HomeMy WebLinkAbout2015-02-26 Form 460 - PS Fire ManagementA ec1p1en omm1 e Type or print in ink. Date Stamp s\P\' CALIFORNIA 460
tC ·tte
Campaign Statement
RECEIVED 2001102 Cover Page
Cf PALH SF' FORM (Government Code Sections 84200-84216.5) ..
Statement covers period Date of election if applicable:
PH 2=5 I Page of ?-/-/y' (Month, Day, Year) ::015 FEB 26 from For Official Use Only
SEE INSTRUCTIONS ON REVERSE through l1...-:)J-1 Y JAtit.S HIOMf _.:_;_;•.
CIT'( CLE~~
1. Type of Recipient Committee: All Commitbles -Complet11t Parts 1, 2, 3, and 4. 2. Type of Statement:
Jluarterly Statement • Officeholder, Candidate Controlled Committee D Ballot Measure Committee D Preelection Statement
O State Candidate Election Committee Q Primarly FollTled D Semi-annual Statement O Special Odd• Year Report O Recall O Controlled • Tennination Statement O SUpplemental Preelection (Afsc, ~mp/elftPall 5) 0 Sponsored D Amendment (Explain below) Statement -Attach Form 495
~ General Purpose Committee
(llJsa Complete Part 6)
® Sponsored • Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
O Political Party/Central Committee (Also Comp/ere Part 7)
3. Committee Information I I.D. NUMBER Treasurer(s)
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) /
f4-l\N\,. Sr"""~ ,&=,'<A-,,,,,,,.,..Al'rrr~~••-"
J4-.$JO~ • f J4-<.._
STREET ADDRESS (NO P_Q_ BOX)
STAlE ZIP CODE AREA CODE/PHONE
.
CITY STATE ZIP OODE AREA CODE/PHONE
::z_~Q, <A-¥/2 q) ~
NAME OF ASSISTANT TREASURER, IF ANY >' '
~,,,., ~Z£6l.._
MAILING ADDRESS
~ STATE ZIP CODE
c:..l ~ S°4<,,~ <n: 7'L.z£,.s
OPTIONAL: FAX I E-MAIL )DDRE,.-
AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MA1L ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my koov.tedge the information contained herein and in the attached schedules is true and complete. oe,tiii,""""'.....,, of petjo.,y "'"'•' the ,_:'the...., of catilOmia lhol lhe -~ §
,&:'--.
Executed on -----=Dale,_,... _____ _
Executed on ------.Dlli9...,... _____ _
Execuled on ____ .....,0.,.ate _____ _
By---....-.......................... "'!!"!!!!'...,....,.,....~-.,....,,------=---.,.,.,..--,...----Si!,t18lure ot C<lnlrolllng Officeholder, Candida&, Stare Measun, Propcnenl or Responsible Officer of Spol1$0r
By ________ ...,....,....,.....,.,,....,...,.,....,,....,........,........, _________ _
Slgnstl.118 ot'Conlnlllingotlio!hofdlOr, Candid.ale, Stale Meastre Prop:ment
BY-------,,=======:--:--,.-,,,..,,...,,.,.,..,,,...,....,,----,,..... ...... ,-------Sign&lllre o!ContrdlingOl!ic9holder, Candidate. SIBie Measure Prapc,nant FPPC Fonn -180 (Juna/01)
FPPC Toll-Free Helpline: 888/ASK-FPPC
State of California
Schedule A Type or print in Ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statement covers period
CALIFORNIA 460
FORM from 7-1-<£
SEE INSTRUCTIONS ON REVERSE
through / 2--.,} / -/~ Page ___ of __ _
NAME OF FILER
D,,\TE
RECEIVED
FULL NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMMITTEE,ALSOENTERl,D.NLMBER) CODE *
