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460 Second Pre-Election ecipient Committcc Campaign Statement Cover Page (Government Code Sections 84200-84216,5) SEE INSTRUCTIONS ON REVERSE Statement covers period from ~ ~'/'~T~: f'/~ ~'~ ~'~ )--~; through (-~ ~-'"O't~; E"~ 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 4. ~' Officehoider, Candidate Controlled Committee [] Ballot Measure Committee O State Candidate Election Committee O Primarily Formed 0 Recall (Al~o CompJete Pa~f 5) [] General Purpose Committee C) Sponsored O Small Contributor Committee O Political Party/Central Committee 0 Controlled 0 Sponsored (mso Comp~e Par~ 6) [] Primarily Formed Candidate/ Officeholder Committee (A/~O C(~mptete Part 7) ll.D. NUMBER Committee Information /2. ~ (~ 3¥ ~/7/' COMMITTEE NAME (OR CANDIDATE'S NAME iF NO COMMITTEEI STREET ADDRESS (NO P.O. BOX) CiTY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Type or print in ink. R E~ C Date Slamp EIVE iOate o! election if applicable: OCT 2 ~ 2001 (Month, Day, Year) OF CUPERTIN( 2. Type of Statement: [] Preelection Statement [] Semi-annual Statement [] Termination Stalement [] Amendment (Explain below) COVER PAGE Page / of 7 For Official Use Only [] Ouafledy Slatement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDRESS /0~o7__ ~t~-~:/~'~/J AL/~-~ CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA COOEIPHOI~/E OPTIONAL: FAX / E-MAIL ADORESS Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. _ Executed on By FPPC Form 460 (Jume/01) ecipient Committee Campaign Statement Cover Page Part 2 Type or print in ink. COVER PAGE - PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE aX. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List anycommittees not included in this statement that are controlled by you or ere primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMII-rEE? [] YES [] NO COMMtt teEADDRESS STREET ADDRESS (NO P.O, BO) CITY STATE ZIP CODE AREA CODE/PHONE COMMI I TEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITrEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LET[ER JURISDICTION [] SUPPORT [] OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD r']SUPPORT E]OPPOSe NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT Fl OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD []SUPPORT []OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/Or) FPPC Toll-Free Hefpllne: 866/ASK-FPPC State of Calltee'~la Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from g :~ through ~ SUMMARY PAGE Page ~.~_____ 0f NAME OF FILER J, Contributions Received 1. Monetary Contributions ................... ~ ....................... Schedule A. Lithe 3 2. Loans Received ...................................................... Schedule B. Line 7 3. SUBTOTALCASHCONTRIBUTIONS ......................... AddLines ~ +2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... ,~ Lines 3 + 4 Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, Line3 10. Nonmonetary Adjustment .......................................... schedule c. Line 3 11. TOTAL EXPENDITURES MADE ................................ ~ Lines 8 + g + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts ................................................... Co/ureA. Line3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. Co/umnA. LineBabove 16. ENDING CASH BALANCE .......... AR Lines 12 + 13 + 14, then subtract Line ~5 ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... schedules, Pa, 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See/nsm~c#ons on reverse 19. Outstanding Debts ......................... AddUne2+Li~eginColumnBabove Column A ~/5 Column B CALENDAR YEAR TOTAL TO MATE 3'I $ /ET'Z-'- To calculale Column 8, 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, ti this is lhe first report being filed for Ihis calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made lit through 6/30 7/1 lo Dale $ $ $ $ Expenditure Limit Summary for Slate Candidates 22. Cumulative Expenditures Made' Date of Election Total to Date (mm/dd/yy) / / $ /~ $ / L__ $ /__1 $ __1__1 $ __1 __J.__ $ 'Since January 1. 2001. Amounls in lhis section may be different from amounts reported in Column B. FPPC Form 460 (June/e1) FPPC Toll-Free Helpline: 866/ASK-IcPPC chedule A Type or print in ink. SCHEDULE A - Amounts may I~e rounc~ecl Statement covers period . MonetaryContributionsReceivedto whole dollars, from /-~ 5'~-~'1'~£~-~.o.-0 ! I~ iIl~ ~ ~ I ~ ~ ~: ~ ~ NAME OF FILER ~ [~. NUMbeR IF AN INDIVIDUAL, ENTER ~UNT CUMU~TIVETO DATE PER ELECTION OA~ ~ FULL NAME, STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR CONTRI~TOR ~CUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF~I~EE.~OENTERLD, NU~R) CODE * (~FSELF-EM~OYED. ENTERN~E PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Dscc OlND DCOM ~OTH DeT~ ~SCC D~ND ~COU ~ O~H ~ PTY ~ scc ~cou ~OTH ~ PTY ~scc ~IND ~cou ~OTH ~ ~TY ~SCC Schedule A Summary 1. Amount received this pedod - contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ 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 $ /0o "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 chedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (tF COf,~dlT'r EE, ALSO ENTER I.D N~R) tl-I INO [] COM [] OTH [] PTY E] SCC t[-I IND [] COM [-'] OTH [] PTY [] SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF tELF-EMPtOYEO, ENTER Type or print in ink. Amounts may be rounded to whole dollars. (mi [b) OUTSTANDING AMOUNT BALANCE RECEIVED THI, BEGINNING THIS PERIOD PERIOD $ $ $ Statement covers period through ~-O (~)C.{~'b~l~.c:~ (c) AMOUNT PAID OR FORGIVEN THIS PERIOD ' [] PAID $ [] FORGIVEN t FORGIVEN [] FORGIVEN $ (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD DATE DUE DATE DUE (e) INTEREST PAID THIS PERIOD __.% RATE RATE SCHEDULE B - PART 1 Page ~ of "~ I.D. NUMBER (q ORIGINAL AMOUNT OF LOAN t-- DATE INCURRED DATE INCURRED CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR PER ELECTION~ CALENDAR YEAR $ PER ELECTION $ CALENDAR YEAR $ PER E LEC TI (~"q~ $ $ t[] IND [] COM ~] OTH [] PTY [] SCC DATEDUE OATEINCURRED I (Ent~ (e) ~ Schedule B Summary 1. Loans received lhis period .................................................................................................................... $ (Total Column (bi 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. *Amounts forgiven or paidby1 ano~er pan'y also must be f rep<xled on Schedule A. / / "If required, j t Contributor Codes IND- Individual COM - Recipient Committee (other lhan PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee1 FPPC Form 460 (June/Or) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ~ ~'Y'~i'~'~;~/ SCHEDULE E NAME OF FILER vy CODES: If one of the following codes accurately describes (]vi= campaign paraphematia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' CVC civic donations FIL candidate filing/ballot foes F'NO fundraising events ~ independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings the payment, you may enter the code. Otherwise, describe the payment. MBR member communications MTG meetings and appearances OFC office expenses I-~[ petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) I-'HI print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salades TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of Ihe same candidate/sponsor VOT voter registration VVEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITrEE. ALSO EN'I~RI.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ~,~T~,~ C'A q~'o ~ * Payments that are contributions or independent expenditures must also be summarized on Schedule O. SUBTOTALS ~'"'~' ~ 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. (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 Summa~ Page, Column A, Line 6.) .............................TOTAL $ FPPC Form 460 (June/Or) FPPC Toll-Free Helpline: 866/ASK-FPPC chedule I Type or print In Ink. SCHEDULE I Miscellaneous Increases to Cash Amo~nlsm'ayberounded, o whole dollars, fromStatemenlc°vers period~. ~ ~(:/~t~'~Z4:~/ ii~ SEE INSTRUC~ONS ON RE~RSE through~ ~)~] Page 7 of NAME ~ FILER I.D. NUMBER DATE FULL NAME AND ADDRESS OF ~URCE AMOUNf OF RECEIVED flF ~MI~EE, ALSO ENTER I.D, N~BER) DESCRIPTION OF RECEIPT INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 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. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the sUmmary Page, Line 14.) ........................................................................................................................... TOTAL $ /%7, ~ FPPC Form 460 (Junel0"l) FPPC Toll-Free Helpline: 8661ASK-FPPC