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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