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Home My WebLink AboutCOUCH SEMIANN00(1)Recipient Committee Campaign Statement (Government Code Sec§ohs 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 'J"'~ /~Zoo'O through 0'~..~ C SOt Zo~o Date of efeotion if; (Month, Day, Year) Dale Stamp OOJUL20 ~8 COVER PAGE Page / of. ~,~' For Official Use Only 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee (Also Comp fete Part4.) [] Ballot Measure Committee O Primarily Formed 0 Controlled O Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Als~ CoflTplete Part [] General Purpose Committee O Sponsored O Broad Based 3, Committee Information COMMI~rEE NAME STREET ADDRESS (NO Re. BOX) MA~MNG ADDRESS (IF DIFFERENT~ NO, AND STREET ~ Re. BOX C~ STATE ZiP C~E AREA CaD.HONE OPTIONAL: FAX / E-MAiL ADDRESS 2. Type of Statement: [] Pm-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADD~ESS AREA CODE/~HONE FPPC Form 460 (8/99) For Technical Assistance: 916/3:~2-S660 State of CaJJferrlla Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print In ink. COVER PAGE-PART2 4. Officeholder or Candidate Controlled Committee N~E OF OFE,CEHO~ER OR CA,D,DATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREE~ C~ STATE Related Committees Not included in this Statement: Llstanycommlttees not Included In this consolidated statement the t are con trolled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME Cf: TREASURER CONTR~LEO C~MI~E AODRESS STREET ADDRESS (NO P.O. BO~ NAME OF OFFICEHOLDER OR CANDIDATE OFFICE sOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] laws of the State of California that the foregoing is true and correct. aculado / DATE SIG~E OF CONTROLLING OFFICEHOLDER, C~DA~, .STATE ~SURE PROPONENT OR RESPON~BLE OFFICER OF SPONSOR Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE, STATE MEASURE PROPONENT Executedon By. DATE SIGNATURE OF CONTROLLIN~ OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 S~ate of Cafifornle Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded towhole dollars. SEE ~NSTRUCTIONS 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 ................................... Add Lines t + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 Column A TOTAL THIS PERIOD IFnO~+~rr^C,ED SC~EOULES~ 'O' Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 7. Loans Made .......................................................................... Schedule H, Line 8. SUBTOTAL CASH PAYMENTS ................................................ Ac~d Lines 6 + 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, L/ne 10. Nonmonetary Adjustment ....................................................... Schedule C, Line tl. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + tO Current Cash Statement t 2. Beginning Cash Balance ................................ Previous Summary Page, Line rE 13. Cash Receipts .............................................................. ColumnA, Line3above 1 4. Miscellaneous increases to Cash ....................................... Schedule i, Line 4 1 5. Cash Payments ............................................................ Column A. Line 8 above 1 6. ENDING CASH BALANCE .............. Add Lines 12 + t3 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, Column lb) Cash Equivalents and Outstanding Debts 18. Cash Equivalents .....................................................See instructions on reverse ~9. Outstandin§ ~,,ut~ ................................... - Statement covers period from. ~'~ Column B* TOTAL PREVIOUS PERIOD (SEe ~ors EELOWl $-- SUMMARY PAGF Page ~.__~ of I.D. NUMBER Column C * From previous statement Summary Page, CoLumn C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Une 2), Loans Made (Line 7), and Accrued Expenses (Line Summary for Candidates in Both June and November Elections 20. Contributions 1/1 through6/30 7/1 to Date Received ............ $ 21. Expenditures Made .................. FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 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 SCHEDULEF through .~"~'~ ,~! 2~,~ Page .. gJ/ of 2}/ CODES: If one of the tollowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign,consultants CTB cont ribulion (explain nonmonetary)- CVC civic donations FND fundraising events IND indepandent expenditure suppoding/opposing othe rs (explain)* LIT campaign literature and mailings MTG meetings and appearances OFC office expenses PET petition cimulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal. accounting) PRT pdntads RAD radio aidime and production costs I.D. NUMBER RFD m~med contdbu§ons SAL campaign workers calafies TEL t.v. or cable aidime and production costs TRC candidate travel, lodging and meals (exptain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the came candidate/sponsor VOT voter mgistratfon WEB information technology costs (intemet, e.mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMI~FEE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID dependent 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 su§'totals.) ............................................................................................... 2. Unitemized payments made this period of under $100 ........................................................................................................................................ 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 60 ......................... TOTAL FPPC Form 460 (8~9) For Technical Assistance: 916/322-5660