Loading...
HomeMy WebLinkAboutGENTRY PREELEC10/26/00 ecipient Committee cove. PAGE Campaign Statement Type or print in ink. Dale Stamp (GoVernment Code Sections 84200-84216.5) Statement covers Faded SEE INSTRUCTIONS ON REVERSE through 1. T,TE~e of Recipient Committee: All Committees - Complete Pads 1, 2, 3, end 7. Officeholder, Candidate ['1 Primarily Formed Candidate/ Controlled Committee (Also Complete Part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled C) Sponsored (Also Complete Part 5.) Officeholder Committee (Also Complete Part 6.) E] General Purpose Committee O Sponsored C) Broad Based 3. Committee Information COMMITTEE NAME STREET ADDRESS (NO Re. BOX) CITY STATE ZIP CODE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR Re, BOX AREACODE/PHONE Date of elecUon if applicable: (Month, Day, Year) O0 OCT 26 F'H 2: BAI~ERSFIEL.D CITY 2. Type of Statement: [] Pre-election Statement [] Semi~annual Statement [] Termination Statement [] Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS CiTY STATE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS OAL,FO..,A 460 FORM .ERK [] Quaderly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 zIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE4~HONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8/99) For Technical Assistance: 916t3;~2-5660 State of California ReCipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 cA.,Fo..,A 460 FORM Page ~ of ~j' [ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OR:ICE SOUGHT ~ HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAIJB SINESSADDRESS (NO. ANDSTREET) CITY STATE ZIP Related Committees Not Included in this Statement: Llstanycommlttaes not included in this consollda ted statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy, COMMITFEE NAME LD. NUMBER NAME C~ 1TtEASURER COMMITTEE ADDRESS CONTROLLED COMMITFEE? [] YES [] NO STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE 5. Ballot Measure Committee NAME OF BALLOT MEASURE .A'LOT"O. ORLE ER I R'SDICT " Identify the conboiling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 6, Primarily Formed Committee LI,t names of officeholder(s) or candidate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT OFTICE SOUGHT OR HELD OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE ["}OPPOSE []SUPPORT [']OPPOSE []SUPPORT [:]OPPOSE ch con~nua~on sheets if necessary I have used all reasonable diligence in preparing and reviewing this sta and to the best of knowledge the information contained herein and in the attached schedules Executed on By 81GNAT, JRE OF CONTROLLIN~ OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of Cdfifornla Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole doffars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Conlributjons ...................................................... Schedule A, Line 3 2. Loans Received ...................................................................Schedule B. Line 7 3. SUBTOTAL CASH CONTRIBUTIONS .................................... Add Lines I + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4, Expenditures Made 6. Payments Made ....................................................................Schedule E, Line 4 7. Loans Made ..........................................................................Schedule H. Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 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 $ Statement covers period SUMMARy PAGE C"'.EOR.,,, 460 FORM I.D. NUMBER $ $ Current Cash Statement 12. Beginning Cash Balance ................................Previous Summary Page. Line 16 13. Cash Receipls ..............................................................Coluntn 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 + 14. then subtracl Line 15 if this is a tarmine lion statement, Line f6 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I. Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents .....................................................See instructions on reverse 19. Outstanding Debls ................................... Add LIne 2 + LIne 9 in Column C above · From previous statement Summary Page. C, dume C. However. if this is the first repod filed for the calendar year, Column B should be blank except tot Loans Received (Line 2), Loans Made (Line 7), and Accmed Expenses tune 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received ............ $ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 'SChedUle A Ty.. or .r,., ,. ,.k. Amounts may be rounded Monetary Contributions Received to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE FULLNAME, MAILINGADDRESSANDZIPCODEOFCONTRISUTOR CONTRIBUTOR RECEIVED 6F COMMITFEE, ALSO ENTER LD. NUMBER) CODE * [] IND [] COM [] OTH Statement covers period ,,ore ~' ;' ~__ IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS (/F SELF-IEMF~LOYED, ENTER NAME PERIOD OFBUS~NESS) CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) SCHEDULE A OAL, O..,A 460 FORM I,D. NUMBER SUBTOTAL Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) .......................................................................................................$ 2. Amount received this period - unitemized contdbutions 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 (IFAPPMCAELE) *COntributor Codes IND - IndMduaJ COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/i322-5660 Schedule E Type or print in ink. SCHEDULE E Payments Made Statementcoversperiod CALIFORNIA460 to whole dollars. f,om FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER CODES: If one of the following codes accu CMP campa~gnpar~misc. CNS campaignconsultants CT8 centn'i~tion(explainnonmonetary)* CVC civic donations FND fundrajsingevents IND independent expendii~Jm supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetingsandappearances LD. NUMBER payment, you may enter the code. Othenvise, describe the payment. OFC o~ficeexpenses PET pefition circulating PHO phonebanks POL pollingandsurveyresearch POS Postage, detiveryand messengerse~ces PRO professional senAces (legal, accounting) PRT print ads RAD radioaitlimeandprl:~ductioncosls RFD retumedcont~butions SAL campaign workera salades TEL t.v. or cable aidline and production costs TRC candidatetravel. lndgingandmeals(explain) TRS staff/spousetravel, lodgingandmeals(explain) TSF transfer between COmmittees of the Same candidate/sponsor VOT voterregistration WEB informaliontechnologycosts(intemet, e~mai~) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMM TTEE, ALSO ENTER 10, NUMBER) %, CODE OR DESCRIPTION OF PAYMENT * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary AMOUNTPArD SUBTOTAL 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 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: 916/322-5660 '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. Stalement covers period SCHEDULE E (CONT.) 460 FORM CODES: If one of the following codes accurat s the payment, you may enter the code. Otherwise, describe the payment. CMP cempaignpamphemalia/misc. OFC officeexpenses RFD retumedcentdbutions CNS campaignconsultants CTB contdbution(explainnonmonetaW), CVC cMcdonaUons FND fundraisingevents IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings MTG maeljngsandappearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER ID, NUMBER) PET petith)ncirculating PHO phonebanks POL pollingendsurveyraseamh POS Postage, deliveryandmessengerservices PRO professlonalservices(legal, acceunting) PRT pdntads RAD radioaidimeandprnductioncosts CODE OR * Payments that are contributions or Independent expendhures must also be summarized on Schedule D. LD. NUMEER DESCRIPTION OF PAYMENT AMOUNT PAID FPPC Form 460 {8/99) For Technical Assistance: 91~22-5660 SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC caodidatetraveUodgingandmeals(explain) TRS staff/spousetravel, lndging andmeals(explain) TSF transfer between committees of the same candidate/sponsor VOT voterragfstrafion WEB Information technologycosts(intemet. e.mail)