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Home My WebLink AboutBFLAG PREELEC02(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 10'0/'07-,,- through ] (,~° I~' 4~ Date of election if applicable: (Month, Day, Year) 0%- o~- Date Stamp COVER PAGE Page ~ of / ~ For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. [] Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete part 5) General Purpose Committee (~) Sponsored (~. Small Contributor Committee O Political Party/Central Committee [] Ballot Measu re Committee O Primarily Formed (~) Controlled O Sponsored (Also Complete Part 6) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Par; 7) 2, Type of Statement: ~ Preelection Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information I ID. NUMBER COMMITTEE NAME (OR CANDIDATES NAME JF NO COMMITTEE) STREET ADDRESS (NO PO BOX) CITY CiTY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER MAILING MAILING ADDRESS CITY ~-~ ~?-=~ ~/ ~'~" ~"~ 4. Verification 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. certify under penalty of perjury By Signature of Contlolling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Spo~sor Executed on By Date Signature of ContrCling Officeholder, Candidale, State Measure Pr o~uonent FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC State of California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVERPAGE-PART2 Page 2 of /~(~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSiNESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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. COMMI~rEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMIttEE? [] YES [] NO COMMITTEEADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME rD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMI~R-EE ADDRESS STREET ADDRESS (NO PO, BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO OR LETTER JURISDICTION ~OPPosESUPPORT 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 names of officeholder(s) or candidate(s) for which this committee is 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 QR 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 (Junel01) FPPC Toll-Free Nelpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink, Amounts may be rounded to whole dollars, Statement covers period through I O' )~ 'O '2.- SUMMARY PAGE Page ~'~ of / ~ NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... Schedule A, L/ne 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 ........................... AddLines3+4 Expenditures Made 6. Payments 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 ~ Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, L~ne 3 11. TOTAL EXPENDITURES MADE ............................... Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Prewous Summary Page, Line 16 13. Cash Receipts ................................................... column 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 + t 4, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Column A Column B s C/P~q. z-c $ /-?- /zS.3o 51 85', z~, s ~371.o¥ 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pad 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... AddLine2+LineginColumnBabove 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). ID NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6~30 7il to Date $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) __1 / $ __J / $ / /__ $ /. / $ /.__L__ $ / 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: 866/ASK-FPPC Schedule A Type or print in ink, SCHEDULE Amounts may be rounded I Statement covers period - r Monetary Contributions Received to whole dollars,ifrom I ,0.01.O~- i /~~1~ through 1 (~' 1(~) .0~- [ Page Z./ of /~ NAME OF FILER I.D. NUMBER C.7 ~ IF AN INDIVIDUAL, ENTER CUMU~TIVETO DATE AMOUNT PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR~ CONTR BUT~R OCCUPATION AND EMPLOYER RECEIVED THiS CALENDAR YEAR TO DATE I OF BUSINESS) ~COM ~IND ~ COM ~ OTH ~ PTY ~scc ~IND ] ~COM [I~ OTH ~scc ~ COM ~ OTH ~ P~ ~SCC ~IND ~ COM ~ OTH ~ PTY ~ scc 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 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ....................... TOTAL $ *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC- Smail Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period through SCHEDULED-PART1 Page S of l~ NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMI~EE, ALSO ENTER I.D NUMBER) f[~ IND [] COM [] OTH [] P~Y [] SCC t[] IND [] COM [] OTH [] PTY [] SCC tE~ IND [] COM [] OTH [] PTY [] SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EM PLOYED, ENTER NAME OF BUSINESS) Ia) OUTSTANDING BALANCE BEGINNING THIS PER!OD lb) AMOUNT RECEIVED THIS PERIOD (c) AMOUNT PAID OR FORGIVEN THIS PERIOD * [] PAID $ [] FORGIVEN $ [] PAID $ [] FORGIVEN $ [] PAID $ [] FORGIVEN $ (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD DATE DUE DATE DUE DATE DUE SUBTOTALS $ $ $ $ INTEREST PAID THIS PERIOD (f) ORIGINAL AMOUNTOF LOAN ID NUMBER CUMULATIVE CONTRIBUTIONS TO DATE DATE INCURRED DATE ~NCURRED DATE INCURRED CALENDAR YEAR $ PER ELECTION~ CALENDAR YEAR $ PER ELECTION CALENDAR YEAR $ PER ELECTION~ Schedule B Summary 1. Loans received this period .................................................................................................................... $ (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. (Enter (e) on Schedule E, Une3) (May be a negative number) *Amounts forgiven or paid byi ** If required, If Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC Small Contributor Committe( FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULED-PART2 ScheduieB_P21rt2 Type or printi, inl(, I Statement covers i i~ ~/~l" · Amounts may be rounded period Loan Guarantors to whole dollars, from i~ ' SEE INSTRUCTIONS ON REVERSE through I(). NAME OF FILER ID NUMBER FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER I AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN I GUARANTEED CUMULATIVE OUTSTANDING (IF COMMI [%EE ALSO ENTERI D NUMBER) CODE (IF SEt. F EMPLOYED, ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS) ~iiND LENDER i CALENDAR Y~AR ' [] COM $ [] OTH DATE PER ELECTION [] PTY ! (IF REQUIRED) []scc ~ $ CALENDAR YEAR E~IND LENDER []COM I $ PER ELECTION OTH bJ DATE (IF REQUIRED) [] PTY E~scc $ [~IND LENDER E~COM $ ~ I PER ELECT]ON OTH , 0F REQUIRED) []scc CALENDAR YEAR []IND LENDER [] COM PER ELECTION ~ UOTH DATE (IF REQUIRED) []SCC $ SUBTOTAL $ ~ Summary Page' Line 17 only FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through SCHEDUL£C Page '7 of l [,¢ NAME OF FILER I.D. NUMBER ~ CUMULATIVE TO ' IF AN INDIVIDUAL, ENTER AMOUNT/ PER ELECTION FULL NAME, STREET ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE TO DATE DATE ZIP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR RECEIVED CF COMMITTEE. ALSO ENTER D NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ~]COM [~OTH [~PTY I E3SCC I~IND [] COM ~OTH ~ ~scc ~IND ~COM ~OmH ~ P~ ~ ~scc ~ ~IND ~COM ~OTH ~scc I Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period - nonmonetary contributions of $100 or more. (Include all Schedule C subtotals.) ..................................................................................................................... $ 2. Amount received this period - unitemized nonmonetary contributions of less than $1 O0 .................................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTALS_ *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars, Statement covers period from through SCHEDULED NAME OF FILER DATE 5.F.L. NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE [] Support [] Oppose Support [] Oppose TYPE OF PAYMENT [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure ~ Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure AMOUNTTHIS PERIOD [~ Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure CUMULATIVETO DATE CALENDAR YEAR (JAN I DEC 3~} PER ELECTION TO DATE IF REQUIRED) DESCRIPTION (iF REQUIRED) [] Support [] Oppose SUBTOTAL ~0 cb Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals,) .............................................. 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2, Do not enter on the Summary Page.) .............. TOTAL FPPC Form 460 (June/0'l) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from itO' 0 through 1 SCHEDULE D Page <~ of_l ~'~ I NAME OF FILER I.D. NUMBER CUMULATIVE TO DATE I PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEARI TO DATE MEASURE NUMBER OR LEJ-rER AND JURISDICTION, CF REQUIRED) PERIOD (.tAN I -DEC 31 ) (IF REQUIRED) OR COMMITTEE /~/-j.~ Monetary 10/I-)/oz ~4¢~.~ ~t/t[~ ~ ~ ~Contdbution ~ Nonmonetaw ~ Independent ~ Suppo~ ~ Oppose Expenditure ~ Monetary Contribution ~ Nonmonetaw Contribution ~ Independent ~ Suppo~ ~ Oppose Expenditure ~ Moneta~ Conthbulion ~ ~onmonetary ContriBution ~ Inde~endont ~ Suppo~ ~ Oppose ~xpenditure ~ Moneta~ Cont~Bution ~ ~oamoneta~ ConMBution ~ Indopondent ~ Suppo~ ~ Oppose Exponditure SUBTOTAL $ I 0 0 00--~ FPPC Form 460 (June/0'l) 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 from i(~-OI -O ~- through Page SCHEDULEE __ of [~ NAME OF FILER CODES: If one of the following codes accurately describes campaign paraphernalia/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 I.D NUMBER the payment, you may enter the code. Otherwise, describe the payment. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PP4) phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT pdnt ads RAD radio airtime and production costs RFD returned contributions SA£ campaign workers' salaries TEL t,v. or cable airtime and production costs 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 CF COMMl~r EE ALSO ENTER ID. NUMBER) ~.o,t%~-.z. 7'7(..) 9(... ~'y~ ~bgY-, ~5-~-/~9~ 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 ail 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 $ ? z5 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through ]0'lq'O~'~ SCHEDULE E (CONT.) Page I} of ID NUMBER NAME OF FILER CODES: If one of the following codes accurately describes the OVP campaign paraphernalia/misc. MBR 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 payment, you may enter the code. Otherwise, describe the payment. member communications MTG meetings and appearances OFC office expenses PET petition circulating phone banks POL polling and survey research FOS postage, delivery and messenger services professional services (legal, accounting) FRT print ads RAD radio airtime and production costs returned contributions SAL campaign workers' salaries t.v. or cable airtime and production costs 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMI~-EE, ALSO ENTER ID. NUMBER} * Payments that are contributions or independent expenditures must also be summarized on Schedule O. SUBTOTALS FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule F Accrued Fxpenses (Unpaid