Committee to Elect Susan McCormuck 460Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216.5)
Statement covers period from¢~~
through /tJ /I 1ff SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
E('omceholder, Candidate Controlled Committee D Ballot Measure Committee O State Candidate Election Committee O Primarily Formed
O Recall 0 Controlled
(Also Complete Part 5) Q Sponsored
(Also Complete Part 6) D General Purpose Committee 0 Sponsored
O Small Contributor Committee
O Political Party/Central Committee
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
CITY ~ STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
. Date of election if applicable
(Month, Day, Year)
2.
I ;
Type of Statement: ~election Statement
D Semi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
ASSISTANT TREASURER, IF ANY
MAILING ADDRESS /1 /lq
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
COVER PAGE
0 Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Form 495
STATE ZIP CODE AREA CODE/PHONE
Executed on-------------Date BY------------------------------~ Signature of Controlling Officeholder, Candidate. State Measure Proponent
Executed on -----""'D""a"'"'te ______ _ BY---------~-.,,_------------------~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME l.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES D NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE ' AREA CODE/PHONE
COMMITTEE NAME l.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES D NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE . ZIP CODE AREA CODE/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
NAME OF FILER
Contributions Received
1. Monetary Contributions ......................... ...... .. ...... .... Schedule A. Line 3 $
Loans Received .. ........... ......................................... Schedule a, Line 7
-:S. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $
4. Nonmonetary Contributions.................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $
Expenditures Made
6. Payments Made....................................................... Schedule E, Line 4 $
7. Loans Made............................................................. Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule c. Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $
~urrent Cash Statement
.2. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts ....... .... ....... ...... ...... .............. ....... Column A. Line 3 above
14. Miscellaneous Increases to Cash........................... Schedule 1. 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 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)
t3
--
$
$
$
ColumnB
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 Of
any).
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 r---·· Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
{If Subject to Voluntary Expenditure Limit)
Date of Election
(mrn/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