Committee to Elect Beverly Johnson 460Recipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee:
ef Officeholder, Candidate
/controlled 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
Type or print in ink.
Statement covers period
from I [t (OD
through { i.,.,{ ':? ' {oa
All Committees -Complete Parts 1, 2, 3, and 7.
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 6.)
D General Purpose Committee
O Sponsored
O Broad Based
Date of election if applicable:
(Month, Day, Year)
'~JAN 3 1 200I
For Official Use Only
C ty Clerk's Offi . 0
2. Type of Statement:
D Pre-election Statement
bJ:],emi-annual Statement
;fJ Termination Statement
D Amendment (Explain below)
Treasurer(s)
O Quarterly Statement
D Special Odd-Year Report
O Supplemental Pre-election
Statement -Attach Form 495
C e/V"A. _....,-ff-e 12_ fn b{ U-f-
sTR~:Ji(No PO qf VA e-e-1
NAME OF TREASURER ~e--'"°(~ ~StYJ,_MA-ll-IN_G_AD_DR __ ES-S----------------------------------~---
CITY
ITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MCA~ CACC: qq~D/
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
STATE ZIP CODE AREA CODE/PHONE CITY
OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX/E·MAILADDRESS
STATE ZIP CODE AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE
FPPC Form 460 (8199)
For Technical Assistance: 9161322-5660
State of California
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
4. Officeholder or Candidate Controlled Committee
N
C ATE ZIP
A-cc. """ ,,,.,.Je, C1
Related Committees Not Included in this Statement: List any coml~ I
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.
COMMITIEE NAME l.D.NUMBER
I /-t--
NAME OF TREASURER l CONTROLLED COMMITIEE?
DYES ONO
COMMITTEE 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 controlling 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 List names of offlceholder(s) or c11ndld11te{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
Attach continuation sheets 1f necessary
..,, Verification
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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on il '?_l[O?
DlTE
Executed on tL -zclo I f dATE I
Executed on
DATE
Executed on
DATE
By
By
By
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660
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 Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ...................................................... Schedule A, Line 3
2. Loans Received................................................................... Schedule B, Line 7
0
0
SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines 1 + 2 0
4. Nonmonetary Contributions............................................... Schedule c. Line 3 {)
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 0
Expenditures Made
6. Payments Made.................................................................... Schedule E, Line 4 $---o0~---
7. Loans Made .. . ... .. .. .. . . ..... .. .. .. .. ..... ... .. .. . ........... ....... .... ..... .. ..... Schedule H, Line 7 0
8. SUBTOTAL CASH PAYMENTS .................. :............................. Add Lines 6 + 7
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3
$ _ ___..g-----
10. Non monetary Adjustment ....................................................... Schedule c. Line 3
11. TOTAL EXPENDITURES MADE ......................................... Add Lines a+ 9 + 10
Current Cash Statement
Beginning Cash Balance ................................ Previous Summary Page, Line 16 $_--1,..Q...,__ __ _
13. Cash Receipts .............................................................. Column A, Line 3 above v
14. Miscellaneous Increases to Cash....................................... Schedule /, 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 (bJ
Cash Equivalents and Outstanding Debts
18. Cash Equivalents .............. .............. ......................... See Instructions on reverse $ _ ___,O.....__ ___ _
SUMMAl;IY PAGE
Statement covers period
from 7/ I/ 00 r I
CALIFORNIA 460
FORM
through ( 2-{ °3. I { CXD Page S of~
$
$
$
$
$
Column B*
TOTAL PREVIOUS PERIOD
(SEE NOTE BELOW)
0
i 7-~-n
2~~-0.
{]_';;,LJ
$
$
$
Column C
TOTAL TO DATE
(COLUMNS A+ 8)
0
$_2._0_2..-~y,___. -
a
Z G z. <t~o s---=Z...~C>~2.,,e:::::::::._=I:_.___,,,__. _
c:::> ~
C2 0
2o '<:..-4". OD s 2 CJ 2-Cz:" Dz:,
*From previous statement Summary Page, Column C. However, If this
is the first report filed for the calendar year, Column B should be blank
exceptforLoans Received (Line 2), Loans Made (Line 7), and Accrued
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
111 through 6/30 711 to Date
20. Contributions
Received ............ $ ------
21. Expenditures
Made .................. $ ------
19. Outstanding Debts ................................... Add Line 2 + Line 9 In Column C above $ fi 79572. OD
FPPC Form 460 (8199)
For Technical Assistance: 9161322·5660