HomeMy WebLinkAboutPANICK SEMIANN99(2) COVER PAGI
Recipient Committee Type o~ ..ntin ~.~ Det. S,~.
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement :ers pe~od
f~om (~/-~J-~
thro.~h /,k-~/- ~
1. Type of Recipient Committee: ~Ji Committea~ - Complete Parts t, 2, 3, and 7.
~_Primarily Formed Candidate/
Officeholder Committee
(Also Col~ete Part 6J
[] General Puq3ose Committee
0 Sponsored
0 Broad Based
[~:Ofliceholder, Candidate
Controlled Committee
(Also Complete Part 4.)
[] Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
(Also Comp/ets Part 5.)
Date of e~ectlon if applicable:
(Month, Day, Year)
S-
2 1 ~71 9:08
Page (/ of ~'~
Fo~ Official Use Only
2. Type of Statement:
~ Pre-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarledy Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
3. Committee Information
COMMITTEE NAME
STREET ADDRESS (NO P.O. BOX)
l'-7
CITY STATE ZIP CODE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
AREA CODE/PHONE
661'32, 'q7/ '
Treasurer(s)
NAME O~ TREASURER
STATE ZIP COOE AREA CODE/PHONE
MAILING ADDRESS
CITY STATE ZIP COOE AREA CODF-/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADORESS
FPPC Form 460 (a/~)
For Technical Asslltance: 916/3~2-5660
State of California
Recipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
COVER PAGE-PART2
4, Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (iNCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
Identify tho ~n~olling o~o~, ~n~te, or s~ m~sum propon~ if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
,'
6. Primarily Formed Committee u,t,em, of officeholder(si orcandldata(s)
for which this committee Is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
AREA CODE~PHONE NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
OFFICE SOUGHT OR HELD
[]SUPPORT
[] OPPOSE
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 laws of the State of California that the~i_s~correct.
Executed
on - ---- -- By
By
Executed on By
Executed on By
FPPC Form 460 (8/99)
For Technical A~lstance: 916/322-5660
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Amounts may be rounded
to whole dolMr$.
S~,;.~,~,c-,~; covers
from ~ I )c~,~
through '~- ~ , ~
Page of __
SUMMARY PAGE
NAME OF FILER
Contributions Received
1. Monetary Contributions ...................................................... Schedule A, Line 3
2. Loans Received ................................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLines t + 2
4. Nonmonetary Contributions ............................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines 3 + 4
Expenditures Made
6. Payments Made .................................................................... Schedule E, Line 4
7. Loans Made .......................................................................... Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS ................................................ AddLines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3
10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3
11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10
Column A
TOTAL ~ FER~OD
I.D. NUMBER
Column B* Column C
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 + 13 + 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 ................................... AddLIne2+Llne91nColumnCabove
· From previous statement Summery Page, Column C. However, if this
is the first report filed for the calendar year, Column B should be blank
e~cept for Loans Received (Line 2), Loans Made (Line 7), end Accrued
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
1/1 through 6/30 7/1 to Date
20, Contributions
Received ............$ ~ '"~*..
21. Expenditures
Made ..................
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule A Ty~* or print in ink. SCHEDULE A
~mtoun~ may ~e roun~e~l S.'-;,~,~=nt covers p~r;o~ I
Moneta~ Contributions Received to who~ dollam, from ,~
SEE 'NSTR~ONS ON R~RSE ~rough
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIB~OR ~CUPA~ AND EMPLOYER RECEIVED ~IS C~ENDAR Y~R O~ER
.... - ~ cOM
~ COM
~ OTH
~IND
~ COM ,.
~ ~'~'DDD~ OTH COM OTHiND ~i;I ~ ....
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 I and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $
*Conlributor Codes
IND - Individual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/822-5660
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT.)
