Termination Amendment 2 ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In ink.
Statement covers period
from 'Z jr C.h(..~.~ ~
through~_~;(.~) ~oo /
1. Type of Recipient Committee: A~ Commmees - Compl.te Parts 1, 2, 3, and 4.
[] Ballot Measure Committee
O Primarily Fom~ed
O C,o. d
O Sponged
[] Pdmadly Framed Candidate/
Officet',,o~lm Comn~ttee
1~ Officeholder. Candidate Controlled
C~3m~ttee
O State Cm~ldate Election Committee
O Reca~
[] General Pu~se Gommittee
O Small Coatra3ut~ Committee
O Political Party/Central Committee
3. Committee Information { I.D. I~UMBER .
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMI~rEE}
STREET ADORE.~ (NO P.O. BOX)
· CITY STATE ZIP CODE
AREA CODE/PHONE
COVER PAGE
MAIUNG ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZiP CODE AREA CODE/pHONE
OPTIONAl.: FAX / E-MAIL ADDRESS
Date of election if
(Mo~lh, Day. Year)
FEB - 4 2002
~ of '7
-'_RTINO CITY
2. Type of Statement:
[] Preeleclio~t Statement
~ Semi-annual Statement
~ Tenntrmtion Statement
{~ Amendment (E~ain below)
[] Qumtady Statement
[] Special Odd-Year Repod
[] Supl:~mantal Preelectloa
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER ~
MAIUNG ADDRESS
'-/ Ayuc
CITY STATE ZiP CODE
NAME OF ASSISTANT TREASURER, IF ANY
AoREA CODE/PHONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ACTRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best o! my knowledge the informatio~t contained herein and in the attached schedules is trde and complete. I
under penalty of perjury under the laws of the State of California
Executed on ay / ~ v - /( v
Executed o~ By
By FPPC Form 460 (June/OI)
Executed on Dme· S~gn~u~ ~Co~lm~ng C~ce~c~. Can~dam. State Measure
FPPC Toll-Free Helpllne: 866~ASK-FPPC
Stale o!
ecipient Committee
Campaign Statement
Cover Page m Part 2
Type or print in ink.
COVER PAGE -PART 2
Page ~ of 7
Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
'~o~E£T- ~. LEdY
OFFICE SOUGHT OR HELD (INCLUDE L~ATION AND DISTRICT NUMBER IF APPLICABLE)
RESlDEN~USINESS ADDRESS (NO. AND STRE~ CI~ ~A~ ZIP
Related CommiUees Not Included in this S~tement: List any committ~s
not inclu~d In thl~ statement that am controll~ by you or am primadly formed to m~ive
contdbutions or make ex~nditum~ on ~half of your candidacy.
C~MI~E ~E ~I.D. NUMBER
~ CONTR~LE~ C~MI~EE?
~ ~ ~s ~ .o
NAME OF TREASURER
COMMITTEE ADDRESS
CITY $1All= ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER
COMMITTEE ADDRESS
CONTROLLED COMMH-rEE?
[] YES [] NO
STREET ADDRESS (NO P.O,
6. Ballot Measure Committee
NAMEOFBALLOTMEASURE
BALLOT NO. OR LE~rER
IJURISDICTION I [] SUPPORT
[] OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD
IDISTRICT NO. IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate{s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
[] SUPPORT
[] OPPOSE
[] SUPPORT
[] OPPOSE
[] SUPPORT
[] OPPOSE
CITY STA~E
ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form (~ (June/01)
FPPC Toll-Free Helpllne: 86~/ASK-FPPC
Slale e~ California
Campa'ign Disclosure Statement
Summary Page
SEE INSTRUCTtONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
SUMMARY PAGE
Page, ~ of 7
NAME OF FILER
Contributions Received
I. Monetary Conln'bufions ...................; ....................... Sch~eX, L/ne3
2. Loans Received ...................................................... Sd~d~e S. the 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... /~d/./nas; * 2
4. Nonmonetary Contributions .................................... Schedule C,/.~ 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add/./nas 3 + 4
Expenditures Made
6. Payments Made ....................................................... sc~o~e F_, ~ 4
7. Loans Made ............................................................ Sched~e H. Une ?
8. SUBTOTAL CASH PAYMENTS .................................... ~ddUne$ S, Z
9. Accrued Expenses (Unpaid Bills) ............................... Sc~d~e F. Une 3
10. Nonmonetary Adjustment .......................................... schedule c. Une3
11. TOTAL EXPENDITURES MADE ................................ Add Un~ S + 9 + ;0
Current Cash Statement
12. Beginning Cash Balance ....................... P/m~ou$ Summa0/Page. Une ;s
13. Cash Receipts ................................................... c.o~m. A tJhe 3 above
14. Miscellaneous Increases to Cash ........................... Sched~e I. Une 4
15. Cash Payments .................................................. co~mnA, UneSabove
I 6. E~D{NG CAS~ BALA~.E .......... Add l. Jne$12 + 13 + 14, theft subtracf Dna 15
If this Is a tenninaSon statement. Line 16 must be zero.
Column A
TOTAL ~ PERIOD
(mom A'rr.~.E~ SC~J)ULES)
s -~ ~"~'
O
$ O
17. LOAN GUARANTEES RECEIVED ........................... ScheduleB. Parl2 $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See ~struc~m on reverse
19. OUtstanding Debts ......................... ~ une 2 + Une 9 ;n Co~urm B above
Column B
CALEND~R YEaR
?OTAL TOOA~
0
To calculate Column B. add
amounts In C~urnn A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
llgures Ihat should be
subtracted from previous
pednd amounts. If this is
the first report being filed
for this calendar year, only
carp/over the amounts
from Unes 2, 7, and 9 (if
any).
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 tl~:mgh 6/30 7It to Dale
20. C0ntribu~ns
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made* (u SuNect w Vohm~ F. xpe~o uem)
Date of Election I Tolal to Date
(mm/dd/yy)
/.~/.~
! /.__
/.__/.~
· ! !.__
~/.~/.~
__/.__/.~
'Since January t. 2001. Amounts In Ihis seclio~ may be
different Irom amounls reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 8661ASK-FPPC
chedule A Type or print in Ink, SCHEDULE A
-- - Amounts may be rounded Statement covers period
MonetaryContributionsReceived to whole dollars, from ~ ' ~) C..'~ ~..-c,-o// ii~!~i i
SEE INSTRUCTIONS ON REVERSE through Page Of_ ./
NAME OF FILER I,D. NUMBER
iF AN iNDiViDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
OATE FULL NAME, STREET ADDRESS ANO ZiP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IFCO~N. SOENTERLO. NUMBER) CODE * (IFSELF-EMPt. OYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
I--ICOM
DOTH
[] PTY
I-lscc
rlIND
E~COM
~OTH
[] PTY
Dscc
~]OTH
[] PTY
I-lSCC
I-lIND
I~]COM
I-lOTH
~PTY
I-lscc
Schedule A Summary
1. Amount received this period - 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 I and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Pady
SCC - Small Contributor Committe~
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
chedule B - Part 1
Loans Received
Type or print In ink.
Amounts may be rounded
to whole dollara.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FUlL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
~lND []COM DOTH Dm'~ DSCC
tO~ND []COM OOTR DraY []SCC
tE)~NO []COM []OTH DPT~ []SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
BEGINNING THI
PERIOD
(b)
,A,V4:X.ffdT
RECEIVED THIS
PERIO0
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
[] FORGIVEN
[] PAID
$
$
[] PAID
$
D FORGIVEN
$
SUBTOTALS $ $ $
Statement covers period
from *~f ocT' ~ ~*
through ~ / '~0_. Z(:~::> /
OUTST(A~IOiNG (e)
INTEREST
BALANCE AT
CLOSE OF THIS PAID THIS
PERIOD PERIOD
$
~ / -~"~- °l
DATE DUE
$
RArE
$
DATE DUE
SCHEDULE B - PART 1
Page of
I.D. NUMBER
(f)
ORIGINAL
AMOUNT OF
LOAN
DATEINCtJRRED
CUMULATIVE
CONTRIBUTIONS
TO DATE
CAI.ENDA~ YE~
$
PER ELECTION
$
CALENDAR YEAFI
$
PER ELECTION
$
$
DATE DUE
RArE
% $
DATE INCURRED
~A ELEC11ON ~'
s
Schedule B Summary
1. Loans received this pedod .................................................................................................................... $
(Total Column (b) plus unitemized loans less than $100.)
2. Loans paid orforgiven this period ......................................................................................................... $
(Er~ (e) m
~E,L/~3)
(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.
IND - Individual COM - Recipient Committee (other than PrY or SCC) OTH - Other PTY- Political Party SCC - Small Contributor Committee
'Amounts forgiven or paid by!
another parly also must be
repo~ted OR Schedule A. I
I
'* If required, j
FPPC Form 460 (June/D1)
FPPC Toll-Free Helpllne: 866/ASK-FPPC
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from ~'' ! ~:~ O-''T ~ /
NAME OF RLER
CODES: If one of the following codes accurately describes
OVP campaign paraphernalia/misc.
CNS c~ig~ consultants
CTB contribution (explain nonmonetary)*
CVC ~ donations
FIL candidate tiling/ballot fees
FND fundraising events
I'JD independent expenditure supporting/opposing others (explain)*
LEG legal defense
UT campaign literature and mailings
the payment, you may enter the code. Otherwise, describe the payment.
MBR member communications RAD
Iv~'G meetings and appearances P4:O
OFC office expenses SAL
I-'el petition circulating TEL
PHO phone banks ~
PO{. polling and survey research TRS
POS postage, delivery and messenger services TSF
PRO professional services (legal, accounting) VOT
~,-~ print ads
SCHEDULE E
.sge of '7
I.D. NUMSER
radio airtime and production costs
retumed contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/aponsor
voter registration
WEB information technology costs (Intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(I~'CO~IdlTrEE. ALSOEN'rER LO. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. 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 Summary Page, Column A, Line 6.) ............................. TOTAL $ ~:~:~ ~
FPPC Form 460 (Ju~e./01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule I Typeor print.. , ..... In ink. SCHEOULEI
Miscellaneous Increases to Cash Amounts may be rounded State,~e~t covers period
SEEINSTR~SONR~E through~, ~ ~t page ~ of~'
N~E ~ R~R 1.0. NUMBER
DA~ ~ N~E AND ~DRE~ OF ~URCE DESCRIP~ON ~ REC~PT ~OUNT ~
R~O pp ~ ~o E~ER LD. ~n) I~RE~E ~ CASH
Attach additional information on approprfately 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. Tola miscellaneous' increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL
FPPC Form 460 (June/O'l)
FPPC Toll-Free Helpline: 8661ASK-FPPC