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Home My WebLink AboutBENHAM SEMIANN04(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-842165) SEE iNSTRUCTiONS ON REVERSE Type or print in ink, Statement covers period Date of election if applicable: (Month, Day, Year) Date Slamp COVER PAGE For Official Use Only 1. Type of Recipient Committee: Att comm~.e~ - Comp~e Parts t, 2, 3, and 4. Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall [] General Purpose Committee ~) Sponsored C) Small Contributor Committee C) Political Party/Central Committee [] Ballot Measure Committee O Primarily Formed 0 Controlled O Sponsored [] Pdmadly Formed Candidate/ Officeholder Committee 2. Type of Statement: [] Pree}ection Statemenl '~ Semi-annual Statement [] Termination Statement [] Amendrc~nt (Explain below) [] Quadedy Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information I,o. NUMSER i O~ ~[~. j ~:) Z. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE} MAILING ADDRESS (IF DIFFERENT} NO AND STREET OR P.O BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZiP CODE AREA CODE/PHONE OPTIONAL; FAX / E-MAIL ADDRESS OPTIONAL FAX / E MAIL ADDRESS 4. Verification ~ 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. that the fore is and r ct. Recipient Committee Campaign Statement Cover Page -- Part 2 Type or punt in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER iF APPLICABLE) Related Committees Not Included in this Statement: List any committees not included in this statement that are conffoltad by you or are primarily formed to receive con~'iblltlOns or make expenditures on behalf of your carldidecy. COMMF]-rEE NAME NAME OF TREASURER COMMITTEE ADDRESS ID. NUMBER [] YES [] NO CONTROLLED COMMITTEE? STREET ADDRESS (NO PO+ BOX) CITY STATE ZiP CODE AREA CODE/PHONE COMMITTEE NAME LD NUMBER NAME OF TREASURER COMMITTEE ADDRESS CONTROLLED COMMITTEE? [] YES [] NO STREET ADDRESS (NO PO BO;< CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 6, Ballot Measure Committee Page NAMEOFBALLOTMEASURE BALLOT NO OR LETTER JURISDICTION I[~ SUPPORT []OPPOSE 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 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for which this committee is prfmarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT E}OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT [~OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Junel01) FPPC TolFt:r~e Nelpline: 866/ASK-FPPC Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. SEEINSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ...........................................Schedule A, Line 3 2. Loans Received ...................................................... Sch~du~ B, Une 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLi,es~*2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4 Column A TOTALTHIS PERK)D 4', 0+2, 0 Expenditures Made 6. Payments Made ....................................................... $chddule E, Line 4 7, Loans Made ............................................................. Schedule H, One 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule~ Une3 10. Nonmonetary Adjustment .......................................... Schedule C. Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... PrevieusSurnmeryPege, Line 16 13. Cash Receipts ................................................... ColumnA, Une3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments ................................................. ColumnA. Line8above 16. ENDING CASH BALANCE .......... Add L~'nes 12 + 13 + 14, then subtract Line 15 ff this is a termination statement, Line 16 must be zero. Column B CALENDAR yEAR q" 7-u OSL 0 iq 17. LOAN GUARANTEES RECEIVED ........................... Sch~ule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions on reverse 19. Outstanding Debts ......................... Add One 2 + Line 9 in Column S above To calculate Column B, add amounts in Column A to the corresponding amounts [rom Column B of your last report. Some amounts in Column A may be negative figures Ihat should be subtracted from previous pedod amounts, ff this is the first repod being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any), Page Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21 Expenditures Made I/1 through 6/30 7/1 to Date $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) /~__ $ / / $ / / _ $ / /__ $ / / $ / / $ *Since January 1, 2001 Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A Tyr~ or print in ink, SCHEDULE A Monetary Contributions Received to whole dollars. ~scc u~ ~6~SD ~t~o 10o ' ' ~INO '~ ~o~ G~, ~ ~co~ 0.ZS'~ ~ ~OT. ~ ~O Z~ o $UBTOTAL$ ~ ~ J Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - uniternized contributions of less than $100 ............................................. $ 3. Total monetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1 .) ....................... TOTAL $ *Contributor Codes IND - Individual COM- Redp~ent Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC- Small Contdbulor Cornmlitee FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Tyro or print in ink. SCHEDULE A (CONT.) mone[ary ~,on[nDU[lOnS Kecelvea AmOunts may be rounded Statement covem period Iii Iii, th,ou.hl,2'31'O t"*"e 5 o, 17 NAME OF FILER IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EM PLOYER RECEIVED THIS RECEIVED (IF CX~MITrEE. AL~O ENTER I D NUMeER) CODE * CALEN DAR YEAR TO DATE [] PTY COM ~ ~ ~ ~ ~ ~ ~ scc ~ O~ ~ ~ ~.~ ~scc ~COM g PTY SUBTOTALS II ~OC) J 'Contributor Codes IND - IndMdual COM - Recipient Committee (o~er than PTY or SCC) OTH - Other PTY - PolilJcal Party FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Typ* or prfnt in ink. SCHEDULE A (CONT.) Mone IWlUllCtCtlJf ~.,UII[[IUU[IO[~5 ~ece.veo Amounts may be rounded -~:~:+i~.,,,;coverspeHod .om through J~'~l' NAME OF FILER I.D NUMBER IF AN INDIVIDUAL, ENTER (JAN 1 - DEC. 31) PER ELECTION DATE AMOUNT CUMULATIVE TO DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER (IF COMMFC~EE,ALSO ENTER LD, NUMBER} CODE * TO DATE RECEIVED RECEIVED THIS CALENDAR YEAR ~co~ SUBTOTALS J~ 150 J J r 'Con~balor Codes IND - I nd'~aal COM - Recipient Committee {other than PTY or SCC) OTH - Othei' PTY - Political Party SCC - Smatl Contributor Committee FPPC Form 460 (Junel01) FPPC Toll-Frae Helpline: 8661ASK-FPPC Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars, SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED iO ZI~Y FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 0F COMMI3~EE, ALSO ENTER I D NUMBER) ~p ~t'lr-iaso~ ~_.o.~ Inc. CONTRIBUTOR CODE * OIND E]scc OIND Oscc E]IND E]COM E]scc IFAN iNDIViDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF EMPLOYED. ENTER NAME OF BUS~NESSI from__ SCHEDULE C I I.D NUMBER I~ ~ 1/~ ,~... AMOUNT/ DESCRIPTION OF GOODS OR SERVICES FAIR MARKET VALUE 'pm-h s I/sc id. ~rSO PER ELECTION TO DATE (IE REQUIRED) CUMULATIVE TO DATE CALENDAR YEAR (JAN I - DEC 31) DCOM Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ~.~"~.- I Schedule C Summary 1. Amount received this period - nonmonetary centdbutions of $100 or more. (Include all Schedule C subtotals.) ..................................................................................................................... 2. Amount received this pedod- unitemized nonmonetary contributions of less than $100 .................................... 3. Total nonmonetary contributions received this pedod. (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 (other than P~f or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll.Free Helplthe: 8661ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars, r SCHEDULE E Statement covers period ,rom tb,o.gh ,.ge o, I D NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ~ campaign paraphernalia/misc. MI&R mem~)ercommunications PAD radio airtime and production costs ~ contdbubon (explain nonmonetary)* CVC civic donations RL candidate filing/ballot fees FND fundraising events I',O independent expenditure supporting/opposing others (explain)' LEG legal defense LIT campaign literature and mailings PET petition circulating PHO phone banks POL polling and survey research PRO professional ser~ces (legal, accounting) print ads ~ returned contributions SAL campaign workers' salaries · EL t.v. or cable airtime and production costs T~C candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between commiBees of the same candidate/sponsor VOT voter registration WEB information technology costs (in/emet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMM~EEALSOENTERiDNUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ers ' d, qBSO ZqO * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Payments made this pedod 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 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.) ............................. TOTAL FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASI(-FPPC Schedule E (Continuation Sheet) Payments Made SEEINSTRUCTIONS ON REVERSE Type or print in ink, Amounts may be rounded to whole NAME OF FILER ID NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment. (]v~ campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events ND independent expenditure suppoding/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MTG meetings and appearances DFC office expenses PE-f' petition circulating PHO phone banks POL polling and survey ~esearch professional services (legal, accounting) PRT print ads RAD radio airtime and production costs returned contributions SAL campaign workers' salaries TEL t,v or cable airtime and production costs candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (iF COMMITTEE /d_SO ENTER i D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PA~D ool C~l~/~ ~e,~ 8~. Zoo ~1~ ~ 5gZ,' C i¢' ~rdS d~cEs~ville, FL 3Z23Z- 5205 5 *p . ayments that are contributions or independent expenditures must also be summarized on Schedule O. FPPC Form 460 (Junel01) FPPC Toll*Free Helpline: 8661ASK-FPPC Schedule E · ' Type er print in ink. State SCHEDULE E (CENT (Continuat,on Sheet) ^m°~o"~hmo,".~,~.Or:..ded ~'i~'~e.t =evo.e per,od Payments Made r from., j 0/t...~,~4 ~ SEE INSTRUCTIONS ON REVERSE CODES: If one of the following codes accurately descrbes the payme~r ~t, 'ou ma .., '~22 5) U ~ ~ ~j~ ~r~u??a~r~mi~misc Y y eh[er me code. Othe~ise', describe the payment. CTB contribution (explain nonmonetary)* CVC civic donalions RL candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D, NUMBER) 5-~1 L~f~¢r-S Hop,. o ~,o~doJ~ H-wy. [~OOi C~/l'lc~r-nt~ /~-~e.., Si-c. 200 C,f-h' C~r-d s ~ O, Box +5'Zo5 l/~zz I'~-I-m MIgR member communications , MTG meetings and appearances DFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, deJJvery and messenger services PRO professional services (legal, accounting) PR]' pdnt ads CODE OR POS Payments that are contributions or Independent expenditures must also be summarized on Schedule D. RAD radio airtime and production COSTS Rr'-D returned contributions SAL campaign workers' salaries TEL t.v, or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VDT voter registration WEB information technology costs (intemet. e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL $ ~ FPPC Form 460 (June]0t) FPPC Toll-Free Helpline: 866/ASK.FPPC Schedule E Type or print in ink Statement revers erlo (Continuation Sheet) Amo~on~hmolaeYdbo~lr~sUn~ed , p d Payments Made CODES: Il one of the following codes accurately describes the payment, you may enter the code. Otherwise', describe the payment. campaign paraphernalia/misc. CTB conldbution (explain nonmonetary)* CVC civic donalions FIL candidate filing/ballot fees FNO fundraising events independenl expenditure suppoding/opposing others (explain)' LEG legal delense campaign fiterature and mailings NAME AND ADDRESS OF PAYEE (IF CC~MM~ TTE E' ALSO ENTER ID. NUMBER) 5zoo RoscaoJE, Prwy. ~ Eye ZSZ~ ~o~ , MTG meetings and appearances DFC office expenses FET petition circulating R-ID phone banks POL polling and survey research POS postage, delivery and messenger services F~O professional services (legal, accounting) P~T pdnt ads CODE OR cmp CVC. * Payments that are contributions or independent expenditures must also be summarized on Schedule D, SCHEDULE E (CONT) RAD radio airiime and production costs RED returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals staff/spouse ravel lodging, and meals VDT voter registration WEe information technology costs (internet e-mail) DESCRIPTION OF PAYMENT tloo SUBTOTAL $ I,l~)O -- FPPC Form 460 (June/01) FPPC Toll-Free Hetpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars, CODES: (f one of the following codes accurately describes the payment, you may enter the code. Olherwise, describe the payment. O'vP campaign paraphemalia/misc, CNS campaign consultants MBR membercommunica~ions CTB contribution (explain nonmonetary)' CVC civic donalions FIL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing ethers (explain)' LEG legal defense campaign lilerature and rnaNings NAME AND ADDRESS OF PAYEE 60. BoX 46205 lboo E, B r-.s ct, , MI'G meetings and appearances DFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (egal accounting) FRT print ads CODE OR CMP, CV6, Iq3i C V~ s 1-c¢- iBK. s d, CA q3-3o ) crc W~hi~, O. C, 20013 CVO Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SCHEDULE E (CONT I O. NUMBER RAID radio airtJrne and production costs RED relurned contributions SAL campaign workers' salaries TEL t.v. or cable aidirne and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, ~odgng, and meals TSF fransfer beNveen committees of lhe same candidale/sponsor VDT voter registration WEB information technology costs (Jnternet e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID ~1oo 1oo Ioo FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVFRSE Type or print in ink. Amounts may be rounded Statement covers perJod to whole dollars, through ~ CODES: If one of the following codes accurately describes lhe payment, you may enter the code. Otherwise, describe the payment. ~ campaign paraphernalia/misc. CNS campaign consultants contribution (explain nonmonetary)" CVC CiVic donations FIL candidale filing/ballot tees fundraising events IND independent expenditure supporting/opposing others (explain)" LEG legal detense campaign lilerature and mailings NAME AND ADDRESS OF PAYEE Df l led V ei-'crcu 5 P. o. 14-3ol 0inci r t.-t-i, Oh 'o ,45250- o5 )1 ~ member communications , MTG meetings and appearances dFC office expenses PET petition circulating R-Id phone banks POL polling and survey research POS postage, delivery and messenger serwces PRO professional services (legal. accounting) FC~q' print ads CODE OR Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SCHEDULE E (CONT.) DESCRIPTION OF PAYMENT I D. NUMBER RAD radio airtime and produclion costs P, FD returned contributions SAL campaign workers' salaries TEL t.v. or cable aidime and produmion costs TRC candidate travel, lodging, and meals TRS staff/spouse Iravel, lodging, and meals TSF transler behveen commgtees of Ihe same candidate/sponsor VdT vo[er regislration WEB information technology costs (inlernet e-mail) AMOUNT PAID 41oo SUBTOTAL $ ~-,i~)O -- FPPC Form 460 (June/01) FPPC Toll-Free ttelpline: 8G6/ASK-FPPC