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Dewitt 460Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from I -0 I -'2. 00 I Page I ot).JIL For Olflclal Use Only SEE INSTRUCTIONS ON REVERSE through lo-30-201al hiOV.e>7 1 20o&J 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and7. )!{ Officeholder, Candidate D Primarily Formed Candidate/ Controlled Committee Officeholder Committee (Also Complete Part 4.) D Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) 3. Committee Information (Also Complete Part 6.) D General Purpose Committee O Sponsored O Broad Based COMMITTEE NAME loMM1TTC!E To RE-E\..E.c.T AL oewcTr Foo« C•,..Y t'OvNC.IL STREET ADDRESS (NO P.O. BOX) ''"' CITY STATE ZIP CODE MAILING ADDRESS (IF DIFFERENT)Nt. AND STREET OR P.O. BOX CITY STATE ZIP CODE OPTIONAL: FAX/E-MAILADDRESS I AREA CODE/PHONE lSI ... ) &IL -Vt.tt AREA CODE/PHONE 2. Type of Statement: D Pre-election Statement ~Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS D Quarterly Statement D Special Odd-Year Report D Supplemental Pre-election Statement -Attach Form 495 ' CITY NAME OF ASSISTANT TREASURER, IF ANY 4' NONE MAILING ADDRESS CITY OPTIONAL: FAX/E-MAILADDRESS STATE ZIP CODE AREA CODE/PHONE 9Yl3DV STATE ZIP CODE AREA CODE/PHONE FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 State of C~lifornia Recipient Committee Campaign Statement Cover Page -Part 2 Type or print in ink. 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE AL. 0£W\t"r'" OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ~E-ec..Ec.r ro ACAMtat\ te~Co..,MC•C.... RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 5. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT D OPPOSE ' A<.ANCl-OA,<'A !fSQI Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not Included In this consolldated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. LO.NUMBER CONTROLLED COMMITTEE? YES D NO OFFICE SOUGHT OR HELD 6. Primarily Formed Committee for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE I DISTRICT NO. IF ANY List names of officeholder(s) or candldate(s) OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE D SUPPORT D OPPOSE Attach continuation sheets if necessary 7. Verification 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. I certify under penalty of perjury under the laws of the State o California that the foregoing is true and correct. Executed on ~ ;/ 6, ::i.001 't Executed on ~ a2-J;;001 ATE Executed on DATE Executed on DATE By By By By ~ ~~ · -:/ ~ SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 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 2. 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. TOTAL EXPENDITURES MADE ......................................... Add Lines s + 9 + 10 Current Cash Statement . 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 B 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 1, Column (b) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See Instructions on reverse 19. Outstanding Debts .. ....................... ...... .... Add Line 2 + Line 9 In Column C above Column A TOTAL THIS PERIOD (FROM AITACHED SCHEDULES) 10.11 :===$== Statement covers period from I • gt -2 C) Q I through '·30·2~0 Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) :====a=·=:= $ ___ .,,ir-:-, ,=--5......_ • .,"'--'l,IP'-- $ _-x..,.,,.e-:-j_~...,...._7...__,'S .. .._.._2_$ $-i~f4 ............ s....,._,...i ____ $* l.D.NUMBER Column C TOTAL TO DATE (COLUMNS A + 8) •From previous statement Summary Page, Column C. However, if this is the first report filed for the calendar year, Column B should be blank exceptfor Loans Received (Line 2), Loans Made (Line 7), and Accrued Expenses (Line 9). Summary for Candidates in Both June and November Elections 20. Contributions Received ............ $ 21. Expenditures Made .................. $ 7/1 to Date I \334( 11/.20 I t 1 11G.o'( FPPC Form 460 (8199) For Technical Assistance: 916/322-5660 Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, MAILING 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 1.0. NUMBER) CODE * Schedule A Summary 1. Amount received this period -contributions of $100 or more. DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH SUBTOTAL$ Statement covers period from f 49 ()' • 'Z 00 f through & •iO •ZOOf SCHEDULE A CALIFORNIA 460 FORM Page "( of I /Q l.D.NUMBER ' ii. 45149"1 AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 ·DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) (Include all Schedule A subtotals.) ....................................................................................................... $ ----.....-::;1--*Contributor Codes IND-Individual 2. Amount received this period -unitemized contributions of less than $100 ......................................... $ ------1''---- 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ ------ir---- COM -Recipient Committee OTH-Other . FPPC Form 460 (8/99) For Technical Assistance: 9161322-5660 SCHEDULE B -PART 1 Schedule B -Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. r--ss~tarttte;m;e;nrtt~co~v~e~rs~p;e;rl~o~d--illllllll9'91111 froml•Q•• Z~f SEE INSTRUCTIONS ON REVERSE through~• JC•ZCiilGC Page__s_ of f,fo NAME OF FILER FULL NAME, MAILING ADDRESS AND ZIP CODE OF LENDER OR GUARANTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) LENDER INFORMATION DATE RECEIVED (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE* DUE DATE/ AM~GNT CUMULATIVE INTEREST RATE OF LOAN TO DATE No Ne 0 Lender 0 Guarantor 0 Lender O Guarantor O Lender O Guarantor hedule B -Part 1 Summary DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DUE DATE INTEREST RATE ___ % DUE DATE INTEREST RATE ___ % DUE DATE INTEREST RATE ___ ... SUBTOTAL$ 1. Loans of $1 oo or more received this period. (Include all Loans Received -Part 1 (a) subtotals.) ................... $ 2. Amount received this period -unitemized loans of less than $100 ................................................................... $ 3. Total loans received this period. (Add Lines 1 and 2.) ....................................................................... TOTAL $ Schedule B -Part 2 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part 2 (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............................. $ 5. Loans under $1 oo repaid, forgiven, or paid by a third party. (Do not itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 ...................................................... $ 6. Total loans repaid, forgiven, or paid by a third party this period. (Add Lines 4 + 5.) ........................... TOTAL $ 7. Net change this period. (Subtract Line 6 from Line 3.) Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $ CALENDAR YEAR OTHER CALENDAR YEAR OTHER CALENDAR YEAR $ ___ _ OTHER LO.NUMBER GUARANTOR INFORMATION (b) AMOUNT GUARANTEED CUMULATIVE TO DATE CALENDAR YEAR $---- OTHER CALENDAR YEAR OTHER CALENDAR YEAR OTHER Enter(b) on Summary Page, Line 17 on . •eontributor Codes IND-Individual COM-Recipient Committee OTH-Other FPPC Form 460 (8199) For Technical Assistance: 916/322-5660 SCHEDULE a-PART 2 Schedule B -Part 2 Repayments Made on Loans Received, Loans Forgiven, and Loans Repaid by a Third Party Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 FORM trom I • Gtl • 2.oof SEE INSTRUCTIONS ON REVERSE through~ •BO• ?aj Page Jo_ of~ NAME OF FILER DATE OF REPAYMENT DATE OF OR ORIGINAL LOAN FULL NAME OF LENDER FORGIVENESS Attach additional information on appropriately labeled continuation sheets. INTEREST RATE (IF CHANGED) SUBTOTAL$ ,C AMOUNT REPAID OR FORGIVEN ON PRINCIPAL* EXCLUDE PAYMENT OF INTERES *IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, including the name and address of the person forgiving the loan or the third party making the payment, and the amount forgiven or paid. l.D. NUMBER OUTSTANDING PRINCIPAL TOTAL INTEREST PAID THIS PERIOD $ (d) INTEREST PAID Enter the amount in column (d) In the Schedule E Summary, Une 3. Do not carry this total to the Schedule B Summary. FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule B -Part 3 Annual Report of Outstanding loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME OF LENDER ORIGINAL DATE OF LOAN Attach additional information on appropriately labeled continuation sheets. Type or print in ink. Amounts may be rounded to whole dollars. AMOUNT OF ORIGINAL LOAN TOTAL$ Statement covers period from,. ot ... z"°' through ' 19 io •CZ UNPAID PRINCIPAL NOTE: This total should be the same amount as entered on the Summary Page, SCHEDULE 19 ·PART 3 CALIFORNIA 460 FORM Page____:!_ of I~ l.D.NUMBER UNPAID INTEREST Column C, Line 2. FPPC Form 460 (8199) For Technical Assistance: 916'322-5660 Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED DoN A"-0 FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER l.D. NUMBER) Type or print In Ink. Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER Statement covers period from I •Cl• ZtlO I through '• 30 •Zoo I LO.NUMBER l-ZJ.. 3~9V CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF CODE * (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH NAME OF BUSINESS) Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule C Summary 1. ~:~~~! ~f~~~~d~i! g·~~~~:r~S~°.".".t~~-c·o·n·trib·~-i~~~-~1-~.1~~-~' .. ~.o~".·............................ ....... . . ............ $ ___lL_ 2. Amount received this period -unitemized nonmonetary contributions of less than $100 ................................ $ ~ *Contributor Codes IND-Individual 3. Total nonmonetary contributions received this period. f (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL$ COM-Recipient Committee OTH-other FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE N N£ D Support 0 Oppose D Support D Oppose D Support D Oppose Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from f• Of• ZOOf I SCHEDULED CALIFORNIA 460 FORM through'• JO• lliJO Page_!_ off fD TYPE OF PAYMENT D Monetary Contribution D Non-Monetary Contribution D Independent Expenditure D Monetary Contribution D Non-Monetary Contribution D Independent Expenditure D Monetary Contribution D Non-Monetary Contribution D Independent Expenditure DESCRIPTION OF NONMONETARY CONTRIBUTION (IF REQUIRED) SUBTOTAL $ LO.NUMBER AMOUNT THIS PERIOD CUMULATIVE AMOUNT Calendar Year $ _____ _ Other $ _____ _ Calendar Year $ _____ _ Other $ _____ _ Calendar Year $ _____ _ Other Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ........................................ $ t!A 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$___!!/!_ FPPC Form 460 (8199) For Technical Assistance: 916~22-5660 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from l•G«• lOOf SCHEDULEE CALIFORNIA 460 FORM through '2• ia•'l Clof Pagej1l_ of f b l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations Ft-.JD fundraising events Independent expenditure supporting/opposing others (explain)* Lo 1 campaign literature and mailings MTG meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) 1t1Mi •F Ac...AMao~ "& f "G 0 T' f ~ 0 At ti fl A U\MtSDA ~ 9' ~I - 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 printads RAD radio airtime and production costs CODE OR RFD returned contributions SAL campaign workers salaries TEL t.v. or cable airtime and production costs ' TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID P~·~T'"' ~AMOePAT * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ I q I. c'2 p =================================================================================================- Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ 2. Unitemized payments made this period of under $100 ........................................................................................................................................ $ 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 2, Column (d).) ....................................................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......................... TOTAL$ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. Oou.JO~LL Statement covers period from t •O\ • 'ZOD' through' • ao • 1. &>Of SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page _jJ_ of 1l:L l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* eve civic donations FND fundraising events IND independent expenditure supporting/opposing-0thers (explain)* campaign literature and mailings ,,, rG meetings and appearances NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) liJAflltc. OF A ,,P. M•OA -Z-f ._ o OTIS OR.\UE Ac.AM 'I 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 printads RAD radio airtime and production costs CODE OR OFC. 28 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. RFD returned contributions SAL campaign workers salaries TEL t. v. or cable airtime and production costs TAC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ FPPC Form 460 (8199) For Technical Assistance: 916/1322-5660 Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. SCHEDULEF Statement covers period from I •Cl• %001 CALIFORNIA 4eo FORM U through b•J 0• 2e•I I_, ,f II_ Page~ of~ l.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. OFC office expenses CNS campaign consultants PET petition circulating CTB contribution (explain nonmonetary)* PHO phone banks eve civic donations POL polling and survey research FND fund raising events POS postage, delivery and messenger services IND independent expenditure supporting/opposing others (explain)* PRO professional services (legal, accounting) T campaign literature and mailings PRT print ads MTG meetings and appearances RAD radio airtime and production costs * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. CODE OR (a) NAME AND ADDRESS OF PAYEE OR CREDITOR OUTSTANDING (IF COMMITTEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD Not-l E SUBTOTALS$ ('6 $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for RFD returned contributions SAL campaign workers salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging and meals (explain) TRS staff/spouse travel, lodging and meals (explain) TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 0 $ I/)· $ OS .,, -" accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ _____ _ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS$ ---111---- 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 $ .,..,-.,-_,.,,;;.,.--____,- FPPC Form 460 (8199) For Technical Assistance: 916JB22-5660 Schedule G Type or print In Ink. SCHEDULEG Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. Statement covers period from I -Of-'2 Ofai CAl..IFORNIA 4~·o FORM U SEE INSTRUCTIONS ON REVERSE through b • 3 0 41111 1 '1$ Page _j_!_ of lb_ NAME OF FILER l.D.NUMBER C)Ow OEC..C. 1'21 SStCfV CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. OFC office expenses RFD returned contributions CNS campaign consultants PET petition circulating SAL campaign workers salaries CTB contribution (explain nonmonetary)* PHO phone banks TEL t.v. or cable airtime and production costs CVC civic donations POL polling and survey research TRC candidate travel, lodging and meals (explain) !D fundraising events POS postage, delivery and messenger services TRS staff/spouse travel, lodging and meals (explain) ..• o independent expenditure supporting/opposing others (explain)* PRO professional services (legal, accounting) TSF transfer between committees of the same candidate/sponsor LIT campaign literature and mailings PRT print ads VOT voter registration MTG meetings and appearances RAD radio airtime and production costs 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 DESCRIPTION OF PAYMENT AMOUNT PAID {IF COMMITIEE, ALSO ENTER l.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ ~ * 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. " FPPC Form 460 (8199) For Technical Assistance: 916"322-5660 Schedule H -Part 1 loans Made to Others* Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from l•OI• Z OQ I SCHEDULE H -PART 1 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE through ' 8 J ca• z Ci~ Page 111-of~ NAME OF FILER Oat~ AL~ DATE OF LOAN NAME AND ADDRESS OF RECIPIENT (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) NON *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Schedule H -Part 1 Summary INTEREST RATE DUE DATE SUBTOTAL $ 1. Loans of $100 or more made this period. (Include all Loans Made -Part 1 subtotals.) ............................................... $ ---flf--;;,--- Unitemized loans under $100 made this period ............................................................................................................. $ --~R."111111~- 3. Total loans made this period. (Add Lines 1 and 2.) .......................................................................................... TOTAL $---'111111111--- Schedule H -Part 2 Summary 4. Payments received on loans of $100 or more. (Include all loan payments received and all loans of $100 or more forgiven by this committee -Part 2 (a) subtotals. If forgiven, also itemize on Schedule E.) ................................................................................................................... $ ---"lll"--- 5. Unitemized payments received on loans under $100. (Including a forgiveness.) ............................................................................................................................................ $ ----'l!lllll""-- 6. Total loan payments received this period. (Add Lines 4 and 5.) ........................................................................................................................................ TOTAL$ --""'llF--~~- 7. Net change this period. (Subtract Line 6 from Line 3. Enter the net here and on the Summary Page, Column A, Line 7.) ................................................................ NET$ _.,.._-""'IJllll!::::...._..,...... May be a neg LO.NUMBER i.z 3 J 4'¥ AMOUNT FPPC Form 460 (8199) For Technical Assistance: 9161322-5660 Schedule H -Part 3 Annual Report of Outstanding Loans Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME OF RECIPIENT OF LOAN ORIGINAL DATE OF LOAN Attach additional information on appropriately labeled continuation sheets. Type or print In Ink. Amounts may be rounded to whole dollars. AMOUNT OF ORIGINAL LOAN TOTAL$ Statement covers period from I• Qt•~ OQf SCHEDULE H -PART 3 CALIFORNIA 460 FORM through b•JQ.,1c;>g Page_J£_ of&_ UNPAID PRINCIPAL the same amount as entered on the Summary Page, Column C, Line 7. LO.NUMBER t'Z.l 11 '1V UNPAID INTEREST FPPC Form 460 (8/99) For Technical Assistance: 9161322-5660 Sche<Jule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Attach additional infonnation on appropriately labeled continuation sheets. Type or print In Ink. Amounts may be rounded to whole dollars. from f -~f-1 GQ t through Ip• I~ •2Mu I DESCRIPTION OF RECEIPT oW Z• f3 ·CJ~ ~ltc!t~IO A (i iQ. ·,.., cnJ6111'A'fMll eff€t'"-iJl¥t CCJ~ Tl•E '..a ,T,1!''5-r12QM SAc t ~ $1-\0WN t M RC, ('t; D• -Z M flu I 0 • 27 <ANafAt4M tit&.C..l!O ID· tA~•t....e PAs•O IU ... '27• Ac.TGJAt. Co• r IU• SUBTOTAL$ Schedule I Summary ~ 1. Increases to cash of $100 or more this period ........................................................................................................... $ 2. Unitemized increases to cash under $100 this period ............................................................................................... $ .3~• I-, 3. Total of all interest received this period on loans made to others. (Schedule H, Part 2 (b).) ................................. $ ---..¢slltlfllL-- 4· ~~~lm~~~~~ne~o~~~n~~~t.~.~.~ .. ~~ .. ~~~.~ .. ~~'.~.~~~~~~: .. ~~~~ .. ~·i·~-~-~ .. ~.' .. ~'..~~~ .. ~." .. =~~~-~.~~~~ .. ~~-~.~~.~~~....... TOTAL $ 3 O. I 7 l.D.NUMBER AMOUNT OF INCREASE TO CASH S ... 2ogo s:a6:.1 ~GIW .... ~ •• ~ ~ .Ii Bo.11 FPPC Form 460 (8/99) For Technical Assistance: 9161322-5660