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Betsy P Elgar 460Re~l ient Committee Can.,Jaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period Date of election if applica (Month, Day, Year) 'JAN 2 3 2005 of __ _ from -----------For Official Use Only SEE INSTRUCTIONS ON REVERSE through ________ _ \ 2 L/ <(; q lo V(:i y Clerk's Offi 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall (Also Complete Part 5) -.J General Purpose Committee 0 Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information O Ballot Measure Committee 0 Primarily Formed O Controlled 0 Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) LO. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) ___ _i,.i _.;\:..;) __ '·-· __ \...;,\_\ __ · ...;1';...__'.\ ... · _· >i'"-. .:ilt_; )..,:._...;·_'' ~'. CITY STATE ZIP CODE AREA CODE/PHONE /.\_k . .f\YvlC \)/\ l ;, '").!'1S.l.·i (.)IL) Scf!; · ll' C't'-1 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX _ _, - 1' l ~'•~:I\ \' \(,_- ~ITY STATE ZIP CODE AREA CODE/PHONE ( OPTIONAL: FAX I E-MAIL ADD ESS 4. Verification 2. Type of Statement: 0 Preelection Statement 0 Semi-annual Statement 0 Termination Statement ~ Amendment (Explain below) h\OLl~t-\ .J .. L(._\')I Treasurer(s) NAME OF TREASURER j) t '/ \J. l: Crl\-1 '-- MAILING ADDRESS c CITY /\1--t'.A. n ) t:: n /'>.... / I NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS 0 0 D T STATE STATE Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement -Attach Form 495 \.,\.'(1 \.\k i) ZIP CODE ('i l :.,' ZIP CODE pu1<'S U.c. AREA CODE/PHONE AREA CODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing i~ t~u~ and corr~-!. . . D /-: / ,· ·1 1·. l .. -- Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate. State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-:=PPC Type or print in ink. Recipient Committee Campaign Statement Cover Page -Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE ·:\) \i. -\· \ \\ ;<.~ . '; J OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ~ ! r1.3 er Ak1\n'1t: \Ji"- _SIDENTIAUBUSINE~$S ADDRESS (NO. AND STREET) CITY STATE ') , \ ·· ZIP L;)\..j 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 \I \) NAME OF TREASURER t\:' COMMITTEE ADDRESS CITY NAME OF TREASURER COMMITTEE ADDRESS CITY l.D. NUMBER CONTROLLED COMMITTEE? EZl YES D NO ' f\ '-~ STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE l.D. NUMBER CONTROLLED COMMITTEE? DYES D NO STREET ADDRESS (NO P.O. BOX) .·J..(G STATE ZIP CODE AREA CODE/PHONE ( \, I 6. Ballot Measure Committee NAME OF BALLOT MEASURE Y' )(..\ ~'Y) A]Z ~ BALLOT NO. OR LETTER JUF}jgl)CTION 'RJ 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 !S:] SUPPORT ?:>t::·r~·"f r· f:u~;J~l. ~\ ·;·· i\"'i\f!f.c vi\ D OPPOSE \.I 'f~\ NAME OF OFFICEHOLDER OR CANDIDATE OFFIGE 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 ol California Type or print in ink. SUMMARY PAGE Cai:npaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ...... .... .. .. ............................. Schedule A, Line 3 $ 2. 1 -::ms Received ...................................................... Schedule 8, Line 7 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) ~wBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions.................................... Schedule C, Line 3 $ \} -0-D, O l) 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 a+ 9 + 10 $ C• 'y'"ent Cash Statement .dginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ....... ............................................ Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments.................................................. Column A, Line a 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 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2 +Line 9 in Column 8 above $ from ---------- through ________ _ Page ___ of __ _ $ $ $ $ $ $ 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 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 se:t~~eduleA Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE * Schedule A Summary 1. Amount received this period contributions of $100 or more. DINO DCOM DOTH OPTY DSCC DINO DCOM DOTH OPTY oscc DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH. 0PTY DSCC DINO DCOM DOTH DPTY DSCC SUBTOTAL$ SCHEDULE A Statement covers period from --------- CALIFORNIA 460 FORM through _______ _ Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD l.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) *Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM -Recipient Committee (other than PTY or SCC) OTH-Other 2. Amount received this period unitemized contributions of less than $100 ............................................. $ ______ _ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _____ _ PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Scf1edule A {Continuation Sheet) Monetary Contributions Received NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE * DINO DCOM DOTH DPTY DSCC Statement covers period from _________ _ through _______ _ SCHEDULE A (CONT.) CALIFORNIA 460 FORM Page ___ of __ _ l.D.NUMBER AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 ·DEC. 31) PER ELECTION TO DATE (IF REQUIRED) DINO DCOM DOTH DPTY DSCC ~~~~~~~~--~~~~~~~--t-:::::-~~-r-~~~--~~-r~~~~l"""~~~~-r-~~-~ D IND ·contributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH Other PTY -Political Party SCC -Small Contributor Committee DCOM DOTH DPTY DSCC DINO DCOM DOTH 0PTY DSCC DINO DCOM DOTH DPTY DSCC SUBTOTAL$ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule 8 -Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER LO. NUMBER) to IND 0 COM 0 OTH 0 PTY o sec to IND D COM DOTH 0 PTY o sec to IND D COM DOTH D PTY D sec Schedule B Summary Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER a (b) OUTSTANDING AMOUNT OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS (IF SELF-EMPLOYED, ENTER BEGINNING THIS NAME OF BUSINESS), p R PERIOD SUBTOTALS $ Statement covers period from--------- through _______ _ (c) (d) (e) AMOUNT PAID OUTSTANDING INTEREST BALANCE AT PAID THIS OR FORGIVEN CLOSE OF THIS THIS PERIOD* PERIOD 0PAID __ % 0 FORGIVEN RATE DATE DUE OPAID $ __ % 0 FORGIVEN RATE DATE DUE OPAID $ __ % 0 FORGIVEN RATE DATE DUE $ $ 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 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.) 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. (May be a negalive number) t Contributor Codes SCHEDULE B-PART 1 CALIFORNIA 460 FORM Page___ of __ _ 1.D. NUMBER (f) (g) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR PER ELECTION** DATE INCURRED CALENDAR YEAR PER ELECTION** DATE INCURRED CALENDAR YEAR PER ELECTION** DATE INCURRED *Amounts forgiven or paid by another party also must be reported on Schedule A. •• If required. IND -Individual COM-Recipient Committee (other than PTY or SCC) OTH -Other PTY -Political Party sec-Small Contributor Committee I FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B -Part 2 Loan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER LO. NUMBER) CONTRIBUTOR CODE DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH OPTY oscc DINO DCOM DOTH DPTY DSCC DINO 0COM DOTH 0PTY DSCC Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEUF·EMPLOYED, ENTER NAME OF BUSINESS) LOAN LENDER DATE LENDER DATE LENDER DATE LENDER DATE SCHEDULEB-PART2 Statement covers period from --------- CALIFORNIA 460 FORM through _______ _ Page AMOUNT GUARANTEED THIS PERIOD l.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR PER ELECTION (IF REQUIRED) of BALANCE OUTSTANDING TO DATE SUBTOTAL $ Enter on Summaiy Page, Line 17only. FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC . ScheduleC Non monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER CODE* DINO DCOM DOTH DPTY DSCC DJND DCOM DOTH DPTY DSCC DJND DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Attach additional information on appropriately labeled continuation sheets. Schedule C Summary 1 . Amount received this period non monetary contributions of $100 or more. SCHEDULEC Statement covers period CALIFORNIA 460 FORM from ________ _ through ______ _ Page ___ of __ _ DESCRIPTION OF GOODS OR SERVICES SUBTOTAL$ AMOUNT/ FAIR MARKET VALUE l.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 ·DEC 31) 'Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) (Include all Schedule C subtotals.) ..................................................................................................................... $ _____ _ COM-Recipient Committee (other than PTY or SCC) OTH-Other 2. Amount received this period -unitemized non monetary contributions of less than $100 .................................... $ ______ _ PTY -Political Party 3. Total nonmonetary contributions received this period. SCC -Small Contributor Committee" (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ _____ _ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleD Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE \."' ) ·1 \\I ., L r ~ Support D Oppose D Support D Oppose D Support D Oppose Schedule D Summary Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT D Monetary Contribution fl] Non monetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ Statement covers period from-------- through ________ _ SCHEDULED CALIFORNIA 460 FORM Page___ of __ _ l.D. NUMBER CUMULATIVE TO DATE PER ELECTION AMOUNT THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1-DEC.31) (IF REQUIRED) 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ _____ _ 2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................................................... $ _____ _ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enteron the Summary Page.) .............. TOTAL $ _____ _ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleD (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees NAME OF FILER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE [%1 Support D Oppose D Support D Oppose D Support D Oppose D Support D Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT D Monetary Contribution t;Zl Nonmonetary Contribution D Independent Expenditure D Monetary Contribution· D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Non monetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ Statement covers period from ________ _ through _______ _ Page ___ of __ _ AMOUNT THIS PERIOD l.D. NUMBER CUMULATIVE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1·DEC.31) (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedult:E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from--------- through -------- SCHEDULEE CALIFORNIA 460 FORM Page ___ of __ _ 1.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OvP CNS eTB eve Fii campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations 'andidate filing/ballot fees Jndraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE MBR MTG OFe PET PHO POL POS PRO PITT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TAC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail} (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID wA.)· .,. 111 • r' \) j\ '" 1•1 /\.! \:' h ) I) I (' ,, /\...