HomeMy WebLinkAboutHANSON SEMIANN01(2)Recipient Committee
Campaign Statement
CoverPage
(Government Code Sections 84200-84216,5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement cover~ period
1.,,~)e of Recipient Committee: All Committees - Complete Part~ 1, 2~ 3, and 4.
..~ O_fficeholder, Candidate Controlled Committee [] Ballot Measure Committee
~ '(...) State Candidate Election Committee O Primarily Formed
O Recall
O Controlled
O Sponsored
(Atto Complete Pa~l 6)
[] Primarily Formed Candidate/
Officeholder Committee
[] General Purpose Committee O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3.' Committee Information ll.D,
COMMITTEE NAME (on CANDIDATE'S NAME IF NO COMMITTEE)
MAILING ADDRES~ (IF DIFFERENT) NO, AND STREET OR P.O. BOX
Dale Stamp
Date of election if;
(Month, Day, Year)
2. Type of Statement: [] Preelection Statement
[] Semi-annual Statement
[] Tenmination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAM OF TREASURE
ME OF ASSISTAI~ TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE
4.
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing is true. correct,
Execuled on I 0'~,e ~Y Si .,ure'~d~"~'gn e ~Contr o~,ing Officeholder. Candldall S~a~e Meas. V~e~-mconen, or Responsible Off~ce, of Spons~' ~'~ v~'
Executed on By
Toll-Free Helpiine: 866/*ASK-FPPC
Recipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
COVER PAGE - PART 2
Page ~J of ~
5. Officeholder or Candidate Controlled Committee
OFF. I~:iBOU~HT OR HELD (,N(~..~UBE LOCATION AI~)DISTRICT NUMBER IF APPLICABLE)
Related Commiaees Not Included in this S~tement: List anycommitt~s
not included in this statement that am controll~ by you or are primarily form~ to receive
contdbutions or make expenditures on ~half of y~r candidacy.
C~M~EE NAME I.D. NUMBER
~~ ~ CONTROLLED COMMI~EE?
NAME OF TR~SU RER
~ YES ~ NO
COMMI~E ADDRESS
STREET ADDRESS (NO RO. BOX
CiTY STA~E ZIP CODE AREA CODE/PHONE
I.D. NUMBER
COMMITTEE NAME
NAME O I ;'SURER
CONTROLLED COMMII~EE?
[] YES [] NO
COMMI~rEE ADDRESS STREET ADDRESS (NO EO. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
IJURISDICTION ~]~ SUPPORT
OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
DISTRICT NO. iF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
~AME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
~AME OF OFF[{ ~HOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
~AME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
~AME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 866/ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ......................................................Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4. Nonmonetary Contributions .................................... ScheduleC, Line3
5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... AddLines 3 + 4
Expenditures Made
6. Payments Made ................ ,~ ..................................... Schedule E, Line 4
7. Loans Made .......... .(,.?.~.i..~'_) ................................... ScheduleH, Line7
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................... Sch~duleF,, Line3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MACE ................................ Add Lines 8 + 9 + 10
Current Cash Statement
12. Beginning Cash Balance ....................... Pret4ousSumrnaG'Page, Line 16
13. Cash Receipts ................................................... ColumnA, Line3above
14. Miscellaneous Increases to Cash ........................... ScheduleI, Line4
15. Cash Payments .................................................. Column A, Dna 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.
ColumnA
$
$ $
Column B
CALENOAR YEAR
TOT^LTO DATE
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above
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 lhis is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Statement covers period
from
through ' ~' ~
SUMMARYPAGE
Page ~ of ~
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 ~o Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject lo Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
~~ $
/ /.__ $
/ /.__ $
/ / $
/ /.__ $
/ /.__ $
*Since January 1,2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule B- Part I -
Loans.Received .~. ~.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
.~-/ND [] COM [] •TH [] PTY [] SCC
iD IND []COM r~OTH [] PTY [] SCC
t[] IND [] COM [] OTH [] PTY [] SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF S ELF-~MPLOYED, ENTER
NAME OF BUSINESS)
Type or print in ink.
Amounts may be rounded
to whole dollars.
(b)
OUTSTANDING AMOUNT
BALANCE
BEGINNING THIS
PERIOD PERIOD
$ $
$ $
icl
AMOUNT PAID
OR FORGIVEr
THIS PERIOD *
[] FORGIVEN
$
[] PAID
$
[] FORGIVEN
$
[] PAID
$
[] FORGIVEN
$
Stetemeat ~covers period
from '~/'/¢1
through /i'll '~'/O'
OUTS.FI,~DiN G (e)
INTEREST
BALANCE AT
CLOSE OF THIS PAID THIS
PERIOD PERIOD
SCHEDULEB-PART1
Page ~¥ of ~-~
LO. NUMBER
(q {g)
ORIGINAL CUMULATIVE
AMOUNT OF CONTRIBUTIONS
LOAN TO DATE
CALENDAR YEAR
PER ELEC"RON'
DATE INCURRED
CALENDAR YEAR
$ $
PER ELECT]ON ~*
$
DATE INCURRED
CALENDAR YEAR
$ $
PER ELSGT]ON **
$
DATE INCURREd)
SUBTOTALS $ $ $ $
Schedule B Summary
1. Loans received this pedod .................. $
(Total Column (b) plus unitemized loans less 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.
It Contributor Codes
IND- Individual COM - Recipient Committee (other than PTY or SCC)
•TH - Other PTY- Political Party SCC - Small Contributor Committee]
'Amounts forgiven or paid by~
another party also must be /
reported on Schedule A. [
** If required, j
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
SCHEDUI F F
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Q'VP campaign paraphemaliaJmisc. MBR membercommunicagons
MTG meetings and appearances
OFC office expenses
PET petition circulating
Pr'lO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (regal, accounting)
PRT print ads
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
FND fundraising events
N3 independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
I.D. NUMBER
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
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(iF COMMJTF EE, ALSO EN~R I.D. NUMBE R} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS
Schedule E Summary
1. Payments made this period 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 loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ~o o~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC