First Pre-Election Amendment ecipient Committee
Campaign Statement
Cover Page
(Government Code SecUons 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Statement covers period
from~P
through
1. Type of Recipient Committee: Att Committees - Complete Pa~ts I, 2, 3, and 4.
~ Officeholder, Candidate Controlled Committee [] Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
(Also Complete part 6)
[] Primarily Formed Candidate/
Officeholder Committee
[~Jso Cornp~e Pen T)
O State Candidate Election Committee
O Recall
(,aJ$oComplele Pa~15)
[] General Purpose Committee 0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
COVER PAGE
Date of election if applicant/ jA~i~ '~ ,
(Mort,h, Day. Year) l- I"1 ~,,,: :_.: ,_ Dj 7
~~2. Type of Statement:
~ Preelection Statement ~ Quadedy Statement
~ Semi-a~ual Statement ~ Speci~ ~d-Year Repod
~ Terminaaon Statement ~ Sup~ement~ Preelection
~ Amendment (Explain below) Statement - AEach Fo~ 495
3. Committee Information
I,.~. ~.U~B$ ~'~ ~ Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX)
ZIP CODE
C,TY ATE
NAME OF ASSISTANT TREASURER, IF ANY
AREA CODE/PHONE
STATE ZiP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. 8OX MAILING ADDRESS
CITY STATE ZiP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
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 lrue and complete. I
cedify ii:rt::r~l:o~p~~la:s(~ti~e (.~:~a~at th~yfOregoing is true and c~~, ~
Executed on By
~ sig~lufe o~ C(~llrol~g C~fice~n(fld~. Candldata. State Measure Prixx)e3e~l
Executed on By
~ S~alun~ o~ Co~1ln3~/4¢~ C~icelnold~. Candidate, Stale Measure P~c<~ne~ I FPPC Form 460 (J u~rle/O 1 )
FPPC TolI-Ffee Helpltne: 866/ASK-FPPC
Slate of Ca~fornla
ecipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAGE - PART 2
~'- of '7'
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/~USINESS ADDRESS (NO. AND STREET) CITY STA'I~ 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 behalf of your candidacy.
COIVlMi I l I:E NAME
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
[] YES [] NO
COMMITFEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER
COMMi ( ~ EE ADDRESS
CONTROLLED COMMITTEE?
[] YES [] NO
STREETADDRESS (NO P.O. BO>
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETI'ER
JJURISDICTION
II--]SUPPORT
[~OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
JDISTRICT NO. IF ANY
7l Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily foiled,
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
F-]SUPPORT
[~OPPOSE
[~]SUPPORT
I-}OPPOSE
I-]SUPPORT
[~]OPPOSE
[--]SUPPORT
r-]oPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
CITY STATE ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460 (Jurte/O1)
FPPC Toll-Free Helpllne: 866/ASK-FPPC
Slate of CiIil~'rlll
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
I S
tatement covers period
from
thro.gh ~;c-/T ~.z/z~I p,~ _3 o, '1'
NAME OF FILER
Contributions Received
1. Monetary Contributions ................... ~ ....................... ScheduleA. Line3 $
2. Loans Received ...................................................... ScheOde B, L~e ?
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AOdUnes 1+; $
4. Nonmonetary Contributions .................................... Schedule C, Uno 3
5. TOTALCONTRIBUTIONSRECEIVED ................. : ......... ,~ddUnes3*4 $
Expenditures Made
6. Payments Made .......................................................Sched~e E, Line 4
7. LO~.~S U~ ............................................................. Su;~o~;ui= i~, Line ?
8, SUBTOTAL CASH PAYMENTS .................................... ,~ddUnes6.7
9. Accrued Expenses (Unpaid Bills) ............................... Schedute F, Line 3
10. Nonmonetary Adjustment .......................................... Schddu~eC, Line3
11. TOTAL EXPENDITURES MADE ................................ Add Unes S + 9 * ~0
Current Cash Statement
12. Beginning Cash, Balance ....................... PmviousSumrnaeyPage, Line 16
13. Cash Receipts ................................................... CdumnA, IJne3above
14. Miscellaneous increases to Cash ........................... Sched~el, Line4
15. Cash Payments...~ .............................................. C~umnA, Lk~8 above
16. ENDING CASH BALANCE .......... Add Unes 12 + 13 + 14, then subtract Line 15
if this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... sch~duleO. Pa~t;
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ Seoinstrvctlonsonreverse
19. Outstanding Debts ......................... AddUne2+LlneglnC~umnBabove
Column A
, et '
%o
Il&
~fo. 040
Column B
CAJ. ENDAR YEAR
TOTAL TO OATE
0
0
$ 0
$
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 repod being filed
for this calendar year. only
carry 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. Conlributions
Received
21. Expenditures
Made
1/! through 6/30 7/1 to Date
$ $
$ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Sub~ lo Voluntexy Ex~enc~ture LIfTI~)
Date of Elecfi~ To~l to Date
(m~d~)
~/.~/.~
/.~
~/~/.~
~J.~l.~
'Since Janua~ 1, 2001. A~unts in ~is section may be
different from amounts reposed in ~u~ B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 866/ASK-FPPC
