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Home My WebLink AboutBENHAM SEMIANN00(2) ebipie~t Committee Campaign Statement (Government Code Sections 84200.84216.5) Type or print in ink. SEE INSTRUCTIONS ON REVERSE Statement cove's pedod ~om ! ~rough 1. Type of Recipient Committee: Ail Committees- Complete Parts 1, 2~ 3, and 7. /'~ Officeholder, Candidate Controlled Committee (Also Complete part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled C) Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete part 6.) [] General Purpose Committee O Sponsored O Broad Based Date of election if applicable: (Month, Day, Year) Dale Stamp COVER PAGE [] Pre-election Statement ~emi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information COMMITTEE NAME STREET ADDRESS (NO P.O. BOX} 'z-~Z~ ~ S+. CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CDDE AREA CODE.'PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CDDE NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8~99) For Technical Assistance: 916T322-5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type er print in ink. COVER PAGE - PART 2 Page o~ of 4~ 4. Officeholder or Candidate Controlled Committee NAM E OF OFFICEHOLDER OR CANDIDA?E OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISIRICT NUMBER IF APPLICABLE) Cou,qC. it, v',/,grd 7_. RESIDENTIAI. jBUS INESS ADDFIESS ( AND STREET) CiTY STATE ZiP Related Committees Not Included in this Statement: Llstanycommtttee9 not Included in this consolidated statement that ere controlled by you or which are primarily formed to receive contrlbutton9 or to make expenditures on behaff of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROCLED COMMITTEE? J--J YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP COOE 7. Verification 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER J J~JRISDICTION [] SUPPORT I [] OPPOSE Identify the conb'olling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY I 6. Primarily Formed Committee Llstname$ofofttceholder(s) orcandld=te(g) for which this commtttee Is prlmartty formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE Attach continua~on sheets if necessary OFFICE SOUGHT OR HELD SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE 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. I codify under pena~ of perjuB/under the laws of t~S~alifornia that tho foregoing is true and correct. Execute. oR r( AJ DATE I~''~ ~ SIGNA~RE OF TREASURER OR ASSISTANT TREASURER DA~ ' SIGNAYURr~OF CONTR~)LL NO OFF CEHOLDER, CANOIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIOA]E, STATE MEASURE PROPONENT DATE 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 Typo or print in Ink. Amounte may be rounded to whole dollars. from l0/Z'Z-/O D through I~/-~J/G'O SUMMARY PAC~F Page -~ of ~' Cmm~.-Fo ~lccf Contributions Received 1. Monetary Contributions ...................................................... ScheduleA, Line 3 2. Loans Received ................................................................... Schedule B. Line X 3. SUBTOTAL CASH CONTRISUTIONS ................................... Add Linas t + 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 S + 7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + fO Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 13. Cash Receipts .............................................................. column A, Line 3 above 'J 4. Miscellaneous Increases Io Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + t4. then subtract Line 15 If this iS a termination statement. Line 16 must be zero, 17. LOAN GUARANTEES RECEIVED ................... Schedute D, Part I, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... XddLine2+LlneginColumnCabove s !,~: 504% lq-; o 9'-+, 46 except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses tUne 9). · From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank Summary for Candidates in Both June and November Elections 111 through 6/30 7/1 Io Date 20. Contributions Received ............ $ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Techn/ca/Assistance: 916,~22-$660 Schedule A Type or print In ink. SCHEDULE A Amounts may De roun~ea S~,,;.,,,,~,,; covers period I Monetary Contributions Received to whole dollars, from IO/Z-~/00 I ~ /~~ through I~/~{ /00 { .age--of ~ NAME OF FILER{ IO. NUIO. NUMBER DATE FULL NAME, MAIUNG ADDRESS AND ZIP CODE OF CON~IB~R CONTRIB~OR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR O~ER SUBTOTALS ~,~O 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 $ ~2-'Z~' . O0 IND-Individual COM- Recipient Committee ~C,, ,l~"J¢-~. O0 OTH-Other FPPC Form 460 (8/99) For Technical Assistance: 916~22-5660 · .$che. dule A (Continuation Sheet) Typ, or print in Ink, SCHEDULE A (CONT.) mone[ary L. ontrlDu[ions Hecelveo ,~..oun~amayDerounaea Statementcovers period f~om t o/Z~J O0 LD. NUMBER DATE FULL N~E, MAILING ADDRESS ANO ZIP CODE OF CONTRIB~OR CONTRIB~OR ~CUPATION AND EMPLOYER RECEIVED ~IS CALENOAR YEAR O~ER ~ IND D COM ~ OTH ~ IND ~ COM ~ OT~ SUBTOTALS *C<~tributo~ Codes IN D - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/9g) For Technical Assistance: 916,{322-5660 Schedule C Type or print in Ink. SCHEDULE C letary Contributions Received Am°unt~ may be r°un'~edto whole dollars, fromS~';er~ent ¢°vers peri°d rIONSONRE~RSE 'hr°ugh '~/~'/00 { :g:u ~R°. ~u FULL NAME, MAILING AODR~S AND CONTRIB~OR IF AN INDIVIDUAL, E~ER AMOUNT/ CUMU~TIVE TO ~CUPATION AND EMPLOYER DESCRIPTION OF FAIR M~K~ DATE CUMU~TIVE TO ZIP CODE OF CO~RIBUTOR CODE * (IF SELF-EM~OYEO. ENTER GOODS OR SERVtCES VALUE CALENDAR YEAR DATE O~ER ~F C~EE, A~O ENTER I,O. NUMBER) N~E ~ ~SINESS) (JAN I - DEC 31 ) (IF APPLICABLE) / ~~' ~1~, ~ ~oJ ~OTH ,~ ~d, ~ ~ ~OTH Nonr~ SEE INSTRUC NAME OF FILER DATE RECEIVED tVl+loo Attach additional information on appropriately labeled continuation sheets. SUBTOTAL Schedule C Summary 1. Amount received this period - nonmonetary contributions of $100 or more. (Include all Schedule C subtotals.) ................................................................................................................... $ ~ Z~ '~'~L~ *~[¢3 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ................................ $ O 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 $ ~-, '~'~ ~" 4'~ "Contdbutor Codes IND - Individual COM- Recipient Commitlee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Scheduie E Payments Made SEEINSTRUCTIONSON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. S~,;.e, fient covers period from through SCHEDULEE Page ~ of '~ 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 paraphemalie/misc. CNS campaign consultants CTB cont~bution (explain nonmonetary)' CVC civic donations FND fundraJsing events IND independent expenditure supporting/opposing others (explain)' LIT campaign litemtura and mailings MTG meelJngs and appearances CFC office expenses PET petition circulating PHC phone banks POL potiing and survey resaarch POS postage, delivery and messenger services PRO professkmal se~ices (legal, accounting) PRT print ads RAD radio aiftime and production costs RFD retumed conthbutions SAL campaign workers salades TEL t.v. or cable airtime and production costs TRC candidate travel, k)dging and meals (explain) TRS staff/spouse t ravel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter ragistration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I O NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that ere contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ ~ l~,: J ~ /. 0.~. 2. Unitemized payments made this period of under $100 ........................................................................................................................................ $ ~ ,'~(.P 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 $ I'~'l 0~',~ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule E (Continuation Sheet) Payments Made Type or print In Ink. Amounts may be rounded to whole dollara. SEE INSTRUCTIONS ON REVERSE NAME OF FILER St~,~,Ght covers period from through CODES: CMP campaign paraphe rnalia/mlsc. CNS campaign consultants CTB contribution (explain nonmofletary)* CVC civic dor~a~ens FND fundralslng events IND ~ndependent expendltum suppoSing/opposing olhers (explain)' LIT campaign literature ~ mailings If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DFC office exper~es PET peli~on circulating PHO phene banks POL polling and survey research POS Ix~tage, delivery and messenger services PRO professional sendcas (legal, aocountlng ) PRT p~int ads SCHEDULE E (CONT.) Page ~ Of I:~ I.D. NUMBER RFD mlurned c~lrit~ons SAL campaign workers salmfes TEL t.v. or cable alrtime and production costs TRC candidate Iravel, lodging and meals (explain) TRS stafflspouse travel, lodging end meals (explain) TSF transfer between commlltees of the same canc~date/sponsor VDT votsr registra~on MTG meeUngs and appearances RAD mdioaldimeandproductio~costs WEB InformaUo~technologycosts('mtemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF CO.MIT!rEs, ALSO EmER t.O. NuveEn) CODE OR DESCRIPTIOn. OF PAYMEhT AMOUNT PAID ~rs~'~l~ 2,ooo,oc *Peymentsthaterecontrlbutloneor Independentexpendltureemuateleobe8ummedzedonScheduleO. SUBTOTAL lC),, I ~"'~ ,~'~ FPPC Form 460 (8/99) For Technical Assletsnce: 9"1611122-5660 Schedul. e E (Cbntinuation Sheet) 'Payments Made Type or print in Ink. Amounts may be rounded to whole dollars, SEE INSTRUCTIONS ON REVERSE NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campal~nparaphemalia/n.Jso. DFC office expenses RFD rel~g'nedconln~u~ions PET petition circulating PHO phone banks POL polling and survey research POS po~tage, delivery and meseenger services PRO Pmfesaional so wicse (legal, accounting) PRT print ads CNS campaign consultanls OTB contfllxaion (explain nonmonetmy)* CVC civic do.aliens FND lundraislng events IND Independent expenditure suppoding/opposingothers (explain)* LIT campaign literalure and mailings MTG mee§ngsandappeamnces RAD radio airtime and producfioo costs SCHEDULE E (CONT.) Page ~:~ of_~ I.D. NUMBER 12R I 6, SAL campaign wmkers saiades: TEL t. v. or cable air~me and production costs TRC candidate travel, Indgl~g and meals (explain) TRS staWspouse tmvai, lodging and meals (explain) TSF transfer betwee~ committees of the same candidate/sponsor VDT voter registration ,' ........... w=u . dor motion techF,~u~¥ costs (intemet, e.mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF ~E, A~ EmER I.D. N~BER) CODE OR DESCRIp~ OF PAYME~ ~OUNT PAID :a;e O. SUBTOTAL I; 0 FPPC Form 460 (8/99) Fo~ Technical Assistance: 916,~22-5660