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Home My WebLink AboutBTC SEMIANN01(1)Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print in Ink. SEE INSTRUCTIONS ON REVERSE Statement covers period 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 7. [] Officeholder, Candidate Controlled Committee (Also C~mplete Part 4.) [] Ballot Measure Committee O Primarily Formed O Controlled C) Sponsored (Also Complete Part 5 ) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 6.) ~3 General Purpose Committee ~) Sponsored O Broad Based Date of election If applica~A }' (Month, Day. Year) Date Stamp :-RSFIELi~ CITY CLEI~ 2. Type of Statement: [] Pre-elec(ion Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) COVERPAGE For Official Use Of~ly [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Attach Form 495 3. Committee Information I "D'~/~// COMMITTEE NAME STREET ADDRESS ( Treasurer(s) NAME OF TREASURER MArLiNG NDORESS CIT~ STATE ZtPCODE ~REA COOE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTtONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS FPPC Fo~m 460 (8199) For Technical Alslstance: 916/322-5660 Stale of Ca6fornla Recipient Committee Campaign Statement Cover Page -- Part 2 Type or print In ink. COVER PAGE - PART 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR C~NDIDATE 5. Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE} RESIDENTIAL/BUSINESSADDRESS (NO ANIOSFREET) CIFY SFAFE ZiP Related Committees Not Included in this Statement: List any commlltees 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 I D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] ~ES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CI~f STATE ZIP CODE AREA COD~PHONE BALLOT NO. OR LETTER I JUR,SD,CT,ON I[] sUPF°RT[] OPPOSE Idlnflfy the controllthg offl¢lholdlr, candidate, or Itate m®alurl proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. iF ANY 6. Primarily Formed Committee u,ln,m, ofofflceholder~s) or candidate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [:]SUPPORT ~OPPOSE NAME OF OFFICEHOLDER OR CANOIOATE OFFICE SOUGHT OR HELD [] SUPPORF [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I--I SUPPORT []OPPOSE 7. Verification Execuled Dp ~'/ ~ATE / By S~E ~ tR~URER OR ~S~T~R~SURER Execuled on By DATE Execuled on By DATE FPPC Form 460 (8199) For Technical Assistance: 9t61322-5660 State of California Campaign Disclosure Statement Summary Page SEE INS?RUCTIONS ON REVERSE Type or print in Ink. Amountl may be rounded to whole dollars. Statement covers period ,.o.. /-/-01 SUMMARYPAGE NAME OF FILER :~eceived 1. Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received ................................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 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 I~ Line 3 10. Nonmonetary Adjustment ....................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines $ + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ................................ Prewous Summary Page. Line 16 13. Cash Receipts .............................................................. Column A. Line 3 above 14. Miscellaneous Increases to Cash ...................................... Schedule I. Line 4 15. Cash Payments ............................................................ Column A, Line 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 '~ 13 + 14~ then suhlract Line 15 If this is a termination statement, Line 16 must be zero 17. LOAN GUARANTEES RECEIVED ................... Schedule B, 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 I.D. NUMBER Column A Column B* Column C s I. ~OO. O0 ~ 0 ~O s L 5~DO s · 0.00 s 1. ~r)O. O0 0.00 1~500, O0 0,0o f). O0 0,00 · From previous slalemenl Summary Page, Column C. However, i( ~his is the first report filnd for Ihe calendar year, Column B should be blank except lot Loans Received (Line 2). Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 111 through 6/30 711 to Dale 20, Contributions Received ............ $ [~ 6ff~, (.~ ~,. Ex.end,ur. I 500 O0 Made .................. $ FPPC Form 460 (8~99) For Technical Assistance: 9161322-5660 Schedule A Type or print in Ink, SCHEDULE A Monetary contril3utions Received ..... ,~o'~,'ho~¥do~.r.