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HomeMy WebLinkAboutCARSON SEMIANN04(2)Re~:ipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216 5) SEE tNSTRUCTIONS ON REVERSE Type or p~int in ink. Statemen/[ cove~,s period ,,on 5// 1. Type of Recipient Committee: All Committees - Complete Pa~s 1, 2, 3, and 4. [] Ballot Measure Committee O Pdmadly Formed O Controlled C) Sponsored Pdmadly Formed Candidate/ ~J~fficeholder Committee Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall [] GeneraIPurpose Committee C) Sponsored C) Small Contributor Committee C) Political Party/Central Committee Date of election if ap ' : (Month, Day, Ye~~ _._-.- 0 ..~h: Date Stamp 3, Committee Information -3 PH [~: 2N ,~ :i~~ C!.EEK COVER PAGE 2. Type of Statement: [] Preelection Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) L~J Quartedy Statement [] Special Odd-Year Repod [~ Supplemental Preelection Statement - Attach Form 495 Treasure s) NAME OF TREASURER MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY COMMI3-rEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE} ~AILING ADD~ESS (IF BIFFERENT) ~O. AND STREET OR PO 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 afl reasonable diligence in prepad~g and reviewing lhis statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I ~ /C~__~r~er th that the fo~_.t~-~ ~' is true rrect.. certify ueder penalty of peduryu r the laws of the State of California .~~ rrect. ~ . E~ecuted on ay ~ Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) . RESIDENTIAL]BUSINESS ADDRESS (NO~ AND STREET) CITY STATE ZIP ! 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. I ~ YES [] NO COMMI~-EE ADDRESS STREET ADDRESS (NO ~lO l BOX) NAME OF TREASURER ICO~TROLLEDyEs COMMITTEE?[] NO COMMITTEE ADDRESS STREET ADDRESS (NO RD BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 6. Ballot Measure Committee Page of__ NAME Of BALLOT MEASURE BALLOT NO OR LETTER JURISDICTION []SUPPORT E~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 ~his committee is prfmarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE FICE SOUGHT OR HELD FFICE SOUGHT OR HELD []SUPPORT ~]OPPOSE []SUPPORT []OPPOSE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE OFFICE SOUGHT OR HELD []SUPPORT [~]OPPOSE At~ach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll,,Free HelpBne: 866/ASK-,FPPC State of California 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 2. Loans Received ...................................................... Schedule B, Line 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 4. Nonmonetary Contributions .................................... Schedule C. Line 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 * Column A Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Line a 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) .............. Schedule~ Line3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add L#~es B + g *- lO Current Cash Statement 12. Beginning Cash Balance ....................... PreviousSummaryPage, Line 16 13, Cash Receipts ................................................... ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................... Schedule/, L/ne 4 15. Cash Payments .................................................. ColurnnA, LineSebove 16. ENdiNG CASH BALANCE .......... Add Lines 12 * 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero, 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pdd 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See insb~cfJons on reverse 19. Outstanding Debts ......................... AddLine2+LineginCctumnBabove Statement covers period from ~'(/ ~ /0[~ Page SUMMARY PAGE _ of__ Column B To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounls in Column A may be negative figures that should be subtracted from previous pedod amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I D NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 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) __/_ __ $ __/_ __ $ / *Since January 1, 2001. Amounts in this section may be different from amounts repoded in Column B. FPPC Forn~ 460 (June/01) FPPC Toll*Free Helpline; 8661ASK-FPPC Schedule A Ty.~ or print in ink. Monetar~ ~ Contributions Receiv Amounts may be rounded SCHEDULE A ........ - .... Statement covers period ~IND ~o~ ~scc ~ND · ~COM DSCC ~ND -~ ~ ~ scc ~IND ~COM ~OTH ~ P~ ~ scc ~IND ~OTH ~ SCC Schedule A Summary 1. Amount received this pedod - contributions of $100 or more. (include all Schedule A subtotals.) ........................................................................................................ $ _'~./ ~ .,,.~). ~ C, 2. Amount received this pedod - unitemized 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 $ ~'~ DOC ' ''~ ~ · *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC - Small Conthbutor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule B- Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Statement covers period Amounts may be rounded to whole dollars. (b) (¢) FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL. ENTER OUTSTANDING AMOUNT OF LENDER OCCUPATION AND EMP BALANCE AMOUNT PAID t[] tND [] COM [] OTH [] PTY [] SCC $ $ BALANCE AT CLOSE OF THfS t[] IND ~ COM [] OTH [] PT¥ [~ SCC DATE DUE SCHEDULE a - PART 1 DATE DUE DATE DUE SUBTOTALS $ $ $ $ t[] INO [] COM [] OTH [] PTY [] SCC Schedule B Summary 1. Loans received this pedod .......................... ~ (Total Column (b) plus unitemized loans less than $100.) -- 2. Loans paid or forgiven this padod ...................................................................................... $ (Tota Co umn (c) plus oans under $100 pa d or forgiven,) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this peded. (SubtractLine2fromLinel.) ............................................................... NET $ ~ Enter the net here and on the Summary Page, Column A, Line 2. t Contributor Codes t D. NUMBER ~ q 225~ INTEREST ORIGINAL CUMULATIVE PAiD THiS AMOUNT OF CONTRiBUTiONS PERIOD LOAN TO DATE *Amounts forgiven or paid byj ** I[ required. INa- Individual COM-ReciplenlCommittee (otherthan PTYor SCC) OTH-Other PTY-PoliticalParty SCC-SmaltContributorComrmtt~. ] FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF F~LER Statement covers period ,rom' l' /O'1 CODES: If one of the following code8 accurately describes the payment, you may enter the code. Otherwise, describe the payment. ~ ~mpaignparaphemalia/mis¢. MBR membercommuni~tions CNS campaign consultants contribution (explain nonmonetary)* CVC civic donations F1L candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE MTG meetings and appearances DFC office expenses PEr petition circulating PHO phone banks PCL polling and survey research POS postage, delivery and messenger services professional services (legal, accounting) PAT pdnt ads CODE OR through [ '~'1~'/'~'~ -- Page_(1~ of I.O NUMBEE R P/kO radio airtime and production costs relumed contributions SAL campaign workers' salaries TEL t.v. or cable airhme and production costs candidale travel, lodging, and meals staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidale/sponsor VDT voter registration WES information technology costs (internal e-maU) DESCRIPTION OF PAYMENT AMOUNT PAID 06- SUBTOTAL $ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. 2. Unitemized payments made this pedod 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 {June/01) FPPC Toll-Free Helpli~te: 866/ASK-FPPC S~hedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NA~ ./y~OF FILER ~ / ; ~_~.,,~ ..~ Type or print in ink. Amounts may be rounded to whole dollars. through CODES: If one of the following codes accurately describes the ~ campaign paraphernalia/misc. CNS campaign consultants MTG CTB contribution (explain nonmonetary)* DFC CVC civic donations PET F-IL candidate fiiingfoallot fees R-JO ~ fundraising events POL payment, you may enter the code. Otherwise, member communications PAD meetings and appearances ~ office expenses SAL petition circulating 3EL phone banks 3~C polling and survey research TRS SCHEDULEE(CONT) I~D independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO UT campaign literature and =ailings PRT NAME AND ADDRESS OF PAYEE professional services (legal, accounling) VDT print ads WEB Page"'~ of CODE OR IDNUMBER ,yments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ ..~ I ~ ~ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8G61ASK-FPPC AMOUNT PAiD DESCRIPTION OF PAYMENT information technology costs (intemet, e-mail) descdbe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals