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Home My WebLink AboutGENTRY PREELEC10/05/00 ecipient Committee Campaign Statement (Government Code Ssctions 84200-84216,5) SEE iNSTRUCTIONS ON REVERSE Type or print in ink, Statement coyera period Date of dention if applicable: (Month, Day, Year) Date Stamp COVER PAGE CAUFO..,A 460 - FORM 00 OCT -2 A~I II: 0 E AF, ERSFiELD CiTY CL For Offk:lal Use Onty RK 1. Type of Recipient Committee: [~Officeholder, Candidate Controlled Committee (Al~o Complete Part 4.) [] Ballot Measure Committee O Primarily Formed C) Controlled O Sponsored (Also Complete Part 5.) All Committees - Complete Pads 1, 2, 3, and 7. [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) [] General Purpose Committee (D Sponsored C) Broad Based 2. Type of Statement: [2}4~;:;lection 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 COMMITlEE NAME //../y / STREET ADDRESS (NO P.O. BOX) CITY ~/STATE ~IP C~E AR ACODFJPHO ' Treasurer(s) NAME OF TREASURER / ,Z., ,)f/l/Y/// MAILINGADDRESS AREA CODE/PHONE MAILINGADDRESS CITY STATE ZiP COOE AREA CODE/PHONE CITY STATE ZiP COOE AREA CODE~PHONE OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS FPPC Form 460 (8/99) For Technical Assistance: 916/372-5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print In ink. 4. Officeholder or Candidate Controlled Committee Related Committee,~<;t Included in this Statement: List any committees not included In ~ls consollda ted statemen t ~a t are contro~ed by you or which are primarily formed to receive contributions or to make expendlNres on behalf of pur candidacy, C~MIREE ~ME I.D. NUMBER NAME OFTREASURER COMMITTEEADDRESS CONTROLLED COMMITTEE? [] YES [] NO STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE 5. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 OA.,FO..,A 460: FORM of ' BALLOT NO. OR LETTE. Identify the controlling 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 names of officeholder(s) or candidate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE •OPPOSE •SUPPORT []OPPOSE []SUPPORT [:]OPPOSE A cR'c(~ntinuation sheets if necessary 7. Verification \-,, I have used all reasonable diligence in preparing and reviewing this stateme anto the best of my knowledge the information contained herein and in the attached schedules is true and complete I certify under penalty of perjuP/under the laws of the St~ ia that t e,.for ing is true and correct \ OATE \~,~ E OP TREASURER OR ASS~STA SUaEa Executed on By DATE SIGNATURE OF CONTI:~'ODJNG OFFICEHOLDER, C~ANDIDATE, STATE MEASURE PRO~E~IT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLIN(~ OFFICE HOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of C~ifornla Schedule A Monetary Contributions Received Type or print In ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAMEOFFILER DATE :::::I,M~ILIN //D ~ OFCONTRIBUTOR CONTRIBUTOR RECEIVED (~F COMMITTEE, AlSO ENTER I D, NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF eUSINESS) 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 $ Statement covers period SCHEDULE A AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN. I * DEC, 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) *Contributor Codes IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Inlc Amounts may be rounded towhole dollars. NAMEOFFILER DATE RECEIVED FULLNAME, MAILINGADDRESS ANDZIPCODE OFCONTRIBUTOR CONTRIBUTOR {IFCOMMITTEE, ALSOENTERI.D. NUMBER) CODE w .-?,,,~?--~ [] coM IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (iF SELF-EMPLOYED, ENTER NAME OFBUSINESS) SCHEDULE A (CONT,) Statement covers period CALIFORNIA~ from ~ <1 ~-:~':7~::> FORM I.D. NUMBER AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN 1 - DEC 31) *Conl~butor Codes IND - Individual COM - Recipient Committee OTH-Other CUMULATIVE TO DATE OTHER (IF APPLICABLE) FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in inlc Amounts may be rounded to whole dollars. NAMEOFFILER DATE RECEIVED FULLNAME, MAILINGADDRESSANDZIP C/D~E~OFCONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE, ALSOENTERID.NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF,EMPLOYED, ENTER NAME OF BUSINESS) *Contributor Codes IND - Individual COM - Recipient Committee OTH - Other SUBTOTAL $ Statement covers period SCHEDULE A (CONT.) ' CALIFORNIA FORM AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN 1 - DEC 31) CUMULATIVE TO DATE OTHER (IFAPPLICABLE) FPPC Form 460 (8/99) For Technical Assistance: 916/t322-56GO Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER DATE RECEIVED Type or print in Ink. Amounts may be rounded to whole dollars. *Contributor Codes IND - Individual COM - Recipient Committee OTH - Other DIND D COM [] OTH []IND DCOM [] OTH [] IND DOOM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTALS Statement covers period from through AMOUNT RECEIVED THIS PERIOD SCHEDULE A (CONT.) 460 I.D. NUMBER CUMU~TIVE TO DATE CUMU~TIVE TO DATE CALENDAR YEAR OTHER (JAN 1 - DEC 31) (IFAPPLICABLE) FPPC Form 460 (8/99) For Technical Assistance: 916/i322-5660 Campaign Disclosure Statement Summary Page Type or print in Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ...................................................................Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines I + 2 4. Nonmonetary Contributions ............................................... Schedule C, L/fie 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 8 + 7 9. Acciued Expei~se~ (UHpaid Bills) ............................................Schedule F, Line 3 10. Nonmonetary Adiustment .......................................................Schedule C, Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + tO Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 $ 13. Cash Receipts ..............................................................column 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 L/nes 12+ ~3 + [4, thensub[racer. ins ~5 $ If this is a termination statement, Line 16 must be zero. t 7. LOAN GUARANTEES RECEIVED ................... Schedule B, Pad 1, 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 $ Statement covers period Colunlll B* TOTALPREVIOUS PERIOD SUMMARYPAGE Page_ / of_/2 I.D, NUMBER ~ $ · From previous statement SummaW Page, Column C. However, if this is the first repod 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 20. Contributions .e e,,,ed ............$ d":'; 21.Expenditures'A ~ ~ Made ..................$,. 7/1 tO Date FPPC Form 460 (8/99) For Technical Assistance: 916/~22-5660 Che(Jule E (COntinuation Sheet) Payments Made SEE INS'~RUCTIONS ON REVERSE NAME OF RLER Type or print in ink. Amounts may be rounded towhole dollars. SCHEDULE E (CONT.) StatementcoversperJod CALIFORNIA 460 from "c"0-cc FORM through '/~/"7 ,~'H-(~// I Page ~ of ~ I LD. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphemaliafmisc. CNS campaignconsullants CTB cofttdbLttion(explainnonmonetai¥}' CVC cMcdonaljons FND fundraislngevents IND independent expenditure supporting/opposing others (explain)* LiT campaign literature and mailings MTG meetjngsandappearancos OFC officeexpenses PET potion circulating PHO phone banks POL pollingandsurveyresearch POS postage, deliveP/and messenger services PRO professionalservices(legal, accounting) PRT pdnlads RAD mdioahtimeandproductioncosts NAME AND ADDRESS OF PAYEE OR CREDITOR * Payments that are contributions or In dependent expenditures mu st also be summarized on Schedule D. CODE OR RFD returnedcontdbulions SAL campaign workers salades TEL t.v. or cable airtime and production costs TRC candidatetravel, lodgingandmeals(explain) TRS staff/spouse travel, lodging and meals(explain) TSF transfer between committees of the same candidate/sponsor VOT voterregistration WEB information /echnologycosts(intemet, e-rnait) DESCRIPTIOFI OF PAYMENT SUBTOTAL :; AMOUNT PAID .j FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule E Payments Made Type or print in ink, Amounts may be rounded to whole dollars, Statement covers period NAME OF FILER OODES: if one of the following codes accur ibes the payment, you may enter the cede. Otherwise, describe the payment. SCHEDULEE CALIFORNIA FORM I.D. NUMBER CMP campaignparaphemalia/misc. CNS campaignconsultants CTB contribution(explainnonrnonetary)* CVC cMc donations FND fundraisingevents IND independentexpendituresuppoding/opposingothers(explain)" LIT campaign literature and mailings MTG meefingsandappearances OFC office expenses PET petitjon circulating PHO phonebanks POL polllngandsurveyresearch POS postage, deliveryandmessengerservices PRO professionalservices(legal, accounting) PRT pdntads RAD radioaiffimeandproductioncosts RFD returned contributions SAL campaign workers salaries TEL t.v. or cable aidires and production costs TRC candidatetravelJodgingandmeals(explain) TRS staff/spouse traveModging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voterregistraijon WEe informationtechnologycosts(intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.O. NUMBER} CODE Payments that 8re contributlonG or independent expenditureG must also be summsrized on Schedule D. OR DESCRIPTION Of PAYMENT AMOUNT PAID 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, Pad 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