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Home My WebLink AboutDICKERSON SEMIANN10(2)Kecipient Committm Campaign Statement Cover Page (Government Code Sections 8420D-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in InL Date stamp 3tatemen co era period Date of election if applicable; page Of Zola (Month, Day, Year) For Ofncial Use from - 201 FEB IQ: 43 through 1 • Type Af Recipient Committee: All cornmiea.t -comgaa Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee Q State Candidate Election Committee ❑ Primarily Formed Ballot Measure O Recall Committee O Controlled W- Par) Q Sponsored ❑ General Purpose Committee oftCMOs&Perte/ O Sponsored Q Small Contributor Committee ❑ Primarily Formed Candidate/ Officeholder Committee Q Political Party/Central Committee 0VWConipiovPart n 3. Committee Information I.D. NUMBER [ , l z_ cc n.+mc turf GANDtoATE'S NAME IF O COMMITTEIG# STREET CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 2. Type of Statement: - ❑ Perri-anion Statement /Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement - Attach Forth 495 Treasurer(s) MAILING r•iTv NAME OF ASSISTANT TREASURER, IF ANY MAILING 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 Btis statement and to the best of under penalty of my knowledge the information con perjury under the la of the of Catlfomta that the firegoing is true and correct. ZZtl rzc By Executed on Si¢rahaaorT Executed on &'I 1 By and in the attached schedules is true and complete. 1 certify K Executed on Dow By Sf ak-ofCanM&V0ftdWNff.CandWab.S41fMantraPropanerrt Executed on naf By SgrwdraafCarmoFrgolAcahalder. Carte, Stale MaauaPmpmfnt GWASK-FPPC 460 (January FPPC Toll-Free Helpane: 8FPPC FPPC Form 4 0 (Ja uary 2) State of California Recipient Committee Campaign Statement Cover Page - Part 2 Type or print in ink 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE '-49511z I OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Related Committees Not included in this Statement: Listanycommmees not Included In this statement that are convolved by you or are primarily formed to receive contributions or make expendhrres on behalf of your candidacy. I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER ( CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 9- of A 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ 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 Candidate/Officeholder Committee List names of ofrfcehoider(s) or candk%Ws) for which this committee Is primad7y 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 ff necessary FPPC Form 160 (January/" FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275.3772) State of Cawomia SCHEDULE B - PART 1 Schedule B - Part 1 *b'e-rou"'-Amounts may be nded statement e v rs period CALIFORNIA Loans Received to whole dollars. ] _ • from Z ~ 1-0 f P SEE INSTRUCTIONS ON REVERSE ' through - - o age - NAME OF FILER I.D. NUMBER ~tf~ - X31 2 ) FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSMU ALANC T lb) O AMOUNT RECEIVED THIS (O) AMOUNT PAID OR FORGIVEN ~ NTEREST PAID THIS IF) ORIGINAL AMOUNT OF UMULATIVE CONTRIBUTIONS (FcommITTMALWENTERLD.NWOM (F$RF4WPL0YED,ENTER I OFOUSINE s) BEGI HIS PERIOD THIS PERIOD' OF THIS PERIOD LOAN TODATE VVV ❑ PAID CALENDAR YEAR c ~ s. -4t~,- % . , _ M ~ . A N _ l ~vic ❑ FORGIVEN RATE PER ELECTION i{ ~ ~ S rL!~~? $ S i S t❑ IND COM ❑ OTH ❑ PTY ❑SCC ~ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S S % S S ❑ FORGIVEN RATE PER ELECTION" S i S $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S t % S $ ❑ FORGIVEN RATE PER ELECTION s i S s s t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of 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 (Mey ee a epetlw ) Enter the net here and on the Summary Page, Column A, Line 2. (Enter (e) on Sdmdde E. Une tContributor Codes IND-Individual COM-Recipient Committel (other than PTY or SCC) OTH -Other (e.g., business entity) PTY - Political Party SCC- Small Contributor Committee 'Amounts forgiven or paid by another party also must be reported on Schedule A. I If required. J FPPC Form 460 (January/05) FPPC Toll-Free Heipline: 866/ASK-FPPC (8661275-3772) Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. statement c e period . - ' o from • Page 14 of SEE INSTRUCTIONS ON REVERSE through NAME OF FILER i I.D. NUMBER Column A Column a Calendar Year Summary for Candidates Contributions Received TOVY.TMPEF oD ca.ENWY T Running In Both the State and 9 Primary FROUN-AcrtEDscre~ TOTPL OOKE General Elections 1. Monetary Contributions Sdredule a Lie 3 $ $ 111 through 6/30 7i1 to Date 2. Loans Received Sdodule B, Line 3 $ . 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS addunes 1 +2 $ Received $ $ Lme 3 Sdredae C 4 Nonmonetary Contributions enditures Ex 21 , . _ p . $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .................AddLines3+4 $ $ Made Expenditures Made 6. Payments Made Sdredde E, Line 4 7. Loans Made Sdredub H, Line 3 8. SUBTOTAL CASH PAYMENTS add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) Sdmdu+e F Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Addunese+9+io $ 19' $ $ $ $ ro-- $ Current Cash Statement 12. Beginning Cash Balance Prevkxo S-wnwyF%W Une 16 13. Cash Receipts Comm A. Line 3 above 14. Miscellaneous Increases to Cash Sdheatle i, Line 4 15. Cash Payments Column,, Una a above 16. ENDING CASH BALANCE Add uses 12 + 13 + 14. then subtract Une 15 If this is a termination statement, Line 16 must be zero. $ ...G_ 4~0- $ 'It7- 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 mounts. 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). 17. LOAN GUARANTEES RECEIVED S h duce B, Pert 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents see instructions on reverse $ 19. Outstanding Debts Add Une 2 +tkre 9 in Column a above $ f p Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' M $uWdto voMee.ry Eq-W%mre t.imdt) Date of Election Total to Date (mm/ddlyy) 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toil-Free H@Ipline: 888/ASK-FPPC (886!275-3772)