Loading...
Johnson 460Redpient Committee Campaign Statement Cover Page Type or print in ink. Date Stamp (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from ~ 11 za oc./ through~ • ..3 ~ 2.oot/ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information O Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) / 70&, t1 o /? £. L f} /\/./) CITY 9'/-So/ MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification t Afl,EA CODE/PHONE \...SIOJ 5 :(. '3 -5 /tf~ AREA CODE/PHONE Date of election if applicable: (Month, Day, Year) JAN 3 1 2005 or Official Use Only 2. Type of Statement: D Preelection Statement ~ Semi-annual Statement D Termination Statement 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 .Jc 14/'i II. Fo LL R /tJ T 1-f MAILING ADDRESS iJO/o CITY AREA CODE/PHONE C..f/ 94.S-'OI S"'J () .5"23 -.S'/t/-3 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 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 is true and correct. Executed on -----_,,Da,_ 1 _ 9 _____ _ Executed on-------------Date BY-----------------------------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline~ 8661ASK-FPPC e .. _._ -" ,.,,_n•--'~ 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 BE.VE.ff.LY OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) HI/Yo~> CITY af ALl1M ED/.} 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? DYES D 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? DYES 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 officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE~~: OR HELD 1!9 SUPPORT {3/ZV ERL'( J Oil tf Sol'i MlfY'OI? l?L/1 M /E..€Jf) D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D 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. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from k /) 2 60'-/ CALIFORNIA 46 0 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Joi./ t(S or{ Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions . . . .. . .. . .. . .. . . . . . . . ... . . . . . . . . .. . . . . . .. . . Schedule A, Line 3 $ (> $ Loans Received ............ ................ .......................... Schedule B, Line 7 Q .:s. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ () $ 4. Non monetary Contributions ..... ............................... Schedule c, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $ c $ ,.l. OCI • oO $ Expenditures Made 6. Payments Made....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ $ 9. Accrued Expenses (Unpaid Bills) .......................... ~ .... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule c, Line 3 through j)..,J!?., 3/1 Z. 00 t/. Page 3 of ~ ColumnB CALENDAR YEAR TOTAL TO DATE l.D. NUMBER 12. L/'-I q (J ( 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* (II Subject lo Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 11. TOTALEXPENDITURESMADE ................................ AddUnes8+9+ 10 $ 2 oo, ()0 $ __/__/ __ $ "';urrent Cash Statement ..:!. Beginning Cash Balance ......... '.............. Previous Summary Page, Line 16 $ 5' ot/, ..S-CJ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash........................... Schedule t, Line 4 15. Cash Payments.................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, ttien subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, 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 $ ...:2,oo.Oo 3 Di/,$' o To calculate Column 8, add amounts in Column A to the corresponding amounts from Column 8 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). __/ $ __/ $ __/__/ __ $ __/ $ __/ $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column 8. FPPC Form 460 (June/01) FPPC .Toll-Free Helpline: 866/ASK·FPPC ScheduleD Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER BEVElf.Y Jo1/NStJA/ DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE fi?l Support 0 Oppose Support 0 Oppose 0 Support 0 Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT Bl. Monetary Contribution O Nonmonetary Contribution O Independent Expenditure T&( Monetary Contribution O Nonmonetary Contribution 0 Independent Expenditure O Monetary Contribution 0 Nonmonetary Contribution O Independent Expenditure DESCRIPTION (IF REQUIRED) SCHEDULED Statement covers period from }4;-II 2 oat/ CALIFORNIA 460 FORM through ofJ~ . .3f; 2,1.'Jl:jlj. Page_!/__ of S" l.D. NUMBER 1z'lt/9o I CUMULATIVE TO DATE AMOUNTTHIS CALENDAR YEAR PERIOD (JAN. 1 -DEC. 31) $I otJ. oo 1'/oe>. e>o -11 (j () • 0 0 4)1 <1>0 • 0 0 PER ELECTION TO DATE (IF REQUIRED) SUBTOTAL$ Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule Dsubtotals.) .............................................. $ 2 00, OO 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ ------ ~ 00. oc 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .............. TOTAL $_.A-____ _ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER BEVIZ LY JOf/ f'/ Sot{ Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from~ IJ 2 oat{ SCHEDULE I CALIFORNIA 460 FORM I through .:l).il<-• 3/l :£,.eiccf Page 5 of£ l.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O\IP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations ':'JL candidate filing/ballot fees .. NO fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER l.D. NUMBER) ·,r11~ ~ra~ ~~ MBA membercommunications MTG meetings and appearances OFe office expenses PEr petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (iegal, accounting) PAT print ads CODE OR t .. J. "'--' 11'/, D /YJ~ ~-£; ~ ~ I /'f.D * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRe candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same ca11didate/sponsor VOT vciter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID .'$/ ( (JCJ , CJ CD .l/ /D (), <!JO SUBTOTAL$ ~ 2. OC>, OC 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 B, Part 1, Column (e).) ............................................................................... $ ---~-- -1 .;<.. 00 ,, cx:J 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