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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. Statemen cove s period from /tJ / t7 (} through / t) / d / /tJ {} ~I 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 7. ~ceholder, Candidate D Primarily Formed Candidate/ Controlled Committee Officeholder Co'mmittee (Also Complete Part 4.) D Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (Also Complete Part 5.) (Also Complete Part 6.) D General Purpose Committee O Sponsored O Broad Based CITY M STATE ZIP CODE AREA CODE/PHONE /(t~/7l<-C4f!t {!q Cfr:J'2J/( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX :M-1n'<' w5 t:t6cv<e CITY STATE ZIPCOOE AREACODE/PHONE - OPTIONAL: FAX I E-MAIL ADDRESS Date of election if applicab OCT 2 6 2000 (Month, Day, Year) For Ofliclal Use Only II I sic t) c ty Clerk's Off i 2. Type of Statement: ~-election Statement D Semi-annual Statement D Termination Statement D Amendment (Explain below) Treasurer{s) N~OF TREASURER J/ A <._) ?{?ct 0 ,/1//4 D Quarterly Statement D Special Odd-Year Report D Supplemental Pre-election Statement -Attach Form 495 6l--f'n:<br d;TE ":fy5C/, )f";'cfU."9~q NAME OF ASSISTANT TREASURER, IF ANY 11/q MAILING ADDRESS - CITY OPTIONAL: FAX I E-MAIL ADDRESS - 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 Related Committees Not Included in this Statement: List any commltteH not Included In this com10/ldated statement that are controlled by you or which are primarily formed to receive contributions or to make expendlture11 on behalf of your candidacy. COMMITTEE NAME l.D.NUMBER NAME OF TREASURER CONTROLLED COMMITIEE? ....---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 I DISTRICT NO. IF ANY 6. Primarily Formed Committee List names of otticeholder(s) or candidate(s) for which this committee Is prlmar//y 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 0 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheetsifnecessary 7. Verification Executed on ___________ _ DATE Executed on ___________ _ DATE ASSISTANT TREASURER RE 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 Campaign Disclosure Statement Summary Page Type or print In Ink. Amounts may be rounded to whole dollars. Contributions Received 1 . Monetary Contributions ...................................................... Schedule A, Line 3 2. Loans Received................................................................... Schedule 8, 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 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 'J--5 ,·-IP $---~---:::;.,.---- $ __ _....l_~==-5""'-'-' 17 _.J __ ---8. SUBTOTAL CASH PAYMENTS .................. :............................. Add Lines 6 + 7 $ ________ _ 9. Accrued Expenses (Unpaid Bills) ............................................ Schedule F. Line 3 .50-?1 '-'/?- 10. Nonmonetary Adjustment ....................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ......................................... Add Lines 8 + 9 + 10 $ _____ -____ _ ~urrent Cash Statement ~. Beginning 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 8 above 16. ENDING CASH BALANCE .............. Add Lines 12 + 13 + 14, then subtract Line 15 $_..,.._g-"""fe_.....0__.:.,_tJ>_O_ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................... Schedule 8, Part 1, Column (bJ $ &--$ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..................................................... See Instructions on reverse 19. Outstanding Debts ................................... Add Line 2 + Line 9 (n Column c above $ ~ Statement vers period from / / through /I' 12 / / !flf} ~, Column B* TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) Column C TOTAL TO DATE (COLUMNS A + B) $--~'--'1''1#---=5'--, _! C/_ $ ____,5=-----:..~-""-~-r 1'9-2.__ $ __ ;?_3-""'-5_. ;;L--J.y_ I - $ •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 20. 21. 111 through 6/30 7/1 to Date Contributions · Received .......... ~ =-------------- Expenditures Made .................. $ ---------=-..:--~ FPPC Form 460 (8/99) For Technical Assistance: 916/322-5660 Schedule A Type or print In Ink. Amounts may be rounded to whole dollars. Monetary Contributions Received from __ (~(}'-+-_(-+-..,,_.x:.-_ SEE INSTRUCTIONS ON REVERSE through /d (u/oa DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT RECEIVED (IF COMMITIEE, ALSO ENTER 1.0. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF-EMPLOYED, ENTER NAME PERIOD OF BUSINESS) io f t<f ~O fkJ-w . ? DCOM dt-C~rm1n<£ /?70, DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH DINO DCOM DOTH SUBTOTAL$ 7{) f' "' Schedule A Summary 1 · ~~~~~! ~f~~~~dt~1i! ~e;~b~~a~~.~:~'.~~.:i.~·~·~·~'. .. ~.:~~·~·~·~·~.~~~ ............................................................. $ / 0 {?, di/ 2. Amount received this period -unitemized contributions of less than $100 ......................................... $ ---2~--l._r_P'_v 3. Total monetary contributions received this period. . I J-5. . od (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... TOTAL $ _ 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 F Accrued Expenses {Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars. Statement cov rs p riod from ---h_,,,,_,f---1--C_tl_ through / r} !Zf fed SCHEDULEF CALIFORNIA 460 FORM Pag~ 06- l.D.NUMBER t) (/ ~J-O CODES: If one of the following codes accurately describes the payment, you may en er 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 fundraising events POS postage, delivery and messenger services \JD 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. CODE OR (a) NAME AND ADDRESS OF PAYEE OR CREDITOR OUTSTANDING (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD f 11 c I /lrl'r! Drr~f'.5 cr1P ~ -f._ /Qld" ,/LA J// 11.r . /7 4 c.//; 0 ;( I ~ - SUBTOTALS$ 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) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD ftJJ. Lf;}-5o7Lf ,...._ - $ 507'1-'J-$ Schedule F Summary ""'f5' 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for .5'o ·7 '-fa-- 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 $100.) ................................. PAID TOTALS$------., 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 301 <:.f ;;;;.--- on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ .& May be a negatrve number FPPC Form 460 (8/99) For Technical Assistance: 916/t322-5660