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460 First Pre-Election ecipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Statement covers period ,.om throughO~/~/0 ( Date of election If applicable: (Month, Day, Year) SEP ~ 6 2001 COVER PAGE For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1,2, 3, and 7. Officeholder, Candidate [] Primarily Formed Candidate/ Controlled Committee Officeholder Committee (Aisc Co,r,l~te Pa# 4J [] Ballot Measure Committee C) Primarily Formed C) Controlled 0 Sponsored (~Jso comp/ete pa~t 5.) (.41so complete Part 6.) [] General Purpose Committee 0 Sponsored 0 Broad Based 3. Committee Information COMMITTEE NAME STREET ADDRESS (NO P.O. BOX) 10940 ~(r0,1'"00I"1~¢---' ~d CITY STATE ZIP CODE MAILI~$~E~S (~I~?I?ERENT) NO. AND, ~EET OR ?O.?O~X'~1' AREA CODE/PHONE CiTY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS ' . cor¢/ 2. Type of Statement: ~ Pre-election Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) co, m iq_n [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Pre-election Statement - Atlach Form 495 Treasurer(s) NAME OF TREASURER CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIPCODE AREA C0DE/PHONE CA OPTIONAL: FAX/E-MAIL ADDRESS * FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California ecipient Committee Campaign Statement Cover Page -- Part 2 Type or print in Ink. COVER PAGE - PART 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OF~ CANDIDATE OFFICE SOUGHT OR HELD (INC, LUDE LO(~I~TION AND DISTRJCT NUMBER,IF APPLICABLE) gernbcr u r+ino, R[SID[NTIAJ~USIN[$S, ADDRESS (NO. AND STI~IEET) ClT~ ~. ST~ATE ZIP Rel-ted Committee. ~ol I.cl.ded i. thl. Statem..t: not/nclud~d/n ~/~ con~o//da~d atatement lhat am contro//ed hy you or ,~ich formed to race/ye contrlbu#ona or to maA~ ax~nd/turea on behalf o! yoor c~nd/dac~. COMMITTEE NAME I I.D. NUMeER I NAME OF TREASURER I CONTROLLED COMMITTEE? I I-I YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY. STATE ZIP CODE AREA CODE/PHONE 7. Verification 5. Ballot Measure Committee NAME OF BALLOT MEASURE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY I 6. Primarily Formed Committee Li, t ,,ma, of om~,ho~r,~ or ~,,d/dor~r.~ for which thia commlltee I~ ~ly fo~ NAME OF OFFICEHOLDER OR CANDIDATE . OFFICE SOUGHT OR HELD [] SUPPORT /%A [] oPPOSE NAME OFOFFICEHOLDEROR CAND,DATE OFFICE SOUGRT O. HE'D [] SUPPORT [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Affach con#'nuaffon sheets ff necessary []SUPPORT []OPPOSE Executed on Executed on I have used all reasonable diligence in preparing and reviewing this statement and lo Ihe best of my knowledge the information contained herein and in the altached schedules Is true and complete. I cerlify under penalty of perju~ under the laws of the State of California that the foregoing is Irue and'correct. DATE SIGNAq~JRE OF CONTROLLING OFFICEHOLDER. CAN~I:)~TE, STATF MEASURE PROPONENT 01 RESPONSIBLE OFFICER OF SPONSOR DATE By SIGNA'IURE OF CONTROU.ING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By DATE SIGNA~JRE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE M E.~SU RE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Slate of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER CY5-xns Contributions Received 1. Monetary Contributions ...................................................... Schedu/eA, Line $ 2. Loans Received .............................. . .................................... Schedule B, L/ne 7 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add L/nes t + 2 4. Nonmonetary Contributions ............................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... AddL/nes $ + 4 Expenditures Made 6. Payments Made .................................................................... Schedule E, L/ne 7. Loans Made .......................................................................... Schedule Fi, L/ne 8. SUBTOTAL CASH PAYMENTS ................................................ AddL/nes6+ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, L/ne 'i0. Nonmonetary Adjustment ....................................................... Schedule C, L/ne 11. TOTAL EXPENDITURES MADE ......................................... AddLine$8+9+ fO Current Cash Statement 12. Beginning Cash Balance ................................ Previous Summary Page, Line t6 $ 13. Cash Receipts .............................................................. ColumnA, L/ne3above 14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4 15. Cash Payments ............................................................ ColumnA, L/neSabove 16. ENDING CASH BALANCE .............. Add Lines 12 + I3 + 14, then subtract Line t5 $ If II;Is is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule 8, Psrt ~, Column Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... Sea instructions on reverse $ 19. Outstanding Debts ................................... AddLIne2+UneelnColumnCabove $ Type or print In Ink. Amounts may be rounded to whole dollars. -~;~;,~.ie~t covers ,rom through 0<:~ SUMMARY PAGE Page 5 of /'~..- I.D. NUMBER I~BR)4B TOTAL THIS PERIOD TOTAL PREVIOUS PERIO0 TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (C~LUMNS A + B) (~ ~ ?-00 - - G ~?-CO - $ 9'~/-74-$ - $ 9) 174 - 0 - 0 ?. ~600 - -- ¢ I 500 -- 0 ~ 0 - 4:90~,09 : - : 4:90~,09 0 6~56-~-91 * From previous slatement Summary Page, Column C. However, if this Is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Une 9). Summary for Candidates in Both June and November Elections ~ i- ' 111 through 6/30 7/I to Date 20. Contributions Received ............ $ 21. Expenditures ' Made .................. $ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 chedule A Type or print In Ink. SCHEDULE A AmounTs may ~e rounae~ Statement covers period Monetary Contributions Received to whole dollars. through 09 SEE INSTRUCTIONS ON REVERSE Of __ I 1~04~ IF ~N I~DI~ID~[, E~TE~ ~OUNT CUUUMIIVE TO D~ F~ ~UE, U~ILI~G ~D~ES] ~ND ZIP CODE OF CO~T~I~UTO~ CON~IBU}O~ ~CUPATI~ AN~ EUPkOYE~~ECEIVED ~HIS C~pc~no, cA ~60~ ~OTH ~h~ ~ ~ . ~,.o ~'~cd IoO- ~oo - o ~er~no~c~501~ ~OT. ~e~+anaC~ ~O0 - ~oo - o cb~dA/~cnJr ~,N~ chair~n %/~/oI ~e~'red ~o0 - ~00 - o Schedule A Summary 1. Amount received this period - contributions of $100 or more. ~.~-~ 0(*-~ ~ (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 $ ~-iJt 'Contributor Codes IND- Individual COM - Recipient Committee OTH - Other FPPC Form 460 (8/99) For Technlca! Assistance: 916/322-5660 bhedule A (Continuation Sheet) ~vp. or print In Ink. SCHEDULE A (CONT.) Monetary Contributions Received ,,mo-.,..,.y..,o..~,,o..o...o,,__. ,,o."'"m'"' co....o~ ~ ~/~/~ '~{~ mmma~ '~ ,,,,o,,,,, ~/zz/o~ I"" 5o, ~ ~(~i'~ns~¢ 0'(Yin ~ah0ncy I/'z5 ~o4 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DA'TE CUMULATIVE TO DATE DATE FULL NAME, MAILIN6 ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER RECEIVED(IF COMMITTEE, A/~SO ENTER I,O. NUMBER) CODE * (IF SE[F-EMPLOYED, ENTER NAME PERIOD (JAN 1 - DEC 31) (IF APPLICABLE) OF BUSINESS) ['.~, A~-~nO/CA c:~5~14 I-lOTH dcveiope r' /0(9 .d~cok~ drcb ucc,,,, Oachszx~ ~¢ po - loc- O Los I~l-k;¢¢: C/k 9Ao'z4 UOTH Abd~/dh I~s/ktbs, cA ~40¢~4 aCT. ?/M/bi ~a.r,v h/\'cclcrmfcr ' ¢,,,:, Inst'r'ac±or --~h J05¢~ CA 951Z9 DOTH d~oiAOTZ~ ZOmr~l10o- lDO 0 e//~/~ V(<¢inia 'Tambh)n ~'"° ~e-h'rcd i/po- lcd - o /?) q 21 .'~i'/,, b~ "b'r [] COM Cug~,r.-tinO, UA ~ 5014 •°T" '- 51~5)DI IDe,$'Z L~vc.d~'¥ Pi ~co,,,, Cp._~lfdn-f /,5o- loP- o Cuper-h'no., CA 4)5014 ,-,CT. Merrill Lynch SUBTOTAL [*ContrlbJl~ C_.o~ IND-Indivldual COM - RedCent Comm~t~ OTH -Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 chedule A (Continuation Sheet) Type or print In Ink. SCHEDULE A (CONT.) Monetary~;ontr,outions Heceive(J~m°~;[j;~/d~llrtj.n~:l Statement covers.tiN ~]~ ~ ~ ~' IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DATE FU~N~E, MAIMNGADDRESSANDZIPCODEOFCONTRIBUTOR CONTRIBUTOR, ~CUPATI~ANDEMPLOYER RECEIVED~IS CALENDAR YEAR OTHER RECEIVED (mF~E~E~ERm. O.~ER) CODE * (IFSE~YED, E~ER~ PERIOD (JAN I - DEC 31) (IFAPPLIC~LE) ~ B~) ?/~/o~ L~o5 Pfercc. R~ ..... ~co. ~vil~c IOO- )00 - 0 Eby ~o~cr8 ~'"~ ~'rcd Ioo- lDO- 9{~/0) ~z ~flky W~y aco. ~eIFg~O~ iOO- Ioo- 0 SUBTOTAL$ (000-- IND - Individual COM - R~,dp~ent Committee OTH - Other FPPC Form 460 (8/99) For Technical Assistance: 9i6/322-5660 schedi,le A (Continuation Sheet) wp* orprlnt In Ink. Monetary Contributions Received Amounte may be rounded SCHEDULEA (CONT.) Staten tO whole dollars. -~,.,,u,,, ~uvers perlo(] ~ ,rom OVo~/~I ~ NAME OF FLEER Cf~z~n~ ~r ~rrfn ~oncy I"~'T~% - , , IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE RECKED (IF ~EE, ~ E~ER i.D. ~R) CODE * ~F S~O~D, E~ER ~E OTHER ~ SUS~) PER~D (JAN 1 - DEC 31) (IF APPLICABLE) 8~ff~ Q6r6~ C~5050 ~om~om~ ~rc~ I~ i~- )00 - o 9h~/01 ~B ~enf ~r uco~ ~c~nz~t Ioo- Ioo- o · ~z3~, ~rt'no R~ ~co. Io0--~oo- o 915]o~ Lo ~eVo~lc , ~.~"~~memaker ~0o- Ioo- 0 21562 ~e~O ~d ~COM ~ct'~O, CA ~50~4 aom 1~9 IOI t200Z. ~ley C4 ~co. ~mcmaicer [00- o '1 IND-Indtvldual [OTH - Olher SUBTOTAL FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 schedble A (Continuation Sheet) TV.. or print In Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounmmay~roa..~.,o .,~o,e do,lmm. ,romS~"t=i~*n'c°~ p~,od NAMEOFFILER , IF AN INDIVIDUAL, EN~R A~UNT CUMU~TIVE TO DATE CUMU~TIVE TO DATE DA~ FU~ NAME, MAILING ADDRESS ~D ~P CODE OF CONTRIBU~R CONTRIB~OR OCCUPATI~ AND EMPLOYER RECEIVED ~IS CALENDAR Y~R OTHER RECKED (IF~E,~ERI.O.~R) CODE * (IFS~D,~ER~E PER~ (JAN 1 - DEC 31) (IFAPPLIC~LE) ~ BOM ~ OTH '- ~ c~ ~ OTH SUBTOTAL $ IND - ~ OTH - O~er FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 bhed'ule B - Part I Loans Received SEEINSTRUC~ONSON REVERSE NAME OF FILER DATE RECEIVED FUM. NAME, MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR (IF COMMiTtEE, AL~O ENTER I.D. NUMBER) CONTRIBUTOR CODE * ~IND [] COM [] OTH ~IND [] COM [] OTH ~IND [] COM [] OTH Type or print In Ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ?ncmr-cl ,,_ DUE DATE/ DUE DATE IErEREST RATE DUE DATE INTEREST RATE DUE DATE O % LENDER INFORMATION Ak~NT CUMULATIVE OF LOAN TO DATE /,000- EpO0 - CALENDAR YEAR , EO0- $ C~I.ENDAR ¥~R $ CALENDAR YEAR SCHEDULE B - PART 1 I.D. NUMBER It'5-qo45 GUAR'ANTOR INFORMATION AMOUNT CUMULATIVE GUARANTEEO TO DAT~ $-- $ ~ Schedule B - Part I Summary 1. Loans of $100 or more received this period. (Include all Loans Received - Part 1 (a) subtotals.) ................... $ 2. Amount received this period - unitemized loans of less than $100 ................................................................... $ 3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL $ Schedule B - Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. $ 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... $ '6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines.4 + 5.) ........................... TOTAL $ '7. Net change this period. (Subtract Line 6 from Une 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ 'Conlributor Codes ] IND- Individual COM - Reciplenl Commlltee OTH - Other FPPC Form 460 (8/99) For Technical Asslslance: 916/322-5660 chedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Amounts may be rounded to whole dollam. Statement covers period from 0 1//'~ }/~.~I SCH E NAME OF FILER CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP cempalgnpamphernalia/mlsc. CFC office expenses RFD mtumedco~lributio~s CNS campaign co~ullanls CTB con~ (explain nonmonetary)* CVC ck~c donatk~s FND fundralslng events IND In~ expenditure suppo~ting/opposk~ olhers (explain)* UT ~literatureandmallings PET peUlion circulating PHC phone banks POL po#lng and survey resserch POS postage, delivery end messenger sewlces PRO professional services (legal, accounting) PRT prtnl ads RAD radio aidime and production costs SAL campaignworkem saJarfes TEL l.v. or cable aJrtime and produdtion costs TRC candidate travel, lodging and meals (explain) TRS slaff/spouse travel, lodging and meals (explain) TSF transfer between committees of lhe same candidale/sportsor rOT voter registrallen WEB information lechnology costs (inlemel, e.rnail) NAME AND ADDRESS OF PAYEE OR CREDITOR 0F ~E, N. SO ENTER LO. Nt~aBER) CODE OR DESCRIPTION OF PAYMENT dM" LW- Payments thai are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ AMOUNT PArD Schedule E Summary 1. Payments made this pedod of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... 2. Unitemized payments made this period of under $100 ................................................................................................................... i .................... ,: 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... . 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 (8/99) For Technical Assistance: 916/322-5660 chedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER 'P/ps or print In Ink. Amounts may be rounded to whole dollars. Statement covers period ,.... o1/ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campeignparaphemalia/mlsc. DFC office expenses RFD retumedconlributions PET petition ctmulating PHO phone ba~ks POL polling and survey research POS postage, delivery and msssenger services PRO professional services (legal, accounting) PRT p~int ads SCHEDULE E (CONT MTG meetings and appemanoe~ PAD radio alfllme and production costs WEB Information technology costs I.D. NUMBER SAL campaign workers salaries TEL t.v. or cable alrltme and production costs TRC candidate travel, lodging and ,meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VDT voter registratio~ NAME AND ADDRESS OF PAYEE OR CREDITOR 0F COMIm I 1 sE, N.~O ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ?rirnhn5 erh'no , ~,~l~i ~' ~dm~m~m expend~urel muit slid be Immmd~ ~ ~chodule D. FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 chedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period ,,o~ ,hroug,,. CODES: If one of the following codes accurately desCribes the payment, you may enter the code. Otherwise, describe the payment. CMP cempalgn parapherns~a/rnlsc. DFC office expenses RFD returned contributions CNS cempalgn consultants CTB c~-~ibulion (explain nonmonetmy)* CVC dvlc donatk~ls FND fundralalng events IND Ind~ e~ auppo~ing/oR3nslng others (ex~aln). LIT campaJg~litemt~eandmaffiegs PET patition circulating PHO phone banks POL po#lng and survey research POS postage, dalivery and messenger services PRO professional services (legal, accounting) PRT pdntads MTG mse#ngs and appearances RAD mdioalrtimeandproductloncosts * Payments that sm contributions or Independent expenditures must also be summarized on Schedule D. SCHEDULE I.D. NUMBER SAL campaign workers salades TEL t.v. or cable airtirne and production COsls TRC candidate Irsvel, lodging and meals (explain) TRS staff/spouse travet, lodging m~d meals (explain) TSF transfer belween commitlees of the same candidale/sponsor VDT voter registration WEB Information technology costs (intemet, e.mall) E NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR (a) (b) (c) (d) OUTSTANDING AMOUNT, INCURRED AMOUNT PAID OUTSTANDIN{~ PF CO~,eaTTEE, N..SO ENTE n LO. NUMSSA) DESCRIPTION OF PAYMENT BN.ANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLC OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERk g,t~bcn L\T O- I,~O0- 0 - 1~50~ ~a~ ~0~¢/C/~ 9Sl20 on oon ~9~0 ~,a~n~w br , L\T O - SOO 0 ct~,cr-~n'r~o.. CA 9501~ - - SUBTOTALS$ 0- $ ~00- $ O - $ ~)~)O0- Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Une 9.) .. '~"" .............................................................................................................................................. NET FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660