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Beverly Johnson for Mayor 460Recipient Committee Campaign Statement Cover Page Type or print in ink. (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Statement covers period from w 1 1) .z. o o..3 (/ through J) .J1<'!, , .3 (i 2-O a.3 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee D Ballot Measure Committee O State Candidate Election Committee O Primarily Formed 0 Recall 0 Controlled (AisoCompletePart5) Q Sponsored 0 General Purpose Committee 0 Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information (Also Complete Part 6) D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) f3eV£f(L '( Jol-//'/Sol'I STREET ADDRESS (NO P.O. BOX) I 7 tJlo Mo f{ EL II li.D C.11 ZIP CODE 9'/Sol AREA CODE/PHONE (ffto)5'-<.3-5"/l./3 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX :::ITV STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification Date of election if applicable: (Month, Day, Year) For Officliil Use Only ity Clerk's Of · ice 2. Type of Statement: D Preelection Statement ~ D Semi-annual Statement Termination Statement Amendment (Explain below) Treasurer(s} NAME OF TREASURER D Quarterly Statement 0 Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 JEA/\-/ FoLLRlfT H MAILING ADDRESS 1706 Mote£Ll1r/D DR. Gti ZIP CODE rt¥So/ AREA CODE/PHONE (...510) s .:<.3 -s Jt/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 my knowledge the information contained herein and in the attached schedules is true and complete. certify under penalty of pe~ury under the laws of the State of California that the foregoing is true a correct. Executed on J / 2.(, / :Z. O Of By ----..,.,4~~=:;,..._,..~~--:'!~~:=.f:1~:::~_..,7""'-9---~ Dai4 Executed on_.,._q 2.....,_X'......-:rL-tJ-f __ Executed on -----..,,Dale------- . Executed on -----..,,Dal,..,-e _____ _ BY------.,,,--,--.,.,,_.,,...,,,_,,,,,,_,...,..,.....,,-------------~~ Signature of ConllOlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpll~~~_86~~~~~PP_C Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE BEVERLY Jof/;ysot-1 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) M II YO!f, C./T( a-f fl lit ME DI/ RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STA1t 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 LO.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 1.0. 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 ~SUPPORT BGVF-r<LY Jol/l'fSol/ M flYoRJALlflliEOA 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 D 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: 866/ASK-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 ~I 2.003 ~} CALIFORNIA 460 FORM 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 )UBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0 4. Nonmonetary Contributions.................................... Schedule c, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED ................. : ......... Add Lines 3 + 4 $ 0 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 a+ 9 + 10 $ () Current Cash Statement leginning Cash Balance ......... :............. Previous Summary Page, Line 16 $ sot/, S'o 13. Cash Receipts ................................................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 (.') 15. Cash Payments . .... . .. . ... .. . .. . . ......... .. .. .. .. ... ........... Column A, Line B above 0 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 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ...... ...... .... ... ... .. ...... ... ....... See instructions on reverse $ 0 19. Outstanding Debts .......... .. ............. Add Une 2 +Line 9 in Column B above $ through JJ~. 3 /, z_ooJ Page _.5_ of _3 __ $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE 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). l.D. NUMBER l:L'fl/1ol 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 Umlt) 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