HomeMy WebLinkAboutMAGGARD PREELEC02(1) ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Date Stamp
Statement covers period
from . -7- ~ -<3 "t-.
through
COVER PAGE
Date of election if
(Month, Day, Year) CT-7
For Ollicial Use Only
1. Type of Recipient Committee: AIICommltteel-CompletePart~l,2,3, and4.
/~ Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Compile Parl 5)
[] General Purpose Committee O Sponsored
C) Small Contributor Committee
O Political Party/Central Committee
[] Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(Al$oCc~pl~te Part 6)
[] Primarily Formed Candidate/
Officeholder Committee
2. Type of Statement: [] Pree~ection Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Repod
[] Supplemental Preelection
Statement - Attach Form 495
3. Committee Information I~'°' NUMBERC~C~::~
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
STREET ADDRESS (NO P.O. BOX)
C,TY STATE Z'P CODE
AREA CODE/PHONE
MAILING ADDRESS (IF DtFFERENT) NO. AND STREET OR P,O. BOX
CtTY STATE ZiP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CiTY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAiL AODRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true an,~L.een~L
(o
Executed on
Executed on
Executed on
By
Date
By
Dy
S~g~alure ol Controlling Officeholder, Cam~dat e, Slal~asum Prolx~e~l or Reslx~$ib~e Offi~er ol Spofls~r
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 866/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
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Related Committees Not included in this Statement: List eny committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on beheff of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMR=rEE ADDRESS STREET ADDRESS (NO P.O. BOX)
STA~E ZIP CODE AREA CODE/PHONE
CITY
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STAT~ ZiP CODE AREA COD~/PHONE
COVER PAGE - PART 2
6. Ballot Measure Committee
Page__
of ~'~
NAMEOFBALLOTMEASURE
BALLOT NO. OR LET~'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($) or cendidate(s) 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
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 866~ASK-FPPC
State of California
Campaign Disclosure Statement Type or print in Ink, SUMMARY PAGE
Amounts may be rounded
Summary Page to whole dollars.
SEE iNSTRUCTIONS ON REVERSE
Statement covers period
from
through C~ -'~0,0%_. Page-'~ o+ It
NAME OF FILER
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ......................................................Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines I + 2
4. Nonmonetary Contributions .................................... ScheduleC, Line3
5. TOTALCONTRIBUTtONS RECEIVED ........................... AddLInes3+4
Column A Column B
TOTAL THiS PERIOD CALENDAR YEAR
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) ............................... Schedule F, Line 3
1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITU RES MADE ................................ Add Lines 8 + 9 + 10
Current Cash Statement
h2. Beginning Cash Balance ....................... PreviousSummaq~Page, Line 16
13. Cash Receipts ................................................... ColumnA, Line3above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments .................................................. ColurnnA, Line8above
16. ENDING CASHBALANCE .......... Add Unes 12+ t 3 + 14, then subtract Line 15
ff this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... $chedute B, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... AddDY~e2+Une9inColumnBabove
$
$
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
pedod 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).
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
I/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 to VOluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
--!
__/___J.__
/ /.__
/ /
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/B1)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule A Type or print in ink. SCHEDULE
Monetary Contributions Received~moums may oe rounaea State~,e,~t covers period
'° wh°le ri°liars' I i~/~l
from
SEE INSTRUCTIONS ON REVERSE through ~ --30 -, ~ I Page ~ of ~* \
NAME OF FILER~] I.D. NUbI.D. NUMBER
~F AN ~ND~WDUAL. ENTER .~OU.~ CUMU~T~VE TO DATE .ER ELEC~O.
DA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR Y~R TO DATE
RECEIVED (IFC~EE, A~OENTERI.D.~ER) CODE * (IFSELF-~OYED, E~RN~ PERIOD (JAN. 1 * DEC. 31) (IF REQUIRED)
OF BUSINESS)
[ ~ ~ ~ ~OTH
Qscc
~IND
~ ~ ~scc
~IND
~ ~ ~ ~ ~ ~ OTH
~PTY
~. ~ ~ Dscc
~IND
G
~ ~ ~ Dscc
SUBTOTALS
Schedule A Summary
1. Amount received this period- contributions of $100 or more.
(I de all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this period - unitemized contributions of less than $100 ............................................. $
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 P ty
SCC- Small Contributor Committee
FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT
from
through ~ -TO- ¢~'~--. Page 5 of ~\
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 DATE
RECErVED (iF C~ITrEE, ALSO ENTERID. NUMBER) CODE ~' (IF SE[F-EMPt. OYED, ENTER NAME PERIOD (JAN. 1 ' DEC. 31 ) (IF REQUIRED)
[] PTY
~ /~'~.~,~ ~ ~' r~scc
~IND
~ ~ ~. ~. ~COM
~.~. ~ ~ ~ ~OTH
~PTY ~ ~ ~ ~. ~
~ ~ ~ Dscc
~IND
~ PTY
Dscc
~IND
P~'~ b~ ~. DCOM
~1~1~~ ~
. ~ ~ Dscc
~PTY ~, ~ m
~ ~ ~ Dscc
SUBTOTALS
*Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Path/
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Help : 866/ASK-FPPC
Schedule
A
/~' *;~..on.n uation ~' *~.,.ee,/ Type or print in ink. SCHEDULE A (L, UH,
Monetary Contributions Received Amounts may be rounded
to whole dollars.
'l - t -o-,....
from
through
NAMEOFFILER I r) NUMH~ ~
E]IND
[] PTY
~ ~ qg'~ ~
[~ND
~ ~ t ~ ~
~ DCOM
~ ~ ~ff
D~ND
6~ ~ ~}
OIND
D PTY ~- '
, ,., , ~' , ,
'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)
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
NAME OF FILER
to whole dollars.
from_
through
SCHEDULE A {CL)H,
t I I
J IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DA1
DATE FULL NAME, STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED TUIS CALENDAR YEAR
DiND .....
~OTH
~~ ~ Dscc
~iND .........
~ ~ ~ gscc
D~ND
DiND
DOTH
~ ~ ~)~ DSCC
D PTY
Dscc
'Contributor Codes
IND- Individual
COM- Recipient Committee
(other than PTY or $CC)
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
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
from
through
ooT.
E]iND
[]E]PTyOTH
[] scc
~q~NO
E]COM
DOTH
[] PTY
Flscc
E]IND
E]coM
DOTH
[] PTY
E3scc
D~ND
rqco~
QOTH
[] PTY
E~SCC
$CHErJULE A
*Contributor Codes
IND - Indivfdua~
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 E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
Statement covers period
from ~
through
SCHEDULE F
Psgeo,
I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
QVP campaign paraphernalia/misc.
ChIS campaign consultants
CTB contribution (explain nonmonetary)'
CVC civic donations
~ candidate filing/ballot fees
fundraising events
I",10 independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
MBR member communications
MTG meetings and appearances
DFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
FRT print ads
PAD radio airtime and production costs
returned contributions
SAL campaign workers' salaries
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of lhe same candidate/sponsor
VDT voter registration
WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, 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. SUBTOTALS ~rlO"~ "1_, ~'.~
Schedule E Summary
1. Payments made this period of $100 or more. (Include afl 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. 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 460 (June/01)
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
campaign paraphemaria/misc.
CNS campaign consultants
contribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
Type or print in ink.
Amounts may be rounded
to whole dollars,
from ~ -4. '~o %---,
through C~ ,~ ,=,~...
codes accurately Eescribes the payment, you may enter the code. Otherwise, describe the payment.
MBR member communications
MTG meetings and appearances
DFC office expenses
FET petition cimulating
PHO phone banks
POL polling and survey reseamh
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
Ff:~T print ads
SCHEDULE E (CONT.)
Page ~) of ~\
I.D. NUMBER
PAD radio airtime and production costs
RFD 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
VeT voter registration
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D, NUMBER)
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ ~ (3~ ~, ~
FPPC Form 460 (June/01)
FPPC Tog-Free Heloline: 8661ASK.FPI~i~.
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
lfrom____
through
Statement covers period
SCHEDULE E (CONL)
I.D. NUMSER
CODES: If one of the following codes accurately describes the
(]vP campaign paraphernalia/misc. MBR
CNS campaign consultants
C'fl3 conlribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
~'D fundreising events
independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
payment, you may enter the code. Otherwise; describe the payment,
member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT pdnt ads
PAD radio airtime and production COSTS
RFD returned contribulions
SAL campaign workers' salaries
TEL tv. or cable aidime and production cosls
'rRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidale/spon'~or
VOT voter registration
WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(iF CO~MMITTEE, ALSO ENTER I.D. NUMeER)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
FPPC Form 460 (June/01)