Committee to Elect Susan Maureen McCormack 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print In Ink.
Statement ,c°}ers /erlod Date of election if applicable:
from 7/ I !_fl/
through J ~~lo/
(Month, Day, Ye~r) 1 •. Caty C erk s Off nee For Official Use Only
ft;?;? P,tJl SEE INSTRUCTIONS ON REVERSE
1. Typ7 of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
cz;v'omceholder, Candidate Controlled Committee D Ballot Measure Committee 0 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
0 Political Party/Central Committee
3. Committee Information
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
CITY ff/ -Lvt /J STATE 2)J?CODE
r1 t,l,Jncf, <A. 7·f:5c::>/ AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
~ITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
2. Type of Statement:
D Preelection Statement
~emi-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 perjury under the laws of the State of California that the foregoin is true and correct.
Executed on __ 1....,./~:.i_V_,_/1.,,,._IJ._;?: ____ _
> Date
Executed on Dale
Executed on Date
Executed on Dale
By
By
By
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
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print In ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Su -54 /) dh&r~i?!J .£/12 (ff !?Jar;/;
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Cl' CiJVluJ1 I ~1n kr
.SIDE AUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
/ °//~ ~ /r/Jil/17r!rl4,it:4 _1t/52JJ
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 -
COMMITTEE ADDRESS
CITY
l.D. NUMBER
CONTROLLED COMMITIEE?
DYES D NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
1.0. 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 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 otticeholder(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
Campaign Disclosure Statement
Summary Page
Type or print In ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE through /JI. 13/ /o /
Contributions Received
1. Monetary Contributions . . . ... . . . . . .. . . .. . . . . .. . . . . . . .............. Schedule A, Line 3 $
2. Loans Received ...... .. ........... ...... ......... .............. ...... Schedule B, Line 7
3. JBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $
4. Nonmonetary 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............................................................. Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS .................................... Md Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLinesB+9 + 10
Cwrent Cash Statement
1:.. ginning 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 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
$
$
$
$
$
$
$
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
-
--.
$
$
$
$
$
$
Columns
CALENDAR YEAR
TOTAL TO DATE
-
I
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 ?/?;;,~/id
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/
__}__,._~
$ _____ _
*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 F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Staternzeat covers period
trom 1 _!_ /c I , I '
through l:Z)o;/aJ
SCHEDULEF
CALIFORNIA 460
FORM
Page_±__ of±
l.D. NUMBER
9 ~ :2. ~ :/)J:5
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
OvP campaign paraphernalia/misc. MBA 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 PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees Pf-0 phone banks TAC candidate travel, lodging, and meals
Fl" fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
lf\i. ,ndependent 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)
uig; Orf ~·ND ADDRESS OF CREDITOR CODE OR (a) (b) (c) (d)
OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
/ OF_THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD f:tt ,:;-( 7fJ,t,mcdl:t ~/'/4 "(;7 1) "f)
~ ~ 1!;f if/ //f//;}f /ct/,df
k~v: _/_u £c, '!I / £k/?d)7~/c//. Pf
-/
• Payments that are contributions or independent expenditures must also be SUBTOTALS $ I 11 :J. 'I $ $ $ ; ~1,cJ-7 summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for ~/ 1' /, (fa i
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 ~/ ~ ~
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$ V 1
May be a negalive nu er
FPPC Form 460 (June/01)
FPPC Toll-Free HelolinP.: f\l;f'\/A~K-l=PPr.