~:"e° S~atement cover, period DATE ~LL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION ~D EMPLOYER RECEIVED THIS C~ENDAR YEAR OTHER ~ ~ND ~ co~ ~OTH ~IND ~ co~ ~ OTH ~ co~ Schedule A Summary 1. Amount received this period - contributions of $100 or more, (Include all Schedule A subtotals.) ....................................................................................................... $ I;,bOO.OO 2. Amount received this period - unitemized contributions of less than $100 ......................................... $ ('), 00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ i) "Conlributor Codes IND - Individual COM - Recipient Committee OTH - Olher FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE Fu~L NAME, MAILINO ADDRESS AND ZIP CODE CONTRIBUTOR RECEIVED OF LENDER OR GUA~TOR CODE * {~Lender [] Guarantor O Lender [~Guarantof [] IND [] co~ [] OTH [] IND [] COM [] OTH [] IND [] COM [] OTH Type or print In Ink. Amounts may be rounded to whole dollars. IF AN INDMDUAL, ENTER OCCUPATION AND EMPLOYER DUE DATE DUE DATE INTERESTRATE % DUE DATE ~TERESTRATE SUBTOTAL $ through~ LENDER INFORMATIO~I $ SCHEDULE B - P~RT 1 ID. NUMBER Schedule B - Part I Summary 1. Loans of $100 or more received this period. (Include all Loans Received - Part 1 (a) subtotals.) ................... 2. Amount received this period - unitemized loans of less than $100 ................................................................... 3. Total loans received this period. (Add Lines I and 2.) ....................................................................... TOTAL Schedule B - Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET *Co~b'ibutor Codes INO - Individual COM - Recipient Commitiee OTH - Other i~y i~. negaave num~ FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule B - Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party SEE INSTRUCTIONS ON REVE[~SE NAME OF FILER REPAYMENT DATE OF OR ORIGINAL LOAN FORGrVENESS Type or print in ink. Amountl may be rounded to whole dollars. ,.o. ,h,o.oh FULL NAME OF LENDER SCHEDULE B - PART 2 AMOUNT REPAID OR FORGIVEN ON PRINCIPAL * (EXCLUDE PAYMENT OF INTERESTI Page_~ __ of_~. I D. NUMBER INTEREST OUTSTANDING INTEREST RATE PRINCIPAL PAID (IF CHANGED) Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ TOTAL INTEREST PAID THIS PERIOD $ * I MPORTAN'I:' If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter the amount in c~lumn (d)in the Schedu~ E including the name and address of the person forgiving the loan or the third parry making the payment, and the amount Summa~, Line 3. Do not can7 this tolal to the forgiven or paid. Schedule B Surnmaq4 FPPC Form 460 (8199) For Technical AIIIstance: 9161322-5660 Type or print in ink. SCHEDULE B * PART 3 O~IIUUUlU D -- I-il[I, 0 Am~'u~-m~'b~;~ded Statementcoversperiod Annual Repo~ of Outstanding Loans Received ,o ~ho,, dot,,~. ~o= ~1-0/ ~ FU~ NAME OF LENDER ORIGINAL DATE ~ iO~ ~OUNT ~ ORIGINAL LOAN UNPAID ~I~IPAL UNPAID INTE REST Attach additional information on appropriately labeled continuation sheets. TOTALS ~~-~'~'~ ~[I ~,~ .~, ,~' '. '¥*~' · ,~ NOTE: Th~ total should be the same amount as entered on the Summary Page, Column C, Line2. FPPC Form 460 (8/99} For Technical Assistance: 9161322-5660 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ,,om /--/-0/ through ~ SCHEDULEC NAME OF FILER ;// I ~FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * DESCRIPTION OF GOODS OR SERVICES CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) I IF AN iNDIVIDUAl., ENTER AMOUNT/ CUMULATIVE TO DATE OCCUPAT;ON AND EMPLOYER FAIR MARKET DATE OTHER RECEIVED (Ir S~LF*EMfl~-OYED. ENTER VA~-UE (iF APPLICABLE) []INO [] cou [] OT. []IND [] COM [] OTH [] IND [] COM J~] OTH [] IND [] COM [] OTH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL S ~~:,v~V :::~, I Schedule C Summary 1. Amount received this pedod - nonmonetary contributions of $100 or more. (include all Schedule C subtotals.) ................................................................................................................... $ 2. Amount received this pedod - unitemized nonmonetary contributions of less than $100 ................................ $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL $ 'Cenlributor Codes IND - Individual COM - Recipienl Commillee OTH - Other FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule D SCHEDULE 3ummary of Expenditures Ty., or print In Ink. S~tement SuppoSing/Opposing Other to whole dollam. ;andidates, Measures and Commi~ees ~om ~E~EE INSTRUCTIONS ~ REVERSE~ FILER OATE CANDIOATE AND OFFICE, ~PE ~ PAYMENT CONTRIBUTION ~OU~ THIS PERIOD CUMU~TIVE AMOUNT M~SURE AND JURISDICTION, OR COMMITTEE (IF REQUIRED) ~ Su~fl ~ ~se Expiate $ ~ ~ Ca~ndar Year Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (include all Schedule D subtotals.) ........................................ $ I 5~(~)~ 00 2. Unitemized contributions and independent expenditures made this period of under $100 .................................................................................. $ 0, ~) ~ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summa~ Page.) ........ TOTAL $ ,~.~2~//~t/'~, 00 FPPC Form 460 (8~99) For Technical A.slMance: 9161322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amountl may bi rounded to whole doltsr~. Page SCHEDULE E ID. NUMEER CODES: If on~/of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP ca mpaign par aphemalia/misc. CNS campingn consulinnts CTB c~nlri~z~tion (explain r~nmoneta~) · CVC civic donalions FND fundraising events IND independent expenditure suppoSing/opposing others (explain)* campaign literalL~e and mailings MTG meel~ngs and appem'ances OFC office expenses PET petiUo~ circuinth~g PHO phone banks POL po~ling and suh'ey research POS postage, delivery and rneesonger sowlcas PRO professional services (~egal, accounting) PRT p~int ads RAD radio airtime and production costs RFD relumed conldbutions SAL campaignvm~kemsalaries TEL t.v. or cable airlime and production costs TRC candidate Iravel, lodging and meels (explain) TRS sta~/spouse travel, Indging and meals (explain) TSF transfer belween committees of Ihe same candidate/sponsor VeT voter registra{ion WEB information lechno~ogy costs (intsrnet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR {~c COMMI~'EE' ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are ¢ontflbutlona or Independent expeedltures must also be summarized on Schedule D. SUBTOTALS Schedule E Summary 1. Payments made this pedod of $1OO or more. (Include all Schedule 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 S, 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 (8199) For Technical Assistance: 9161322-56~0 Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSD Type or print in Ink. Amounts may be rounded to whole dollars. SCHEDULEF ,,o._ NAME OF FILER I.DNUMBER CODES: If, ~ of the following codes accurately describes the payment, you may enter the code. Otherwise, descdbe the payment. OFC ol~ce expenses PET poUtJon circulaU~g PHO phone banks POL polling am:l survey research POS postage, de~iver/a~d messenger services PRO professional services (legal, account lng ) PRT print ads RAD radio airtime and production costs CMP campaign paraphemaliaJmisc. CNS campaign co~sul~anls CTB contribulion (explain nonmonetary)' CVC civic donations FND fundraising evenls IND independent expafx]iture supporting/opposing others (explain)* LIT campaign literalure and mailings MTG meetings and appaarances * Payments that are contrlbuUons or independent expenditures must also be summadsed on Schedule D. RFD mlumed conlributions SAL campaign workers salaries TEL t.v. o~ cable airtime and produclion costs TRC candidate bavel, lodging and meals (explain) TRS stafflspouse travel, lodging and meals (explain) TSF Iransfer belween committees of the same candidaleJsponsor VOT voter registration WEB informaliontec~nologycosts(inlemet, e mail) (I) (b) (c) (d) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITI~E ALSOENTEt~ID NUMBER) DESCRIPTIONOFPAYMENT BALANCE BEGINNING THISPERIOD THISPERIOD BALANCE ATCLOSE OF THIS PERIOO IN-SO REPORT ON E) OF THIS PERIOD SUBTOTALS $ $ $ $ Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ FPPC Form 460 (8199) For Technical Assistance: 9161322-5~0 Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whola dollars. Statement cover~ period from /~AO/ through ~0-0/ NAME OF FILER I~ME OF AGENT OR IN'PENDENT CONTRACTOR SCHEDULE G CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphema§a/misc CNS campaign consultants CTB contribution (explain nonmoneta~/)' CVC civic donations FND luodmising events IND indepeodenl expenditure suppoding/oppesing others (explain)' L IT campaign literature and mailings MTG meetings and appearances PET petition circulating PHO phone banks POL polling and sun~ey research POS postage, delivep/and messenger services PRO pmCessio~al services (lagal, accounting) PRT print ads RAD radio aidime and production costs RFD returned conlributions SAL campaign wooers salaries TEL t.v. or cable airtime and production costs TRC candidate b-avel, Iodgiog and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter regisl~'ation WEB infonmation technology cosls (inlernet, e-mail) Payments that are contributions or independent expenditures muet also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* · Do not transfer to any other schedule or to the Summaq/Page. This total may not equal the amount paid to the agent or independent contractor FPPC Form 46(} (8199) as reported on Schedule E. For Technical Assistance: 9161322-5660 Schedule H - Part 1 Loans Made to Others* Type or print in ink. Amounts may be rounded to whole dollars, SEE INSTRUCTIONS ON REVERSE NAME OF FILER SCHEDULE H - PART 1 ID. NUMBER CATE OF LOAN NAME ANC ADDRESS OF RECIPIENT INTEREST RATE DUE DATE AMOUNT *Loans that are contributions to anothar candidate or committee must also be summarized on Schedule D. SUBTOTAL $ Schedule H - Part I Summary 1. Loans of $100 or more made this period. (Include all Loans Made - Part 1 subtotals.) ............................................... $ 2. Unitemized loans under $100 made this period ............................................................................................................. $ 3. Total loans made this period. (Add Lines 1 and 2.) .......................................................................................... TOTAL $ Schedule H - Part 2 Summary 4. Payments received on loans of $100 or more. (Include all loan payments received and all loans of $100 or more forgiven by this committee - Part 2 (a) subtotals. If forgiven, also itemize on Schedule E.) ................................................................................................................... $ ,5. Unilemized payments received on loans under $100. (Including a forgiveness.) ............................................................................................................................................ $ 6. Total loan payments received this period. (Add Lines 4 and 5.) ........................................................................................................................................ TOTALS 7. Net change this period. (Subtract Line 6 from Line 3. Enter the net here and on the Summary Page, Column A, Line 7.) ................................................................ NET $ FPPC Form 460 (8199) For Technical Assistance: 9161322-566,0 Schedule H - Part 2 Repayments on Loans Made to Others and Loans Forgiven Typ~ or print In ink. Amounts may be rounded to whole dollars. SEEINSTRUCTIONSONREVERSE NAME OF FILER SCHEDULE H - PART 2 I.D. NUMBER DATE OF DATE OF INTEREST REPAYMENT OR FULL NAME OF RECIPIENT OF LOAN RATE FORGIVENESS LOAN JIF CHANGED) FORGIVEN ON PRINCIPAL* OUTSTANDING EXCLUDE RECEIPT OF INTERES1 PRINCIPAL RECEIVED SUBTOTAL Attach additional information on appropriately labeled continuation sheets. * IMPORTANT' If any parl of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received from a third pari)~, enter the name and address of third party in the ~FULL NAME OF RECIPIENT OF LOAN~ column above, along with the name of the recipient of the loan. Enter the amount in column (b) in the Schedule I Summary, Line 3. Do not carry this fotal to the Schedule H Surnrnar~ FPPC Form 460 (8199) For Technical Assistance: 916/322.5660 SCHEDULE H - PART 3 Schedule H- Part 3 TYPe or print In ink, Sta~.; covers period J ~J~ Amounts may be rounded I Annual Report of Outstanding Loans Made to,,ho.o do#am, from //--/- O/ II throu.h b~0~'0I I Page /~"'-o, I~ SEE INSTRUCTIONS ON REVERSE N~ME OF FILER tD NUMBER Attach additional information on appropriately labeled continuation sheets. TOTAL $ NOTE: Thistotalshouldbe the same amount as entered on the Summary Page, Column C, Line 7. FPPC Form 460 (8199) For Technical At~slstance: 9161322-566~ Schedule I Miscellaneous Increases t Type or print In Ink. ..... vMe~ ~V ~.*¢3~11 Amountamly~round~ S~tementco~Hod ~ ~ I SEE INSTR~TIONS ON RE~RSE N,.EOFFILER through ~ ~--~/ Page /~_o, I~ Schedule I Summary appropriately labeled continuation sheets. SUBTOTAL 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 (8199) For Technical Assistance: 916/322.5660