Committee to Elect Susan Maureen McCormack 460Recipi~nt Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 7.
Gi'omceholder, Candidate D Primarily Formed Candidate/
Controlled Comm~tee Officeholder Committee
(Also Complete Part 4.)
O Ballot Measure Committee
O Primarily Formed
0 Controlled
O Sponsored
(Also Complete Part 5.)
3. Committee Information
(Also Complete Part 6.)
D General Purpo~e Committee
O Sponsored
O Broad Based
STREET ADDRESS (NO P.O. BOX)
/;??
Ala~, 6. STATE Cf ;50; {f';q)5U9~7
MAILING ADDRESS(iF DIFFERENT) NO. AND STREET OR P.O. BOX ./
:5tt1P'( ((S uf?t?/<-e_
CITY STATE ZIP CODE AREA CODE/PHONE -
OPTIONAL: FAX I E-MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year) Ci
2. Type of Statement:
D Pre-election Statement
~emi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
5u?4?.1/)
MAILING ADDRESS /;
CITY
ASSISTANT TREASURER, IF
t;/ q_
MAILING ADDRESS -
CITY -
OPTIONAL: FAX I E-MAIL ADDRESS
For Official Use Only
D Quarterly Statement
D Special Odd-Year Report
D Supplemental Pre-election
Statement -Attach Form 495
AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE -
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 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 D NO
COMMITTEE ADQ.B.ESS 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 officeholder(s) or candidate(s)
for which this committee Is primarily formed.
NAME 0F OFFICEHOLDEF1 OR CANDIDATE OFFICE SC'lJGHT OR HELD D SUPPORT
-·-~~ -D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT ......,,.....-·-· ----D OPPOSE
NAMf OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT --~M--..,,~_,___.--D OPPOSE -
Attach continuation sheets if nee< ssary
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 thr' laws of the State , aliforni that the foregoing is true an correct.
-11/ 31 lao By---6~;;,__:?t~:......u;.-_1~..:;..,=:.r c~__._~~-----Executed on -ff OATE/
Executed on ____________ _
DATE
Executed on ____________ _
DATE
Executed on ____________ _
DATE
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
BY------------------------------------~ SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
BY-----------------------------------~ SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPON~NT
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.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received Column A
TOTAL THIS PERIOD
(FROM ATIACHED SCHEDULES) -1. Monetary Contributions ...................................................... Schedule A, Line 3 $-----------·· 2. Loans Received................................................................... Schedule B. Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines t + 2 $ _________ _
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
.,.---. 8. SUBTOTAL CASH PAYMENTS .................. :............................. Add Lines 6 + 7 $ _________ _
9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3
10. Non monetary Adjustment ....................................................... Schedule c, Line 3 -,_,----11. TOTAL EXPENDITURES MADE ......................................... Add Lines a+ 9 + 10 $ _________ _
Current Cash Statement
12. Beginning Cash Balance................................ Previous Summary Page, Line 16
3. Cash Receipts .. ............................................................ Column A, Line 3 above
14. Miscellaneous Increases to Cash....................................... Schedule I, Line 4
15. Cash Payments ............................................................ Column A, Line a above
16. ENDING CASH BALANCE .............. Addlines 12+ 13+ 14, thensubtractLine 1s
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
$ _________ _
$_,tLh-4 ='J5~, ;hw_L/-1--. -
Column B* Column C
TOTAL PREVIOUS PERIOD TOTAL TO DATE
(SEE NOTE BELOW) (COLUMNS A + B) --$ $ -,...._,
$ $ -· ,.--.
$ $ _____ ···
,--
$ $
$ $ 2:3-57~ ;; 31i). 'I--
$ $
* From previous statement Summary Page, Column C. However, if this
is the first report filed for the calendar year, Column 8 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 6/30 711 to Date
20. Contributions --
21.
Received ............ $ ------
Expenditures
Made .................. $ ------
FPPC Form 460 (8199)
For Technical Assistance: 916/322-5660
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statemezovers ~eri~d
from / 1 f /(I()
through ft I Sc /oc) I I
SCHEDULE F
CALIFORNIA 460
FORM
Page _:1__ of~
LO. NUMBER
9? 0}?;
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
CNS campaign consultants PET petition circulating
CTB contribution (explain nonmonetary)* PHO phone banks
CVC civic donations POL polling and survey research
FND fundraising events POS postage, delivery and messenger services
IND independent expenditure supporting/opposing others (explain)* PRO professional services (legal, accounting)
LIT campaign literature and mailings P RT print ads
.v!TG meetings and appearances RAD radio airtime and production costs
*Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
(a) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING (IF COMMITIEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING
OF THIS PERIOD
~ rd /114mt.{{a '
///J
fl?T l;J5 2 Y
I ~ '
SUBTOTALS $ ;? ,p :2-f $
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
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)
(b) (c) (d)
AMOUNT INCURRED AMOUNT PAID OUTSTANDING
THIS PERIOD THIS PERIOD BALANCE AT CLOSE
(ALSO REPORT ONE) OF THIS PERIOD
--}3SG:;y
$
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ........... _ ................................ INCURRED TOTALS$ _____ _
2. Total accrued expenses paid this period. (Include all Sch3dule F, Column (c) subtotals for payments on
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
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ -,-,-.,---~___,-May be a negative number
FPPC Form 460 (8/99)
For Technical Assistance: 916/!322-5660