HomeMy WebLinkAboutKC EMPLOYEES PAC PREELEC99(1)Recipient Committee
Campaign Statement
(Govemrnefl! Code SeciJons 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink. Date stamp
O~.of~.,o.., -8 PM 1: Il
(~°mh'°aY'Y~'~AKEi" SFI~L.D CF~Y CLERK
COVER PAGE
Page I of -~
1. Type of Recipient Committee: All Committees - Complete Perle 1, 2, 3, altd 7.
[] Officeholder. Candidate
Controlled Commiltee
(AC~o core. ere Pa~ 4J
[] Ballot Measure Committee
0 Primarily Formed
O Controlled
O Sponsored
(Also Complete Parl 5.)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complete Patf
J~General Propose Committee
O Sponsored
J~Broad Based
3. Committee Information
UAII_ING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. SOX
CITY STATE ZIP CODE AREA COOF. JPHO~E
OPIIONAL: FAX / E-MAIL ADDRESS
2. Type of Statement:
~Pre-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Oualtady Statement
[] Special Odd-Year Report
[] Supplemental Pm-election
Statement - Attach Form 495
Treasurer(s)
ITY ( .
FPPC Form 460 (8/99)
For ?eehnleat Asel~tanoe:
State of Calitornla
Recipient Committee
Campaign Statement
Cover Page-- Part 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Typo of print In ink.
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
Page ~ al --7
OFF ICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRE SS (NO. AND STREET) CITY STATE ZiP
Related Committees Not Included In this Statement: Llstanycommltteas
not included In this consolidated s Mtemen t ~ha t are controlled by you or which are primarily
formed to receive contrlbutlonf or to make expenditures on behalf of your candidacy.
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
I.D NUMBER
CON~ROI_LED COMMITTEE?
[] ~Es [] NO
STREET ADDRESS ~ P.O. BO;"
[] SUPPORT
[] OPPOSE
IdeflUly ~he conbolllng officeholder, candidate, or state meaaure proponent, if any.
NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY
I
6. Primarily Formed Committee LlsttTEmesofofflceholde~(s)orcandldate(s}
for which Ihlg committee I~ ~n~fl~ formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HE LD [] SUPPORT
NAME OF OFFICEHOU:)ER OR CANDIDATE OFFICE SOUGHt' OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] OPPOSE
[] SUPPORT
[]OPPOSE
[]SUPPORT
•o~osE
7. Verification A~ac~ ~.~...=~ ~e= frenchman,
I have used all reasonable diligence in preparing and reviewing th~ statement and to the best of ~ ~owledge ~e infarction contained herein and in the attached schedules
is true and co~lete, t ce~y under pena~ of perju~ under the la~ of the Stat~rn~ th~the foregoing b tree and co~t.
E u edo.
By
Executed on
Execuled on By
OATE
Executed on By
DATE
FPPC Form 460 (8/9g)
For Technical Aaalatance: glG/32,2-6660
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 doltara.
from *-7// /~
Contributions Received
1. Monetary Contributions ...................................................... ScheduleA, Line
2. Loans Received ................................................................... Schedule e, Line
3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLInes t +
4. Nonmonetary Contributions ............................................... Schedule C, Line
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 +
Column A
I'OTN. THIS FEPaOD
s
SUMMARY PA~K
Page ~ of "~
I.D. NUMBER
Column B* Column C
Expenditures Made
6. Payments Made .................................................................... Schedule E, Line
7. Loans Made .......................................................................... Schedule H, Line
8. SUBTOTAL CASH PAYMENTS ................................................ AddLines 6 +
9. Accrued Expenses (Unpaid Bills) ............................................Schedule F, Line
10. Nonmonelary Adjuslment ....................................................... Schedule C, Line
11. TOTAL EXPENDITURES MADE ......................................... AddLinesa+9+ l0
Current Cash Statement
t 2. BegiRning Cash Balance ................................ Previous Summary Page. Line t6
t 3. Cash Receipls .............................................................. Column A. Line 3 above
14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4
15. Cash Payments ............................................................ Column A. Line S above
16. ENDING CASH BALANCE .............. Add Lines t2 + 13 + t4, then subtract Line tS
ff this is a termination statement, Line t 6 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule S, Pert t, Column (b)
Cash Equivalents and Outstanding Debts
18, Cash Equivalents ..................................................... See instructions on reverse
19. Outstanding Debts ................................... ,~d~ Line 2 + Line 9 in Column C above
· From previous statement Summaly Page, Column C. However, ff this
is the flrsl repart flied for the calendar year, Column B should be blank
except Im Loans Received (Line 2), Loans Made (Lkm 7), end Accrued
Expenses (Line g).
Summary for Candidates In Both June and
November Elections
111 Ihrou~l 6~'30 71l to Dale
20. Contributions
Received ............ $
21. Expenditures
Made ..................
FPPC Form 460 (8/99)
For Technical A~elstance: g1G/322-5660
Schedule A '~y.,, or i~int in ink. SCHEDULE A
DATE FULL NAME. MAIUNG ADDRESS AND ZIP CODE OF CON~IBUTOR CO~RIBUTOR ~UPA~ AND EM~YER RECE~ ~IS CALENDAR Y~R O~ER
IND
~TH
j
,
SUBTOTAL $
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 lhan $100 ......................................... $
3. Total monetary contributions received this period.
(Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1 .) ................... TOTAL $
IND - Indtvldu~
COM - Redeem Cornn~
FPPC Form 460 (8/99)
For Technical A~al~tance: g1G/~22-SG60
Schedule A (Continuation Sheet) Type or prlnt Inlnlc SCHEDULEA
~ IND
~ COM
~ OTH
~ ~NO
D COM
~ OTH
~ COM
~ OtH
~ IND
~ COM
~ OTH
~ cou
BOTH
SUBTOTAL
[*Co~tributcr Codes
IND - Individual
COM - Redpient Commiltee
OTH - Other
FPPC Form 460 (8/99)
For TeclmlcM A.slstance: 916/822.5660
Schedule D scHEDULE D
Summar
'ot Expenditu resTy.* or print in Ink. ~-'--;--+~,~,~; covers period
tglOpposing Other towho~ ~l~r~
~S, Measures and Commi~ees ~om
,NS ON REVERSE ~rough ~ J~/~ ~ge~ of 7
I I.D.~I.D. NUMBER
O~er
D I~pe~ent
~ S~d ~ Op~e E~e $
~ o~er
~ ~ ~e~r Year
0 Sup~ O O~e ~ S
SupportinglOi
Candidates
SEE INSTRUCTIONS ON RE
NAME OF FILER
DATE
SUBTOTAl.$ ~.~). ~
Schedule D Summary
1. Contributions and independent expenditures made Ihis period of $100 or more. (Include all Schedule D subtotals.) ........................................ $ ~--'-~) '
2. Unilemized contributions and independent expenditures made this period of under $100 .................................................................................. $ -~
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ........ TOTAL $ ~. (~c~.
FPPC Form 460 (8/99)
For Technl¢II AIiIstance: 916/322-5660
Schedule E
Payments Made
Type or print In ink.
Amounts may be rounded
to whole dollare.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
k e_A
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP can~aign paraphernalia/misc.
CNS campaign consultants
CYB cant dbutio~ (explain no~mo~etmy) ·
CVC civic danalions
FND fu~lraising events
IND independent expenditure suppeding/~ o~em (explain)'
LIT campaign literature and mailings
MTG meelings and appearances
DFC ollice expenses
PET pellllon clnAJat'~g
Pice p~:~ b~
POL pol~tg and anwey msanmh
POS
PRO
PRT print ads
RAD radio et~me and ixnducllon costs
SCHEDULE F
Page '-'7 of '7
ID. NUMBER
IC:) z_
RFD ratumed contflbu~(xts
SAL ca,Deign workers salaries
TEL Lv. or cable Ilirtlme and pfoducllon costs
TRC candidate travel, lodging and manls (explain)
TRS sleWspouse travel, lodging and manls (explain)
TSF Iransle r beh*raan committ ees el fi3e same can~date/speoso r
VDT voler raglslralion
WEB Informa~m technology costs 0nternet. e-mail}
NAME AND ADDRESS OF PAYEE OR CREDITOR
(If CouMn'TEE. ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
z_os F/q b I
* Paymante thet are contribution, or Independent expenditures raust also be summ.ntzed on Schedule D. SUBTOTALS
Schedule E Summary
1. Payments made this period of $100 or more. (include all Schedule E subtotals.) ...............................................................................................
2. Unitemized payments made this period of under $100 ........................................................................................................................................
3. Total interest paid this period on oulstanding loans. (Enter amount from Schedule B, Pad 2, Column (d).) .......................................................
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 (8/99)
Fei' Technical Aseletence: 916/322-5660