HomeMy WebLinkAboutROWLES SEMIANN00(2) OH ecipient Committee
Campaign Statement
(Govemmlnt Code Seclk~$ 84200-~216.5)
SEE INSTRUCTIONS ON REVERSE
Type o~ print In Ink.
Statomeflt covers p~tod
-'7/1/0o
~rough [~ISJ/O0
1. Type of Recipient Committee: ~Ji Committ~- Complete Pad~ t, 2, 3, and 7.
[~Officeholder, Candidate
Controlled Committee
(Al~o Co~o~ete Pa~ 4.]
[] Ballot Measure Committee
0 Primarily Formed
O Controlled
O Sponsored
(Also C~efe Part 5.)
[] Primarily Formed Candidate/
Officeholder Committee
(x~ conWete Pa~
[] General Purpose Committee O Sponsored
O Broad Based
3. Committee Information
I.D. NUMBER
STREET ADORESS (NO P.O. BOX)
CITY STATE ZIP COOE AREA COOE/PHONE
MA[lNG ADORESS (~= DFFEREN~ NO. AND STREET OR P.O. BOX
Date of dectbn If aeplinabIn:
(~°"~' D'Y'Y*~I JUL
Page .
I A~IO: 53
LB CITY CLERK
2. Type of Statement:
[] Pre-election Statement
~' Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
COVER PAGE
Treasurer(s)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
lol ~t-
OPTIONAL: FAX/E-MAIL
STATE ZIP COOE AREA ~HONE
FPPC Form 460 (8/99)
For Technical AIiIi[I~¢O: I16/3~2-S660
State of California
Recipient Committee
Campaign Statement
Cover Page-- Part 2
~ or print In Ink.
COVER PAGE - PART 2
Page ~ of ~'
4. Officeholder or Candidate Controlled Committee
OFFICE SOUC~HT OR HELD (INC~.UOE LOCATION A,NO DISTRICT NUMBER F APPt. ZCABL~
lklY, e t'.ctd Ccctndtl- t., cd 5
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. O~ LE"ITER I JUflISDIGTION
[] SUPPORT
[] OPPOSE
not Included In Ibis consolidated statement that are ¢ontrelled by you o~ which ~ra primarily
formed to re~elve conb"lbutlona or to make exp~ndltwll ~ behaff ol your ean~dacy.
OFFICE SOUGHT Oft HELD Dmm~:T ho. IF ANY
6. Primarily Formed Committee LIst names of offi=aholder(a) or candldata(s)
for whlgh thla eemmlttse Is p~fmarily formed.
NAM E OF OFFICEY431..DE R OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
NAME OF OFFICER OR CANDIDATE OFFICE SOUGt'ff OR HELD [] SUPPORT
[] oPPoSE
NAME O~ OFFICF. HOCDER OR CANDIDATE OFFICE ~ OR HELD
[] SUPPORT
[] oPPoSE
7. Verification
Attach mn~nuat/(m sheets if necessao~
I have used all reasonable diligence in preparing and reviewing this statement and to, the best of my knowledge the information contained herein and in the attached schedules
is true and complete. I cmlify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
FPPC Form 460 (8/99)
For Technical AJ$1~tance: g16/'322-5660
State of California
· campaign Disclosure Statement
Summary Page
1ype or print In Ink.
Amount. nmy bi rounded
to whole dollim.
SEE INSTRUCTIONS ON REVERSE
Contributions Received
Column A
1. Monetary Contributions ...................................................... Schedule X. Line 3 $
2. Loans Received ....................................................... ~ ........... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Linee t * 2 $
4. Nonmonetary Contributions ............................................... Schedule C. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines a * 4 $
Expenditures Made
6. Payments Made .................................................................... Schedule £, Line
7. Loans Made .......................................................................... Schedule H, Line
8. SUBTOTAL CASH PAYMENTS ................................................ AddLInes6+7
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line
10. Nonmonetary Adjustment ....................................................... Schedule C. Line
11. TOTAL EXPENDITURES MADE ......................................... AddLIneeS+ 5+ lO
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summary Page. Line 15
13. Cash Receipts .............................................................. Column A. Line 3 above
14. Miscellaneous Increases Io Cash ....................................... Schedule I, Line 4
15. Cash Payments ............................................................ Column A. Line 5 above
16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14. then sublrect Line 15
ff this is a termination statement, Line 16 must be zero.
s., qsg.
t
17. LOAN GUARANTEES RECEIVED ................... Schedule B. Pa~1 I. Column
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ..................................................... See instructions on reverse
19. Outstanding Debts ................................... Add Line 2 + Line 9 in Columtt C above
.or., T Io0
SUMMARy PAc~
Page .~ of..
Column B°
I.D. NUMBER
Column C
(COLUfw~ A, e)
$
S $
$ $
$ $
$ $
$ $
· From pravious statemenl Summary Page. C~urnn C. However. if this
is the first report filed for the calendar year. Column B should be biank
except fo~ Loans Received (Line 2). Loans Made (Line 7). and Accn~ed
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
1/1 ~hrough 6/30 7Ir Io Date
20. Contributions
Received ............ $
21. Expenditures
Made ..................
FPPC Form 460 (8/99)
For Technical Assistance: g16~22-5660
Schedule I
Miscellaneous Increases to Cash
Type or print in Ink.
Amount~ may be rounded
to whole dollara.
,cra
through
NAME ~ ~ l.O. ~BE~
A~ ad~tionM info~ff~ ~ ~p~ately la~ ~tinuation sheets. SUBTOTAL $
Schedule I Summary
1. Increases to cash of $100 or more this period ........................................................................................................... $
2. Unitemized increases to cash under $100 this pedod ............................................................................................... $ 3,'-1 [J)
3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summan/Page, L ne 14 ) ....................................................................................... TOTAL $ ~, "7(.~
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660