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Shore 460Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In ink. Statement covers period from __ '_)_·-_z.._2._· _O_o_ through -~{j.__-_3_CD_,.,_O_I_ 1. Type of Recipient Committee: All Committees-Complete Parts 1,2, 3, and7. ~ Officeholder, Candidate D Primarily Formed Candidate/ Controlled Committee Officeholder Committee (Also Complete Part 4.) D Ballot Measure Committee O Primarily Formed O Controlled 0 Sponsored (Also Complete Part 5) 3. Committee Information COMMITTEE NAME STREET ADDRESS (NO P.O. BOX) CITY (Also Complete Part 6) D General Purpose Committee O Sponsored 0 Broad Based LO.NUMBER STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. ANO STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E·MAIL ADDRESS ?.,\ \ ~,..J s '<--. D-<'-~ ~ ~!> rl I (_OJ""' Date of election if applicable: (Month, Day, Year) JUL 3 0 2001 I i' of __ _ 11---1-o o Cit 2. Type of Statement: D Pre-election Statement rg Semi-annual Statement [& Termination Statement ,BI. Amendment (Explain below) A Mf l'\IDJ . ])fl,~ 17) Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E·MAIL ADDRESS For Offlclal Use Only O Quarterly Statement D Special Odd-Year Report O Supplemental Pre-election Statement -Attach Form 495 7EJUb\ 1rvJ.<:iTl o.rJ F) LE.Q STATE ZIP CODE AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE FPPG Form 460 (8199) For Technical Assistance: 916/322-5660 State of C~lifornia Type or print in ink. Recipient Committee Campaign Statement Cover Page -Part 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE (A \_\_~.-.1 s t~'DYU::- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) f\VfVV\C:: 0"' C\~ Le 0rJ (.., ~ \ RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREEn CITY STATE ZIP ~\_,,y:;,,~ov::::. q \.\-"-o \ Helated Committees Not Included in this Statement: List any committees not Included In this consolldated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITIEE NAME l.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT D OPPOSE Identify the conlrolling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY 6. Primarily Formed Committee ust nameg of offlceho1der(sJ or candldata(sJ for which this committee ls primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach cont1nuat1on sheets tf necessary 7. Verification I have used all reasonable diligence in preparing and reviewing this statement an o the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the Stat is true and correct. Executed on ----'-<+1J=-=-d,Sl-+-l &{~­ Executed on __ l\-'-i~f-1-_9_t~A-~------ Executed on ____________ _ DATE Executed on ____________ _ DATE 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 (B/99) For Technical Assistance: 916/322-5660 State of C~lifornia 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 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines 1 + 2 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 a+ 9 + 10 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ __ J _l 3---=-~ _,__. c-'-1-"-L- Current Cash Statement 12. Beginning Cash Balance................................ Previous Summary Page, Line 16 $ ___ °\_.._l;_\_;_, __:(;_'l..:__ __ • 3. Cash Receipts .............................................................. Column A, Line 3 above ·z.. I 9 · ~ ~ 14. Miscellaneous Increases to Cash....................................... Schedule I, Line 4 '::;,-• ~ l 15. Cash Payments ............................................................ Column A, Line a above \ \ '?, \p ' C\ ""L. 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14, then subtract Line 1s $ _______ 0-=--- lf 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 $ ____ 5._s---'-, """'lP_¥_) _ Statement covers period from __ l_O_·-_<._?..._-_c_J __ through _{l_:.._-_J_Q_-_O_I __ Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) '-'1 cr-0 $---=--..;._ _____ _ ')6 D ·~·"Loo $ _________ _ (.'JS- SUMMAfi\Y PAGE CAl..IFORNIA 460 FORM Page _3 __ of g LO.NUMBER Column C TOTAL TO DATE (COLUMNS A + B) •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: 916!322-5660 Schedule A 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, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * E D }) £>.<~ ~ w () "'---\""- ~ ~ \._, 'P>"'""' (3:-0 V;J ,je~ ~ le:. \L l:- Schedule A Summary (,::... 11..r-{ ~ "?... F O·""' l f t.'.~ '(,"' f\l'Y'-,..,,. 0 'f ' !.. .\-~.... $'\" C)'-tlt1-i.... .;.KJJNO DCOM DOTH JJl(lNO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH SUBTOTAL$ Statement covers period I ti -~ ..., ' -Qt) from-~---<--_<-___ _ ·?c VI through ---'--l---I,----- SChlEDULE, CAl.IFORNIA 460 FORM Page-~-'----of 1 g LO.NUMBER AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) ( t>0 .L.I) 1. Amount received this period -contributions of $100 or more. < ')._ :2... .. (Include all Schedule A subtotals.) ....................................................................................................... $ _____ _ L\ :s o, 2. Amount received this period -unitemized contributions of less than $100 ......................................... $ ___ _,,__ _ _,_ __ _ 3. Total monetary contributions received this period. lo le (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL$ ____ L-]__,___ ·contributor Codes IND-lndivfdual COM-Recipient Committee OTH-Other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 sc·hedule B -Part 1 Loans Received Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from I (.) -C L -~ C> SEE INSTRUCTIONS ON REVERSE through 6 ~ 3~~ 0 \ NAME OF FILER FULL NAME, MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) LENDER INFORMATION DATE RECEIVED (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE* DUE DATE/ AM~0NT CUMULATIVE INTEREST RATE OF LOAN TO DATE D Lender D Guarantor D Lender O Guarantor 0 Lender 0 Guarantor Schedule B -Part 1 Summary DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DUE DATE INTEREST RATE ___ % DUE DATE INTEREST RATE ___ % DUE DATE INTEREST RATE ___ % SUBTOTAL$ Loans of $100 or more received this period. {Include all Loans Received -Part 1 (a) subtotals.) ................... $ 2. Amount received this period -unitemized loans of less than $100 ................................................................... $ 3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL $ Schedule B -Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. $ 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... $ CALENDAR YEAR OTHER CALENDAR YEAR OTHER CALENDAR YEAR OTHER 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ L\ L\ \.,\ , ]. ·z_ 7. Net change this period. (Subtract Line 6 from Line 3.) SCHEDULE B-PART 1 CALIFORNIA 460 FORM Page 5-of ¥ $ l.D.NUMBER GUARANTOR INFORMATION (b) AMOUNT GUARANTEED CUMULATIVE TO DATE CALENDAR YEAR OTHER CALENDAR YEAR OTHER CALENOAR YEAR OTHER Enter (b) on Summary P•ll"· LIM 17 on . ·eontributor Codes IND -Individual COM -Recipient Committee OTH-Other Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $LL-{'-\_'-\. ~2-) May be a negative number. FPPC Form 460 (8/99 ) For Technical Assistance: 916/322-5660 Schedule 8 -Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN FULL NAME OF LENDER Attach additional information on appropriately labeled continuation sheets. Type or print In Ink. SCHEDULE t3 -PART Amounts may be rounded to whole dollars. Statement covers period from _l_o_· ~2-~G"'---_D_,_) _ t.. -3() -0 ,. CAl..IFORNIA 46 FORM through _!::1_--L-------'--re , ? Page ___ of __ INTEREST RATE (IF CHANGED) 0 b c AMOUNT REPAID OR FORGIVEN ON PRINCIPAL* EXCLUDE PAYMENT OF INTERES SUBTOTAL $ L\ L\ L\_ , '3 ')_ l.D.NUMBER OUTSTANDING PRINCIPAL TOTAL INTEREST PAID THIS PERIOD $ {d) INTEREST PAID D *IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, including the name and address of the person forgiving the loan or the third party making the payment, and the amount forgiven or paid. Enter the amount In column (d) In the Schedule E Summaiy. Uno 3. Do not carry this total to the Schedule B Summary. FPPC Form 460 (8/99) For Technical Assistance: 9161322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from __ ,_· 6 _·-_z._z_-_0 _1 __ through _6~--J_(/_-_u_1_· _ SCHEDULE CALIFORNIA 460 FORM Page_?_ ot_'~- LD. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB eve FND IND .IT MTG campaign paraphernalia/misc. campaign consultants contribution (explain nonrnonetary)' civic donations fundraising events Independent expenditure supporting/opposing others (explain)' campaign literature and mailings meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER LD. NUMBER) \)\'I\\~D s \-o ~ e_._s. 7~~-\ ~' -~ ~\_,'f'i. ....... \E:O\A \)-c;ry-..-u C,\v\:, ' (,,,> ~~rv--v.a·""' '\ \..\. . .,;"' 0 I {:4L~.,.......'\i)a14 c~'.J . ..J\--t ve,~ c_ ~ n., \-<:)) 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 f D~ '17~\~'G FD>'"'\. ('nY<J: \ ~ J~ :s 2 0. ISG C-T~ (_ D f'"' r--v r-~ \--y 0 ~ IQ,., ., .. z..1 f'.r> I \[ 17\ ) OD. l)'\) &orv l {)/'Y-'V-, i tb; ~L~t::.. C...A0-1Q L>t ]s--o. u~ *Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ') <;( D . l~v Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ __ f\_S"_o_. _\':..!)_-_ 3 5"~ ' c, l. 2. Unitemized payments made this period of under $1 oo ........................................................................................................................................ $ _____ _ ('.) 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ _____ _ · E .[l)~·,l)L 4. Total payments made this period. (Add Lrnes 1, 2, and 3. nter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL$ FPPC Form 460 (8/99) For Technical Assistance: 9161322-5660 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 LD. NUMBER) \\~s P~(,~nc. ~t")°""p.' -~~1..- v 1$-ry_,,.\~""'"' ~ - 0~"£-J~~ Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from __ I -=6----~-'--· _o·_o __ through _6-+/_3_0_.../_o_1_ I DESCRIPTION OF RECEIPT SUBTOTAL$ D 1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _ ..::-. 6-~ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ _ _,2_ ___ ~-- 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $ ____ o __ _ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ _<; ___ ,_~5_J~_ SCHEDULE CALIFORNIA 460 FORM g g Page __ of __ l.D.NUMBER AMOUNT OF INCREASE TO CASH ? FPPC Form 460 (8199) For Technical Assistance: 916'322-5660