HomeMy WebLinkAboutBFLAG PREELEC00(1) ecipient Committee
Campaign Statement
(Government Code Sections 84200-84216,5)
Type or print in Ink.
Statement cove~e period
from ~ - I - O~
through /- ~2.-~o
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: A, Comr. i~.-Cnmpletn Pn~ t, 2, 3, =~d ?.
Date of ejection if applicable:
(Mcm~h, Day, Year)
Dale Stamp
COVER PAGE
[] Officeholder, Candidate
Controlled Committee
(Also Complete part 4.)
[] Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(Also Complete part 5.)
[] Primarily Formed Candidate/
Officeholder Committee
(Also Complete part 6.)
[] General Purpose Committee
(~) Sponsored
~) Broad Based
FEB -9 P~t 2:53 Fo~o.~mu.o~
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
2. Type of Statement:
[~ Pre-election Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
3. Committee Information
COMMITTEE NAME
SmEET A~ORESS <"0 ~.0. SOX~
CITY STATE ZIP C~E ~EACO~HONE
~IUNG A~RESS (IF DIFFEREm) ~. ~D STREET ~ P.O. BOX
C~ STATE ZIP ~E ~EA ~D~HONE
OPT~NAL: FAX / E-MAIL A~ESS
Treasurer(s)
NAME OF TREASURER
MAIUNG ADORESS
CITY
STATE ZIP COnE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAlUNG ADDRESS
CITY STATE ZIP COnE AREA CODFJPHONE
OPTIONAL: FAX/E-MAIL ADO~ESS
Recipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
COVER PAGE- PART2
Page
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDE NTIA L,~USINE S S ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Llstanycommlttaes
not Included In this consottdated s tatemen t that are controlled by you or which are primarily
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
CONTROl_LED COMMITFEE?
[] YES [] NO
STREET ADDRESS (NO P.O. BOX
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETEER I JURISDICTION [] SUPPORT
I
[] OPPOSE
Identify the conb'olling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT
OFFICE SOUC-ddT OR HE!.D DISTRICT NO. tF ANY
NAME OF TREASURER
COMMITTEE ADDRESS
STATE ZIP CODE AREA CODE/PHONE
7. Verification
6. Primarily Formed Committee Llstnamesofofficeholder(s)orcandldate(s)
for which this committee Is prlnmrily formed.
NAMEOFOFFICEHOLDERORCANDIDATE 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
Attach conb~uation sheets if necessary
[] SUPPORT
[] OPPOSE
I have used all reasonable diligence in preparing and reviewing this statement and to the best knowledge the information contained herein and in the attached schedules
is tree and complete. I certify under pena~y of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
Executed on By
Executed on By
Executed on By
FPPC Form 4~0 (S/SS)
For Technical A~a~tance: g1~/~22-5660
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollers.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
I. Monetary Contributions ...................................................... Schedule ~, L/ne 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 .................................... 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
10. Nonmonetary Adjustment ....................................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ......................................... addLtnesa+ S+ fO
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summary Page. Line 16
13. Cash Receipts .............................................................. Column.4, Ltne 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 t2 + Ig + t4, then subtract Line t5
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule B, Pan l, Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... See mstruciions on reverse
19. Oulstanding Debts ................................... Add Line 2 + Line 9 in Column C above
period
Oc~
Column B*
TOTAL PRE~IOUS PERIOD
(SEE NOTE BELOW)
$,
SUMMARy p.a ~_ F
Pq~ ~ of
I.D. NUMBER
Column C
TOTAL TO DATE
$ $
$ $
$ $
· From previous statemen! Summary Page. Column C. However, it this
is the first report flied for the calendar year. Column B should be blank
except f(x Loans Received (Line 2), Loans Made (Line 7), and Accrued
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
1/1 through 6/30 7/1 to Dale
20. Contributions
Received ............ $
21. Expenditures
Made .................. $
FPPC Form 460 (8/99)
For Technical Assistance: 9161322.5660
Schedule A Type or print in ink. SCHEDULE A
Amounts may t~e rounae~l Statement cov,~ period I
Contributions Received to whole dollars. ~~ I
from i
through - I Page L~ of ~
ON
REVERSE
FU~ NAME, MAILING ADDRESS AND ZIP CODE OF CON~IB~OR CONTRIBUTOR ~CUPATI~ AND ~PLOYER RECEIVED ~IS CALENDAR YEAR OTHER
~IND
D COM
DOTH
~IND
D COM
DOTH
~IND
D COM
~ OTH
~IND
D COM
~ OTH
Monetary
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
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 than $100 .........................................
3. Total monetary contributions received this pedod.
(Add Lines 1 and 2. Enter hero and on the Summary Page, Column A, Line 1.) ................... TOTAL
"Contributor Codes
IND - Indi~ddual
COM - Recipient Commmee
OTH-Other
~ Fm'm 460 (8/99)
For Technical Assistance: 916~322-5660
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
from '/~ / * Oo
through
CODES: If one el the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphematia/misc.
CNS campaign consultants
CTB contribution (explain nonrnonetmy)'
CVC civic donatons
FND fundreising events
IND independent expenditure supporting/opposing olhers (explain)*
LIT campaign literature and mailings
MTG meetngs and appearances
DFC office expenses
PET petition circulating
PHO phone banks
POL potting and survey research
POS postage, delive~ and messenger se r,4ces
PRO prol=essional sen~c es (legal, accounting )
PRT print ads
RAD radio eirt me and prnduction costs
SCHEDULEF
page ~ of ~
i.e. NUMBER
RFD retumed contribu*&)ns
SAL campaign workers salades
TEL t.v. ~' cable airtime 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 candidateJsponsor
VOT voter rengistrefion
WEB information tschno~ogy costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER Lb. 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 more. (Include all Schedule E subtotals.) ...............................................................................................
2. Unitemized payments made this pedod 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 (8~9)
For Technical Assistance: 916/322-5660
To whom it may concern,
BFLAG's Pre-election campaign statement were late due to the fact that I did not know that
That they were due this early in the year. I now have the due dates for all future statements.
Thank you
Danny D. Brown
Treasurer BFLAG