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Home My WebLink AboutTAKII SARA PREELEC10/05/00 eCipient Committee Campaign Statement (Government Code Sections 8~200-84216.5) Type or print in ink. Statement covers pedod from r[, .%~ .~.J~::~ Date of election if applicable: (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE through C~.?J::3'~L% 1, Type of Recipient Committee: A, Committee~ - Complete Parts 1, 2. 3. and 7. Officeholder, Candidate C~ntrolled Committee (AI~3 Complete Part 4.) Ballot Measure Committee O Primarily Formed O Controlled (:D Sponsored t/dse Complete Part 5.) D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) [] General Purpose Committae (D Sponsored (D Broad Based Type of Statement: C~] Pro-election Statement [] Semi-anRuaj Statement [] Termination Statement [] Amendment {Explein below) COVER PAGE FORM [] Quarterly Statement [] Special Odd-Year Report [] Supptementa! Pre-electjon Statement - Attach Form 495 3. Committee Information COMMrFFEENAME ~TREET ADDRESS (NO P.O. BOX} CITY STATE ZIP CCOE MAILING ADDRESS {IF DIFFERENT) NO. AND STREET GR RO. BOX ILD. NUMSER AREA CODFutPHONE Treasurer(s) NAME O'F TREASURER MAtUNGADDRESS CITY STATE NAME OF ASSISTANT TREASURER, IF ANY MAIUNG ADDRESS ZIP CODE AREA COCEIPHONE CITY STATE ZIP CODE OPTIONAL: FAX/E-MAiLADDRESS AREACOD~PHONE OPTIONAL: FAX/E.MAILADDRESS STATE ZIP CODE AJ~,EA CODF~gHONE FPPC Font~ 460 (8/99) For Technical Asst~t,~qce: 91$/3,22-5660 State of Caiifornia Recipient Committee Campaign Statement Cover Page- Part 2 Type or print in ink. 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (iNCLUDE LOCATION ANO DISTRICT NUMBER [F APPLICABLE) RESIDENT~AL, aUSI;~ESS ADDRESS iND. ~TREE'[~ CRW STATE ZIP Related Committees Not included in this Statement: z.i~t any comrnlttees not included in this consolidated statement that are controlled by you or which are primarily lottiled to receive contributions or to make expenditures on behalf of your candidacy. CC~MMITTEENAME LD. NUMBER NAME OFTREASURER COMMITfEE AOORESS CONTROLLED COMMIFfEE? [] YES [] NO STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE 5. Ballot Measure Committee NAME OF 8ALLOT MEASURE 7. Verification COVER PAGE - PART 2 I~e~_nti.,~_~. t= .he controlling officeholds, candidate, or state measure pfopenenf. if any. NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT OFFICESOUGHTORHELD "TDISTRiC NO. IFANY 6. Primarily Formed Committee Ll, t n.,,,s or offlcehe/der(s) or calfd/date(s) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E3 SUPPORT OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD NAME OF OFRCEHOLDER OR CANDIDATE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE Attach con~nua~on sheets if necessary ~ E2]oPPOSE E]SUPPORT E:]OPPOSE E]SUPPORT E]OPPOSE have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained heroin and in the attached schedules is true and complete, I certify under penalty of perjui~ under the laws 8f the State of California that the foregoing is true and correct. Executedon DATe Executed on Executed on By FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Sta~e of Czfiifarnla Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FtLER Contributions Received 1. Monetary Contributions ......................................................Schedule A, Line 3 2. Loans Received ...................................................................Schedule e, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 · ~'.Nonmonetary Contributions ...............................................scileauie C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from "'(,'~'~--~ through C.~,~>%. ~22~% Expenditures Made 6. Payments Made ....................................................................Schedule E, Line 4 7. Loans Made ..........................................................................Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 8 + 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F% Line 3 10. Nonmonetary Adjuslment .......................................................Schedule C, Line 3 1 I. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + tO Current Cash Statement 12. Beginning Cash Balance ................................Previous Summary Page. Line 16 13. Cash Receipts ..............................................................Coiumn 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 ~ I4. then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule e, Part 1, Column Cash Equivalents and Outstanding Debts 18. Cash Equivalents .....................................................See instructions on reverse 19. Outstanding Debts ...................................AddLlne2+LtneeinColumnCabove Column B* TOTAL PREVIOUS PERleO (SEE NOTE BELOWt SUMMARY PAG s I.D. NUMBER · From previous statement Summary Page, Column C. However, if this is the IirsI report flied for the calendar year, Column 8 should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Line 9}. Rummary for Candid~~J'he~ November Elections 20. 1/1 through 6/30 7/1 to Dam Contributions Received ............ $ \\~'~%.~(~ 21, Expenditures Made ..................$ ~b\C\~-%~ FPPC Form 460 (8/99) For Technical Assistance: 9t6/322-~660 Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SEE }NSTRUCTIONS ON REVERSE NAME OF FILER DATE FULL NAME, MA~LtNG ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE , {:~ IND [] COM [] OTH Statement covers period from ~,' \' ~,~ through (~'~3'~;~'~ SCHEDULE [] IND nCOM [] OTH ~IND [] COM [] OTH hge~,_,_~__ef 'c\ LD.NUMBER IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR E]COM I~.OTH [] COM [] OTH SUBTOTAL Schedule A Summary 1. Amount received this period - contributions of $100 or more. (!nclude a!! Schedule A subtota!s.) ....................................................................................................... 