460 Third Pre-Election ecipi'en, Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Statement covers period
from ~'/ ~)d"/'~C-~)'Z'O'O
through
1. Type of Recipient Committee: Aa Committees - Complete Pa~$ t, 2. 3, and 4.
~1 BaJlot Measure Committee
O Pflmarily Formed
0 cont.~
0
[] Primarily Formed Candidate/
Officeholder Committee
Officeholder, Candidate Controaed Committee
State Candidate Election Committee
R,~.~i
(A~O Co~ Pa~' S)
ILO. NUMBER . /
[] General Purl~e Committee
0 sponsor~
O sma, ConUibu~or ~ttae
O PoliOcal Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Date of election if
(Month. Day. Year)
!NOV 0 2 2001
~OVER PAGE
2. Type of Statement:
[] PreelscUon Statement
I--I Semi-annual Statement
1~ Termineli~'t Statement
I-] Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Page. / o! __
For Official Use Only
MAILING ADDRESS
[] Quarterly Slatement
[] Special Odd-Year Report
[] Supplem~mtaJ Pr eelection
Statement - Altech Form 495
STREET ADDRESS (NO P.O. BOX) CITY STATE ZiP CODE
AREA CODFJPHONE
CITY STATE ZIP CODE
NAME OF ASSISTANT TREASURER. IF ANY
AREA CODE/PHONE
MAJUNG ADDRESS (IF DIFFERENT} NO. AND STREET OR P.O. BOX MAILING ADDRESS
CITY STATE ZiP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to lhe best of my knowledge the informatio~ contained herein and in the attached schedules is Irue and complete. I
certify under penalty "~°f Perju~,/~~under the laws of the State of California that the foregoing is true and c°rr~Ft'/)~j,~__.~/3
~eculed on By
Executed on Oma · By S~nammdCenU~r~ngO~.Ca~da~te. Sm;elV~asumPr~e~ FPPC Form 460
FPPC Toll-Free Helpllne: 86~ASKoFpPC
Stale of Cetlfotnle
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
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPliCABLE)
Ct'P/
RESIDENTIAJ-/BUSINESS ADDFIE~ (NO. AND STREET) CITY ~TA.'[~ ZIP
Related Committees Not Included in this Statement: Llstanyc~mmittees
not included In this statement that ere controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMIi I~-ENAME I I.D. NUMBER
I
NAME OF TREASURER I CONTROLLED COMMrl-rEE?
] [] ~ES [] NO
COMM~ ~ cE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STA'I~ ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMRER
CONTROLLED CONIMri-rEE?
[] YES [] NO
STREETADDRESS (NO P.O. BOX
NAME OF TREASURER
COMMITTEE ADDRESS
CITY STA'IE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BAM.OT NO. OR LETTER
JURISDICTION [ []SUPPORT
D 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 Llstnsrnesofofficeholder[a)orcandidate(a)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
[] SUPPORT
[] OPPOSE
JFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
[] SUPPORT
[] OPPOSE
OFFICE SOUGHT OR HELD [] SUPPORT
[] OPPOSE
Attach continuation sheets If necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 866/ASK-FPPC
State of California
Campaign Disclosure Statement
Summary Page
SEEINSTRUCTIONSONREVERSE
Type et ~.int tn ink.
Amounte may be rounded
to whole dollere.
Statement covers period
through r ~/C~'~/';~'~-~)''/-~13
Page ~ of '~
NAME OF RLER
Contributions Relived
L v?
1. Monetary Contributions ................... : ....................... S¢/~d~eA./.JM3
2. Loans Received ...................................................... Sd. dale a. L~e ?
3. SUBTOTAL CASH CONTRIBUTIONS ......................... add/.*~ I *2
4. Nonmonetary Contributions .................................... so~,~e c. ~ne 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... addU.~ $ + 4
Expenditures Made
6. Payments Made ....................................................... ScMd~e E,/./ne 4 $
7. Loans Made ............................................................. ScM~e H. U.e ?
8. SUBTOTAL.CASH PAYMENTS .................................... addUnes 6. ? $
9. Accrued Expenses (Unpaid Bills) ............................... sc~d~e F, Uno 3
10. Nonmonetary Adjustment .......................................... Sdmd~eC, Uae3
11. TOTAL EXPENDITURES MADE ................................ ,<~dtJn~s+S. I0 $
Current Cash Statement
12. Beginning Cash. Balance ....................... P~ Summ~yPage.
13. Cash Receipts ...................................................
14. Miscellaneous Increases Io ,?ash ........................... S=t~el, une4
15. Cash Payments..,: ..............................................
16. ENDING CASH BALANCE ..........
If Ibis is a tamf~ation statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... scherzo B, Pen 2
Cash Equivalents and Outstanding Debts
18. Cash Equlvalen. ts ........................................ s~ *~stmcf/ons m reverse
19. Outstsndlng Debts ......................... ad~UM2.uneg~Co~m, aatx~e
Column A Column S
¢ROMATTaCF~)SC~,D4,.'~E~ TOTAL'rOOA"~
o c)
0
s /¥'r¢
To calculate Column B, add
chaunts in CoWn~ A to the
corresponding amounts
from Column B o4 your last
report. Some amounts In
Column A may be negative
figures that sixxJd be
subtracted from previous
pedod amounts. If this is
Ihe first relxxl being filed
Ior this calendar year, only
cam/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
111 Ihmugh 6/30 711 to Date
$ $
$ $
Expendlture Limit Summary for State
Candidates
22. Cumulative Expenditurea Made*
Date of Election Total to Date
/, I.~ $
I ,,I.__ $
'Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/O!)
FPPC Toll-Free Helpllne: 866/ASK-FPPC
)
Schedule B- Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULl. NAME. STREET AODRESS AND ZIP CODE
OF LENDER
(IF CO~IM I 1 I~. Al. SO ENTER I.D. NU~
1'0 IND D COM [] om D Pry [] scc
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IE EECF.EMPt.O~ED. ENTER
)
Type or print in Ink.
Amounts may be rounded
to whole dollars.
(I) (b)
OUTSTANDING AMOUN'F
BALANCE RECEIVED THIS
BEGINNING THIS
PERIOD PERIOD
$ $
$ $
$
Statement covers period
from ~'!
lhrough / ~OOCI~J~)Za'~/
(¢)
AMOUNT PAID
OR FORGIVEN
'R'IIS PERIOD *
[] PAID
$
D FORGIVEN
$
[] FORGIVEN
$
OUTST(/~DING
BAI. ANCE AT
CLOSE OF THIS
PERIOD
DATE DUE
INTEREST
PAID THIS
PERIOD
)
SCHEOULE B- PART 1
Page ~'~ of ~
~)
ORIGINAL
AMOUNT OF
LOAN
I.D. NUMBER
CUMULA'RVE
CONTRIBUTI~S
TO DATE
DATEINCURRED
DATEINCURRED
PER ELECTION**
c~e~m VE~
PER ELEC1]ON **
$
PER ELEC~ON e*
$
$
tD IND D co~ [] oTH D ~ D SCC OATEOUE OAT£1NC~JI~RE~
SUBTOTALS $ $ ~$ 0 $ 0
(~ (e) m
Schedule B Summa
(Total Column (b)plus unitemized loans less than $100.) '
Loans paid orforgiven this pedod $. ~2 ~- '7 ?''-~-~
(Total Column (c) plus loans under $100 paid or forgiven.)
(include loans paid by a third party thal are also itemized on Schedule A.) ///
Net change this pedod. (Subtract Line2 from Line 1.) ............................................................... NET $
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by}
another party also must be
reported on Schedule A. I
I
'* .If required, j
It C~Codes
IND- Individual COM - Recipient Commiltee (other than PTY or SCC)
SCC- Small Contributor CornmilteeI
FPPC Form 460 (June/O1)
FPPC Toll-Free Helpllna: 866/ASK-FPPC
01~H - Other PTY- Political Par{y
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
)
Type or print in Ink.
Amounts may be rounded
to whole dollars.
SCHElXJLE E
Statement covers period
,rom '7_(
through / ~°[/Cc~"')
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
QvP campaign paraphernalia/misc.
CNS caml:~gn co~s,~tants
CTB contn~bu~m (explain no~moaeta~/)'
crc civic denatioas
RL candidate r~!ing~oailol lees
Fl,13 fundmising ovents
FD independent expenditure suppo~ng/oppo~ olhem (explain)'
LEG legal defense
UT campaign literature and mailings
I.D. NUMBER
~ member communications
MTG meetings and appearances
OFC office expenses
PO[. polling and survey research
POS postage, daiive~/and messenger sen/ices
PRO professional son,ices (legal. accounting)
~-~1 print ads
RAD radio airtime and produclion costs
RFD relumed contributions
SAL campaign workers' salaries
T~. Lv. or cable ai~lime and production costs
candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between cornmiltees of Ihs same candidale/spcosor
rOT votsr registration
WEB informalio~ technok)gy costs ('.'~tsmet. e-mail)
NAME AND ADDRESS OF PAYEE
~ CO~md,3'T[~ ,U.SO Em-,~ ~.0. NU~.RI 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 $1 O0 or more. (Include all Schedule E subtotals.) .................................................................................................. $
2. Unitemized payments made this pedod of under $100 .......................................................................................................................................... '$ 7.-
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 Ihe Summary Page, Column A, Line 6.) ............................. TOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC