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