HomeMy WebLinkAboutHANSON SEMIANN00(2) ecipient Committee
Campaign Statement
(Gc, vernmant Code Sections 84200-64216.5)
SEE INSTRUCTIONS ON REVERSE
Typo or print in Ink.
Statement cover~ period
Date of election if r
(Monlh, Day, Year)
Oale Slam~
COVER PAGE
1..'Fy/De of Recipient Committee: A. Committees - Complete Parts 1, 2, $, and 7.
~Oflicehoider, Candidate [] Primarily Formed Candidate/
/ 'Controlled Committee Officeholder Committee
(Aisc Complete Part 4.)
[] Baitot Measure Committee
O Primarily Formed
O Controlled
0 Sponsored
(Also C~mplete Part 5.)
~lso Comple~ Part 6~
[] General Purpose Comm~tee
O Sponsored
O Broad Based
3. Committee Information ("~'~[~)~
COMMI~[EE NAME
~ t ~ t~ ~,~ STATE ZIPCOOE
MAILING A~ORESS (11[ OIFFERENT) NO. AND STREET OR P.O. BOX
AREA CODE~PHONE
2. Type of Statement:
[] Pre-elect/on Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Stalement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
MAILING ADDRESS
CITY STATE ZIP COOE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADORESS
CITY STATE ZIP COOE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
FPPC Form 460 (8/99)
For Technical Assistance: g~6/3~'2-5660
State of California
Recipient Committee
Campaign Statement
(~over Page -- Part 2
Type or print in ink.
COVER PAGE-PART2
Page
4. Officeholder or Candidate Controlled Committee
NAM OFOFFICEHOLO RORCANDIDATE
OFFICE SOUGHT OR HEU~. (INCLUDE LOCATION AND DIS.T~ICT NUMBER IF APPLICABLE)
. ~ ~STATE ~
Related Committee~s~ot Included in this State~nent. Li~tanycommlttea,
not Included In this consolidated statement Fhar are controlled by you or which ara primarily
formed Fo receive contributions or to make expenditures on behalf of your candidacy,
D. NUMBER
COMMITTEE NAME
S~U~R' CONTROLLED COMMII I t:E ~
~E o~ TREA [] YES [] NO
COMMIT[EE ADDRESS STREET ADDRESS (NO P.O. BOX
CITY
STATE ZiP CODE
5. Ballot Measure Committee
NAME OF ~ALLOT MEASURE
~' R IJURISDICTION ,r-}suPPORT
BALLOT NO. OR I_E'iTE J [] OPPOSE
IdentifY the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY
6. Primarily Formed Committee ,Istn.mes of officeholder(s) orcandldate(e)
for which rhlJ commlllee la primarily formed.
NAME OF OFF EHOLDER OR CANDIDATE
NAME OF OFFK~EHOLDER OR CANDID
AREA CODE/PHONE
Attach continuation sheets if necessary
NAME OF OFFICEHOLDER OR CANDIOAF E
~FFICE SOUGHT OR HELD
'FICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
[]SUPPORT
[~]OPPOSE
[]SUPPORT
[]OPPOSE
~]SUPpORT
~]OPPOSE
7. Verification in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules
I have used ell reasonable diligence
is tree and complete. I certify under penalty ol perjup/under the laws of the State of California that the foregoing is true and correct.
Executed on.
DATE
Executed on
OATE
,EO;;.c no..o. oR
By SIGNATURE OI coNTROCLING OFFICEHOLOI~i C ANDI¢)&/'TE' STATE MEASURE PROPONENT OR RESPONS BL
By.
By
FPPC Form 460 (8/99)
For Technical Aeatatance: 9t6/'322-5660
State of California
CamPa!gn Disclosure Statement
Summary Page
Type or print in Ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions ...................................................... Schedule A, Line 3 $
2. Loans Received ................................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 $
4. Nonmonetary Contributions ............................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4~
Column A
TOTAL THIS PERtOn
Statement covers period
,rom
through ~'~I~L
$
$
Page
SUMMARY PAGE
I.D. NUMBER
Column B* Column C
TOTAL PREVIOUS P£RtO0 TOTAl* TO DAYE
Expenditures Made ~ ~,~, ~, .%~
6. Payments Madq~ ........... -,< .................................................. Schedule E, Line 4 $
7. Loans Made .....[~.~.~..~.~.(~-) ................................................. ScfleduleH, LIne7
Add LIne, 6 + 7
8. SUBTOTAL CASH PAYMENTS ................................................ , _
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3
10. Nonmonetary Adjustment ....................................................... Schedule C. Line 3
11. TOTAL EXPENDITURES MADE ......................................... AddLInes8+9+ 10 $
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summary Page, Ltner6
13. Cash Receipts .............................................................. Column A, Line 3 above
14. Miscellaneous Increases to Cash ....................................... Schedule I. Line 4
15. Cash Payments ............................................................ Column A, Line S 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, pas1 1, Column (b)
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... See instructions on reverse
19. Outstanding Debts ................................... AddLine2+LlneglnColumnCebove
irevious statement Summary Page, Column C. However, it this
t report filed for the calendar year, Column B should be blank
r Loans Received (Line 2), Loans Made (Line 7), and Accrued
s (Une 9).
Summary for Candidates in Both June and
November Elections
1/1 through 6J30
20. Contributions
Received ............ $
21. Expenditures
Made .................. $
711 to Date
FPPC Form 460 (8/99)
For Technlcsl Assistance: 916/322-5660
Schedule A T~. o¢ print in ink. SCHEDULE A
SUBTOTALS ~ 100--
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) .......................................................................................................
2. Amount received this pedod - 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
IN D - Individual
~'~. ~[-~,/ oTHCOM - Redpient Committee_ Other
FPPC Form 460
For Technical Assistance: 916/322-5660
Schedule A (Continuation Sheet) Ty., or print In ink.
Monet Contrib SCHEDULE A (CONT.)
~F ~~ ~ ~D (JAN 1- DEC 31 ) (IF ~LE)
~T~
SUBTOTAL* "~'~'~' ~ ¢
FPPC Form 4~0 (8~9g)
FO~ Technical Alslstance: 916z322-5660
Schedule A (Continuation Sheet) Typ, or print in Ink. SCHEDULE A (CONT.)
~a.one[ary~.on[nouaons Hecmvea ~mu~on~sh~eleYdUo~rla~.naea ' S[.;.~ent covers period
~rough
NAME OF
DA~E FULL NAME. MAILING ADDRESS AND ZIP C~E OF CONTRtB~OR ~ CODE * IF AN INDIVIDUA~ ENTER A~NT ~U~TIVE ~O DATE CUMU~TIVETOOATE
RECEIVED (IF C~EE. A~O ENTER I.D. ~R} CONTRIBUTOR ~CUPATtON AND EMPLOYER RECEIVEO ~lS CALENDAR YEAR OTHER
D ~N~
D COM
~ OTH
~ COM
~ OTH
~ IND
D co~
~ OTH
SUBTOTALS ~'~__~.
I'Co~tributo~ Codes
IND - Indtd~u~
COM - R~lplent Committee
OTH- O~her
FPPC Form 460 (8/99)
For Technical Assistance: 9t6~22-5660
schedule B - Part 2
.Repayments Made on Loans Received, Loans
Forgiven, and Loans Repaid by a Third Party
SEEINSTRUCTIONS ON REVERSE
Type or print In ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
OATE OF
REPAYMENT DATE OF
OR ORIGINAL LOAN
FORGIVENESS
FULL NAME OF LENDER
INTEREST
RATE
Statement covers period
through ~'~¢. '.~l ~0o
(¢)
AMOUNT REPAID OR
FORGIVEN ON PRINCIPAL*
(EXCLUDE PAYMENTOFINTERES~
OUTSTANDING
PRINCIPAL
SCHEDULE S - PART 2
Page
LD. NUMBER
(dl
INTEREST
PAID
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ '~ ~, 0 o ~ TOTAL INTEREST ~ ~j
' PAID THIS PERIOD $
* IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter~eamountin column (d/in ~e Echedule E
including the name and address of the person forgiving the loan or the third party making the payment, and the amount Summ~m Line 3. Do not cam/this total to
forgiven or paid.
Schedule g Summaq4
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
~dule B Part Typeorprlntlnlnlc SCHEDULEB-PARTi
~e~nt
cover.
Annual Repod of Outstanding Loans Received towholedoltars, from ~ t~ ~ooo i ~ ~F~ ~i' '
SEE INSTR~ONS ON REVERSE through ' ' Page
~AME OF FILER , I.D. NUMBER
FULL NAME OF LENDER ORIGINAL DATE OF LOAN ~OUNT OF ORIGIN~ LOAN UNPAID PRINCIPAL UNPAID INTEREST
Attach additional information on appropriately labeled continuation sheets. TOTAL
NOTE: This total should be
the same amount as entered
on the Summary Page,
Column C, Line 2. FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule E
Payn'}ents Made
SEE INSTRUC11ONS ON REVERSE
NAME O~ FILER
Type or ~rint In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
SCHEDULE F
Page ~ of '~O
CODES:
If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphe maliafmisc.
CNS campaign consultants
CTB cont~ibulion (explain no~mo~etary)'
CVC civic donations
FND fundraising events
IND independent expenditure suppe~ng/opposing o~hers (explain)*
LIT campaign literature and mailings
MTG meelJngs and appearances
DFC office expenses
PET petition circulating
PHO phone banks
POL polling and suwey research
POS postage, deliver7 and messenger services
PRO professional servicas (legal, accounting)
PRT pdnt ads
RAD radio ainime and production costs
I.D. NUMBER
RFD returned contributions
SAL campaign workers salades
TEL t.v. or cable airtime and production costs
TRC caodidate travel, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees of Ihe same candidate/sponsor
VDT voter registrafiofl
WEB information technology costs (intemet, e-mail)
NAME AND ACDRESS OF PAYEE OR CREDITOR
(IF COMMI~i'EE, A~SO ENTER IO. NU~ER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
SUBTOTALS
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 IYom Schedule B, Pa~t 2, Column (d).) .......................................................
4. Total paymenls 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-$660
· Schedule E
(continuation Sheet)
Payments Made
Type or print in Ink.
Amounts may be rounded
to whole dollars,
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
S[-[emellt covere period
through'~-~ '5~, ~ooe
CNS campaign consultants
CTB cont n'bution ( e xpi;~in noflmo~etary)*
CVC cMc clonalJous
FND kmdraising events
IND independent expenditure supporting/opposing olhers (explain)*
LIT campaign literature and mailings
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campatgnparaphemalia/misc. OFC officeexpanses RFD retumedcontributions
SCHEC)ULE IF (CON]'.)
PET pe§lfon cimulating
PHO phorie banks
POL polling and survey research
POS Postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print sds
MTG meebngsandappearances RAD radioairtimeaodproductioncosts WEB
I.D. NUMBER
SAL campaign workers salaries
TEL t.v. or cable airtime and production costs
TRC candidate travel, lodging sod meals (explain)
TRS staff/spouse t ravel, lodging and meals (explain)
TSF Iransfer between committees of the same candidate/sponsor
VOT voter registra§on
· ,ummerlzed on Schedule D. SUSTOTAL ." c~, ~ ~ .~
FPPC Form 460 (8/99)
For Technlcel Aeeletsnce: 916~22-5660