Loading...
460 Re-Elect Semi-Annual 1st Recil~ient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Stateme~nt c~vers period ,re. __ __ S .,..TR .ONS O""EVERSE ,hr..gh Type of Recipient Committee: All ComrnlReee - Complete Pert~ 1, 2, 3, and 4. ,,~~ Candidate Controlled Committee 0 State Candidate Election Committee O Recall [] Genera/Purpose Cemmittee O Sponsored O Small Contributor Committee O Political Party/Central Committee [] Ballot Measure Commiffee O Primarily Formed O Controlled O Sponsored [] Primarily Formed Candidat e/ Officeholder Committee Oats of election if applk ~:~e~ (Month, Day, Year) JUL 3 1 2003 ~ERTINO CITY 2. Type of Statement: [] Preelecfion Statement COVER PAGE[ /~'Semi-annual Statement [] Termination Statement [] Amendment (Explain below) / of ~ For Official Use Only [] Ouaderly Statement [] Special Odd-Year Repori [] Supplemental Preeleclion Statement - Attach Form 495 3. Committee Information I I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO -a~ 90X) CITY STATE ZIP CODE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. SOX AREA CODE/PHONE Treasurer(s) MAILING ADDRESS ~~ C~TY STATE ZIP CODE AREA CODEIPHO~E MAILING ADDRESS CITY STATE ZiP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE ZIP CODE AREA CODE/pHONE OPTIONAL: FAX I E-MAIL ADDRESS in the attached schedules is true and complete. I 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the bes} of my,,Jmo,,wledge/U~nformation contained herein and certify under penalty of perjur7 ~Jnder the laws of the Slate of California that the foregoing i~e ~ndj~rr~f. ecipient Committee Campaign Statement Cover Page-- Part 2 Type or print in Ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR'HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAI./BUSINESS ADDRESS (NO. AND STREET) CITY SI'AllE ZIP Related Committees Not Included in this Statement: List sny committees not included in this statement that ere controlled by you or are primarily formed to receive contrfbuttons or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D, NUMBER COMMI~E ADDRESS STRE~ ADDRESS (NO ~. ~X) Cl~ ~A~ ZiP CODE AREA COD~HONE ~ Y~s ~ NO NAME OF TR~SURER CO~R~LED COMMI~EE? COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE- PART 2 6. Ballot Measure Committee Page NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I [] SUPPORT [] 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 Llstnemesofofficeholder(s)orcandidate(s)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 FFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE E]SUPPORT E]OPPOSE []SUPPORT []OPPOSE ~IsuPPORT ii, oPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jun~01) FPPC Toll-Free Helpllne: 1166/ASK-FPPC Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from Contributions Received 1. Moneta~/Contributions ................... ~ ....................... Schedule A, Ll~ 3 2. Loans Received ...................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines r + 2 4. Nonmonetary Contributions ....................................Schedule C. Une 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLInes 3 + 4 Column A ~ $ O 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) ...............................SchedufeF, Line3 10. Nonmonetary Adjuslment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a * Column B CALENOAR YEAR s O Current Cash Statement 12. Beginning Cash Balance ....................... P~ev~us Summary Page, Line 16 13. Cash Receipts ................................................... ColumnA, Une3above 14. Miscellaneous Increases to Cash ........................... ScheduleI, Line4 15. Cash Payments ........................ ~ ......................... ColumnA. LIneaabove 16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14. then subtraci LIne 15 $ If this IS a tam, ina§on statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B. Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See ~stn~ns on reverse 19. OUtstanding Debts ......................... AddUne2+LineginColumnBabove $ ~ 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 sublracled 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). SUMMARY PAGE Page ~ of -~' II.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 Ihrough 6/30 7It lo Date 20. Contributions Received 2t, Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* Date of Election Total lo Date (mm/dd/yy) __/ /.__ $ __/ /.__ $ / /.__ $ __/___Z__ $ __/___z__ $ / /.__ $ *Since January 1, 2001. Amounts in this secfion may be different from amounts reported in Column B. FPPC Form 460 (June/O1) FPPC Toll-Free Helpllne: B661ASK-FPPC