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
from w 1 1) .z. o o..3 (/
through J) .J1<'!, , .3 (i 2-O a.3
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
~ Officeholder, Candidate Controlled Committee D Ballot Measure Committee
O State Candidate Election Committee O Primarily Formed
0 Recall 0 Controlled
(AisoCompletePart5) Q Sponsored
0 General Purpose Committee 0 Sponsored O Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
(Also Complete Part 6)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
f3eV£f(L '( Jol-//'/Sol'I
STREET ADDRESS (NO P.O. BOX)
I 7 tJlo Mo f{ EL II li.D
C.11
ZIP CODE
9'/Sol
AREA CODE/PHONE
(ffto)5'-<.3-5"/l./3
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
:::ITV STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
Date of election if applicable:
(Month, Day, Year)
For Officliil Use Only
ity Clerk's Of · ice
2. Type of Statement:
D Preelection Statement
~
D
Semi-annual Statement
Termination Statement
Amendment (Explain below)
Treasurer(s}
NAME OF TREASURER
D Quarterly Statement
0 Special Odd-Year Report
D Supplemental Preelection
Statement -Attach Form 495
JEA/\-/ FoLLRlfT H
MAILING ADDRESS
1706 Mote£Ll1r/D DR.
Gti
ZIP CODE
rt¥So/
AREA CODE/PHONE
(...510) s .:<.3 -s Jt/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 pe~ury under the laws of the State of California that the foregoing is true a correct.
Executed on J / 2.(, / :Z. O Of By ----..,.,4~~=:;,..._,..~~--:'!~~:=.f:1~:::~_..,7""'-9---~ Dai4
Executed on_.,._q 2.....,_X'......-:rL-tJ-f __
Executed on -----..,,Dale-------
. Executed on -----..,,Dal,..,-e _____ _ BY------.,,,--,--.,.,,_.,,...,,,_,,,,,,_,...,..,.....,,-------------~~ Signature of ConllOlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpll~~~_86~~~~~PP_C
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
BEVERLY Jof/;ysot-1
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
M II YO!f, C./T( a-f fl lit ME DI/
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STA1t 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 LO.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 1.0. 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 SOUGHT OR HELD ~SUPPORT
BGVF-r<LY Jol/l'fSol/ M flYoRJALlflliEOA 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 ~I 2.003 ~}
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ............................... ............ Schedule A. Line 3 $ 0
2. Loans Received .. .... .. .......... ... .. ......... ... ..... . .. ..... ... .. . Schedule B, Line 7 0
)UBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0
4. Nonmonetary Contributions.................................... Schedule c, Line 3 0
5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $ 0
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. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $ ()
Current Cash Statement
leginning Cash Balance ......... :............. Previous Summary Page, Line 16 $ sot/, S'o
13. Cash Receipts ................................................... Column A, Line 3 above 0
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 (.')
15. Cash Payments . .... . .. . ... .. . .. . . ......... .. .. .. .. ... ........... Column A, Line B above 0
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ...... ...... .... ... ... .. ...... ... ....... See instructions on reverse $ 0
19. Outstanding Debts .......... .. ............. Add Une 2 +Line 9 in Column B above $
through JJ~. 3 /, z_ooJ Page _.5_ of _3 __
$
$
$
$
$
$
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 this 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
l:L'fl/1ol
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 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 (June/01)
FPPC. Toll-Free Helpline: 866/ASK-FPPC