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Committee to Elect Len Grzanka 460Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from /I>/ J..-1./ 6 O I t>D 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 7. rtJ Officeholder, Candidate O Primarily Formed Candidate/ Controlled Commtttee Officeholder Committee (Also Complete Part 4.) D Ballot Measure Committee O Primarily Formed O Controlled 0 Sponsored (Also Complete Part 5.) 3. Committee Information COMMITIEE NAME (Also Complete Pa 16.) D General Purpose Committee 0 Sponsored 0 Broad Based l.D.NUMBER Cb/./) l'1 f Tri:; 6 /0 E l-t.i-C_, I STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONALGJ< I E-MAIL ADDRESS 516 -ff; c, f' -G I(; o Date of election if applica (Month, Day, Year) rJAN ·-2 2001 --,C-t,-1-/..:c.....6 7-+/__,,6;__6__...::=Ci y Cl erk' s Off i I I For Official Use Only 2. Type of Statement: D Pre-election Statement D Jemi-annual Statement !]("Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER lEtJ 6;-1& Z../frJ h--Tl- D Quarterly Statement D Special Odd-Year Report O Supplemental Pre-election Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE CA t 1 '-f57Jf-) --y]_:)-_ NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: &E·MAILADDRESS . jt6-[dtS--6 /t{, () FPPC Form 460 (8/99) For Technical 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 t f:'d 6,-{(_,?,,, ,A-1..Jki\ OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BoNL'IJ 6f tDUcrtTlerJ A~An~IJ CA (_[,11"1 I 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 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 DISTRICT NO. IF ANY 6. Primarily Formed Committee List names of officeho/der(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 Attach continuation sheets if necessary 7. 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 fore ing is true and correct. Executed on 1~/·5 '600 ATE Executed on n-;_31/vo /DATE Executed on DATE Executed on 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 Sm:nmary Page Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER r Ct;t/11'1-' ~ 70 &~er- 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 £, 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 1 0. Nonmonetary Adjustment ....................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines a+ 9 + 10 Current 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 1, Line 4 15. Cash Payments ............................................................ Column A, Line a 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 ATIACHED SCHEDULES) $-?J.......lf...!-.-___ _ ii ?JP $ 99 $ z? -0 $~~-~~~~~~- ,..--0 ..--$~~~~-~~--- Statement covers period from I tJj ;,:/. / {) () through /)..(Jtj!Jc) Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) $_/;c......;f::...x6::._9L----- ".2..-00 7 s-1, C)2-$_~-=-~-'-~~~~- ·-0- $ _ ___,_Z-->C.il--'-'-' _0_2-__ SUMMAfilY PAGE CALIFORNIA 460 FORM Page 3 ot I)- LO.NUMBER Column C TOTAL TO DATE (COLUMNS A + B) $ 'J_l c> & fl, $ ~Ii'" ;zl~11 , $ ~~8~ $ ..:ir C) gg ~ >-9t3 $ ~· -r&'B_ $ .2: d--8 ~ *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 Sch~dt:ile A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from 1&/J-2/ r1o SEE INSTRUCTIONS ON REVERSE through IJ} :51 / 06 t Page 'f of '/ .}-.,_ NAME OF FILER DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTO.R (IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE * Schedule A Summary 1. Amount received this period -contributions of $100 or more. DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DIND DCOM DOTH DINO DCOM DOTH IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL$ AMOUNT RECEIVED THIS PERIOD .---CJ -(Include all Schedule A subtotals.} ....................................................................................................... $ _____ _ qa.-2. Amount received this period -unitemized contributions of less than $100 ......................................... $ _t~t_. ___ _ 3. Total monetary contributions received this period. oq (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ f 1 - l.D NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) ·contributor Codes IND-Individual COM -Recipient Committee OTH-Other FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule B -Part 1 Loans Heceived SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME, MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) D Lender 0 Guarantor 0 Lender 0 Guarantor 0 Lender 0 Guarantor 'chedule B -Part 1 Summary CONTRIBUTOR CODE * DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10 /i-1{ du IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYED, ENTER NAME OF BUSINESS) through / 2{ JI ( Of> LENDER INFORMATION DUE DATE/ AM~GNT CUMULATIVE INTEREST RATE OF LOAN TO DATE DUE DATE CALENDAR YEAR INTEREST RATE OTHER ___ % DUE DATE CALENDAR YEAR INTEREST RATE OTHER ___ % DUE DATE CALENDAR YEAR INTEREST RATE OTHER ___ ... 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) zm 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 ...................................................... $ ______ _ 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ ~we>' - 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET r 200, - $ SCHEDULE B ·PART 1 CALIFORNIA 460 FORM Page_£__ of .../J::_ LO.NUMBER GUARANTOR INFORMATION (b) AMOUNT GUARANTEED CUMULATIVE TO DATE CALENDAR YEAR OTHER CALENDAR YEAR OTHER CALENDAR YEAR OTHER Enter(b) on Summary Page, Lina 17 on . *Contributor Codes IND-Individual COM -Recipient Committee OTH-Other May be a negative number. FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 SCHEDULE B -PART 2 Schedule B -Part 2 Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 4~n Repayments Made on loans Received, loans Forgiven, and loans Repaid by a Third Party from ( u /;)-Z( ~ 0 FORM UU SEE INSTRUCTIONS ON REVERSE through / J-/ 3 //{JC) l I Page ...fi_ of / )- NAME OF FILER FULL NAME OF LENDER DATE OF REPAYMENT DATE OF OR ORIGINAL LOAN FORGIVENESS c INTEREST AMOUNT REPAID OR RATE FORGIVEN ON PRINCIPAL* (IF CHANGED) EXCLUDE PAYMENT OF INTEREST -o-f .).IJO, - Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ g WO - t *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. LO.NUMBER (d) OUTSTANDING INTEREST PRINCIPAL PAID -0--c>- TOTAL INTEREST PAID THIS PERIOD $ -{) - Enter the amount in column (d) in the Schedule E Summary, Line 3. Do not carry this total to the Schedule B Summary, FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule B -Part 3 Annual Report of Outstanding loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME OF LENDER ORIGINAL DATE OF LOAN Attach additional information on appropriately labeled continuation sheets. Type or print in ink. Amounts may be rounded to whole dollars. AMOUNT OF ORIGINAL LOAN TOTAL$ Statement covers period from 10/-;;....1/ o o i 'd-/" >1/6 C> through ---"----J,L'---- UNPAID PRINCIPAL -0- -U- NOTE: This total should be the same amount as entered on the Summary Page, SCHEDULE 19 -PART 3 CALIFORNIA 460 FORM Page .:J___ of / )- LO.NUMBER UNPAID INTEREST -Cl - Column C, Line 2. FPPC Form ~60 (8199) For Technical Assistance: 9161322-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER CO/'/\~ I TTt! t Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from It) /J.-'1../ 0 0 I 2--I 51/CJO through L SCHEDULEE CALIFORNIA 460 FORM Page '6 of~ l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants eTB contribution (explain nonmonetary)* eve civic donations ""JD fundraising events .o independent expenditure supporting/opposing others (explain)* ~IT campaign literature and mailings MTG meetings and appearances OFe office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PAT printads RAD radio airtime and production costs NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITIEE. ALSO ENTER l.D. NUMBER) CODE OR ArJGr ,,_; t: "trJS ! It-! CF IL.> ~(<_( . OA Kl-Ar.JI)/ c;, 1 9 i.f C, I?- A ~A !"'\€DA \{OU jL,J ltl.., -ST /flt I rJ L,,A !"" E 0 A CA, Cf '15Vf ;9t-111vic: l.'.>A C!l.L y()r../~6, jJc;-ofLcr fS SCJc1er-y £"", /o.S Al-AME/)/\/ CA-, 9''-f-57~/ * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. Schedule E Summary RFD returned contributions SAL campaign workers salaries TEL t. v. or cable airtime and production costs TAC 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) DESCRIPTION OF PAYMENT AMOUNT PAID -&CJ '6. - stS,Vo -:z_OC),- SUBTOTAL$ 7z,6,vo / tJcJ s-; fo I 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ _,_,__ ____ _ )2-), "37 2. Unitemized payments made this period of under $100 ........................................................................................................................................ $ d $ ~-3. Total interest paid this period on outstan ing loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... ------ / 32-8 ,<(g 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 (8/99) For Technical Assistance: 916/322·5660 Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period CALIFORNIA 400 FORM U from __ 1 _0 ~/_,,.._'l_/_t>_u __ through Ii.-/ 51 (t>o Page _:j__ of~ l.D.NUMBER CODES: If one of the following codes accurately describe; the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FND fundraising events '"JD independent expenditure supporting/opposing others (explain)* r campaign literature and mailings ATG meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITIEE, ALSO ENTER 1.D. NUMBER) 1.--e-1J Q-R .. 2-/t JJk'A , !+lrA/'1(i)A; CA' C(tj)V/ . --- OFC office expenses PET petition circulating PHO phone banks POL polling and survey research · POS postage, delivery and messenger services PRO professional services (legal, accounting) PAT printads RAD radio airtime and production costs RFD returned contributions SAL campaign workers salaries TEL t. v. or cable airtime and production costs TAC 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 (2..£1 /A (J () /2-5 (:! ,A I./ (l:;;J /"7 I t-e,46-C' /0. 90 ti<-'-S-/.S-: <if? /.-\ l I<.. "3 ( c:(- A f,.A I"\. e~ A c !<-.<-youJJG-j>!!O/Lt 1S Sc<.-i El( !19' >I CTt3 /Ji-A ("'t t:! /)A J c A I 9 L/ 57> I * Payments that are contributions or independent expenditures must also be summarized on Schedule D. · SUBTOTAL $ .;l_ 7'1, )-/ FPPC Form 460 (8199) For Technical Assistance: 916/1322-5660 Schedule H -Part 1 Loa"ns Made to Others* SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE OF LOAN NAME AND ADDRESS JF RECIPIENT (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Schedule H -Part 1 Summary Statement covers period trom __:_I o_,__Y-'--'> z=!--/-~_r>_ r , through ;J-/31 /diJ ~' INTEREST RATE DUE DATE SUBTOTAL $ 1. Loans of $100 or more made this period. (Include all Loans Made -Part 1 subtotals.) ............................................... $ _____ _ . Unitemized loans under $100 made this period ............................................................................................................. $ _____ _ 3. Total loans made this period. (Add Lines 1 and 2.) .......................................................................................... TOTAL $ ~ ... -- Schedule H -Part 2 Summary 4. Payments received on loans of $100 or more. (Include all loan payments received and all loans of $100 or more forgiven by this committee -Part 2 (a) subtotals. If forgiven, also itemize on Schedule E.) ................................................................................................................... $ _____ _ 5. Unitemized payments received on loans under $100. (Including a forgiveness.) ............................................................................................................................................ $ _____ _ 6. Total loan payments received this period. (Add Lines 4 and 5.) ........................................................................................................................................ TOTAL$------ 7. Net change this period. (Subtract Line 6 from Line 3. Enter the net here and on the Summary Page, Column A, Line 7.) ................................................................ NET$.,.,--,----,,----,-May be a negative number SCHEDULE H -PART 1 CALIFORNIA 460 FORM Page I 0 ot--1l::::... l.D. NUMBER AMOUNT FPPC Form 460 (8/99) For Technical Assistance: 916J322-5660 Schedule H -Part 2 Repayments on Loans Made to Others and Loans Forgiven SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE OF REPAYMENT OR FORGIVENESS DATE OF ORIGINAL LOAN fO tf t-E CT FULL NAME OF RECIPIENT OF LOAN Attach additional infonnation on appropriately labeled continuation sheets. Type or print in ink. Amounts may be rounded to whole dollars. INTEREST RATE IF CHANGED SUBTOTAL$ I SCHEDULE H -PART 2 Statement covers period CALIFORNIA 460 FORM from __;('-tJ-1-/_>-'_'J./_;__o_o __ ' through _l_>:-1--/_3-it/'---O-~--Page jJ__ of I J- a AMOUNT PAID OR . FORGIVEN ON PRINCIPAL* EXCLUDE RECEIPT OF INTERES LO.NUMBER OUTSTANDING PRINCIPAL TOTAL INTEREST RECEIVED THIS PERIOD $ (b) INTEREST RECEIVED *IMPORTANT: If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received from a third party, enter the name and address of third party in the "FULL NAME OF RECIPIENT OF LOAN" column above, along with the name of the recipient of the loan. Enter the amount in column (b) in the Schedule I Summary, Line 3. Do not carry this total to the Schedule H Summary. FPPC Form 460 (8/99) For Technical Assistance: 916"322-5660 Scl}edule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER (Cr-J0 rl/et! TD DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITIEE, ALSO ENTER 1.D. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from -~1-+0 /_>-_o/_,..__c:O __ through _;_',)-,_,_/_'S_t-1-/_t:J_u_ DESCRIPTION OF RECEIPT SCHEDULE I CALIFORNIA 460 FORM P /J-.,_ of I)-age __ l.D.NUMBER AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary 1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _ 0,>-0 2. Unitemized increases to cash under $100 this period ............................................................................................... $_~---- 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $ ------ 4. ~~t~lm~~~~~ne~o~~~n~~~t_~~.~.~.~ .. ~.~.~.~ .. ~~'.~ .. ~~~'.~~: .. ~~~~ .. ~.i·~·~·~ .. ~.' .. ~.'..~~~.~.'..~~~~~.~.~~~-~.~-~--~.~.~~~....... TOTAL $ O, )-0 FPPC Form 460 (8/99) For Technical Assistance: 9161322-5660