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HomeMy Public PortalAboutForm 460 (Jan 19 - Feb 15, 2003) .... . Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200.a4216.5) Type or print In Ink. Statement covers period D.-e of...... . JIIplle..... -~Dir. V..-) from JAl\U)A2't 'Q,2.003 . '~I~~:i;.-- ~."--~. - . . through~ 15?D03 ~J7DQ' , .~~~.._- see INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: Ail Comftll.... - Com.,.. .... 1, 2,3, anet 4. /)I OI'IIcehoIder, CandIdate Conlrofted CommIttee 0 Ballot Measure CommIttee 8 Slate Candidate EIeclion Committee 0 PrinarIy Farmed Recall gConlrolled ~ ~ PlItt S) Sponsored ~~PIItt<<l) o General Purpose CommIttee o Sponsored o SmaD Contributor Comnitlee o Political Party/Central CoIm1ItIee o PrImarlIy Formed CandIdate( 0ftIceh0Ider Committee (Aloe> er....- PlItt 7) 3. Committee Information COMMn'TEE NAME (OR CANDIOJQ"E'S NAME IF NO COMMITTEE) COMM1TTEe ,0 ELEC.-r ~Ao:.lE. Me HE.N~'f STREET ADORESS (NO P.O. BOX) 2.4~7 N. WOOD COU12.T CITY STATE ZIP CODE CLA2.e.MCHJT CA q'ill MAILING ADORESS (IF DIFFERENT) NO. AND STReET OR P.O. BOX AREA CODE/PHONE (qoq) ''Z\-S412. CITY S'l7\TE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS 2..~llment: C1:ii.i'~ n ~J_jl O;.~SII.aIIIllInt 'Cf.;~. Ill&. .....It d.-it (ExplaIn below) COVER FJ\GE o.re Stamp CA~lr OR~JI:" 460 7n(, ~ 11;_ F 8Rf.1 RECEIVE FE B 2 0 200 I of n Page For 0lIIclaI UlIe Only CITY CLERK CITY OF CLAREMON , j' o Quer1eIfy Statement o SpecIal Odd- Year Report o SuppIemenIaI ~I Statement - Allach Form 495 e TI'II.uRl(a} HoWE OF 1NWIUAP L..'lL.E GUST~Ve.50~ 1IMIUNlI1U... _I t.~O EA5T SA~ JOSE. A\lE.tJUE- ~ ST.6.TE ZIP CODE C.\.A~~T CA Q'711 HoWE C# AIIII'MT TREASURER. IF At-ff MAII..INQ,., .- em OPTIOIW.: FN< I E-MAIL ADDRESS AREA CODE/PHONE ( QOQ)b'Zl-\2.73 STATE ZIP CODE AREA CODE/PHONE e 4. Verification I have used all reasonable cflligence in preparing and reviewing this statement and to the best d my knDwIedge "'''''''".6.., COId81ned hllRIin and in the attached schedules is true and oomp/ete. I certify under penalty of perjury under the laws of the State of CaRfomI8 that the foregoing Is true and ex.cutedon 0'2./1 ~D'3 By Ell8CUtad on 0 dJ / .zoO 3 By Executed on By DIIIII ElC1ICuted on 0IIIt By ___aJ~c-..dIIr.~"""""fllaponM or 8Igr.aRdr ...~~-,.....ADpoMnt FPPC Form - (JImII01) I'PPC ToI.....,.. Helpline: 1eItAIK.fPPC ..... of callfomla . ~ ,. . Type or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. OffIceholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE JACKlE. Me He.~~'( OFFICE SOUGHT OR HELD (INCLUDE LocnlON AND DISTRICT NUMBER IF APPLICABLE) C'T'f COU)JClL MEM8E.12, ClTV OF CLA~MO~T RESIOENTIAUBUSINESS ADDRESS (NO. AND STREET) 2.4-b 7 loJ. WOOD co U 2T CITY S""TE ZIP CLA2EMON'\ CA "l'lI Related Committees Not Inctuded In thIs Statement: u.t any commltteea not Included In this lIfBtem""t that .,. controlled by you or a", p""",tlly fonrJed to rec.w. contrfbutlons or meke upendltu"'s on beh,," 0' your cendldacy. COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE'? DYES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMmEE'? DYES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COVER Flf\GE . PARr 2 .;";" 6. jl, BAU.ar~~~~ L!TTER \ JURISD~T10N \8 ~~T ~;~:oonINIIng officeholder, candidate, or state ","sure proponent, If ~.e NAMI! OF OFPICI9tO\..DER. CAHDlonE. OR PROPONENT 0f'PlCE 80UQtfT OR HELD 10"""CT NO. W "" 7. Primarily FonIIH CommIttee u.t names 0' ofllceholder(s) or Andldete(S) for wItIcIt.. .........Ia ptImedly funned. NAME OF OFFlCEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFIIIC!HOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE ~ ()If OFFICEHOLDER OR CANOIO,ta'E OFFICE SOUGHT OR HELD o SUPPORT: o OPPOSE NAME OF OFPICEHOI..DER OR CANDlORE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE AUlIch contInwfIon aheefa If II8CNUIY I'PPC Porm"~) FPPC Tol...._ Helpline: IIIIAIK-FPPC .... of c.llfomla Type or print In 1M. Amounte lIIay be ......... to whole do....... fDEU.E A Schedule A Monetary Contributions Received \ /ll'; llc<tJ,/- 460 I,)t"r..., Statement cover. period frem JA~. lq, too' through FEB.' S!J ZO03 page?J of Ii SEE INSTRUCTIONS ON REVERSE COMlAITTEE. TO ELEC.T JAC"\E Me. HE.~ ~'( DATE RECEIVED o \}1.1./03 .o1/?1/o~ 01/'0/03 ot/ol/o?> O'l.JoSJo3 1.0. NUMBER I 'Z.4Q q SS FULL NAME. STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR I1'AN~;"" AMOUNT CUMULATIVE 'TO DATE PER ELECTION (IF~ITTU.ALIOEImORI.D.~) CODE * occu"cnC:lfMlS'IIiIII.OYIR RECEIVED THIS CALENDAR YEAR TO OA~ (I' .,~...-.- PERIOD (JAN. 1 . DEC. 31) (IF REQUIRED) CIl'....... .to'; . MAI2.1L-'l ~ C-. ~\5\-\OP f8NJ .OFFlCE ~ " ~ -z.l.13 8E1l\EL C,T. DOOM . CA\.DWeu.'~~~ 1 00..00 oOlli CLAIZ.EMO~T,CA q lill o PlY e Osee ME:.L\llN HEN 2.\KSE~ ~~ · tlETlItE.D , 8"Z. 7 ~oIt6A~ A\lE · OOTH . ~ONe. , 00.. 00 c'LAeE:.MOtJT) tA q Ii' , OPTY Osee IZ. I c.~ lZ 0 '-L ~ A ~)(E.lZ. ~~ .. FU:.\.P SEItVICE.. 8'3 "Utz.ON Pfl.. OOTH e "-lG I ~ e.EJZ. 100..00 CLA.a:.~~T I C.A q I,ll OPTY .Au:AWA~N osee tJ Ie:, E. L 50 '{ LE. ~~ .. Pr.oFESSOIZ. 1+IS GUA'DA\.A~AeA B~ . PIT"ZE2. ~E 100.. 00 C.\..~~E.MONT 1 CA q l'11 \ Osee KATHLEEN 1Z.\CHTEJ2. ~ . LI'B~2'l AIPE. S% 8OWl..\~ G2EEto.1 D~. OOTH . SeeL.E.'t-MUl>P \00,00 e CLA1ZEMO~\ L CA Gt"" OPlY Ll5ll.A2'f osee ...-orALS ?OO.OO Schedule A Summary SO 1. Amount ntee/ved this perlod - contributions of $J.08'br more. (Inetude all Schedule A subtotals.)........... .......................................S....... ..................................... $ _e SO .00 2. Amount received this period - unltemlzed contrlbutlons of less than ~ ......................................... S 'I Z z'8 · 00 3. Total monetary contrlbutlons received this period. (Add Lines 1 and 2. Enter here and on the Summay Page, Column A, Line 1.) ..................... TOTAL' Z~01e. 00 -Contributor Codes INO -lndMduaI COM - ReaI:ient CorrrnItt8e (oCher Ih8n PTY or SCC) OTH - Other PlY - Poi1lcai P8ty see - Small ConIrIluIDr CorrmIDlIe FPPC Fonn 4eO (JuMlO1) FPPC ToII-FrH Helplne: IMIAIK.pppc Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Ink. Amounts may beroundld to whole doters. NAME OF FILER C.OMMrrre.e. TO E. \..ECT .j AC"IE. Me \-\E.NlZ'l DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF Cot.IMTTTEE, ALSO ENT'OFlI.D. NUMBER) CODE * 0?./14/0' KAeL gE.~JAM1~ bl':> W. BIl\ ST. C.l.AlZ.E.MO~T, CA q 'il \ WILLIAM S.. WI E.SE. 4lbl VIA PADOVA C\.AecMO~T'\ CA q \71\ ~~ oOlli oPTY Osee N> Ca.1 oOTH oPTY Osee ON> o COM oOlli o FrY Osee ON> o COM oOTH o FrY Osee ON> o COM o01li oPTY Osee 02/1+/0 3 .Contributor Codes INO - Individual COM - Recipient Corrmlttee (other than PTY or SCC) OTH - Other PTY - PoftIical Party see - Sma! Contributor Committee ,-.- :.."""",_.~;-,~...-.-- IF AN ~ INT!R OCCUM1'lOifJl~ IF 1EU'-IWI..IIUtIWE oF~ · A~l:~- .. lC.A2l..~"J1N F\~e;;~~ - -.....,--..?--;-.-.--. · SA\.E5MAI\l , TEe OFCAUl=. 'NC. SCtEU.E A (CClNT.) CALif Ohn~IA 460 fOkM 8taIIIment covers period from.JAtJ. I q, tOO3 tnugh FeB. I ; J ZD09 Page 4- of 11 LD.NUMBER I 2.4QQ SS AMOUNT REceiveD THIS PERIOD 250.00 lOO,OO -.rurAL $ ~ so.oo CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER elu:CTION TO DATE (IF REQUIRED) " I e e FPPC Fo,," 410 (JunelO1) FPPC ToIl-Free Helpb.: 888IASK-FPPC Schedule B - Part 1 Loans Received Type or print In Ink. Amoum. may be rounded to whole dollars. SCHEDll.E B - PART 1 sa; INSTRUCTIONS ON REVERSE NAME OF FILER to M MlTT'e.e.. TO EL.EC.T JACl"E. MC HE.-N IZ'( Statement covers period from JAl\\ , I ~) '2.003 through FE5,IS,l.Do3 CALIfORNIA 460 f-ORM Pege S of '1 1.0. NUMBER FULL NAME, STREET ADDRESS AND ZIP eODE OF LENDER (IF COMMrrTeE, AUlO EPITER 1.0. NUMBER) IF AN INDIVIDUAL. ENTER oeeUPl'iFION AND EMPLOYER (IF SELF-BolPLOVEO. .,.