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Home My WebLink AboutDICKERSON SEMIANN04(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEEINSTRUCTIONS ON REVERSE Type or print in ink. through 1. Type~ Recipient Committee: A, Comm=~*$ - Comp~*t~ Pa~ts 1, 2, 3, ;*nd 4. L~bV Officeholder. Candidate Controlled Committee [] Ballot Measure Committee 0 Primarily Formed 0 Controlled O Sponsored [] Primarily Formed Candidate/ Officeholder Committee O State Candidate Election Committee O Recall Dale Stamp [] General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee Date of election if applicable: (Month. Day, Year) 05FE -? L;;tl 2. Type of Statement: aStatement I Statement [] Termination Statement [] Amendment (Explain below) COVER PAGE For Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement * Attach Form 495 3. Committee Information lID NUMS~ i,Z / COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE} Treasumr(s) NAME OF TREAS RER MAILING MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 knowtedge the info~ ceMify under penalty of perju~j ~nder ~e laws~ of the State of California that the foregoing is true and correct. / J / Executed on [ By / ! fntained herein and in the attached schedules is true and complete. I 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 Statement c er period ,.o. $ ~ $ Column A Column B 1. Monetary Contributions ........................................... Schedule A, Line 3 $ $ 2. Loans Received ...................................................... Schedule B, Ur~ 3 ~ 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Unes 1 + 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 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule ~ Line 3 10. Nonmonetary Adjustment .......................................... Schedute C. Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLinesS+9+ 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Sumrnaq/ Page, L~ne 16 13. Cash Receipts ................................................... ColumnA, Llee3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. Column A, Line $ above 16. ~NGCASH BALANCE .......... Add L/nes 12+ 13+ 14, then subtrect Line 15 If this is a termination statement, Line 16 must be zero. $ / 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 ca~endar year, only carry over the amounts from Lines 2, 7, and 9 (if any). 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Par~ 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ s~ins~uc~o~son~ve~se 19. Outstanding Debts ......................... AddLine2+LineginColumnBebove SUMMARY PAGE Page ~ of ~ 'y for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contdbufions ~_~ (~ Received $ $ 21 Expenditures ~ ~ Made $ $ Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made* Date of Election Total to Date (mmJdd/yy) / / $ / / $ I / $ __/ / $ __1 / $ __/ / $ *Since Janua~ 1, 2001. Amounts in this section may be different from amounts repealed in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Hell)line: 866/ASK-FPPC , , ,4ule B- Part 1 I.tlens Received Ammmll nm,/be ~ound~d lo whol~ 6oll~m, SCHEDULE B * PART I 2. Loans imid or forgiven this pedod ......................................................................................................... $ (Total C~urnn (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on $cheduleA.) 3. Net change lhis period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net hem and cm the Summary Page, Col~q~n A, Une 2. anolher pe~/also must be I relX~ed o~ Schedule A. I ~ *' If required. J "4dual COM- RectpiefltCommitlee (otherlhan PTYetSCC) OTH-Olher PTY-PoilicaiParty SCC-SmaaConlfll~tm-Commi~e FPPC Form 460 (June/01) 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 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO AND STREET) CITY STAT ZiP Related Commiffees Not Included in this S~tement: us~ any commi~s not included in ~is sM~m~t ~at are con~oll~ by you or a~ p~marily fo~ ~ r~eive con~ibu~ons or make exp~ditures on behalf of your candidacy. COMMITTEENAME I D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO RO. BOX) CiTY STAT ZIP CODE AREA CODE/PHONE [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO PO BOX) CITY STALE ZIP CODE AREA CODEJPHONE 6. Ballot Measure Committee NAME OFBALLOT MEASURE BALLOT NO OR LETTER JURISDICTION D 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 IFANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for which ~is committee is p~marily formed. NAME OF OFFICEHOLDER OR CANDIOATE OFFICE SOUGHT OR HELD E]SUPPORT [~OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E~]SUPPORT ~]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •SUPPORT []OPPOSE A~ach continuation sheets if necessary