HomeMy WebLinkAboutBFLAG SEMIANN01(1) ec--'entiPi Committee COVER PAGE
Campaign Statement
(Govemmant Code Seclions 84200-84216.5)
Type or print in ink.
SEE INSTRUCTIONS ON REVERSE
Statement corem period
from i'Oj' ~OOi
through
1. Type of Recipient Committee: All Committees- Complete Parta 1, 2, 3, and 7.
[] Officeholder, Candidate
Controlled Committee
(Aisc Complete Patf 4.)
[] Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
' (Aisc Complete Pat15.)
[] Primarily Formed Candidate/
Officeholder Committee
(Al~o Complete part 6.)
[] General Purpose Committee
O Sponsored
(~ Broad Based
3. Committee Information
COMMITI'EE NAME
Dnta of election if applicable:
(Monlh, Day, Year)
Date Stamp
JUL31 AMII: 35
ERSFIEL~ CiTY CLEF
Pag. I of 1 0
2. Type of Statement:
[] Pre-election Statement
S
emi-annual Staterm~nt
Termination Statement
[] Amendment (Explain below)
Treasurer(s)
NAME O~ TREASURER
STREET ADDRESS (NO P.O. BOX)
CI3Y
For Official Use O~y
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Pre-election
Statement - Attach Form 495
STATE ZIP COOE AREA COOEJPHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR I~O. BOX
CITY STATE ZIP COOE AREA CODE/PHONE
OPTIONAL: FAX/E-MArl. ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAR.lNG ADORESS
CItY STATE ZIP COOE AREA CODE/PHONE
OPTIONA~ FAX IE-MAIL ADORESS
FPPC Form 460
For Tanhnlnal A~l~tence: glr~3~2-5660
S~te of California
, ' ~ Type or print in ink. COVER PAGE - PART 2
ReCipient Committ~
Campaign Statement
Cover Page -- Part 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
5. Ballot Measure Committee
NAME OF BAU.OT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLtCABLE)
RESID£NTIAIJ~USINESS ADDRESS (NO. AND STREET) CITY STATE ZiP
Related Committees Not Included in this Statement: Llsteaycommlttees
not included In this consolidated statement thlt are controlled by you or which are primarily
formed to receive contributions or to make expenditures on beheff of your candidacy.
COMMIT[EE NAME I.D. NUMeER
NAME O~ TREASURER CONTROLLED COMMITI-EE?
[] YES D NO
COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX}
c~ STATE aPCOOE ~EACOD~HONE
BALLOT HO. OR LETTER [ JURISDICTION [] SUPPORT
I
[-~ OPPOSE
Idenlify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
6. Primarily Formed Committee LI,t,ames of officeholder(s) orcendldate(~)
for which thle committee Is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFF~CE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
[-]SUPPORT
[~]OPPOSE
[~]SUPPORT
[-~OPPOSE
[-]SUPPORT
{'-]OPPOSE
Attach continua~on sheets if necessaq/
7. Verification
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 o! perjury under the laws of the State of California that the foregoing is true and correct.
'7, 2_S · zo~ /
DATE
Executed on
Executed on
DATE
~ ~ ~ ' SI~JR~ O~ mEASURER OR ASSISTANT mEASURER
By
Executed on
By
DATE
Executed on
By
FPPC Form 460 (8/99)
For Technl~l Aeal~tance: gt6/322-5660
State of California
Oam'paig~ 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 3 $
2. Loans Received ................................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLInes 1
4. Nonmonetary Conlributions ............................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 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 ....................................................... Schedule C. Line 3
11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + g + IS
Current Cash Statement[~0~0~ ~ '
12. Beginning Cash Balance ....... ; ............... .~ ev sue Su ¥ Page, Line
13. Cash Receipts ..............................................................Column A, Line 3 above
14. Miscellaneous Increases to Cash ....................................... Schedule t. 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 termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedule B, Pert l, 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
trom O] '0(
u~,oug,. Ow' ~' a I
SUMMARY PAGE
Column B*
TOTAL PREVIOUS PERtOO
(SEE NOTE BELOW)
I.D. NUMBER
Column C
TOTAL TO OATE
s s
s s //
· From previous statement Summary Page, Column C. However, If this
is the first report filed tot the calendar year, Column B should be blank
except for Loans Received (Line 2), Loans Made (Line 7), and Accrued
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
111 through 6/30 711 to Dele
20. Contribulions
Received ............ $
21. Expenditures
Made ..................
FPPC Form 460 (8/99)
For Technical Assistance: 916~22-S660
Schedule' A Typ, or print In ink. SCHEDULE A
~EE INSTRUCTIONS ON REVERSE through ~' ~,~ · O
1'23-Zoo/
DOTH
~ ~ COM
~ ~ND
~ IND
~'/~'~O/ DOTH ~ ~00~
Q co~ / ~ ~
~' ~S~ ~/ ~OTH
SUBTOTAL $
Schedule A Summary .-
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) ....................................................................................................... $ ~'~'-~'
2. Amount received this period - 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 $ C~ ~ ~o ~
[*ConlrilxJto~ Codes
IND - Indlvld~Jal
COM - Recipient ~ttee
OTH - Other
FPPC Form 46O (8/09)
For Techntc. I Assistance: 916~322-$660
· schedul6 D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
from
throughO
NAME OF FILER
OATE
CANDIDATE AND OFFICE,
MEASURE AND JURISDICTION, OR COMMITTEE
[] Support [] Oppose
[] Supperl [] Oppose
i [] support [] Oppose
TYPE OF PAYMENT
[] Non-Monetary
ConMbution
Expenditure
[] Indapenda.t
Expenditure
E~] Monela~y
Contribution
[] Non-Monetary
Contribution
[] Independent
Expenditure
DESCRIPTION OF NONMONETARY
CONTRIBUTION
(IF REQUIRED)
SCHI~DULE O
I.D. NUMBER
AMOUNT THIS PERIOD
$
$
CUMULATIVE AMOUNT
Calendar Year
Olher
Calendar Year
$
OIher
Calendar Year
$
O~her
$
Schedule D Summary ~.
1. Contributions and independent expenditures made this period o! $100 or more. (Include all Schedule D subtotals.) ........................................
2: Unitemized contributions and independent expenditures made this period of under $100 ..................................................................................
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ........ TOTAL
FPPC Form 460 (8/99)
For Technical Aeeletonco: 916~22-5660
schedule D
'Cohtinuation Shee
[¥~IILIIIMgLI%~II ~,/I I~[;L~ SCHEDULE D (CONT.
Summary of ExpendituresAmountaTypo°r prlntlnlnlUmay~roun~d S;;~,;~covers~G ~ ~ rJl~ i'/
Suppodin~Opposing Other to whole dollar~ from O) -Or *~ ( ~ ~ ~ ~
Candidates, Measures and Committees
~,ough ~'~'0 ~ ~ Page ~ of
~ntfibu~ O~er
~ I~e~nt
0~*02'0~ ~ C~ ~ ~e~ Calen~r Yea,
~n~bu~
~ N~aW $
~bu~ O~er
~ O~er
~ s~ 0 ~ E~ s
SUBTOTAL $ ~'~0
FPPC Form 460 (8~J9)
For Technical Assistance: 916/B22-5660
Sch,edule,.D
(Continuation Sheet)
~. ..................... ! SCHEDULE D, CONT.
Summary of ExpendituresType or print In ink. S~,;=,,,~r,t covers period
Amounts may be rounded
Supporting/Opposing Other to whole dollars.
Candidates, Measures and Committees from
through
NAME OF FILER I.D. NUMBER
DESCRIPTION OF NONMONETARY
DATE CANDIDATE AND OFFICE, TYPE OF PAYMENT AMOUNT THIS PERIOD CUMULATIVE AMOUNT
MEASURE AND JURIS DICTION. OR COMMITI-EE CONTRIBUTION
Co~t~bution
[] Non-Monetmy $
Contribution Other
[] Independent
[] Support [] Oppose Expenditure $
[] Non-Uonets~ S
Contribution Other
[] Independent
O0
O
[] Suppo. [] Oppose Expenditure $
Contribution Other
~[ Suppor~ [] Oppose Expenditure $
[] Monetary CaJender Yea'
Contrib~on
[] Non-Uo~ta~ $
Contribution Other
I-L independent
[] Support [] Oppose F-xpendr~urs $
SUBTOTAL $ ~GO 0
FPPC Form 460 (8/99)
For Technical Assistance: 916/B22-5660
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Amounts may be rounded
to whole dollars.
from 0
through
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.'
SCHEDULE E
I.D. NUMBER
CMP campaign paraphe rnalla/misa.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donalJons
FND fundraising events
IND Independent experxJilure supporling/opposing others (explain)*
LIT campaign literature and mailings
MTG meeangs and appaamnces
OFC olrme expenses
PET pelilion circulating
PHO phone banks
POL polling and sun/ay reseamh
POS postage, deliver/and messenger sef~4ces
PRO professional services (legal, accounting)
PRT print ads
RAD radio al[time and production costs
RFD returned contribu~ons
SAL campaign workem salaries
TEL t.v. or cable airlime and production costs
TRC candidate travel, lodging and meals (explain)
TRS stag/spousa travel, lodging and meals (explain)
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (intemet. e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
,, ', " ...... zoo
* Payments that ere contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ ~ O c)l I . 73
Schedule E Summary
1. Payments made this period o! $100 or mom. (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, Pad 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 $
//.,05Z ?7-
I/.%17.4./.7
FPPC Form 460 (8/99)
For Technical Assistance: 916/~22o$660
ocnedule E
'(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01'~ I ~0~
SCHEDULE E (CONT.)
Pege C~ of. ) ~
NAME OF FILER
CODES:
CMP campaign paraphematia/misc.
CNS campaign consultants
CTB contrbution (explain nonmonetary)*
CVC civic donations
FND tundraising events
IND independent expenditure suppodino~opposing others (explain)*
LIT campaign literature and mailings
MTG meetings and appearances
If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
OFC office e~penses
PET petition cimula/ing
PHO phone banks
POL polling and survey research
POS postage, detivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
RAD radio aidime and production costs
I.D. NUMBER
RFD returned contributions
SAL campaign workers salaries
TEL t.v. or cable airtime and production costs
TRC candidate t ravel, lodging and meals (explain)
TRS staff/spouse t rsvel, lodging and meals (explain)
TSF transfer belween committees of the same candidate/sponsor
rOT voter registratico
WEB Informatio~ technology costs (intemet, e.mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Peyments that are contrlbutlom~ or Indepes~dent expendlturee must also be summsdzed on Schedule D. SUBTOTAL
FPPC Form 460 (8/99)
For Technical Aasletence: 916/322-5660
· Sc[tedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
~,te,,ient covers period
t~ro.gh ~' ,'~'0 \
SCHEDULEI
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
{IF COMMIT[EE, ALSO EHt'E R I.D, NUMBER)
DESCRIPTION OF RECEIPT
I.D. NUMBER
AMOUNTOF
INCREASETOCASH
IZ./2
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL
Schedule I Summary .,..
1. Increases to cash of $100 or more this period ........................................................................................................... $
2. Unitemtzed 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 1o cash this period. (Add Lines 1, 2, and 3. Enler here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $
FPPC Form 460 (8f99}
For Technical Assistance: 916/322-5660