HomeMy WebLinkAboutDICKERSON SEMIANN14(1)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
Statemen
from
SEE INSTRUCTIONS ON REVERSE I through V
Type or print in Ink. Date Stamp
i
t-& 14 rs period Date of election if applicable:
(Month, Day, Year) 2 �y kUG -
;6 t 201 4 r t�LU
1. Type
4f Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
(Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
0 Recall Q Controlled
(Also Complete Part 5) Q Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party /Central Committee (Also Complete Part 7)
3. Committee Information
I.D.
COMM I EE NAME (OR CANDIDATE'S NAME IF NO COMMITT E)
STREET ADDRESS (NO P.O. BOX)
AREA CODE /PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
OPTIONAL: FAX / E -MAIL ADDRESS
STATE ZIP CODE AREA CODE /PHONE
2. Type of Statement:
❑ Preelection Statement
semi- annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
COVER PAGE
Page 'l of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement -Attach Form 495
CITY STATE ZIP CODE AREA CODE /PHONE
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 this statement and to the best of my knowledge the information
under penalty of perjury under the IzIWS of t e State of California that the foregoing is true and correct.
Executed on By /
Date Signatu i
Executed on 3 6 z 7 By
Ddle Sionature ofControrino Officeholder .Candidate.
in the attached schedules is true and complete. I certify
Executed on By
Date Signature ofControAing Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of ControllingOficeholder, Candidate,StateMeasureProponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
State of Califomia
Recipient Committee
Campaign Statement
Cover Page — Part 2
Type or print in Ink.
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICER LDER OR CANDIDAT
rU� ,0► a, 3►IZJ
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or 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
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
COVERPAGE -PART2
Page Z of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ 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
officeholder(s) or candidate(s) for which this committee is primarily 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 if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
S � -C 2_ N n-pj, �Zx
Contributions Received
Column A
$
13. Cash Receipts .................... ............................... Column A, Line 3 above
TOTALTHISPERIOD
(FROMATTACHED SCHEDULES)
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$
2. Loans Received ....................... ...............................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$ $-
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 +4
$
Expenditures Made �7
6. Payments Made ........................ ............................... Schedule E, Line 4 $ 2
7. Loans Made .............................. ............................... Schedule H, Line 3
8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 71/1 Z
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3
10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $
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 1, Line 4
15. Cash Payments ................... ............................... Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$ l �✓
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts 1 5�
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
Statement,covetirl period
from 2
through
Column B
CALENDAR YEAR
TOTALTO DATE
$
$_
$
$ Z�Z�
$ 2/cn.Z--7-
$ Z&Z
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 calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
SUMMARY PAGE
Page a—, of
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(K Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
`Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275-3772)
In
SCHF A11 FR -PART 1
5cneoule t3 — mart 7 Amounts may be rounded
Statement Yove# period
Loans Received to whole dollars.
�� •
from
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER)
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
BALANCE
lb)
AMOUNT
lei
AMOUNT PAID
(d)
OUTSTANDING
BALANCEAT
lei
INTEREST
If)
ORIGINAL
191
CUMULATIVE
(IF COMMITTEE, ALSO ENTER I.D.NUMBF.R)
(IF SELF - EMPLOYED, ENTER
NAMEOFBUSINESS)
BEGINNING THIS
PERIOD
RECEIVED THIS
PERIOD
OR FORGIVEN
THIS PERIOD `
CLOSE OF THIS
PERI D
PAID THIS
PERIOD
AMOUNTOF
LOAN
CONTRIBUTIONS
TO DATE
1
F�� �
❑PAID
/ �j'
�
CALENDAR YEAR
❑ FORGIVEN
1P�
$�I
$
$
$
" //y/ /.y6
$
D(1��
SCC
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION **
RATE
to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION **
RATE
t❑ IND ❑ COM ❑ OTH ❑PTY ❑ SCC
$
$
s
$
s
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 )
t►
3. Net change this period. Subtract Line 2 from Line 1.
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
(tmer (e) on
Schedule E, Line 3)
tContributor Codes
IND—individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule E Type or print in ink. Statemen co ers period ,
Payments Made Amounts may be rounded
y to whole dollars. •
from �
SEE INSTRUCTIONS ON REVERSE through 6 r— ZD' Page _ of
NAME OF FILER I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIVP
campaign paraphernalia /misc.
MBR
member communications
RAID
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing /ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others (explain)"
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) A CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1 Z_P—
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. ..................................................... ............................... $ Z-
2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772)
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