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Committee to Elect Ralph J. Appezzato 460Re~i~ient ~~e~ U1 'ID ' Campaign ~~m ~ n 2001 @ (Government Code Sections 8 4fl 6:-S) City Clerk's Office Statement covers period from :\0 {o.1 f J ..2.00() SEE INSTRUCTIONS ON REVERSE through D't..~ ;l) ;A.DD() 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 O Sponsored (Also Complete Part 5.) 3. Committee Information COMMITTEE NAME (Also Complete Part 6.) D General Purpose Committee O Sponsored O Broad Based l.D.NUMBER ;2. 3b 2... c__o 'MW\ 1 1T EE" TO E J....£.c T ~AP/-/ ~ Af>(JE~?:: A TD 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 ZIPCODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS Date Stamp Date of election if applicable: (Month, Day, Year) 2. Type of Statement: D Pre-election Statement J8 Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS ~ CITY STATE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS COVER PAGE CALIFORNIA 4€!0 FORM \'I Page~''----K of~ For Officlal Use Only D Quarterly Statement D Special Odd· Year Report D Supplemental Pre-election Statement • Attach Form 495 ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS FPPC Form 460 (8/99) 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 NAME OF OFFICEHOLDER OR CANDIDATE ~A-~ P!-1 J. A f/!B ~ ~ A'TO OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) /Y),4'/D~ I GI l'f e; p AbAME ~A RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREEn CITY STATE ZIP 44AltfEnA u I 9 l/SCJb 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 1.D.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 I DISTRICT NO. IF ANY 6. Primarily Formed Committee List names of officehofder(s) or candldate(s) for which this committee Is prlmar/fy 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 foregoing is true and correct. Executed on _O_.__/+~ ............... ~........,.lr_(J_, _/ ___ _ l DATj I Executed on _CJ_J...,f.._., ... w-=_I__. ({)......,./ ____ _ r~ Executed on ___________ _ DATE Executed on ___________ _ DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT 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 ,d:Z.V 2. Loans Received................................................................... Schedule B, Line 7 SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines 1 + 2 J&. 91 "' 4. Nonmonetary Contributions ............................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 ;z;:l,. 91 3'7)--Expenditures Made 6. Payments Made.................................................................... Schedule E, Line 4 $-----'=--'-""----- 7. Loans Made.......................................................................... Schedule H, Line 7 3> 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 s + 9 + 10 $. __ 3""'--'-7_5::._·-_--__ Current Cash Statement IJ . Beginning Cash Balance................................ Previous Summary Page, Line 16 $ __ _./_W",_7-"-)_· _1 _Cf"'-'-j __ 13. Cash Receipts .............................................................. Column A, Line 3 above ,2. ;;i.. J q / 14. Miscellaneous Increases to Cash....................................... Schedule I, Line 4 15. Cash Payments ............................................................ Column A, Line 8 above 3 7 5~ () () '7 9o, 90 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 B, 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 $ _________ _ Statement covers period from :5lJ i...j I} '.boD D through DU:.-?,,l) 2J?bb Page 3 of f:{ Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) $ f 3, ')! $ IJ.51 $ t 3 .<;! $ y,:> J-. -- L/52-...... $ l.D.NUMBER Column C TOTAL TO DATE (COLUMNS A + B) (y/J 7 7 $----~"-",jv--''---- *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 20. Contributions Received ............ $ 21. Expenditures Made .................. $ 1/1 through 6/30 7/1 to Date I -3 ,t;" I I ,;2-2· 9/ ./ 3_75.r-IJ.5J... FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 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 l.D. NUMBER) CODE * OIND DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH r --si:;rterrnmtC<r~;o;rlOcii----illfllllllllllJllllllllllllll!llll ... SC~EDULEA Statement covers period from TU J... 'I i) ;;1/JQO through bfc_j/, :4XJO / l.D.NUMBER AMOUNT RECEIVED THIS PERIOD Cj;22 36 2- CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) SUBTOTAL$ Schedule A Summary 1. Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) ....................................................................................................... $ _____ _ 2. Amount received this period -unitemized contributions of less than $100 ......................................... $ _ __.._;?_=;<~, +f_,_/ __ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ -~;2 ___ ,J_, -'-9 ...... /_· _ *Contributor Codes IND-Individual COM -Recipient Committee OTH-Other FPPC Form 460 (8199) For Technical Assistance: 916J:322·!i660 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 trom 'SUL Y I J ;J..rJo D through .bEc 3/,J.orX> ) SCHEDULEE CAl..IFORNIA 460 FORM Page 5 of_S_ 1.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 CTB contribution (explain nonrnonetary)* eve civic donations """ID fundraising events ) Independent expenditure supporting/opposing others (explain)* LIT campaign literature and mailings MTG meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITIEE, ALSO ENTER l.D. NUMBER) 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 CODE OR * 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 SUBTOTAL$ 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ _____ _ 2. Unitemized payments made this period of under $100 ........................................................................................................................................ $ 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ _____ _ . "3. 1'7~$-:~ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL$ :L FPPC Form 460 (8199) For Technical Assistance: 916/322-5660