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Withrow for Mayor Campaign 460Reeipient Committee Campaign Statement Cover Page Type or print in ink. Date Stamp (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE 1. yYpe of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. fjf Officeholder, Candidate Controlled Committee D Ballot Measure Committee O State Candidate Election Committee O Primarily Formed 0 Recall 0 Controlled (Also Complete Part 5) O Sponsored D General Purpose Committee O Spcmsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information. (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COMMIITEE NAME (OR CANDIDATE'S NAME IF NO COMMIITEE) AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Cl}'\ fi f\ STATE M1_a. meMQ. Ct\ ZIP CODE AREA CODE/PHONE~ 9L(fo1 (.5oJfU~s~ OPTIONAL: FAX I E·MAIL ADDRESS b pl I G> w •-111 rOJtt). Colt\ 4. Verification 2. Type of Stateme€ity D Preelection Statement JJC' Semi-annual Statement O Termination Statement 0 Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E·MAIL ADDRESS STATE STATE D Quarterly Statement O Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 ZIP CODE AREA CODE/PHONE ZIP CODE AREA CODE/PHONE 1 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 laws of the State of California that the foregoing is true and correct. Executed on ------....oate-=-------- Executed on ,Z'J ~96 .2t>O. .~ Executed on -----..,Date-------- Executed on ---_..;.--,Dat~e------- re Proponent or Responsible Officer of Sponsor BY------...,,.,.-,.-.,.,,..-,,,.-.,,,,,-,-..,..,.....,,,.._,,.,,__..,__,..-__,--'""'""-----~ Signature of Controlling Officeholder, Candidale, State Measure Proponent BY------..,,.,.--.,.,,,....,..,..-.,,,,,...,....,.,..._,,.._,,..,.....----=--------~ Signature of ConlroUing Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Junef01) FPPC Toll-Free Helpline: 866/ASK·FPPC C::t••• .,..., ,...na--1- Type or print in ink. COVER PAGE -PART 2 Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Erlwll t'd Wall1a~ l.AJ1Hu-w Jr. OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREEn CITY STATE ZIP iU/Ho"'t.A,C!t 9'1.sDL 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 D 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? DYES D 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 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 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 D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866fASK-FPPC State of Califomla Type or print in ink. SUMMARY PAGE -Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from I J....., 21>9~ CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER W.atrl Contributions Received 1. Monetary Contributions .. . ... . ..... .. . .. . . . . .. . . . . .. . . . . .. . . . . . . . . Schedule A, Line 3 $ 2. Loans Received ................................... ................... Schedule B, Line 7 ~ SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 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. Nonmonetary Adjustment .......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ......... :············· PrevioussummaryPage,Line 16 $ . Cash Receipts ... ...•. .. .. .. .. .. ... ... ... .... .. .. ... .. . . ... ...... Column A. Line 3 above 14. Miscellaneous Increases to Cash ................. .......... Schedule /, Line 4 15. Cash Payments.................................................. Column A. Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 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 $ Column A TOTAL THIS PERIOD . (FROM ATTACHED SCHEDULES) 111. tl through :Jo~ 2.00¢ Page $ $ $ $ $ $ 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). l.D. NUMBER 71-ofJ'.3J>' 1 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) __J $ __J $ __J $ __J $ __J $ __J $ *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 Type or print in ink. SCHEDULE B-PART 1 --Schedule B -Part 1 loans Received Amounts may be rounded to whole dollars. Statement covers period from I Ja...a 2,0Qf CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through ~~ 2.<:l:Jt./ Page_!/.__ of L NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) to IND 0 COM 0 OTH 0 PTY 0 sec to IND 0 COM 0 OTH 0 PTY 0 sec to IND 0 COM 0 OTH 0 PTY 0 sec IF AN.INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a OUTSTANDING BALANCE BEGINNING THIS p //f2/I~ $ ___ _ $ ___ _ SUBTOTALS $ (b) (c) (d AMOUNT AMOUNT PAID OUTSTANDING RECEIVED THIS BALANCE AT OR FORGIVEN CLOSE OF THIS PERIOD THIS PERIOD * 0PAID $ #q'4a.'f 0 FORGIVEN INOIF DATE DUE OPAID $ OFORGIVEN $ ___ _ DATE DUE 0PAID $ 0 FORGIVEN $ ___ _ $ DATE DUE $ $ ~chedule B Summary 1. Loans received this period ................................... : ................................................................................ $ ~ (Total Column (b} plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ · __ ¢-JI'. """---- (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. t Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other PTY -Political Party SCC-Small Contributor Committee $ (e) INTEREST PAID THIS PERIOD __ 3 RATE l.D. NUMBER f) ORIGINAL AMOUNT OF LOAN $ ___ _ DATE INCURRED __ % $ ___ _ RATE $ ___ _ __ % RATE $ ___ _ DATE INCURRED $ ___ _ DATE INCURRED (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR PER ELECTION** $ ___ _ CALENDAR YEAR PER ELECTION** $ ___ _ CALENDAR YEAR $ ___ _ PER ELECTION** $ ___ _ (Enter (e) on Schedule E, Line 3) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (June/01) FPPC Toll·Free Helpline: 866/ASK-FPPC