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