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HomeMy WebLinkAboutForm 460 Committee to Elect Roberta Fonzi 073108Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Statement covers period Date of election if applicable: from Z r / I (Month, Day, Year) ? through J o — O� J/ 1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee 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 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) JUL z s = OF ATASCAEW" r CLERICS OMCE 2. Type of Statement: ❑ Preelection Statement XSemi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) 3. Committee Information I I.D. NUMBER / S --Z Treasurer(s) COVER PAGE Page f of =, For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 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 foregoing is true rrect. Executed on 0� By Data Q� ignatu ofTrea r Assistant Treasurer Executed on 7 _ S6 - Date 6 Date y Sia ature ofControlina OfficahokMF Candidate. State a -ontr RnQm iN^ rWer,fCrwisnr Executed on Date Executed on Date N� By Signature of Controlling Officeholder, Candidate, Stele Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Foran 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California J� Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE �Y Y -)'F- I OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page of BALLOT NO. OR LETTER{ JURISDICTION I E]SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder 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 ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers periodCALIFORNIA to whole dollars. from I � , 0� ,. through �v — Page � of _ NAME OF FILER Comm ►�� �'fl ���� 12�=�-\ � � �� �s �t Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received...................................................... Schedule a, Line 3 3. SUBTOTALCASH 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 + s + 1c 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 t, 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. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ %1�Q $ 5CJ $ 11� 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 B above $ Column B CALENDAR YEAR TOTALTODATE $ 1 �o $ >/ Q $ 20 $ 0 $ 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). I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 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 Total to Date (mmidd/yy) I J $ `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) W Z G_ Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received ~111WUI Lwhole dollars.naea Statement covers period CALIFORNIA from - FORM SEE INSTRUCTIONS (/� through v ~ o _ o� i� Page ON REVERSE --9— of _1_ NAME OF FILER -F0 ECC t I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTORCONTRIBUTOR OFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OND j CfA2Z' E] PTY ❑SCC 5� RIO 7, IND Om ❑OTH ❑PTY �h Z1 0 Q) 0 A q F1 SCC y I`Ob�yV^�I ��ND ❑COM / �y, E] OTH ❑PTY cCi.Ai.'/ ) , Ste'© �-F'� / �� ❑SCC / ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS O 0 Schedule A Summary 1. Amount received this period — itemized monetary contributions. / (Include all Schedule A subtotals.)...................................................................... ............................... $ l7 Q 2. Amount received this period —unitemized monetary contributions of less than $100 ............................. $ S Z 6 3. Total monetary contributions received this period. > ,� (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)