HomeMy WebLinkAbout2014-01-23 Form 460 - PS Fire ManagementRecipient Committee
Campaign Statement
Cover Page
Type or print In Ink. Date Stamp
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Stat&ment covers period
from _..,._7_-~/_-~Q~~
through f L ... ). / -/..)
1. Type of Recipient Committee: All Committee• -Complete Parts 1, 2, 3, aod 4.
O Officeholder, Candidate Controlled Committee D Primarily Fonmed Ballot Measure
O State Candidate Election Committee Committee
0 Recall O Controlled
(Atso compJete Par!. 5J O Sponsored
~-General Purpose Committee
~Sponsored
O Sman Contributor Committee
O Polltical Party/Central Committee
3, Committee Information
{~ Compff,fe.Part6J
D Primarily Fonmed Candidate/
Officeholder Committee
(AlsoCom~lePart7)
I.D. NUMBER
COMMITTEE NAME jDR CANDIDATE'S NAME IF NO COMMITTEE) ;L Pc...~ l S~t":f'? l~,z,t_ M~
Jf-5'~. p;4 c..
SfREETADDRESS ~NO P.O. BOX)
7ua..
AREA CODE/Pf-lONE
4. Verification
Date of election If applicable:
(Month, Day, Year)
Page___ of __ _
20 j l; ,! · i ?J f:[ i C: ) I For Official Use Only
2. Type of Statement:
D D Preelection Statement
O Semi-annual Statement
D Tenmination Statement
D Special Odo-Year Report
D Supplemental Preelection
{Also file a Form 410 Termination) Statement -Attach Form 495
D Amendment {Explain below)
Treasurer(s)
NAME OF TREASU~ ~ ..... /4
MAILING ADDRESS ,/J _ 6.
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 anct 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 unclerthe laws of the State of California that the foregoing is true and~ <-.-=: :ik:
Executed on I -2..,}.,. -/y By ~~= '·
Executed on -----~Da-to ______ _
Execut'=d on ------Da-~-------
Executed on-----""==-------
By ----,si"'g"°nal.,.,-,,,.,-o"rCo,..n""trn"'m,..""-,Office=.,.ho.,.lder=.c'"==oa,""•""'·s"'1a.,.,e..,.M'"'••'"'w"",.,.,•P,...,o-,pone,-n""to-,R=-,e,po--,"°•'"'o~'"'Ot11oe="-,""'ot"'soo_n_so-,--
By -------as;.--00-a""tu""ai-or"'eo,..n""troh,-,-. ,"'om-oo"'h'"'o1"",.,-,"c•-"'-,-"""'"'"'· s"'ta""1e""M'"ea-..,.-P""ropooen1----,-------
Sy -------.s;!:·onaru=,.=ar"'eo=n1ro=u,,::,"om"'"""'"::°'::,"""'·"'ea:-:,-:::d,d:;:a!::,.""s"'1a1'"°e"M•:-:....,,="eropo,ro==n1 _____ _
FPPC Form 4&0 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866l275-3TT2)
State of California
C ampa1gn SU Amounts may b& rounded Statement covers period 460 CALIFORNIA Summary Page to whole dollars. 2-/-I.> FORM from
Disclo re Statement Type or print in Ink. SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE
through l L -]/-/ ;J, Page ___ of ___
NAME OF FILER
Po..\lN\.. st'/tJ~ rr~ -f-PA-<-t/;..jZr~✓>-/1(,,(,L.~ .i.,.A..,,,,,,,,. A--' -,,,,,,,,, ~
ColumnA ColumnB Calendar Year Summary for Candidates Contributions Received TOTALMSPl:RIOD CAL.ENDARYeAR Running in Both the State Primary and (FRQIIATTM:HED SCHEDU.ES) TDTM.TODATE
General Elections
1. Monetary Contributions ........................................... Schedule A. Une 3 $ $
1/1 through 6/30 7/1 to Dale
2. Loans Received ...................................................... Scllodula a. Une 3
SUBTOTAL CASH CONTRIBUTIONS ......................... $ $ 20. Contrlbutiona 3. A<k/Unes 1 +2 Received $ $
4. Non monetary Contributions .................................... Schodulo C. Une 3 21. Expendttures
5. TOTALCONTRIBUTIONSRECEIVED ........................... A<k/Una:t+4 $ $ Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made ....................................................... S-• E. Uno 4 $ s Candidates
