Doug 460Recipient Committee
Campaign Statement
Cove"Page
(Government Code Sections 84205- 84215.5)
Type or print in ink. Date Stamp
CITY
State Measure Proponent or Responsible Officer of Sponsor
Executed on
Date
Executed on
Date
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
_.�.._.... _ _. _.,........... _.,.__....._..., _�.....__..., �...... .._.................�.......... FPPC Farm 480 (January/OS)
FPPC Tall -Free Flelpline: 866 /ASK -FPPC (866/276 -3772)
State of California
Campaign Disclosure Statement Type or print. in. ink.
Amounts may be rounded
Summary Page to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
C ontributions
Contributions Received
Schedule E, Line 4 $
A
TOTALTHIS PERIOD
7. Loans Made...... ........................... ............. .........
Schedule H, Line 3
(FROM ATTACHED SCHEDULES)
1. Monetar ontributions .............................. .....
ry ..,..,
Schedule A, Line 3
$
2. Loans Received ....................... ...............................
Schedule B, Line 3
. .......... ................. ........ . . . ... 0
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines ? + 2
$
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
Add Lines 8 +9+ 10 $
5. TOTAL CONTRIBUTIONS RECEIVED ........... ...............
Add Lines 3 + 4
$
SUMMARY PAGE
Stater
Vent covers. period dALIFOR ;i
from
through Page of
I.D. NUMBER I
.Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 5130 711 to Date
20. Contributions
Received $ $
2. Expenditures
Made $ $
Expenditures Made
E. Payments Made ........................ ...............................
Schedule E, Line 4 $
7. Loans Made...... ........................... ............. .........
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ..... ...............................
Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ........ .......................
Schedule F, Line 3
10. Nonmonetary Adjustment ........... ...............................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................
Add Lines 8 +9+ 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page Line 1 $ 4
1 3. Cash Receipts .................... ............................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
15. Cash Payments ................... ............................... Column A, Line 8 above It
18. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14 then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
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
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22, Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mmlddlyy)
I W- -�-- -� ----�� $
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January /05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)