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Monsef for City Council 460Reciµient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement covers period from __ l_·. -_l_~_0_3 ___ _ SEE INSTRUCTIONS ON REVERSE through ---'b=----=3_0_-0_3 __ _ 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee O Ballot Measure Committee O State Candidate Election Committee O Primarily Formed 0 Recall O Controlled {Also Complete Part 5) Q Sponsored D General Purpose Committee 0 Sponsored O Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information (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) 2-SOL\ So,>'1-k"-' c__,\c>-ra.. Ave AREA CODE/PHONE Date of election if appli (Month, Day, Year) 2. Type of Statement: b Preelection Statement ~Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer( s) NAME OF TREASURER 'Dor-e,e, M · {Y\: \es MAILING ADDRESS For Official Use Only O Quarterly Statement D Special Odd-Year Report 0 Supplemental Preelection Statement -Attach Form 495 A \G..i°'(\e,_,~o.... Cft ct'-ts-01 AREA CODE/PHONE (510)5.;1)-ol.3 2+3 NAME OF ASSISTANT TREASURER, IF ANY CITY \ A \ C;..rn ~et C'-1 c.A CJ 1 +SOl (S 10)5~ \-OG)OD MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX P ' Q .. A OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification STATE ZIP CODE ~ kiSD) MAILING ADDRESS AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PH( OPTIONAL: FAX I q-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 ___ /__,__-_· ..:../ _,./µ"'-·--_·..::C;...;_,,3=<---- Date Executed on ---1-l-·-_.../_·""'J_·_-__.(9"'r-;....'""'3"-·--- Date Executed on-------------Date Executed on-------------Date BY~~~~~)~/~ .,,:...,~~~~~~~~~~~ BY-------=---=----=::--:--,..,--:::...-.,::-:-:-::-~,...,---::---:--------Signature of Controlling Officeholder, Candidate, State Measure Proponenl BY-------=--...,..,,.--....,,..,,,.....,.....,.,.--=__,,..,..,.....,,.-,..,...---=----------Signature of Controlling Officeholder, Cancfidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC C:t,fo. ,.,f ~oUf('rf"I~ Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE -\-\o._d; 0\on se+ OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) C., I \.'t e__o u n c.., ~ \ ('{\-e,m ~0-er o+ A \G rn f.' clc..__ RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 9'-\-SO l 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 1.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? 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 D OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if an. 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 D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 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 0 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. Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Column A Contributions Received TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ... .. .......... ...... ..... ... . . . . . . . . . .. . . . Schedule A, Line 3 $ l~O- 2. Loans Received ...................................................... Schedule B, Line 7 -ft 3. SUBTOTAL CASH CONTRIBUTIONS ....... .................. Add Lines 1 + 2 $ ld--0- 4. Non monetary Contributions.................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ l -;J..0 - Expenditures Made 6. Payments Made....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 1 $ 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 12. Beginning Cash Balance....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A. Une 3 above --ld..0.00 14. Miscellaneous Increases to Cash........................... Schedule t, Line 4 -t7 15. Cash Payments.................................................. Column A. Line B 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 $ SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM from __ \_-_)_-_0_3 __ _ 1..9-.?o ~oo through ------------Page of \ 3 $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE 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). 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 $ -----$ _____ _ 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 $ _____ _ $ _____ _ $ _____ _ $ _____ _ $ __ _ $ ___ _ •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 Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period SEE INSTRUCTIONS ON REVERSE from __ ,_-_\~--6_3~-­ through __,{..._o_-1.."""?2"-'0'----()-~--- CALIFORNIA 460 FORM Page '"f of \ 3 NAME OF FILER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER l.D.NUMBER) CODE * +\aJ ·, ff\o n-oef A-IC\xned.o... 6A C\!..\ 60 I ~D DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO OCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY oscc Schedule A Summary IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD 1. Amount received this period -contributions of $100 or more. \ d-O - (Include all Schedule A subtotals.) ··············-····································· .................................................... $ _____ _ 2. Amount received this period -unitemized contributions of less than $1 oo ............................................. $ _____ -€r=---- 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ___ \~d~O=----_ LD. NUMBER \~4%661 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) \--.{'~­.~ -~J 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 Type or print in ink. Amounts may be rounded to whole dollars. · Statement covers period from -~J-_)-()_3 __ _ SEE INSTRUCTIONS ON REVERSE through lo -3 0 ""'() 3. NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMllTEE. ALSO ENTER 1.D. NUMBER) to IND 0 COM 0 OTH 0 PTY D sec to IND 0 COM 0 OTH 0 PTY 0 sec to IND 0 COM 0 OTH 0 PTY D sec Schedule B Summary IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED, ENTER NAME OF BUSINESS), a (b) (c) (d) OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING BALANCE RECEIV BALANCE AT BEGINNING THIS ED THIS OR FORGIVEN CLOSE OF THIS PERI PERIOD THIS PERIOD* PE I . 0PAID $ $ D FORGIVEN $ ___ _ DATE DUE OPAID D FORGIVEN DATE DUE OPAID $ D FORGIVEN $ DATE DUE SUBTOTALS $ $ $ $ t • 1. Loans received this period .................................................................................................................... ·$ N otJG"- (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period .............................................................................................. ._ ......... $ -~N~Q~IJ_(;~- (Total Column (c) plus loans under $100 paid or forgiven.) {Include loans paid by a third party that are also itemized on Schedule A.) ~O~J c; 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. <Maybeanegativenumber) t Contributor Codes (e) INTEREST PAID THIS PERIOD __ % RATE __ % RATE __ % RATE $ ___ _ (Enter ( e) on Schedule E. Una 3) SCHEDULE B -PART 1 CALIFORNIA 460 FORM Page_£ of \~ 1.D. NUMBER f) ORIGINAL AMOUNT OF LOAN DATE INCURRED DATE INCURRED DATE INCURRED (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR PER ELECTION** CALENDAR YEAR PER ELECTION** CALENDAR YEAR PER ELECTION** *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: 8661ASK·FPPC Schedule B -Part 2 loan Guarantors SEE INSTRUCTIONS ON R~VERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE DINO 0COM DOTH OPTY oscc OIND OCOM DOTH DPTY DSCC OIND OCOM DOTH DPTY oscc OIND QCOM DOTH OPTY DSCC Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) LOAN LENDER DATE LENDER DATE LENDER DATE LENDER DATE Statement covers period from __ \-_\-_Q_3 __ SCHEDULE B -PART 2 CALIFORNIA 460 FORM through_([;_. _-_3_0_-_0_'-'_~_ Page -1R_ of \ ~ AMOUNT GUARANTEED THIS PERIOD l.D.NUMBER CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION (IF REQUIRED) $ ___ _ CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) BALANCE OUTSTANDING TO DATE SUBTOTAL $ Enleron Summary Page, Line 17only. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleC Nonmonetary Contributions Received SEE INSTRUCTIONS ON REV.ERSE NAME OF FILER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMIITEE, ALSO ENTER LO. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CQDE * DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SCHEDULEC Statement covers period from __ \_-_\_-_0_"3 __ CALIFORNIA 460 FORM through {p -2J 0 -b ~ Page___:]__ of \ '?;, DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE LO.NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) ·--+-----------+---------1-------1--------1------~ DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH OPTY DSCC Attach additional information on appropriately labeled continuation sheets. Schedule C Summary SUBTOTAL$ 1. Amount received this period -non monetary contributions of $100 or more. (Include all Schedule C subtotals.) ..................................................................................................................... $ __ -_ij ___ _ 2. Amount received this period -unitemized nonmonetary contributions of less than $100 .................................... $ __ 'fl--"---~ 3. Total nonmonetary contributions received this period. -=e- (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 1 O.) ...................... TOTAL $ ----'----- ·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 ScheduleD Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE D Support D Oppose D Support 0 Oppose D Support D Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure 0 Monetary Contribution D Nonmonetary Contribution D Independent Expenditure 0 Monetary Contribution D Nonmonetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) Statement covers period from --'-1_-__;\_-_0_3 __ _ through (o-3D-6~ SCHEDULED CALIFORNIA 460 FORM Page _K_ of \ '?> l.D. NUMBER \~J--t8~01 AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 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 D subtotals.) .............................................. $ ___ -(t. ___ _ -{j. 