Committee to Elect Susan Maureen McCormack 460" Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers ~~iod Date of election if ap ·
(Month, Day, Year)
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
from 7/1' /__(2_ ·2=
through -++-9j_J--1() /t.---""-0-v-~_,__ Clerk's Office
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ~ice holder. Candidate Controlled Committee O Ballot Measure Committee
0 State Candidate Election Committee O Primarily Formed
0 Recall O Controlled
(Also Complete Part 5) Q Sponsored
D General Purpose Committee
0 Sponsored
O Small Contributor Committee
O Political Party/Central Committee
(Also Complete Part 6)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information 1.D. NUMBErp/ ~
u;;=m; ;c;;;;T~ME ~l~ff
:JcrJc?/J .ffifaurtC~/} fieebr/?lt::tc:K
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
2. Type of Statement:
~election Statement
D Semi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer( s)
-
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
STATE
D Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Form 495
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 foregoin · true and c ct. -
Executed on /,:::/I~ lf? ;;J---: Y
BY------=--,.---,.~,-,,,-,,,.,,,....,_..,.,.....,::--.,.,...,-.,,,,...,...,,..,--..,,,.---.....,-------signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
C:.t~t,.. nf ~i!i!Hfnrn\°"'
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
5. Officeholder or Candidate Controlled Committee
4''/.5~ 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 ---
NAME OF TREASURER -
COMMITTEE ADDRESS .----
CITY
COMMITTEE NAME
NAME OF TREASURER --
COMMITTEE ADDRESS -
CITY .-
l.D. NUMBER
CONTROLLED COMMITTEE?
DYES D NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
l.D. NUMBER
CONTROLLED COMMITTEE?
DYES NO
STREET ADDRESS (NO P.O. BOX)
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 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
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. Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions .......................................... . Schedule A, Line 3 $
? Loans Received ...................................................... Schedule B, Line 7
::,. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $
4. Non monetary 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. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTALEXPENDITURESMADE ................................ AddLines8+9+10 $
,.. 1rrent Cash Statement
, ""· Beginning Cash Balance ....................... Previous Summary Pag,e, 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 8 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 B, 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) 15·?(:;
0
$
$
$
$
$
$
Columns
CALENDAR YEAR
TOTAL TO DATE fs.~
15
15-
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).
LD. NUMBER
'f?
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7 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. A unts in this section may e
different from amounts reported in Column 8.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
,
Schedule A Type or print in ink.
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statemen~ '/~ers period
from -?@?---
th,ough i/7¢ 2--SEE INSTRUCTIONS ON REVERSE
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMMITTEE,ALSOENTERLD.NUMBER) CODE *
Schedule A Summary
1. Amount received this period -contributions of $100 or more.
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
(Include all Schedule A subtotals.) ........................................................................................................ $ ---.,.----oc--
2. Amount received this period-unitemized contributions of less than $100 ............................................. $ ___ 7"'--'~=-cr_O._'tJ_
3. Total monetary contributions received this period. t/5, ~I)
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _____ _
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
·contributor Codes
IND-Individual
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