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HomeMy WebLinkAboutMAGGARD PREELEC02(2) ecipient Committee Campaign Statement Cove~' Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from __ '~ SEE INSTRUCTIONS ON REVERSE I through 1. Type of Recipient Committee: All Commlitees - Complete Paris 1,2, 3, and 4. Date of election if applicable: (Month, Day, Year) Date Stamp Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall [] General Purpose Committee C) Sponsored C) Small Contributor Committee C) Political Party/Central Committee [] Ballot Measure Committee C) Primarily Formed C) Controlled O SpOnsored (Aisc Complete Pitt 6) [] Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement: E~Preelection Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 COVER PAGE 3. Committee Information I,.D. NUMaER~ ~:~O ~ ~)O COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) AREA CODE/PHONE Treasurer(s) NAME OF TREASURER CITY STATE ZIP C~E NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE STREET ADDRESS (N OX) CITY STATE ZIP CODE MAILING ADDRESS (IF CIFFERENT) NO, AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZiP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 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 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 ~4.~ (~~ Executed on (. O ~ ~ ~'( -- O '~ By 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 NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LE]~'ER RESIDENTIALJBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 6. Ballot Measure Committee JURISDICTION [][] OPPosESUPPORT identity the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any commlttees not included in this statement that are controlled by you or are primarily formed to receive cont~fbutions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMI3-rEE ADDRESS STREET ADDRESS (NO RD, BOX) CITY STATE ZiP CODE AREA CODE/PHONE COMMITTEE NAME I I.D. NUMBER I CONTROLLED COMMITTEE? [] YES [] NO STREETADDRESS (NO P.O, BOX) NAMEOFTREASURER COMMITTEBADDRESS 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 N SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I~] SUPPORT [] OPPOSE 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 Type or print in ink. Amounts may be rounded to whole dollars. 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 t + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLine$3+4 ColumnA $ ~ ~)~ Expenditures Made 6. Payments Made ....................................................... $chedu/~ E, Line 4 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTALCASH PAYMENTS .................................... AddLinesf+ 7 9, Accrued Expenses (Unpaid Bills) ............................... Schedu/eF, Line3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a + 9 + to Statement covers period from /(~ J ~ ~ ~'~"- through ~'"'~ ~ [c~l ' ~"z'"'~ Current Cash Statement 12. Beglnning Cash Balance ....................... Previous Summary Page, Line16 13. Cash Receipts ................................................... ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. ColumnA, UneSabove 16. ENDING CASH BALANCE .......... Add LInes 12+ ~3 + 14, then subtract Line 15 ff this is a terminafion statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... sc~ddule e, Pa~ 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... AddLine2+LineginColumnSabove Column B CALENDAR YEAR TOTALTO DATE $ ~7~- -O- SUMMARY PAGE Page ~ of (~ 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, 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). t.D. NUMaER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/I through 6/30 7/1 Io Date $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* 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 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. t~-- I -'~ through I O -[~1 - O~.~ of ~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ~ campaign paraphernalia/misc. (3NS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate firing/ballot fees FND fundraising events ~ independent expenditure supporting/opposing others (explain)* LEG legal defense MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polring and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) I.D. NUMBER RAD radio airtime and production costs RFO retumed contributions SAL campaign workers' salaries TEL t.v. or cable aidime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between commitlees of the same candidate/sponsor VOT voter registration LiT campaignliterature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMIT~E~* ALSO ~ NTER I O' NUMI~E R) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID are contributions or independent expenditures must also be summarized on Schedule D. 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. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Corumn A, Line 6.) i ............................ TOTAL $ ~ _.%'-0 · oo I 03. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC