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Home My WebLink AboutHANSON SEMIANN01(1)Re'cipi'e'nt C3mmittee Campaign Statement (Government Code ,~-IJons 84200-84216.5) SEEINSTRUCTIONSONREVERSE .,.Ty~e of Recipient Committee: ~[ Officeholder, Candidate \Controlled Committee (Also Complete Pa~ 4J [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Co,~ete Pa~ 5.) Type or print in Ink. All Committee~ - Complete Parts 1, 2, 3, and 7, [] Primarily Formed Candidate/ Officeholder Committee (Also Complete pa~ 6.) [] General Purpose Committee O Sponsored O Broad Based Date of ~tion if applicable: (Month, Day, Year) COVER PAGE 2. Type of Statement: eee-election Statement mi-annual Statement rmination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information COMMI~EE NAME MAILING ADORESS ~ DIFFERE[NT) NO. AND STREET OR RO. BOX Treasurer(s) NAME OE TREASURER MAIUNG ADORESS CITY STATE ZIP COOE AREA COOE~PHONE OPTIONAl.: FAX I E-MAIL ADDRESS CITY STATE ZIP COOE AREA COOFJPHONE OPTIONAL: FAX / E-MAIL ADDRESS FPPC FMm 480 (8/~) For Technical Assistance: Reci'plent Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE · PART 2 Page ~ of ~' 4. Officeholder or Candidate Controlled Committee NA~E OF OFFICE~R OR CANDIDATE O~FICE S~UGHT OR HELD (INCLI~D.E LOCATION ANI~S.TRICT N~MBER IF APPLICABLE) [~ Related Commi s Not Included in this tement: Llstanycommlttees not Included In this consolidated statement that are centre#ed by you or which are pdmadly formed to receive contributions or to make expendtturaa on behalf of your candidacy. CCMMITfEE NAME II.D. NUMBER I NAME OF TREA~;URER CONTROCLED COMMITTEE? [] Ns [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCOOE AREA COOE~HONE 7. Verification 5. Ballot Measure Committee NAME OF BALLO~MEASURE IJURISDICTION I ~ SUPPORT OPPOSE Identily the conl~olling 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 ,ist for which thle committee la primarily formed. NAME OF OFF ~EHOLDER OR CANDIDATE NAME OF OF~CVH~)LDER OR CANDIDA'rE NAMEOFOFFICEHOLDERORCANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD []SUPPORT F'~OPPOSE ['-~SUPPORT []OPPOSE []SUPPORT [-]OPPOSE Attach continuaEon sheets if necessary 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 tree and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on ('~ 1 O J Executed on o ~ DATE Executed on DATE Executed on By FPPC Form 460 (8/99) For Technleal A~eletance: gl6/322-$660 Slate of California Oa'mpai'gn .Disclosure Statement Summary Page, SEE INSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars. througl SUMMARY PAGE Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines ! + 2 $ ~ ~ ° 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddLines3+4 $ Column A TOTA~ THIS PERIO0 Expenditures Made 6. Payments Made ....... .~. ........ ,....'~ ........................................... Schedule E, Line 4 7. Loans Made .......... ,,t . ,\.~...~..j,}.~.~.~...) .......................................... Schedule H. Line? 8. SUBTOTAL CASH-'//PAYMENTS ................................................ Add Lines6+7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... AddLlnesa,s.to Current Cash Statement 12. Beginning Cash Balance ................................ Prevlous Summary Page, Liner6 $ ~'~'~- 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 termination statement, Line 16 must be zero. ~,* 17. LOAN GUARANTEES RECEIVED ................... Schedule S, Ps~t l, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See Instructions on reverse 19. Outstanding Debts ................................... AddLIne2+LlnoSlnColumnCsbove Page 3 of__ I.D. NUMBER Column B* Column C · From previous statement Summary Page, Column C. However. If this is the first repod flied tor the calendar yeaf. Column B should be blank except lot Loans Received (Line 2). Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 20. 111 through C~30 Contributions Received ............S 711 lo Date 21. Expenditures Made .................. FPPC Form 460 (8/99) For Technical Aeelstsnc®: 916/322-$660 Schedule A · Type or print in ink. SCHEDULE A Amounts may be rounbe(~ S[.~,,e,~ covers Monetary Contributions Received to whole dolMrs, from IF AN IND~DUAL, ENTER ~ CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE FULL N~E. MAILING ADDREoo ~ND ZIP CO=~ OF CON~IB~OR ~RIB~OR ~CUPAT~N AND EMPLOYER RECEIVED ~IS CALENDAR YEAR O~ER RECEI~D p; C~E~. A~O ENTER I.D. N~R) CODE · ~F S~-EM~EO. ENTER ~E PER~D (JAN. ~ - DEC. 3~) (IF AP~ICABLE) ~ ~ND ~ COM ~ OTH ~ ~ND ~ COM DOTH ~ IND ~ coM DOTH ~IND ~ CO~ ~ OTH SUuluI'AL $ ~'000 - 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 [*Contribut~ Codes INO - Indiv{.dual COM - Recipient C<~mmlttee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 916~22-$660 Schedule.B - Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. Ifro:tat~i~t:~v.r, period throughI~l ~ o/o~ N EOFFILER M%E ::!E REPAYMENT DATE OF NA R OR ORIGINAL LOAN FORGIVENESS INTEREST RATE {IF CHANGED) (c) AMOUNT REPAID OR FORGIVEN ON PRINCIPAL* ~EXCI.UDE PAYMENT OF INTEREST) SCHEDULE B - PART 2 Page ~ of'~ I.D. NUMBER OUTSTANDING PRINCIPAL (d) INTEREST PAID TOTAL INTEREST J Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ I ~ i~ ~ 0 - PAID THIS PERIOD $ *~MP~RTANT~f~nyp~rt~f~nisf~rgiven~rrep~dby~hirdp~rty~a~s~iternizethe~rans~cti~n~nSchedu~eA' Entertheamountin~o~mn(d)in~eScheduteE1 including the name and address of the person forgiving the loan or the third party making the payment, and the amount Summa~ Line 3. Do not carry this total to the forgiven or paid. Sch~du~ B Summa~ FPPC Form 460 (6/99) For Technical Aesl~tance: 916/322-5660 Sbhedule E ' · Payments,Made Type or print In Ink. Amounts may be rounded to whole dollars. SEE INSTRUCllONS ON REVERSE NAME OF FILER CODES: If one of the following codes accurately SCHEOULEE desc ii, es the payment, you may enter the code. Otherwise, describe the payment.' CMP ca~aign paraphe malia/misc. CNS campaign consultanls CTB co~l~ibution (e ~plain nonrns~etary)' CVC civic donal~ons FND fufx]raising events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetings and appaarences OFC office expenses PET palifion circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger sacv~ces PRO professional sewices (legal, accounting) PRT print ads RAD radio airtime and prnduction costs RFD returned contributions SAL campaign workers salaries TEL t.v. or cable aidime and production costs TRC candidate travel, lodging and meals (explain) TRS stafflspousa travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor rOT voter registration WEB InlormaUon technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMdT'I'E E. ALSO ENTER ~ O. NUMI~ER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAIO * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E su§'totals.) ............................................................................................... $ 2. Unitemized payments made this period of under $100 ........................................................................................................................................ $ C~o ~ - 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 Summmy Page, Column A, Line 6.) ......................... TOTAL $ r~-~o<;:~ - FPPC Form 460 (8/99) For Technlcel Aseletance: 916/322-5660