Committee to Elect Susan Maureen McCormuck 460COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE through
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
g/Omceholder, Candidate Controlled Committee D Ballot Measure Committee 0 State Candidate Election Committee O Primarily Formed
0 Recall O Controlled
(Also Complete Part 5) O Sponsored
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
c;;;TE
(Also Complete Part 6)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
AILING 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 est of
certify under penalty of perjury under the laws of the State of California that the forego· g is tru
. 'Y /. //} ~:)\
Executed -0n 1 -? / l / i(L ;; t/j/~~)
Executed on -~--r 1 U/l--¥''-'-'7'7'~::<a,,..·te._._ ______ _
Date of election if applicable:
(Month, Day, Year)
2. Type of Statement:
D Preelection Statement
~emi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer( s)
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
STATE
D Quarterly Statement
D Special Odd-Year Report
D Supplemental Preelection
Statement -Attach Form 495
ZIP CODE AREA CODE/I
y knowledge the information contained herein and in the attached schedules is true and complete.
and co t. ·
Measure Proponent or Responsible Officer of Sponsor
Executed on-------------Date BY-------.,,,.---,.-..,.,,..-.,,,......,,..,,,.....,.....,..,..-::--.,,-,---.,,..--,.,----=--------~ Signature of Controlling Officeholder, Can~idate, State Measure Proponent
Executed on _____ _,
0
,_a-le ______ _ BY-------=---:-::--.,,,-...,...,,,,.-,-...,..,.._,,.-,,.,--...,,..--,.,..--.,.--------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink. COVER PAGE-PART 2
5. Officeholder or Candidate Controlled Committee
OFFICE SOUGHT OFi HELD dNCL'.'UDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) (V , .
L/i'
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/PH9NE
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 a11y.
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 OPPO<
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 {Junel01)
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 ljl;0J5
Contributions Received
1. Monetary Contributions .......................................... . Schedule A, Line 3 $
2. Loans Received ....... .............................................. Schedule B, Line 7
3. 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 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. Non monetary Adjustment .......................................... Schedule c. Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines B + 9 + to $
Current Cash Statement
12.Beginning Cash Balance ....................... PreviousSummaryPage,Line16
13. Cash Receipts ................................................... ColumnA, Line3above
14. Miscellaneous Increases to Cash........................... Schedule I, Line 4
15. Cash Payments.................................................. Column A, Line B above
16. ENDINGCASHBALANCE .......... Add Lines 12+ 13+ 14, then subtract Line 15 $
If this is a termination statwr1ent, L/{Je 16 rrust ,be zero.
17. LOAN GUARANTEES RECEIVED ........................... ScheduleB, Part2 $
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)
0
D
through -J.P'-+~"-'-"-),,_,,.t:J:3=""--Page 3__ 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 Uf
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