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Janet Gibson for School Board 460··Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 1. Type of Recipient Committee: AllCommittees-CompleteParts1,2,3,and4. ~"6.ffic.e_t):Gklei:rCandidate Controlled Committee \ 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) D 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) []( Primarily Formed Candidate/ 'Officeholder Committee (Also Complete Patt 7) l.D. NUMBER ,,_o-f· COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 4, ,i; l} S' c.~) STREET ADDRESS (NO P.O. BOX) . Ci.TY STATE ZIP CODE // '. ···.·· .'.. ,J -· /:'11' (.}.f_./L:.''/:; L ( I {~// t /, t f, ( t ·, L , 7 c I l; AREA CODE/PHONE ,)"/ c 5·21 f MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification 2. Type of Statement: D Preelection Statement i}f: Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER (! . . ··.J /-, ;..:t r o 1-1 MAILING ADDRESS ) % ·'/'- CITY MAILING ADDRESS CITY STATE OPTIONAL: FAX I E-MAIL ADDRESS D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 ZIP CODE AREA CODE/PHONE 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 forego.~g' is true and correct. / ,., -J. · -" '' <!.'1 1 · '\ ;;..'·-------==~~~~~~ Date Executed on-------------Date BY------~S~ig~na~tu~re~o~fC~o~ntro~l~fin~g~Offi~ro~m::-::-:-.lde-c~Ga~oo=::ide~te-.~St-.me~M~e~a-su-re~P~ro-~-oo-n~t-----~ Executed on-------------Date BY--~---:::~::::::".~~~~~~~~-=.,..,.,.,"""""--.,,---:-----­s;gnature of ControllingOffiromlder, Gaooidate, State Measure Pro~oont FPPC Form 460 (June/01) FPPC Toll·Free Helpline: 866/ASK·FPPC State of California Type or print in ink. COVER PAGE -PART 2 Recipient Committee Campaign Statement 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) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STA1E 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 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) STA1E ZIP CODE AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITTEE? 0 YES 0 NO 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 ,) .'/, '2_. 'f ci··1)se,. '\ Y,) ~ .. /7 C'\ 4. I I /3.,:_,c;: t'tC{ , 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 Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Columns CALENDAR YEAR TOTAL TO DATE 1. Monetary Contributions ........................ ............. ...... Schedule A, Line 3 $ $ 2. Loans Received . . . . .. . ... . . . . .. .. .. .. . .. ... . . .. ... . .. .. . . . . . . . . .... .. Schedule B, Line 7 J. 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 .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 1 O. Nonmonetary Adjustment .......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $ Current 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 1, Line 4 15. Cash Payments.................................................. Column A, Line a 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 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 $ ,/ ·-i " J \._J $ $ $ $ $ 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). 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 $ ------$ a I cl.-5 21. Expenditures Made $ _____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made• (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) ___/___/ __ $ ___/___/ __ $ ___/___/ __ $ ___/___/ __ $ ___/___/ __ $ ___/___/ __ $ *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 Schet:fole A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE 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 AN INDIVIDUAL, ENTER O.CCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE * Schedule A Summary 1. Amount received this period -contributions of $100 or more. IZJ1ND DCOM DOTH DPTY DSCC Ql~ND DCOM DOTH DPTY DSCC DINO DCOM DOTH OPTY DSCC DINO DCOM DOTH DPTY DSCC DINO QCOM DOTH 0PTY DSCC SUBTOTAL$ 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 $ ______ _ SCHEDULE A l.D. NUMBER 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 (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) ttsi, IND D COM DOTH D PTY to IND o coM o oTH o PTY o sec COM 0 OTH 0 PTY 0 sec Schedule B Summary Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER a {b) OUTSTANDING AMOUNT OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS (IF SELF·EMPLOYED, ENTER BEGINNING THIS NAME OF BUSINESS) PE I D PERIOD SUBTOTALS$ Statement covers period t f:'.. ' from ~ ··-·~;:.-;:}-" -.:)\,,,/ (c) {d) AMOUNT PAID OUTSTANDING BALANCE AT OR FORGIVEN CLOSE OF THIS THIS PERIOD* PERI D QPAID 0 FORGIVEN DATE DUE OPAID D FORGIVEN DATE DUE OPAID D FORGIVEN DATE DUE $ $ {e) INTEREST PAID THIS PERIOD __ % RATE __ % RATE __ % RATE $ (Enter (e) on Schedule E, Line 3) 1. Loans received this period .................................................................................................................... $ J. c.? 0 0 __.. (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ c) - (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. d-(0 () () _ _, (May be a negative number) t Contributor Codes l.D. NUMBER (f) (g) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR PER ELECTION** DATE INCURRED CALENDAR YEAR PER ELECTION ** DATE INCURRED CALENDAR YEAR PER ELECTION** DATE INCURRED *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 ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULEE l.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Clv'P CNS CTB eve FIL 'ND IND 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 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) MBR MTG OFC PET PHJ 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 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 TRC 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 l 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 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 6.) ............................. TOTAL $ -------'----..:.:__ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC