HomeMy WebLinkAboutDICKERSON SEMIANN01(2) ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
IStatement c~ve/s period
from .'n~/~,,/,~ j
1.
~of Recipient Commiaee: n, co=.~..s- co=p~ete .am ~, 2, =, and 4.
~ Officeholder, Candidate Controlled Commi~ee ~ Ballot Measure Commi~ee
O State Candidate Election Commi~ee O Primarily Fo~ed
O Recall
[] GeneraI Purpose Committee C) Sponsored
O Small Contributor Committee
C) Political Party/Central Committee
0 Controlled
O Sponsored
(Also Compile Purl6)
[] Primarily Formed Candidate/
Officeholder Committee
(AlsoComplete Pa~l 7)
STREET ApD~ESS (NO P,O. BOX)
STATE ZIP CODE
MAILING ADDRESS (IF DIFFEF~NT) NO. AND STREET OR P.O. BOX
AREA CODE/PHONE
Date Stamp
COVER PAGE
Date of election if
(Month, Day, Year)
For Official Use Only
2. Type of Statement:
Som~lection Statement
i-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME
MAILING AD. DRESS
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
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 he nformatinn/~n~taJ~;(herein
and
in
the
certify under penalty of perjury u~:]er th~ ~aws of the State of California that the foregoing is true and correct. /7"/"~-~j/~/ /
attached schedules is true and complete. I
FPPC Form 460 (Juror01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Recipient Committee
Campaign Statement
Cover Page m 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)
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER I JURISDICTION [] SUPPORT
I
OPPOSE
Identity the controlling officeholder, candidate, or state measure proponent, if any.
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.
COMMI~rEE 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
COMMITTEEADDRESS
CONTROLLED COMMITTEE?
[] YES [] "O
STREET ADDRESS (NO RD. BO)
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate($) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD F_isuPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[]SUPPORT
[::]OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT
[--]OPPOSE
NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELD []SUPPORT
[] oP.osE
CITY STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets If necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 866/ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ......................................................Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines 1 + 2
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
Expenditures Made
6. Payments Made .......................................................Schedule E, Line 4
7. Loans Made ............................................................. Schedule H, Line 7
8. SUBTOTALCASH PAYMENTS .................................... AddLines6+ 7
9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, Line3
I 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Surnrnary Page, Line 16
13. Cash Receipts ................................................... ColurnnA, Line3above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments .................................................. ColumnA, Line8above
16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15
ff this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Scheduis B, Pa~t2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... AddLine2+LlneginColumnBabove
Type or print in ink.
Amounts may be rounded
to whole dollars.
$
$
$
ColumnA
TOT~.'rH~S ,ER~Oe
$
$ $
$ -
SUMMARY P,~
I S
tatement c~vers/period
,rom
Column B
CALENOAR YEAR
TOTAL TO DATE
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounls in
Column A may be negative
figures that should be
subtracted from previous
pedod amounts. If this is
the flint report being filed
for this calendar year, only
can'y over the amounts
from Lines 2, 7, and 9 (if
any).
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received
21. Expenditures
Made
1/1 through6/30 7/1 to Date
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(11 Subjecl Io '~31untaty Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
£
__/ / $ ~ ?
· / / $
- / / $
/ / $
/ /___ $
*Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
~il(~dule B - Part 3
: rmual Report of Outstanding Loans Received
'lype Mlm~ In Ink..
AmmJn~ rely be rounded
to whob dol~.
4ttach addltionsl information on appropriately labeled continuation sheets.
TOTAL
~ no~fflcation upon delivery.
please telephone;
DESTINA TARIO
El remitente ha requefido no~ficaci~n inrnediata contra entreg~
Por favor /lame a:
Nombre:
Te~.fono:.~
U.S, POSTAGE
PAID
NENHALL
MAR 20. ' 02
oooo $12/15
000595~10-19
JU
USO NACIONAL UNICAMENTE
[]AM [ P["~
POST OFFICE TO ADDRESSEE
:lat Rate Envelope
$
* E U 18 7 0 5 3 7 8 9 U S*
MO, Day [~] AM ~ PM
Mo Day [] AM [ PM
Weight
lbs.
No Delivery
Int9 Alpha Countr~ Code
COD Fee Insurance Fee
ToteJ Postage & Fees
[
[
L
ZIP+4
J
L