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Barbara Kerr for City Council 460COVER PAGE Recipient Committee Campaign Statement Cover Page Type or print in ink. CALIFORNIA 460 2001/02 (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. !rpe of Recipient Committee: All Committees Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee D Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled {Also Complete Part 5) O Sponsored (Also Complete Part 6) D 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 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 73/11<.BfJ/&4-f<E/(-f!:_ Fae_ C:z::r;<-CooNc.Ir_ STREET ADDRESS (NO P.O. BOX) f_L 'F=-c-; ;)_~? ~ >= CITY STATE ZIP CODE AREA CODE/PHONE ,41._f1-HEl?O , C.4 9B=cil (tS!o) sz2-0;z(p MAILING ADDRESS (IF DIFFi?RENT) NO. ANO STREET OR P.O. BOX> CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: NG--I Ce>H 4. Verification Date of election if a licable· (Month, Day, Year) . FORM Page _ _,/ __ of l For Official Use Only I erk' s Office 2. Type of Statement: D Preelection Statement r$J Semi-annual Statement D D Termination Statement Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE /)LJ)-/v( EPA-; C /-1-7'5"$0) C.:51~2 8GS-5B0f? NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 0f..f ES f'ff. W I have used all reasonable diligence in preparing and reviewing this statement and t he be t 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 f egoing · true and correct. Executed on-------------Date Executed on __ _,,.//.,_,:,.z.."""'"'5""'.--'-'/.'-"D--"Z-"------- / 1 Date Executed on-------------Date Executed on-------------Date BY-------.,,,..--..,..,,--..,.,----,--=--,,.,.--=----..,,--------~ Signature of Controlling Officeholder, Candidate, State Measure Proponenl BY------=---.,..,,--...,,_,,~~---,,--..,.,---.,..-__,,--...,,~-~~~~-~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (JuneJ01) FPPC Toll-Free Helpline: 866/ASK-FPPC C't""•"' l"\f 1"' ... 1;f,...,. ... 1.._ Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. COVER PAGE-PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ALA!Y!E/Jl.t /Jt 9V$01 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 exf/enditures on behalf of your candidacy. COMMITTEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME l.D. 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 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 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 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 $ $00 2. Loans Received ...... ....... ......................................... Schedule B, Line 7 SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t + 2 $ 4. Non monetary Contributions.................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. ScheduleH, 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. TOTALEXPENDITURESMADE ................................ AddUnes8+9+ 10 $ Current Cash Statement Beginning Cash Balance....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments.................................................. Column A, Line 8 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 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 $ ,5ao. ZZ? soa from __ ?~~-/-'/_CJ_/ __ _ th rough _f.....,z.,_/_3--'/--+-/,~o--'r __ _ ' 7 Page __ 3 __ of ...s- Columns CALENDAR YEAR TOTAL TO DATE $ soo $ Soa $ ..:::;oo $ 33S $ $ 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). ID. 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 B. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Scheduf·eA Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER 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) (IFCOMMITIEE,ALSOENTERl.D.NUMBER) CODE * Lrrv c 0L1\./ (! tf::N ff!'--D121J. Pz121 Fe :-, /-Jir:i IYE:04 C# ·9>Y. 0 Schedule A Summary DINO DCOM ~TH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC SUBTOTAL$ SCHEDULE A Statement covers period from -_,ifl~/.,,_,A-=oc+/-----CALIFORNIA 460 FORM through 1.:2/31 &c I I Page of/ of S- AMOUNT RECEIVED THIS PERIOD LO. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND -Individual 1. Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ _ ....... ,_5!._0-'--o __ _ COM -Recipient Committee (other than PTY or SCC) OTH-Other ......__ 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 $ __ S~o~o __ _ PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SphedwleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER e1r Type or print in ink. Amounts may be rounded to whole dollars. Co~NC"LL Statement covers period from 7 k /o, / ? I through 1$.r,/o r SCHEDULEE CALIFORNIA 460 FORM Page _s_ ot.5:__ l.D. NUMBER CODES: It one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ov'P campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees 'I) fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) . MBA member communications MTG meetings and appearances OFC office expenses PET petition circulating PHJ phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ _____ _ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ --~d~lf __ _ 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