HomeMy WebLinkAboutHANSON SEMIANN02(1)Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
SCANNED
Type or print in ink.
Statement covers~
through
1..Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 4.
J~ Officeholder, Candidate Controlled Committee [] Ballot Measure Committee
/" ~) State Candidate Election Committee C) Primarily Formed
O Controlled
0 Sponsored
[] Primarily Formed Candidat e/
Officeholder Committee
Date S{amp
COVER PAGE
0 Recall
(Also Complete Par; 5)
[] GeneraI Purpose Committee O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
Date of election if applicable:
(Month, Day, Year) 0~ ~
2. Type of Statement:
[] Preelection Statement
~emi-annual Statement
~ [] 'Termination Statement
[] Amendment (Explain below)
t8 18
,:1E CITY CLERK
Page ~ of ~
For Official Use Only
[] Quaderly Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Statement - Attach Form 495
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Treasurer(s)
NAM OF TREASURER
)
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE
~ OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reas ained herein and in the attached schedules
By
Dale Signaturec~ConlrollingOffP.,d;~xte~.Candidale. Stale Measure Pr~n~ )
FPPC Toll-Free Helpline: 866/ASK-FPPC
Recipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
COVER PAGE - PART 2
Page r~ of ~
5. Officeholder or Candidate Controlled Committee
NAM F OFFICEHOLDER OR CANDIDATE
( ION AND DISTRICT NUMBER IF APPLICABLE)
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to ~ceive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
NAME OF TR EA~S~ R~ R
1.0. NUMBER
CONTROLLED COMMITTEE?
[] YES [] NO
COMMITrEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
I.D. NUMBER
COMMITrEE NAME
NAME OF TR~E~SURER
CONTROLLED COMMITTEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO
· OR LE'~TER
JURISDICTION ~]~OPPosESUPPORT
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OF~.tHOLOER, CANDIDATE, OR PROPONENT
OFFICE SOUGHIT OR HELD
IDISTRICT NO. IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
[~SUPPORT
~]OPPOSE
[-]SUPPORT
[]OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [-']SUPPORT
[~OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[]OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC TolI-FreeHelpline:SE6/ASK-FPPC
State olCalifornla
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
Column A
TOTALTHIS PERIOD
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ......................................................Schedule S, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLinesl+2 $
4. Nonmonetary Contributions .................................... ScheduleC, Line3
5, TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3+4
Expenditures Made
6. Payments Made .......................................................Sch~dute E, Line 4
7. Loans Made ............................................................. Schedule H, Line 7
8. SUBTOTALCASHPAYMENTS .................................... AddLines6+ 7 $ --
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+10 $
Current Cash Statement
~; 2. Beginning Cash Balance ....................... Previous Sumrna/yPage, Line 16
13. Cash Receipts ................................................... ColumnA, Line3above
14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4
1 5. Cash Payments .................................................. Column A, Line 8 above
16. ENDINGCASH BALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15
ff this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule S, Pa~ 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse
19. Outstanding Debts ......................... AddUne2+UneginColumnBabove
Column B
CALENDAR YEAR
$ I 0cc-
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).
Statement covers period
from ~v~,/.b'~J
SUMMARY PAGE
Page ~ of ~
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 Ihrough 6/30 7/1 to Dale
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
Date of Election Total to Date
(mm/dd/yy)
/.__ $
L__ $
/--- $
!
/--- $
*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: 8661ASK-FPPC
schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received~moun[s may ~)e rounoea Statement covers period
!
from ~1~.~ t D';U
SEE INSTRUCTIONS ON REVERSE through ~ '~o o ~ of _ ~
DA~ FULLNAME, STRE~ ADDRESS AND ZIP CODE OF CO~IBUTOR CONTRIB~OR IFAN INDIVIDUAL, ENTER ~OU~ CUMU~TIVETODATE PER ELECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IF C~r~EE, ~O ENTER LD.~M~R) CODE * (IF SE~-EM~OYED, ENTER NA~ PERIOD (JAN. 1 - DEC. 31 ) (IF RE~IRED)
~ eUSINESS)
DOOM
DOTH
D PTY
D scc
DIED
Dcou
DOTH
D PTY
Dscc
DIND
Dco~
DOTH
D PTY
Dscc
OlEO
Ocou
~OTH
O PTY
Osco
SUBTOTALS
Schedule A Summary
1. Amount received this period- contributions of $100 or more.
(Include all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this pedod- unitemized contributions of less than $100 ............................................. $
3. Total monetary contributions received this period.
(Add Lines I and 2. Enter hem and on the Summa~/Page, Column A, Line 1.) ....................... TOTALS
*Contributor Codes
lED - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Conthbutor Committee
FPPC Form 460 (June/O1)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
SEEINSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
through ~ '~0 I~
CODES: If one of the following codes acc~
C/vt= campaign paraphematia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
FND fundraising events
~ independent expenditure supporting/opposing others (explain)*
LEG legal defense
LiT campaign literature and mailings
the payment, you may enter the code. Otherwise, describe the payment.
MeR member communications
MTG meetings and appearances
DFC office expenses
FEi' petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
Page ~'~ of ~
SCHEDULE F
I.D. NUMBER
RAD radio aidime and production costs
RID returned contributions
SAL campaign workers' salaries
~ t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
'FRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VDT voter registration
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(1¢ COMMITTEE, ALSO ENTER I.C. NUMBER) 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
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC