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Beverly Johnson for Mayor 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84 Type or print in ink. Statement covers period from ____ 1_/0_1_10_2 __ _ Date of election if appl (Month, Day, Year) COVER PAGE UGI U 7 2002 For Official Use Only SEE INSTRUCTIONS ON REVERSE through ___ 91_3_0_!0_2 __ _ 11/05/02 Cit Clerk's Offic 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. 00 Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) D General Purpose Committee 0 Sponsored 0 Small Contributor Committee O Political Party/Central Committee 3. Committee Information D Ballot Measure Committee 0 Primarily Formed 0 Controlled 0 Sponsored (Also Complete Part 6) D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) l.D. NUMBER 1244901 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Beverly Johnson for Mayor STREET ADDRESS (NO P.O. BOX) CITY Alameda, STATE CA ZIP CODE 94501 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification AREA CODE/PHONE 510-52J-5143 AREA CODE/PHONE 2. Type of Statement: 00 Preelection Statement D Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER Jean Follrath MAILING ADDRESS 1706 Moreland Drive CITY Alameda NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX I E-MAIL ADDRESS D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE CA 94501 510-52,1-5143 STATE ZIP CODE 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 is true and correct. fl~~~ Executed on 10/07/02 By Date Executed on 10/07/02 Date By Executed on By Date Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California 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 Beverly Johnson OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor, City of Alameda RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE 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 1.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 IK] SUPPORT Beverly Johnson Mayor, City of Alameda 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 SEE INSTRUCTIONS ON REVERSE NAME OF FILER BEVERLY JOHNSON Contributions Received 1. Monetary Contributions ......................................... .. Schedule A, Line 3 $ 2. Loans Received .................. ........... ......... ................ Schedule a, Line 3 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 3 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. TOTALEXPENDITURESMADE ................................ AddLines8+9+10 $ Current Cash Statement 12. Beginning 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 B above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 1 s $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, 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) 10166.00 0 10166.00 0 10166.00 5763.44 0 5763.44 0 0 5763.44 0 10166.00 0 5763.44 4402.56 0 0 0 from ____ 1_10_1_10_2 __ _ through ___ 9_1_3_01_0_2 __ _ Page __ 3 __ 21 of __ _ $ $ $ $ $ s Columns CALENDAR YEAR TOTAL TO DATE 10166.00 0 10166.00 0 10166.00 5763.44 0 5763.44 0 0 5763.44 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some ainounts 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). 1.0. NUMBER 1244901 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) ____}____} __ $ ____}____} __ $ ____}____} __ $ ____}____} __ $ ____}____} __ $ ____}____} __ $ *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 Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Beverly Johnson 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 * 5/30/02 9/26/02 9/30/02 8/15/02 8/15/02 RALPH APPEZZATO ALAMEDA, CA 94502 C. RICHARD BARTALINI ALAMEDA, CA 94501 VICTORIA BROWN RONALD M. BARSARICH ALAMEDA, CA 94502 BOB & MARION BERGES ALAMEDA, CA 9450 Schedule A Summary IK)IND DCOM DOTH OPTY DSCC IK]IND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH 0PTY DSCC IKJIND DCOM DOTH DPTY DSCC MAYOR, CITY OF ALAMEDA (DEC'D) RETIRED CHIROPRACTOR BROWN CHIROPRATIC HEALTH ALAMEDA REAL ESTATE DEPT. CITY OF OAKLAND OAKLAND RETIRED SCHEDULE A Statement covers period from ____ 1_10_1_/_0_2 __ _ CALIFORNIA 4·~ II FORM UD through ___ 9_!_3_01_0_2 __ _ Page __ 4 _ of _2_1 _ AMOUNT RECEIVED THIS PERIOD 250.00 500.00 250.00 100.00 100.00 l.D. NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 250.00 500.00 250.00 100.00 100.00 *Contributor Codes IND-Individual PER ELECTION TO DATE (IF REQUIRED) 1. Amount received this period -contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ __ s_1 o_o_._o_o __ COM-Recipient Committee (other than PTY or SCC) OTH-Other 2. Amount received this period -unitemized contributions of less than $100 ............................................. $ ---=2""'-06=6""""'.-"'o-"-o __ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ __ 1_0_1 _66~·~0~0 __ PTY -Political Party SCC-Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Beverly Johnson 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) (IFCOMMITTEE,ALSOENTERl.D.NUMBER) CODE * 8/15/02 DELBERT BLAYLOCK ALAMEDA, CA 94501 9/25/02 PATRICIA DILKS OAKLAND, CA 94619 8/15/02 LYNN FARIS ALAMEDA, CA 94501 9/26/02 ROBERT FOLLRATH , ALAMEDA, CA 94501 5/30/03 KAREN FOLLRATH ALAMEDA, CA 94502 *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC -Small Contributor Committee [KJIND DCOM DOTH DPTY DSCC [KJIND DCOM DOTH DPTY DSCC [KJIND DCOM DOTH DPTY DSCC [KJIND DCOM DOTH DPTY DSCC [KJIND DCOM DOTH DPTY DSCC BUSINESS OWNER GOLDEN NEEDLE TAILORING ALAMEDA EDUCATION ADMINISTRATOR CHILDRENS LEARNING CENTER, OAKLAND ATTORNEY LEONARD, CARTER LAW OFFICES OAKLAND RETIRED RETIRED SCHEDULE A (CONT.) Statement covers period CAl..IFORNIA. 4mm from ____ 1_/0_1_10_2 __ _ FORM "111 through ___ 9_13_0_10_2 __ _ Page __ 5 _ of __ 2 _1 _ AMOUNT RECEIVED THIS PERIOD 100.00 250.00 250.00 1000.00 500.00 l.D. NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 100.00 250.00 250.00 1000.00 500.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER BEVERLY JOHNSON 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 LD. NUMBER) CODE * 8/12/02 KEN & PAULA FRIMAN ALAMEDA, CA 94501 8/4/02 RAY & FERN GAUL ALAMEDA, CA 94501 919102 JENNIFER GRAY ALAMEDA, CA 94501 9/11/02 BILL HOUSTON ALAMEDA, CA 94501 8/15/02 SAM KOKA ALAMEDA, CA 94501 *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC -Small Contributor Committee IXJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY oscc IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH 0PTY DSCC NONE RETIRED NONE OWNER ALAMEDA LAND CO. ALAMEDA OWNER SK AUTO ALAMEDA SCHEDULE A (CONT.) Statement covers period from ____ 1_/_0_11_0_2 __ _ CALIFORNIA i'~m:l\ FORM M'Utl. through ___ 9_13_0_10_2 __ _ 6 21 Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD 100.00 500.00 100.00 100.00 200.00 LO.NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 100.00 500.0 100.00 100.00 200.00 1244901 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER BEVERLY JOHNSON 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 COMMITIEE. ALSO ENTER l.D. NUMBER) CODE * 8/15/02 GENE LaFOLLETTE ALAMEDA, CA 94501 917102 CAROLINE LANE ALAMEDA, CA 94501 8120102 JO LEITZ ALAMEDA, CA 94501 8/15/02 DAVID & ANGELA MclNTYRE ALAMEDA, CA 94501 5/30/02 ALAN & DOROTHY MITCHELL 1270 ST. CHARLES ST. ALAMEDA, CA 94501 *Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC-Small Contributor Committee IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC IK]IND DCOM DOTH DPTY DSCC ATTORNEY GENE P LAFOLLETTE ATTORNEY AT LAW ALAMEDA NONE NONE REALTOR GALLAGHER & LINDSEY ALAMEDA RETIRED SCHEDULE A (CONT.) Statement covers period CAl...IFORNIA 4Dl'!\ from ____ 1/_0_1_10_2 __ _ FORM "11\.1 through ___ 9_/_3_01_0_2 __ _ Page __ ?_ of 21 AMOUNT RECEIVED THIS PERIOD 150.00 250.00 100.00 100.00 100.00 LO.NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 150.00 250.00 100.00 100.00 100.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER BEVERLY JOHNSON 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 * 812102 8/15/02 9/30/02 8/15/02 8/14/02 DEBORAH MITCHELL ALAMEDA, CA 94501 HADI MONSEF ALAMEDA, CA 94501 NWPC ALAMEDA-NORTH THE PERATA COMMITTEE ALAMEDA, CA 94501 DOROTHY RAMSEY 2840 WATERTON STREET ALAMEDA, CA 94501 ·contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC-Small Contributor Committee IXJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC DINO IKJCOM DOTH DPTY DSCC IKJIND DCOM DOTH DPTY DSCC IKJIND DCOM DOTH 0PTY oscc NONE REALTOR MASON MANAGEMENT ALAMEDA NONE SUBTOTAL$ SCHEDULE A (CONT.) Statement covers period from ____ 1_/0_1_10_2 __ _ CALIFORNIA 4~1\1 FORM WV through ___ 9_/_3_0_10_2 __ _ 8 21 Page of __ _ AMOUNT RECEIVED THIS PERIOD 1000.00 100.00 250.00 1000.00 100.00 2450.00 LO.NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 1000.00 100.00 250.00 1000.00 100.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER BEVERLY JOHNSON FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DATE RECEIVED (IF COMMITTEE, ALSO ENTER LO. NUMBER) 8/14/02 LISA ROSSI OAKLAND, CA 94607 9/15/02 GREG SILVA ALAMEDA, CA 94501 5/30/02 GAIL WETZORK ALAMEDA, CA 94502 8/15/02 GAIL WETZORK ALAMEDA, CA 94502 8/14/02 RICHARD YOUNG ALAMEDA, CA 94502 *Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC -Small Contributor Committee Type or print in ink. Amounts may be rounded to whole dollars. CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER CODE* (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) IXJIND BUSINESS MANAGER DCOM ED COAT DOTH DPTY OAKLAND DSCC IXJIND ATTORNEY DCOM STONEHOUSE & SILVA DOTH DPTY ALAMEDA DSCC IXJIND INSURANCE, DCOM SELF-EMPLOYED DOTH GAIL A. WETZORK DPTY DSCC CLU, CHFC ' ALAMEDA IXJIND INSURANCE, DCOM SELF-EMPLOYED DOTH GAIL A. WETZDRK, DPTY CLU, CHFC DSCC ALAMEDA IXJIND RETIRED DCOM DOTH OPTY DSCC SUBTOTAL$ SCHEDULE A (CONT.) Statement covers period from ____ 1/_0_1_10_2 __ _ CAEIFORNIA 4~.ll FORM \1\.1 through ___ 9_1_30_1_02 __ _ Page __ 9 _ of __ 2 _1 _ AMOUNT RECEIVED THIS PERIOD 100.00 250.00 100.00 100.00 100.00 650.00 LO.NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) 100.00 250.00 100.00 100.00 100.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Type or print in ink. SCHEDULE 8-PART 1 Schedule B -Part 1 Loans Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM from 1 /01 /02 SEE INSTRUCTIONS ON REVERSE through 9/30/02 NAME OF FILER BEVERLY JOHNSON FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITIEE. ALSO ENTER l.D. NUMBER) to IND o coM o OTH o PTY o sec to IND o coM o oTH o PTY o sec to IND o coM o oTH o PTY o sec Schedule B Summary IF AN INDIVIDUAL, ENTER a OUTSTANDING OCCUPATION AND EMPLOYER BALANCE (IF SELF-EMPLOYED, ENTER BEGINNING THIS NAME OF BUSINESS) ERi D SUBTOTALS$ (b) (c) AMOUNT AMOUNT PAID RECEIVED THIS OR FORGIVEN PERIOD THIS PERIOD • OPAID 0 FORGIVEN $ OPAID 0 FORGIVEN $ OPAID 0 FORGIVEN 0 $ 0 1. Loans received this period .................................................................................................................... $ 0 (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ 0 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) (d) OUTSTANDING BALANCE AT CLOSE OF THIS ERi DATE DUE DATE DUE $ DATE DUE $ 0 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ ---:-:-:--0-,--___ _ E h h d h S P C I L (Maybeanegativenumber) nter t e net ere an on t e ummary age, o umn A, ine 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 __ % RATE __ % RATE __ % RATE Page_1 _0 _ of __ 2_1_ l.D. NUMBER 1244901 (I) (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. 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 BEVERLY JOHNSON FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER l.D. NUMBER) CONTRIBUTOR CODE DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC Type or print in ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) LOAN LENDER DATE LENDER DATE LENDER DATE LENDER DATE SCHEDULE B ·PART; Statement covers period 1/01/02 from --------- CAl.IFORNIA 460 FORM through __ 9_/3_0_/_0_2 ___ _ Page _1 _1 _ of __ 21 _ AMOUNT GUARANTEED THIS PERIOD 1.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) BALANCE OUTSTANDING TO DATE FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleC Type or print in ink. SCHEDULE Nonmonetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CAl..IFORNIA 46 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER BEVERLY JOHNSON DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) from 1 /01 /02 through 9/30/02 IF AN INDIVIDUAL, ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY DSCC DINO DCOM DOTH DPTY oscc NAME OF BUSINESS) Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 0 Schedule C Summary 1. Amount received this period -non monetary contributions of $100 or more. (Include all Schedule C subtotals.) ..................................................................................................................... $ ___ o ___ _ 2. Amount received this period -unitemized non monetary contributions of less than $100 .................................... $ __ ___:...o ___ _ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 1 O.) ...................... TOTAL $ ___ o ___ _ 12 21 Page ___ of __ _ l.D.NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) ·contributor Codes IND -Individual PER ELECTION TO DATE (IF REQUIRED) COM -Recipient Committee (other than PTY or SCC) OTH-Other PTY -Political Party SCC -Small Contributor Committee 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 BEVERLY JOHNSON DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETIER AND JURISDICTION, ORCOMMITIEE 0 Support 0 Oppose 0 Support 0 Oppose O Support 0 Oppose Schedule D Summary Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution 0 Independent Expenditure 0 Monetary Contribution 0 Non monetary Contribution 0 Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOtAL $ SCHEDULED Statement covers period CAl..IFORNIA 460 FORM from 1 /01 /02 9/30/02 through -------Page __ 1_3 _ of __ 21_ AMOUNT THIS PERIOD 0 LO.NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1·DEC.31) PER ELECTION TO DATE (IF REQUIRED) 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ o 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 enter on the Summary Page.) .............. TOTAL $ o 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 BEVERLY JOHNSON NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LEITER AND JURISDICTION, ORCOMMITIEE O Support O Oppose O Support O Oppose D Support D Oppose O Support O Oppose Type or print in ink. Amounts may be rounded to whole dollars. TYPE OF PAYMENT 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 D Monetary Contribution D Non monetary Contribution D Independent Expenditure DESCRIPTION (IF REQUIRED) Statement covers period 1 /01 /02 from ________ _ 9/30/02 through _______ _ Page __ 1_4_ of __ 21_ AMOUNT THIS PERIOD l.D. NUMBER 1244901 CUMULATIVE TO DATE CALENDAR YEAR {JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER BEYERL Y JOHNSON Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 1_1_0_1_10_2 __ _ through ___ 9_13_0_1_02 __ _ SCHEDULEE C.At.IFORNl.A 4~11 ' FORM I.ID Page __ 1 _5 _ of _2 _1 _ l.D. NUMBER 1244901 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CfvP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FIL candidate filing/ballot fees FNO fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense Lrr campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.D. NUMBER) WEST ADVERTISING WEST ADVERTISING AROMA RESTAURANT MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads CODE OR PAHMPLETS CMP PAMPHLETS CMP CATERING FND * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC 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) DESCRIPTION OF PAYMENT AMOUNT PAID 1442.44 1301.71 1361.79 SUBTOTAL$ 4105.94 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ------""-'-""''-'--'---' 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ ----~o~. o=o 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ ______ o_.o_o 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ____ s_7 _6_3_. 4 _4 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 ___ 1_/_0_11_0_2 __ _ CALIFORNIA 4~m FORM .U\.I SEE INSTRUCTIONS ON REVERSE 9/30/02 through _______ _ Page __ 16_ of __ 2_1_ NAME OF FILER BEVERLY JOHNSON CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. LO.NUMBER 1244901 CfvP campaign paraphernalia/misc. MBR 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 F£T 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 FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CA VOTER GUIDE 1658 W. CARSON STREET WEB TORRANCE, CA 90501 WEST ADVERTISING CMP ·------- *Payments that are contributions or independent expenditures must also be summarized on Schedule D. OR DESCRIPTION OF PAYMENT VOTER GUIDE PAMPHLETS AMOUNT PAID 500.00 1157.50 SUBTOTAL$ 1657.50 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SeHEDULEf Schedule F Accrued Expenses {Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 1 _10_1_1_0_2 ___ _ CAl..IFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through __ 91_3_0_10_2 ___ _ Page _1_7 _ of __ 2_1_ NAME OF FILER BEVERLY JOHNSON l.D. NUMBER 1244901 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ov'P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions era contribution (explain nonmonetary)* OFe office expenses SAL campaign workers' salaries eve civic donations PEr 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 FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PAO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRr print ads WEB information technology costs (internet, e-mail) CODE OR (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITIEE, ALSO ENTER l.D. NUM!3ER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD • Payments that are contributions or independent expenditures must also be SUBTOTALS$ 0 $ 0 $ 0 $ 0 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ ____ o __ _ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 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$ 0 ' 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) NAME OF FILER BEVERLY JOHNSON Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 1 /01 /02 9/30/02 through-------- SCHEDULE F (CONT.) CALIFORNIA 460 FORM Page __ 18 _ of __ 21 _ LO.NUMBER 1244901 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OvP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonrnonetary)* eve civic donations 9L candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense UT campaign literature and mailings MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PAT print ads *Payments that are contributions or independent expenditures must also be summarized on Schedule D. (a) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING (IF COMMITTEE, 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 ---- 0 $ 0 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Scheauit:u Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER BEVERLY JOHNSON NAME OF AGENT OR INDEPENDENT CONTRACTOR NA Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ___ 1_1_01_;_0_2 ___ _ 9/30/02 through _______ _ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULEC CALIFORNIA 460 FORM 19 21 Page___ of __ _ LO.NUMBER 1244901 CM" campaign paraphernalia/misc. MBR 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 PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND 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 ur campaign literature and mailings PAT print ads WEB information technology costs (internet, e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR (IF COMMITIEE, ALSO ENTER l.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 E. DESCRIPTION OF PAYMENT AMOUNT PAID TOTAL* $ 0 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule H Loans Made to Others* Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from __ 1 _10_1_1_0_2 ____ _ 9/30/02 SCHEDULEH CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through-------- NAME OF FILER ·~--------------------------------.l~~:...:.:.::.:..:...:===============-.i_:_.:.:.:..:=====-..::..::==::::._j BEVERLY JOHNSON FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER LO. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (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 (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD SUBTOTALS $ (b) (c) AMOUNT REPAYMENT OR LOANED THIS FORGIVENESS PERIOD THIS PERIOD* 0 PAID ' D FORGIVE_N $ ___ _ D PAID D FORGIVEN 0 $ 0 OUTST~NDING BALANCE AT CLOSE OF THIS PERIOD DATE DUE DATE DUE $ 0 $ (e) INTEREST RECEIVED __ % RATE __ % RATE 0 (Enter (e) on Schedule I, Line 3) 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 $ ~----o __ (Enter the net here and on the Summary Page, Column A, Line 7.) <May be a negative number) **If Required FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER BEVERLY JOHNSON 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 1 /01 /02 through 9 !3 0I0 2 DESCRIPTION OF RECEIPT SUBTOTAL$ 1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ ___ o~--- 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ ___ o ___ _ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ........................................................................................................................... TOTAL $ ___ o ___ _ SCHEDULE CALIFORNIA. 46 FORM Page _21 __ of __ 2_1 _ l.D.NUMBER 1244901 AMOUNT OF INCREASE TO CASH 0 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC