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Home My WebLink AboutBFLAG PREELEC99(1) ecipient Committee Campaign Statement (Government Code Seclk~s 84200-84216,5) COVER PAGE Type or print in ink. St~eme~t eover~ period SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: m~ Committees- Complete Parts 1, 2, 3, and 7. Date of election if applicable: (Month, Day, Year) 2. Type of Statement: Date S~mp 99 OCT 25 PN 12: ~AKERSFiE[.O CITY of .__ Fo~ onlciM Use Only [] Officeholder. Candidate Controlled Committee (Aisc Complete Part 4.) [] Ballot Measure Committee 0 Primadly Formed O Controlled O Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (A~o Comp~e Part 6.) J~ General Purpose Committee ~ Sponsored {~ Broad Based /~" Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information I.D. NUMBER COMMITTEE NAME STREET ADDRESS (NO P.O. BOX) Pc,, ~x q2g,~ CITY STATE ZIP COOE AREA CODE/PHONE MA~_ING ADORESS (IF DIFFERENT) NO. AND STREET OR RO. BOX / CITY STATE ZIP COOE ilE27 ~ OPTIONAL: FAX / E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER MAIUNG ADDRESS CITY STATE ZIP COOE AREA CODF_/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP COOE AREA CODE~HONE OPTIONAL: FAX/E-MAll. ADDRESS FPPC Form 460 For Technical Aealstenee:. 916/'322-5660 State of California Recipient Committee Campaign Statement Cover Page-- Part 2 Typo or print in ink. COVER PAGE - PART 2 Page__ of.__ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DIS]RICT NUMBER IF APPt. ICABLE) RESID~NTIAL~USINESS ADORE SS (NO. AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: Llstanycommlttee= not Included In thl~ consolidated etatoment the t ere conb~lled by you or which are p#marlly formed to receive contributions or to make expenditures on behaff of your candidacy. COMMn~'EE NAME NAME OF TREASURER COMMI~FEE ADDRESS LO. NUMBER CONTROl_LED COMMITTEE? rq ~s [] NO STREET ADDRESS (NO P.O. BOX CiTY STATE ZIP COOE AREA CODEJPHONE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee Ustnamesofofficaholder[s)orcandldata(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 OR CANDIDATE OFF ICE SOUGHT OR HELD [] OPPOSE A~ach cont~nua#on sheets if necessary 7. 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, I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By SIGNATURE OF CONTROLUNG OFFICEHOLRER. C N*4~l DATE, STALE MEASURE PROPONENT OR RESPONSIBLE CFFICIER OF SPONSOR Executed on By, Executed on By, DATE FPPC Form460(8/99) For TechnlcalAeelstence: 916/322-5660 Stete ofCMifornia Schedule A Typ* or print in ink. SCHEDULE A Monetary Contributions Received to,,hoindoll.r,, from SEE INSTRUC~ONS ON REVERSE through ~IND ~ eOM ~ OTH ~IND ~ COM ~ OTH ~IND D COM ~ OTH ~ IND D cou ~ OTH SUBTOTAL 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 here and on the Summary Page, Column A, Line 1.) ................... TOTAL ['Con~butor Codes IND - Individual COM - Recipient Commiffee OTH - Other FPPC Form 460 (8~99) For Technical Assistance: g16~22-5660 Campaign Disclosure Statement Summary Page Type or print in ink. Amotmt~ may be rounded to whole dollars. SEEINSTRUCT/ONSONREVERSE NAME OF FILER Contributions Received 1, Monetary Contributions ...................................................... Schedule A, Line 3 $ 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 $ 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add LInes 3 + 4 $ Column A Column B* TOTAL PREVIOUS (SEE NOTE SELOW) s //$~o, - SUMMARY P~m Page. of __ I.D. NUMBER Column C $ $ $ Expenditures Made 6. Payments Made .................................................................... Schedule E. Line 4 $ 7. Loans Made .......................................................................... Schedule H. Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines s + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonelary Adjustment ....................................................... Schedule C. Line 3 11. TOTAL EXPENDITURES MADE ......................................... AddLinesS+9+ tO $ Current Cash Statement 12. Beginning Cash Balance ................................ Previous 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 + 14, then subtrac! Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part 1, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... AddLIne2+LlneginColumnCabove · From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B sh~JId be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Uoa 9). Summary for Candidates in Both June and November Elections $ ~ 20. 21. $ C' Contr~ufions Received ............ $ Expenditures Made ..................$ 1/1 through 6~J0 7/1 tO Date FPPC Form 460 (8/99) For Technloal Aeststanoa: 916~22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars. from through Page of SCHEDULEE NAMEOFRLER I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphe malie/misc. CNS cem~gn consultants CTB contfibulk~ (explai~ ~ta~)' CVC civic dortafions FND fundraising events IND indent expenditure supporfing/oplx~ing others (explain}* LIT campaign literature and mailings MTG meel]ngs and appearances DFC office expenses PET pe#Uo~ circulating PHO I:~xxte banks POL polling and survey research POS postage, dalivery and messenger se ri, ices PRO profes~:)nal sewices (legal, accounting ) PRT print ads RAD radio aiftime and production costs RFD returned contfibug~ns SAL campaign workers salaries TEL t.v. or cable ai~me and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF ~ansfer between committees of the same candidate/sponsor VDT voter registration WEB infonnatio~ technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COk~IITTEE. AkSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ '~ j ~)C~. pc, 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 outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ 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 (8/99) For Technical Assistance: 916~322-5660