460 Friends Termination
Recipient Committee
Campaign Statement
Cover Page
(Govemment Code Sections 84200-84216.5)
Type or print In Ink.
D~ [E
SEE INSTRUCTIONS ON REVERSE
Stetement covers period
II ¡(1/03
through u__\~.11 10.3
Dete of election If eppllc
(Month, Day, Yeer)
or OIl~lal Uso Only
FEB - 4 2004
from
PERTINO CITY CUtRK
1. Type of Recipient Committee: AIICommltt..o-Complot.Po"o1,2,3,ond4.
~ Offlceholde Candidate Controlled Comminee 0 Ballot Measure Commlnee
a e añdldate Election Committee 0 Primarily Formed
0 Rece!1 0 Controlled
(AlsoCømpIoIoPa..¡ 0 Sponsored
(A"oeømpIoIoPa.6¡
0 Generel Purpose Commlnee
0 Sponsored
0 Small Contributor Commillee
0 PoIIUce! PartylCentral Commlnee
0 Primarily Formed Candidatef
Officeholder Comminee
(""""""""'IoPa.1)
2. Type of Statement:
0 PreelecUonStatement 0 Ouarioriy Statement
0 Semi-annual Statement 0 Specie! Odd-Veer Repori
~ermlnalion Stalement 0 Supplemente! Preelection
~Amendmenl (Explain below) Statemant - Anach Form 495
C ~~ ~~'--i C'~..k f;=-- \"2.13\ I~
-\.:> \ 2. LL[ 0 ~
3. Committee information 11.0. NUMBER G¡'Ç\ \ \
COMMITTE~ (J"'~E'S;~:F NO ~O;Ü ~
STREET ADDRE~~) ~~ ~ ~
\O"""S\"'I J~S......... ~, ()
~ STATE ZIP CODE. . AREA CODE/PHONE
~ C ~c"Stt <'+ l ~ Ð!ìJ >-ST"- °"" \
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Treasurer(s)
~ã3
CITV
CITY
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHONE
CITV
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL, FAX I E-MAIL ADDRESS
OPTIONAL, FAX / E.MAIL ADDRESS
attached schedules Is true and compfete. I
Executed on
Dolo
By
Exearted on
""'"
8y
S_~"""'-OII-.c"""".SIa"""o-oP'-
FPPC Fo,m .s. (June/O1)
FPPC Tott-F,o. Holplln" 86&1ASK.FPPC
Sl,to 01 Comornlo
Type or print In Ink.
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
DISTRICT NUMBER IF APPLICABLE)
~"'--" G.~ ~l
RESIDENTIALlBUSfNESS AD RESS (NO. AND STREET) ) CITY
l(ß("1 ~~5"'- ~,\ ~WI CF\O¡Sòlq...
STATE
ZIP
Related Committees Not Included in this Statement: List any commineee
not Included In this ststement thst a'" controtled by you or a'" primarily formed to ",celve
contributions or m."" e.pendltu",. on beIr.1f of your ..ndldocy.
COMMmEE NAME
1.0. NUMBER
/1\
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES DNO
STREET ADDRESS (NO P.O. BO~)
COMMITTEE ADDRESS
CITY
STATE
AREA CODEIPHONE
ZIP CODE
COMMmEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
. ,DYES DNO
STREET ADDRESS (NO P.O. BOX)
COMMITTEE ADDRESS
CITY
STATE
AREA CODEIPHONE
IfP CODE
COVERPAGE-PART2
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
rJ{Qfo,
JURISDICTION
0 SUPPORT
0 OPPOSE
BALLOT NO. OR LETTER
Identify the controlling officeholder, candidate, or stata measure proponent, If any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Committee LIst n.mes of offfc.hok1er(s) or cendlda'efs) for
which thIs comlnlttee I. prlmartly formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
tJ(,.,.. . 0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
AI/ech continuation sheets If naces.ery
FPPC Form 460 (Juno/Ol)
FPPC Toll-Free HelplIne, B66/ASK.FPPC
Stale 01 Calilomi.
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
m',
']>((
~ti~
Contributions Received
1, Monetary Contributions ...................,.......,............... SchaduleA, line 3
2, Loans Received ...................................................... Schadule B, line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add lines < 2
4, Nonmonetary Contributions .................................... Schsdu/e C. line 3
5. TOTAL CONTRIBUTIONS RECEIVED
Adeilines 3 < 4
Expenditure LImit Summary for State
Candidates
Expenditures Made
6. Payments Made """"""""""""""""""""""""""'" Schadu/e Eo line 4
7. Loans Made """""""""""""""""""""""""""""'" SchedulsH. line 7
8, SUBTOTAL CASH PAYMENTS .............................,...... AddLines6<7
9, Accrued Expenses (Unpaid Bills) ...............................SchaduleF, LIne 3
10. Nonmonetary Adjustment .......................................... ScheduleC.lIne3
11. TOTALEXPENDITURESMADE................................AddLlnes8<.< /0
Type or print In Ink.
Amounts may ba rounded
to whole dollars.
h~~\~
ColumnA
TOTAL THISPEAIOO
(FROM ATTACHED SCH£OUlES¡
Q
0
Q
0
Q
$
01
t2
Q
aJ
SUMMARY PAGE
Irom
through
ColumnB
CALENDAR VEAA
TOTALTODATE
~
G
C2
0-
0
-
-
.i2
(]I
$ ~
t2
d-
O
Statament covars period
1/1 (~
I
~/r.J.s
CALIFORNIA 460
FORM
ø
()
Paga~ 01 .3
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 Ihrough 6130 71110 Dale
20. Conlributions /J $~
Received $
21. Expenditures Ò ()
Made $ .
22. Cumulotlva Expandllureo Modo'
(II Sub ,.. '0 VoIun"" ',...d'u.. LI",)
Date 01 Election Total to Date
(mmfddlyy)
---.1---1- $
---.1---1- $
---.1---1- $
---.1---1- $
---.1---1- $
---.1---1- $
Current Cash Statement
12. Beginning Cash Balance ....................... P",_sSummaryPage, line /8
13. Cash Receipts """"""""""""""""""""""""'" CoIumnA.lIno3ebove
14. Miscellaneous IncreaseS to Cash ........................... Schadulel. LIne 4
15. Cash Payments ................................................., CoIumnA,lIne8ebove
16. ENDING CASH BAlANCE.......... Add lines /2< 13< /4. Ihonsub/ractLIne 15
If this Is a tennination statemenl, Line 16 must be zero.
f!l
él
t2
CJ
CJ
To calculate Column B, add
emounts In Column A to the
corresponding amounts
from Column B 01 your last
report. Some amounts In
Column A may be negative
figures that should be
sublracted !rom previous
period amounts. If this Is
Ihe flrst report being filed
for this celendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any),
17. LOAN GUARANTEES RECEIVED
Schedule B, Part 2
Cash Equivalents and Outstanding Debts
18, Cash Equivalents .....:...'.............................. Soelnstructlons on...va,.e
19. Outstanding Debts......................... AddLlne2<Llne9lnColumnBabova
$
(9
$
$
61
cJ
'Since January " 2001. Amounts In Ihls section may be
different !rom amounts reponed in Cotumn B.
FPPC Form 460 (JunelO1)
FPPC Toll-Free Helpline: 866fASK-FPPC