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Home My WebLink AboutKC EMPLOYEES PAC PREELEC00(2)Recipient Committee Campaign Statement (Government Code Secllo~ 8420084216,5) Typeorlxtntlnlnlc SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: N~ Committees -Complete PNtl 1, 2, 3, Ind 7. [] Officeholder, Candidate Controlled Committee [Also Com~fe Pall 4.) [] Ballot Measure Committee 0 Primarily Formed O Controlled O Sponsored (A~so Compiete p~ 5.) [] Pdmadly Formed Candldatel Officeholder Committee (A,~ocem~etePa,~e) 1~- General Purpose Committee O Sponsored . ,(~Broad Based CITY COVER PAGE -" 460 FORM Dlteofelectlonffappllcable: ~ I~ ~ of 7 '1 ~ Fo~OffidalUseOnly 2. Type of Statement: ~i~t, Pre-election Statement ,. [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Repod [] Supplemental Pre-election Statement - Attach Form 495 Treasurer(s) MAILING ADDRESS OPTIONAl.: FAXIE-MAILADDRESS FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of Callfomla Recipient Committee Campaign Statement Cover Page ' Part 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Type or pdnt in Ink. 5. Ballot Measure Committee NAME OF BN. LOT MEASURE COVER PAGE * PART 2 CA',FORN,A 460 FORM OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF ~PPUC~BLE) RESIDENTIAL/BUSINESSADDRESS (NO. ANDSlItEET) CIIY STATE Related Committees Not Included In this Statement: Llstanycommlffees not Included in this consolidated eeatement Ihat are confrolled by you Or Which are IN#r~'fly NAMEOFTREASURER COMMITTEEADDRESS CITY Identify the Centroll Ing officeholder, Candidate, or ctate measu re proponent, If any. NAME OF OFFICEHOLDER. CANDIDATE OR, PROPONENT OFFICE SOUGHT OR HELD ~ DISTRICT NO. IF ANY 6. Primarily Formed Committee Llstnamesefof~ccholdefe)~rCandldale(s) for Wh/ch thle committee If Iafmadly retread. NAME OF OFFICEHOLDER ON CANDIOATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE [] SUPPORT [] OPPOSE •SUPPORT •OPPOSE 7. Verification I have used all masonable diligence in prepadng and reviewing ths statement and to the be of my kn ledge the information contained heroin and in the attached schedules is true and COmplete, I cedify under penalty Of perjuW under the la of State of Cal' that the fo oing Is true and COrrect. By By DATE Executed on By FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California Campaign Disclosure Statement Summary Page ~ or print in Ink. Amounts may be rounded to whole ddlars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1, Monetary Contributions ................. ~ ..................~ ................., Schedule A, Line 3. SUBTOTAL CASH CONTRIBUTIONS .....+ ............................. Add LInes f + 4. Nonmonetary Contributions ........................ L .....................Schedule C, Line 5, TOTAL CONTRIBUTIONS RECEIVED .................................... Add LInes 3 + . Expenditures Made 6. Payments Made ....................................................................' 7. Loans Made ...................................................... 8. SUBTOTAL CASH PAYMENTS ................................................ AddLinesS+7 9. Accrued Expenses (Unpaid Bills) ............................................Schedule F, LIne 10. Nonmonetary Adjustment .......................................................Schedule C. LIne 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 above 14. Miscellaneous Increases to Cash .......................................Schedule I, LIne 4 15. Cash Payments ............................................................ColumnA, LineSabove 16. ENDING CASH BALANCE .............. Add Lines t2 + 13 + 14, then subtract Line 15 If this is a termination statement. Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part I, 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 SUMMARY PAGE · From previous statement Summary Page. Column C. However. if this is the first report filed for lhe Calendar year, Column B should be blank exCept for Loans Received (Line 2), Loar~ Made (Line 7), and Accrued Expenses (Une 9). __ Summary for Candidates In Both June and November Elections 20. Contributions Received ............ $ 21. Expenditums Made .................. $ FPPC Form 460 (8/99) ForTechniCal AssistanCe: 916/322-5660 Schedule A Monetary ContdbuUons Received Type or pdnt In Ink. Amounts may be rounded to whale dollars. SEE INSTRUCTIONS ON REVERSE DATE FULLNAME, MAILINGADONESS/~NDZIpCODEOFCONlltlBUTOR CONTRIBUTOR ~ ~/~ Centrd Cal'~farnta Association of Public Emp~yees [] IND [] COM Z C~ 0 [] IND [] COM [] OTH []IND [] COM [] OTH [] [] COU [] OTH []IND [] COM [] OTH "! :: ' ...','o','., '=:1 Schedule A Summary :"; · - .- 1. Amount received this pedod - contribuUons of $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... $ 2. Amount rec6Ned this pedod - unitemized cont~buUons of less than $100 ......................................... $ 3. Total monetary contdbuUons received this pedod. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ................... TOTAL $ AMouNT CUMULATIVE TO DATE RECEIVED ThqS C/d. ENDAR YEAR PERIOD (JAN. 1 - DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) l*ContributorCodes INO - Individual COM - Redplent Committee OTH - Other FPPC Fon~ 460 (8199) For Technical Assistance: 916/322-5660 Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or pdnt In Ink. Amoum may be rounded to whole DATE CANDIDATE AND OFFICE, MEASURE ANO JURISDICTION, OR COMMITfEE 'Z [] Moneta~7 SCHEDULE D ~ FORM .,.....10[~, ]Zc:Z:oI ... ~ o, 7 I.D. NUMBER DESCRIPTION OF NONMONETARY CON11~IBUTION AMOUNTTHISPERIOR CUMULATIVEAMOUNT {IF REQUIRED) C~nd~rYeer ,/c,.,7 01her Calendar Year Schedule D Summary 1. Contributions and independent expenditures made this pedod of $100 or more, (include all Schedule D subtotals.) ........................................ $ 2. Unitemized contributions and independent expenditures made this pedod of under $100 ..................................................................................$ 3. Total contributions and independent expenditures made this pedod. (Add Lines 1 and 2. Do not enter on the Summary Page.) ........ TOTAL $ FPPC Form 460 (8/99) ForTechnlcalAsslstance: 916/322-5660 Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER DATE suppod [] opp~e Osmx~ D~ Osmx~ lype or pdnt In Ink. Amounts may b rounded towholedollars. TYPE OF PAYMENT I-]V~etary ~rdmxm~ ~,,o.oJ O//Z~/~c~,:,I DESCRIPTION OF NONMONETARY (IFREQUIRED) SCHEDULE O (GONT.) ' cAL,Fo..,A 460 FORM AMOUNT THIS PERIOD CalendarYear Olher $ Calendar Year $ Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF RLER Type or print In Ink. Amounts may be rounded bedoil/re. SCHEDULE E Statement ouver~ pedod cA.,FoR.,,, 460 FORM CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment. CMP campaignparaphemalla/mtsc ..... CNS campaignconsultants CTB contdbutJon(explainnonmoretery)., CVC civicdonations FND [undraisingevents IND independent expenditure suppodi~ othem {explain)' LIT campaign literelure and mailings MTG meetingsandappemances OFC olflceexpenses t!j:f'l~ !!'--,-[ PET pellfondrctdalleg 'PHO phonebanks ' t,i,~: · , POL ' poffingandsun~eyresearch POS postege, delive~andmeseengefsef~;ces , , PRO, pmfesalonel Mtvjces(lagal, ea:o~) PRT. pehtads RAD radloalffirneendpmduclioncosts "' , RFD reamedcontributions SAL Campaign workms Salaries TEL Lv. or cable airlime and production costs TRC Candidatetmvd. lodging and meals (explain) TRS steWspouse bend. lodging and meals (explain) TSF tmnsferbelweencammieesofthesamecandidate/sponsor VOT voterregistration WEB Inionna6ontechndogycosts(intemet. e-mail) CODE' OR ~ DESCRIPTIONOFpAYMENT AMOuNTPAID * Payments that are contributions or Independent expendlturos must also be SUmmarized on SChedule D. Schedule E SummaW 1. Payments made this pedod of $100 or more. (Include all Schedule E subtotals.} ............................................................................................... $ 2. Unitemized payments made this period of under $100 ...................................... : .................................................................................................$ 3. Total interest paid this pedod on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ 4. Total payments made this pedod. (Add Lines 1, 2, and 3. Enter hera and on the Summary Page, Column A, Une 6.) ......................... TO]'AL $ FPPC Form 460 {8/99) For Technical Assistarise: 916/322-5660