HomeMy WebLinkAboutBFLAG PREELEC04(1)
Date Stamp
in ink.
Type or print
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
of 1<'"
Use Only
I
For Official
Date of election if applicable:
(Month, Day, Year) .
covers period
0'1
Statement
-r-
Page
M110: 50
OCT -5
from
'-"
If\
Quarter1y Statement
Special Odd*Year Report
Supplemental Preelection
Statement * Attach Form 495
CI
o
o
o
y
c'
1-./0'.1', 'z,.z.o
2. Type of Statement:
X Preelection Statement
D Semi*annual Statement
D Termination Statement
D Amendment (Explain below)
Committees - Complete Parts 1, 2, 3, and 4.
D Ballot Measure Committee
o Primarily Formed
o Controlled
o Sponsored
(Also Complete PaTt 6,
<1
through
SEE INSTRUCTIONS ON REVERSE
Type of Recipient Committee: All
D Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also CompJete Part 5)
1.
Primarily Formed Candidate!
Officeholder Committee
(A/soCompletePart7)
o
~ General Purpose Committee
o Sponsored
gi Small Contributor Committee
o Political Party/Central Committee
Committee Infonnation
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
DA~F/E/J~ Rl2EFI<':,Hre:es
LEGISL4-nv€, ACTIO~ G120G?
CITY STATE ZIP CODE
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX
NUMBER
o
3.
AREA CODE/PHONE
ZIP CODE
STATE
CITY
and complete
hed schedules is true
E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best 0
certify under penalty of pe~ury under the laws of the State of California that the foregoing is tl
FAX
OPTIONAL
O-z..- 0
Date
Date
Executed on
Executed on
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
state of California
Ie Measure Proponenl
Signawre ofConlroUing al\cet1older, Canddale. state Measure Proponent
Siglature ofCOntrollng orriceholder
By
By
Date
Date
Executed on
Executed on
COVER PAGE - PART 2
.
. :
=- of~
o SUPPORT
o OPPOSE
Related Committees Not Included in this Statement: List ""y committees
not included in this statement that are controlled by you or lire primarily fanned to receive
contributions or mllke expenditures on behalf of your candidacy.
COMMITTEE NAME 10 NUMBER
NAME OF TREASURER CCX\ITROllED COMMITTEE?
DYES DNa
COMMITTEE ADDRESS STREET ADDRESS (NO PO, BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME 1.0 NUMBER
NAME OF TREASURER CONTROLLED COM M ITTEE?
DYES DNa
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO IF ANY
7. Primarily Fonned Committee List names of offlceholder(s) or candidale(s) for
which this committee ;s primarily formed_
ZIP
STATE
CITY
(NO, AND STREET)
RESIDENTIAUBUSINESS ADDRESS
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
if necessary
FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
state of California
Attach continuation sheets
SUMMARY PAGE
covers period
Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
Campaign Disclosure Statement
Summary Page
s
I
.3
'1-
from
of
D NUMBER
B-z- I Cj ~.;-
Page
through
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
ColumnS
CAlENDAR YEAR
TOTAl TO~TE
to Dale
7/
$
through 6130
$
20. Contributions
Received
Expenditures
Made
21
3o,Q15, ~
-l)-
-&-
po
--
CJ'7,:,;-.
$
$
SEE INSTRUCTIONS 0f\I REVERSE
NAME OF FILER
~FlA(6
Contributions Received
$
$
Schedule A Line 3
Schedule B, Line3
Schedule C. Lme 3
2
Add Lines
Monetary Contributions
Loans Received.
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions..
TOTAL CONTRIBUTIONS RECEIVED
2.
3
4.
5.
$
Summary for State
$
Expenditure Limit
Candidates
c;t/:
$
$
22. Cumulative Expenditures Made.
(II Subject 10 Voluntary Expenditure Llmll)
Total to Date
$
$
Date of Election
(mm/dd/yy)
CZ!t
e-
.e-
7.3~. '1
$
$
$
----.J----.J_
$
may be
$
.Since January 1, 2001. Amounts in this section
different from amounts reported in Column B.
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
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
$
z
$
$
Add Lines 3 + 4
Schedule E, Line 4
Schedule H. Line 3
$
AddUnes6.. 7
Schedule F, Line 3
Schedule C. Line 3
Loans Made
SUBTOTAL CASH PAYMENTS
Accrued Expenses (Unpaid Bills)
Nonmonetary Adjustment ,.
TOTAL EXPENDITURES MADE
Expenditures Made
6. Payments Made
7.
8.
9
10
$
$
AddUnes8+9+ 10
Previous Summary Page, Line 16
CdumnA.Une3~e
Lme4
Cdumn A, Une 8 above
/.
Schedule
Cash
11
Current Cash Statement
12. Beginning Cash Balance
13. Cash Receipts.
14. Miscellaneous Increases
15. Cash Payments..
16. ENDING CASH BALANCE
to
$
then subtract Line 15
14.
13
Add Lines 12
-G-
.t9-'
$
Schedule B. Part 2
Cash Equivalents and Outstanding Debts
8. Cash Equivalents. See instructions on reverse
Outstanding Debts
16 must be zero.
Line
7. LOAN GUARANTEES RECEIVED
If this is a termination statement,
FPPC Form 460 (June/01)
FPPC TolI-Free Helpline: 866/ASK-FPPC
$
$
Une 9 in Column B above
Add Line 2
19
SCHEDULE A
1m
+ ",
Page of _IS
JD NUMBER
8 "2...115)"
Statement
from ~-
through '1
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
.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/Ol)
FPPC TolI-Free Helpline: 866/ASK-FPPC
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN 1 .DEC 31) (IF REQUIRED
7. Q40"D 3O/i7S5!.9-
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SElF-EMPlOYED, ENTER NAME
Of BUSINESS)
CONTRIBUTOR
CODE *
-:bYlA&'
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE ALSO ENTER I,D. NUMBER)
DATE
RECEIVED
SUBTOTAL $
=
..........$ 1.O,<fO.CO
..........$ Go
TOTAL $ "q40 .00
OIND
OCOM
OOTH
OPTY
osee
OIND
oeoM
OOTH
OPTY
osee
OIND
oeoM
OOTH
OPTY
osee
OIND
oeoM
OOTH
OPTY
osee
OIND
oeoM
OOTH
OPTY
osee
~A-IU=~>~ El...O Ft12ERG-lTee...s
12eu~1-' A5f:OC~IOl'J
Schedule A Summary
Amount received this period - contributions of $1 00 or
(Include all Schedule A subtotals.) ..
1
Line
more.
Amount received this period - un itemized contributions of less than $1 00
Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page
Column A,
2
3.
SCHEDULE B-PART
covers period
Statement
7-
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule B- Part 1
Loans Received
~
5
9- 30-0
from
Page
D NUMBER
8z..-.'9S;S-
of
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
(oj
CUMULATIVE
CONTRIBUTIONS
TO DATE
m
ORIGINAL
AMOUNT OF
lOAN
{eJ
INTEREST
PAID THIS
PERIOD
{dJ
(el OUTSTANDING
AMOUNT PAID BAlANCE AT
OR FORGIVEN I CLOSE OF THIS
THIS PERIOD * RIOI
o PAID
a (b)
WTSl'ANDING AMOUNT
BALANCE I RECEIVED THIS
BEGINNING THIS PERIOD
RIOD
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
IIF SELF.EMPLOYED, ENTER
NAME Of BUSINESS)
~~LAb--
FULL NAME, STREET ADDRESS AND ZIP CODE
OF lENDER
IF COMMlTIEE, AlSO ENTER I,D. NUMBER)
CAlENDAR YEAR
_%
RATE
$
$
o FORGIVEN
PER ELECTION-
DATE INCURRED
DATE DUE
o PTV 0 see
o OTH
OeOM
INO
to
CAlENDAR YEAR
_%
RATE
$
o PAID
PER ELECTION'"
o FORGIVEN
OATE INCURRED
DATE DUE
o PTV 0 see
o OTH
oeOM
to INO
CALENDAR YEAR
$
_%
RATE
$
o PAlO
$
o FORGIVEN
PER ELECTION.....
$
DATE DUE
see
o PTV 0
o OTH
OeOM
INO
to
$
$
$
SUBTOTALS $
(Enter(e)on
Schedule E, Line 3)
G-
-Q-
$
$
Schedule 8 Summary
Loans received this pefiod
(Total Column (b) plus unitemized loans less than $100.)
* Amounts forgiven or paid by
another party also must be
reported on Schedule A.
required.
Loans paid or forgiven this period
(Total Column (c) plus loans under $1 00 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
2.
..@-
(MlIybel!llle!illlti'leRurrber
Net change this period. (Subtract Line 2 from Line 1.)
Enter the net here and on the Summary Page, Column A, Line 2.
3.
FPPC Form 460 (June/01)
FPPC TolI-Free Helpline: 866/ASK-FPPC
$
t Contributor Codes
INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee I
NET
SCHEDULE B - PART2
Statement covers period RNIA 460
from 7-I-O<f RM
through 9-~o-OLf Page -"'--- of ~
ID_ NUMBER
8Zlq.s-S-
AMOUNT BALANCE
lOAN GUARANTEED CUMULATIVE OUTSTANDING
THIS PERIOD TO DATE TO DATE
- -
LENDER CALENDAR YEAR
-- .
DATE PER ELECTION
(IF REQUIRED)
--
.
- -
CALENDAR YEAR
LENDER
.
~ - PER ELECTION
DATE (IF REQUIRED)
--
.
- -
CALENDAR YEAR
LENDER
.
_ _ PER ELECTION
DATE (IF REQUIRED)
-- .
- -
CALENDAR YEAR
LENDER
.
--
PER ELECTION
DATE (IF REQUIRED)
- -
.
- - Erne,," [ '. 'I
SUBTOTAL $.0.... S~~:~'lor;:;e' f\' ~"!;;&:;!;t~LG_\i;>L:t-
FPpe Form 460 (June/Ol)
FPPC TolI-Free Helpline: 866/ASK-FPPC
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAl, ENTER
OCCUPATION AND EMPLOYER
(IF SElF.EMPlOYED, ENTER
NAME OF BUSINESS:
CONTRIBUTOR
cmE
OIND
DOOM
OOTH
OPTY
osee
OIND
oeOM
OOTH
OPTY
osee
OIND
oeOM
OOTH
OPTY
osee
OIND
oeOM
OOTH
OPTY
osee
Schedule B - Part 2
Loan Guarantors
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
~~0
FULL NAME, STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE, ALSO ENTER LD NUMBER)
Statement covers period
from 7-1-0
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule C
Nonmonetary Contributions Received
Page~Of IS'
D NUMBER
'1-30--0
through
SEE INSTRUCTIONS ON REVERSE
NAME a= FILER
oFl-A&-
8LIC,5".r-
PER ELECTION
TO DATE
(IF REQUIRED)
CUMULATIVE TO
DATE
CAlENDAR YEAR
(JAN 1 - DEC 31)
AMOUNTI
FAiR MARKET
VAlUE
DESCRIPTION OF
GOODS OR SERVICES
JF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SElf-EMPLOYEO, ENTER
NAME OF BUSINESS)
CONTRIBUTOR
CODE *
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(If COMMITTEE. AlSO ENTER 1.0. NUMBER)
DATE
RECEIVED
OIND
oeOM
OOTH
OP1Y
osee
OIND
oeOM
OOTH
OP1Y
osee
OIND
oeOM
OOTH
OP1Y
osee
OIND
oeOM
OOTH
OP1Y
osee
.Contributor Codes
IND-lndividual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
SUBTOTAL $
-
,............$ -
,............$ -
TOTAL $ IG-
Attach additional information on appropriately labeled continuation sheets.
Schedule C Summary
1. Amount received this period -nonmonetary contributions of$1 00 or more.
(Include all Schedule C subtotals.) ........................,.........................................,
2. Amount received this period - unitemized nonmonetary contributions of less than $1 00
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)
FPPC Form 460 (June/Ol)
FPPC TolI...f'ree Helpline: 866tASK-FPPC
SCHEDULE D
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
~
of
Page
10 NUMBER
82...-ICJs-s-
~
4 -3 (H)
from
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
1$
PER ELECTION
TO DATE
(IF REQUIRED
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1- DEe 31)
DESCRIPTION
(IF REQUIRED)
TYPE OF PAYMENT
NAME OF CANDIDATE, OFFICE, AND DISTRICT OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
DATE
AMOJNT THIS
PERIOD
Monetary
Contribution
o
Nonmonetary
Contribution
Independent
Expenditure
o
o
o Oppose
Support
o
o Monetary
Contribution
o Nonmonetary
Contribution
Independent
Expenditure
o
o Oppose
Support
o
o Monetary
Contribution
o Nonmonetary
Contribution
SUBTOTAL $
Independent
Expenditure
o
o Oppose
Support
o
Schedule 0 Summary
Contributions and independent expenditures made this period of $1 00 or more
G-
$
(Include all Schedule D subtotals.
-G-
--
-a-
$
TOTAL $
2. Unitemized contributions and independent expenditures made this period of under $1 00
FPPC Form 460 (JuneI01)
FPPC TolI..free Helpline: 866/ASK-FPPC
Do not enter on the Summary Page.)
and2
1
3. Total contributions and independent expenditures made this period. (Add Lines
period
covers
-0
Statement
7-
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E
Payments Made
/'
~
page-5-
10 NUMBER
8z.. i'1S.s'
'1-30..0
from
of
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
pfL-A&
candidate/sponsor
Otherwise, describe the payment.
RAD 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
VOT voter registration
V\lEB information technology costs (internet,
the payment, you may enter
MBR member communications
MTG meetings and appearances
OFC office expenses
Fer petition circulating
PH::) phone banks
PCJL polling and survey research
PO:) postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
the code
CODES If one of the following codes accurately describes
eM=' campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary).
eve civic donations
RL candidate filing/ballot fees
FNO fund raising events
NO independent expenditure supporting/opposing others (explain)
LEG legal defense
LIT campaign literature and mailings
e*mal
AMOUNT PA!D
DESCRIPTION OF PAYMENT
OR
CODE
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTEfHO NUMBER)
5~O
o~C-
\
L06- CAB/f\j i==LOE.IST
58tp ./~
TEL
WA/..DO So
~~Pi~.SF"Llero CliLJ e.~.c..1.J
COo ~
~
must also be summarized on Schedule D.
Payments that are contributions or independent expenditures
.
SUBTOTAL $
$
$
$
TOTAL $
Schedule E subtotals
Schedule E Summary
Payments made this period of $1 00 or (Include al
Unitemized payments made this period of under $1 00
Total
more.
1
2.
(e).)
here and on the Summary Page,
Column
(Enter amount from Schedule B. Part
4. Total payments made this period. (Add Lines
interest paid this period on loans.
3,
FPPC Form 460 (June/Ol)
FPPC TolI-Free Helpline: 86S/ASK..fPPC
Column A. Line 6.)
Enter
2. and 3
SCHEDULE E
covers period
o
Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule E
(Continuation Sheet)
Payments Made
/-
C)-30-DY
from
~of~
Page
t D NUMBER
8L \C(SS-
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
describe the payment.
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet,
Otherwise,
RAD
RFD
SAL
lEL
1RC
TRS
TSF
VOT
~B
the payment, you may enter
MBR member communications
MTG meetings and appearances
OFC office expenses
FEr petition circulating
PHO phone banks
POl polling and survey research
PC:S postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
the code
YJFL-A/:I
If one of the following codes accurately describes
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary).
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing
legal defense
campaign literature and mailings
(explain)*
others
CODES:
OIP
CNS
CTB
CVC
RL
FND
ND
LEG
LIT
e-mal
AMOUNT PAID
(XX) , ex::>
DESCRIPTICX\I OF PAYMENT
OR
CODE
C\JG
NAME AND ADDRESS OF PAYEE
(IF COMMIITEE, ALSO ENTER 1.0. NUMBER)
\/1 c-"1 A g~
eO! A~I-I 6U eJ\J
00
'-flOOD' 00
SDo
C:TB
eMP
"Dt;M.O u2A-r1 c... '?ACLi'l1
K.\ ~D rRA$I\:n...--\) ,,..)A.l t1\...--
~
LoaD ,DO
QJU), 41~
FPPC Form 460 (June/01)
FPPC TolI--Free Helpline: 866/ASK-FPPC
SUBTOTAL $
c:-rf$
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Paga ~ of i<;;
.D. NUMBER
82- ,4 ~'S-
from 7 - J - blf
through_ '1-1c' .o'f
"ll~. , ,. ) h. .1: (
to whole dollars.
\Lvl'.tinuati.,,\ ~..,"i.;lJ
Payments Made
SEe INSTRUCTIONS ON REVERSE
NAME OF FILER
~~LA G-'
costs
NAME AND ADDRESS Of PAYEE CODE OR DES HIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, AlSO ENTER I. NUMBER)
~)(eZs;;F=Je..f) 120BBC::i2..-- Sf Ari1 P 4ft:>3 32-
Of"<!.- -
~1-rA: ::re~i'-I;.J..$ CIS 7,6"'00. ~
.s >>,d\IJtJ 1$I2WVOAJ 7. SOD ~
erB
... Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 16,4<.o.?2
describe the payment.
radio airtime and production
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs
FPPC Form 460 (June/OI)
FPPC TolI-Free Helpline: 866/ASK-FPPC
(interl
Otherwise,
RAD
RFD
SAL
lR
1RC
TRS
TSF
VQT
WEB
the payment. you may enler the
~ member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
Pt-() phone banks
POl polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
code.
codes accurately describes
(explain).
CODES: If one of the following
ap campaign paraphernalia/misc,
CNS campaign consultants
CTB contribution (explain nonmonetary).
CVC civic donations
FIl candidate filing/ballot fees
FNJ fund raising events
I'D independent expenditure supporting/opposing others
LEG legal defense
lIT campaign literature and mailings
Statement covers period
from
Type or print in ink.
Amounts may be rounded
to whole dollars.
(Unpaid Bills)
Schedule F
Accrued Expenses
Page j'7- of ~
o NUMBER
5z...14<; S-
through '1-30.-0
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
'3:FYA~
Othetwise, describe the payment.
RAD 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
VOT voter registration
-.
la) Ib) Ie) Id)
NAME AND ADDRESS OF CREDITOR COOEOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
. Payments that are contributions or Independent expenditures must also be SUBTOTALS $ $ $ $
summarized on Schedule D.
- - -
the code.
accurately describes the payment. you may enter
MBR member communications
MTG meetings and appearances
a:C office expenses
PET petition circulating
FtO phone banks
POl polling and survey research
PCG postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT t ad
(explain)
others
CODES If one of the
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)
civic donahons
candidate filing/ballot fees
fund raising events
independent expenditure supporting/opposing
legal defense
campaign literature and mailings
following codes
eM?
CNS
CTB
CVC
RL
FNO
NO
LEG
LIT
INCURRED TOTALS $ &
-
PAID TOTALS $ .S-
-
~
............ NET $ .......
May be a negahve number
FPPC Form 460 (JuneI01)
FPPC TolI-Free Helpline: 866/ASK-FPPC
Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $1 00 or more, plus total unitemized accrued expenses under $100.)
1
(Include all Schedule F, Column (c) subtotals for payments on
total unitemized payments on accrued expenses under $100.)
1. Enter
2. Total accrued expenses paid this period
accrued expenses of $1 00 or more. plus
the difference here and
Net change this period. (Subtract Line 2 from Line
on the Summary Page, Column A, Line 9
3.
SCHEDULE G
Statement covers period
from 1_
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
0,"-+
'1-~o
~
Page
j D NUMBER
8-z..,.1'l s.s-
~
through
of
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
BPLAV
NAME OF AGENT OR INDEPENDENT CONTRACTOR
candidate/sponsor
describe
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same
voter registration
infonnation technology costs (internet
the payment.
Otherwise
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
VIof'B
following codes accurately describes the payment, you may enter
MBR member communications
MTG meetings and appearances
OFC office ex penses
FtT petition circulating
PI-k:) phone banks
POl polling and survey research
PC'6 postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
the code
(explain)
CODES: If one of the
campaign paraphernalia/misc.
campaign consu"ants
contribution (explain nonmonetary)
civic donations
candidate filing/ballot fees
fund raising events
independent expenditure supporting/opposing others
legal defense
campaign literature and mailings
a.f'
CNS
CTB
CVC
AL
FND
ND
LEG
LIT
e-mai
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, /4LSO ENTER 1.0. NUMBER)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
TOTAL' $ -G-
-
FPPC Form 460 (JuneJ01)
FPPC Toll-Free Helpline: 866/ASK..f'PPC
the agent or
Attach additIOnal mformatlOn on appropflately labeled contmuatlon sheets.
equal the amount paid to
may not
Do not tTansfer to any other schedule or to the Summary Page. This tota
independent contractor as reported on Schedule E.
SCHEDULE H
covers period
Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule H
Loans Made to Others*
....
~
~
from
thrOUghCl-30-0
of
Page
D NUMBER
"i ~.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
~
(0)
CUMULATIVE
lOANS
TO DATE
f!l2-1
lfl
ORIGINAL
AMOUNT OF
LOAN
1')
INTEREST
RECEIVED
OUTSTlI'I.OING
BALANCE AT
CLOSE OF THIS
PERIOD
1')
REPAYMENT OR
FORGIVENESS
THIS PERIOD*
lb)
AMOUNT
LOANED THIS
PERIOD
1')
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
IF AN INDIVIDUAl, ENTER
OCCUPATION AND EMPLOYER
(If SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
OfZAV
FUll NAME, STREET ADDRESS AND ZIP CODE
OF RECIPIENT
F COMMITTEE. AlSO ENTER 10 NUMBER)
CALENDAR YEAR
_%
AATE
,
PAID
,
o FORGIVEN
o
PER ELECTlON-
DATE INCURRED
,
DATE DUE
,
CALENDAR YEAR
_%
AATE
PAID
,
o FORGIVEN
o
PER ELECTION-
DATE INCURRED
$
DATE DUE
$
$
$
SUBTOTALS
*Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. loans forgiven must
also be reported on Schedule E.
(Enter (e) on
SChedule I, Line 3)
$
Schedule H Summary
Loans made this period
(Total Column (b) plus unitemized loans less than $100.)
Required
hlf
$
2. Payments received on loans
(Total Column (c) plus unitemized payments less than $100.)
-G-
,ybea negativenumbef)
NET $
3. Net change this period. (Subtract Line 2 from Line 1.)
(Enter the net here and on the Summary Page, Column A, Line 7.)
FPPC Form 460 (June/Ol)
FPPC ToU-Free Helpline: 866/ASK..fPPC
Schedule Type or print in ink. SCHEDULE
Miscellaneous Increases to Cash Amounts may be rounded Statement covers period Ii
to whole dollars.
from 7- J-O,!-
through 0,- 3o-9..::L J/' ~
SEE INSTRUCTIONS ON REVERSE Page~ of i
-
NAME OF FILER iD NUMBER
Bp,-!4&' 82-1<j5~-
-
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH
-
-
-
-
-
-
Attach additional information on appropriately 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, Column (e).) ......... ..............$
4. Total miscellaneous increases to cash this period. (Add Lines 2. and 3. Enter here and on the 0-
Summary Page, Line 14.) TOTAL $
FPPC Form 460 (JuneI01)
FPPC Toll-Free Helpline: 866/ASK-FPPC