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HomeMy WebLinkAboutBFLAG SEMIANN02(2) ;pient Committee Campaign Statement Cover Page (Government Code Sections 84200-842165) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from iO' ~© '3 ~ Date of election if applicable: (Month, Day, Year) through t2 ~t ~'~' Date Stamp COVER PAGE Page J of / ¢/ For Official Use Only 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. b~ Officeholder, Candidate Controlled Committee (? State Candidate Election Committee [~) Recall (Aisc Complete Part 5) General Purpose Committee (~ Sponsored O~ Small Contributor Committee Political Party/Central Committee [] Ballot Measure Committee O Primarily Formed C) Controlled C) Sponsored (Aisc Complete PaR 6) [~ Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement: [] Preelection Statement  S emi-annual Statement Termination Statement [] Amendment (Explain below) Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 information I I D NUMBER Committee COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) STREET ) CiTY CODE/PHONE MAILING ADDRESS (iF DIFFERENT) NO AND STREET OR PO' BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX, E MAIL ADDRESS Treasurer(s) NAME OF TREASURER MAILING NAME OF ASSISTANT TREASURER, IF ANY MAILING OPTIONAL: FAX / E MAiL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k ained herein and in the attached schedules is true and complete. I laws of the State of California that the foregoing is true and correct. Executed on - e of Treasurer or Assistant T le SIate Measure Proponent or Resporlsibte Offcer of Sponsor Executed on By Date Executed on By Date FPPC Toll*Free Helpline: 8661ASK-FPPC State of California Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE PART2 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. COMMITTEENAME I D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ~ YES ~ NO COMMITTEE ADDRESS STREET ADDBESS (NO RO BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME ID NUMBER NAME OF TREASURER CONTROLLED COMMt~EE? ~ YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO RO BOX) CITY STATL ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOTNOORLETTER 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 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 ~j SUPPORT E} 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 Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................ ScheduleA, Line 3 2. Loans Received ................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ..................... AddLines I + 2 4. Nonmonetary Contributions ................................... Schedule C, L~ne 3 5, TOTAL CONTRIBUTIONS RECEIVED ......................... Add L~nes 3 + 4 Expenditures Made 6. Payments Made ................................................ Schedule E Line 4 7. Leans Made ....................................................... Schedule H Line 3 8, SUBTOTALCASHPAYMENTS .................................... AddLinesG* 7 9. Accrued Expenses (Unpaid Bills) ............................ Schedule F L~ne 3 10, Nonmonetary Adjustment ......................................... Schedule C, L~ne 3 11. TOTAL EXPENDITURES MADE ............................... Add L~nes ~ + 9 + 10 Current Cash Statement 12~ Beginning Cash Balance ...................... Previous Summary Parle, L~ne 16 13. Cash Receipts ................................................... ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................... Schedule I. Line 4 15. Cash Payments ............................................... CelumnA, LmeEabove 16, ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract L/ne 15 ff this is a termination statement, Dne 16 must be zero. 17, LOAN GUARANTEES RECEIVED .......................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ...................................... Seeinstruchonsenreverse 19. Outstanding Debts ......................... AddLine2+DneginColumnBabove Type or print in ink. Amounts may be rounded to whole dollars. Column A Column B TOTAL THIS PER~OD CALENDAR YEAR (FROM A~ACHED SCHEDULES } TO~AL TO DATE $ '--El Statement covers period from _}~)_._~ ~ ~ ~:~'-- through ( ~,' ~'I ''~ ~- 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). SUMMARY PAGE Page -' of I ID. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20 Contributions Received 21. Expenditures Made 1/I through 6/30 7/1 to Date $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmtdd/yy) __/ /.__ $ __/ / $ __/ / $ / J__ $ / /__ $ __/ /.__ $ *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 A through I,~' SEE INSTRUCTIONS ON REVERSE ~IND ~COM ~OTH J ~ PTY ~ ~SCC ~COM ~ OTH ~ PTY I ~scc i D COM ~ ~ OTH ~ PTY ~scc ~ IND ~ OTH I ~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 IN[:) - Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B- Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME STREET ADDRESS AND ZIP CODE OF LENDER tE~ IND~ COM [] OTH [] PTY [] SCC t[] IND [] COM [] OTH [] PTY [] SCC tE~ IND [] COM [] OTH [] PTY [] SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER iiF SEL? EMPLOYED ENTER NAME OF BUSINESSi Type or print in ink. Amounts may be rounded to whole dollars. (a) (b) OUTSTANDING AMOUNT BALANCE RECEIVED THIS BEGINNING THIS PERIOD PERIOD $ $ AMOUNT PAID OR FORGIVEN THIS PERIOD * $ [] FORGIVEN [~PAID $ FORGIVEN Statement covers period from through i /~' ~ 1 ~ d) OUTSTAND NG INTEREST BALANCE AT PAID THIS CLOSE OF THIS PERIOD PERIOD $ $ SCHEDULE B- PART Page _.,-~ I.D NUMBER {f) (g) ORIGINAL CUMULATIVE AMOUNTOF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $ PER ELECTION*~ $ DATE iNCURRED CALENDAR YEAR $ PER ELECTION *~ $ D^TE INCURRED $ []PAID $ CALENDAR YEAR $ PER ELECTION** DATEINCURRED DATE DUE SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) (May De a negative number) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $1 O0 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 Individua~ COM - Recipient Committee (other than PTY or SCC) PTY - Political Party SCC- Small Contributor Committee) OTH - Other (En[er (e) on Schedule E Line 3} l*Amounts forgiven or paid by' another pady also must be reported on Schedule A. ** If required, FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - Part 2 Loan Guarantors SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period through SCHEDULE B - PART 2 Page ~' of ill NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR {IF COMMITTEE, Al SO ENTER [ D NUMBER) CONTRIBUTOR CODE [] OTH [] PTY [] scc ~IND [~cou E~OTH [] PlY ~scc ~ ceu ~o~ ~ PTY iF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED ENTER NAME OF BUSINESS) LOAN LENDER DATE LENDER DATe LENDER DATE AMOUNT GUARANTEED THIS PERIOD ID. NUMBER CALENDAR YEAR $ PER ELECTION (iF REQUIRED) CALENDAR YEAR $ PER ELECTION (IF REQUIRED) CALENDARYEAR $ PER ELECTION (IF REQUIRED) {~]SCC i CALENDAR YEAR E~IND LENDER [~COM $ PER ELECTION [] OTH DATE (IF REQUIRED) [] PTY [~SCC i $ ] SUBTOTAL $ ~ Summary Pa§e, 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 ~ ~ ~ ~ ~ 2 SCHEDULE C through i~ ~l 0 2-- Page NAME OF FILER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE ALSO ENTER I D NUMBER) CONTRIBUTOR CODE * [~IND [] COM E~OTH [] PTY E~scc E~IND [] COM ~OTH [Z]PTY [~scc E~IND E~COM E~OTH ~PTY [~SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF EMPLOYEE) ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES []IND [~COM []OTH E~PTY E~scc Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ AMOUNT/ FAIR MARKET VALUE IDNUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN I - DEC 31) PER ELECTION TO DATE (IF REQUIRED) I ! 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 $100 ................................... $ 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.) ...................... TOTAL $ *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 i'~ ~) L~_ through 12~ ~{ ~J~- SCHEDULE D Page NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure [] Monetary Contnbution [] Nonmonetary Contnbution [] Independent Expenditure [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ AMOUNTTHIS PERIOD I.D NUMBER [] Suppod [] Oppose [] Suppod [] Oppose [] SuppoA [] Oppose CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) 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/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 from ,~1 ~O ~ through SCHEDULEE Page c~ of i c~ NAME OF FILER ID NUMBER CODES: Ctv~ campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetaP/)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating I::'HO phone banks F~)L polling and survey research PQS postage, delivery and messenger services PRO professional services (legal, accounting) FRT print ads PAD 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 rOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independe.t 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.) .................................................................................................. $ J ~ / ~· -" L/C'' 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ ~ ~, .~ Z'. ! 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: 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 NAME OF FILER CODES: If one of the following codes accurately describes the ~ campaign paraphernalia/misc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)* O~C CVC civic donations PET FIL candidate filing/ballot fees PHO FND fundraising events POL IND independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PR3' NAME AND ADDRESS OF PAYEE dF COMMITTEE ALSO ENTER I D NUMBERi payment, you may enter the code. Otherwise, member communications PAD meetings and appearances ~ office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, delivery and messenger services TSF professional services (legal, accounting) VOT print ads WEB describe the payment. CODE OR SCHEDULE E (CONT.) Page ~ of /Lc ID NUMBER radio airtime and production costs returned contributions campaign workers' salaries tv or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from I~ ~O-~J Z. SCHEDULEF through i7-' ~l O'~ Page NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DVP 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 MBR member communications MTG meetings and appearances office expenses PET petition circulating PHC phone banks POL polling and survey research NUMBER PAD radio airtime and production costs ~ returned contributions SAL campaign workers' salabes TEL tv. or cable airtime and production costs · RC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor PRO professional services (legal, accounting) VDT voter registration PRT print ads W~B information technology costs (internet, e-mail) (a) (b) (c) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID (IF COMMII~EE ALSO ENTER I D NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD TH~S PERIOD OF THIS PERIOD (ALSO REPORT ON E) * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D, OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Schedule F Summary 1. Total accrued expenses incurred this period. (include all 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 .(~:::y-- on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ M~y be a,ega~ ...... bet FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Statement covers period from through NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR member communications C~V~o campaign paraphernalia/misc. ChIS campaign consultants MTG CTB contribution (explain nonmonetary)* OFC CVC civic donations PET FIL candidate filing/ballot fees PHO FND fundraising events POL I~D independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PRT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR (iF COMMi~EE ALSO ENTER I D NUMBER) meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads SCHEDULEG Page i ~_ of [~-/ I.D. NUMBER PAD radio aittime and production costs returned contributions SAL 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 (internet. e~mail) AMOUNT PAID DESCRIPTION OF PAYMENT Attach additional information on appropriately labeled continuation sheets. TOTAL* $ ~ * Do not transfer to any other schedule or to the Summary Page, This total may not equal the amount paid to the agent or FPPC Form 460 (June/01) independent contractor as reported on Schedule E, FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule H Loans Made to Others* SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. (al Statement covers period from through (b) (cl d OUTST,~4DING lei INTEREST SCHEDULE H Page i~) of ~ ID NUMBER ORIGINAL CUMULATIVE FULL NAME. STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMI]~EE ALSO ENTER iD NUMBER/ IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER CFSELF-EMPLOYEDENTER NAME OF BUSINESS) *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. OUTSTANDING BALANCE BEGINNING THIS PERIOD $ SUBTOTALS IS AMOUNT LOANED THIS PERIOD REPAYMENT OR FORGIVENESS THIS PERIOD* [] PAID $ [] FORGIVEN $ FORGIVEN BALANCE AT CLOSE OF THiS PERIOD DATE DUE DATE DUE RECEIVED AMOUNTOF LOAN DATEINCURRED DATE ~NCURRED LOANS TO DATE CALENDAR YEAR $ PER ELECTION** CALENDAR YEAR $ PER ELECTION** (Enter (e) on Schedule I Line 3) Schedule H Summary 1. Loans made this 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.) **If Required FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from I ~ , ~ ,.~ .;' 2 through I~- ~/ L) 2 SCHEDULEI SEE INSTRUCTIONS ON REVERSE Page t NAME OF FILER I D NUMBER AMOUNT OF DATE I FULL NAME AND ADDRESS OF SOURCE DESCRIPT)ON OF RECEIPT RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) INCREASE TO CASH Attach additional information on appropriately labeled continaation 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