HomeMy WebLinkAbout2013-05-29 Form 460 - PS Fire ManagementCOVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print In ink. Date s,amp
CALIFORNIA 460
FORM
{Government Code Sections 84200-84216.5)
Statvment covers period
from ·7 -I -l';JI..._
SEE INSTRUCTIONS ON REVERSE through / 2--...) / -{,:i-.
1. Type of Recipient Committee: All Committees-Complete Parts I, 2, J, and 4.
0 Officeholder, Candidate Controlled Committee O Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall O Controlled
(Also CCJmpJete Part 5J O Sponsored
o'.!--General Purpose Committee
T wsponsored
0 Small Contributor Committee
O Political Party/Central Committee
3. Committee Information
(A.Isa Complete Palf6)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complt:te Part 1)
COMMITTEE NAME {OR CANDIDATE'S NAME IF NO COMMITTEE) ./-f c..._ ( ~ 5~-4:...r~,>' ~r4U-. ~~~
/f5,5oc. f tA-<-
STREET ADDRESS {NO P.O. BOX)
~~'=4~~~~~~-;,,,,;:~~9~~~t-..t::::....... .~(
~ STATE ZIP CODE~ AREA CODE/PHONE
re:.-... 41 v:J~,~ff C.# Y?
OPTIONAL: FN(. I E-MA ADDRESS
4. Verification
'. (, 1,.; ~-· ' :;~
Date of election If applicab~ 3 r' ,' y 2 9
(Month, Day, Year) '"
2. Type of Statement:
D Preelection Statement
D Sem~annual Statement
0 Termination Statement
(Also file a Form 410 Termination)
D Amendment (Explain below)
Treasurer(s)
i'.:11 <]: 22 Page___ of __ _
Fot Official Use Only
D Quarterly Statement
0 Special Odd•Year Report
D Supplemental Preelection
Statement• Attach Form 495
NAME OF TREASURE~ S-s-c /~
MAIL ING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inlormation contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct. ~ ,-,_
,-_ 2-9-/ ~ /
'•"b1""e Office="',""•f"'S-.po=ns=-0, --
By ------."'s..,=,,-:.,,.:-Of-:,C.-:,=n1ro=n~"',""011""ce"°,:-",::"""=· c"'an""m"o,-,-10"'. s"i,.,.te"'M,-•--.,-,re.,.P"'ro"°oo-ne=m------
By ------S"°ig-a"'atu_ce_o.,.tc""on""'"'=mn""o°"011"ce-ho=r"8"",.""c"'"an'"'d"'ida-,-1e-. S"te-.le"'M'"•-.,-,,.=ero--oo"',-•"nt _____ _
FPPC Form 480 fJanuary/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of Callfornta
Type or print In ink. Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars. Statement covers period
from __ '-1~--(_-_/_2-__
SEE INSTRVc:TIONS ON REVERSE
NAME OF FILER
Contributions Received
1 . Monetary Contributions .......... ..
2. Loans Received .......
3. SUBTOTAL CASH CONTRIBUTIONS .
Schedule A, Line 3
Schedule 8, LJne 3
__ ...... Add Lines 1 + 2
4. Non monetary Contributions .................................. . Schedule C, Une 3
5. TOTAL CONTRIBUTIONS RECEIVED ., .... ,,, .. Add LJnes 3 + 4
Expenditures Made
$
6. Payments Made .................. . Schedule E, 1.ine 4 $
7. Loans Made ......... .
8. SUBTOTAL CASH PAYMENTS
9. Accrued Expenses (Unpaid Bills) ...
10. Nonmonetary Adjustment .......
11. TOTAL EXPENDITURES MADE ...
Current Cash Statement
12. Beginning Cash Balance.
13. Cash Receipts .
14. Miscellaneous Increases to Cash
15. Cash Payments ............. .
SChedufe H, Une 3
Add Lines 6 + 7
..... SchedJ.Jle F, Une 3
. .. Schedule C, Line-3
......... AddLinlJ$8+9+10 $
Previous Summar; Page, Une 16
CoJumn A, Lir1e 3 above-
Schedule I, Line 4
Column A. Line fJ above
$
16. ENDINGCASHBALANCE .. ,. Add Unes 12 + 13 + 14, then subtract Une 15
If this is a terrmnabon statement, Line 16 must be zem.
17, LOAN GUARANTEES RECEIVED.................. ........ Schedule El, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents .. .. See fnstroctions on reverse $
19. Outstanding Debts ..... . Add Line ~ ;-Li~ 9 in Column B above $
Column A
TOTAL THIS PERIOD
lfROhllATTACHEOSQ,lEDUlES)
I /7_
through /].. -] /-/ 1-
$
ColumnB
CALENDAR YEAR
TOTAL TC DATE
To c;ilculate 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. 11 this is
the first report being filed
for tllis 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
20. Contributions
Received
21. Expenditures
Made
111 through S/30
$ ____ _
$ ____ _
7/1 to Date
$ ____ _
$ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(If SubJectto Voli.mtary EXJ)er'ldltun! Llmtt)
Date of Election
(mrnlddlyy)
----1----1~-
Total to Date
$ ____ _
----1~--$ ____ _
*Amounts in this section may be different from amounts
reported in Column 8,
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER ,1~ l,11\.
Type or print in ink.
Amounts may be rounded
lo whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NA"'1E
OF BUSINESS)
(IFCOMMITTEE,ALSOEN'tERI.D.NUMBER:) CODE*
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
O1ND
ncoM
00TH •PTY •sec
•IND •COM
DOTH
0PTY •sec
•IND •COM
00TH •PTY •sec
•IND •COM
00TH
OPTY •sec
QIND •COM
00TH •PTY •sec
SUBTOTAL$
Statement covers period
from 7 -/ -/ '2-..
through j 2.. -) / -/ 2-
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 Committee
(olher than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political 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 Summary Page, Column A, Line 1.) ...................... TOTAL $ _,,/11-'-'~C>'<"""""·~,.C,__"--
sec -Small Contributor Committee
FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule B -Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER f c...... l LA,.,\.
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE. A.I.SO ENTER LO. NUMBER)
t • IND O COM O 0TH O PTY -------
to IND O COM O 0TH O PTY O sec
to IND O COM O 0TH O PTY O sec
Schedule B Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
(IF SE:LF-EMPL,OYED, ENTER
NNI/IEOFBUSINESS)
.
OUTSTANDING
BALANCE
BEGINNING THIS
p D
SUBTOTALS$
(b)
AMOUNT
RECEIVED THIS
PERIOD
$
Statement covers period
from J -I -/ L.
through /2_ -)( -/
M
AMOUNT PAID
OR FORGIVEN
THIS PERIOD •
•PAID
$ ____
D FORGIVEN
•PAID
$ ____
D FORGIVEN
•PAID , ____
0 FORGIVEN
$
OUTSTANDING
BALANCEAT
CLOSE OF THIS
p ID
DATE DUE
DATE DUE
DATE JUE
$
I•
INTEREST
PAID THIS
PERIOD
__ %
Rt,TE
__ %
RATE
__%
f.ATE
{Enier(e)on
Sdledule E, Line 3)
SCHEDULE 6-PART 1
CALIFORNIA 460
FORM
Pag& ___ of __ _
I.D. NUMBER
{
ORIGINAL
AMOUNT OF
LOAN
$ ___ _
DATE INCURRED
$ ____
DATE INCURRED
, ____
Col
CUMULATIVE
CONTRIBUTIONS
TD DATE
CALENDAR YEAR
PER ELECTIOtJ""""
CALENDAR YEAR
PER ELECTION"'*
CALENDAR YEAR
1. Loans received this period .. . . . . . . .. .. . . .. .. .... . . . . ........... .... . .. .... . ................................................................ $
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
IND-Individual
2. Loans paid or forgiven this period ....................................................................................................... $ ______ _ COM -Recipient Committee
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2from Line 1.) .......................... .
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another party also must be reported on Schedule A.
0 If required.
............................ NET$
(Maybe a n.agalive n1.1mber)
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Political Party
sec -Small Contributor Committee
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEOUI.EE
ScheduleE
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7-(-12-
CALIFORNIA 460
FORM
ScE INSTRUCTIONS ON REVERSE through I l. ff];,/-r 2.. Page ___ of __ _
NAME OF FILER r C.,... \ 1.0. NUMBER
I r --3'.F-2?3J
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
o.f' campaign paraphernalia/misc. r.llR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)' ~C office expenses SAL campaign workers· salaries
eve civic donations FET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate fiPng/baUot 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
N) 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 l'RT prtnt ads WEB information technology costs (internet, e-mail)
NAI.IE ANO ADDRESS OF PAYEE
(IFCOIIINITTEE.AU;O ENTER 1.0, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
l/(Di--U.._
• Payments that are 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 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, Column A, Line 6.) ............................. TOTAL$ V(. ~
FPPC Fonn 460 IJanuary/05)
FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/275-3772)
Schedule E
{Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILE".L)
f e,... \~
Type or print in ink.
Amounts may be rounded
to whole dollars.
CODES: If one of the following codes accurately describes the payment. you may enter the code.
0./P campaign paraphernalia/misc. MBR membercommunications
CNS campaign consultants MfG meetings and appearances
CTB contribution (explain nonmonetary)' OFe office expenses
eve civic donations FE!' petition circulating
FIL candidate filing/ballot fees PHO phone banks
Fl'[) fundraising events POL polling and survey research
N) independent expendituri> supporting/opposing others (explain)' POS postage, delivery and messenger services
LEG legal defense PRO professional services (legal, accounting)
UT campaign literature and mailings ffiT print ads
NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
tflb,,-6-
----
-----------
• Payments that are contributions or independent &xp&ndltures must also be aummari~&d on Schedule D.
Statement covers period
7-1-l"'2._ from--~-~----
through l 7--J /-I '2,_
LO.NUMBER
(-.7~-.z9~
Otherwise, describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
Ta t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VOT voter registration
v..EB information technology costs (internet, e-mail)
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL$ /,,{_Ov<-;._
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may b& rounded
to whole dollars.
Statement covers period
I
ram
through f 2.. ~ J/-f L
·z-1-1 L
NAME OF FILER
/C<._l '-v\ r'rft.,,__ #!~~~ I-f/fc-~J?~~:$
DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT RECEIVED {If COMMITTEE, ALSO ENTER 1.0. NUMBER)
r~ l~ "5f"L ✓~ <·& ~.F?$-/?~ti!.,7
P~ C~ <f--L,.,_....,-l ~
'1'2..,r ,t,c <-1ih'c.. ¥1""--(1-.. y,~£C.c4-9l 2L
-
I
Attach additional information on appropriatt:1/y labeled continuation sheets. SUBTOTAL$
Schedule I Summary
1. Itemized increases to cash this period ................................................................................................................... $
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
Summary Page. Line 14.) ........................................................................................................................ TOTAL $
SCHEDULE I
CALIFORNIA 460
FORM
Page __ of __
I.D. NUMBER
I f -:};6J---2-9 s,,y-
AMOUNT OF
INCREASE TO CASH
./ 2-,
~
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
• COVERPAGE • ~ecipient Committee
Campaign Statement
Cover Page
Type or print in Ink. DateS1amp
CALIFORNIA 460
FORM
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statamen1 covers period
from .....L.,./_--/_.-_,_/_2=--
through :6 -2'>-/ 2,
1. Type of Recipient Committee: All Comm1ttees-compl818 Parll 1, 2, 3, and 4.
O Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
0 Recall
(A/SOComplslaPaftS}
g_ General Purpose Committee
~ Sponsored
O Small Contributor Committee
O Polttical Party/Central Committee
O Primarily Formed Ballot Measure
Commlllae
0 Controlled
0 Sponsored
(A/soComp/ole Pan 6)
• Primarily Formed Candidate/
Officeholder Committee
(AISoComp/«ePartn
3. Committee Information / J~j
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
fv-.l"""" >'/-'~~ h~
...?-5"za c. PA <:..
STREET ADDRESS (1'10 P.O. BOX)
.3 o c:. 14 ,; L <-, '-f lo
C T~ STATE ZIP CODE AREA CODE/PHONE
c-.1 ~ S""'~~ e Ci'!f-722,/_;,
OPTIONAL: FAXfE-MAIL ,ii\ORESS ~ 4,-,
4. Verification
·r, fiECE/VEp r;r Pl; u, sF,: ,,
Data of alecUon If appllc
(Month, Day, Year) l JUL -2 Mt//: 05
Jl 'f•· ...
Page ___ of __ _
For Official Use Only
2. Type of Statement:
' ' ;; I t-lOt-11,, -/Ty Cl <"R. ,,,_
.c; K
D Preelection Statement
D Semi-annual Statement
D TerminaUon Statement
D Quarterly Statement
(Also file a Fann 41 O Termination)
D Amendment (Explain below)
Treasurer(s)
D Special Odd-Year Report
D Supplemental Preelectlon
Statement -Attach Fann 495
l'IAME OF TREASURER z;i
e...o~
MAILING ADDREi / . .,/J
f;~~ bO l/~
c.~t~J.. s:,:_,, ZIP CODE _'L ..._.,,,,. '7 2.LJ,Y '70 7'"1'¥ IZ. 'YI
NAME OF ASSISTANT TREASURER, IF Al'IY
AREA CODE/PHONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
I have used all reasonable diligence In preparing and reviewing thiS statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under,the laws of the State of Callfomia that the foregoing Is true and correct~ ~
Executed on b ~-Z-h ~ / L... By ~~ £Ca~----Dale • .. ~~ur.-orA antTraa8l1'81'
Exea.itad on _____ CG ______ _
Executed on ____ ~De!a-------
Executed on ----~De!a"""" _____ _
By ----,Si::,:p=klre=-of~C"'Cr1nll=a::,ng:::c0ffi=at1=ada!'.=, can=e1"'""'8,=="St8le="'M::emtR="Prapcnent===«"'Rfl1111011=::,::,,.::,,os:m:=car=of:,,S.:pon=sor=--
By ------Sig,:.-....,,-,--.. ,.,,COntro,....,...,,li_ng-=Offioehcl"""'=e1er=-,"'ca,"'-=-$1&1=e""u,-.....,,=-.Pra'"-,---~-,nt,-------
By ------Si1Jl="""=""or"'eontro="'1"'ng""'Offioehcl==c1er=-,"'ca,"'-=""s,"'a1"'e,,.M"'""""=""Pra"'-,"'=~=n1=-------FPPC Fonn 460 {January/Oil
FPPC ToU-Fre& Helptlna: 886/ASK-FPPC (866/275-3772}
State of California
ScheduleA
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print In Ink.
Amounts may be rounded
to whole dollars.
CATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOMUITT'EE,ALSOENTER 1.0. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOVED, ENTER NAME
OF BUSINESS)
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
•IND •COM
DOTH
OPTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
DOTH
OPTY •sec
•IND •COM
DOTH •PTY •sec
•IND •COM
DOTH •PTY •sec
SUBTOTAL$
Statement covers period
from /-/-/2
through C, -;::I}-I 2..., Page ___ Of __ _
AMOUNT
RECEIVED THIS
PERIOD
1.0. NUMBER
I ~ ~ "1-9 .?.$-
CUMUlATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
·contributor Codes
IND -lndhlidual
(Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM -Recipient Committee
(olher lhan PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Polillcal Party 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ _____ _
3. Total monetary contributions received this period. sec-Small Contributor Committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ //LO~
FPPC Form 460 (January/05)
FPPC Toll-Free Helpllne: 868/ASK-FPPC (888/275-3772)
Schedule B -Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from ~/.__-....._/_-_/_1-. __
through 6, )o-I 2..
