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Home My WebLink AboutBFLAG SEMIANN04(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-842165) SEE INSTRUCTIONS ON RE~¥Ld~iSE ' ' through 1. Type of Recipient Committee: AIICommitte.s - Complete Parts 'l, 2, 3, and4. [] Officeholder, Candidate Controlled Committee O State Candidate Election Committee (~ Recall SGeneral Purpose Commiltee O Sponsored '~pS on~itai Ica~ ;n2 ~ t~;rn tCr: imcrr/trot emei t t ee Type or print in ink. 3. Committee Information E] Ballot Measure Committee C) Primarily Formed O Controlled C) Sponsored [] Primarily Formed Candidate/ Officeholder Committee liD NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (IF DIFFERENT) NO AND STREET OR PO SOX ' C~TY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4, Verification Date Stamp COVER PAGE Date of election if applicable: (Month, Day, Year) Page // of ~ For Official Use Only 2. Type of Statement: [] Preelection Statement ~ TSe~ rl~i-n~iinou; IS tS~ ta;7~ ~t ~] Amendment (Explain below) [] Quaderly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement ~ Attach Form 495 Treasurer(s) NAME TREASURER CITY I have used alt reasonable diligence in preparing and reviewing this statemen and to the best of my~'/ l~owledr~eth i~fofFn~Atk ow edge the i tion contained herein and in the pena,ty of perjury under the laws of the State of California ,hal/he foregoing is tr,,eCa~-kd'*'Ce,r~.~t'~-e~ .~/ ~' attached schedules E ec~ted on ~ By ~ ~ ) ' Campaign Disclosure Statement Summary Page SEEINSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. 1. Monetary Contributions ...........................................ScheduleA, Line 2. Loans Received ...................................................Schedule B Line 3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddLines 1 + 4. Nonmonetary Contributions ............................... Schedule C One 5, TOTAL CONTRIBUTIONS RECEIVED .......................... AddLines 3 + EXpenditures Made 6. Payments Made Schedule E, Line 7. Loans Made ...................................................... Schedule H, Line 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6 + 9. Accrued Expenses (Unpaid Bills) ............................ $chedulel~ Line3 10. Nonmonetary Adjustment ......................................... Schedule C, Line 11. TOTAL EXPENDITURES MADE .............................. Add Lines S + g + fO Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summery Page, Line ~6 13. Cash Receipts ................................................. ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................ Schedule 1, Line 4 15. Cash Payments .............................................. ColurnnA Lineaabove 16. ENDING CASH BALANCE .......... Add Lines ~2 + 13 + 14, then subtract Line 15 ff this is a termmahon statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... ScheduleB, Part2 Cash Equivalents and Outstanding Debts 18, Cash Equivalents .................................... Seeinstrucfion$ on rever~e 19. Outstanding Debts ....................... AddLine2+LineginColumnBahove ColumnA TOTAL THIS PERIOD Statement covers period from /~)" '/' ~'~( Column B CALENDAR y~AR TOTAL TO CATE To calculate Column 8. add amounts in Column A to the corresponding amounts from Column B of your last repod. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first repod being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGF Page ~. of '~'-' NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/~ to Dale 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) --J---J--- $ --J L $ --1---1___ $ --£__/ $ *Since January t, 2001. Amounts in this section may be different from amounts repoded in Column B. FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule E Payments Made SEE ~NSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink, Amounts may be rounded to whole dollars. Statement covers period from _/cO through / SCHEDULF F Page CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CM° campaign paraphernalia/misc. CTB contribution (explain nonmonetary)' CVC civic donations independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings I D NUMBER MTG meetings and appearances DFC office expenses PET petition circulating phone banks PRO professional services (legal, accounting) pdnt ads RAD radio airtime and production costs I%cO returned contributions SAL campaign workers' salaries TEL tv or cable aidlme and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer belween committees of the same candidale/sponsor VDT voter registration WEB informalion technology costs (internet, e maiD) NAME AND ADDRESS OF PAYEE (~F COMMr~r EE ALSO ENTER I O NUMBER} CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Payments that are contributions or independent expenditures must also be summarized on Schedule O. SUBTOTALS ,, //~,.~,..._..., Schedule E Summary 1, Payments made this pedod of $100 or more. Cnclude all Schedule E subtotals.) ..................................................................................... 2. Unitemized payments made this period of under $100 .......................................................................................................................................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... 4. Total payments made this pedod. (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 NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars, Statement covers period through / ~-- '~/' ~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment. CMP campaign paraphernalia/misc MBR membercommunications CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing ethers (explain)* LEG legal defense MTG meetings and appearances OFC office expenses PET petition circulating PHC) phone banks POL polling and survey research lOS peslage, delivery and messenger services PRO professional services (legal, accounting) SCHEDULE E (CONT.) Page ID. NUMBER PAD radio airtime and production costs RFD returned contdbutions 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 LIT campaign literature and mailings PAT print ads WEB information technology costs (intemet e-mail) Payments that are contributions or independent expend tures must also be summarized on Schedule D. FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. through CODES: If one of the following codes accurately describes the c~, campaign paraphernalia/misc MBR CNS campaign consultants MTG CTB con~ribufion (explain nonmonetary)* QFC CVC civic donations F!L FND ~D LEG LrT PET candidate flling/ballo~ fees fundraisin9 events POL independent expenditure suppoding/opposing others (explain)* POS lega~ defense PRO campaign literature and mailings NAME AND ADDRESS OF PAYEE SCHEDULE E (CONT) Page ~ of~__ ID NUMBER payment, you may enter the code. Otherwise, descdbe the payment. n~mberoommunicalions RAD radio aidime and production costs meetings and appearances office expenses petition circulaEng phone banks polling and survey research postage, delivery and messenger services professional services (legat, accounting) print ads CODE OR RFD returned contributions SAL campaign workers' salaries 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 voler registration information technology costs (intemet. e-mail) OESC RIPTION OF PAYMENT AMOUNT PAiD ~00 ~7 ~ SU.TOT^, s Z ' 00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC