HomeMy Public PortalAboutForm 460 (Nov 11, 2002 - Jan 18, 2003)
Sutement co".,.. period Date of election . ....lcab...
from~OVeM 'lEi , toot (MontI, OIly, Veer)
.
','
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200a4216.5)
Type or print In Ink.
e
SEE INSTRUCTIONS ON REVERSE thrOUgh~
1. Type of Recipient Committee: All CommJ.... _ CompIN Parts 1, 2, 3, .net ...
I
B OI'IIcehoIder, CandIdaI8 ControIed CommIttee 0 Ballot Meaue Canmittee
8 SIaIe CandIdate 8ecIIon CommItIl!le 0 PrtnerIy Formed
RscaII gConlrolled
/AllIe> a.,.... "-' 5) Sponaored
/AllIe> ~ "-'1l1
o General Purpose CommIttee
o Sponaored
8 Small ConIributor CommIlIee
PoIlticaI Party/CentraI Commlttee
o Prlm8rIIy Famed CandIdalIlli
0IlIceh0Ider Cornmmee
(A/Io ~ "-' 7)
3. Committee Information
Cl~S
COMM ''''EE:. TO eLe.c.T JAC.K\E. Me HENey
STREET ADORESS (NO P.O. BOX)
Z4-~7 tJ. WOOf:> COU2T
CITY STATE ZIP CODE
C.LAe.aAotJT CA '\(i\ I
MAILING ADDRESS (IF OIFJ:ERENT) NO. ANO STREET OR P.O. BOX
AREA CODE/PHONE
(,\oq )"tl. 5412.
-
CITY
STATE ZIP CODE
~ CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
rovER Fr\GE
Date Stamp
CA~lf ORNIA 460
7' n ~ ll~
!CORr.1
RECEIVED
JAN 2 3 2003
Page I of t'Z.
Fe)( omclal Use Only
MA2.C~4,tOO3
CITY CLERK
CITY OF CLAREMONT
2. Type of StIltllll8nt:
o PI! SIHilIlI.. S'BlB.,WIt
o SerrHnrut Slalemeslt
o T.....,lIIIIIL.. Stal...e.1t
o Amendmenl (ExplaIn below)
o Quarterly Statement
o Special Odd-Year Report
o SuppIemenIaI PnleIedIoI.
Statement. Attach Fonn 495
T......-.r(.)
NMtE OF TRI!AlIURP
LYLE G,U~TA\Je.CSON
MAlUNG ADDRESS
2."0 E..AST 'SA.N ~05E. A\JE.t\lUe...
CLA2:E.MONT CA ql~Oi (9;') ~ir:rr1'?>
NMtE OF A8S18TANT TREASUReR. IF ANY
r.tAIUNG ADORES8
CfTY
S1l&.TE ZIP COOE
AREA CODE/PHONE
OPTIONAL: FAX I E-MAIl ADDRESS
4. Verification
I have l.l88d aU reasonable dIIlgence in preparing and reviewing this statement and to the best rA my knowIecfae the Illl.....lillol, contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of CalIfornia thet the foregoing Is tnJe and c:orrect.
ex.cut.d on 0 I /'Z1J. D~ By .......
-= ()1/;;~03 " ,'f0'.A?~\j/fJ./:~~__._
Executed on By
0eIe SV-dCclnldlljCllllallldlllr. ~SIoIo ~1'l'cporM
Ex.cuted on
By
FPPC Form'" (JunlI/ll1)
I'PPC ToI....,.. Helpline: MfIAIKofPPC
St_ of C.Ifomr.
0eIe
___t6~~.~_~1'l'cporM
Type or print In Ink.
COVER ~GE - PARr 2
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. OffIceholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
JA CK1E:. Me. HE.W 2'i
OFFICE SOUGHT OR HELD (INCLUDE LOCIV'ION AND DISTRICT NUMBER IF APPLICABLE)
C\T'l C.OUWC\\.. MEMBEI2., CJTY Os:. CUlZeMO~T
RESIDENTIAlJ8USINESS ADDRESS (NO. AND STREET) crN S~TE ZIP
2.4~i W. WOOD C.OU2T C.LAtl.EMO~T CA q\111
Related Committee. Not Included In this Statement: u., any commltteN
not Included In thl. ala,.",.", thft .... confrolled by you or a,. prtm.rily fonrJed to I'fICfIIv.
contributions or make upemllfure. on behalf of your clllldldtn:y.
COMMITTEE NAME 1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES 0 NO
STREET ADDRESS (NO P.O. BOX)
COMMITTEE ADDRESS
CITY
STATE
AREA CODE/PHONE
ZIP CODE
COMMIT'TEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMrrTEE?
DYES 0 NO
STREET ADDRESS (NO P.O. BOX)
COMMITTEE ADDRESS
CITY
ZIP CODE
AREA CODE/PHONE
STATE
8. Ballot Meuure Committee
NAME OF 8N..LOT MEASURE
BALLOT NO. OR LETTER
I JURISDICTION
I 0 SUPPORT
o OPPOSE
Identify the controlling officeholder, candidate, or state meeaure proponent, If ....y.
NAME OF OFFICEHOlDER. CANDIDIV'E. OR PROPONENT
OFFICE SOUGHT OR HELD
101.TO'" NO. IF 'If'(
7. Primarily Formed Committee LIst names of omceholderf.) or "ndldllflJ(s) for
wh1clt ibis c-"'-Ia primarily fotmed.
NAME OF OFFICEHOlDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDID.m: OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANOIDIaE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
Aff8ch cortthJufItlon sit... If neceaa'Y
I'PPC ponn .. C.lUMI81)
FPPC Tol..,_ Help1I..: IIIIAIK-FPPC
..... of c.tltom'-
Type or print In Ink.
Amounta me, be rounded
to whole done,..
Schedule A
Monetary Contributions Received
SCHD1.E A
\ i'lli llr1N,;, 460
1,)1 r..l
lt8Mment cover. period
frem NO~ , , ZOO z..
through jA~.lg Z003
)
Pege '3 of"l.2-
SEE INSTRUCTIONS ON REVERSE
Me. \4E.~ e'f
1.0. NUMBER
\'2.4'\9S5
COMM\"-EE:. TO ELec.T ~AC\(.IE
I DATE
RECEIVED
e HI 1 '/02.
q/Il/0'l.
11/11../0?-
IIJI2fot
e
, 1/1?!O2-
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBI1TOR IF AN IHDMDUAL. ENTeR AMOUNT CUMUL6.T1VE TO DATE PER ELECTION
(IF COMMrrTEE. ALSO EN'I1!1l1.0. -I CODE * OCCUMTlON AND EMPLOYl!R RECEIVED THIS CALENDAR YEAR TO DATE
(IF 1ELF-.o'Im. INTIII_ PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF eUIlNDI)
JUl.IE. LA~NOM IJIN) . HEAOH ASS'S"'ANT
+,+~ L.A JUNTA 021VE. Ocet.4 .C.lAItE.MO.:rr "",tOft l SO, 00
OOlli
CLAI2E.MO~T 1 CA q I" I OPTY ~HOOL
Osee
KelS ME. 'i E.R:. ~~ . GENEIlA\. CO
80' DEE.PSP2.\~S D21Vl:.. OOlli · LEDESMA,MEV I So.oo
CLAfZ.E.MO~T, c..A ~ 11J I OPTY <:O~c:rtON CO.
Osee
JZ.o15e.2.T L~ GO~TA"E~N B~ .T'E.AcH EI2.
'l.bO E . SA~ JOSe. A'*'E.t\luE.. . POMO~" U~IRcD '2.50,00
C,LA lU:~}AS\ 1 CA q If.' OPTY ~L t>~lCT
Osee
VALERJE. C. GUS'TA\1e.SDN ~ · P20FESSOI2.
t~ E. . 5A~ JOSE. A\I~UE · CDA.':m.1 ~ E.
B~ c.oMMUwrrv 2. So. 00
c LAtzE.MOu.t\ CA. '\ " I , Osee COL.\.~e.
PE.TE.R:. COVE. ~~ ' PeE.S'DE.)JT
,11 W. iTH DOlli .CD'le.~ \ 00.00
C.l.A~E.MO~T\ CA ~ '''7' l OPTY CDMP~~V
Osee
IUBTDrAl..$ \ ,000,00
Schedule A Summary 'it>
1. Amount nJC8Ived this period - contributions of S;1.Qe or more.
(Include..I Schedule A subtotBls.)................................................................................................. $ IE>)' ':;0. 00
2. Amount received this period - unltemlzed contributions of less than ~ ......................................... $ ~
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Sumnay Page, Column A, Line 1.) ..................... TOTAL $ i) ~ +,. +e
*ConIributor Codes
INO - IndMduaI
COM - RecipIent CormiIl8e
(oIher than PTY or SCC)
OTH - Other
PTY - Poi1lcai Party
scc - SInaI ConbIbulDr ComrnInlle
FPPC Fo"" 410 (JuMlOt)
FPPC ToIJ.Fl'H Helplne: ..,AIK-FPPC
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Am~nts may be rvunded
to whole dol...
NAME OF FIlER
CO M~ fTTE.E. TO E:\..EC.T JAC."-\ E.. Me.. \-\E.~'E't'
DATE
RECEIVED
, '/l?JDZ
I '/'')fO'l.
, 'I., 102..
u/.-1/D'2..
Il/topz
IF AN INDIVIDUAL. ENTER
OCCU~TION NfO eMPlOYER
(IF lleI.FalI'LOTeD, IHTE" _E
OF~
. A~Oe.NE'f
· c...tlO'8EItr F~
A-n-o~et ~TLAW
. EDUCATt)C2..
· DE:. vrz.y
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF cot.tMfTTEE, ALSO ENTER 1.0. NUMBER) CODE *
C. ROI3E.12.T FEtaGUSOfIJ
'Z.~7 w. FoueTH S~E.E.T
C.LA~E.~OtJT ,C.A q 1 i , ,
~USA.N SUCHOC.Ki
I~ st 51l.1DGE.POIZ.T A\fE.~UE.
CLA1Z.E.MO~T', CA q 111 ,
S. M. <<5c'HE.t\1K
B41E> 1\1. 1~t)'AN ,",'LL BLVD..
c.l.A'ZE.MOtsr, CA q li) ,
CL.A~A.LOU LA~A~Ge.
+~l LEW\~ C.T.
C.LAtc:e.~O~T \ C.A q ii) 1
512'.\AN BOW COCK.
4-700 HALAGA Oe.\\1E.
LA VE.tz.t-U=, CA '\ \,SO
'ContrIbutor Codes
IND - Individual
COM - ReclpIent ConmIIlee
(other than PlY or SCC)
OTH - Other
PTY - Pollical Party
see - SrnEt Contributor ConmIttee
2J~
OOTH
OPTY
Osee
~~
OOTH
OPTY
osee
lit[)
o COM
OOTH
OPTY
osee
~~
OOTH
OPTY
Osee
~~
OOTH
OPTY
osee
.LAI3 LECTl)2E~
· C. LA2E.VDt.)T
c.o\-\.EGte '5
. ~\ eE.t>
. toJO~e.
· tzET I ~ED
· NONE..
SCt-EDt.lE A (CONT.)
StalIement covers period
from NO'!. 1 ., zoo2.
tIlroughJAN. '~,WO'3 page~of 22.
CAl if URN!A 460
fURM
AMOUNT
RECEtVED THIS
PERIOD
2 so. 00
2. ;0,00
'Z. SO. 00
~ SO. 00
I 00,00
SUBTOfAL$ \ 100.00
1.0. NUMBER
\Z4Q q SS
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
~R ELECTION
. TO DATE
(IF REQUIRED)
FPPC Fonn 410 (JunelO1)
FPPC ToIl-free Helpline: 8661ASK-FPPC
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
AmCl.Unts nuIY be rounded
to whole dol...
sct-EDl1.E A (CXM:)
CALiIORN!A 460
f Okr.1
SI:atIement COYenI pettod
from NOV. 'I "2.002-
thlUJVh ~AN. IS, U>O~ Page S of 2.~
1.0. NUMBER
\2.4Q9 S5
NAME OF FIlER
CO MM lTTee. To ElEC.t .j AC~Ie.. Me.. HE.~ I2.Y
DATE
RECEIVED
e 12/01/02-
11./14/02
1 ?/Oe/o'Z.
It/oa/02
11./08/D?
e
'z/oe/o~
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE ~R ELECTION
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * OCCUMTlON AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(If 8El.F.cMI'l.ClYED, INTER HoWE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF _Ill
HALFOR':.D H. FAII2.CH lLt> aN) · p fZO~ESS02.. '00.00
o COM
Z?."'71 W, t.'&~ ST2.EE.T OOTH · pfT"ZEJZ. <Y1 } ~ 150.00
LO~ A~eLEs.c.A Clool8 OPTY
Osee
R I CI-\ARD G.. HA\..L ~~ · IZE. TllZE.D
Iq43 JUD~ON ~T. OOTH · NOt\.lE.. 1S.o0
CLA2:EMO~TJ CA q " J I OPTY
osee
IZOP.>E~T W. 60WCOC.K ~~ · CO~~UL T'A~ T
2.411 N. 8ONNJE. 8R:AE.. A 'JE .. OOTH · \~M \ 0 0,00
ClA~MD~\, C.A q Iii' OPTY
osee
THOMAS LAMB ~ · ~e.TI taE.D
"'2.0 Ml~AMA~ A\JE, OOTH · ND~E. 'O!), 00
c..LA~E.MDN\ I CA Cll111 OPTY
Osee
GAR:Y MIZUMOTO iaN) . FOOD'
40 e;" ~. OLIVE KNOLL PL. o COM · ~2E:%I\JE... lOO.Co
OOTH
c..LA~UTI C.A q,,11 OPTY I~SU~
osee
SlBTOrAL$ 'ZS,oo
.Contrlbutor Codes
INO - Individual
COM - Recipient Corrmlttee
(other than PTY or SCC)
OTH - Other
PTY - PoIItlcaI Party
see - Smell Contributcr CorrmII1ee
FPPC Fonn 480 (JunelO1)
FPPC ToIl-Free Helpnn.: 868/ASK-FPPC
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amo,.unts may be rounded
to whole do....
