DeHaan 460COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
State'ment covers period
from :J/>J J) J,OQ (p
through :_) IA>f ?JJ/ vOO lo SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
~eneral Purpose Committee
O~sored
t!!f Small Contributor Committee
O Political Party/Central Committee
3. Committee Information.
O Ballot Measure Committee
0 Primarily Formed
0 Controlled
O Sponsored
(Also Comp/ate Part 6}
O Primarily Formed Candidate/
Officeholder Committee
(Also Comp/eta Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
MAILING ADDRESS (IF '1kM e::: D STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
Date of election if ap
(Month, Day, Yea
2. Type of Statement:
O Preelection Statement
0 Semi-annual Statement
O Termination Statement
O Amendment (Explain below)
Treasurer(s)
NAME OF TREA~RE!I\, ~ ~}/..;
LE
O Quarterly Statement
O Special Odd-Year Report
O Supplemental Preelection
Statement -Attach Form 495
CITY at-AO, 4??0DE
NAME OF ASSISTANT TREASURER, IF ANY f
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 my knowledge the information contained herein and in the attached schedules is true and complete.
~~~ :::: m •• ., of fuo srato of ~liro,rna tMt fu::ro_r_e_g-oi-~-~"-~'-tur-~-~-ef.ar.«r. re~cf.lt.r4~'14,!l"~~~:;:::::;;;=------------
Executed on------Da-te ______ _
Executed on ------.,,.Da'"'"te ______ _
BY------.,,,......,...--,.~,....,,,.-,,.,,,-,.-,.,,.-,,,.-.,,.,--,,,.-.,.,--,,,--...,------~ Signature of Controlling Officeholder, Candidate, State Mea~ure Proponent
BY-------=---.,.,,..---------=------------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
Slllhl of C!allfnmls
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
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
. NAME OF TREASURER
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
l.D. NUMBER
CONTROLLED COMMITTEE?
0 YES 0.NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
l.D. NUMBER
CONTROLLED COMMITTEE?
0 YES D NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION 0 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
7. Primarily Formed Committee List names of offlceholder(s) or candidate(s) for
which this committee is primarily formed. ·
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
0 SUPPORT
D OPPOSE
0 SUPPORT
0 OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (June/01)
FPPC Toll·Free Helpline: 866/ASK-FPPC
Slate 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 .J'fut; J) VJ() (u
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions . .. ... .. . ... . .. . . . . . . ... . . . .. . . .. .. .. .. .. . . . S.chedute A. Line 3 $
2. Loans Received .................................... .............. .... Schedule 8, Line 7
SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $
4. Nonmonetary Contributions.................................... Schedule c. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $
Expenditures Made
6. Payments Made....................................................... Schedule£, 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
1 O. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $
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 1. Line 4
15. Cash Payments.................................................. Column A, Line a above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 1s $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column 8 above $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHE LES)
through:flJt ~O ZOO {o Page ? ot:!?_. _
ColumnB
$
$
$
$
$
$
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 tiled
tor this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
l.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 711 to Date
20. Contributions ~ :± Received $
21. Expenditures p_ Made $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(It Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mrn/dd/yy)
__J__J __ $
__J $
__J I __ $
__/__} __ $
~___/ __ $
__J $
•since January 1, 2001. Amounts in this section may be
different from amounts reported in Column 8.
FPPC Form 460 (June/01)
FPPC. Toll-Free Helpline: 866/ASK-FPPC