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Home My WebLink AboutSALVAGGIO SEMIANN02(1) ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement, covers period ,,o. 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored [] Primarily Formed Candidate/ Officeholder Committee ~ Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Cc~np~te Part 5) Date Stamp COVER PAGE [] Gene ral Purpose Committee O Sponsored O Small Contributor Committee O Political Patty/Central Committee Date of election if applical~ (Month, Day, Year) For Oificial Use Only 2. Type of Statement: [] Preelection Statement J~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. CommJ.ee Information I,.D. N~.~,~.~ ~ .~. S COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMI~rEE) (~ Treasurer(s) NAME OF TREASURER STREET ADDRESS (NO P.O. BOX) . C~TY ' - ~TATE'-- ZIP CODE AREA CODE/PHONE MA LI-NG ADDh~S ( F DIFFERENTI NO, AND S~R~ET OR P.O. BOX ~' · .e ~ e MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZiP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / EoMAIL ADDRESS 4. Verification t 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. /, Execut~ on By Execuled on By FPPC Toll-Free Helpline: 86~ASK-FPPC Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE (~Fi:ldE ~(~UG~H~- OR HELD (iNCLUDE LOCATION A~I~TRICT NUMBER IF APPLICABLE) RESIDENTI~USI~SS AD~SS ( ~ol i~clud~ i~ this statement that are co~trolled by you or ~re primarily formed lo receive cont~butions or make expenditu~s on ~half of your candidacy. COMMI"CrEE NAME I.D, NUMBER NAME DE TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMI3~EE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITrEE NAME I.D. NUMBER NAMEOFTREASURER COMMI3-FEE ADDRESS CONTROLLED COMMittEE? [] YES [] NO STREETADDRESS (NO P.O. BOX COVER PAGE - pART 2 6. Ballot Measure Committee Page~._~ of ,3~.-~ NAME OF BALLOT MEASURE BALLOT NO. OR LEI~ER JURISDICTION [] SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I [] SUPPORT I [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I[~SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from / ///~. through SUMMARY PAGE Page~,~ of ~,~' NAME OF FILER I.D, NUMBER Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ......................................................Schedule B, Line 7 3. SUBTOTALCASHCONTRIBUTIONS ......................... AddLines 1 +2 4. Nonmonetary Contributions .................................... ScheduleC, Line3 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 .................................... AddLines6+ 7 9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, Line3 1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 6 + 9 + tO Current Cash Statement 12. Beginning Cash Balance ....................... PreviousSumrnaryPage, 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 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 .......'~....(~.....'~... ..... ScheduleB, PartZ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... AddLine2+Line9inColumnBabove TOTAL THIS PERIOD (FROM A'rTACH ED SCH EDU LES) $ , //4 Column B CALENDAR Y~AR TOTALTO DATE To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts, tt this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions /~//~ Received $ 21. Expenditures Made $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject lo Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) / / $ / /__ $ / / L__ $ / / *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 Schedule A Type or print in ink. SCHEDULE A Amounts may De roun=eo Statement covers period Monetary Contributions Receivedto whole dollars, from /// /6 .~ SEE INSTRUCTIONS ON REVERSE through ~~-%~ I ,~g~UMB~ER of ~.~- IF AN INDIVIDUAL. ENTER ~OU~ CUMU~TIVETODATE PER ELECTION DA~ FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF~EE.A~OENTERLD. NU~ER} CODE * (IF SELF-EMPLOYED. ENTER N~E PERIOD {JAN I - DEC. 31 ) (IF REQUIRED) sco 75'0 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 $1 O0 ............................................. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) .......................TOTAL *Contributor Codes IND - Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink, SCHEDULE A (CONT,) Monetary contributions Received Amounts may be rounded S~.;.~h=nt covers period ,o whole dollars, from qAME OF FILER IF AN INDIVIDUAL, ENTER ~OUNT CUMU~TIVETO DATE PER ELECTION DA~ FULL NAME, STREET ADDRESS AND ZiP OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCO~I~EE, ALSOENTERLD, NUM~R) CODE * (IFSELF-EMPLOYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) C scc ~ ~ ~ ~ ~.~ / ~ PTY ~ scc ~ ~- - -,/. / - C ' *Contributor Codes tND - IndMdual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Rem NAME OF FILER Type or print in ink SCHEDULE A (CONT.) celveo Amounts may be rounded S~;~i~ie,,~ covers period ,o whole dollars, j jir~ ,rom / I.D. NUMBER IF AN INDIVIDUAL, ENTER ~OUNT CUMU~VETO DATE PER ELECTION :S AND ZIP CODE OF CONTRIBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR Y~R TO OA~ ~o ENTER LD. NUMBER) CODE * (~F SE~-EM~OYED. E~ER N~E PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRED) ~scc ~ ~ ' · D~NO RECEIVED FULL NAME, STREET ADDRES // r 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SChedule A (Continuation Sheet) Type or print in ink, SCHEDULE A (CONT,) anone~ary t.;onlrlDUtlOnS Heceive(l Amountsmayberounded S[={~iiie, 4coversperiod , . . , ,o.,,,o,..,o,.r.. ,r. ~/~ ~--~(~ /[/~ I.D. NUMBER IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO CATE RECEIVED (IFCOMMI~rEE,ALSOENTERLO. NUMI~ER) CODE * (IFSELF-EMPLOYED, EN3ERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIREO) Dscc J~ ,~,. ,~. ~scc ~c~~ ~,~.~ ,'~, /~ Dscc 'Contributor Codes IND I Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee SUBTOTALS /, .,~,,,~) ~ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SChedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT,) Moneiary ~;ontrlOUtlOnS Heceive(l Amountsmayberounded DA~ FULL NAME, STREET ADDRESS AND ZIP CODE ONTRIB~OR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF~i~EE,A~OENTERI.D. NUMBER) CODE * (IFSE~-~OYED, EN~RN~E PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) · *Contributor Codes IND - Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC- Small Contributor Committee SUBTOTALS 3, ~(~ ~ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SChedule A (Continuation Sheet) Typo or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received n m °~ontwSt ~,Ydbc~,r~ ~ ~u.n d e d 'r ° :t"~'7) i)~s ~=~'° d ~ IF AN INDIVIDUAL, ENTER ~OU~ CUMU~VETO DATE PER ELECTION DA~ FULL NAME, STRE~ ADDRESS AND ZiP CODE OF CONTRtBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (~F ~I~EE, A~O ENTER I.D. NUMBER} CODE * (IF SELF.EMPLOYED, ENTER N~E PERIOD (JAN. 1 ' DEC. 31 ) (IF REQUIREO) OF BUSINESS) 1[' :> '" ' SUBTOTAL $-~. 5(~ ~ I / 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC- Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER DATE RECEIVED Type or print in ink. Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ({F COMMITTEE, ALSO ENTER I.D, NUMBER) CODE * E]OTH E]PTY Dscc [~OTH r-IPTY Dscc DOTH [] PTY rqscc cco% DOTH [] PTY [] SCC 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH- Other PTY- Political Party SCC - Small Contributor Committee S~a;.~,,,=,,~ covers period ,,om through ~ IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF-EMPLOYED, ENTER NAME PERIOD OF BUSINESS) Page LD. NUMBER SCHEDULE A (CONT.) CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED) G 600 FPPC Form 460 (June/01) FPPC Toff-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Typo or print in ink. SCHEDULE A {CONT.) ~v, onezary ~.onzrmuuons Hecelveo Amo~ontwSh~eYdbo~lra~,nded from S~=i~m~n/t co~ers period IF AN INDIVIDUAL, ENTER ~OU~ CUMUB~VETO DATE PER ELECTION DA~ FULL NAME, STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED 0F CO~I~EE, A~O ENTERI.D. NU~R} CODE * (IF SE~-~OYED, ENTER ~E PERIOD (JAN. t - DEC. 31 ) (IF REQUIRED} ,>-., Ocou SUBTOTAL 'Contributor Codes IND - Individual COM ~ Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC ~ Small Contributor Committee I FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC SChedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) ~v~oneary ~,on[nou[ions Hecelvea Amountsmayberoundedto wholedollars, fromStatu'"en~c°~rs period.//4/0.'~ j ~ ~', DA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIB~OR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR Y~R TO DA~ RECEIVED (IF~I~EE, A~OENTERI.D. NU~R) CODE * (IFSE~-EMPLOYED, ENTERN~E PERIOD (JAN. 1 -DEC. 31) (IF REQUIREO) SUBTOTAL *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Politica~ Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT,) Amounts may be rounded S~=;.=.,ent covers period aone[ary uonzrlou.ons Hece,vea to whole dollars, from ?/.//<0~ ~ j~ IF AN INDIVIDUAL. ENTER ~NT CUMU~TIVETO CATE PER ELECTION DA~ FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED TH~S CALENDAR YEAR TO DA~ RECEIVED 0~CO~EE.A~E~TEm,D. NU~eEB) CODE * (~FSE~-E~OYES. E~TERN~ PERIOD (JAN. 1 ' DEC. 31) (IF REQUIRED) SUBTOTAL $ *Contributor Codes IND - I~MduN COM- Redpient ~mmi~ee (other th~ P~ or SCC) OTH - Other P~- Politic~ Pa~ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866]ASK-FPPC Schedule A (Continuation Sheet) Typ* or print in ink. SCHEDULE A (CONT.) ,wonetary ~,ontrlOUtlOnS Hecelveo Amountsmayberounded $~[ementcoversperiod . . ,°who,..,°,,... ,.om. · , t..o.,, IF AN INdIVIdUal, ENTER JOUNT CUMUBTIVETO ~ATE P~ ELECTION DA~ FULL NAME, STREE ~RESS ~N~ ZIP CO~E OF CO~TRIBUTOB CONTRI~OB OCCUPATION AND EMPLOYER RECEIVE~ T~IS CALEN~R YEAR TO DATE RECEIVED 0F ~I~EE, A~ EN~R I.D. NUMBERI CODE * (IF SE~-EM~OYED, ENTER ~ PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRED) OF ~SINESS) SUBTOTALS · "Contributor Codec IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC - Smell Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) i¥1Di1u[ary ~onzrlOUZlOnS r~ecelveo Amounts may be rounded Stat=,,,ent covers period ,o.,.o,.,o,,.r.. "°'"' - DATE FULLNAME'STRE~ETADDRESSANDZIP~EOFCONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED IIFCOMMI~fEE'ALSOENTERLD'NUMBERI CODE * (IFSELF-EMPLOYED. ENTERN~E PERIOD (JAN. 1 ' DEC. 31) (IF REQUIRED) OF BUSINESS) '" %' ' ' ~ ' 'A'" W," ' ' z - - DCOM .... ' , , .. ~S P:__:-~' SUBTOTALS · 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SChedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Mone[ary ~ongrlDuTions Hecelve{:l Amounts may be rounded to whole dollars, from S:--;.=~,~ent covers period IF AN INDIVIDUAL, ENTER ~OU~ CUMU~VETO DATE PER ELECTION DA~ FULL NAME, STREET AODRESS AND ZIP CODE OF CONTRtBUTOR CONTRIBUTOR ~CUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (~ CO~I~EE, ~O ENTER I.D. NUMBER) CODE * (IF SE~-EM~OYED, ENTER N~E PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIREO) OF BUSINESS) SUBTOTALS 'Contributor Codes IND - IndNidual eOM- Recipient Committee (other than PlY or $C0) OTH - O~her PTY - PoBtical Party SCC- Small Contributor committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule A (Continuation Sheet) Type er print in ink. SCHEDULE A (CONT.) I '~ I.D. NUMBER DATE FULLNAME, STREETADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED 0F COMMITFEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. t ' DEC. 31 ) (IF REQUiRED) OF BUSINESS) -,::c;, · 'Contributor Codes IND - Individua~ COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Typo or print in ink. SCHEDULE A (CONT,) IVl~.~l iuLi~ry ~UIttrIDuTIons r~ecelvea Amounts may be roundedS~;.=,,ent covers period ..,..,o,.r.. "0' - DA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF A~ INdIVIdUAL, ENTER ~UNT CUBU~TIVETO DATE PER ELECTION RECEIVED (IF ~I~EE. A~ EN~R I.D. NU~R) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSE~'~OYED. EN~RN~E PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF ~INESS} ' ~ PTY Dsoc · 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC- Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) ~pe or print in ink. Moneta Contrit SCHEDULEA (CONT.) ,rom ~COM gOTH ~ PTY ~scc ~IND DCOM DOTH ~ PTY Dscc ~IND Dcou ~OmH ~ PTY Dscc · 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEEINSTRUCTIONS ON REVERSE NAME OF FILER DATE NAME OF CANDIDATE, OFF~CE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE Suppod D oppose [] supped [] oppose [] supped [] oppose Type or print in ink. Amounts msy be rounded to whole dollars. Statement covers period from I / //Iv I t.rou,. TYPE OF PAYMENT DESCRIPTION AMOUNT THIS (IF REQUIRED) PERIOD /~Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure SCHEDULE D I.D. NUMBER CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE {JAN. 1 -DEC. 31 ) (IF REQUIRED) SUBTOTAL $/~/ ~) ~ ~ Schedule D Summary 1. c~ntributi~ns~ndindepen~ent~xp~nditur~smad~thisperi~d~~$~~~~rm~re.(~nc~ud~a~~$chedu~eDsubt~ta~s.) .............................................. $/v~ 2. Unitemized contributions and independent expenditures made this pedod of under $100 ...................................................................................... $ ---......(::~ ,--,, 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ ~//, O (::) (~ FPPC Form 460 (June/01) FPPC Tell-Free Helpline: 8661ASK-FPPC Schedule E Payments Made SEE iNSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ,,om through ~ P.ge2! o, 5 NAME OF FILER ¥o. cr l CODES: If one of the following codes accurately describes the payment, you may enter the code· Otherwise, describe the payment, (3v~ campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings I.D, NUMBER MBR member communications MTG meetings and appearances OFC office expenses PEr petition cimulating R-lO phone banks POL polling and survey research FOS postage, delivery and messenger services PRO professional services (legal, accounting) FRT print ads RAD radio aidime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable air~ime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITFEE, ALSO ENTER I.D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $/,,,~ 07 ~..,~ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ / 2. U nitemized payments made this period of under $100 .......................................................................................................................................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 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 FPPC Toll-Free Helpline: 866/ASK-FPPC · Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER CODES: If one of the following codes QVP campaign paraphernalia/misc. CNS campaign consultants C'TB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees F'ND fundraising events I~D independent expenditure supporting/opposing others (explain)* LEG legal defense Type or print in ink. Amounts may be rounded to whole dollars. S[.;.~rnunt covers period from ////~-~ throug~ //~/~(~ 2._ ' SCHEDULE E (CONT.) .,go 2.2, of 25 I.D. NUMBER the payment, you may enter the code. Othe~ise, describe the payment. MBR membercommunications RAD radio aidirse and production costs MTG meetings and appearances RFD returned contributions OFC office expenses SAL campaign workers' salaries PET petition cimulating TEL t.v. or cable airtime and production costs PHO phone banks TRC candidate travel, lodging, and meals POL polling and survey research TRS staff/spouse travel, lodging, and meals POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRr print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMfU~EE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or Independent expenditures mue~ gso be summarized on Schedule D. SUBTOTAL $,.,~ FPPC FZ~ 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC S(~hed~le E (Continuation Sheet) ~pe or print in ink. Amounts may be rounded Statement covers period PaYments Made to whole dollars, from ////~_ ~- SENSE I/o~Ri i~/~TI2NS ON REVERSE through/ /_~/~ ~/0 ,~ CODES: If one of the following codes accurately describes the payment, y y enter the code. Othe~ise~ ~scribe the payment. SCHEDULE E (CONT.) OVP campaign paraphernalia/misc. CNa campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations RL candidate filing/ballot fees ~ fundraising events I',ID independent expenditure supporting/opposing others (explain)* LEG legal defense I.D. NUMBER MBR member communications MTG meetings and appearances OFC office expenses PET petition cimulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services Pt:K) professional services (legal, accounting) RAD radio airtime and production costs PR) returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration LiT campaign literature and meltings FFCt' print ads WEB information technolo< NAME AND ADDRESS OF PAYEE (IF COMMITr EE, ALSO ENTER LO, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID · ,,-,~..%.,,;, ........ ,....,;_.:.,~: ...... : ................ L.. % 'H ~ ~!~T~ l ~aD ~9 / pendente;':Pa"'1;["relimustala° besummerized°n'cheduleD. SUI $ ~,~/~ p. ~1 FPPC F~r'n~ ~-~0'~June/01) S~hedl~le E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. payment, you may enter the code. Otherwise, member communications PAD from SCHEDULE E (CONT.) NUMBER CODES: If one of the following codes accurately describes the DVP campaign paraphemaliaJmisc. MBR CNS campaign consutiants MTG CTB contribution (explain nonmonetary)" CVC civic donations FIL candidate filing/ballot fees F:ND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense describe the payment. radio airtime and production costs meetings and appearances F~3 returned contributions DFC office expenses SAL campaign workers' salades PET petition circulating TEL t.v. or cable airtime and production costs PHO phone banks 3RC candidate travel, lodging, and meals POL polling and survey research 'IRS staff/spouse travel, lodging, and meals POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor PRO professional services 0egal, accounting) VDT voter registration UT campaign literature and mailings FRT print ads WEB information technok costs ~ NAME AND ADDRESS OF PAYEE (IF C~MI~EE, A~O ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ~-~., -~- - - ~[~, ~/ expenditures must also be summarized on Schedule D. FPPC F"orm 4~0 (Jun~J01) Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMI~'EE, ALSO ENTER I.D. NUMBER) Stat=ment covers period ,to. SCHEDULEI I.D. NUMBER DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attachadditionalinformaeiononappropriaeelylabeledcontinuationsheets. SUBTOTALS { 3 'JO Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... $ /.~ ('/~ <ff(~ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ ~,~..a]j~ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ '"'O ~ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the ~ ~, 1~,3 Summary Page, Line 14.) ........................................................................................................................... TOTAL $ '~' ' FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC