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HomeMy WebLinkAbout2005-07-14 Form 460 - PS Fire Management,1' ~R, .• tC ·tt ec1p1en omm1 ee • Type or print in ink. Date Stamp ECEIVED CALIFORNIA 46 0 2001/02 Campaign Statement Cover Page (Government Code Sections 84200•84216.5) c~ t T Y C -P .i\ L r·"'1 SP r~ Ir,~ Gr:: ,----------------,---------'-'-.l...!.......:..-"'--1 FORM State~ent covers period /= ! =· 0;5~ from __________ _ SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committe.e: All Committees -Complete Parts 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee O State Candidate Election Committee 0 Recall (Also Complete Part 5) neral Purpose Committee S.Sponsored O Small Contributor Committee 0 Poilt1cal Party/Central Committee 3. Committee Information STREET AD6RESS (NO P.O. BOX) ,·•, ,=- (,{ D Primanly Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) • Primarily Formed Candidate/ Officeholder Committee (Also Camp/eta Part 7) ZIP CODE ~;CZ.iii c. (IF DIFFERENT) NO. AND STREET OR PO BOX ",~. 4. Verification ST~F lcr~_ AREA CODE/PHONE Date of election if applicable: (Month, Day, Yeazuo5 ,JI L I L} i:1H ! ! : l 5 Page--~ of ___ _ For Official Use Only 2. Type of Statement: D Preelection Statement ·_g...semi·annual Statement tt D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) /LJ , { d1 6t.:,1 a,r CITY NAME OF ASS"IS'T,'.N;J:.~TREASURER, IF ANY -~===~==-=. MAILING ADDRESS CITY STATE OPTIONAL: FAX / E-MAIL ADDRESS D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 ,. AREA CODE/PHONE ZIP CODE -·-=_,'.':_~-EA CODE/PHONE ~=..:;,_~-=s:.......----.:,._...,,. ....... 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 perjuZ,,under t~-e laws 0~}'2.e State of California that the foregoing is true and sp-o-ns..,..,b,...le..,.Qffi"",ce-ra"""fS,,..p-on-s-or-- Executed on ____________ _ Date Executed on ____________ _ Dale BY-------------,....-----..--------------Signature of Can~alling Officeholder, Candid ale. Slate Measure Prononenl BY-------:-s:-,g-na..,..lu-,a-•.,..,fC::-o-.ntr--o,,...ll,n-g"°'O""ffi-ce-,-ho---,-la-,-·e"""c""a-nd.,..,d.,..a,...le""',s""1a.,..,e-,-M-,-e-as-ur-e""Pr-op--•"'ne-,-nl,---------- FPPC Form 460 (January/OS) FPPC ToJI.Free Helpline; 866/ASK·FPPC (866/275-3772) State of California ·• Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE • Type or print in ink, Amounts may be rounded to wl1ole dollars. DATE RECEIVED FULL t,,IAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMlTTEE,AlSOENTERJ.D NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMl'L.OYEO, ENTER NAME OF BUSINESS) Schedule A Summary 1. Amount received this period -itemized monetary contributions. •IND •COM 00TH DPTY •sec •IND •COM DOTH OPTY •sec •IND •COM 00TH OPTY •sec •IND •COM DOTH •PTY •sec •IND •COM 00TH DPTY •sec SUBTOTAL$ • SCHEDULE A Statement covers period from __ ,_._ .. _f_"_-~_o_s"_-----_ CALIFORNIA 46 0 FORM through AMOUNT RECEIVED THIS PERIOD Page ___ of __ _ I.D.NUMBER ( !~-J'-5~:L &f' 'il~<f"~ CUMULATIVE TO PATE CALENDAR YEAR (JAN. 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) •con!nbutor Codes ',, ·j (Include all Schedule A subtotals.) .... __ .................................................................................................. $ _____ _ IND-Individual COM-Recipient Commlltee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Pohtical Party 2. Amount received this period -unitemized monetary contributions of less than $100 ............................. $ ______ _ 3. Total monetary contributions received this period, 1/ !;~1 ,,::9 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ,'{/ cJ 1.1/.--;.,~,,. • SCC-Sma~ Contributor Committee FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK•FPPC (866/275-3772) • • • Type or print in ink. SCHEDULE B-PART 1 Statement covers period Schedule B -Part 1 Loans Received Amounts may be rounded to whole dollars. from /--f-i:J )-... CALIFORNIA 460 FORM /_ ";i ? ,,, .=>7»•·• through {j ..., ;_,C ~._ / Page___ of __ _ ' FULL NIIME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE. ALSO ENTER. t.O NUMBER! t • IND O COM O 0TH • PTY O SCC t • IND O COM O 0TH O PTY O SCC to IND O COM O 0TH O PTY O sec Schedule 8 Summary lF AN INDN UAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENre.R NAME OF BUSINESS) $ ___ _ SUBTOTALS$ lb) AMOUNT RECEIVED THIS PERIOD ·---- $ (c) AMOUNT PAID ORFORG\VEN THIS PERIOD w •PAID • 0 FORGIVEN QPAJD 0 FORGIVEN s 0 PAID s QFORGNEN $ 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.} (Include Joans paid by a third party that are also itemized on Schedule A.) $ OUTsrlr~DING BALANCE AT CLOSE OF THIS PERI D ~ DATEDUE DATEDUE $ DATEDUE $ $ (e) INTEREST PAIDiHIS PERIOD __ % RATE __ % RATE __ % RAiE ID NUMBER (f) ORIGINAL AMOUNTOF LOAN $---- DATE INCURRED s DATE INCURRED DATE INCURRED (g) CUMULATIVE CONTRIBUTIONS TODATE CALENDAR YEAR $ ___ _ PER ELECTION ... $ CALENOARYEAR s PER ELECTION,.. CALENDAR YEAR PER EI..ECTION""' s .... _.· .. ·-1 ... ~~ ' .. ~ (Enler(e)on Sclledule E. Wna 3) tContributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other (e.g , business entity) PTY-Political Party sec -Small Contributor Committee 3. Nat change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. {May be a negaovo numoer) *Amounts forgiven or paid by another party also must be reported on Schedule A ... If required. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK•FPPC (866/275•3772} • • • Schedule E Payments Made SCHEDULEE SEE INSTRUCTIONS ON REVERSE "' ~.,.. I ) iJ1lJ t-v·,5 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from-~/_-_·_/_~~_· _C.J_"j_~_•"-~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OVP campaign paraphernalia/misc MBR membercommunications 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 A::, petition circulating TEL t v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks lRC candidate trave1, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure support1ng/opposing others (explaint POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounl111g) VOT voter registration UT campaign literature and mailings PRT prlnt ads WEB information lechno!ogy costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (If COMMITTEE. ALSO ENTER l.D. NUMBER) CODE OR * Payments that are contributions or independent expenditures must also be summari:.i:ed on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ ______ _ 2. Unitemized payments made this period ofunder$100 .......................................................................................................................................... $ ______ _ -,;J_.,,) .... ¢) ,;:::.f~--J. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ -~--ry-,...,.--/7 d 9· 1:1, or 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 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FP PC (866/275-3772) -Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE -Type or print io ink. Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the code. OIIP campaign paraphernalia/misc. MBR membercommunicat1ons CNS campaign consultants IIIITG meet'mgs and appearances CTB contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET petition circulating FIL candidate fil\nglballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supportmg/oppos1ng others (explarn}* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) Lff campaign literature and mailings PRT print ads l NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER ·1 D. NUMBER) I CODE * Payments that are contributions or independent expenditures must also be summarii.ed on Schedule D. OP, e SCHEDULE E (CONT.) Statement covers period .,l.l,J,," ,<l{h from_L____ , .. ·= CALIFORNIA 460 FORM .,:," ,,cy, "j""'" th h(·'<.·1·'·' '¾(],,.~[! .,.· roug -~ .,,.. -"' Page ___ of_~_ 1.0, NUMBER Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contribulrons SAL campaign workers' salaries TEL t v or cable airtime and produclron costs 1RC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candrdate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMEIH AMOUNT PAID SUBTOTAL$ FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) • • • Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from I·--fsa· o:r ... CALIFORNIA 46 0 FORM SEE INSTRUCTIONS ON REVERSE Contributions Received 1. Monetary Contributions ............ , .............................. ScheduleA, Lme3 $ 2. Loans Received . . . . . . .. . . .. .. . . .. . .. . .. .. .. . .. . . . . .. .. . .. .. . . . .. . . . . . Schedule B, Line 3 3. SUBTOTAL GASH CONTRIBUTIONS ................. ........ Add Lmes 1 + 2 $ 4. Nonmonetary Contributions .............................. , ..... Schedule c, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lmes 3 + 4 $ Expenditures Made 6. Payments Made........ .......................................... .... Schedule E, Line 4 $ 7. Loans Made .. ... ... ... .. . ... . . .. .. .. .. .. . .. .. . .. .. . ... . .. . .. ... .. . .... . Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines B + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF, LmeJ 10. Nonmonetary Adjustment .......................................... Schedule c. Line 3 11. TOTAL EXPENDITURES MADE ................................ Add unes a+ 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance....................... PrlflVioussummaryPage, Line 15 13. Cash Receipts ................................................... CalumnA,Lme3abova 14. Miscellaneous lncreases to Cash .......... ................. Schedule 1, Line 4 15. Cash Payments .. . .... .. ..... .. .. . .. . . .... .. . .. .. . . .. . .. .. .. . .. .. Column A, Line a 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 B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................ ................ See instrucllons on reverse 19. Outstanding Dabts ........................ AddLme2+Line9inCofumnBabove $ $ $ $ $ ColumnA TOTAL THIS PERIOD (FROMATTACHEDSCHEDULES) -I / ,.,-:;;'3o. ·'1._,,..,....-,-i ...... •-.. ~CJ:; through ~·v~-------Page ___ of __ _ $ $ $ $ $ $ ColumnB CALENDAR YEAR TOTALTOD..UE 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 penod 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). 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 lo Volue!ary Expenditure Um!!) Date of Election (mm/dd/yy) __ /___} __ Total to Date $ _____ _ __J, __ /__ $ ____ _ %Amounts in this section may be different from amounts reported In Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline; !!66/ASK-FPPC (866/275-3772) -Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE - statement covers period _ 7 ;(-1-g· •.•-. ~-~1.:·~-. ~,) J~ ii J ..... _ from _ c1 7~: G1-~:.t 1~2'-(-0-S-through ________ _ 1. Type of Recipient Committee: All commlttl!t!s -Compl~te P~rts 1, 2, 3, and '4, • Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also COmple~ Pllrt 5) ~Geren:il PL1rpose Committee ~ponsored D Small Contributor Committee 0 Pclitical Party/Central Committee 3. Committee Information 0 Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (A!soCcmp/elePll,t6J O Primarily Formed Candidate/ Officeholder Committee (Al"" Complete Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Pvi lw. l_ll~ > Ht;; 41,, -f- , sec -/,> ,JC.. STREET ADDRESS(NOp_Q, BOX) ~ _ 2]C[ t1J. Ou ook STATE G.· ZIF' CODE uzu '"> AREA CODE/F'HONE 4. Verification I have used all reasonable diligerice in preparing and reviewing this statement and to the best of my k under penalty of perjury under the law5 of the state of California thatlhe foregoing is true and correct i:;,_a~e of election if applicable: '~ , • (Month, Day, Year) 2. Type of Statement: D Preelection Statement D Semi-annual statement D TerminationSl:atement Date Stamp (Also file a Forni 410 Termination) D Amendment (Explain below) Treasurer(s) -COVER PAGE CALIFORNIA 46 0 FORM Page ___ of __ _ For Official use only D Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection stltement -Attach Farm 495 NAME OF TREASURER ·rewet sf-2:2.. 1° r CITY MAILING ADDRESS CITY OPTIONAL: FAX. I E-MAIL ADDRESS o tained herein and in the attached schedules is true and complete. I certify /u-27'-a~ ~ Exeouled on-'------------/_____ 8y ----....,H"'-';..;;;._._...,,,.._~~,---=--,,--..-=-------------Date Executed on Date Exeouted on ()ati:, Executed on Date By _________________ .... ....,,._....,_..,.._...., ______ _ S,:ina!ure of Contrn !tr>, Oflicetx>Jder, Candrlale, Sime Measll!e Po,ponent By ______ _,,,.....,..--,~_,...,,--,.,,........,,.,...~..,,.,..,...,.,..,..,.,..---,,.---,,-...------ Signature olC<lnlro!!ng Offlc<!t..,k!er, C~n<:lida!o, stm, Measure Proponent FPPC Form 460 (January/OS} FPPC ToJI-Fru Hefplfne: 866/ASK-FPPC (!!66/275-3772) Sbl~ of Ca!!fomla --• Type or print ir. ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 1-f-CJ )-CALIFORNIA 460 F:rRM SEE lNSTRUCTIONS ON REVERSE Contributions Received 1. Monetary Contributions .......................................... . Schedule A, !.me 3 $ 2. Loans Received .. .. . .. .. .. . . . . .. .. .. .. .. . . .... ..... .... . . . ...... ..... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions.................................... Schedule c, Line 3 5. TOTALCONTRIBUT!ONSRECEIVED ........................... AddLines3+4 $ Expenditures Made 6. Payments Made....................................................... Schedule E, Une 4 $ 7. Loans Made............................................................. ScheduleH, Line3 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+ 7 $ 9. Accrued Expenses {Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment ......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ., .............................. Addlines8+ !!+ 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... PreviousSummaryPage,Line16 13. Cash Receipts ......... ....... ... . . .. ... ... . . ... .... . ..... .. .. ... Column A, Une 3 above 14. Miscellaneous lncreases to Cash ........................... Schedule I, Line 4 15. Cash Payments.................................................. Column A, Lme 8 above 16. ENDING CASH BALANCE .......... Add unes 12 + 13-,. 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. , 17. LOAN GUARANTEES RECEIVED........................... Schedule a, Part 2 Cash Equivalents and Outstanding Debts i 8. Cash Equivalents ... . .. .. . ... ... .. . . ... .. . .. .. . .. ........ see instructions on rever:se 19. Outstanding Debts . ..... ... . ...... .... .. .. . Add Line 2 + Line 9 in Column B above $ $ $ $ $ ColumnA TOTAi. THIS PSRIOD (FROMATT.ICHED SCHEDULES) >] 1 '3> 1:,-Jh?r . -. CI--Z.'/--0.J through_:....{_______ Page-~-of __ _ $ $ $ $ $ {_ ColumnB CAl.e!DAll.'fEAR TOTA!. TODATE ~00 To calculate Column B, add amounts in Column A to !he 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 Qf any). I > Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 thruugh 6/30 7/1 to Date 20. Contributions Received $ _____ _ $ _____ _ 21. Expenditures Made $ _____ _ $ _____ _ Expenditure Limit Summary for State Candidates 22, Cumulative Expenditures Made~ (If Sub!ecUo \bluc,.taty Ex.pend!tur• L\rn\lJ Date of Election (mrn/dd/yy) ___]____!, __ Total to Date $ _____ _ ___]___}___ $ ----- •Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK·FPPC (8661275-?.772) -Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER - Type or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (ll'COMMITTEE.AlSO ENTER ID NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (II' SELJ'.EMf'lOYED, ENTER NAME OF BUSINESS) Schedule A Summary 1. Amount received this period -itemized monetary contributions. ~gM DOTH OPTY •sec •IND •COM DOTH 0PTY •sec •IND •COM DOTH OPTY •sec •IND •COM DOTH OPTY •sec •IND •COM DOTH OPTY •sec SUBTOTAL$ Statement covers period '7 Io-1rom --__J 0 -Z'i-OT through _-_I ______ _ • SCHEDULE A CALIFORNIA 460 FURM ... , V ... ..,. Page ___ of __ _ I.D. NUMBER II-657-9~.T AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 -DEC 31) PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND-Individual (Include all Schedule A subtotals.) ....................................................................................................... $ _____ _ COM -Recipient Comnittee (other than PTY or SCC) 0TH -Other (e.g., busir,ess entity) PTY -Political F'arty 2. Amount received this period-unitemized monetary contributions of Jess than $100 ............................. $ --~---- 3. Total monetary contributions received this period. CT ,,.rt\ SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _-'fL....._,(U.'--u __ _ FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275,'3772) • • • Type or print in ink. Statement covers period SCHEDULE 8-PART 1 Schedule B-Part 1 Loans Received Amounts may be rounded to whole dollars. from ·7-/-C) J CALIFORNIA 4 6 0 FCRM SEE INSTRUCTIONS ON REVERSE q-2\..f-d..S-through _______ _ Page ___ of __ _ NAME °J; FILER rt?i!lfA FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IFCOMMITIEE,ALSOENTERI D NUMBER) t • IND O COM O 0TH O PTY • SCC to IND • COM • 0TH O PTY O sec to IND • COM • 0TH O PTY O SCC Schedule B Summary IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMptQYEO, ENTER NAME OF BUSINESS) a (b) {c} OUTS A DING AMOUNT AMOUNTPAIO BEG~~~~i~HIS RECEIVED THIS OR FORGIVEN P RIOD PERIOD THIS PERIOD~ •PAID 0 FORGIVEN $ ___ _ s 0PA1D $ •FORGIVEN j ___ _ $ QPAID 5 QFORGIVEN $ ___ _ $ ___ _ $ SUBTOTALS $ $ 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) DATE DUE DATE DUE DATE DUE $ 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. (M1ybo onegalive numlm) $ s s __ % RATE __ % RATE __ % RATE LO NUMBER {f) ORIGINAL AMOUNT OF LOAN $ DATE INCURRED DATE INCURRED g CUMULATIVE CONTRIBUTIONS TODATE CALENDAR YEAR ! PER ELECTION- CALEl"DAR YEAR $ PER ELECTION- CALENDAR YEAR $ ___ _ PER ELB:TION" $ ___ _ (Enter(e) on Schedtk E, Line 3) DATE INCURRED tcontributor Codes IND-lndividual COM-Recipient Committee (other than PTY or SCC) 0TH -other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee *Amounts forgiven or paid by another party also must be reported on Schedule A. •• If required. FPPC Farm460 (January-/05) FPPC Toll-Free Helpline: 856/ASK-FF'PC (8561275-3772) • ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE • Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period =7-,·-o 5--from __ { ______ _ q"-..Zi..f-0> through _,_ ______ _ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. • SCHEDULEE CAUFORf\llA 460 FORM -• ~ • ..... .. d Page ___ of __ _ JD NUMBER //-3(S7~ Q,f> campaign paraphernalia/misc MER member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryt OFC office expenses SAL campaign workers' salaries CVC civic donations FEf petition circulating TEL t. v. or cable airtime and production costs FIL 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 UT campaign literature and maillngs PRT print ads \/\EB information technology costs {internet, e-maiO NAME AND ADDRESS OF PAYEE (IF COMMITTEE,AI.SO ENTER !.D. NUMBER) Euf cr~<l--Fel.!.ew...f ./JJur 5,:~;tt ~ ca f"'ZZ'12.. CODE OR '" Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ ~~::~z~~ep:y::::::this period. (Include all Schedule Esubtotals.) .............................................................................. ,. ............................. $_fl f """f-J 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _ ~· :o:a'. interest ~aidth_is p~riod ~ndfo(aAndsd. (L~nter 1am2ountdfromE Stchehdule B,dPartth1, C8olumn (e)p.) ....... C·····,········A·····L·•."···S ... ) ................................. T .... T. .. 'A .. L .. $$ s"'7'"( 2z :;-- ~. 1ota1 payments maae mis perJO mes , , an 3. n er ere an on e ummary age, o umn , ine . ............................. o _L / , z FPPC Form460 (January/05) FPPC Toll-Free Helpline: 866!ASK-FPPC (SSS/275-3772) ' .. ..,/ -Schedule E (Continuation Sheet} Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER - Type or print in ink. Amounts may beround~d to whole dollars. Statement covers period from _________ _ through _______ _ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. - SCHEDULE E (CONT.) CAUFORNIA 46 0 FOR/,1 -~ ~· -~ --- Page ___ of __ _ ID NUMBER OIIIP campaign paraphernalia/misc. MEIR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned conlributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations FEf petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralsing events POL polling and survey research TRS staff/spouse travel, lodging, and m:l!als IND independent expenditure supporting/opposing others (explain)' FOS posta9e, delivery and messenger services TSF transrer 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 VI/EB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITTEE:, Al.SO ENTER 1.D NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ FPPC Form 460 (January/OS} FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772} • • n r: t'1 t." 1 ,--1 r: r-, Campaicm Disclosure Statement.,,,· V) /·:-.l.r'.,///, '-,:.';:;~,' 'r· ,;:Type or print In ink. -·,) '." . ,.), -['; .) ; ,-. ( I ''A'rhounts may be rounded Summary Page -. . to whole dollars. 2nn: 13r·T ,;i l ,A,l,•~1 q: hO· u,..J i, ,, ; ..J • -• Contributions Rec:eived t Monetary Contributio11s ........ , ..... , .............. .. Schedule A. Line 3 $ 2. Loans Recenved .......................... .......... .................. Sohedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .................. ...... AdrJLines 1.,. 2 $ 4. Nonrnonetary Contributions...... ........... ..... ........... So/Jedule c. L111e J 5 TOTAL CONTRIBUTIONS RECEIVED ................. ., ... AddLines3-4 $ Expenditures Made 6. Payments Made........................ ..... ... . ............... ...... Sohedule E. Lme t/ $ 7. Loans Made .... ,.................................. ..................... Schedule H, Lme J 8. SUBTOTAL CASH PAYMENTS ................................. AddUne.siJ+ 7 .$ 9. Accrued Expense<s (Unpaid Bills) ........................ , .... Schec/u/eF, Lme 3 10. Nonmonetary Adjustment ........................................ schedule c, Line 3 11. TOTAL EXPENDITURES MADE ............................. AddUnes8+ 9,.10 $ Current Cash Statement 12. Beginning Cash Balance ..................... PrewausSummaryPa,;e. Line18 13. Cash Receipts ... .......... ...... ............ .... ... ..... ... Column A. Lme 3 above 14. Miscellaneous; Increases to Cash .......... ... ............. Schedule 1, Lme ,i 15.Cash Payments .................................................. ColurnnA,Lme8~bove 1G. ENDING CASH BALANCE ........ Add Lmes 12 -13+ 14. then subtrao, Line 15 $ If thfs is a termination stat()mont, Line 16 mw,t be zero. 17. LOAN GUARANTEES RECEIVED........................... so11edule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivaients . ...... .. .. ................ .. ......... Sea inslruc!fons an reverse $ 19. Outstanding Debts. .............. ........ AddL,ne 2+ Line 9m Column B abciv& $ /)C)O 2000 $ $ $ $ },/OZ, L/~ $ $ To calculate Column S, add amounts in Column A to the corte5pondlng amounts from CoJurnn B of your last report. Some amounts m Column A rnay be negative figures that should be sub!racted from prev1ow; period amounts. !i this Is the ftrst rAport being fi/;,d for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). . ,7 (_C1r~c..,½-c} ' • SUMMARY PAGE CALIFORNIA 460 · FORM i /1 through 6130 711 to Date 20. Contributions Received $-----$ ____ _ 21. Expenditures Ma~ $-----$ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (If Subj eel to\loluh\;!.ryEx~ndtturo Limit) Oat!! of Election (mmldd/yy) Tota I to Date $ _____ _ --1--~--$ ____ _ •Amo wits in this s~cti•n may be different from amounts reported in Column 8. F'PF>C F'orm 460 (Januaryi06) Fi"PC Tell-Free Helpline: 866/ASK,FPPC (368/276,3772) • • COVER PAGE Recipient Committee Campaign Statement Cover Page Type or print in ink. Date Stamp CALIFORNIA 460 FORM (Government Code Sections 84200-84216.5) Statement covers period from q,._zr-or SEE INSTRUCTIONS ON REVERSE through /Q-7-2.. -o 1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part5) ""!.Ci.. General Purpose Committee f ~ponsored 0 Small Contributor Committee Q Political Party/Central Committee O Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Comp/ere Part6) O Primarily Fanned Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information 1 1.o//~8 ~6S-29f5S-- coMM1TTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) f1q I~ S jJr1 '9 J R re .A11 k1A f-' A5 50c -pA-c STREET ADDRESS [NO PO. BOX) 2, 9 I.Jt), cJuerlooh ZIP CODE AREA CODE/PHONE c,-22t· 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know! under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on_.=:./_• 0-_.....;_1-_Q_ ..... _O_~_') ___ _ Dale RECE!V'.~:u c~~T l'f o;~~ P :., Lti, sPfi! , . ~ ' . - Date of election if applicable: (Month, Day, Year) //-</ -oS 2. Type of Statement: ~reelection Statement D Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) NAME OF TREASURER 22-.<!or MAILING AD w~, CITY MAILING ADDRESS CITY OPTIONAL: FAX / E-MAIL ADDRESS f /~J I"> ,!j'a;ge -~-o -~·· __ o-.;.---------------1 For Official Use Only D Quarterly Stalemen! 0 Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 STATE ZIP CODE AREA CODE/PHONE herein and in the attached schedules is true and complete. I certify Executed on Dale BY---=,---,--=--,.-,=-=.....,....,..,...--=-.....,...,..,,.....,,.~,........--;:;:-----:-=----,--:--:==-=,,.-=:----signature crf Conlrolling Officeholder, Candidate, Slate Measure Prnpooer tor Responsible Officer of Sponsor Executed on Date Executed on Dale By ______ ""s1'""gn-a11J'""re_of....,..,..Con--,-~ol..,,.l1-ng~O"'ffi,...ceh_ol_d,..er"",c=-a-nd,...1d,...,at-e.""ste,...,t""eMeas,...,.._-u-re""P-rnpoo_er....,...I ------ BY-------,S~ign---,al-um-o~fC~on-!rOl~l,-ng..,O~rn=-ceh...,....,ol-de-~~c-an-d,-da-te-,S~Le-le""Me~a-su-re~P,..ro_poo_er't ______ _ FPPC Farm 460 (January/OS) FPPC Tall-Free Helpline: 866/ASK·FPPC [856/275-3772) State of California •• • • Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 46 0 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER /Po. I %·1 Contributions Received 1. Monetary Contributions .......................................... . Schedule A. Line 3 $ 2. Loans Received ...................................................... Schedule B, Lme 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions ... ..... .................... .... .... Schedule c, Line 3 5. TOTALCONTRIBUTIONS RECEIVED .......................... AddLmes3+4 $ Expenditures Made 6. Payments Made . . . .. .. . . . .. ... . .. .. . . . .. . .. . . . . . .. . .... ... . .. .. .. . . ... Schedule E, Unr, 4 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 S 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F; Line 3 10. Nonmonetary Adjustment .......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines a+ 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... PrevmusSummaryPage,Lme 16 13. Cash Receipts ............ ...................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash........................... Scheduler, Line 4 15. Cash Payments .................................................. Column A, Line B above 16. ENDING CASH BALANCE .......... Add Lmes 12 + 13 + 14, then subtractLme 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ............... .. ...... .... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ...................................... . See mstmctions on reverse 19. Outstanding Debts ............. ...... . ... Add Lme 2 -1-Line gin Column B above $ $ $ $ $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) ''r1<-::i. ,·. q~- ,( r_J :, ' ;../ ~1 = 1-r:;~~ os-=- from -~"'----------- $ $ $ $ $ $ Columns CALENDAR YEAR TOTAL TO DATE ~"'><JV b-J 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 1s the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). I ID. NUMBER I·;-.·.<t,.,' C-::) C.<:?, --. /11,.F'---Y Ga..,, I Q . ...,1 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 20 Contributions Received $ _____ _ 21 Expenditures Made $ _____ _ 7/1 to Date $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* [If Subject to Voluntary E<penditure Limit] Date of Election (mmldd/yy) ____J __ ...., Total to Date $ ___ _ $~---~- *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC {866/275-3772) •• -Schedule A Type or print in ink. Monetary Contributions Received Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATT: RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO EN1ER I 0. NUMBER) CODE * •IND •COM 00TH •PTY •sec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (lrSELf·EMPLOYEO. ENTER NAME OF BUSI NESS) • SCHEDULE A Statement covers period CALIFORNIA 46 0 FORM from &[.:._z )'-.:... 0 J throt1gh &-zz ... a:S-Page "':2.., of g_l l AMOUNT RECEIVED THIS PERIOD ID NUMBER /f-36~ CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ----'l-------~-----l-------------1---------11----~----- Schedule A Summary •JND •COM 00TH 0PTY •sec •IND •COM DOTH 0PTY •sec •IND •COM 00TH 0PTY •sec •IND •COM 00TH 0PTY •sec SUBTOTAL$ / ~ 1 · t:~i;~ :i~;~~:d~I: re:~~~;~~:;'.~~~.~.~.~.~~.~?~~~~~'.~~.~'.~.~-~--·····•······················································$ -/~WV ____ _ 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ _____ _ 3. Totai monetary contributions received this period. ;oOV I *Contributor Codes IND-Individual COM -Redpien t Committee (other than PTY or SCC) 0TH -Other (e.g., business entity) PTY -Political Party sec -Small Contributor Committee J (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ FPPCForm 460 (January/OS) FPPG T•JI.Free Helpline: 866/ASK-FPPG (866(275-3772] .-• ScheduleE Payments Made SEE INSTRUCTIONS ON REVERSE • Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period through /0-2 2-0 .ii • CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. • u [J, Page___:i_______ of_, __ !.D NUMBER //-trz9~J avP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CIB contribution (explain nonmonetaryt OFC office expenses SAL campaign workers' salaries CVC civic donations F£r petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees P!-0 phone banks TRC candidate travel, lodging, and meals FM) fundraising eveots POL polling and survey research ms staff/spouse travel, lodging, and meals NJ independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense Fro professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads VVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFCDMMITTEE,ALSOENTER I.D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID {ou,µ,i; !tee... e c-<--{-rr;sl1J:.-1 5ak t'r5 {?:v.80 ~s--; t:.__ tq?'U93 2/Jlf-/Z71J~Y [{,,( ~ /Of;; C lit'i> .,-«, //5 Cut:M. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary /ocro / SUBTOTAL$ 2-~ 1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ ______ _ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ ______ _ '?0-00 4. Total payments made this period. {Ade! Unes 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ______ _ FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) --COVER PAGE Recipient Committee Campaign Statement Cover Page Type or print in ink. R ~if.?}01~: lJ CALIFORNIA 460 FORM CI Y OF P .r~ L 1"~1 Sr~ r l ~.~ (Government Code Sections 84200-84216.5) Statement covers period /1/,"'"' 7 ~·~ {)J from '-" ,_ , SEE INSTRUCTIONS ON REVERSE /7-~/--cJ:J through ...., .J, · 1. Type of Recipient Committee: All Committees -Complete P~rts 1, 2, 3, and 4. • Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee Q Recall (A/oo Complete f'alf/j) "' ff ~& General Purpose Committee ' '~"sponsored ' Q Srna!IContributorCommittee 0 Political Party/Central Committee STREl:T ADDRESS (NO P.O BOX) • . .,.,.) __, ·~•· 1·· ft l . J ,- ~t Vt rf' J'f"~t' f 41,;,,.,;, D Primarily Formed Ballot Measure Commiltes 0 Controlled 0 Sponsored (Also Complete Part 5) O Primarily Formed Candidate/ Officeholder Committee (Also Comp1£te Pali 7) = ({ l ~ ~, ~~/.~~/,,l1,r"hi/, CITY-, Ii ✓-' . SIATE ZIP CODE .r,__ , ,, _ oe:~ A,=. , A,1';"< ,.-,'.--..-,t-= _ }-i1, h/\. .-J/11, 1 ,,,,_? -"' w"' a Z-lfv MA!LING ADDRESS (IF"DlFFERENT) NO. AND STREET OR PO BOX . ,P /~!'. f· /2 •;e i 7 ,( ( -r f .,._" _ ___.,, U I ._,., ZIP CODE . •= AREA CODE/PHONE &]-')~ /.. "-( ""Wd OPTIONAL: FAX I E-MAIL' ADDRESS- 4. Verification Date of election if applicable': (Month, Day, Year) 2. Type of Statement: 0 Preelectiori Statement ,;.'f:f Semi-annual Statement · D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) Treasurer(s) CITY MAILING ADDRESS CITY 0/:'TIONAL· FAX I E-MAIL ADDRESS IP 1 f:!:• ':I li.fi (,• v Page ___ of ___ _ r;::;C\ STATE For Offrcial Use Only D Quarterly statement D Special Odd-Year Report O Supplemental Preeleclion statement, Attach Form 495 I have used all reasonable diligence in preparing and reviewing this statement and to the b0st of my knowlegge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury un_derthe laws of :~estate of California that the foregoing is true and correct. /' ) ("),r1, ,;/ ;: \c. p 9 /11;' I ' " i1 j ,, I ,, / ,r ., Executed on ,,,,.,..,. &~ tJr;;} By l J,,f t·L,,~~,-..L.7·/[/Lt_,,~-sk.-~-.,..-=-~ Date , l c SlgnatureJhreasuwo,AsslsmntTreasurer !I Executed on -------,,oa"'te ______ _ Executed on-----------~~ oa~ Executed on ______ oa"""'te ______ _ By __ ,,,,......,.._,,,.,,....,..;1·~/..,,.,,_,-,.,....,..-.,.,.,....,,,..,. __ ...,,, __ .,,_..=-...,...,.,....,.,,.....,.,,,---- sgnJture 01 Controlling Officehokter, C..nclkla'le, Sta.le Measure ProjJOnenior Resp-0ns,ble Offioer of Sponsor BY------------,-~_,...,.....,,.-,-_-----------------srgnatureofControlllng Officeh<llder, Candidate, state Measute P'°par,,;t\t By _______ s"'J-gn""atu"",-e""oi"'c-on"'tro"'ll'"lr,;i_Offi..,,.cs_m,....kt-.r-,C-a-nd"'G"'ate"",~s--bte-M-.,,-s-ur-•P,..ro_po_ne_nt,...._ _____ _ FPPC Fann .460 (January/05) FPPO Tall•Free H•IPline: 866/ASK-FPPC (866/275-3772} State of California -Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER - Type or print in ink. Amounts may be rounded to whole dollars. D~TE RECEIVED FULL NAME, STREET ADDRESS A11D ZIP CODE OF CONTRIBUTOR CONTRIBUTOR {IF COMMlliEE, ALSO ENTER I.D NUMBER) CODE -1< IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IIF SELF-EMPLOYED, ENTER NAME OF B\JSlloll:SS\ Schedule A Summary 1. Amount received this period-itemized monetary contributions. QIND QCOM QOTH 0PTY •sec O1ND Qe0M 00TH OPTY •sec DINO •COM Q0TH 0PTY oscc DINO •COM DOTH 0PTY oscc QIND QCOM DOTH QPTY •sec SUBTOTAL$ - SCHEDULE A Statement covers period I CALIFORNIA 460 FORM from __ /i_u_·_-_2._"'"l_]_--_(_\ r_ ' thro1-1gh f Z, = )> ( ~(J_T Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD I.D NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) *Contributor Codes IND-Individual (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM-Recipient Committee (other than PTY or SCC) 0TH -Other (e.g., btH;iness entity) PTY-PoliUcal Party 2. Amount received this period -unitemized monetary contributions of less than $100 ·-··--···--······--····--.... $ -=----- 3. Total monetary contributions received this period. sec-small Con!ributorCornmit!ee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ _____ _ FPPC Form 460 {January/OS) FPPC Toll-!=ree Helpline: 866/ASK-FPPC (866/275•3772} • • - Type or print in Ink. SCHEDULE B-PART 1 Statement covers period Schedule B-Part 1 Loans Received Amounts may be rounded to whole dollars, /'·· z? '!;..,-from • C),~ 7-0J CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE I. C: ,,.:7 /-c:,JJ through ..) Page_ of FULL NAME, STREET A~ESS AND 2\P CODE OF LENDER OF COMMlTTEE, ALSO ENTER I.D NUMBER) t • IND O COM O 0TH O PTY O sec to IND O COM O 0TH O PTY O sec to IND O COM O 0TH O F'TY O sec Schedule B Summary IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a I M OUT ~NDING AMOUNT AMOUNTPAlD BEG,~~~HIS RECENED THIS OR FORGIVEN I PERIOD THIS PERIOD~ •PAID , ___ _ $ ___ _ OFCRGIVl:N S----S----, ___ _ OATECUE QPAID $ ___ _ ' QFORGIVl;N s ___ _ s ___ _ OATEOUE QPAIO $ ___ _ $ QFORGIVEN s ___ _ S----s ___ _ SUBTOTALS $ $ $ 1. Loans received this period .................... , ... , .................................................. , ........................................ $ _____ _ (Tota! Column (b) plus unitemized Joans of less than $100.} 2. Loanspaidorforgiventhisperiod ... , ..................................................................................................... $ _____ _ (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 $ ___,,=...,.,,..-====- <M•~ be s negllllVe number, Enter the net here and on the Summary !=>age, Cc!umn A, Une 2. $ $ -" RAtt --" RATf' -% R.(!'.I! S---- l.O. NUMBER { I-36~5).er<J:5 CALENDAR YEAR S--- $ ___ _ PER ELECTION- DATE: INCURRED CAI.END~ YEAR $ PER ELECTION- $ DATE INCURRED C!>.lENDAAVEAA $ s !"ER ELECTION"" , ___ _ DATEJNOURRED (Enter(e) en S<:hedule E, LIM a) tcontrlbutor Codes IND-lndMdual COM-Reelpient Commltlee (other than PTY or SCC) 0TH -other (e.g., business entity) PTY-Political Party sec-small Contributor committee "Amounts forgiven or paid by 11nother party also must be reportl!ld on Sc:hedule A. .. If required. FPPO Form 460 (Januacy{()5) FPPC Toll-Free Helpline: 866IASK•FPPC (866/275•3772) • -• SCHEDULEE Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ! d--"L"J Vj-from _ .. £. _______ _ CALIFORNIA 4 6 0 FORM . ~ J..,.rj·<f= ( SEE INSTRUCTIONS ON REVERSE /z_-,. l '-'~ through ..._ _______ _ Page ___ of __ _ I.D. NUMBER II-~&3 J_q15y:==-- CODES: If one of the following codes accurately describes the payment, you may enter the code. Other.vise, describe the payment CMP campaign paraphernalia/misc. M6R member communications RAD radlo airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expense,. SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel. lodging, and meals FND fur,draising events POL polling and survey research TRS staff/spouse travel, lodging, and meals !ND independent expenditure supporting/opposing others (explain)* FOS 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 VIIEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE.ALSO ENTER I.D flUM9El".) OR DESCRIPTION OF PAYMENT AMOUNT PAID /'I I ., •' /f fr-=, I ,-•"I /{/U Pf .(c:; C * Payments that are contributions or independent expenditures must also be summari:i:ed on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. {Include all Schedule Esubtotals.) ................................... _ ......................................................................... $ _____ _ 2. Unitemized payments made this period ofunder$100 .............................................................................. , ........................................................ -.. $ _____ _ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _____ _ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the summary Page, Colun1n A, Line 6.) ............................. TOTAL $ ______ _ FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: SSSJASK-FPPC (866/275-3772} • • • Schedule E (Continuation Sheet) Payments Made Type or print in ink. SCHEDULE E (CONT.) Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 46 0 , FORM from ________ _ SEE INSTRUCTIONS ON REVERSE through _______ _ Page ___ of __ _ NAME OF FILER LD NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otheiwise, describe the payment. OAP campaign paraphernalia/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 TEL t.v, or cable airtime and production costs FIL 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, accounllng) VOT voter registration LIT campaign literature and mailings PRT print ads \I\IEB information technology costs (internet, e-mail} NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITTEE, Al.SO ENTER t.D NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT AMOUNT PAID SUBTOTAL$ FPPC Form 460 {January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) - Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE {IF COMMITTlaE, ALSO ENiER LD, NUMBER) Attach additional information on appropriately labeled continuation sheets. • Type or print in ink. Amounts may be rounded to whole dollars. Stateinent covers period through {~;;,(-OS- DESCRIPTION OF RECEIPT SUBTOTAL$ ~~~e:~~~= i1n!r~::~~cash this period ....................................................................................................................... $ _ _.t._1 _-z.._'"_.J_{~_·_{_ 2. Unitemized increases to cash of under$100 this period .......................................... , .................................................. $ ______ _ 3. Total of all interest received this period on loans made to others, (Schedule H, Column (e).) .. , ......................... , .... $ ~----- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the { ?___, ftf Summary Page, Line 14.) ...... , ................................................................. _, ...................... , ............ .-............ TOTAL $ _____ _ • scHEC CALIFORNIA 4 FORM Page ___ of ___ _ AMOUNT OF IN.CREASE TO CASf FPPC Form 460 (January/05} FPPC Toll-Free Helplir.e: 866/ASK•FPPC (B66/275-S772) • • - Type or print in in!<. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from / 0 ~z ?-cxr= CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE y Contributions Received 1. Monetary Contributions .,..................................... ... Schedule A, Line 3 $ 2. Loans Received ...................................................... Schedules, Une 3 3. SUBTOTAL CASH CONTRIBUTIONS . ....................... Add Unes 1 + 2 $ 4. Nonmonetary Contributions.................................... Schedule c, Lme 3 5. TOTAL CONTRIBUTIONS RECEIVED .......................... AddlinesJ+ 4 Expenditures Made 6. Payments Made ... ... .. .. . .. .. .. .. . .. . .. .. .. .. .. .. . .. .. . .. .. .... .. . .. Schedule E, Lme 4 $ 7. Loans Made .................. , .. . . .. . .. .. ....... ............ ... .. . .... Schedule H, Line 3 8. SUBTOTALCASHPAYMENTS .................................... AddUnes6+7 .$ 9. Accrued Expenses (Unpaid Bills) .............................. Schedule F, Line 3 10. Nonmonetary Adjustment ......................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLines8+il+ 10 $ Current Cash Statement 12. Beginning Cash Balance....................... Previous Summary Page, Line 16 13. Cash Recelpts ................................................... Column A, UneJabove 14. Miscellaneous Increases to Cash ........................... scheduler, Lme 4 15. Cash Payments.................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add lines 12 + 13 + 14, then subtract Line 16 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Part 2 Cash Equivalents and Outstanding Debts 1 B. Cash Equivalents........................................ See ms/ructions on reverse 19. Outstanding Debts ......................... AddUne2+Line9inColumnB2bOve $ $ $ $ $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) -I l·z-31-os through__, _________ ?age ---of __ _ $ $ $ $ $ Columns CALENDAR YEA~ TOTAL TOOA'!E 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 su btrac:ted from previous period amounts. If this is the first report being fi!ed for this calendar year, only C21rry over the amounts from Lines 2, 7, and 9 (if any). I.D NUMBER lf ~'365:2. ,1:ts - Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 711 to Date 20. Contributions Received ,$ ____ _ $------ 21. Expenditures Made $ ____ _ $ _____ _ Expenditure Limit Summary for State candidates 22. Cumulative Expenditures Made* (If 5ubJootto \bluntary Expendttu re Limit) Date of Election (rnm/ddlyy) __J___J __ Total to Date $ _____ _ ____J___J__ $ ----- *Amounts in this section may be different from amounts reported in Coh.imn B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/A.SK-FPPC (8661275-3772)