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Home My WebLink AboutCOUCH PREELEC02(1) Da" Stomp In "II. 0.- of election If .ppll......: (Month. Day. Yeat)O 2 0 r M)v~ ~ J.~4ÌVrr:r\ TJIØ or print RecIpÏent Committee Campaign Statement Cover Page (Government Cade SoctIons ~16.5) ¡ f I P... For o Quarterly Slalement o Special Odd· Year Report o SUpplemental Preelection Statement· Attach Fonn 495 fi. 9: 55 CITY CL(!\K . 3 2. lYpe of Statement: þJ( Preelection Slalement o SelTÌ-arroaI Statement o Terminotlon Stalemenl o Amendment (Explain below) 1 from SEE IN""'"'!1l1CllONS ON REVERSE through M 1. lYpe of Recipient Committee: All COmmltl... - co..... ......,. 2, 3, aid 4- Jì!Í OIficehoIder. Candidate CarrtroIled Committee 0 BeIIoI Measure Carrmlttee o Slate Candidate E1ectIon Corrvnittoo 0 PrImarIly Fonned o RecaR 0 COntrolled (N5ø_",,,,¡ 0 Sponsored (--""'~ o General Purpoeo Committee o Sponsored 0 Primarily Formed Cendldetel o Small Contrlbulor CDlrrnitlee Officeholder Committe. o Pollical ParlylCemrel CommIttee (N5ø_-7J ~ L Committee Information '.0. NUMBER <) f' ;2/9 () CONMITTEE N."'E ~OR CANDtOATE'S NA.ME IF NO COMMITTEE) !íz¡e¡vÞs c:>rVAVID /ì . C£lt.leH 3. - C!IIf,C¡ ÞY PütstJ;M CITY HONE ÑÃiiE OF Uf- ,510'(> ......LlNG ADDRESS ä e.r' $" f1 E-MAIL ADDRESS CITY AREA CODE/PHONE "c'.39.3 ~ê CITY iiÃiÜ 1 C'TY õi'TIONAl: I In !he a~.d schedules Is true and co,.,.,I.le. and Verification I heve U$ed all reasonable dUlgeooe In pr.parlng and reviewing'" .!IItement and to the best 01 cortlly oodor penally of poljUI}' under the laws of the State 01 Cafrfomls that the foregoing . Executed on ÛC-T¿lIS~e¿¿ i ;1- "'" Exoaded on tJ Cr¡-o,ft?£ I "'" iiiiõ ~ð~ 4. i Executed on ExocuIod on FPPC Form 480 (J_1) FPPC ToII·Free Hefpllne: 86&1ASK-FPPC S_ 01 Colli<>...... By By bIii Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE - PART 2 Page ~ of ~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STA'iE ZIP 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~r'EE NAME NAME OF TREASURER COMMITTEE ADDRESS I,D. NUMBER CONTROLLED COMMITTEE? [] YES [] NO STREETADDRESS (NORO. BO~ CITY STATE ZIP CODE AREA CODE/PHONE COMMtT~EE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMM~EE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STA~E ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO, OR LETI'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 [] 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 Nelpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink, Amounts may be rounded to whole dollars. Statement covers period ,rom ~7~Y'/, through --~,,~?'"-'~(~t ~~'O~'r::z- Page SUMMARY PAGF ~ of ~ Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 7 B. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines1+2 $ 3~L) 4. Nonmonetary Contributions .................................... ScheduleC, Line3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 3 ~ ~ Column A Expenditures Made 6. Payments Made ....................................................... ScheduleE, Line4 $ *~_~ 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLiness+9+ 10 $ Current Cash Statement 7~. Beginning Cash Balance ....................... Pretdous Summary Page, Line16 13. Cash Receipts ................................................... Colurnn~, Une3above 14. MisceJlaneous increases to Cash ........................... ScheduleI, Line4 15. Cash Payments .................................................. ColumnA, Une8above 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 ........................... Schedule ~, Putt 2 Cash Equivalents and Outstanding Debts 18. Cash Equiva ents ........................................ See instr~m on reverse 19. Outstanding Debts ......................... AddLine2+UneginC~lumnBabove Column B CALENOAR YEAR TOTN* TO DATE $ 38 $ 39 690 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 fimt repod 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 1/1 through 6/30 7/1 to Date 20. Contributions $ 35;3aO .