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Home My WebLink AboutTAKII 460 01/02-06/02 cipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement c~vers period from l through ~ --$;~ 0 Date of election if applicable: (Month, Day, Year) ll-?-oo Date Stamp 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Cocn plete Part 5) [] General Purpose committee O Sponsored O Small Contributor Committee O Political Party/Central Committee [] Ballot Measure Committee 0 Primarily Formed 0 Controlled O Sponsored [] Pti marily Formed Candidate/ Officeholder Committee 2. Type of Statement: [] Prestection Statement :~ Semi-annual Statement .~'Terminatico Statement [] Amendment (Explain below) COVER PAGE of '~ For Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME iF NO COMMITTEE) M~ILING'ADDRESS (IF DIFFEREr~T) NO. AND STREET OR P.O. SOX CITY STATE ZIP CODE AREA CODE/PHONE Treasurer(s) MAILING ADDRESS CITY STATE ZiP CODE AREA CODE/P'h~..c)- OPTION : FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS Verification I have used ail reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penstfy of perjury under the laws of the State of California that the foregoing is true and correct. Date x,cu,.on Executed on Executed on Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE - PART 2, Page ~--' of ~7~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE RI=SlDENTIAL/RUSINESS ADDRESS (NO. AND STREET) ' Cl~ ~A~ ZIP 6. 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 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or ere primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS I,D. NUMBER CONTROLLED COMMI~rEE? [] YES [] NO STREET ADDRESS (NO P.O, BO~ CITY STATE ZIP CODE AREA CODE/PHONE COMMI~rEE NAME I.D. NUMBER CONTROLLED COMMITrEE? [] YES [] NO STREET ADDRESS (NO P.O. BOX) NAMEOFTREASURER COMMI~rEEADDRESS OFFICE SOUGHT OR HELD DISTRICT NO. iF ANY 7. Primarily Formed 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 ~FFICE SOUGHT OR HELD [] SUPPORT [] OPPOSI NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFF[CE SOUGHT OR HELD [] SUPPORT [] OPPOSE CITY STATE ZIP CODE AREA CODE/PH~)NE Attach continuation sheets if necessary FPPC Form 460 (JunW01) FPPC Toll*Free Helpllne: 86~/ASK-FPPC State of Califomla Campaign Disclosure Statement Summary Page SEEINSTRUCTIONS 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 I + 2 4. Nonmonetary Contributions .................................... ScheduleC, Line3 5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... AddLines 3 + 4 Expenditures Made 6. Payments Made ....................................................... ScheduleE, Line4 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+ 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+ to Typo or print in ink. Amounts may be rounded to whole dollars. Statement covers period from /-/-- d~ through ~'~0- 0 ~ Column A Column B TOTAL THIS PER~OD CALENDAR YEAR (FROM ATF~CHEO SCH ECULE S) TOT,~. TO CATE Current Cash Statement 12. Beginning Cash Balance ....................... Prev~us Sumrnary Page, Line 16 $ ~7~0 ~. ~)~ 3 13. Cash Receipts ................................................... ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 '~ 15. Cash Payments .................................................. ColumnA, Llne8above .~ . ~ ~ 16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 $ ~ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedute S, Pan Z Cash Equivalents and Outstanding Debts 18. Cash Equivalents ....................................... See tnstruc#ons on reverse $ ~ 19. Outstanding Debts ......................... AddLine2+UneglnColumnBabove $ /~'~" 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 pedod amounts. If this is the first report being filed lot this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections I/1 {hrough 6/30 7/1 lo Date 20. Contributions ~ Received $ $ 21. Expenditures ~/~ ~.~ Made $ . . ~ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mrn/dd/yy) / / $ / / $ / / __J / $ *Since January 1, 2001. Amounts in this section may be different from amounts repoded in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ,rom throogh ~-~0 -0 ~..- CODES: if one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QVP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/'oallot fees I=ND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign litereture and mailings MaR member communications MTG meetings and appearances OFC office expenses PET petition cimulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) FF[T print ads SCH~F Page '~/ of~~'' I.D. NUMBER RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor rOT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMtTTEE. ALSO ENTER I.D, N~MBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ _-~ ~'WO~, ~' ~ 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 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC