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Home My WebLink AboutTAKII SEMIANN01(1) =~Jpient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statemmtt corem period from C~\.~_%\ ~_~ \ through ~ ~:~\ 1. Type of Recipient Committee: A, Committees- Complete Parle ~, 2, 3, end 7. [] Officeholder, Candidate Controlled Committee (Also Complete Pa~f 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Al~o Complete Par~ 5.) [] Primarily Formed Candidate/ Officeholder Committee (Al~o Complete pa~t 6.) [] General Purpose Committee O Sponsored O Broad Based 3. Committee Information COMMITTEE NAME STREET ADDRESS (NO P.O. BOX) k,~_,%~ ~g~,~,~,~ ~C ~L~ \~"~ CITY STATE ZIP COOE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O, BOX CITY STATE ZIP CODE AREA CODE~PHONE Date of election if applicable: (Mon~, Day, Year) Dale Stamp JUL31 ~HIO:3 AKERSF]~[ ['~ CiTY gL COVER PAGE For Official Use Only 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 OE TREASURER MAILING ADDRESS CRY STATE ZiP COOE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP COOE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL AODRESS FPPC Form 460 (8/99) For Technical Assistance: 916/3:~2-5660 State o! California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE-~A~ ~ Page. ~'- of ~ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFF K~E SOUGHT OR HELD (INCLUDE LOCATION AND DiSTR~T NUMBER IF APPLICABLE) hESIDENTIAUBUSINES S ADDRESS (NO. At~D STREET) crPf STATE ZIP Related Committees Not Included in this Statement: Ll~tanycommlttaee not included In this consolidated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME /I.D. NUMBER CONTROLLED COMMITTEE? NAME O{: TREASURER r-I YES ~] NO STREET ADDRESS (NO P.O. BOX') COMMI~E ADDRESS 5. Ballot Measure Committee CITY NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTK3N I ~ SUPPORT OPPOSE Identily the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFtCE SOUGHT OR HELD I DISTRICT NO. IF ANY 6. Primarily Formed Committee LIst .,mo, of officeholder(s) or candidate(s) for which this committee I~ primarily formed, NAME OF OFFICEHOLDER OR CANDIDATE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDAFE OFFICE SOUGHT OR HELD SUPPOIYr STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFF ICE SOUGHT OR HELD [] SUPPORT [] OPPOSE Attach con~nuation sheets if necessary 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. DATE Executed on DATE Executed on DATE FPPC Form 460 (8/99) For Technical Aealetance: 9~6/322-5660 State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1, Monetary Contributions ...................................................... ScbecluleA, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + E 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4, Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 Schedule H, Line 7 7. Loans Made .......................................................................... 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 Type or print in ink. Amounte may be rounded to whole dollars. Column A TOTAL THIS PERIOD $ Statement covers period from ~-~\ ~ \ through r,~,~. ~ % \ SUMMARY PAGE Page ~ of I.D. NUMI~ER Column TOTAL TO DATE (COLUMNS A s \~'~, \~ 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 BAtANCE .............. Add LInes 12 + 13 + 14, then sublract LIne 15 I! this is a termination statement, Line 1 6 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Per! t, Column (bi Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 1 9. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above · From previous statement Summary Pege. 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 (Une 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 711 to Date 20. Contributions Received ............ $ ' 7_~:~ 21. Expenditures ~ \. Made .................. $ FPPC Form 460 (8/99) For Technical Aeslstanoa: 916/322-5660 Schedule A Type or print in ink. SCHEDULE A ' - Amounts may be rounded S~,;.~,.~r.t covers period I Contributions Received to whole dollars, from ~\' %\' %\ ~ /'~rr~ ds ON REVERSE J ~NU BE IF AN INDI~A~ ENTER A~UNT CUMU~TIVE TO OA~ CUMU~TIVE TO DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIB~OR ~CUPA~ON AND ~PLOYER RECEIVED ~IS CALENDAR YEAR O~ER (IF ~EE, ALSO ENTER I.D. NU~R) C~E * ~ SE~-EM~EO. ENTER N~ PERIOD (JAN. 1 - DEC. 31) (iF AP~ICABLE) OF ~SINESS) ~~ ~ IND ~% ~% ~ ~ '%% ~ IND ~ COM ~ OTH ~IND ~ COM ~ OTH ~ COM ~ OTH ~ IND ~ COM ~ OTH Monetary SEE INSTRUCTIONS O NAME OF FILER DATE RECEIVED 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 $ IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technics! Assistance: 916/322-5660 Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAMEOF FILER DATE FULL NAME, MAILING ADDRESS AND ZiP CODE OF LENDER OR GUARANTOR RECEIVED (~F COMMITrEE, ALSO ENTER ID. NUMBER) [] Lender [] Guarantor Type or print in ink. Amounts mey be rounded to whole dollars. IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER OUE DATE/ [] IND [] COM INTEREST ~TE [] OTH ~ DUED~E [] COM [] OTH [] Lender [] Guarantor DUE DATE [] Lender [] Guaranlor []IND [] COM INTEREST RATE [] OTH ~ Statement covers period from through LENOERINFORMATION OFLOAR OTHER CALENDAR yEAR OTHER OTHER SUBTOTAL $ Page_ ~ .- of D. NUMBER GUARANTOR INFORMATION CUMULATIVE AMOUNT TO DATE $ OTHER $ CALENDAR YEAR OTHER CALENDAR YEAR $ Schedule B - Part I Summary 1. Loans ol $100 or more received this period. (include all Loans Received - Part 1 (a) subtotals.) ................... $ 2. Amount received this period - unitemized loans o! less than $100 ................................................................... $ and 2 ) TOTAL $ 3. Total loans received this period. (Add Lines 1 .................................... Schedule B - Part 2 Summary r more re ad, forgiven, or paid by a third party this period. (Include all Part 2 (c) 4. Loansol$100o P ....... ,~ , .... th,, ansactiononScheduleA) "$ subtotals. If forgiven or pa ct Dy a tnlra party, ~=,=u ,,=,, ........ tr ....................... · 'ven or aid by a third party. (Do not itemize.) It lorgiven or 5. Loans under $100 re.pal.d, !or.g... , .P_; mrna , Line 2 .................................................... $ paid by a third party, inc~uoe th~s arnou.t on Schedule A Su ry 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ 7. Net change this period. (Subtract Line 6 from'Line 3.) $ Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET I'Contributor Codes IND - Individual COM - Recipient Committee OTH - Other a~, be · ,..e;ative ~,m~. ' FPPC Form 460 (8/99) For Technical Asslstsnce: 916/~22-5660 Schedule E Payments Made SEE INSTRUCTtONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. S[,,~,=,~,=nt covers period from ~'\'q-~\ through NAME OF FILER I.D. NUMBER SCHEDULE E CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pa raphemalia/misc. CNS campaign cor~ultants CTB cont ~b~tion (explain nonmo~e la;y)' CVC civ~ donations FND fuodraising events IND independent e~q~enditure supporting/opposing others (explain)* LiT campatgn literature and mailings MTG mee§ngs and appearances OFC olf~..e e~oenses PET peti~on circulating PHO phone banks POL polling and survey rasaamh POS postage, deliver~ and messenger sarvices PRO professional san~ices (legal, acoounting) PRT print ads RAD radio airtime and production costs RFD retumed contribu~ons SAL campaign workers salaries TEL t.v. ~ cable airlime and production costs TRC candidate travel, lodging and meals (explain) TRS stafl/spousa t ravel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter ragistratico WEB infon'nation tschnology costs (intemet, e-mail) NAME AND ADDRESSOF PAYEE OR CREDITOR (IF COM;~ TTE E, AL~O ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are 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.) ............................................................................................... 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-$660 *schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. S~a;,~,,ent covers period from through ~ ~% ~"\ Page__ SCHEDULE F NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphe malia/misc. CNS campaign co~soltants CTB contribution (explain nonmonetary)* CVC civic donations FND fundraising events IND independent expenditure supporting/opposing others (explain)' LIT campaign literature and mailings MTG mee§ngs and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delively and messenger services PRO professional services (legal, accounting) PRT pdnt ads RAD radio airtime and ptnduclion cosis Payments that are contributions or independent expenditures must also be summarized on Schedule D. I.O. NUMBER RFD returned contfibu§ons SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committeesof the same candidate/sponsor VOT voter registration WEB information technology cost s (intemet, e-rnail) (a) ' (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE* AI~O ENTER ID- NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REFORT ON E) OF THIS PERIOD SUBTOTALS$ ~:'L~.%% $ %.~% $ %.%,.~ $ 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 $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660