2004-07-23 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