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HomeMy WebLinkAboutROWLES TERM 460 6/30/01 COVER PAG Recipient Committee Ty~. or print In Ink. Date Stamp Campaign Statement (Gov®mmmlt Code Sects 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covere period 1. Type of Recipient Committee: Mt Committan~ - Complete Parts I, 2, 3, and 7. [~"Offic ehoider, Candidate Controlled Committee (A/so Complete Part 4.) [] Ballot Measure Committee O PHmarily Formed O Controlled O Sponsored (A/so Complete Parr 5.) [] Primarily Formed Candidate/ Officeholder Committee ¢~ com~:¢ele Pa~t 6.) [] General Purpose Committee O Sponsored O Broad Based 3. Committee Information CONIMITTEE NAME STREET ADORESS (NO P.O. BOX) C~ STATE ZIP C~E ~ COD~HONE MAILING ADOR ESS (IF DIFFERENT) NO. AND STREET OR KO. BOX CPP( STATE ZIP COOE AREA CODE/PHONE LoL t- 3 5- q '7 Data of election if applicablo: (ao~, oay,~a~jUL 3; AH I0:53 O CITY CLERK Page J of ~'-7' 2. Type of Statement: [] Pre-election Statement [] Semi-annual Statement ~' Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDRESS 250 AREA CODE/PHONE MAILING ADORESS CITY STATE ZIP C(:~)E AREA CODE/PHONE to l- 395-3q OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADORESS FPPC Form 460 (8/99) For Technical Assistance: 916/3~.2-5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Typo or print in ink. COVER PAGE - PART2 Page r~ of ~ 4. Officeholder or Candidate Controlled Committee OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESII~ENTIAL/BUSINE SS A~S~ (NO. AND STREET) CITY STATE ZIP Llstanycomml not Inelud~l In this conso#dated statement that ere conb-olled by you or which ere p~fmerfly formed to receive conb'~butlons or to make expendlita'ee off behalf of your candidacy. qi uOx ncf l-b. [¢e q30 b 5. Ballot Measure Committee NAME OF BALLOT MEASURE Identify the conk'oiling officeholder, candidate, or itat~ measure propone~t, if any. OFFICE SOUGHT OR HELD OlSmlCT NO. IF ANY 6. Primarily Formed Committee for which this committee la primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT I-1 oPPosE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [--I SUPPORT [] OPPOSE NAME OF OFFICEHOCDER OR CANDIDATE OFFICE SOUGHT OR HELD Attach con~'nuat/on sheets if necessary 7. Yerification 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 perjur/under the laws of the,.~ta.,te of California that the foregoing is true and correct. Executedon %/ 3/,/ODA~E / ~Y SlGN~TURE~'F4CON?ROLU~I~'~OFFIJ~HO~R,CANDIDATE.sTATEMEASUR~"ROPO"ENTORRESPON$1EILEO~FICE"O~$PON$OR Executed on By MIGNA11JRE OF CONTRO~UNG OFFICEHC~D~R, C~IOIDATE, sTArE MEASURE PROPONENT Executed on By FPPC Form 460 (8~9) For Technical Aselatanco: 916/322-5660 State of California .,a~mpaign Disclosure Statement Summary Page Type or print in Ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAMEOFRLER I Contributions Received 1. Monetary Contributions ...................................................... ScheduleA, Line 2. Loans Received ................................................................... Schedule B. Line 3. SUBTOTAL CASH CONTRIBUTIONS ................................... addLinas 1 + 4. Nonmonetary Contributions ............................................... Schedule C. Line 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+4 Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment .......................................................ScheduteC. Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 Statement covem period from SUMMARY PAGE 3050 Column A Column B* Column C TOTAL THIS PERIOO TOTAL PREVIOLI$ PERIOO TOTAL TO DATE $ $ $ $ $ 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 1 5. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. add Lines 12 + 13 + 14, then subtract Line 15 If this is a ten'nination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I. Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line § in Column C above ~q56- 3O · From previous statement Summa7 Page, C~umn C. However, if tt'~s is the first report filed for tl~ calendar year, Column B should be blank except for Loans Received (Une 2), Loans Made (Line 7), and Accrued Expenses (Une 9). Summary for Candidates in Both June and November Elections 111 through 6/30 7/1 to Date 20. Contributions Received ............ $ 21. Expenditures Made .................. $ FPPC Form 460 (8/9~ For Technical Assistance: 916~22-566 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts mey be rounded to whole doller~ ".ou.h C~/~o!01 SCHEDULE E NAME OF RLER CODES: If of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaila/r risc. CNS campaign col',sultants CTB contribution (explain nonmoneta~)' CVC civic donafl(ms FND fundra~sing events I ND independent exper~tum sul~ng/opposing others (explain)' LIT campaign I~tsrature and rna~ings MTG me elings and appearances DFC office expenses PET pe'JlJon circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional sen~ces (legal, accoun§ng) PRT p~tnt ads RAD radio airlime and production costs I.D. NUMBER q~5o5 RFD returned contributions SAL campaign workers salaries TEL Lv. o¢ cable airtime and production costs TRC candidate travai, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter regtstraf~n WEB information technology costs (intsmet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMK~TTEE. ALSO E NTE R I.D. NUMBE R) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ~'ctucc~lJon ~ , * Payments that ere contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ ='~, ~00. C%~ Schedule E Summary 1. Payments made this period 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 (8/99) For Technical Assistance: Schedule E Payments Made SEE INSTRUCTIONS ON REYERSE Type or print In Ink. Amount~ may I~ to,reded to whole dollars. ~om t,/~./0I through I Pog. ~ ,, 7 NAME OF F1LER CODES: If CMP campaign paraphemalie/misc. CNS campaign comur~nts CTB cont.~u~=n(e.~a~r=nmo~tary)- CVC civic dona[~ns FND lundraising events IND Independent e~:~ture supl~ling/of:~m~ing o~ers (explain)' LIT campaign literature and mailings MTG mee[~3s and appeararce s of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DFC oflicee~enses RFD mtumedco~ln'bu~ns PET peli§oncirculafing SAL campaig~workerssalaries LD. NUMBER PHO phone banks POL poring and survey research POS postage, deliver/and rnesse~jer ser/~:es PRO ixofe ssional set, cas (;ngal, accoun~ng) PRT print ads PAD radio ai~me and produc~on costs TEL Lv. or cable aidime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals [explain) TSF transfer between committees of the s~me candidate/sponsor VDT voter registraf~:m WEB Infon'natio~ technology costs (intemet, e-rnaii} NAME AND AOORESS OF PAYEE OR CREDITOR (~F co~4~'r'rE E. ~ ENTER L0. ~SE~t CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID & ~ger~teld gor~ go~r~ * Pa~n~ that are eonUlbufions or Independent ex~nditurea must also be summarlzed on Schedule D. SUBTOTALS ~.~ ~ Schedule E Summary 1. Payments made this period 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 Schedu n (d) on the Summa~ Page, Colu Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Typo or print in Ink. Amounts may be rounded to wflote dollars. .em thro.gh L /&o/0 ! NAME OF FLIER CODES: If onJe of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalla~isc. CNS cam~gn consu~ants C'rB mntntx~m (e~eia~n com'~tary)' CVC civic Oonalions FND kmdraising events INO independent expenff~um suppo~ng/oppo~ing othem (explain)' LIT camp~ffi literature and totalings MTG rneelings and appearances DFC office expenses PET petition cimulating PHO phone banks POL polling add survey reseauch POS postage, deliver/and messenger serv;ce s PRO profesaio~al se~,ic es (legal, accoun§ng) PRT print ads RAD radio airfime and producfJon costs Page (~') of "'7 I.D. NUMBER RFD returned conbtbu~s SAL campaign wod[emsalaries TEL tv. or cable aiFdme and production costs TRC can(f~dale bevel, lodging and meals (explain) TRS staff/sp<xtse travel, lodging and meaJs {explain) TSF transfer between committees of the same can<~idate/sponsor VDT voter ragistralion WEB Information technob3gy costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDrrOR OF C.4~Mur~[ E. ~4.so EN'r~R ~.O. ~En) CODE OR DESCRIP~ON OF PAYME~ AMOUNT PAID useumo4 * Payments that are contributions or independent expendlturee 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.) ............................................................................................... $ 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 (8/99) For Technical Assistance: 916/322-$660 Schedule I Miscellaneous Increases to Cash SEEINSTRUCTIONSONREVERSE Type or print in ink. Amounts may be rounded to whole dollars. Page "='7 of '7 NAME OF RLER FULL NAME AND ADDRESS OF SOURCE (Il= CO~dIITE E..M.SO Ei~/'ER I.D. NUMeER) DESCRIPTION OF RECEIPT P ..ccunp I.D, NUMBER q3o5o% AMOUNT OF INCREASE TO CASH 75q Attach add/t/ona/ information on appropriately/abe/ed continuat/on sheets. SUBTOTAL Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... $ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ __ 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 $ ~3.@5 FPPC Form 460 (8/9g) For Technical Assistance: 916/322-$660