HomeMy WebLinkAboutRUSSO PREELEC00(3) ecipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
Type or print in ink.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from
through
1. Type of Recipient Committee: A, Committees -Complete Parts 1, 2, 3, and 7.
[] Officeholder, Candidate
Controlled Committee
(Also Complete Part 4.)
[] 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
3. Committee Information
ILO. NUMBER
COMMITTEE NAME
STREET ADDRESS (NO RD. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADORESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Date of election if applicabl~}I
(Month, Dey, Year)
Dale Stamp
FEB 2[~ P~
2. Type of Statement:
)~ Pre-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
Treasurer(s)
COVERPAGE
NAME OF TREASURER
For Official Use Only
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
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
CODE AREA CODE/PHONE
FPPC Form 460 (8J99)
For Technical Assistance: 916/3:~2-.5660
State of California
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
through
SUMMARY PAGE
Page of__
I.D. NUMBER
Column C
TOTAL TO DATE
(COLUMNS A * B
Contributions Received
1. Monetary Contributions ...................................................... Schedule A, Line 3 $*
(~ Loans Received ................................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 $
4. Nonmonetary Contributions ............................................... Schedule C, L/ne 3
5: TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
o~O00. ~o
$ O0oo.e o
Expenditures Made
~ 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 F, Line 3
10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3
~i~TOTAL EXPENDITURES MAD E AddLines8+9+lo $
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 $
1 3. Cash Receipts .............................................................. Column A, Line 3 above
14. Miscellaneous Increases to Cash ....................................... Schedule I, L/ne 4
15. Cash Payments ............................................................ Column A, Line 8 above
16: ENDING CASH BALANCE ." ........... Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statemen~ Line 16 must be zero.
LOAN GUARANTEES RECEIVED ................... Schedule B, Part t, Column (b)
Cash Equivalents and Outstanding Debts
18, Cash Equivalents ..................................................... See instructions on reverse
19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above
Column B*
TOTAL PRSVIO;JS PERIOD
(SeE NOTS BELOW~
$
$
$
$ $
$ $
I (~From previous statement Summary Page, Column C. However. if this
lis the first report filed for the calendar year, Column B should be blank
I 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 7/11o Bate
20. Contributions
Received ............ $
21. Expenditures
Made ..................$
FPPC Form 460 (8J99)
For Technical Assistance: 916/322-5660
Scliedule B? Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
S!.=[=,.ent covers period
from
through
SCHEDULE B - PART 1
NAM E OF FILER
DATE
RECEIVED
FULL NAME, MAILING ADDRESS AND ZIP CODE
OF LENDER OR GUARANTOR
(IF COMMITTEE, ALSO ENTER 1.0, NUMeER)
[]~ender [] Guarantor
[] Lender [] Guaranlor
[] Lender [] Guarantor
CONTRIBUTOR
CODE *
[~D
[] COM
[] OTH
[] IND
[] COM
[] OTH
[]IND
[] COM
[] OTH
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
LENDER INFORMATION
OUE DATE/ AMOUNT
INTEREST RATE OF LOAN
INTEREST RATE ~ i ~(~,'~
DUE DATE ,
SUBTOTAL
CALENDAR YEAR
$
OTHER
$
CALENDAR YEAR
$
CALENDAR YEAR
OTHER
$
GUARANTOR INFORMATION
AMOUNT CUMULATIVE
GUARANTEED TO DATE
CALENDAR YEAR
$
OTHER
$
CALENDAR YEAR
S
OTHER
CALENDAR YEAR
S
OTHER
$
Schedule B - Part I Summary
1. Loans of $100 or more received this period. (Include all Loans Received - Part 1 Ia) 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 Su.m_ mary
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 $
'Contributor Codes
IND - Individual
COM - Recipient Committee
OTH - Other
M ega numar FPPC Form 460 (8/99)
For Technlcal Assistance: 916/i322-5660
Schedule A Type or print in ink. SCHEDULE A
Amounte may be rounded S[a~e,i~ei~ covers pe~;,,G I
MonetaryContributions Received towholedollars, from Ji~i J ;J~ r'a' I
SEE INSTRUCTIONS ON R~ERSE through P
NAME OF FILER MBER
IF AN INDIVIDUAL. ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIBUTOR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR O~ER
RECEIVED (IF COMM~EE. A~O ENTER LD. NUMBER) CODE * ~F SE~-EM~OYEO. E~ER N~E PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE)
OF BUSlHE~)
~ OTH
~IND
~ eOM
~ OTH
g COM
~ OTH
~IND
D COM
~ OTH
SUBTOTAL
Schedule A Summary
1, Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) ....................................................................................................... $
2. Amount received this 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 $
c O00
~000
'Contributor Codes
IND - Individual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/822-5660
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAGE-PART2
Page__ of__
4. Officeholder or Candidate Controlled Committee
NAMEO OFFICEHOLDE ORCANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINES S ADDRESS (~1,O. AND CITY STATE ZIP
Related Commiffees Not Included in this Statement: Ll;tanycommtttees
not Included In ~ls consolidated statement ~at are controll~ by you or which are primarily
formed to receive contributions or to make expend/~res on behaff of your candldac~
C~M~E ~ME I.D. NUMBER
N~E ~ TREASURER CO~R~LED COMM~EE?
C~M~E ADDRESS STREET ADDRESS ~O P.O. BOX
CITY STATE ZIP CODE
7. Verification
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION I [] SUPPORT
I
[] OPPOSE
Identify the conb'olling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
6. Primarily Formed Committee List namos of officeholder(s) or candidate(s)
for which this committee 19 primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE
Attach continuation sheets if necessary
OFFICE SOUGHT OR HELD [] SUPPORT
[]OPPOSE
OFFICE SOUGHT OR HELD []SUPPORT
{::]OPPOSE
OFFICESOUGHTORHELD
[]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 By
OATE
Executed on By
Executed on By
DATE
Executed on By
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
SIGNATURE OF CONTRO{_LINO OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
SIGNATURE OF CONTROLUNG OFFICEHOLDER, CAN(~DATE, STATE MEASURE PROPONENT
SIGNATURE OF CONTROLUN(~ OFEICEHOLCER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 460 (8/99)
ForTechnlcal Assistance: 9t6/322-5660
State of California
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
S[~[=~ient covers period
from
through
Page
SCHEDULE E
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 paraphemalla/misc,
CNS carnpalgn consultants
CTB contribution (explain nonmonetary)*
CVC cMc donations
FND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LIT campaign literature and mailings
MTG mee§ngs end appaarances
CFC office expenses
PET pef~tion circulating
PHC phone banks
POL polting and survey msaarch
POS postage, delivery and messenger services
PRO pmfess[onal sarvices (legal. accountlng)
PRT pdnt ads
RAD radio aiflime and production costs
RFD returned contributions
SAL campaign workers salades
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 registralJon
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMtTTEE. ALSO ENTER I.O. NUMBER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
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 $~/'~.~)
1302.00
FPPC Form 460 (8/99)
For Technical Assistance: 916~322-5660
SctiedUle E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print In ink.
Amounts may be rounded
to whole dollars.
from
through
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign par aphemalia/mlsc.
CNS campaign consultants
CTB cont dbution (explain nonmonetaPj)*
CVC cMc donalions
FND fundraising events
IND independent expenditure suppod~ing/oppnsing others (explain)'
LIT campaign literature and mailings
MTG mee§ngs and appearances
DFC office expenses
PET peri,on clmulafing
PHO plane banks
POL polling and survey reseamh
POS postage, delive;y and messenger services
PRO professtunal serv[ces (legal, accounting)
PRT prtnt ads
RAD radio airtime and produclion costs
SCHEDULE E (CONT.)
NAME AND AODRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
~ymen~th~tare~tr~buti~ns~r~ndependentexpe~d~re~musta~s~besummar~zed~sched~eD~ SUBTOTALI ~¢ b~ ~
FPPC Form 460 (~9)
For Technical Assistance: 91~22-5660
RFD returned cont~butions
SAL campaign workers salades
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging and meals (explain)
TRS staff/spcuce travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VDT voter registration
WEB information technology costs (intemet, e-mail)
I.D. NUMBER
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