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Home My WebLink AboutCOPE SEMIANN01(2)Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print In Ink. SEE iNSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: AlI Commtttees - Complete Parts l, 2,3, and7. Date of election If applica~llle: ~/ (Month, Day, Year)[~ ~' ~ I -Ol 2. Type of Statement: Date Slamp "~CiTYCLEF [] Officeholder, Candidate Controlled Committee (Also Complete Part [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part S.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6 ) [] General Purpose Committee ~. Sponsored O Broad Based ~ Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) COVER PAGE For Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Altach Form 495 3. Committee Information COMMITTEE NAME Treasurer(s) NAME OF TREASURER CITY MAILING ADDRESS CITY STATE ZIPCODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODEJPHONE FPPC Form 460 (8199) For T®chnlcal Assistance: 916/322-5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 4, Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENT[AL/BUSINESSADDRESS (NO ANOSTREET} CITY STATE; ZIP Related Committees Not Included in this Statement: List any cemmitteea not included in this consolidated statement that are controlled by you or which are primarfly formed to receive contributions or to 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 STATE ZiP CODE AREA CODE/PHONE BALLOT NO. OR LE~-rER JURISDICTION [] SUPPORT [] OPPOSE Identify the controlling officeholder, candidate, or orate meaeure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE OR. PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee uat names of officeholder(s) or candidate(s) for which thio committee ia prlmarfly formed. NAME OF OFFICEHOLDER OR CANDIDAI~ OFFICE SOUGHT OR HELD I~ SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANOIDATE OFFICE SOUGHT OR HELD I~ SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE Attach continuation sheets if necessaq/ 7. Verification I have used all reasonable diligence in preparing and reviewing Ibis statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Execuledo~ SIGNATURE OF CONTROLLING (~'FICEHOLOER, CANOIDATE, STATE MSAS~RE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR By By SIGNATURE OF CONTROLLING OFFICEHOCOER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIOAT E, STATE MEASURE PROPONENT Executed on FPPC Form 460 (8199) For Technical Aseletanca: 9161322-5660 State of California Campaign Disclosure Statement Summary Page Type or print in Ink. AmountI may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Contributions Received 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, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 Column A ,3.3 g. ~3 0,00 g. 9._5 Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 7. Loans Made .......................................................................... Schedule H, Line 8. SUBTOTAL CASH PAYMENTS ............................................... Add Lines 6 * 9. Accrued Expenses (Unpaid Biffs) ........................................... Schedule ~ Line 10. Nonmonetary Adjustment ....................................................... Schedule C, Line 11, TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 ,~ 10 , ,gq .00 -' 0.00 - ~.00 from SUMMARY PAGE LO. NUMBER Column B* Column C TOTAL PREVIOUS PERIOD TOTAL TO DArE (SEE NOTE BELOW) (COLUMNS A ~ ~) 0.0::) OiOO ' o.oo glo&.7/) s I ,,90~5.q'5 $ "/,..,~0.oo , '7~q. Oo 0,00 Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 13. Cash Receipts .............................................................. Column A. Line 3 above 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A. Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14, then sublract Line 15 If lhis is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule 6, Part I, Columll lb) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line g in Column C above , q g3, s O-O0 =o. ,,0.00 '" · From p~evious slatement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except fo~ Loans Received (Line 2). Loans Made (Line 7). and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 1/1 through 6130 111 to Dale Contributions Received ............ $ Expenditures Made .................. $ FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule A Type or print in ink. SCHEDULE Monetary Contributions Received Am°~ontwSl.~laeYc'ol~lra°rsU~(le~] S;~;~,~,,; covers period ',lAME OF F~/~ MB IF ~N INDIVIDUal, ENTER AMOUNT CU~U~TIVE TO D&~E CUMU~TIVE TO DATE DATE FULL NAME. ~AILIN8 ADDRESS AN~ ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION ~D E~OYER RECEIVED THIS CAL/NOAR YEAR OTHER RECEIVED [iF C~MI~E[, A80 ENTER I O NUMBER) CODE * (IF SELF-EMPLOYED. ENTER ~E PERIOD (JAN. 1 - DEC. 31 ) {IF APPLICABLE) ~ BUSINESS) ~IND ~ COM ~ OTH ~ tED ~COM DOTH ~ IND ~ COM ~ OTH ~ COM ~ OTH ~ tND ~ COM ~ OTH SUBTOTALS Schedule A Summary 1. Amount received this period - contributions o! $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... 2. Amount received this period - unitemized contributions of less than $100 ......................................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL *Contributor Codes IND - Individual COM- Recipient Committee OTH - Olher FPPC Form 460 {8199) For Technical Assistance: 9161322-5660 Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. ,rD. ?--I--OI NAME OF FILER DATE FULL NAME, MAILING ADDRESS AND ZIP CODE RECEIVED OF LENDER OR GUARANTOR E] Lender [] Lender CONTRIBUTOR CODE * [] IND [] COM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH IF AN INDIVIOUAL ENTI~R OCCUPATION AND EMPLOYER LENDER INFORMATIO~I DUE DATE DUE DATE INTEREST R~TE % DUE DATE SUBTOTAL $ SCHEDULE B - PART 1 I.D. NUMBER GUARANTOR INFORMATION $ $ $ $ Schedule B - Part 1 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 ................................................................... 3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL Schedule B - Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. 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 ...................................................... 6. Total loans repaid, forgiven, or paid by a third party this pedod. (Add Lines 4 + 5.) ........................... TOTAL 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET 'Co~bibutor Codes COM - Recipient Committee OTH - Olher ~ay ~e a negaave nume~ FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule B - Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party SEE INSTRUCTIONS ON REVEr~SE NAME OF FILER DAlE OF OR FORG~VENESS Type or print In Ink. · to whole dollars. Statement covers period ,.,o... q DATE OF ORIGINAL LOAN FULL NAME OF LENDER INTEREST RATE {IF CHANGED) AMOUNT REPAID OR FORGIVEN ON PRINCIPAL * {EXCI_UOE PAYMENT DF INTEREST) OUTSTANDING PRINCIPAL SCHEDULE B - PART 2 (d) INTEREST PAID TOTAL INTEREST Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ PAID THIS PERIOD $ * IMPORTANT~' If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter the amount in column (d) in the Schedule E 1 including the name and address of the person forgiving the loan or the third party making the payment, and the amount Summa~ Line 3. Do not carry this total to the ! forgiven or paid. Schedule 8 Summarx FPPC Form 460 (8199) For Technical Alslstance: 9161322-5660 Type or print in ink. SCHEDULE II - PART 3 AnnualRepo. of Outstanding Loans Received ,owho,*do,,.... ,,.mS~"'""=°v'"~r'od~--~--~/ i ~~ NAMEOFF ER FULL NAME OF LENDER ORIGINAL DATE OF LO~ AMOUNT ~ ~IGINAL LOAN UNPAID PRINCIPAL T l,J~:~. ~. .~,~ .~. -~,~ Attach additional information on appropriately/abe/ed continuation sheets. TOTAL $ ~~.~!):~.:.. NOTE; Thl~ to,al should be the seine emount es entered o~ the Summary Page. Column C, Line 2. FPPC Form 460 (6/99) For Technical A$1iltance: 9161322-5660 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * [] IND []COM [] OTH [] IND [] COM [] OTH [] IND FICOM [] OTH [] IND [] COM [] OTH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Attach additional information on appropriately labeled continuation sheets. DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE SCHEDULE C ID NUMBER CUMULATIVE TO DATE DATE OTHER CALENDAR YEAR (JAN 1 - DEC 31) (IF APPLICABLE) SUBTOTAL~ Schedule C Summary 1. Amount received this period - nonmonetary contributions of $100 or more. (Include all Schedule C subtotals.) ................................................................................................................... 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ................................ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL [*Contributor Codes IND - Individual COM - Recipient Commillee OTH - Olher FPPC Form 460 (8199) For Tschnlcal Assistance: 9161322-5660 Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULE D Page q offS- DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE [] Support [] Oppose [] Supper [] Oppose [] suppo,t [] o~pose TYPE OF PAYMENT [] aonetay [] Indeponde~l [] M~eta~y DESCRIPTION OF NONMONETARY CONTRIBUTION (IF R£OUIRED) ID. NUMBER AMOUNT THIS PERIOD CUMULATIVE AMOUNT Calendar Year $ Other Calendar Year $ Other Ca~ndarYear $ Other SUBTOTAL $ Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................ $ 2. Unitemized contributions and independent expenditures made this period of under $100 .................................................................................. $ 3. Total contributions and independent expenditures made thi~ period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ........ TOTAL $ FPPC Form 460 ($199) For Technical Assistance: 9161322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole doller~. S~,~ covem period SCHEDULE E Page --~ oiL NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment. CMP campaign par aphemalia/misc. CNS campaign COnsultants CTB contHbulion (explain nonmonetary)' CVC cJv~c donalions FND fundraisi~g evenIs IND independent expenditure supporting/opposing olhers (explain)* LIT campaign lilerature and mailings MTG meelings and appearances OFC offica expenses PET petiito~ ctrcula~ng PHO phone banks POL polling and survey researcfl POS postage, delivery and messenger services PRO pmlessional secY..es (legal. aocounting) PRT print ads RAD radio airt~me and ~oduction cosls RFD returned conl~ibutions SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS slafflspouse Iravet, lodging and meals (explain) TSF ffansfer belween committees of the same candidate/sponsor VOT voter registra~on WEB inton~ation technology costs (internal. e-mail) * Payments that are contributions or Independent expenditures must also be aummadzed on Schedule D. SUBTOTAL $ Schedule E Summary 1. Payments made this pedod of $100 or more. (include all Schedule E subtotals.) ............................................................................................... 2. U~it,emi. zed ,payments made this period of under ,100 ........................................................................................................................................ 3. Total i~nterest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... 4. Total payments made this pedod. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL FPPC Form 460 (BI99) For Technical Assistance: 916/322-5660 Schedule F Accrued Expenses (Unpaid Bills) SEE iNSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period ,ro,n SCHEDULEF _ NAM OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code, Otherwise, descdbe the payment. CMP campaign paraphemalia/misc CNS campoign consultants CTB conlribution ( ex plain n on moneta r/)' CVC civic donations FND fundraising evenls IND independent expenditure supporting/opposing olhers (explain)' LIT campaign literature and mailings MTG meetings and appearances OFC o~fice expenses PET petiUon circulaUng PHO phone banks POL polling and survey research POS postage, deliver/and messenger services PRO professional se~ces (legal, accourtling) PRT print ads RAD radio airtime and produclion cosls I.D. NUMBER RFD returned conlribu/ions SAL campaign workers salaries TEL t.v, or cabie airtime and production costs TRC candidate bavel, ledging and meals (explaio) TRS s~alflspousa travel, lodging and meals (explain) TSF transfer between committees o! ~he same candidale/sponsor VOT voter rsgislration WEB intom~ation technctogy cost s (iniernel, e-mail) (s) (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (iF COMMITTEE ALSO ENTIER ~ D NUMBER) DESCRIPT~ON OF PAYMENT BALANCE SEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE SUBTOTALS Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .............................................................. : ................................................................................. NET $ FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. NAM E~'~ AGENT ~)R INDEPENDENT CONTRACTOR SCHEDULE G ID+NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DFC office expenses PET pelilion circulating PHO phone banks POL polling and survey resem'ch POS postage, delivery and messenger sen, ices PRO pro[essio~al services (legal, account~g) PRT print ads PAD radio airtime and prnduclion costs CMP campaign par a phem alia/misc CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FND Iondraising events IND independent expondilure supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetiogs and appearances * Payments that are contributions or independent expenditures must also be summarized on Schedule D. RFD relurned contributions SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, kxJging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF ~ansfer between commiltees of the same candidale/sponsor VDT vcter registration WEB inlon~ation technology costs (intemet. e-malt) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* · Do not transfer to any other schedule or to the Summary Page. This total may not equal the arr~unt paid to the agent or independent contractor FPPC Form 460 (8199) asrepottedonScheduleE. For Technical Assistance: 9161322-5660 Schedule H - Part 1 Loans Made to Others* SEEINSTRUCTIONSONREVERSE NAME F FILER DATE OF LOAN Type or print in ink. Amounts may be rounded to whole dollars. NAME AND ADDRESS OF RECIPIENT SCHEDULE H - PART 1 INTEREST RATE DUE OATE AMOUNT *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. SUBTOTAL Schedule H - Part I Summary 1. Loans of $100 or more made this period. (include all Loans Made - Part 1 subtotals.) ............................................... $ 2. Unitemized loans under $100 made this period ............................................................................................................. $ 3. Total loans made this period. (Add Lines 1 and 2.) .......................................................................................... TOTAL $ Schedule H - Part 2 Summary 4. Payments received on loans of $100 or more. (Include all loan payments received and all loans of $100 or more forgiven by this committee - Part 2 (a) subtotals, if forgiven, also itemize on Schedule E.) ................................................................................................................... $ 5. Unitemized payments received on loans under $100, (including a forgiveness.) ............................................................................................................................................ $ 6. Total loan payments received this period. (Add Lines 4 and 5.) ........................................................................................................................................ TOTAL $ 7. Net change this period. (Subtract Line 6 from Line 3. Enter the net here and on the Summary Page, Column A, Line 7.) ................................................................ NET $ FPPC Form 460 For Technical Assistance: 9161322-5660 Schedule H - Part 2 Repayments on Loans Made to Others and Loans Forgiven Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE from ,,,,o.,,,, / SCHEOULEH-PART2 NAME OF FILER I.D. NUMBER (bi DATE OF DATE OF INTEREST INTEREST REPAYMENT OR ORIGINAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL'* OUTSTANDING FORGIVENESS LOAN PRINCIPAL RECEIVED TOTAL INTEREST Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ RECEIVED THIS $ PERIOD * IMPORTANT3 If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Enlertheamountincolumn(b)inthe from a third party, enter the name and address of third par~y in the ~FULL NAME OF RECIPIENT OF LOAN* column above, along with the Schedule I Summaq4 Line 3. Do not carol name of the recipient of the loan. this total to the Schedule H Summar~z FPPC Form 460 (6199) For Technical Assistance: 9161322.5660 SCHEDULE H - PART 3 ~chedule H - Part 3 Type or print in ink. S~;.i,,i~,~t covers period -*' - ~,nnual Report of Outstanding Loans Made A m ° ~Jon twSt ~aeY¢ o1~1 ra~ :,nd e d from ~'~-- I -- ~--~ [ ~ ~J~l~/ through (~-c~--~,~ ] Page.-~-- of '/[0 ~EE INSTRUCTIONS ON REVERSE FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST Attach additional information on appropriately labeled continuation sheets. TOTAL $ :*~';~'.:'? "- NOTE: Thistotalshouldbe the same amount as entered on the Summary Page, Column C, Line 7. FPPC Form 460 (8199) For Technical Assistance: 916/322-5660 Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounte may be rounded to whole dollar~. ,o. NAME OF FILER DATE r RECEIVED FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT SCHEDULE I ID, NUMBER A/VlOUNTOF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases lo cash of $100 or more this period ........................................................................................................... 2. Unitemized increases to cash under $100 this period ............................................................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL FPPC Form 460 (8199) For Technical Asmlstance: 9161322-5660