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Home My WebLink AboutDICKERSON SEMIANN00(1) ecil~|ent Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Typo or print in ink. Statemen/t co?~re Period 1. T. yp/.~of Recipient Committee: A, Committees-Complete Parts 1, 2, 3, andT. ['l;l"Offlceholder, Candidate [] Primarily Formed Candidate/ Controlled Committee (Also Complete part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (A/so Complete Part 5.) Officeholder Committee (Also Complete Part 6.) [] General Purpose Committee Date of election if applicable: (Month, Day. Year) Date Stamp AUGI5 PH[~:I5 COVER PAGE 2. Type of Statement: aeCtion Statement nnual Statement [] Termination Statement Page / of ~> For Official Use Only O Sponsored O Broad Based [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. COmmittee Information STREET ADDRESS (NO P.O. BOX) crTY STATE ZIP COOE / MAILING AODRESS (iF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE TreasUrer(s) MAILING ADDRESS CITY STATE ZIP COOE AREA CODEJPHONE NAME OF ASSISTANT T: iEAT~ R. IF ANY MAIUNG ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CiTY STATE ZIP COOE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS FPPC Form 480 (8/00) For Technical Assletmme: 0'16/3~2,~660 State of California , Typo or print in ink.. COYER PAGE- PART 2 Recipie. nt Committee : - /.'~' ~ - Campaign Statement ~ [o~J] Cover Page :. Part2 ~ 4. Officeholder or Candidate Controlled Committee NAME 0F FFICEHOLDER OR CANDID OFFICE SOUGHT 0R I~LD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/~USINES S ADDRESS (NO. AND STREET) CITY STATE ZIP not Included In this Consolidated statement fha t are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OFTREASURER LD. NUMBER CONTROLLED COMMITTEE? [] YES [] NO CCMMITTEE ADDRESS STREET ADDRESS (NO P.O. BO~ CITY STATE ZIPCODE 7. Verification 5. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO. OR LETTER I JURISDICTION : [] supporT I [] OPPOSE Identl(y the con~'olling officeholder, candidate, or state measure proponent, if any. : NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT.NO. IF ANY ~ 6[: Primarily Formed Committee Llstnamesofofficeholder~s)orca~dldate(s) for which thll committee Is prlmsrlly formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE Attach continuation sheets if necessary OFFICE SOUGHT OR HELD [] ~UPPORT [] dpPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] ~UPPORT : [] OPPOSE have used all reasonable diligence in preparing and reviewing this statement and to the best of my know~lec~§fflhe information contained herein and in the attached schedules is true and complete, !:cmlify, under penalty of perjury under the laws of the State of California that ~,l~f~/~p~ng is true and correct. ~ By SleNATURE OF CONTROUJNG OFFICEHOLDER, CN~DIDATE, STATE MEASURE P~OR RESPONSIBLE O~ICER OF SPONSOR By Executed On" ~I~/'7~Z4~0 Executed on Ex~ut~ on By FPpc Form 450 (8/99) For Technical A. etetance: 916/322-5660 ~ State of California Camp~aign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounde¢l to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monela,-y Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule S, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines I + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines 3 + 4 Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 $ 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonelary Adjustment ....................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines a + 9 + to $. Cur~unt Cash Statement 12. Beginning Cash Baiance ................................ Previous Summary Page. Line 16 ] 3, Cash Receipls .............................................................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ....................................... Schedule l, Line 4 15. Cash Payments., ......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14, then subtract Line 15 ff this is a termination statement, Line 15 must be zero, .,. 17. LOAN GUARANTEES RECEIVED ................... Schedule e, Part I, Column (b) Cash Equivalents and Outstanding Debts '/8. Cash Equivalents ............................. see Instructions on te~'e~e $. 19. Outstanding Debts ................................... Add Line 2 + Line 9 In Column C above $. lq, / SUMMARY PA~F COlumn B* TOTAL PREVIOUS PERIOD 1.0. NUMBER Column C TOTAL TO DATE (COLUMNS A + E) $ except tot Loans Received (Line 2), Loans Made (Line ?), and Accrued · From previous stateruenl Summary Page, Colurun C. However, If this Is Ihe first report ~iled for the calendar year, Colurun B should be blank Expenses tUne 9). Summary for Candidates in Both June and November Elections 111 through 6/30 71! (o Date 20. Conlributions Received ............ $ · (:~ ~ 21. Expenditures ~ ,_~. Made .................. $ ' FPPC F~m 4~0 For Technical Assistance: 91~22-5660 Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE: Type or print In ink. Amounts may be rounded to whole dollars, Stetemen~/o~_rs period from NAME OF FILER DATE RECEIVED FULL NAME~ MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR (IF COMMITTEE~ ALSO ENTER I.O. NUMBER) [] Lender ;Fi Guarantor [] Lender [] Guarantor [] Lender [] Guarantor CONTRIBUTOR CODE * [] iND [] COM [] OTH I-J IND [] COM [] OTH IF AN INDIVIDUAL, ENTER OCcUpATION A~[~ EMI~LO~ER (IF SELF-EMPLOYEO. ENTER NAME OF BUSINESS) LENDER INFORMATION INTEREST RATE OF LOAN DUE DATE INTEREST RATE DUE DATE INTEREST RATE SCHEDULE B - PART 1 I.D, NL~MBER GUARANTOR NFORMAT ON CUMU~TIVE TOD~E CALENDAR YEAR $ OTHER CALENDAR YEAR $ OTHER (b) AMOUNT GUARANTEED [] IND ~1COM [] OTH DUE DATE CALENDAR YEAR OTHER OTHER CALENDAR YEAR $ · SUBTOTAL Enter (b} ~1 Schedule B ~ part1 SUmmary 1. Loans of $100 or more received this period. (Include all Loans Received - part 1 (a) subtotals.) ................... $ 2. Amount received this period - unitemized loans of less than $100 ........ ,.....;....;i~ ........................................... $ 3. Total loans received this period. (Add Lines I and 2.) ................................. ;;~ ................................... TOTAL $ Schedule B - Part 2 ~Summary -:- 4. Loans of $100 or mote repaid, forgiven, or paid by a third party this peried. (InclUde all Part 2 (c) subtotals. If fO~'giveh Or paid by a third party, also itemize the transaction on SchedUle A.) ............................. $ ,/~-'T-- 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party¢ include:this amount on Schedule A Summary, Line 2, .,,,~,,~,..,~.,,~,,~,,,.,,....., ........ ,; ........ ; $ ~ t IND-In~iividual J c(~M ~ I~Pie~nt C°mmittee 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ ~/Z''~O43 ~''-''- L OTH- Other 7. Net change this pedod. (Subtract Line6 fromLine 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ ForTechn ce Assistance: 916~22-5660 Schedule B - Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party Type or print in ink. Amounts may be rounded to whole doltsrs, EB~PART2 SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE OF ' ' REPAYMENT D.~TE OF OR ORIGINAL LOAN FORGIVENESS , · FULL NAME OF LENDER : INTEREST RATE (i~ CHANGED) (C) AMOUNT REPAID OR FORGIVEN ON PRINCIPAL* [EXCLUDE PAYMENT OF INTEREST) OUTSTANDING PRINCIPAL (d) INTEREST PAID Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ * IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, including the name and address of the person forgiving the loan or the third party making the payment, and the amount forgiven or paid. TOTAL INTEREST' PAID THIS PERIOD $ Enter the arnount ln ~olumn (d) in b~e Schedule E Summa~ Une 3.'DO ~cany ihls total to the Schedule B Summary. For TechnlcM A~ g~nCe: 916/322-5650 Schedule B - Part 3 Typo or print in Ink. · ~' ~sCHEDUI .E B- PART 3 Attach additional information on appropriately labeled continuation sheet& TOTAL $ ~'~_~>'~ the same amount as entered ' on ~fle Summaq/ Page, ColurnnC, Une2. FPpC Form 460 (8/99) For Techn Cai AS,,ISt~ih~e: 916~322,5660 MARK DICKERSON ATFORNEY AT LAW BAKERSHZLD, CA 93301