Committee to Elect Susan Maureen McCormack 460Recipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
1. Typ~of Recipient Committee: All committees-Complete Parts 1,2, 3, and7.
b}"Otticeholder, Candidate D Primarily Formed Candidate/
Controlled Committee Officeholder Committee
(Also Complete Part 4.)
CJ Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(Also Complete Part 5.)
(Also Complete Part ii.)
D General Purpose Committee
0 Sponsored
O Broad Based
Date of election if applica
(Month, Day, Year) OCT 0 5 2000
!) /J/o~i y Clerk's Offic
2. Type of Statement:
~e-election Statement
D Semi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
CITY
OPTIONAL: FAX/E-MAILADDRESS
D Quarterly Statement
D Special Odd-Year Report
D Supplemental Pre-election
Statement -Attach Form 495
STATE ZIP CODE AREA CODE.. 'PHONE
FPPC Form 460 (8/99)
For Technical Assistance: S16/322-5660
State of California
Recif)ient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
4. Officeholder or Candidate Controlled Committee
Related Committees Not Included in this Statement: List any committees
not included In this consolidated statement that are controlled by you or which are prlmarlly
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITTEE NAME LO.NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? ...---
DYES ONO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) ,_....
CITY
-------
STATE ZIP CODE AREA CODE/PHONE
5. 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
6. Primarily Formed Committee ust names ot ott1ceholder(sJ or candidate(sJ
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 .....___ __ ,. ....
Attach continuation sheets if necessary
7. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to t
is true and complete. I certify under penalty of perjury under the laws of the 'ate of
e best of my knowledge the information contained herein and in the attached schedules
lifornia thqt the foregoing i true and correct.
/ /r
Executed on ---1-/,...,.._l)-f--'/5__._,__,.,./a'--"--(2"'----, ( DATi
Executed on __ (_tJ_,,/_5____,h'-'-'-_.4_.-:/.._· __ _
I ot/E
Executed on ____________ _
DATE
Executed on ____________ _
DATE
ASSISlANT TREASURER
EASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT
BY-----------------------------------~ 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
~~FFILER
L{J)iu,111
Contributions Received
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.
8.
9.
Loans Made ................... .... .... ........................................ ....... Schedule H. Line 7
SUBTOTAL CASH PAYMENTS .................. :............................. Add Lines 6 + 7
Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3
10. Non monetary Adjustment ....................................................... Schedule c. Line a
11. TOTAL EXPENDITURES MADE ......................................... Add Lines a+ 9 + 10
Current 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 B, Part 1, Column (bJ
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 ATIACHED SCHEDULES)
$ ______,__,Y ~'--"'-'·~a,4---7 _
$ _--<..L/~t,,...-£--/--1-. t-+9-· -·-
$ _ __,_lf_J.!:_&-"0_5!.....L_. 1_.,,.9_. -
::A 75. -$-----=-=-----
$ _________ _
{;)-$ _________ _
$ __ £7=~---
Statement covers eriod
0 6 from ---1--J-L-+-----
through er/ 7J /cl
Column B*
TOTAL PREVIOUS PERIOD
(SEE NOTE BELOW)
-
$ _________ _
:635.7-</
$ _________ _
SUMMAfilY PAGE
CALIFORNIA 460
FORM
Page_3_ of7-
Column C
TOTAL TO DATE
(COLUMNS A + B)
$ _ ___..k ...... e--"'5'-"-. _,_1..L..9_" _
$ __ Y~c.-_5_·~_._1_._r_
$ __ 2_;_s_. 2..!--1-Y-·-
•From previous statement Summary Page, Column C. However, if this
is the first report filed for the calendar year, Column B should be blank
except for Loans Received (Line 2), Loans Made (Line 7), and Accrued
Expenses (Line 9).
