07-01-03 TO 12-31-03Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period
from C. of (D O3
SEE INSTRUCTIONS ON REVERSE
through ) C Y\ 0 014
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee
Q State Candidate Election Committee O Primarily Formed
Q Recall O Controlled
(Also Complete Part 5) O Sponsored
!Also Complete Part 6)
❑ General Purpose Committee
Q Sponsored
Q Small Contributor Committee
Q Political Party/Central Committee
oil IS W-Al. A bl. %I a,
3. Committee Information
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
XZ- 80
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
~ttic ~v~. C o Cb O o 0 to V'A S
Date of election if applicable
(Month, Day, Year)
Treasurer(s)
NAME OF TREASURER
1
2. Type of Statement:
❑ Preelection Statement
Semi-annual Statement
❑ Termination Statement
❑ Amendment (Explain below)
Page of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
MAILING
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
,F _V.r,.A % \f, " L _ q-a_o 2y
MAILING ADDRESS (IF DIFFERENT)
'.U. tiUA
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date Stamp
COVER PAGE
`!Ji113:36
bll~ ~r.~. y\ukrf ~.Jr
CITY STATE ZIP CODE AREA CODE/PHONE
C►n.C \v\ A~ Q C1 - .AI'A 760 - 163a- I L4 L
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
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. I
certify under penalty of perjury under the laws of the State of California that the forego' g is true and correct.
Executed on By
1~,J 1 ' ~A mil,
Dal Signature of Treasurer or Assistant Treasurer
Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on Data BY Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 666/ASK-FPPC
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Summa Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA
from • 460
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER
I.D. NUMBER
Contributions Received Column A Column B Calendar Year Summary for Candidates
TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACrED SCHEDULES) TOTALTODATE Running in Both the State Primary and
\ General Elections
Monetary Contributions Schedule A, Line 3 $ $
2. Loans Received Schedule B, Line 7 1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $
E L $ 20. Contributions
Received $ $
4. Nonmonetary Contributions Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ $ Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made Schedule E, Line 4 $ $ Candidates
7. Loans Made Schedule H, Line 7
8. SUBTOTAL CASH PAYMENTS Add Lines s+7 $ 22. Cumulative Expenditures Made"
$ C (if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) Schedule F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment Schedule C, Line 3 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE Add Lines e + 9 + 10 $ $ J-~ $
current Cash Statement $
12. Beginning Cash Balance Previous Summary Page, Line 16 $
To calculate Column B, add Jl $
13. Cash Receipts Column A, Line 3 above amounts in Column A to the
corresponding amounts
14. Miscellaneous Increases to Cash Schedule 1, Line 4 from Column B of your last -J-~ $
15. Cash Payments Column A, Line s above report. Some amounts in
Column A may be negative $
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ figures that should be
if this is a termination statement Line 16 must be zero. subtracted from previous
period amounts. If this is -~J $
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ for this calendar year, only
carry over the amounts `Since January 1, 2001. Amounts in this section may be
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if different from amounts reported in Column B.
any). Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add line 2 + Line 9 in Column B above $ FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC