Loading...
HomeMy WebLinkAboutGENTRY 460 TERM 12/31/00 ecipient Committee Campaign Statement (Govemment Code SeclJons 84200*842 ! 6.5) SEE INSTRUCTIONS ON REVERSE 1. Ty/pe of Recipient Committee: [~' Officeholder, Candidate Controlled Committee (Also Complete part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) Typo or print in ink. Statement cover~ p~tod from ~ ~'~%'~ ~ through ~%~ All Committee~ - Complete Parts 1, 2, 3, and 7. [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6J [] General Purpose Committee O Sponsored O Broad Based Date of election if applicable: (Month, Day, Year) Ot J~N-~ ~AKERSFH~[ D Ci 2. Type of Statement: [~Pre-election Statement [] Semi-annual Statement [~./Termination Statement [] Amendment (Explain below) COVERPAGE CLERt~ [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 I.D. NUMBER 3. Committee Information STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP COOE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX Treasurer(s) NAME Of: TREASURER C~ STATE ZIP C~E NAME OF ASSIST~ TR~SURER, IF ANY AREACODE~PHONE MAILING ADDRESS CITY STATE ZiP COOE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE ZIP CDDE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8/99) For Technical Assletance: 916/3~2.5660 State of California ReCipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE-PART2 Page ~ of '~ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLODE L(~C AT'E:]I~ AND DISTRICT NUMBER IF APPLICABLE) 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION r-]SUPPORT ~:]OPPOSE Related Committees Not Included in this Statement: Ll~tanycommtttee~/ not Included In this consolidated s ta temen t fha r are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. RESIDE NTIAIJBU S II~E S S ADDRESS (N~,AND STREET) ZIP Identify the conb'olling officeholder, candidate, or state measure proponent, ii' any. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY CO~MITTEE NAME I.D. NUMBER NAME OF TREASURER CONTRO{.LED COMMIT'TEE? [] YES [] NO CO~MfTTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODF-/PHONE 6. Primarily Formed Committee u~r nam.~ of officeholder(s) or candidate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELU [] SUPPORT NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANUIDATE OFFICE SOUGHT OR HELD [~OPPOSE r-]suPPORT {:]OPPOSE [~SUPPORT [:]OPPOSE Attach conUnua~on sheets if necessary 7. Verification I have used all reasonable diligence in preparing and reviewing this stat~nt and to the best of my knowledge the inforl ation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the~'~tate of Cal'~a.mie-tflet-U~oreooing is true nd correct. Executed or~ ~-'~ ~%"~ Executed on By ~ / DATE SIGNATURE OF CONTR~4.t~FFIC EHO~DIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEA SURE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLIN~ OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California · CamPaign Disclosure Statement Summary Page SEE iNSTRUCTiONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PARF I.D. NUMBER Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLines 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 t 1. TOTAL EXPENDITURES MADE ......................................... Add Unes S + 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 1 5. Cash Payments ............................................................ Column A, Line 8 above 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, Part I, Column lb) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse $ 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above $ Column A TOTAL THIS PER)OO (FROM ATTACHED SCHEOULES} Column B* Column C TOTAl. PREVIOUS PERIOD TOTAL TO OATE (SEE NOTE BELOW) (COLUMNS A + S) $ $ $ $ $. · From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (L.~e 7), sod Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received ............ $ '"'//~'g'~ 21. Expenditures ~.~ ~ ~ J~ Made ..................$ ~ FPPC Form 460 (8/99) For Technical Assistance: 916/822-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. St&~,~,n~,,t covers period from SCHEDULEF NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign cousuflants CTB cant ribution (expla'm nonmonetary)* CVC civic donations FND tundraJsing events IND independent exponditure supporting/opposing others (explain)* LIT campaign literature and mailings DFC office expenses PET pe§tion cimulating PHO pho~e banks PaL polling and survey research POS postage, delive~ and messenger sarvices PRO professional services (legal, accounting) PRT pdnt ads RFD returned contn'bu§ons SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same sandidate/sponsor VDT voter registration MTG meefingsandappearances RAD radioairtimeandproductioncosts WEB informationtechnologycosts(intemet, e.mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (~F COMMITTEE, ALSO ENTER ~ D NUMBER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Schedule E Summary 1. Payments made this period of $100 or mom. (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 Farm 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 dollaro. Statement covers period through ~e~_ %,~,~_ '~ CODES: If one of the following codes accurately describe~t~e payment, you may enter the code. Olherwise, describe the payment. CMP campaignparaphemaiia/misc. DFC officeexpensos RFD retumedconhibufions CNS campa~3n consultants CTB contritvJtion (explain nonmonetary)* CVC civ;c donations FND fundraisfng events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings PET pe~lfoncirccda~ng PHO phone banks POL polling and survey resoarch POS postage, delivery and messenger servicas PRO professional services (legal, accounting) PRT print ads I.D. NUM6ER MTG mee§ngsandappearances RAO radioairtimeandproductioncosts WEB informati~ SCHEDULE E (CONT.) SAL campaign w~kers salarfes TEL t.v. or cable airtime and production costs TRC candidate travel, Indging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same Candidate/sponsor VDT voter registration NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COM/~AI~rEE. ALSO ENT£R I D. NUMBEFt) CODE OR DESCRIPTION OF pAYMENT AMOUNT PAID expenditures must also be summarized on Schedule O. SUBTOTALS FPPC Form 460 (8/99J For Technical Assistance: 916~22-5660 schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whale dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER from ~>"~%",~- through SCHEDULE E (CONT.) I.D. NUMBER CODES: If one of the following codes accurately describes ' CMP campaign paraphernalia/misc. CNS campaign consultants CTE~ contribution (explain nonmonetary)* CVC civic donations FND fundraisingevents IND independent expenditure supporting/opeosing others (explain)' LIT camp~ literature and rcai~ings you may enter the code. Otherwise, describe the payment. DFC office expenses PET peti~n cimulating PHO phone banks POL polling and survey research POS pos~age, deliveryandmessengerservfcas PRO professional services (legal, accounting) PRT print ads RFD returned contributors SAL campaignworkers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spousetravel, lnd~ngandmeals(explain) TSF transfer between committees of the same candidate/sponsor VDT voterregist~atJon MTG rnselingsandappearances RAD radioairtimeandproductioncosts WEB i' 'o be summarized on Schedule D. SUBTOTAL ,/~L%~.~., ~,'// FPPC Form 460 (8/99) For Technical Assistance: 916~322-5660