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HomeMy WebLinkAboutKC EMPLOYEES PAC SEMIANN01(1)Recipient Committee Campaign Statement (Go,~nMeflt Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or pdnt In ink. Statement covers period DMI of einctinn If a (m~onmh. Dray, y~) Date Stamp COVERPAGE 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee [] Ballot Measure Committee O Primarily Formed O Conlrolled O Sponsored [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Pa~ 6 ) '~. General Purpose Commiltee O Sponsored ~L Broad Based 3. Committee Information ,.O.,~E~) ~' =J Z..- ~ ~ ~ ~, '~'-+. 2. Type of Statement: [] Pre-election Statement ~-Semi-annual Statement [] Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Stalement - Altach Form 495 Treasurer(s) STATE ZIP CODE AREA ~ONE OPTIONAL; FAX / E-MAJL ADORESS FPPC Form 460 (8199) For Technical Assistance: 9161322.5660 State of California Recipient Committee Campaign Statement Cover Page -- Part 2 4. Officeholder or Candidate Controlled Committee Related Committees Not Included In this Statement: no~ lncluded ln thls ~on~olldalad stalam~t that a~e contzolled by you or whk;h am ~lmtfly fom~l to rec~ve contrlbutlons or to make expendltures on behalf of your r, am#dac~. T~o~ or IMnt in ink. 5. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 of lO CONIROLLED CO~dlTIEE? [] YES [] NO BALLOT NO. OR LETrER I ~ I D SUPPOaT I Mmltlfy the ¢onlzolllng officlhold~r, candidate, or stale measure Ix~ponent. if any. OFFICE SOUGH1' OR HELD I =STRICT ldO. IF I 6. Primarily Formed Committee NAME OF OFFICEHOLDER OR CANDIDATE OFF~CESOUGHT ORHELD [ [] SUPPORT I [] OPPOSE COM~IIt:t:ADORESS STREET ADDRESS (NOP. O. BOX) NAM~OFOFFICEHOU)ERORCANDtDATE OFFICE SOUGHT OR HELD I [] SUPPORT J r'] OPPOSE 7. Verification I have used all reasonable diligence in prepming and rev ew ng this statement and to the bept of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjur/under the law~ of the S~te of Caltf(x~'__that the fi~going Is trde and con'ect. By FPPC Form 460 (8/99) For T~,hnl;al Assistance: g16/322-5660 Slate of California Campaign Disclosure Statement Summary Page Type or print in Ink, Amounte may be rounded ~o whole dolterL SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ...................................................... Schedule A, Line 2. Loans Received ................................................................... Schedule B, Line 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add lines I + 4. Nonmonetary Contributions ............................................... Schedule C, Line 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines $ + Column A TOTAL ~flS PERIOD SUMMARY PAGE LD. NUMBER Column B* Column C $ ~ I ~c~ I Expenditures Made 6. Payments Made .................................................................... Schedule E, Line 4 $ 7. Loans Made .......................................................................... Schedule H, Line 8. SUBTOTAL CASH PAYMENTS ................................................ Add Lines 6 + 7 $ g. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3 10. Nonmonetary Adjustment ....................................................... ScheduleC, Line3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines a $ $ 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. Linegebove 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + t4, 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 Equivalenls ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column C above * From Ixevious statement Summmy Page, Column C. However, il'this is the first repmt filed for the calendar year, Column B should be blank except for Loans Received (Line 2). Loans Mede (Une 7), and Accrued Expenses (Line 9). · Summary for Candidates in Both June and November Elections 20. Contributions Received ............ $ 21. Expenditures Made .................. FPPC Form 460 (8199} For Technical Assistance: 9161322-5660 Schedule A Ty., or print in Ink. SCHEDULE A Monetary ~;ontrlDutlons Received SEE INSTRUCT,~S ON REVERSE ~roug ~ ¢~ Emp~ a IND ~ ~ ~ ~TH l- t~ ~,~ ~~ o,.~ ~ DCOM I ~OTH ~COM C~r Ca~f~ia ~socia~ of ~bl~ ~ ~ IND ~ --~ ~ ~OTH Schedule A Summary 1. Amount receded this period - contributions ot $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... 