~3,.~-O Received $ 21. Expenditures~, 73? /6, ~ ? Made $ $ Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit} Date of Election Total to Date (mrn/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 Tofi-Free Helpline: 866/ASK-FPPC Schedule A Typo or print In ink. SCHEDULE A ~on[rlou[Ions Heceived Statement covers period dollars. NAMESEEINSTRUCTIONSON REVERSEoF FILER thro.gh ,.,. ~ ~ COM ~ /~ ~' ~'~ ~/~ ~OTH ~ ~TY D~ ~sco ~OTH ~/~ Qscc D PTY UCOM ~ PTY 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 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 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Typ, or print in ink. Moneta Contributions R, SCHEDULEA (CONT.) NAME OF FILER LD. NUMBER DA~ FULL NAME. STRE~ ADDRESS AND ZIP CODE OF CONTRIBUTOR ~ CONTRIB~OR IF AN ~NDIVIDUAL. ENTER ~U~ CUMU~TIVETO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE ~ ~ PTY ~/¢ - DOOM ~ DOOM ~ P~ ~:ND ~COM ~OTH ~P~ t ~scc ~IND ~COM ~OTH ~ PTY ~scc SUBTOTAL 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Con~butor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule 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 through ~'c'p~- .J~ Page SCHEDULEF of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. (3,,P campaign paraphernalia/misc. CNS campaign consultants CT~ contribution (explain nonmonetary)* CVC civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign litereture and mailings I,D. NUMBER MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks FOL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads PAD radio aidime and production costs RFD 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 the same candidate/sponsor VeT voter registration WEB information technology costs (internet, e-mail} NAME AND ADDRESS OF PAYEE {IF COMMITTEE, ALSO ENTER 1.0, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 7 ~'/ ,~2~.~ ~'? 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~ T~ta~ payments made this peri~d~ (Add Lines1~ 2~ and 3~ Enter here and ~n the Summary Page~ c~lumn A~ Line 6~) ............................. TOTALS "7~-~,~, ~ 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 Type or print in Ink. Amounts may be rounded to whole dollars. Stst~m,~r,~ covers period ,rom through .~',a~ ~- ~ ~ CODES: if one of the following codes accurately describes the Q',,P campaign paraphernalia/misc. MBR CNS campaign consultants M'FG OTB contribution (explain nonmonetary)* CFC CVC civic donations PET RL candidate filing/ballot fees PHC FND fundraising events POL .,?G independent expenditure supporting/opposing others (explain)* POS legal defense payment, you may enter the code. Otherwise', describe the payment. member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services PRO professional services (legal, accounting) UT campaign literature and mailings IRT pdnt ads SCHEDULE E (CONT.) Page "~ of ~ I.D. NUMBER NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER LD. N{.iMSER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID ¢' RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs 33:}C 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 (intemet, e-mail) yments that are contributions or Independent expenditures must also be summarized on Schedule D, SUBTOTALS /.~/'~ ,, ?~' FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscell; Type or print in ink. SCHEDULE I SEE INSTRUCTION NAME OF FILER DATE RECEIVED sous Increases to Cash Amo'~nts mray be r~-ded Stal=ment covers period ~SON REVERSE through ~'~/o r..~4-5~-'~ ~_ Page ~ of ¢ I.D. NUMBER FULL NAME AND ADDRESS OF ~URCE AMOUNT OF (IF CO~I~EE. A~O ENTER I.D, NUMBER) DESCRIPTION OF RECEI~ INCREASE TO CASH // Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... $ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC