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Home My WebLink AboutROWLES TERM 460 OH 6/27/01 Recil~ient Committee Campaign Statement (Government Code Sectors 84200-~4216.5) ~e o~ I~lnt In Ink. SEE INS~:~UCTIONS ON REVERSE Statement torero period I/! '/ , 1. Type of Recipient Committee: ~dl CommiUee~ - Complete Pmt~ I, 2, '~, mtd 7. [~Officeholder, Candidate Controlled Committee (A/~O Complete Pail 4 J [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (A/so Con~ete Pa.,/5J [] Primarily Formed Candidate/ Officeholder Committee (AL~ Complete Part sJ [] General Purpose Committee O Sponsored O Broad Based 3. Committee Information COMMITTEE NAME STREET ADORESS (NO P.O. BOX) 6ustn' s STATE ZIP COOE AREA COOE/PHONE MAILING ADORESS (IF DIFFERENT) NO. AND STREET OR PO. BOX Date of d~ction If appllc"a'le: (M<~. D~y,Y*ar) 0 ] BAKE rUL31 AHIO:53 ~SJ':IF_.LD CITY CLERK COVER PAGE Page j of 5 2. Type of Statement: [] Pre-election Statement [] Semi-annual Statement [~]'"Termination Statement [] Amendment (Explain below) [] Ouaflerly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) CITY OPTIONAl.: FAX I E-MAIL ADDRESS ~ STATE ZIP COOE FPPC Form 460 (8/99) For Tochnlcal A.alsteflce: g16/3:~2-SSG0 State of California Recipient Committee Campaign Statement Cover Page-- Part 2 Typeo~prlntln Ink. COVER PAGE - PART2 Page '~ of .__~ 4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee not In~lud~ In ~1~ ¢~o~dat~ a~fem~ f ~a t a~ ~n~l~ by y~ ~ which ~e ~maflly fo~d ~ ~ =~lona ~ ~ ~e e~n~a ~ ~E of ~ can~dac~ ~E ~ ~R ~ ~D 7. Verification IdenUfy the eonlrolling of~oeholde~, candidate, or ·late measure proponant, if any. 6. Primarily Formed Committee Llstn·m,,ofofflc·holcler(·)orc,ndldat,(~) tm' wh/eh t~l~ camm/flee Is primarily formed. NAME OF OFFICEHOCDER OR CANOIDATE NAME OF OFFICEHOt. DER OR CANDIDATE WE OF OFFICEHOLDER OR CANDIDATE Attach conb'nua#~n sheets if necessary [] SUPPORT [] O~oOSE [] SUPPORT [] oPPosE [] 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and corTect. DATE E~.~o. '71 Executed o~ By s~Ixa~<a C~NTF~&(K)~cE~E~ATE~STATEMEA~U~EPRoP~NE~TORRESPON~BLE~F~ER~FsP~NSOR StONATURE OF CC)NTROLUNQ OFFICEFK)LDER. CANDIDATE, STAI~ MEASURE PROPC~IENT FPPC Form 460 (8/99) For Technical A~llstance: g 1&"322-5650 State of California .: · Campaign Disclosure Statement Summary Page SEE INSTRUC'nONS ON REVERSE NAMEOFRLER ~ or print in Ink. Amou~t~ may be rounded to whole dollars. thrmJgh Contributions Received 1, Monetary Contributions ...................................................... Schedule A, LIne 3 S. 2. Loans Received ....................................................... ~ ...........Schedule e, Line ? 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t * ~ S 4. Nonmonetary Contributions ............................................... Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLine$3+4 S SUMMARY Page ~ of -~_.___ I.D. NUMBER Column A Column B° Column C $ $ $ $ S , S Expenditures Made 6. Payments Made .................................................................... Schedule E. Line 7. Loans Made .......................................................................... Schedule H, Line 8. SUBTOTAL CASH PAYMENTS ................................................ AddLInea$+ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 10. Nonmonetary Adjustment .......................................................Schedule C, Line 11. TOTAL EXPENDITURES MADE ......................................... Add Llnea ~ * ~ * ro s s 3 -/Sq. ? 3 Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page. Line 16 t 3. Cash Receipts .............................................................. Column A. Line 3 above 14. Miscellaneous Increases lo Cash ....................................... Schedule I. Line 4 15. Cash Payments ............................................................ CoLumn A, Line ~ above 16. ENDING CASH BALANCE .............. Add Lines 12 + r3 + I4, then subtract Line tS ff this is a termination statement, Line t 6 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedules, Pert I, Column(b) S Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See Inst~ctiona on reverse 19, Outstanding Debts ................................... Add Line 2 + Line 9 In Column C above s qs . · From previous statement Summary Page. C~umn C. However. if INs is ~he first reporl flied for Ihs calendar year, Column B should be blank except for Loans Received (Line 2). Loans Made (Line 7). and Accn.md Expenses (Line 9). Summary for Candidates in Both June and November Elections lit ~rou~h 6/30 7/1 to Date 20.Contributions Received ............ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Technlcsl Aealstanca: 916~22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amount. may be rounded to whole dollar~. Stat~,,i~icovers period .om l/I/~l CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP ca~ paraphemarmh~isc. CNS camfiaign consultants CTB c~tribu',im {exp~n nmmo~atay)- CVC civic dona~:~ns FND fuodraJsing events IND independen~ ex--re s~opo~ing/opposing olhe~ (explain)' LIT campaign fltemture and rnmlings MTG meetings and appeamt~es OFC office expenses PET petition clmulating PHO phone banks POL po#lng and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airttme and production costs I.D. NUMBER q oGo3 RFD retumed contributions SAL campaign workers saiades TEL t.v. er cable airtime and production costs TRC candidats travel, lodging and meaJs (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between cornmittees of the same canOidate/sponsor rOT voter registra~on WEB informat~n technology costs (intemet, e-mail) NAME AND ADORESS OF PAYEE OR CREDITOR (IF: CONi~41TTE E, ALSO ENTER I.D. ~ER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIO * Peyment~ the, ere contributions or Independent expenditures must also be aummertzed on Schedule D. SUBTOTAL $ ~ ~. 93 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 pedod on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ 4. Total payments made this pedod. (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 S hedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. SEEINSTRUCTIONSONREVERSE Page ,~ of ~' NAME OF RLER I.D. NUMBER OATE FULL NAME AND AOOflESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COkIaTrEE. ~ ENTER I.O. k'UMBE~ INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... $ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ ,~. 0-/~ 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ 2) , h0 FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660