460 Third Pre-Election ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEEINSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from I 0/~") I~
through
1. Type of Recipient Committee: ~1 committees- Cor~plete parts 1, 2, $, and 4.
Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
C) Recall
[] Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
(Also C~mplete Pmf 6)
[] Pdmadly Formed Candidate/
Officeholder Committee
[] General Purpose Committee O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
3. Committee information
COMMITTEE NAME (OR CANDID,~rE'S NAME IF NO COMMITTEE)
Date Stamp
COVER PAGE
I
STREET ADDRESS (NO EO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. f~O× -
Date of election if applicable:!
(Month, Day, Year) ~
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAILADDRESS
2. Type of Statement: [] Preelection Statement
[] Semi-annual Statement
[] Termination Statement
[] Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Report
[] Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
M-AILING ADDRESS
~ME OF ASSISTANT TREASURER, IF ANY
LING ADDRESS
CITY 8TATE ZIP CODE
OPTIONAL: F~ / E-MAIL ADDRESS
STATE ZIP CODE AREA CODE/PHONE
4, 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.
certify under penalty of perjury under the laws of the State of California that the foregoing is true~n~ coFect., j ~
Signatt~e of ,~ dl~{l"[~c~der, Ca~lda~e Meas'~ Proponent or R~ponsibie Officer of Sp~3sor
Executed on By
ecipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAGE - PARr 2
Page ~ of ~'
5. Officeholder or Candidate Controlled Committee
NAME OF OFFtOEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) t
R A INESS DRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not Included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behaff of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I,D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
BSUPPORT
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
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] SUPPORT
[] 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/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
,rom i0! l!OI
SUMMARY PAGF
Page ~) of ~'
NAME OF FILER
J Column A
Contributions Received
1. Monetary Contributions ................................................ Schedule A, Line 3
2. Loans Received ............................................................. Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ............................. AddLineel*2 $
!
4. Nonmonetary Contributions ........................................Schedule c, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ............................... AddLines3+4 $
Expenditures Made
6. Payments Made ............................................................. Schedule E, Line 4 $
7. Loans Made .................................................................... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ......................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) .................................. Schedule F, Une 3
10. Nonmonetary Adjustment ............................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................... Add Lines 8 + g + 10 $
Current Cash Statement
12. Beginning Cash Balance .......... ~ ............... Previous Summary Page, Line 16 $
13. Cash Receipts ......................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash .............................. Schedule $, Line 4
15. Cash Payments ....................................................... Column A, Line $ above
1 (~. END~NG CASH aJt. L,i~CE ............ Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
Column B
CALENDAR YEAR
TOTALT OCATE
Io,,Lf'&.?? $ I% qT?,/P'~
17. LOAN GUARANTEES RECEIVED .............................. Schedule B, Part
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ............................................. see instructions on reverse $
19. Outstanding Debts ............................ AddUne2+LJneginColumnBabove $
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
car~ 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
1/1 through 6130 7/1 to Date
$
$ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expendituree Made*
(If Subject to Votunta~ Expenditure Li~t)
Date of Election
(mm/ddt/y)
/
/
/
TotaltoDate
$
$
*Since Janua~/1, 2001. Amounts in this section may be
different fi.om amounts reported in Column B.
FPPC Form 460 (Junel01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
chedule A Type or print in ink. SCHEDULE
Amounts may be rounrie~ Statement covers period
Monetary Contributions Received fo whol. rio,,ars, from ~'
SEE INSTRUCTIONS ON REVERSE through ,,/Ol]~ J Page~of, '
NAME OF FILER
IF AN INDIVIDUAL, ENTER AMOUNT CUMU~TIVE ~ DA~ PER ELECTION
DA~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCU~TION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DA~
RECEI~D 0F COMMIE. ~SO ~TER LD. NUMBER) CODE *
(IF SELF-~PLOYED, EN~R ~E PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF BUSINESS)
~ ~~ gO~ ~ I00
~COM
)fl 12 lob IvO
SUBTOTALS
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 pedod.
(Add Lines 1 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 Party
SCC - Small Contributor Committee
FPPC Form 460 (Junal01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
chedule A (Continuation Sheet) Typoorprintinink. SCHEDULE A (CONF.)
Monetary Contributions Received Amounts may be rounded Statementcoversperiod . ·
NAME OF FILER
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (m COMM~qrEE, ALBO ENTER I D NUMBER) COD E ~' (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRE D)
OF BUBINE$$)
Ocou
OCOM
~O~
OCOU
~O~
OCOM
OO~
SUBTOTALS
*Contributor Codes
IND- Individual
COM - Recipient Committee
(other ~an PTY or SCC)
OTH - Other
FTY - Political Party
SCC - Small C, ontrib~or Committee
FPPC Form 460 (Junol01)
FPPC Toll~Fme Helpline: 866/ASK-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
through
Page ~) of ~'
SCHEDULE
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
~ campaign paraphernalia/misc.
CNS campaign consultants
CT~ contribution (explain nonmonetary)*
CVC civic donations
candidate filing/ballot fees
fundraising events
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
MBR member cemmunications
MI'G meetings and appearances
OFC office expenses
~t:l petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PET print ads
I.D. NUMBER
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
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 the same candidate/sponsor
VOT voter registration
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEE. ALSOENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
LiT
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTALS ~ 2~', ~_L~
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................................... $ /0/~,, ~¢~
2. Unitemized payments made this period of under $100 ................................................................................................................................. $ O
3. Total interest paid this pedod on loans. (Enter amount from Schedule B, Part 1, Column (e).) ......................................................................... $ 0
4. Total payments made this pedod. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
chedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Statement covers period
from iO /~o l o j
through I'/0j )0 I
Amounts may be rounded
to whole dollars.
CODES:
If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Ct~P campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)*
CVC civic donations
FIL candidate filing/ballot fees
~ fundraising events
IND independent expenditure supporting/opposing others (explain)*
lEG legal defense
Lrr campaign literature and mailings
MBR member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
Pr-lO phone banks
PO[. polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
PAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
SCHEDULE E (CONE.)
Page ? of ~
I.D. NUMBER
'riD_ t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
'[RS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(iF COMMITTEE, ALSO ENTER I.D, NUMBER)
Og8 GII5
*Payme~tsthataroc~~tributi~ns~rindepend~~texpe~ditumsmusta~s~besummarized~~schedu~eD~ SUBTOTAL $ :~; J'~.~l. ~'"
FPPC Form 460 (Junel01)
FPPC TolI-Frse Helpline: 866/ASK-FPPC
chedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CODES: If one of the following codes accurately describes the
~ campaign paraphernalia/misc. MBR
CNS campaign consultants MTG
CTB contribution (explain nonmoneta~)*
CVC civic donations
F]L candidate filing/ballot fees
FND fundraising events
IND independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statemen~ covers period
from 'D/~ZI/O[
through '~/OI lo ~
Page
I.D. NUMBER
SCHEDULE F
payment, you may enter the code. Otherwise, describe the payment.
member ccmmunications PAD radio airtime and production costs
meetings and appearances RFD returned contribations
(DFC office expenses SAL campaign workers' salaries
Pc~ petition circulating 'IEL t.v. or cable airtime and production costs
PHO phone banks 'iRC candidate travel, lodging, and meals
POL polling and survey research ')~S staff/spouse travel, lodging, and meals
POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
PRO professional services (legal, accounting) VOT voter registration
PRT pdnt ads V~c_B information technolo
Iai lb) lc) Id)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT iNCURRED AMOUNT PAID OUTSTANDING
(IF CONI~WTEE. ALSO EN3~R 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THiS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
lit o 17o o
* Payments that are contributions or independent expenditures must also ba
summarized on Schedule D. SUBTOTALS $ $ $ $
Schedule F Summary
1. Total accrued expenses incurred this pedod. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ......................................... INCURRED TOTALS $ ~0
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, Line 9.) ....................................................................................................................................... NET $ ~ ..... ~' ~
FPPc Form 460 (June101)
FPPC Toll-Free Helpline: 866/ASK-FPPC