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Janet Gibson for School Board 460ilecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers peri9d i;_j Date of election if applic (Month, Day, Year) COVER PAGE Date Stamp JJ1N \D 1005 SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. D Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ,.:::J General Purpose Committee 0 Sponsored 0 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) AREA CODE/PHONE 2. D Preelection Statement D Semi-annual Statement [':g1, Termination Statement 'o Amendment (Explain below) Treasurer(s) MAILING ADDRESS /'G? ! ':2 :.-' CODE/PHONE -----------------------------------MA I LING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 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 schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing i::; true and correct. E t d By L,,t1.ff/V-J7r'l~/ ·:t:!vJ>~:--?u)l1):,/! xecu e on • ,,, .. ~-. .--' Date Executed on ------..,,D-at,...0 ------- Executed on--------------Date Executed on--------------Date BY-------.,.,...---.,.,,.....--...,...,,,..,...,---.-.,..---------------signature of Controlling Officeholder, Candidate, State Measure Proponent BY-------------------------~---~~~-Signature of Controlling Olficsholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC f""•-·--· --•!•---!- Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. COVER PAGE -PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT D 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 otticehotder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE -!-I. /:-)E;c~· NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD k'.JZSUPPORT D OPPOSE 0 SUPPORT D OPPOSE 0 SUPPORT D OPPOSE 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 J ·_,. ~+ Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received ...................................................... Schedule B, Line 7 SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions .................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Expenditures Made .-~i , rU~') 1 . 1fL 2Jt·'!r,,; .;· I' 'VL!i'.:J,;M.·t~r-t,'.)tw1if\. r ~(..·) 6. Payments Made ........... ( .. ~ ...................... ::'............... S'chedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+ 1 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 10. Non monetary Adjustment .......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add unes a+ 9 + 10 $ Current Cash Statement '3eginning Cash Balance .......... ............. Previous Summary Page, Line 16 $ 13. Cash Receipts ......................... .......................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................... ....... Schedule 1. Line 4 15. Cash Payments.................................................. Column A, Line B above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 1s $ 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 $ _J /i z 0, ()(:) _)_ r7~\ C{) -j"-2. j !R • Lc:fJQ,ac~· Columns CALENDAR YEAR TOTAL TO DATE IZCl7~tDCJ $ zi;·Of!).t:() " ~ \..:"' ,'• '<L,# "'""' $ L/: (" ,_ 4 ~'(_'"" ··~ i !' .. , .;.:j $ ~f o/ ·7 Lf .fJD $ $ $ 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). SUMMARY PAGE 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 &chedul~A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF Fll:ER l} I ,,,, 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 LO. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Schedule A Summary 1. Amount received this period-contributions of $100 or more. CODE* DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH 0PTY DSCC SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD (Include all Schedule A subtotals.) ........................................................................................................ $ -'-~~'----- 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 $k"""·;~ .. ~~· O=·' -~-- l.D. NUMBER /Z CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ·contributor Codes 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 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER to IND o coM o oTH o PTY o sec to IND o coM o OTH o PTY o sec Schedule B Summary Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER a (b) OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT BALANCE RECEIVED THIS BEGINNING THIS PERI D PERIOD SUBTOTALS $ (c) AMOUNT PAID OR FORGIVEN THIS PERIOD * ~AID 1;7; $~ 0 FORGIVEN OPAID 0 FORGIVEN OPAID 0 FORGIVEN $ 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. t Contributor Codes (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERI D DATE DUE DATE DUE DATE DUE $ IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other PTY -Political Party SCC-Small Contributor Committee (e) INTEREST PAID THIS PERIOD RATE __ % RATE __ % RATE SCHEDULE 8 -PART 1 1.0. NUMBER (f) ORIGINAL AMOUNT OF LOAN DATE INCURRED DATE INCURRED DATE INCURRED (g) CUMULATIVE CONTRIBUTIONS TO DATE 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. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC Schedt~leE Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, de~cribe the payment. l.D. NUMBER 0vP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD rd"turned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL d\mpaign workers' salaries eve civic donations PET petition circulating TEL tJ or cable airtime and production costs FIL candidate filing/ballot fees ~ phone banks TRC c~ndidate travel, lodging, and meals r '') fundraising events POL polling and survey research TRS st~ff/spouse travel, lodging, and meals SCHEDULEE independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF trclinsfer between committees of the same candidate/sponsor LEG legal defense PPD professional services (legal, accounting) VOT vqter registration LIT campaign literature and mailings PAT print ads WEB injormation technology costs (internet, e-mail) j --j NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER l.D. NUMBER) CODE OR "1 DESCRIPTION 0 -PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. , e f Schedule E Summary AMOUNT PAID .; 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ---'---'-=-"--- 2. Unitemized payments made this period of under $100 ........................ t\~·?f~~;·;~········:·········· ................................................................ $ --"------o· iro ' . ,{; . i) 'l • , 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) .. :-~:i:--::~:.~.l:::?.:-:::-..:·:"'f:;:~::\Z ....................................... $ 7 .. / L ;:j~ (:; .. (u; 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $'"-=--t ____ _ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC