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HomeMy WebLinkAboutCOUCH SEMIANN04(1) Recipient Committee Type or print in lItk. 0... Slam!> Campaign Statement Cover Page 0' r"I' " P: (Govemment ~ _ 84200-84216S) '4 ~:1 'I u" "" ~J .~ shl.....n~.i':.;rlocl Dote .1 _ II _lcablo: from t:) I ~ t./ (Monlh, Day, V_I 8r,~--:ri\S;=-;l~ C~ T \ SEE INSTRUCTIONS ON REVERSE "'rough ;~/5(>h,t/ NIA- I , , 1. Type of Redplent Committee: ...c-_-ComploIo_'.3.3.""'4. 2. Type of Statement: ,r Oftlc:eholdol. Candidate C0ntr0lIed CommlI1ee o Bob Moeauro CcmmlIloe DP-- o 0u0m0rIy- o sm.~_CommItIee o PrimoriIy Formed 0-- o SpedeI 0d0-_ Repon 0-1 o~ or-- o su,.,.Ioo....AaI_ (Abo~1Wflli o Sponsoled o __ (ExpIaio belowl s_._ FonlI495 o GenonIl Purpose ~ (AIM~PmfJ o Sponsoled o PnmaIllyFonned ~ o SmaI~CcmmlIloe 0l!lc8~~ o _ Par1y/Centnll Committee (AlIo~PlrJ7J 3. Committee Information T.-urer(a) COMMITTEE NAME (OR CANOIDATFS NAME IF NO COMMITTEE. MAME OF TREASURER rfl/c/ll"Df P41Vll:> COtteN MAllING;Z:ft:1 ~ 1_. J.f!YVP):;/l..so/l/ Or $ OPTIONAL FAX I E-MAIL ADDRESS , OPTIONAl.: FAX I E-MAIL ADDRESS 4. Verification I have used a. raasonable diligence In praparing and raviewing this statsmeol and 10 the best 01 my knowledge the inlonnation conlained heroin and in the - schedules is true and complele. I cartiIy undor ponaIly 01 peril undor tile laws 01 tho SIaIa 01 CaIiIomia lhalthe 1orogoing is ICI. E""",""on .9 ~<-1 By tC- - ......lodon By ;--- ......lodon By - Execulod on By - FPPC Form _ (JuneI01) FPPC TotI-F... ~ ...,ASK-FPPC ... of C.1IforfM COVER PAGE - PART 2 or print in ink. Type Recipient Committee Campaign Statement Cover Page - Part 2 tf any. measure proponent. 6. Ballot Measure Committee or state JURISDICTION NAME OF BALLOT MEASURE BALLOT NO. OR LETTER Idonllly Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 'D,4.VIl::> {!~t{C-A/ OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ~Ke;!2.>FlEt.:D CITY Cot(/I/C/L - tu/ll2D 'I RESIQENTlAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP / Related Committees Not Included in this Statement: List sny committee. not Included In this statement that are controlled by you or are primarily fanned to receive contributions or make expenditures on behaN of your candidacy. 5. ANV IF DISTRICT NO. o SUPPORT o OPPOSE o SUPPORT o OPPOSE o SUPPORT o OPPOSE Primarily Formed Committee Ust names of officeholder(s) or cand;date{s) for which this committee ;s primarily formed. 7. CONTROLLED COMMITTEE? o VES 0 NO NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE AREA CODEJPHONE NAME NAME OF TREASURER COMMITTEE (NO PO. BOX) COMMITTEE ADDRESS NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CONTROLLED COMMITTEE? OVES ONO AttlJch continuation sheets " necessaty AREA CODElPHONE ZIP CODE STATE CITY COMMITTEE NAME NAME OF TREASURER (NO P.O. BOX) ZIP CODE STATE COMMITTEE ADDRESS CITY FPPC Fonn _ (Juno/Ol} FPPC ToII-F,.. HelplIne.: I8tIASK~ _ '" CoIIfomIs SUMMARY PAGE Type or print in ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page .0. NUMBER 9P,2/i6 0/ through from SEE INSTRUCTIONS ON REVERSE NAME OF FILEp,AtVI J::> Calendar Year Summary for Candidates Running in Both the State Primary and General Elections Column B CAlENOARYEAA TOTAL TOOATE Column A TOTAL THlSPERIOO (fROM ATTACHED SCHEDUlES) 't).- Ut<.CIf Contributions Received to Dale 7. $ $ through 6130 So ~ ?:;-j,. , $ 20. Contributions Received Expenditures Made 2. $ $ ~ - r().~ - 'iN.- $ $ $ Schedule A, Line 3 Schedule e, Line 3 AddUnes 1 +2 Schedule C, Un6 3 Monetary Contributions Loans Received .......... SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions .............. TOTAL CONTRIBUTIONS RECEIVED 1. 2. 3. 4. 5. $ $ Expenditure Limit Summary for State Candidates $ 22. Cumulative Expenditures Mad.- IIfSulJtedtoVoJuntaryExpendltureUmlt) Date of Election (mm/ddlyy) $ ~g.s(P . - >;5~ r------- - S-, Add Lmes 3 + 4 Expenditures Made 6. Payments Made 7. $ Line 3 Sch6dule E, Line 4 Schedule H, $ Add Lines 6 -+- 7 Schedule F, Une 3 Schedule C. Line 3 AddUnes8+9+ Loans Made SUBTOTAL CASH PAYMENTS Accrued Expenses (Unpaid Bills) Nonmonetary Adjustment ........ TOTAL EXPENDITURES MADE 8. 9. 10. 11 $ ~ $ $ $ $ ---.1---.1- ---.1---.1- ---.1---.1. ---.1---.1. 1, 2001. Amounts in this section may be amounts reported in Column B. To calculate Column e, add amounts in Column A to the corresponding amounts from Column e of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filad for this calendar year, only carry over the amounts from Lines 2. 7, and 9 (II any). $ $ $ $ 10 Previous Summary Page, Line 16 Column A. Line 3 above Schedule Add Lines 12+ 13+ Line 16 must be Column A. Line 8 above 14, then subtract zero. 15 Line 4 Line Current Cash Statement 12. Beginning Cash Balance ........ 13. Cash Receipts ........................ 14. Miscellaneous Increases to Cash 15. Cash Payments ..................... 16. ENDING CASH BALANCE ....... N this is a tennination statement, $ Schedule S, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. Seoinstroclions 19. Outstanding Debts 17. LOAN GUARANTEES RECEIVED FPPC Form 460 (JUIIOIIU1) FPPC TolI-Free Helpline: 8I6IASK-FPPC - ~ $ $ on reverse Add Line 2 ... Line 9 in Column B alxNe SCHEDULE A Type or print in ink. Amounts may be rounded to whole dollars. Schedule A Monetary Contributions Received from .D. NUMBER 9 P,7. I 'to through SEe INSTRUCTIONS ON REVERSE NAME OF FILER VA-VII::> PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CALENOAR YEAR (JAN. 1 - DEC. 31) AMOUNT RECEIVED THIS PERIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) c.~t.( elr/ FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,AlSOENTERI.O.NUMBER) CODe. DATE RECEIVED DIND DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTV DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC tift 'Contrlbutor Codes INO -individual COM - Recipient ComniIloo (other "'an PTY or SCC) OTH-Othor PTY - Political Party SCC- SmaU ConlribulorComnilloo FPPC Fonn _ (Ju'-1) ToJI.I'... Helpline: I8llIASK-FPPC ---&- - ?O ~ SUBTOTAL $ Schedule A Summary 1. Amount received this period - contributions of $1 00 or more. (Inelude all Schedule A subtotals.) FPPC t)~ $ $ TOTAL $ Line Amount received this period - unitemized contributions of less than $100 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page. Column A, 2. 3. SCHEOUlEE ~.ge S-- of L I Statement from Type or print in Ink. Amounts may be rounded to whole dollars. D. NUMBER '1?;2/'10 Otherwise. describe the payment. RAD radio airtime and production costs RfD returned contributions SAL campaign workers' salaries 1B. t.v. or cable airtime and production costs TRC candidate travel. lodging, and meals lRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration Vv'EB information technology costs through the payment. you may enter the code. ~ member communications MTG meetings and appearances OFe office expenses PET petition circulating PH:) phone banks POL polling and survey researro POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads Schedule E Payments Made SEe INSTRUCTIONS ON REVERSE NAME OF FILER 'D tf-'l&1[) &uc-" CODES: If one of the following codes accurately describes eM' campaign paraphernalia/misc. = campaign consultants ern contribution (explain nonmonetary). eve civic donations AL candidate filing/ballot fees FlIIl fundraising events tv independent expenditure supporting/opposing others (explain) LEG legal defense UT campaign literature and mailings (internel, e-mail NAME AND ADDRESS OF PAYEE (If COUMIITEE, AlSO ENTER 1.0. NUMBER) COOE OR DESCRIPTION OF PAYMENT AMOUNT PAID y,AN/~EGi C-.cPM/I1/{N I C4rlt:)N~ . /AJeStt?;2N t7M ?/'I-ICJ s;;.oC,t:!E.1<... 'TeN'*( ~ P~N.!""",.e- /: sw e/f-T S' 111/2..7 oS NWir e-h'IIfZ./'T'IPgLG ~Nr;e.16t(77tW: /OD ;Z /65'" $ ?~'I?> $ :3/t) $ TOTAL $ ~P.>~ FPPC Fonn 4&0 (Ju_1) FPPC TolI-Free Helpline: I8IIASK-FPPC SUBTOTAL$ . Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Payments made this period of $1 00 or more. (Include all Schedule E subtotals.) ............................ 2. Unitemized payments made this period of under $100 .................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ......... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page. Column A. Line 6.) Statement covers period !rom 01/0/ Type or print in ink. Amounts may be rounded to whole dollars. Schedule E (Continuation Sheet) Payments Made P.ge~ oiL .0. NUMBER 9P~/?O through Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAl campaign workers' salaries TB.. t.v. or cable airtime and produdion costs lRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidateJsponsor VOT voter registration WEB infonnaUOn technology costs (intemet, e-mail DESCRIPTION OF PAYMENT SEE INSTRUCTIONS ON REVERSE NAME OF FILER V4VID &t(t!-# CODES: If one of the following codes accurately describes the payment, you may enter ()yP campaign paraphernalia/misc. M3R member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)- OFC office expenses eve civic donations FEr petition circulating Rl candidate filing/ballot fees PI-O phone banks Ff',[) fund raising events POL polling and survey research I'D independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads the code. AMOUNT PAID / R CJtJ OR C-fl.#J r#-PLE CtvV TI2t t:t-t 7/d'Y COOE NAME AND ADDRESS OF PAYEE (IF COMMIITEE. ALSO ENTER 1.0. NUMBER) toys f ?//Zts t!~$ > '$4;c.e'/<.SFIELD /J'1t(~,#Vt$J" 8'.J/.f,c.er/.Y/f-tL rqA1 (~t(.wN~ Ifs. L&ltjue) JPO/vfc>,I2.fHIPI /0,:;;)0 s-rl SUBTOTAL $ ~.3 g I FPPC Form .... (J-11 FPPC Toll-Frwe HeIpUno: 868/ASK-FPPC :e E - IA( g It e.s;. e /If E?/Vr ~;Z.. , / IJ1A1YO/Z.'.S t:. ~ttN~/LAf/3#(/.le/Z..s roJ2#1i1 (!<~ l LOP{)/Nc;) e-Iry PI'" g,.",,/?/?SrIRz:> independent expenditures must also be summarized on Schedule D. '* Payments that are contributions or Type or print in ink. Amounts may be rounded to whole dollars. Schedule Miscellaneous Increases to Cash POgo~ oiL Statement covers period from 1.0. NUMBER 99;2/70 Col{e/<f SEE INSTRUCTIONS ON REVERSE NAME OF FILER V.A!-V/b AMOUNT OF INCREASE TO CASH II. f1 710 ~ /l? '!I ~7, ~ 3:5, ~ r1(~ DESCRIPTION OF RECEIPT / NTE/ZE-fT FUll NAME AND ADDRESS OF SOURCE (IF COMMITTEE. ALSO ENTER JO NUMBER) ' S/J1IT/-f K/I/Z..Ney DATE RECEIVED ()//o1/OLj 07-;l~f t' >J~t O~o/"'1 t'>/; 'I frYI O~/;1/()r liP 9. !d:- /?'1r!i FPPC Form 480 (JUMIII1) FPPC ToII-F... Helpline: 868/ASK-FPPC SUBTOTAL $ it ;j , ~ $ $ $ $ TOTAL the Attach additional in/onna"on on appropriately labeled continua"on sheets. (Schedule H, Column (e).) 2, and 3. Enter here and on Schedule 1. Increases more this period. 2. Unitemized increases to cash under $100 this period. Total of all interest received this period on loans made to others. Total miscellaneous increases to cash this period. (Add Lines 1 Summary Page, Line 14.) ... Summary to cash of $100 or 3. 4.