Loading...
HomeMy WebLinkAbout2004 Recipient Committee COVER PAGE Type or print in Ink. Date Stamp Campaign Statement rFor , 1 0 1 Cover P age RECEIVED (Government Code Sections 84200- 84216.5) Statemen period Date of election if applicable: JAN 2 6 2004 — of from DY (Month, Day, Year) CITY CLERICS DEPT. fficial use only SEE INSTRUCTIONS ON REVERSE through t7 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee 0 Primarily Formed ❑ Semi - annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also C=plefe Part5) 0 Sponsored E] Supplemental Preelection (Also C 6) ❑ Amendment (Explain below) Statement - Attach Form 495 F General Purpose Committee . 0 Sponsored ❑ Primarily Formed Candidate/ - 0 Small Contributor Committee Officeholder Committee . 0 Political Party/Central Committee (Also Cwoplers Part]) 3. Committee Information D.uMeE 3s 8 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER A alsILT S, &A7T ADDRESS (NO STREET A BO %) A CITY STATE ZIP CODE AREA CODE/PHONE �o ¢�a &k4. (7w (2y1 � f A� la Grp q?s{r/ 0909)699 -SLk? CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY GA_ MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS 5 AVf r' 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. Verificati n I have used all reasonable diligence in preparing and reviewing this statement and tot best f my knowledge 'formation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury un er the laws of the State of California that the fore of and orre Executed on By Data alureol Tre re Assistant Treasurer Executed on B Data SigWlure olConuo 011icelwker, Cludoata IslaMeazure PropmentorRespmeibkOaicerd Spaaar Executed on By Data SlpnaturedCmlmllhOplkeMlder, Cantlidam, Stale Maewra Proporwnt Executed on DoJ* By SlpiaturedContrpPnp pixelpl4ar, Caad4ele, 514ta MeasureProparx FPPC Form 460 (Junel0l) FPPC Toll-Fmc Helpline: SWASK -FPPC State of California Recipient Committee Type or print In ink. GOVERPAGE -PART2 CALIF Campaign Statement e OR NIA RM 46 0 Cover Page — Part 2 r Page -Z— of 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE A u a S , Faj 7 OFFFI�CE SOUGHT / 0 HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT / 7 1 / _ o � l L ❑OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 4o 4-7p �� /� ()�7i Y' /' � (, ( Si �ml Identify the controlling officeholder, candidate, or state measure proponent, if any. l- — y W( I _ ; ti NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT - 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7. Primarily Formed Committee List names of oNiceholdeo) or candidatefs) for NAME OF TREASURER CONTROLLED COMMITTEE? which this committee is primarily formed. _ C] YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMtrfEENAME I.D. NUMBER - NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMWITEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary - FPPC Form 460 (June/01) FPPC Toll-Free Helpllne: 8661ASKFPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amounts ma be rounded I Statement covers period CALIFORNIA ' to whole dollars. � from ( l C)� FOR SEE INSTRUCTIONS ON REVERSE through ( u O Page 7 0 of NAME OF FILER I.D. NUMBER AL6 E(:L_! S- 7 1ZS73 E8 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHSPERIOD CALENDARYEAR (FRWATFACHEDSCHEDU S) TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions ............ ............................... Schedule A, Lines $ 3 General Elections ��• � 8 $ 3�• �g 00, 0 / (p170, 00 1/1 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... schedule B, Line 7 ' G < - � 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 272 •eF $ ;_7 Z' 20. Contributions $� -B Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Line 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ..... .. ..... ..... : .... ..... Add Lines 3 +4 $ _732.4'1 $ Z7L Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ $ Candidates 7. Loans Made .............................. ............................... Schedule H, Line 7 B 49 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines s +7 $ $ $ 22. Cumulative Expenditures Made' (i/ euptaq to Voluntary ExpenNiun Limit) 9. Accrued Expenses (Unpaid Bills) .............. ................. Schedule F Line s -B '® Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea - Q -tom (mm/dd /yy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ $ $ "',:P- $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 2 7 1 `r To calculate Column B, add _ $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 21 Z•'{' Z - amounts in Column A to the _� corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule /. Line 4 from Column of your last _/l $ 15. Cash Payments .............. . ................................... Column A, Line s above report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 $ figures that should be - -- �� $ subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ for this calendar year, only carry over the amounts 'Since January 1, 2001. Amounts in this section may be Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if different from amounts reported in Column B. any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 9 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statemen v c ere period I CALIF from _ / F OR M • SEE INSTRUCTIONS ON REVERSE through f (Z6 04 /' Page "r of NAME OF FIL R �> 3J�i�Z I. D. NUMBER CG (Z> 738 DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) ZL D,.f F l 7 / 'Y � IND f fLLL� 2'I .S $ 3 Z1 a`B - rx,t£GJ .4, � rf26kl 00TH (L N7 , ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM E] OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary - Contributor codes 1. Amount received this period — contributions of $100 or more. ND- Individual (Include all Schedule A subtotals.) ......................................................................... ............................... $ 3 Z� �� COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period — unitemized contributions of less than $ 100 .............. ............................... $ �- OTH - Other PTY - Political Party 3. Total monetary contributions received this period. 8 SCC -Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866/ASK -FPPC Schedule B -Part 1 Type or print in Ink. SCHEDULEB -PART1 Amounts may be rounded Statement covers period Loans Received to whole dollars. ( d f e CALIF from 46 SEE INSTRUCTIONS ON R through Pag of NAME OF FILER I.D. NUMBER L4aP -:T'5- UT-r /25 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (n) 10 e) s OCCUPATION AND EMPLOYER AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS BALANCEAT (IF COMMTTE IE. ALSO EN M TER I.D. NUBER) OFSEIF- EMPLOVED,ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEOF BUSINESS) PERIOD THIS PERIOD* PgRinn PERIOD LOAN TO DATE /I rRT P Z'04 \ P�AIIrD� 4 CALENDAR YEAR `' — 70 ?/L(}CTAJ O gal (� Z 4 f g gEW I w� (,} � � Srl l 'q FORGIVEN RATE PEAELECTON•• C E o.(:� f -�- f 34 -1.55 f -ate Z a3 f A t� ND ❑ COM ❑ OTH PTY ❑SCC DAT UE D TE INCURRED ❑ PAID CALENDAR YEAR - ❑ FORGIVEN RATE PER ELECTION « f S f $ S t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC - - DATE DUE DATEINCURRED ❑ PAID CALENDARYEAR S E ❑ FORGIVEN RATE PER ELECTION « f S $ f f t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ ( $ $ g Schedule B Summary ' Sch m19E 1. Loans received this period ..................................................................................... ............................... $ Amounts forgiven or paid by (Total Column (b) plus unitemized loans less than $100.) another party also must id be �� •tom 2. Loans paid or forgiven this period ............:............................................................. ............................... $ reported on Schedule A. (Total Column (C) plus loans under $100 paid or forgiven.) If required. (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 $ W 00 .fX1 Enter the net here and on the Summary Page, Column A, Line 2. t Contributor Codes IND — individual COM— Recipient Committee (other than PTY or SCC) OTH —Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460(June/01) FPPC Toll -Free Helpline: S WASK•FPPC