Monsef for City Council 460Reciµient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
Statement covers period
from _l---'0"'----"~---0_2. __ _
SEE INSTRUCTIONS ON REVERSE through _1~)_-_3'_\ _,,._0_2-__
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
12( Officeholder, Candidate Controlled Committee O Ballot Measure Committee 0 State Candidate Election Committee O Primarily Formed
0 Recall 0 Controlled
(Also Complete Part 5) Q Sponsored
D General Purpose Committee 0 Sponsored
0 Small Contributor Committee
O 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)
CITY
c:: \ ;" ' ,.. .
ZIP CODE AREA CODE/PHONE
Date of election if applic
(Month, Day, Year)
11--S'-02-
2. Type of Stateme
b Preelection Statement ~Semi-annual Statement
0 Termination Statement
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
29
s Office
0 Quarterly Statement
D Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Form 495
Dor-e,e, 1"'1 · ff\: \es
MAILING ADDRESS
,.
CITY
A \Cu'neJ c .....
STATE ZIP CODE
ql-}SDI
NAME OF ASSISTANT TREASURER, IF ANY
AREA CODE/PHONE
I r o··) i::; '"'\ ) -1:: J) :;i Lo I vo<-...._._,, i\.,,)
r\ 0-rA'2:d Cv CH.j.rT\.· '~v ( 5 I O) 5 ci \ -DG! 0 0
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
11 ~) ~~"-~ ~
CITY STATE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
AREA CODE/PHONE
So.~·y1e_.
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
STATE 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 perjury under the laws of the State of California that the foregoing is true and correct.
Executed on Date
Executed on Date
Executed on Date
Executed on Date
By
By
By
By
Signature of Treasurer or Assistant Treasurer
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
C:t~to f"lf r;,nf~,.f'll~
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
+\cid ~ Mon se+
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
C, 1 ~'y C.,o u n c'~ '1 ('(\~m b-e.r of A
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.
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
LO.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
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 D SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D 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
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
f\I\ o nse,f' .f'or--~
Column A
TOTAL THIS PERIOD Contributions Received
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ................................... ........ Schedule A, Line 3 $ l~Ol5.00
2. Loans Received .... . .. .... .. .. .. .. .... .. .... .. ..... .... .. . .. ...... .. . Schedule 8, Line 7 .::e--
SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 015.oo
4. Nonmonetary Contributions.................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ l )01.5.0D
Expenditures Made
6. Payments Made....................................................... Schedule E, Line 4 $ 11 1 1.vos. ~a ..
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. Non monetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $
Current Cash Statement
. Beginning Cash Balance ....................... PreviousSummaryPage,Line16 $
13. Cash Receipts ................. .................................. Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments.................................................. Column A, Line B above
16. ENDING CASH BALANCE .......... Add unes 12 + 13 + 14, then subtract Line 15 $
If this is a termination 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 reverse $
19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column a above $
from __ \_O_-_~_O_-_()_;;I. __
through _\-:l_-_3_\-_0_d. __ Page 3 of 14
Columns
CALENDAR YEAR
TOTAL TO DATE
$ l.'JCJ13.0b
$ !,:; C) 13. Ot
..f.r
$ ~ q 1,3,0b
$
$
$
To calculate Column B, 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
\d.~i3Dl
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6130 7/1 to Date
20. Contributions
Received $ ____ _ $ ____ _
21. Expenditures
Made $~-----$ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made•
(II 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 B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 460
FORM from I 0-.,)() -CJ ci>..
SEE INSTRUCTIONS ON REVERSE through l;l-3 \-0 ~ Page '4 of \Y
NAME OF FILER
DATE
RECEIVED
lD -o d.
fl-~-Od-.
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER LO. NUMBER) CODE *
\
G-0-<·o o Ewvn~ G-~ctl\O...f\
,.;;;~,
A \.o.rned.o:..; C-A-C) 4-50 I
G\:or9e d RJ)se. Ghns.\-e0~e.n
A \.°"med. o..... 1 C-Pr Ci ~ Sd
:}Q__Y--om4:,.. {<.. Lctn
.
A \O,~r1\<~do-1 l:A q 'ASOI
~D
DCOM
DOTH
DPTY
DSCC
1)llND
o·coM
DOTH
DPTY
DSCC
,.g]IND
DCOM
DOTH
DPTY
DSCC
iguNo
tJcoM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYEO, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
a.oo-
100-
susToTAL$ f.t>s D -
l.D. NUMBER
\~--ti3o/
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 ·DEC. 31)
d--00 -
-
-
PER ELECTION
TO DATE
(IF REQUIRED)
Schedule A Summary ·contributor Codes
1. Amount received this period -contributions of $100 or more. <Dso-(1nc1ude all Schedule A subtotals.) ........................................................................................................ $ _____ _
L\ ~ -2. Amount received this period -unitemized contributions of less than $100 ............................................. $ ----'-----
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ __ l,._0_1_5_-_
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 FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from ~\_O_·_~_O_-_D_d. __
through \~_·3 \-Od.
(b) (c)
FULL NAME. STREET ADDRESS AND ZIP CODE
OF LENDER
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS),
a
OUTSTANDING
BALANCE
BEGINNING THIS
PERI D
AMOUNT AMOUNT PAID
(d)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERI
(e)
INTEREST
PAID THIS
PERIOD (IF COMMITTEE. ALSO ENTER LO. NUMBER)
RECEIVED THIS OR FORGIVEN
PERIOD THIS PERIOD*
OPAID
D FORGIVEN
$ _____ ~ to IND o coM o OTH o PTY o sec DATE DUE
OPAID
D FORGIVEN
to IND 0 COM D OTH D PTY 0 sec DATE DUE
OPAID
0 FORGIVEN
to IND o coM o orn o PTY o sec DATE DUE
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.)
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. (May be a negative number)
t Contributor Codes
$
__ %
RATE
__ %
RATE
__ %
RATE
(Enter (e) on
Schedule E, Line 3)
SCHEDULE B -PART 1
CALIFORNIA 460
FORM
LD. 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: 866/ASK-FPPC
Schedule B -Part 2
Loan Guarantors
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME, STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE, ALSO ENTER LO. NUMBER)
CONTRIBUTOR
CODE
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
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 \() • ?0-0 ~
SCHEDULE 8-PART 2
CALIFORNIA 460
FORM
through _\~:l~ ... ~6~\-_(J_~--Page~ of \Lf
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 $
Enter on
Summary Page,
Line 17 only.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
ScheduleC
Nonmonetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITIEE, ALSO ENTER l.D. NUMBER)
CONTRIBUTOR
CODE*
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
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)
Attach additional information on appropriately labeled continuation sheets.
Schedule C Summary
1. Amount received this period -non monetary contributions of $100 or more.
Statement covers period
from l0-2D -b~
SCHEDULEC
CALIFORNIA 460
FORM
through \:l"':?:>' -..D~ Page____:]_ of -11._
DESCRIPTION OF
GOODS OR SERVICES
SUBTOTAL$
AMOUNT/
FAIR MARKET
VALUE
LO.NUMBER
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 -DEC 31)
*Contributor Codes
IND Individual
PER ELECTION
TO DATE
(IF REQUIRED)
(Include all Schedule C subtotals.) ..................................................................................................................... $ _____ _ COM-Recipient Committee
(other than PTY or SCC)
OTH-Other 2. Amount received this period-unitemized nonmonetary contributions of less than $100 .................................... $ ______ _ PTY -Political Party
3. Total nonmonetary contributions received this period. SCC-Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ _____ _
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 LETIER AND JURISDICTION,
OR COMMITTEE
0 Support 0 Oppose
0 Support 0 Oppose
O Support 0 Oppose
Schedule D Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Non monetary
Contribution
0 Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SCHEDULED
Statement covers period CALIFORNIA 460
FORM from ---'-\-'--Q _·~_O_-6_(3. __
through \~-j \..{,)~--Page~ of\~
AMOUNT THIS
PERIOD
l.D. NUMBER
\~J-~~601
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1-DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
SUBTOTAL $
-.{} 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ _____ _
-tt 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 enter on the Summary Page.) .............. TOTAL $ ___ -tf_·-"'---
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
trom ~\_O~~~_-_O_d-__
through ___,\ ~"-'--~-=-\_--0.:.;c_. _a... __
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE Page _j__ of \ "-\
NAME OF FILER 1.D. NUMBER
\ \d. y.~ 301
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
OIP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
era contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
i:-11 candidate filing/ballot fees Pl-0 phone banks me candidate travel, lodging, and meals
J fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
11~0 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)
NAME AND ADDRESS OF PAYEE
(IF COMMITIEE. ALSO ENTER l.D. NUMBER)
ce
().._,) GA C) I.\-S:l_)l
~ '!:;;C.:e \ ~( D-?'n \ ~
I ~ 25 01-evn~rvl-~e.