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ ______ _ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enteron the Summary Page.) .............. TOTAL $ ___ -lt__,,,'---- FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULEE ScheduleE Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from __ \ _-_\_-_0_3_· __ through _(o_-~3_0_--0_6 __ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE Page _'.j_ of. \ 3.a NAME OF FILER 1.D. NUMBER \~4~60/ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OvP campaign paraphernalia/misc. M8R member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve civic donations PEf petition circulating Ta t.v. or cable airtime and production costs FIL candidate filing/ballot fees Pf-D phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals NO independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (iegal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE AMOUNT PAID (IF COMMITTEE. ALSO ENTER l.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT c.A44 of· /:Jr\, CA-m eel CA. '2 'J._ (o '"3 50-n-+R c.Ao.xo.-Ne , Koo \'Y) ~80 Celf\d'\&o.,~ S+o.-4tmt\'\t 0 , 3lo\ (oe-' ,,\'\+.nq \ v . • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 3~\.(o~ 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ __ -=-,-=---~ 2. Unitemized payments made this period of under$100 ......... ~.P.::.9.~ .... &:t..PP:-X\)s. ... f.~~ .. ,;. ..... !J?? ... ~92.~cl ... 9.'1µ~'";!.0f ........................... $----"'.;;_· -' ~\-=-~ ~ 3. Total interest paid this period on loans. (Enter amount from Schedule 8, Part 1, Column (e).) ................................................................. -············· $ ------ 3 <Li 3, i (o 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 Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ \ _-_\-'----0_3 __ SCHEDULEF CALIFORNIA 460 FORM (9-30-o.3 Page_LQ_ of~ SEE INSTRUCTIONS ON REVERSE through NAME OF FILER LO.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OvP campaign paraphernalia/misc. · MBR member communications RAD radio airtime and production costs aJS campaign consultants MrG meetings and appearances RFD returned contributions ClB contribution (explain nonmonetary)* ' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) NDrJ~ • Payments that are contributions or independent expenditures must also be summarized on Schedule 0. Schedule F Summary CODE OR DESCRIPTION OF PAYMENT SUBTOTALS$ (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD $ (b) . (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD $ $ 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for .:f.:7- accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ _____ _ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on -€;-- accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS$ _____ _ 3. Net change this period. (Subtract Line 2 from Line 1 . Enter the difference here and -tr"· on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ ~~-,,---.-May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SchE.duleG Type or print in ink. SCHEDULEG Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers period from----'--\ ---'\_--'0"--3-=---CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through ~~~--3_0_-_0_.3_ Page _\_\_ of \ '2> NAME OF FILER LO.NUMBER \ d- NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OvP campaign paraphernalia/misc. 'MBR membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs RL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR (IF COMMITTEE, ALSO ENTER LO. NUMBER) No~0~ Attach additional information on appropriately labeled continuation sheets. • Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. DESCRIPTION OF PAYMENT AMOUNT PAID TOTAL* $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule H Loans Made to Others* SEE INSTRUCTIONS ON REVERSE NAME OF FILER N\cnse.C FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITIEE, ALSO ENTER LO. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. Type or print in ink. Amounts may be rounded to whole dollars. (b) (c) Statement covers period from \-\-03 through _lo_-_.3_0_-{)_3_ (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT REPAYMENT OR OUTST~DING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED LOANED THIS FORGIVENESS PERIOD THIS PERIOD* D PAID D FORGIVEN D PAID D FORGIVEN SUBTOTALS $ $ DATE DUE DATE DUE $ $ __ % RA1E __ % RA1E (Enler (e) on Schedule I, Line 3) SCHEDULEH CALIFORNIA 460 FORM Page \~ of l~ l.D. NUMBER (I) ORIGINAL AMOUNT OF LOJl:N DATE INCURRED DATE INCURRED (g) CUMULATIVE LOANS TO DATE CALENDAR YEAR PER ELECTION** CALENDAR YEAR PER ELECTION** Schedule H Summary 1. Loans made this period .................................................................................................................................................. $ __ --@ ____ _ **If Required (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans ................................................................ ~ .......................................................................... $ __ + ____ _ (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ __ -0_,,Tl......'---~ (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from __ \~-~l -_b~3 __ through ~-30---03 SCHEDULE I CALIFORNIA 460 FORM Page \~ ofj3_ LO.NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary -b 1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ ___ -:lt~."---- 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ ___ -8~--- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ --ir-'=1---- FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC