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Home My WebLink AboutCOPE SEMIANN01(3)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period ,,om q Date of election if applicable: (Month, Day, Year~-~ Date Slamp COVE~ PAGE For Official Use Only 1. Type of Recipient Committee: AII Committees - Complete Parts l, 2, 3, and4. [] Officeholde r. Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) [] General Purpose Committee Sponsored Small Contributor Committee (~ Political Party/Central Committee [] Ballot Measure Committee O Primarily Formed O Controlled C) Sponsored [] Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement: [] Preelection Statement [~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) MAILIN6 ADDflE88 (IF DIFFERENT~ NO. AND 8fREET OR P.O. BOX Treasurer(s) MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE 4. 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 of perjury under the laws of the State of California that the foregoing is true and~correct, - // Executedon ,-~'~/~/~' By I,/(~t~1~ //z.f~ By Dale Signalum <~ C~ntmlling Officeholder. Candidate, State Measure Prcpene~t FPPC Form 460 (J une/01 ) FPPC Toll-Free Helpllne: 866/ASK*FPPC State of California Recipient Committee Campaign Statement Cover Page-- Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE COVER PAGE - PART 2 6. Ballot Measure Committee NAMEOFBALLOTMEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STAT ZIP 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 maka expenditures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS I.D. NUMBER CONTROLLED COMMITTEE? [] YES [] NO STREET ADDRESS (NO P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMl'i-r EE? I [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STALE ZiP CODE AREA CODE/PHONE BALLOT NO. OR LETTER JURISDICTION [][] OPPosESUPPORT 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 Committee List names of o~ceholder(s) Or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [~]SUPPORT [-']OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [~]SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFF~CE SOUGHT OR HELD ~'~SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ~SUPPORT OPPOSE Attach continuation sheets if necesssry FPPC Form 460 (June/01) FPPC Toll-Free Relpline: 866/ASK-FPRC Stale of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from q--~©/ ,hrough / b31-ol SUMMARY PAGE Page -~) of LO. NUMBER Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ......................................................Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 4. Nonmonetary Contributions .................................... Schedule C, Line3 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) ............................... ScheduleF, Line3 1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 Column A TOTAL TH~S PERIOD ODD 0.00 0.00 0.00 O. 042 /20O 0.00 .00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ '7 13. Cash Receipts ...................................................ColumnA, Line3above O, 14. Miscellaneous Increases to Cash ........................... Schedulel, Line4 15. Cash Payments .................................................. ColumnA, LineSabove 16. ENDINGCASH BALANCE .......... AddLines 12+ 13+ 14, thensubtractLine 15 $ '7 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pa~t 2 Cash Equivalents and Outstanding Debts $ U O0 18. Cash Equivalents ........................................ 19. Outstanding Debts ......................... AddLine2+Line9inC~umnBabove $ Column B CALENDAR YEAR TOTALTO DATE 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 7/1 to Date $ $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total to Date (mm/dd/yy) __/ / __1 / $ __/. /__ $ __L__l___ $ 'Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A tvlonetary Contributions Received to whole dollars. ,,om }EEI.STRUCTIO.SONREVERSE through I~-LS\--Ot I Page J-~ o,~..~__ '~AME OF FILER LD. NUMBER IF AN INDIVIDUAL, ENTER ~U~ CUMU~TIVETOOATE PER ELECTION OA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THiS CALENDAR YEAR TO DATE RECEIVED CF C~I~EE, ALSO ENTER I D. NUMBER) COOL * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN 1 - DEC. 31 ) (IF REQUIRED) OF BUSINESS) ~ND D COM ~OTH ~ PTY ~scc ~IND ~COU ~OTH ~ PTY ~SCC ~lND ~cou ~ OTH D PTV ~SCC ~IND CCOM ~OTH ~ PTY ~ scc ~COU ~ OTH ~ PTY Dscc 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 "Contributor Codes IND - Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FFPC Schedule B - Part 1 Loans Received SEEINSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME. STREET ADDRESS AND ZIP CODE OF LENDER (IF COMM~TFEE, ALSO ENTER I.D. NUMBER) [] COM [] OTH [] pTY [] SCC Type or print in ink. Amounts may be rounded to whole dollars. (c) Statement covers period ,rom q -.30-01 through ! ~:.;~Jt -d (d) (e) SCHEDULEB-PART1 Page ~) I,D. NUMBER (f) (g) fl-~ IND [] COM [] OTH [] PT? [] SCC f[~ IND [] COM [] OTH [] PTY [] SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEU:-EMP[OYEO, ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT RECEIVED THIS PERIOD AMOUNT PAID OR FORGIVEN THIS PERIOD * [] PAID $ [~FORGIVEN $ []PAID []FORGtVEN [] PAID [] FORGIVEN $ OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD DATE DUE DATE DUE DATEOUE INTEREST PAID THIS PERIOD RATE ORIGINAL AMOUNT OF LOAN DATE INCURRED DATEINCURRED DATE INCURRED CUMULA~VE CONTRIBUTIONS TO DATE CALENDARYEAR PER ELECTION** CALENDARYEAR S PER ELECTION $ CALENDAR YEAR SUBTOTALS $ $ $ Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. t Contributor Codes IND- Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY- Political Party SCC- Small Contributor Committe( *Amounts forgiven or paid by another partyalsomust be repoded on Schedule A. **lfrequired. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULEB-PART2 .~chedule a - Part 2 ,ype or print in ,n~. from -- Amounts may be rounded Statement covers period Loan Guarantors ,o whole dollars, q. ~EE INSTRUCTIONS ON REVERSE through ZIP CODE OF GUARANTOR CON~IBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMU~TIVE OUTSTANDING N~ME OF BUSINESS) , ~ OT~ OA~E P~ E~EC~O~ ~ PTY ~SCC C~ENDAR YEAR ~IND lENDER ~ COM PER ELEC~ON ~ OTH DATE (IF REQUIRED} ~ PTY ~SCC C~ENDAR YEAR ~IND LENDER ~COM ~OTH (IF REQUIRED) DATE ~ PTY Dscc C~ENDAR YEAR ~IND LENDER ~ COM PER ELECDON ~ OTH DA~ (~F REQUIRED} ~ PTY ~ SCC SUBTOTAL FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded Nonmonetary Contributions Received to whole dollars. SEE INSTRUCTIONS ON REVERSE St,~tement covers period ,rom Cl'30-OI through Page '~ of ~_ NAME OF FILER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR J JO/9 CONTRIBUTOR CODE * ~IND F'ICOM nOTH E]PTY I-1scc r-liND DCOM I-lOTH [~PTY I'-ISC¢ BIND r-lOTH J--] PTY DSCC ~IND DCOM ~IOTH [-1PTY Dscc IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE I.D. NUMBER I CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -OEC 31) PER ELECTION TO DATE (IF REQUIRED) Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period - nonmonetary contributions of $100 or more. (Include all Schedule C subtotals.) ..................................................................................................................... $ 2. Amount received this period - unitemized nonmonetary contributions of less than $100 .................................... $ 3. Total nonmonetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH- Other PTY - Political Pady SCC- Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule 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. Statement covers period ,rom through Page SCHEDULE D DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETT'ER AND JURISDICTION, OR COMMITTEE [] Suppo~ [] Oppose [] Suppod [] Oppose [] Suppo~ [] Oppose TYPE OF PAYMENT [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ AMOUNT THIS PERIOD I.D. NUMBER CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN ! * DEC. 31) (~F REQUIRED) Schedule D Summary 1. Contributions and independent expenditures made this period of $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 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ,hro.,,b CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. (3vF' campaign paraphernalia/misc. CNS campaign consultants c'rB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events b~ independent expenditure suppoding/opposing others (explain)" LEG legal defense LIT campaign literature and mailings MBR member communications M]'G meetings and appearances OFC office expenses PET petition circulating R-lO phone banks POL polling and survey research FOS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads SCHEDULE E Page q of L'~ I.D. NUMBER RAD radio airlime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COM~IITTEE. ALSO ENTER I.D. NUM6ER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized 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 loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... 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 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SchedUle F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statc~ment covers period ,rom I-30 0l SCHEDULEF I.D. NUMBER CODES: campaign paraphemalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense LiT campaign literature and mailings If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR member communications MI'G meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey reseamh POS postage, delivery and messenger services FRO professional services (legal, accounting) Ff:TT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (intarnet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF C C~MMITTEE, ALSO ENTER LD, NUMBER) DESCRIPTION OF PAYMENT EALANCE BEGINNING THIS PERIOD THIS PERIOC BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS $ $ $ $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ May be a negatwe number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE iNSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. S~=~,=~ent covers period from ~ -SC~--OI SCHEDULE NAME/{~: FI.I~R ~ ,......- NAME OF AGENT OR INDEPENDENT CONTRACTOR ,h,ough Psge tl of IF ID. NUMBER CODES: CIvP campaign paraphernalia/misc. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees F'ND fundraising events IXID independent expenditure supporting/opposing others (explain)' LEG legal defense LIT campaign literature and mailings MBR member communicalions MTG meetings and appearances DFC office expenses PET petition circulating PHO phone banks POi. polling and survey research POS poslage, delivery and messenger services PRO professional services (legal, accounting) PRT pdnt ads Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD radio airlime and production costs RFD returned contributions SAL campaign workers' salades TEL t.v. or cable airlime and production costs TRC candidale travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VDT 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 Attach additional information on appropdately labeled continuation sheets. TOTAL* $ · Do not transfer to any other schedule or to the Summary Page. This total may not equal ~he amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule H Loans Made to Others* SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. State(~ent covers period ,,om NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT COMMITTEE, ALSO ENTER I.D NUMBER) IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT REPAYMENT OR OCCUPATION AND EMPLOYER BALANCE LOANED THIS FORGIVENESS (IF SELF-EMPLOYED, ENTER BEGINNING THIS NAME O~ BUSINESS) PERIOD THIS PERIOD* SCHEDULEH I.D. NUMBER ORIGINAL (g) CUMULATIVE *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. $ $ SUBTOTALS [] PAID $ []FORGIVEN $ PAID []FORGIVEN $ INTEREST BALANCE AT RECEIVED CLOSE OF THIS DATE DUE DArE DUE AMOUNTOF LOAN DATEINCURRED OATEINCURRED LOANS TO DATE CALENDAR YEAR SpERELEC~ON~ CALENDAR YEAR SpERELECeON-~'~~ Schedule H Summary 1. Loans made this period .................................................................................................................................................. $ (Total Column (bi plus unitemized loans less than $100.) 2. Payments received on loans ........................................................................................................................................... $ (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) (Enter(e) on Schedule l, Line 3) **If Required FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. from through DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER ID. NUMBER) DESCRIPTION OF RECEIPT SCHEDULEI .,o, {'5 o, 15 I.D. NUMBER AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation 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, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL FPPC Form 460 (Junel01) FPPC Toll-Free Helpllne: 866/ASK-FPPC