HomeMy WebLinkAbout2000 a COVERPAGE
Recipient Committee
N Type or print in ink. Date Stamp _
Campaign Statement 1
(Government Code Sections 84200-84216.5)
- I
Statement covers period Date of election if applicable: 05 -2 0- 0 page 1 of 4
from 01/01/2000 (Month, Day, Year) 00,0 07:35 Foronicial Use Only
SEE INSTRUCTIONS ON REVERSE through
05/3112000 CVO
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 7. 2. Type of Statement:
N Officeholder, Candidate ❑ Primarily Formed Candidate/ ❑ Pre - election Statement ❑ Quarterly Statement
Controlled Committee Officeholder Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report
• (Also Complete Part 4.) (Also Complete Part 6) ® Termination Statement ❑ Supplemental Pre - election
❑ Ballot Measure Committee ❑ General Purpose Committee .,, ❑ Amendment (Explain below) Statement- Attach Form 495
Q Primarily Formed Q Sponsored
Q Controlled Q Broad Based ..
Q Sponsored
(Also Complete Part 5.) -
I.D. NUMBER
3. Committee Information 962340 Treasurer(s)
COMMITTEENAME NAME OF TREASURER
COMMITTEE TO ELECT STEVEN FORD DEREK D. THOMAS
MAILING ADDRESS
43500 RIDGE PARK DR., STE. 104
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE
29900 VILLA ALTURAS
TEMECULA, CA 92590 ( -301
•
CITY STATE ZIPCODE AREACODE/PHONE -
TEPIECULA, CA 92592 (909)676 -3756 NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILINGADDRESS
CITY STATE ZIP CODE AREACODE/PHONE "' CITV STATE ZIPCODE AREACODE /PHONE
OPTIONAL: FAX /E -MAIL ADDRESS - - OPTIONAL: FAX /E -MAIL ADDRESS -
(909)676 -7184
FPPC Form 460 (8/99)
For Technical Assistance: 916/322 -5660
State of California
Type or print in ink. COVER PAGE - PART 2
Recipient Committee
Campaign Statement 0 - •
Cover Page — Part 2
Page 2 of 4
4. Officeholder or Candidate Controlled Committee 5. Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
STEVEN FORD
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
CITY COUNCIL MMBER - TEMECULA CA 92590 1 ❑ OPPOSE
• RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any.
29900 VILLA ALTURAS, TEECULA, CA 92592 NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT
Related Committees Not Included in this Statement: List any committees
not included in this consolidated statement that are controlled by you or which are primarily OFFICE SOUGHT OR HELD DISTRICT NO, IF ANY
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER 6. Primarily Formed Committee List names of officeholder(s) or candidate(s)
for which this committee Is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFIC E SOUGHT OR HELD SUPPORT
NAME OF TREASURER CONTROLLED COMMITTEE? STEVEN FORD C ITY COUNCIL
I YES ❑ NO TENECULA OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
OPPOSE
CITY STATE ZIPCODE AREACODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
• Attach continuation sheets if necessary
7. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules
is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.,�1 /
Executed on 06/06/00 B
DATE SIGNATURE OF TREASURER OR ASSISTANT TREASURE ERER TH
Executed on 06/06/00 By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE. STATE MEASURE PROtS OR RESP SIBLE OFFICER OF ONSOR
STEVEN J. FORD
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 460 (8199)
For Technical Assistance: 9161322 -5660
State of California
Campaign Disclosure Statement _ Type or print in ink. SUMMARY PAGE
a Amounts may be rounded Statement covers period
Summar �.
y. P g a to whole dollars. 01/01/2000 •' , e a
from
through '05.000 Page 3 of 4
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
COMMITTEE TO ELECT STEVEN FORD 962340
Column A Column B• Column C
Contributions Received TOTAL THIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE
(FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (COLUMNS A a B)
1. Monetary Contributions ....................... ............................... Schedule A. Line 3 $ 00 $ $ .00
...............................
• 2. Loans Received ..... ............................... schedule B, Line 7 .00 .00
3. SUBTOTAL CASH CONTRIBUTIONS .... ............................... Add Lines 1 +2 $ • 00 $ $ .00
4. Nonmonetary Contributions ................ ............................... Schedule C, Line 3 .00 .00
5. TOTAL CONTRIBUTIONS RECEIVED •.•.•.•........ Add Lines 3 +4 $ ,00 $ $ ,00
Expenditures Made 3,246.17
6. Payments Made ..................................... ............................... Schedule E, Line 4 $ $ $ 3,24 .17
7. Loans Made ........................................... ............................... Schedule H, Line 7 .00 .00
8. SUBTOTAL CASH PAYMENTS ................. ............................... Add Lines 6 + 7 $ 3 ,246.17 $ $ 3,246.17
9. Accrued Expenses Unpaid Bills Schedule F Line 3 .00 .00
10. Nonmonetary Adjustment ........................ ............................... Schedule C. Line 3 .00 .00
11. TOTAL EXPENDITURES MADE .......... ............................... Add Lines 8 i 9 i 10 $ 3 ,246.17 $ $ 3.246.17
• Current Cash Statement
12. Beginning Cash Balance . ............................... Previous Summary Page, Line 16 $ 3,246.17 ' From previous statement Summary Page, Column C. However, ifthis
is the first report filed for the calendar year, Column B should be blank
13. Cash Receipts ............................... ............................... Column A, line 3above ' exceptfor Loans Received (Line 2), Loans Made (Line 7), and Accrued
14. Miscellaneous Increases to Cash ........ ............................... Schedule 1, Line 4 .00 Expenses (Lines).
15. Cash Payments ............................. ............................... Column A, Line 9 above 3, 246.17
16. ENDING CASH BALANCE .............. Add Lines 12 +13+ 14, then subtract Line 15 $ .00 Summary for Candidates in Both June and
November Elections
If this is a termination statement, Line 16 must be zero.
1/1 through 6/30 7/1 to Date
17. LOAN GUARANTEES RECEIVED ................... Schedule a, Part 1, Column (b) $ 00 20. Contributions
Received ............ $
Cash Equivalents and Outstanding Debts 21. Expenditures
18. Cash Equivalents ...................... ............................... See instructions on reverse $ . Made .................. $
19. Outstanding Debts .... ............................... Add Line 2 + Line 9 in Column C above $ • 00
FPPC Form 460 (8/99)
For Technical Assistance: 9161322 -5660
Schedule E Type or print In ink. Statement covers period SCHEDULEE
Payments Made Amounts may be rounded �' I e a
to whole dollars. from 01/01/2000
SEE INSTR O N REVERSE through . 0W I) /2000 Page of 4
NAME OF FILER I.D. NUMBER
COMMITTEE TO ELECT STEVEN FORD 962340
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign pamphemalia/misc. OFC office expenses RFD returned contributions
CNS campaign consultants PET petition circulating SAL campaign workers salaries
• CTB contribution (explain nonmonetary)' PHO phone banks TEL t.v. or cable airtime and production costs
CVC civic donations POL polling and survey research TRC candidate travel, lodging and meals (explain)
FND fundraising events POS postage, delivery and messenger services TRS staff /spouse travel, lodging and meals (explain)
IND independent expenditure supporting /opposing others (explain)* PRO professional services (legal, accounting) TSF transfer between committees of the same candidate /sponsor
LIT campaign literature and mailings PRT print ads VOT voter registration
MTG meetings and appearances RAD radio airtime and production costs WEB information technology costs (internet, e-mail) .
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE. uSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
KUEBLER, THOMAS & CO. CAMPAIGN ACCOUNTING 82.60
43500 RIDGE PARK DRIVE, STE. 104 114.00
TEMECULA, CA 92590
THEATRE FOUNDATION CONTRIBUTION TO LOCAL CHARITY TO
CLOSE BANK ACCOUNT AND TERMINATE
COMMITTEE 3,049.57
•
Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3 ,246.17
Schedule E Summary
1. Payments made this period of $100 or more. Include all Schedule E subtotals. $ 3,246.17
2. Unitemized payments made this period of under $ 100 ......................................................................................................... ............................... $ .00
3. Total interest paid this period on outstanding loans. Enter amount from Schedule B, Part 2, Column (d). .00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL $
3,246.17
FPPC Form 460 (8199)
For Technical Assistance: 9161322 -5660