Pacletic for Alameda City Council 460Recipient Committee
Campaign Statement
Cover Page
Type or print In Ink.
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ~lf L.·25-2ooZ,..
th h .51:P-3c-2W'Z.. roug
1. Type of Recipient Committee: All Committee& -Complete Part& 1, 2, 3, and 4.
Jli Officeholder, Candidate Controlled Committee
8 State candidate ElecUon Committee
Recall
(Also Complel8 Part 5)
0 General Purpose Committee 0 Sponsored
8 Small Contributor Committee
Political Party/Central Committee
3. Committee Information
O Ballot Measure Committee 0 Primarily Formed
8 Conlrolled
Sponsored
(Also Complel8 Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complel8 Part 7)
l.D. NUMBER 1 i it '5 q b q
COMMIITEE NAME (OR CANDIDATE'S NAME IF NO COMMIITEE)
STREET ADDRESS (NO P.O. BOX)
CIALAMEDA AREA CODEJPHONE
<?2.;. 21 {). i,3g 5
STATE
L,(
ZIP CODE
ql/t;of
MAILING 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
Date of election If appllcab
(Month, Day, Year) Li 7 2002
For Official Use Only
Clerk's Of ice
2. Type of Statement:
d Preelecllon Statement
0 Semi-annual Statement
0 Termination Statement
0 Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
NERJS5./t
MAILING ADDRESS
0 Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preeleclion
Statement -Attach Form 495
"'\'
CITY ALAMeDA STATE
CA-
AREA CODE/PHONE
510' 337 5771
ZIP CODE
CJ t/5D I
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
Execuledon ------------Oata BY------=----------=---......,....,.,----....,-----~ Signature of Controlling Oflicaholdor, Candidate, Stale Measure Proponent
Executed on ------.0 ,..,81 _0 ------BY-----...,.,,~..,,.-,,,,,...,.,,,,,,,...,..='""_,.,.,.,..,,,,..,...,,..,..,....,"'""".,.,,.,,,.-,...,..-~.,,,-----=-,.... Signatute of C<>nlrolling Officeholder, Candidate, Sta ta Measure Proponent FPPC Form 460 (Junel01)
FPPC Toll•Free Helpline: 866/ASK-FPPC
State of Callfornla
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print In Ink.
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
/)lo/V\A.S c. PAVL~TI<.--
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
c !TY COU1'l0 L-j A LAM r=.-bA
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
ALA 1-<et:>A c + q lf5u 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 expandltures on behalf of your candidacy.
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
Cl.TY
l.D. NUMBER
CONTROLLED COMMITTEE?
0 YES 0 NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
l.D. NUMBER
CONTROLLED COMMITTEE?
DYES
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 0 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 offlceholder(s) or candldate(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: 886/ASK·FPPC
State of California
Instructions for
Recipient Committee
Campaign Statement -Cover Page
Period Covered by a Statement:
The "period covered" by a campaign statement
begins the day after the closing date of the last
campaign statement you filed. For example, if the
closing date of the last statement was September
30, the beginning date of the next statement will be
October 1.
If this is the committee's first campaign statement,
begin with January 1 of the current calendar year.
The closing date of the statement depends on the
type of statement you are filing.
Date of Election:
If you are filing this statement as a preelection
statement in connection with an election, enter the
date of the election.
Type of Recipient Committee:
Check one box to indicate the type of committee
filing the statement. General descriptions are
provided on the cover sheet to this form, or contact
your filing officer or the FPPC for assistance.
Following are some additional guidelines:
Controlled Committee
• A controlled committee is one that is controlled
by a candidate, officeholder or, in the case of a
state ballot measure committee, by the
proponent of the measure. A committee is
"controlled" if the candidate, officeholder, or
proponent, his or her agent, or any other
committee he or she controls, has a significant
influence on the actions or decisions of the
committee.
Sponsored Committees
• A sponsored committee is one that has a
sponsor-a business entity, organization, union,
or other entity-that meets certain criteria.
Sponsored ballot measure committees and
general purpose committees must include the
name of the sponsor in the name of the
committee.
Small Contributor Committees
• This term is significant only if the committee
makes contributions to candidates running for
elective state office.
Type of Statement:
Check the appropriate box(es) to indicate the type
of statiament you are filing (or amending).
Amendments: If you are filing an amendment to a
previously filed statement, give a brief explanation
of the amendment and list the schedules being
·amended. Include an amended summary page, if
applicable. Be sure to enter the period covered of
the statement you are amending.
Termination: A committee must continue filing
campaign statements each year until it is eligible to
terminElte and files a Form 410 Termination.
Most officeholders must continue filing campaign
statements until they have terminated all controlled
committees and have left office.
Committee l.D. Number:
If the committee has not yet received an
identification number from the Secretary of State,
CALIFORNIA 461'\
FORM \.I
enter "Not Yet Received." File Form 410 to obtain an
l.D. Number.
Verification:
The statement must be signed by the committee
treasurer or the assistant treasurer named on the
committee's Statement of Organization (Form
410). An officeholder, candidate, or state measure
proponent who controls the committee must also
sign the statement. If two or three officeholders,
candidates, or proponents control the committee,
each must sign the statement. If more than three
control the committee, one may sign on behalf of
the others.
Under certain circumstances, the responsible
officer of a sponsoring organization must sign the
statement.
Additional Important Information:
Refer to the FPPC Campaign pjsclosure Manual for
your type of committee for information about:
• When, where, and what type of statements the
committee is required to file.
• Closing date of campaign statements.
• Sponsored committee criteria.
• Termination criteria.
• Recordkeeping requirements and prohibitions.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Type or print In Ink. SUMMARr' flr:\GE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 4e n
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1 . Monetary Contributions ................................................ Schedule A, Line 3 $
2. Loans Received ............................................................. Schedul11 a, Lin11 7
3. SUBTOTAL CASH CONTRIBUTIONS............................. Add Linas 1 + 2 $
4. Nonmonetary Contributions ........................................ Sch11dul11 c, Un11 3
5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lin11s 3 + 4 $
Expenditures Made
6. Payments Made............................................................. Sch11dul11 E, Lina 4 $
7. Loans Made .................................................................... Sch11dul11 H, Lina 7
8. SUBTOTAL CASH PAYMENTS ......................................... Md Lin11s 6 + 7 $
9. Accrued Expenses (Unpaid Bills) .................................. Sch11dul11 F, Lin11 3
10. Nonmonetary Adjustment. .............................................. Sch11dul11 c. un11 3
11. TOTAL EXPENDITURES MADE ................................... Add Lin11s a + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance.......................... Previous Summary Pag11, Lins 16 $
13. Cash Receipts ....................... ,................................. Column A, Lina 3 abova
14. Miscellaneous Increases to Cash.............................. Schadula 1, Una 4
15. Cash Payments ....................................................... Column A, Lina B abova
16. ENDING CASH BALANCE ............ Add Lines 12 + 13 + 14, th11n subtract un11 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED .............................. Schadula a, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ............................................. Sa11 instructions on ravarse $
19. Outstanding Debts............................ Add Lina 2 +Lina 9 in Column B abova $
Column A
TOTAL THIS PERIOO
(FROM ATTACHED SCHEDULES)
6.6()
0 .(/0
Z;ol/-53
C>.oo
<J.t>D
6. 60
{) .oo
/bDO·DD
J IAL.-Z'S -:2-uo 2..-trom ________ _ FORM U\.l
$
$
$
$
$
$
ColumnB
CALENDAR YEAR TCJTALT OCl'\TE
To calculate Column B, add
amounts in Column A to !he
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).
Page _3 __ of __ f-...--
l.D. NUMBER
l2l/SCCo9
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20. Contributions Received $ ____ _ $ ____ _
21. Expenditures Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulatlve Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
__J__J __ $
__J__J __ $
__J__J __ $
__J__J __ $
__J__J __ $
__J__J __ $
*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
Instructions for
Summary Page
Campaign Disclosure Statement
The Summary Page provides an overview of the
committee's financial activities and is completed
for each filing.
