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HomeMy WebLinkAboutHANSON SEMIANN13(1) MAILING ADD SS (I DIFFERENT) NO. AND STREET OR P.O. BOX E71"10% It CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS MAILING CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info lion contained herein and in the attached schedules is true 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 By It Date Sign ofTre surerorAssistantTreasurer =�� �3 L Executed on 1 T y Date Signature of Coftolfing Officeholder, Car". S easure Proponent or Responsible Officer of Sponsor Executed on By Dare Signature of ControlNng Officeholder ,Candidate, Stale Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612753772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER (�OR CANDIDATE n "A t `n, 1'11' Sol OFFICE SOUGHT OR HELD (INCLUDE LOCATION ANU Uis I tuc 1 Nun omm it r.rrui .mu—j lsmt,ma,� �- 0,�, � Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee COVER PAGE - PART 2 Page % of NAME OF BALLOT MEASURE BALLOT NO. OR IIETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of otficehoider(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OF ICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 066 /ASK -FPPC (8661275 -3772) state of California Campaign Disclosure Statement Summary Page wcTO"Pnnm'Z (IN RF\/FRSF NAME OF FILER a ht", �O V I n' wM `►1'3etL 5 _ 'A Contributions Received 1. Monetary Contributions ............ ............................... schedule A, Line 3 2. Loans Received ............................... ....................... schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4, Nonmonetary Contributions ..... ............................... 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 3 8. SUBTOTALCASH 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 + 9 + 10 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 1, Line 4 15. 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. Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period to whole dollars. from through v °1 «y- a, ° Page of ('oks $ I r.ti� to (Column A TOTAL THIS PERIOD (FROMATTACHED SCHEDULES) $ $ Column B CALENDAR YEAR TOTALTODATE $ $ IS *0�- $ PAZ I Ii 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ .I--, $ $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER I �.'arot Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6/30 711 to Date 20. Contributions Received $ / $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election (mm/dd /yy) --I $ -- $ Total to Date Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Nr-�s E a. Statement covers period from through Page %jr of I.D. NUMBER u CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia /mist. NW member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CTB contribution (explain nonmonetary)* OFC PET office expenses petition circulating TEL t.v. or cable airtime and production costs CVC FIL civic donations candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS TSF staff /spouse travel, lodging, and meals transfer between committees of the same candidate /sponsor IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) VOT WEB voter registration information technology costs (intemet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE OF COMMRTEE, ALSO ENTER I.D. NUMBER) ,0.1 CODE OR Ull' z y a.), n0S * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT SUBTOTAL$ AMOUNT PAID 3Z1 - 1' 9- 3001_ Schedule E Summary Zl L09 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 2. Unitemized payments made this period of under $100 ........................................................................ ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ O 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) kkA a ,J �IoV , 95&>, ,0.1 CODE OR Ull' z y a.), n0S * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT SUBTOTAL$ AMOUNT PAID 3Z1 - 1' 9- 3001_ Schedule E Summary Zl L09 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 2. Unitemized payments made this period of under $100 ........................................................................ ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ O 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)