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Home My WebLink AboutKC EMPLOYEES PAC PREELEC00(1)PRIMARYRecipient Committee Campaign Statement ~ or I~tnt In Ink. (Govemmont Code Sections 84200-84216.5) 1. Type of Recipient Committee: ~ committees - complete Parts 1,2, 3, and 7. D~ta of election If appllcaU~J (Month, Day, Year) ~AKE Date St~mp 2. Type of Statement: [] Officeholder, Candidate Controlled Committee (A/so complete Pa~t 4.) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (A/so Com~ete PertS. ) [] Pdmafily Formed Candidate/ Officeholder Commiltee (Also Comptete Pert 6.) "~. General Purpose Committee O Sponsored ~, Broad Based '~ Pm-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) COVERPAGE Page t of ~ [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR ~O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX ! E-MAll. ADDRESS Treasurer(s) MAILING ADDRESS CITY STATE ZIP CODE AREA COOE/PHON E NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE FPPC Form 460 (8/99) For Technic, al Assistance: 916/322-5660 Stab of Calffomla Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 F,.. Z-- of 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 5. Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLU DE LOCATION AND D~STRICT NUMBER IF APPLICABLE) RESIDE NTIAL~ USI N ESS ADD RESS (NO. AND S"reEET) CITY STATE ZIP BALLOT NO. OR LETTER JURISDICTION [] SUPPORT [] OPPOSE Ider41fy ~te ~ontrolllng officeholder, can,edate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT Related Committees Not Included In this Statement: Ll~tanycommlttees not Included In this consolidated ~tatement that are conb~tled by you or which am primarily NAME OF 1REASURER I C~TROLLEOYES COMMITTEE?[] NO CITY STATE ZIP COOE 7. Verification OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee L~t,..,~ofo~,~o~=..~d~*) 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 ~ue and complete. I certify under penally of perjur~ under the lavl~s of the State of~.C.C.C:~/~mia thal',l~le foregoing is true and correct. Executed on By DATE Executed on By DATE Executed on By DATE FPPC Form 460 (8/99) For Technical Assistance: 916/322.5660 State of California Campaign Disclosure Statement Summary Page SEEINSTRUCTIONSONREVERSE 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, 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 7 8. SUBTOTAL CASH PAYMENTS ................................................ AddLines6*7 $ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule ~ Line $ 10. Nonmonetary Adjustment ....................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + tO $. Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line t6 $ 1 3. Cash Receipts .............................................................. Colu/nn 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 $ ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule S, l~er~ l, Column (b) $. Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See inatructions on reverse $ 19. Outstanding Debts ................................... Add Line 2 + Line § in Column C above $ Type or pdnt In Ink. Amount~ may be rounded to whole dollam. SUMMARY PAGE I.D. NUMBER Column A Column B* Column C '0 * From previous statement Summary Page, Column C. However, if this is Ihe first report flh~d for the calendar year, Column B should be blank except for Loans Received (Une 2), Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 111 ~rough 6/30 7/1 to Date 20. Contributions Received ............ $ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule A Typ, or print I. Ink. SCHEDULE A Schedule A Summary 1. Amount received this period - contributions of $100 or more. (include all Schedule A subtotals.) ....................................................................................................... 2. Amount received this pedod - 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 *Cont~buto~ Codes J IND- Individual COM - Recipient Committee OTH- Other FPPC Form 460 (8/99) For T~chnlcal A~slstan~e: 916/322-5660 Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE ~p~ or print In Ink, Amount~ may be rounded to whole dollam, SCHEDULE D NAME OF FILER DATE CANDIDATE AND OFFICE, ME~SURE AND JURISDtCTIOfl, OR COMMfTTEE Support n O~x~e Support I~ Opfx~=e TYPE Of= PAYMENT [] Expe~re Cortt~t~tio~ Contnt~tio~ Expencll~ure I.D. NUMBER CUMULA~VEAMOUNT Calendar Year Calendar Year Cale~:lar Year SUBTOTAL 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 Ihis period of under $100 .................................................................................. $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on Ihe Summary Page.) ........ TOTAL $ FPPC Form 460 (8/99) Fo~ TeehnlcM AsMstance: 91~322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER SCHEDULE E I.D. NUMBER CODES: tf one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. IND independent expanditum supporting/opposing o~hers (explain)* LIT campaign literature and mailings DFC ofice exbenses PET pavilion circulating PHO phone banks POL Ix~ing and survey research POS postage, delivery end messerlger serv~es PRO pmf'--.msio~al servicas (lagal, accounting ) PRT print ads RAD radio airtlme and production costs RFD returned oontflbuflons SAL campa~n we~emsalaries TEL tv. or cable airflme and prnduction costs TRC candidate t ravel, lodging and meals (explain) TRS stafflspat~e travel, lodging and rneala (explain) TSF transfer between committees of the same candidate/sponsor VDT votur registm~Jon WEB infom3atio~ tech~31ogy costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMrCrEE, AL~O ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID %,11 * Payments that are ¢onfltbutlon$ or Independent expenditures mum also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ ~7'._'.'.~, 2. Unitemized payments made this pedod of under $100 ........................................................................................................................................ $ 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 Summary Page, Column A, Line 6.) ......................... TOTAL $ '~-~:~"~, FPPC Form 460 (8/99)