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Home My WebLink About2009-01-07 Form 460 - PS Fire Management.,.~--... Recipient Committee Campaign Statement Cover Page (Government Code Sections 64200~16 5) Type or print in ink. COVERPAGE CALIFORNIA 460 FORM Statement covers ~iod Date of clcctlon AMS: 30 Page ___ of __ _ For Official Use Only from 7-J-{J 0 Sl:I: INSTRUCTIONS ON REVERSE through /2-3/-()<{ 1. Type of Recipient Committee: All Committees-Complete Pans 1. 2. 3, and 4. O Officeholder, Candidate Controlled Committee 0 State C$nd,d$\e l;.1ei;;1ion Committee O Recall (A/so ""'1lp/OIOPM SJ ntl'$1 Purpose Committee Sponsored Small Contributor Committee O PollUcal Party/Central Comm,Me 3. Committee Information 4. Verification O Primarily Formel;I ~llot Me~i~re Committee 0 Controlled O Sponsoted (Al.so ()Qmactr1Pa/t6J O Pnmanly Formed Candidate/ Offi~Mldef Colllm,ttee {A/S<,, Ct:1,»o(&te Parl 7) AREA CODE/PHONE (Month, Day, Year), , r Jr, l \c. ~ CIT"/ 2. Type of Statement: O Preeleciion Sbtement D Semi.annual Sllatement D Term,nat,on Statement (Also file a Form 410 Termination) D Amendment (Expla,n below) Treasurer(s) O Quarte~y Sl8ttment D Special Odd-Year Report D Supplemenlal Preeleet,on Statement-Attaeh Form 495 NAME OF TREASUREtj I Ii ' c 10V1 Meca ~ !fl; fJ tJ111ar NAME OF ASSISTANT TREASURER .,.,STATE AIP ~,,,,--- . IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL· FAX I E-MAIL ADDRESS I have used all reasonable diligence 1n preparing and revlowlng this statement and 10 the best of my knowled11e the inf0rmafi0n contained herein and 1n the attached schedules 1s true and Cllmplctc. I cemfy underp~:::f: 0 eriury ~ndet the I (J qe State ofCalifom1a lhattheforegoing :Ytrue and Executed on ____ __,IJO,-.-~------ Executcd on ____________ _ Executed ••------,cia=io _____ _ By ---;ss::,g,,=.....,=:::or"'c'=on:;:,coa::.,=:ng"Offi'-;c,,1,=•:;:~;::.,,.,-,C'=on::;d::;:d"':;:•c;S;;:,..:;:•7,M;::•.,=su::::,.:-a"""="""=n1"'•"'rR"'o,o"on=,1blo=om=co:-:,<11"s"'oon=sor=-- By --------,s,c:gno=w=ro::.01"'c•=-=,n=a"001ar.,.::,,=•~;;;;.,.=c,,,.,=•=a1=~•s1;:;a1;;;0M"'•:::•,.=,.=P1t>P=•no=n=-1------ FPPC Form 460 (Jaouory/115) FPPC Toll-Free Helpline: aet;JASK.Fl>l>C (8661275-3TT21 Stoto of C<lliromio Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement cov<!!rs p~d from 7-f-O ?f CALIFORNIA 460 FORM through /'7. -i /-()'::j Pago __ ot __ 5 Contributions Received Monetary Contribut1om;; ..... • ..... ............................ SCMdulc A L,nc 3 $ 2. Loan$ Received ................ ......................... ..... SchsduleB l..Jne3 3. SUBTOTAL CASH CONTFUBUTIONS ......................... A(lf.11.,nes 1 + 2 s 4. Nonmonetary Contributions ......... :....... . . . . • ... . .. Schedule c Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ... . ....... ... ..... Add Lines 3 +4 $ Expenditures Made 6. Payments Made. ...... ............................... ......... .. Schedule E l..Jne 4 $ 7. Loans M4'de • • . ... ..... ..... ....................... • • . . . . . Schedule 1-1 Line 3 8. SUBTOTALCASHPAYMENTS ............................... AddL,ne•6;,7 $ 9. Acaued Expenses (Unpaid Bills) ......................... Schedule F l..Jne J 10. Nonmonetary Adjustment ....................................... Schedule c Line 3 11. TOTAL ~PENDIT\JRES MADE ........................ Add l..Jneo 8 + 9 • 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... PreV/01JsS"mma,yPaga.Une 16 s 13. Cash Receipts ........ . . .. . ...... ..... .................. Column J\ L,rtc 3 ~bove 14. M1scellaneous Increases to Cash . ........................ Sc/fedWe 1, l..Jnc 4 15,Cash Payments ............................................. CoJumnA,~,n-~obovc 16. ENDING CASH BALANCE ......... AddLmes n .. 13+ 14 lhensublradl..Jne 15 S ff this is a termination statement, ~ine 16 must be zsto ColumnA TOTAL THISFERIOD (FROMATTACHEDSCHEDULEGJ /062,7'$ ·1fiL ColumnB CALE;NOARYEAR l'OTM.TOCATE 5 s $ $ $ s lo oalculale Column B. add · amounts ,n Column A to the corresponding amounts fi"om Column B of your last report Some amounts in Column A may be negative figures that snould be subtracted from p~vtous period aMounts If this is ----------------------------------1 the first report being filed 17 LOAN GUARANTEES RECEIVED ..... ..................... Sche,:/11/eiii, Part 2 $ for lh,s e11tendar year only ----------------------------------1 car,y over d1e aMounts fi"om ~•nes 2 7 and 9 (If any) Cash Equivalents and Outstanding Debts 1 B. Cash Equivalents... ........ ... . ..... . ..... ... See mstrocbons on revers• S 19, Outstanding Debts .... , ............ , • • • Add Line 2 + l..Jne • In CC/Urllrt B above S Calendar Year Summary for Candidates Rurm,ng in Both the State Primary and General Elections 111 through 6130 711 to Oa1e 20 Contnbut10ns Received $ ____ _ s ____ _ 21. Expend,tures Made $ ____ _ $ ____ _ Expenditure Limit Summary for State Candidates 22. Cumulatlve Expenditures Mado• llfS.OJootto votunlat)I E>p<ndltun, Limit) Oate of El81;!ion (mm/dd/yy) ,....._j__J __ Total to Date $ _____ _ __J___J_~ $ ____ _ •Amount~ ,n this section may be d1fferen( from amounts repoftQd in Column B. FPPC Fann 460 (January/05) FPPC 'J'oll•Free Helpline: 8$6/ASK•FPPC (B66l27S-3772) Schedule A Monetary Contributions Received SEc INSTRUCTIONS ON RoVERSI: ,<,,.; ,".. ./V/ i YI Typ• or print in ink. Amounts may be rounded to whole dollars. DATE RECEIVED FULL NAM!" $TRl:!:T ADDRESS AND ZIP CODE OF CONTRIBUT•R CONTRIBUTOR IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER (IF 8E'LF-EMPLOYED ENTER NA.Ml!. (IE'" CDMMITT'51;; AL5:0 6NTER ID MUMD!!RJ CODE * DFBU.:31NF.SS) . OIND ,, •COM 00TH •PTY •sec •IND •COM 00TH 0PTY •sec •IND •COM DOTH •PTY •sec •IND QC0M DOTH •PTY •sec QIND QCOM 00TH OPTY •sec SUBTOTALS Schedule A Summary 1. Amount received this period -itemized monetary contributions. SCHlcDULt: A Statement covers period CALIFORNIA 460 FORM from 7-/-o 'li throug~ fZ ~) /-O"i{ Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD 1.D NUMBER //-Z65?,'9g') CLJMULATIV!"TO DATI: CAL5NDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF R50.UIReD) "Cootribulor Code5 IND-Individual (Include all Schedule A subtotals.) ................................ , .. ., ...................................... ········-········· . ., ..... $ _____ _ COM -Recipient Committee (Other than PTY or SCC) 0TH -other (e g., bus,ne$s enoty) PTY -Political Party 2. Amount received this period-unrtem1zed monetary contributions of less than $100 ······-··········· ........... $ ______ _ 3. Total monetary contributions received this period. A I (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lme 1.) ...................... TOTAL $ /V () t,1{?_ ' sec -Small Con\ribulor Committee Fl'PC Form 460 (JanQary/05) FPPCloll-Free Helpline: 866/ASK-FPl'C (866/275-3772) Schedule B -Part 1 Loans Received s== INSTRUCTIONS ON l'<~VS:O:Sm Typ~ or print in ;nk. Amounts may b~ rounded to whole dollars. Statement i;:over!i-period --1-1-crg from-'----''------ through tz -5 1-d:f SCHEDULE B • PART 1 CALIFORNIA 460 FORM Page___ of __ _ 10.NUMBER J 1-l tfs?.. 77.J II' AN INDIVIDUALENTER • lb) (cl ~•I l•I Ill IOI FULL NAME, srrs~~r L~~~~ s AND ZIP CODE OCCUPATION AND EMPLOYER ouJN;~g~NG RECAEM1·voEuDNTTH1s AMOUNT PAID oe~&t~~~? INT10ERTEHS1Ts ORIGINAL CUMULATIVE (IFSelJ'.eMPLOYEO CMTE• BEGINNING ,HIS OR FORGIVEN CLOSE OF THI$ PA AMOUNT OF CONTRIBUTIDr% ____ ,,_,c_o_M_Mi_l'TE_e_AL_so_•_NT_e_•_1•_,_,u_MB_E_Rl ___ +-----'N:.:AMc:E:.:O:cF-=•u:.:•:.:'"=e•:.:•c_l ---+-==I ,sD'--+--P_E_R_IO_D_+-'T-'-'H"'IS'--'P--'E"'R"'IOc:,D'--•+-=filOJ!~-+--~-E_F<_IO_D_-+-__ L_O_A_N_--, __ T_O_D_A_J_E_ 0 PAID , ___ _ D FORGIVEN to IND O COM O 0TH O PTY O sec 0 PAID t • IND O COM O 0TH • PTy • SGC •PAID ~ FORGIVEN t:::i IND D COM L O~H • PTY D sec SUBTOTALS $ $ Schedule B Summary 1. Loans received this period ......................................... . ···················· ............................................ $ (Total Column (b) plus unitemized loans of less than $1 00.) 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.) DATE DUE DATE DUE DATE DUE $ $ __ -}; (~,c.,'i'C. __ !(, HP•.T[ •---- DATE INCURRED , ___ _ DATE INCURRED $ ___ _ DATE INCURRED PER ELECTJON.,.. CALENDAR YEAR PE's: ELECTION'"' CALENDAR Y8:AR PER ELBCTION- (Emer(El')M Schcidulo E L1C"to ::i/ tcontributor Codes IND-Individual COM-Ree,pient Committee (other than PTY or SCC) 0TH -Oihe, (e,g , business entity) PTI -Political Party SCC-Small Cor.lributorCommittcc 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. {M;:iy be~ rn:~~tl\.'c rumbar) •Amounls fo,g,ven or paid by another party also must be rcponed on SCl1edule A ~ If ra~ulred. FPPC Form 460 (January/OS) FPPCTol!-Frne Helpline: 866/ASK-FPPC (866/275-3772) ,., SCHECIULEE ScheduleE Payments Made Typo or print in ink, Amouriw may be rounded to wholo dollars. Statement cov•rs period ffOm 7-f-C) ?I" CALIFORNIA 460 FORM SEE 1111$T~VCTIONS ON R~$1; through[l... -5 /-(T6 Pago ___ of __ _ ID. NVMeciR I I-5{sz 11f_) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 0/P campaign paraphernalia/misc. MEIR member commun,cations RAD radio alrt,me and product,on costs CNS campaign consullants MTG meetings and appearances RFD returned contribtJbOnS CTB contr,bution (eiq,lam nonmonetaty)* OFC off,~ expenses SAL campaign workers' salal'ies eve civic donat,ons FEr petrban clrrulat,ng lE.. t.v. or cable airtime and praduct,on costs FIL candidate filmg/ballot fees PH'.) pnone banlts -me candidate travel, lodging, and meals FND fundralsing events POL polling ancr survey research TRS siaff/spouse travel lodging, and meals INO independent exp1>nd11;1Jra supporbng/opposlng otheri; (explain)' l'OS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professi<;m~I serv1ces (legal, acoo~nting) VOT voter registration LrT campaign literature and mailings PRT pnnt ads V\E8 1nform;,t,on technology costs (internet e-m~il) NAME AND ADDRESS OF PAYEE 0~ COMMITTEE AL,S:C EiNTE~ ID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID A/2~ / • Payments that at'<!! contributions or independent expendltut'<!ls must also be sumrnatized on Schedule D. SUBTOTAL$ Schedule E Summary 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 ftom Schedule B, Part 1, Column (e).) ......... "'"""""'"'"'"··· .. ····•"""""""'"············· ........ $ ,;{;A 1 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. lOTAL $ 0 Y'::'s,._ FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E (Continuation Sheet) Payments Made Typ" or print in ink. Amounts may tie rounded to wholo dollars. Statoment covers period trorn_7,_-__;_/_d_~_ rz -7 /~d 0 through __ ~/ _____ ~ COOl:S: If one of the following code{ accurately deseribelihe payment, you may enter the code. Otherwise, describe the paymenl SCHEOULE E (CONT) CALIFORNIA 460 FORM Pago ___ of __ _ 1,0.NUMEIER /t-36;-zr Z'3 0\1" campaign paraphernalialm1sc MBR member communications RAO radio a11'11me and production costs DJS campaign consultants MTG Met!!lings and appearance• RFO returned conlribufions GIB contribution (explain nonmonetary)" OFC ofllce expenses SAL campaign workers' salaries eve civic donations PEI' petition eirculating TEL t v or cable airtime and production cosis FIL candidate filing/ballot fees A-IO phone banks TRe candidate travel, lodging, and meals l'l\[J fundra,s,ng evenl.S POL polling and survey research TRS staff/spouse travel. lodging, and meals It,[) independent expenditure support1n9'opp0sing others (explamr POS postage, delivery and messenger serv1ces TSF transfer between committees of Iha same cand,datelsponsor LEG legal defense F'RO professional serv1ces (legal, accounnng) VOT voter reg,stratlon UT campaign literature and mailings PRr pnnt ads WEB ,nfomabon technolo~y costs (internet, e-mail) NAMI: ANO AOORJi5S OF PAYEE CODE (IF COMMITTEE ALSO ENTER I O NUMD.R) d/2ufL / - • Pil}'menui thiltare ~ontributiom; or independent expenditures must also bo summarlzod on Schodule D. OR Ol;SCRlr>ilON O, PAYMENT AMOUNTPAIQ SUBTOTALS /VOV- FPPC Form 460 (January/05) FPPC roll-Free H"lpline; 866/ASK•FPPC (866/275-3772) .. \--.. Schedule I Miscellaneous Increases to Cash Sllllll INSTRUCTIONS ON REVERSE NAMc OF FILER CJATE RECEIVED /-t--or Attach additional information on appropriately labeled continuation sheets. Type or print in ink. Amounts may be rounded lo whole dollars. Stat.emcnt covers period fro"' 7-/-d J ·-z ~, o?'" through/ -) - DESCRIPTION OF RECEIPT SUBTOTAL$ ~~::~:~=i~!r~::~?cash this period .................................................................................................................... $1f 7, 2--o 2. Unitemized increases to ca$h of ,.mcier $100 thrs period ............................................................................................. $ _____ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ -..-:----- 4· ~~~mn:i~yc~~gne~o~~!n~~~)a.~~·~·~·~··~·~-~.~-·~~.'.~ .. ~.~'.'.~~: .. ~~~~ .. :'.~.~-~ .. '..' .. ~'..~~~ .. :: .. ~~~~~ .. ~.~~~.~.~.~ .. ~.~-~~~....... TOTAL J '5 1 ZtJ Pago __ of __ ID.NUMBER / I -"5£J2-9; _) ~ AMOUNT OF INC:l't!i/\SE TO CASH FPPC Farm 460 (January/OS) FPPC Tall-Free Helpline; S8EI/ASK-FPPC (8661175-3772) Recipient Committee Campaign Statement Cover Page (Govcmml!!l'lt Cede Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Stiltement covers potiod from _ _._f_-_ _,_J_-___;,_D_'&_..__ through 6-'}o-CJ1> Dito of oloctlon if applicable: (Month Day, Year) IJ~lc Slamp RECEIVED IT Y Of P !'. L ~: : i"'F'. 2a8BJUL-I J/UitS HIOl:,;s -. CITY CLER/ COVERPAGE CALIFORNIA 460 FORM Page ___ Qf __ _ For Offid•I U$$ Only 1. Type of Recipient Committee: AD Committees-Compr.tc Parts 1, 2, 3, and 4. 2. Type of Statement: 0 Officeholder, Candidate Controlled Committee O S~te Candidate Election Committee O Rocall (A,_, Compl,lePm 5/ )/..fneral Purpose Comm1t1ee Sponsored Small ContributorComm1ttee O Pohtreal Party/Central Committee 3. Committee lnfonnation 4. Verification D Prlmanly Formed Ballot Measure Committee 0 Controlled O Sponsored (1>1,oC<>mfl/elilPa,18) O Primarily Formed Candidate/ Officeholder Committee w .. Comp/elePo/17} D Preelection Statement D Semi-annual statement D Termination Statement (Also file a Form 410 Termination) D Amendment (E:Mpla1n below) Treasurer(s) NAME OF TFi!EASURiR CITY OPTIONAL ,Al( / E-MAIL ADDRESS D Q tterly statement D Special Odd-Year Report D Supplemental Preelection Statement -Attach Form 495 sTATI! ZIP CODE AR5A CODE/PHONE I have used all reasonable d1l1gence in prepanng and rev1ew1ng thisstatemen\ and lo the best under penalty of peljury under the law• of tt,e le of Cahfom1a that the foregoing 1s true ;md y knowledge the information conto1ined herein and In tl'la attached schedules ,s tn,e and complete. I cet1ify ci ~~ . ·~o Executed on--1---f-----;=------•,te Ex<louted on °""' Executed on llolo EKoculod on Cialo By By ---;Si;,.,on"'a"'1,"re"'or"'c:on=IR>hin"'·=9-.o,,=.,,= ... =...-=c.n=cn•~•""10""S"°i.,1o"'M""oa==="'Prop...,.,,one=n1"'0,"Ro"'""'="""'"'°=om-=a-r=.,,,,sr,on=a"'or~- By ------..s~1..,-,.,,-_,-.,.,Co.-,nt,o-.,,,.Ulro-OO""",C01"'"'"'1a~..-~c~,-""""-"'-,S~lat-.-o"'MH1>,,----,o-,P .. .,.,pon_•_nl _____ _ By ------,Sio:11""=.,.,=-cr:::;o,=n1ro=D1°'o'"'01"'1"'oon"'a"°~=.,.-'c=,oo1::;:-=-::s1°"a10"'M"'••"'"""'=Pc:,,opo=•ontc:------FPPC Form 41iO IJaou~cy/05) FPPC Tol~F,.., Helplino; 866/ASK-FPPC (B66/275-377l!J State of California Typo or ~r'ii,t in ink. Campaign Disclosure Statement Summary Page Amounts may be rounded to whOle <l<>ll~r.. Statement covers pcrlf'y' from /-/-oo Contributions Received 1. Monetary Contributions ........................................ .. $ 2 Loans Received ........................... .. Schedule B Line 3 3, SUBTOTAL CASH CONTRIBUTJONS . ....................... Mo' Lmts ; + 2 $ 4. Nonmonetary Contributions .......................... . Sch•Cu/e C, L.mo J 5. TOTAL CONTRIBUTIONS RECEIVED ................... Add Lines :l • 4 Expenditures Made 6. Payments Made ................................................... .. 7 Loans Made Schedule E. Une 4 Se:hedu,'e .Y. :...ine .:3 s 8. SUBTOTAL CASH PAYMENTS ........ ,....... . .......... ..... Arid Lmos 6+ 7 $ 9. Accrued Expenses (Unpaid Bills) ............................. Schedu!oF Une3 10. Nonmonetary Adjustment ................................... Schedule C, Linea 11 TOTAL EXPENDITURES MADE ......................... ArJdUr.es8+9+10 s Current Cash Statement 12. Beginning Cash Balance ....................... Prev,ouSl,ummaryP•a• Line 15 13. Cash Receipts ............................................ ., .. , Column A, L,rtc 3 •Mvc 14. M,scell.in,;,o~,s Increases to cash........................... sc11eou1e 1, Llf,o4 15. Cash Payments.. ................. . ..... . ................... Column A. Une B oooin;, 16, ENDING CASH BALANCE .......... Add Llneo 1;; + 13 + 14. then subtract Line 15 $ If th,s ,s a termination statement. Lme 16 must b" zero. through (i -50-CJ'7 l'a rAL 'l'HISFERIO• (FROM ATTACHED ~CHEDUL.J::$) $ ColumnB CALl:NDAR YEAR TOTAL TO D,ti,TE To calculate Column tl, M~ ---,,---.,.,,....-4--=---r amounts in Column A to the 7 i) l: 11;; corre~pon:::hng arnounts l,c l / J · ircm Column B of your last report Some amounts in Column A may be ~egative figures that should be subtracted from previous pertod amounts. If this Is Calendar Year Summary for Candidates Running in aoth the State Primary and Goneral Elections 20 Contributions ~e~e1ve,;i 21. Expenditures 111 lhrough 6130 M~e 5 ____ _ 7/1 ID Lis.le $ ____ _ $ ____ _ Expenditure Limit Summary tor State Candidates 22. Cumulatlve Eiq,~nditures Made• (If $ubJr.ctto VQ(l.,m~ry Expondiluro Uml!) Dat~ or Election (mm/ddlyyJ ____J__j __ Total ta Date $ ____ _ __J__J__ $ ____ _ •·,;mou~ In this section may be different ff'Or'rl ar'l'!tunts reported ,n Coiur.m B. · ------------------------------------1 the first report being filed 17. LOAN GUARANTEES RECEIVED .. .. ............. Sohedu/o s, Part 2 Cash Equivalents and Outstanding Debts 18. cash Equivalents .. ,,,, ............ ,,,,,, .. ,,,,,.,. Seeinstruchrnsonreverse $ 19. Outstanding Debts ..... , . . . ........ .. Add Line H /..me 9 In Column B obOvo for this calendar year, o~ly carry over the amounts from Lines 2 7, al'\d 9 (rf ,ny) FPPC Form 460 (January/OS) FPl'C Tott-F'ree Helpline: a66/ASK-FPPC (81'il'i/275•J772) ScheduleA Monetary Contributions Received DATE RECEIVED Schedule A Summary 1. Amount received this period -itemi%ed monetary contributions. Type or print in ink. Amounts may be rounde~ to whole dollars. •IND •COM 0011-1 0PTV •sec •IND OCDM QOTH •PTY •sec •IND OCDM 00TH •PTY •sec •IND •COM 0011-1 0PTY •sec DINO •COM 00TH OPTY oscc SUBTOTALS SCHEDULE A Statement eovcrs period from /-1-az-: CALIFORNIA 460 FORM through j-X)--o[ Page ___ of __ _ AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO CJJrrE CALENDAR YEAR (JAN, 1 • DEC. i1) PER ELECTION TO DATE (IF REQUIRED) •comnbutor Code• (Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ IND-Individual COM-Rec;ipient Committee (o!h8r!han PTY orSCCJ 0TH -Other [e.g .. business enbty) PTY-PolitiQal Party 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ ______ _ 3, Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Sumrnary Pa9e, Column A, Line 1.) ....................... TOTAL $ sec -Small Contnb~lOr Committee FPl'C Fann 46D (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275--3772) SCHEDULE B-PART 1 Schedule B-Part 1 Loans Received Typti or print in ink. Amounts may be roundad to wl!ole dollars. Statement covors porlod from /-/-d Z: CALIFORNIA 460 FORM throug~-50:cJY of FUU. NAME;, STRl:l:T OORESS AND ZIP CODE OF LENDER (IF ~OM.Mfn'EE:. Ill.SC ENTE;R ID NUMBER) t • IND O COM O 0TH O PTY O 5CC to INO • COM O 0TH O f'IY • sec t[J IND O COM O 0TH O f'IY IJ sec Schedule B Summary oursrAN01NG AM~0Ni° (cl ours-&'~DJNG BALANCE AMOUNT PAID 81'1.l\NCliAT lll:GINNINCl THIS REcelveo Tl~IS OR FORGIVEN CLOSe OF THIS PERI PeRIOO THIS PERIOD• •PAID 0 F0RCM:N DATE DUE OPAi• s ___ _ OFCRGIVl!N •ATE •UE OPAIO s ___ _ OFORGIVl!N CATG:DUE SUBTOTALS$ s $ 1. Loans received tl"li$ 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 orforgiven.) (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. j/o{A£- • (May be:. nt111illlw numb!!!) $ JO) INTEREST PAIOTH1$ PERIOD --"' Fl'I\TE. __% RATE --~ Rl'ITE 1.0. NUMBl:R 1~36f2~ Ill ORIGINAL AMOUNT OF LOAN jg] CUMULATIVE CONTRIBUTION$ TO DATE s ___ s ___ _ PaR!l.!lCYION .. DATE INCURRED CALENDAR YEAR ·--- PER ELECTION.,... DATE INCURRED CALENDAR YiAR s ___ s P!~ ELECTION•• •ATE INCURREO [ (Enter{a)Cl"I Sehedl.lh!!!E Un~2} tConlnbutor Codes INO-lnd1v1dual COM-Rec,p,ent Committee (other than PTY or SCC) 0TH -O!hef ($ g., business entity) PTY-Poltt1cal Party sec -Small Contributor Committee •Amounts forgiven or paid by another party also must be reported on Schedule A. --If l'E!quired FPPC Fontt460 [Ji!l.nuary/OS) FPPC Tol~Frcc Hclplinti: 866/ASK-FPPC (866/275-3n2) SCHl:DUU:E; ScheduleE Payments Made Typo or print in ink. Amounts may be rounded to whole dollars. St.atamfi!nt covli!rs pi from /-"FcJ CALIFORNIA 460 FORM through (o->CJ-0'$ If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe .1he payment. (]\,p campaign pal"i!lphem~l1almisc M3R member commumcabons R-'\D radio airtime and production C0$l$ CNS campaign consultants MTG meetings and appearances RFD returned oon!ribubons CTB ?)nlribulion (explain nonmonetary)". OF'C office expenses SAL campaign workers· $alaries eve CIVIC donallons PEr pet,non c,reulat,ng ta. t.v. or cable airtime and produebon CO$!,; FIL candidate fifing/ballot fees PHO phone banks lRC candidate travel, lodging, and meals FND fundraising eVli!nts POL polling and $\lfVli!Y research lRS staff/spouse travel. lodging, and meals 110 independent cxpend,1;ure $Upport1ng/oppos,ng others (Q!(pia,n)" f'OS postage, delivery and messengli!r services TSF transfer bet;ween commiltees of the same candidate/sponsor t..eG legal defense R'!O professional serV1ces (legal. account,ng) VDT voter reglstrabon UT campa,gn literat,.,re and mailings F'Rf print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEe CODE 01< DESCRIPTION OF PAYMENT AMOUNT PAID ~'°' CCflltJIITTiE; Al.SO ENTER.r D NUMOO:R) Alr5u-e-,, • Paymonts that are oontributions or independent eitpanditures 111ust also be summariHd on Sohadule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ _____ _ 2. Unitemizedpaymentsmadethispenodofunder$100 .......................................................................................................................................... $------ 3. Total interest paid this period on loans. (Enter amountfrom 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, Column A, Line 6.) ............................. lOTAL $ ____,/4,/?:; µ{ ~ FPPC Fonn 460 (January/05) FPPC Toll-Free Helpline: 866JASK-FPPC !8661275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in inll- Amounts may ba rounded i.Q whole dollars. ng codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 0\/P CIILS CTa eve FIL FN) N) LEG UT campaign paraphernalia/misc campaign consultants ®ntlibution (explain nonmonetary)' civ,c donations candldaw, filrl'lglballat fees fundraising events rndependent expenditure supportrnglopposing others (eicpla,nJ• legal defense campargn literature and marlings NAME ANO ADDRESS OF PAYEE (IF COfJIMITTEE 1\1..SO EN'TSR I IJ NUMBER) "5R member commun,cations RAD radio airtime and producbon costs MTG meetings and appearances RFD r"elutned contributions OFC oflrce expenses SAL campaign workers' salaries 1t1" petition circulating TEL t,v, or cable arrtlme and production costs Fl--10 phone banks TRC candrdate travel lodg,ng, and meals POL polling and survey research lRS slaff/spousc travel, lodging, and meals POS postage, delrver"y and messenger services TSF transfer between comm,ttees of lhe same caMidale/spansor PRO professJonal services (legal, accounting) VOT voter registraMn PRT print ads 'M:B informatron t,,~hnology costs (internet, e-mail) CODE OR DESCRIPTION OF PAYMeNT AMOUNTPAID #611.e.. I • Paymants l;hat..-re contributions ar independentcxpondiwras mu~ al$,;, be summarized on Sched1,1Je D. SUBTOTALS ktv FPPC Form "80 (January/05) FPPC Toll-Fraa Helpline: 866/ASK-FPPC (8661275-3772) Schedule I Miscellaneous Increases to Cash SEE INSTRUCTION$ CN lsEV~RSE DATE RECEIVED FULL NAME AND ADDRESS OF SOURCI" (IF C:•MMITTE;E;, Al.SO i;;NTER. I GI, NUMBER) Attach additional informat,on on appropnately /;;,be/eel continuation sheets Schedule I Summary Type or print in ink. Amounts may be round•d to whole dollars. Stlitem,nt ooverS period from -----'-/----c"-',,,,.-~/_c)~~~ through 6-5'c)-023' DESCRIPTION 01' l'l~CEIPT SCHEDULE I CALIFORNIA 460 FORM P~gfil __ cf __ I.D NUM6ER f-J6JZ7o5 AMOUNT OF INCRJ,ASE TO CASH SUBTOTAL $ j 0 5 1. ltemi.:ed increases to cash this period .......................................................... , .......... ,. ............................ $ 2. Unitemized increases lo cash of under $100 this penod. .......... ..................................... . ................................ $ _____ _ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ ------r- 4. ~~~mm~~yc~~gne~o~~~n~~~~.~~-~.:.~ .. ~.~-~.~ :~.i.s .. ~.~~'.~~: .. (~~~ .. :'.~.~-~ .. :.' .. ~.• .. ~~~ .. ~--.. ~~~~~ .. ~-~.'.~.~.~.~--0·~--t~~----... TOTAL $ / {J 1 J) Fl'PC Farm 460 (January/OS) ePPC Toll-Free Helpline; 866/ASK-FPPC (8661275•3772)