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HomeMy WebLinkAboutRUSSO 460 9/28/01 ecipient Committee Campaign Statement (Govemmmtt Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Date of election if; COVER PAGE Page__/ of ~' For Official Use Only 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, end 7. [] Officeholder, Candidate Controlled Committee (Also Complete Part 4.) [--] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) [] General Purpose Committee O Sponsored © Broad Based 3. Committee Information I.D. NUMBER COMMn-rEE NAME STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP COOE AREA CODE~PHONE MAILING ADORESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 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) C~ STATE ZiP C~E NAM E OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS CITY STATE ZIP COOE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE ZIP COOE AREA CODFJPHONE FPPC Form 460 (8/99) For Technical Assistance: 9t6/322.5660 State of California ReCipient Committee Campaign Statement Cover Page m Part 2 Type or print in ink. COVER PAGE-PART2 4. Officeholder or Candidate Controlled Committee NAM E OF ~Rj~,,,>~F¥~It~T E OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/~USINESS ADDRESS (Nq~ AND STREET) CITY STATE ZIP R~latod Committo~ Not l~¢ludo~ in thi~ ~tatom~t: not Included In thl~ consollda ted s fa temen f the f are eontroll~ by you or which are p6m~rlly for~d to receive con trlbutlons or to make expendi~ms on behaff of your candidacy. CCMMITTEE NAME NAME OFTREASURER COf~MITTEEADDRESS I.D. NUMBER CONTRCi_LED COMMITTEE? [] YES [] NO STREET ADDRESS (NO P.O. BO) CITY STATE ZIP CODE AREA CODE/PHONE 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I J~RISDICTION I ~[~OPPosESUPPORT Identify the conb'olling 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 LI,t nam,, of officeholder(s) or candidate(s) for which this committee It primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [~SUPPORT []OPPOSE Attach continuation sheets if necessaw 7. Verification / I have used ali reasonable dil,gence in preparing and reviewing this statement and to t~E Jest of my kno'~dge the information contained herein and in the attached schedules istrue and complete. I certify under penalty of perjury under the laws of the State oft/C,,~ 3rniat~ttho?/~going istruo and correct. Executedon :">:'~D::/ By ]~, ~!/~'S~eS~eN~'~SURERORASSmTANT~EASUREe Executedon By, SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT DATE Executed on By DATE FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of C~il'ornie ~Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. Sti~,~-,~n~ c,~ve~s period from through SUMMARY PAGE Page '~ of NAME OF FILER I.D. NUMBER Column C TOTAL TO DATE (COLUMNS A + B) $ $ $ $ $ $ Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule B, Line 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines I + 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 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment .......................................................Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9* 10 Column A TOT^L'rH~S $ Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW} $ 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 ............................................................ Column1 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 B, Part I, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above * From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except tor Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections $/1 through 6/30 7/1 to Date 20. Contributions Received ............ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660