Column A reflects activities during the current
reporting period as reported on Schedules A
through H. It is not necessary to attach a blank
-.chedule if there has been no reportable activity
during the period, but it is necessary to enter a
zero or the word "none" on the appropriate line in
Column A of the Summary Page. ·
Column B figures should reflect the cumulative total
since January 1 of the current calendar year.* Add
the totals from Column B of the committee's last
campaign statement (if any) to the corresponding
amounts in Column A. If this is the first report being
filed for a calendar year, only carry forward the
amounts reported on Lines 2, 7, and 9 of Column B
(if any) from the committee's last statement. (Note:
If you filed Form 460 for a prior reporting period and
are using the June/01 version of the form for the first
time, carry forward the applicable amounts reported
in Column C of the committee's last campaign
c;tatement)
When loans (Schedules B and H) and accrued
expenses (Schedule F) are paid, the figures to be
carried from the schedules to Lines 2, 7, and 9 of
Column A may be negative numbers. In this case,
be sure to show them as negative figures on the
Summary Page (e.g., with a minus sign (-)or in
parentheses), and subtract them when totaling
Columns A and B.
Current Cash Statement:
Lines 12-16 of the Summary Page should accurately
reflect your current cash position. Beginning and
ending cash balances should include the total
amount of funds in your campaign checking and
savings accounts, plus any investments that can be
readily converted to cash, such as certificates of
deposit, money market accounts, stocks and
bonds, etc.**
Line 12 (Beginning Cash Balance) must be the same
as the ending cash balance reported on Line 16 of
your previous statement's Summary Page. If this is
your first campaign statement, enter zero on Line 12.
Line 16 (Ending Cash Balance) is the total of Lines
12, 13, and 14, minus Line 15.
If you are filing a termination statement, Line
16 must be zero.
Cash Equivalents:
"Cash equivalents" include investments that cannot
be readily converted to cash, as well as the
balance due on all outstanding loans the
committee has made to others (from Line 7 of
-Column B of the Summary Page). Investments that
can be readily converted to cash, such as
certificates of deposit or money market funds,
should be included in the cash on hand figures on
Lines 12 and 16 of the Summary Page.
Summary for Primary and General
Elections (lines 20 and 21):
This section is only for committees that are:
• Controlled by a candidate who is being voted on
in both the state primary and general elections
(does not apply to controlled ballot measure
committees); or
• Primarily formed to support or oppose candidates
being voted on in both the state primary and
general elections.
CALIFORNIA 4c n
FORM UU'
Complete this summary on the preelection and
semi-annual statements for the general election,
covering periods during the last six months of the
year (July 1-December 31 ).
Expenditure Ceiling Summary for State
Candidates (Line 22):
Candidates for elective stale office who have
accepted the voluntary expenditure ceiling for a
particular election, must disclose the total amount of
expenditures made through the end of the reporting
period that are subject to the expenditure ceiling for
the election. (See FPPC Fact Sheet 34-01.) Report
the date of the election and total amount expended
for that election. Report totals for the primary and
general elections separately. This information is no
longer required if the expenditure ceiling has been
lifted.
*Them are exceptions to the calendar year
"cumulation period" for candidate elections and
ballot measure elections held in January and early
February, and for ballot measure qualification
activities. Consult the FPPC Campaign Disclosure
Manual for your type of committee for additional
information.
**Officeholders and candidates are subject to bank
account restrictions, and all committees should read
the FPPC Campaign Disclosure Manual for your
type of committee regarding appropriate uses of
campaign funds.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
Schedule A Type or print In Ink. SCHEDLLE A
Monetary Contributions Received Amounts may be rounded
to whole dollars. Statement covers period
from .J Ul--2t;-2ou'Z-
CALIFORNIA 4 D. l"\
FORM U\il
SEE INSTRUCTIONS ON REVERSE through 5 E. 'P -3o. 2 ooZ.. Page f of 0
NAME F FILER
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
AU.6· I lo-o
SEP-/-o"Z.
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
/>\ A;-12-TH<\ () 1 C.of..llJ IE'LL PA;:UJD'f
/
,kLAM!?bA, c+ qqs o !
B. A' THc,MA.s;
A_lAMt:.:t:iA, CA q45o I
°F'r//L1P A-N'b b'ReruDA Tl/b/<.~i;:'
£
A-L4.M&bA. l',+ qlf 50 I
DA. I/ ID F'RATI"
.€
ALAM epA-1 c4 CIL-l c; D (
L-1;;::N 6 \:~ A-1--1 k,4
-
A LAM t;;D.A, C A 9 L,J.So I
Schedule A Summary
CODE*
llflND DCOM
DOTH DP1Y DSCC
!BIND
DCOM
DOTH DP1Y
DSCC
II) IND
DCOM
DOTH DP1Y
DSCC
{lllND
DCOM
DOTH DP1Y DSCC
.li!f IND
DCOM
DOTH DP1Y
DSCC
IF AN INDIVIDUAL, ENTER AMOUNT
OCCUR\TION AND EMPLOYER RECEIVED THIS
(IF SELF·EMPLOYEO, ENTER NAME PERIOD
OF BUSINESS)
f?t: 1so-o.oo
A7fORN£.V f, 2 SC>. !tO
SR· Pf-6GfAMMt::f, 4-roe>.oo LY l'.ZlS Co.
/V\.ANAGt:~J .s/ 2J)D ·DD t.:BMllP
\e:Ar: r J 4 /{)() .60 P-:
~MHU.A.l 11'/ Ceil.-/.,fG t::5
SUBTOTAL$
1. Amount received this period -contributions of $100 or more. -:j, /1 / 5 o
{Include all Schedule A subtotals.) ................................................................................................. $ _____ _
.396 2. Amount received this period -unitemized contributions of less than $100 ......................................... $ _____ _
3. Total monetary contributions received this period. J /.5 t/ 8
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ..................... TOTAL $------
l.D. NUMBER
l 2-t.-l s 'i lq
CUMULATIVE 10 DATE PER ELECTION
CALENDAR YEAR TO DATE
(JAN. 1 -DEC. 31) (IF REQUIRED)
~ t;{)() \ 00 4soo.6"o
st 2 i:; C>. 0 'O
4 100.ao
4 1c"().DD
s100.oo
*Contributor Codes
IND -Individual
9 Jso .o·o
3 roo.oo
~ 2cm tY-tJ
-6 /t)(). () 0
COM -Recipient Committee
(other than PTY or SCC)
OTH-Olher
PlY -Polilical Party
SCC -Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
Instructions for
Schedule A
Monetary Contributions Received
Report monetary contributions (except loans)
received during the reporting period on Schedule A.
Also report on Schedule A if a contributor forgives a
loan for you or a third party pays a loan for you.
Loans received during the period are reported on
Schedule B.
If a total of $100 or more is received from a single
contributor during a calendar year, report the name,
street address, city, state and zip code of the
contributor, the amount contributed this period, and
the cumulative amount received from the contributor
since January 1 of the current calendar year."'
Include monetary and nonmonetary contributions
and loans when reporting the cumulative amount.
Contributions of less than $100 received from a
single contributor during a calendar year are
totaled and reported as a lump sum on Line 2 of
the Schedule A Summary.
Date Received:
A monetary contribution has been received when
.he candidate or committee, or an agent of the
candidate or committee, receives or obtains control
of the check or other negotiable instrument. There
are special rules for reporting the date contributions
are received by a committee that collects
contributions through employee payroll deductions
or membership dues.
Contributor Codes:
For each itemized contributor, check the applicable
contributor code:
IND-contributions from any individual's personal
funds.
COM-contributions from other committees that
receive contributions. These committees will have
an identification number assigned by the Secretary
of. State. Examples: political action committees,
other candidates' committees. (State committees
should use PTY or sec when appropriate.)
OTH-business entities and other contributors.
PTY--contributions from political parties (including
state and county central committees).
SCC--contributions from small contributor committees
(applicable only to state candidates and committees).
Contributions from Individuals:
When itemizing a contribution from an individual,
also disclose the contributor's occupation and the
name of his or her employer. If the contributor is
self-employed, provide the name of his or her
business. If the contributor is not employed, enter
· "none."
It is not necessary to enter occupation and
·employer information for other types of
contributors (such as business entities).
New Requirement (All Committees): A
contribution of $100 or more must be returned to the
contributor within 60 days if the contributor's
address, occupation and employer information is not
obtained.
