Johnson 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period Date of election if app able:
from O (Month, Day, Yea
C
throu
I Type of Recipient Committee All Committees Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee
Primarily Formed Ballot Measure
State Candidate Election Committee
Committee
Recall
Controlled
(Also COMPlete Part 5)
Sponsored
El General Purpose Committee
{Also Complete Part F}
Sponsored
Primarily Formed Candidate/
Small Contributor Committee
Offi ceholder Committee
Political Party /Central Committee
(Also complete Part 7)
3. Committee Information
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Iq 1 1 0
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX 1 E -MAIL ADDRESS
By
4. 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
under penalty of perjury and r the laws o the State of California that the foregoing is true and correct. schedules is true and complete. I certify
v
Executed on By
Date
Sponsor
Executed on
Date
Executed on
M
e
d
COVER PAGE
J U L 2 2409
7.
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Z. Type of Statement:
El Preelection Statement
YN
Semi annual Statement
Termination Statement
(Also file a Form 410 Termination)
Amendment (Explain below)
Tr easur e r( s)
NAME OF TREASURER
Page of
For Official Use Only
Quarterly Statement
Special Odd -Year Report
Supplemental Preelection
Statement -Attach Form 495
zL y o
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL. FAX 1 E -MAIL ADDRESS
Signature of Controilin holder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January105)
FPPC Toil -Free Helpline: 8661ASK -FPPC (8561275 -3772)
State of California
Type or print in ink. GOVER PAGE PART 2
Recipient Committee
Campaign Statement CALIFORNIA
Cover Page Fart 2 FORM 4 60
Page 'L of
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
OFFICE SOUGHT OT9 HELD (fF4CLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSI NESS ADDRES (_N C AND STREET) CITY STATE ZIP
' 64 q q (j
Related Committees Not Included in this Statement: List any c
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑YES ❑NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D: NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
BALLOT NO. OR LETTER
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 Candidate /Officeholder Committee List names of
officeholder(s) or candidate {s} for which this committee is primarily fortned
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
A
SUPPORT
OPPOSE
NAME OF OFFICEH &DER 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
Attach continuation sheets if necessary
FPPC Form 460 iJanuary/45}
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Campaign Disclosure Statement Type or print in ink. .:..SUMMARY PAGE
Amounts may be rounded
Summary image to whale dollars. Statement covers period
L
from
3 SEE INSTRUCTIONS ON REVERSE through Page Of
rough g
NAME OF FILER
I.D. NUMBER
Contributions deceived CvlumnA Column a Calendar Year summary for.Candidates
TOTALTHIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOT Running. in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A, Line 3
2. Loans Received Schedule B, Line 3 111 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 2 A 20. Contributions
Received
4. Nonmonetary Contributions Schedule C, Line 3 2'1 R R E x penditures eived
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 4 Made
Expenditures Made E xpenditure
p. Lure L imit Summary for State
6. Payments Made
Schedule E, Line 4 Candidates
7. Loans Made Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS Add Lines fi 7 22. Cumulative Expenditures Made*
{if Subject to Voluntary Expenditure Limit}
9. Accrued Expenses Unpaid Bills) Schedule F Line 3 -A-�ff I
IF Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C, Line 3 (mmlddlyy)
1 TOTAL EXPENDITURES MADE Add Lines 3 9 10
Current Cash Statements
12. Beginning Cash Balance
Previous summary Page, Line 16 To calculate Column B, add
13. Cash Receipts Column A, Line 3 above CD amounts in Column A to the
14. Miscellaneous Increases to Cash Schedule 1, Line 4 corresponding amounts *Amounts in this section may be different from amounts from Column B of your last
reported in Column B.
15. Cash Payments Column A, Line S above report. Some amounts in
Column A maybe negative
16. ENDING CASH BALANCE Add Lines 12 13 14, then subtract Line 15 ,1 figures tha t s hould be
If this is a termination statement, Line 16 must be zero. subtracted from previous
period amounts. if this is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule H Part 2 for this calendar year, only
carry over the amounts
Cash Equivalents a nd Outstanding Debts from Lines 2, 7, and 9 c if
any).
18. Cash Equivalents See instructions on reverse
19. Outstanding Debts Add Line 2 Line 9 in Column B above FPPC Form 460 Ja
nuaryla5}
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)