HomeMy WebLinkAboutCARSON PREELEC02(1) ecipieht Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEEINSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
through ~'~ d'/~C~ O/
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, end 4.
[] Ballot Measure Committee O Primarily Formed
{~ Controlled
O Sponsored
[] Primarily Formed Candidate/
Officeholder Committee
[~ Officeholder, Candidate Controlled Committee O State Candidate Election Committee
0 Recall
[] General Purpose committee O Sponsored
0 Small Contributor Committee
(~) Political Party/Central Committee
3.' Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
ADDRESS (NO P.O. BOX)
o / u., ~VIA
Date Stamp
Date of election if
(Month, Day, Year)
O2JUL31 PI! ~:~8 P'g° / of Z~
For Official Use Only
.... ~., l .... CITY CLEI',K
2. Type of Statement:
[] Preelection Statement
[~ Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Preelecfion
Statement - Attach Form 495
Treasurer(s)
TREASURER
MAILING ADORESS
CIT STATE
NAME OF ASSISTANT TREASURER, IF ANy
ZiP CODE ~IEA CODE/PHONE
ClT ~ ~ STATE ZIP CODE ~/ ARRi~A CODE/PHONE
MAILING ADDRESS (IF D~HbNT) NO. AND STREET OR P.O* BOX ' MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY ~ATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL AODRESS OPTION~: F~ / E-MAIL ADDRESS
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained h?eth and in the attached schedules is tree and complete. I
certify under penalty of peduTu~d~/the laws of the State of California that the foregoi.~_i~t~ue
Recipient Committee
Campaign Statement
Cover Page-- Part 2
Type or print in ink.
COVER PAGE- PART 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION 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 receive
contributions or make expenditures on behalf of your candidacy.
COM~;i i t:t= NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMII I EE ADORESS STREET ADDRESS {NO I~O. BO)
CITY STA~E ZIP CODE AREA CODE/PHONE
COMMR-rEE NAME I.D. NUMBER
NAME OF TREASURER
COMMITTEE ADDRESS
CONTROLLED COMMITTEE?
[] YES [] NO
STREETADDRESS (NO RO.
6. Ballot Measure Committee
NAMEOFBALLOTMEASURE
BALLOT NO. OR LETTER JURISDICTION [] SUPPORT
[] 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 Committee List namea of officeholdar(s) or candidate($) for
which this committee ia primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
CITY STA3E ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Fm'm 460 (JunM01)
FPPC Toll-Free HMpllne: ~6/ASK-FPPC
S~te of C~f~
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollare.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
& / 'TO
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ...................................................... Schedule B, Line 7
3. SUBTOTALCASH CONTRIBUTIONS ......................... AddLines I +2
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... Aed Lines 3 + 4
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4
7. Loans Made ............................................................. Schedule H, Line 7
8. SUBTOTALCASH PAYMENTS .................................... AedLines 6+ 7
9. Accrued Expenses (Unpaid Bills) ............................... Schedu/eF, Llne3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+ 10
Current Cash Statement
12. Beginning Cash Balance .....~ ................. Prevl~usSumma~yPage, Line 16
13. Cash Receipts ................................................... C~umnA, Une3above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
1 5. Cash Payments .................................................. C~umn A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15
ff this is a termina#on statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... ScheduteS, Pa~2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See ~,~vuc#ons on ravage
19. Outstanding Debts ......................... AddLIne2+Linegk~ColumnBabove
Column A Column B
~/00(2.00 $
~/000.00 $
$ 7_/~~. G o $ ~--/-~-- ob,
;z_/~ ; oO
$
To calculete Column S, 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
pmiod amounts. If this is
the #mt report being filed
for this calendar year, only
carry over the amounts
bom Unes 2, 7, and 9 (if
any).
SUFR~ARY PAGE
Statement covere period
from ._~ R/~-
through
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received
21. Expenditures
Made
111 through 6/30 711 to Date
$ $
$ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Mede*
(a Sul~ect to Voluntary ~m Limit)
Date of Election Total to Date
(mm/dd/~y)
__1 / $
__J / $
__l / $
__I / $
__1 / $
__/ / $
*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 A ~po or print In Ink. SCHEDULE A
Monetary Contributions Received..,,,~..,. may ge rounoea
to whole dollars. Statement covers period
~ OTH
' DIND
DOTH
~scc
~IND
~co~
~OTH
~ PTY
~scc
~IND
~co~
~OTH
SUBTOTALS
Schedule A Summary
1. Amount received this period- contributions of $100 or more.
(Include all Schedule A subtotals.) ........................................................................................................ $
2. Amount received this period- unitemized contributions of less than $100 ............................................. $
3. Total monetary contributions received this period.
(Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
A, ooO . oU
· *Centdbutor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Farm 460 (June/01)
FPPC Toll-Free Helpltlt~: 8E6/ASK-FPPC
Schedul E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from J/z~/~./. yl /~0/~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
~ campaign paraphemalia/misc.
CNS campaign consoltants
CTB contribution (explain nonmonetary)*
CVC civic donations
RL candidate filing/ballot fees
FND fundraising events
independent expenditure supporting/opposing others (explain)'
LEG legal defense
LIT campaign literature and mailings
MBR member communications
I.D. NUMDER
RAD radio aktime and production costs
MTG meetings and appearances
OFC office expenses
PET petition cimulating
Fi-lO phone banks
POL polling and survey reseamh
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
RFD returned contributions
SAL campaign workers' salades
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF tmnstsr between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (intsmet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF CO~MrTTEE, ALSO EN~Efl I,D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
/ ~
Payments that are contributions or independent expenditures must also be summarized on Schedule O. 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. ~rotal 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: 866~ASK..FPPC