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Home My WebLink AboutBTC SEMIANN02(2)Recipient Committee Campaign Statement Cover Page (Governmen~ Cr)de Sections 84200 842165) SEEINSTRUCTIONS ON REVERSE Type or print in ink. Date Stamp Statement covers period Date of election if applicable; /Mon. , Day, Year0 -3 Pt'I I: BAKERS I£L9 CI'IY CI. ERK COVER PAGE Page[ of [''~ For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Paris 1, 2, 3, and 4. [] Officeholder, Candidate Controlled Commitlee O State Candidate Election Commiltee O Recall [] General Purpose Committee ~ Sponsored O Small Contributor Committee O Political Pady/Central Committee [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored [] Primarily Formed Candidate/ Officeholder Committee 2. Type of Statement: [] Preelection Statement [] Semi-annual Statement bi Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 3. Committeelnformation I D~(;I COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Treasurer(s) N E OF TREASURER MAILING/~'ECS __ ,-- -- MAILING ADDRESS {IF DIFFERENT) NO. AND STREET OR P.O. BOX MAltING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE C~TY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: PAX / E-MAIL ADDRESS OPTIONAL: FAX / E- edg herein and iR the attached schedules is true and complete. I certify under penalty of I~erjun~ under the laws ot the State of California that the foregoinQ is true and correct. / S~nalure of Treasurer or Ass{stan, Treasurer Executed on By Executed on By Executed on By FPPC Toll-Free Helpllne: 8661ASK-FPPC Campaign Disclosure Statement Summary Page Type or print in ink to who~e dollars. :,El: INSTFUCTIQnS OI! ~EVERSE Contributions Received Column A Column B 3 SUBTOTAL CASH CONTRIBUTIONS ............... AddLinesl*2 5 TOTAL. CONTRIBUTIONS RECEIVED Add Lines 3 , 4 Statement covers period ,rom [0 a2Q:OD_ Expenditures Made 8 SUBTOTAL CASH PAYMENTS Add Lines 5 * 7 9 Accrued Expenses (Unpaid Bills) Schedule E liq,~ 3 10. Nonmonetary Adiustment ................................. Schedule C, Line $ 1 1 TOTAL EXPENDITURES MADE ........................... Ad~ Lines a ~ ~ * m Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line ~ $ 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, Ihen subtract Line ~5 if this is a termination statement, Line 16 must be zero 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 Cash Equivalents and Outstanding Debts ~ 8. Cash Equivalents ........................................ See mslructions on reverse 19. Outstanding Debts ....................... Add Line 2 + Line 9 in Column B above $ 0,¢ $ O,0- -0- To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last repod Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being tiled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGE Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 lhrough 6/30 7/1 to Dale 20. Contributions 0 Received $ 21 ExpenditureSMade $ 0 · Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made* Date of ELection Total to Date (mm/dd/yy) ~___/___ $ __J __/__ $ /__/.__ $ __/ _J $- __/ ./__ $ __/_ / $ '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 Type or print in ink. SCHEDULE A ~cneaule ~ Amo~J'nts m~y be rounded Statement covers period Vlonetary Contributions Received to whole dollars.~4 I , om m SEE INSTRUCTIONS ON REVERSE ~ IF AN ~NDIV~DUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION CATE FULL NAME, STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRIBUfOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO CATE RECEIVED ¢¢ COMMI~EE ALSO ENTER ~ D NUMBER) COD E * (iF SELF EMPLOYED, ENTER NAME PERIOD (JAN; - DEC. 3 ~) (IF REQUIRED) ~IND ~o~ ~ PTY ~scc ~IND ~ co~ ~OTH ~ PTY ~scc ~N~ ~ CoM ~OTH ~ PTY ~scc ~IND ~co~ ~OTH ~ PTY ~scc ~IND ~COM ~OTH ~ PTY ~scc Schedule A Summary 1. Amount received this period - contributions of $100 or more. (IRclude all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this period - uniternized 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 Helpiine: 866/ASK~FPPC Schedule B - Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. SEEINSTRUCTIONS ON REVERSE hAME OF FILER it Jrt NAME STREET ADDRESS AND ZIP CODE OF LENDER tell [ND L~ COM [] OTH [] PT¥ [~ SCC IF AN INDIVIDUAL, ENTER OCC~JPATION AND EMPt OYER lit SELF EMPLOYED ENrE~I OIITSTANDING BALANCE BEGINNING THIS PERIOD AMOk~NT RECEIVED THIS PERIOD l[] ~ND [] (;OM [~ O}H E] PTY [] SCC (c) AMOtJNT PAID OR FORGIVEN TI41S PERIOD $ Statement covers period from OUTSTANDING RA[ ANCE AT CLOSE OF THIS (e) INTEREST PAID THIS PERIOD $ C)ATE INCURRED o $ % RATE $ t[~ IND [] COM [] OTH [] PTY [] SCC DATEDUE DATEINCURREB SUBTOTALS $ (Enler (e) on Schedule B Summary ScheduleE, Line31 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) SCHEDULE B - PART 1 I.O NUMBER p) (g) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR yEAR $ PER EL ECTION** $ CALENDAR YEAR PER ELECTION ** $ CA[ ENDAR YEAR $ PER ELECTION ** 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. "Amounts forgiven or paid by/ another party also must be ~ repoded on Schedule A. / / ** If required. J it Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC Small Contributor Commiile~ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULEB-PART2 Schedule B - Part 2 Typeorprint in ink. Amounts may be rounded Statement covers period ~ ~'~lr~~"~'ll LoanGuarantorsto whole dollars, from [ ('~ -O~--0~'~}- ~ I ~i~ ~i~ NAME OF FILER ID. NUMBER / ZIP CODE OF GUARANTOR GONTR~BDTOR OGCUPATtON AND EMPLOYER LOAN GUARANTEED OUMU~TIVE OUTSTANDING , ENDER CALENDAR YEAR ~IND DOTH DATE P ER ELECTION UF REQUIRED) ~ PTY ~scc ~ CALENOAR YEAR ~IND L~NOER ~COM s ~ PTY ~scc s ~IND LENDER ~COM s PER ELECTION ~ OTH DATE ~ PTY ~scc ~ ~IND LENDER ~ OTH DATE {IF REOUIRED) ~ PTY ~scc ~ SUBTOTAL $ Summan/Page, Lme 17 o~ly FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule C rlonmonetary Contributions Received SEE INSTRU .CTIONS ON REV~EF~SE DATE RECEWED Type or print in ink, FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CON] RIBUTOR (;ODE DIND []COM [3OTH E~PTY ~scc ~IND OCOM [~]OTH E]PTY []scc []IND []coM []OTH [] PTY []scc to whole dollars. Statement covers period ,,oma- : -0cZ SCHEDULE C AMOUNT/ FAIR MARKET VALUE PER ELECTION TO DATE (IF REQUIRED) IFANINDIVIDUAL EN]ER DESCRIPTION OF OCCUPATION AND EMPLOYER GOODS OR SERVICES CUMULATIVE TO DATE CALENDAR YEAR (,lAN 1 DEC 31) []IND []corn []OTH [] PTY Oscc 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 o! less than $100 .................................... $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10) ...................... TOTAL $ *Conlributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other SCC - Small Contributor Commitlee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEEINSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole doilars. Statement covers period SCHEDULE D NAME O~_~.~ DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LE~TER AND JURISDICTION, OR COMMI~EEE [] Suppod [] Oppose [] SuppoA [] Oppose [] Suppo~ [] Oppose TYPE OF PAYMENT [] Monetary Contributicm [] Nonmonetary Contribution [] Independent Expenditure [] Monetary Contribution [] Nonmonetary Contribution [] independent Expenditure [] Monetary Contribution [] Nonmonetary Contribution [] Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 3-DEC. 311 PER ELECT~ON TO DATE (IF 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 CODES: If one of the following codes accurately describes campaign paraphernalia/misc Fh~D fundraising events I~JD independent expenditure suppoding/opposing others (explain)' LEG legal defense LiT campaign literature and mailings Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period through ~.,~_-- q~-- ~ ~ Page IDNUMBER SCHEDULEE the payment, you may enter the code. Otherwise, describe the payment. MBR member communications M'TG meelings and appearances OFC olfice expenses PET petition circulating PHO phone banks POL pol~ing and survey research POS postage, delivew and messenger services pRO professional services (legal, accounting) ~ print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t v or cable aidime 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 VeT voter registration WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (iF COMMi'FTEE Al SO ENTER i n NLJMBER) CODE OR DESCRIP'rlON 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, Pad 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. SCHEDULE F Statement c°vers "eri°d from through NAME OF FILER CODES: if one of the following codes accurately describes the QVP campaign paraphernalia/misc. MBR CNS campaign consultants CTB contribution (explain nonmonetary}' CVC civic donalions RL candidate filing/ballot fees F'ND fundraising events IND independent expenditure supporting/opposing others (explain)' LEG regal defense LIT campaign literature and mailings IDNUMBER payment, you may enter the code. Otherwise, describe the payment. MTG meetings and appearances DFC office expenses PET petition circulating phone banks POi polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFO returned contributions SAL campaign workers' salaries TEL tv or cable aidime 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 VDT voter registration WEB information technology costs (intemet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING I~F COMM,%CEE, ALSO ENTER i D NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. 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 negalive number FPPC Form 460 (Junel01) 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. Statement covers period SCHEDULE G through !~"~\-~ ~ Page I/ of HAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads C~,~ campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary}' CVC civic donations FIL caudidate filing/ballot lees F-ND fundraising events IND independent expenditure suppoding/opposing others (explain)* LEG legal defense LIT campa~§n literature and mailings * Payments that are contributions or independent expenditures must also be summarized on Schedule D, RAD radio aidime add production costs RFD returned contributions SAL campaign workers' salaries TEL t.v or cable aidime and production costs TRC candidate travel, lodging, and meals TRS slaff/spouse travel lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (interneb e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* $ * Do not transfer to any other schedute or to the Summa,O/Page. This total may not equal the amount paid to the agent or FPPC Form 460 (June/01) independent contractor as reported on Schedule E, 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. Statement covers period SCHEDULEH Page ~k~_ NUMBER NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE ALSO ENTER iD NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (iF SELF EMPLOYED, ENTER OUTSTANDING BALANCE BEGINNING THIS PERIOD (bi AMOUNT LOANED THIS PERIOD (c) REPAYMENT OR FORGIVENESS THIS PERIOD* FORGIVEN OUTST~.d~DING BALANCE AT CLOSE OF TBIS PERIOD DATE DUE (el INTEREST RECEIVED % $ DATE DUE *Loans that are contributions to another candidate or committee must also be summarized on Schedule O. Loans forgiven must SUBTOTALS $ $ also be reported on Schedule E. (Enter (e) on Schedule I, Line ORIGINAL CUMULATIVE AMOUNT OF LOANS LOAN TO DATE ;ALENDAR YEAR $ PER ELECTION** DATE INCURRED CALENDAR YEAR $ $ PER E~LECTION ** DATE INCURRED Schedule H Summary 1. Loans made this period .................................................................................................................................................. $ (Total Column (b) 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.) **If Required FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period tror. through SCHEDULEI NAME OF FILER DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT RECEIVED [~F COMMITTEE ALSO ENTER I D NUMBERI Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ NUMBER AMOUNT OF INCREASE TO CASH 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 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC