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Beverly Johnson for Mayor 460Recipient Committee Campaign Statement cover Page Type or print In ink. (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period ()/ 200 11 from~. / . "'1 through~ 30,,:Goa~ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. J1f. Officeholder, Candidate Controlled Committee O Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (AlsoCompJetsPartSJ O Sponsored (Also Complete Part 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee O Primarily Formed Candidate/ Officeholder Committee {Also Comp/els Part 7) 3. Committee Information. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) BEVER L "( Jal/t'/Sa!Y fov-11 IJYOR STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE ALllMED/1-Cl/ 9¢5'0/ MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification AREA CODE/PHONE $/() S':J..3-$/f.$ AREA CODE/PHONE Date of election if applica (Month, Day, Year) JUl J J 2034 7}aer. .s; ~oo.;c ty Clerk's Offi For Olflciiil Use Only 2. Type of Statement: D Preelection Statement C&'. Semi-annual Statement 0 Termination Statement 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER JE~I'/ MAILING ADDRESS . ZIP CODE AREA CODE/PHONE 9 ¥$'o/ J'/a .S-~3-S./I./. 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 · correct. · Executedon_?J_0_.z_'1.,..,,/,..,..._~-0_a ..... f' __ • J Date Executed on-----Oate,...,..------ Executed on-----,,,...,..------Oele . Executed on _____ ""'oaw..,.--. -----FPPC Form 460 (June/01) FPPC Toll-Fl'W Hlllp\\M; 866#MK-FPPC 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 8EV£R~Y JoljHsod OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) t111Yol?. CITY o7 ALIJM£ D~ RESIDENTIALJBUifiNESS 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 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 I DISlRICT 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 l!iSUPPORT MAYO%. BE.VE.RJ..Y ..JOHNSON '41. A l'1 £Dill 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICJ: 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 (Junef01) FPPC Toll-Free Helpline: 866fASK-FPPC State of Callfomla Type or print In Ink. Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Bt=VE Contributions Received 1. Monetary Contributions ............................... ............ Schedule A, Line 3 $ 2. Loans Received .•......•............ .-................................ Schedule 8, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ..•...................... Add Lines 1 + 2 $ 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............................................................. ScheduleH, Line 7 8. SUBTOTALCASHPAYMENTS .................................... AddLlnes6+7 $ 9. Accrued Expenses (Unpaid Bills) ........... : .............. ~ .... Schedule F. Line 3 10. Nonmonetary Adjustment .......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines s + g + 10 $ Current Cash Statement 12. Beginning Cash Balance ·········:····......... Previous Summary Page, Line 16 $ \. 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 15 $ If this Is a tennination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED •...................•.•.... Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents •••....•.............. .••••.•..••...•••. See Instructions on reverae $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 In Column 8 above $ Column A TOTAL THIS PERIOD . (FROM ATTACHED SCHEDULES) 0 0 0 0 a Q 0 0 0 0 0 $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TODATE 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). SUMMARY PAGE CALIFORNIA 460 FORM Page __...;;;$;.__ of __..3=-- 1.0. NUMBER ;:i,. Lit/ 9c 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* (H Subject to Voluntary Expendliure Umlt) 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 (Junef01) FPPC .Toll-Free Helpline: 866/ASK-FPPC