $ SCHEDULE B - PART 1 GUARANTORINFORMATION AMOUNT CUMULA~VE $ $ $ $ $ Enler (b) on Summar/Page, $ Une 17 c~¥. Schedule B - Part I Summary 1. Loans of $100 or mom 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 period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ May be a negetiv~'~umbsr. FPPC Form 460 For Technical Assistance: 916/1322-5660 *Contributor Codes IND - IndMdual COM - Recipient Committee OTH - Other Schedule B - Part I (Continuation Sheet) Type or print in ink. SCHEDULE B- PART 1 (CONT.) Loans Received towholedollars, from / ~1~2 1 ~ ~ ~1~ i~ through ~--~2~ Page ~'~ of'~"/ ~IND ~ COM INTEREST RATE ~ OTH OmER OTHER ~IND ~ COM INTEREST RATE ~ OTH O~E. O~HE~ Lender ~ Guarantor % [ $ $. ~ IND ~ COD INTEREST RATE ~ OTH OmE~ OTHER ~ IND ~ OTH OmE~ OmE~ ~ IND ~ COD INTEREST ~TE ~ OTH OmE~ OTHER Le~er ~ Guarantor SUBTOTAL $ I*Contributor Codes IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 9t6/322-5660 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. SCHEDULE B - PART 2 Statement covers pei through ~2 ' ~'~/~'J Page NAME OF FILER DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN FULL NAME OF LENDER LO. NUMBER INTEREST AMOUNT REPAID OR OUTSTANDING INTEREST RATE FORGIVEN ON PRINCIPAL* PRINCIPAL PAID (IF CHANGEO) (EXCLUDE PAYMENT OF iNTEREST) Attach additional information on appropdately labeled continuation sheets. SUBTOTAL $ ~ PAIDTOTALTHIsINTERESTpERIOD $ ~ * IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter the amountin column (d) in the Schedule E Surnmaq4, Une 3, Do not cany this total to the includingforgiven or paid.the name and address of the person forgiving the loan or the third party making the payment, and the amount Schedule e Summa~ FPPC Form 460 (8/99) For Technical Assistance: 916t322-5660 Schedule B Part 3 Type or print ln ink. SCHEDULEB-PART3 · .~., ~o~u~G ~.B -- r c~; · ~ Amo'~nts m'ay be rounded S[.[=.i=nt covers period Annual Report of Outstanding Loans Receivedtowhole dollars. SEEINSTRUC~ONSONREVERSE through ~-~'~ NAME OF FILER FULL NAME OF LENDER ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL Attach additional information on appropriately labeled continuation sheets. TOTAL $ NOTE: This total sho~M be the same amount as entered on the Summary Page, Column C, Line 2. 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[&;.,,,,,ei,t covers period from '~ -~ 1 "~ through SCHEDULEC NAME OF FILER FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMI~i'EE, ALSO ENTER LD, NUMBER) DATE RECEIVED [] IND [] COM [] OTH I-liND [] COM [] OTH I-lIND [] COU [] OTH i--i IND [] COM [] OTH CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (~F SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUN~ FAIRMARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - 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 Typo or print in ink. Amounts may be rounded to whole dollars. S;.&[=~,ent covers period through SCHEDULE D · of ~ NAME OF FILER I.D. NUMBER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE [] Support [] Oppose [] Support [] Oppose [] Support [] Oppose Tt'PE OF PAYMENT [] Monetary Contribution [] Non-Monetary Contribution [] Independent Expenditure [] Monetary Contribution [] Non-Monetary Contribution [] Independent Expend~re [] Monetary Contribution [] Non-Monetary con~bution [] Independent Expenditure DESCRIPTION OF NONMONETARY CONTRIBUTION (iF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE AMOUNT 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 SummaP/Page.) ........ TOTAL $ FPPC Form 460 (8/99) For Technical Assistance: 916/~22-5660 Schedule D Continuation Sheet ~,~.s~sl ~L~ ~MClL~',.S~ ~ ,,~ I~.~ SCHEDULE D (CONT. Summa~ of Expenditures ~p' or print In ink. Sla;~[~nt covers ~e[;~G/ Suppoding/Opposing Other to.hol~do,=r,, from ~ Candidates, Measures and Committees NAMEOF FILER M DESCRIPTION OF NONMON~ARY DATE CANDIDATE AND OFFICE, ~PE OF PAYME~ AMOUNT ~IS PERIOD CUMU~TIVE AMOUNT M~SURE AND JURISDICTION, OR COMMI~EE CONTRIB~ION (IF REQUrRED) ~ Mone~ Calendar Year ~ntdbution ~ Non'M~e~ $ ~ntdbuaon 0~er ~ I~e~ndent ~ Suppo~ ~ Op~e Expe~re $ ~ ~e~ Cale~ar Year ~nt~bution ~ Non'M~e~ $ ~nt~buaon O~er ~ I~e~ndent ~ Suppo~ ~ Opp~e E~e~i~re $ ~ ~e~ Calen~r Year ~ntdbu~on ~ Non-M~e~ $ ~n~bution O~e~ ~ I~e~ndent ~ Sup~ ~ Op~e ExplOre $ ~ ~ ~e~r Year ~nMb~on ~ Non'M~ $ ~ntdbuaon O~e~ ~ I~e~ent ~ Sup~ ~ Op~e ExplOre SUBTOTAL FPPC Form 460 (8/99) For Technical Assistance: 916/1~22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts mey be rounded to whole dollers. from / ~(~/'~ SCHEOULEF CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DFC office expenses PET petition cimulating PHC phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional se~ces (legal, accouniing) PRT print ads RAD radio airtime and production costs CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribut;on (explain nonmonetary)* CVC cMc donations FND fundraising events iNO independent expenditure supporiing/opposing o~hem (explain)* LIT campaign literature and mailings MTG meelings and appearances I.D. NUMBER RFD returned contdbulions SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, Indging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF ;ransfer beiween committees of the same candidate/sponsor VDT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITS'ES. ALSO EN'iER 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 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 SEE INSTRUCTIONS ON REVERSE NAMEOF FILER Type or print in ink. Amounts may be rounded to whole dollars. S~&;.em=nt covers period through ~- ~-'~,~ CODES: If one of the following codes accurately deScribes the payment, you may enter the code, Othenvise, describe the payment, CMP campa~jnparaphemaita/n'~sc. DFC office expenses RFD retureedcontd~u~ons SCHEDULEE(CONT.) CNS campaign consultants CTB contribution (explaio nonmonetary)* CVC cMc donations FND fuodraising events (ND independent expeoditure support~g/opposing o~hers (exptain)* UT campaignliterature and mailings PET petition cimulating PHO phone banks POL polling ar'~l survey reseamh POS postage, delivery and messenger se~ces PRO professh3natse~ces(legai, accounting) PRT pdnt ads MTG meefingsandappearances RAD radloairtimeandproductioncosts WEB informationtechr~lo I.D. NUMBER SAL campaignwo~kerssalar~es TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and rneals (explain} TRS staff/spouse treavel, lodging and reeals (explain) TSF transferbelweencomreiffeesofthesamecandidate/sponsor VDT voter registration NAME AND ADDRESS OF PAYEE OR CREDITOR tlFCOMMITTEE, 3LSOENTERI.D, NUMgES) CODE OR DESCRIPTIO~I OF PAYMENT AMOUNTPAID must also be suremaHzed on Schedule D, SUBTOTAL ~, FPPC Form 460~8/99) For Technical Assistance: 916/~22-5660 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 '~";~'/~/"~ 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 paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donalJons FND fundraising events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetings and appearances dFC office expenses PET petition circulating PHO phone banks POL polling and suwey reseamh POS postage, delivery and messenger services PRO professional services (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. LD. NUMBER RFD ratumed contributions SAL campaign workers saiaries TEL t.v. or cable airame and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spousa travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registration 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 OUTSTAN DING (iF COMMITTEE, ALSO ENTER La. 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 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 $' '~ May be · nega~b~,e number FPPC Form 460 (8/99) For Technical Assistance: 916f322-5660 Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from ~ ~(~ 1~C:~ through 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 paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donaticns FND fundraising events IND Independent expenditure supporting/opposing others (explain)* LIT campaign litemtura andmailings MTG meetings and appearances CFC office expenses PET petition cimulating PHC phone banks POL polling and survey mseamh POS postage, delivery and messenger services PRO professional