460 Re-Elect Termination
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print In Ink.
Stetement covers period
from l! I I <!5
\ LI,j£1S
SEE INSTRUCTIONS ON REVERSE
through
1. Type of Recipient Committee: All Commlll.., - Compl"'" Parta 1, 2, 3, end 4.
'ffjceholder Candidate Controlled Committee 0 Ballot Measure Committee
- State Candidate Election Committee 0 Primarily Formed
0 Recall 0 Controlled
(AI.oCamp"taPa.') 0 Sponsored
(A.ocamp"',Pa.s)
0 Primarily Formed Candidalef
Officeholder Committee
{A.oCamp"taPa.'}
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political PartyfCentral Committee
. 11.0. NUMBER VI C, C;
3. Committee Information l l 0 -\ s-
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
~ ])v- M,.~ ~~
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
"iTV
STATE
ZIP CObE
AREA CODE/PHONE
OPTIONAL, FAX / E-MAIL ADDRESS
COVER PAGE
Dete 01 election If eppll
(Month, Day, Year)
2. Type of Statement:
0 PreelectlonSlatement
0 Semi-annual Statement
)<ytermination Statement
0 Amendment (Explain below)
0 Ouarterly Statement
0 Special Odd-Vear Report
0 Supplemental Preelection
Statement - AIIach Form 495
Treasurer(s)
\
CITY
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
STATE
ZIP CODE
AREA CODE/PHON"
OPTIONAL, FAX I E-MAIL ADDRESS
and in the attached schedules Is Irue and complete. I
Executed on
By
Executed on
By
c¡¡,
Execuled on
By
Dolo
Execuled on
By
S9>"'u" 01 """'-""-. Candda~. Sta~ """Ia. P,,-,~I
FPPC Form 4S0 (Juno/Ot)
FPPC Toll-Fr.. Helplln., 8s6lASK.FPPC
SIal' 01 Clllloml,
Dolo .
Type or print In ink.
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
Related Committees Not Included in this Statement: Ustanycommittees
not Included In thia .tatement th.t are controlled by you or .re primarily formed to receive
contrIbutions 0' m.b expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D. NUMBER
IJfA
NAME OF TREASURER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS
0 YES
STREET ADDRESS (NO P.O. BO'X)
0 NO
CITY
STATE
AREA CODE/PHONE
ZIP CODE
COMMITTEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS
0 YES
STREET ADDRESS (NO P.O. BO~'
0 NO
CITY
STATE
AREA CODE/PHONE
ZIP CODE
COVER PAGE - PART 2
6. Ballot Measure Committee
JURISDiCTION
0 SUPPORT
0 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 Lisl names ot offlceholder(s) or candldate(s) for
which this committee Is prlmerlly formed.
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
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
Attach continuation sheels If necessary
FPPC Form 460 (June/Ol)
FPPC TolI-F'ee Helpline, ."/ASK-FPPC
Slale 01 Call1o,nla
Campaign Disclosure Statement
Summary Page
~(CkœQ
Contributions Received
1. Monetary Contributions ...................,....................... Schedule A. Line 3
2. Loans Received ...................................................... Schedule e. LIne 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4. Nonmonetary Contributions .................................... Schedu/a C. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................,......... Add LInes 3 + 4
Expenditures Made
6, Payments Made ....................................................... Schedule E. Line 4
7. Loans Made ....................................."...................... Schedule H. LIne 7
8. SUBTOTAL CASH PAYMENTS """""""""""""""""" Add Lines 6 + 7
g, Accrued Expenses (Unpaid Bills) ............................... Schedule F, LIne 3
10. Nonmonetary Adjustment .......................................... Schedule C. Line 3
11. TOTAL EXPENDITURES MADE ................................AddLinesB + g+ 10
Current Cash Statement
12. Beginning Cash Balance
13. Cash Receipts
Pre,.;ous Summary Page, LIne 16
Column A, LIne 3 above
14. Miscellaneous IncreaseS to Cash ........................... Schedule " Line 4
15, Cash Payments .................................................. Column A, LIne Babove
16, ENDING CASH BALANCE .......... Add LInes 12 + 13 + 14, Ihen subl",cl Line 15
If this Is 8 tenninsbon statement, Line t6 must be zero.
17. LOAN GUARANTEES RECEIVED
Schedule e, Pari 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ Seelnsl,"cI"'O5 on reverse
19. Outstanding Debts
Add Line 2 + LIne 9 in Column e ebove
Type or print In Ink,
Amounts may be rounded
to whole dollars.
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SUMMAAYPAGE
Stotomont cov~ period
from 7 103
1'2-/¡
CALIFORNIA 460
FORM
through
Column B
CALENDAR ve'R
TOTALTOOATE
Ó.
él
0
CJ
(/
("/
Q
CJ
Q
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To calculoto Column Bo add
amounls in Column A to the
corresponding amounts
from Column B 01 your last
report. Some amounts In
Column A may bo negativo
figures Ihat should be
subtracted from previous
period amounts. IIlhis is
the first report being filed
lor this calendar year, only
carry over the emounts
lrom Lines 2, 7, and 9 (if
any).
Page>
012-
1.0. NUMBER
'1Q CJ C( T
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Dale
20. Contributions
Recaived $ ¿"7 $ ---.D...
21. Expenditures
Made $ /? S 0
Expenditure LImit Summary for State
Candidates
22, CumulaUva Expenditures Mode'
(IISub "".V04un'","..n~,"..Llm"
Date of Election
(mmlddlyy)
Total to Date
------.f ------.f -
$
------.f ------.f -
$
------.f ------.f -
$
------.f ------.f -
$
------.f ------.f -
$
$
'Since January 1. 2001. Amounts in this section may be
different from amounts repMed in Cofumn B.
FPPC Form 460 (JunelO1)
FPPC Toll-Frea Helpline: D66/ASK-FPPC