Monetary Contributions Received Amo.n. may~e roun~eo St~;=~,~¢~,ve~ period ~ .~ ~;
to whole dollars. , ri
from~D~U / ~11
through
of
NAME OF FILER MBER
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EM PLOYER RECEIVED THIS CALENDAR YEAR OTHER
RECEIVED (m COeAMiTTE E, ~ ENTER I.D. NUMBER) CODE * (IF SELF-EM[CLOYED, ENTER NAME PERIOD (JAN I * DEC 31 ) (IF APPLICABLE)
OF BUSINESS)
I-liND
[] COM
'-~-~ · [] OTH
[]IND
[] COM
[] OTH
[] IND
[] COM
~ [] OTH
'~' [] OTH
~ [] IND
'"'* [] COM
~'~,... [] OTH
I-I COM
[] OTH
SUBTOTALS
I'C_,ontn*butor Codes
IND - Individual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/822-5660
Schedule B - Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
..~-'--;~,,,ent covers period
from
~rough
SCHEDULE El - PART 1
NAME OF FILER
DATE
RECEIVED
OF LENDER OR GUARANTOR
I-I Lender
CONTRISUTOR
COOE *
[] Lender [] Guarantor
[-] Lender [] Guarantor
I-liND
[] eOM
[] OTH
[] IND
[] COM
[] OTH
[] IND
~ COM
[] OTH
IF AN INDIVIDUAL ENTER
OCCUPATION AND EMPLOYER
LENDER INFORMATION
DUE DATE
DUE DATE
(.)
$
GUARANTOR INFORMATION
$
SUBTOTALS
Schedule B - Part I Summary
1. Loans of $100 or more received this pedod. (Include all Loans Received - Part 1 (a) subtotals.) ...................
2. Amount received this period - unitemized loans of less than $100 ...................................................................
3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL
Schedule B - Part 2 Summary
4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c)
subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) .............................
5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or
paid by a third party, include this amount on Schedule A Summary, Line 2 ......................................................
6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL
7. Net change this period. (Subtract Line 6 from Line 3.)
Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET
[*Contdbuto~ Codes
IND - Incrwidual
COM - Recipient Committee
OTH - Other
FPPC Form 460
For Technical Assistance: 916~22-5660
Schedule B - Part 1 (Continuation Sheet) Type or print in Ink. SCHEDULE B- PART 1 (CONT.)
............... · ..................... · Amounts may be rounded S;=;m,ie,,; covers period '~r~ '' ·
L.oans Received to whole dollars, from~U i~
through M~R of '
4AME ~ FILER
IF AN INOI~DUAL. ENTER LENDER INFORMATION GUARANTOR INFORMATION
DATE FULL NAME, MAILING ADDRESS AND ZIP CODE CO~IB~OR ~CUPA~ON AND EMPLOYER (a) ~ CUMU~
RECE~D OF LENDER OR GUARANTOR CODE * (iF SE~'~LOYED* E~R ~E DA~ CUrSiVE
~ IND
~. ..... ~ O~H ~ O~ER ~ Omar
D Len~i'~' - ~.~uarantor
~ DUE DATE CALENDAR YEAR ALENDAR YE~
-~ ~IND
~ OTH OmER S OmER
~ Len~r 0 Guarantor % . $
~ IND --
,
~ ~ COM ~'mR~S~TE '~,
COM
~"~...~ ~mE.EST
~ Lender
DIND
~ COM I~.EST ~TE --
~ OTH Omar
~ L~r
SUBTOTALS
*Contributor Codes
IND - Individual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Aeslstance: 916/322-5660
Schedule B - Part 2
Repayments Made on Loans Received, Loans
Forgiven, and Loans Repaid by a Third Party
SEEINSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULEB-PART2
NAME OF FILER
DATE OF
REPAYMENT
OR
FORGIVENESS
DATE OF
ORIGINAL LOAN
FULL NAME OF LENDER
INTEREST
RATE
(IFCHANGED)
(c)
AMOUNT REPAID OR
FORGIVEN ON PRINCIPAL *
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ~
* IMPORTANT: If any part of a loan is forgiven or repaid by a third patti4, also itemize the transaction on Schedule A,
including the name and address of the person forgiving the loan or the third party making the payment, and the amount
forgiven or paid.
OUTSTANDING
PRINCIPAL
(d)
INTEREST
PAID
TOTAL INTEREST
PAID '~H19 PERIOD $ ~-~-~
Enter the arnount n column (d) ln U~e Sch6dule E
Summa~ Dna 3. Do not can), this total to the
Schedule B Summa~
FPPC Form 460 (8/99)
For Technical Assistance: 916~322-5660
Type or print in ink. SCHEDULE B - PART 3
OUll~UUlt~ D -- i-~1; i. 0 Amo:.~-~- m~-.. be roundedunto .y ;== · ~-,,~ e----,,,~,- covers--'~
Annual Repod of Outstanding Loans Received to who* dollars, ko~W~ ~ , ~ / ~ ~~
SEEINSTR~NSONREVERSE ~rough ~ ~i, ~ I Pa~ [ of__ L
NAME ~ RLER~ ~ ~ ~D~ ~I'D' NUMBER
F~ N~E OF LENDER ~IGINAL DA~ OF LOAN A~U~ OF ORIGINAk LOAN UNPAID PRINCIPAL UNPAIO iNTEREST
Attach additional information on appropriately labeled continuation sheets.
TOTAL
NOTE: This total should be
the same amount as entered
on the SummaryPage,
Column C, Line 2. FPPC Fomt 460 (8/99)
For Technical Asaistanca: 916/322-5660
Schedule C
Nonmonetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amount~ may be rounded
to whole dollars.
S~,t~,~&~ c,~ve~s period
through
SCHEDULE C
NAMEOFFILER
DATE
RECEIVED
FULL NAME, MAILING ADDRESS AND
ZiP CODE OF CONTRIBUTOR
CONTRIBUTOI
CODE *
[] IND
[] DOM
[] OTH
[] IND
[] COU
[] OTH
IF AN INDIVIDUAI~ ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPt. OYED. ENTER
NAME OF BUSINESS)
DESCRIPTION OF
GOODS OR SERVICES
[]IND
[] COM
[] OTH
[] IND
[] COM
[] OTH
Attach additional information on appropriately labeled continuation sheets. SUB~
AMOUNT/
FAIR MARKET
VALUE
I.D. NUMBER
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN I - DEC 31)
CUMULATIVE TO
DATE OTHER
(IF APPLICABLE)
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 period. ~
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL $
*Contributor Codes
IND - Indi~Adual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
CANDIDATE AND OFFICE,
MEASURE AND JURISDICTION, OR COMMITTEE
[] Supper ~ Oppose
[] smpo~ [] Oppose
Type or print in ink.
Amounts may be rounded
to whole dollars,
TYPE OF PAYMENT
[] ~ndap~n~e~
Expenditure
[] ~onetary
[]
[] ~da~da~
E~pe~d~m
[] No~-Monetary
Conbibut~on
[] Independent
Expenditure
-~;-;--,~.; covers
from -'~.4~
through
DESCRIPTION OF NONMONETARY
CONTRIBUTION
(IF REQUtRED)
AMOUNT THIS PERIOO
SCHEDULE D
Page '7 of1
I.O. NUMBER
CUMULATIVE AMOUNT
Calendar Year
$
Other
$
Calendar Year
$
$
Calendar Year
$
$
SUBTOTAL $
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 $
FPPC Form 460 (8/99)
For Tschnlcel Assistance: 916A322-5660
Schedule D
(Continuation Sheet)
Summary of Expenditures Typ, or print In ink.
Amountsmayberounded S~.;.~..~,,;cove~s~a,-:a~ le~_,ll I i~i~lfa/-·
Supporting/Opposing Other to whole dollars.
Candidates, Measures and Committees from
through I Page __ of__
NAME OF FILERI I.D. NUMBER
DESCRIPTION OF NONMONETARY
DATE CANDIDATE AND OFFICE. TYPE OF PAYMENT AMOUNT THIS PERIOD CUMULATIVE AMOUNT
MEASURE AND JURISDICTION, OR COMMITFEE CONTRIBUTION
(IF
[] Monetary Calendar Year
Contribution
[] Non'Monetary $
~ -~-~--~.~-~.~ Contribution Ob~er
~ -~-.~ [] Independent
[] Support [] Oppose ~- Expenditure $
[] ~ Calendar Yoar
[] Non-Mo~. $
Contribution '~ O~ha~
[] Independe~
[] Support [] Oppose Expenditure '~. $
[] Monetary ~'~..~ Calendar Year
[] No.-~k~eta~ '~ $
Con~ ~ Othar
[] Support [] Oppose Expend~um '-. $
Co¢~ibu~on
Con~ibu'don
[] Support [] O~x~e Expen~tu~e
SUBTOTAL $
FPPC Form 460 (8/99)
For Technical Assistance: 916~22-5660
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE E
NAMEOFRLER
I.D. NUMBER
CODES: I1 one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemalie/misc.
CNS campaign co~soltants
CTB contrib~on (ex~in nonmonetary)'
CVC civic dona~ns
FND fundraising evsots
IND independent exponditum supporting/opposing olhers (explain)'
LIT campaign literature and mailings
MTG mee§ngs and appearances
DFC offica expenses
PET po§tion circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger sawicas
PRO professienal san'ices (legal, accounling }
PRT print ads
RAD radio airiime and production costs
RFD retumed contributions
SAL campaign workers salaries
TEL t.v. or cable ai~me and production costs
TRC candidate travel, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VDT voter registra*~on
WEB information technology costs (intamet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
{IF COMMITTEE, ALSO ENTER ID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E Summary
1. Payments made this period of $100 or mom. (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 Summary Page, Column A, Line 6.) ......................... TOTAL $ ~,.