-rEI! IWIE OF BUIlNeI8) IZ4QQSS CAlENDAR YEAR $ _% S S PER ELECTION. RATE S DArE DUE DArE INCURRED CAlENDAR YEAR S _% S S RATE PER ELECTION ** S DArE DUE DArE INCURRED CALENDAR YEAR $ _% S $ RATE PER ELECTION** $ s . o PAID . o FORGIVEN $ o PAlO S o FORGI'IEN S $ to IND 0 COM 0 OTH 0 PTY 0 see $ $ to IND 0 eOM 0 om 0 PTY 0 see to IND 0 COM 0 om 0 PlY 0 SCC $ s DATE INCURRED SUBTOTALS $ {~~.~~~1'o~~~t''f";-+f~~JC,/'-~'" ~?rLS";~~~ ~l~,~?: ~ ~~~~"?~5i~~ Scheldule B Summary 1. Loans received this period ............................................................................................................ $ (Total Column (b) plus un/temlzed loans less than $100.) 2. Loans paid or forgiven this period .................................................................................................. $ (Total Column (c) plus loans under $100 paid or forgNen.) (Include loans paid by a third party that are also Itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)........................................................... NET S Enter the net here and on the Summary Page, Column A, Line 2. . Amounts forgiven or paid by another party also roost be reported on Schedule A. .. If required. o (Maybe.~tuI'lllo<) [ t ContrIbutor Codes IND - IndMdual COM - Recipient CommIttee (other than PTY or SCC) OTH - Other PTY - PolIIIcaI Pwly see - SmaI ContrIbuta CorrmItIee) FPPC Form 410 (JunelO1) FPPC ToIf.f=.... Helpline: 888IASK.FPPC Schedule B - Part 2 Loan Guarantors Type or print In Ink. Amount. may be rounded to whole dollar.. Statement cover. period from JA~.lq I ?OO~ through Fe&.15, ZOO~ SEE INSTRUCTIONS ON REVERSE NAME OF FILER COM1I\ ITTE.E. TO E:.'-EC.T J A c." 'E. Me. )'\E~1Z.'i LENDER SCHEDU.E B. PART 2 CALIFORNIA 460 fORM Page (D of 17 I.D.NUMSER 1l4QQSS FULL NAME. STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEe, AI.8O e'ITeR 1.0. NUMBER) IF AN INDIVIDUAL. ENTER OCCUMTION AND EMPLOYER (IF seLF-EMPLOYED, e'lTeR 'lAMe OF BllSlNess LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE SA CE OUTSTANDING TO DATE CONTRIBUTOR CODE ON> o COM OOTH OPTY Osee DATE CALENDAR YEAR $ e PER ELECTION (IF REQUIRED) LENDER CALENDAR YEAR ON> o COM OOTH OPTY Osee DATE CALENDAR YEAR ON> o COM OOTH OPTY Osee LENDER DATE $ $ PER ElECTION (IF REQUIRED) $ $ PER ELECTiON {IF REQUIRED) ON> o COM OOTH OPTY Osee LENDER CALENDAR YEAR OAllO $ PER ELECTION (IF REQUIRED) SUBTOTAL $ o on Sumnwy PIlJII, 1.i1e17 ~j~~1k~~'~~~ FPPC Form 480 (June/01) FPPC TolI-Free HelpHne: 8681ASK-FPPC Schedule C Nonmonetary Contributions Received Type or print In Ink. Amountamay be rounded to whole doIIara. Stdn....nt covers peltod from JAtJ. ,q I too~ through FE13.IS,'ZDO' Pag.-1-of.JL , CALlIOI'<N;A 460 r-OkM SEE INSTRUCTIONS ON REVERSE NAME OF FILER C.OMkA\TTEE. TO cLEC.T ~A~~lE:. Me. HEtJ rz.y DAll: RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMmEE, ALSO ENTER I,D. NUMBER) CONTRlBUroR IF AN INDIVIDUAL. ENTER ,.of)E$CRlPTION OF COO! * OCCUMTlON AND EMPLOYER '-C:OOOosOR SERVICES (IF saF.EM~I.O'fED. ENTER ...., .;:~:,:::-'''~'' NAME OF BU8lNE88):~1f~g-;:;;.. , agN> oCOM Darn oP'1Y Osee ON> o COM Darn oPTV osee ON> o COM Darn OPTV Osee ON> o COM oOTH OPTV Osee Attach additional Information on appropriately labeled continuation sheets. MAIZC~ 2OSaJ&L.U1'tl 02.ft;/o~ SIOS.lt.1DIAW ",u..BLVD. *"04- C l.AR:.E.MO~T. CA q 171' · SELF aAPLD'IEJ): Si~e:1' UP · AA .{U)~B1a..um 'WEB "SITe. SUBTOTAL $ , Schedule C Summary SO 1. Amount received this period - nonmonetary contributions of ~or more. (Include all Schedule C subtotals.)....................... ........... ..:..... .......................................... ......... ................ $ 2. Amount received this period - unUemized nonmonetary contributions of less than ~................................. $ 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 $ AMOUNT! FAIR MARKET VALUE ?:~s.oo ~?s .00 't~., , '3~8.' , c 1.0. NUMBER 124QQS5 CUMULATIVE 10 DATE CALENDAR YEAR (JAN 1 . DEe 31) PER ELECTION TO DATE (IF REQUIRED) I e 'Contributor Codes INO - Individual COM - Recipient Conmlttee (other than PTY or SCC) OTH - Other PlY - Political Party see - Small ConIIlbutor CommIttee FPPC Form 460 (Junel01) FPPC ToIJ.F.... HelpUn.: 8MlASK-FPPC Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print In Ink. Amount. may be rounded to whole doll.r.. Statement cover. period CALlFORNI4 460 FORM SCHEDLl.E 0 SEE INSTRUCTIONS ON REVERSE NAME OF FILER COAI\M\TTE.E. TO E.LEC.. JAC\l.\E. MC, HE I\) rzy from JAt\!.. I C\ ,'2.00' through FEBJS)Z003 Pag.~ of l7 to. NUMBER IZ4-qcp;S; DATE NAME OF CANDIDATE. OFFICE. AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JORISDICTION. OR COMMITTEE TYPE OF PAYMENT DeSCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC.31) PER ELEC'T'1oN TO DATE (II. REQUIRED) o Support o Oppose o Monetary ConIrIbution o NOM'IOnetary Contribution o Independent Expenditure e o Support o Oppose o Monetary Contribution o Nonmonetary Contrtbu1lon o Independent Expenditure o Support o Oppose o Monetary Contribution o Norvnonetary Contribution o Independent ElcpendIture SUBTOTAL $ 0 .i\lf~~~'#.f'i"'H' -.'" ",f:, ~. -c,l\)'1 ~lf#f~l<~fif;; > ~~0<~~":' ~~ ": ~ - :<~;>~; ~~~;~~~-i~: >_ 1'~ ~z~ '~~ ~~;~~ Schedule 0 Summary 1. Contributions and Independent expenditures made this perfod of $100 or more. (Indude all Schedule 0 subtotals.) ........................................... $ 2. Un itemized 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 enteron the Summary Page.) ............. TOTAL $ o o o FPPC Form 460 (Junel01) FPPC ToII-F.... HelpBne: 8681ASK.FPPC Schedule 6 (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print In Ink. Amounts mlY be rounded to whole doll--. NAME OF FILER COMM\TTEE:. TO ELEC.T JAc\{..E Me.. HENIZ" DAll:: NAME OF CANDIDRE. OFFICE. AND DIS'TRIC'l; OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMmee o Support o Oppose o Support o Oppose o Support o Oppose o Support o Oppose TYPE OF PAYMENT o Monetary Con1J1butlon o Ncnmonetary Contribution o Inclependent Expenditure o Monetary Conlrlbutlon o Nonmonetary Contribution o Independent Expenditure o Monetary Contribution o Nonmonetary ContributIon o Inc:Iepel tdent Elcpendlture o Monetary Contribution o Ncnmonetary Contribution o Independent ExpendittJre ~ (JF~, ..... . = IJ . .,. d CALIFORNIA 460 FORr.l 8talIIment CCMn period fromJ~. \ q .ZOo3 through FEBJS)'Z.003 pag.--9- of \"7 1.0. NUMBER \'24C\Q ;.; AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN, 1 . DEe, 31) PER ELECTION I TO DATE <* REOUIRED) e e SUBl'OTAL $ 0 FPPC Fonn 480 (JunelO1) FPPC TolJ..F.... HelpBne: 8&elASK-FPPC Schedule E Payments Made Type or print In Ink. Amounte may be rounded to whole doUets. ..... =. ~-~ CAL:r ORNIA 460 FORM Statement covers period from JAN. ) q . 'Z.OO~ through Fe&.1 S J 'W3 Page 10 of 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER COVlM \1TEE. TO ELEc..T ~AC."lE:.. A,\c. I-\E.N 2'1 1.0, NUMBER \z+q'lSS CODES: If one of the foRowing codes accurately desaibes the payment, you may enter the Code. Otherwise, desaibe the payment. a,p campaign paraphemalia/mIsc, CNS campaign consultants CTB contrlbutlon (explain nonmonetary)" (;lie civic donations R. candidate ftlng/ballot fees FND fundralslng events NJ Independent expenditure supporting/opposing othe18 (explain)" LEG legal defense lIT campatgn literature and mailings NAME AND ADDRESS OF FfIlY!!E (IF COIIIMmeE, ALSO Erm:R lD, NUMlER} '2.A.1N'BOW ?IZINT'~G t~+2. \\ '0" S1. LA V E2.~'E. l CA q \.so A" M OI2.ECT "'AIL q +9 t.J.. CATAItAC!.T A \IE. SA.t-J t>IMAc:> 1 CA C\ "i~ MA~Te.rz. SIGr-...\ 18+' \~ 5" W. ll-rH ST. U P\..A.t-Jt> \ C,A q \,e~ MaR member communIcatIon8 MTG meetings and appearances OFC otftce expenses FEr petIlIon drcutatlng AI) phone banks PCL poItIng and survey research FOB postage, delivery and messenger eeMces fIR) professional services (legal, accounting) PRT pmt ads RAe radio airtime and production costs RFD retumed contributions SAL campaign workers' salaries lB.. t.v. or cable airtime and prockJctIon costs TRC candidate travel, lodging, and meals _ 1'R) staIflspouse !Javel, lodging, and meals .. TSF transfer between committees of the same candidate/sponsor VOT voter registration 'AS information technology costs (internet, e-mail) CODE OR DESCRIPTION OF MYMENT AMOUNT ""10 \.JT Ib8.00 LtT I )011. 7~ C.MP 2ZS. * Payment. thet are contributions or Independent expendit...... muet also be summarized on Schedule D. SUBTOl'AL$ 2,,01 0 .7~ Schedule E Summary 1. Payments made this period of $100 or more. (Include aft 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 Unes 1,2, and 3. Enter heI9 and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 2;Z.OC\. ~(O 3SS.S1 o z'J ~'+.!>1 FPPC Form 460 (June/01) FPPC ToII-Free HeJpUne: 886fASK.fPPC Schedule E (Continuation Sheet) Payments Made 1'Jpe orprlatln InIc. AmounIamlly be roundId to__daII8rL SCHEDU..E E (CONt) ......W'IlClCMll'S pedod (A' I-~)p'" 460 " ,-, , ,1"'.1, f C)CU,' SEE INSTRUCTIONS ON REVERSE NAME OF FILER C.OMW\\TTEE. TO ELE.CT JAC.~'e. Uc. HENe't fnMn JAN .1 q ,too~ thIaugh Fe6.l ~ ,la03 ..age..l.!.- Of.J1.... to. NUMBER 1'24QQ ;S CODES: If one of the fonowlng codes accurately describes the payment. you may enter the.~. Otherwtse. describe the payment. o.t=' campeIgn paraphemalia'mIsc. MBR memberCllllll1'l.tl'1 ."~. RAD radio airtime and production costs OIS campalgnClOl'lSuItants M'I'G 'Metlngund appe8I.lCIS RFD ret1med CXlI'llrlbuUons em contJ'I)utIon (explain nonmonetaryt OFC oIJIce expenses 8AL campaign workers' salaries eve eM<: donations FEr petJlIon draJI8tIng 1B. Lv. or cable airtime and production costs I FL candidate fiBnglballot fees PtD phone b8nIca me candidate tnweI. ~. and meall 1 FN> fundl'8islng events PQ. poIHng and SUMI)' I'8M8I'Ch ...... H . TRS stIItffepouse travel. lodging, and meals N> independent expenditure supportlngfopposing others (expIaIn)- P08 poatIIge, delMlry 8nd mu..,.,.... lSF tnnfer between committees of the same C&'lCIldatelaponsor_ LEG legal defense FRJ pror...lc,l8I seMcea (1egIII. ~ VOl YOter n9shtlon ., LIT ~n 1Il8rature and mailings PRI" prtnt ads . ve InJormatIan technology costs (Intemet. e-mail) NAME AND ADDRESS OF FlIIM!E CooE OR DE8CRlPTlON OF Al\YMeNT AMOUNT ""'0 (11' COMMmEE, JIUIO Ern9lI.D. -Rl C. \.A1Z.E.~O.rr COUIZ.\ (:iZ. \ \ \ SO. C.OU..E.<;E. A\JE. peT 138.'-0 C.L~1Z.E..UO~T l C.A q 1"1' \ I I * Paymentathatarecontrtbutlons or Indepelldentexpencllulw lIIU8t8leobe 8111ftfM1tndon Schedule D. SUBTOTAL $ \ ~e#"o FPPC Form 410 (JuMI01) FPPC ToIJ.F..........: II8IAIK-FPPC SCHEDUlE F Schedule F Accrued Expenses (Unpaid Bifls) Type or print In Ink. AmounIa mey be rouncIId to.,....... ~cowrspellod from JAN.IQ t003 I tlnugh FEB.l S. 2003 CA~iFORNIA 460 ~ () R f,1 SEE INSTRUCTIONS ON REVERSE NAME OF FIlER COMMITTee. TO E.LEC.T -'}AC~IE. Me. He.NIZ'i Page -.!k of.J.:L. 1.0. NUMBER 12.4-q ct?~ CODES: If one of the following codes accurately describes the payment, you may enter ~~COcIe. Otherwise, describe the payment. eM' campalgn paraphemaliafmlsc. MaR member 00I'I"Il'lUrlI'- . RAe radio airtime and production costs 06 call1P8ign consultants Mm rneetInga and appearances RFD returned con1rlbutions CTB c:ontrtltl1Ion (explain nonmonetary)* OFC oIIce expenses SAL campaign workers' salaries eve clvk: donations FEr petIIon droulatlng . -, . ,. , 1B. t.v. or cable airtime and production costs R. candidate lIIng1bel\ot fees AI) phone banIaI .>> ,..' me candidate trave~ lodging. and meals RID fundralelng events Fa.. poling and survey research :':' ~ < lRS stalflspouse travel, lodging, and meals _ N) Independent expenditure supporting/opposing others (explaint POS postage, delivery and mellengel 8er\iIces TSF transfer between committees of the same candidate/sponsor . LEG legal defense FIR) professional services (1egeI, 8ClCClUfttfngl VOT voter registration UT cafl1l8lgn l1ierature and maIInge PRT print _ \\S information technology costs (lntemet, &-mat) CODE OR (I) (bl (e) (d) i"fAME AND ADDRESS OF CREDITOR OUT81lUlDING AMOUNT INCURRED AMOUNT fllYD OUiSTANOING QF COMMITTEE. ALSO ENTER 1.0. Nt.t.IBER) DESCRIPTION OF f!II.YMENT BAlANCEBEGINNING THIS PERIOD THIS PERIOD BAlANCE IfI CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERlOO \ e .. Payments ItuIt are contrlbutl_ 01' fndependent apenclltuNs mu..1IIeo lie _marfzad an Schadul. D. SUBTOTALS $ o $ o $ o $ o Schedule F Summary 1. Total acatJed expenses inaJrred this period. (Include aI Schedule F, Column (b) subtotals fa' accrued expenses of $100 or more, plus total unltemlzed 8CCIU8d 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 uniteI~1zed peyments on acaued expenses under $100.) .............................. PAID TOTALS $ 3. Net change this period. (Subtract LIne 2 from Une 1. Enter the difference here and 0 on the Summary Page, Column A. LIne 9.) ............... ................... .............. .............. ............ ..... ............ ..................... ............ ........... NET $ M8Y De. ~ 1UIID8I' o o FPPC Fonn 4ICt (JunelO1) FPPC ToIt-F.... Helpline: IMfAIK-FPPC Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print In Ink. Amounts rmlybe rounded tIOwhaIe..... SCHEDUI..E F (ceNT.) StlIIiIment cowrsperlod from.JAN. tq I wo3 -.....Ff5.IS~1OO3 p 1'2. f 17 MN........ -- -~ 1I08-..i!.- 0_ CALiFORNII'< 460 r Ot~r: NAME OF FIlER C.OMM rrre.e.. To ELECT J AC."'E. Me. ~e.~I2'i 1.0. NUMBER IZ4-QQSS '/. ~ CODES: If one of the following codes accuratefy describes the payment. you may enter the code. Otherwfse, describe the payment. a.f' campeign p8'8phemalialmlsc. MaR member conmunIcatIons CNS campaign consuItan1S MT'G meetings and appearances CTB contrtJutian (explain nonmonetaryt OFC oIIIce expenses eve cMc donstIons PET petIIIon cIroulatmg FL candidate fiIlnl1baflot fees PH) phone banks fill) fundralslng events POl. poII\ng and IUrYey research N) Independent expenditure supporting/opposing others (exp/alnr POS poetage, delivery and ITle888Ilg8I'servIcee LfG legal defen8e PIC prol'easIonaI servlces (Iegaf, acx:ountIng) UT campeign Iterature and mailings PRr pmt ads , * Paymentsthat.recontrlbutlon.orlndependentexpet.......muat..... .....n.....on ScIIeduIeD. RAD radio airtime and production costs RFD returned con1ributions SAL campaign worl<ers' salaries 'lB.. t.v. or cable alrtlme and production costs e TRC candidate travel, lodging, and meeIs TRS starflspouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration \NEB information 18chnology costs (internet, e-mail) COOEOR fa) (bt (e) (d) NAME ANO ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNT R\IO OUTS'ljIl,NDING OF COMMITTEE. ~ ENTER I.D. !CUMBER) DESCRIPTION OF R\YMENT BAlANCE BEGINNING THIS PERIOO THIS PERIOD BALANCE I(f CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERlOO ~ I e SUBTOTALS $ o $ o $ o $ o FPPC Fonn.<l4M) (JunelO1) FPPC ToII-F.... f!IIP8ne: 888IASK-FPPC Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) T)PeOlpltnt In Ink. Amounts..,.. rouncIId 110 whole dol--. SEE INSTRUCTIONS ON REVERSE ;'tf\ME OF R CO~~l { 'E.E. TO ELEc..-r JAC,,",E.. Me. l-\e~IZV NAME OF AGENT OR INDEPENDENT CONTRAClOR -"lwntcoverspelfod from JA~ . I q , ?003 thrauah_ff5. 'S)U>03 ...~. -........ . CALif ORtJ!f, 460 ~ l) t~ l\~ pag.~ of-1I- J.D. NUMBER 1'2.+qq SC; CODES: If one of the following codes accurately describes the payment, you may enter th8.:cOde. Otherwise, describe the payment CM=' campelgn paraphemaliafmlsc. MaR member ClJl'l'lrl'UlIc t>IS Gah~ coneuItanls MTG meetings 81d appearances CTB contrbutlon (explain nonmcnetaryr 0fC oIftce expenses eve cMc donaIkIns FEr peIIlIan cIn:ula1lng R. candidate fIIngbeIIot fees pt.D phone benka FND funclralslng events Fa.. poling and survey AMIe8FCh N) independent expenditure supportinglopposl others (expIaIn)- fltlS poetage, delivery and meseenger.... LEG legal defense fIR) pro....1onaI seMce8 (legal, aocountJng) LIT C81.lJlIIign Iterat1Jre and mallngs FRT prtrtada .. PlIJRMII"d8th~...contrtbutIon. or Independent expendIIIwM muat..................on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDn'OR (IF COMMIITEE. AI.8O ENTER l.D. N~ CODE OR Attach additional information on appropriately labeled conIInu8tIon sheets. - Do not transfer to any other schedule or to the SlJmnIety Page. ThIa tDIaIlnlIy not equal the ttmount paJdfo the agent 01' independent contractor as repo1fed M Schedule E. RAe radio aIrtlme and productkln costs RFD rel1lmed con1ributlons SAL campatgn wori<:ers' salaries lB.. lv. or cabte airtime and production costs _ TRC candidate 1raYe~ lodging, and meals .. TRS stalflspouse travel, IocIgIng. and meals TSF transfer between committees of the same candidate/sponsor vaT' voter registration ye IntormatIcn technology costs (internet, e-mail) DESCRIPTION OF At.YMENT AMOUNT ""0 e lOTAL- $ o FPPC Fonn 480 (JuneI01) FPPC ToIJ.hee HeIpIne: 8811A8K..fPPC 8tA!ment CCMH'S period fromJ~ .1 q J UJO'3 through FEI3.,~)ZOO'3 Page~ of 17 I.D. NUMBER Schedule H Loans Made to Others. Type or print In Ink. AmountamaybelU~ to whole doIIanL see INSTRUCTIONS ON REVERSE NAME OF FILER COM~lTTeE. TD ELEC.T JAC.l'-lE. Me. HEf\S~V FULL NAME. STREET ADDRESS AND ZIP CODE Of RECIPIENT (IF COMMITTEE. ALSO ENTER 1.0. NUIolBER) IF AN INDlVlDl/A1.. ENTER OCCUFlIlTIOl\I AND EMl't.OY!R (IF &eLF--.DYEQ. ellTilt IWIE OF JUlIlIQII till .' (at III) OUTS:A DING AMOUNT '-: ~, ' OR OUTSTANDING BALANCE LO"..... ...ta.. 8AlJINCE /If BEGINNING THIS "'- ,.. - "FoRGlWNE8S CLOSE OF THIS PERIOD PEfUOD' ntl$ PERIOD. PERIOD $ $ $ $ *Loans that.... contributions to another candlcllds or com..... must also be summartzed on Schedule D. Loans foIvIven must also be repor1IId on Schedule E. SUBTOTALS $ o Sche4JIule H Summary 1. Loans made this period .................... .............. ........ ........... ..................................... ............... ............................... $ , (Total Column (b) plus unltemlzed loans less than $100.) 2. Payments received on loans ..................... ........... ............. ................................................ .................................... $ (Totaf Column (c) plus unltemized payments leas than $100.) 3. Net change this period. lSubtract Une 2 from Une 1.).................................................................................. NET $ (Enter the net here and on the Summary Page, Column A. Line 7.) te) INTEREST RECEIVED -'" RIllE $ _% RArE $ $ o (EnIIr te) on Scl1edutll I, Line 3) o o o (May be 8 negatl\le romDer) H .. ~. ~ ~A! If mmlA 460 IOHM 1 Z4-q '1 ;is , fI ORIGINAL AMOUNT OF LOAN CUMULATIVE LOANS 10 DATE $ CALENDAR YEAR e $ PER ELECT1ON** $ DATE INCURRED CALENDAR YEAR $ s PER ELE(/'lOH** $ DATE INCURRED I --If Required e I FPPC Fonn 480 (JunelO1) FPPC ToII..flM Helpftne: 886/ASK-FPPC Schedule I Miscellaneous Increases to Cash Type orprtnlln Ink. Amounts INIJ.......... towhole..... 8teIWnent covera period fromJA~. lq , '2.003 . through FE6.1 S J 2003 ::. CALiFORNIA 460 , Of.<rv1 SEE INSTRUCTIONS ON REVERSE NAME OF FILER COMMlTTEE-. ro ELECT ~AC,,"lE. Me HENIZV DESCRIPTION OF RECEIPT DATE RECEIVED FULl NAME AND ADDRESS OF SOURCE (IF COMIl\ITTEE, AUlO ENT-EIt I.D. *-) Attach additional information on appropriately labeled continutJllon sheets. Schedule I Summary 1. Increases to cash of $100 or more this period. .................................................................................................. $ 2. Unitemlzed Ina-eases to cash under $100 this period. ....................................................................................... $ 3. Total of an Interest received this period on Joans made to others. (Schedule H, Column (e).)............................... $ 4. Total misceUaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.).......................... ..... .................. ........................ ............ ................. ............ TOTAL $ SUBTOTAL $ o o o o Page ~ of--IT- LD. NUMBER 1'2.-+q q ss AMOUNT OF I INCREASE TO CASH e e o FPPC Fonn 480 (JunelO1) FPPC ToIJ.Free HeIpIM: 86e1ASK-FPPC Campaign Disclosure Statement Summary Page Type or print In Ink. Amount. may be rounded to wI10le dollars. see INSTRUCTIONS ON REVERSE ~~~ ~ C.OM~lTTEE. TO EL.E:CT JACl'IE. MC HE.tJIZ.I SUMMAR( ~GE CALIFORNiA 460 FORM Statement covers period fromJAW.lq, 2.0o~ throuQhFre.l5lW3 Page '7 of 1; 1.0, NUMBER 1'2.4QQ155 Contributions Received 1. Monetary Contributions ................................................ Sc/IeduIeA. U".3 S 2. Loans Received ............................................................. Sc~ 8. UM 7 3. SUBTOTAL CASH CONTRIBUTIONS ..............._........... Add LinN 1 + 2 $ 4. Nonmonetary Contributions ........................................ ~ C, UM 3 5. TOTAL CONTRIBUTIONS RECEIVED ...-..........................Add UnN " + -# S Column A TOTN.. THI8PERIOD (FROM ATTACHED SCHEOULES) '2.,018.00 o Z,018.00 3t8." ~ . ..~. ,-..COIUrm B ",." cM.ENDAR YEAR lOI"lILT 0 lIIlTE $ Calendar Year Summary for Candldate~ Running In Both the State Primary and' General Elections 1/1 througll 6130 -Iv, to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ e $ expenditures Made 6. Payments Made ........................................_................... ~ E. u".-# 7. Loans Made ......................................................_............ Schedule H. LIne 7 8. SUBTOTAL CASH PAYMENTS ......................................... Add U,." tJ + 7 9. Accrued Expenses (Unpaid Bills) .................................. SclrtltlW F. UN 3 10. Nonmonetary Adjustment ............................................... SCI7edIM C, LIne 3 11. TOTAl EXPENDITURES MADE ...................................Add LInN 8 + 0 + 10 $ ~ 0 $ ~ 0 '18.' 1 $ 2.,8'13.48 $ expenditure LImit Summary for State Candidates 22. Cumulative ExpencUtures Made. (If SllbjKt to Voluntary Ezpendll_ LnI) Date of Section T olal to Date (mmlddJyy) --1--1_ $ --1--1_ $ --1---1_ $ ---1---1_ $ ---1---1_ $ --1---1_ $ Current Cash Statement 12. Beginning Cash Balance .......................... Pr&vIoua Summery ~ LIM 1e 13. Cas~ Receipts .................._..................................... Column A. Une 3l1bmw 14. MisJetlaneoue Incresses to Cash .............................. S~ I. I.IM-# 15. Cash Payments ....................................................... CcMImn A, LIM 8 allow 15. ENDING CASH BAl.ANCE............AddLInH 12 + 13 + 14, tlwnsubbrtt:lLi>> 15 "this Is a termlnstlon statement. Una 16 must be zero. s ~.f>?~. 3" 2.016.00 o 2..5' +. 87 $ 41'3'.+cr_ , 17. LOAN GUARANTEES RECEIVED .............................. Schedule B. PftU. $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ..............._........................... SHIMl1uctJon. on re_ S 19. Outstanding Debts ............................ Add LkIe 2 + LIne g In CoIumIl B __ $ o o o S s $ FPPC Fonn 480 (JunelO1) FPPC ToD-Free HeIpIne: 888IAIK-FPPC