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HomeMy WebLinkAboutDICKERSON SEMIANN01(2) ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. IStatement c~ve/s period from .'n~/~,,/,~ j 1. ~of Recipient Commiaee: n, co=.~..s- co=p~ete .am ~, 2, =, and 4. ~ Officeholder, Candidate Controlled Commi~ee ~ Ballot Measure Commi~ee O State Candidate Election Commi~ee O Primarily Fo~ed O Recall [] GeneraI Purpose Committee C) Sponsored O Small Contributor Committee C) Political Party/Central Committee 0 Controlled O Sponsored (Also Compile Purl6) [] Primarily Formed Candidate/ Officeholder Committee (AlsoComplete Pa~l 7) STREET ApD~ESS (NO P,O. BOX) STATE ZIP CODE MAILING ADDRESS (IF DIFFEF~NT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE Date Stamp COVER PAGE Date of election if (Month, Day, Year) For Official Use Only 2. Type of Statement: Som~lection Statement i-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME MAILING AD. DRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge he nformatinn/~n~taJ~;(herein and in the certify under penalty of perjury u~:]er th~ ~aws of the State of California that the foregoing is true and correct. /7"/"~-~j/~/ / attached schedules is true and complete. I FPPC Form 460 (Juror01) FPPC Toll-Free Helpline: 866/ASK-FPPC Recipient Committee Campaign Statement Cover Page m Part 2 Type or print in ink. COVER PAGE - PART 2 Page '~ of ~ 5. Officeholder or Candidate Controlled Committee OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION [] SUPPORT I OPPOSE Identity the controlling officeholder, candidate, or state measure proponent, if any. Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMI~rEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEEADDRESS CONTROLLED COMMITTEE? [] YES [] "O STREET ADDRESS (NO RD. BO) OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate($) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD F_isuPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT [::]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT [--]OPPOSE NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELD []SUPPORT [] oP.osE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpllne: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ......................................................Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines 1 + 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. SUBTOTALCASH PAYMENTS .................................... AddLines6+ 7 9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, Line3 I 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Surnrnary Page, Line 16 13. Cash Receipts ................................................... ColurnnA, Line3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. ColumnA, Line8above 16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Scheduis B, Pa~t2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... AddLine2+LlneginColumnBabove Type or print in ink. Amounts may be rounded to whole dollars. $ $ $ ColumnA TOT~.'rH~S ,ER~Oe $ $ $ $ - SUMMARY P,~ I S tatement c~vers/period ,rom Column B CALENOAR YEAR TOTAL TO DATE To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounls in Column A may be negative figures that should be subtracted from previous pedod amounts. If this is the flint report being filed for this calendar year, only can'y over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through6/30 7/1 to Date Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (11 Subjecl Io '~31untaty Expenditure Limit) Date of Election Total to Date (mm/dd/yy) £ __/ / $ ~ ? · / / $ - / / $ / / $ / /___ $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ~il(~dule B - Part 3 : rmual Report of Outstanding Loans Received 'lype Mlm~ In Ink.. AmmJn~ rely be rounded to whob dol~. 4ttach addltionsl information on appropriately labeled continuation sheets. TOTAL ~ no~fflcation upon delivery. please telephone; DESTINA TARIO El remitente ha requefido no~ficaci~n inrnediata contra entreg~ Por favor /lame a: Nombre: Te~.fono:.~ U.S, POSTAGE PAID NENHALL MAR 20. ' 02 oooo $12/15 000595~10-19 JU USO NACIONAL UNICAMENTE []AM [ P["~ POST OFFICE TO ADDRESSEE :lat Rate Envelope $ * E U 18 7 0 5 3 7 8 9 U S* MO, Day [~] AM ~ PM Mo Day [] AM [ PM Weight lbs. No Delivery Int9 Alpha Countr~ Code COD Fee Insurance Fee ToteJ Postage & Fees [ [ L ZIP+4 J L