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Home My Public Portal AboutForm 460 (Feb 16 - June 30, 2003) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In Ink. D8te Stemp CA~lr ORNIA 460 ;r'G: (1;~ F o Rr.' COVER ~GE SEE INSTRUCTIONS ON REVERSE Statement coven period Oate of election If ..,.,rfcable: from F~FW' W1'/ 1lAa?OOl (Month. Day, Year) throuollJUNE '3O)'2D03 MAll.C.ltf, 'tOO~ RECEIVED JUt 3 1 2003 Page \ Of~ For Oftlcl81 Use Only CITY CITV CLERIC OF CLAREMONT 1. Type of Recipient Committee: All COIIIlIII.... - Com.... ....... 1, 2, 3, Met ... ~ OfIIcehoIder, CandIdaI8 ConIroIIed CommIttee 0 Ballot Meaeln CommIttee 8 State Candidate EIecIIon CMlmlIIee 0 PrInwIy Fanned Recall gConlrdled ~ ~Pwt5) Sponsored (AAIo ~ PwtCIJ o Gener8I Purpoee CommIItee o Sponsored 8 SmaI ConlIIlUtcr CornrrftBe PoIIlIcaI PartyiCenIraI CorrmItI8e 2. Type of Statement: o Preelectlol. Statement o SemklnnueI Statement o Temlinatlon Statement o Amendment (Explain below) o QuarteIfy Statement o Special Odd-Year Report o Supplemental Pnlelectlon Statement - Attach Fonn 495 o PrImIIrlIy Fanned CandIdaIia( 0ftI08h0Ider CoI'"lilll8e (NIIJ CamplIIIo Pwt 7) 3. Committee Information STREET ADDRESS (NO P.O. BOX) ?+~"1 ~. WOOD COUJ2.T CITY STATE ZIP COOE CLA~E.MONT CA qrTlI MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE ("Dq)'2.I-S4-.~ Trusurer(s) NAME OF TREA8U~R L'tlE GUSTAVe.SON MAILING ADDRESS "2..~O EAST SAN JOSE. A\lE.t\3UE. CITY STATE ZIP CODE CLA2E.MONT C.A ql1ll NAME OF AS818TANT TREASURER. IF ANY AREA CODE/PHONE la.O'l) b '2.1.1213 COMM'TTEE. TO ELECT JACKIE. Me He.t-Jrzv MAlUNG ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAH. ADDRESS OPTIONAL: FAX' E-MAIL ADDRESS 4. Verification I have U8ed aU reasonable diligence In prepaing and reviewing this statement and to the best d my knowledge the Inronnallon oontalned herein and In the attached schedules is true and complete. I certify under penalty of perjury under the laws of ttle Stale of CaIIfomI8 lhet the foregoing Is true and correct. -""M 07/31.1..03 ..-S;e;, ~__ _M 7/3i2'0,1 .._<<____ Executed on DolIt By SVDn af ConMlIIvOfllcohcldor. C8llltl8l8. St8la ~ Aqlonent Ex.cuted on DolIt 8y SVlRftdca-.g 0IIIc0hclMIr. ClInd-, _~ I'lopllfWIl FPPC Form 410 (JuneI81) FPPC ToI.....,.. Helpline: IHIASK..fPPC State of Cellfomla Type or print In Ink. Recipient Committee Campaign Statement Cover Page - Part 2 5. OffIceholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE JACKIE- Me HE.N RoY OFFICE SOUGHT OR HELD (INCLUDE LOC.airION AND DISTRICT NUMBER IF APPLICABLE) erN CO\J~C'\'" MEM6EIZ, C.'TV OF Q..A~Ml)NT ZIP ""11 Related Committees Not Inctuded In this Statement: Uat any commltfH. not Included In thl. _twnen' that .,. controlled by you or a,. primarily fonned to receIvw contributions or make upendltu,.. on behalf of your cand/decy. COMMITTEE NAME tD.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME tD.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES DNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 6. a.llot Measure Committee NAME OF BALlOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I 0 SUPPORT o of:POSE I~ the conIrOIIIng offtceholder. candidate, or state measure proponent, If .ny. NAME OF OFFICEHOLDER. CANDID.airE. OR PROPONENT OFFICE 8OUOHT OR HELD I D"T.'CT NO. " ANY 7. prtm.rIIy Formed Committee LIst names of omceholdet(a) or candldate(a) for which flU cOlllllllaee ,. pri_rlIy fanned. 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 NMtE OF OFFICEHOLDER OR CANDID./m: OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANOID.airE OFFICE SOUGHT OR HELD D SUPPORT o OPPOSE Affllch contlllUflflon sit..,. If necea.'Y I'PPC Porm.... Cofunelll1) I'PPC Tot....... HelplIne: IIIIAIK-FPPC 8tae of c.llfomla Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print In Inll:. Amounta m.y be rounclecl to whol. don.r.. COMU,-rre.e. To E.l.E.c.T ~ACK'E Me. HE.NIZ'f DATE RECEIVED OZjlb/O'3 o?"~Jo?> 02./l"jo3 02./l"I03 O'L/ l8/0~ FULL NAME. STREET ADORl!!88 AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMFrTEE. ALSO ElfTER 1.0. ~) CODE * (2.0e.EIZ. 1" FE2GUSO~ 4-1.31 LA JUt\\TA oe. C.LA.2e.MO~T \ CA ,,~; I , C~E.IZ."L L. CA(l..TE.12. 104-2 FULLE1Z. D~. C\.AJtEMO)J"C ,CA q \7 I \ LAWlZ-alCE. M. WOOl>~UFF 4o~o OLlVe. KNOLL Pl.. GLAItE.MDtJT, CA ~, i , 1 MAIlGAJZET E. WOOD~UFF 4~ OL\VE. KtJOu. Pl.. Cl..Arz.e.MO~T, CA C\ \" I S.M. SCHE-~K 8 +5 N. lNO~1\\ HILL ~\..\Jl). ~LA~~T1CA '\L,il 8N) o COM OOTH OPTY Osee COM OOTH OPTY Osee BN> B~ OPTY Osee ~~ B~ Osee ~~ OOTH OPTY Osee IF AN INDMDUAL. !NT!R OCCUMTlON AND SFLOY!R (PIEU'.-.cl'IIO, __ OF ......, . A1TO~Ne.'1 . c. 2C>6E2T J:t: 2GOStJ N A1TORNE't-iJ"-lA\f . HOUSEW'FE. . ~O~E. . Il.E Till E. t> . ~otJe. . tz.ET Ill.ED . ~ONE.. SCHDJ.E A (,Il!i llt-<N,/\ 460 I () t<'...1 8t8tem.nt cov.r. period from .EJ;B. '" UJO?J . through ~E. ~) 'l/JO?J Page '3 of .8 1.0. NUMBER 11.4-q" 5S AMOUNT RECEIVED THIS PERIOD 100.00 2.50.00 2. SO. 00 Zt;O.Q:) . LAB LEeTUIZe2 . c.LAeE.M~).tT CO\.\...e..G:>> E S amorAL$ C\ SO. 00 Schedule A Summary r,o 1. Amount received this period - contributions of $~ or more. (Include 811 Schedule A subtotals.)......... ............ .......... ................. ..~.... ............ ................. ......... $ 2. Amount received this perIod- unltemlzed conb1butlons of less than ~ ......................................... $ 3. Total monetary conb1buttons receIvecI this period. (Add Lines 1 and 2. Enter here and on the Sumnay Page, Column A. Line 1.) ..................... TOTAL $ 100. 00 2. 4-l. 0.00 +8 c; .00 to" 0 StOO CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PeR ELECTION TO OA TEl (IF REQUIRED) .Contrlbutor Codes INO - IndMduaI COM - RecIpIent Corrmillee (oIher than PTY or see) OTH - OIher PlY - PoItIcaI Party see - SInaI ConIrIlutcr CommIII88 FPPC Fonn 480 (June/01) FPPC ToII-F.... Helplne: _AlK.pppC Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Ink. Amounts m-v be rounded to YmoIe do.... NAME OF FILER COMMrrre.e. TO ELECT JA.~Kl~ Me. HE:.N12. '1 DATE RECEIVED 01./10. }D3 00/'0. J03 01./1.0103 07./'1.0/03 o?j"lO 10; FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, A1.8O EPffER 1.0. NUMBER) CODE * 120'r' c\..o~rrs 10$0 F\Jl.l.e~ D~, C~E.MOtJ\ I CA q \711 SUSAN SUC,",OCK \ 1'5'2. 82.ll>~e. PO~T AVE. CLAtl.E.MatJ"C, CA C\ '1 II JOHN c;UCHOCK\ I~~? ~~\DGEPl)lZ.T A\JE 4 C.LA2.EMO~T .. c'A ~ \'711 tlOee2.T l. G\JST'A\jE.CSt>~ ?~o I: . <:'At-.J ~ose. AVE . C lAeEMtJ~T ,CA q. \' , , \/Al.E.2.'E.. c. GUSTAvE.SC'" Z'o E. . SA~ JOSE. A \IE. . C.LA2.e..~~T CA q 11' 1 "ContrIbutor Codes INO - Individual COM - Recipient Corrmlttee (other than PTY or SCC) OTH - Other PlY - PoIIIIcal Party see - Small ContJIbuIa" Corrmlttee ~~ OOTH o PlY Osee mgNJ O~ OOTH o PlY Osee ~~ OOTH o PlY Osee ~NJ o COM OOTH o PlY Osee e~ OOTH o PlY Osee IF AN lNOMOUAL. ENTER OCCU~TION AND EMPLOYER (IF llE1.F~O'tED, EH\'E1t _E OF IUItNEIII . tz.E\l~eD . WO~E.. . EDU CATO~ . "DE. V2'{ . rze.Tltl.e.D . NONe.. · Te AC. \-\ E.R- . PUSD SCl-EDlll A (<nrr.) CALif ORNIA 460 fORM St.IbIn leI'lt covers period from FEe. ~ 'Z.Oo~ ) throughJO~E.. 3O;'l.O0'3 Page 4- of '8 1.0. NUMBER \'2.4-qq SS AMOUNT RECEIVED THIS PERIOD \00,00 I SO, 00 lOO,OO l SQ,ao . PI2.0~S'Sl>1l · COA STU a-.se.. 'Z So. 60 C,DMMU~ IT's' CO\.\. E.. IlBTOTAL $ 8 SO, 00 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) FPPC Fonn 4eO (JunelO1) FPPC ToIl-Free Helpline: 8681ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received Type or print In Ink. Amounts mllY be rounded to whole do.... NAME OF FILER C.OW\V\ \TTE-E..- TO ELE.cr ~AC."'I!:. Me. l-\e.~IC?Y sctEDt1.E A (CONT.) CALif ORN!A 460 FORM Stat.tnent c:ovenI period from F=E5. Ibl WO? through~U~e:. ~O\U>03 Page ~ of 18 I.D. NUMBER lt4-9'l s.t; DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE. AlSO ENTER 1.0. NUMBER) CODE * LINDA CALLAWAY ~~ 03/03/03 Z2t S 8f.E SC.IA c.T. OOTH C'-A~Ml>NT I C.A ~ 1, II OPTY Osee BUl. LLOVD oaN> ,0 ?I/O Sjo3 Ocn.1 +108 PADUA. A"E. . OOTH C.LAJa?MO~.3"r a CA q \"7 II OPTY Osee L 'l~1\.l T. jAC.~ SO~ ~~ O?J/I~JO?> ., 80 W. ,,11-\ ST. OOTH CLA1Z.E..MD~"1 CA q Ii " OPTY Osee 'S'(LVIA PHllLlPS WAL~e.ra ~~ O+/OI/O?J 41.t;3 OAK HOLLDW IW_ OOTH C.LAJZ.E.Mb~T ~ CA q. l, \1 OPTY Osee "EIl..~Of\3 J. J AHfoJ~e.... N> O+J01Jo, COM 4'?>~ V'A PAODVA OOTH c..L..AtzEW)~T" CA ~'711 OPTY Osee IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE OCCUMTlON N<<J EMPLOYER RECEIVED THIS CALENDAR YEAR (IF IIEl.FatfIl.oy!D, ENTER HoWE PERIOD (JAN. 1 - DEC. 31) OF_sa) · TEAC~e.f2. · pUSD .OWNE.e . LLO'{DS E(QUlYMBJT CO. . ATT02~E-~ . LE6A.L A\D 'SOCl e.T'f () s=- O 2At.lGE.. (J)U~TY · TEAC.HE:12. " ClJS t> . SOe.1Al. sav,~s D'1U:'A-rt> R. . C LA1ZE.Mo~T ~A~ort PER ELECTION TO DATE (IF REQUIRED) ~oo.oo Z. SO.OD 10.00 , 00 # 00 ) 00,00 'ContJ1butor Codes INO - Individual COM - Recipient Corrmlttee (other than PlY or SCC) OTH - Other PTY - Political Party SCC - Small Contributa" Committee SUBTOrAL$ G, ZO,QO ~~t,.&>"'C:-!;'$!~;:.;C:~~";~"<""~~~~""7/,~-"'" .~>>' ",~~!;i";'~ ~'i~~:~~~z':~~~;4~i~~~:~~'~~/'~ ~ ~A: ~ ,~_~,;:~ ---- - FPPC Fonn 410 (JunelO1) FPPC ToIl-Free Helpnne: 8661ASK-FPPC Schedule B - Part 1 Loans Received Type or print In Ink. Amount. may b. rounded to whole dollar.. SCHEDll.E B. PART 1 Statement cover. period from s:e5. , ~ too'; . CALltORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER COMM \T1"E:E. TO E.~CT JAC.JlJJ: ~C HE:.~.\lZ V ~O'3 Page ~ of I B 1.0. NUMBER 1'Z4'\'l ;S IF AN INDIVIDUAl. ENTER OCCU,.,.TlON AND EMPLOYER (IF 8ELF_PLOYEO. ENTER IWIE OF BUIINEt8) FULL NAME. STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, AUlD ENTE~ 1.0. NUMBE~) b) (e) OUTS i\NDING AMOUNT AMOUNT ....10 BALANCE "' BEGINNING THIS RECEIVED THIS OR FORGIVEN PER10D PERIOD THIS PERIOD * o PAID S S o FORGlVEN s s S o PAID S o FORGIVEN S o PAID S o FORGIVEN S $ 0 CALENDAR 'fEAR _% S $ RIQ'E PER ELECTlON- DATE INCURRED CALENDAR YEAR _% $ RATE PER ELECTION - DATE INCURRED CALENDAR YEAR _% $ S RATE PER ELECTION- DATE INCURRED s s to IND 0 COM 0 OTH 0 PTY 0 SCC to IND 0 COM 0 OTH 0 PTY 0 sce s s to IND 0 COM 0 OTH 0 PTY 0 SCC SUBTOTALS $ 0 Schedule B Summary 1. Loans received this period....................................... ......... ....................................,.................,..... $ (Total Column (b) plus unitemlzed 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 Line 2 from Line 1.)........................................................... NET $ Enter the net here and on the Summary Page, Column A. LIne 2. .Amounts forgiven or paid by another party also must be reported on Schedule A. .. If required. o (Mwy be e noge1ive ,..,.,ber) t ConIrtbutor Codes IND - IncIMdual COM - Redplent CommIttee (other than PlY or SCC) ani - Other PTY - Political Party see - Small Contributor Committee FPPC Form 460 (JunelO1) FPPC ToIl~ree Helpline: 8681ASK.FPPC Schedule B - Part 2 loan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER c..o MM \ TTE.E. To Type or print In Ink. Amount. m.y be rounded to whole doll.r.. E.LE.c,r JA~~e.. MC- HE.N2.V FULL NAME. STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTeE. Al.SO ENTER 1.0. N~ER) CONTRIBUTOR CODe ON> o COM 0011-1 OPTY Osee ON> o COM 0011-1 DPTY osee ON> o COM 0011-1 OPTY osee ON> o COM 0011-1 OPTY osee IF AN INDIVIDUAL. ENTER OCCUMTlON AND EMPLOYER (If SELF.EMPLOYED, ENTER NAME OF BUSINESS LOAN LENDER DATE LENDER LENDER DATE LENDER DArE Statement cover. period from F-E:.6 ., , "l.003 through JUI'JE. 3D,7M)3 AMOUNT GUARANTEED THIS PERIOD DATE SUBTOTAL $ 0 SCHEOl.l.E B - PARr 2 CALIFORNIA 460 FORM Page~ Of~ 1.0. NUMBER JZ4QQC;S CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE CALENDAR YEAR PER ELECTION (IF REQUIRED) CALENDAR YEAR $ PER ELECTION (IF REQUIRED) CALENDAR YEAR $ PER ELECTION (IF REQUIRED) $ CALENDAR YEAR $ PER ELECTION (IF REQUIRED) $ FPPC Form 480 (June/01) FPPC Toll-Free HelpHne: 8661ASK-FPPC .......c. Nonmonetary Contributions Received '~.~...... Arnounea....,t.nMJnded to whale daIIrL ......ntcowerapedod fromFE6.IGt1LOO3 ~U~E. "3O\1.DO, P"'~afJ.L 1.0. NUMBER Ct)MM1TieE To ElEc-r JACKIE. Me. HE.N (Z. 'Y '2-4'1'"' S; DtN> OcaA OOlli o PlY OSCX; ON> OCCJ.4 OOlli OP1Y Osee ON) OcaA OOlli DPIY Osee ON) OCCN OOlli o PlY OSCX; Attach additional Information on appropriately labeled continuation sheets. DATE RECeMD FUll NAME. STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. IoL8O ENTER 1.0. _I'll O~/04Jo~ LUOD A. "112.0'Z.Pe.