460 Friends Semi-Annual 2nd ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-g4256.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink,
Statement covers period
from '7 /'
through
1. Type of Recipient Committee: AIICommltteea-Compl.taPartst,2,3, and4.
nCandidate Controlled Commiffee
didate Election Committee
O Recall
[] Ballot Measure Commi ffee O Primarily Formed
O Controlled
O Sponsored
[] Primarily Formed Candidate/
Officeholder Committee
[] General Purpose C~nmittee 0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMrTTEE)
A~A CODE/PHONE
CITY STATE ZIP CODE
E_f
MAILING ADDRESS~IF DIFFERENT) NO. AND STREET OR P,O, BOX
Date of election if a
(Month, Day. Year)
COVER PAGE
DEC 2 9 2003
PERTINO CITY CLI
2. Type of Statement:
[] Preelection Stalement
~. Semi-annual Stslement
[] Termination Statement
[] Amendment (Explain below)
For OIIIclal Use Only
7
[] Ouaderly Stalement
[] Special Odd-Year Raped
[] Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
CITY STATE ZIP CODE AREA (;ODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this slatemsnt and to the best of my knff~,ledgs the information contained herein and in the attached schedules Is Irus and Complete. I
cedily under penalty of perjury u~de, the/laws of the State of Caligornia that the foregoing is ~nd/co~rect. /.
Executed on ' By
Executed on By
ecipient Committee
Campaign Statement
Cover Page -- Part 2
Type or print in ink.
COVER PAC~E - PART 2
Page ~'~ of ~
5. Officeholder or Candidate Controlled Committee
6. Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OEEICE SOUGHT OR HELD (~NCLUDE LOCATION AND DISTRICI NUMBER IF APPLICABLE)
RESIDENTIAL/IBUSlNESB.A~.DRESS (NO. AND STREET) CITY STA~E ZIP
Related Committees Not Included in this Statement: List any commiltees
not Included In thlm atatement that are controlled by you or are primarily formed to receive
cont~fbutions or make expenditures on behaff of your candidacy.
COMMITFEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITi-EE?
[] YES [] NO
COMMITi'EE ADDRESS STREET ADDRESS (NO P.O. BO:~
COMMITrEEADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITFEE?
[] YES [] NO
STREET ADDRESS (NO P.O. BOX
NAME OF BALLOT MEASURE ~/~
BALLOT NO. OR LETi'ER
JURISDICTION
[~ SUPPORT
OPPOSE
Identify the controlling officeholder, candidate, or atate measure proponent, if any.
NAME OF OFF CEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD I [~]SUPPORT
i,J[ t [] oPPosE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD · [] SUPPORT
[] OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
[] SUPPORT
[] OPPOSE
CITY STA~E ZIP CODE AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 8661ASK-FPPC
Campaign Disclosure Statement
Summary.Page"
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SEEINSTRUCTIONS ON REVERSE
NAMEOFFILER
Contributions Received
1. Monetary Contributions ................... ~ ....................... Sch~duleA. Line 3
2. Loans Received ...................................................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... AddLines I + 2
4. Nonmonetary Contdbutions....: ............................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... AddLInes3+4
Statement covers period
Column A ColumnB
tOTAl THIS PERIOD CALENDAR yEAR
$ 0 $
s
Expenditures Made
6. Payments Made ....................................................... Schedule E, Line 4 $
7. Loans Made ............................................................. Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 $ ~
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 ~
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 (~
11. TOTAL EXPENDITURES MADE ................................ AddLinesS+9+ 10 $ O
Current Cash Statement
12. Beginning Cash Balance ....................... Pm~fousSummaq/Page, Line 16
13. Cash Receipts ................................................... ColumnA, Llne3above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line
15. Cash Payments .................................................. ColumnA, Llne8above
16. ENDING CASHBALANCE .......... Add LInes 12+ 13+ 14, then subtmct Line 15
If this Is a termination statement. Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule ~, Part 2 $
$ O
To calculale Column B, add
amounls in Column A 1o the
corresponding amounts
Irom Column B of your last
reporL Some amounlsin
Column A may be negative
figures that should be
subtracted from previous
period amounls. II Ihis is
the first repod being liled
lor this calendar year, only
carry over the amounts
from Lines 2. 7. and 9 {il
any).
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ Seelnstructlonsonreve~e
19. OUtstanding Debts ......................... AddUne2+Une9inCo/umnBabove
SUkdMARY PAGE
Page '3 of. ~
I.D. NUMBER
¢ ill -7
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 Ihrough 6/30 7/1 to Dale
20. Contributions
Received $ t~ _ $ {~
21. Expenditures ~ ~
Made $ . $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
Date or Election Total to Dale
(mm/dd/yy}
/ / $
__J.__k__
__7 / $
__! I $
__1 I.__ $
__1 I.__
'Since January 1, 2001. Amounts in lhis section may be
different from amounts reported in Column B.
FPPC Form 4(;0 (June/O1)
FPPC Toll-Free Helpllne: 866/ASK-FPPC