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HomeMy WebLinkAboutSALVAGGIO SEMIANN99(2) ecipient Committee Cempaign Statement (Government Code Sections 84200-84216.5) Type or print in ink. SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: AIICommittee~-CompletePed$1,2,3, andT. /~;~ Officeholder, Candidate Controlled Committee (Also Complete Part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) [] General Purpose Committee O Sponsored O Broad Based 3. Committee Information COMMITTEE NAME STREET ADDRESS (NO P.O* BOX) CITY S~ATE ZiP C~E ~ AR~A COD~HONE aAILI~ iDDRESS (IF DI~ERE~) Nd. ~D STREET ~ P.O. B~ i ' ' - ' Date of Mection if applicable: (Mcn~, Day, Year) Date Stamp OOJ~NIn ~NS: gAKERS~ ;~.Lb t;li Y 2. Type of Statement: [] Pre-election Statement ,~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) COVER PAGE [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) NAME Of: TREASURER MAILING ADDRESS CITY STATE ZIP COOE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL AODRESS CITY STATE ZIP CCOE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC Form 460 (8J99) For Technical Asslatanca: 916/322-5660 State of California Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. COVER PAGE - PART 2 Page e:~ of 7 4. Officeholder or Candidate Controlled Committee NAME OF OFFIC OLDER OR CANDID,~ T~ ~I~E SOUGHT ~ HELD (INCLU~ [~ATION~I~T NUMBER IF APPLICABLE) ~IDENf~dSh~S~A~RESS (NO. ANDSTREE~ - d~-- ' ' ' ~A~E ' ZI~ Related CommiR~s Nol Included in this Slalamenl: Ll~tanycommlttee$ not Inelud~ In this consolidated $tatement fha t are contr~l~ by you or which are primarily for~d to receive contributions or to make expenditures on behalf of your candldac~ CCMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROl_LED COMMITTEE? [] YES [] NO CCXMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP COOE 7. Verification 5. Ballot Measure Committee NAMEOFBALLOTMEASURE BALLOT NO. OR LETTER JURISDICTION [ ~] SUPPORT I [] OPPOSE Identify the conbolling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, Off PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee Llstnamesofofficehotder(s)orcandldale(s) for which this commlttae le primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE Affach condhuafion sheets if necessaq/ OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE 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 ~., ~ ~) Ex,cG,edon Executed on Executed on DATE DATE: By SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322.5660 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 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line $ 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 7. Loans Made .......................................................................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ AddLInes 6 + Y 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule I~ Line 3 10, Nonmonetary Adjustment ....................................................... Schedule C, Line $ 11, TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + to Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 1 3. Cash Receipts .............................................................. Column A, Line 3 above 1 4. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines t2 + t3 + 14. then subtract Line t5 I! this is a termination statement, Line 16 must be zero. Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL T~$ PERIOD SUMMARY PAGF Page ."~ of 7 I.D. NUMBER Column B* Column C TOTAl. PREVIOUS PERIOO TOTAL TO CATE ,22 f77-7 ' D/J - · From previous statement Summary Page, Column C. However. if th~s is the first repod flied for the calendar year, Column B should be blank except for Loans Received (Line 2). Loans Made (Line 7), and AccnJed Expenses (Line 9). Summary for Candidates in Both June and November Elections 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Pert t, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above $ --0~ 20. 21, $ 1/1 through 6/30 7/I to Date Contributions Received ............$_ A~/~ AJ/A~ Expenditures ~]/~ ~L//~ Made .................. $_ FPPC Form 460 (8/99) For Technical Assistance: 916~22-5660 Schedule A Typo or print in ink. SCHEDULE A Monetary Contributions Received A~"°~o"~h~"o~'~o~,ra~."~a S:--;~,,~,~;.coversp~l,~ I., SEE INSTRUCTIONS ON REVERSE through ~ I.D, NUMBER IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE DATE FULL NAME, MAILING ADDRESS ANO ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED (iF COMMI'EI'E E, ALSO ENTER i.D. NUMBER) CODE 'e (IF SELF~EMPI-OYED, ENTER NAME PERIOD (JAN. 1 ' DEC, 31 } (IF APPLICABLE) OF BUS~NESS) r-liND [] eOM [] OTH []IND [] coM [] OTH []IND [] COM [] OTH [] IND [] COM [] OTH I-lIND [] COM [] 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 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ 2~.~7 ,~ 0 , £'7 "Contributor Codes } IND - Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916~322-5660 Schedule E Payments Made SEE INSTRUC~ONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be ro~ded to whole dollars. SCHEDULE r Statement covers period ,,. ,h...,h. / CODES: If one of the following codes accurately describes the payment, you may enler the code. Otherwise, describe the payment. CMP campaign paraph e rnaiia/misc. CNS campaign consultants CTB corot ribution (explain nonmonetary) · CVC civlc donations FND fundraising events IND indepandent expenditure supporting/opposing others (explain)- LIT campaign literature and mailings OFC office expenses PET poll§on cimulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional sa~ices (legal, acccunting) PRT print ads I.D. NUMBER MTG meetingsandappeamnces RAD radioairtimeandproduclioncosts WEB informatio~technologycosts(intemet, e.mail) RFO retumed contributions SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC caodidate travel, lodging aod meals (explain) TRS staff/spousa travel, lodging aod meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter regist ralion NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER I D NUMeER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIO or independent expenditures must also be summarized on Schedule D. SUBTOTALS Schedule E Summary 1. Payments made this pedod of $100 or more (Include all Schedu e Ruhtnt~l~ ....... · ....................... . ......... . ................................. $.~ , z. unl[emlzecl payments made lh~s period of under $100 ................. $ 3. Totalinterest paidthis period on oulstanding loans (Enter amou~i'ii~'~'~l~i~'~l'i'l~'~"~' · , n (d).) ....................................................... $ 4. Total payments made this period. (Add Lines 1, 2_, and 3. Enter here and on the Summary Page, Column A, Line 6.) .................... TOTALS FPPC Form 460 (8/99) For Technical Assistance: gl 6/322-5660 Schedule E (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covere period Payments Made to who~,~,~re, f,om ~//,,/~/? ~ / CODES: If one of the following codes accurately describes the payment, you may enter the cod~. Othe~ise, describe the payment. CMP campaign paraphernalia/misc. DFC of/ice expenses RFD returned contributions CNS campaign consultants CTS contribution (explain nonmonetary)- CVC civic dona§ons FND fundraistng events IND independent expendi(ure supporting/opposing off~ers (explain}* LIT campaign titerature and mailings PET petition circulating PHO phone banks POL polling and eurvey research POS postage, delivery and messanger services PRO professional sar~ices (legal, accounting) PRT pdnt ads SCHEDULE E (CONT MTG meel~ngsandappearances RAD radioairtimeandproductioncosts WEB informati Page ~ of 2 I.D. NUMBER SAL campaign workers salades TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spcuse travel, lodging and meals (explain) TSF transfer be{wean committees of the same candidate/sponsor VOT voter registration 0F COMMITTEE, ),LSD E~rTE;tI.D. J~U~ ~,t CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID n;~&;;zed on Schedule D. $!: FP'C Form 460 (8/99) For Technical Assistance: 916/322-5660 ,Schedule I Type or print in ink. SCHEDULE I Miscellaneous Increases to Cash Amountsmayberounded S;&~,=a-,ii[covers period to whole dollars. SEE INSTRUCTIONS ON REVERSE NAM E OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE {IF COMMITTEE. ALSO EN?ER ID. NUMBER) through. Page7 oS7 I.D, NUMBER DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH 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, Part 2 (b).) ................................. $ -"--- ~-) ~ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summan/Page, LJne14.) ........................................................................................................................... TOTAL $ /2,~' 6 ~ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660