HomeMy WebLinkAboutKC EMPLOYEES PAC PREELEC00(2)Recipient Committee
Campaign Statement
(Government Code Secllo~ 8420084216,5)
Typeorlxtntlnlnlc
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: N~ Committees -Complete PNtl 1, 2, 3, Ind 7.
[] Officeholder, Candidate
Controlled Committee
[Also Com~fe Pall 4.)
[] Ballot Measure Committee
0 Primarily Formed
O Controlled
O Sponsored
(A~so Compiete p~ 5.)
[] Pdmadly Formed Candldatel
Officeholder Committee
(A,~ocem~etePa,~e)
1~- General Purpose Committee
O Sponsored .
,(~Broad Based
CITY
COVER PAGE
-" 460
FORM
Dlteofelectlonffappllcable: ~ I~ ~ of 7
'1 ~ Fo~OffidalUseOnly
2. Type of Statement:
~i~t, Pre-election Statement
,. [] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Repod
[] Supplemental Pre-election
Statement - Attach Form 495
Treasurer(s)
MAILING ADDRESS
OPTIONAl.: FAXIE-MAILADDRESS
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
State of Callfomla
Recipient Committee
Campaign Statement
Cover Page ' Part 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Type or pdnt in Ink.
5. Ballot Measure Committee
NAME OF BN. LOT MEASURE
COVER PAGE * PART 2
CA',FORN,A 460
FORM
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF ~PPUC~BLE)
RESIDENTIAL/BUSINESSADDRESS (NO. ANDSlItEET) CIIY STATE
Related Committees Not Included In this Statement: Llstanycommlffees
not Included in this consolidated eeatement Ihat are confrolled by you Or Which are IN#r~'fly
NAMEOFTREASURER
COMMITTEEADDRESS
CITY
Identify the Centroll Ing officeholder, Candidate, or ctate measu re proponent, If any.
NAME OF OFFICEHOLDER. CANDIDATE OR, PROPONENT
OFFICE SOUGHT OR HELD ~ DISTRICT NO. IF ANY
6. Primarily Formed Committee Llstnamesefof~ccholdefe)~rCandldale(s)
for Wh/ch thle committee If Iafmadly retread.
NAME OF OFFICEHOLDER ON CANDIOATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
[] SUPPORT
[] OPPOSE
•SUPPORT
•OPPOSE
7. Verification
I have used all masonable diligence in prepadng and reviewing ths statement and to the be of my kn ledge the information contained heroin and in the attached schedules
is true and COmplete, I cedify under penalty Of perjuW under the la of State of Cal' that the fo oing Is true and COrrect.
By
By
DATE
Executed on
By
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
State of California
Campaign Disclosure Statement
Summary Page
~ or print in Ink.
Amounts may be rounded
to whole ddlars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1, Monetary Contributions ................. ~ ..................~ ................., Schedule A, Line
3. SUBTOTAL CASH CONTRIBUTIONS .....+ ............................. Add LInes f +
4. Nonmonetary Contributions ........................ L .....................Schedule C, Line
5, TOTAL CONTRIBUTIONS RECEIVED .................................... Add LInes 3 +
.
Expenditures Made
6. Payments Made ....................................................................'
7. Loans Made ......................................................
8. SUBTOTAL CASH PAYMENTS ................................................ AddLinesS+7
9. Accrued Expenses (Unpaid Bills) ............................................Schedule F, LIne
10. Nonmonetary Adjustment .......................................................Schedule C. LIne
11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10
Current Cash Statement " ·
12. Beginning Cash Balance ................................Previous Summary Page, Line 16
13. Cash Receipts ..............................................................column A, Line 3 above
14. Miscellaneous Increases to Cash .......................................Schedule I, LIne 4
15. Cash Payments ............................................................ColumnA, LineSabove
16. ENDING CASH BALANCE .............. Add Lines t2 + 13 + 14, then subtract Line 15
If this is a termination statement. Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, 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
SUMMARY PAGE
· From previous statement Summary Page. Column C. However. if this
is the first report filed for lhe Calendar year, Column B should be blank
exCept for Loans Received (Line 2), Loar~ Made (Line 7), and Accrued
Expenses (Une 9).
__ Summary for Candidates In Both June and
November Elections
20. Contributions
Received ............ $
21. Expenditums
Made .................. $
FPPC Form 460 (8/99)
ForTechniCal AssistanCe: 916/322-5660
Schedule A
Monetary ContdbuUons Received
Type or pdnt In Ink.
Amounts may be rounded
to whale dollars.
SEE INSTRUCTIONS ON REVERSE
DATE FULLNAME, MAILINGADONESS/~NDZIpCODEOFCONlltlBUTOR CONTRIBUTOR
~ ~/~ Centrd Cal'~farnta
Association of Public Emp~yees [] IND
[] COM
Z C~ 0
[] IND
[] COM
[] OTH
[]IND
[] COM
[] OTH
[]
[] COU
[] OTH
[]IND
[] COM
[] OTH "! :: '
...','o','., '=:1
Schedule A Summary :"; · - .-
1. Amount received this pedod - contribuUons of $100 or more.
(Include all Schedule A subtotals.) ....................................................................................................... $
2. Amount rec6Ned this pedod - unitemized cont~buUons of less than $100 ......................................... $
3. Total monetary contdbuUons received this pedod.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ................... TOTAL $
AMouNT CUMULATIVE TO DATE
RECEIVED ThqS C/d. ENDAR YEAR
PERIOD (JAN. 1 - DEC. 31)
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
l*ContributorCodes
INO - Individual
COM - Redplent Committee
OTH - Other
FPPC Fon~ 460 (8199)
For Technical Assistance: 916/322-5660
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or pdnt In Ink.
Amoum may be rounded
to whole
DATE
CANDIDATE AND OFFICE,
MEASURE ANO JURISDICTION, OR COMMITfEE
'Z
[] Moneta~7
SCHEDULE D
~ FORM
.,.....10[~, ]Zc:Z:oI ... ~ o, 7
I.D. NUMBER
DESCRIPTION OF NONMONETARY
CON11~IBUTION AMOUNTTHISPERIOR CUMULATIVEAMOUNT
{IF REQUIRED)
C~nd~rYeer
,/c,.,7
01her
Calendar Year
Schedule D Summary
1. Contributions and independent expenditures made this pedod of $100 or more, (include all Schedule D subtotals.) ........................................ $
2. Unitemized contributions and independent expenditures made this pedod of under $100 ..................................................................................$
3. Total contributions and independent expenditures made this pedod. (Add Lines 1 and 2. Do not enter on the Summary Page.) ........ TOTAL $
FPPC Form 460 (8/99)
ForTechnlcalAsslstance: 916/322-5660
Schedule D
(Continuation Sheet)
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
NAME OF FILER
DATE
suppod [] opp~e
Osmx~ D~
Osmx~
lype or pdnt In Ink.
Amounts may b rounded
towholedollars.
TYPE OF PAYMENT
I-]V~etary
~rdmxm~
~,,o.oJ O//Z~/~c~,:,I
DESCRIPTION OF NONMONETARY
(IFREQUIRED)
SCHEDULE O (GONT.) '
cAL,Fo..,A 460
FORM
AMOUNT THIS PERIOD
CalendarYear
Olher
$
Calendar Year
$
Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF RLER
Type or print In Ink.
Amounts may be rounded
bedoil/re.
SCHEDULE E
Statement ouver~ pedod
cA.,FoR.,,, 460
FORM
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment.
CMP campaignparaphemalla/mtsc .....
CNS campaignconsultants
CTB contdbutJon(explainnonmoretery).,
CVC civicdonations
FND [undraisingevents
IND independent expenditure suppodi~ othem {explain)'
LIT campaign literelure and mailings
MTG meetingsandappemances
OFC olflceexpenses t!j:f'l~ !!'--,-[
PET pellfondrctdalleg
'PHO phonebanks ' t,i,~: · ,
POL ' poffingandsun~eyresearch
POS postege, delive~andmeseengefsef~;ces , ,
PRO, pmfesalonel Mtvjces(lagal, ea:o~)
PRT. pehtads
RAD radloalffirneendpmduclioncosts "'
,
RFD reamedcontributions
SAL Campaign workms Salaries
TEL Lv. or cable airlime and production costs
TRC Candidatetmvd. lodging and meals (explain)
TRS steWspouse bend. lodging and meals (explain)
TSF tmnsferbelweencammieesofthesamecandidate/sponsor
VOT voterregistration
WEB Inionna6ontechndogycosts(intemet. e-mail)
CODE' OR ~ DESCRIPTIONOFpAYMENT
AMOuNTPAID
* Payments that are contributions or Independent expendlturos must also be SUmmarized on SChedule D.
Schedule E SummaW
1. Payments made this pedod of $100 or more. (Include all Schedule E subtotals.} ............................................................................................... $
2. Unitemized payments made this period of under $100 ...................................... : .................................................................................................$
3. Total interest paid this pedod on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $
4. Total payments made this pedod. (Add Lines 1, 2, and 3. Enter hera and on the Summary Page, Column A, Une 6.) ......................... TO]'AL $
FPPC Form 460 {8/99)
For Technical Assistarise: 916/322-5660