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HomeMy Public PortalAboutForm 460 (Feb 16 - June 30, 2003) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. from through 1. Ty'pe of Recipient Committee: All Committees - Complete Parts 1,2,3. and 4. M Officeholder, Candidate Controlled Committee 0 Ballot .Mea.sure Committee '!\ 0 State Candidate Election Committee 0 Pnmanly Formed o Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee o Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) ferel.. ['tKl (eft.. ~-rj t!ou/JClt.- COVER ~GE Date Stamp CALIFORNIA 2001/02 FORM RECEIVED Date of election if applicable: (Month, Day, Year) / of / J U l 2 9 2003 Page iii fHL4I- v.., '2.003 For Official Use Only CITY CLERK CITY OF CLAREMONT 2. Type of Statement: o Preelection Statement 'f5l Semi-annual Statement .t]rermination Statement o Amendment (Explain below) o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 Treasurer(s) AREA CODE/PHONE (S_ ls(,- O. ff3 AREA CODE/PHONE 7/'I-zd, - o7r~ CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable dir certify under penalty of perj AREA CODE/PHONE ence in preparing and reviewing this statement and to the be und r the laws of the State of California that the foregoin Executed on Executed on Executed on Date Executed on Date By By By By 1Jv€ STATE ZIP CODE c>A- q 17// r~ c7,~H3~1- rmation contained herein and in the attached schedules is true and complete, I ocer of ponsor Signature of Controlling OfrIC9holder, Candidate, State Measure Proponent Signature of Controlling OfrlC9holder, Candidate, State Measure Proponent FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK.FPPC State of California Type or print in ink. COVER FAGE . PARr 2 Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee s: OFF CE SOUGHT OR HELD (INCLUDE LOC ION AND DISTRICT NUMBER IF APPLICABLE) RES~E~rL \f~^!:.:;-;N/'1D?:.~ t,,{! {!JIC~~~ 1.:- 3 i.f Ie.! 17// 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 I.D. 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 I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? COMMITTEE ADDRESS DYES STREET ADDRESS (NO P.O. BOX) D NO CITY STATE ZIP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT D OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER 'Pc=. 7C;---1!- Contributions Received -pi:,{L e /7 1. Monetary Contributions ................................................ Schedule A. Line 3 2. Loans Received ............................................................. Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ............................. Add Lines 1 + 2 4. Nonmonetary Contributions ........................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ...............................Add Lines 3 + 4 Expenditures Made 6. Payments Made ............................................................. Schedule E, Line 4 7. Loans Made .................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ......................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) .................................. 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 ......................................................... Column A, 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 subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED .............................. Schedule 8, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............................................. See instructions on reverse 19. Outstanding Debts ............................ Add Line 2 + Line 9 in Column 8 above Type or print in ink. Amounts may be rounded to whole dollars. ~tJ1J~t..- Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $~ , ~O . to $~O$ $~O$ ~(,1~,3~ o ~\~,:;~ o $ ~, ~~ $ $ $ o ~l~ $~ $ () $ $ D o from through Column B CALENDAR YEAR TOTALTOQl\TE $ --.:I 0 &"2.- \ S- 0 -.l er() 0, ~ \ c),n 2"2. . 9 o J. () ) ~ ~ 2- \ <;0 $ J~,sb3\ ,f o $ J~ I ~,,~. l~' o o $ -l~; sb~.t+ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). SUMMARY' ~GE CALIFORNIA FORM Page I of 'I- I.D;;~H 7 {., { { Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date $ $ ---1 $ $ $ ---1 $ "Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June/01) FPPC Toll-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. f!,L &cJAJCll- DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D NUMBER) ~U)(O 3 '-I~/f)3 z(u,!O!J ~~ ~~/o3 *Contributor Codes INO - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PlY - Political Party SCC - Small Contributor Committee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) h~"\~~ WH ' 5e~ ~I~~ 51 . ~~' \L.. Z , \~rl~. . ~,r- u,wl.ev C/~lIl~ ('~ ~~ l)~ Q~,- &~ ~...~ 1>oj ~'Vl.L ~J-~ SUBTOTAL $ SCHEDULE A (CONT.) from CALIFORNIA FORM Page 3 oc.!l_ ID'7~7 ~/t through AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) tero (~ 2-~ ~)D ItrC {~ ?SO ~s:-o 2.,S-o ~-o FPPC Form 460 (JuneI01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Rsr'4L ~IL ~( Type or print in ink. Amounts may be rounded to whole dollars. ~c)Nf:;jL- DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) 1~(03 ~/1-7/b 3/zjl)~ 3/403 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee OOTH OPTY OSCC ~~ OOTH OPTY OSCC IND OM OOTH OPTY OSCC OIND o COM OOTH OPTY OSCC IF AN INDIVIDUAL, ENTER OCCU~TION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) f""Q..(;; ~~\e"'-"V ~ r- S<2,\- f"1~~ fe ".e ~Jev- SUBTOTAL $ from through AMOUNT RECEIVED THIS PERIOD ~o '"2- S-o '"2J~O 2- ~-o SCHEDULE A (CONT.) CALIFORNIA FORM 2t'03 page4-ofL I.D.;U;::j 7 t, I t/ CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) "'2ertJ ~~ 2---~-o ""2,!;O FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) lbL ~IT DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * ~;~ -w~~'\\ tJJ NO COM OOTH o PlY OSCC >/U{~3 " OOTH o PlY OSCC ~o ~~ o PlY OSCC ~ '(1'2-2-1'0 SUBTOTAL $ from AMOUNT RECEIVED THIS PERIOD 2-,S-o ~tl) 2-.~ '"Z.-DO ~ 2-80 Schedule A Summary 1. Amount received this period - contributions of $100 or more. . (Include all Schedule A subtotals.)................................................................................................. $ .~ l cru ,<<rV 2. Amount received this period - unitemized contributions of less than $100 ......................................... $ ~ 3. Total monetary contributions received this period. { Il (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ..................... TOTAL $ "3 \::) { \ ,~ Page I.D. NUMBER I I I~.<t 7 (, ('1 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 2--~-a 2-SO ?<~ b. e-O "Z-$"C .Contributor Codes INO - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PlY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER f;fL ~4T -r61?- FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0 UMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ~~ S. 'fTO ?> 'f-l~' '(Ovv.. 'f: 8-v'G &..~~ e+, Q'1\\ to IND 0 COM 0 OTH 0 PTY 0 SCC ~ AtJf\{.C-f- ~tJV\ eo. to IND 0 COM 0 OTH 0 PTY 0 SCC to IND 0 COM 0 OTH 0 PTY 0 SCC Type or print in ink. Amounts may be rounded to whole dollars. t?oUNci L- SCHEDULE B - PART 1 from CALIFORNIA FORM through a (b) (e) OUTSTANDING AMOUNT OUTSTANDING BALANCE AMOUNT PAID BALANCE AT BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD PERIOD THIS PERIOD. PERIOD $~I~ $J6DO $ o $J'OOo o FORGIVEN $ o PAID $ o FORGIVEN $ $ $ o PAID $ $ o fORGIVEN $ $ $ SUBTOTALS $ $ Schedule B Summary 1. Loans received this period............................................................................................................ $ (Total Column (b) plus unitemized 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. t Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) '2eof DATE DU $ DATE DUE DATE DUE $ $ (0-00 o (Enter (e) on Schedule E. Li1e 3) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. \~o (May be II negative number) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC SCHEDULE E from rs period Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. 2,bo3 CALIFORNIA FORM SEE INSTRUCTIONS ON REVERSE NAME FILER ~\a- <; through 1;cro3- Page ~ of z..., &\ 1.0. NUMBER ~ ~(L &:, () ~CA '- ,~ btLf CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating lEL t.v. or cable airtime and production costs RL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads V\EB information technology costs (internet. e-mail) NAME AND ADDRESS OF AO.YEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF AO.YMENT G\1 ftLL- ~ (~ ~. )~ ~19 <?~ ~ P0:>1 \ ~~ L\1 AMOUNT PAID ~~~t:~~~\ ~ 1>\~) ~. e-\ct~~~~ "fe-ru...vv- \\\ C;. ~t\~e. \~ ~~'D~ U~ 6~ ?-~~ l~.trO 'FCO,~ SUBTOTAL $ b; q,z..,q~ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 5Js,~ \ 3~ 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ........................................................................................... $ 2. Unitemized payments made this period of under $100 ................................................................................................................................. $ \ trt? . W 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ......................................................................... $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page. Column A, Line 6.) ........................... TOTAL $ ~... ~~ FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~0\Je\.L- Pro "FoR.- ~ '"t CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)" OFC office expenses cve civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fund raising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF flO.YEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR Fru, Cl~~~\ \l\ S. ~l.,e Psve, ~\ ()..feA.V\t;rW ~. \ 1 " ~ cur ..eW\.,J- ~^~ l t\ C;. &:>Ll~e ~'~ ~~C\."~~\-, ~ Q\1" r~\ Statement coy rs period from SCHEDULE E (CONt) CALIFORNIA FORM Page..::k:::. Of~ I.D. 71;} 7 (" If Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries lEL t.v. or cable airtime and production costs lRC candidate travel, lodging, and meals lRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration V\EB information technology costs (internet, e-mail) DESCRIPTION OF Fr>.YMENT q"'~ {>t--1 'RJp \ tt~~l~ y;,~ * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT flO.lD 7{)sz.bO t ( J~. ~ SUBTOTAL $ )...( FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC