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Home My WebLink About2005-02-24 Form 460 - PS Fire ManagementCOVER PAGE Recipient.Committe~ Campaign Statement CoverPage · Type or print i n ink. Data Stamp ~> CALIFORNIA 460 2001 /02 (Government Code Sections 84200-84216.5) Statement covers per iod f rom )-\-0~ SEE INSTRUCTIONS ON REVERSE t hrough \ -G. Z -0 $: f_ Type of Recipient Commfttee: All Committees :-Complete Parts 1, 2, 3, an d 4. D Officeholder, Candidate Controlled Committee 0 State Ca ndidate Election Committee 0 Recall (Also Complete Part 5) ,.0'§eneral Purpose Committee 0 Sponsored ,0"!f mall Contributor Committee 0 Politi.cal Party/Central Committee 3. Committee Information D Ballot Measure Committee O Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 6/ D Primari ly Formed Candidate/ Officeholder Committee {Also _Complete Pert 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) f'~~~''°"~ ~r..e. t--\J..A-As.so<.-~C.. MAI LING ADDRESS %J~-~,\~~ OPTIONAL: F~-MAI~ RESS STATE ZIP CODE AREA CODE/PHONE 4 . Verification ~ ~ Dat e of electi on if appl ica ble: (Month , Day, Year) F. 2 5 ~ FORM 3-B-o s: 2. Type of Statement: ~reelection Statement D Semi-annual Statement D Termination Statement EC ED )),CL~~'t- D Amendment (Explain below) Treasurer(s) NAME OF TREASURER ~ Page___ of __ _ For Officia l Use Only D Quarterly Statement D Special Odd-Year Report D Supplemental Preeleciion Statement -Attach Form 495 ,r,' CIT~~ STATE ZIP CODE NAMEOFASISTANT TREASURES~ & 92"?3<( --MAILING ADDRESS CITY STATE ZIP COD E • ARE A 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 th certify under penalty of perjury under the laws of the State of California that the foregoing or Executed on -----.,,.Dete-,------- Executed on-_____ ""Oaia..,... _____ _ Executed on -----,---,,Dllte,,,,------- By _ __,,,_..,.......,.,,.....,...,,,....,,,.....,..,.,.--,,,.....,,.,..,....,,,..,....,.,,----,,----,-:--.,,.,..=::--.,.,...---- S!gnature of Conlrolllng Officeholder, Candidata, State Measure Proponent or Responsible Officerol Sponsor BY ------==,..,.,,========-:::::~====:::--------Slgnature of Ccntrolling Officeholder, Candidate, S1ate -Proponent BY ------:::---,--,-:=-:=-,:,=-:-.-.---,,==-:::::-:,-:,==-:==:::--------SignaUJre ot Controlling Officeholder, Candidate, S1ate Meaaln Pn,ponent FPPC Form 460 (June/01 ) FPPC Toll-Frff Helpline: 866/ASK-F PPC State 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 ~' _,_O_\~--0_£~- CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE O'-. -tp <!.... 1. Monetary Contributions .. ........ ... .. . .. . .. .. .... .. ... .... .. .. .. . Schedule A, Une 3 $ 2. Loans Received . .. . . .. .. .. .. .. .. .. . .. .. .............................. Schedule B, Une 3 3. SUBTOTAL CASH CONTRIBUTIONS ............ ...... ....... Add Unes 1 + 2 $ 4 . Nonmonetary Contributions .................................... Schedule c, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add U nes 3 + 4 $ Expenditures Made 6 . Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Une 3 8 . SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (U npaid Bills) ............................... Schedule F, Line 3 10. Non monetary Adjustment ......... , ................................ Schedule c, Une 3 11. TOTAL EXPENDITURES MADE ................................ Add unes B + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ............ ........... Pf8vious Summary Page, Une 16 $ 13. Cash Receipts . ............................... .. ...... ... ........ Column A, Une 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 subtract Line 15 $ If this is a tennination statement, Line 16 must be zero. 1 "(. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See lnstftlctlonS'"on reverse $ 19. Outstanding Debts ............ ............. Add Line 2 + Une 9 In Column B above $ ColumnA TOTAL THIS PERIOD (FROMATTACHEDSCHEDUl.£S) through \ -'.1.k-os:-Page __ _ of __ _ $ $ $ $ $ $ ColumnB CALENDAR YEAR TOTAL TO DATE To calculate 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 negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7 , and 9 (If any). 1.0. NUMBER , ,- Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ _____ $ ____ _ 21. Expenditures Made $ _____ $ ____ _ Expenditure limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Umlt) Date of Election Total to Date (mm/d d/yy) ___}___} __ $ ___}___} __ $ ___}___} __ $ ___}___} __ $ ___J__j __ $ ___}___} __ $ *Since January 1, 2001 . Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Recipient Committee · Campaign Statement Cov~~ f)age..,.. Part 2 Type or print In Ink. 5. Officeholder or_Candidate Co~trolled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT O_R HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF AFPLICABLE) RESIDENTIAUBUSINESS ADDRESS . (NO. AND STREET) CITY STATE ZIP · ·'. Related Committees Noflncluded in this Statement: List any committees not ln.~/uded In· this· 'statement that are controlled b,Y you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OFTRI\ASURER COMMITIEEADf?~.~ss CITY COMMITTEE NAME NAME OF TREASURER co_M¥1TTEEADDRESS CITY I.D. NUMBER CONT_ROLLED COMMITTEE? 0 YES -• NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHON~ 1.0. NUMBER CONTROLLED COMMITTEE? •YES •No ~TREET ADORES~ (NO P.O. ~OX) STATE ZIP CODE' AREA CODE/PHONE 'i'' 6. Ballot Measure Committee '. NAME OF BALLOT MEASURE CALIFORNIA FORM Page___ of ___ _ BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate 1 .or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of offlceholder(s) or candldate(sJ for which this committee Is prlmBrlly.formed~ · NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD •-SUPPORT ... .• -~ _.,, ' ,~ . ' ' 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO 0 SUPPORT ' 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELO .. 0 SUPPORT 0 OPPOSE . . ' . Attach continuation sheet! If necessary FPPC Form 460 (Junei01) FPPC T'oll-Freo Helpllne: 866/ASK-FPPC State of California sc·heduleA Type or print In Ink . SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 4 6 0 FORM from J-t-os: SEE INSTRUCTIONS ON REVERSE thro ugh I -:z:z-oS: Page ___ of __ _ Soc - DATE RECEIV ED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1,0. NUMBER) CODE * Schedule A Summary 1. Amount received this period -contri butions of $1 00 or more. DINO •COM 00TH OPTY •sec •IND •COM 00TH OPTY •sec •IND •COM 00TH OPTY •sec •IND •COM 0 0TH O PTY •sec •IND •COM DOTH OPTY •sec IF AN INDIVIDUAL, ENTER OCCUPAT ION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL$ AMOUNT RECEIVED THI S PERIOD (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ 2. Amount recei ved thi s period -unitemized contri butions of less than $100 ............................................. $ ---~---"'\-~---~ 3. Total monetary contributio ns received th is period . Qr' {Add Lines 1 and 2. Enter here and o n the Summary Pag e, Column A, Line 1.) ....................... TOTAL $ ______ _ LO .NUMBER CUMULATIVE TO DATE CALENDAR Y EAR (JAN. 1 -DEC. 3 1) PER ELECT ION TO DATE (IF REQUIRE D) -*Contributor Codes IND-Individual COM -Recipient Committee {other than PTY or SCC) OTH-Other PTY -Political Party sec-Small Contributor Committee FPPC Form 460 (June/01) FPPC To ll-Free Helpline: 866/ASK-FPPC Type or print In Ink. SCHEDULE 8-PART 1 Schedule B -Part 1 Loans Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from \ -\ -0 S" FULL NAME, STREET ADDRESS AND ZJP CODE OF LENDER (IF COMMITTEE, /'oLSO EmER LO. NUMBER) to 1No o coM o oTH o PTY o sec to IND O COM O 0TH O PTY O sec to 1No o coM o oTH o PTY o sec Schedule B Summary IF AN INDI UAL, ENTER OCCUPATION AND EMPLOYER (IF SB.F-cMPI.OYEO. EmER NAME OF BUSINESS) $ ___ _ SUBTOTALS$ (b) (c) (d) AMOUNT AMOUNT PAID OUTSTANDING BALANCEAT RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD THIS PERIOD* OPAJD $ ___ _ D FORGIVEN $ ___ _ s DATE DUE OPAI0 $ D FORGIVEN $ ___ _ $ DATE DUE OPAJD D FORGIVEN $ DATE DUE $ $ 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ ______ _ (Total Column (c) plus loans under $100 paid or forgiven.) (lnclu~e loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ E,:lter the net here and on the Summary Page, Column A , Line 2. (May be• Mgatlvo n..,_) t Contributor Codes IND -lndMduaJ COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -PolltJcal Party sec-small Contrlbutor Committee s $ <• INTEREST PAID THIS PERIOD __ % RATE --% RATE --% RATE (Enter(e)on Schedule E, Lhl 3) Page ___ of __ _ 1.0 . NUMBER '\-3'=,S""z. ~ (IJ (g) ORIGINAL CUMULATIVE AMOUNTOF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $ PER ELECTION .. $ DATE INCURRED CALENDAR YEAR s PER ELECTION ** s DATE INCURRED CALENDAR YEAR $ PER ELECTION ** DATE INCURRED - • Amounts forgiven or paid by another party also must be reported on Schedule A. .. If required. FPPC Form 480 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC