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Home My WebLink AboutPRICE SEMIANN00(1) ecipie~t Committee Cai~paign Statement (Government Code Sec§Des 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covera pedod from -/' through Dale Stamp Date of elecUon if applicable: (Month, Day, Year) 0[!JUL21 AHII:35 ERSFIELD CITY COVER PAGE Page. / of 6 For Ol~icia; Use Only 1. Type of Recipient Committee: All Committee~ - Complete Parts f, 2, 3, and 7, ~ Officeholder, Candidate Controlled Committee (Also Complete part [] Ballot Measure Committee O Primarily Formed 0 Confroiled O Sponsored (A/so Complete Part 5.) [] Primarily Formed Candidate/ Officeholder Committee [~ General Purpose Committee O Sponsored O Broad Based 3. Committee Information NUMBER COMMI3-rEE NAME - CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 2. Type of Statement: [~ Pm-election Statement ,[~ Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) NAME Oq TREASURER MAILING ADDRESS CITY NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS CIT~ STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ABDRESS CiTY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS FPPC Form .i60 For Technical Aeel~tan~e: 916/3;~2-5550 State of California · Recipient Committee Campaign Statement Cover Page m Part 2 Type or print in ink. COVERPAGE-PART2 · ~ of /~ 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD {INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINES S ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Llstanycommlttees not included in this conso#da ted statement that are con trolled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMIYrEENAME D. NUMBER NAME OF TREASURER CONTROLLED COMMIT'~EE? I-i YES [] HO STREETADDRESS (NO~O. BO) COMMITTEE ADDRESS CITY STATE ZIP CODE 7. Verification 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETrER JURISDICTION []SUPPORT (--]OPPOSE Identify the controlling officeholder, candidate, or slate measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD D~STRIOT NO. IF ANY 6. Primarily Formed Committee L/stn=,~,s ofo~ceholder(,) orcandldatefs) for which this committee I~ primarily formed. - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE Affach continuation sheets if necessary OFF~CE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE 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 '/'_ ,-~./- ~o,~ By DATE DATE Executedon By DATE -- /~ ~ SIOAfATURE OF TR~EASURER OR ASSISTANT TREASURER SIG~..~ OF G~:~T R(~O OFFICEHOLDEr, CANOIDATE, STATE MEASURE PROPONENT OR RESPONSISLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executedon By DATE SIGNATURE OF CONTROLDNd OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Aeaistanoe: 916/322-5660 State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAM E OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. SUMMARYP Statement covers period through ~ - ~'.'~d .:~-~?~ Page~ ~' of. ~ 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 .......................................................................... Schedu/e H, Line 7 8. SUBTOTAL CASH PAYMENTS ................................................ AddLines 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 Column A TOTAL THIS PERIOD Column B* TOTAl. PREVIOUS PERIOD (SEE NOTE BELOW) I.D. NUMBER Column C S Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line t6 13. Cash Receipts .............................................................. Column A, Line 3 above 14. Miscellaneous increases to Cash ....................................... Sched;#e I. £/n~ 4 15. Cash Payments ............................................................ column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14. then sublract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule S, Pa. l, Column Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outatandi~9 Debts ................................... Add Li.e 2 + Lin~ 9 ir~ Column C above · From previous statement Summary Page, Column C. However, If this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 111 thrOugh 6/30 7/1 in Date 20. Contributions Received ............ 21. Expenditures Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from /- /- d ~ ~'~ ~ SCHEDULE through ~- ~B. ~o Page '~ of ' ~ NAME OF FILER I.D. NUMBER ~P~z~d~ 1 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment? CMP campaign paraphernalia/misc. CNS campaign consultants OTB contribut[on (explain nonmonetary)* CVC civic donations FND fundraising events IND independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetings and appoarances CFC office expenses PET petition cimulating PHC phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT pdnt ads RAD radio air~ime 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 (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the came 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. NUMSER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAiD * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E sulS~totals.) ............................................................................................... 2. Unitemized payments made this period of under $100 ........................................................................................................................................ 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) .................................................. ~i.. 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) For Technical Assistance: 916/322-5660 Schedule E (~ontinuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from../~- /- through ~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphemalia~nisc. OFC officeexpsnses RFD returnedconldbu~ons CNS campaign consultants cTe contribution (explain nonmonetary}* CVC civic donations FNO farm'raising evenls IND independent expenditure supporting/opposing others (explain)' campaign literature and mailings PET paiJtion circulating PHO phone banks POL polling and survey research POS postage, deliver/and messenger sendcas PRO professional services (legal, accounting) PRT print ads SCHEDULE E (CONT.) MTG meefingsandappearances RAD radioairtimeandproductioncosts Page ~ of ....'.~ I.D. NUMBER SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, Indging and meals (explain) TRS staff/spouse lravai, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor 'VOT voter registra~on rr ' VV~"~u[mauon [ecnnology costs (interest, e.mail) NAME AND ADDRESS OF PAYEE OR CREDITOR IIF COMMITTEE. ALSO ENTER ID. NUMBER) CODE OR DEBCRIPTIO,N OF PAYMENT AMOUNT PAID e D, SUB¥O~AL ~o~ ?:. o o · FPPC Form 460 (8/99) For Technical Asslstsnce: 9~6/~22-5660 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 from r/- through SCHEDULEI I~age ~ of ~ NAME OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (iF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT LD. NUMSER AMOUNT OF INCREASETOCASH 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, Part 2 (b).) ................................. $ 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 (8/99) For Technical Assistance: 916/322-5660