HomeMy WebLinkAboutRUSSO SEMIANN00(2) ~.ecipient Committee
Campaign Statement
(Government Code Sections 84200-842165)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Ifrom
through
Date of election if applicable:
(Mon~, Day'. Year)
Statement covers period
Dale Slarnp
COVER PAGE
Page / of 4' ~)
For Official Use Only
1. Type of Recipient Committee: An Committee~ - Complete Parts 1, 2, 3, and 7.
[] Officeholder, Candidate
Controlled Committee
(Also Complete part 4.)
[] Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(A/so Complete Part &)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 6.)
[] General Purpose Committee
O Sponsored
O Broad Based
3. Committee Information
ILO. NUMBE[]
COMMITIEE NAME
STREET ADDRESS (NO P.O. BOX)
P.o./3o/ z}
CffY STATE ZIP CCOE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFEREd) NO, AND STREET ~ P,O, flOX
cmY STATE ZIP CODE
AREA CODE/PHONE
&¢,; -$??-
2. Type of Statement:
[] Pre-election Statement
[~Semi-annaal Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quaderly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
Treasurer(s)
NAME O~ TREASURER
MAILING ADDRESS
CITY STATE ZIP CODE
NAME OF ASSISTANT TRF~SURER, IF ANY
AREA CODE/PHONE
MAILING ADDRESS
crrY STATE ZIP CCOE AREA COOEJPHONE
OPTIONAL; FAX / E-MAIL ADDRESS
FPPC Form 460 (8/99)
For Technical Assistance: 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
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINES S ADDRESS (NO../AND STREET) C ~1~_.. STATE
Related Committees Not Included in this Statement: List any committees
not included In this consolidated statement the t are centrolled by you or which are primarily
formed to receive contributions or to make expendlture.~ on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME CP TREASURER CONTBO~LED COMMITTEE?
[] YES [] NO
COMMI3q'EE ADDRESS STREET ADDRESS (NO P.O. BOm
CITY STATE ZiP CODE AREA CODE/PHONE
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION [] SUPPORT
[]
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
6. Primarily Formed Committee List names of officeholder(s) or candidate(s)
for which this comml~ee I~ primarily formed,
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[]SUPPORT
E-]OPPOSE
Attach continuation sheets if necessaq/
7. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules
is true and complete, t certify under penalty of perjup/under the laws of the State of Californi~'t~t the foregoing is true and correct.
OA~ GNA E URER OR ASSISTANT TREASURE R
Executed on By
DATE SIGNATURE OF CONTROLLING OEFICEHOLOER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
Executed on By
DATE
SIGNATURE Ot: CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executedon By
DATE
SIGNATURE OF CONTROLLIN(~ OFFIC~HOLOER, CANOIDATE, STATE MEASURE PROPONENT
FPPC Form 460 (8~g)
For Technical Assistance: 916/322-5660
State of CMifornia
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded Statement covers period I
Monetary Contributions Received to whole dollars. 'from
~EE INSTRUCTIONS ON REVERSE through
IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED 1~1S CALENDAR YEAR OTHER
RECEIVED flF COk~MI~FEE. ALSO ENTER ID+ NUMBER) CODE * (IF SELF*EMP~.OYED, ENTER NAME PERIOD (JAN. 1 - DEC* 31 ) (IF AP PLICABLE)
['-] IND
[] COM
[] OTH
[-] IND
[] COM
[] OTH
~IIND
[] COM
[] OTH
[~iND
[] COM
[] OTH
[] IND
[] COM
[] OTH
SUBTOTALS ' ~ ' . ,' ........ , --
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) .......................................................................................................
2. Amount received this period - 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
IND - IndividuaJ
COM- Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916~22-5660
Schedule B - Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME, MAILING ADDRESS AND ZIP CODE
OF LENDER OR GUARANTOR
[]Lender ~]Guarantor
[] Lender [] Guarantor
[] Lender [] Guarantor
CONTRIBUTOR
COOE*
[] IND
[] COM
[] OTH
~IIND
[] COM
' [] OTH
[] IND
[] COU
~] OTH
Type or print in Ink.
Amounts may be rounded
to whole dollars.
IFAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
D~JE DATE/
INTEREST RATE
DUE DATE
INTEREST RATE
%
DUE DATE
INTERESTRATE
DUE DATE
INTEREST RATE
%
SUBTOTAL $
Statement covers period
through /2"'5/" 4;LOO~
LENDER INFORMATION
o
AMOUNT
OF LOAN
CALENDAR YEAR
$
OTHER
$
CALENDAR YEAR
$
OTHER
CALENDAR YEAR
$
OTHER
$
SCHEDULE B - PART 1
Page ~ of__~
GUARANTORINFORMATION
$
$
$
$
Schedule B - Part 1 Summary
1. Loans of $100 or more received this period· (Include all Loans Received - Part 1 (a) subtotals.) ...................
2. Amount received this period - uniternized loans of less than $100 ...................................................................
3. Total loans 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. (Inc[ude all Part 2 (c)
subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) .............................
5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) if forgiven or
paid by a third party, include this amount on Schedule A Summary, Line 2 ............................................. . .........
6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5~) ........................... TOTAL
7. Net change this pedod. (Subtract Line 6 from Line 3.)
Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET
I*Contributor Codes
1ND - IndMdual
COM- Recipient Commitlee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/i322-5660
'Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from I O - I -
throughlY-- ..~/ ~,~0~
SCHEDULE F
Page
NAME OF FILER
i.D. 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 consultants
CTB cont ~bufion (explain nonmonelary) *
CVC civic dcna~3ns
FNO fundraising events
IND independent expenditure supporfir~g/opposing others (explain)'
LIT campaign literature and mailings
MTG meetings and appearances
DFC office expenses
PET petition circula~ng
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT pdnt ads
RAD radio airtime and production costs
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RFD returned contributions
SAL campaignworkerssala~tas
TEL t.v. or cable airtime and production costs
TRC candidate t ravel, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees olthe same candidate/sponsor
VDT voter registration
WEB information technology costs (intemet, e-mail)
(a) ' (b) (c) (d)
NAME AND ADDRESS OF PAYEE OR CREDITOR COOE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(~F COMMITTEE, ALSO ENTER I D. NUM6E R) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PER~OD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO R~PORT ON E) nE THIS PERIOD
SUBTOTALS $ $ $ $
Schedule F Summary
1. Total accrued expenses incurred this period. (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 period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET, M,r~,~,,~2,,. ~"~,
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
Page .
SUMMARY PAGE
NAMEOFFILER
I.D. NUMBER
Contributions Received
1. Monetary Contributions ...................................................... Schedule A, Line 3
2. Loans Received ................................................................... Schedule B, Line 7 ~
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 $ ~'~
4. Nonmonetary Contributions ............................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4. $ ~
Column A
TOTAL T~IS PERIOD
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 t.~) 0
10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3
11. TOTAL EXPENDITURES MADE ......................................... AddLInes8+9+ I0 $ ~l~
Column B* Column C
$
$
$ $
$ $
$ $
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
15. 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 S, Part t, Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... See instructions on reverse
19. Outstanding Debts ................................... Add £1ne 2 + Line 9 in Column C above
· From previous statement Summary Page, Column C. However, if this
is the first report flied for the calendar year, Column B should be blank
except for Loans Received (Line 2), Loans Made (Line 7), and Accrued
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
20,
21.
Contributions
Received ............$
Expenditures
Made .................. $
1/1 through 6/30 7/1 [o Date
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660