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HomeMy WebLinkAboutRUSSO SEMIANN04(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE iNSTRUCTIONS ON REVERSE Type or print )n ink. Date Stamp COVER PAGE [~poe of Recipient Committee: All Committees - Complete Peris 1.2, 3, and 4. · ceholder, Candidate Controlled Committee [] Ballot Measure Committee State Candidate Election Committee Recall [] General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee O Pdmarily Forn~d C) Controlled O Sponsored [] Pr/madly Formed Candidate/ Officeholder Committee Date of election if applicable: (Month, Day, Year)05 Ji 2. Type of Statement: molechon Statement mi-annual Stat~nt ~ Te~ina~on State~nt ~ A~nd~nt (~ain ~low) For Official Use Only [] Quarterly Statement [] Specia~ Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information I,D NUM.ER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O BOX Treasurer(s) NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE ZIP CODE AREA CODE/PHONE CiTY STATE ZiP CODE AREA CODE/PHONE 4. Yerification m~ under ~na~ of ~u~ u~er ~* la~ o~ tho S~to o[ California that ~o ~o~o~ is CITY ,OPTIONAL: FAX / E-MAIL ADDRESS d herein and in the attached schedules is true and complele. I Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 Page ~., of 5. Officeholder or Candidate Controlled Committee l"~, rz'~l~ l(,.~,'.~~ OFF~CE SOUGI~T ~R HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) STREET) CITY, STA3E ZIP 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER I JURISDICTION [] 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 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO RD. BOX) CiTY STATE ZIP CODE AREA CODE/PHONE COMMITrEE NAME ID. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO PO BOX) CI~Y S~FA~ ZIP CODE AR~ CODE/PHONE 7. Primarily Formed Committee List names of officeholde~s) or candidate(s) for which this committee is p~marily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFrCEHOLDER 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 Campaign Disclosure Statement Summary Page SEEINSTRUCTIONS ON REVERSE Typo or print in ink. Amounts may be rounded to whole dollars. Statement ~:overs period through / SUMMARY PAGE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... ScheduleA, Line 3 2. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTALCASHCONTRIBUTIONS ......................... AddUnes?+2 $ 4. Nonmonetary Contributions .................................... Schedule C, IJne 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLlees3+4 $ Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... AddLlees6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Prevlou$ Summary Page, Line16 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 Lines12 +13 +14, then subtracl Line15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Pa~ 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instru~ons on reverse $ '~ 19. Outstanding Debts ......................... AddUne2+LineginColumnBabove $ ~ Column A Column B To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous podod amounts. If this is the first report being filed for this calendar year, only can~ over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Oate 20 Contributions Received $ $ 21 Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' Date of Election Total to Date (mm/dd/yy) / L__ / L__ $ / /.__ $ / / $ / / $ / / $ *Since Janua~/ 1, 2001. Amounts in this section may be different from amounts reported in Column B FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC