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Janet Gibson for School Board 460Recipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement covers period from __ !_0_--'-/_-_lJ_'-f_,___ SEE INSTRUCTIONS ON REVERSE through I CJ -:Z /-Q 'f 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) 0 General Purpose Committee 0 Sponsored O Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information. O Ballot Measure Committee . 0 Primarily Formed 0 Controlled 0 Sponsored {Also Complete Part 6) ~ Primarily Formed Candidate/ Officeholder Committee {Also Complete Part 7) l.D. NUMBER 1;;.71 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) r Ja..ne 'f-G-t'hso;, fur-8 c.,;f\{)D Gaare/ AREA CODE/PHONE Date of election if appli (Month, Day, Year) , OCT ,~-2 1 • 2004 11-2 ~oyCi Ctork; 1 Off le For Official Use Only 2. Type of Statement: JZ!' Preelection Statement O Semi-annual Statement 0 Termination Statement O Amendment (Explain below) Treasurer(s) O Quarterly Statement O Special Odd-Year Report O Supplemental Preelection Statement -Attach Form 495 NAME OF TREASURER 8 4 -s A a..von rUJ1i 1r 1 MAILING ADDRESS ">:f. J ?1'13 Jr~Wt.tJJ/l ;I_ CITY &.ch #rt ~d ?<._ eATE NAME OF ASSISTANT TREASURER, IF ANY ZIP CODE AREA CODE/PHONE 9.t./S-Ot SJQ..s-'2t0~.?J $/Q,$" 2./ / 3 Z2 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE;IPHONE 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 fore~ Executed on / {) -c:2. J -CJ L{ · . By--~-_.... _ _...."--_...._,,,....__,._-=----------------/[) -i/i-() q ~~( of Sponsor Executed on _____ ..,,Da_ 1 _ 9 _____ _ . Executed on -----.,,Date,...,...-.-------- BY-------=-_,-_,.,,,....,-=....,,,.,,,.------------------------Signatura of Controlling Offieeholder, Candidate, State Measure Proponent BY-----------=---,,_,-....,,,-------------------------signatura of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of C&llfornl111 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) 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. COMMITIEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITIEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITIEEADDRESS 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 SOUGHT OR HELD SUPPORT Ja.nef G/bSOh ~cnrfha~ 10 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 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 Stale 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 /{) -() / -0 c../ CALIFORNIA 46 0 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ja.ne G-ihso n · Contributions Received 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 .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 11. TOTALEXPENDITURESMADE ................................ AddLinesB+B+ 10 $ Current Cash Statement . 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 8 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 $ $ $ $ TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) /l:l7 fj_ {2. 7 ~t -tJ-lso- through __ /_0_--=2_,_J_-_O__:_</_ Page ___,3:::___ of h $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE 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 th!s is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). l.D. NUMBER JZ-713 7 Calendar Year Summary for Candidates Running in Both the State Primary and Gene~al 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 $ ____ _ __J $ ____ _ ___}__}__ $ ____ _ *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 $cheduleA Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from /0-/--r) i CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through /tJ '2/ -0 cj Page ti of b NAME OF Fll£R J ee-ri. e>I--c I '.b s t:7J'Z, DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE,ALSOENTERl.D.NUMBER) CODE * JD -~-ry-1 Schedule A Summary D COM DOTH DPTY DSCC DIND DCOM DOTH DPTY oscc DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER .(IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD !OD~ 1. Amount received this period -contributions of $100 or more. .;; ;:( S - (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ 1 oSL/ 2. Amount received this period-unitemized contributions of less than $100 ............................................. $ ------- 3. Total monetary contributions received this period. q (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ -'-)_2_7__.J.._ __ l.D. NUMBER /27 /377 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 FILERJ~ Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from /t2 -/-t2!/ through /0 -2/---oY "' FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a (b) (c) (d) OUJf~:~g~NG AMOUNT AMOUNT PAID OUTSTANDING (e) INTEREST PAID THIS PERIOD (IF COMMITTEE, ALSO ENTER l.O. NUMBER) BEGINNING THIS RECEIVED THIS OR FORGIVEN c~~~~f-f~s R D PERIOD THIS PERIOD * 0PAID J&..h<.f!_ V C. / So~ 1lf;;_~ ~ $ ;;i. 0 00 CJ % ~el'/~4S-CJJ D FORGIVEN ;-_o_-__ t)O IND 0 COM 0 OTH 0 PTY 0 sec OPAID D FORGIVEN to IND 0 COM 0 OTH 0 PTY 0 sec 0PAID D FORGIVEN to IND 0 COM 0 OTH 0 PTY 0 sec SUBTOTALS$ $ Schedule B Summary 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.) $ RATE 11-2-0<.J $ 0 DATE DUE $ ___ _ DATE DUE DATE DUE __ % RATE __ % RATE $ (Enter (e) on Schedule E, Line 3) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ -----~ (May be a negative number) Enter the net here and on the Summary Page, Column A, Line 2. t Contributor Codes SCHEDULE B-PART 1 CALIFORNIA 460 FORM Page_.£_ of h l.D. NUMBER 1:2.71377 (f ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR $;;000 $ ;i..ooo 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. Statement covers period from ---"o ___ V_-/_.....-Oe.__+9- through /0,;;. J-o<J SCHEDULEE CALIFORNIA 460 FORM Page _L of__£__ l.D. NUMBER 12 7 /3 7 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ol/P campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees \ID fundraising events ...JD independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IFCOMMITIEE, ALSO ENTER 1.0. NUMBER) MBR member communications MTG meetings and appearances OFe office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR FND * 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 Ta 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 candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ 50 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ------ 5 /\ oV 2. Unitemized payments made this period of under$100 ....... ; ................................................................. , ................................................................ $--~-"'--"u.,c__ __ 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).) ............................................................................... $ ----=-""'--- .:J() f>~ 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