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HomeMy WebLinkAboutCARSON PREELEC02(1) ecipieht Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period through ~'~ d'/~C~ O/ 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, end 4. [] Ballot Measure Committee O Primarily Formed {~ Controlled O Sponsored [] Primarily Formed Candidate/ Officeholder Committee [~ Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall [] General Purpose committee O Sponsored 0 Small Contributor Committee (~) Political Party/Central Committee 3.' Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ADDRESS (NO P.O. BOX) o / u., ~VIA Date Stamp Date of election if (Month, Day, Year) O2JUL31 PI! ~:~8 P'g° / of Z~ For Official Use Only .... ~., l .... CITY CLEI',K 2. Type of Statement: [] Preelection Statement [~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelecfion Statement - Attach Form 495 Treasurer(s) TREASURER MAILING ADORESS CIT STATE NAME OF ASSISTANT TREASURER, IF ANy ZiP CODE ~IEA CODE/PHONE ClT ~ ~ STATE ZIP CODE ~/ ARRi~A CODE/PHONE MAILING ADDRESS (IF D~HbNT) NO. AND STREET OR P.O* BOX ' MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY ~ATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL AODRESS OPTION~: F~ / E-MAIL ADDRESS Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained h?eth and in the attached schedules is tree and complete. I certify under penalty of peduTu~d~/the laws of the State of California that the foregoi.~_i~t~ue Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE- PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 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. COM~;i i t:t= NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMII I EE ADORESS STREET ADDRESS {NO I~O. BO) CITY STA~E ZIP CODE AREA CODE/PHONE COMMR-rEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEE ADDRESS CONTROLLED COMMITTEE? [] YES [] NO STREETADDRESS (NO RO. 6. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO. OR LETTER 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 namea of officeholdar(s) or candidate($) for which this committee ia 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 CITY STA3E ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Fm'm 460 (JunM01) FPPC Toll-Free HMpllne: ~6/ASK-FPPC S~te of C~f~ Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollare. SEE INSTRUCTIONS ON REVERSE NAME OF FILER & / 'TO Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 7 3. SUBTOTALCASH CONTRIBUTIONS ......................... AddLines I +2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... Aed Lines 3 + 4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTALCASH PAYMENTS .................................... AedLines 6+ 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedu/eF, Llne3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+ 10 Current Cash Statement 12. Beginning Cash Balance .....~ ................. Prevl~usSumma~yPage, Line 16 13. Cash Receipts ................................................... C~umnA, Une3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 1 5. Cash Payments .................................................. C~umn A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 ff this is a termina#on statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... ScheduteS, Pa~2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See ~,~vuc#ons on ravage 19. Outstanding Debts ......................... AddLIne2+Linegk~ColumnBabove Column A Column B ~/00(2.00 $ ~/000.00 $ $ 7_/~~. G o $ ~--/-~-- ob, ;z_/~ ; oO $ To calculete Column S, 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 pmiod amounts. If this is the #mt report being filed for this calendar year, only carry over the amounts bom Unes 2, 7, and 9 (if any). SUFR~ARY PAGE Statement covere period from ._~ R/~- through I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 111 through 6/30 711 to Date $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Mede* (a Sul~ect to Voluntary ~m Limit) Date of Election Total to Date (mm/dd/~y) __1 / $ __J / $ __l / $ __I / $ __1 / $ __/ / $ *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 ~po or print In Ink. SCHEDULE A Monetary Contributions Received..,,,~..,. may ge rounoea to whole dollars. Statement covers period ~ OTH ' DIND DOTH ~scc ~IND ~co~ ~OTH ~ PTY ~scc ~IND ~co~ ~OTH SUBTOTALS 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 I and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ A, ooO . oU · *Centdbutor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Farm 460 (June/01) FPPC Toll-Free Helpltlt~: 8E6/ASK-FPPC Schedul E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from J/z~/~./. yl /~0/~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ~ campaign paraphemalia/misc. CNS campaign consoltants CTB contribution (explain nonmonetary)* CVC civic donations RL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)' LEG legal defense LIT campaign literature and mailings MBR member communications I.D. NUMDER RAD radio aktime and production costs MTG meetings and appearances OFC office expenses PET petition cimulating Fi-lO phone banks POL polling and survey reseamh POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RFD returned contributions SAL campaign workers' salades TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF tmnstsr between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (intsmet, e-mail) NAME AND ADDRESS OF PAYEE (IF CO~MrTTEE, ALSO EN~Efl I,D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID / ~ Payments that are contributions or independent expenditures must also be summarized on Schedule O. SUBTOTALS 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 loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ 4. ~rotal 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 (June/01) FPPC Toll-Free Helpline: 866~ASK..FPPC