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 J",~'/0 Z.~,(
through ¢~_~0~[-~. ?..Z.77.cO
1. Type of Recipient Committee: All Committees -Complete Parts 1,2, 3, and 7.
I~ Officeholder, Candidate
Controlled Committee
(,41~ Compete Pan 4.)
E] Ballot Measure Comm~ee 0 Pdmadly Formed
0 Controlled
0 Sponsored
(AI~O COIT)pMM Peri $.)
[] Primarily Formed Candidate/
Officeholder Commiltee
(4/== Compee P~,~ 6.)
[] General Purpose Committee
O Sponsored
O Broad Based
3. Committee Information
COMMII'TEE NAME
I.D. NUMBER
STREET ADDRESS (NO P.O. BOX}
CiTY STATE ZIP CODE AREA CODE/PHONE
MAIUNG ADDRESS (IF DIFFERENT} NO. AND STREET OR RD. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
S EP~.~ 200
By,.
Date Stamp
SEP 2001
COVER PAGE
Fo~ Official Us~ Only
2. Type of Statement:
[] Pre-election Statement
[] Semi-annual Statement
[] Termination Stalement
I--I Amendment (Explain below)
[] Quarterly Statement
[] Special Odd-Year Repod
[] Supplemental Pre-election
Stalement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
CITY STATE ZiP CODE AREA CODE./PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAIUNG ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
State of California
ecipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in Ink.
COVER PAGE - PAFIT 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
R ESIDENT1AL/BUSINESS ADDRESS (NO. AND STREET) CITY S/ATE ZIP
I:lelat~d Committees Not Included in this Statement: ~/$ta.y.~
~ot I~clu~ I~ t~l~ co~oll~ate~ it~tlme~t t~tt are co~trolled Oy yog or ~ic~ Ire primarily
formed to ~e~elve contrlbutic~ or to make expenditures o~ I~et~lf of your candidacy.
COMMiI'rEE NAME II.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMii i ~'1
~ YES [] NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY. STATE ZIP CODE AREA CODE/PHONE
5. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LEI'I-ER I JURISDICTION [ F1 SUPPORT[] OPPOSE
Identify the controlling officeholder, candidate, m' 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 Ltst ,,me, of o~,e/,~,,~,) o,- ~,,,~;d,t(,;
for wi;ich this committee I~ primarily formed.
NAME OFOFFICEHOLDER OR CANDIDATE IFFICE SOUGHT OR HELD [] SUPPORT
NAME OF OFFICEHOLDER OR CANDIDATE
IFFICE SOUGHT OR HELD
IFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
[] OPPOSE
[] SUPPORT
[] OPPOSE
[] SUPPORT
[] OPPOSE
Affach con~'nuation sheets if ~,'y
7. Yerification
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 altached schedules
is true and complete. I certify under penalty of perjury under the laws of the State of California thai the foregoing is true and correcL
Executed on ~" "~ ~ bc-t~ TC~'t~ ~ ~ ~.l'~ 0 0 ~ By
DATE ~ ~ . ~/k.~UFIE R OR ASSISTANT TREASURER N
Executed on '''~ ~'~ ~ (?~T"~=~u~'/~ ~1 ~ [ By SIGNATURE OF CONTI~U.,~ICEHO~DER. CA~'~IDATE. STA~ UEASURE PROPONENT OR R£SPONS,BLE OFFICER O~ SrO SO~
DATE
Executed on By
SIGNATURE OF CONTROLLING OFFICEHO[.~ER. CANDIDATE. STATE MEASURE PROPONENT
DATE
FPPC Form 460 (8~99)
For Technical Aaalatance: 916J322-5660
State of California
Campaign Disclosure Statement
Summary Page
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SEEiNSTRUCTIONSONREVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions ...................................................... Schedule,4, Line
2. Loans Received ................................................................... Schedule 8, Line
3. SUBTOTAL CASH CONTRIBUTIONS ................................... ~ddLines I +
4. Nonmonetary Contributions ............................................... Schedule C, Line
5. TOTAL CONTRIBUTIONS RECEIVED .................................... ~ddLinas$ +
Column A
TOTAL THIS PERIO0
(FROM ATTACHED ~CHEDULE$)
SUMMARY PAGE
from / ~A-~/) "Z-O'~ J i~,e
thro.gh ~'~ ~'~'~/ZI)c~ Page
I.D. NUMBER
Column B* Column C
TOTEM. pREVIOUS PERI~ TOTA/~ TO DATE
(SEE NOTE BELOW) (CO[*UMNS A + El)
$ $
$ $
$. $
Expenditures Made
6. Payments Made .................................................................... Schedule E, Line
7. Loans Made .......................................................................... Schedule H, Line
8. SUBTOTAL CASH PAYMENTS ................................................ ,4rid Lines 6 *
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, L/na
10. Nonmonetaw Adjustment ....................................................... Schadu%a C, Line
11. TOTAL EXPENDITURES MADE ......................................... Add LJne$ 8 + 9 + 10
S S
$ $
$ $
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summery Page, Line t6
1 3. Cash Receipts .............................................................. Column A. Line 3 above
14. Miscellaneous Increases to Cash ....................................... Schedule I, Line 4
15. Cash Payments ............................................................ Column ,4, L/ne 8 above
16, ENDING CASH BALANCE .............. Add Lines I2 + %3 + 14, then subtracl L/ne 15
fi%his is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................... Schedute ~, Per~ I. Column (b) $
Cash Equivalents and Outstanding Debts
. 18. Cash Equivalents ..................................................... See inslruc#ons on reverse $
19. Outstanding Debts ................................... ,4ddLlne2+Lineg/nColumnCabova $
· From previous statement Summary Page. Column C. However, if Ihis
is the first repod 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
1/1 Ihrough 6/30 7/1 to Date
20.
Conlributions
Received ............ $
21. Expenditures
Made .................. $
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
chedule A Ty~, or print in Ink. SCHEDULE A
Amounts may be rounded S~tei~ent covers period
Monetary Contributions Received to whole dollars, fr°m I ~'Y~l~' ~ ° / ~i~ t ~
through~'~'- ~"~°T'~%'~-~~''~'~/ Page ~ of ~
ZEE INSTRUCTIONS ON REVERSE
~IAME OF FILER I.D. NUMBER
IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE CUMUI~.TIYE TO ~ATE
DATE FULL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR OTHER
RECEIVED (~F COfAV4TTEE. N. SO ENTER I.O, NUM~E R) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31 ) (IF APPLICABLE)
OF BUSINESS)
[] IND
[] OOM
[] OTH
I-I ~ND
[] COM
[] OTH
[] IND
[] COM
[] OTH
[] IND
[] COM
[] OTH
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 ~ess 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
'Contributor Codes
IND - Individual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
~'ched'ule B - Part I
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME, MAlUNG ADDRESS AND ZIP CODE
OF LENDER OR GUARANTOR
(1F COMMITTEE. A~.SO ENTER I.D. HUMBER)
~ Landar [] Guaran/or
O L~.~ [] Guarantor
CONTRIBUTOR
CODE *
~'IND
I-] 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
HAME OF BUSINESS)
DUE DATE/
INTEREST RATE
DUE DATE
7 ~owo~!
INTEREST RATE
DUE DATE
DUE DATE
INTEREST RATE
%
SUBTOTAL $
S[a;~i~; covers period
from f ~ ~J"{ ~-'k~~O'°1
through ~*~'' ~~ ~)
LENDER INFORMATION
(~)
AMOUNT
CUMULATIVE
TO DATE
:ALENDAR YEAR
OTHER
CALENDAR YEAR
$
CAJ_ENDARYEAR
$
OTHER
$
SCHEDULE B - PART 1
Page of __
ID. NUMBER
GUARANTOR INFORMATION
$
$
$
$
$
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, a/so 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 Line 3.)
Enter the net here and on the Summa~' Page, Column A, Line 2 .......................................................... NET
I'Co~tributo~ Codes
IND - Individual
COM - Recipient Committee
OTH - Other
FPPC Form 460 (8/99)
Fot~ Technical Assistance: 916J322-5660
chedule E Type or print In Ink.
Amounts may be rounded
Payments Made to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from / ~Yl Z~'O/
Page
SCHEDULE 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 campaign i:mrel:d~rnaitalmlsc.
CNS campaign consultants
CTB contr;bu~ (explain nonmooetary)'
CVC chac donations
FND ftmdralaleg events
IND Inde~ expmxJIture suppo~ng/opflosing others (explain) '
LIT campalgnlitemture andmallings
MTG meetings and appearances
OFC olfice expenses
PET petilion circulating
PHO phone banks
POL polling and survey research
__P.P.P.P.P.P.P.P~ postage, delivery and messeflger services
PRO professional services (legal, accounting)
PRT print ads
RAD radio airtime and production costs
I.D. NUMBER
RFD returned contributions
SAL campaign workers saiades
TEL t.v. or cable alrtime and produdtion costs
TRC candidate travel, lodging and meals (explain)
TRS stardspouse travel, lodging and meals (explain)
TSF transfer belween committees of Ihe same candidale/sponsc~
VOT voter reglstralk)rt
WEB information lechnology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE OR CREDITOR
0~: cot, em ~ I ,~ E. N..SO ENI~ R t.O. New, SE R) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
/~rt~7-O/h ~ bc "~ ~ ~oY /../--r.-- ~,/o ~,,/~-.~
Payments that ere :ontril~tions or Independent expenditures must also be summarized on Scle:lule O. SUBTOTAL $ (~ ~1/~, ~, "~
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $
2. Unitamized payments made this pedod of under $100 ........................................................................................................................................ $
3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $
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 (8/99)
Fa' Technical Assistance: 916J322-5660