7. Loans Made ............................................................. Schedule H, une 3
8. SUBTOTAL CASH PAYMENTS .................................... A<k/Unn B+ 7 $ $
22. Cumulatlva Expenditures Mada•
flf Sublo<lto l/ol,....ry e.poodluro Umltl
9. Accrued Expenses {Unpaid Bills) ............................... SclleduleF. uno3 Date of Eleclion Total to Date
10. Nonmonetary Adjustment .......................................... SCM<fuleC.LJne3 (mm/dd/yy)
11. TOTAL EXPENDITURES MADE ................................ Add Uno a+ 9 + 10 $ $ __J__J __ $
Current Cash Statement r~,,r __}__} __ $
12. Beginning Cash Balance ....................... ProlliolJ$ Summo,y Poge, Une 16 $ To calculate Column B, add
13. Cash Receipts ................................................... Column A. line 3 above amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... f 71, corresponding amounts *Amounts in this sedion may be different from amounts SCM<fu/e I. L/no 4 from Column B of your last reported In Column B.
15. Cash Payments .................................................. Column A. Une 8 above report. Some amounts in
~6.Z-vo Column A may be Mgative
16. ENDING CASH BALANCE .......... AddLJnea 12+ 13+ 14. 11>ensubtlllC!Une 15 $ figures that Should be
If this is a tennination statement. Line 16 must be zero. &ubtracted from previous
period amounts. If this is
the first report being fifed
17. LOAN GUARANTEES RECEIVED ........................... Sc/lo-B, Pott 2 $ for this calendar year, only
carry over Iha amounts
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if
any).
18. Cash Equivalents ........................................ See instructicns on "'1l9llle $
19. Outstanding Debts ......................... Add Uno 2 + Une 9 In Column B obove $ FPPC Form 480 (January/OS
FPPC Toti-Free Helpline: 866/ASK-FPPC (866/275-3772
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in Ink.
Amounts may be rounded
to whole dollars.
f-
DAlE
RECEIVED
FULL NAME, STREET AODRESS AND ZIP COOE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER
OCCUPATION AN• EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OFSl.lSINE$S)
(IFC0MMITTEE.A.LS0EN~RI.D.NLMBER) CODE *
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
•IND •COM
DOTH •PTY •sec
DINO •COM
DOTH •PTY •sec
•IND •COM
00TH •PTY •sec
•IND •COM
00TH •PTY •sec
•IND •COM
00TH
OPTY •sec
SUBTOTALS
Statement covers period
from J -/ -/:?
through /2--3 / -/2
1.D. NUMBER
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
£,5293'}
PER ELECTION
TODATE
{IF REQUIRED)
•Contributor Codes
IND-Individual
(Include all Schedule A subtotals.} ....................................................................................................... $ ______ _ COM-Recipient Committee
(other than PTY or SCC)
0TH -other (e.g .. business entity)
PTY-Polltical F'arty 2. Amount received this period-unitemized monetary contributions of less than $100 ............................. $ ______ _
3. Total monetary contributions received this period. ,A 1 ,1,,
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ __ Y~ 1,t'>~V_i,t:..-__
SCC-Small Contributor Committee
FPPC Fonn ~o (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule B -Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME. STREET ADDRESS AND ZIP CODE
OF LENDER
{IF COMl'lr'HTEE,AI..SO ENTER 1.0. NUMBER}
tc:: IND O COM O 0TH O PTY O sec
to INO • COM • 0TH • PTY O sec
to IND • COM O 0TH O PTY O sec
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7-/ -/.)