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts mw be rounded
to whole dollm's,
SEE INSTRUCTIONS ON REVERSE
NAME OF RLER
from
through
Page
I.D. NUMBER
SCHEDULEE(CON~)
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernaiia/mlsc.
CNS campaign consultants
CTB contrib~ion (a)q~i)in nonmonetary)'
CVC civic donations
FND fundraising events
IND independent expend~ure suppo~ng/'opposing others (explain)*
LIT campaign literature and mailings
MTG meetings and appearances
DFC office expenses
PET peti~on circulating
PHO phone banks
POL politng and survey research
POS postage, daiivery and messenger services
PRO professkxtal services (legal, accounting)
PRT print ads
RAD radio airtime and prnduction costs
RFD retumed contributioes
SAL campaig~workers salaries
TEL t.v. or cable airtime and production costs
TRC candidate travai, lodging and meais (explain)
TRS staff/spouse travel, Indging and meals (explain)
TSF transfer between committees of the same candidate/spor~sor
VDT voter registration
WEB inforrnation technology costs (intemet, e-meil)
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
* Paymenta that are contributions or independent expendl~res must also be summarized on Schedule D. SUBTOTAL
FPPC Form 460 (8/99)
For Technical Assistance: 916/~22-5660
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEEINSTRUCTIONSONREVERSE
Statement covers period
through ~' ~.='~
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
DFC offica expenses
PET peliflon circulating
PHO phone banks
POL polling and survey mseamh
POS postage, delivery and messenger services
PRO professional servicas (tsgal, accounting)
PRT p~int ads
RAD radio ai~me and production costs
CMP campaign paraphemalia/rnisc.
CNS carn~ consultants
CTS contn~utfon (explain nonmonetary)'
CVC civic do~alions
FND fundraJsing events
IND independent expenditure supporting/opposing othem (explain)*
LIT campaign literature and mailings
MTG meelthgs end appearancas
SCHEDULE F
* Payments that ere contributions or independent expenditures must also be summarized on Schedule D.
Page / of' /
I.D. NUMBER
RFD returned contfibu~ons
SAL campaign workers salaries
TEL t.v. ef cable airtime and production costs
TRC car~date travel, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VDT voter registralJon
WEB inforrnaflcn technology costs (intemet, e-mail)
(a) (b) (c) (d)
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMHITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
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 ali 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 (8/99)
For Technical Asslatsnce: 916/322-5660
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
NAME OF FILER
Type or print In ink.
Amount~ may be rounded
to whole dollars.
SCHEDULE F (CONT.)
Page of
I.D. NUMSER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphe malia/rnisc.
CNS campaign consultants
CTB cont~bufion (explain nonmonetar/)'
CVC civicd~qa~/ons
FND fundraistng events
IND ~. t expenditure supporting/opposing others (explain)*
LIT campmgn ~emtumandmatiings
MTG meetings and appearances
CFC offica ex]3eoses
PET petition circulating
PHC phone banks
POL Ix~andsun/eyresearch
POS postage, delivery and messenger servicas
PRO professional se trices (legal, accounting )
PRT prior ads
RAD radio airtime and production costs
* Payments that are contributions or independent expenditures must also be summarized on Schedule O.
RFD returned contdbu~ons
SAL campaign wo;kers saJades
TEL t.v. or cable airlime and production costs
TRC cane,;date travel, kx~ng and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VOT voter mgis~ra~on
WEB infon'nation technology costs (intemet, e.mail)
(a) (b) (~=) (d)
~ ~d~HE ~.~.E. SS OF PAYEE OR CREDITOR COOE OR OIJTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANOING
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Type or print In ~nk.
Amounts may be rounded
to whole dollars.
~;~;~,,,~nt covera period
from . ~'~[/Vt }/ ~ ~*~
Page ....
I.D. NUMBER
SCHEDULE G
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment.
CMP campa/gn paraphemalia/rn/sc.
CNS campaig~con~ultants OFC ofl~ceexpenses RFD retumeqcon~buffons
PET pe~UoncimulaUn9 SAL campaign workers salades
CTB contribution (explain nonmonetary)* PHO phone banks
CVC civic donations
FNO fundraisingevants POL pollingandsurveyresearch
POS Fostage, de~vmy and messenger services
IND iodependantexpen~uresul~opposingo~ers(exp~), PRO Professkmalservices(legal, accountJng)
LIT campaign literature and mailings
MTG meefingsandabpearances PAT pdntads
* Payment' th't 're contflbution, or independent expenditure, mu,t also b~RAsDum'ma erCr~er~ ;c~:rd°uleUC~.°n c°sts
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging and meaJs (explain)
TRS stafffspouse travel, lodging and meals (explain)
TSF transfer between committees of ~he same caodidale/sponsor
VDT voter registration
WEB information technology costs (intemet. e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR -- ~
(IF COMMI~i'EE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT
~_ach additiona/ information on a~oroo#ate/v /ah~_l~ ,~,.~;,,,,~;.~. ~,. ~ ~
· Do not transfer to any other schedule or to the Summary Page. Thi~ ~otal may not equal the amount paid to the agent or independent contractor
as reported on Schedule E.
TOTAL*
FPPC Form 460 (8/99)
For TechntcM Assistance: 916~322-$660
Schedule H - Part 1
Loans Made to Others*
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
through
Page
SCHEDULEH-PART1
! of ~
NAME OF FILER
DATE OF LOAN
NAME AND ADDRESS OF RECIPIENT
INTEREST RATE
DUE DATE
*Loans that are contributions to another candidate or committse must also be summarized on Schedule D. SUBTOTAL $
LD. NUMBER
AMOUNT
Schedule H - Part I Summary
1. Loans of $100 or more made this period. (Include all Loans Made - Part 1 subtotals.) ............................................... $
2. Unitemized loans under $100 made this period ............................................................................................................. $
3. Total loans made this period. (Add Lines 1 and 2.) .......................................................................................... TOTAL $
Schedule H - Part 2 Summary
4. Payments received on loans of $100 or more. (Include all loan payments received and all
loans of $100 or more forgiven by this committee - Part 2 (a) subtotals.
If forgiven, also itemize on Schedule E.) ...................................................................................................................
5. Unitemized payments received on loans under $100.
(Including a forgiveness.) ............................................................................................................................................ $
6. Total Joan payments received this period.
(Add Lines 4 and 5.) ........................................................................................................................................ TOTALS
7. Net change this period. (Subtract Line 6 from Line 3.
Enter the net here and on the Summary Page, Column A, Line 7.) ................................................................ NET $
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule H - Part 2
Repayments on Loans Made to Others
and Loans Forgiven
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
_~:__-:_-_+~i~;. covers
from ~"-~/~
through
P,.e ~ ot ~
E I-~. PAPer 2
NAME OF FILER
DATE OF
REPAYMENT OR
FORGIVENESS
INTEREST
RATE
(IFCHANGEO)
DA~ OF
ORIGINAL
LOAN
FULL NAME OF RECIPIENT OF LOAN
AMOU.T ;~PA,D OR
FORGIVEN ON PRINCIPAL*
-=XCLUDE RECEIPT OF INTEREST
SUBTOTAL
(b)
OUTSTANDING INTEREST
PRINCIPAL RECEIVED
TOTAL INTEREST
RECEIVED 'l~lS
PERIOD
Attach additional information on appmprfately labeled continuation sheets.
* IMPORTANt:' If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Entertheamountincalumn(b)in the
from a third partJ4, enter the name and address of third parJy in the 'FULL NAME OF RECIPIENT OF LOAN" column above, along with the Schedule I Summa~ Line 3. Do not can7
name of the recipient of the loan. this total to the Schedule H Summaq~
FPPC Form 460 (8/99)
For Technical Assistance: 916/~22~660
SCHEDULE H - PART 3
Schedule H - Part 3Amou~.'r'pe o, p,lnt in ink.may b~ rounded _~-'-_-' _-,,,~, covers ~r,~ J i~
Annual Report of Outstanding Loans Made to whole dollara, from ~,~ Ij ~
SEE INSTRUCTIONS ON REVERSE /
NAME OF FILER MB
FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST
Attach additional information on appropriately labeled continuation sheets.
TOTAL
NOTE: This totalshouldbe
the same amount as entered
on the Summary Page,
Column C, Line 7.
FPPC Fo~m 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Amounts may be rounded
to whole dollars.
SCHEDULEI
F.., / or?
NAME OF FILER
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
DESCRIPTION OF RECEIPT
I.D. NUMBER
AMOUNT OF
INCREASE TO CASH
Attach additional information on approp#ately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
1. increases to cash of $100 or more this period ........................................................................................................... $
2. Unitemized increases to cash under $100 this period ............................................................................................... $
3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660