SCl-EDlI.E A (CQrr.)
Stat8llle1'lt covers period
from~O\J.ll 1.002-
1Itrough ~A~L '8.'Z.00'3 page" of 'l.Z-
(ALIIORNIA 460
fUkM
NAME OF FILER
C.OMM\TTEE.. TO E.Lec.r ~ACJ'..IE. Me. HENeY'
1.0. NUMBER
\ Z4q~ SS
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDMOUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE OCCUMTlON AND EMPLOYER RECEIVED THIS CALENDAR YEAR ' TO DATE
RECEIVED (If COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF REQUIRED)
(I' IELF.....OYED. PfTER _E PERIOD (JAN. 1 . DEC. 31)
OF IU8INEI8I
LAW2E.NCE. M. WODD2.0FF- .N) . RE.TI ~E.D
12p'i}a?. 4.oE>O OL'\JE. \(~OLl. PL, o COM .~O~E. '2S0.00
oOTH
C.LA1tE.MOtJT, c.A q "II oPTY
Osee
MA2.GAe.ET E.. WOODRUFF filNl .12E,TII2ED
o COM
lyoq/OZ, 4o~o OLIVE. KNO~L PL. oOTH · NO~ e. '2.. 50,00
oPTY
CLA~WaO~\ CA ql", osee
MAltY J. NOo~AN ~~ .IZETltZED
1?/lo.JO'l. ~4-~ 6 SQ, '~t>'AN HILL ~L\/D.. oOTH · WONE.. 100.00
CL.A2EJvV)~T,CA q Ii" oPTY
osee
JAMES S. Bu\..L ~~ · ~E. TlI2. E.D
, 1.fl.3/0? 1~48 ~. MOUlJTAlloJ A\JE~OE. oOTH · NO ~'E.. \00..00
CLA2.EMOl..)T, CA q " il OPTY
osee
LIl.L1A~ LE. E:. ~ · tz.E.Tl~ED
'tl'l.~/02.. 4u, W1LLAUE.TTE. LN # oOTH · t-JD tJ E:.. 1 S. 00
c.\.I\~O~Tlc.A qliH OPTY
osee
SlB'TOTAL$ '15.00
.Contrlbutor Codes
INO - loolvidual
COM - Recipient CorrmIttee
(01her than PTY or SCC)
OTH - Other
PTY - Po8tIcaI party FPPC Fonn 480 (JunelO1)
see - 8mBII Contrlbula' CormIIttee FPPC Tolt-Free Helpline: 888IASK-FPPC
Schedule. A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Amo..unts m8Y be rounded
to whole dohrs.
SCI-EDt.lE A (CONT.)
Statement CCMlnI pertod
CAl if URN'A 460
fORM
NAME OF FILER
COMM1TTE.E. TO ELEc.r ~AC.~IE.. Me. He.JJIZV
from toJO~. I .. ~OOz.
thrvugh~ Page 7 of 2.'2,
1.0. NUMBER
1"2.+"~ 55
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAl, ENTER AMOUNT CUMULATIVE TO DATE ~R ELECTION
RECEIVED (IF COMMITll:E. ALSO EI'fTER 1.0. NUMBER) CODE * OCCUAloTlON NftJ EMPlOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF 8ELF~OY1!D, lIfTER !Me F'ERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF_U)
e AGNES M. Me. GAHA ~~ · IZETI eED
\ '2./1.1/62- 4-z,+ W. HA~elSON A'JE. OOTH · NO~E. 10 0, 00
C.LA12:E..MD~T) CA q r711 om
osee
I-\OWA~D s. FULLE.12- raN) · 1Z E. TIIZ. E.t>
1'2./3IJOZ "1"30 MA'i FLDWe.r2- IZD. Ocn.1 · ~O~E.. 100,00
OOTH
c..lA 2E.MO ~1' ) CA '\ I, JJ om
osee
JE~2V A, II2~SH 12tN) · PI20 FE~So re.
I~ I!b"l. <a'=>4 tALIF=()eNIA D~ . Ocn.1 · PDMONA COLlE'tE 2So,00
OOTH
C-LAeEMot-1T) CA e1t 171 \ om
osee
SM1TA SAN6HVl ~ · OWNEIZ.
12/~IIO-z. '11; W, 8ASE:.LINE:... I2OAt> oom · MOU.srA.1N VIEW "2. SO, 00
C.LAJZ:EMo ~T ) C A q 17 " om Al'l HEt W:2.I~
e osee C e.'.n'ElZ.
GEt.J1SE. HASE.N ~~ · FR:AN<!.\\I~ 0
o I/Oro jo?J 10\ W. FOOTHILL 13LVD. oom ' EVEIl.EST FOOD 100, DD
POMO~A, ~A q 11bl om ScR..VICE.S
osee
SUBTOTAL $ 800,00
.Contributor Codes
INO - II'KlMdua/
COM - ReclpIent Corrmlttee
(other than PTY or SCC)
OTH - Other
PlY - PoIIlicaI Party FPPC Fonn 410 (JunelO1)
see - Smet Contributl:lr ConmIttee
FPPC ToIl-F.... Helpline: 866fASK-FPPC
Type or print In Ink.
AmOJ.lnts may be rounded
to whole do....
SCtEDt1.E A (CONT.)
Schedule A (Continuation Sheet)
Monetary Contributions Received
CAl if ORNIA 460
f URrlil
StafIement covers period
from.hlOV. , , '2.oo't
throUghJA~.U;) 1.003 PIIge 8 of 2~
1.0. NUMBER
NAME OF FILER
CoMMlTTEE. TO El.EC.'- jAC~J~ MC HENJ2.'(
DATE
REceiVED
0'/0"/0'3
OllOq/o~
0'/&1./03
o '/'ID/03
o 1/11/01:>
,Z4QQ SS
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE ~R ELECTION
(IF CONMI1TEE, AlSO ENTER I.D. NUMBER) OCCUflt.TION Nfl) !MPLOYER REceiVED THIS CALENDAR YEAR . TO DATE
CODE . (IF IELF-EMI'l.O'IID, P/TER _E PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
OF IUIlNEIIl
c..LA'IlE.. K. Me. OD~A. '-D ~~ · lZETl2.ED
'2.3'1 W. 11TH CSTl2E.ET oOlli .~O~l::. \ SO, 00
C.\..A~~O~T, CAe. q '71 \ OPTY
Osee
GE~,Al.t> W. JUE12.r:,E~S N) . 1Z E.TI12ED
oCQ.1
1S0 SA~TA BAeBAIZA 012, oOlH . ~OtJ'E.. \00,00
CLA2.EMO t..)T l CA q 17 J , oPTY
Osee
ClAIZAL.OU A, LA BAR~E ~ · ~E.TII2.ED
4'?>1 LEW\S CT, oOlH " NotJ"E:. '2.S0,00
CLAI2.E.MD~T C.A q l'"111 oPTY
Osee
PAT1t.IC.IA M. CDLL)~S ~~ · HD~E. W~E.12.
lo47 MT. C.A~E.L oe . oOlH · N/A \00,00
C.LA~e.tv\D~T\ CA q l"1)l oPTY
Osee
EA~L CA2TClZ. lI.N) .AlIO~tJE.'l
~B ~. 2.1\1ER:Slt>E:... A\lE. .. o COM . EAe\. CA~TE..~ '2S0,OO
OOlH
I2IA\.TD) CA q 1.~'"1' OPTY LAW OFl=-ICE:.S
Osee
SUBTOTAL $ aso..OO
.Contrlbutor Codes
INO - Individual
COM - RecipIent CormlItlee
(other than PTY or SCC)
OTH - Other
PTY - Pollical Party
see - SmeI ConlrIbu1a' CorrmItfse
FPPC Fonn 480 (JunelO1)
FPPC ToIl-Free Helpline: 866fASK-FPPC
Schedule A (Continuation Sheet)
Monetary Contributions Received
Type or print In Ink.
Am~ntamayberounct.d
to whole doI8ra.
NAME OF FILER
COMlA\ I 1 E.E TO ELEcr jAc..",'E... Me. H-E.NlZY
DATE
RECEIVED
e
o '/17/0?J
OI!'1jO'?J
e
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(If COMMITTEE, ALSO Em=R 1.0. NUMBER) CODE.
e.UC;E.tJE. C. SIE.G~'~T
~~ TEA 5 DALE. 012.,
CLA2.E.MD~T.. CA q ", \
I-\AIZOLD F, WAY J2= .
\O~( FUlLe:rz. '012 ..
C.LA~lAO~\ 1 c.A ql,l\
~~
oOTH
oPTY
Osee
~
oOTH
oPTY
Osee
ON)
o COM
oOTH
oPTY
Osee
ON)
o COM
oorn
oPTY
Osee
ON)
o COM
OOTH
OPTY
Osee
.ContJ1butor Codes
INO - IroMdua/
COM - Recipient ConmItlee
(other than PTY or SCC)
OTH - Other
PTY - Po8IlcaI Party
SCC - Small ContrIbutor Comnltlee
IF AN INDIVIDUAL. ENTER
OCCUMnONANDE~OYER
(If IELf.alPl.OYI!D, ENTER _e
Of_D,
· Pl-\VS lC'AI\)
· E. ('. S I E.CD2.1'ST
· t2 E ,-, ~ED
.~O~E.
SCt-EDl1.E A (Ca'lT.)
CAUIORNIA 460
fORM
!bWnent covers period
from NOV. l ") 'Z.OO'Z.
through JA~. Ie " '2.00.3 Page " of '2.2-
1.0. NUMBER
\1..4'1'155
AMOUNT
RECEIVED THIS
PERIOD
'2 SO.Oo
'2.t;0, 0 0
SUBTOrAL$ 500,00
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
~R ELECTION
TO OA TE
(IF REQUIRED)
FPPC Form 48Cl (JunelO1)
FPPC ToIl-F.... Helpline: 8681ASK.fPPC
Schedule B - Part 1
Loans Received
Type or print In Ink.
Amount. may be rounded
to whole dollar..
SEe INSTRUCTIONS ON REVERSE
NAME OF FILER
C.OMl.A\ r 1 EE:. To ElEC.T JAC.\Ll E.. tv\c. ~~ 2.'1
SCtEDlLE B - PART 1
CAlif ()f~NI/\ 460
f U'~M
Statement cover. period
fromWDV.l, ZOOZ
through JAW. \8>> 'ZOO 3
FULL NAME. STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
IF AN INDIVIDUAL. ENTER
OCCUWlTION AND EMPLOYER
(IF SELF-EMPlOYED. ENTER
NAME OF SUSINESS)
OUTS,sA'NDING ~UNT III OUTS,j.i1aDING
BALANCE AMOUNT FI'ID BALANCE I(f
BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS
f>ER1OD PERIOD THIS PERIOD · PERIOD
o PAlO
s
s
.
o FORG11IEN
.
o PAID
.
o FORGIVEN
S
o PAID
S
OFORGIIIEN
S
$
to IND 0 COM 0 om 0 PTY 0 scc
s
s
to IND 0 COM 0 om 0 f>TY 0 SCC
s
s
to IND 0 COM 0 om 0 PTY 0 SCC
SUBTOTALS $
Schedule B Summary
1. Loans received this period ............................................................................................. ............... $
(Total Column (b) plus unltemlzed loans less than $100.)
2. Loans paid or forgiven this period .................................................................................................. $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also Itemized on Schedule A.)
3. Net change this period. (Subtract Une 2 from Line 1.)........................................................... tEl' $
Enter the net here and on the Summary Page, Column A, Line 2.
Paee ~ of ~2.
1.0. NUMBER
Il+QQSS
let
INTEREST
PAID THIS
PERIOD
('I
ORIGINAL
MtOUNT OF
LOAN
III
CUMULATIVE
CONTRIBUTIONS
10 DATE
CALENDAR YEAR
S _% S S
RKE PER ELECTION-
S S
DArE DUE DArE INCURRED
CALENDAR YEAR
S _% S S
RIQ" E PER ELECTION -
S S
DArE DUE DArE INCURRED
CALENDAR YEAR
S _% S S
RKE PER ELECTION-
o
(May .. . ~1Ive fUl1IIar)
tConlrlbutorCodes
INO - IndMduaI COM - Recipient CommIttee (other than PlY or SCC) OTH - Other PlY - PoIIIIc8I Party see - SmII ContrbJta' CommItI8e
s
DArE INCURRED
{~}~l:~~~:;~:,?!;~~ ~>-\Y:i;~
'..... ~...,...;, ..~~ ^,"'" ~;":';"- ~,:.-...........~;,-<-J::.'r__"
*Amounts forgiven or paid by
another party also must be
reported on Schedule A.
** If required.
FPPC Fonn 410 (JunelO1)
FPPC ToII-Free HelpUne: 888IASK.FPPC
e
e
Schedule B - Part 2
Loan Guarantors
SEE INSTRUCTIONS ON REVERSE
NAME OF FILt:R
COMMJrrE.E. 10 ELE~T
FULL NAME. STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE. ALSO ENTER 1.0. ~UMIIER)
Type or print In Ink.
Amount. may be rounded
to whole dollar..
JAC~IE. Me. HE~J2V
CONTRIBUTOR
CODE
ON>
o COM
OOTI-!
o PlY
Osee
ON>
o COM
OOTI-!
o PlY
Osee
ON)
o COM
OOTI-!
o PlY
Osee
ON)
o COM
OOTI-!
o PlY
Osee
IF AN INDIVIDUAL, ENTER
OCCUMTION AND EMPLOYER
(IF SELF.EMPLOYED. ENTeR
NAME OF BlJ8I~EBB
LOAN
LENDER
DATE
LENDER
DATE
LENDER
D,tQ'E
LENDER
ORE
Statement cover. period
from NDV. I ) "Z.OOZ
through JAN .lBJtoo'3
AMOUNT
GUARANTEED
THIS PERIOD
SUBTOTAL $ 0
SCHEDU..E B. PART 2
CALI~OI.mIA 460
FORM
Page "
of 1~
1.0. NUMBER
lU-995S
CUMULATIVE
TO DATE
BALANCE
, OUTSTANDING
TO DATE
CALENDAR YEAR
s
PER ELECTION
(IF REQUIRED)
s
CAlENDAR YEAR
s
PER ELECTION
(IF REQUIRED)
s
CALENDAR YEAR
s
PER ELECTION
(IF REQUIRED)
CALENDAR YEAR
s
PER ELECTION
(IF REQUIRED)
$
FPPC Form 480 (JuneI01)
FPPC TolI-Free HefpHn.: 888IASK.FPPC
Schedule C
Nonmonetary Contributions Received
Type or prtnt In Ink.
Amounta may be rounded
to whole doII8ra.
C
8t.I"m.nt~ pettod
from NO". I ) '2.0 0'2.
throu"hjA~.\.IA;2.DO~ p-ee~of ~2.
.
CAlli CII-:N:A 460
~()f-<M
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
COM\AlTTE.E.. To ELe..C.T JAc.\l.\E. Uc.. l-\f:,NI2.Y
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMmEE, AL80 ENTER I,D. NUMBER)
IF AN INDIVIDUAL. ENTER
CONTRIBUlOR OCCU~TlON AND EMPLOYER DESCRIPTION OF
CODE * (IF 8ELF.EMPLOYED, ENTER GOODS OR SERVICES
NAME OF BU8INE8S)
, Ijle/tl2.
L.UDO A. T~OZ.PE"-
+1+ 1 'VlA PADo\lA.
C.LA2EMO~T) CA q I,ll
1:!!NJ
o COM
ocmt
OPTY
Osee
ONJ
o COM
0011-1
OPTY
Osee
ONJ
o COM
Ocmt
OPTY
Osee
ONJ
o COM
Ocmt
OPTY
Osee
· ~E"I EE.D
· NO~E:.
E. LEc.T\O~
DA.TA
AMOUNTI
FAIR MARKET
VALUE
\ ,,~. ,~
Attach additional Information on appropriately labeled continuation sheets.
SUBTOTAL $ 'fOE> .I~
Schedule C Summary ~
1. Amount received this period .,... nonmonetary contributions of $j.QtJ or more.
(Include all Schedule C subtotals.)............... .................................,................................... ......... ................ $
SD
2. Amount received this perlod- unltemlzed nonmonetary contributions of less than $).90 .................................. $
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 $
l(o~.J"
,,~ .00
'2.<0' .le.
1.0. NUMBER
\l4QQ;S
CUMULATIVE 10
DATE
CALENDAR YEAR
(JAN 1 . DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
'ContJibutor Codes
INO - Individual
COM - RecipIent Corrmltlee
(other than PTY or SCC)
OTH - Other
PTY - PoIltIcaI Party
see - Small Contrtbutor CommIttee
FPPC Form 480 (JunelO1)
FPPC ToIJ.f.... Helpnne: 8eIIASK-FPPC
Schedule 0
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
DATE
NAME OF CANDIDArE. OFFICE. AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION.
OR COMMITTEE
e
o Support
o Oppose
o Support
o Oppose
e
o Support
o Oppose
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SCHBJlLEO
Statement cover. perIod
CALIf ORNiC, 460
fORM
through
1.0. NUMBER
Page l'?> of 2.2.
TYPE OF PAYMENT DESCRIPTION AMOUNT THIS
(IF REQUIRED) PERIOD
o Monetary
Contribution
o Norvnonetary
ContrIbution
o Independent
Expenditure
o Monetary
Contribution
o Nonmonetary
Contribution
o Independent
Expenditure
o Monetary
Contribution
o Nonmonetary
Contribution
o Independent
Expenditure
SUBTOTAL $ 0
CUMULATIVE TO om
CALENDAR YEAR
(JAN. 1 . DEC. 31)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
C.OMLAlTTEE To ELEc.T jAC.~1 E. Me. H-E.~1Z V
124~C\C;S
peR ELECTION
TO DATE
(IF REQUIRED)
Schedule 0 Summary
1. Contributions and independent expenditures made this period of $100 or more. (Indude all Schedule 0 subtotals.) ........................................... $
2. Un itemized conbibutlons 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 $
o
o
o
FPPC Form 480 (Junel01)
FPPC ToH-Free HelpBne: 8681ASK.FPPC
Schedule 0
(Continuation Sheet)
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
Type or print In Ink.
Amounts INlY be rounded
to whole cIoIanl.
SWWnentcoven pettod
...... :'.1 . ..' d
CALif Of\NIA 460
rOf'\r,1
from 1\10\1. \ ) 'Z.Doz,
through .\ A ~ I I B I '2.003 Page 1 4 of 2,Z
NAME OF FILER
I COMM \TTe.e.. TO ELE<.r JAC.~IE. Me. t-\-E~2."i
1.0. NUMBER
\ '2.4~~ S ~
DATE
NAME OF CANDIDATE. OFFICE. AND DISTRiCt OR
MEASURE NUMBeR OR LETTER AND JURISDICTION.
OR COMMITTEE
TYPE OF PAYMENT
OE8CRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO om
CALENDAR YEAR
(JAN.1-0EC.31)
PER ELECTION
TO DAlC
(If REQUiRED)
o SUpport
o Oppose
o Monetary
ContrIbution
o Norvnonetary
Contribution
o Independent
expenditure
o Support
o Oppose
o Monetary
Contribution
o Nonmonetary
Contribution
o Independent
ExpendIture
o Support
o Oppose
o Monelaty
Contribution
o Nonmonetary
ContrIbution
o Independent
ExpendIture
o Support
o Oppose
o Monetary
Contribution
o Norvnonetary
ContrIbution
o Independent
Expenditure
SUBTOI'AL $ 0
FPPC Fonn 480 (JunelO1)
FPPC Toll-F.... Helpline: 8861ASK-FPPC
Schedule E
Payments Made
Type or print In Ink.
Amount. mey be rounded
to whol. doller..
S~e~ntcovM.p.riod
. ~L=-'.A-.-,,"
CA~:rOR~Jlr, 460
f cmrV!
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
COMM\T\E:E.. To ELE:C.T JAC.K'E:.. Me. HEN12.'I'
from NOV. 1) 'Z.OOz.
through JAW. \8,2003 Page'S of 2.2..
1.0. NUMBER
12.4-qq 55
e
poDES: If one of the following codes accurately describes the payment, you may enter the code. 0theIwlse, desa1be the payment.
a.p campaign paraphemallwml8c. MBR member cornrnunIc:alIo RAe radio airtime and production costs
OIlS campaign consultants MTG meeting8 and appearwaa RFD retumed oon1rIbutlons
CTB contrlbutlon (explain nonmonetaryr OFC office expenses SAL ~n wor1ters' salaries
eve civic donations FEr petItlon drcullltlng 18. t.v. or cabte airtime and productlon (X)Sls
FL candidate fIIng1ballot fees PK> phone banks TRC candidate travel. lodging. and meals
FND fundralslng events POL poItlng and survey research TRS stslflspouse travel, lodging. and meals
N) Independent expenditure supporting/opposing others (explaln)* F'OS postage. delivery and meseenger eeMces TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, 8CCOUnllng) vor voter registration
LIT campaign IIteralure and mailings PRT print ads w:a Infonnatlon technology costs (internet, e-mail)
e
NAME AND AOORESS OF MYEE OeSCRIPTION OF MYMENT AMOUNT ~IO
(IF COMMITleE. ALSO ENlER LO. NUMlER) CODe OR
COA~TA\. VA\..UE PU6L\CATlONS
'2.113 FILLM02E. COUtl.T L\T 1,045.0
LA. VEI2.NE., CA. qrTSO
MASTE.1Z SIGN 1"1 S.8
I e-+~ "e" w. 1'11\ ST. eMP
UPLAND,CA. "'18'
WHALE.W _, Ac;soc'A,es
S's+ e.. FOoTHilL 8LVD", surrE. lo4- CMP 2~',,'
SAN DlMA~? CoA '11"3
o
o.
o
· Payments that are contribution. or Independent expenditure. must alao be summarized on Schedule D.
SUBTOTAL $ '2. ) 0 S 1 . 40
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedute E subtotals.) ........................................................................................... $
2. Unltemlzed payments made this period of under $100 ..................... .......... ........................................................ ...................... .......... .......... $
3. Total Interest paid this period on loans. (Enter amount from Schedule B, Part 1. Column (e).) ......................................................................... $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A. Line 5.) ........................... TOTAL $
'2.~a'2.1.0"
~+3.0~
o
~ 110. \'2-
,
FPPC Fonn 460 (JunelO1)
FPPC ToII.f.... HelpUne: 888fASK.fPPC
sctEDlA.E E (CONT.)
Schedule E
(Continuation Sheet)
Payments Made
Type or prIat In Ink
~maybe~
tDwIIoIedabrs.
~coverspelfod
fnMn NO\', 1 , "2.002.
tlllaughjAW.18)to03
CA~,r ;Jf..:N ^ 460
f Uf..:~,'
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
C.OMM rrrE.E. TO ELEC.T JAC.~'e. Me. \4E.~ 12. 'f
P"~O'~ I
I.D.NUM8ER
\2.4-q ,,~S
.'
CODES: If one of the foRowlng codes accurately describes the payment, you may en18r the code. OtherwIse, describe the payment.
(IMI cempeIgn paraphemaIIaImI. MaR member alI1lI'IIlI'1Ic RAe radio airtime and production costs
eN) campaign consuItant8 Mm I1188llnga and appe8I_lCIS RFD AJt1I'ned oontrlbutlan8
CTB contrI:lutIon (explain nonmonetaryr OFC oIIIce expenses SAt. campaign workers' salaries
eve civic donIIlIclns FEr peWon draJIIIlIng TEL lv. or cable aIrtine and production costa
FL candidate tIIngIbaIIot fees PtD phone bInka 1RC candidate trawl, lodging, and meals
Fm fundral8lng e't/8nI8 Fa.. poIHng and aul'\'8Y reIe8I'd1 'IRS staft'lspouae travel,lodgIng, and meals
N) Independent expenditure supportIngfoppo others (explain)' POS poeIege, delivery II'Id me.srver...... TSF transfer between comm\tleeS of the same candidate/sponsor
Lm legal det'enee flR) plGfualcnal seMces (1egIII. accounllng) VOT voter registration
LIT CIUI1)lIIgn IIlIlrature and meIIngs PRT print ads Y& \nfonnalkIn technology costs (Internet, e-mail)
NAME AND ADDRESS OF fIl1IlYEE CODE OR DESCRlPTtON OF MVMeNT AMOUNT ""0
(If COMMITTE!!. JUO ENTER I.D. NUMBER)
C. E.. LUM8ER. CO. 1\2.\5
'l.~qZ NO.. ,OWWe. A'IENuE eMF
POMONA.. CA C\ \1b 7
SAM'5 CLU6
,~o, S. LOI\lE. ~lLL A\1E..NUE. LIT Uoo.Q3
GLe.~OO\ZA, CA q';~l
KELl. V PAPE.~
l ;84- W. iTH STf2.E.E. T LIT \'31.5
u P\..A~D1 CA q \iB~
U.S .POS~OFF1Ce.. -ClAlZ.E.MO~T 5tc:A~H
l40 t\ARVA2.D A\J~UE. POS %5.0
~\..ARe.~O~T 1 C.A ~ \r H
.
8
o
* Paymenta8l....conIItbutIons or IndepelldentexpendIuIM rnustllllo be .umlMltRdcan........ D.
SUBTOTAL $ ",. ~('o
FPPC Form 410 (JUMI01)
FPPC ToII-F.... HeIpIne: 8I8IA8K.fPPC
e
e
, .
SCHEDUlE F
Schedule F
Accrued Expenses (Unpaid Bills)
C,",'-if ORNIA 460
~o~r1'1
Type or print In Ink.
Amountamayberounclld
to wI1oIlldDhn.
SIIIIamenI ClMll'Spedod
from I\JOV I I 1 ?.DOt
thraugh~
P8g8 ~ of 2.2.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
C.OM~ 'TTE.E.. TO ELEc.. r ~ Ac.~, E. Uc.. H E~ TZ.'(
1.0. NUMBER
1'24'19S5
CODES: If one of the following codes accurately describes the payment. you may enter the cocIe. Otherwise, describe the payment.
D.P campaign paraphemallalmlsc. MBR mentler amnunIc8lIons RAe radio airtime and production costs
06 campaign consultants Mm meetings and appearances RfD returned contributions
CTB contrIJutIon (explain normolletary)* OFC oIIce expenses SAt campaign workers' salaries
eve clYte donations FEr petIIion cIrouIatlng 18. t.v. or cable airtime and production costs
Fl. candidate 1IIng/be1lot fees Pt<<) phone banks TRC candidate travel,lodgIng, and meals
FND funclralelng events POl. poling and survey resean:h TRS stair/spouse travel, lodging, and meals
N) Independent expencllture stJppOrtIngloppos/ng others (explain)- POS postage, delivery and m8lnng&r 88I'VIce8 TSF transfer between committees of It1e same candidatel9pOl'lSOr
lEG legal defense PR) professional servIce8 (1egIII, accounting) VOl' YOterregistration
ur carT1JBlgn herature and maIInge flRT print ads \\S InfonnatIon technology C08Is (Intemet. ~)
(I) Ibl (e) (d)
ttAME AND ADDRESS OF CREDITOR CODE OR OU1'8'rl'NDINQ AMOUNT INCURRED AMOUNT FllYO OUTSTANDING
(IF COMMITTEE, ~80 ENTER I.D. NWBER) DESCRIPTION OF fi'YMENT BAlANCEBEGINNINO THIS PERIOO THIS PERIOD BALANCE If[ CLOSE
OF THIS PERIOD (Al.SO REPORT ON E) OF THIS PERIOD
.
