Committee to Elect Beverly Johnson, City Council 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 7 / t { 0 I
through f-Z, / 3 I / D /
1. T~e of Recipient Committee: All committees -Complete Parts 1, 2, 3, and 4.
Lft" ?fficeholder, Candidate Controlled Committee D Ballot Measure Committee 0 State Candidate Election Committee O Primarily Formed
0 Recall O Controlled
(Also Complete Part 5) Q Sponsored
{Also Complete Part 6)
] General Purpose Committee
0 Sponsored
0 Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
STREET ADDRESS (NO P 0. BOX)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
l.D. NUMBER
ITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
2. Type of Statement:
D Preelection Statement
D Semi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CITY STATE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE
OPTIONAL: FAX I E-MAIL ADDRESS
COVER PAGE
CALIFORNIA 460
2001/02
. FORM
Page ___.,,.___ of .3
For Official Use Only
D Quarterly Statement
D Special Odd-Year Report
D Supplemental Preelection
Statement -Attach Form 495
ZIP CODE AREA CODE/PHONE
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.
Executed on ------D=-a-te ______ _
Executed on __ ___,f....,/1--"'J ......... l_,/_O"'"-.... Ze""'---l Date
Executed on-------------Date
Executed on-------------Date BY-------::::---:-..,..,,,.-.,....,,,-""""',,....,....,..,.-,,,--:,..,...,.-,,,..,-,,.,.--...,,---..,..-----~ Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
~t'!'lto nf ~Q1\fnrni~
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page -Part 2
5. Officeholder or Candidate Controlled Committee
N OF OFFICEHOLDER OR CANDIDATE ---J.
1ESI EN IAUBUSINESS ADDRESS (NO. A STREE CITY STA ZIP
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 OPPOSE
J ~ \): f-e: Sao
Related Committees Not Included in this s{f;!~~ S;t~fJoit~ri '1'tfs1) I
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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
.;OMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
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?
0 YES 0 NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
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 0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT 0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 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
from __ 7_,_/_1_,_h_O~/ __
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions ....... .. .......................... ........ Schedule A, Line 3 $
2. Loans Received ..................................... ... .............. Schedule 8, Line 7
UBTOTAL 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 $
Current Cash Statement
1ginning 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, t11en 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 $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
C2
0
0
0
0
0
0
0
()
0
0 s: 'lz,'2. -•
I
through ........_/ ~Z,"-+/--""3-"l+~-=t:>'-'l.___ Page 3 of 3
$
$
$
$
$
$
Columns
CALENDAR YEAR
TOTAL TO DATE
s-, 'f Z-b.-
S", 9'2-6· -
0
0
0 0
0
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
782.. ~5"
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6130 711 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