Loading...
Johnson 460Recipient Committee COVER PAGE Campaig Statement or prim in ink. Da tamp Cove Page (Government Code Sections 84200 84210.5 age of Statement covers .period Date of. election if applicable: (Month, Day, Year) or Official Use Only SEE INSTRUCTIONS ON REVERSE from mm: through CITY A I. Ty]' of I�eeipient Committee: Committees Complete Pars "l, z, 3; and 4. Tae o :St Officeholder, Candidate Controlled Committee Primaril Formed Ballot Measure y E] Preelection Statement Quarterly Statement 0 State Candidate Election Committee Committee annual Statement Special Odd-Year Report D Recall Controlled Termination Statement Su lemental Preelection Pp (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement Attach Form 495 General Purpose Committee (Also Complete Pao) Amendment (Explain below Q Sponsored Primarily Formed Candidate) 0 Small Contributor Committee Officeholder Committee Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NU ER Treasurers COMMITTEE NAME :(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER F MAILING ADiESS STREET ADDRESS f M O E3U7t) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER; IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX ....MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX T EMAIL ADDRESS OPTIONAL: FAX E-MAIL ADDRESS 4. Verification. I have used 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. 1 certify underpenaltyof perjury under the laws of the State of California that theforegaing is true and correct. Executed on By to Executed on By ate Signature of troilj 9 Ofteholder,panXidate, StatefWasure Propo nt or Responsible officer of Sponsor Executed on By Executed on Date Date Signature of Controlling officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460.(January185) FPPC Toll -Free Helpline: 8661ASK.FPPC :(86s1275...3772) State of. Cal ifbrnla Type or print in ink. Officeholder or Candidate Controlled Committee NAME .CF. OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HLb LOCATION AND DISTRICT NUMBER IF APPLICABLE) w 6 g RESIDENTIA BUSINESS ADD SS NO. AND.STREET) CITY STATE ZIP belated :Comm tees dot Included in this Statement List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your can o'idacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFYCEFibLDER 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 CITY STATE ZIP CODE AREA CODEIP.HONE Attach continuation sheets if nec essary 6. Primarily Formed Ballot Measure Committee COVER PAGE PART 2 Pa g a of NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION [:]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 na mes of officeholder(s) or candidate(s) for which this committee is primarily formed. FPPC. Form 4fi0 {Januaryt4S} FPPC Toll -Free. Helphne 8661ASK -FPPC (865/.275 -3772) State of california 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 PAGE through Page. of NAME OF FILER Contr Fe ved CollumnA C B Cale Year Summaryfor Candidates TOTALTHiS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TDTW,.:Tt3 DATE Runnin in Beth.the .state Prima and t�I Ge nera El 1. Monetary..Contributions. Schedule A, Line 3 C 2. Loans Received Schedule B, Lin 3 1/1 through 6/30 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS. Add Lines 1 2 Z 0 20: Contributions Received.$ 4.. Nonmonet Con tribut io ns Schedule C Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Les 3 +`4 C6 S (l ade Expenditures. Made E pe ndit re it Summary. f or State 8. Pa ments :Made y Schedule E, Line 4 Ca ndi d ates Made 7. Loan a e Schedule H, Line 3 8, SUBTOTAL CASH PAYMENTS Ad 6 T d L ine s 22: Cumulative Ex end Lures Made (1f t�e�t to V xp 5u Lary E n d�t a Limit) fl u n ur 9. Acc Expenses (U Bills} Schedule F:Line:3. Date of Election Total to Date 10. Nonmonetar Adjustment Schedule. C, Line 3 (mmlddlyy) 11, TOTAL EXPENDITURES MADE .Add Lines 8 10 1 Curr Cas stateme 12. Beg Cas Balance Previous Pa ge Line 16 g Summar 9 To calculate Column B, add 13. Cash Rec eipts Column A, Line 3 above amounts in Column A to the 14. Miscellaneous :Increases to Cash Schedule 1, Line 4 cflr esponding amounts tram Column B of your Last *Amounts in this section may be different from amounts y reported B. 15. Gash Payments Cvl urr�n A dine S above 3 6 report. Some. amounts in 18. ENDING CASH BALANCE Add Lines. 1 2 +.13 14 then subtract Line 15 0 Column A may be negative f gures 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 fled 17. LOAN GUARANTEES RECEIVED Schedule B, Part:2 for this calendar year, only :..carry over. the amounts Cash Equivalents and Debts from .Lines 2, 7, and .9 (if .C?utstanding any 18. Cash Equivalents See instr uctions on reverse 19. Outstanding Debts Add Lane 2 Line 9 in Column B ab ove FPPC Fo 460 :(Januaryl05) FPPC Toll -Free Helpl 8661ASK FPP!C .(866127'5= 37'7'2) a A Monetary Contributions R eceived SEE INSTRUCT10.NS ON REVERSE Type .ar print: in ink: Amounts may be. rounded to whole dviiars. NAME UI I- ILLK SCHEWLE a Statement cowers period from L LO 11 DATE FULL NAME, STREET ADDRESS AND ZIP GDDE DF C+C�NTRIBUTDR IF AN.: INDIVIDUAL ENTER RECEIVED (IF ALSO ENTER I .D. N UMB E R) .CONTRIBUTOR D DE OCCUPATION AND EMPLOYER CUMULATIVE To DATE PER ELECTION RECEIVED` THIS (IF SELF -EMPLOYED, ENTER NAME T O DATE PERIOD .:::(JAN. 1 DEC. 31 �.O B IND oM R OTH PTY El SCC E] [ND..: CDIVI El DTI PTY SCC IND lbDI� C NTH PT'Y SCC c olvl oTH PTY El SCC r .0 CCM 0 TH PTY SC+C SUET ©TAI 0 Schedule A Su.mmaiW Contribu tor. Codes 1. A mount receII.Ved. L contrlbut!o of z i uu or more: (Include all Schedule A subtotals.) r... ....r.rr 0 +ss.. ..s•ss. .rrr. rs►r. .s rrr.►s+ ....r r.s +s r+ srrr. 2. Ar>l r eceived t h i s period unite iz contributions ions Of less than $100 r r s 3. Tbtal cr one .tary.con ributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line TOTAL, SCHEWLE a Statement cowers period from L LO 11 through Page F of l:D NUMBER IJ BER AIIIIDUNT CUMULATIVE To DATE PER ELECTION RECEIVED` THIS CALENDAR YEAR T O DATE PERIOD .:::(JAN. 1 DEC. 31 (IF REQUIRED) SUET ©TAI 0 Schedule A Su.mmaiW Contribu tor. Codes 1. A mount receII.Ved. L contrlbut!o of z i uu or more: (Include all Schedule A subtotals.) r... ....r.rr 0 +ss.. ..s•ss. .rrr. rs►r. .s rrr.►s+ ....r r.s +s r+ srrr. 2. Ar>l r eceived t h i s period unite iz contributions ions Of less than $100 r r s 3. Tbtal cr one .tary.con ributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line TOTAL, zochedule E ntinuation Sheet Pa Made SEE INSTRUCTIONS ON REVERSE T or print in ink Amounts ma be rounded to whole dollars. NAME %jr FILCM Statement covers period from �C- 6 throu X 0.1 pa of W. NUMBER CODES: If one of the followin codes accuratel describes the pa you. ma enter the code, Otherwise, describe the pa CMP CNS campai paraphern'alia/mIsc, campai consultants MBR member communications RAD radio air.time. and production costs CTB contribution (explain nonmonetar MTG OFC m e e tin g s and appearances office expenses RFD re turned contributions GVC F1 L civic donations candidate. filin fees PEr. petiti circulatin SAL campai workers' -salaries TEL U. or cable ai.rtlm and. production costs FIND ND fundraisin events independent expenditure supporting/opposin others (explain)* PHO POL POS phone banks peltin and surv'e' research TRC candidate travel, lodging, and meals TRS staff spouse. travel, lod and meals LEG le defense PRO posta deliver and messen services professional services (le accountin TS tra nsferbetween committees of the same candidate/sponsor VOT LIT campai 11ter and mailin PRT print ads voter re WEB Information technolo costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (fF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID T 1 CSC 61 Cc Pa that are contributions or independent expenditures must also be sum marized on Schedule D. SU13TOTAL 0, FPPC Form 460 Jun 01 FPPC Toll-Free Helpfine: 8661 ASK-FPPC NAME OF FILER I.D. NUMBER CODES: .If one of the following codes accurately describes the payment, you may ent er the code. Otherwi describe the: payment. CV' campaign paraphernalia /misc. IBIBR member communications....... RAD radio airtime and production cflsts CNS campaign consultants MTG. meetings and appearances RFD returned: contri CTB contribution (explain. nonmonetary) QFC office ex enses P SAL cam ai n workers salaries P 9 V C C civic donations PET. petition circulating TEL t.v: or cable airtime and p roduction costs FIL candidate filin /hallo f 9 t ee5 PHO phone ba nk s TRC candidate travel; lodging an meals FND fundraising events PGL pollin g Y and surve research TRS sta /s P 9 9 ouse travel lod in and meals IND independent expenditure suipportingfopposing others (explain)* PDS postage, delivery and messenger services TSF transfer. bets± een committees of the same candidate/sp LEG legal defense PRO professional services (legal, accounting) VCT voter registration LIT campaign literature.and mailings. PRT print ads V EB information technology costs (internet; a -mail NAME AND ADDRESS OF PAYEE F (IF COMMITTEE, ALSO ENTER I.D. NUMBER} CODE OR DESCRIPTION OF PAYMENT f AMOUNT PAID l o o 6 Payments. that are contributions or independent expenditures must also be summariz o Sc hedule. D. SLlBTDTi4L Schedule E Summary Itemized a ments made this period..(lnclude all Schedule E subtotals. p Y subtotals.) Unitemized payments made this period of under $100 �1 3. Total Interest paid this period on loans. (Enter amount from Schedule B Part 1; Column (e).) 4. Total payments made this period. (Add Lines 1 2, and 3. Enter here and on the Summary Page, Column A, Line G.) TOTAL FPPG Fern 40 (January l05 FPPC Toll -Free He[ 11 37 .866 1AS -FPPC I BfifiC27 3772}