HomeMy WebLinkAboutCARSON SEMIANN04(2)Re~:ipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216 5)
SEE tNSTRUCTIONS ON REVERSE
Type or p~int in ink.
Statemen/[ cove~,s period
,,on 5//
1. Type of Recipient Committee: All Committees - Complete Pa~s 1, 2, 3, and 4.
[] Ballot Measure Committee O Pdmadly Formed
O Controlled
C) Sponsored
Pdmadly Formed Candidate/
~J~fficeholder Committee
Officeholder, Candidate Controlled Committee
State Candidate Election Committee
Recall
[] GeneraIPurpose Committee C) Sponsored
C) Small Contributor Committee
C) Political Party/Central Committee
Date of election if ap ' :
(Month, Day, Ye~~
_._-.- 0 ..~h:
Date Stamp
3, Committee Information
-3 PH [~: 2N
,~ :i~~ C!.EEK
COVER PAGE
2. Type of Statement: [] Preelection Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
L~J Quartedy Statement
[] Special Odd-Year Repod
[~ Supplemental Preelection
Statement - Attach Form 495
Treasure s)
NAME OF TREASURER
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
COMMI3-rEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE}
~AILING ADD~ESS (IF BIFFERENT) ~O. AND STREET OR PO BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
~ have used afl reasonable diligence in prepad~g and reviewing lhis statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
~ /C~__~r~er th that the fo~_.t~-~ ~' is true rrect..
certify ueder penalty of peduryu r the laws of the State of California .~~ rrect. ~ .
E~ecuted on ay ~
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
.
RESIDENTIAL]BUSINESS ADDRESS (NO~ AND STREET) CITY STATE ZIP
!
Related Committees Not Included in this Statement: List any committees
not Included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
I ~ YES [] NO
COMMI~-EE ADDRESS STREET ADDRESS (NO ~lO l BOX)
NAME OF TREASURER ICO~TROLLEDyEs COMMITTEE?[] NO
COMMITTEE ADDRESS STREET ADDRESS (NO RD BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
6. Ballot Measure Committee
Page
of__
NAME Of BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTION
[]SUPPORT
E~OPPOSE
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 Formed Committee List names of officeholder(s) or candidate(s) for
which ~his committee is prfmarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
FICE SOUGHT OR HELD
FFICE SOUGHT OR HELD
[]SUPPORT
~]OPPOSE
[]SUPPORT
[]OPPOSE
OFFICE SOUGHT OR HELD []SUPPORT
[]OPPOSE
OFFICE SOUGHT OR HELD []SUPPORT
[~]OPPOSE
At~ach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll,,Free HelpBne: 866/ASK-,FPPC
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE iNSTRUCTiONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line
2. Loans Received ...................................................... Schedule B, Line
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +
4. Nonmonetary Contributions .................................... Schedule C. Line
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 *
Column A
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4
7. Loans Made ............................................................. Schedule H, Line a
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) .............. Schedule~ Line3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add L#~es B + g *- lO
Current Cash Statement
12. Beginning Cash Balance ....................... PreviousSummaryPage, Line 16
13, Cash Receipts ................................................... ColumnA, Line3above
14. Miscellaneous Increases to Cash ........................... Schedule/, L/ne 4
15. Cash Payments .................................................. ColurnnA, LineSebove
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, Pdd 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See insb~cfJons on reverse
19. Outstanding Debts ......................... AddLine2+LineginCctumnBabove
Statement covers period
from ~'(/ ~ /0[~
Page
SUMMARY PAGE
_ of__
Column B
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounls in
Column A may be negative
figures that should be
subtracted from previous
pedod 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).
I D NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
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)
__/_ __ $
__/_ __ $
/
*Since January 1, 2001. Amounts in this section may be
different from amounts repoded in Column B.
FPPC Forn~ 460 (June/01)
FPPC Toll*Free Helpline; 8661ASK-FPPC
Schedule A Ty.~ or print in ink.
Monetar~ ~ Contributions Receiv Amounts may be rounded SCHEDULE A
........ - .... Statement covers period
~IND
~o~
~scc
~ND ·
~COM
DSCC
~ND -~ ~
~ scc
~IND
~COM
~OTH
~ P~
~ scc
~IND
~OTH
~ SCC
Schedule A Summary
1. Amount received this pedod - contributions of $100 or more.
(include all Schedule A subtotals.) ........................................................................................................ $ _'~./ ~ .,,.~). ~ C,
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 $ ~'~ DOC ' ''~ ~
· *Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY- Political Party
SCC - Small Conthbutor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule B- Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Statement covers period
Amounts may be rounded
to whole dollars.
(b) (¢)
FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL. ENTER OUTSTANDING AMOUNT
OF LENDER OCCUPATION AND EMP BALANCE AMOUNT PAID
t[] tND [] COM [] OTH [] PTY [] SCC
$
$
BALANCE AT
CLOSE OF THfS
t[] IND ~ COM [] OTH [] PT¥ [~ SCC
DATE DUE
SCHEDULE a - PART 1
DATE DUE
DATE DUE
SUBTOTALS $ $ $ $
t[] INO [] COM [] OTH [] PTY [] SCC
Schedule B Summary
1. Loans received this pedod .......................... ~
(Total Column (b) plus unitemized loans less than $100.) --
2. Loans paid or forgiven this padod ...................................................................................... $
(Tota Co umn (c) plus oans under $100 pa d or forgiven,)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this peded. (SubtractLine2fromLinel.) ............................................................... NET $ ~
Enter the net here and on the Summary Page, Column A, Line 2.
t Contributor Codes
t D. NUMBER
~ q 225~
INTEREST ORIGINAL CUMULATIVE
PAiD THiS AMOUNT OF CONTRiBUTiONS
PERIOD LOAN TO DATE
*Amounts forgiven or paid byj
** I[ required.
INa- Individual
COM-ReciplenlCommittee (otherthan PTYor SCC) OTH-Other PTY-PoliticalParty SCC-SmaltContributorComrmtt~. ] FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF F~LER
Statement covers period
,rom' l' /O'1
CODES: If one of the following code8 accurately describes the payment, you may enter the code. Otherwise, describe the payment.
~ ~mpaignparaphemalia/mis¢. MBR membercommuni~tions
CNS campaign consultants
contribution (explain nonmonetary)*
CVC civic donations
F1L candidate filing/ballot fees
FND fundraising events
independent expenditure supporting/opposing others (explain)*
LEG legal defense
UT campaign literature and mailings
NAME AND ADDRESS OF PAYEE
MTG meetings and appearances
DFC office expenses
PEr petition circulating
PHO phone banks
PCL polling and survey research
POS postage, delivery and messenger services
professional services (legal, accounting)
PAT pdnt ads
CODE OR
through [ '~'1~'/'~'~ -- Page_(1~ of
I.O NUMBEE
R
P/kO radio airtime and production costs
relumed contributions
SAL campaign workers' salaries
TEL t.v. or cable airhme and production costs
candidale travel, lodging, and meals
staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidale/sponsor
VDT voter registration
WES information technology costs (internal e-maU)
DESCRIPTION OF PAYMENT
AMOUNT PAID
06-
SUBTOTAL $
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ..................................................................................................
2. Unitemized payments made this pedod 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 period. (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 Helpli~te: 866/ASK-FPPC
S~hedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NA~ ./y~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
~ campaign paraphernalia/misc.
CNS campaign consultants MTG
CTB contribution (explain nonmonetary)* DFC
CVC civic donations PET
F-IL candidate fiiingfoallot fees R-JO
~ fundraising events POL
payment, you may enter the code. Otherwise,
member communications PAD
meetings and appearances ~
office expenses SAL
petition circulating 3EL
phone banks 3~C
polling and survey research TRS
SCHEDULEE(CONT)
I~D independent expenditure supporting/opposing others (explain)* POS
LEG legal defense PRO
UT campaign literature and =ailings PRT
NAME AND ADDRESS OF PAYEE
professional services (legal, accounling) VDT
print ads WEB
Page"'~ of
CODE OR
IDNUMBER
,yments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ ..~ I ~ ~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8G61ASK-FPPC
AMOUNT PAiD
DESCRIPTION OF PAYMENT
information technology costs (intemet, e-mail)
descdbe 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