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HomeMy WebLinkAboutKC EMPLOYEES PAC PREELEC00(1) (2)Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink, Statement covers period ,rom 1. Type of Recipient Committee: AII Commlttees-Complete Perts l,2,3, and T. [] Officeholder, Candidate Controlled Committee (Also Complete Part 4.) ELi Ballot Measure Committee O Pdmarily Formed O Controlled O Sponsored (Also Complete Pa~t 5.) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) ~ General Purpose Committee O Sponsored ,~/L, Broad Based Date Stamp 2. Tyl~e of Statement: ~ Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Expl~iin below) 3. Committee Information COMMITTEE NAME S~E~ ADDRESS (NO P.O, BOX) Treasurer(s) MAILING ADDRESS CITY NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS COVERPAGE 460: FoRM - For Official Use Only [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pro-election Statement - Attach Form 495 v\ STATE ZIPCODE AREACODE/PHONE CITY OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIPCODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS STATE ZIPCODE AREACODFjPHONE FPPC Form 490 (8/99) For Technical Assistance: 916/322-5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 4, Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Type or print In ink. 5. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESSADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this consolidated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME i,D. NUMBER NAME OF tREASURER COMMITTEEADDRESS CITY CONTROLLED COMMITTEE? [] YES [] NO ' STREET ADDRESS (NO P.O. BOX~' STATE ZIP CODE BALLOT NO. OR LETTER JURISDICIION ~[]~ SUPPORT OPPOSE Ide~nttfy the controll lag officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE OR. PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 6. Primarily Formed Committee L/st names of ottlceholder(s) or candldate(s) for which this committee is primarily font;ed. NAME OF OEFICEHOLDER OR CANDIDATE ' - NAME OF OFFICEHOLDER OR CANDIDATE AREA CODE/PHONE ~A~E OF (;~ICEHOLDER OR CANDIDATE Attach coniinuation sheets if necessat]/ OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD 7. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the est of my knowledge the information contained herein is true and complete. I certify unde, r penalty of pedury under the la of the tate of ' ia~ that the re oing is true and correct. DATE Execuled on DATE E×scutedon [~SUPPORT E~OPPOSE •SUPPORT E3OPPOSE •SUPPORT E]OPPOSE and in the attached schedules SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE. STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8199) For Technical Assistance: 9t6/322-5660 State of California Campaign Disclosure Statement Summary Page Type or print In ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER 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 ................................................ Add Lines 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 Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line 16 13. Cash Receipts ..............................................................Column A, Line 3 aheve 14. Miscellaneous increases to Cesh .......................................Schedule I, Line 4 15. Cash Payments ............................................................Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14. then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule S, Part 1, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above Colunln A TOTAL THIS PERIOD SUMMARY PAGE StateTntcTersPerlod CAL!FORN(A460 from .eg, 0, i through ~~' I Column B* Column C TOTA~ PREVIO US PERIOD TOTAL TO DATE * From previous statement Sum maW Page. Column C. However, il this is the first report filed for Ihe calendar yea r, 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 throu0h 6~30 711 to Dale 20. Contributions Received ............ $ ~ 2t. Expenditures Made .................. $ FPPC Form 460 (8/99) ForTechnical Assistance: 916/322-5660 Schedule A Monetary Contributions Received Type or print In Ink. Amounts may be rounded to whole dollars, SEE INSTRUCTIONS ON REVERSE NAME OF FILER PrOd- DATE RECEIVED 7>': FULLNAME, MAILINGADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR _J ........... -j ~'uolic Empbyee8 ...... Central cdiforn~ ,qmodation qf Public Empbyees IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (iF SELF*EMPLOyED, ENTER NAME OF t]USINESS) SCHEDULE A 0A'F0 .,A 460 FORM AMOUNT CUMULATIVE TO DATE RECEIVED THIS CALENDAR YEAR PERIOD (JAN, 1 * DEC. 31) ~IND "'~OTH [] IND [] 0o. C,k,,,,., o ,,-,~ r~ ct.' g0TH D IND [] COMLA,>,-,. ~ ,,.o,,-,,[ ©O E- ,- BLOTH FIIND aco~ (-k~ o ~o'7 5 [~OTH SUBTOTAL Schedule A Summary 1, Amount received this contributions of $100 or more. period - (Include all Schedule A subtotals.) ....................................................................................................... 2. Amount received this pedod = unitemized contributions of less than $100 ......................................... ~..ota, moneta~ eo.tdb.tioRs received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ...................TOTAL i 5~bO CUMULATIVE TO DATE OTHER (IF APPLICABLE) *ContributorCodes IND - individual COM - Recipient Committee OTH - Other FPPC Form 460 (8~99) ForTechnlcalAsslstance: 9161322-5660 Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In ink. Amounts may be rounded towhole dollars. NAME OF FILER ~c~A P DATE RECEIVED FULLNAME, MAILINGADDRESSANDZiPCODEOFCONTRIBUTOR CONTRlitUTOR f ....... '~,entrcdCa~fornta ! ASsodo, t~on~PublicEmp~yee8 ~soc~ ~Publ~ Emp~ CODE * [] IND [] COM t~OTH [] IND [] COM ~LOTH [] IND [] COM [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH SCHEDULE A (CONT,) 4 6 0 IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATIONANDEMPLOYER RECEIVEDTHIS (IF SELF'EMPLOYED' ENTER NAME PERIOD OF BUSSNESS} [] IND [] COM [] OTH *Contributor Codes IND - Individual COM - Recipient Commlltee OTH - Oth r' CUMULATIVE TO DATE CALENDARYEAR (JAN I - DEC 31) ~ q z ,. I-7 'TG, I CUMULATIVETODATE OTHER (IFAPPLICABLE) FPPC Form 460 (8~99) For Technical Assistance: 9161322-5660 Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE :~,,Support [] Oppose {~9,,,,Suppon [] Oppose Type or print In ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT o nbution [] Non-Monetary Contribution [] independent Expenditure J~_MoP~tapj Contribution [] Non-Monetary Contribution [] Independent Expenditure ~ Monetap/ Conldbution [] Non-Monetar~ Contribution [] Independent Expenditure SCHEDULED s,.._./o./,.ps,,od A',FOR.,A 460 from ~'7 / Z'c~_~D: FORM DESCRIPTION OF NONMONETARY CONTRIBUTION (IF REQUIRED) AMOUNT THIS PERIOD sumoraL $ CUMULATIVE AMOUNT CalendarYear Catandar Year S CalendarYear Olher $ Schedule D Summary ~. Co.tributioRs a,d iRdepeRdeRt e×peRditores merle this period or $~ 00 or more. (~ndude a, 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 Summa~ Page.) ........ TOTAL FPPC Form 460 (8/99) ForTechnical Assistance: 9161322-5660 Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITFEE ,l~F-s~ppe" [] Oppe~e Type or print In Ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT [] Non-Monetary ContribuUon [] Independent Expenditure [] NamManetary Cantribution [] Independent Expenditure ,l~L_Monetary Contribution [] Non-Monetary Contdbution [] Independenl Expenditure [] Non-Monelary Conthbution [] thdependent Expenditure DESCRIPTION OF NONMONETARY CONTRIBUTION {IF REQUIRED) SCHEDULE D (CON~ Statementcoversperlod CALIFORN A AMOUNTTHIS PERIOD SUBTOTAL CUMULATIVEAMOUNT Calendar Year Other CalendarYear Olher Other CalendarYear Other $ FPPC Form 460 (8199) ForTechnlcalAsslstance: 9161322-5660 Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAM~ OF FILER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITfEE Support [] Oppose Suppod [] Oppose {~,,Suppod [] Oppose [] Support [] Oppose Type or print In Ink. Amounte may be rounded to whole dollars. TYPEOFPAYMENT ~ Monetary Conlribution [] Non-Monetary Conthbution [] Independent Expenditure [] Non-Monetary Contribution [] Independent Expenditure li],.,Monetary Contdbution [] Non*MonetaW Contdbution [] Independent Expenditure [] Monetary Contribution [] Non-Monetary Contdbution [] Independent Expenditure DESCRIPTION OF NONMONETARY CONTRIBUTION 0F REQUIRED) SCHEDULE D (CONT,) through -- _ Page of AMOUNT THIS PERIOD CUMU~TIVE AMOUNT SUBTOTAL Calendar Year Other CalendarYear Other Calendar Year Other Calendar Year Other FPPC Form 460 (8/99) ForTechnlcalAsslstance: 9'161322-5660 Schedule E Type or prlnt in lnk. SCHEDULEE SEEINSTRUCTIONSONREVERSE through ~ ~ CODES: If one of the following codes accurately describes the payment, you may enter the code, Othe~ise, describe the payment. CMP campaignparaphemalia/misc. CNS campaignconsul[ants CTB contdbution(explainnonmonetar~)' CVC civicdonations FND fundraising events IND indepepdentexpendituresuppoding/opposingothers(explain), LIT carnpalgnlileralureandmailings MTG meeljngsandappearances OFC officeexpenses PET pelilioncirculating PHO phonebanks POL pollingandsurveyresearch POS poslage, defiveryandmessengersen~R:es PRO professional se~,ices (legal, accounting) PRT print ads PAD radioai~lirneandproduclioncosts NAME AND ADDRESS OF PAYEE OR CREDITOR {IF COMMITTEE' ALSO ENTER I D NUMBER) CODE OR * Payments thai are contribullons or Independent expenditures must a16o be summarlled on Schedule D. RFD retumed contributions SAL campaignworkerssalaries TEL t.v. or cable airtime and produclion costs TRC candidatetravel,lodgingandmeals(explain) TRS staff/spousetravel, lodging and meals (explain) TSF transferbetweencommiiteesofthesamecandidate/sponsor VOT voterregistralion WEe infonnat~nlechnok~gycosls{intemet, e.mail) DESCRIPTION OF PAYMENT AMOUNTPAID SUBTOTAL $ 7 5Eb(-r:-,) 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. Tolal interest paid this period on outstanding loans. (Enler amount from Schedule B, Pad 2, Column (d).) ....................................................... 4. Tolal payments made th s period. (Add Lines 1,2, and 3. Enter here and on the Summa~ Page, Column A, Line 6,) ......................... TOTAL FPPC Form 460 (8/99) ForTechnical Assistance: 9161322-5660 Schedule E (Continuation Sheet) Payments Made SEE iNSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaignparaphemaWiaJrnisc. OFC olficeexpenses RFD returnedcontributions SCHEDULE E (CONT.) CA',FOR.,A 460 FORM CNS campaignconsullanls CTB conldbution{explainnonnnonetary)' CVC civicdonations FND fundraising events IND indePendenlexpendituresupportinglopposingothers(explain), LIT campaign literalure and mailings MTG meetingsandappearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I O NUMBER) PET petition circulating PHO phonabanks POL pollingandsurveyresearch POS postage, dellveWandmessengerservlces PRO professionalsen~ices(legaLaccounting) PRT print ads RAD mdioaldimeandproductloncosts CODE OR SAL campaignworkerssalaries TEL t.v. or cable airtime and production costs TRC candidaletraveUodgingandmeals(explain) TRS staff/spousetravel, lodging andmea/s(explain) TSF Ironsfar between cornretirees of Ihe same candidate/sponsor VOT voterregistration DESCRIPTION OF PAYMENT WEB Information tedmologycosts(tnlernet, e-mail) AMOUNT PAID FPPC Form 460 (8199} ForTechnlcalAsslstance: 9161322-5660 Schedule E (Continuation 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 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E (CENT.) CALlFeRN A FORM 460 CMP campaignparaphemalia/misc. CNS campaignconsultants CTB contdbution(explainnonmonetary)* CVC civicdonations FND fundraising events IND independent expenditure suppodinglopposing others (explain)* LIT Campaign literature and mailings MTG meetjngsandappearances NAME AND ADDRESS OF PAYEE OR CREDITOR (~F COMMITTEE, ALSO ENTER I.O NUMBER) OFC officeexpenses PET petgionckculating PHO phonebanks POL polling and survey research POS postage. delivenTandmessengerservices PRO professional services (legal, accounting) PRT printads RAD radioaidimeandproductloncosta RFD returned contdbulions SAL campaign workers salaries TEL t.v, or cable aidline and production costs TRC candidatetravel, lodging and meals(explain) TRS staff/spouse travel, lodging and rnears (explain) TSF transferhetweencommiltaesotthesamecandidate/sponsor VeT voterregistration WEB inforrnationtachnologycesta(internet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL S ?/C'~ O(")(r) FPPC Form 460 {8199) ForTechnlcalAsslstance: 916/322-5660