HomeMy WebLinkAboutKC EMPLOYEES PAC SEMIANN99(2)Recipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement cove~s period
,,om
Date of etectlon it a~pticable:
(Mon~, Day. Year)
COVER PAGE
Page I of ~
1. Type of Recipient Committee: All Committees - Complete Parts 1,2, 3, and 7.
r-] Officeholder, Candidate
Controlled Committee
(A/so Complete Pert 4)
[] Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(AlsO Complete Pat15)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 6.)
~ General Purpose Committee
O Sponsored
~L. Broad Based
3. Committee Information
STREET ADDRESS (NO PO. SOX)
STATE ZIP COOE AREA CODE~PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX
2. Type of Statement:
[] Pre-election Statement
~. Semi-annual Statement
[] Termination Statement
I--I Amendment (Explain below)
[] Quartedy Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
Treasurer(s)
CITY STATE ZIP CODE AREA CODE/PRONE
OPTIONAL: FAX / E-MAIL ADDRESS
FPPC Form 46O (8/~)
Fo r Tec~mlcal A~lltrt~lCe: 916~3~2-5660
State of ~lifornia
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
Page ~-- or ~
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (iNCLUDE LOCATION AND DISI~ilCT NUMBER ~F APPLICABLE)
RESIDENTIAL/~USINESS ADDRE SS (NO. AND STREET) CITY STATE ZiP
Related Committees Not Included in this Statement: Llstany¢omm#toe~
not Included in this consolidated sMtemenr that ere controlled by you or which are prlmatfly
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME I,D. NUMBER
NAME OF TREASURER CONTROl_LED COMMITTEE?
[] ~ES [] .o
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BO;<
CITY STATE ZIP CODE AREA CODFJPHONE
BALLOT NO. OR LETTER I JURISOICTK~N [] SUPPORT
I
[] OPPOSE
IdenUfy the conlrolling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. tF ANY
6. Primarily Formed Committee Lletnemesofofflceholder(s)orcandldate(~)
for whlch this committee la prfrnarJly formed.
[] o~osE
NAME OF OFFICEHO~R OR CANDIDATE OFFICE SOUCV~IT OR HELD [] SUPPORT
Attac~ continuation sheets if necessary
7. Verification
I have used all 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 penalty of perjury under the lav~s of t~hat~,.~ f/~..iregoing is true and correct.
Executed on' ,/~' DI~'~-'(~00 B~,,~/~ ~
Executed on By
DATE
Executed on By
DATE
Executed on By
DATE
FPPC Form 4~0 (8/99)
For Technical A~tance:
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print In ink.
Amounts may be rounded
to whole dollars.
,r om~:~/~n~=' 7~"~
throughl'~'/~} /~(~
Page
NAMEOF FILER
Contributions Received
1. Monetary Contributions ...................................................... Schedule A, Line 3
2. Loans Received ................................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2
4. Nonmonetary Conlributions ............................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+4
I.D. NUMBER
Column A Column B* Column C
Expenditures Made
6. Payments Made .................................................................... Schedule E, Line
7. Loans Made .......................................................................... Schedule H, Line
8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 +
9. Accrued Expenses (Unpaid Biffs) ............................................ Schedule F, Line
10. Nonmonetary Adjustment ....................................................... ScheduleC. Line3
11. TOTAL EXPENDITURES MADE ......................................... AddLInes8+9+ tO
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summary Page, Line 16
13. Cash Receipts .............................................................. Column A, Line 3 above
14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4
15. Cash Payments ............................................................ Column A, Line 8 above
16. ENDING CASH BALANCE .............. Add Lines 12 + t3 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part 1, Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents .....................................................See instructions on reverse
19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above
$ ~
· From pmViOUS statement SummaJy Page, Cotumn C. However, if this
is the first report filed for the calendar year, Column B should be blank
except for Loans Received (Line 2), Loans Made (Line 7), and Accrued
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
1/1 Ihmugh 6/30 711 to Date
20. Contributions
Received ............ $
21. Expenditures
Made .................. $
FPPC Form 460 (8/99)
Fo~Teehnlcal Aaeietunce: 916/322-6660
Schedule A Type or print In ink. SCHEDULE A
........... Amounts may be rounded
Moneta~ Contributions Received ,owbe,edo,,.r.. from
FULL NAME. MAILING ADDRESS AND ZIP CODE OF CON~IBUTOR CONTRIBUTOR ~CUPA~N AND ~PLOYER RECEDED ~IS C~ENDAR YEAR O~ER
~ ~ ~OTH
~ ~ OTH
~TH
SUBTOTAL $
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) ....................................................................................................... $
2. Amount received this pedod - unitemized contributions of less than $100 ......................................... $
3. Total monetaw contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ ~'"~ '~'~' '
IND - Individual
COM - Recipient C<xnmiltee
OTH - Other
FPPC Form 460 (8/99)
F~' Technical Aaslstsnce: 916/~22 .~,~0
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
,sCHE~ULE D
NAME OF FILER
DATE
CANDIDATE AND OFFICE,
MEASURE AND JU~tSD~CTION. OR COMMITTEE
J~.. Sugpe~t [] Oppose
~. Support [] O~pose
~--Support [] Oppose
TYPE OF PAYMENT
[] Independent
Expend~re
Contl~ution
Contribu~on
E~3enditure
DESCRIPTION OF NONMONETARY
CON3~IBLmON
(IF REQUIRED)
SUBTOTAL $
I.D. NUMBER
AMOUNT THtS PERIOD
Calendar year
O~her
Calendar Year
Olher
Olher
Schedule D Summary
1. Contributions and independent expenditures made this period of $100 or more. (include all Schedule D subtotals.) ........................................ $
2. Unitemized 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 $
0
ESO0.
FPPC Form 460 (8~9]
For Technical A~slstance: 916~22-5660
Schedule E Tybe or print in Ink. SCHEDULE F
Payments Made Amounts may be rounded _c::_:__,,e~ covers
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CODES:
If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP carnPmgn paraphemaJia/misc.
CNS campaign ca~suJtants
CTB cont,~butiun (explain nonmofleta~/) '
CVC cMc donaliofls
FND fundraising events
IND independent expan~lure suppofling/opposing olhers (explain)'
LIT campmg~ literature and rnmlings
MTG rneei~xjs and a~pearances
OFC office expenses
PET peK~'t ckculating
PHO phofle banks
POS postage, delivery and mes~unger sewicea
PRO pfo~eeskx~l sen'icas (legal, accounting)
PRT p~nt ada
FIAD radio airlime and production costs
Page ~ of ~
I.D. NUMBER
RFD retumed co~trlbu~ofls
SAL campaign wooers selarles
TEL t.v. or cable ai~rne and production costs
TRC cano~date t ravel, lodging and mseJs (ex,)lain)
TRS staff/spouse l~avel, lodging and meaJs (explain)
TSF transfer between committees of ~e same candidate/sponsor
rOT voter registra~un
WEB informatfon technology costa (internal. e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
{iF COMMITTEE. ALSO ENTER lid NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
*Paymentathat~~ec~ntribut~~n~~r~ndependuntexpunditure~mu~ta~s~be~umrunriz~d~nS~bedule~~ SUBTOTAL $ ~.~ C:)<~::).
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 outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) .......................................................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summan/Page, Column A, Dna 6.) ......................... TOTAL
FPPC Fort 460 (8/99)
For Technical Aselatance: 916/822-5660