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Home My WebLink AboutBFLAG PREELEC04(1) Date Stamp in ink. Type or print Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) of 1<'" Use Only I For Official Date of election if applicable: (Month, Day, Year) . covers period 0'1 Statement -r- Page M110: 50 OCT -5 from '-" If\ Quarter1y Statement Special Odd*Year Report Supplemental Preelection Statement * Attach Form 495 CI o o o y c' 1-./0'.1', 'z,.z.o 2. Type of Statement: X Preelection Statement D Semi*annual Statement D Termination Statement D Amendment (Explain below) Committees - Complete Parts 1, 2, 3, and 4. D Ballot Measure Committee o Primarily Formed o Controlled o Sponsored (Also Complete PaTt 6, <1 through SEE INSTRUCTIONS ON REVERSE Type of Recipient Committee: All D Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also CompJete Part 5) 1. Primarily Formed Candidate! Officeholder Committee (A/soCompletePart7) o ~ General Purpose Committee o Sponsored gi Small Contributor Committee o Political Party/Central Committee Committee Infonnation COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) DA~F/E/J~ Rl2EFI<':,Hre:es LEGISL4-nv€, ACTIO~ G120G? CITY STATE ZIP CODE MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX NUMBER o 3. AREA CODE/PHONE ZIP CODE STATE CITY and complete hed schedules is true E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best 0 certify under penalty of pe~ury under the laws of the State of California that the foregoing is tl FAX OPTIONAL O-z..- 0 Date Date Executed on Executed on FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC state of California Ie Measure Proponenl Signawre ofConlroUing al\cet1older, Canddale. state Measure Proponent Siglature ofCOntrollng orriceholder By By Date Date Executed on Executed on COVER PAGE - PART 2 . . : =- of~ o SUPPORT o OPPOSE Related Committees Not Included in this Statement: List ""y committees not included in this statement that are controlled by you or lire primarily fanned to receive contributions or mllke expenditures on behalf of your candidacy. COMMITTEE NAME 10 NUMBER NAME OF TREASURER CCX\ITROllED COMMITTEE? DYES DNa COMMITTEE ADDRESS STREET ADDRESS (NO PO, BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.0 NUMBER NAME OF TREASURER CONTROLLED COM M ITTEE? DYES DNa COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 Fonned Committee List names of offlceholder(s) or candidale(s) for which this committee ;s primarily formed_ ZIP STATE CITY (NO, AND STREET) RESIDENTIAUBUSINESS ADDRESS NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE if necessary FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC state of California Attach continuation sheets SUMMARY PAGE covers period Statement Type or print in ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page s I .3 '1- from of D NUMBER B-z- I Cj ~.;- Page through Calendar Year Summary for Candidates Running in Both the State Primary and General Elections ColumnS CAlENDAR YEAR TOTAl TO~TE to Dale 7/ $ through 6130 $ 20. Contributions Received Expenditures Made 21 3o,Q15, ~ -l)- -&- po -- CJ'7,:,;-. $ $ SEE INSTRUCTIONS 0f\I REVERSE NAME OF FILER ~FlA(6 Contributions Received $ $ Schedule A Line 3 Schedule B, Line3 Schedule C. Lme 3 2 Add Lines Monetary Contributions Loans Received. SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions.. TOTAL CONTRIBUTIONS RECEIVED 2. 3 4. 5. $ Summary for State $ Expenditure Limit Candidates c;t/: $ $ 22. Cumulative Expenditures Made. (II Subject 10 Voluntary Expenditure Llmll) Total to Date $ $ Date of Election (mm/dd/yy) CZ!t e- .e- 7.3~. '1 $ $ $ ----.J----.J_ $ may be $ .Since January 1, 2001. Amounts in this section different from amounts reported in Column B. 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). $ z $ $ Add Lines 3 + 4 Schedule E, Line 4 Schedule H. Line 3 $ AddUnes6.. 7 Schedule F, Line 3 Schedule C. Line 3 Loans Made SUBTOTAL CASH PAYMENTS Accrued Expenses (Unpaid Bills) Nonmonetary Adjustment ,. TOTAL EXPENDITURES MADE Expenditures Made 6. Payments Made 7. 8. 9 10 $ $ AddUnes8+9+ 10 Previous Summary Page, Line 16 CdumnA.Une3~e Lme4 Cdumn A, Une 8 above /. Schedule Cash 11 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts. 14. Miscellaneous Increases 15. Cash Payments.. 16. ENDING CASH BALANCE to $ then subtract Line 15 14. 13 Add Lines 12 -G- .t9-' $ Schedule B. Part 2 Cash Equivalents and Outstanding Debts 8. Cash Equivalents. See instructions on reverse Outstanding Debts 16 must be zero. Line 7. LOAN GUARANTEES RECEIVED If this is a termination statement, FPPC Form 460 (June/01) FPPC TolI-Free Helpline: 866/ASK-FPPC $ $ Une 9 in Column B above Add Line 2 19 SCHEDULE A 1m + ", Page of _IS JD NUMBER 8 "2...115)" Statement from ~- through '1 Type or print in ink. Amounts may be rounded to whole dollars. Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FilER .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/Ol) FPPC TolI-Free Helpline: 866/ASK-FPPC AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN 1 .DEC 31) (IF REQUIRED 7. Q40"D 3O/i7S5!.9- IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF-EMPlOYED, ENTER NAME Of BUSINESS) CONTRIBUTOR CODE * -:bYlA&' FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE ALSO ENTER I,D. NUMBER) DATE RECEIVED SUBTOTAL $ = ..........$ 1.O,<fO.CO ..........$ Go TOTAL $ "q40 .00 OIND OCOM OOTH OPTY osee OIND oeoM OOTH OPTY osee OIND oeoM OOTH OPTY osee OIND oeoM OOTH OPTY osee OIND oeoM OOTH OPTY osee ~A-IU=~>~ El...O Ft12ERG-lTee...s 12eu~1-' A5f:OC~IOl'J Schedule A Summary Amount received this period - contributions of $1 00 or (Include all Schedule A subtotals.) .. 1 Line more. Amount received this period - un itemized contributions of less than $1 00 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page Column A, 2 3. SCHEDULE B-PART covers period Statement 7- Type or print in ink. Amounts may be rounded to whole dollars. Schedule B- Part 1 Loans Received ~ 5 9- 30-0 from Page D NUMBER 8z..-.'9S;S- of through SEE INSTRUCTIONS ON REVERSE NAME OF FILER (oj CUMULATIVE CONTRIBUTIONS TO DATE m ORIGINAL AMOUNT OF lOAN {eJ INTEREST PAID THIS PERIOD {dJ (el OUTSTANDING AMOUNT PAID BAlANCE AT OR FORGIVEN I CLOSE OF THIS THIS PERIOD * RIOI o PAID a (b) WTSl'ANDING AMOUNT BALANCE I RECEIVED THIS BEGINNING THIS PERIOD RIOD IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IIF SELF.EMPLOYED, ENTER NAME Of BUSINESS) ~~LAb-- FULL NAME, STREET ADDRESS AND ZIP CODE OF lENDER IF COMMlTIEE, AlSO ENTER I,D. NUMBER) CAlENDAR YEAR _% RATE $ $ o FORGIVEN PER ELECTION- DATE INCURRED DATE DUE o PTV 0 see o OTH OeOM INO to CAlENDAR YEAR _% RATE $ o PAID PER ELECTION'" o FORGIVEN OATE INCURRED DATE DUE o PTV 0 see o OTH oeOM to INO CALENDAR YEAR $ _% RATE $ o PAlO $ o FORGIVEN PER ELECTION..... $ DATE DUE see o PTV 0 o OTH OeOM INO to $ $ $ SUBTOTALS $ (Enter(e)on Schedule E, Line 3) G- -Q- $ $ Schedule 8 Summary Loans received this pefiod (Total Column (b) plus unitemized loans less than $100.) * Amounts forgiven or paid by another party also must be reported on Schedule A. required. Loans paid or forgiven this period (Total Column (c) plus loans under $1 00 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 2. ..@- (MlIybel!llle!illlti'leRurrber Net change this period. (Subtract Line 2 from Line 1.) Enter the net here and on the Summary Page, Column A, Line 2. 3. FPPC Form 460 (June/01) FPPC TolI-Free Helpline: 866/ASK-FPPC $ t Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee I NET SCHEDULE B - PART2 Statement covers period RNIA 460 from 7-I-O<f RM through 9-~o-OLf Page -"'--- of ~ ID_ NUMBER 8Zlq.s-S- AMOUNT BALANCE lOAN GUARANTEED CUMULATIVE OUTSTANDING THIS PERIOD TO DATE TO DATE - - LENDER CALENDAR YEAR -- . DATE PER ELECTION (IF REQUIRED) -- . - - CALENDAR YEAR LENDER . ~ - PER ELECTION DATE (IF REQUIRED) -- . - - CALENDAR YEAR LENDER . _ _ PER ELECTION DATE (IF REQUIRED) -- . - - CALENDAR YEAR LENDER . -- PER ELECTION DATE (IF REQUIRED) - - . - - Erne,," [ '. 'I SUBTOTAL $.0.... S~~:~'lor;:;e' f\' ~"!;;&:;!;t~LG_\i;>L:t- FPpe Form 460 (June/Ol) FPPC TolI-Free Helpline: 866/ASK-FPPC Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAl, ENTER OCCUPATION AND EMPLOYER (IF SElF.EMPlOYED, ENTER NAME OF BUSINESS: CONTRIBUTOR cmE OIND DOOM OOTH OPTY osee OIND oeOM OOTH OPTY osee OIND oeOM OOTH OPTY osee OIND oeOM OOTH OPTY osee Schedule B - Part 2 Loan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~~0 FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER LD NUMBER) Statement covers period from 7-1-0 Type or print in ink. Amounts may be rounded to whole dollars. Schedule C Nonmonetary Contributions Received Page~Of IS' D NUMBER '1-30--0 through SEE INSTRUCTIONS ON REVERSE NAME a= FILER oFl-A&- 8LIC,5".r- PER ELECTION TO DATE (IF REQUIRED) CUMULATIVE TO DATE CAlENDAR YEAR (JAN 1 - DEC 31) AMOUNTI FAiR MARKET VAlUE DESCRIPTION OF GOODS OR SERVICES JF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElf-EMPLOYEO, ENTER NAME OF BUSINESS) CONTRIBUTOR CODE * FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (If COMMITTEE. AlSO ENTER 1.0. NUMBER) DATE RECEIVED OIND oeOM OOTH OP1Y osee OIND oeOM OOTH OP1Y osee OIND oeOM OOTH OP1Y osee OIND oeOM OOTH OP1Y osee .Contributor Codes IND-lndividual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee SUBTOTAL $ - ,............$ - ,............$ - TOTAL $ IG- Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period -nonmonetary contributions of$1 00 or more. (Include all Schedule C subtotals.) ........................,........................................., 2. Amount received this period - unitemized nonmonetary contributions of less than $1 00 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) FPPC Form 460 (June/Ol) FPPC TolI...f'ree Helpline: 866tASK-FPPC SCHEDULE D Type or print in ink. Amounts may be rounded to whole dollars. Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees ~ of Page 10 NUMBER 82...-ICJs-s- ~ 4 -3 (H) from through SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1$ PER ELECTION TO DATE (IF REQUIRED CUMULATIVE TO DATE CALENDAR YEAR (JAN 1- DEe 31) DESCRIPTION (IF REQUIRED) TYPE OF PAYMENT NAME OF CANDIDATE, OFFICE, AND DISTRICT OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE DATE AMOJNT THIS PERIOD Monetary Contribution o Nonmonetary Contribution Independent Expenditure o o o Oppose Support o o Monetary Contribution o Nonmonetary Contribution Independent Expenditure o o Oppose Support o o Monetary Contribution o Nonmonetary Contribution SUBTOTAL $ Independent Expenditure o o Oppose Support o Schedule 0 Summary Contributions and independent expenditures made this period of $1 00 or more G- $ (Include all Schedule D subtotals. -G- -- -a- $ TOTAL $ 2. Unitemized contributions and independent expenditures made this period of under $1 00 FPPC Form 460 (JuneI01) FPPC TolI..free Helpline: 866/ASK-FPPC Do not enter on the Summary Page.) and2 1 3. Total contributions and independent expenditures made this period. (Add Lines period covers -0 Statement 7- Type or print in ink. Amounts may be rounded to whole dollars. Schedule E Payments Made /' ~ page-5- 10 NUMBER 8z.. i'1S.s' '1-30..0 from of through SEE INSTRUCTIONS ON REVERSE NAME OF FilER pfL-A& candidate/sponsor Otherwise, describe the payment. RAD 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 VOT voter registration V\lEB information technology costs (internet, the payment, you may enter MBR member communications MTG meetings and appearances OFC office expenses Fer petition circulating PH::) phone banks PCJL polling and survey research PO:) postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads the code CODES If one of the following codes accurately describes eM=' campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary). eve civic donations RL candidate filing/ballot fees FNO fund raising events NO independent expenditure supporting/opposing others (explain) LEG legal defense LIT campaign literature and mailings e*mal AMOUNT PA!D DESCRIPTION OF PAYMENT OR CODE NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTEfHO NUMBER) 5~O o~C- \ L06- CAB/f\j i==LOE.IST 58tp ./~ TEL WA/..DO So ~~Pi~.SF"Llero CliLJ e.~.c..1.J COo ~ ~ must also be summarized on Schedule D. Payments that are contributions or independent expenditures . SUBTOTAL $ $ $ $ TOTAL $ Schedule E subtotals Schedule E Summary Payments made this period of $1 00 or (Include al Unitemized payments made this period of under $1 00 Total more. 1 2. (e).) here and on the Summary Page, Column (Enter amount from Schedule B. Part 4. Total payments made this period. (Add Lines interest paid this period on loans. 3, FPPC Form 460 (June/Ol) FPPC TolI-Free Helpline: 86S/ASK..fPPC Column A. Line 6.) Enter 2. and 3 SCHEDULE E covers period o Statement Type or print in ink. Amounts may be rounded to whole dollars. Schedule E (Continuation Sheet) Payments Made /- C)-30-DY from ~of~ Page t D NUMBER 8L \C(SS- through SEE INSTRUCTIONS ON REVERSE NAME OF FILER describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, Otherwise, RAD RFD SAL lEL 1RC TRS TSF VOT ~B the payment, you may enter MBR member communications MTG meetings and appearances OFC office expenses FEr petition circulating PHO phone banks POl polling and survey research PC:S postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads the code YJFL-A/:I If one of the following codes accurately describes campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary). civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing legal defense campaign literature and mailings (explain)* others CODES: OIP CNS CTB CVC RL FND ND LEG LIT e-mal AMOUNT PAID (XX) , ex::> DESCRIPTICX\I OF PAYMENT OR CODE C\JG NAME AND ADDRESS OF PAYEE (IF COMMIITEE, ALSO ENTER 1.0. NUMBER) \/1 c-"1 A g~ eO! A~I-I 6U eJ\J 00 '-flOOD' 00 SDo C:TB eMP "Dt;M.O u2A-r1 c... '?ACLi'l1 K.\ ~D rRA$I\:n...--\) ,,..)A.l t1\...-- ~ LoaD ,DO QJU), 41~ FPPC Form 460 (June/01) FPPC TolI--Free Helpline: 866/ASK-FPPC SUBTOTAL $ c:-rf$ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Paga ~ of i<;; .D. NUMBER 82- ,4 ~'S- from 7 - J - blf through_ '1-1c' .o'f "ll~. , ,. ) h. .1: ( to whole dollars. \Lvl'.tinuati.,,\ ~..,"i.;lJ Payments Made SEe INSTRUCTIONS ON REVERSE NAME OF FILER ~~LA G-' costs NAME AND ADDRESS Of PAYEE CODE OR DES HIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, AlSO ENTER I. NUMBER) ~)(eZs;;F=Je..f) 120BBC::i2..-- Sf Ari1 P 4ft:>3 32- Of"<!.- - ~1-rA: ::re~i'-I;.J..$ CIS 7,6"'00. ~ .s >>,d\IJtJ 1$I2WVOAJ 7. SOD ~ erB ... Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 16,4<.o.?2 describe the payment. radio airtime and production returned contributions campaign workers' salaries t.v. 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 FPPC Form 460 (June/OI) FPPC TolI-Free Helpline: 866/ASK-FPPC (interl Otherwise, RAD RFD SAL lR 1RC TRS TSF VQT WEB the payment. you may enler the ~ member communications MTG meetings and appearances OFC office expenses PET petition circulating Pt-() phone banks POl polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads code. codes accurately describes (explain). CODES: If one of the following ap campaign paraphernalia/misc, CNS campaign consultants CTB contribution (explain nonmonetary). CVC civic donations FIl candidate filing/ballot fees FNJ fund raising events I'D independent expenditure supporting/opposing others LEG legal defense lIT campaign literature and mailings Statement covers period from Type or print in ink. Amounts may be rounded to whole dollars. (Unpaid Bills) Schedule F Accrued Expenses Page j'7- of ~ o NUMBER 5z...14<; S- through '1-30.-0 SEE INSTRUCTIONS ON REVERSE NAME OF FILER '3:FYA~ Othetwise, describe the payment. RAD 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 VOT voter registration -. la) Ib) Ie) Id) NAME AND ADDRESS OF CREDITOR COOEOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD . Payments that are contributions or Independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. - - - the code. accurately describes the payment. you may enter MBR member communications MTG meetings and appearances a:C office expenses PET petition circulating FtO phone banks POl polling and survey research PCG postage, delivery and messenger services PRO professional services (legal, accounting) PRT t ad (explain) others CODES If one of the campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary) civic donahons candidate filing/ballot fees fund raising events independent expenditure supporting/opposing legal defense campaign literature and mailings following codes eM? CNS CTB CVC RL FNO NO LEG LIT INCURRED TOTALS $ & - PAID TOTALS $ .S- - ~ ............ NET $ ....... May be a negahve number FPPC Form 460 (JuneI01) FPPC TolI-Free Helpline: 866/ASK-FPPC Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $1 00 or more, plus total unitemized accrued expenses under $100.) 1 (Include all Schedule F, Column (c) subtotals for payments on total unitemized payments on accrued expenses under $100.) 1. Enter 2. Total accrued expenses paid this period accrued expenses of $1 00 or more. plus the difference here and Net change this period. (Subtract Line 2 from Line on the Summary Page, Column A, Line 9 3. SCHEDULE G Statement covers period from 1_ Type or print in ink. Amounts may be rounded to whole dollars. Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) 0,"-+ '1-~o ~ Page j D NUMBER 8-z..,.1'l s.s- ~ through of SEE INSTRUCTIONS ON REVERSE NAME OF FilER BPLAV NAME OF AGENT OR INDEPENDENT CONTRACTOR candidate/sponsor describe radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same voter registration infonnation technology costs (internet the payment. Otherwise RAD RFD SAL TEL TRC TRS TSF VOT VIof'B following codes accurately describes the payment, you may enter MBR member communications MTG meetings and appearances OFC office ex penses FtT petition circulating PI-k:) phone banks POl polling and survey research PC'6 postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads the code (explain) CODES: If one of the campaign paraphernalia/misc. campaign consu"ants contribution (explain nonmonetary) civic donations candidate filing/ballot fees fund raising events independent expenditure supporting/opposing others legal defense campaign literature and mailings a.f' CNS CTB CVC AL FND ND LEG LIT e-mai NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, /4LSO ENTER 1.0. NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. TOTAL' $ -G- - FPPC Form 460 (JuneJ01) FPPC Toll-Free Helpline: 866/ASK..f'PPC the agent or Attach additIOnal mformatlOn on appropflately labeled contmuatlon sheets. equal the amount paid to may not Do not tTansfer to any other schedule or to the Summary Page. This tota independent contractor as reported on Schedule E. SCHEDULE H covers period Statement Type or print in ink. Amounts may be rounded to whole dollars. Schedule H Loans Made to Others* .... ~ ~ from thrOUghCl-30-0 of Page D NUMBER "i ~. SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~ (0) CUMULATIVE lOANS TO DATE f!l2-1 lfl ORIGINAL AMOUNT OF LOAN 1') INTEREST RECEIVED OUTSTlI'I.OING BALANCE AT CLOSE OF THIS PERIOD 1') REPAYMENT OR FORGIVENESS THIS PERIOD* lb) AMOUNT LOANED THIS PERIOD 1') OUTSTANDING BALANCE BEGINNING THIS PERIOD IF AN INDIVIDUAl, ENTER OCCUPATION AND EMPLOYER (If SELF-EMPLOYED, ENTER NAME OF BUSINESS) OfZAV FUll NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT F COMMITTEE. AlSO ENTER 10 NUMBER) CALENDAR YEAR _% AATE , PAID , o FORGIVEN o PER ELECTlON- DATE INCURRED , DATE DUE , CALENDAR YEAR _% AATE PAID , o FORGIVEN o PER ELECTION- DATE INCURRED $ DATE DUE $ $ $ SUBTOTALS *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. (Enter (e) on SChedule I, Line 3) $ Schedule H Summary Loans made this period (Total Column (b) plus unitemized loans less than $100.) Required hlf $ 2. Payments received on loans (Total Column (c) plus unitemized payments less than $100.) -G- ,ybea negativenumbef) NET $ 3. Net change this period. (Subtract Line 2 from Line 1.) (Enter the net here and on the Summary Page, Column A, Line 7.) FPPC Form 460 (June/Ol) FPPC ToU-Free Helpline: 866/ASK..fPPC Schedule Type or print in ink. SCHEDULE Miscellaneous Increases to Cash Amounts may be rounded Statement covers period Ii to whole dollars. from 7- J-O,!- through 0,- 3o-9..::L J/' ~ SEE INSTRUCTIONS ON REVERSE Page~ of i - NAME OF FILER iD NUMBER Bp,-!4&' 82-1<j5~- - DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT 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, Column (e).) ......... ..............$ 4. Total miscellaneous increases to cash this period. (Add Lines 2. and 3. Enter here and on the 0- Summary Page, Line 14.) TOTAL $ FPPC Form 460 (JuneI01) FPPC Toll-Free Helpline: 866/ASK-FPPC