~ +1+\ ViA PADOVA CLA2.E.M{)~T \ CA q 1711 IF AN INOMOUAL. ENTER CONTRt8UroR OCCUMTION AND EMPLOYER DESCRIPTION OF COOE * (If SEl.F-EMP\.O'fEO. etffiR GOODS OR SERVICES _e Of 8U_8S1 AMOUNTI FAIR MARKET \8\LUE CUMULATIVE 10 DATE CALENCAA YEAR (JAN1.0EC31) PER ELECTION TO ORE (If REOUIRED) . ~ET1IZ.ED . NDtJE. ELEC110tJ DATA 1b4,50 SUBTOTAL $ Schedule C Summary SO 1. Amount received this period - nonmonetary contrlbutlons of ~or more. (Include all Schedule C subtotals. ).... ............................ ...... ...................... ......................... ......... ........... .... $ ZAmourn ~ receIYed this period - unltemlzed nonmonetary contributions of less than y.oc'.................................. $ 3. Total nonmonetsy contributions reoetved this period. (Add lines 1 and 2. Enter here and on the Summary Page, Cdumn A, Unes 4 and 10.)..................... TOTAL $ Ib+.SO 51, S~ 2.18.0+ .Contributor Codes IND - IndiYIc1JaI COM - Redpient Conmi1liee (oIher thIIn PlY or SCC) OTH - 0Iher PlY - PdIlIcaI PlWly see - SmlIII ConltIluU Corm1II1Iee FPPC Fonn 410 (JuMlO1) FPPC TaRof... Help....: IIIIAIK-FPPC Schedule 0 Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees Type or print In Ink. Amount. may be rounded to whole dollar.. SCHEDlJ.E 0 Statement cover. period CALlFORNI.4 460 FORM from aB. l~) "l..OO3 through JUtJE 30) l.D03 seE INSTRUCTIONS ON REVERSE NAME OF FILER C.OM~'TTE.c. TO El,E.CT JAC.~'E. Me HaJ&2'1' P.ge q I.D. NUMBER It4ctQ ;s DATE NAME OF CANDIDATE. OFFICE. AND DISTRICT. OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMITTEE CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 . DEC. 31 ) DESCRIPTION (IF REQUIRED) TYPE OF PAYMENT AMOUNT THIS PERIOD o Support o Oppose o Monetary ConIribution o Norvnonetary Contr1bution o Independent Expenditure o Support o Monetary ConlrIbutlon o Norvnonetary ConIributlon o Independent Expenditure o Oppose o Support o Monetary ConIrIbution o Nonmonetary ContrIbution o Independent ExpendIture o Oppose of 18 PER ELECTION TO DATE (IF REQUIRED) SUBTOTAL $ 0 Schedule 0 Summary 1. Contributions and independent expenditures made this period c:A $100 or more. (Indude all Schedule D subtotals.) ........................................... $ 2. Unltemized contributions and Independent expenditures made this perlod of under $100.............. .................... ........................................ ....... $ 3. Total contributions and independent expenditures made this perIocI. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............. TOTAL $ o o o FPPC Form 460 (Junel01) FPPC ToU-Free Help"ne: 8661ASK.FPPC Schedule 0 (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committee. TywJe or print In Ink. Amountam~be rounded to whole doUa,.. NAME OF FILER CO~M \TrE.E. TO E~E:~T JAc.~, E.. Me. HEJJI2. V DATE NAME OF CANDIDRE. OFFICE. AND DISTRIC'l: OR MEASURE NUMBER OR LETTER AND JURISDICTION. OR COMMmEE o Support o Oppose o Support o Oppoee o Support o Oppose o Support o Oppose TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) o Monetary ContrIbution o Nonmonetary Contrlbutlon o Indepelldent Expenditure o Monetary Contrlbutlon o Nonmonetary Contribution o b IdepeIKlent ElcpendIture o Monetary Contrlbution o Nonmonetary Ccntribu1lon o Independent Elcpendlture o Monetary Contribution o Nonmonetary CcnIrlbullon o Independent ElcpendIture '"': ..I=ll, . .....: CAliFORNIA 460 FORM statement COY81'S peItod fromFEB '~)'Z.OO'3 throughJ\ltJE ?'ot?/)(;/; Page 10 of 18 AMOUNT THIS PERIOD SUBTOTAL $ 0 1.0. NUMBER \"2.+9 q c; S CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) FPPC Fonn 480 (June/01) FPPC Toll-Free HelpBne: 8661ASK-FPPC Schedule E Payments Made Ty~ or print In Ink. Amount. may be rounded to whole dollars. Statement covers period from FE5.1~, 'UJo3 thrOUghjtJ~E. '30,'ZD03 page-1.L Of-.!L t.O.NUMBER 'Z4-Q9 S5 ...~ CAL:FORIIJIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER C.O~~'TTe.e. TO ELEC."- ~AC.KU:. Me. HE t\J 12. 'i CODES: If one of the foHowlng codes accurately desa1bes the payment, you may enter the code. OthelWlse, describe the payment. (M) campaign paraphernalia/misc. MeR member oommunlcaIIons RAe radio airtime and production costs as campaign oonsuItanlB MTG meetings and appearances RfD returned contributions CTB contribution (explain nonmonetaryj OR: oIIIce expenses SAL campaign worlters' salaries eve cIvlc donations FEr petIIIon drcutatlng lB. t.v. or cable airtime and prodtJctlon costs Fl. candidate t1Dng/ballot fees PK) phone banks TRC candidate travel, lodging, and meats A>I) fundralslng events POL polling and survey research TRS staff/spouse travel, lodging, and meals N) Independent expenditure supporting/opposing othel8 (explain). POS postage, delivery and messenger servk:es TSF transfer between committees of the same candidate/sponsor LEG legal defense PR) professional services (legal, accounting) var voter registration UT campelgn Rterature and mailings PRT print ads VVEB Infonnallon technology costs (internet, lHTlail) NAME AND ADDRESS OF AllYEE (IF CONMrrTEE.1.LlIO ENTER lO. NUleER) CODE OR DESCRIPTION OF Rt,YMENT AMOUNT FAID ~Al~Bt)W PRltJTI~G Z't+z. "\0" c;,T. LA VE.rl.NE. CA '\1';0 A frlA Ol2.e.c.r MA lL 9 4'1 ~. CATAR.ACT A\JE . SA~ DIMAS CA C\ \71, AT'tT ME.O IA 'SER."lc.e s qo~t. I2.OSECR.ANS AVe. BELt..FLOWE.It, CA C\010~ l.lT j" Z .00 LiT ZIII.4-S TEL '11 +. 10 SUBTOTAL$ 3883, 55 * P8Yf'lenta that are contributions or (n"pendent expendlt.......uet aIao be summarized on Schedule D. Schedule E Summary 1. Payments made this period of $100 or more. (Indude aI Schedule e subtotals..) ........................................................................................... $ 2. Unltemlzed payments made this period of under $100 .................. ................ ................. ................... .................. ................. ................. .... '" $ 3. T otallnterest 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. e,.,. heAt and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ ? 173. C)CJ I ~3, ~ S o S Q01, 3+ "10 FPPC Fonn 460 (JunelO1) FPPC ToII-F.... HelpDne: 8861ASK-FPPC 5CtEDll.E E (CONT.) Schedule E (Continuation Sheet) Payments Made Type or print In tnIc. AmounIamlly be roundlId towllole dol--. 8Wil.mentcovers pedod from FE 5. 1"1 too 3 IhroughJUtJE ~\toO) p. ~ Of~ CAL;r ~)RN'i\ 460 I Qf~r,1 SEE INSTRUCTIONS ON REVERSE NAME OF FILER C.O,^~iTTE.E:. TO E.LEC.T JAC~'E. MC HE.~2.V 1.0.NUM8ER \ 'Z..4-'t q ~S CODES: If one of the fonowlng codes accurately describes the payment. you may enter the code. Otherwise. describe the payment. (lMI cempeIgn paraphemalla'mtsc. M3R rnernber cornmunIc8Iicns RAe radio eIrtIme and production costs OIS campaign consUtants Mm meetlnge and appe8I8I1C8S RFD returned contributions CTB contrIJutIon (explain nonmonetaryt OFC oIIIce expenses SAL campaign wor1<ers' salaries eve cMc donetIOna FEr petJIIon ~ TB. lv. or cable airtime and production oostB FL candIcIate ftllnglbellot fees pt[) phone benIc8 me candidate lraYel, ~. and meals fill) fundralslng ewnIlJ fla.. poIHng and survey reeearch TRS stalffspouse traveI,lodgIng, and meals N) Independent expenditure supportIngfopposlng others (explain). POS posI8ge, delivery and meseerver 8ltrvIcea TSF transfer between committees of the same candidate/sponsor Lm legal defense FA:) profaulonaI seMces (legal, accounlIng) VOT voter registration UT campelgn II1Brature and mailings PRT prtnt ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF MfEE CODE OR DESCRIPTION OF MYMeNT AMOUNT ~IO ~ COMMITTEE. IIL80 ENTER I.D. _Ill CLAI2.EMOI'JT ClHJ Ie: I e. (l. I \ 1 ~O. C.OLLEGE, AVE. P2.T l?>b'.2 C. LAIZ.EMO~T I CA q \ l' \ U. S. POSTAL SE,IZV1Ce. ~N DusTJl.'l POST" OFFiC.E- P05 \(01.'2. C.\T'l OF- lllJ t>US112.'t \. CA '1'1 \S PlZ.l~T'~ woe~s 'al E.. FOOTt\lLL BL\lt>. L\T ~, 3.0 Pl>MDl\lAl CA C\1'~1 C.L A 2.E.Mor-..rr PLACE:.. t"'2..D W. ~AtJ ",\oc;E. AVE:.. FND \ 00. I C.L"R.E.MOfSr \. CA q \' , I o o + ()t) .Pllymentathatln contrtbutIons ortndepelldentexpendluNa lIIIM"''' lUllllMllndon Sc:hecIIM D. SUBTOTAL $ 1.8cto.4=4- FPPC Fonn 410 (JuneI01) FPPC ToII-F.... Hetplne: &eelASK-FPPC Schedule F Accrued Expenses (Unpaid Bills) SCHEDUlE F l'p or print In Ink. AmounIa IIl8Y be rounded towlloledall8N. CALiI"ORNIA 460 FORM SbDmentCCMll'Spedod fromF=EB.I' tOo3 ) thluughJUtJE. ~,O 11.003 page-.!L of~ seE INSTRUCTIONS ON REVERSE NAME OF FILER CO MM1TTE.E. TO E.LECT Me H.E.~HZ.Y to. NUMBER 1 '2.4-q q 55 J Ae"l E. CODES: If one of the following codes accurately descrtbes the payment, you may enter the code. Otherwise, describe the payment. D.P campaign pat'8phemeliafmlsc. MBR I1'I8I'ItJer cammunicatIons RAe radio airtime and production costs 04S campaign consuIt8nts MIG meetings and appearanoes RFD returned contributions CTB contrtbutIon (explaIn nor.monetary)* OFC otrIce expenses SAL campaign wor1<ers' salaries eve civic donations PET' petltIon cInlulatlng T8. t.v. or cable airtime and production costs FL candidate lIIng1bellot fees PtO phone benlal TRC candidate trave~ lodging, and meals FJ\I) fundral8lng events PeL poling and survey research 1RS staff/spouse travel, lodging. and meals N) Independent expenditure supporting/opposing others (explalnr PCB posl8ge. delivery and messenger services TSF transfer between committees of !he same candidate/spc,.sor lEG legal defenae PR) profeseIonaI services (1egeI. accounting) VOT voter registration ur cafl1lBlgn Iterature and maIIngB PRT print ads WEB information technology costs (Internet, e-mail) fa) Ibl fel fdl I'lAME AND ADDRESS OF CREDITOR CODE OR OUTS1>\NDING AMOUNT INCURRED AMOUNT ~D OUTSTANDING (II' COMMITTEE, ALSO ENTER I.D. NL.U8ER) DESCRIPTION OF ~YMENT BAl.ANCEBEGINNlNG THIS PERIOD THIS PERIOD BALANCE I4r CLOSE OF THIS peRIOD (ALSO REPORT ON E) OF THIS PERIOD I * Paymem. tIIBt .... contribution. or Ind8JMndent npendIttrNs 1ft.... 81M lie _Iftlll'lzed on lcItedlll. D. o o SUBTOTALS $ o $ o $ $ Schedule F Summary 1. Total acaued expenses inaJrred this period. (Inctude aI SchedtIe F, Cofumn (b) subtotals for accrued expenses of $100 or more, plus total unltemlzed accrued expenses under $100.) .........................................INCURRED TOTALS $ 2. Totaf accrued expenses pald this period. (Include aI Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unltemlz8d 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 $ M&y De. negIRM~ o o FPPC Form 410 (JunelO1) FPPC ToIl-F.... Helpb.: 8lMIIAIK-FPPC Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print In Ink. AmounIa may.. rounded to whoIedollm'L SCHEDU1.E F (CONt) Statement covers period fromEE.B .l~) 'Z..003 throughJOWE. 30,tD0'3 Page 14- Of~ CALIFORNIA 460 fORM NAME OF FIlER COMMrrTE.E. TO ELE.CT JAC.KlE. Me. HEI\\IZ. 'f 1.0. NUMBER 1 z.4-q C\ Ss CODES: If one of the following codes accurately descrtbes the payment. you may enter the code, Otherwise, describe the payment. a&' campaign paraphem8lfalmIsC. MBR member corrmunIcatIans RAO radio airtime and production costs OIS campaign mnsuItants M1'G meetings and appearances RFO returned contributions CTB contrtwtlon (explain nonmonetary'- OFC oftIce expenses SAL campaign workers' salaries eve cMc donations FEr petIlIon cIroul8tlng lB. t.v. or cable airtime and production costs FL candidate 1IJnl1beHot fees PI<<) phOne banks TRC candidate travel, lodging, and meals FNO fundralslng events Pa. polling and eurvey research 1RS staff/spouse travel. lodging, and meals lID Independent expenditure supporting/opposing others (exp/8lnr PCB postlIge, delivery and messenger services TSF transfer between committees of the same candidate/sponsor UD Ieg8I defense PR) profeasIonaI services (legal, accounting) VOT voter registration UT c:ampeign Iterature and mailings FRr print ads 'hm information technology costs (internet, e-mail) * Pllymentathlltaw.contItbutlonsorlr1depHdent expencllur8amullt.....SIIIlUMIInd on Schedule D. CODt!OR (a) (b) (e) (d) NAME ANO ADDRESS OF CRS>ITOR OUTSTANDING AMOUNT INCURRED AMOUNT R\ID OlfTSTANDING OF COMMITTEE. IlLBO ei'ITeR 1.1>. MUMllER) DI!8CRIPTION OF R\VMENT SAlANCEBEGINNING THIS PERIOD THIS PERIOD BALANCE I\T ClOSE OF THIS PERIOD (ALSO RepoRT 011 e) OF THIS PERIOD Ij I SUBTOTALS $ o $ o $ o $ o FPPC Fonn 410 (JunelO1) FPPC T oII-Free Helplne: 888IASK.fPPC Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) ~OIprlntln Ink. AmaunIlIlMybe roundId tIOwhoIe dol... Statmentcowrapedod from FE@, al') "Z..003 tllroughJu~E~,2.003 pag....!L of~ &~.~ 1--. ~ CAlIrORNlf, 460 r (),.:M SEE INSTRUCTIONS ON REVERSE NAME OF FILER COMM \T\cE. Tl' ELECT JAC.KtE. Me. HE.t-J tZ 'r' 1.0. NUMBER \1.+QQss NAME OF AGENT OR INDEPENDENT CONTRAC1OR CODES: If one of the foDowing codes SCCtlrately de8crtbes the payment, you may enter the code. Otherwise, describe the payment Q,P campelgn P*'8Phemall8hnl8c. MBR member conmri:aIIans RAD radio airtime and production costs OIlS campaign c:oneuItants MrG meetlnga and appearances RFD returned contributions em conIrIIullon (expleln norrnonetary)* OFC omce expenses SAt campaign workers' salaries eve cMc donations FEr pelJIIon circulating lB. t.v. or cable aktine and production costs FL candidate fIIIrVbeIIot fees PI<<) phone benka TRC candidate lraYe~ lodging, and meals fM) fundra/slng events FCL poling and suMty research TRS starr/spouse travel, Jodglng, and meals N) Independent e.xpendltuJe supportlngfopposlng others (expIaIn)* P08 poetIIge, delivery and messenger services TSF transfer between convnfttees of the same candidate/sponsor LEG legal defense PfI) profeuionaI servtces (legal, accounting) VCT voter registration lJT cahlP8ign Iterature and mallnge FRr prhad8 VVEB Information technology costs (Intemet,lHTIall) .. PQrI*1tatllet....ccntrtbuIIona or Independent -pendIbJrM rnuMlIIIo............. on Schedule D. NAME ANO AOORESSOF PAYEE OR CREDI10R (IF ~E, Al80 ENTER I.D. ~ CODE OR DESCRIPTION OF At.YMENT AMOUNT ""'0 Attach 8ddItJona/lnformatJon on approprfately I8beIed conIInUIItIon sheets. TOTAL - $ o - Do not transfer to any other 8dIeduIe or to the SUmtrlety PtIge. ThIa ftJIaI mey nat equeI the tJmOunt paid to the agent or Independent cont1'8Cfor as reported on Schedule E. FPPC Form 480 (JunelO1) FPPC ToJI..Free Helplne: 888lASK-FPPC Schedule H Loans Made to Others. Type or print In Ink. Amountsmayllel'Ounded to whole doH..... Statement covers period from FE5. I~ 2.003 ) throughJUNE. ~O,?OO3 Page I" of \8 1.0. NUMBER r2.+Q,\ SS CALIf ORNIA 460 fORM H SE! INSTRUCTIONS ON REVERSE NAME OF FILER C.OMM \TTE.E. TO E.l.EC.T J AC.\l.lE. Me. HE.t-J J2. V FULL NAM!:, STREET ADDRESS AND ZIP CODE IF AN INCMDUAL. ENTER OUTS 1\ DING (bl (eI OUTST~~DING (e) (Il (g) OCCUFlIITION AND ...-LOY!R AMOUNT REPAYMENT OR INTEREST ORIGINAL CUMULATIVE Of RECIPIENT BAlANCE LOAI'4ED THIS BALANCE If( RECEIVED AMOUNT OF LOANS (1F 8llLF..-ovEO. liNTER BEGINNING THIS FORGIVENESS CLOSE OF THIS (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) No\MI Of IUIINPI) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE o PAlO CALENDAR YEAR S $ -% $ $ o FORGIVEN ROlE PER ELECTION** S $ $ $ S DATE DUE DATE INCURRED o PAlO CALENDAR YEAR $ S _% S $ o FORGIVEN ROlE PER ELECTION** $ $ $ $ S DATE DUE DATE INCURRED *Loan. that... contrtbutlons to another canc:lldde orcommlltM muatalao lie .ummarlndon Schedule D. Loan.~en must .Iso llerepoNdon Schedule E. SUBTOTALS $ 0 $ o $ 0 $ 0 ~~~'~~~J'~;:;::'~~~~~1J!~ ~::'''?{;~_~J~''>u'' i~~P.;;Ffr~~s~~~~ '~~*"&~~~J~~~~~~~ ~~~1'/v~~ ~tlt~l:~f~c~~~~;~~::~~i (Enler (e) on SCI1edulll I, Line 3) SchefJIule H Summary 1. Loans made this period ......... ..................... ......... ................. ....................... .......................... ....... ......... ............... $ I (Total Column (b) plus unltemlzed loans less than $100.) 2. Payments received on loans .................. ....... ......... ............... ....... .......... ............................................................... $ (Total Column (c) plus unltemlzed payments leas than $100.) 3. Net change this period. (Subtract Une 2 from Una 1.).................................................................................. NET $ (Enter the net here and on the Summary Page, Column A. Line 7.) o o I **If Required I o (May be 8 negatIVe numlMtr) FPPC Fonn 480 (Junel01) FPPC ToI1.free HelpUne: 8861ASK.fPPC Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER C.OMM~TTE.E. TO E.LECT JAc.KIE. Statement COV8I'II peltod from FEe. lb) ~003 throughJOJ\\.E.. 3l>;W03 page-II- of~ CALIFORNIA 460 , Of~rv1 SCHEDlA..E I Type or print In Ink. Amounts may be rounded to whole dol... Me. HE.