Loading...
Johnson 460Recipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) Statement covers period from ~ /, 2.001 ~· SEE INSTRUCTIONS ON REVERSE through /Jll.<!., 3 / 1 2 0CJ1 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee O Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete PBit 5) O Sponsored (Also Complete PBit 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Primarily Formed Candidate/ Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information l.D. NUMBER / I I~ '-i..., o/ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) AREA CODE/PHONE ~ CA 'l'IS'O} (5/ o) s.z 3 -.s N 3 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification Date of election if applica (Month, Day, Year) 2. Type of Statement: 0 Preelection Statement JXI Semi-annual Statement 0 Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) Treasurer(s) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement -Attach Form 495 NAME OF TREfSURER ~a,;1~ MAILING Alit>RESS /7()1.c, -711t.~.,tJl;L. ~ 4f. CJ't/5of CITY STATE ZIP CODE AREA CODE/PHONE ,,s/() S"~ :3 -$ /'-/3 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of m 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 corr c . Executed on t / 3 / J D g' By __ _;.~~~_ ~:::_-- i /3; Zeo 8' Executedon __ Ti----i+-oa=-re-------- Executed on -------,Da,,....,..re _______ _ BY------...,,,.-..,.--.,,......,.-,,--::::::--:--:-..,-"."':::"""'.:"'.~~'.":":"~'.":":':'.:-:-:-~------- Signature of Controlling Officeholder, Candidare,Stata Measure Proponent FPPC Fonn 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3n2) State of California Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE ~~ OFFlCESOlJGHTORH (INCl1JDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) (N . AND STREET) CITY STATE ZIP / , ~ Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 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 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ·7f1~~ OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ~SUPPORT 0 OPPOSE D SUPPORT D OPPOSE 0 SUPPORT 0 OPPOSE 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Fonn 460 (Januaryl05) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772) State of California Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summany Page Amounts may be rounded to whole dollars. Statement covers period from 1~ /. 2.. oo 7 CAl.!.IFORNIA 4e I'\ FORM U\.I SEE INSTRUCTIONS ON REVERSE NAME~ Contributions Received 1. Monetary Contributions .......................................... . Schedule A. Line 3 $ 2. Loans Received ...... .......... ...... ..... ........................... Schedule a, une 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Unes 1 + 2 $ 4. Nonmonetary Contributions.................................... Schedule c, Une 3 Column A TOTAL THIS PERIOD ' (FROM ATIACHED SCHEDULES) 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add unes 3 + 4 $ '-/ CJ 5" , 00 Expenditures Made 6. Payments Made....................................................... Schedule E, Une 4 $ 7. Loans Made............................................................. Schedule H, Une 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Unes 6 + 7 $ I 7 7 0 , () 0 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Une 3 10. Nonmonetary Adjustment .......................................... Schedule C, Une 3 11. TOTAL EXPENDITURES MADE ................................ Add unes a+ 9 + 10 $ f 7 'JD , Ci D Current Cash Statement 12.Beginning Cash Balance ....................... PreviousSummaryPage,Une16 $ L6 958, I:'<. 13. Cash Receipts ..... .. .................... ... ..... ....... ..... .... Column A, Une 3 above tf <J 5' 00 14. Miscellaneous Increases to Cash........................... Schedule I, une 4 15. Cash Payments.................................................. Column A. Une 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Une 15 $ It this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................. .......... Schedule a, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts . ...................... .. Add Une 2 + Une 9 in Column B above $ /77D,6ll 2~ 13' 12.. ,?/ J through ,/J, . .A?-.3 ~ 2.. O 0 7 '3 Page __ _ of $ $ $ $ $ l Columns CALENDAR YEAR TOTAL TO DATE g t/951 ) OD t,grr s4 6 'bi?, Sf To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). LD. NUMBER 12 LJ.L/ 'lo/ Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1 /1 through 6/30 7/1 to Date 20. Contributions Received $ _____ _ $ _____ _ 21. Expenditures Made $ _____ _ $ ____ _ Expenditure Umit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) __/___} __ __}__) __ Total to Date $ _____ _ $ _____ _ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND 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) OIND DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC OIND DCOM DOTH DPTY DSCC OIND DCOM DOTH DPTY DSCC OIND DCOM DOTH DPTY DSCC SCHEDULE A Statement covers period CAl..IFORNIA 4 61'\ from ~ / 2 007 ~) FORM \.I through ,,!),.....,_ • .3 / . z.. 0 c 7 Page_!}_ of !)' AMOUNT RECEIVED THIS PERIOD l.D. NUMBER l.2'-/'190/ CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) SUBTOTAL$ Schedule A Summary 1. Amount received this period -itemized monetary contributions. 'a. (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ *Contributor Codes IND -Individual COM-Recipient Committee 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 'i 1.S-, 60 I../ 95'. 00 (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR QFCOMMITIEE,ALSOENTERl.O.NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DINO DCOM DOTH DPTY oscc DINO 0COM DOTH DPTY DSCC DINO 0COM DOTH OPTY DSCC DINO DCOM DOTH DPTY oscc DINO 0COM DOTH OPTY DSCC SCHEOULEA CAl..IFORNIA 4e n FORM UU Statement covers period from h ' · J,, /, .2. 0 6 7 r=r-, through .LJ .. '-"-· ..3 / 2.. 0 c 7 Page L of _S' __ AMOUNT RECEIVED THIS PERIOD l.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) SUBTOTAL$ Schedule A Summary 1. Amount received this period -itemized monetary contributions. l;J_ (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ *Contributor Codes IND-Individual COM -Recipient Committee 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ l/95",oo L/95', 00 (other than PTY or SCC) OTH Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period trom ~ I> .::i... o a 7 through A, 3 I) .2..,0o 7 CAl..JEORNIA 461'\ EORM U SEE INSTRUCTIONS ON REVERSE s-5 Page ___ of __ _ NAME OF FILER LO.NUMBER I .z.. '-14 C/O I CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CM" campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t. v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRf print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) ~ lf-<1 ~ ~ ~ ~ ~ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. ~µ zu~ t'hv ~ .f; {){) ; <'.'.) 0 .~ ~ ..z; Zu~ e.I~ ~ " c; /0, 00 ct~-~ ~£ U)~/ cL~-Ch>t_ .# "' "., ,._ ~ CJ od ' Q ~~ SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)