chedule A Type or print in ink. SCHEDULE A
........... Amounts mey be rounded Stetementcovers period
Monetary Contributions Received to whole dollars, from
SEE ,NSTR~TIONS ON REVERSE through ~ ~}~1 ~ Page
NAME OF FILER [ LD. NUMBER
IF AN INDIVIDUAL, ENTER ~OUNT CUMU~TtVE TO OATE PER ELECTION
DA~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~CUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED ~F~EE,~OENTERID. NU~R) CODE * {IFSELF-EM~OYED. ENTERNA~ PERIOD (JAN. 1 - DEC. 3~) (IF REQUIREO)
OF BUSINE~)
~co~
. ~scc
~cou
~OmH
~ PTY
~scc
~IND
~cou
~OTH
~ PTY
~scc
~IND
~cou
~OTH
~ PTY
~scc
~IND
~cou
~OmH
~ PTY
~scc
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 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ....................... TOTAL
-"Conlributor Codes IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Parly
SCC - Small Contributor Commiltee
FPPC Form 460 (JunelO1)
FPPC Toll-Free Helpline: 866/ASK-FPPC
chedule B - Part 1
Loans Received
SEEINSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
to IND [] cou 00TH I~ m"Y ri scc
tFIINO FICO~ FIoTI~ FifTY OSCC
tr-i IND ri COM 00TH [] PTY 0 SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
N~4E or= SUSmF_SS)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covere period
,rom 3' J,
through ~
ia)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
AMOUNT
RECEIVED THIS
PERIOD
AMDUNT PAID
OR FORGIVEN
THIS PERIOD *
[] PND
$
[] FORGSVEN
[] pAID
$
[] FORGJVEN
PAID
D FORGIVEN
$
OUTS'r(.~DING
BALANCE AT
CLOSE OF THIS
PERIOD
DATE DUE
D~EDUE
DATE DUE -
INTEREST
PAID THIS
PERIOD
O %
, O
__%
SUBTOTALS S $ $ $
SCHEDULE B - PART 1
Page ~ of 7
I.D. NUMBER
ORIGINAL
AMOUNTOF
LOAN
DATE INCURRED
DATE INCURRED
DATE INCURRED
(gl
CUMULATIVE
CONTRIBUTIONS
TO DATE
PER ELECTION*e
$
CALF.~DAR YEAR
PER ELEC~O~I ~'
DN. ENOAR YEAR
$
PER ELECT~ON H
S
Schedule B Summary
1. Loans received this period ......... i .......................................................................................................... $ /7/'~'''''~ '
(Total Column lb) plus unitemized loans less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $
(Total Column lc) 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.
(May be a negate n~,~ae~)
COM - Recipient Committee (other Ihan PTY or SCC) OTH - Other PTY - PoliUcal Parly SCC - Small Contributor Commillee J
(Enl~' (el on
Schedu~ E. Lk~, ~)
*Amounls Iorgiven or paid by
another party also must be
reported on Schedule A.
"II required.
FPPC Form 460 (June,'O1)
INO-lndividuai FPPC Toll-Free Helpllne: 8661ASK-FPPC
chedule C
Nonmonetary Contributions Received
Type or print In ink.
Amounts may be rounded
SEE INSTRUCTIONS ON REVERSE
NAME OF RLER
Statement covers period
from ~
throu;h
SCHEDULE C
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND
ZIP COOE OF CONTRIBUTOR
(tF CO~;MI'I'rEE. N. SO ENTER i.D. NUMeER)
CONTRIBUTOR
CODE *
J~IND
DIND
I-liND
r-lOTH
I--lIND
OOTH
to whole dollars.
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
IIF SELF-EMPLOYED. ENTER
NAME OF BUSINESS)
DESCRIPTION OF
GOODS OR SERVICES
AMOUNT/
FAIR MARKET
VALUE
I,.,. 0, T
I.D. NUMBER
CUMUt. ATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ~-' '~: ,' i-~; · '-i~~,' '.-I
Schedule C Summary
1. Amount received this period - nonmonetary contributions of $100 or more.
(Include all Schedule C subtotals.) ..................................................................................................................... $
2. Amount received this period - unitemized nonmonetary contributions of less than $100 .................................... $
3. Total nonmonetary contributions received this period.
(Add Lines I and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
*Contribulor Codes
IND - Individual
COM- Redplent Commiltee
(other than PTY or SCC)
OTH - Other
PTY - Polilical Party
SCC- Small Contributor Committee
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpllne: B661ASK-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 ~ I~ ~ I
through--~3~r
SCHEDULE E
Page ? of ~
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIvP campaign paraphernalia/misc.
CNS campaign consultants
Ct ~ contribution (explain nonmonetary)'
CVC civic donations
F-iL candidate filing/'oallot fees
FND fundreising events
~ independent expenditure supporting/opposing others (explain)'
LEG legal defense
LIT campaign literature and mailings
I.D. NUMBER
MgR member communications
MTG meetings and appearances
OFC office expenses
Pl:t petition circulating
PHO phone banks
POi. polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
~HI print ads
PAD radio airtime end production costs
RFD returned contributions
SAL campaign workers' salaries
TEL t.v. or cable airtime and production costs
TRC candidale travel, lodging, and meals
TRS 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
(IF COMMITTEE, N. SO ENTER I D NUIdSER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PArD
7o0 C I0 ,
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS
Schedule E Summary
1. Payments made this period o! $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 (June/O1)
FPPC Toll-Free Helpline: 866/ASK-FPPC