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Johnson 460Rt~ipient Committee Campaign Statement Cover Page (Government COde Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period trom ~ /J Jo{:; through M . 3· {)J )0 Date of election if applica (Month, Day, Year) 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Date Stamp For Official Use Only jg Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall O Ballot Measure Committee 0 Primarily Formed Q(I' Preelection Statement 0 Semi-annual Statement O Termination Statement . O Quarterly Statement (Also Complete Patt 5) O General Purpose Committee O Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information. 0 Controlled 0 Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) 170~ MolfE./...IJf\/D DI?. CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER Je.A/'/ MAILING ADDRESS 17 ote, ZIP CODE AREA CODE/PHONE 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. certify under penalty of perjury under the Jaws of the State of California that the foregoing is true and correct. Executed on By Dale Executed on By Date Executed on By Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK·FPPC f:!'•,.,•-_, ,.._11•--1- Reeipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. COVER PAGE -PART 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jo1-11v Sa/\./ OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) t1 fl ~IT'( of /J L IJ M /:. 0 If SS ADDRESS (NO. 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? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME l.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. 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 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 Mff % ~SUPPORT BF-VE. ~LY J oH f{.Sol'-j HLllMIUJlj OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: B66fASK·FPPC State of California Type or print in ink. SUMMARY PAGE Campaign ~Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from M f; 2. OD~ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER /!JIZV!l~LY Contributions Received Column A TOTAL THIS PERIOD (FROMATIACHED SCHEDULES) 1. Monetary Contributions .......................................... . Schedule A, Line 3 $ S3.:32,DD 2. Loans Received ............................. ..... .. .......... .... .... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ ...5 3 .:3 ;)_ ; OD '· Nonmonetary Contributions ..... ............................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $ .S 3 3 '-., e 00 Expenditures Made 6. Payments Made ........................................... ............ Schedule £, Line 4 $ IS~.~-/ 7. Loans Made............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ IS~. S:/ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3 - 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $ 1.s-tc. 5/ Current Cash Statement 12. Beginning Cash Balance ......... :···.......... Previous Summary Page, Line 16 $ 3o t./. S'O J. Cash Receipts ......................... ... .. .......... .. ... ...... Column A, Line 3 above S33L, oo 14. Miscellaneous Increases to Cash ............ ........... .... Schedule I, Line 4 15. Cash Payments . . .. .. . .. .... .. . . . . . .... .. .. .. .. .. . . . .. ... . .. .. . . . Column A, Line 8 above _L_gf. S{ 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 1s $ S 5o'f_. 91 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents .................................... .... See instructions on reverse $ 19. Outstanding Debts ..... .... .... .... .. . ..... Add Line 2 +Line 9 in Column B above $ through ~ 3 '3.i L a ob Page _ _,_7_ of_7_,___ Columns CALENDAR YEAR TOTAL TO DATE $ $ $ $ $ $ To calculate Column .8, add amounts in Column A to the corresponding amounts from Column 8 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). l.D. NUMBER J.1-'-/'-1'!6 J 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 Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subjeci to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) ___}___} __ $ ___}___} __ $ ___}___} __ $ ___}___} __ $ ___} $ ___} $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC .Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) · Monetary Contributions Received NAME OF FILER . &£V€R'-Y 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 AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMIITEE, ALSO ENTER l.D. NUMBER) CODE * DINO ~COM DOTH DPTY DSCC D(!tND DCOM DOTH DPTY DSCC ~ND DCOM DOTH DPTY DSCC (21No DCOM DOTH DPTY DSCC J211ND 'OCOM DOTH DPTY DSCC -~ .~/~ Statement covers period from~ L, 2 O ot:_. through lop± 301 .:<. OOb SCHEDULE A (CONT. CALIFORNIA 460 FORM Page 3 7 of __ _ l.D.NUMBER AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 ·DEC. 31) PER ELECTION TO DATE (IF REQUIRED) II ..2 500. oo ~ 100.00 /Oo, oC> /()0,()0 SUBTOTAL$.J' oSD, O(} *Contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC-Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Scheaule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER . &£V~l(L'f Joi-/ /'J.S'O Type or print In ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMl'FTEE,Al.SOENTERl.D.NUMBER) CODE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF·EMPLOYEO, ENTER NAME OF BUSINESS) ~73~ /617 'J--1~ ~· ~ ... ~~! -~ 3;L3~~ ~ ~ .. Contributor Codes IND -lndiVidual COM-Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC-Small Contributor Committee g]IND DCOM DOTH DPTY DSCC jQIND DCOM DOTH DPTY DSCC IR[IND 0COM DOTH DPTY DSCC l&JND DCOM DOTH DPTY DSCC 18JJND DOOM DOTH DPTY DSCC SUBTOTAL$ SCHEDULE A (CON Statement covers period from~L, 2.0ok CALIFORNIA 46 FORM through Lrf, 3'2, 2.oa/;, Page '-/ Of 7 AMOUNT RECEIVED THIS PERIOD jtJ(),60 :J....00,00 I oo . ()6 /OCJ. oC> 600 , oo l.D.NUMBER 1.z L/'I ro ( CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 ·DEC. 31) PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll·Free Helpline: 866/ASK-FPPC Sct-edule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER &£V~({l-f Jof//')..S'O T)'pe or print In Ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULi. NAME, STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (fFCOMMITTEE.A!.SOENTERl.D.NUMSER} CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF•EMPLOYED,ENTeR NAME OF BUSINESS) •eontr1butor Codes IND-Individual COM-Recipient Committee (other than PTY or SOC) OTH-Other PTY-Political Party sec-Small Contributor Committee J21f ND DCOM 'DOTH DPTY DSCC ~IND 0COM DOTH DPTY DSCC DINO DCOM DOTH OPTY DSCC DINO DOOM DOTH DPTY DSCC DINO OCOM DOTH DPTY oscc SUBTOTAL$ SCHEDULE A (CON Statement covers period CALIFORNIA 4a FORM U from l. 4 l 2,.ao'1 0. through .l_,,;t, 3P, 2.. ()~ Page S of 7 AMOUNT RECEIVED THIS PERIOD /CJ6, 06 _350,0D l.D.NUMBER I :Z. q;.j </O ( CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 • DEC. 31) PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleE 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 ~ I J 2 oot:, SCHEDULE I CALIFORNIA 460 FORM through M. 3D1 z.. oot:, Page b of _J___ l.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O/P campaign paraphernalia/misc. CNS campaign consultants CT8 contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot tees FND fundraising events '"ID independent expenditure supporting/opposing others (explain)* ..EG legal defense UT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) MBA member communications MTG meetings and appearances OFe office expenses PEr petition circulating Pl-0 phone banks POL polling and survey research POS postage, delivery and messenger services Pro professional services (legal, accounting) PRT print ads CODE OR 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 TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID ex, °fJ ~ :J~ rr ~ cf/ 2. ~. () . * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ·I :ZS. 6 6 2. Unitemized payments made this period of under $100 ....... , .................................................................................................................................. $ ___ b~· -~-/ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _____ _ /.El.Si 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ FPPC Form 460 (June/01) FPPC Toll·Free Helpline: 866/ASK·FPPC