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
\IF SELF-EMPLOYED. ENT"".R
NAME OF BU81N€SS)
Vlo/A_,.L
through I 2i/ , /,)
• (bl •<I •di
OU~~g~NG RE;E~ii~HIS AMOUNTPAID Q~~t~mG
BEGINNING THIS OR FORGIVEN CLOSE OF THIS
PERIOD THIS PERIOD•
•PAID ., ___ _
0 FORGIVEN
O,,.CE DJE
OPI\JD
, ___ _
0 FORGIVEN
DATEOUE
QPI\JD
0 FORGIVEN
DATE DUE
SUBTOTALS $ $ $ $
l•J
INTEREST
PAID THIS
PERIOD
__ %
fiATE
__ %
RATE
--" R.I\TE:
SCHEDULE B-PART 1
CALIFORNIA 460
FORM
Page___ of __ _
I.D. NUMBER
• ORIGINAL
AMOUNT OF
LOAN
, ___ _
DATE INCURRED
$ ___ _
DATE INCURRED
$ ___ _
DATE INCURRED
Col
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
PER ELECTION_.
CALENDAR YEAR
PC.R E.lECTK>N *"
CALENDAR VE.AR
PER ELECTION.,.
Schedule B Summary (Enter~e) on
Sthedl.ie E, Urie 3)
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.
"Amounts forgiven or paid by another party also must be reported on Schedule A.
'" If required.
(May be • neigatiYe r.umber)
tcontributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Polijical Party
SCC-Small Contributor Committee
FPPC Fol'fll 460 (January/OS)
FPPCToll-Free Helpline: 866/ASK-FPPC (8661275-3772)
-----·-------------------~
SeHEDULEE
ScheduleE
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 7-/-/>
through / 2., -.)/-(.3
CALIFORNIA 460
FORM
see INSTRUCTIONS ON REVERSE
Pege ___ of __ _
NAME OF FILER I.D. NUMBER fA-c.._ / I -.JI. 5-2..:J 9.
CODES: If one Df the following codes accurately describes the payment, yDu may enter the code. Otherwise, describe the payment.
Cl\¥ campaign paraphernalia/misc. llt3R membercommunlca~ons 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 Ta t.v. or cable airtime ancl production costs
FIL candidate filing/ballot fees A-IO phone banks TRC candidate travel. lodging. and meals
FND fundraising events POL polling and wrvey research TRS staff/spouse travel, lodging, and meals
N:l independent expenditure supporting/opposing others (explain)' POS postage. defivery and messenger services TSF transfer between committees of the same candidateisponso1
L£G legal defense PRO professional services (legal, accounting) VOT voter registration
UT campaign literature and mailings FRT print ads 1/\£8 information technology costs (internet. e-mail)
NAME AND ADDRESS OF PAYEE
{IF COMMITTEE.ALSO ENTER 1.0, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
J161/4..J-
-· -
• 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. Unitem·1zedpaymentsmadethisperiodofunder$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 $ ylC;;v(...A-
FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER ti /.IA._ s:
Type or print In Ink.
Amounts may be rounded
to whole dollars.
S1at....ntcovars period
from 7-I -I>,
through 1 '2-. -},/-Q
I-
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 __ _
1.D.NUMBER
I I -..)t..r 2.. '?r.
O.f' campaign paraphernalia/misc. "'3R membercommunieatioos RAD radio airtime ana production costs
CNS campaign consultants MrG meetings and appearances RFD retumed contributions
CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
eve civic; donations FET petition circulating 1B. t.v. or cable airtime and production costs
FIL candidate filing/ballot lees PI-K> phone banks 1RC candidate travel, lodging, and meals
FND fundraising events POL poling and survey research TRS stall/spouse travel, lodging, and meals
l'O independent expenditure supportin9'opposing o1hers (explain)' POS postage. delivery and messenger service& TSF transfer between committees of the same candidate/sponsor
LEG legal defense FR'.> professional seNioes (legal, accounting) VOT voter ragislration
ur campaign literature and mailings fRT print ads I/I/EB Information technology costs (Internet. e-mail)
NAME AND ADDRESS OF PAYEE CODE OR (tf COMMJTT'EE, ALSO SNtER 1.0. NJIABER)
vtov.-
* Payments that are contribut,ons or Independent expendituns must also be summarized on Schedule D.
DESCRIPTION OF PAYMENT AMOUNT PAID
FPPC Form 460 (January/061
FPPC Toll-Free Helpllne: 866/ASIW'PPC (866/275-3TT21
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME ANO AODRESS OF SOURCE
(IF COMMITTl:E,ALSO eNTERl,O, NUMEIER)
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statemantcovers period
from 7-1-1,3
through / '2..., -;J/ -0
DESCRIPTION OF RECEIPT
SCHEDULE I
CALIFORNIA 460
FORM
Page __ of __
1.D.NUMBER
I<-
AMOUNT OF
INCREASE TO CASH
,:;ttach additional information on appropriately labeled continuation sheets. SUBTOTAL$
Schedule I Summary 1/6 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. ~~t~m~~;~~a9nt~~!nf~er~.~-s.to··~·a·s·h··:~.'.s .. ~~r'.~~ .... \~~~ .. ~.i-~~.~ .. ~_'.,~.:.~~~ .. 3 .... ~~'.~~ .. ~e.~~.~.n~ .. ~.~-t~~--..... TOTAL $ __ ~_/i_6 __ _
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK.f'PPC (866/275,3772)
• Recipient Committee
Campaign Statement
Cover Page
Type or print i n Ink. Date S18mp
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Statement cover s period
from _/'------'/_---'/~)> __
thro ugh f, -3, C) -{>
1. Type of Reci p ient Committee: All CommlttHS-Comptete Perts 1, 2, 3, and 4.
D Officeholder. Candidate Controlled Committee O Pri mari ly Formed Ballot Measure
O State candidate Eledion Committ.ee Committee
0 Recall O Controlled
(N,oConJ,oM-5) 0 Sponsored
5(. General Purpose Committee
0 Sponsored
0 SmallContributor Committee
O Political Party/Central Committee
3. Committee Informati on
(,Nt!JOConpoJoAJnt;}
• Primarily Formed Candidate/
Officeholder Committee
(NS!O ~reP,¥17)
LO. NUMBER
[' :1 (
Date o f e lection II applicabl9,; I. Ff B I 2 p t1 I : 2 8
(Month, Day, Year) LU ~
Page ___ or __ _
For Official use Onry
2 . Type of Statement :
D Preelection Statement
O Sem~annual Statement
0 Termination Statement
, ·--• t1~
C!T 'r' CL:
(Also file a Form 410 Termination)
D Amendment (EJ<J)laln below)
Treasu rer(s)
0 Ouarte~y Statement
D Special Odd-Year Report
D Supplementa I Preeledion
Statement • Attach Form 495
co:~mle
1
N:~e (OR ~::e·~ :;e; NC, ~:~EE).,, __ ~/-NAME OF TREASuRey C-, , ~
'~<:~y ,~~e;'z ,,~~~n ~ MMLl7o;;E~2~~~~: ~
STREET AOOR ESS (NO P.O. BOX) ~ # CITY STATE ZIP~ AREA CODE/PHONE / 3 co IA t:., 1 c,, :e./o / ... -c;,r rh d l:.. c. /.7 9 .LZ a s 7 6s--Y6~c1 °,
CITY /4 -5; Sc~ z?~6"'2-. A7~D;l:;E_:,'/Y/NAMEOFASSISTANTTREASURER,IFN<Y
• ANO STREET OR P.O BOX "M""A1::-L"'1N"'G""Ac::Oc::D-=cR=-es"'s:------------------------
(, I
STATE ARE.A CODE/PHONE CITY <:A-STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E·MAIL ADDRESS
4. Ver ificat ion
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowle<lge the inrormalion contained herein and in the attached schedules Is true and complete. I certify
under penalty of perjury under the law,; or the State of California tha t the foregotng is true and correct. :A:
· Execuoc<I on o... By ~~,1.:::_.......,_.s:;::"':s=-:;:::.::""""==-=====-==--=-
E.iteoute<J on ____________ _
Executed on ____ __,_,.... _____ _
Executed on ____ ----:o,=,.------
By ---._,--.,-."',;""eo,-.,,,..Olli.,,,...,g""oiri"'eei-·-....,=.""ce-....,=,-,._ .. s-,.,.-.... = ... -•"'"'---,.."",,-.,.,.,._,,,_---,,,..~=--,,,,,,s,,.._.----
BY -----------=--=-=..,,,--,.,---,,--------Si?'""•,;~°"""""""·~"'-StalaMeasu<e,,,__
By -------,,Slg\a11.<==•,;"'co."':::~::c.,.:c:IO~~===.c-.==,._,-,Sl>to=.,......,=cc,ec;r;::,_=..,::,:------
FPPC f orm 460 (January/05)
FPPC Toll•Ftee Helpline: 866/A SK-FPPC (8661275-3772)
State of Callfomla
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Typa or print In ink.
Amounts may be rounded
lo whole dollars.
DATE
RECEIVED
>ULL NAM<. ~l'REET ADDRESS A NO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMmEE.. ALSO £NT'EA: I 0 . NUMBER) CODE 11
lF AN INOMOUAL. eme~
OCCUPATION ANO EMPLOYER
(IF SE.I.F-EMPI.OYEO, ENTEA. NAME.
Schedule A Summ ary
1. Amount received this period -itemized monetary contributions.
•IND •COM
00TH
OPTY •sec
•IND
OCOM
DOTH
O PTY •sec
•IND •COM
0 0TH
OPTY •sec
•IND •COM
DOTH
OPTY •sec
•IND •COM
00TH
OPTY •sec
Of BUSINESS)
SUBTOTALS
SCHEDULE A
Statement covers pel'iod
CALIFORNIA 460
FORM from /-/-/~
through b -2 C, -/.), Page ___ of __ _
AMOUNT
RECEIVED THIS
PERIOD
1.0,NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 • DEC. 31)
Pl!!!R l!!ll!!!CTION
TO DATE
(IF REQUIRED)
'Contributor Codes
IND -Individual
(Include all Schedule A subtotals.) ........................................................................................................ $ _____ _ COM -Recipient Committee
(other lhan PTY or SCC)
0TH -Olher (e.g., business entity)
PTY -Political Pa rty
2. Amount received this period -unitemized monetary contri butions of less than $100 ............................. $ ______ _
3. Total monetary contributions received t his period .
(Add Lines 1 and 2 . En ter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
SCC -Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll-Froo Holpline: 866/ASK-FPPC (866127~3772)
Schedule B -Part 1
Loans Received
SEE INSTRUCTI ONS ON REVERSE
NAME OF FllER t~ \ \..-t.A,.
FULL NAME, STREET ADDRESS AN D ZIP CODE
OF lENDER
(IFCOW.flTEE, Ai.SOEHTER 1,0, NUMBER)
to IN D O CO M O 0TH O PTY O sec
To IND O COM O 0 TH O PTY O sec
t • IND O COM O 0 TH O PTY O SCC
Schedule B S ummary
Typo or print In ink.
Amounts may be rounded
lo wholo dollars.
U= AN INDIVIDUAL, ENTER
OCCUPATION AND EM PLOYER
(IFS£u-.eMPi.OYEO, ENTER
NAME OF-BUSINESS)
SUBTOTALS $ $
Statomont covers period
from / -/ -r,3
through 6 -_?U -/_!:,.
(e) d )
AMOUNT PA10 °~c}~~~l
OR FORGIVEN CLOSE OF THIS
THIS PERIOD•
QPAIO
·----•FORGIVEN
QPAID
QFORGIVEN
DATEOlJE
QPAID
'----
QFORGMN
DATE DUE
$ s
<•>
INTEREST
PAID THIS
PERIOD
--" .... ,.
--" .... ,.
--" RA1£
(En1e,je)on
-.e.Uno3)
SCHEDULE B -PART 1
CALIFORNIA 460
FORM
Pago of
1.0 . NUMBER
I)
ORIGINAL
AMOUNT OF
LOAN
, ___ _
OATE INCUAAEO
$ ____
DATE INCURRED
s ___
O,\TE INCURRED
• CUMULATIVE
CONTRIBUTIONS
TO OATE
CALENDAR YEAR
CALENDAR YEAR
PER ELECTION -
CALENDAR YEAR
PER ~l ECTION-
1 . Loans received this period .................................................................................................................. $
(Total Column (b ) pl uo unitemized loan:rnfleaa than $100.)
2 . Loans paid or forgiven thi s period ......................................................................................................... $ ______ _
n ;ontnbutor COd es
IND -Individual
COM-Recipient Comminee
(Total Column (c) p lus l oans under $100 paid or forgiven.)
(Include loans paid by a thi rd party that a re a lso itemized on Schedule A.)
3 . Net change this period. (Subtract Line 2 from Line 1.) ..................................... .
Enter the net here and on the Summary Page, Column A , Line 2 .
• Amounts forgiv en or paid by another party also m ust be repo~ed on Schedule A .
•• If required.
. ... NET$
( other than PTY or S CC)
0TH -Other {e.g .. business entity)
PTY -Poliijcal Pa rty
sec -Small Contributor Committee
FPPC Form 460 {January/OS)
FPPC Toll-Free Helpl ine: 866/ASK-FPPC (8661275-3772 )
SCHEDUI..EE ScheduleE
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
I -/-/> from -J----~_:;>~--
CALIFORNIA 460
FORM
see INSTRUCTIONS ON REVERSE through 6 -~ -{,J> Page ___ of __ _
NAME OF FILER /
U"-'-"'lA-
1.0 . NUMBER
CODES: If one of the following code:-accurately de3cribes the payment, you miiy enter the code. Otherwise, describe the payment.
CM> campaign paraphernalia/misc. WBR member communications RAD radio airtime and production costs
o-6 campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers· sa laries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
Fil cand idate filing/ballot fees PK> phone banks TRC candidate travel. lodging. and meals
R-0 fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
tO independent expenditure supporting/opposing others (explain)' POS postage. delivery and messenger services TSF transfer b<ltwe<!n committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal. accounting) VOT voter registration
UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME ANO ADDRESS OF PAYEE
(If CCMMrntt~ Al.SO ENTER I O NUMBER I CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
t;(.~
* Payments that are contributions or independent expenditures must also be summarlzod on Schedule O. SUBTOTALS
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................................................................................... . ........ $ _____ _
2. Unitemizedpaymentsmadethisperiodofunder$100 ......................................................................................................................................... $ _____ _
3. Total interest paid th is period on loans. (Enter amount from Schedule 8, 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 $ /i t,J,<.A....
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK•FPPC (8661275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
CODES: If one of the following codes ac
LM-' campaign paraphernalia/misc.
CNS e3mpaign consultants
CT8 contribution (expla in nonmonetary)°
eve civic donatlons
FIL candidate ~hnglballot fees
~ fundraising events
tO independent expenditure supporting/opposing others (explain)'
LEG legal defense
UT campaign literature and mailings
NAME AND AODRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER 1.0. NUltBER)
WC5XJ.-
Type or print In ink.
SCHEDULE E (CONT.)
Amounts maybe rounded
to whole dollaN<.
Statement covers period
~om_,_/_-~/.__--l ..,.s'.~
through & -36 -/ ~
CALIFORNIA 460
FO R M
'-tlR
MTG
OFC
FET
Pl-0
POL
POS
PRO
PRT
Page ___ of __ _
I.D.NUMBER
/f -_;; ~L9$7
ay enter the code. Otherwise, describe the payment.
membercommunic.ations RAD radio airtime and prod uction costs
meetings and appearances RFD returned contributions
office expenses SAL campaign worhrs' salaries
petition circulating TEL t.v. or cable airtime and production costs
phone banks me candidate travel, lodging, and meals
polling and survey research TRS staff/spouse travel. lodging, and mea ls
postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
professional services (legal, a=unting) VOT voter registration
print ads 'NEB information technology costs (internet, e-mail)
CODE OR DESCRIPTION OF PAYMENT AMOUNTPAJO
* Payments that are contributions or independent expenditures must also bo summarized on Schedule D. SUBTOTAL$ J /--,,.;,.,; ,,
FPPC Form 460 (Jonuary/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule I
Miscellaneou s Increases t o Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER fc:.__ I ~
DATE
RECEIVED
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from _ _._/_-----'-/_-~/-~--
through 6 70 -/>
DESCRIPTION OF RECEIPT
SUBTOTALS
1. Itemized increases to cash this period ........................................................................................................................ $ _____ _
2 . Unitemized inc reases 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 . ~~l:lmm~~c~:;t~~~n~~~r~.~·~·t·~ .. c·a·~·~ .. '.h_i_~ .. ~.~~'.~~: .. (.~~~ .. ~'.~~.s .. 1_' .. 2.:.~~~.~.· .. ~~t~~ .. ~.~r~.~.~.d .. o.n .. t~~....... TOTAL $ , 0~
SCHEDULE I
CALIFORNIA 460
FORM
Pago __ of __
I.D.NUM8ER
AMOUNT OF
INCREASE TO CA SH
FPPC Form 460 (January/OS )
FPPC Toll-Free Helpline; 1166/ASK-FPPC (1166/275-3772)
1),pe or p ri nt In ink . Campaign Disclosure Statement
Summary Page Amounts may be round ed
to whole dollars. St atement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF F ILER (c../ tp,c
Contributions Received
1. Monetary Contributions .................................. . Sehodulo A, Lino 3 $
2. Loans Received ....... .
3 . SUBTOTAL CASH CONTRIBUTIONS ...... .
Sche<Mo B, Lino 3
Addlin6$1 +2 $
4. Nonmonetary Contri butions ............. . . . . . .. . Sch&dulo C, Lino 3
5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 • •
Expenditures Made
6. Payments Made .................................................... ..
7 . Loans Made .............................. .
Scl""1ulo E, Line 4
Sch&dulo H, Lino 3
$
s
8 . SUBTOTALCASHPAYMENTS ................. . AddLmes6+7 $
9. Accrued Expenses (Unpaid BIiis) ..•..............•.. . ... Schedule F, Line 3
10. Non monetary Adjustment . .. ................... .......•...... &:h&dulo c, Line 3
11 . TOTAL EXPENDITURES MADE ....................•.......... AddLloos8+9+ 10 S
Current Cash Statement
12. B eginning Cash Balance ........ .
13. Cash Receipts ......................... .
P,ovws Su""""'Y Pag<J, 1./no 16
Column A, Liml 3 abov9
14. Miscellaneous Increases lo Cash ........................... Schodulo 1. Lino•
15. Cash Payments.................................................. Column A. Uno 8 above
16. ENOINGCASH BALANCE .......... Add Lines 12 + 13 • 14, then subtracl Line 15
If this is a termination statem<Jnt. Une 16 must "'1 zero.
17. LOAN GUARANTEES RECEIVED ........................... Scl>ed!JIO s . Part 2
Cash Equiv alents and Outstanding Debts
18. Cash Equivalents ........................................ See lflstructions0ttreverse
s
s
19. Outstanding Debts. . . . .. . .. • Add LI"" 2 • Lio• 9 lfl Column B above $
Column A
TOTAL THIS PERICO
(fROM ATTAO-ED SCtHU.ES)
z(.t ,.1 2..
from _/_-_/~--/_:;,_· __
through b -J o -I; Page ___ of __ _
I-
$
$
$
C o lumnB
CA!.£NDAA ~
TOTALTOOATE
To calculate Column B. add
amounts In Column A to the
corresponding amounts
Imm Column B of your last
report. Some amounts In
Column A mav be neoative
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
Imm Lines 2, 7, and 9 (If
any).
1.0 . NUM8ER
It --.%5-25> J3.
Cnlen dar Year Summ ary for Cand idate s
Running i n Both the State Primary and
General Elections
1/1 through 6/30 711 to Date
20. Contributions
Received S ____ _ $ ____ _
21 . Expenditures Made $ ____ _ $ ____ _
Expenditure Limit Summary fo r State
Candidates
22. Cumulallvo Expenditu res Made'
(ff Subject to VOh.lntaty E.l:penditure l imit)
Date of Election
(mm/dd/yy)
__J_j __
Total to Date
$ ____ _
__J_}__ $ ____ _
• Amounts in this section may be different Imm amounts
reported in Column 8 .
FPPC Form 460 (January/05)
FPPC Toll'"Free Helpline: 866/ASK-FPPC (866/275-3772)