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Home My WebLink AboutDICKERSON SEMIANN02(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement~ov/ers period from '-//J/F through Date of election if applicabl, (Month, Day, Year) Date Stamp IFEB-5 /~t11:33 ,RSFt,_L~ CIiY C[.ER; COVER PAGE Page / of ~ Typ,,c-of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ~,/Officeholder, Candidate Controlled Committee [] Ballot Measure Committee State Candidate Election Committee C) Primarily Formed 0 Recall (ALSO Coz np/ele Pa~t 5) [] General Purpose Commiffee 0 Sponsored O Small Contributor Committee O Political Pady/Centrei Committee 0 Controlled O Sponsored (Also Ccmplete Pa4 6) [] Primarily Formed Candidate/ Officeholder Committee (Also C~plete Part 7) 2. Type of Statement: [] Son Statement [~Semi-annual Statement [] Termination Statement [] Amendment (Exprain below) For Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Treasurer(s) NAME OF TREASU~.~R . ' MAILING CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification / I have used ali reasonable diligence in preparing and reviewing this statement and to the best of my knowledge th~'~,~t~/ion contained herein and in the attached schedules is true and complete. I certify under penalty of perjury ~nder the laws of the State of California that the foregoing is true and correct, fL/ ///. /' Executed on ~-~ ((~) ~'~ By //~ ~'~'~' [' ,/]~/. EX6CUISd on ~J~,;~ ~ By Si.atureolConlro(ling~.ho~r, Ca~le.~t:~s~nlor Re~s~er o,~s~ Executed on By Date Executed on By Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE - PART 2 Page '~- of L~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALJSUSINESS ADDRESS (NO. AND STREET) CIT~ STAT ZIP / / 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMIttEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX CITY STA~ ZIP CODE AREA CODE/PHONE COMMI~rEE NAME I.D, NUMBER NAME OF TREASURER CONTROLLBD COMMri~EE? [] YES [] NO COMMI3~'EE ADDRESS STREET ADDRESS (NO P,O. BO) CITY STALE ZiP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ~j~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 Helpllne: 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, Stateme.n~ co~vers period from '7!1 SUMMARY PAGE Page ~-~ of ~-~ Contributions Received f)¢ . 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 4. Nonmonetary Contributions .................................... Schedule C, L/ne 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. ScheduteH, Line 7 8. SUBTOTAL CASH PAYMENTS ....................................AddLinese+7 9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Prewous Summary Page, Line 16 13. Cash Receipts ................................................... ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................... ScheduleI, Line4 15. Cash Payments .................................................. ColumnA, Lmeaabove 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 B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... AddLine2+UneginColumnaabove $ $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column 8 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). 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, Contribulions Received $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made' (Il SUbject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) / / $ / / $ / / $ / I $ / J $ __J / $ *Since January 1, 2001, Amounts in this section may be different from amounts reported in Column B. L(~,~-~. L '[~,..4.__ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B- Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement c~ve/s period from 7l~l°'~- through [ ~/~(/~ ~- SCHEDULEB-PART1 Page ~/ of ~ / FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL OF LENDER OCCUPATION AND EMPLOYER lip COMMITTEE' ALSO ENTER i D. NUMBER) (rF SEU=-EMPLOYED, ENTER fEI IND [] COM [] OTH [] PTY [] SCC t[] IND [] COM [] OTH E] PTY [] SCC I'[] IND [] COM [] OTH [] PTY [] SCC NAME OF BUSINESS) (b) (c) OUTSTANDING AMOUNT AMOUNT PAID BALANCE RECEIVED THIS OR FORGIVEN PERIOD THIS PERIOD * [] PAID $ [] FORGIVEN $ [] PAiD iNTEREST BALANCE AT CLOSE OF THiS PAID THIS PERIOD DATE DUE D~EDUE $ DATE DUE RATE RATE I,D, NUMBER ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $ CALENDAR YEAR PER ELECT~ON ** DATE INCURRED CALENDAR YEAR $ __ $ PER ELECT]ON ** $ DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period ...................................... (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ~__~ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3, Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May bea negalivenumber) It Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC- Small Contributor Committep ] (Enter(e) on Schedule E, Line 3) 'Amounts forgiven or paid by} '* If required. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8G6/ASK-FPPC '.'ne(lUle B - Part 3 nnual Report of Outstanding Loans bt ,, ~ add/t/one~ Information on appropriately labeled conUnuatlon sheets.