Committee to Elect Beverly Johnson, City Council 460Re" : ient Committee
' Campaign Statement
(Government Code Sections 84200-84216.5) ----T-yp-e o-r p-rin-t i-n i...,..nk. ___ ___,f=---1{ JUL
3 1 2000 Date Jf election if applicable:
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee:
'f:J Officeholder, Candidate
/' Controlled 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
from _..J-J.-1--1-~:..=0.~~~0~-
through b { "°'/ Z{Jt)t)
All Committees -Complete Parts 1, 2, 3, and 7.
D Primarily F0rmed Candidate/
Officeholder Committee
(Also Complete Part 6.)
D General Purpose Committee
0 Sponsored
O Broad Based
~.,.,..,.,.._,-ff-u fl> ~( ~ vf-gt.rt/'('(
:2E~~~~so\Q &-ty ~tMC.c L
CITY STATE ZIP CODE AREA CODE/PHONE
(Month, Day, Year)
Ci Clerk's Office For Official Use Onf9
2. Type of Statement:
D Pre-election Statement
'rSl("Semi-annual Statement
;tJ 'Termination Statement
D Amendment (Explain below)
Treasurer(s)
D Quarcerly Statement
D Special Odd-Year Report
D Supplemental Pre-election
Statement -Attach Form 495
NAME OF TREASURER
@ ii&,.. &a 1 ot>4 L.
CITY STATE ZIP CODE = AREA CODE/PHONE
~ ,Jto ACec ""-"'-~ q LLf= 1<{:;-c; ( 5 iJ -s7 'LS
NAME OF ASSISTANT TREASURER, IF ANY
tdei M·~ (A-Cf'{~D f{;?1D)5:k';-~fc(
MAILl'NGADDRESS (IF DIFFERENT) to. AND sTR'IJToR P.O. BOX • ~...;MLA-IL-IN_G_A_,,D..,..D--R'""'Es-s,,_------------------------
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
CITY
OPTIONAL: FAX/E-MAILADDRESS
STATE ZIPCODE AREA CODE/PHONE
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
State of ca'litornia
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
4. Officeholder or Candidate Controlled Committee
not Included In this consof/dated 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 LO.NUMBER
D NO
COMMITIEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
5. Ballot Measure Committee
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
6. Primarily Formed Committee ust names ot officeholderfsJ or candidatefsJ
for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR H'::LD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
D SUPPORT
D OPPOSE
D SUPPORT
D OPPOSE
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 J/b l i '"'l Executed on J ~AJE f)Q
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 Clilifornia
Type or print in ink. Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dolla·s.
SEE INSTRUCTIONS ON REVERSE
NAMEOgR
?~f ::r,
Contributions Received
1 . Monetary Contributions .......................... ·............................ Schedule A, Line 3
2. Loans Received................................................................... Schedule a, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines 1 + 2
A Non monetary Contributions............................................... Schedule c, Line 3
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 8 + 9 + 10
Current Cash Statement
12. Beginning Cash Balance ................................ Previous Summary Page, Line 16
.. 3. Cash Receipts .............................................................. Column A, Line 3 above
• 4. Miscellaneous Increases to Cash....................................... Schedule 1, 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
19. Outstanding Debts ................................... Add Line 2 + Line 9 in Column c above
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$~---~eJ""-------o,.
$ __ -___ 2),.__-___ _
-0
$ __ 0=--------
$~---~()~·------
1} -
-o-
$
2 0 2..c.{. oo
$ __ ~_,v· :.__-___ _
$ __ -_,,,,O::.__ __ _
$ __ -£)___,,_,,,___ ___ _
Statement covers period
from )/I { Oo
I {
through bf 5o{ O() I
Column B*
TOTAL PREVIOUS PERIOD
(SEE NOTE BELOW)
$ __ -~v~----D
$ __ ---=O:o__ __ _
-0
$_~-0.......__ __ _
--0 -o-
$---0~~---
Page 3 ofi!f-
Column C
TOTAL TO DATE
(COLUMNS A+ B)
$-----=b=------
1 ctC:-D
$---t.?-'1-'---""-c;--_V __
::0
$ ___ 1.._:Z-L-.:c::.=---v=---
$ __ -0__._...'------
-0
-0
$-----i.:O=->'-------
•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 ;.../ { t'T-
20.
