Allan Shore for City Council 2000Recipient Committee
Campaign Statement
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee:
}i~:ptticeholder, Candidate
Controlled Committee
(Also Complete Part 4.)
O Ballot Measure Committee
O Primarily Formed
O Controlled
O Sponsored
(Also Complele Part 5.)
3. Committee Information
COMMIITEE NAME
STREET ADDRESS (NO P.O. BOX)
Type or print in ink.
Stat~rn}ent c~vers period
from J 0 (11 J u·u
' I
j C> j c~f i / 1:r 0 through -~'----'-,I'---"-' __ _
All Committees -Complete Parts 1, 2, 3, and 7.
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 6.)
O General Purpose Committee
0 Sponsored
O Broad Based
LO.NUMBER
/:: .
CITY ' " STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
5'1 \)
OPTIONAL: FAX /E-MAIL ADDRESS
STATE ZIP CODE AREA CODE/PHONE
Date of election if applicable:
(Month, Day, Year)
COVER PAGE
\)\ ity Clerk's Of ice \
2. Type of Statement:
;8.,.,Pre-election Statement
D Semi-annual Statement
D Termination Statement
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
{\\ \~ s~\on.~
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX I E-MAIL ADDRESS
D Quarterly Statement
D Special Odd-Year Report
O Supplemental Pre-el ction
Statement -Attach Form 495
STATE ZIP CODE AREA CODEIPHONE
FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
State of California
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink. COVER PAGE -PART 2
4. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
(\\ \~r-l ~"()(\,t:,
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
~ \, f;,.l'r..t;::-.('.) .-;:; c ;\ '--{ c~ ,,:i I" c ~ \
RESIDENTIAUBUSINESS ADDRESS (NO, AND STREE1) CITY STATE ZIP
::, _ /), L1~<Y()Dk:, C)q~-0 I
Related Committees Not Included in this Statement: List any committees
not included In this consolidated statement that are controlled by you or which are primarily
formed to receive contributions or to make expenditures on behalf of your candidacy.
COMMITIEE NAME LO, NUMBER
NAME OF TREASURER CONTROLLED COMMITIEE?
0 YES D NO
COMMITIEE 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 LEDER JURISDICTION 0 SUPPORT
0 OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD I DISTRICT NO, IF ANY
6. Primarily Formed Committee ust names ototticeholder(sJ or candidate(sJ
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 D SUPPORT
D OPPOSE
Attach continuation sheets if necessary
7. Verification
I have used all reasonable diligence in preparing and reviewing this
OR ASSISTANT TREASURER
By
DATE
By
DATE
By
DATE
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 ot 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 a, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ................................... ArJd 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 + 1
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
Current Cash Statement
12. Beginning Cash Balance................................ Previous Summary Page. Line 16
13. Cash Receipts .............................................................. Colunn A, Line 3 above
14. Miscellaneous Increases to Cash....................................... Schedule/, Line 4
15. Cash Payments............................................................ Column A, Line 8 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
$
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES\
()
I 1) J. .. ,-i
() $ _________ ~
19. Outstanding Debts................................... Add Line 2 +Line 9 in Column C above $ __________ _
SUMMARY PAGE
Statement covers period
from l 0} ~ } LY"V
""""'" ~ I ; /-u/ ""-H Page of __ _
1.D.NUMBER
$
Column B*
TOTAL PREVIOUS PERIOD
(SEE NOTE BELOW)
-) $---------~~~
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
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 Fo"rm 460 (8/99)
For Technical Assistance: 9161322-5660
Schedule A
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
I
SEE INSTRUCTIONS ON REVERSE through --+-=-1--"'-'-!--0_0"-' __ Page _____ of __ _
NAME OF FILER
DATE
RECEIVED
I . \ ) ,, I(» I .. '1.)1)
FULL NAME. MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMIITEE. ALSO ENTER LO NUMBER) CODE *
:8"1ND
DCOM
DOTH
~IND
DCOM
DOTH
DINO
DCOM
,'Ii~~ OTH
DINO
DCOM
DOTH
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
f'~f(;-J,.,f'~ {...
< .1 : ,'.{ l'\;,• •'' '· ,\j ) . . -,_,_
LO.NUMBER
AMOUNT CUMULATIVE TO DATE CUMULATIVE TO DATE
RECEIVED THIS CALENDAR YEAR OTHER
PERIOD (JAN. 1 -DEC. 31) (IF APPLICABLE)
(.
I D J ') C)
I l, ·~
I
j-------------------------1------1--------------·l---------l---------t-------
Schedule A Summary
1. Amount received this period -contributions of $100 or more.
DINO
DCOM
DOTH
SUBTOTAL$
(Include all Schedule A subtotals.) ...................................................................................................... $ __ _.L_-'='---'----
2. Amount received this period -unitemized contributions of less than $100 ......................................... $ ______ _
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL$ __ / ____ _
·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.
Statemen covers period
) b lr D-il from ---1----1-----
SEE INSTRUCTIONS ON REVERSE
b ~l f\ bD. through ---'---1~-'-' +-"--=-----
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 LO. NUMBER)
CONTRIBUTOR
CODE * DUE DATE/ AM~lNT CUMULATIVE
INTEREST RATE OF LOAN TO DATE
0 Lender 0 Guarantor
D Lender D Guarantor
0 Lender 0 Guarantor
5chedule B -Part 1 Summary
DINO
DCOM
'] OTH
DINO
DCOM
DOTH
DINO
OCOM
DOTH
DUE DATE
INTEREST RATE
___ %
DUE DATE
INTEREST RATE
---"·
DUE DATE
INTEREST RATE
___ %
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 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 $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 M 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
0
0
()
$
SCHEDULE B ·PART 1
Page of
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
"Contributor Codes
IND -Individual
COM -Recipient Committee
OTH -Other
May be a negalive number. FPPC Form 460 (8/99)
For Technical Assistance: 916/322-5660
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$
UNPAID PRINCIPAL
NOTE: This total should be
the same amount as entered
on the Summary Page,
Page ___ of __ _
LO.NUMBER
UNPAID INTEREST
0
Column C, Line 2. FPPC Form 460 (8199)
For Technical Assistance: 916ik322·5660
Schedule C Type or print in ink.
Nonmonetary Contributions Received Amounts may be rounded
to whole dollars. Statemen covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME, MAILING ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITIEE. ALSO ENTER l.D. NUMBER)
IF AN INDIVIDUAL, ENTER
CONTRIBUTOR OCCUPATION AND EMPLOYER CODE*
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
DINO
DCOM
DOTH
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
Attach additional information on appropriately labeled continuation sheets.
Schedule C Summary
DESCRIPTION OF
GOODS OR SERVICES
SUBTOTAL$
AMOUNT/
FAIR MARKET
VALUE
1. Amount received this period -nonmonetary contributions of $100 or more. ~
(Include all Schedule C subtotals.) ........................... : ....................................................................................... $ ---+-' -'-d-----\
\" 2. Amount received this period -unitemized nonmonetary contributions of less than $100 ................................ $ -----'---
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ................... TOTAL$ ______ _
Page ___ of __ _
l.D. NUMBER
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: 9161tl22-5660
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER V'\ I~\..\-~"' .....}
CANDIDATE AND OFFICE. DATE MEASURE AND JURISDICTION, OR COMMITTEE
0 Support 0 Oppose
0 Support D Oppose
0 Support 0 Oppose
Type or print in ink.
Amounts may be rounded
to whole dollars.
(,,, ·\ .-'-lL· .("< (_ \
Stateme.nt covers period
from \ \J \ '\.? \ S\I I \
through __ \_ti+--'----->-\)'\)-· __
DESCRIPTION OF NONMONETARY TYPE OF PAYMENT CONTRIBUTION AMOUNT THIS PERIOD
(IF REQUIRED)
D Monetary
Contribution
D Non-Monetary
Contribution
D Independent
Expenditure
f;J Monetary
Contribution
D Non-Monetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Non-Monetary
Contribution
D Independent
Expenditure
SUBTOTAL $
Page ___ of __ _
LO.NUMBER
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.) ........................................ $ _____ O __
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 (B/99)
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.
Statem nt covers period
SCHEDULE
' Page __ ._ of __ _
1.D.NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
eve
FND
IND
LIT
MTG
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)"
civic donations
fundraising events
independent expenditure supporting/opposing others (explain)"
campaign literature and mailings
meetings and appearances
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITIEE. ALSO ENTER 1.0. NUMBER)
\ J . f
\ \ I
OFC
PET
PHO
POL
POS
PRO
PAT
RAD
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
radio airtime and production costs
CODE OR
* Payments that are contributions or Independent expenditures must also be summarized on Schedule O.
Schedule E Summary
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 candiv1te/sponsor
VOT voter registration
WEB information technology costs (internet, e-mail)
DESCRIPTION OF PAYMENT
I L
AMOUNT PAID
SUBTOTAL$
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ............................................................................................... $ ---=---'----'-
2. Unitemized payments made this period of under $100 ......................................................... : .............................................................................. $ _____ _
() D 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule 8, 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$ _._c,_·J_._3 __ ,_L_l_D_
FPPC Form 460 (8199)
For Technical Assistance: 916/322-5660