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HomeMy Public PortalAboutForm 460 (Jan 19 - Feb 15, 2003) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In Ink. Date Stamp CALIFORNIA 460 2001/02 FORM COVER PAGE from Statement covers period 1'-/9..()~ Date of election if applicable: (Month, Day, Year) RECEIVED FEB 2 0 2003 Page I of 9 SEE INSTRUCTIONS ON REVERSE through a ../ :r I' 0 3 '3 - L/... 0.3 For Official Use Only CITY CLERK CITY OF CLAREMONT 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. lXi Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee o State Candidate Election Committee 0 Primarily Formed o Recall 0 Controlled (Also Complete PariS) 0 Sponsored (Also Complete Parl6) 2. Type of Statement: ~ Preelection Statement o Semi-annual Statement o Termination Statement o Amendment (Explain below) o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee Primarily Formed Candidate! Officeholder Committee (Also Complete Parl7) e 3. Committee Information 1.0. NUMS'b 7 ~ 0 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) AREA CODE/PHONE 9b9 (0 ).~~D7'.r- Treasurer(s) NA:l O~ ;JA~:4 /lA t:> ~ /l€ MAt;~ A7RESS Y ALE A V CI~ STATE ~ l., All E.../Vl oN[ CA NAME OF ASSISTANT TREASURER, IF ANY ZIP CODE 91)11 AREA CODE/PHONE 90 7 6;J.J-;ns 7 4A. Go lA N c..., L.. S;;E~7ESS (NO Y pX~ ~ A .( CITY STATE ZIP CODE C. i...A /2 € I'K- f) IV-r ell- 9/"")1} MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX ((aJ IE NT H Ii L. MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE - OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 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. certify under penalty of perjury under the laws of the State of California that the foregoing s tend correct ;t -I Cf,..t;3 Dale ~ - , 9,.. 63 Executed on By sible 0IIicer 01 Sponsor Executed on Dalll By Executed on DaIB By SIgnature 01 Conlroling 0lIiceh0Ider, Candldale, S1a1e Mea..... Proponent Executed on Dale By Signature 01 ConlrolDng Ofticeholder, Candidate. Stale Meesure Proponent FPPC Fonn 460 (June/01) FPPC TolI-'Free Heipline: 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 K po. 12 r=,J jV\ J2..0./E A.J T 1'1 A '- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Q. L. A ~ IE. /l'f-t) f\--r () II 'f (!b UN Co I L- RES'DENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY 110 () OX~/LO STAlE ZIP crt ), I (2 (, A Alim.o,.:{ CIA 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? o YES 0 NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STAlE ZIP CODE AREA CODElPHONE COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STAlE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAMEOF~OTMEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 o SUPPORT o OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT e OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of offlceholder(s) or candldate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE . , I ''It\Mt OF OFFICEHOLDER C., "ANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE ! ,.,~- ~E SOUGH1D~ .t!E~ ~ l o SUPPORT o OPPOSE v. . . ~~ "r,.ICE St.JGHT C" ,._~U o SUPPORT o OPPOSE e OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK.FPPC Slale of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME FILER ~^ Ce u. t-.J CI L EN T I--tAL 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 Type or print In Ink. Amounts may be rounded to whole dollars. from through Column A Column B TOTAlllllS PERIOO CAlENDAR YEAR (FROM ATTACHED SCHEDUlES) TOTAL TODATE $ 3 fo 0 'J,.. , $ G, ?-~/. 5'~ IOOO.OD $ '3 ~o 7..-. - $ ']')..6/ bO ~7. 5D $ '3 ~ 0 'Za. $ ~~ 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) ...............................Schedule F. 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 I, LIne 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add LInes 12 + 13 + 14, then subtrect LIne 15 $ If this Is a termination statement, Une 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 ......................... AddLlne2+Llne9/nColumnBabove $ 2~q s: 1Lf q $ I S'8Lf. b~ $ 7-5' Cf (). Co{ If L.f 03. SO '103.-=60 $ $ 2-ti 11. zL.f $ ~~~y.~<1 3~/>7.-. 0'0 To calculate Column 8, add amounts in Column A to the corresponding amounts from Column 8 of your last report. Some amounts in Column A may be negaUve 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). 15~4. b~ 'i !9f>b 06 l.f k75b .o{? $ $ 3o~.'6'O SUMMARY PAGE Statement covers period CALIFORNIA 460 FORM /-/9'-03 h- I~"',.() a Page ....3 ofL 1.0: NUMBER /~rbl8'Z) Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 20. Contributions Received $"1 ._ ~"". .---' ..-...r~ e 21. Expenditures Made /'$ //-' $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made. (If SUbJect to Volunlluy Expenditure L1mltl Date of Election (mm/dd/yy) Total to Date ----1----1_ $ / ; ;/~// ---.1--4_ $ // ---1:::_---1_ $ ,// ---.1----1_ $ e .Since January 1, 2001. Amounts in this section may be different from amounts reported in Column 8. FPPC Form 460 (June/01) FPPC TolI.free Helpline: 866/ASK-FPPC Schedule A Monetary Contributions Received Type or print In Ink. Amounts may be rounded to whole dollars. CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER R OSl3IUTHAL f?;,(. C!.[)tl Illet L DATE RECEIVED d.l J. 2-s j., ~I I. ~1 l31 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OFCOMMITTEE.Al.SOENTERID.NUMIIER) CODE * lim B/!!AY~1J t SZI'f w. IOu.) e~4Vr DtWID 8()K84tJ1I1 ~/'I fArEAf/c UA1eeM. fJlf/r So e. t!lA~K .j 139 ~I() A1tJ6Gl.f) tAAtt€JUOAlT .Jl) I{AJ rAMAIJrl l{IO N IltLC)t Cl-A'ttf3tWJAlI J;1Jj 6 eeeAJlAlh l{) I P-l t1- p1l;()VA ~~,\fj @NO o COM OOTH OPTY OSCC ~O o COM OOTH OPTY OSCC gtND o COM OOTH OPTY OSCC SCHEDULE A Statement covers period from ell"') 1ft UJOs . through fibl5;'200~ Page t1 of q 1.0. NUMBER / Z ~t>:reo IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OF SB.F-EMPlOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) /fTTY /00. /00. e A-m 1m. /Ol?: gU)(B4Uffl ~ CM4tln4t.. ()tUtJEIe /O(J. .- /O{). t-tAt:&/tlOAff a.JJ A-blt1/N /Cf~A-"Rt:. /00. - /00 " CtAr~11OtL' r fntl W,f taJ.lie Si(JItJ~ JI1A fro. - /00 e SUBTOTAL $ S V 0 Schedule A Summalj 1. Amount received this period - contributions of $1 00 or more. (Include all Schedule A subtotals.) .................................................... .................................................... $ 2. Amount received this period - unitemized contributions of less than $100............................................. $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Entet here and on the Summary Page. Column A, Line 1.) ....................... TOTAL $ ;).4' ~ Cf_ /1 If.J, 3 (0 0-;'-: .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/Oi) FPPC TolI.Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. I2{;S~THAt- rlJ,e {![)tJA)M L DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (lFCOMMITTEE,AlSOENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SElF-EMPLOYED. ENTER NAME OF BUSINESS) J. ~I Ro6U!. 61AJ$81J~6 //'1 N. /IJDI4rJf/ILL ~J!)J C!A-41t/3tutJ$ fI&;lE !fAR F dbE; W. ,g[WITA ~Uj)1\JT DeVON rf"ferlJ1A-~ / DO tV, FtrJ77ftLL ftjA/)) CL/fttGUlO,uT RoK/1tJ HAt)L:~~~ Pr.-:-I. 'fro I/Itt. ~pV~I~UOJ (Jl~U()"JT R06€te. H06/t; 6'1?> 77111~14'!!. rse1 ~~~ d'T d,/3 ~'1 }.1-'3 .Contributor Codes IND -Individual COM - Recipient Committee (other than PlY or SCe) OTH - Other PlY - Political Party SCC - Small Contributor Committee .131JQ6 o COM OOTH o PlY OSCC o OCOM OOTH o PlY oscc (31ND OCOM OOTH o PlY OSCC [QfND o COM OOTH o PlY OSCC ~ND OCOM OOTH o PlY oscc A-Tl' /ffW rJVTlJ O~ (!..LA?Z~tatt.Jr .41/TlJ $/cJTEK-. SUBTOTAL $ SCHEDULE A (CONT.) Statement covers period from /-1'1.03 through ~ ./~.03 CALIFORNIA 460 FORM Page 5' of q 1.0. NUMBER I ;L~:r6() AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) e 1m. / [)I). - /00.- 2SiJ. - e FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER ,e ose;,uTH/rL ro,e COcJAJt.lL Typ~ or print in ink. Amounts may be roun~'!'d to whole dollars. DATE RECEIVED FUll NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR QF COMM/TTEE,ALSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SB.F-EMPlOYED. ENTER NAME OF BUSINESS) /.~; JaAJeu- LewIS 320/ AJ m{)vl1J7?l/IU ME? ~e:a<<JAJT (41 " blHlll) LeWIS II bb N. /110tJ1.!T1t1N (), UHtJ"b. CA q IT<O~ H eL&,) ~WAJA-lJ) tfz, ( CH44t1 PLA--/lJ ~,uT 1<1>>1 n? c. ClOtJ.b d555~ B~~t;/E f...A. ,;~e, IJA <oJ iLL ~tfAJK..IN ~600 N. lJ10JptJTAiJV,.~E CJi.AtfPtUD!U1 ~.'f J. ?-' I ;~f :;,13 .Contributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee ~D OCOM OOTH OPTY OSCC [BtND OCOM OOTH OPTY OSCC [I31ND o COM OOTH OPTY OSCC ~D OCOM OOTH OPTY OSCC D OCOM OOTH OPTY OSCC /Y1~7HeJe -C/)m VOWtJrP.A3/e. 8c)SJ ~€l;SIYl~1(] /AJJ/SO~ riV- ~eEb ~_ . -A,I- !J&tl b/3AlT fJt rTS()Ili~ill e!Jttt~ ,e&4L7lJ J(. SCHEDULE A (CONT.) Statement covers j:eriod from /--11' 03 through ~~ /S-.O.s AMOUNT RECEIVED THIS PERIOD ~5D.- ~.- , . rJ-so. - /00. - /00. ~ SUBTOTAL $ q?)'O. ~ Page b of q 1.0. NUMBER /25"0=1130 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) tPSlJ.- It oz~. - e FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Sched~!~e A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. JeO$e1JTHA1- r<;,e (!{)tJA)tAL DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, AlSO ENTER I.D. NUMBER) CODE * ~.r Joe UN/~ 53;L fA). /D tf. Cpt ~Gtu..&A.1T tnA'ft Y tU el'i r r S'f~ W /ffL'Y1 ClDAItAMrvCt f7{?,lrz.. wets III b'l g 4K.f3.Ie r;t; fJtHtJ pelhtJtl~'CD /YtVlb4 LoVl~~~ ,t!fA}1!VItJ1I1 Ws cJe;gBcfftJ~b~ f!J) CUtJtauotJr I. t-I I~~I J.1 .Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCe) OTH - Other PTY - Political Party SCC - Small Contributor Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPlOYED, ENrER NAME OF BUSINESS) ee71Jt!e/) m./). /tbMI1J/~~1f- t!P!, PfJ5 CIJll~ - - - - ~ ~ef!,U 11 tiE. -- plZ4bt3le C!.O . 'PHV'llIA-AJ /(A1~ irom St:lt&msnt covers period SCHEDULE A (CONT.) 1- /I/f .03 0)./5.03 through AMOUNT RECEIVED THIS PERIOD /00. - /~.- /00.- pO. - . SUBTOTAL $ 3 b o. -' Page -4::-- of q I.D. NUMBER /zSf;rBD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ~tJo.- " /00. - IlJO.- 60.- - FPPC Form 460 (June/01) FPI-'':: TolI-Free Helpline: 866/ASK.FPPC