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Home My WebLink About2004-07-23 Form 460 - PS Fire Management,, • y COVER PAGE Recipient Committee Campaign Statement Cover Page Type or print in ink. CALIFORNIA 460 2001/02 (Government Code Sections 84200 -84216.5) Statement covers period from /-/ -O</ SEE INSTRUCT IONS ON REVERSE' through __.(:,...__,3--=Q'---{)-'"'_,.'f __ 1. Type of Recipient Committee: All Commi ttees -Complete Parts 1, 2, 3, and 4. • Officeholder, Candidate Con trolled Committee 0 State Candidat e El ection Committee 0 Recall (Also Comp/9ts Part 5) ✓ ~I Purpose Committee ? }![ .:'ponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information O Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COM MITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) "f'pl-1-\ ~Rn•->6-S fi«.t f..\~. A~OC... -?AC.... STREET ADDRESS (NO P.O. BOX) -- CITY STATE ZIP CODE Ye~ s,tJ-,~6s 9' 9-alr:Jf MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX . ,,ra, CITY STATE AREA CODE/PHONE f?ALM :SQ"~l~G.s OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification FORM Da te of election i f applicable: (Month, Day, Year) Page _ _,/'--of _ _,/.___ For Official U se Only 2. Type of Statement: • Pree lection Statement • Quarterly Statement • Semi-annual Statement • Special Odd-Year Report • Termination Statement • Supplemental Preelectlon • Amendment (Explain below) Statement -Attach Form 495 Treasurer(s) NAME OF TREASURER h-\A~R VA:-rCH~ C ITY STATE ZIP CODE C.MHEbAA'-C/TJ CtA n~'f.- NAME OF ASSISTANT TREASURER, IF ANY C IT Y AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information con tained herein and in the attached schedules is tru e and complete . certify ::: 1 :e::lty of 7j:~3 ~aws of the State of California that th:Yforegoing Date By Date By Date By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor Signature of Contrnlling Officeholdor, CMdidate, State Measure Proponent Slgnature of Contrnlling Offlceholder, Candidate, Slata Measure Proponenl FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC St.ate of California Type or p r int I n In k . SUMMARY PAGE Campaign Disclosure Statement Summary Page Amount s may b e rounded to whole dolla r s . Statement cov ers period CALIFORNIA 4 6 0 FORM SEE INSTRUCTIONS ON REV ERSE NAME OF FILER Contributions Received 1. Monetary Contributions ............... ...... ...... ................ Schedule A. Une 3 $ -Loans Re ce ived . .. . . ... ...... ............. ... . ... . ................... Schedule B. Une 3 SUBTOTAL CASH CO NTRIBUTIONS ......................... Add Unes 1 + 2 $ 4 . Nonmonetary Contributions .................................... Schedule c, Une 3 5 . TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Expenditures Made 6 . Payments Made .............. ... . . . ......... ..... ..... .. . ... . ... . ... . . Schedule E, Une 4 $ 7. Loans Made ............................................................. Schedule H, Une 3 8 . SUBTOTAL CASH PAYMENTS .................................... Add Unes 6 + 7 $ 9 . Accrued Expenses (Unpaid Bills) ............................... Schedule F, Une 3 10. Nonmonetary Adjustment .......................................... Schedule c, Une 3 11 . TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + 10 $ Current Cash Statement 2. Beginning Cash Ba lance ....................... Previous Summary Page, Une 16 $ . J. Cash Receipts ................................................... Column A. Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments.................................................. Column A, Line B above 16. ENDING CASH BALANCE .......... AddUnes 12+ 13+ 14, thensubtractUne 15 $ If this is a termination s tatement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ..... .. ..... ......... ..... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instrucllons on reverse $ 19. Outstanding Debts ......................... AddUne2 +Une9/nColumnBabove $ Column A TOTA!. THIS PERIOO (FROM ATTACHEO SCHEOIJL.ES) 0 ZSPD 2$1) 0 from __._I_-_IL._-__;0~5"-- $ $ $ $ $ $ t h rou gh Columns CAI.ENDAR YEAR TOTAi. TODATE 0 0 To calculate Column B , add amounts In Column A to the corresponding amounts from Column B of your last report. Some amounts In Colum n A may be negaUve figures that should be subtracted from previous period amo unts. If this is the first report being file d for this calendar year, only carry over the amounts from Lines 2, 7, and 9 {if any). G. --3o -of Page -~'-of _/ __ 1.0. NUMBER JJ-3bS-Z g,s- Calendar Year Summary for Candidate s Running in Both the State Primary and Genera l Elections 111 through 6/30 711 to Date 20. Contributions Received $ ____ _ $ ____ _ 21 . Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Su mmary for State Candidate s 22 . C umulative Expe nd it ur es Made• (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) ___}__} __ $ ___}__} __ $ __}__} __ $ ___}__} __ $ ___}__} __ $ __}__} __ $ •since January 1, 2001 . Amounts in this sectlon may be different from amounts reported in Column B . FPPC Form 460 (June/01 ) FPPC Toll-Free H elpllne: 866/ASK.f PPC ... , SCHEDULEE ScheduleE Payments Made Type or print in i nk. Amounts may be rounded to whole dollars. Statement covers period from __,}_-~'f~-_O__,C/.___ CALIFORNIA 46 0 FORM SEE INSTRUCTIONS ON REVERSE through (c, .. 30-0'{ Page -/-of __j_ NAME OF FILER 1.0. NUMBER 11-3~~z98 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O,f> campaign paraphernalia/misc. MBR member communications RAD rad io airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating Ta t.v. or cable airtime and production costs candidate filing/ballot fees PHO phone banks TRC candidate travel , lodging, and meals D fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals • ..J Independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) 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 t his period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ __ ~Q __ _ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1 , Column (e).) ............................................................................... $ _____ _ 0 4. Total payments made thi s peri od. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Colu mn A, Line 6.) ............................. TOTAL $ ---~-- FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK-FPPC