Contributions from Committees:
When itemizing a contribution from another recipient
committee, disclose the identification number
assigned to that committee by the Secretary of
CALIFORNIA 4~ I'\
FORM UU
State in addition to its name and address. If no ID
number has been assigned, provide the name and
address of that committee's treasurer.
Intermediaries:
If you receive a contribution through an intermediary
(i.e., you have received a contribution check from a
· person other than the true source of the funds),
disclose all of the required information for both the
intermediary and the actual contributor.
Per Election to Date:
Candidates subject to state contribution limits (or if
required by local ordinance) must disclose the
cumulative amount received from each contributor
during the limitation cycle in addition to the calendar
year cumulative amount. (Candidates for elective
state office should refer to FPPC Fact Sheet 34-01.)
Additional Important Information:
Refer to the FPPC Campaign Disclosure Manual for
your type of committee for important information
about aggregating monetary and nonmonetary
contributions, recordkeeping, prohibitions on cash
contributions, returning contributions, and more,
including the following:
'"There are exceptions to the calendar year
"cumulation period" for candidate elections and ballot
measure elections held in January and early
February, and for ballotmeasure qualification
activities.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE B -PART 1
Schedule B -Part 1
loans Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from .JUL--~5 ''2-062 CALIFORNIA 46m
FORM
SEE INSTRUCTIONS ON REVERSE through .SEP~3o·ZCOZ.. Pagel of~
NAME OF FILER
IF AN INDIVIDUAL, ENTER a (b) (c)
FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT Fl\ID OUTSTANDING
OF LENDER OCCUR\TION AND EMPLOYER BALANCE RECEIVED THIS BALANCE AT
(IF SELF-EMPLOYED, ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD * PERIOD
JoN\ PAVLETIC lofJjltLTA-,,r/ 0 PAID
::1 troo . co 1 J,oco oo 4 /!JDD.DtJ $ $ F Row Al 4 r 11lDwe..ii-A L,A 1\1\ ~t:.;A 1 CA qt../r:J!J I 0 FORGIVEN
$ $
tilalND 0 COM 0 OTH 0 PTY O sec DATE DUE
0PAID
$ $
0 FORGIVEN
$ $ to IND 0 COM 0 OTH 0 PTY O sec DATE DUE
0PAID
$ $
0 FORGIVEN
$ $ to IND 0 COM 0 OTH 0 PTY o sec DATE DUE
SUBTOTALS s I J:t?<.'-co s ().()0 $ I; tri>O. <) C>
Schedule B Summary
fl. I ()ot) I () {)
1. Loans received this period ............................................................................................................ $ -------
(Total Column (b) plus unitemized loans less than $100.)
(). ()0 2. Loans paid or forgiven this period .................................................................................................. $ -------
(Total Column (c) plus lo;::ins 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 $ -------(May be a negative number) Enter the net here and on the Summary Page, Column A, Line 2.
t Contributor Codes
IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other P1Y -Political Party SCC -Small Contributor Committee
$
$
$
$
• INTEREST
PAID THIS
PERIOD
_Q_%
RKE
(J. 00
__ %
RKE
__ %
RKE
W. NUMBER
g
ORIGINAL CUMULATIVE
AMOUNT OF CONTRIBUTIONS
LOAN TO DPJE
4 /()Cl),()[)
CALENDAR YEAR
s 4 tmo .otJ $
'if) 3t>/o2-
PER ELECTION**
$
DATE INCURRED
CALENDAR YEAR
$ $
PER ELECTION **
$
DATE INCURRED
CALENDAR YEAR
$ $
PER ELECTION**
$
Dl\fE 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 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
OCCUffiTION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE 1<
*Contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH-Olher
PlY -Political Party
SCC -Small Contributor Committee
DINO
DCOM
DOTH DP1Y DSCC
DINO
DCOM
DOTH
DPlY DSCC
DINO
DCOM
DOTH DPlY DSCC
DIND
DCOM
DOTH
DP1Y DSCC
DINO DCOM
DOTH DP1Y DSCC
SUBTOTAL$
SCHEDULE A (CONT.)
Statement covers period
from ________ _
CALIFORNIA 4a n
FORM U\.I
through, _______ _ Page ___ of, __ _
AMOUNT
RECEIVED THIS
PERIOD
LO.NUMBER
CUMULATIVE ro 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
SCHEDULE E Schedule E
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
.f.~om _'-.l_cl_L-_' '2_5_,2_ob_Z_
CALIFORNIA 41!?.I"\
FORM U\.J
Se.P,3o-':<ooz b 6 through Page ___ of __ _ SEE INSTRUCTIONS ON REVERSE
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.
CIVIP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
ct.JS 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 Ta t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRe 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
UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF 1¥.YEE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF 1¥.YMENT AMOUNT 1¥.ID
Bl::!-AIR£ "Pis Pc,A, YS 1 1 AJc CMP ZEf/,@2q,£-13
£/"( FRv vr 1-l.-e, c A 9L/ r'oof3
c ITY OF AL.+.M EDA F/L-~ l25Dt)
Al-A/i'EbA I <!A ql.}£01
*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.) ........................................................................................... $ 11 Cf .t;tl. 15 3
57. t:>O 2. Unitemized payments made this period of under $1 OD ................................................................................................................................. $ ------
tJ. <:70 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 $ :2; 6 I I '5 3
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Instructions for
Schedule E
Payments Made
Report payments on Schedule E (other than loans).
For each payment of $100 or more made during
the period, report the name and street address,
city, state, and zip code of the payee or creditor,
1nd the amount paid during the period. Payments
of less than $100 during the period are reported as
a lump sum on Line 2 of the Schedule E
Summary. However, if two or more payments
under $100 were made for a single product or
service and the total paid during the period was
$100 or more, itemize the total amount paid during
the period.
Report on Schedule E payments made on
expenses that were reported on a previous
statement as accrued expenses. Also report
the required information on Schedule F.
Code or Description of Payment:
If one of the codes listed on Schedule E fully
describes the payment, enter the code. A full
description of each code is provided on the back of
the Schedule E-Continuation Sheet. If none of the
codes fully explains the payment, leave the "Code"
column blank and enter a brief description of the
goods or services purchased in the "Description of
Payment" column. In addition:
Candidates
• All payments in connection with your campaign
must be made from the campaign bank account.
To use personal funds for campaign purposes,
you must first deposit the funds in the campaign
bank account.
Payments by Agents and Independent
Contractors
When an agent or independent contractor (e.g.,
campaign worker, advertising agency, campaign
management firm) makes payments on your
behalf ("subvendor payments"), disclose the
name, address, amount paid, and code or
description of payment for each vendor paid
$500 or more. Disclose payments to the agent or
independent contractor on Schedule E. You may
disclose the subvendor payments on Schedule E
or Schedule G.
Ownership Interests or Business Employment
A ballot measure committee that makes a
payment to any business entity (1) which is
owned 50 percent or more by any of the
individuals listed below, or (2) in which any of
the individuals listed below is an officer, partner,
consultant or employee, must report that
individual's name, relationship to the committee,
and a description of the ownership interest or
position with the business entity. Individuals
covered by (1) and (2) above include:
--A candidate or person controlling the
committee; or
--An officer or employee of the committee; or
--The spouse of any of the above.
Loans
• Report interest paid on loans received on Line 3
of the Schedule E Summary (from Schedule B,
Part 1, Column (e)).
CALIFORNIA 4cn
FORM UU
• Do not report payments made on loans received
on Schedule E. Report loan repayments on
Schedule B.
• Do not report loans made to others on Schedule
E. Report loans made on Schedule H.
Savings Accounts/Certificates of DeposiU
Money Market Accounts
• Do not report transfers of campaign funds into
savings accounts, certificates of deposit, money
market accounts, or the purchase of any other
asset that can readily be converted to cash on
Schedule E. Continue reporting these amounts
as part of your cash on hand on the Summary
Page.
Additional Important Information:
Refer to the FPPC Campaign Disclosure Manual for
your type of committee for important information
about recordkeeping, returning contributions,
prohibitions on cash expenditures, permissible uses
of campaign funds, and more.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC