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Kerr 460Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from JI>/ O I I J through (, l":) 0 /o f 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and7. [zj' Officeholder, Candidate D Primarily Formed Candidate/ Controlled Committee Officeholder Committee (Also Complete Part 4.) D Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) 3. Committee Information COMMITTEE NAME i3 f1'1Z Y:~ /-\ R ~\- STREET ADDRESS (NO P.O. BOX} (Also Complete Part 6.) D General Purpose Committee O Sponsored O Broad Based LO.NUMBER 0 &>; y~;b (') lf'-1 H IC\\"\ t: i::_ SQ u !~ 12,'E CITY STATE ZIP CODE AREA CODE/PHONE /) fJJ /</ I~ I) ltt CJ l( ~c:;' 0/ MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS -\ \K· C> \/'"'-'(~ (~) J(J [) .. \., v t ~ I \/'(/JC. ' ( D \JV\. Date of election if applicj&l!Af· (Month, Day, Year) \..I 2. Type of Statement: D Pre-election Statement ~ Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer{s) NAME OF TREASURER MAILING ADDRESS D Quarterly Statement D Special Odd-Year Report D Supplemental Pre-election Statement • Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE AL ·Pr V'tv\SD ~ ~ ~ \[ S-6 I 5 lo xloS--sS1~S NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIPCODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS r o n es! ct. wQ eoJ'" -r\-, \ tlf\ l-eJ f\R_t FPPC Form 460 (8/99) For Techn I cal Assistance: 916/322·5660 State of California Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 13 8~\Z, f> A 'TJA K f-1;z_ TZ . OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) /J LI~ f1 i~ (} l)-( J I / C o ,, ) 1 1_ RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 5. 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. 11 t-./-) /fl;;;) If CA l/YC:: o / NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not Included In this consolidated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME LO.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 6. Primarily Formed Committee List names of officeholder(s) or candldate(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 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary 7. Verification Executed on Executed on 7 /J. I ' Executed on Executed on DATE (-'Io I iiATE DATE DATE By By By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of California Type or print in ink. Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1 . Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received................................................................... Schedule B, Line 7 SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines 1 + 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 ...... ...... .... .. .. .. .... .............. .... ............ .............. .... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................. :............................. Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3 10. Nonmonetary Adjustment ....................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 ~urrent 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 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 1, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 In Column C above Column A TOTAL THIS PERIOD (FROM AITACHED SCHEDULES) $----4_-___ ..____,. __ _ $ ___ ~-~~c_,'-. ___ _ $ ___ ----=a_.__ ___ _ $ _ ___,...,3~i~I __ s_(b-=0-~=----""'-(, __ $ __ _,._7--1-1.....,.E?~-- 0 $ _________ _ $ _________ _ (_) $ _____ ..;;;;... ___ _ Statement covers period from ___ 1'-1 ,.../..._, --+-/ _;;c~'-, _./ __ _ I . r through _ _.G ..... >1+/_.,_..3_0-+1_' o=-+-1 _ I I 1 Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) $---------- $ _________ _ $ _________ _ $ _________ _ $ _________ _ $ _________ _ Page ~3 of+ LO.NUMBER Column C TOTAL TO DATE (COLUMNS A+ B) .,-rt. 0 '-.._,. $---------- $ ___ .~_~D_. _'--' ____ _ $ ___ __.~~-'-_~ ___ _ $ __ 3~1......_l -- s __ 3'-"'-. -'-1-'-I __ s---=-·s-"1-l-1 __ •From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received ............ $ ------ 21. Expenditures Made .................. $ _____ _ FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER fi lT.ti \_. . . I lype or print in ink. Amounts may be rounded to whole dollars. O cJ 0G ! L- . Statement covers period ·trom __ r _( ..._r _I ..;;;...o.....___ I I 'through _.-(p.._........_.;....i.._.:..-_ ~SCHEDULEE CALIFORNIA 460 FORM Page__!:}_""°fL l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter 1he code. ·Otherwise, describe ·the payment. CMP CNS CTB eve ~"JD ) LIT MTG ! ' campaigl) paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations fund#aising events independent expenditure supporting/opposing others (explain)" campaign literature and rnallings meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) - .-~ ---~ .._" - /]LIJ /?1 EJ;4 ~ . ..,..,, ,,/ cc~:/C.!C: ii -(I ' ' {/. "./ /7(._,/::.; (!/ f.(j k C/c....._ 9' YS C)/ - .- OFC PET PHO POL POS PRO PAT RAD office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads 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 (explain) TRS staff/spouse travel, lodging and meals (explain) TSF ·transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Vo T ~?,._ °P A-fV\ p 1-/{, ST' fK I fSi I ~J ~ Co S'\S ff /9/ * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ I Cf/ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ _____ _ 2. Unitemized payments made this period of under $100 ........................................................................................................................................ $ I & a 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ ------'----' 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL$ ;:,· / I 'FPPC Form-460 (8199) ForTechnicai Assistance: 9161322-5660