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Home My WebLink About2010-01-27 Form 460 - PS Fire Management... '"'I. Recipient Committee Campaign Statement Cover Page [Govemmeni Code Sectlo11s 84200-84216.5) SEE INSTRUCTIONS or,r RIWER5E Type or print In Ink. Statem&nt covers period from 7 -/-0 'o/ t!lrough -,.z. -'J /-(} '1 Date of elenllan If appllcable: (Monlh, Day. Year) COVER PAGE CALIFORNIA 460 FORM M', 8:, f,age ___ of __ _ For ornc,al Use Only j -~:.. ,. -I t · j I I ,-'ctT.Y Cl E -, 1. Typa of Recipient Committee: Alf cammlttn•-Compl•t• Parl:!I t, 2, 3, and 4. 2. Type of Statement: D omcellolder, Candidate Conlrolled Committee O Stale Candida Le Elecfion Commlltee 'QRec:all • fAi'sa, Co111p.b1.a Part 5J o(General Pu1pos<! Corn.mrllee r" -SO, ponsored · 0 SmallContributorComml11ee O Polillcal Par1y/Cen1ral Committ•e 3. Committee Information 4. Verification • Pllmanly Formed Ballot Measure Comm,ttee 0 Controlled Q Sponsored {A.lsoC-Gr.1/l'riaiPadli} D Pnmarily Formed Candidate/ Olfloeholder Commiltee /'1.mC,.,,,,.rePOll1J AREA CODEIPHONtc c_l ' AREA CODE/PHONE D Praelecllori SCaLeme11t D Semi-annual Statement D Terrninalion Statemel\L (Also file a Form 41 O Termination) D Amendment (Explain below) Treasurer(s) D Quarterly SlaLemenL 0 Sp-ecial Odd-Year Reporl D Supplernenta I Prealeclion Staleme nl -P,l!ach Fo1m 496 ~M-A~IL-IN __ O_li_D_D_R_E_s-=-5------------------------ ClTY STAlE ZIP GODE AREA CODEJP HONE 1 OPTION~l FAX IE MAIL ADDRESS I haYI! used all reasonebte <I lllge11oe in prapa nng and revlewl~ Lt.ls sLa tement am! to fhfr besc of my kn ow ledge lhe inforrnalion c lalnfrd h eieln and In the allache d schedules is true and com plele. I cer1rfy under penalty of perjury undei lhe laws o lhe Stale of Cal[fornla tha! the roragolng rs I rue and 0D1rect. Exec:llled on Exect!'led on. °'" Exec,tf.l!d on °'" E>:ei,iJ~ed on Ile .. D By --.~,,-,.,-,.-,.-lll~Dl~n-1ra-r-~on,-otr-ce_110_0l-er-.c=-,-nc,~,-.-~-.s"'"'..,.~'"'N'"s,-.,-",.-Pro,-'°""-.n-,o-,R=-e.-po-n""s""'••»'"'cm=oa-,-..,,.spo-n,-c,-- By ------,ss-:,..,c::,:-:-:,"=,...,,c1"'c,"',"1ra"'an"'a"'Offi=,,,,,,•,"'ld:::,r."'c"'en::.,.,::.:,:..:,.,.,_s--1e"'1e""M:::,._c:"'=P=-=n,=m,------- By ------,S'"'•cn-,""1"-'•"'lll"'0>-,"'1ra,.,1-na""Cfll=oo"'ho"'ld:::.,,.,,,c,"'n::.d,.::.:,:..:,.,,..,s--1a"'i."M:::,c.c:,.,,=P="""'="'=m,------- FPPC Form 4SD [Janua ry/05) FPPC Toll-Fro& Hofpllno: 1166/ASJ<-FPPC j861/275-3772) Stale of Collforn!o Schedule A Monetary Contributions Received SEE INSTRUCTIONS Ot-l REVERSE t,AME OF FILER ('.) I ui. Wl Type or print In Ink. Amounts may be roun<ied to whole dollars. DATE RECEIVED FULL NM~E. STREET ADDRESS AND ZIP CODE OF CONTRIBLJTOR CONTRIBUTOR IF AN INDIVIDUAL, EITTER OCCUPATION AND EMPLOYER [-?' SB..F-EMPLOYED, Er.Ii.ER t-lAJ-,,E O,:,BUSINEW} ,;t=COM',UTTEE,.ALSOENlrnl.D NJ!,IS~P.) I' Schedule A Summary 1. Amount received this period-itemized monelary contributions. CODE* •[ND . •COM DOTH •PTY •sec •IND •COM DOTH •PTY •sec •IND. •cor..i DOTH •PTY •sec QIND •COM 00TH 0PTY ,•sec •JND •COM DOTH QPTY •sec SUBTOTAL$ Statement covers period -7· /~ ✓1 C/ from--U ,L through / 2-l 1~0 ,:r 5CHEDULE A CALIFORNlA 460 FORM Page ___ of __ _ I.D.NUMEER / I -r:,,""_)~z'Jtif A.fi!.QUNT RECEIVED THIS PERIOD CUMUlAilVE To"DATE CALENDAR YEAR , [JAN. 1 • DEC. ~1) PER ELECTION , TODATE (IF REQLJIREDJ 'ConEributor Codes IND-lndwitlual {Include all Schedule A subtola[s.) .. , ............................................................................. , , ...................... $ ______ _ COM-RecJp,enl Committee (other Ulan PTY or"SCC) 0TH -Olller (e.g., busmess entity) Pn'-Polilical Part)' 2. Amount received this period-unitemized monetary con!riblltionsoftess than $100 ............................. $ ______ _ 3, Total monetary contributions received this period, ,I (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ ___./'-""-Ut/2...su"--' .c..lr'_-_~ __ SCG-Smalr Contributor Com mlttee FPPC Fonn460 (January/05) FPPCToll-F ree He lpl I ne: B00/ASK-FP PC (866/275-3712) ., Schedule B -Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may bG ro<Jnded to wholo dollars. Staten,ent covers period from '7-/~c)y' Lz 3 /-CJ.c·· through -f SCH EDULF: H -!'ART 1 CALIFORNIA 460 FORM Page___ of __ _ 1.D. NUl~BER FULL NAME. STREET AflDRESS AND ZIP CODE. IF AN INDIV[DUAL, ENTER OCCllPATLOfl AND EMPLOYER t1F .!:EL.F-EP.iPLOYEO, Ea.'HER NA!-,IE c,::: BUSIMES-S) civrs+AN•lNG AM~~NT [cl OUTST~D[NG BALANCE AMOUITTPAID BAlANCEAT (&I INTEREST PAID THIS PERIOD Ill ORIGlflAL Al,IOUNTOF LOAN l•I CU~tULATJVE CONTRIBUTIONS TODA1E OF LEr-lDER (Ii' COMMITTEE,.Af.-5-:JENTER P.D r-1J'.':!ERJ BEGIN.~ING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS I D PERIOD 1HIS PERIOD' PE I •PAID 0 FORGl'JEN to IND • COM • 0TH • PTY • sec •PAID 0 FORGIVEN to ND • COM • 0TH LJ PTY • sec •PAID OFCRGIVEN to IND • COM • mH • PJY • sec SUBTOTALS $ $ Schedule B Summary 1. Loans received this period ... : ................ ,-, ......................................................... ·-··-· ............................ $ (Total Column (ti) ptus unitemized loans of less than $100.) 2. Loans paid or forgiveri this period .......................... ······--·--·---·--·-.. ····"·"·"····-· ·--· .................................. $ (Total Column (c) plus loans under $100 paid or forgiven.) {In dude loaris paid by a third party that are a!so itemized on Schedule A) 3. Net change lllis period. (Subtract Line 2 from Urie 1.) ....................................... --··················-·. NET S Enter tile net here a11d on the Summary Page, Column A, Line 2. 'Amounls Forgiv~n or paid by another party also mLFSI he reportM on Schedule A. "~ IJ r-eq utred. DATE DUE ----- OAT[ DU[ D>\,E C·lJE CALEND/tRYEAR --" 1---- Ri\TC f-'Ef:: ELECTION1t DATE INCURRED CALEND,t,R YEAR --" $ ____ Ro\TI:: PER ELEClJON •-- DATE INCURRED C--AlENW.RYEA...t! __ 'l; $ ____ FU•.TE PE"R F.LECTI0.\1,1,,1. !JATI: lt-..'CURRE.D !l:r.~E!r(-!l) c:,;_; &.h-&lule-E,Lme-:3) tco~lnt>utor Codes I ND-Individual COM-Recipi~nt Com millee /1/m~ lf~a:, t¾ a n.-~a~1•n nu;,-o-•• (o1her than PTY or SCC) 0TH -othm (e.g .. business entily) PTY-Political Pa~y SCC-Small ConUibmor Commil!ee FPPC Form 460 (Janua[}'l05) F PPC Toll-FreG Help] In a, 866/AS K-FPPC (86 61275-3772) ScheduleE Payments Made SEE INSffil/CTIONS ON REVERSE Type or p rl "I in ink, Amounts may be roun.ded le whole dell ars, S tateme nl covers period from ·z-/-0 f through /Z-5/-cJ 1' !'age ___ of __ _ ID NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment, O;P campaign parapherna!iaJm1 sc. CNS campaign coru;.ultants GIB con~ibution (explain nonmonelary)' eve civic dona!i ans FIL candidate filinglbal lot fees Fl-0 fundraislng ev~nts ~-IJ ind•penllenl expcndilum .supporting/opposing others (explarn)' LEG logal defanse UT ca mpa1gn literature and mailmgs l·L'.M E AND ADDRESS OF PAYEE QFCO','cV.ITTE._.ILSD ENTER I.D t~_.7,'EERJ MBR membm comfTiunica~nns MTG meetings and appeafanoos OFC office expenses PET peli!ion circulallng F'HJ phone banks l'OL potring and surve'/ researc~ POS postage, delivery and messenger services PRO professl-0nal services (!8jjal. accou11liJ1g) rnr print ads CODE OR • Pa~ments that are contrlbuUons or indep~nde,nt expenditures must also be summarized on Schedule D. Schedule E Summary RAD rndio airtime and production costs RFD re-lumed con'liibulions SAL campaign workers' salaries 1EL Iv. or cable airtnne and prO{]udion cos,s 1RC camlidate travel, lodging, ""d meals lRS slaWspouse travel, lodging, and meals TSF tr.ans fer beh11,1een commi1.tces of the same r.;:i nd1rl stiatsponsor VOT voter reg,s!rnlion V,,EB information cechn •loyy cos1s (internet, e,rn ail) DESCRIPTION Of PAYMENT AMOUNT PAID SUBTOTAL$ ()CYl;} -~- 1. Hemized payments made this period. (lr,clude all Schedule E suotolals,) .................................................................................................... , ........ $ _____ _ 2. Unitemized payments made this perioclolunder$1Q0 ............................................................................ , ............................................................. $ _____ _ 3, Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................. , , .......................................... , $ -s~-==c;J-V---,~cs·;,,,z._ .. 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 Form46D (January/05) FPPC Toll,Free fl9lpllne; S66/ASK·FPPC !866/275,3772) ~, , ll• Schedule E (Continuation Sheet} Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER r 'lype or print In Ink, Amounts mar be round• d to whole dollars. Sta!ementcavers period lrom -,-/-cJf lElrough/ft..,-3/-c,;y' CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE: E(CONT,) CALIFORNIA 460 FORM Page ___ of __ _ l.D.NUI.IBER //-36.>2 771'.r CM' campaign paraphemalra(mlsc. MBR membercommunicalions RAO radio alriime and produclion oasis CNS campaign oonsullan!s, MTG meelln(ls and appearances RFD relumed cnntrfbullons CTB oonlnbulmn (e~plain nonmonetaryJ' OFC offtca expenses SAL campaign workers' salaries eve civi<: donalions FEr pel111on ci,001 a Ling TEL t, v. or cable airtime ancl productton costs FIL candidate filinglballol fees PH:J phone banks TR:: cand,dale !ravel, lodging, and meals FNJ fundralsing evanls POL polling and survey res&arch ms staff/spouse lrevel, loclglng, and meals NJ independenl e~pe11d1tu1a suppo~lnglopposlng otness (explain)' POS poslage, deliver, and mess,enger servicas TSF transfer llecween commillees ol tile same mndldaters.,orisor LEG legal defense, PRO professional services (legal, accounlingJ VOT voter 1agistratlon LIT camp a 19 n I llerat11re and mailings FRT ptinl ads WEB Inform aUon lechnology cos ls [intemet, a-mall) NAME ANDADDRE;SS Of PAYEE CODE (i" CClt.U,tlTIEE. Af.SD ENTER 1.0. NUMl:I~ /vOJ;.e___ "Payments tllatare contr!but!ons orindepend .. ntexpendltures must also be summariz&d on ScEledule D. OR DESCRIPTION OF PAYMENT AMOUlfl'PAJD SUBTOTAL$ ~-4.,. l'PPC Form~60 (January/OS) FPPC Tol!-frH Helpline: 868/ASK•f PPC (lMi6/2.7li-3772) I Schedule I 'fype or prlnt 111 Ink SCHcDULEI Miscellaneous Increases to Cash Amounts may be rounded Slalement c:overs period CALIFORNIA 460 to whole dollars. from 7-/-Oi FORM /7-1(-cJ<f' Page __ of __ SEE INSTRUCTIOJll!l ON REVERSE lttrougll _ ' ID.NUMBER NAMEOFFILEr / , Pl ·v//l. 5pn' 11:1r Fl)c. //4st./-4f ?~ -~c__ I/ l-]652.,rv- 1 OATE FULL NAMEANDADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNTOF llECEIVED ~IF COli.UAITTE::; AUIO .ENTER. I.D t-lUV.i!EFij INCREASE TD CASH 1_/7)1/41 f_btt 7P1~ii.-,;;:-4t(1 ... E":'ltf,/4ye-ef I h. fe:;;e > ,--;,f. d.t-1 "vi ~ e-n\./ C,,revti+ 11/ ~ , • Ct,, · ·er c.c. c)u.1,,~•f U-;,,,5 A/( c..,i· ui<-,/4 /u,,; jj.J/1 'DI 4-z'l.62 I I I Attach add1Uonal information on appropr,a(ely labeled confinui,/ion sheets SUBTOTAL$ ~~~:~~~= i~=r~::~;cash thls period ................... , .• , .................. , .............................................................................. $ --~"'_?_0~ 2. Unitemized increases to cash of under $100 this period ..................................................................................... , ....... $ _____ _ 3. Totat of all rnterest received this period on loans made to others. (Schedule H, Column (e).} ................................. $ _____ _ 4. ~~t~[m~~;~~;:,o~~!n~~~r~.~~ .. ~~ .. ~.~.~.~-·I·~·'.~ .. ~~'.'.~~:.~.~~~.:~:~~ .. ~.' .. ~.~.~~~.~--.. ~~~~~ .. ~.~'.~.~.~~ .• ~.~-~~~······· TOTAL $ -----'~_<,f'_f_·_ FPPC l'orm 46D {January/05) FPPC Toll•Free Helpline: 666/ASK·FPPC (8661275-3772) "type or prlnl in Ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts mat be rounded to whole dollars. Statem11nl eovers p!>rlod from 7-/-or CALlFORN!A 460 FORM r Con1ributions Received 1. Monetary Conlribulions • . .•• . •• .. •• .. •• .. •• . .... •• .. •• . •• .. • .. •. .. Scnoduie A, Un• 3 $ 2. Loans Reoeived •.••. .' ••.••.• : ................... '.................. Schedui<> B, uno 3 ' ' 3. SUBTOTALCASHCONTRIBUTIOl',IS ........................ Ao'o'unss 1 +2 $ -4. Non monetary Conlfibuttons •..•••...... ........... ........... s<1,e<1ure c. Une 3 5. TOTALCONTRIBUTIONS0RECEIVED ........................... !1.ddunes3H $ Expend,itures Made Column A TOTN..THSPffi:KlD (FROMATTMHBJ set-1:CU..ES) 6. Payments Made ................... .. $ ------- 7. Loa11s Made .................................... : ................... ,. Schad<Jl• H, uno 3 8. SUBTOTALCASHPAYMENTS ................................. Ao'o'l.Jno,8+7 $ ______ _ 9. Accrued Expenses (Unpaid Bills) ............. : ................. Schedure F. Lmo 3 10. Nonmonetary Adjustment ..................................... Sclleouro c, uno 3 11 TOTALEXPENDITURESMAOE .............................. AddUnosu+,11+10 $ ______ _ Current Cash Statement f2. Beginning Cash Balance....................... PreL'ioosSumma,yP•ge. Lino 16 s /._ t) lj} 'I I r'1, 13. Cash Rece i pis .. . . .. ....... .. .. .. .. ........ .. .. .. .. ....... .. . •. .. Column A, l.Jn& 3 above 1-4. Miscellaneous l11craases lo Cash ..................... ,... S<h.,.,.ulo 1, line 4 15. Caah Payments ...................... ,..... .. ... ............. Column A, !Joo; a ob""" 16. ENDINGCASHBALANCE ........ Arid l.Jnes 12 • 13 + 14, /hail subtracr !Jne 16 B s . II this Is II te,m/na/lon sla/emenl, Umi 16 m/Jst brt zero 17. LOAN GUARANTEES RECEIVEO ................ •. ... ... ScheowoB, Pait2 S Cash Equivalents and Outstanding Debts 18. Cash Equivalents........................................ Seo msrru.,.,ona on rove~e $ 19. Outstanding Debts ... .. . .. .. .. . ....... .. .. . Add Uno z • l.Jne 9 ,,. Co/11mn B ebov,. $ througt,/< -j (-c-Jf Pag1> ___ of __ _ s s s s Columns ClalENDM YEAR lOTJIJ...TOD\TE To ca1culale Column B, add amoarits In Column A to ltie cc>r1espond Ing amounts from Column 13 of ~our Jasl rep• rl Some amounts In Column A may Ile neg a ~oe figures Iha I should Ile sul>lracle<i From previous penod amounls. Ir lhls 1s 1he flrsl report being filecl for lllis calendar year, o nl~ carry o\/8r ltte amounts from lines 2, 7, and 9 {if any). I.D. NUMBER I /-·5t5"5"""2. 7'i/'o Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 !hrough 8130 1 7/1 to Date 20. Colllllb u11{JnS · Received $-----S ____ _ 21. Expenditures Made $. ____ _ S--~-- Expenditure Llmlt Summary for State Candidates 22. Cumulative E><1rnndlturee Made• tir Sull;~c• 10vo1umacy Expundltuni Llmf1) Dale or Ele cbon {mm/dd/yy) _J__j __ _J__J __ To!al to Date $ ____ _ $ ____ _ 'Amounls In \hrs section may l>a different !mm amount& reporled i11 Column 8. FPPC Form 46 D (January/OS) FPPC Toll•Free Helpline: 866/ASK•FPPC (866/275-3772) COVERPAGE · Recipient Committee Campaign Statement Cover Page Type or print In ink. CALIFORNIA 460 FORM (Government Code Sections 84200-84216.5) Statement covers period from /-/-cJ'f SEE INSTRUCTIONS ON REVERSE t11roug~ &-jO -61 1. Type Gt Recipient Committee: AR Committees-Complete Parts 1, 2, 3, and 4. O Officeholder, candidate Controlled Comm,ttee D Pnmardy Formed Ballot M'i!a$~re O State Candidate Election Committee Committee O Recall O Controlled (A..,(;Dmp,,,,..1>><5J O Sponsored ~ ·~!ral Purpose Comm,nec T"' JO"'>POnsored 0 SmallContributorComm11,tee O Pohl11:al Party/Central Committee 3. Committee Information (Al'SOCOmp1cmANtdj O Pnmanly Formed Candidate/ Officeholder Committee [ffBOCom/J/O/OPM~ -,· ' Da~ of eleetlon if appl~Q~· JUL 15 1Jil1 9: l 8 (Month Day, Year) Page___ of __ _ For Offi<>BI Use Only 2. Type of Statement: D Preeledlon Statement D Sem1"Bnnual Statement • Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) Treasurer(s) • Quarterly statement D Special Oc!d-Year Report • Supplemental Preelei.t1on Statement" Alrach form -495 NAME or-TREASUR~ Jj ! , "" e,,r/"'r ~ ,.,~ ~"~ ~~: ,r. . ~ .L t'JYl ~ J SYATE 21? CODE AREA COD':.(f~HONij w 111 {illf,1Ct.r" . ~ qzzc 9J'7-~9-or7(; AREA CODE/PHONE. o-1W-W3'r NAME OF ASSISTANT 1'REASURER, IF AW< 4. Verification Executed °"--------,0..----,-,.------ ~-on--------,o,,=.,------ MAILING ADDRESS AREA CODEJPHONE CITY STl<TE ZIP CODE AREA CODEIPHONli OPTIONAL FAX I E-MAIL ADDRESS ay ---------.•-,.~oa1u=re""01"'c"'o"'n110111o=""eo,,=""'=ord,-.,,.""c.m.-~,.:1o~1e'"s"'lllle""'M'"••"",."",."'•==-=nont=------- ey -----~•'"•R-na11.-. ..... ""or""c..,.,,...,...,n-10-g0ff-.. -110~1..,.~c-0n,1-.,;d<""Jo"""'sm"'""M'""""'-,.-=.-""'-.. -.-~------ FPPC Fann -460 (JonlOoiy/D5) FPPC Toll-Ft!:,) Helpline: 866/ASK-FPPC ~661275•37721 State of California --=-,.• Campaign Disclosure Statement Summary Page Contributions Received 1. Monetary Contributions ......... ... . . . . ... ........... ..... Schedule A Uno 3 2. Loans Received ......... . .......................................... Schodu/o s, Lme 3 3. SUBTOTAL CASH CONTRIBUTIONS .................. ... AIXI Lmos H 2 4. Nonmon,;,tary Contr1butions ............. . ..... . . .......... Schedule c Lmo 3 5. TOTALCONTRIBlJTIONS RECEIVED ........................... AddUnes3+4 Expenditures Made 6. Payments Made ... . . • .... .. ... .. .......... ........ ............... Schedul~ E. 1.,nc 4 7. Loans Made . . . . .. . . .... .. . ...... .. ........ ............... ... .. Schcd!JI<> H, une 3 8. SUBTOTALCASI-IPAYMENTS ........ : ... :.: ..................... Add~,~~$ij+7 9. Accrued Expenses (Unpaid Bills) ............................... Sche<1111<>1' /Jne1 10. Nonmonetary Adjustment ....................................... s011o<11110 c ~e 3 11. TOTAL EXPENDITURES MADE ................................ Add /Jnos B + s • 10 Current Cash Statement 12. Beginning Cash Balance................... f'rev/oui$1J11'1mary/>sge /Jne18 13. Cash Receipts................................................... Column A, /Jno 3 above 14. Miscellaneous Increases to Cash ........................... schedu/011..mc4 15. Cash Payments............................................... . Co/urn~ A, Line B above 16. ENDING CASH BALANCE .......... Add Lmc,s 12 + 1J+ 14, men suJJtrsat Lme 1s If this ts a rermtnatJon statement, L.ine 11' mu$! be ,ero 17. LOAN GUARANTEES RECEIVED . . . ... ............ ... Schedule B Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents . ........ ............................. Seo instruct,on, on revc,oc 19. Outstanding Debts ... ..................... Add Lme 2 + /Jne gm Column B abovo Type or print in ink. SUMMARY PAGE Amounts may be rounded to whole dollars. Statement covers period from / -/-C) o/ CALIFORNIA 460 FORM $ 5 $ $ $ $ s $ s s s Column A TOTAL, THl5 PERIOD ~ROMA'li'ACHEDSCHEOULE&:l /062,7i Zill I 66~,iq r . through 6-'3cJ-cJ'7 Page __ of __ $ $ s s ColumnB CAL.EN CAR VEAR TOTfLTO[)Alli To c.,lculate 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 per,od amounts. If this is the first report being filed for tn,s calendar year. only carry over the amounts from Lines 2, 7, and 9 (1f any). Calendar Year Summary for Candidates Running in Both the Staite Primary and General Elections 111 through 6130 711 to Date 20. Contributions Rereived $ ____ _ s ____ _ 21 E~pend1tures Made s ____ _ $ ____ _ Expenditure Limit Summary for Staite Candidates 22, Cumulative Expcnditure:i: Made• Uf5ub]oeUoVatu(1t:lry ~pend lb.in:. Umlt) Date of Election (mmlddlyy) ___J__J __ ___;_____;, __ Total to Date $ _____ _ $ ____ _ •Amounts in this section may be different from amounts reported ,n Column B. FPPC Form 460 (Janua,y/05) FPPC roll-Free Helpline: 866/ASK•FPPC (8$6/~75-37721 Schedule A Monetary Contributions Received SEE IN&mlJCTIONS ON REVERS5 Typ" or print in ink. Amounts may be rounded to wholo dollal'$. DATE RECEIVED FULL NAMe, STREET AODRESS ANC, ZIP COOE OF CONTRIBUTOR CONTRIBUTOR (IF C:Qi/lMITTEE ALSO ENTE:R I CJ NUueER;) COOi: 11 IF AN INDIVIC>IJAL ENTER OCCUPATION AND EMPLOYER (IF SEt.F•EMPLcYED ENTER NAIUIE 0,0US\N65S) Schedule A Summary 1. Amount received this period -itemized monetary contributions_ QIND QCOM 00TH •PTY •sec QIND QCOM 00TH •PTY oscc QIND QCOM DOTH _QPTY •sec OINQ QCOM DOTH •PTY •sec DINO QCOM DOTH OPTY oscc SUBlOTAL$ SCHE:OULE A Statemi!!nt covers period from /-/--cJ'? CALIFORNIA 460 FORM through r;-Jo-'P.:f_ Page ___ of __ _ AMOUNT RECEIVEO THIS 1>15RIOO CUMULATI\IETO 0A1'E CALENDAR YE!AR (JAN_ , " CIBC 31) PER!l~EC'rlON TOOATE (IF Rl!!OUIREO) •Contributor Codes (Include all Schedule A subtotals.)····------·------------------------------------------------------------------·-· .. __________________ $ _____ _ IND-lndlv,d~al COM-Recipiem Comm,Ue4!! (olhet than PTT or SCC) 0TH -Other (e.9., business entity) PTY -Pollllcal Party 2. Amount received this penod-unitemized monetary contributions of less than $100 -------------·····--···-----$ ______ _ 3. Total monetary contributions received this period_ A e__ (Add Lines 1 and 2-Enter here and on the Summary Page, Column A, Line 1 _) .. .. _______________ TOTAL $_,~O "1 sec -Small Contributor Committee FPPC F'orm -46D (January/05) FPPC Toll•Free Helpline: 86G/ASK-FPPC (866/275--3772) Schedule B-Part 1 Loans Received SEE INSTRUCTION$ ON RiiVERSE 11/AMEOP ILl!R fA r u,,._ )j ;, v. 5 5 FUU NAME:, STREET ADDRESS AND ZIP CODE OF LENDER (IF'COMMfl'"l'!E!.ALSOENTE!i:IC NUldif.R) to IND • COM O 0TH • PTY O sec t • !ND • COM • OTI·I Q PTY • sec to IND • COM • 0TH • i>'TY • :;;cc Schedule B Summary Type or print In ink. Amount,; may be rounded to whole dollars. SUBTOTALS$ $ , ___ _ •FORGIVEN •PAID D•DRGIVEN •PAID 5 ___ _ 0FDRGIVEN 1. Loans received this period ................................................................................................................. s (Total Column (b) plus unitemized loans of less than S100.) Statement covers period from 1-1-ar through ~-'}O-cJf l•l INTEREST PAID THIS PERIOD __ .. R:ATli DATE.DUE __ o/, RATE 0ATEDUE __% RATE DATE DUE $ $ l•mrl"IO)on SCl'ledlJleE l.Jn!:'3) SCHEDULEB•PART1 CALIFORNIA 460 FORM Page of 10 NUMlilliR / I-/ ,fz.11_) Ill IBl ORIGINAL CUMULATIVE AMOUNT OF CONlRIBUTIDNS LOAN TO DATE CAL!!N•ARY~R , ____ PER ELECTION- DATE INC~RR1i0 CALENDAR YEAR $ ____ FER ELECTION '11"11' OAle INCURRED CALENDAR YEAR ----- PBR lILECTJON- DATE INCURRED tc0ntnbutor Codes 2. Loans paid or forgiven this period ........................................................................................................ $ ______ _ IN •-Individual COM-Recipient Committee (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. •Amounts forgiven or paid by another party al$O musl be reported on Schedule A . .. If requ,red /4/{lA.R_, (M~bo.iriagflllVt>nim'll!l(.11") (other than PTY or SCC) 0TH -other (e g. buslnE!ss entify) PTY-Poht,i:;al P~r1y sec-small Contrlbuiar Committee FPPC Form 460 (Januniy/05) FPl>C 'roll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULEE ScheduleE Payments Made 'type or print in ink. Amounts may be rounded to whole dollars. Statement cove~ peric;,d from /-/--Of CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE throug'1 & -f 0-0f Pago ___ of __ _ I Cl. NUMEIE!R /l-%Q ~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CM' campaign paraphernalia/misc MBR m•mber commun,callons RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned cc;intribulic;ins era cc;intrtbut10n (eltpla,n nonmonetaryJ• OFC office expenses $AL campaign wol'kers' salanes CNC CJV,e donatlons ~ pwbon 0t1"0.JlaMg lEL tv. or cable airtime and production costs FIL candidate filing/ballot fees F'I-IO phone banks TRC candidate travel. lo<:fging, and meals FND fundra1srng events POL polling and survey research TRS staff/spouse travel. lodging. and meals I\D Independent expenditure supporbn,Jlopposing othen; (explain)' POS postage. delivery and ma:ssengcr services TSF transfer between committees c;,f the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB lnformaMn technology costs (internet, e-mail) NAME ANt> At>t:1Pila$$ OF PAYEE {IFCONIMITTI:.E ALSOCNTffil D NUM8~ CODE OR OESCRIPTION OF PAYMENT AMOUl'ITAAIO /IA / - * Payments that aro contributions or independent expenditures must also be summarized 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 amountfrom Schedule B. Part 1, Column (e) ) ............................................................................. $ _____ _ 4. Total payments made this period. (Add Lines 1, 2, and S. Enter here and on the Summary Page. Column A, Lme 6.) ............................ TOTAL $ FPPC Fonn 460 (January/O~) FPPC Toll.free Helpline: 866/ASK-FPPC (866/Z75-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounlli may be rounded to whole dollars. Sti!tement cavers period from /-/-rJf through t{-7()-C}f If one of the following eodes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E (CONT.) CALIFORNIA 460 FORM Page ___ of __ _ 1.0.NUMBER JI-£5'2 9.~ a.,p campaign paraphemallalmIsc IVBR me1nber commun,cabons RAD radio airtime and produc!Jon costs CNS campaign consultants NfrG meetings and appearances RFD returned contnbuuons era contrtbution (explain nonmomrtary)' OFC office expenses SAL campaign workers' salane• CVC civic donations PEr petition circulating Te. tv. or eablli! airtime and production costs FL candidate filing/ballot fees PHO phone banks 11'C candidate travel, lodging, and meals FND fundraising events POL polling and survey teseai'd'I ~ staff/spouse travel lodging, and meals N;I independent expenditure supporting/opposing others (mcplainJ• POS postage, delivery and l'he$$1i!nger se""ces TSF transfer between committees of the same cand1dateliponsor LEG legal defense PRO profes$ional services (legal, accounting) VOT voter registraMn LIT campaign literature and mailings ffiT pnnt ads W33 information leel'lnology eo~ls (internet, e-mail) NAME; ANC ACORESS 0F PAYEE COOE (IF -~rrn;e ALSO EmER I D NUM8ER) Ala Me..... • Paymonlll thataro contributions or lndapandant axpenditures must also ~ s~mmari;i:ed on Schedule D. OR 01i$CRIPT10N OF PAYMENT AMOUNTPAIO SUBTOTAL$ ,,{/(:'/,f.e_ FPPC Form 460 (J,m~1ry/OS) FPPC Toll•Frco Helpline: 866/ASK-FPPC (866/275-3772) --:-,.,, Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE R5Ci1Vii0 7-1'1-rlt FULL NAME AND ADDRESS OF SOURCli (IF QOMMITTEE ALSO ENTER I D. NUMBER) Typi!! Of print in ink. Amounts may be rounded to whOIII! dollal'!I. Stali!!hlll!l'lt COW'l'!I pariod from 1-!--cJ r waug~&-zO-OCj' DESCRIPTION OF RECEIPT SCHEDULE I CALIFORNIA 460 FORM Page __ of __ I.D.NUMBER /1-!1£".rz-:r~ AMOUNT OF INCREASE TO CASH Attach add1/ional information on appropriately labeled continuat,on sheets. SUBTOTAL$ Schedule I Summary 1. Itemized mcreaises to cash this penod ............................................................................................................... $ _C: __ , _l_{ __ _ 2. Unitemized increases to cash of under $100 this period ................................................................................. $ _____ _ 3. Total of all interest received this period on leans made to others. (Schedule H, Column (e).) ................................. $ _____ _ 4. !~t~r:~c~~~n:,o~~~n~~~r~~-~-~-~--~-~-~-~--~~'.~ .. ~~~'.~~: .. ~~~~ .. ~:~.~-~--~.' .. ~'..~~~--~.' .. ~~~~~--~-~~~-~-~-~--~-~--~~~....... TOTAL $----"2=-''-----'('-4/'--. -- FPPc Form 460 (January/05) FPPC Tol~Fr@e Helpline: 866/ASK-FPPC (8661275-3772)