services (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. SCHEDULE F (CONT.) I.D. NUMBER RFD returned cont~bu~ons SAL campaign workem sale,es TEL t.v. or cable ai~rne and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the came candidate/sponsor VDT voter registration WEB information tschnology costs (intemet, e-mail) (.) (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTAN DING (IF COMMI'CFEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (^~so REPORT ON E) OF THIS PERIOD FPPC Form 460 (8/99) For Technical Assistance: 9t6/322-5660 · 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. from ! ~(~ ~'~-~ through '~-- ~'/J'F"c~ SCHEDULE G SEE INSTRUCTIONS ON REVERSE Page ! ~ of ~', (~ ,AMEOPr,L. ,.D. NUMSE, NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphe malia/misc. CNS campaign consultants CTB contribution (explain r~nmonetary)* CVC c'n4c dofiations FND fundraising events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetings and appearances DFC office expenses PET petition circulating PHO phone banks POL poi!lng and survey rasearch POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio aidime and production costs * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RFD returned contributions SAL campaign workers saiades TEL t.v. or cable airtlme and production costs TRC candidate t ravel, Indging and rneals (explain) TRS staff/spouse t ravel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID {IF COMMITTEE* AESO ENTER I.D, NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* · DO not transfer to any other schedule or to the Summary Page. This totalmay not equal the amount paid to the agent or independent contractor FPPC Form 460 ('~/99) asraportedonScheduleE. 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 (IF COMMIITEE, ALSO ENTER ~.D. NUMBI;R) Type or print in ink. Amounts may be rounded to whole dollars. *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. from through INTEREST RATE DUE DATE SUBTOTAL $ Page . .. SCHEDULEH-PART1 AMOUNT I.D. NUMDER 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 $ 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 c,~ver~ period from / '~) / ~ through ~-~ ~/~'~ SCHEOULE I~ - PART 2 Page /~ of_~/ NAMEOF FILER DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN INTEREST RATE (IF CHANGED) FULL NAME OF RECIPIENT OF LOAN Attach additional information on appropriately labeled continuation sheets. SUBTOTALS AMOU.T~P^,~OR FORGIVEN ON PRINCIPAL* EXCLUDE RECEIPT OF INTERES1 * IMPORTANT: If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is recei~ve from a third party, enter the name and address of third party in the ~:ULL NAME OF RECIPIENT OF LOAN' column above, along with the name of the recipient of the loan. I.D. NUMBER OUTSTANDING INTEREST PRINCIPAL RECEIVED TOTAL INTEREST RECEIVED THIS PERIOD Enter the amount in column (b) in the Schedule I Summa~, Line 3. Do not carry this total to the Schedule H Summaq4. FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule H - Part 3 Annual Report of Outstanding Loans Made SEEINSTRUC~ONSONREVERSE Type or print in ink. Amounts may be rounded to whole dollars. S;.=~e,,~e,,;.covers period through NAME OF FILER FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL SCHEDULEH-PART3 Page ~ of~/ I.D. NUMBER UNPAID iNTEREST Attach additional information on appropriately labeled continuation sheets. TOTAL NOTE: This totalshoutdbe the same amount as entered on the Summary Page, Column C, Line 7. FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule I Type or print in ink. SCHEDULE Miscellaneous Increases to Cash Amountsmayberounded S~.[,;ii~i~;.coversperiod 'O wh°le d°llar" from ~EE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (~F COMMI~EE, A~O ENTER I.O. NUMBER} INCREASE TO CASH Attach additional information on approp#ately labeled continuation sheets. SUBTOTALS 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 ~L. Summary Page, Line 14.) ........................................................................................................................... TOTAL $ ~ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660