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Home My WebLink AboutBFLAG SEMIANN99(2) ecipient Committee Campaign Statement (Government Code Sec~ons 84200~216.5) Type or print in ink. SEEINSTRUCTIONSONREVERSE 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 7. I'-I Officeholder, Candidate Controlled Committee (Also Complete Part 4.) [] Ballot Measure Committee 0 Primarily Formed O Controlled O Sponsored (A/~e comp~ere par~ 5.) [] Primarily Formed Candidate/ Officeholder Committee (Al.~o Complete Part 6.) ~. General Purpose Committee ~ Sponsomd I~. Broad Based 3. Committee Information COMMIlq'EE NAME I.D. NUMBER STREET ADORESS (NO P.O. BOX) CIT~ STATE ZIP COOE ~,.G*~O"ESS <F D,~.E". HO. ARO ST.~ET O. ,.o. BOx CRY STATE OPTIONAL: FAX / E-MAIL ADDRESS AREA CODFJPHONE ZiP COOE AREA CODE/PHONE Date of election if a~plleable: (Month, Day, Year) Dale Stamp COVER PAGE Jfit~ I~ /[~11:29 .'RSi:;EL.~ Cil¥ CLE;~ 2. Type of Statement: [] Pm-election Statement ~L, Semi-annual Statement [] Termination Statement [] Amendment (Explain below) Treasurer(s) ,{ o, NAME OF TREASURER [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 AREA CODE/PHONE NAME O~ ASSISTANT TREASURER, IF ANY MA[lNG ~ESS CITY STATE ZIP COOE AREA COOE~PHONE OPTIONA~ FAX / E-MAIL ADDRESS FPPC From 460 (~99) For Te~hnleal Asslitence: 9f6f3~l!2-5660 State o! California Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LLI IIcR I JURISDICTION ID SUPPORT[] OPPOSE Identify the conll'olling offlceholdm', can~dete, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: Llstanycommlttees not Included In Ibis confolldated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behaff of your candidacy. COMMR~EE NAME NAME OF TREASURER COMMITTEEADDRESS I.D. NUMBER CONTROl_LED COMMITTEE? [] NO STREET ADDRESS (NO P.O. BOX CITY STATE ZIP CODE AREA CODFJPHONE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee Llstnamesofofficeholde~s)orcandldate(s) for which thlf 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 OFFICE SOUGHT OR HELD []SUPPORT [] OPPOSE Attach con~fnua#on sheets if neeessaty 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 celtify under penalty of perjup/under the laws of the State of California that the foregoing is true and correct. Executed on By DATE SIGNAT33RE OF CONTROCUNG OFFICEHOLO~R, CANDIDATE, STATE MEASURE PROFOI~CNT OR RESPONSIBLE OFFICER OF SPONSOR Executedon By. DATE Executed Off By, FPPC Form 460 (8/99) For Technical Aeeistance: 916/322-5660 State of Cdllfornla Schedule A Typ* or print in ink. SCHEDULE A Contributions Received Amoun~ may ne rotmeea I ~IND ~ cou ~ OTH ~ IND ~ COM ~ OTH ~ IND ~ COM ~ OTH DiND ~ COM ~ OTH Monetar~ SEE INSTRUCTIONS NAME OF RLER DATE RECEIVED 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 OTH - Other FPPC From 460 (8/99) For Technical Assistance: 916~22-5660 Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. S~.;.~-...=.i;. covers from '~ /' ~ NAME OF FILER Contributions Received Column A TOTAL THIS FERIOO 1. Monetary Contributions ...................................................... Schedule A, Line 3 $ ~ 2. Loans Received ................................................................... Schedule B, Line 7 ~') 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines I + 2 $, 0 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ O Expenditures Made 6. PaymentsMade.................................................................... Schedule E' Line ~ ~ ~' ~fl 7. Loans Made .......................................................................... Schedule H, Line 7 C' 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7 $ ~ ~_, ~ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 ~ 10. Nonmonetary Adjustment ....................................................... Schedule C, Line 3 ~ 11. TOTAL EXPENDITURES MADE ......................................... AddLInes8+9+lO $ SUMMARYPAGE I.D. NUMBER Column B* Column C $ $ $ $ $ $ $ $ Current Cash Statement 12. Beginning Cash Balance ................................ P~evlous S.mmary Page, Line ~S 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 subtract Line 15 If this is a termination statement. Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Pail 1, Column (bi Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above * From previous statement Summary Page, Column C. However, if this is the flint repo~t filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Une 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received ............ $ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule E Payments Made SEEINSTRUC~ONSONREVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER from through SCHEDULE E NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliaknisc. CNS campaign consullents CTB contfibetion (exCein nonrnm~tary)* CVC civic donations FND fundraising events IND independent expen~ura supporting/opposing others (explain)* LIT campaign literature end mailings MTG rn~elJngs and appearances OFC office expenses PET pelition circulating PHO phone banks POL p(flling and survey research POS postage, delivery and messenger sewices PRO professi(~el services (tsgal, accounf~ng ) PRT p~nt ads RAD radio a~rlime and production costs RFD retumed co~bu~ons SAL campaign workers salaries TEL t.v. o~ cable airtime end produc{Jo~ costs TRC candidate travel, lodging and meals (explain) TRS slaff/s~3use travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter rngistrafion WEB i~formation technology costs (tntemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (iF COMMITTEE. ALSO ENTER I D NUM6ER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that ere contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL 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 Sche~Jule E ,.(Continuation Sheet) :Eayments Made SEE INS11~NS ON REVERSE Type or print In Ink Amounts may be rounded to whole CODES: If one of the following c. odes .accurately d. escribes the payment you may enter the code..Otherwise, describe the payment. CNS can~n cemu~mts OTB con~t~ (exp~n noanmemy)' GVC cMc ~l~ns FND t~ ~,~Jng eve~s INO ~ Indepmd~te~m~oppos~ngo~ers(expl~n)' LIT campaign litsratt=e and m~llngs OFC- oBce expenses PET petil~ cln:ulalJn~ PHO phone banks POI. poll, rig and suwey research POS postage, de#vmy and messenger se~ces PRO professkmal senates (legal, accounting) PRT prb~t ads SCHEDULE E (CON[ P.g. I.D. NUMBER RFD* returned cerdflbu~:~.s SAL campaign woekers satsHes TEL Lv. or cable alrlirne m~d production costs TRC candidate travel, lodging and meals (explaio) ' TRS stalFspouse travel, lodging and rneals (explain) TSF bansfor between committees of Ihe same candidate/sponsor VOT voterreglstm~n ~ MTG meet~g~andappeamnces RAD radlo~tlmeandproductloncosts WEB InfoTTnatk~technologycosts(intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER LO. t~M~ER) CODE OR DESCRIPT~O,N OF PAYMENT AMOUNT PAID ? .)' .). * Paymeetl that are ¢ontrlbutlonl or Independent expendlturel mull itso be summarized on Schedule D. SUBTOTALS FPI)C Fon~ 46O (8~9) For Technical Alslltince: 916~22-~0