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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