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Committee to Elect Susan Maureen McCormack 460COVER PAGE Recipient 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. ~ceholder, Candidate Controlled Committee O Ballot Measure Committee 0 State Candidate Election Committee Q Primarily Formed 0 Recall 0 Controlled {Also Complete Part 5) Q Sponsored {Also Complete Part 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Primarily Formed Candidate/ Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information l.D. CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the be certify under penalty of perjury u der the laws of the State of California that the Executed on )--B Date of election if applic (Month, Day, Year) AUG 1 3 2002 ____ Ci y Clerk's Offic 9? N ;){) 2. Type of Statement: 0 Preelection Statement !!a-Semi-annual Statement D Termination Statement 0 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 Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Executed on By Date 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 <:t~tn nf r.~Ufn,.n1~ Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee ZIP 97()~; 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? DYES D NO STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITTEE? DYES D 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 2... ~' 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 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 NAME OF OFFICEHQ!JlfB-GR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (JuneJ01) 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. Contributions Received Column A TOTAL THIS PERIOD 1. Monetary Contributions . . ... . . . . .. . . . . . . . . . ... . . . . .. . . .. . . . . . .. . .. Schedule A, Line 3 (FROM ATIACHED SCHEDULES) $ tljf~ , 2. Loans Received .................................. .................... Schedule 8, Line 7 _... J. SUBTOTAL CASH CONTRIBUTIONS .. ....................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions.................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 ,.---... $ 2t-flr27,h Expenditures Made /f/;Z f 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 7 /fZ:?-?/ 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 /zt0 ,_ r 11. TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + 10 $ Current Cash Statement 2. Beginning 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 B above 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 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 8 above $ Columns CALENDAR YEAR TOTAL TO DATE $ ;u,r;~ $ $ ;q~ ,,fl?v Id//. ~'I $ - $ .L% -p-"'? - $ ;-z:; (,. 7-~( To calculate Column 8, 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). 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) ___)___)~···· $ ___) $ ___) $ ___;___; __ $ ___;___; __ $ ___)__/ ___ $ *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 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) (IFCOMMITTEE,ALSOENTERl.D.NUMBER) CODE * Schedule A Summary D 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$ AMOUNT RECEIVED THIS PERIOD 1. ~:~~~! ~f~~~~d~I! ~e~~o~~~~~t~i-~.~-~i.~.~~-~~·~·~·~·~.~~.~~~~: ................................................................. $ __,_/_,~"'---"'~-t-~_;? __ 2. Amount received this period-unitemized contributions of less than $100 ............................................. $ ______ _ 3. Total monetary contributions received this period. · / (;/'(/ft./' (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ~~'[)-£0_ ""--- l.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN._1 -DEC. 31) 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 ScheduleE Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from I/ O ;jar SEE INSTRUCTIONS ON REVERSE Page 3-of .b_ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. DIP 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)* OFe office expenses SAL campaign workers' salaries eve civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees Pl-0 phone banks TRe candidate travel, lodging, and meals '=ND 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 PAT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE OR * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ 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).) ............................................................................... $ --.--.7 ,,,.~~~_...,,-/ z;t /. ;z. y 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