Johnson 460necipient Committee
Ca:"npaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
Statement covers period
from LJ.u.. . .3 / . .:<. CJ 0 S" I
SEE INSTRUCTIONS ON REVERSE through L;u.,;f<J 2..06 ~-7
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
~ Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
0 Recall
(Also Complete Part 5)
0 General Purpose Committee
0 Sponsored
O Small Contributor Committee
O Political Party/Central Committee
D Ballot Measure Committee
0 Primarily Formed
0 Controlled
0 Sponsored
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee lnformatio8' 1.D. NU,Z.Eij' 9 0
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
/3£VERLY Jotff'/S.Of\} t1fi Yo~
STREET ADDRESS (NO P.O. BOX)
/700 M<JR.ELl4ND
CITY
CODE
911~0/
AREA CODE/PHONE
(.5'1o)s-<. 3 -s l'/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
I have used all reasonable diligence in preparing and reviewing this statement and to the best of m
certify under penalty of perjury under the laws of the State of California that the foregoing ·
Executed on ~_,~ .2 o 1 2 oot:,
~ Da~irf 2)!'\eJL
Executed on_ .... 1 .... .,.J ...... 1 }(.__.,......J"t:--,,...r,b:::. __ .'b_~...,..-......:.dlII l.J
rte (
Executed on _____ _,,Da,_t_e _____ _
Date of election if appli
(Month, Day, Year) JUL 3 1 2006
2. Type of Statement:
0 Preelection Statement
~ Semi-annual Statement
0 Termination Statement
0 Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
O Quarterly Statement
O Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Fonn 495
JP-HI'/ II FOLL/f.flTI-(
MAILING ADDRESS
/7L)(p
CITY AREA CODE/PHONE
f}lfl ME D!f Cl'/ 1'/S'IJ/ (S' 10) S.:2. "3 -$/<f3
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
Executed on _____ ..,,Dat_e _____ _ BY------,,.,--.--,,:::-:,.-,,,.-::-~,_.,-,--,,,.--,,..,..,._,,.,..,.-..,-.,.--__,,,.--..,-------signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
f:t.atn -• r-... n•--r-
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
i3E.l/€1?LY JO/{rY.S<2/Y
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
/111YoR., ~ aJ ~
RESJDENTIALJBUSINESS ADDRESS (i'f6AND 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
. NAME OF TREASURER
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
l.D. NUMBER
CONTROLLED COMMITTEE?
DYES D NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
l.D. NUMBER
CONTROLLED COMMITTEE?
0 YES 0 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
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 ~SUPPORT
£.t!EI? ly Joi{ If.Sol/ M!l'r~
/lll/f1FEDll
D OPPOSE /3
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 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: 8661ASK·FPPC
State of California
Type or print in ink. Ca~paign 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 ATTACHED SCHEDULES}
1. Monetary Contributions ........................ .. .......... ... .... Schedule A, Line 3 $ 0
2. Loans Received ............ ............................ .............. Schedule B, Line 7 0
SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 0
4. Nonmonetary Contributions ...... .... ................... .. ... .. Schedule c, Line 3 c
5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $ a
Expenditures Made
6. Payments Made .......................... ................. ....... ..... Schedule E, Line 4 $ 0
7. Loans Made............................................................. Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS .................................... Add lines a+ 7
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTALEXPENDITURESMADE ................................ AddLinesB+9+ 10 $ 0
Current Cash Statement
Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 3 o t./, s--o
13. Cash Receipts ............ ...... ................................. Column A. Line 3 above
14. Miscellaneous Increases to Cash .... .. .. .......... ......... Schedule I, Line 4
I
I
15. Cash Payments ......... ..... ............ .. ......... ........ ..... Column A, Line B above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line ts $
If 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 Line 2 +Line 9 in Column B above $
$
$
$
$
$
$
through
Columns
CALENDAR YEAR
TOTAL TO DATE
To calculate Column 8, 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).
.3_0, ,ZCJOC:, Page_3_ of_J ___ _
7
l.D. NUMBER
12'-lt/CfCJ/
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 Subject 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