HomeMy WebLinkAboutABRAHAM 460 AMENDMENTRecipient Comm,ttee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
covers period
I
Typo or print in ink. / Da(e Slamp
0 ?, I$ ~
Date of election if appliOa§t~;l'[,~- ~ i. [ CiTY gLER~
(Month, Day, Year)
through ~i~..J~ ~ 0
1, Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
[~/Officeholder, Candidate Controlled Committee [] Ballot Measure Committee
O State Candidate Election Committee
O Recall
O Primarily Formed
O Controlled
O SpOnsored
[] Pdroarily Formed Candidate/
Officeholder Committee
[] General Purpose Committee C) Sponsored
C) Small Contributor C¢~ .'flee
C) Political Party/Centrai ~ittee
3. Committee Information I.D. NUMBER~)~
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Far cHff cL
CITY STATE ZIP CODE AREA CODE/PHONE
2. Type of Statement:
[] Preelectton Statement
[] Semi-annual Statement
Aermination Stalement
mendment (Explain below)
O~v 0~4
COVER PAGE
Page / of
For Official Use Only
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Stateroent - Attach Form 495
NAME OF TREASURER
MAILING ADDRESS '
CiTY ~ .__ CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
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~ of/~y 19~wledge tt'~,~pformation contained herein and in the e~ttached schedules is true and complete.
certify under penalty of pedu~ under the laws of the State of California that the foreg~F i~t~e~correct.,//~///~//. /~ ~J
Execut~ on ~ By
Recipient Committee
Campaign Statement
Cover Page m Part 2
Type or print in ink.
COVER PAGE - PART 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
'OFFICE SOUGHT OR F~ELD (INCL~UDE'LOCATION°.~ND DISTI~ICT NU~IBER IF A~fPLICABLE)
¢,¢
RESIDENTIAL/BUSINESS ADDRE88 (NO, AND ~;TREET) 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 fo receive
contributions or make expenditures on behalf of your candidacy.
COMMI3TEE NAME I.D. NUMBER
NAMEO~E~OF EASURER / CO~ [~NoOLLED COMMI~[EE?
COMmITtEE/~DRESS STRTDORESS (NO p.o. BO7 '~
CI STATE ZIP C AREA CODE/PHONE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STA~E ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTERii~JURISDICTii/N]~/
Identify the contr,// i h candida
NAME OF OFFICE OR PROPO
8SUPPORT
OPPOSE
,neasure proponent, if any.
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 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 (June/01)
FPPC Toll-Free Helpltne: 866/ASK-FPPC
State of California
Campaign Disclosure Statement Typo or print in ink. SUMMARY PA(~F
Summary Page Amounts may be rounded
to whole dollars,
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions ........................................... ScheduleA, Line 3
2. Loans Received ...................................................... Schedue 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. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
1 0. Nonmonetary Adjustment ..........................................Schedute C, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLines8+ 9+ 10
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
13. Cash Receipts ................................................... CoturnnA, Line3above
14. Miscellaneous Increases to Cash ........................... ScheduleI, Line4
15. Cash Payments .................................................. ColumnA, UneSabove
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
if this is a termina~on statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ see instPJCtiOns on reverse
19. Outstanding Debts ......................... AddUne2+uneginColumnBabove
Column A Column B
TOTAl*THIS pERIOD CALENDAR YEAR
0
$
Statement covers period
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
per[od amounts. If this is
the first report being filed
for this calendar year, only
cam/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
1/1 through 6/30 7/1 to Date
20. Contribulions
Received $ $ ,~-~
21, Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Date of Election Total to Date
(mm/dd/yy)
~ /___ $
__/___1___ $
__L__I___ $
/ / $
/ / $
/ / $
*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
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received~,.o..,. may oe rounaea Statement covers period
to whole dollare.
SEE ,NSTRUCTrONS ON REVERSE through '~==~ ~ fda. g:u M B~'~R o,_ ~
NT
IF AN INDIVIDUAL, ENTER ~U CUMU~TIVETO DATE PER ELECTION
DA~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTO~ OCCUPATION AND EMPLOYER RE HIS
~D
~COU
~OmH
~ PTY
~scc
~IND
~COM
~OTH
~ PTY
~scc
~IND
~OTH
~ PTY
~scc
~IND
~co~
~ PTY
D scc
~IND
~cou
~OTH
~ PTY
D scc
SUBTOTALS
Schedule A Summary
1. Amount received this period - contributions of $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
(other than PTY or SCC)
OTH - Other
PTY - PoritJcal Par[y
SCC- Small Contributor Committee
FPPC Form 460 (JuneJ01)
FPPC Toll-Free Helpiine: 866/ASK-FPPC
Schedule
A
(~.. nfinH f|,_o_..__a..on~h ,t.~.eev Type or print in ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amounts may be rounded
to whole dollars.
Statement covers period
NAM Il. ER . I.D. NUMBBR
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVtDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
R ECE~VED (~F COMMIT'rE[E, ALSO ENTERI.D. NUMBER) CODE ,e (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN, 1 - DEC. 31 ) (IF REQUIRED)
OF BUSINESS)
DCOM
[~OTH
[] PTY
[]scc
•IND
[]COM
I--lOTH
[] PTY
[]scc
F-lIND
[] CoM
[] •TH
[] PTY
I~scc
DIND
F1COM
••TH
[]scc
F]IND
E]COM
[]•TH
[] PTY
~]scc
SUBTOTALS
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
•TH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule B - Part 1
Loans Received
SEEINSTRUCTtONS ON REVERSE
FULL NAME, STREET ADDRESS AND ZrP CODE
OF LENDER
IIF COM~IITTEE, ALSO ENTER I.D. NUMBER)
l'r~ IND [] COM [] OTH [] PTY [] SCC
t[] IND [] COM [] OTH [] PTY [] SCC
t[] IND [] COM [] OTH [] PTY [] SCC
Type or print in ink.
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SED=~MPLOYED, ENTER
NAME OF BUSINESS)
Amounts may be rounded
to whole dollars.
(b)
AMOUNT
RECEIVED THI
PERIOD
(¢)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
[] PAID
$
[] FORGIVEN
$
[] PAID
$
[] FORGIVEN
$
[] PAID
$
[] FORGIVEN
$
Statement covers period
f r o m ~'~/~J~(~. ~'c
OUTSTAND NG INTEREST
BALANCE AT PAID THIS
CLOSE OF THIS
PERIOD PERIOD
RATE
$
DATE DUE
RATE
DATE DUE
RATE
$
DATE DUE
OUTSTANDING
BALANCE
BEGINNING THIS
PERIO[~
SCHEDULEB-PART1
Page i~ of
I,D. NUMBER
(B
ORIGINAL CUMULATIVE
AMOUNTOF CONTRIBUTIONS
LOAN TO DAT~
$
$
$
$
$
$
SUBTOTALS $ $ $ $
Schedule B Summary
1. Loans rece ved th s period ............................. $
(Total Column (b) plus unitemized loans less than $100.)
2. Loans paid or forgiven this period .......................................................................... $
(Total Column (c) plus loans under $1 O0 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 $
Enter the net here and on the Summary Page, Column A, Line 2.
t Contdbutor C~les '~
J
IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other P'FY- Political Party SCC- Small Contributor Committee
(Enler (e} on
Schedule E, Line 3)
"Amounts forgiven or paid by1
another party also must be
reported on Schedule A. J
'* if required. J
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
schedule E
(Continuation Sheet)
Payments Made
SEEINSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
throug~¢z~.
CODES../ I~ one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Ctv'F' campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
~ independent expenditure supporting/opposing others (explain)*
LEG legal defense
UT campaign literature and mailings
MBR member communications
MTG meetings and appearances
CFC office expenses
PET petition circulating
PHC phone banks
POL polling and survey research
POS postage, delivery and messenger services
Pr:lO professional services (legal, accounting)
FtAT print ads
SCHEDULE E (CONT.
Pa a /} of I0
I.D. NUMBER
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salades
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
VOT voter registration
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(iF COMMi~EE' ALSO ENTER I.D. NUMBER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helplthe: 866/ASK-FPPC
Schedule C Type or print in ink. SCHEDULE C
Amounts may be rounded
Nonmonetary Contributions Received to whole dollars. Statement covers period
SEE INSTRUCTtONS ON REVERSE
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND
ZIP CBOE OF CONTRIBUTOR
CONTRIBUTOR
CODE *
F"]IND
I--ICOM
~OTH
rIPTY
[~SCC
I'~IND
r-~COM
[] OTH
r~PTY
mscc
mIND
FICOM
[]]OTH
E]PTY
E]scc
F-lIND
I-iCOM
[~OTH
[-1PTY
i-lSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF*EMPLOYED, ENTER
DESCRIPTION OF
GOODS OR SERVICES
,00
AMOUNT/ CUMULATIVE TO
FAIR MARKET DATE
VALUE CALENDAR YEAR
(JAN 1 - DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
Attach additional information on appropriately labeled continuation sheets.
SUBTOTALS
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 pedod.
(Add Lines I and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
*Contributor Codes
IND - Individual
COM- Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC-Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in ink,
Amounts may be rounded
to whole dollars.
SEE iNSTRUCTIONS ON REVERSE
CODES: If one of the following codes accurately describes the
C~° campaign paraphernalia/misc. MBR
CNS campaign consultants MTG
CTB contribution (explain nonmonetary)* CFC
CVC civic donations PET
FIL candidate filing/ballot fees PHC
FND fundraising events POL
IND independent expenditure suppoding/opposing others (explain)* POS
LEG legal defense PRO
UT campaign literature and mailings PRT
payment, you may enter the code. Otherwise, describe the payment.
PAD 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
VDT voter registration
WEB information technology costs (internet, e-mail)
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
(a) (b) (c) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
{iF COMMITTEE, ALSO ENTER I,D NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THiS PERIOD IALSO REPORT ON E) OF THIS PERIOD
· Payments that are contributions or indeperlden, expenditures mu.t also be ~Oa ~;0 ,.~..)..~
,umm.rlzed on Schedule D. SUBTOTALS $ ,~.~'~ $ ~, -~ $ ~2 ?, ~
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 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
SCHEDULE F (CONT.)
P,ge lo of
LO. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CtVP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
FND fundraising events
IXD independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
, MBR member communications
MTG meetings and appearances
DFC office expenses
PET petition cimulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
Pr:iT print ads
Payments that are contributions or independent expenditures must also be summarized on Schedule D.
PAD 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
VDT voter registretion
WEB information technology costs (intemet, e-mail)
(a} (b) (c} (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRiPTiON OF PAYMENT BALANCE BEGINNING THiS PERIOD THIS PER~OD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC