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HomeMy WebLinkAboutKC EMPLOYEES PAC PREELEC99(1)Recipient Committee Campaign Statement (Govemrnefl! Code SeciJons 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Date stamp O~.of~.,o.., -8 PM 1: Il (~°mh'°aY'Y~'~AKEi" SFI~L.D CF~Y CLERK COVER PAGE Page I of -~ 1. Type of Recipient Committee: All Committees - Complete Perle 1, 2, 3, altd 7. [] Officeholder. Candidate Controlled Commiltee (AC~o core. ere Pa~ 4J [] Ballot Measure Committee 0 Primarily Formed O Controlled O Sponsored (Also Complete Parl 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Patf J~General Propose Committee O Sponsored J~Broad Based 3. Committee Information UAII_ING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. SOX CITY STATE ZIP CODE AREA COOF. JPHO~E OPIIONAL: FAX / E-MAIL ADDRESS 2. Type of Statement: ~Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Oualtady Statement [] Special Odd-Year Report [] Supplemental Pm-election Statement - Attach Form 495 Treasurer(s) ITY ( . FPPC Form 460 (8/99) For ?eehnleat Asel~tanoe: State of Calitornla Recipient Committee Campaign Statement Cover Page-- Part 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Typo of print In ink. 5. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page ~ al --7 OFF ICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRE SS (NO. AND STREET) CITY STATE ZiP Related Committees Not Included In this Statement: Llstanycommltteas not included In this consolidated s Mtemen t ~ha t are controlled by you or which are primarily formed to receive contrlbutlonf or to make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS I.D NUMBER CON~ROI_LED COMMITTEE? [] ~Es [] NO STREET ADDRESS ~ P.O. BO;" [] SUPPORT [] OPPOSE IdeflUly ~he conbolllng officeholder, candidate, or state meaaure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY I 6. Primarily Formed Committee LlsttTEmesofofflceholde~(s)orcandldate(s} for which Ihlg committee I~ ~n~fl~ formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HE LD [] SUPPORT NAME OF OFFICEHOU:)ER OR CANDIDATE OFFICE SOUGHt' OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] OPPOSE [] SUPPORT []OPPOSE []SUPPORT •o~osE 7. Verification A~ac~ ~.~...=~ ~e= frenchman, I have used all reasonable diligence in preparing and reviewing th~ statement and to the best of ~ ~owledge ~e infarction contained herein and in the attached schedules is true and co~lete, t ce~y under pena~ of perju~ under the la~ of the Stat~rn~ th~the foregoing b tree and co~t. E u edo. By Executed on Execuled on By OATE Executed on By DATE FPPC Form 460 (8/9g) For Technical Aaalatance: glG/32,2-6660 State 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 doltara. from *-7// /~ Contributions Received 1. Monetary Contributions ...................................................... ScheduleA, Line 2. Loans Received ................................................................... Schedule e, Line 3. SUBTOTAL CASH CONTRIBUTIONS ................................... AddLInes t + 4. Nonmonetary Contributions ............................................... Schedule C, Line 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + Column A I'OTN. THIS FEPaOD s SUMMARY PA~K Page ~ of "~ I.D. NUMBER Column B* Column C Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 7. Loans Made .......................................................................... Schedule H, Line 8. SUBTOTAL CASH PAYMENTS ................................................ AddLines 6 + 9. Accrued Expenses (Unpaid Bills) ............................................Schedule F, Line 10. Nonmonelary Adjuslment ....................................................... Schedule C, Line 11. TOTAL EXPENDITURES MADE ......................................... AddLinesa+9+ l0 Current Cash Statement t 2. BegiRning Cash Balance ................................ Previous Summary Page. Line t6 t 3. Cash Receipls .............................................................. Column A. Line 3 above 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A. Line S above 16. ENDING CASH BALANCE .............. Add Lines t2 + 13 + t4, then subtract Line tS ff this is a termination statement, Line t 6 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule S, Pert t, Column (b) Cash Equivalents and Outstanding Debts 18, Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... ,~d~ Line 2 + Line 9 in Column C above · From previous statement Summaly Page, Column C. However, ff this is the flrsl repart flied for the calendar year, Column B should be blank except Im Loans Received (Line 2), Loans Made (Lkm 7), end Accrued Expenses (Line g). Summary for Candidates In Both June and November Elections 111 Ihrou~l 6~'30 71l to Dale 20. Contributions Received ............ $ 21. Expenditures Made .................. FPPC Form 460 (8/99) For Technical A~elstance: g1G/322-5660 Schedule A '~y.,, or i~int in ink. SCHEDULE A DATE FULL NAME. MAIUNG ADDRESS AND ZIP CODE OF CON~IBUTOR CO~RIBUTOR ~UPA~ AND EM~YER RECE~ ~IS CALENDAR Y~R O~ER IND ~TH j , 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 lhan $100 ......................................... $ 3. Total monetary contributions received this period. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1 .) ................... TOTAL $ IND - Indtvldu~ COM - Redeem Cornn~ FPPC Form 460 (8/99) For Technical A~al~tance: g1G/~22-SG60 Schedule A (Continuation Sheet) Type or prlnt Inlnlc SCHEDULEA ~ IND ~ COM ~ OTH ~ ~NO D COM ~ OTH ~ COM ~ OtH ~ IND ~ COM ~ OTH ~ cou BOTH SUBTOTAL [*Co~tributcr Codes IND - Individual COM - Redpient Commiltee OTH - Other FPPC Form 460 (8/99) For TeclmlcM A.slstance: 916/822.5660 Schedule D scHEDULE D Summar 'ot Expenditu resTy.* or print in Ink. ~-'--;--+~,~,~; covers period tglOpposing Other towho~ ~l~r~ ~S, Measures and Commi~ees ~om ,NS ON REVERSE ~rough ~ J~/~ ~ge~ of 7 I I.D.~I.D. NUMBER O~er D I~pe~ent ~ S~d ~ Op~e E~e $ ~ o~er ~ ~ ~e~r Year 0 Sup~ O O~e ~ S SupportinglOi Candidates SEE INSTRUCTIONS ON RE NAME OF FILER DATE SUBTOTAl.$ ~.~). ~ Schedule D Summary 1. Contributions and independent expenditures made Ihis period of $100 or more. (Include all Schedule D subtotals.) ........................................ $ ~--'-~) ' 2. Unilemized 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 $ ~. (~c~. FPPC Form 460 (8/99) For Technl¢II AIiIstance: 916/322-5660 Schedule E Payments Made Type or print In ink. Amounts may be rounded to whole dollare. SEE INSTRUCTIONS ON REVERSE NAME OF FILER k e_A CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP can~aign paraphernalia/misc. CNS campaign consultants CYB cant dbutio~ (explain no~mo~etmy) · CVC civic danalions FND fu~lraising events IND independent expenditure suppeding/~ o~em (explain)' LIT campaign literature and mailings MTG meelings and appearances DFC ollice expenses PET pellllon clnAJat'~g Pice p~:~ b~ POL pol~tg and anwey msanmh POS PRO PRT print ads RAD radio et~me and ixnducllon costs SCHEDULE F Page '-'7 of '7 ID. NUMBER IC:) z_ RFD ratumed contflbu~(xts SAL ca,Deign workers salaries TEL Lv. or cable Ilirtlme and pfoducllon costs TRC candidate travel, lodging and manls (explain) TRS sleWspouse travel, lodging and manls (explain) TSF Iransle r beh*raan committ ees el fi3e same can~date/speoso r VDT voler raglslralion WEB Informa~m technology costs 0nternet. e-mail} NAME AND ADDRESS OF PAYEE OR CREDITOR (If CouMn'TEE. ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID z_os F/q b I * Paymante thet are contribution, or Independent expenditures raust also be summ.ntzed 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 oulstanding 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 FPPC Form 460 (8/99) Fei' Technical Aseletence: 916/322-5660