HomeMy WebLinkAboutDICKERSON SEMIANN06(1)
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Recipient Committee
Campaign Statement
Cover Page
(Govemment Code Sections 84200-84216.5)
Type or print in Ink.
frorn
SEE INSTRUCTIONS ON REVERSE
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
o
Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also Complete PariS)
o Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(Also Complete Parl6)
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
o Primarily Formed Candidate/
Officeholder Committee
(Also Complete Parl7)
3. Committee Information
COMMITIEE NAME (OR CANDIDATE'S NAME IF
m.~,.() ~f!'tfL
1.0. NUMBER ~ 3) f z..l
EE) ~l"(fjf~
I'
NO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4.
Executed on
Executed on
By
Signature otControlling om_er, Candidate, State Measure Proponent
Date
Executed on
By
Signature of Controlling Officeholder. Candidate, State Measure Proponent
Dale
COVER PAGE
Date Stamp
CALIFORNIA 460
FORM
I of
/5
Pll12:43
Page
Date of election If ap
(Month, Day, Year)
For Official Use Only
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2. Type of Statement:
o Pj'9Blection Statement
[JY'Semi-annual Statement
o Termination Statement
(Also file a Form 410 Termination)
o Amendment (Explain below)
o Quarterly Statement
o Special Odd-Year Report
o Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
"'" 0' OR'ASN ~ \)( ~J:$crJ
MAILING ~~
/
NAME OF ASSISTANT TREASURE
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
tained herein and in the attached schedules is true and complete. I certify
rerer Assistant Treasurer
FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
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Recipient Committee
Campaign Statement
Cover Page - Part 2
Type or print In Ink.
5. Officeholder or Candidate Controlled Committee
NAME~~O\D~ ~3' 12-1
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
R;:~
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not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS
DYES
STREET ADDRESS (NO P.O. BOX)
o NO
CITY
STATE
ZIP CODE
AREA CODE/PHONE
COMMITTEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES 0 NO
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
COVER PAGE - PART 2
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
o SUPPORT
o OPPOSE
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 Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
D 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
Attach continuation sheets if necessary
FPPC Form 460 (JanuaryI05)
FPPC Toll-Free Helpline: 866IASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
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Type or print in Ink.
Amounts may be rounded
to whole dollars.
from
through
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $
Expenditures Made
6. Payrnents Made ....................................................... Schedule E, Line 4 $
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonrnonetary Adjustrnent .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $
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 Payrnents .................................................. ColumnA. 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 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instroctions on reverse
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
Column A
TOTAl THIS PERIOD
(FROM ATTACHED SCHEDULES)
$
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$
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$
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$
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$
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Column B
CAlENDAR YEAR
TOTAl. TO DATE
$
$
$
$
$
$
To calculate Column 8, add
amounts in Column A to the
corresponding amounts
from Column 8 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).
SUMMARY PAGE
CALIFORNIA 460
FORM
Page
~
Of~
I,D, NUMBER
3)1Z,'
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions ~ ~
Received $ $
21. Expenditures --er- -e>'
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made.
(If Subject to Voluntary Expenditure Umltl
Date of Election
(mm/dd/yy)
Total to Date
----.l----.l_
$
----.l----.l_ $
.Amounts in this section may be different from amounts
reported in Column 8.
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
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Schedule B - Part 1
Loans Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
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FULL NAME. STREET ADDRESS AND ZIP CODE
OF LENDER
OF COMMITTEE. ALSO ENTER 1.0. UMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OF SELF-EMPLOYED, ENTER
NAME OF BUSINESS
a (b) Ie) (d)
OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING
BALANCE BALANCE AT
BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS
P D PERIOD THIS PERIOD * P R D
N M.~) C~ ~~~
(C'~ ~ A~~) 4J~~\~~
~ RrMcv~:IS. 0. A-
S all L s--c;Y
t~D l:J COM OOTH 0 PTY 0 SCC
o PAID
o FORGIVEN
S ~ s ~1!ou~
o PAID
s
o FORGIVEN
to IND 0 COM 0 OTH 0 PTY 0 SCC
o PAID
o FORGIVEN
to IND - 0 COM 0 OTH 0 PTY 0 SCC
SUBTOTALS $
$
Schedule B Summary
1. Loans received this period .......... .................................................................. ........ ................................ $
(Total Column (b) plus unitemized loans ofless than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $
(Total Column (c) plus loans under$100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
DATE DUE
DATE DUE
$
4-'72. $
-----,
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(May be a negative number)
(e'
INTEREST
PAID THIS
PERIOD
_%
RATE
s-b'
_%
RATE
_%
RATE
(Enter (e) on
Schedule E, Une 3)
SCHEDULE B - PART 1 .
CALIFORNIA 460
FORM
Page --4:- of k
I.D.NUMBER
~n2..
(II
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
S
PER ELECTION"
Z7:tl6 ~
DATE INCURRED
CALENDAR YEAR
PER ELECTION ..
DATE INCURRED
CALENDAR YEAR
PER ELECTION"
DATE INCURRED
tContributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27S-3n2)
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2006 AUG IS PH 12: 43
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