SEE INSTRUCTIONS ON REVERSE Type or print in inA, Amounts may be rounded to whole dollars, Statement covers period ~,om through 10' Iq'02-- SCHEDULE F I Page_12~_ o~ iL, NAME OF FILER CODES: If ode o1 the foflowin§ codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations ElL candidate filing/ballot fees FND fundraising events IND independent expenditure suppodin9/opposing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF CREDITOR (iF COMMITTEE ALSO ENTER I [3 NUMBER} ID. NUMBER member communications MTG meetings and appearances OFC office expenses PET petition circulating P'ctO phone banks POL polling and survey research POS postage, delivew and messenger services PRO professional services (legal accounting) ~ print ads (a) CODE OR OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD PAD radio airtime and production costs returned contributions SAL campaign workers' salaries TEL t.v. or cable airlime 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 (interact, e-mail) (b) (c) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include alt Schedule F, Column (b) subtotals for ~ accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and .~ on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET S May beanegati..... bet FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule F Accl ued Expenses (Unpaid Bills) Type or print in ink. from__JO'6 I ' 0~_. through I0' ICJ` SCHEDULE F (CONT.) Page I'~ of J~' NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure suppoding/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances dFC office expenses PET petition circulating phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads * Payments that are contributions or independent expenditures must also be summarized on Schedule D. I.D NUMBER Sz_ SS RAD radio aidime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv. or cable airtime and production costs candidate travet, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VdT voter registration WEB information technology costs (internet, e-mail) (a) (b) I (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (rFCOMMITTEEALSOENTERID NUMBERI DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS P£RIOD BALANCE AT CLOSE OF THiS PERIOD (ALSO REPORT ON E} OF THIS PERIOD I ! SUBTOTALS FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule G Payments Made by an Agent or independent Type or print in ink. Amounts may be rounded SCHEDULEG through 14' )C~. O~- Page 1L~ of t~? SEE INSTRUCTIONS ON REVERSE NAME OF FILER i.D. NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If OBe of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QVP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetaW)* CVC civic donations FIL candidate filing/ballot fees F'ND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petit[on circulating F140 phone banks POL potling and survey research POS postage, delivew and messenger services Pf:~O professional services (legal, accounting) PRT print ads * Payments that &re contributions or independent expenditures must also be summarized on Schedule D. RAD radio airbme 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 "FRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID I ~ Attach additional information on appropriately labeled continuation sheets. TOTAL* $ .~)-'~ * Do not transfer to any other schedule or to the Summary Page, This Iota/may not equal the amount paid to the agent or FPPC Form 460 (June/01) independent contractor as repo~ted on Schedule E. FPPC Toll-Free Helpline: 866/ASK-FPPC Loans Made to Others* to whole dollars from SEE INSTRUCTIONS ON REVERSE FULl NAME STREET ADDRESS AND ZIP CODE NAME OF F~LER %,f-. L. IF AN INDIVIDUAL ENTER OUTSTANDING OF RECIPIENT (IF COMM~TqEE ALSO ENTER I [3 NuMt~ER! I through IO.V~ 'O~- *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. BALANCE tCEGINNING THIS PERIOD OCCUPATION AND EMPLOYER (b) AMOUNT REPAYMENTOR FORGIVENESS THIS PERIOD* BALANCE AT ] RECEIVED CLOSE OF THIS i PERIOD $ DATE DUE SUBTOTALS I$ ~1$ Page ID NUMBER ¢) (al ORIGINAL CUMULATIVE AMOUNTOF LOANS LOAN TO DATE DATE NCURRED DATEINCURRED CALENDAR YEAR PER ELECTION~ CALENDAR YEAR $ PER ELECTION~ Schedule H Summary 1. Loans madethis period .................................................................................................................................................. (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans ........................................................................................................................................... $ (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1 .) ........................................................................................ NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) (Enter (e) on Schedule I, Line 3) (May be a negative number) **If Required FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule I SEE INSTRUCT?[qS ON REVERSE NAME OF FILER SCHEDULE 1 ) ~'~ ' 0 ~ ~ through ] 0' i9'0~,- ! Page I~:~__ of II; iNCREASETQCASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... 2. Unitemized increases to cash under $100 this period ............................................................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14,) ........................................................................................................................... TOTAL FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC