Withrow for Mayor Campaign 460. Recipient Committee
C~mpaign Statement
Cover Page
Type or print in Ink. Date Stamp
(Government Code Sections 84200-84216.5)
Statement covers period
from / ~~,?o03
through 31 JJe.e,.. ;(oo 3 SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4.
J)1' Officeholder, Candidate Controlled Committee O Ballot Measure Committee
0 State Candidate Election Committee O Primarily Formed
0 Recall 0 Controlled
(Also Complete Part 5) Q Sponsored
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Wr71llc.ow Fae mfl<?oR. C!1m~f~
~ STREET ADDREJf (NO P.7. BOXh d /
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Date of election if applic
(Month, Day, Year)
2. Type of Stateme
O Preelection Statement
jg( Semi-annual Statement
0 Termination Statement
0 Amendment (Explain below)
Treasurer{s)
NAME OF TREASURER
MAILING ADDRESS
CITY STATE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE
OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS
/c?ttl@ UJtihcool
For Official Use Only
0 Quarterly Statement
O Special Odd-Year Report
O Supplemental Preelection
Statement -Attach Form 495
ZIP CODE AREA CODE/PHONE
ZIP CODE AREA CODE/PHONE
4. V~rifica~ion : , . • ..
I have us,ed' all reasonable diligence in preparing and reviewing this statement and to the best Qf my knowledge the information contained herein and in the attached schedules is true and complete.
certify under penalty of perjLry under the laws of the State of California that the foregoing is true and correct. ·
Executed :0n, ·. · • ·
E"'""' oo ;?9~ry 2@-'I Date
Executed on---, -
1
.---Da=--le ______ _
Exe(:uted on :...· _;..-'-'-"""'--?-'-"--_;..--"'"--. Pr~~ I
easurer
espon Sponsor
BY------.,,.,..--,-.--,,,-,--,,,-,,..,,,-.,--,..,..--,,.....-Ji,.,-,-,,,....,.-,..,---,,_--,------~ Signature of Controlling Officeholder, Can id9;1e. Stale Measure Proponent
By~·----------,,,---,-"'"""..,-.,,,-""'""--,--,.,--,,,--,,.,..,.-,,,..,.-,.,..--.,,.--------~ Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
e:+ ............. "'"'"f'"'~""''
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
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.
COMMIITEE NAME
NAME OF TREASURER
COMMIITEE ADDRESS
CITY
COMMIITEE NAME
NAME OF TREASURER
COMMIITEE ADDRESS
CITY
l.D. NUMBER
CONTROLLED COMMIITEE?
0 YES 0 NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
l.D. NUMBER
CONTROLLED COMMIITEE?
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 LEITER 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 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 0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT .. 0 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 J..4...-. ,;2.{)() 3.
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Wa.,roJ
Contributions Received
1. Monetary Contributions . . ............ ................. .. ... ..... .. Schedule A, Line 3 $
2. Loans Received .. ... ...... .. ..... .. ...... .. .. .. .......... ............ Schedule B, Line 7
l. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t + 2 $
4. 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
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
f 5i 01./3. I 3
f!~o43. 13
10. Non monetary Adjustment .......................................... Schedule c, Line 3
$ z~:' 3?, 1.9 11. TOTALEXPENDITURESMADE ................................ AddlinesB+9+ 10 ~:;JJ .,.::)
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 B above
16. ENDING CASH' BALANCE i ...... :.:~: kdd Lines 12 :r 13 + 14, then subtractLine 15
If this is a termination statement, Line 16 must be zero.
$
$
17. LOAN GUARANTEES RECEIVED........................... Schedule B, Part 2 $
Cash,E.quivalents and Outstanding Debts
18. Cash Equivalents ·,···.. ............. ..................... See instructions on reverse $
19. Outstanding Debts .... ~ ........... :·:.'.'..'... Add Line 2 +Line !i'1~ Column B above $
~.LJ!oo. ~t
700.00
~~3. 1-3'
L/2$1
<$;>
through 81 ~ i9D03 Page 3 ("""
of !J
Columns
CALENDAR YEAR
TOTAL TO DATE
$ tJ200~ oe
tt1co. &J?
$ -
$ tt~oo. •e-
s ..t; o4s. 13
To calculate Column B, 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 previ0us
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
frorrl 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 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
(mm/dd/yy)
___}__} __
Total to Date
$ ____ _
$ _____ _
__}__}__ $ ____ _
___}__}__ $ ____ _
___}___}__ $ ____ _
*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 · Schedµle B -Part 1
Loans Received
Amounts may be rounded
to whole dollars.
Statement covers period CALIFORNIA 460
FORM from / JeJ<f2@3
SEE INSTRUCTIONS ON REVERSE through@ fila.a._;?co 3 Page _!i_ of_£_
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER 1.D. NUMBER)
tld' 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
Schedule B Summary
IF AN INDIVIDUAL, ENTER
OCC(UPATION AND EMPLOYER
"(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
a (b) (c) OUJf~t~g~NG AMOUNT AMOUNT PAID
BEGINNING THIS RECEIVED THIS OR FORGIVEN
RI D PERIOD THIS PERIOD*
0PAID
$ ___ _
OFORGIVEN
$ ___ _
OPAID
0 FORGIVEN
$ ___ _
0PAIO
$ ___ _
OFORGIVEN
SUBTOTALS $ $
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans less than $100.)
$
(d)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
I
DATE DUE
$ ___ _
DATE DUE
$ ___ _
DATE DUE
2. Loans paid or forgiven this period ......................................................................................................... $ ______ _
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.) IJdlr "fd-
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ __ #__1~· Q_O_. __
Enter the net here and on the Summary Page, Column A, Line 2. (Maybeanegauvenumber)
I
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
__%
RATE
__ %
RATE
__ %
RATE
$ ___ _
$
(Enter (e) on
Schedule E. Line 3)
l.D. NUMBER
(f)
ORIGINAL
AMOUNT OF
LOAN
DATE INCURRED
DATE INCURRED
DATE INCURRED
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
PER ELECTION**
•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
ScheduleE
Payments Made
Type or print in ink. SCHEDULEE
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from / ~l_ r!Xm5 6 through .31 ()Qg cfhO 3
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CALIFORNIA 460
FORM
Page S of S
l.D. NUMBER
71-of!.?3Y~ ·
OvP campaign paraphernalia/misc. MBA member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFe office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TAC candidate travel, lodging, and meals
"ND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
,\JD independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PAT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
~ ffJLL ck Q ,L.L{!_ c;Js t11.1Jv-fc/,~ ~ ~6,0fJ I
/)d_!r_fa ~ /117 3
I .. '--../
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary 11
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ~ Oo!/:S. t 3
2. Unitemized payments made this period of under$100 ....... ; .................................................................................................................................. $ _____ _
3. TC!>tal interest paid this period_9n loans. (Enter amountfrom Schedule B, Part 1, Column (e).) ........................... i ................................................... $
4. T~t~I pay::nents m~de this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 4 oiJ. I 3
; j I I I'. { i. '
FPPC Form 460 (June/Q.1)
FPPC Toll-Free Helpline: 866/ASK-FPPC