21.
1/1 through 6/30
Contributions ~~
Received ............ $ ~
Expenditures /
Made .................. $ _____ _
7/1 to Date
FPPC Form 460 (8/99)
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 ADDR SAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITIEE, ALSO ENTER l.D. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
Schedule A Summary
IND
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
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 ......................................... $ -CJ ""
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL$ -=Q ,..--
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 (8/99)
For Technical Assistance: 916/322-5660
Schedule B -Part 1
Loans Received
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from r/1 I tfJo I {
SEE lf'.<STRUCTIONS ON REVERSE
NAME OF FILE.£~ V ~(
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.D. NUMBER)
CONTRIBUTOR
CODE * DUE DATE/ AM~6NT CUMULATIVE
INTEREST RATE OF LOAN TO DATE
0 Lender 0 Guarantor
O Lender O Guarantor
O Lender O Guarantor
Schedule B -Part 1 Summary
DINO
D~OM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DUE DATE
INTEREST RATE
___ %
DUE DATE
INTEREST RATE
___ %
DUE DATE
INTEREST RATE
___ %
SUBTOTAL$
1. Loans of $100 or more received this period. (Include all Loans Received -Part 1 (a) subtotals.) ................... $
--· 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 ...................................................... $
6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $
7. Net change this period. (Subtract Line 6 from Line 3.)
CALENDAR YEAR
OTHER
CALENDAR YEAR
OTHER
$ ___ _
CALENDAR YEAR
OTHER
-0
-o-
2 /') ;;_ i· oa -o --
$
SCHEDULE B -PART 1
CALIFORNIA 460
FORM
Page S--of 14-
LO.NUMBER
GUARANTOR INFORMATION
(b)
AMOUNT
GUARANTEED
CUMULATIVE
TO DATE
CALENDAR YEl\R
OTHER
CALENDAR YEAR
OTHER
. $
CALENDAR YEAR
OTHER
Enler (b) on
Summary Page,
Line 17 on .
*Contributor Codes
IND -Individual
COM -Recipient Committee
OTH-Other
Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $
;<. 0 ;l '-( . C?D
;< 0;2. 'f-: OD
May be a negarenumber. FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
Schedule B -Part 2 Type or print in ink. statemenzovers period ~ Repayments Made on Loans Received, Loans Amounts may be rounded
to whole dollars. from l l f f%2_ Forgiven, and Loans Repaid by a Third Party •
I
Page_Q_ofl!/-. SEE INSTRUCTIONS ON REVERSE through t.J ~() f CJ c)
I I
SCHEDULE B-PART 2
NAME OF FILER l.D. NUMBER
DATE OF INTEREST (c) (d)
REPAYMENT DATE OF FULL NAME OF LENDER AMOUNT REPAID OR OUTSTANDING INTEREST OR ORIGINAL LOAN RATE FORGIVEN ON PRINCIPAL* PRINCIPAL PAID FORGIVENESS (IF CHANGED) (EXCLUDE PAYMENT OF INTERESD
2-{oo lo{ 'tt:b Ro cse:12.-1 ~[(r~~ -{) /1 0t2-.e;>o I t ~~. _[) ,,...
L{oD (o(q<t ~e.vcr[t.( V6) Ct l"\\9....., -() l ( 0 ( 2-. c::>-O 1.. '2-<6 ~. -O· --
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 2.-0 2-'-{. oo TOTAL INTEREST
PAID THIS PERIOD $ ---o -
*IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter the amount in column (d) in the Schedule E
including the name and address of the person forgiving the loan or the third party making the payment, and the amount
forgiven or paid.
Summary. Line 3. Do not carry this total to the
Schedule B Summary.
FPPC Form 460 (8/99)
For Technical Assistance: 916J322-5660
Schedule C
Nonmonetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER f)
J:> t/vcri
DATE
RECEIVED
FULL NAME, MAILING ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
CONTRIBUTOR OCCUPATION AND EMPLOYER CODE*
DESCRIPTION OF
GOODS OR SERVICES
[J IND
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
Schedule C Summary
AMOUNT/
FAIR MARKET
VALUE
1. Amount received this period -nonmonetary contributions of $100 or more. ~ ~
(Include all Schedule C subtotals.) ................................................................................................................... $ _____ _
-()--. 2. Amount received this period -unitemized nonmonetary contributions of less than $100 ................................ $ ______ _
3. Total nonmonetary contributions received this period. ~ _
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL$-~-----
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 (8/99)
For Technical Assistance: 916!322-5660
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE CA DI DATE AND OFFICE,
MEASURE AND JURISDICTION, OR COMMITIEE
0 Support 0 Oppose
0 Support 0 Oppose
O Support 0 Oppose
Schedule D Summ.ary
Type or print in ink.
Amounts may be rounded
to whole dollars
Statement covers period
from 6 t/ l /oo rt
through _ _...,._,___..c..c'-1--"0_d:;__
DESCRIPTION OF NONMONETARY
I
SCHEDULED
CALIFORNIA 460 FORM
PageL of#
l.D. NUMBER
TYPE OF PAYMENT CONTRIBUTION AMOUNT THIS PERIOD CUMULATIVE AMOUNT
(IF REQUIRED)
0 Monetary
Contribution
Calendar Year
0 Non-Monetary $
Contribution Other
0 Independent
Expenditure $
0 Monetary
Contribution
Calendar Year
0 Non-Monetary $
Contribution Other
0 Independent
Expenditure $
0 Monetary Calendar Year
Contribution
0 Non-Monetary $
Contribution Other
0 Independent
Expenditure $
SUBTOTAL $
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................ $ __ -~{)~---
2. Unitemized contributions and independent expenditures made this period of under $100 .................................................................................. $ _72~_-__ _
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ........ TOTAL$ _---0 ___ -__ _
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILEn
Type or print in ink.
Amounts may be rounded
to whole dollars.
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
CTB contribution (explain nonmonetary)*
eve civic donations
FND fundraising events
IND independent expenditure supporting/opposing others (explain)*
campaign literature and mailings
. G meetings and appearances
NAME AND ADDRESS OF PAYEE OR CREDITOR
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)
PRT 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)
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
~oi &62/1
,,.......
f'-6~ Lo-Gc/7 /2. ~ rfCt:.~ ./1--'1 0r--10(2.
~v~ r l ~ ::;-, Jok /\.S<Y} l-& ct,,, J2e fCA,'f,.-~~ (CJ{ 2-"
.. -
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Z0
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ zo Zc.f. m
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$ ~ '-f · Of)
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in ink.
Amounts may be rounded
to whole dollars.
covers period
from _....!f.'-1--=-i:__.i.~"-----
through b(> qMO
SCHEDULE F
CALIFORNIA 460
FORM
Page J;O_ of!!{_
LO. NUMBER
9t!Z9s)-
es accurately describes the payment, you may enter the code. Otherwise, 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
eve civic donations POL polling and survey research TRC candidate travel, lodging and meals (explain)
FND fund raising 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
LIT campaign literature and mailings PRT print ads VOT voter registration
'ffG meetings and appearances RAD radio airtime and production costs WEB information technology costs (internet, e-mail)
ayments that are contributions or independent expenditures must also be summarized on Schedule D.
(a) (b) (c) (d)
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITIEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF PAYMENT · BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
SUBTOTALS$ $ $ $
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ ----':0~---
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on '-8
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS$ _____ _
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and ~ -C>
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ -,-,--,----~___,,--May be a negative number
FPPC Form 460 (8/99)
For Technical Assistance: 916/t322-5660
$che.dule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars. from _ ___,,__,_/_,_-""'==---
through -~b..,_fJ~?-rfl~fJ ...... _?J~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, 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 TAC candidate travel, lodging and meals (explain)
FND fund raising events POS postage, delivery and messenger services TRS staff/spouse travel, lodging and meals (explain)
'f\JD 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 PAT 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 CODE OR DESCRIPTION OF PAYMENT (IF COMMITIEE. ALSO ENTER 1.0. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
•Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor
as reported on Schedule E.
AMOUNT PAID
TOTAL* $=z?
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660
Schedule H -Part 1
Loans Made to Others*
SEE INSTRUCTIONS ON REVERSE
NAME OF FILE
DATE OF LOAN NAME AND ADDRESS OF RECIPIENT
(IF COMMITIEE. ALSO ENTER 1.D. 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
from l /1 / CJC) t I
INTEREST RATE DUE DATE
SUBTOTAL $
g 1. Loans of $100 or more made this period. (Include all Loans Made -Part 1 subtotals.) ............................................... $ _____ _
2. Unitemized loans under $100 made this period ............................................................................................................. $ -~O __
1. Total loans made this period. (Add Lines 1 and 2.) .......................................................................................... TOTAL$ ---"-0 ___ _
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.) ................................................................................................................... $ -~0~---
5. Unitemized payments received on loans under $100. 15)
(Including a forgiveness.) ............................................................................................................................................ $ --=-----
6. Total loan payments received this period. O
(Add Lines 4 and 5.) ........................................................................................................................................ TOTAL$------
7. Net change this period. (Subtract Line 6 from Line 3. -0 .,.,.,,.
Enter the net here and on the Summary Page, Column A, Line 7.) ................................................................ NET$ --,--:=----May be a negative number
l.D. NUMBER
AMOUNT
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660
Schedule H -Part 2 Type or print in ink. Repayments on Loans Made to Others
and Loans Forgiven
Amounts may be rounded
to wl ole dollars. Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE OF
REPAYMENT OR
FORGIVENESS
DATE OF
ORIGINAL
LOAN
r[
FULL NAME OF RECIPIENT OF LOAN
Attach additional information on appropriately labeled continuation sheets.
INTEREST
RATE
IF CHANGED
SUBTOTAL$
from f / f I f)-c; I
a
AMOUNT EPAID OR
FORGIVEN ON PRINCIPAL*
EXCLUDE RECEIPT OF INTERES
-o
*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.
LO.NUMBER
OUTSTANDING
PRINCIPAL
TOTAL INTEREST
RECEIVED THIS --$-
PERIOD
(b)
INTEREST
RECEIVED
Enter the amount in column (b) in the
Schedule I Summary. Line 3. Do nor carry
this total to the Schedule H Summary.
FPPC Form 460 (8/99)
For Technlcal Assistance: 9161:322-5660
Schedule I
Miscellaneous Increases to Cash
Type or print in ink.
Amounts may be rounded
to wti ole dollars.
r ----;;_;;,:;;;:-;:;,:~~:;:;-;,:i~--ll!llNl!I""~~ SCHEDULE! Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
from l // /c; C2 ( l
through ____:,b,q__.....,<.Lf-~[.,..o<.-
DESCRIPTION OF RECEIPT
SUBTOTAL$
--o 1. Increases to cash of $100 or more this period ........................................................................................................... $--=----
2. Unitemized increases to cash under $100 this period ............................................................................................... $_={)~~--
-Q 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $ --'-"-"""-----
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ _---{)--"""------
AMOUNT OF
INCREASE TO CASH
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660