HomeMy WebLinkAboutROWLES TERM 460 6/30/01 COVER PAG
Recipient Committee Ty~. or print In Ink. Date Stamp
Campaign Statement
(Gov®mmmlt Code Sects 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covere period
1. Type of Recipient Committee: Mt Committan~ - Complete Parts I, 2, 3, and 7.
[~"Offic ehoider, Candidate
Controlled Committee
(A/so Complete Part 4.)
[] Ballot Measure Committee
O PHmarily Formed
O Controlled
O Sponsored
(A/so Complete Parr 5.)
[] Primarily Formed Candidate/
Officeholder Committee
¢~ com~:¢ele Pa~t 6.)
[] General Purpose Committee
O Sponsored
O Broad Based
3. Committee Information
CONIMITTEE NAME
STREET ADORESS (NO P.O. BOX)
C~ STATE ZIP C~E ~ COD~HONE
MAILING ADOR ESS (IF DIFFERENT) NO. AND STREET OR KO. BOX
CPP( STATE ZIP COOE AREA CODE/PHONE
LoL t- 3 5- q '7
Data of election if applicablo:
(ao~, oay,~a~jUL 3;
AH I0:53
O CITY CLERK
Page J of ~'-7'
2. Type of Statement:
[] Pre-election Statement
[] Semi-annual Statement
~' Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
250
AREA CODE/PHONE
MAILING ADORESS
CITY STATE ZIP C(:~)E AREA CODE/PHONE
to l- 395-3q
OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX / E-MAIL ADORESS
FPPC Form 460 (8/99)
For Technical Assistance: 916/3~.2-5660
State of California
Recipient Committee
Campaign Statement
Cover Page -- Part 2
Typo or print in ink.
COVER PAGE - PART2
Page r~ of ~
4. Officeholder or Candidate Controlled Committee
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESII~ENTIAL/BUSINE SS A~S~ (NO. AND STREET) CITY STATE ZIP
Llstanycomml
not Inelud~l In this conso#dated statement that ere conb-olled by you or which ere p~fmerfly
formed to receive conb'~butlons or to make expendlita'ee off behalf of your candidacy.
qi uOx ncf l-b. [¢e q30 b
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
Identify the conk'oiling officeholder, candidate, or itat~ measure propone~t, if any.
OFFICE SOUGHT OR HELD OlSmlCT NO. IF ANY
6. Primarily Formed Committee
for which this committee la primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT
I-1 oPPosE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [--I SUPPORT
[] OPPOSE
NAME OF OFFICEHOCDER OR CANDIDATE OFFICE SOUGHT OR HELD
Attach con~'nuat/on sheets if necessary
7. Yerification
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 certify under penalty of perjur/under the laws of the,.~ta.,te of California that the foregoing is true and correct.
Executedon %/ 3/,/ODA~E / ~Y SlGN~TURE~'F4CON?ROLU~I~'~OFFIJ~HO~R,CANDIDATE.sTATEMEASUR~"ROPO"ENTORRESPON$1EILEO~FICE"O~$PON$OR
Executed on By
MIGNA11JRE OF CONTRO~UNG OFFICEHC~D~R, C~IOIDATE, sTArE MEASURE PROPONENT
Executed on By
FPPC Form 460 (8~9)
For Technical Aselatanco: 916/322-5660
State of California
.,a~mpaign Disclosure Statement
Summary Page
Type or print in Ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAMEOFRLER
I
Contributions Received
1. Monetary Contributions ...................................................... ScheduleA, Line
2. Loans Received ................................................................... Schedule B. Line
3. SUBTOTAL CASH CONTRIBUTIONS ................................... addLinas 1 +
4. Nonmonetary Contributions ............................................... Schedule C. Line
5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+4
Expenditures Made
6. Payments Made .................................................................... Schedule E, Line 4
7. Loans Made .......................................................................... Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3
10. Nonmonetary Adjustment .......................................................ScheduteC. Line3
11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10
Statement covem period
from
SUMMARY PAGE
3050
Column A Column B* Column C
TOTAL THIS PERIOO TOTAL PREVIOLI$ PERIOO TOTAL TO DATE
$ $
$
$ $
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
1 5. Cash Payments ............................................................ Column A, Line 8 above
16. ENDING CASH BALANCE .............. add Lines 12 + 13 + 14, then subtract Line 15
If this is a ten'nination 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 § in Column C above
~q56- 3O
· From previous statement Summa7 Page, C~umn C. However, if tt'~s
is the first report filed for tl~ calendar year, Column B should be blank
except for Loans Received (Une 2), Loans Made (Line 7), and Accrued
Expenses (Une 9).
Summary for Candidates in Both June and
November Elections
111 through 6/30 7/1 to Date
20. Contributions
Received ............ $
21. Expenditures
Made .................. $
FPPC Form 460 (8/9~
For Technical Assistance: 916~22-566
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts mey be rounded
to whole doller~
".ou.h C~/~o!01
SCHEDULE E
NAME OF RLER
CODES: If
of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemaila/r risc.
CNS campaign col',sultants
CTB contribution (explain nonmoneta~)'
CVC civic donafl(ms
FND fundra~sing events
I ND independent exper~tum sul~ng/opposing others (explain)'
LIT campaign I~tsrature and rna~ings
MTG me elings and appearances
DFC office expenses
PET pe'JlJon circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional sen~ces (legal, accoun§ng)
PRT p~tnt ads
RAD radio airlime and production costs
I.D. NUMBER
q~5o5
RFD returned contributions
SAL campaign workers salaries
TEL Lv. o¢ cable airtime and production costs
TRC candidate travai, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VOT voter regtstraf~n
WEB information technology costs (intsmet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMK~TTEE. ALSO E NTE R I.D. NUMBE R) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
~'ctucc~lJon
~ ,
* Payments that ere contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ ='~, ~00. C%~
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 from Schedule B, Part 2, Column (d).) ....................................................... $
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 (8/99)
For Technical Assistance:
Schedule E
Payments Made
SEE INSTRUCTIONS ON REYERSE
Type or print In Ink.
Amount~ may I~ to,reded
to whole dollars.
~om t,/~./0I
through I
Pog. ~
,, 7
NAME OF F1LER
CODES: If
CMP campaign paraphemalie/misc.
CNS campaign comur~nts
CTB cont.~u~=n(e.~a~r=nmo~tary)-
CVC civic dona[~ns
FND lundraising events
IND Independent e~:~ture supl~ling/of:~m~ing o~ers (explain)'
LIT campaign literature and mailings
MTG mee[~3s and appeararce s
of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
DFC oflicee~enses RFD mtumedco~ln'bu~ns
PET peli§oncirculafing SAL campaig~workerssalaries
LD. NUMBER
PHO phone banks
POL poring and survey research
POS postage, deliver/and rnesse~jer ser/~:es
PRO ixofe ssional set, cas (;ngal, accoun~ng)
PRT print ads
PAD radio ai~me and produc~on costs
TEL Lv. or cable aidime and production costs
TRC candidate travel, lodging and meals (explain)
TRS staff/spouse travel, lodging and meals [explain)
TSF transfer between committees of the s~me candidate/sponsor
VDT voter registraf~:m
WEB Infon'natio~ technology costs (intemet, e-rnaii}
NAME AND AOORESS OF PAYEE OR CREDITOR
(~F co~4~'r'rE E. ~ ENTER L0. ~SE~t CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
&
~ger~teld gor~ go~r~
* Pa~n~ that are eonUlbufions or Independent ex~nditurea must also be summarlzed 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 from Schedu n (d)
on the Summa~ Page, Colu
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Typo or print in Ink.
Amounts may be rounded
to wflote dollars.
.em
thro.gh L /&o/0 !
NAME OF FLIER
CODES: If onJe of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemalla~isc.
CNS cam~gn consu~ants
C'rB mntntx~m (e~eia~n com'~tary)'
CVC civic Oonalions
FND kmdraising events
INO independent expenff~um suppo~ng/oppo~ing othem (explain)'
LIT camp~ffi literature and totalings
MTG rneelings and appearances
DFC office expenses
PET petition cimulating
PHO phone banks
POL polling add survey reseauch
POS postage, deliver/and messenger serv;ce s
PRO profesaio~al se~,ic es (legal, accoun§ng)
PRT print ads
RAD radio airfime and producfJon costs
Page (~') of "'7
I.D. NUMBER
RFD returned conbtbu~s
SAL campaign wod[emsalaries
TEL tv. or cable aiFdme and production costs
TRC can(f~dale bevel, lodging and meals (explain)
TRS staff/sp<xtse travel, lodging and meaJs {explain)
TSF transfer between committees of the same can<~idate/sponsor
VDT voter ragistralion
WEB Information technob3gy costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREDrrOR
OF C.4~Mur~[ E. ~4.so EN'r~R ~.O. ~En) CODE OR DESCRIP~ON OF PAYME~ AMOUNT PAID
useumo4
* Payments that are contributions or independent expendlturee must also be summarized on Schedule D. SUBTOTAL
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 from Schedule B, Part 2, Column (d).) ....................................................... $
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 (8/99)
For Technical Assistance: 916/322-$660
Schedule I
Miscellaneous Increases to Cash
SEEINSTRUCTIONSONREVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Page "='7 of '7
NAME OF RLER
FULL NAME AND ADDRESS OF SOURCE
(Il= CO~dIITE E..M.SO Ei~/'ER I.D. NUMeER)
DESCRIPTION OF RECEIPT
P ..ccunp
I.D, NUMBER
q3o5o%
AMOUNT OF
INCREASE TO CASH
75q
Attach add/t/ona/ information on appropriately/abe/ed continuat/on sheets. SUBTOTAL
Schedule I Summary
1. Increases to cash of $100 or more this period ........................................................................................................... $
2. Unitemized increases to cash under $100 this period ............................................................................................... $ __
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
Summary Page, Line 14.) ........................................................................................................................... TOTAL $
~3.@5
FPPC Form 460 (8/9g)
For Technical Assistance: 916/322-$660