Schedule A Summary
1. Amount received this period-contributions of $100 or more.
•IND •COM
DOTH
0PTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
00TH •PTY •sec
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(If SELF-EMPLOYED, ENTER NAME
OF BUSll'ESSJ
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
(Include all Schedule A subtotals.) ........................................................................................................ $ _____ _
2. Amount received this period -unitemized contributions of less than $100 ............................................. $ ______ _
3. Total monetary contributions received thjs period. v{. ~
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ --=~-----
1.0, NUMBER
!-.>lf) .. !f~
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
-Contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH-Other
PTY -Political Party
SCC-Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule B -Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER f C-..l """'-
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
to IND D COM O 0TH D PTY • sec
t • IND O COM O 0TH O PTY • SCC
to IND O COM O 0TH O PTY O sec
Schedule B Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYEO, ENTER
NAME OF BUSINESS)
, ___ _
, ___ _
SUBTOTALS$
$ ___ _
$ ___ _
$
Statement covers period
from 7 -/ -/ Y' •
through/ 2_ -JI-/ Y
Ccl
AMOUNT PAID OUTSTANDING BALANCE AT
OR FORGIVEN CLOSE OF THIS
THIS PERIOD* PE I
•PAID
•FORGIVEN
s
DATE DUE
•PAID
s $
0 FORGIVEN
s
DATE DUE
OPAIO
•FORGIVEN
$
DATEOUE
s $
$
• INTEREST
PAID THIS
PERIOD
__ %
RA.TE
--" RATE
--"" RATE
, ___ _
(Enler (e) on
SChedule E, Line 3)
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.)
(Include 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 $
Enter the net here and on the Summary Page, Column A. Line 2.
t1~
(May be a ""gaive numbetJ
SCHEDULEB·PART1
CALIFORNIA 460
FORM
Page ___ of __ _
I.D. NUMBER
ORIGINAL
AMOUNTOF
LOAN
$
DATE INCURRED
s
OA"TEINCURREO
$
DATE INCURRED
II
CUMULATIVE
CONTRIBUTIONS
TOOATE
CALENDAR YEAR
s
PER ElECTION'"'
s
CALENDAR YEAR
PER ELECTION-
s
CALENDAR YEAR
$
PER ELECTION ..
, ___ _
'"Amounts forgiven or paid by
another party also must be
reported on Schedule A.
-If required.
I t Contributor Codes
IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party SCC-Small Contributor Committee FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
set-EDUI.EE ScheduleE
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
7-,;-/;" from ---'--~L __ _
CALIFORNIA 46 0
FORM
SEE INSTRUCTIONS ON REVERSE through / Z... -.) I _/y Page ___ of __ _
NAME OF FILER 1.0. NUMBER
//-/6.rtC_~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
a,,p campaign paraphernalia/misc. MBR membercommunicalions RAO radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetaryt OFC office expenses SAL campaign wofkers' salaries
eve civic donations F£T petition circulating TEL t.v. or cable airtime and production costs
FL candidate filing/ballot fees PH) phone banks TRC candidate travel, lodging, and meals
R-0 fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
N) independent expenditure supporting/opposing others (explain)"" P05 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 (inlemet. e-mail)
NAME ANO ADDRESS OF PAYEE
(IF OOMMITTEE.AL50 ENTER 1.0. NU,IBl:R) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
JI!~
'" Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Payments made this period of$100 or more. {Include all Schedule E subtotals.) .................................................................................................. $ _____ _
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _
3. Total interest paid this period on loans. (Enteramountfrom Schedule B, Part 1, Column (e).) ............................................................................... $ _____ _
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 (June/011
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER s
'Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7-/-/)"
through / .Z..-.}/-,,/ 7'
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULE E (CONT.)
CALIFORNIA 460
FORM
Page ___ of __ _
I.D.NUMBER
l/-~.-2--~
OvP campaign paraphemalia/misc. MBR member communications RAD radio 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
FL candidate filing/ballot fees Pl-0 phone banks TRC candidate travel, lodging, and meals
FNJ fundraising events POL poling and survey research TRS staff/spouse travel, lodging, and meals
NJ 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 ~egal, accounting) VOT voter registration
UT campaign literature and mailings f'RT print ads V\EB information technology costs (internet, e-mail)
NAME ANO ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER I.D. 111.JMBER)
fl~
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
OR DESCRIPTION OF PAYMENT AMOUNTPAIO
SUBTOTAL$ £LL~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAMEOFFILER f ~~ltv\
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE. ALSO ENTER 1.0, NUMBER)
p~'-"--~.;c,?_,s;. ~·? ~---P~~
~ C:...-"--e;>& it'-~J. ~
z.,:;-,#Nt.t,__ G ·v, '<-.. Ut-~ r,,,t,
Attach additional information on appropn·ately labeled continuation sheets.
Schedule I Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
7 -/-/<./ from _____ ~L __
through\ 2..-J,,/-/Y
DESCRIPTION OF RECEIPT
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, Column (e).) ................................. $ _____ _
4. ~::1m~i~c;l~~:~o~~~n~~~r~.~.~ .. ~~ .. ~~~~-·~~'.~.:.~~~~~~ .. ~~~~--~·i·~~-~ .. ~.• .. ~:.~~~ .. ~.· .. ~~~~~.~~~~-~.~.~ .. ~~.~~~....... TOTAL $ ~ 0"
SCHEDULE I
CALIFORNIA 460
FORM
Page __ of __
I.D.NUMBER
AMOUNT OF
INCREASE TO CASH
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions........................................... Schedule A, Line3 $
2. Loans Received . . . . .. . .. . .. . .. .. . .. . . . .. . . .. . . .. . . . . ... . . .. . . . . .. . . . . Schedule B, Line 3
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 3
8. SUBTOTAL CASH PAYMENTS . .. . . . ... . . .. . .. . ... .. . .. .. . .. .. . .. . Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ...... , ........................ Schedule F, Line 3
10. Nonmonetary Adjustment , ......................................... Schedule c, une 3
11. TOTAL EXPENDITURES MADE ........................ , ....... Add Lines B + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ......•................ P,eviousSummaryPsge, Line 16
13. Cash Receipts ................................................... Column A, Line3above
14. Miscellaneous Increases to Cash .. . . . .. . ... .. . ... .. .. . .. .. . Scheduler, Line 4
15. Cash Payments.................................................. Column A, Line B above
16. ENDINGCASHBALANCE .......... Add Lines 12 + 13+ 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED .. . .. ... .. . .. . .. . .. .. . .. .. . Schedule B. Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents .. ... ..... ... ... ........ ..... ... .. .... .. See instfl.lCtions on ,e.ver.re $
19. Outstanding Debts ......................... Addline2+Line9inGolumnBabove $
TOTAL THIS PERIOD
(fROMATTACHEDSCHEDULES)
from 7-/-/9' .
through / 2-. -? / -/7' Page __ of --
$
$
$
$
$
$
f
Columns
CALENDAR YEAR
TOTAL TO CATE
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.D. NUMBER
r.r
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20. Contributions
Received $ ____ _ $ ____ _
21. Expenditures
Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(ff Subject to Volumary Elqlendttun, Limit)
Date of Election
(mm/dd/yy)
___J___j __
__J___J __
__J__J __
__J__J __
__J __ _,I
Total to Date
$ _____ _
$ _____ _
$ _____ _
$ _____ _
$ _____ _
__ _,___)___ $ ------
"Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column 8.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
RecIp1en ommI Type or print In Ink. Dale Slamp 460 CALIFORNIA
tC 'ttee
Campaign S1atement RECEIYU; 2001102 Cover Page .. , I ·.~ -. ··, F I",~ Lf-1 '·i '", FORM (Govemment Code Sections 84200-34216.5)
Data of election If appllcab8Q Statement covers period UUG20 AH 8: 53 Page ___ of ___ I· I-/Y (Month, Day, Year)
from For Official Use Only JAL.:.S TH0i-i,'SG.i
SEE INSTRUCTIONS ON REVERSE through b -.>o-lY CITY CLE~K~
1. Type of Recipient Committee: All Commlttaaa -Complete P-1, 2, 3, and '-2. Type of Statement: V
O Officeholder, Candidate Controlled Committee D Ballot Measure Committee D Preelection Statement D Quarterly Statement O Stale Candidate Eleclian Committee 0 Primarily Fonned 0 Semi-annual Statement D Special Odd-Year Report O Recall O Controlled 0 Tennination Statement D Supplemental Preeleclion /AlsoC-PanS) 0 Sponsored D Amendment (Explain below) Statement • Attach Fonn 495
Jg General Purpose Committee
(Al,o Camplole Pw16)
)1J Sponsored D Primarily Formed Candidate/
O Small Contlibulor Committee Officeholder Committee
O Political Party/Central Committee (AlsoCa-Pan7)
3. Committee lnfonnation I 1.0. NUMBER Treasurer(&)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ~ NAME OF TREASURER , Pc....L~ Sr""-~ h~~~
/'!-:>'Joe. fA C
STREET ADDRESS (NO P.O. BOX) / , _ / .3D,:::> V\ {,__ \ C, i 'e,,,, ~ /{er
Cl;;? SlllTE ZIP CODE AREA CODE/PHONE
r~l Ve.--\. SJ£;<,~ C: Alf ~L 7&,>L.$.3'/Jr/
M).ILING ADDRESS (IF DIFFENT) N OSTREET OR P.O. BOX fo f.>oX 176/
CITY STATE ZIP CODE >
I~do < A '7.220~
NAME OF ASSISTANT "ffiEASURER, IF ANY
AREA CODE/PHONE
7¢6 Yo.7 al 6;
MAILING ADDRESS
ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
7L.LC:?
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence In preparing and reviev,;ng !his statemenl and lo the best of my knowledge the Information contained herein and in the attached schedules is true and complete.
cerlify under penally of pe~ry unde~he la! of the Stale of California that the foregoing ~nd ~:-~~ __.
Exec:u!eaon <;?:'/6 /V By ~A..L.._~ °""' --"'=:::,,,.,.c;..&_....,7=;,!!51!,,gnatul8,;;:,,!'0f5,Tl'OOStn=,,_,;;;;;;fll';,,M,.,.,..,,'. "'tan°"t""Trea""",...::::=r "'---------
E<eeuted on------=-=-------
Execulad on------,,,..,=------
Executed on------,=------
By --.ru;;.,.;.; ... ==or"'eo-=-=ng=-==..,c-,ea=-=""."'sia""1e"m==Pra"'-"""'101"'t""«"'R"'"""'""="'·ll"'e""0111cor="'or"'-==---
By -------,,s,gna=.,c:,.::-:.,,.,c""an=~=-"'oiii:,,=se,_=r.""'c..c::"'-=.""s-=-..==°"'P,=-=..,=,------
By -----....,.51g""na"'1ure"""o1"'c"'m"'1ra11""=ng"'Offlce="'.....,=,"',Conjijele="'· =,si.=0.,,_,,,==,,;;,""-="',------FPPC Form 460 \Juna/01I
FPPC TolM'""' HelpNne: H81ASK,FPPC
Slate of Callfomla
ScheduleA
Monetary Conbibutions Received
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to wllola dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(F SELF-EMPLOYEO, ENTER NAME
OFBUSI-ESS)
Q•oc:MIITTBS,AL.aoENTEIHO.NUMBER) CODE *
Schedule A Summary
1. Amount received this period-contributions of $100 or more.
•IND •COM
DOTH •PTY •sec
DINO •COM
DOTH •PTY •sec
DINO •COM
DOTH •PTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
DOTH •PTY •sec
SUBTOTAL$
Statement covers period CALIFORNIA
FORM from /-/-/Y
through b -:.3o -1 y Page ___ of __ _
f;4c_
AMOUNT
RECEIVED THIS
PERIOD
1.0. NUMSER
1-Yt;j-.zcr,9.J,,
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
{IF REQUIRED)
•conlributor Codes
IND -Individual
(Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM -Recipient Committee
(other than PTY or SCCJ
OTH-Olher 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 $
PTY -Pomical Party
SCC-Smal Contributor Committee
FPPC Form 4110 (June/01 l
FPPC Toll-F-Helpline: 866/ASK-FPPC
Schedule B -Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF ALER ,/J
r .c-,J'-"'-
FULL NAME, STREET ADDRESS AND ZIP CODE
OF lENDER
(IF COMMITTEE. ""-SO ENTER 1.0, NUMBER)
to IND O COM • 0TH O PTV • sec
to IND • COM O 0TH • PTV • sec
to IND • coM • oTH • PTV • sec
Schedule B Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF saF-EMPLOYED, EN'TcR
NAMEOFSLIBI~)
SUBTOTALS$
•PAID
0 FORGIVEN
•PAID
OFORGIIIEN
•PAID
D FORGIVEN
$
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $
(Total Column (cl plus loans under$100paidorforgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... tET S
Enter the net here and on the Summary Page, Column A, Line 2.
t Conbibutor Codes
Statemant covers period
from / -/-/')/
through b ·.,3, 6 -/ 1/
/A (
DATE DUE
DATE DUE
OATEDUE
$
}/(6~
(MaybeeMgl!lliwenumber)
$
•
INTEREST
PAID THIS
PERIOD
__ ..
AATE
--" RATE
__ ..
RATE
(Enler(e)on
SchecUe E, Uno 3)
SCHEDULEB-PART1
CALIFORNIA 46 0
FORM
Page or
1.D. NUMBER
i 1-.16;,-2~3,,$
ORIGINAL
AMOUNT OF
LOAN
, __ _
DATE ll<CURRED
, ___ _
DATE INCURRED
$ __ _
DATE INCURRED
• CUMUIATIVE
CONTRIBUTIONS
TODATE
CALENDAR YEAR
CALENDAR YEAR
PER ELECTION•
$ ___ _
CALENDAR YEAR
PER ELECTION tt
•Amounts forgiven or paid by
another party also must be
reported on Scl1edule A.
-ll required.
IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (Juna/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
. ----------------------------------------------------
SCHEDULEE
ScheduleE
Payments Made
Type or print In Ink.
Amounts may ba rounded
to whole dollars.
Statement c:overs period
from /-/-/'y'
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE through b -,$b-/ 'y Page __ of __
1.0. NUMBER
NAME OF FILER ft::.,._ l L-cA., l-.36>-?-7 s:>
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CM' campaign paraphemaliahnlsc. fl.eR member communications RAD radio airtime and production costs
OtlS campaign conStJlanls MTG meetings and appearances RFD returned contributions
C1B contribution (explain nonmonelary)* OFC office expenses SAL campaign wori<ers' salaries eve civic donations PET petition circulating l8.. t.v. or cable airtime and production costs
FIL candidate filinglbaNot fees PH) phone banks TRC candidate travel, lodging, and meals
FNJ fundraising events POL polling and survey research lRS stall/spouse travel, lodging, and meals
Nl independent expendtture supporting/opposing olhenl (explain)* f'OS postage, delively and messenger services TSF transfer between commtttees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
ur campaign literature and mailings l'RT print ads W:B information tecimology costs (intemel, e-maN)
NAME AND AODRESS OF PAYEE
(IFCXM..tTTEE,AlSCIENlcRID.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
//'70/-«_
• Paymenls that are contributions or Independent axpandlturn must alao ba summarized on Schedule D. SUBTOTALS
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ _____ _
2. Unitemizedpaymentsmadelhisperiodofunder$100 .......................................................................................................................................... $ _____ _
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _____ _
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, line 6.) ............................. TOTAL $ #P!.<:.J.c..._
FPPC Form 400 (June/911
FPPC Toll-Free Helpline: 868/ASK-FPPC
Schedule E
(Continuation Sheet)
Payments Made
'fype or print In Ink.
Amounts may be rounded
to wholt dollars.
Statement COWIS pe,lod
from /-/-I y
throug~ 6-;Jc:.. ,../y
CODES: If one of the following codes accurately describes the payment, you may enter the code. otherwise, describe the payment.
SCHEDULE E (CONT.)
CALIFORNIA 460
FORM
Page ___ of __ _
I.D.NUMBER
/1~6?-2.9.7>
CM' campaign pa,aphemalia/misc. MBR rneml.ler communications RAD radio airtime and production costs
CNS campaign consullants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign worl<ers' salaries eve c;illic dion$1ionS FE!' petition circulating 1B. t.v. or cable airtime and production costs
FIL candidate filing/balot fees FtO phone banks TRC candidate travel, lodging, and meals
A-0 fundraising events POL poBing and swvay research TRS staff/spouse travel, lodging, and meals
to independent expendtture supporting/opposing others (explain)" POS postage, detivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense FK> professional seNices (legal, accounting) VOT voter registration
UT campaign fiterature and mailings PR!' print ads YI.EB information technology costs (intemel, e-mail)
NAME AND ADDRESS OF PAYEE CODE (ff COMMITTEE, ALSO ENTER 1.0. NUMBER)
/;16tA-A.....
• Pa:,mems that an contributions or Independent expendltuNS musl also ba summariad on Schedule D.
OR DESCRIPTION OF PAYMENT AMOUNTPAID
SUBTOTAL$ U~
FPPC Form 480 (Juna/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAMEOFFILER /{,A._ { 1/4'\..
DATE
RECEIVED
FULL NAME ANO ADDRESS OF SOURCE
QF COMMl"ITEE Al.80 ENTER 1.0. NUM8£A)
Attach additional infonnation on appropriat$/y labeled continuation sheets.
Schedule I Summary
Type or print in ink.
Amounts ma, be rounded
to whole dollar&.
Statement covers period
trom I -I .... /'I.
through 6 -,30-/Y
DESCRIPTION OF RECEIPT
SUBTOTAL$
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, Column (e).) ................................. $ _____ _
4. ~~:lm':i~c~l~~:~ol~~~n~~~)a.~.~ .. ~~.~~~~ .. ~~'.~.:.~~'.~~.· .. ~~~~ .. ~.i·~·~·~··~·•··~'..~.~~ .. ~ .... ~~~~.~.~~~~ .. ~.~.~.~~.~~~....... TOTAL $ , tB
SCHEDULE I
CALIFORNIA 460
FORM
Page __ of __
1.0.NUMBER
AMOUNTOF
INCREASE TO CASH
T
orJ
FPPC Form 460 (June/01)
FPPC Toll-FrN Helpline: 866/ASK-FPPC
1y pe or print in Ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be round•d
to whol• dollars. Stat.mant covers period
from / -/ -/ y'
CALIFORNIA 46 0
FORM
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions ................................. .......... Schedule A. Une J $
2. Loans Received ... ... .. .. .. .. .. . .... . .. . .. .. . ... . . .. . .. . . . ....... .... SC/redule B. une 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 • 2 $
4. Nonmonetary Contributions ................... ....... .......... Schoduh, c. Une 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Li""• 3 • 4 $
Expenditures Made
6. Payments Made . .. . . . . . . . .......... ... .......... ... . . ... ......... ..... Schedule E. Line 4 $
7. Loans Made............................................................. &:hetlule H, line J
8. SUBTOTAL CASH PAYMENTS .................................... Add Un.,. 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... SC!r4'duJeF.J.JneJ
10. Nonmonetary Adjustment .......................................... Schedule c, Lme J
11. TOTAL EXPENDITURES MADE ................................ Add unes 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... PnwiousSumma,yPage,Llne16 $
13. Cash Receipts ...................... ............................. Column A, Line 3 above
14. Miscellaneous Increases to Cash........................... Schedule 1, une 4
15. Cash Payments .................................................. Co/umrrA, UneBabove
16. ENDING CASH BALANCE .......... Add Lines 12+ 13 + 14. rtlensubtractune 15
If this is a termination stalement, Line TIS must b8 z•ro.
17. LOAN GUARANTEES RECEIVED ..................... ...... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ... ........... .......................... See instructiomi an reverse $
19. Outstanding Debts .... . .... . .. . . . . . . . .... . . Add Line 2 + Line 9 in Columns above $
ColumnA
TOTAL THS PERIOD
(FROMATTACHEDSCHEtlf..lLESI
through 6 PC> -/'t' Paga ___ of __ _
$
$
$
$
$
$
ColumnB
CALENDAR YEAR
TO-ml TODI.TE
To calculate Column B, edd
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
fur this calendar year. only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
LO.NUMBER
/ I 76.7 2..7' $_!;
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
111 through 6/3D 711 to Date
20. Conlributions
Received $ ____ _ $ ____ _
21. Expenditures Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made•
{IISubjoclla~Ex~u,n-i
Date of Election Total to Date
(mm/dd/yy)
__j___j __ $
___J___J __ $
___J___J __ $
___J___J __ $
___J___j __ $
___J___j __ $
•stnce January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (JuMI01)
FPPC Toll-Free Halpllne: 888/ASK-FPPC