HomeMy WebLinkAboutDICKERSON SEMIANN05(2)
4. Verification
I have LB8d eU reesonable dlUgence In pre~'ng and reviewing this statement and to the best of my
under penalty of pe~ury under uje liIW1 of State of California that the foregoing Is true and correct
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Executed on -¡¡¡; , By _
Executed on.::1 By _
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Executed on c;¡; By
Executed on
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---v ,,,~_. FPI'C F......eo (JanUOfyI05)
FPPC ToIl..free HtlpUne: 8611ASK-FPPC (1aeI275-3712)
State of CaHfornll
(~'1ormauon contained herein and In the attached schedules is true and complete.
certify
OPTIONAL:
i
OPTIONAL: FAX
I E-MAIL ADDRESS
FAX
, E-MAIL
ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
A
)
MAILING ADDRESS
a;y
STATE
f
-
ZIP CODE
AREA CODE/PHONE
Committee Information
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3.
seE INSTRUCTIONS ON REVERSE through
-
Typ Recipient Committee: All Comm'''''' - Com..... Pa.. 1. 2. 3, and 4.
ot!iceholder, Candidate Controlled Commillee 0 Primarily Formed Ballot Measure
o Stata Candidate Election Committee Committee
o Recall 0 Controlled
__-0) 0 Sponsored
--_OJ
o General Purpose Commlllee
o Sponsored 0 Primarily FOI1T1\Id Candidate!
o SmeU Conb'ibutor CommlUee Officeholder Commllloe
o PoIlticaJPartylCentralCommlUee I-_P""I
1.
2.
Type of Statement:
o ~Statement
~IStatement
o Termination Statement
(Also file a Focm 410 Tennlnalion)
o Amendment (Explain below)
o auarterty Statement
o SpecIal Odd-Year Report
o Supplemental Preelection
Statement - Attach Focm 495
from
Oat. of .Iectlon If apPllcabl"lf06, rEB
(Month, 07' Year) " C ,_"
N¡~ n ""
o
U L
..' ~
3
,
t
Page I
For Official Use Only
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type
or
print In Ink.
AM
Date Stamp
/1:
CALIFORNIA
2001/02
FORM
a
mD
FPPC F"'1!1. * (....UOfyI05)
FPPC ToIl..free HelpAM: 88IIASK.f'PPt: (lMlZ7s..3772)
S...."'_
CITY
NAME OF TREASURER
COM\4IT1EE NAME
C'TY
COMMITTEE ADDRESS
srATE
STREET ADDRESS
srATE
ZIP CODE
CONTROllED COMMITrEE?
DYES oNO
(NO P.O. BOX
AREA COOEJPHONE
ZIP
CODE
.D. NUMBER
AREA COOElPHONE
Att,ch continuation sheets If nec....ry
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
COMMITTEE ADDRESS
NAME: GF Tkš:AS"_I~R
CCNTROLLED COMMITTEE?
DYES oNO
STREET ADDRESS (NO P.O, BOX)
Primarily Formed Candidate/Officeholder Committee Ust nam.. 01
oIIfoelooldot(s¡ 01' -...¡o¡ "" """ch this r;omml_ /$ prlmarly formed,
R
not Incl.-In lhIII.ta_ ""',.... con"""oII by you or.. prInwlty _ to "",aIn
conlTlbutloM or make expendIturu on behall of your candidacy.
COMMITTEE NAME .0. NUMBER
7.
OFFICE SOUGHT OR HELD
Identify the eontroUl"g officeholder, candidate, or stat. mea8ure proponent, If any.
NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT
DISTRICT NO.
IF IWf
Recipient Committee Type or print In Ink.
Campaign Statement
Cover Page - Part 2
-
5, Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAMEM~ER~~ÜN NAME OF BALLOT MEASURE
<23//2-(
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO, OR LETTER JURISDICTION
o SUPPORT
o OPPOSE
COVER PAGE·
FPPC Fonn _ (JonuaryI05)
FPPC TolI-Freo Helpline: 8861ASK-FPÞc (866/275-3772)
Schadula S, PM 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents, ........... _..-.on...."'"
19. Outstanding Debts AddUne2+UnaS"CdumnSebova
$
$
Current Cash Statement
12. Beginning Cash Balence
13.
14.
15.
Schedule I, Line 4
Cash Payments Cokmn A. Line 8 above
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15
" this Is a termination statement, Une 16 must be zero.
17. LOAN GUARANTEES RECEIVED
$
$
Cash Receipts
Misce"aneous Increases
to Cash
Previous Summllf)' Page, Une 16
Cohmn A. Line 3 above
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your lest
report. Some amounts In
- J 3- - Column A may be negative
, C1::L, ~ llgureo that should be
, subtracted (rom previous
period amounts. If this Is
the tInIt report being filed
for this celendar year, only
œny over the amounts
from Unes 2, 7. and 9 (If
any).
f'1 z::-
-Amounts in this secüon may be different from amounts
reported in Column B.
$
-ê--
~
$
10. Nonmonetary Adjustment
11. TOTAL EXPENOITURESMADE
7.
8.
9.
SUBTOTAL CASH PAYMENTS
Accrued Expenses (Unpaid Bills)
Schedule E. Line 4
Schedule H, Un6 3
Add Lines 6 + 7
" Schedule F. Une 3
. Sch&du/ø C, L.ine 3
AddUnfl58+9+ 10
$
$
Date of E1ection
(l1)fT1/ddlyy)
$
Cumulative EXlMndltur.. Mad.*
(1f lubfect to VcIIunt.ty Expend(bIni LImIt)
Total to Date
Expenditures Made
8. Payments Made
Loans Made
$
$
$
$
22,
ExpendRure Limit
Candidates
Summary for State
,.
2.
3.
4.
5.
Monetary Contributions
Loens Received ..........
SUBTOTAL CASH CONTRIBUTIONS
Nonmonetary Contributions ..............
TOTAL CONTRIBUTIONS RECEIVED
Contributions Received
L G.NM1~~?
- - - -
C~umnA CowmnB
'OTAI,THlSPERIOO CALENDARYeAR
(FROMAT'TAOiEDsctEDULES) TOTliLTOOATE
Schedule A, Une $ r~OO -:- $
'..Q-
Schedule B. Line 3
. Add/.kle'V2 $ 13~ S
Schedule C, Line 3 .A-
AddLlnes3+4 S L~=- _ $
21.
20.
Expenditures
Made
Contributions
Received
$
s
through 6130 7J1 to Date
C, S J.3ro~
I
C $-A-
I.D. NUMBER
<g3j I 2.,
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
'1
SEe iNSTRUCTIONS ON REVERSE
NAME OF FILER
Campaign Disclosure Statement
Summary Page
lNw-L
'Þ
\
Type or print In Ink.
Amounts may be rounded
to whole dollars.
through
from
Statement
Schedule A Type or print in ink.
Monetary Contributions Received Amounts may be rounded
to whole dollars.
from
SEe INSTRUCTIONS ON REVERSE through
NAME OF FILER N~ 'ù\ck~ ,.0. NUMBER
\~'DS <231 I Z
DATE FULL NAME, STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOtNT I CUMULATIVE TO DATE PER ELECTION
RECEIVED (IF COMMITTEE. AlSO ENTER 1.0. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPlOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
OJfl~ 6 ~v\ "-"L \::x.Nf:S¡; OIND ~LLdL I~-:- tßèð~ -e-
ZŒ'
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
--
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
SUBTOTAL $
Schedule A Summary ·Contributor Codes
1. Amount received this period - contributions of $1 00 or more_ btb--:- IND -Individual
(Include all Schedule A subtotals.) '-'00 n.nnnnnnnnn. 00-00.-00 -00000000 00.000000' 0000.000000. $ COM - Recipient Conmittee
(other than PTY or sec)
2 _ Amount received this period - unitemized contributions of less than $1 00 00 00' 00 00 _00000000.00 $ .8- QTH - Other
PTY - Political Party
3. Total monetary contributions received this period. r--' see - Small Contributor Comrrittee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 3cù
FPPC Fonn 460 (JunolO1)
FPPC Toll-Free Helpline: 8661ASK-FPPC
3. Net change this period, (Subtract Line 2 from Line 1.) ...............
Enter the net here and on the Summary Page, Column A, Line 2
'Amounts forgiven or paid by onother party also must be reported on Sc:hedule A.
- « reqUred.
FPPC Farm 480 (JonuorylO5)
FPPC TolI-Free IWlpllne: 8I6IASK.fPPC (8681275-3n2)
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 Dn Schedule A.)
NET
$
-è--
-
~
(MI;y".~1II.ITIber1
2.
Schedule B SUmmary
1. Loansreœlved this period ...................................................
(Total Column (b) pfus unltemlzed loans of less than $100.)
$
$
.:e-
tContribulor Codes
IND -individual
COM - Recipient Committee
(other than PTY or sce)
OTH - Other (e.g., business entily)
PTY-PoIiticaIPariIy
SCC - Small ConlributorCommittee
DATE DUE
=
$ 3Z.A'ìL~
- (EnW(B)on
Sc:MduIt E. Lft 3)
SUBTOTALS $
$
to IND
DOOM
o OTH 0 PTY
o SCC
·
o PAlO
.-
o FORGIVEN
·
DATE INCURRED
CALENOAA YEAR
·
PER elECTION"
·
.
_%
.",
.
to IND
o COM
ODTH
OPTY
o
SCC
.
·
o PAID
.-
o FORGIVEN
·
DATE"""
.
DATE INCURRED
CALENDARYEM
·
PeR ELEC1lON **
_%
.".
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Ní¥2-~D\ (~0 ~e....
FULL NAME. STREET ADDRESS AND ZIP CODE If!' AN INDIVIDUAL, eNTER ~
OF lENDER OCCUPATION AND EMPLOYER BALANCe
(FCOMMm"æ.ALSOENTERI.D NJMBER) (lFsaF-EMPLOYED.ENTER BEGINNING THIS
, NAME Of BUSINESS)
µ~N .Ç){c.b~ þ;L-GJ.~
~,1tS ~~ É' .Ecl-~ '.
~,,-'lS:.. ?>~47Z
t~ 0 COM 0 OTH 0 PTY 0 SCC
LdP--ihlV\ «-WE-
(b) (el C
AMOlM'" AMOUNT PAID
RECEIVED THIS OR FORGIVEN
PERIOD .....!!::!!§..PERIOD·
o PAID
·
è-
s
o FORGIVEN
· -G-
I
'3>49z..
DATE DUE
s
_%
RAre
--'é-
,.
INTEREST
PAID THIS
PERIOD
s
~1?:
ORIGINAL
AMOUNT OF
lOAN
PER ELECTION"
.:&-
'"
CUMUlATIIIE
CONTRIBUTIONS
TO DATE
CALENDARYEAR
Schedule B - Part 1
Loans Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
through
from
~.- -
P098 ---2 of ~
to. NUMBER
~117.-/
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