Committee to Elect Susan Maureen McCormack 460Recipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Stateme t covers peed
from ? ()
through I ?/?J r/o ()
1. ~yp of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 7.
fficeholder, Candidate D Primarily Formed Candidate/
Controlled Committee Officeholder Committee
(Also Complete Parl 4.)
D Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(Also Complete Parl 5.)
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
(Also Complete Parl 6.)
D General Purpose Committee
0 Sponsored
0 Broad Based
STATE ZIP CODE AREA CODEIPHONE
Date of election if applica e:
(Month, Day, Year)
FEB 0 5 2001
I; I /j /rJ {~i
2. Type of Statement:
D Pre-election Statement
i::;:vBemi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
NA~DF TREASURER
.Ja ttn
Cl~ /JATE
v ~il0£tft1 <-a
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
h/q
D Quarterly Statement
D Special Odd· Year Report
D Supplemental Pre-election
Statement -Attach Form 495
ZIP CODE
Cl{/50)
CITY STATE ZIP CODE -AREA CODE/PHONE -
OPTIONAL: FAX I E·MAIL ADDRESS
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
State of C~lifornia
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
4. Officeholder or Candidate Controlled Committee
Related 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 to.NUMBER -
NAME OF TREASURER CONTROLLED COMMITIEE? ,,,--DYES ONO
COMMITTEEADDRES.§...-STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE ,,---
5. Ballot Measure Committee
NAME OF BALLOT-MEASURE
~
BALLOT NO. OR LETIER ,.,.--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 ofofficeholder(s) orcandldste(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 contmuat1on sheets tf 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 th tate o California that the foregoing is true and correct. ~1A j1 I
'
/DAT!! RE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
Executed on ____________ _
DATE
Executed on ____________ _
DATE
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.
Contributions Received
1. Monetary Contributions ...................................................... Schedule A, Line 3
2. Loans Received................................................................... Schedule 8, Line 7
SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2
4. Nonmonetary 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
Column A
TOTAL THIS PERIOD
(FROM ATIACHED SCHEDULES)
/ 50-cd $------'---=:::......;:;.._ ___ _
$_---1./ _ _5';=-.:t_/~1_0_0 __ -
$ _ _,L.J_,5""'--=o'---. _t:J_t:J __
8. SUBTOTAL CASH PAYMENTS .................. :............................. Add Lines 6 + 7 $ __ ___,"'-':::.._.:..,...,,:-T-,---
Statement covers period
from IO/;? '1/ {} 0
through
~ I
Column B*
TOTAL PREVIOUS PERIOD
(SEE NOTE BELOW)
SC/r;;,11 $---'--"'--'----~
s ___,,_,JL-ia_,_; (?"'---'. !_1,____
$_;5_· ~2 5_._J.__,_tj_·· -
$
$
$
$
$
SUMMAfilY PAGE
CAl..IFORNIA 460
FORM
Page , 7 of_k_
'rC,Mj:~, ;2{)
Column C
TOTAL TO DATE
(COLUMNS A + 8) 1
?!JtJ,/ -
1lfo ,11 -
1lf(J,(-zr
lid.~&
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F, Line 3 f _ _,_,'-'-'=-<--"--'"-----'--§O 11 '-/ A 7fli~
$ 71 ;;,--e-r LfF 10. Non monetary Adjustment ....................................................... Schedule c, Line 3 ---~------
11. TOTAL EXPENDITURES MADE ......................................... AddLlnesB+9+ 10 lf-/J...f56 7. l./ ~ S--~'----9_3;:;__._;}..._L_,_,1_
Current Cash Statement
~. 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 B 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 8, Part 1, Column (bJ
$ _________ _
Cash Equivalents and Outstanding Debts if
18. Cash Equivalents ..................................................... See Instructions on reverse
19. Outstanding Debts ................................... Add Line 2 + Line 9 In Column C above
$ __ :{)=~---
$ _________ ~
•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 6130 711 to Date
20. Contri~
Received ...... ~>$·.__ ____ _
'·,---..."-"'
21. Expenditures
Made .................. $ ______ ~~.
FPPC Form 460 (8199)
For Technical Assistance: 9161322-5660
Schedule A Type or print in ink. SCfrlEDULE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statement overs riod CALIFORNIA 460
FORM from / !} fl.Z tJ tJ
SEE INSTRUCTIONS ON REVERSE through /'J-. 1~ lftl t1 Page .,,,/ of~
~OFFILER
DATE
RECEIVED
FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMIITEE, ALSO ENTER l.D. NUMBER) CODE *
~O
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
Schedule A Summary
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
SUBTOTAL $ I {J ;
1. Amount received this period -contributions of $100 or more. '!> / {7 {J
(Include all Schedule A subtotals.} ....................•.................................................................................. $ /
5o 2. Amount received this period -unitemized contributions of less than $100 ......................................... $----"""'----
3. Total monetary contributions received this period. .Jt / 5 0
1
i:> t:J
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ ------
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 E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from Ir) /z;z/ Oo
I
through /--;.,., '7
SCHEDULEE
CALIFORNIA 460
FORM
Page-5-of±
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 nonmonetary)*
eve civic donations
FND fundraising events
0 independent expenditure supporting/opposing others (explain)*
,, r campaign literature and mailings
MTG meetings and appearances
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER l.D. NUMBER)
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)
PRT 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
' 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)
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL$ f t'J7, '-(,)_
~
__ 56 7. '-i;:L 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).) ....................................................... $ _____ _
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL $ Jl'J /, t..fd-
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
SCHEDULEF
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print In ink.
Amounts may be rounded
to whole dollars.
r-~:st=a~te~m~e~n~tc~o~v~e~rs~p~e~rl~od:-~llll!llllll"!ll!llll~Nll
from /rJ /2'Z( 00
SEE INSTRUCTIONS ON REVERSE
r I
through lr(t;(aa
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherw,ise, describe the payment.
CMP campaign paraphernalia/misc. OFC office expenses RFD returned contributions
CNS campaign consultants PET petition circulating SAL campaign workers salaries
CTB contribution (explain nonmonetary)* PHO phone banks TEL t. v. or cable airtime and production costs
CVC civic donations POL polling and survey research TRC candidate travel, lodging and meals (explain)
FND fundraising events POS postage, delivery and messenger services TRS staff/spouse travel, lodging and meals (explain)
IND independent expenditure supporting/opposing others (explain)* PRO professional services (legal, accounting) TSF transfer between committees of the same candidate/sponsor
.IT campaign literature and mailings PRT print ads VOT voter registration
MTG meetings and appearances RAD radio airtime and production costs WEB information technology costs (internet, e-mail)
*Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITIEE, ALSO ENTER l.D. NUMBER)
Schedule F Summary
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
SUBTOTALS $ tJ ·? "( d--$
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
{d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for / q / ;J. J
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS$ ~ J
2. Total accrued expenses paid this period. {lnclud~ all.Schedule F, Column (c) subtotals for payments on / 5 07". L( 7r )
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTAL~;=-_,__ __ _
3. ~~~~=~~~~~~~:~~·: ~o~~~~~.L~~:e29~;~~-~'.~~.~.~ .. ~.~~~~·t·~·~ .. ~.i~~~.~-~~~.~~~.~ .. ~.~.~ ................................................................................ NET$ '<3/? r /6, May be a negatrve number
FPPC Form 460 (8199)
For Technical Assistance: 916/!322·5660