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Home My WebLink AboutFRIENDS FOR MR. DICKERSON SEMIANN11(1)Kecipient Committee tr Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Stateme c 4ers eeriod Data of election If applicable: from. ZO) 1 (Month, Day, Year) _11. through 6IE Date Stamp AUG ► o AM to: ► ERSt ttl0 CI f Y vi c 1. Type f Recipient Committee: An Comm(ttass _ conq&% Partft 1, 2, 3, and 4. Of' :latd Candidate Con trolled Committee O date Election Committee ❑ Primady Formed Ballot Measure O a committee O Controlled W-CompletePaKm O Sponsored ❑ General Purpose Committee (AbeC0MA*P8d6) O Sponsored ❑ Primarily Formed Candidate/ O Small ContdbutorCommittee Officeholder Committee O Political Party/Central Committee (naoCOMA re Pad 7) 3. Committee Information I I.D. NUMBER $~t (2 COMMITTEE NAME (OR CANDIDATES NAME IIF, VO COAMMITTE I CITY 2. Type of Statement: ❑ eation statement 5em"nnuai Statement ❑ Termination Statement (Also Me a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) "W~_ T-'_ COVER PAGE Page I of . 4 For Oftidal Use Only ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement - Attach Forth 495 . MAILING ADDocec r1•rv 6&-1o-n ITT r STREET ADDRESS (NO P.O. " CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the under penalty of perjury under the la ?taate of California that the foregoing is true and correct Executed on te ~ 0 BY By Executed on oaoe 6 ~ l -I, sno in the attached schedules is true and complete. I certify K Executed on Date By SrgnsYns orConeoGnp otecandaer. Canes. State Memm PmpmW Exea+ted on papa BY Sfanahue orCmft*V 0MWhWW Cendate. Stoo Meawe Pmpw*M FPPC Forth 4" (Januavy=) FPPC Toa-Free Heipiine: 866lASK-FPPC (86OW6,1M State of Calfomia iJ • Recipient Committee Campaign Statement Cover Page Part 2 Type or print In Ink. S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ! ( STATE ZIIPP Related Committees Not Included in this Statement: List any committees not included in Ods statement that are conbolled by you or are primarily formed to receive contrlbutlons or make expenditures on behalf of your candidacy. COMMTTTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMTTTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE 21P CODE AREA CODEIPHONE COVER PAGE - PART 2 Page :;g- of 4 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I C1 SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, N any. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee ust names of ofteholdWs) or candidate(s) for which this committee is 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets N necessary ' FPPC Fomn 480 (JanuwylM FPPC Top-Free Helpline: 8881ASK-FPPC (888r2?5-M2) Stab of Caftmia f" SCHEDULE B - PART 1 Schedule B-Part 1 rra we Nees,. see He- Amounts may be rounded Statement c v# period 'A 460 to whole dollars. Loans Received r l FORM from Gj 3tZo (I P olo' SEE INSTRUCTIONS ON REVERSE _ . through age of NAME OF FILER I.D. NUMBER irelv"Z& FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUT ANDING BALANCE AM0 jN r t~l AMOUNTPAID DING 9AIANCEAT INTEREST In ORIGINAL CUMULATIVE OF LENDER FCOr AF ~ BEGINNING THIS THIS RECEIVED ORFORGNEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS p wiiTEEntsogvrERip,NUaeep . NNNEOFeuSMESSy PERIOD PERIOD ~ THIS PERIOD PERIOD LOAN TO DATE ❑ PAID • CALENDAR YEAR VVV ~Q~~ C~ S / S Ti/ % . • ' r RATE ~ - q ` ❑FORCIVEN PER ELECTION" a s s to IND COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR $ S % $ $ ❑ FORGIVEN RATE PER ELECTION" s s s s s to IND ❑ COM ❑ OTH ❑ PTY ❑SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S S % S $ ❑ FORGIVEN RATE PERELECr10N" S $ S $ S t❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC DATEDUE DATE INCURRED SUBTOTALS $ $ $ $ I )on Lkw3) r tContributor Codes .y IND-Individual COM- Recipient Committe`b (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY- Political Party SCC - Small Contributor Committee " If required. FPPC Form 46o (January/OS) FPPC Toll-Flee Helpline: 8661ASK-FPPC (866/2'75-3772) Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract line 2 from Line 1.) NET $ Enter the net here and on the Summary Page, Column A, Line 2. ~•r 'Amounts forgiven or paid by another party also must be reported on Schedule A. Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER -'aj-o~S M►~~ Contributions Received 1. Monetary Contributions schedule A. Line 3 2. Loans Received sdmdme e, Libe 3 3. SUBTOTAL CASH CONTRIBUTIONS Add tines 1 + 2 4. Nonmonetary Contributions sdmdde C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .....................AddLines3+4 Type or print in ink SUMMARYPA Amounts may be rounded Statement Cover? period CALIFORNIA to whole dollars. 46-A from ' • through (0 5DZ01) Page A_ of 44 I.D. NUMBER Column A Column B TOTALTHISPENOD CALEND YEM fROMATTACHMSCNEDULM TOTALTOtWE $ $ $ $ Expenditures Made 6. Payments Made schedule E, Line 4 7. Loans Made schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) S&A tde F Line 3 10. Nonmonetary Adjustment sdedde C. Line 3 11. TOTAL EXPENDITURES MADE AddLines8+9+1o $ $ $ $ $ $ ro- $ Current Cash Statement 12. Beginning Cash Balance Pmv/oussummaryPam Line 16 13. Cash Receipts Colurm A, Line 3 above 14. Miscellaneous Increases to Cash sdm ule 1. Line 4 15. Cash Payments column A, Line a above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, wren subb-ad Line 15 If this is a termination statement Line 16 must be zero. $ 4)- $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column 8 of your last report Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 17. LOAN GUARANTEES RECEIVED sdradide A Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents see instructions on reverse r~ 19. Outstanding Debts Add Line 2 + Line 9 in Cdumn a above $ 51 c q~z (tom) Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 711 to Date 20. Contributions Received $ -115).- $ 21. Expenditures Made $ - - $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Su*ctto YbkaidryEgmWNure L1mM Date of Election Total to Date (mm/dd/yy) I 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toil-Free Helplins: 866/ASK-FPPC (86612753772)