2. Amount received this period - 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 IND - Individual COM - Recipienl Commiltee OTH - Other FPPC Form 460 (6/99) For Technical Assistance: 916/322-5660 Schedule A (Continuation Sheet) Typ, or print In ink, Monetar SCHEDULE A (CONT.) ~ ~ ~ ~sociat~n o/Publ~ Emp~e~ 0 INO , ~OTH Ce.~6 C.~[o~  - ~ ~ ~socim~n of Pubic Emp~ ~ mND ~OTH , ~ OTH ~ _~ ~soc~ti~ of~bl~ Emp~ ~ lNo ~OTH I On~c~ '-~ B mNO ' IND - Individual COM - Recipienl Committee OTH - Other FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule A (Continuation Sheet) ~.- or p,~ ~ ~L Monetar, Contril Uom ~ SC,~UL;^ (com.) ~ ~.~lU.~ ~ , ~~0~~~ ~ ~ I OT~R " ~ ~-~;~F,~ ~-- ~ (J~l ~C31) (IF ~E) I ~ ~OTH ' D IND ~ c~ ~o~ ~o~ 0 IND D co~ ~om D ~ND ~ COM D O~ ~ IND ~ eom ~ o~ FPPC Form 4SO Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE tNSTRUCTIONS ON REVERSE NAME OF FILER SCHEDULE D I.D. NUMBER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDIC11ON, OR COMMITTEE ,~[ Suppod I-] Oppose ~,.Suppo~ [] Oppos~ tYPE OF PAYMENT ~[ Monetary Conlribution [] Non*Monetary Cont~butJon [] Independent Expenditure [~L Moneta~ [] Non-Monetary Contribu~o~ Expenditure DESCRIPTION OF NONMONETARY {IF REQUIRED) CUMULATIVE AMOUNT Calendar Year $ Other Calendar Year $ Olher Olher [~ sumo. [] ~ 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 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 FPPC Form 460 (8199) For Technical Assistance: 9t61322-5660 Schedule D (Continuation Sheet) ~ ..................... I SCHEDULE D/CONT. Summary of Expenditures~oun~TypeerpHntlnlnk'mayberounded ~,:::::: ;covem~,[~,G ~ F~I[~' I Supporting/Opposing Other ~,~edo[~r,. I-- ~ - 0 I ,om ~ Ill Candidates, Measures and Committees DATE CANDIDATE AND OFFICE, DESCRIPTION OF NONMONETARY MEASURE AND JURISDICTION. O~ COMMITTEE TYPE OF PAYMENT CONTRIBUTION AMOUNT THIS PERIOD CUMULATIVE AMOUNT (IF REQUIRED) Cogitation Ot~er C.~,{ ~ o~ 5,-cfJ~.~.., C_~. ~'~-p~.'u ,~o,- [] ~.~ ~ ~ OIh~ ~ O~ SUBTOTAL FPPC Form 460 (8199) For Technical Assistance: 916/322-5660 Schedule D (Continuation Sheet) ? O~ O~ 0 ~ FPPC Fo~m 460 For T~hnical A.tlst;n=l: g161322-$$60 Schedule E Payments Made Type or pdnl in Ink. Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OFC olflce expense~ PET pe~lon cbaJaling PHO phone I~nks POS postage, deemflrand messe,'~er sen4a~ PRO PRT pdnt ad~ RAD radio sVdme and pmduc~n c~t~ SCHEDULE E I.D. NUMBER RFD retun~ld oo~lJofl$ SAL can~aign vmd~s salams TEL Lv.~a~~ TRC ~.~m~(~) mS ~v~,~ ~m~(ex~) TSF ~~~~ VOT ~ WEB ~ ~ (~e~, ~) * Payment~ Ilmt are cmttrlbutlon$ or Independent expenditures must stso be msmmadzzd on Sebedule O. SUBTOTAL Schedule E Summary 1. Payments made this period of $100 or more. (Include ell Schedulo E subtotals.) ............................................................................................... $ 2. Unitemized payments made this period of under $100 .............................................. $ ' 3. Total i,nterest paid this period 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 here and on the Summary Page, Column A, Line 6.) ......................... TOTAL $ ~:~ FPPC Form 460 (8199) For Technical Assistance: 916/322-5660 Schedule E (Continuation Sheet) Payments Made SEEINSTRUCTIONSONREVERSE Type or print In Ink. Amount. nmy be rounded to whole ck)Jl~cs. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe bX~e payment. CMP semt~aign paraphemalia/misc. CNS campaign consdtsnts Cm c~=n (explain nmmanet~]' CVC civic donalions FND fundraising events IND Inde~endent expendilure suppo~ling/opposlng others (explain)* LIT camPagn litsrature and mailings MTG meelJflgs and appea;ances OFC olltce eq~nses PET pe~on c~ PHO plxme b~'drs POL pdin~ ~nd su~ey research POS ~,~a~~ PRO ~ ~ (~, ~) PRT ~l~s ~ r~a~ ~u~ ~ SCHEDULE E(CONT.) p... I C)o, 10 I.D. NUMBER RFD retum~l c~nttJxdJoms SAL campalgn won'cers seJades TEL Lv. cx cable airtlme end production costs TRC candidats Irasel, Indging and meals (explain) TRS staff/spouse bavM, Iod~n~ and meals (explah~) TSF transfe~ between commiilees o~ the same canclidate/sponsm VOT votsr mgislraUon WEB Infommlion technology costs (intemeL e-mail) · * Payment~ that am contltbutionj or Independeflt ®xpendltures must Mso lae mJmmlrlsed ~ ~ D. SUBTOTAL FPPC Form 480 (8/99) For Technical Assistance: 916/322.5660