Summary for Candidates in Both June and
November Elections
1/1 through 6/30 . 7/1 to Date
20. Contributions
Received ............ $ ------
21. Expenditures
Made .................. $ ------
FPPC Form 460 (8199)
For Technical Assistance: 916/322-5660
Schedule A
Monetary Contributions Received
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 COMMIITEE, ALSO ENTER LO. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
. ¥/Pw/ ~"itt:J/;?n r~/Z
/~
Schedule A Summary
(B{ND
DCOM
DOTH
[3-i1\JD
DCOM
DOTH
DINO
OCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
1. Amount received this period -contributions of $100 or more. a
.?= "V'i, / ( (Include all Schedule A subtotals.) ....................................................................................................... $ .L ~
2. Amount received this period -unitemized contributions of less than $100 ......................................... $ _ _,_/-'_8=-.:...'5.L-----
3. Total monetary contributions received this period. ,d £. 5 o
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL$ *U, , / 7
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
CUMULATIVE TO DATE
OTHER
(IF APPLICABLE)
·contributor Codes
IND -Individual
COM -Recipient Committee
OTH-Other
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660
Schedule B -Part 1
loans Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
(..-I -0-0
q ~~o -O
FULL NAME, MAILING ADDRESS AND ZIP CODE
OF LENDER OR GUARANTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYEO, ENTER
NAME OF BUSINESS)
LENDER INFORMATION
DATE
RECEIVED (IF COMMITTEE, ALSO ENTER l.O. NUMBER)
O Lender 0 Guarantor
O Lender 0 Guarantor
O Lender O Guarantor
..... chedule B -Part 1 Summary
CONTRIBUTOR
CODE *
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DUE DATE/
INTEREST RATE
DUE DATE
INTEREST RATE
___ %
DUE DATE
INTEREST RATE
___ %
DUE DATE
SUBTOTAL$
1. Loans of $100 or more received this period. (Include all Loans Received -Part 1 (a) subtotals.) ................... $
2. Amount received this period -unitemized loans of fess 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 $100 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.)
(a)
AMOUNT
OF LOAN
CUMULATIVE
TO DATE
CALENDAR YEAR
OTHER
CALENDAR YEAR
OTHER
CALENDAR YEAR
OTHER
$
SCHEDULE B -PART 1
CALIFORNIA 460
FORM
l.D.NUMBER
1 /Juz,,o
GUARANTOR INFORMATION
(b)
AMOUNT
GUARANTEED
CUMULATIVE
TO DATE
CALFNDAR YEAR
OTHER
CALENDAR YEAR
OTHER
CALENDAR YEAR
OTHER
Enler (b) on
Summary Page,
Line 17 on .
*Contributor Codes
IND-Individual
COM -Recipient Committee
OTH-Other
Enter the net here and on the Summary Page, Column A, Line 2 .......................................................... NET $
May be a negative number. FPPC Form 460 (8199)
For Technical Assistance; 916/322-5660
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from z/; fu I I
through
SCHEDULE E
CALIFORNIA 460
FORM
l.D.NUMBER
9, /42a
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
D independent expenditure supporting/opposing others (explain)'
_ff campaign literature and mailings
MTG meetings and appearances
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITIEE. ALSO ENTER l.D. NUMBER)
L, 'j;}, of-/ffcd#r' &,., %,
J J
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
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
~ Pn I) fu;{1(and i dcdc Sf ntf
LJ)~LI, . e/cr~
;?3 5-~Y
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2 35 ;:b'f
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$ · 2(35: 2---(
FPPC Form 460 (8/99)
For Technical Assistance: 9161322-5660
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULEF
CALIFORNIA 460
FORM
l.D.NUMBER 9/r~ <-
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
CVC civic donations POL polling and survey research
FND fundraising events POS postage, delivery and messenger services
IND independent expenditure supporting/opposing others (explain)* PRO professional services (legal, accounting)
IT 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
(a)
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING (IF COMMITIEE, ALSO ENTER l.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING
< OF THIS PERIOD ('Ji ";f ~r.n-[ {Pf ,~ll (/(/ q?J'6k"'f1• ~//
PRT ~"3>5~~ ;
_;:f /,-0 Yr1~4' . .-///J ~ /, U/ j \ /J J
I -, ~ ~.,I 1..-V/ ,_. { c.-/
SUBTOTALS $ 2 J£' ;µ_;
Schedule F Summary
$
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 ONE) OF THIS PERIOD
&--;;;? 35 ;:iy b
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for .:-
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS$ _____ _
2. Total accrued expenses paid this period. (lnclud~ all.Schedule F, Column (c) subtotals for payments on .;).. 3 '-5: ';;).. ;;/
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS$(,--'--"'----~--
3· ~~~~=a;~~~~~~:~~: b 5 0 ~~~~~. L~~;e 2 9 ~}~~.~'.~~.~.: .. ~.~~~~·t·~·~ .. ~.i~~~.~.~~~.~~~-~ .. ~.~.~ ................................................................................ NET< Z, 3S . .;i_. i '/ · $\"Miy be a negative number~
FPPC Form 460 (8199)
For Technical Assistance: 916/!322-5660