~I2Y 1.0. NUMBER l'2.4-QQ SS DATE RECEIVED FULl NAME AND ADDRESS OF SOURCE (If COMMmEE, AUO ENTP I.D. HI-> DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additionsl informstion on appropriately IsbeIed cont/nu8tlon Meek SUBTOTAL $ o Schedule I Summary 1. Increases to cash of $100 or more this period. .................................................................................................. $ 2. Unitemlzed Increases to cash under $100 this period. ....................................................................................... $ 3. Total of all Interest received this period on foans made to others. (Schedule H, Column (e).)............................... $ 4. Total mlsceUaneous Increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.)...... ......................... .................. .................. ............................................... TOTAL $ o o o o FPPC Fonn 460 (Junef01) FPPC ToH.f.... HelpBne: 8681ASK-FPPC Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER COMM\TTEe. TO ELE.CT JAC~lE.. Type or print In Ink. Amount. may be rounded to whole dollars. Me. HE. JIJ 12. Y SUMMAR\' Fr\GE CALIFORNIA 460 FORM Statement cover. period from FE6. '" I ~OO~ through JUNE. ~O\?J)C13 Page , a of \ B 1.0. NUMBER \1.499SS Contributions Received 1. Monetary Contributions ................................................ ~,.A. Une 3 $ 2. loans Received ............................................................. Sc~ 8, Une 1 3. SUBTOTAL CASH CONTRIBUTIONS ..............._........... Add /JnM 1 + 2 $ 4. Nonmonetary Contributions ........................................ ~ C, Urte 3 5. T01J\l CONTRIBUTIONS RECEIVED ...............................Add I..JnN 3 + <4 $ Column A TOT,tt, 1Il1S PERIOO (l'ROM ATTACHED 9CHEOUlES) 2. QOS.OO ) 0 '2. qos.OO ''2.19.04- ~ I t'3 .04- ) Column B CAl.ENOAR YEAR TOI',tt,T OOOE $ Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 1/1 through 6130 7/1 to Date $ 20. Contributions Received $ 21. Expenditures Made $ $ $ $ Expenditures Made 6. Payments Made ............................................................. Schedule E. U,.,. <4 S 7. loans Made .................................................................... Schedule H, Une 7 8. SUBTOTAL CASH PAYMENTS ......................................... Add U_, + 1 $ 9. Accrued Expenses (Unpaid Bills) .................................. SdrfJduIe F, Ute 3 10. Nonmonetary Adjustment ............................................... ~ c, Une 3 11. TOTAl EXPENDITURES MADE ...................................Add L.lrIN 8 + 9 + 10 $ 1; ii07.34: , 0 Ii. qOl. ,+ o 2.18.0-1:, , 1 tc;..~a l $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Mede. llf SUbject to Voluntlry Expendtt.... Limit) Date of Election Total to Dale (mmlddlyy) ----1---1_ $ --1---1_ $ ---1---1_ $ --1---1_ $ ----1---1_ $ ---1---1_ $ Current Cash Statement 12. Beginning Cash Balance ......u.................. Previoua Summary Page, LkIe l' $ 13. Cash Receipts .................._..................................... eo.mm A, Ute 3.,.,.. 14. Misc~lIaneou8lncrea8es to Cash .............................. Sr:hedrIIe I, Ulte4 15. Cash Payments ....................................................... CcUnn A. LkIe 8___ 16. ENDING CASH BALANCE............AddUn..12 + 13 + 14, IMnsubtnlclUlte15 $ If this Is 8 termlnstfon ststement, Une 16 must be zero. 4;~~~.+' 2}I05.00 o S ~O-r. ,+ , 1,~'3+.~5 $ $ To calculate Column S, add amounts In Column A to !he corre&pOIldlng 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). 17. LOAN GUARANTEES RECEIVED .............................. ~8,Pa12: $ Cash Equivalents and Outstanding Debts 18. cash Equivalents ...._........_........._.............. S.. InslnJctions on _ $ 19. Outstanding Debts ............................ Add LN 2 + LIne 9 In eo.tHIIflB __ $ o o o .SInce Janual)' 1, 2001. Amounts in this section may be dilferent from amounts reported in Column B. FPPC Fonn 480 (JunelO1) FPPC ToI~.... HeIpIne: 888IABK-FPPC