~ ' )\. \ t '" '•'"· I ~'- TR., ,:) . J lA~1 l.. \) .1 \~ Cf \1\ I l A::DA * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ _____ _ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _____ _ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ _____ _ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made Type or print in ink. SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period from---------- CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER through _______ _ Page ___ of __ _ l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 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)* , OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees Pf-K) phone banks me candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals dependent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor ._ , 1egal defense PFO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PAT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITIEE, ALSO ENTER l.D. NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULEF Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ________ _ CALIFORNIA 460 FORM through _______ _ SEE INSTRUCTIONS ON REVERSE Page___ of __ _ NAME OF FILER l.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions eTB 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 TRC candidate travel, lodging, and meals ,.. ndraising events POL polling and survey research TRS staff/spouse travel. lodging, and meals independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PAJ professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PAT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMIITEE, ALSO ENTER LO. NUMBER) ----· • Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule F Summary (a) CODE OR OUTSTANDING DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD SUBTOTALS$ 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for $ (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD $ $ accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS$ _____ _ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS$ _____ _ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ ~----~ May be a negative number FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from--------- through _______ _ SCHEDULE F (CONT.) CALIFORNIA 460 FORM Pa~e ___ of __ _ LO.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* r· --·vie donations _;andidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PEf petition circulating PH) phone banks POL polling and survey research POS postage, delivery and messenger services PAO professional services (legal, accounting) PRT print ads * Payments that are contributions or independent expenditures must also be summarized on Schedule D. CODE OR (a) NAME AND ADDRESS OF CREDITOR OUTSTANDING (IF COMMITIEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD ------- SUBTOTALS$ $ RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC canQjdate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) (b) AMOUNT INCURRED THIS PERIOD $ (c) (d) AMOUNT PAID OUTSTANDING THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduieG Paym£;ht£ Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER NAME OF AGENT OR INDEPENDENT CO Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ________ _ through _______ _ SCHEDULEG CALIFORNIA 460 FORM Page___ of __ _ LD. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Clv'P CNS CTB ('' - FND IND LEG UT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* vie donations vandidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PAT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR (IF COMMITTEE, ALSO ENTER 1.D. NUMBER) - Attach additional information on appropriately labeled continuation sheets. • Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule £. RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID TOTAL* $ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule H Loans Made to Others* SEE INSTRUCTIONS ON REVERSE NAME OF FILER IF AN INDIVIDUAL, El;JTER FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OF RECIPIENT (IF COMMITTEE, ALSO ENTER LO NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. Schedule H Summary Type or print in ink. Amounts may be rounded to whole dollars. (a) (b) OUTSTANDING AMOUNT BALANCE LOANED THIS BEGINNING THIS PERIOD PERIOD SUBTOTALS $ Statement covers period from--------- through _______ _ (c) OUTST~~DING (e) REPAYMENT OR INTEREST FORGIVENESS BALANCE AT RECEIVED CLOSE OF THIS THIS PERIOD* PERIOD D PAID __ % D FORGIVEN RATE DATE DUE D PAID __ % D FORGIVEN RATE DATE DUE $ $ 1. Loans made this period .................................................................................................................................................. $ _____ _ (Total Column (b) plus unitemized loans less than $100.) 2. Payments received on loans ........................................................................................................................................... $ ______ _ (Total Column (c) plus unitemized payments less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ -~----(May be a negative number) (Enter the net here and on the Summary Page, Column A, Line 7.) SCHEDULEH CALIFORNIA 460 FORM Page___ of __ _ l.D. NUMBER (I) (g) ORIGINAL CUMULATIVE AMOUNT OF LOANS LOAN TO DATE CALENDAR YEAR PER ELECTION"* DATE INCURRED CALENDAR YEAR PER ELECTION** DATE INCURRED **If Required FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC " SchedUI& I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITIEE, ALSO ENTER l.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Schedule I Summary Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ________ _ through ______ _ DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ _____ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ _____ _ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ _____ _ SCHEDULE I CALIFORNIA 460 FORM Page ___ of __ _ l.D. NUMBER AMOUNT OF INCREASE TO CASH FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866JA.SK-FPPC