- Payments IlIat Ire contribution. or Indepandent npendlturH muel a1eo be
lIVmmerlzed on 8chsduls D.
o
o
$
o
SUBTOTALS $
o
$
$
Schedule F Summary
1. Total acaued experiSes inaJrred this period. (Include aU Schedule F, Column (b) subtotals for
accrued expenses of $100 or more, plus total unltemlzed acaued expenses under $100.) .........................................lNCURRED TOTALS $
2. Total accrued expenses paid this period. (Indude aU Schedule F, Column (c) subtotats for payments on
accrued expenses of $100 or more, plus totar unltemlZed payments on accrued expenses under $100.) .............................. PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Una 1. Enter the difference here and 0
on the Summary Page, Column A. Line 9.)...... ............ ....... ...... ........ ............... ...... .............. ........... ........ ........ ...... ................. ........... NET $
MIIY' De. ~ .......
o
o
FPPC Fonn 410 (JunelD1)
FPPC TaIt-F.... Helpline: 8lllAIK-FPPC
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
Type or print In Ink.
AmountalMybe raunded
to whole doIarL
SQiEDULE F (CClNT.)
SI8tiIment coverapertod
fromNDV. I , '2.002-
through ~A~.1812003
CALif ORNlf\ 460
i Ot~r:
P.~ of 2.~
NAME OF FIlER
COMMiTTEE.. -rn E.LE:Cl JAC~E. ~c HENeY
I.D. NUMBER
\ ~4q~ r:;S
ICOOES: If one of the following codes accurately describes the payment, you may enter the code. OtherwIse, describe the payment.
a.P campaign paraphem8lialml8c. MBR member mnmunIc8lIcns RAD radio airtime and prodUCllcn costs
CNS campaign CD'll!lUttants MTG meetings and 8ppea1WlCllS RFD returned oontrlbutions
CTB conlrIlotian (explain nonmonetary). OFC oIftce expenses SAL campaign workers' salaries
eve eM<: donaIkrts FEr petition c:Iroulatk1g 18. t.v. or cable 81~ and production costs
FL candidate tIInglbellot fees PK) phone banks lRC candidate travel, Iodglng, and meeIs
FND fundralslng events PCl. polling and lMlrYey reeearch ms stafflapouse travel, lodging, and meals
N) Independent expenditure supporting/opposing others (exp/alnr POS postage, delivery and mlleeJl98l' seMcea TSF tra'1Sfer between committees of the same candidate/sponsor
t.m legal defen8e FIR) professional eervIces (Iegaf, accounting) VOT voter registration
LIT cempeign Iterature and mailings PRr print ads WEB Information technology costs (internet, lHTl8iI)
* Paymentsthata,.contItbutlonsorlndependentexpendltureamustaleo be M1mmartzedon ScheduleD.
fa) (b) (c) (d)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDtNG AMOUNT INCURRED AMOUNT Rl\ID OUTS'Ti\NDING
(IF COMMITTEE, ALSO ENTER I.D. IIUMllER) DESCRIPTION OF Rl\YMENT 8AlANCEBEGtNNINO THIS PERIOD THIS PERIOD BALANCE f1J CLOSE
OF THIS PERIOD (ALSO REPORT ON El OF THIS PERIOO
SUBTOTALS $
o
$
o
$
o
$
o
FPPC Fonn 4eG (JunelO1)
FPPC ToII-F.... Helpline: 8IfIASK.fPPC
e
e
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
........... ::.... ,
(~AL'I ::~:'Jlr, 460
I i.,)", j\-~
Type <<print In....
AmounIs..,be rouncIId
IDwhoIe dol8'&.
--"l*lt CCMII'SpeItod
fromNlN 1\ I zooz.
tllraugh~' IS I'Z.OO?J
Pate ~ of 2. 'Z.
1.0. NUMBER
,Z4Q,\ SS
SEE INSTRUCTIONS ON REVERSE
NAME OF FLER
Cl> M LAl"TTEE.. To E.LEC.T j AC ~ E..
Me.. ~E~12.'i
NAME OF AGENT OR INDEPENDENT CONTRAClOR
CODES: If one of the folk7Nlng codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
a.P campaign paraphemallafml8c. MBR member CXlmI1UlIcIIlIc RAD radio airtime and production costs
CNS campeIgn c:oneuIt8nts MTG meellnga and 1IflPlNOIlC88 RR) retLmed oon1ributlons
C1B contrIlullon (explain nor.monetal y)* OFC office expenses 8AL canlp8ign workers' salaries
eve cMc donaIIons Fa" pelIIlon cirouIa1Ing TB. lv. or cable aIrtine and producllon costs
FL candkfale flIr9beUot fees PH:) phone benIca TRC candidate l1aYe~ lodging, and meals
FNO fundralslng events Pa. poling and surwy ......en 1RS ltaIfIspouae travel, lodging, and meals
N) Independent expendltule supportlng/oppolng others (explaln)* FOS postage, delivery and meaenger MMces TSF tnwlSfer between COtnllflttees of the same candidate/sponsor
LEG IegaJ defense fIR) prol'essIonaIserv1ce8 (1eg8I, accounIIng) VOT voter registration
ur C8fI1l8ign Il8ratI.n and mallnga PRT pmt ads ~ IntormaIIon technology costs (Internet, e-mail)
"P.ymentsth...contrtbutIonaorlndlpelldentexpendllureamu8tlll8obe.urnnwtzedon ~D.
NAME AND ADDRESS OF PAYEE OR CR!OI1OR CODE OR DESCRIPTION OF MYMENT AMOUNT ""0
(IF ~E. AL80 ENTER 1.0. ~UNlIEJI)
.
Attsch addltlonallnformatJon on appropriately labeled continuation sheets.
. Do not transfer to any other schedule or to the SlRnmaty Page. Th/a totaIlI'lQY not eqUBI the amount paJd to the tIf1fJfII. or
independent contrsclor 8S reported on Scheduie E.
TOTAL. $
o
FPPC Fonn <410 (JUII4II01)
FPPC ToII-Fnle HeIpIne: IHlA8K-FPPC
8tldement CCMlI'S period
from NcN. 'J '2.002-
through jb1.lB ,'lOO3
Schedule H
Loans Made to Others.
Type or print In Ink.
Arnountsm.-ybe~
to whoW dohrIL
sa: INSTRUCTIONS ON REVERSE
NAME OF FILER
COMM\TTEE. TO E.LEt:.r J~lE. Me. ~~12'f
I
FULL NAME, STREET ADDRESS AND ZIP CODE
Of' RECIPIENT
(IF COMMITTEE, ALSO EPlTER 1.0. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUMTION AND EMPLOYER
(IF 8ELF-EMPLOYED, ENTER
NAME OF BUS/NEBS)
OUTS ~ DING JUNT .........-...... tat OR OUTST1~DING
BALANCE ....... __ ~ -... 8A1.ANCE fIr
BEGINNING THIS LO~ ..... fORGIVENESS CLOSE OF THIS
PERIO IPffUQI) TH PERIOD. PERIOD
$
$
Ol'AlD
$ $
OFORG~
.
DR'E DUE
OPJW
$ .
DFOIIGIYEH
.
DR'E DUE
$
$
~ans that.... contributions to another candidate or committee
must also be summaltnd on Schedule D. Loans forlItven must
.'so be ntpOItMI on Schedule E.
$ 0
$ 0
SUBTOTALS $ 0
Schedule H Summary
1. Loans made this period ............... ..... ............ ................ ............................. ........................... ............... ............. -... $
(Total Column (b) plus unltemlzed loans less than $100.)
2. Payments received on loans .................... ............................ ........................................ ........... .............................. $
(Total Column (c) plus unltemlzed payments less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.).................................................................................. NET $
(Enter the net here and on the Summary Page, Column A, Line 7.)
(~
INTEREST
RECEIVED
-%
!WE
$
-"
!WE
$
$ 0
(EnlIr (e) an
ScheduIoo I, line 3)
o
o
o
(May be . J1ltQlluve tunDer)
- :"
=~
CAUf, JfUJI;\ 460
[uf-.:M
Pap 20 of '2.t.
1.0. NUMBER
\'2.4-QQS5
III
ORIGINAL
AMOUNT OF
LOAN
CUMULATIVE
LOANS
10 DATE
CALENDAR YEAR
$
$
PER ELECllON**
$
DATE INCURRED
CALENDAR YEAR
s
S
PER ElECTION"
$
DATE INCURRED
I ..If Required I
FPPC Fonn 480 (JunelO1)
FPPC ToII-Fnte Helplhle: 88llAIK-FPPC
Schedule I
-
::.
or
Miscellaneous Increases to Cash Amountarnar-AUIdId ~COYeI'Bpertod CALIFORNIA 460
towhole..... from NO", , ) 'tOOl- ' l' f~ r,'
through ~ A~ I \8 I ?J)O?, Page '2. I of "l. 'Z.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER to. NUMBER
CO M~ ITTEE.. TO ELEC.T JAc..~IE. Me. H EJ.J 12. 'f \ 24-qq S c;,
I DATE FULl NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF
RECEIVED (If COMMITTEE, AL80 ENT-ER I.D. truMlIiR) INCREASE TO CASH
.
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
o
Type print In Ink.
-
Schedule I Summary
1. Increases to cash of $100 or more this period. .................................................................................................. $ 0
2. Unitemized increases to cash under $100 this period. ....................................................................................... $ 0
3. Total of all interest received this period on foans made to others. (Schedule H, Column (e).)............................... $ 0
4. Total miscellaneous Increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 0
Summary Page, Line 14.)....... .............. .... ...... .... .......... .... ................... ................ ......... ......... ............ TOTAL $
FPPC Fonn 410 (JunelO1)
FPPC Toft.Free HeIpIne: 88IIASK-FPPC
c
Ig 0"
Statement
Type or print In Ink
SUt.t..4ARf MGE
ampa n ISC osure Amount. may be rounded
Summary Page Statement cover. period CALIF ORNIA 460
to whole dollars. from tJftv, I, lOO'Z. FORt,'
through JA~.le ,1,00'3 Page ~'2.. of '2.2-
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER 1.0. NUMBER
COM tvUTTEE. TO E.LE.CT J AC~I E ~c. ~ E:.)I.) 12.'1' I Z4Q 'I S.5
Contributions Received CoIuIm A Column B Calendar Year Summary for Candidates
TOT AI. TIllS PERIOD CN.EIIDAR YEAR Running In Both the State Primary and
(FROM ATTI\CHED SCHEDUlES) 1OI"1ILT ODllTE
..., .'4'3.+8 General Elections
1. Monetary Contributions ................................................ Sr:hedul. A. U". 3 $ S 1/1 through 6130 7/1 to oete
2. loans Received ............................................................. Schedul. 8. UM 7 0
3. SUBTOTAL CASH CONTRIBUTIONS ............................. S ~ $ 20. Con1ributions
Add Unes 1 + 2 Received $ S
4. Nonmonetary Contributions ........................................ Scn.du" C. UIlB 3 Zb I. liD 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...............................Add linea 3 + -4 $ 1 ~ o+.~+ s Made $ $
)
Expenditures Made ~ 110.12- expenditure Limit Summary for State
6. Payments Made ............................................................. Schedule E. Une -4 $ $ Candidates
7. Loans Made .................................................................... Schedule H. Une 7 1 0 22. Cumulative Expenditu.... Made*
8. SUBTOTAL CASH PAYMENTS ......................................... Add U".. B + 7 $ 3 "0. It $ (If SlIlIjoct lD _ntary ex...-_ UnlI)
9. Accrued Expenses (Unpaid Bills) .................................. Sdledu/& F, LIne 3 ) 0 Date of Section ToIal to Date
10. Nonmonetary Adjustment ............................................... Schedule C, Line 3 2.' 1. I" (mmlddJyy)
11. TOTAL EXPENDITURES MADE ...................................Add Lines 8 + 9 + 10 $ '3~31.~8. S ----1----1- $
Current Cash Statement ----1----1_ $
12. Beginning Cash Balance .......................... Previous Summery P8Qe. Une 16 $ ~CiO .00 To c::aIalIRt Cc*Jmn B, add
'.~3.+8 ----1----1- $
13. Cash Receipts ......................................................... Column A, line 3 abo>w amounts In CoIurm A to the
0 coo8lpondlng amounts ----1----1- $
14. Miscellaneous Increases to Cash .............................. Schedule I. Un. -4 from CoIuIm B of your last
15. Cash Payments ....................................................... CcMnm A, LIne 8 abowe ~ 110. 12- report. Some amounts in
~ CoIurm A may be negatNe ----1----1- $
16. ENDING CASH BALANCE............AddUn..12 + 13 + 14. thensublr8cfUne 15 $ 1IguNs tMl should be
aubtr8clied from previous
If this Is a termtnstlon statement. Une 16 must be zero. period amounts. If ttis Is ----1---1_ $
the ftr8t report being flied
17. LOAN GUARANTEES RECEIVED .............................. SclHKIfM 8, Pan 2 S 0 for ttis c:aIend.- yeer, only "SInce January 1, 2001. Amounts In this section may be
can)' fMII the amounts
Cash Equivalents and Outstanding Debts from Unes 2, 7. and 9 (If dftnnt from amounts reported In Column B.
0 any).
18. Cash Equivalents ..._..._...._........._.............. SM instructions on re_ S
19. Outstanding Debts ............................ Add Line 2 + Une 9 In Column 8 abcMt S 0 FPPC Fonn <480 (JunelO1)
FPPC ToU-F.... HeIpIne: 8lllAII(.AIPC