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Committee to Elect Susan Maureen McCormack 460' Recip.ient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ~iceholder, Candidate Controlled Committee D Ballot Measure Committee O State Candidate Election Committee O Primarily Formed 0 Recall 0 Controlled {Also Complete Part 5) Q Sponsored {Also Complete Part 6} .....J General Purpose Committee 0 Sponsored 0 Small Contributor Committee D Primarily Formed Candidate/ Officeholder Committee O Political Party/Central Committee {Also Complete Part 7) 3. Committee Information co~.ITTEE NAME (O~IDAT~'S NA~E IF NO COMMITT.EE) ~?'7/?J/p/ 77Z-e ~ E/~e-r jtJ s c:; /) /f1a1£ /t'<t///! ~1et;;r0aC~ STfJET -~1'JSS (NO 70. BOX) . • // . _d.,. /.I - . rv STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification Date of election if applicabl (Month, Day, Year) -~ 3 2003 For Official Use Only ity Clerk's Off ce 2. Type of Statement: D Preelection Statement ~mi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS STATE 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 per"ury under the laws of the State of California that the foregoi is true d corr t. 7 '1 Executed on r Executed on-------------Data Executed on-------------Date nent or Responsible Officer of Sponsor BY---------------....,,------~-------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent BY-------=--..,.,,.....,-,,,,,__,_,.....,...._,,,___,,.,....-=..,...,..,--..,,....-------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC r'•-•--· '°"-UJ'-~-1- Type or print in ink. Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee N~i°F OFFICEHOLDER OR CANDIDATE / ~)ltYf:/; ;11c:?ttu.t1? /}lr::,1 /c1/))?/tcC OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) C11?i . ~ATE ZIP iJ7Jld/f a .. 4 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 NAME OF TREASURER COMMITIEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER COMMITIEE ADDRESS CITY LO. NUMBER CONTROLLED COMMITIEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE • AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITIEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE -, '01 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETIER JURISDICTION D 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 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 Contributions Received 1. Monetary Contributions .......................................... . Schedule A, Line 3 2. I "ans Received ........... .. ................... ...................... Schedule B, Line 7 Type or print in ink. Amounts may be rounded to whole dollars. Column A Column•B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ / Q4, (;, C) ~Jtf ~d~ - 3. ~ _,BTOTAL CASH CONTRIBUTIONS ......................... Md Lines 1 + 2 $ -$ 4. Non monetary Contributions.................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Md Lines Expenditures Made 6. Payments Made....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 7 $ ?·'?'?. 4CJ 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 ?f-~ 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 Cu,. .. ent Cash Statement 12. _ ·8inning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts ........ ...................... ........ .......... ... Column A, Line 3 above 14. Miscellaneous Increases to Cash........................... Schedule I, Line 4 15. Cash Payments.................................................. Column A, Line a above 16. ENDING CASH BALANCE .......... Md Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Part 2 Cash Equivalents and Outstanding Debts $ ~~· ~)C) /_ fftf (PO $ $ cd·7?J, &-c::> -£2 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column a above $ $ GZ]Jt:f kLJ $ 224; Ct?» 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 u-~1e-· o 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 Total to Date (mm/dd/yy) \ \$ ~ \ s\ $ \ $ ~ \ $ *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 Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NA~ OF FILER / . l 0/J?/)// 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 OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE * Schedule A Summary 1. Amount received this period -contributions of $100 or more. B(NO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC SUBTOTAL$ (Include all Schedule A subtotals.) ........................................................................................................ $ Statement covers period from /a4~/t?Z, through /q(o(/odn l.D. NUMBER AMOUNT RECEIVED THIS PERIOD 9? 'r C? ~6 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) *Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) COM -Recipient Committee ·-2. Amount received this period unitemized contributions of less than $100 ............................................. $ ______ _ (other than PTY or SCC) OTH-Other PTY -Political Party 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 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 /0/2<0/v :2 I SCHEDULEE ,Jj;,,, \ljCALIFORNIA 460 FORM l.D. NUMBER l/ ~ ;: fe ?..O CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CM=' campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL ~andidate filing/ballot fees FNL mdraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITIEE. ALSO ENTER l.D. NUMBER) MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHJ phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TAC 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 /1 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ;? Schedule E Summary . "') 7~.&; Cf:v 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ~"~?"l~_~/ __ _ 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 $ ,dl c::/ c;_:,O FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC