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HomeMy Public PortalAboutForm 460 (Jan 1 - Jan 22, 2005) Recipient Committee Cåmpaign Statement Cover Page (Government Code Sections 84200-84216.5) COVER PAGE Type or print in ink. Date Stamp CALIFORNIA 460 2001/02 FORM RECEIVED Statement covers period from IJ-I-O.b Date of election if applicable: (Month, Day, Year) JAN 2 7 2005 Page / of ')K SEE INSTRUCTIONS ON REVERSE - through \ -~-OS- m A ~Ut 8, ó100s- CITY CLERK CITY OF CLAREMONT For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1,2,3, and 4. ~ Officeholder, Candidate Controlled Committee - 0 Ballot Measure Committee 0 State Candidate Election Committee 0 Primarily Formed 0 Recall 0 Controlled (Also Complefe Part 5) 0 Sponsored (Also Complete Part 6) 0 General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 2. Type of Statement: OG 0 -Ð 0 Preelection Statement Semi-annual Statement Termination Statement Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 11.0. NUMBER 3. Committee Information NCJT YET 'JŒ:CEltÞEL\ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Treasurer(s) I,.. ~E~CODE/PHONE r:t 01 )::J?? - 7-30 I NAME OF TREASURER }(ATlf"l A Sl-Jf~ MAILING ADDRESS" IIø 1 Lf bH ATTlAfo.-JOO6^ CITY STATE C L- A"RE Ml),wa C A NAME OF ASSISTANT TREASURER, IF ANY Cr, q; ;/7l &01 )6~;;::~/ II s?~ ~~E~~O~:: FO~ C f r~ I In 7'-/ C H A TT4t-JOD6 A C,. CITY STATE ZIP CODE CL.A2-E"rr\oru)r CPt Cfl711 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Co (.) ¡..J C. '- MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS ~\J.sS Lt CLA~~Q-tT e ~ðL .. CO~ OPTIONAL: FAX / E-MAIL ADDRESS K A-B LE5 ;L Lf5"Ø'l @ A Ob... c.ofY\ 4. 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 peljury under the laws of the State of California that the foregoing is ~¿nd corract Executed on / -ó( 7 - os-. By ~~/¿r. á /' /- /' ~Da . ( .. ~ ~r:~~e AssistaJJÞTreasurer Executed on . ~ S-- By./' .- t:::. . If; Dale ~"""" o!c:oo""",,, ~. .... . Stole ì.. P""""oN '" """""';.' 0- of Spono'" Executed on Date By Signature of Controlling Officeholder. Candidate. Slale Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 1<'û5SEL-L L. 3~OWN OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) C LA 12-.:: IYl 0 ~'T C. \ T 'f Co<é),..:J c.. t L RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STAlE I <1S(n 6L.ASSJso~ ~Ùë. ~kAKc:mCNT Cf:\ 917ft ZIP Related Committees Not Included in this Statement: LIst any committees 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 . 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STAlE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 0 YES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STAlE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 CALIFORNIA 46 0 FORM Page ~ of <¡ 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 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 NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Cåmpaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~~5s;eLL L. E~.u.JN Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2.. Loans Received ...................................................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add 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 3 8. SUBTOTAL CASH PAYMENTS """""""""""""""""" Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) ...............................ScheduleF, Line 3 10. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance """""""""...,. Previous Summary Page, Line 16 13. Cash Receipts ................................................... ColumnA, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule " Line 4 15. Cash Payments .................................................. ColumnA, Line 8 above 16. ENDING CASH BALANCE """"" Add Lines 12+ 13+ 14. then subtract Line 15 /f this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2. $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ......................... AddLine2+Line9inColumnBabove Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THISPERIOO (FROM ATTACHED SCHEDULES) $ , ;3 õ<O ' ~ 0 , 320 . -,e 0 ',)J..O. ~ $ $ $ III).~ 0 / I 0 . -,:!!.- ~ '-f 0 1.7/ 0 ;).5/1.7/ $ $ $ () , 3~ 0 . ~ 0 IJO.~ ¡J../() .'~ $ 0 $ $ 0 ().l..fO I. 7/ from through Column B CALENDAR YEAR TOTAL. TODA1E $ I. ~ótO ~ . 0 \ I S c20 . ~ 0 , ~J..D.~ $ $ $ / /0. ø~ 0 / to . ~:- ~LjO1.71 0 ~51[ .7/ $ $ 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). SUMMARY PAGE Statement covers period CALIFORNIA 46 0 FORM I - I - Ob- \ -~-OS- Ll of 'r:-¡ Page 1.0. NUMBER Nor VEr ~~c~'ù~ Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 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) I I $ I I $ I / $ I / $ / / $ I I $ *Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK.FPPC Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE' NAME OF FILER t<USSGLL L. '6-.,....." ~"\ N Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period CALIFORNIA 4 6 0 FORM from 1- t - O~~ I .- ~a.... - OS- of 9 ~ through Page I.D. NUMBER NOT y¿ r Kl~C¿'/rJè' b DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, AlSO ENTER 1.0. NUMBER) CODE * PER ELECTION TO DATE (IF REQUIRED) /-\D-Q) J -IO-O~ I-lV-as- l-Jb-o~ I -[ :-05" )c(A 1<ë: N :B~ N \ q S-Co 6L.........s..S1;.O~Ð A uE" CLAo..~ëW\O~~1 L/\ 9/7/1 Lc..)DO~~ 'bO~(ÞL~$ (p~ cB~\{ØHo'--\'\.A- '( où,..:) G k. c..L~~ VV\.o~'\ C '" 9 (c 1\ \ \:"0 LM. L ~ VV\ B (P;)O l.::. . V\I1I ~À r\I\~~ A ûE. L L- A~c:= IY\D~~ I C Þt . 9 ('1 ¡{ ßc:,'1 h + 'boR. oTf+ 'f EOLL-A ~ b (pó( \ L.c...J ~L-L c7.sL-ë~ J) ~ . t,-Þ\~MO¡...j~, (A 9'7/ I b Au, ò L. 3Sl-A.Ñ ~ I '1 3 5" J...A ss. c,....J Au ë CL ~~c (Y1 o,...s-r- (} A cr , 7 II I ~ND 0 COM OOTH OPTY OSCC ~IND OCOM OOTH OPTY osee ~IND DCOM oaTH OPTY OSCC ~ND OCOM OaTH OPTY OSCC Da'ND DcOM OOTH OPTY osec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) - rAe, '-rr pt:)~Oé""O~ V E-~\ZÐN 1~50.~ Co t#I\ CfÐ~ -I- eP ~L>~L"'s.. GvILJ ITë . dÀ S D. - ~ë'\~c1 4/ (j().~ \<c:: "\t ~c:: b 4: IOO."~ 1i. I~O ~~ . SUBTOTAL $ 850.~ Schedule A Summary ,;;0 1. Amount received this period - contributions of $1OØ or more. (Include all Schedule A subtotals.) ...............................................'......................................................... $ 2. Amount received this period - un itemized contributions of less than $~............................................. $ 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 (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee 1.0 50. ~ J 7 (). l>D ~3rJ.. () . ~ ... -" FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK.FPPC :Schedule A (Continuation Sheet) !Monetary Contributions Received NAME OF FILER ~L.' S S 6. L I...- L. ::6t2ð~ ~ Type or print In ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMIT1EE. ALSO ENTER 1.0. NUMBER) CODE ... t ,J{- oS ÞA~\c.. ~ A~ 1M$,R-o~6, ~Ó> 1 KG tA^?G ~ Avë: C LA.~€W\O~t c.~ 9'71 ( 1-~-oS- vY1 A i~ \ D ~ 1 ::::r-c:- &5. s: ~ \ C. K. l-i (p 3 ~. 7 ï.!!:: ~ "Contrlbutor Codes ¡NO -Individual COM - Recipient Committee (other than PTY or See) ¡ OTH - Other l PlY - Political Party SCC - Small Contributor Committee", [)lNO DeOM OaTH OPTY osee œtNO DeoM OOTH DPTY osee DINO DCOM oOTH OPTY osee. DINO oeOM OaTH OPTY osec olNO . DeoM OaTH OPTY osee from Statement covers period I ,... / - a:s- J ,.. d.~ - oS- through IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER II F SELF-EMPLOYED. ENTER NAME OF8USINESS) AMOUNT RECEIVED THIS PERIOD ~E""t~ D -1/00 , ~ - ...L1'-1.5 ù ~ A t--X ¡;- ~è,..:r -/ NrrJFN /oo.~ 80 SUBTOTAL $ d. 00. - SCHEDULE A (CONT.) CALIFORNIA 4 6 0 FORM - Page .::> 1.0. NUMBER of ~ /ý¿J r Y df j;?¿ tElto' caJ CUMULATIVE TO OATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E Payments Made from I - l - OS CALIFORNIA 4 6 0 FORM SCHEDULE E Type or print in ink. Amounts may be rounded to whole dollars, Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER through , -M-OS- Page ~ 1.0, NUMBER of (J ~ l...') S .s E L.. L L . ~~c!)~N 1'10 T Y t:/ i2;c ~ IV,Ø I CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. C't\IP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)"' OFC office expenses SAL campaign workers' salaries CVC civic donations ÆT petition circulating TEL 1. v. or cable airtime and production costs FIL candidate filing/ballot fees RiO phone banks 1RC candidate travel, lodging, and meals FND fundraising events POl polling and survey research TRS staff/spouse travel, lodging, and meals IrÐ independent expenditure supporting/opposing others (explain). POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, AlSO ENTER I,D, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID [., ~'-1 0 r=-- CLAèëMO,ùl ;;to 7 H^~ù~l2.~ Auö. C. L-~è¿-J'K.oÞOJl , C;'" cr I 7 J V \ t....&M. ~ C. t\ L- b t..L--' ë LL 5, b~.s !.!-5~7 c f'V\~~ë ~ ~e . L:. 1-.. tV\ Ð þ...) T E \ C ~ 1\ F-~ \~~\..C ~~~.s.. SLf 13 1"1 c..KLAu S 'b~. Nw ~~ësrcm., W\N SSC;Of t=-lL SAvt^-4)L é ~AL-LðT ~A¡..JSL.^f7C,..j F¿ð 4- SO.~ CM? 'A.~~ $rbNS $ C) CMf C. A ()...A.. Þ" I ú> ~ kL)\fO ~ .s -I 0 * Payments that are contributions or independent expenditures mUst also be summarized on Schedule D. SUBTOTAL $ ~ 50 , ~ Schedule E Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ....................................................................................."""""'" $ - _L?ij', 'If) t ~ 0 t£)O 2. Unitemized payments made this period of under $100 .. """ .......:........................... .................... ..... ..... ....... ...... ...... .............. ........... ................ ..... $ (). - 3. Total interest paid this period on loans. (El'1ter amountfrom Schedule B, Part 1, Column (e).) ............................................................................... $ . 0 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ _J, ~Ji.5!d¿- «ø FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) from I - I - 0':>- I -~-os- CALIFORNIA 460 FORM Statement covers period SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~ LD. NUMBER VL.?$>,~:LL- L. Z~w,j Ne>ry¿T ~¿ctPtJtfi:, CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 0vP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryt OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks 1RC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals If\Ð independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet. e-mail) through Page 7 of ? NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) C 1-JJ,f¿Z7Y1 O,....s'"( C o"f¿r ~ / II S. CoLL-ðbo AV'lS: ~ l:-A12....~ ðNr- \ . C A- 9/ 7 If CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID PRr L At 'M;" ~ . \(Ø t-.J \C\C-k::DFF eU¿~T Ab .!f; /'-It7. ?t) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ /1'-/. C(D FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC SEE INSTRUCTIONS ON REVERSE NAME OF FILER') /.D. NUMBER "" ~sSë LL L. JS~u-:I,.J No. 'ft?T~<::õ1Uð)) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OJP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve ctvic donations FEr petItion ctrculating 1EL Lv. or cable airtime and production casts FIL candidate filinglballot fees PHO phone banks iRe candidate travel, lodging, and meals FND fundraising events POl polling and survey research TRS staff/spouse travel, lodging, and meals N) independent expenditure supporting/opposing others (explain)" PO5 postage. delivery end messenger services TSF !rensfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VaT voter registration lIT campaign literature and mailings FRT print ads WEB Information technology cosls (Inteme~ e-mail) Schedule F Summary 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. (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 U~e 2 from Line 1. Enter the difference here and ¿). '-f I:) I 7) on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ .' b May be a negative nurn er FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from l - ( - OS- through I - ~ - O.s- NAME AND ADDRESS OF CREDITOR (IF COMMITTEE. ALsO ENTER 1.0. NUMBER) (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD CODE OR DESCRIPTION OF PAYMENT (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) V \L.M-VÅ C,*,L'þ~ ~LL 11 55 7 L=:: &M~C¿ ~ t::. '- tV1~c, C A A t:=-Fc!)~ ':b Ai: LÕ ~~ ,..J .5 5"'-1 \3 N, C~L""-' S D ~. N t..J Roct+c'"Ç.,~. fY\ ti 5.570 r S1\L~ CmP -tot o~-s. 7 / , . ( . \, .$ ;los-S-, 7 / 0 -t 3 '-ffp . ~ cm~ ~ 3L/~,~ 0 . Payments that are contrIbutions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS $ rJ. '-(0 I , 7 I $ éÀLfD 1.7/ $ 0 SCHEDULE F CALIFORNIA 460 FORM Page e?' of ~ (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD .$;lOSS. 7 r ...$ 3~ , ~ $ 8-Lf{) I ,71 ;<Lf()f.7/ ()