FULL NAME, STREE;T ADORES$ ANO ZIP CODE
OF LENDER
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
AM~NT IC) OUT~~DING
AMOUNT PAID BALANCE AT
l•l
INTEREST
PAID THIS
PERIOD
ifJ
ORIGINAL
AMOUNTOF
LOAN
19>
CUMULATIVE
COITTRl8UTIONS
TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) RECEIVED THIS OR FORGIVEN CLOSE OF THIS
PERIOD THIS PERIOD• PERIOD
•PAID
0 FORGIVEN
to IND O COM O 0TH O PTY O sec DATE DUE
•PAID
0 FORGIVEN
to IND O COM O 0TH O PTY O sec DATE DUE
•PAID
•FORGIVEN
to IND O COM O 0TH O PTY O sec DATE DUE
SUBTOTALS$ $ $
Schedule B Summary
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 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.
CALENDAR YEAR
__ % $ __ _
RATE PER ELECTION ..
DATE INCURRED
CALENDAR YEAR
__ % $ ___
RATE PER ELECTION ..
DATE INCURRED
CALENDAR YEAR
__ % $ ___
RATE PER ELECTION ..
DATE INCURRED
$
!Enterje)on
Schedlle E, Line 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
*Amounts forgiven or paid by another party also must be reported on Schedule A.
.. If required. FPPC Fann 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (886/275-3772)
SO-EJULEE
ScheduleE
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from~/-~/ -~/~2,.~_
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE throug~ C -_)l) -/ 2, Page ___ of __ _
NAME OF FILER I.D, NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Cl'.P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
ClB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
eve civic donations PET petttlon clrculatlng TEL t.v, or cable airtime and production costs
FL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundralslng events POL polling and survey research TRS staff/spouse travel, lodging, and meal&
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 PRO professional services (legal, accounting) VOT voter registration
UT campaign llterature and mailings F'RT print ads WEB Information technology costs (Internet, e-mail)
NAME ANO ADDRESS OF PAYEE
(IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
)/!~
• Payments that are contributions or Independent expendltul'fl 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 3. Enter here and on the Summary Page, Column A, Line6.) ............................. TOTAL$ ~<...
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (886/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print In Ink.
Amounts may be rounded
ID whole dollarv.
Statement CDY81'S period
from / ·-/ --/ 2..
through ~ ··JIJ -/""L.
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 __ _
I.D.NUMBER
0/P campaign paraphernalia/misc. l,llR 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 eve civic donations FET petition circulating TB. t. v. or cable airtime and production costs
FIL candidate flHng/ballot fees PHO phone banks lRC candidate travel, lodging, and meats
FIID fundralslng events POL polling and survey research 'IRS staff/spouse travel, lodging, and meats
IND Independent expendtture supporting/opposing o1hers (explain)• POS postage, delivery and messenger services TSF transfer between commtttees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter reglstrallon
LIT campaign literature and mailings PRT print ads IM:B information technology costs (internet. e-mail)
NAME AND ADDRESS OF PAYEE CODE (IF COMMITTEE, ALSO ENTER I.C. NUMBER)
Yl t:rrU--
• Paymente that are contributions or Independent expenditures must also be summarl2ed on Schedule D.
OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL$ J1.0?:::½-,,_
FPPC Form 460 (January/OS)
FPPC Toll-Free HelpHne: 886/ASK-FPPC (866/275-3772)
Schedule I
Miscellaneous Increases to Cash
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER.)
Attach additional information on appropriately labeled continuation sheets.
'fypa or print In Ink.
Amount& may be rounded
to whole dollars.
Statement covers period
from /-/-/ 2_
through b ·--?0 -/ L
DESCRIPTION OF RECEIPT
SUBTOTAL$
~~~:~~: i~!r~=:~;:ash this period ........................................................................................................................ $ _.,_()_· ..;::b:;__ __
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. ~~:1m~i~c;~ag:~o~~~nf~~i8.~-~·~·~·~··~·~·~·~··'.~'.~ .. ~~~'.~~'. .. ~~~~--~_i.~.~.~ .. ~_' .. ~'..~~~ .. ~_' .. ~~~~~.~.~~~.~.~.~ .. ~~.'.~~....... TOTAL $ , ot
AMOUNT OF
INCREASE TO CASH
FPPC Form 480 (January/051
FPPC Toll-Free Helpllne: 888/ASK-FPPC (866/275-37721
type or print In Ink. Campaign Disclosure Statement
Summary Page Amountll may be rounded
to whole dollars. Statement covers period
from / -/~ /Z...
SEE INSTRUCTIONS ON REVERSE through 6, ·~ 7 D ~ J -z._ Page ---of __ _
NAME OF FILER
Contributions Received ColumnA
TOTAL THIS PERIOD
(FROM ATTACH ED SCHEDULES}
1. Monetary Contributions ... . .................... ........... ... .. Schedule A. Line 3 $ ______ _
2. Loans Received ... .... .... ... . ..... .... ... ... ..... ... .. . ... .... ... ... schedule B. Line 3
3. SUBTOTAL CASH CONTRIBUTIONS......................... Add Lines 1 .. 2 $
4. Nonmonetary Contributions .... . ... ... ... .. ... ..... ... .. ... ... . Schedule c, une 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add unes 3 .. 4 $
Expenditures Made
6. Payments Made....................................................... Schedule E, Line 4 $
7. Loans Made............................................................. Schedule H, une 3
8. SUBTOTAL CASH PAYMENTS ... ... ... ..... ... .. .. . .. ... ... ...... Add Lines 6 .. 7 $
9. Accrued Expenses (Unpaid Bills) ............................... ScheduleF,Line3
10. Non monetary Adjustment .......................................... Schedule c, une 3
11. TOTALEXPENDITURESMADE ............................... AddLinesS .. 9 .. 10 $
Current Cash Statement
12. Beginning Cash Balance ... . ..... ... ... ... .. ... Pf9Viou• Summa,y Page, une 1e $ st,-Yt
13. Cash Receipts .. ... ... .... . ... . ..... ... .... .. . .... .. . .. .. .. . .. ... Column A. Line 3 above
$
$
$
ColumnB
CALENDAR YEAR
TOTALTODA"l'E
$ -------
$ -------
$ -------
To calculate Column B, add
amounts in Column A lo the
1.0. NUMBER
II-
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6130 7/1 to Date
20. Contributions
Received $ ____ _ $ ____ _
21. Expenditures Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made•
~f Sublect to V.luntlry EXpendlture Llmll
Date of Election
(mm/ddiyy)
__j___j __
__J___j __
Total to Date
$ ____ _
$ _____ _
14. Miscellaneous Increases to Cash . ..... ... ....... ..... ...... Schedule 1, Line 4 --Ob corresponding amounts *Amounts in this section may be different from amounts
from Column B of your last reported in Column B.
15. Cash Payments.................................................. Column A, Lines above
16. EM>INGCASHBALANCE .......... AddUnu 12+ 13 .. 14, ihensubtractUrnt 15 $ .~IL ,;72.
report. Some amounts in
Column A may be negative
figures that should be
If this iS a termination statement, Une 16 must be zero.
subtracted from previous
period amounts. If this Is ---------------------------------1 the first report being filed
$ LOAN GUARANT S CEIVED for this calendar year, only
17. EE RE · ··· ····· ····· ·· · ·· ··· ····· Schedule 8 • Part 2 carry over the amounts _C_a_s_h_E_q_u-iv_a_le_n_ts_a_n_d_O_uts __ ta_n_d_i_n_g_D_e_b_ts ___________ ----1 from Lines 2• 7• 8nd 9 (if
any).
18. Cash Equivalents........................................ See in>truction• on n,ve,se $
19. Outstanding Debts . .. . . . . . . . . . . . .. . . . . . . . . . Add Line 2 .. Una gin Column B above $ FPPC Form 460 jJanuary/05)
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