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Home My WebLink About2005-01-31 Form 460 - PS Fire ManagementCOVER PAGE , Recipient Committee Campaign Statement , ~ Type o r pri nt i n Ink. Date Stamp CALIFORNIA 460 2001/02 Cover Page ("4'.'\ (Gosemm•ot Code SecUo"' 84200 ~ 'Q S t a t e m e nt c ove rs period f rom I-\-Ol/ SEE INSTRUCTIONS ON REVER SE through 12-3 \ -0'-{ 1. Type of Recipient Committee: All Com mi ttees -Co m plete Pa rts 1, 2 , 3, and 4 . • Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete Part S) r-31 General Purpose Committee r-' 0 Sponsored .Q"Small Contri bu tor Committee ro Political Pa rty /Central Committee 3. Committee Information D Ba ll ot Measure Comm ittee O Primarily Formed O Controlled O Sponsore d (Also Complete Part 6/ • Primaril y Formed Candidate/ Officeho lder Committee ( Atso Complete Part 7) CO MMITTEE NAME (OR CANDIDATE 'S NAME IF NO COMMITTEE) P~L-fw\ S fgt,~G,5 fi~b M &f--\1 ASSoG. 'Pf\ c_ STREET ADDRE SS (NO P.O. BOX ) ZIP COOE ~Y-1 .s&,>J6.s CA 9Z2fa't M IUNG A DDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX STATE Z IP CODE AREA CO DE/PHONE PB<-H se1<11JG$ q22,tc,3 OPTIO NAL : FAX / E-MAIL ADDRESS 4 . Verification Dat e o f el ec t i o n if applicable: (Month , Day, Year) 2. Type of Statement: D Preelection Statement g semi-annual Statement D Termina tion Statement D Amendment (Expl ain below) Treasurer(s) NAM E OF TREASURER MA ILI NG ADDRESS CITY ~TH-f:'?€AL c..,r, MOF ASSISTANT TREASURER , IF ANY MAILIN G ADDRESS FORM Pag e ___ of __ _ For Official Use Only D Quarterly Sta tement D Special Odd -Year Report D Supplemental Pree lection Statement • Attach Form 495 STATE ZIP CODE CITY p STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MA IL ADDRES S I have used all reasonable diligence in preparing and rev ie wing th is statement and to the best of my knowledge the Informa tion contained herein and in the alt.ache d schedul es Is tr ue and complete . certify under penalty of pe rjury under the laws of the State of California that the foregoing SignallJre ofConlmlUng Officeholder, Candidale, Slate Measure Propone nt or Responsible Officer of Sponsor S,gnatun, of Conlrolllr,g Officeholder, Candid a le, Stale Messun, Proponenl SlgnallJro olControlhng Offia!holder. Candidale. Su,1 Measure Proponen1 FPPC Fonn ~o (June/01) FPP C Toll-Free He l pline: 866/A SK-FPPC Slate of California Type or print in Ink. SUMMARY PAGE · Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from ""7-\-0t( CALIFORNIA 460 FORM SEE INSTR UCTIONS ON REVERSE NAME O F FIL ER />r'SSO c. -9i Contributions Received Column A TOTAL THIS PER ICO (FRO M ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, U ne 3 2 . Loans Received ..................... . .. ....... ................... Schedule 8, Une 3 $ ~A l 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Unes 1 + 2 $ 4 . Nonmonetary Contributions .................................... Schedule c , Une J 5. TOTALCONTR IBUTIONSRECEIVED ........................... Add U nes3+4 $ Expenditures Made 6 . Payments Made ....................................................... Schedule E, U ne 4 $ 7. Loans Made ............................................................. Schedule H. U na 3 8 . SUBTOTAL CASH PAYMENTS ...... .............................. Add Unes 6 + 7 $ 9 . Accrued Expe nses (Unpa id B ills) ............................... ScheduleF, Une 3 10 . Nonmonetary Adjustment .......................................... Sch edule c . Une 3 11 . TOTAL EXPENDITURES MADE ................................ Add Lines a + 9 + 10 $ Current Cash Statement 12 . Beg inning Cash Balance .......... .......... . Pre vious Summary Page. U ne 16 13 . Cash Receipts ................................................... Column A, Une 3 above 14 . Miscellaneous Increases to Cash ........................... Schedule I, Une 4 15 . Cash Payments .................................................. Column A, Une 8 above 16 . ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14 , then subtract Line 15 If th is 1s a tennina tion statement. Line 16 must be zero . 17 . LOAN GUARA NTEES RECEIVED ........................... Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................... .. ................. See Instructions on reve r:.e 19 . Outstand ing Debts ......................... Addl.me2+Une9 inColumnB above through 12 ... '3 \-t' V Page ___ of __ _ c.. Columns CALENDAR YEAR TOTAL TO DATE $ $ $ $ $ $ To calcu lat e Column B, add amounts in Column A to the corresponding amounts from Column B of your last report . Some amounts in Column A may be negativ e figures that should be subtract ed from previous per iod am ounts . If th is Is the fir st report be ing filed for th is calendar year , only carry over the amounts from Lines 2, 7, and 9 (I f any ). I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 11 1 through 6/30 7/1 to Date 20 . Contributions Received s ____ _ $ ____ _ 21. Exp enditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22 . Cumul ative Expend itu res Made• llf Subject lo Voluntary Expenditun, Umltl Date of Election Total to Date (mm/dd/yy) __}__} __ $ __}__} __ $ __}__) __ $ __J__J __ $ __J__j __ $ __}__} __ $ •since January 1. 2001 . Amounts in this se ction may be different from amounts reported in Column B. FPPC Form 460 (Jun e/01) FPPC Toll -Free Helpline : 866/ASK-FPPC · Schetf ule A Type or print in i nk. SCHED ULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from 7 -I -0 '-{ SEE INSTRUCTIONS ON REVERSE through J2-3\ -0'-( Page ___ of __ _ NAME OF FILER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR {IF COM MITTEE. Al.SO ENTER I.D. IIUMBER) CODE * Schedule A Summary 1. Amount received this period -contribu tions of $100 or more. QIND Q COM 00TH Q PTY •s ec •IND •COM DOTH •PTY •sec •IND •COM D OTH OPTY •sec •IND •COM 00TH OPTY •sec Q IND QCOM 0 0TH O PTY •sec IF AN INDIV IDUAL, ENTER OCCUPATION AND EMPLOYER PF SELF-EMPLOYED, ENTER NAME OF BUS INESS) SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD (I nclude all Schedule A subtotals .) ........................................................................................................ $ ______ _ 2 . Amount received thi s period -unitemized contributions of less than $100 ............................................. $ ______ _ 3. Tota l monetary contributions received th is per io d . A.--- (Add Lines 1 and 2 . Enter here and on the Summary Page , Column A , Line 1.) ....................... TOTAL $ -~,.,,,.~a.--~-- CUMULATIVE TO DATE CA LE NDAR YEAR (JAN. 1 -DEC . 3 1) PER ELECTION TO DATE (IF REQUIRED) •contribu tor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY -Politica l Party sec -Small Con tributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helplin e: 866/ASK-FPPC