2005-02-24 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