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Home My WebLink AboutTAKII SEMIANN00(2) ecipient Committee Campaign Statement (Government Co<~ Sec~ons 84200~4216,5) Type or print In ink. Ifrom through Statement cove~e period SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: A, Committees-Complete Parts 1, 2, 3, and7. Date of e~ection if applicable: (Mon~, Day, Year) Cate Slamp [] Officeholder, Candidate Controlled Committee (Also Complete part 4.) [] Ballot Measure Committee 0 Primarily Formed 0 Controlled O Sponsored (AI~o Compiele part [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 8.) Cq General Purpose Committee © Sponsored O Broad Based 2. Type of Statement: [] Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) COVER PAGE \ of \\' For Offic~Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - A~tach Form 495 3. Committee Information COMMI3~E NAME STREET ADDRESS (NO P,O. BOX) CiTY STATE ZiP COOE MAILING ADDRESS (IF DIFFERENt) NO. ~O STREET ~ P.O. B~X AREA CODFJPHONE II.D. NUMBER Treasurer(s) NAME OETREASURER AJ::tEA CODEJP HONE MAJUNG ADDRESS CRY STATE ZIP COOE AREA CODE/PHONE OPTIONAL; FAX / E-MAIL/'OORESS CrfW STATE ZIP COOE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (~J99) For Technical Asslst.~lce: 9f6~322-$660 SL~{e of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. 7~ of \~ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD IINCLUOE LOCATION ANO DISTR~CT NUMBER IF APPLICABLE) RESIDENTIA~USINESS ADDRESS (NO. AND SCREE~ C~ STATE ZiP Related Commi~ees Not Included in this Statement: Llsf any committees ~ Y~s O .o COMMITTEE ADDRESS CITY STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE~PRONE 5. Ballot Measure Committee NAME OF BALLOT MEASURE i [] SUPPORT 8ALLOT NO. OR LE3%ER JURISDiCTiON [] OPPOSE identify the con,oiling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD ISTRICT NO, iF ANY 6. Primarily Formed Committee List n,r,e, of officehotder(s} or candldate(~) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OPFICEHOLDER OR CANDIDATE OFFICE sOUGHT OR HELD OFFICE SOUGH~ OR HELD NAME OF OFFICEHOLDER OR CANDIDATE [:]SUPPORT []OPPOSE [:]SUPPORT []OPPOSE Attach continuation sheets if necessary 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know[edge the information contained herein and in the attached schedules is true and complete. I cedffy under penal'c/of per, jury under the laws of the State of California that the foregoing is true and correct. Executed on Executed on OAfE Ex~ut~ on By FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California CamPaign Disclosure Statement Summary Page SEE INSTRUC~ONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period through. %"'~ Page ~'~ I.D. NUMBER SUMMARY PAGE · of \~, NAME OF FILER Contributions Received 1. Monetary Contributions ...................................................... 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 ................................................ ,~dd Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3 10. Nonmonetary Adiustment ....................................................... ScheduleC. Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 Column A Column B* TOTAL PRE¥~O~$ PERIOD $ $ Column C TOTAL TO DATE Current Cash Statement 1 2. Beginning Cash Balance ................................ Previous summary Page. Line 16 Column A, Line 3 above 13. Cash Receipts .......................................................... :'" 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 Column A, Line 8 aDove 15. Cash Payments ............................................................ 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + t4, then subtract Line 15 II this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part 1, 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 ~bove $ $ ' From previous statement Summa~ Page, Column C. However, if ~is is the first report filed for the calendar year. Column B should be blank except for Loans Received (Line 2). Loans Made (Line 7}, and Accrued Expenses (Une 9). Summary for Candidates in Both June and November Elections 1/1 through 6Z30 7/1 to Date 20.Contributions Received ............ 21. Expenditures 7_~,~:~¢\ ~, Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from ~.~ ~-],-~ ~'~ through ~,]_~,~k~ Page ~'~ of '~-~ NAME OF FILER I.D. NUMBER 0ATE CONTRIBUTOR RECEIVED CODE * '~ ¢ ~ ~ COM ~ OTH SUBTOTAL S ~%.~ FULL NAME1 MAILING ADDRESS AND ZIP CODE Of: CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) Schedule A Summary 1. Amount received this period - contributions of $100 or more. (include all Schedule A subtotals.) ....................................................................................................... 2. Amount received this pedod - unitemized contributions 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 'Contributor Codes ] INO - Ine3viduaJ COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916~322-5660 Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from -- tnroug SCHEDULE A (CCNT.) page _~~ _ DATE RECEIVED CODE 'j~ IND F~COM [] OTH '~ IND ~ COM ~ OTH IF AN iNDIVIDUAL. ENTER AMOUNT ICU MUiTIVE TO DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR (iF SELF.EMPLOYED, ENTER NmE PERIOD (JA ~ - DEC 31) CUMULATIVE TO DATE OTHER (iF APPLICABLEI SUBTOTAL I'Contributor Codes [ND- InOi,,~duaJ CaM- Redpient Committee OTH - Other FPPC Farm 460 (8/99 For Technical Assistance: 916/322-566~ Schedule A(Continuation Sheet) Ty., or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded to whole dollars, Statement covers period through NAME OF FILER DATE RECEIVED CONTRIBUTOR CODE * [] COM [] OTH [] IND [] COM ~].OTH [~JND [] coM [] OTH [] [ND [] COM [] OTH [] IND El COM [] OTH [] IND [] co~ [] OTH AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) CUMULAT}VE TO DATE OTHER (IF APPUCABLE) SUBTOTAL I'Conldbuto¢ Cedes IND - Individual COM- Recipient Committee OTH - O~her FPPC Form 460 {8/99) For Technical Assistance: g16.~22-565C Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER LD. NUMBER IF AN INDIVIDUAL, ENTER LENDER INFORMATION GUARANTOR iNFORMATION DATE FULL NAME, MAILING ADDRESS AND ZiP CODE CONTRIBUTOR OCCUPATION AND EMPLOYER (al {b}" RECEIVED OF LENDER OR GUARANTOR CODE * DUE O~,TFJ CtjMULA~nVE CUMULaTIvE SUBTOTAL $ Schedule B - Part 1 Summary 1. Loans of $100 or more received this period. (include all Lcans Received - Part 1 (al subtotals.) ................... 2. Amount received this period - unitemized loans of less than $100 ................................................................... 3. Total ioans received this period, (Add Lines 1 and 2.) ....................................................................... TOTAL Schedule B - Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include al{ Part 2 subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. 5. Loans under $100 repaid, forgiven, or paid ;Dy a third parly. (Do not itemize.) If forgiven or paid by a third pady, include this amount on Schedule A Summan/, Line 2 ...................................................... 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and or) the Summary Page, Column A, Line 2 .......................................................... NET ~' (:~" I' ·C°niribu1°r Codes (~, k~ [ INO - Indi,,,4du~ COM- Redpienl Commitlee OTH - Olher ua,/ba ~ r~ega~e num~. FPPC Form 460 (~9~ For Technical A.~s[stance: gfE~22-56BO Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED CONTRIBUTOR CODE * [] IND []COM ~ OTH '~] IND [] COM [] OTH [] IND []COM [] OTH [] IND [] COM [] OTH Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period from ~.~:= through '~ ~--'-~' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF S ELF,EMPI*OYIED, ENTER DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE Page I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR [JAN 1 o DEC 31) SCHEDULE C CUMULATIVE TO DATE OTHER (IF APPLICABLE) Attach additional information on appropriately la[;eled continuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period - nonmonetary contributions of $100 or more. (Include all Schedule C subtotals.) ................................................................................................................... 2. Amount received this pedod - unitemized nonmonetary contributions of less than $100 ................................ 3. Total nonmonetary contributions received this pedod. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL I "Contributor C<x:les ~' -~-->\~ '~ IND -Individual COM- Recipient Committee C'L.% ~ k~ OTH - Other FPPC Form 460 (8,'99) For Technical Assistance: 916/322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print Jn Ink. Amounts may be rounded to whole dollars. Statement covers period from ~:'~ '~-~.- through SCHEDULEF LD. NUMBER CODES: if one of the following codes accurately describes the payment, you may enter the cede. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmoneta~/)" CVC cMc ponations FND fundraJsing events fND if,dependent expenditure supporting/opposing others (explain)' LIT campaign literature and mailings MTG me etings aDd appearances OFC office expenses PET petition circulating PHO phone banks POL potiing and survey reseamh POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT pdnt ads RAD radio airtime and production costs RFD returned conthbutions SAL campaignworkerssalades 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 be(ween commitlees of the same candidate/sponsor VDT voter registration WEB infonmation technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ ~_,.~.~c,k..¥ .~_ Schedule E Summary 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 (&'99) For Technical Assistance: 916/322-5660 Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounte may be rounded to whole dollars. SCHEDULE E (CONT.) through ~,~ ~'~,k~c-~ Page NAME OF FILER LD. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/rnisc. CNS campaign consultants CTB co~t dbution (explain nonmone~a~)* CVC cMc donations FND fundraisingevents INO independent expenditure supporting/opposingo~ers (explain)* LiT campaign literahJre and mailings MTG meetings and appearances DFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, defivery and messenger services PRO professional services Cegal, accounting) PRT pdnt ads RAD radio aidime and production costs RFD returned contributions SAL campaign workers salad e s TEL t.v. or cable airtime and production costs TRC candidale travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information ~echnology costs (intemet. e-rnail) NAME AND ADDRESS OF PAYEE OR CREDITOR COOE OR DESCRIPTION OF PAYMENT ] AMOUNT PAID * P~fments that ~re con~lbuflon~ or in~pendent expendtture~ mu~t 81so be ~umm~rlz~d on Schedule D. SUBTOTALS ~k.'} ~ FPPC Form 460 Schedule F Accrued Expenses (Unpaid Bills) SEEINSTRUCT]ONS ON REVERSE NAME OF FILER CODES: Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ~"-~ * ~'~- ';,~ If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULEF CMP campaign paraphe malia/m/sc. CNS campalgn consultants OTB c~tdbutio~ (explain nonmonetary)' CVC civic donations FND fu~draising events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings DFC office expenses PET pe§~on circulating PHO phone banks POL poilJng and survey research POS postage, deliven/and messenger services PRO professional se rvices (legs/, accounting) PRT print ads I.D. NUMBER MTG rneeflngs and appearances RAD radio airtime and production costs Payments that are contr buttons or independent expend tures must also be summarized on Schedule D. RFD returned contributions SAL campaign workers salades TEL t.v. or cable aidime and production costs TRC candidate travel, Iodgthg and meals (explain) TRS staff/spouse travel lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter registration WEB informa{iontechnologycosts(thtemet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING SUBTOTALS $ %.~ $ %~.%~ $ ~-~ $ 'N~%%.%~. Schedule F Summary 1. Total accrued expenses incurred this pedod. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this pedod. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660