P.r\a.rn.edCL ' 4SD'
CODE OR
PDS
fOS
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL$
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ Y. 41.o 4, Y-2-
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ ___ 1_4~1_._1._D=
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 $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
SCHEDULE E (CONT.)
Amounts may be rounded
to whole dollars.
Statement covers period
from _\_O_-_~_D_-_0_~--CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through \ :;( -.,3 \ -0 QI..,,, Page __j_E.__ of~
NAME OF FILER LO.NUMBER
«)o" ~+: -fuy \ 21..\ % -30'7
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
CNS campaign consultants MTG meetings and appearances RFD returned contributions eTB contribution (explain nonmonetary)* . OFC office expenses SAL campaign workers' salaries eve civic donations . PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TAC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
._ _ __.; legal defense PFD professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITIEE, ALSO ENTER l.D. NUMBER)
v,J\ \son
.
CJ~ C\~to \ ~
'Y\011se.C
'
.. au , .
CODE OR
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
DESCRIPTION OF PAYMENT
f-e,,\l\Ov'(<;.en'lei,-t ~Cov
IJ
AMOUNT PAID
+ -
SUBTOTAL$
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULEF
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from __ \_C_"'!_-_;l.{)~·\_-_O_cl __
CALIFORNIA 460
FORM
through_\ ~;;i.-~_3_\ -0_· -~--
SEE INSTRUCTIONS ON REVERSE Page_!_!_ of~
NAME OF FILER 1.D.NUMBER
G+ \~~~301
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
QvP campaign paraphernalia/misc. · MBA member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
eTB contribution (explain nonmonetary)* ' OFC office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TAC candidate travel, lodging, and meals
' fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
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 PAT print ads WEB information technology costs (internet, e-mail)
CODE OR {a) {b) {c) {d)
NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
·--·
f\) " j (j
• Payments that are contributions or independent expenditures must also be
sun1m>1r1z1ed on D. SUBTOTALS$ $ $ $
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
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 -fr-
on the Summary Page, Column A. Line 9.) ................................................................................................................................................ NET $ ------May be a negalive number
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SchEduleG 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 _\_Q_-_c:)_O_-~(j~~-'---CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
\•-"":i>,\-6 """\ through ',.,,.(. ~ c;;;,t.... Page~ of \ \...\
NAME OF FILER l.D. NUMBER
\
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
civic donations PET petition circulating TEL t.v. or cable airtime and production costs
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 PFO professional services (legal, accounting) VOT voter registration
UT 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 1.0. NUMBER)
}'\ 1\)b
-
-
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*
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
trom __ \'-L=·\_-__::~_o.:::.· _-_:O=--d-.-
SCHEDULEH
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE through __ d __ -O_d-__ Page i 6 of jj_.
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF RECIPIENT
(IF COMMITTEE. 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.
Schedule H Summary
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
LOANED THIS
PERIOD
SUBTOTALS $
(c)
REPAYMENT OR
FORGIVENESS
THIS PERIOD*
D PAID
D FORGIVEN
D PAID
D FORGIVEN
$
OUTST~~DING
BALANCE AT
CLOSE OF THIS
PERIOD
DATE DUE
DATE DUE
$ $
(e)
INTEREST
RECEIVED
__ %
RATE
__ %
RATE
(Enter (e) on
Schedule I, Line 3)
1 . Loans made this period .................................................................................................................................................. $ _____ _
(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 $ __ -f}-~---
(Enter the net here and on the Summary Page, Column A, Line 7.) !May be a negaiive number!
LO. NUMBER
(I)
ORIGINAL
AMOUNT OF
LOAN
DATE INCURRED
DATE INCURRED
(g)
CUMULATIVE
LOANS
TO DATE
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
PER ELECTION**
**If Required
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
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER 1.D. NUMOER)
\
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from \D-ciCJ-0 ~
through \cl.:>;\-()~
DESCRIPTION OF RECEIPT
SCHEDULE I
CALIFORNIA 460
FORM
Page fl_ of J:l_
l.D.NUMBER
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
Schedule I Summary
1. Increases to cash of $100 or more this period ........................................................................................................... $ ______ _
2. Unitemized increases to cash under $100 this period ............................................................................................... $ ______ _
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ _____ _
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ --t;J:
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC