HomeMy WebLinkAboutGENTRY PREELEC10/26/00 ecipient Committee cove. PAGE
Campaign Statement Type or print in ink. Dale Stamp
(GoVernment Code Sections 84200-84216.5)
Statement covers Faded
SEE INSTRUCTIONS ON REVERSE
through
1. T,TE~e of Recipient Committee: All Committees - Complete Pads 1, 2, 3, end 7.
Officeholder, Candidate ['1 Primarily Formed Candidate/
Controlled Committee
(Also Complete Part 4.)
[] Ballot Measure Committee
O Primarily Formed
O Controlled
C) Sponsored
(Also Complete Part 5.)
Officeholder Committee
(Also Complete Part 6.)
E] General Purpose Committee O Sponsored
C) Broad Based
3. Committee Information
COMMITTEE NAME
STREET ADDRESS (NO Re. BOX)
CITY STATE ZIP CODE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR Re, BOX
AREACODE/PHONE
Date of elecUon if applicable:
(Month, Day, Year)
O0 OCT 26 F'H 2:
BAI~ERSFIEL.D CITY
2. Type of Statement:
[] Pre-election Statement
[] Semi~annual Statement
[] Termination Statement
[] Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CiTY STATE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
OAL,FO..,A 460
FORM
.ERK
[] Quaderly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
zIP CODE AREACODE/PHONE
CITY STATE ZIP CODE
AREACODE/PHONE
CITY
STATE ZIP CODE AREACODE4~HONE
OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX / E-MAIL ADDRESS
FPPC Form 460 (8/99)
For Technical Assistance: 916t3;~2-5660
State of California
ReCipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAGE - PART 2
cA.,Fo..,A 460
FORM
Page ~ of ~j' [
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OR:ICE SOUGHT ~ HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAIJB SINESSADDRESS (NO. ANDSTREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Llstanycommlttaes
not included in this consollda ted statement that are controlled by you or which are primarily
formed to receive contributions or to make expenditures on behalf of your candidacy,
COMMITFEE NAME LD. NUMBER
NAME C~ 1TtEASURER
COMMITTEE ADDRESS
CONTROLLED COMMITFEE?
[] YES [] NO
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
.A'LOT"O. ORLE ER I R'SDICT "
Identify the conboiling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY
6, Primarily Formed Committee LI,t names of officeholder(s) or candidate(s)
for which this committee Is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
OFTICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
["}OPPOSE
[]SUPPORT
[']OPPOSE
[]SUPPORT
[:]OPPOSE
ch con~nua~on sheets if necessary
I have used all reasonable diligence in preparing and reviewing this sta and to the best of knowledge the information contained herein and in the attached schedules
Executed on By
81GNAT, JRE OF CONTROLLIN~ OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
State of Cdfifornla
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole doffars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Conlributjons ...................................................... Schedule A, Line 3
2. Loans Received ...................................................................Schedule B. Line 7
3. SUBTOTAL CASH CONTRIBUTIONS .................................... Add Lines I + 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 ......................................... Add Lines 8 + 9 + 10
$
Statement covers period
SUMMARy PAGE
C"'.EOR.,,, 460
FORM
I.D. NUMBER
$
$
Current Cash Statement
12. Beginning Cash Balance ................................Previous Summary Page. Line 16
13. Cash Receipls ..............................................................Coluntn 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 subtracl Line 15
if this is a tarmine lion statement, Line f6 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I. Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents .....................................................See instructions on reverse
19. Outstanding Debls ................................... Add LIne 2 + LIne 9 in Column C above
· From previous statement Summary Page. C, dume C. However. if this
is the first repod filed for the calendar year, Column B should be blank
except tot Loans Received (Line 2), Loans Made (Line 7), and Accmed
Expenses tune 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 .r,., ,. ,.k.
Amounts may be rounded
Monetary Contributions Received to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE FULLNAME, MAILINGADDRESSANDZIPCODEOFCONTRISUTOR CONTRIBUTOR
RECEIVED 6F COMMITFEE, ALSO ENTER LD. NUMBER) CODE *
[] IND
[] COM
[] OTH
Statement covers period
,,ore ~' ;' ~__
IF AN INDIVIDUAL, ENTER AMOUNT
OCCUPATION AND EMPLOYER RECEIVED THIS
(/F SELF-IEMF~LOYED, ENTER NAME PERIOD
OFBUS~NESS)
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
SCHEDULE A
OAL, O..,A 460
FORM
I,D. NUMBER
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 contdbutions of less than $100 .........................................$
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ................... TOTAL $
CUMULATIVE TO DATE
OTHER
(IFAPPMCAELE)
*COntributor Codes
IND - IndMduaJ
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/i322-5660
Schedule E Type or print in ink. SCHEDULE E
Payments Made Statementcoversperiod CALIFORNIA460
to whole dollars.
f,om FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CODES: If one of the following codes accu
CMP campa~gnpar~misc.
CNS campaignconsultants
CT8 centn'i~tion(explainnonmonetary)*
CVC civic donations
FND fundrajsingevents
IND independent expendii~Jm supporting/opposing others (explain)*
LIT campaign literature and mailings
MTG meetingsandappearances
LD. NUMBER
payment, you may enter the code. Othenvise, describe the payment.
OFC o~ficeexpenses
PET pefition circulating
PHO phonebanks
POL pollingandsurveyresearch
POS Postage, detiveryand messengerse~ces
PRO professional senAces (legal, accounting)
PRT print ads
RAD radioaitlimeandprl:~ductioncosls
RFD retumedcont~butions
SAL campaign workera salades
TEL t.v. or cable aidline and production costs
TRC candidatetravel. lndgingandmeals(explain)
TRS staff/spousetravel, lodgingandmeals(explain)
TSF transfer between COmmittees of the Same candidate/sponsor
VOT voterregistration
WEB informaliontechnologycosts(intemet, e~mai~)
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMM TTEE, ALSO ENTER 10, NUMBER)
%,
CODE OR
DESCRIPTION OF PAYMENT
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
Schedule E Summary
AMOUNTPArD
SUBTOTAL
1. Payments made this pedod 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 Summary Page, Column A, Line 6.) ......................... TOTAL $
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
'Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Stalement covers period
SCHEDULE E (CONT.)
460
FORM
CODES: If one of the following codes accurat s the payment, you may enter the code. Otherwise, describe the payment.
CMP cempaignpamphemalia/misc. OFC officeexpenses RFD retumedcentdbutions
CNS campaignconsultants
CTB contdbution(explainnonmonetaW),
CVC cMcdonaUons
FND fundraisingevents
IND independent expenditure supporting/opposing others (explain)*
LIT campaign literature and mailings
MTG maeljngsandappearances
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER ID, NUMBER)
PET petith)ncirculating
PHO phonebanks
POL pollingendsurveyraseamh
POS Postage, deliveryandmessengerservices
PRO professlonalservices(legal, acceunting)
PRT pdntads
RAD radioaidimeandprnductioncosts
CODE OR
* Payments that are contributions or Independent expendhures must also be summarized on Schedule D.
LD. NUMEER
DESCRIPTION OF PAYMENT
AMOUNT PAID
FPPC Form 460 {8/99)
For Technical Assistance: 91~22-5660
SAL campaign workers salaries
TEL t.v. or cable airtime and production costs
TRC caodidatetraveUodgingandmeals(explain)
TRS staff/spousetravel, lndging andmeals(explain)
TSF transfer between committees of the same candidate/sponsor
VOT voterragfstrafion
WEB Information technologycosts(intemet. e.mail)