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Campaign to Elect Jean Sweeny 460Recipient Committee Campaign Statement Cover Page Type or print in ink. 1LE (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ·lp Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) D General Purpose Committee 0 Sponsored O Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information. D Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 6) D Primarily Formed Candidate/ Officeholder Committee · (Also Complete Part 7) l.D. NUMBER COMMITTEE NAME {OR CANDIDATE'S NAME IF NO COMMITTEE) CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E·MAIL ADDRESS Executed on q/~31 //))~ By Date / Executed on 9~ 31 ~c; 0ate I By Executed on By Date Executed on By Date . Date of election if applica e (Month, Day, Year) JAN 3 1 2005 of __ _ CITY OF ALAMEDA ITV CLERK'S OFFI E For Official Use Only 2. Type of Statement: D Preelection Statement D Semi-annual Statement ~ Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Fonn 495 c p-;;t~ .. ·1' it/ ~d··zyr: CITY AREA CODE/PHONE A--te2t ... ~·~~ ,,~. c.A-t t/.9 ls.105z2J.:r14 NAME OF ASSISTANT TREASURER, IF ANY _,. 7 MAILING ADDRESS CITY STATE OPTIONAL: FAX I E-MAIL ADDRESS Signature of Controlling Officeholder. Candidate. State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent ZIP CODE AREA CODE/PHONE FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC State of Clllllfomla Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRI UMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREE CITY STATE ZIP . f ¥6" I 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME . NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITTEE ADDRESS CITY l.D. NUMBER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITTEE? DYES ONO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee· NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 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 Committee List names of officeholder(s} or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC State of California Type or print in ink. Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions . .. . .. .. ... . .. . . .. . . . . . . . .. . . .. . . . . . . . . .. . . Schedule A, Line 3 $ Loans Received ........ .... .. . ......... .. .. .. .. .. . ..... .. .. . . .. . . . . . . Schedule B, Line 7 ;:s. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions ............................... ..... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. . Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+ 7 $ 9. Accrued Expenses (Unpaid Bills) .......................... : .... Schedule F. Line 3 10. Nonmonetary Adjustment .......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $ ~urrent Cash Statement 12. Beginning Cash Balance ......... :............. Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A. Line 3 above 14. Miscellaneous Increases to Cash ....... .................... Schedule I, Line 4 15. Cash Payments.................................................. Column A, Line 8 above 16. 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 $ TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) cJ D $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE To calculate Column 8, 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). Page ___ of __ _ l.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ ____ _ $ ____ _ 21. Expenditures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit} Date of Election (mm/dd/yy) __; __ _, __; __ ~ __; __ _, Total to Date $ _____ _ $ ___ _ $ ______ _ $ ___ _ __;__;__ $ ____ _ 'Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC. Toll-Free Helpline: 866/ASK-FPPC Sched"'le A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER .(IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) Schedule A Summary · 1. Amount received this period -contributions of $100 or more. DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY oscc DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC SUBTOTAL$ SCHEDULE A Statement covers period from --------- CALIFORNIA 46 0 FORM through --------Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD l.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 ·DEC. 31) PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND-Individual (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM -Recipient Committee (other than PTY or SCC). 2. Amount received this period -unitemized contributions of less than $100 ............................................. $ ______ _ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _____ _ OTH-Other PTY -Political Party SCC-Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK..fPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED. ENTER NAME OF BUSINESS) *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC-Small Contributor Committee DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC SUBTOTAL$ SCHEDULE A (CONT.) Statement covers period CALIFORNIA 460 FORM from _________ _ through ________ _ Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD l.D.NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Type or print in ink. Schedule B -Part 1 Loans Received Amounts may be rounded to whole dollars. Statement covers period from--------- SEE INSTRUCTIONS ON REVERSE through -------- NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IFCOMMITTEE,ALSOENTERl.D.NUMBER) to IND o coM o OTH o PTY o sec to IND o coM o OTH o PTY o sec to IND o coM o OTH o PTY o sec Schedule B Summary IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a (b) (c) (d) OUJf~t~g~NG AMOUNT AMOUNT PAID OUTSTANDING BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT I PERIOD THIS PERIOD * CLOSE OF THIS OPAID $ $ OFORGIVEN DATE DUE OPAID 0 FORGIVEN DATE DUE OPAID $ 0 FORGIVEN DATE DUE SUBTOTALS $ $ $ 1 . Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (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 $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) t Contributor Codes (e) INTEREST PAID THIS PERIOD __ % RATE $ ___ _ __ % RATE $ __ % RATE (Enter (e) on Schedule E, Line 3) SCHEDULE B-PART 1 CALIFORNIA 4e 0 FORM U Page___ of __ _ l.D. NUMBER (I) ORIGINAL AMOUNT OF LOAN $ ___ _ DATE INCURRED $ ___ _ DATE INCURRED DATE INCURRED (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR $ ___ _ PER ELECTION** $ ___ _ CALENDAR YEAR $ ___ _ PER ELECTION** $ ___ _ CALENDAR YEAR $ ___ _ PER ELECTION** •Amounts forgiven or paid by another party also must be reported on Schedule A. •• If required. 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: 866/ASK·FPPC Schedule B -Part 2 loan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITIEE,ALSO ENTERl.D. NUMBER) CONTRIBUTOR CODE DIND DCOM DOTH DPTY DSCC DINO 0COM DOTH OPTY DSCC OIND DCOM DOTH OPTY oscc DIND 0COM DOTH OPTY oscc Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS LOAN LENDER DATE LENDER DATE LENDER DATE LENDER DATE SCHEDULEB-PART2 Statement covers period from--------- CALIFORNIA 460 FORM through --------Page ___ of __ _ AMOUNT GUARANTEED THIS PERIOD l.,D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION . (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) $ ___ _ CALENDAR YEAR $ ___ _ PER ELECTION (IF REQUIRED) $ ___ _ CALENDAR YEAR PER ELECTION (IF REQUIRED) BALANCE ·OUTSTANDING TODATE . SUBTOTAL $ Enter on Summary Page, Line17only. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleC Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from _______ _ through ______ _ SCHEOULEC CALIFORNIA 460 FORM Page ___ of __ _ LO.NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF CODE * (IF SELF·EMPLOYED, ENTER GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) DIND DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC NAME OF BUSINESS) Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1. Amount received this period-nonmonetary contributions of $100 or more. SUBTOTAL$ (Include all Schedule C subtotals.) ..................................................................................................................... $ _____ _ 2. Amount received this period-unitemized non monetary contributions of less than $100 .................................... $ -----~- 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 1 O.} ...................... TOTAL $ _____ _ ·contributor Codes IND-Individual (IF REQUIRED) 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: 866/ASK·FPPC SchedµleD Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE O Support 0 Oppose 0 Support 0 Oppose 0 Support 0 Oppose Schedule D Summary Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT D Monetary Contribution D Non monetary Contribution D Independent Expenditure D Monetary Contribution D Non monetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) Statement covers period from-------- through ------- SCHEDULED CALIFORNIA 460 FORM Page___ of __ _ l.D. NUMBER AMOUNTTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) PER ELECTION TO DATE (IF REQUIRED) SUBTOTAL$ 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ _____ _ 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ _____ _ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $ ------ FPPC Form 460 (June/01) FPPC Toll·Free Helpline: 866/ASK·FPPC ScheduleD (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE D Support D Oppose D Support D Oppose D Support D Oppose D Support D Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) Statement covers period from--------- through _______ _ Page ___ of __ _ AMOUNT THIS PERIOD 1.D.NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1·DEC.31) PER ELECTION TO DATE (IF REQUIRED) SUBTOTAL $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK•FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from--------- through -------- SCHEDULEE CALIFORNIA 460 FORM Page ___ of __ _ l.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment O./P campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)' f",VC civic donations L candidate filing/ballot fees r"ND fundraising events N) independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER l.D. NUMBER) . MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (iegal, accounting) PAT print ads CODE OR * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TAC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ _____ _ 2. Unitemized payments made this period of under $100 ....... ; .................................................................................................................................. $ _____ _ 3. Total interest paid this period on loans. (Enter amount from Schedule 8, 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 6.) ............................. TOTAL $ ------ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC Schedule E (Continuation Sheet) Payments Made Type or print in ink. SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period from ________ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through _______ _ Page __ _ of __ _ NAME OF FILER l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. aJP campaign paraphernalia/misc. MBA member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFe office expenses SAL campaign workers' salaries eve civic donations PEr petition circulating TEL t.v. or cable airtime and production costs "'IL candidate filing/ballot fees Pl-0 phone banks TAC candidate travel, lodging, and meals IJD fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense P00 professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE . CODE OR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866fASK·FPPC Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ________ _ through _______ _ SCHEDULEF CALIFORNIA 460 FORM Page___ of __ _ 1.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. a/P campaign paraphernalia/misc. CNS campaign consultants eTB contribution (explain nonmonetary)* eve civic donations 'L candidate filing/ballot fees ~D fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign ·literature and mailings NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary MBA member communications MTG meetings and appearances OFC office expenses PEr petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PPO professional services (legal, accounting) PRT print ads CODE OR (a) OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD SUBTOTALS$ 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for $ RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TAC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD $ $ accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ _____ _ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS$ _____ _ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ . May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK.-FPPC Schedule F (Continuation Sheet} Accrued Expenses (Unpaid Bills) NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ________ _ through _______ _ SCHEDULE F (CONT.) CALIFORNIA 460 FORM Page___ of __ _ l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Q.JP CNS CTB :vc FIL FND 11\0 LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBA MTG OFC PET PHO POL POS PRO PAT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads *Payments that are contributions or independent expenditures must also be summarized on Schedule D. CODE OR (a) NAME AND ADDRESS OF CREDITOR OUTSTANDING (IF COMMITTEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD SUBTOTALS$ $ RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs canc;!jdate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs Qnternet, e-mail) (b) (c) (d) AMOUNTINCURRED AMOUNT PAID OUTSTANDING THIS PERIOD $ THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/AsK-FPPC ScheduleG Type or print in ink. SCHEDULEG Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers period from ________ _ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through _______ _ Page___ of __ _ NAME OF FILER LO.NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otheiwise, describe the payment. 05' campaign paraphernalia/misc. MBA member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions ~TB contribution {explain nonmonetary)* OFC office expenses SAL campaign workers' salaries IC civic donations PET petition circulating TEL t.v. or cable.airtime and production costs FIL candidate filinglballot fees FHJ phone banks TAC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging. and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR QF COMMITIEE, ALSO ENTER LO. NUMBER) Attach additional information on appropriately labeled continuation sheets. • Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. DESCRIPTION OF PAYMENT . AMOUNT PAID TOTAL*$ FPPC Form 460 (June/01) FPPC Toll·Free Helpline: 866/ASK·FPPC Schedule H loans Made to Others* SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE. ALSO ENTER l.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) Type or print in ink. Statement covers period Amounts may be rounded to whole dollars. from--------- (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD through _______ _ (b) (c) AMOUNT REPAYMENT OR OUTST~iDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED LOANED THIS FORGIVENESS PERIOD THIS PERIOD* 0 PAID $ 0 FORGIVEN 0 PAID $ DATE DUE __ % RATE SCHEDULEH CALIFORNIA 460 FORM Page___ of ___ . l.D. NUMBER (I) ORIGINAL AMOUNT OF LOAN $ ___ _ DATE INCURRED (g) CUMULATIVE LOANS TO DATE CALENDAR YEAR PER ELECTION** CALENDAR YEAR $ $ __ % ·$ ___ _ *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. Schedule H Summary SUBTOTALS $ 0 FORGIVEN $ $ DATE DUE RATE $ ___ _ $ (Enter (e) on Schedule I, Line 3) 1. Loans made this period .................................................................................................................................................. $ _____ _ (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans ........................................................................................................................................... $ ___ _ (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ ~-,--~-- (Enter the net here and on the Summary Page, Column A, Line 7.) <May be a negative number! PER ELECTION** $ ___ _ DATE INCURRED **If Required FPPC Form 460 (June/01} FPPC Toll-Free Helpline: 866/ASK·FPPC Schec.itule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER l.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from _______ _ through ______ _ DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ _____ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e}.) ................................. $ _____ _ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ............................................................................... : ........................................... TOTAL $ _____ _ SCHEDULE I CALIFORNIA 460 FORM Page __ _ of __ _ l.D.NUMBER AMOUNT OF INCREASE TO CASH FPPC Form 460 (June/01) FPPC Toll·Free Helpline: 866/ASK·FPPC