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 CUMULATIVE TO DATE OTHER (~F APPUCABLE) 'Contributor Codes IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 For Technical A~lstance: 918/322-5660 Schedule A (Continuation Sheet) MOnetary Contributions Received Type or print in ink, Amounts may be rounded to whole dollars. DATE RECEIVED ~AME OF FILER ' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER [] INO [] COM [] OTH DIND [] COM [] OTH [] IND [] COM [] OT~ SUBTOTAL $ 'Contributor Codes IND - Individual COM - Recipient Committee OTH -Other Statement covers period from h~.*\'lb~ through _~ ':~'~,~_~__ AMOUNT RECEIVED THIS PERIOD SCHEDULEA (CONT0 FORM LD, NUMBER CUMULATIVE TO DATE I CUMULATIVE TO 0ATE CALENDAR YEAR OTHER (JAN ~ - DEC 31 ) (IF APPLICABLE) %,%% ,~b ~ FPPC Form 460 (8/99) For Technical Assistance: 916r~22-5660 Scheduled - Part 1 Loans Received Type or print in ink, Amounts may be rounded to whole dollars, SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME. MAILING ADDRESS AND ZiP CODE CONTRIBUTOR OF LENDER OR GUARANTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLONER Statement covers period from '~,\-~Lb~ __ through C~'?'-'~:a'(Z3(:b __ LENDER INFORMATION {NTEREST RATE OTHER DUE DATE CALENDAR 'fEAR iNTEREST RATE % DUE DATE CALENDAR yEAR INTEREST RATE OTHER Schedule B - Part 1 Summary' 1. Loans of $100 or more received this pedod. Include all Loans Received - Pad 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 pady this perLed. (Include all Part 2 (c) subtotals. it 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 parb', 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 SCHEDULE B * PART 1 GUARANTORINFORMATION AMOUNT CUMULA~VE GUARANTEED TO DATE CALENDAR YEAR OTHER CALENDAR YEAR OTHER $ CALENOAR YEAR $ OTHER $ Enter (b) en 'C~ntdbutor Codes IND - lnd,4duaJ COM-RecipientComrnittee OTH - Other M;~y be . ne~al~ve number. FPPC Form 460 (8/99) For Technical Assistance.* 916~22-5660 Schedule C Nonmonetary Contributions Received Type or print in ink, Amounts may be rounded to whole dollars. Statement covers period fro,. '%'k'%% SCHEDULEC SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME, MAILING ADDRESS AND CONTRIBUTOR ZIP CODE OF CONTRIBUTOR CODE * (IF COMMITfEE, ALSO ENTER I,O. NUMBER} IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER [] IND [] COM [] OTH [] IND DCOM [] OTH Attach additional/nformation on appropriately labeled continuation sheets. through DESCRIPTION OF AMOUNT/ GOODS OR SERVICES FAIR MARKET VALUE SUBTOTAL Page___"Tb_.,.of ~ I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE} Schedule C Summary 1. Amount received this period - nonmonetap./contributions of $100 or mere. (Inciude all Schedule C subtotals.) ...................................................................................................................$ 2. Amount received this pedod - 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 "T_.o,,'lj~ ,~;}c~ tND -Individual LCOM-RecipientCommitlee OTH - O~her FPPC Form 460 (8/99) For Technical Assistance: 916/322-56E0 Schedule E Payments Made SEE INSTRUC'fiONS ON REVERSE NAME OF FILER Type or print in [nic Amounts may be rounded to whole dollars, SCHEDULE E Statement covers period ~ from "'~ -\-(;b~:3 , , : : ~, , through O~'~-~-~-~-~-~-~-~-~-~*~b~b~t Page (~ of '~ I.D, NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphemafia/misc. OFC officeexpenses RFD rettlrnedcontdbut~ons CNS campaignconsultants PET petjljoncirculating SAL campaign workers satades CTB contdbution(explainnenmonetary)° PHO phonebanks TEL t.v, orcabtaaidimeandpmduc~ioncosts CVC civicdonaljons POL polling and survey research TRC candidatatravel, lodging and meals (exp~ain) FND fijndraising events POS postage, delivery and messenger services TRS staff/spouse travel, lodging and meals (explain) IND independentexpendituresuppoding/opposingo~,ers(explain)' PRO professionalser\dces(legal, accounting) TSF transferbetweencommilteesofthesamecandidate/sponsor LIT campaignliteralureandmaifings PRT pdntads VeT voter registration MTG meetingsar~appearances PAD radioainimeandproductioncosts WEB intarma~iontechnologycosts(intamet, e-mail) NAME AND AODRESS OF PAYEE OR CREDITOR {IF COMMI~F~EE, ALSO ENTER I D NUMBER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Payments that are contributions or independent expenditures must also be summarized on Schedule Schedule E Summan/ 1. Payments made this pedod of $100 or more. (include all Schedule E sulS~otals.) ...............................................................................................$ 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,- 91 6/322-~660 Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER ...... Type or prfnt [n ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT,) Statement covers period from r"TL-\-~ through 0,~%,%~* __ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphemalia/misc. OFC officeexpenses RFD returnedcontributions CNS campajgnconsultants PET pe~tjoncirculating SAL campaignworkerssalades CTB contdbution(explainr~nrnonetary)* PHO phonebanks TEL t.v. orcableaidimeandproductioncosts CVC cMcdona~ons POL pollingandsu~,eyresearch TRC candidate travel, lodgingandmeals(explain) FND tundraising events POS postage, deiiver~ and messenger services TRS staff/spouse travel, lodging and meals (explain) IND independent expenditure suppealing/opposing o~ers (explain)" PRO professional services (Iegal, accounting) TSF transfer between committees of the same candidate/sponsor LIT campaign literature and mailings PRT pdnt ads VOT voter registra~jon MTG meetings and appearances RAP radio airtime and production costs WEB information techr~logy costs (intomet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (iF COMMll"TEE, ALSO ENTER 19. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or inda endant ex enditures most P p also be summarized on Schedule D. SUBTOTAL FPPC Form 460 (8/99) Per Technical Aselstance: 916/322-5660