2016-02-01 Form 410 - PS Fire ManagementStatement of Organization
Recipient Committee
Statement Type D Initial
No\ ye\ qualified O or
__ _,, __ _,
0 Amendment
Ust I.D, number:
#113652985
I
D Termination-See Pan 5
List I.D. number:
/t ________ _
I I--
REf:tl1\(llo _;·
C TY OF PALH SPRING
1& FEB -I AH 9: 20
JAMES THOMPSO'.i
CITY CLERK
•
CALIFORNIA 410
· FORM
For Official Use Only
Date qualified as committee Date qualified as committee Date of Termination
(If opplicable)
..
NAME Of COMMITTEE NAME OF TREASURER
Palm Springs Fire Management Assoc. PAC Cory Gorospe
STRUT /\DD RESS )NO P.O. BOX)
STRHT ADDRESS (NO P.O. BOX) CITY STAT£ ZIPCOOE AREA CODf/PHONE
Cathedral City CA 92234 (
CITY STATE ZIP CODE
FAX.IE-MAil ADDRESS CITY STATE ZIP C· IOE /\REA CODE/PHONE
COUNTY OF DOMICILE JURISDICTION WHERE COMMITHE IS ACTIVE NAME OF PRINCIPAL OFflCER(S)
STREET ADDRESS (NO P.O. BOX)
CITY STA1E ZIP CODE AREA COD,/PHONF
Attach additional information on appropriately labeled continuation sheets.
, 1 .. '~\~t;{i?I
I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under ' ·· ··
penalty of perjury under the laws of the State of
CANDIDATE, OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDIDATE .. OR STATE MEASURE PROPONENT
Executed on By
DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE MEASURE PRIJPIJNENT
FPPC Form 410 {Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Palm Springs Fire Management Assoc. PAC
• All committees must list the financial institution where the campaign bank account Is located.
NAME OF FINANCIAL INSTITUTION AR EA CODE/PHONE
ADDRESS CITV
Controlled Committee
BANK ACCOUNT NUMS(R
STATE llP CODE
CALIFORNIA 410
FORM
1.0. NUMBER
113652985
• List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and
district number, if any, and the year of the election.
• List the political party with which each officeholder or candidate is affiliated or check "nonpartisan."
• If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee.
NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT
ELECTIVE OFFICE SOUGHT OR HELD
(INCLUDE DISTRICT NUMBER IF APPLICABLE} YEAR OF ELECTION
Pnmanly Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below:
CANDIDATE(SI NAME OR MEASURE(SI FULL TITLE (INCLUDE BALLOT NO. OR LETTER} CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDICTION
(INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE}
PARTY
D Nonpartisan
D Nonpartisan
CHEC~ ONE
FPPC Form 410 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Statement of Organization
Recipient Committee
INSTRUCTIONS ON REVERSE
COMMITTEE NAME
Palm Springs Fire Management Assoc. PAC
CALIFORNIA 41 0
FORM
1.0. NUMBER
113652985
General Purpo~e Comm,ttee Not formed to support or oppose specific candidates or measures in a single election. Check only one box:
0 CITY Committee O COUNTY Committee O STATE Committee
PROVIDE BfflH DESCRIPTION OF ACTIVITY
Sponsored Committee List additional sponsors on an attachment.
NAMf or SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR
STREET ADDRESS NO. AND STREET CITV STATE ZIP CODE
Small Contnbutor Committee O _ _, _ _,,
Date qoalifled
• This committee has ceased to receive contributions and make expenditures;
• This committee does not anticipate receiving contributions or making expenditures in the future;
• This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations;
• This committee has no surplus funds; and
• This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions.
There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government
Code Section 89519.
Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 -89518, and are
subject to Elections Code Section 18680 and FPPC Regulation 18521.S.
FPPC Form 410 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page
Date Stamp
R C£jY£0
CIT y OF AlH SPRING'.:: ....---------------,.------------i Page __ _ of __ _
SEE INSTRUCTIONS ON REVERSE
Statement covers period
06/30/2015 worn _________ _
12/31/2015 through ________ _
1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4.
D Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
D Primarily Formed Ballot Measure
Committee
0 Recall
(Also Complete Pad 5)
0 Controlled
0 Sponsored
(Also Comp/ell> Part 6)
liZ] General Purpose Committee
® Sponsored
0 Small Contributor Committee
D Primarily Formed Candidate/
Officeholder Committee
0 Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Palm Springs Fire Management Assoc. PAC
STREET ADDRESS (NO P.O. BOX)
300 N El Cielo Rd
/Also Comp/Ele Pait l)
I.D. NUMBER
11-3652985
CITY STATE ZIP CODE AREA CODE/PHONE
Palm Springs CA 92262 (760) 323-8181
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
PO Box 1761
CITY
Palm Springs
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
STATE
CA
ZIP CODE
92263
AREA CODE/PHONE
Date of election if awt¥f¥\1il"B f
(Month, Day, ~~,. rt -AH 8: 5~
JAHES THOHPSOU ______ C~IT CLERK
2. Type of Statement:
D Preelection Statement
I.a Semi-annual Statement
D Termination Statement
(Also file a Form 410 Termination)
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Cory Gorospe
MAILING ADDRESS
68070 Madrid Rd
For Official Use Only
D Quarterly Statement
D Special Odd-Year Report
CITY STATE ZIP CODE AREA CODE/PHONE
Cathedral City CA 92234 (760) 673-1896
NAME OF ASSISTANT TREASURER, IF ANY
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 knowle e 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 California that the foregoing is rue and corre
Executed an
Executed on
Executed an
Executed on
01/30/2015
Date
Date
Date
Date
BY------.,,s-,g-na-,-,u-,e-0""1c"'"o--nt,-ro""'11;-ng""'Offi.,.,,,..1ce-.,h"'"'o~'"'"e"""~""c,-an""'d"'id""ate-.""s,-ra,-1e""M,...ea_s_u,-0"'"P,-opo-ne,-n,-t -----
5Y-----......,,S,-ig-na.,.tu_re_a.,..fC"'"a-n1=-ra""'11;-ng--:Offi,,,,,-,c-,eh""'a~"""e-,,..,.c,-an"""d""'id-.at-e.""'s,...ra"""te""'M:-ea"""s"'ur""e"'"Pro"'p"""o""ne"'n"'"t -----
FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
•
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Management Assoc. PAC
Contributions Received
1. Monetary Contributions................................................... Schedule A, Line 3 $
2. Loans Received ................................................................ ScheduleB. Line3
3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $
4. Non monetary Contributions............................................ Schedule c. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $
Expenditures Made
6. Payments Made .............................................................. . SchadulfJ E, Line 4 $
7. Loans Made..................................... ................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills} .......................................... Schedule F. Line 3
10. Non monetary Adjustment ... ,. .................................................... Schedule c. Line 3
11. TOTAL EXPENDITURES MADE. ....................................... Add Lines a ,. 9 + 10 $
Current Cash Statement
12_ Beginning Cash Balance·····-········ ............. Previous Summary Page, Line 16 $
13. Cash Receipts .. ........ ... ................... .... . . .. ........ .......... Column A, Line 3 above
14. Miscellaneous Increases to Cash.................................. Schedule 1, une 4
15. Cash Payments . .. . . . . . . . . . . . ............................ ..... .......... Column A, Line B above
16. ENDING CASH BALANCE .................. Add Unes 12 + 13 + 14, then subtractune 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule 8, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................. .,............. See instructions on reverse $
19. Outstanding Debts.............................. Add Line 2 + Line 9 in Column B above $
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
567.04
5.70
572.74
SUMMARY PAGE
Statement covers period CALIFORNIA 46 0
FORM 06/30/2015 from _________ _
12/31/2015 through ________ _ Page ___ of __ _
$
$
$
$
$
$
Column B
CALENDAR YEAR
TOTAL TO DATE
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts in Column A may
be negative figures that
should be subtracted from
previous period amounts. If
th is is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2. 7, and 9 (if
any).
1.0. NUMBER
11-3652985
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 711 to Oate
20. Contributions
Received $ _____ _ $ ____ _
21. Expenditures
Made $ _____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subiect to Voluntary Expenditure Limit)
Date of Election
(rnm/dd/yy)
___j___j __
___j___j __
Total to Date
$ _____ _
$ _____ _
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 IJan/2016)
FPPC Advice: advlce@fppc.ca.gov {866/275-3772)
www.fppc.ca.gov
,
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Management Assoc. PAC
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, AlSO ENTER LO. NUMBER! CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED. ENTER NAME
OF BUSINESS)
None •IND •COM
DOTH •PTY •sec
•IND •COM
DOTH
0PTY •sec
•IND •COM
00TH •PTY •sec
•IND •COM
00TH
0PTY •sec
•IND •COM
00TH
OPTY •sec
SUBTOTAL$
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
SCHEDULE A
Statement covers period CALIFORNIA 460
FORM from ___ 0_6_/3_0_/2_0_1_5_~
through __ 1_2_13_1 !_2_0_15 __ Page ___ of __ _
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
11-3652985
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
, <uf:\\' . ,. ::-.:<"~.:~~~~~~~~~-··-;.:·
.-~f~-·~::. : : : : : : :I
•contributor Codes
IND -Individual
--
(Include all Schedule A subtotals.) ......................................................................................................... $ ______ _ COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e.g., business entity)
PTY -Polilical 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 $ ______ O
sec -Small Contributor Committee
FPPC Form 460 (Jan/20161
FPPC Advice: ad11ice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E
Payments Made
Amounts may be rounded
to whole dollars. Statement covers period
from __ 0_6_/3_0_/_20_1_5 __
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through __ 1_2_/3_1_/2_0_1_5 __ Page ___ of __ _
NAME OF FILER
Palm Springs Fire Management Assoc. PAC
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
I.D. NUMBER
11-3652985
CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain r 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
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet. e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER I.D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
None
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
0 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ _____ _
0 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ _
0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................. $ _____ _
0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ _____ _
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Palm Springs Fire Management Assoc. PAC
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(If COMMITTEE. ALSO ENTER I.D. NUMBER)
Sun Community Federal Credit Union
425 N Civic Dr
Palm Springs, CA 92262
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Amounts may be rounded
· to whole dollars. Statement covers period
06/30/2015 rrom _______ _
through __ 1_2_/3_1_/2_0_1_5 __
DESCRIPTION OF RECEIPT
SUBTOTAL$
1. Itemized increases to cash this period ............................................................................................................................ $ _______ O
2. Unitemized increases to cash of under $100 this period ................................................................................................. $ _____ 5_._7_0
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ....................................... $ ______ O
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ............................................................................................................................. TOTAL $ _____ 5_.7_0
SCHEDULE I
CALIFORNIA 460
FORM
Page ___ of __ _
1.0.NUMBER
11-3652985
AMOUNT OF
INCREASE TO CASH
5.70
5.70
FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
• --. Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp t." CALIFORNIA 460
(Government Code Sections 84200-84216.5)
Statement covers period
/-!--I? nom_~--------
SEE INSTRUCTIONS ON REVERSE {, ->-.D-1.? through __ ____,c.,/ _____ _
1. Type of Recipient Committee: AH committees -Complete Parts 1, 2, 3, and 4.
• Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
O Recall
(Also Complete Part SJ
~ General Purpose Committee
® Sponsored
O Sman Contributor Committee
O Political Party/Central Committee
3. Committee Information
D Ballot Measure Committee
O Primarily Formed
0 Controlled
0 Sponsored
(Also Complete Part 6)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
1.0. NUMBER
COMMITTEE !"'AME (OR CANDIDATE'S NAME JF NO COMMITTEE) L
~-L """-:S,rY/f--~ A~ t?f/4-n~~
/f,5;0L 'f J4 <:_
MAILING ADDRESS (IF FFEREND . AND STREET OR P.O. BOX
~o tSox l, 6 t CT!? I STATE ZIP CODE AREA CODE/PHONE
OP~: m/E~~:,;µ a, 22.z 1.i
4. Verification
Data of election if applicable:
(Month, Day, Year)
RECEIYEO C·r: Pt,LM SP~;
•
2001/02
FORM
.. ~ ! . of __ _
J Al1tS T HOMP ·J, "'' CtTY ClERrf ~·• •-ll·
For Official Use Only
•
2. Type of Statement:
• Preelection Statement • Quarterly Statement
• Semi-annual Statement • Special Odd-Year Report • Termination Statement • Supplemental Preelection
• Amendment (Explain below) Statement -Attach Form 495
Treasurefis)
S:~,·
MAILING ADDRESS
79-92F
CITY-•--/ ..1-~ ... b
STATE ZWCDE AREA CODE/PHONE fr:_
<._ t4 7 ZZ 6 J: 7/4 -YCJT -ol "T
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.
certify under penalty of pe~ury under the laws of the State of California that the foregoing is nd correct.
s>-u-= 1r Executed on _ __, ___ __, ____ .,,.Dale-,---~-----
Executed on -----,,.Dale-,----------
Executed on -------... 0819-.-------
Executed on _____ .,,.0ate ______ _
By _ __,,.,......,.....--,,.....,....,,,.......,....,....,.,....,,......,..,..,......,.......,-.....,.---.,......,,,.....-,,.,...:=---.,.----sigriatura of C<in1rOling Offi""'1older, Candidate, Stale Measure Proponent or Resp:lflSible Offics,-of Sponsor
By--------,,,..----,,........,.......,.,,....,.-.--,.--...,.. ...... -....,----------Sgnat""' atConlrn/ling Officeno/,w, Garuia'ate, S181!! Measure Propaoent
BY-------------------....--------.----------Signatura afConlmlling Officeholder, Can,;lldall>, Slate Measure Proponent FPPC fom, 460 (June/01)
FPPC Toti-Free Helpline, 866/ASK-FPPC
State of California
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period
from /-/-/F CALIFORNIA 46 0
FORM
SEE INSTRUCTIONS ON REVERSE
Contributions Received
1. Monetary Contributions ... . .. .. .. .. .. . .. .. .. ... .... . . .. . .. . .. .. . .. Sehedule A, Line 3 $
2. Loans Received . . . . . . . . . .. . . . .. . . . . .. .. . . . .. .. . . . . .. . . . .. . . . . .. . . . .. . Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .... ... ............. .. ... Add Lines 1 + 2 $
4. Nonmonetary Contributions.................................... Schedule c. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................ Ma Lines 3 + 4 $
Expenditures Made
6. Payments Made....................................................... schedule E, Line 4 $
7. Loans Made . . . .. . .. . . . . ... . .. . . . . .. . .. .. ... . .. .. . . . .. . .. . . . . . . . . . . . . . .. . Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Addlines6+ 7 $
9. Accrued Expenses (Unpaid Bills) .............................. SChedu/eF, Line 3
10. Nonmonetary Adjustment .......................................... Schedule c, une 3
11. TOTALEXPENDITURESMADE ................................ AddLiness+9+10 $
Current Cash Statement
12. Beginning Cash Balance....................... Previous Summary Page, Une 15
13. Cash Receipts ................................................... Column A. Line 3 above
14. Miscellaneous Increases to Cash.......... ................ Schedule 1. Line 4
15. Cash Payments ............................................... ,., ColumnA.Line8above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14. then subtract Line 15 $
If this is a lennination statement, Une 16 must be zero.
17. LOAN GUARANTEES RECEIVED .. ., .. . .. ........ .. ... ... . Scheclule B. Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................... ,.... See instructions on reverae $
19. Outs ta ndlng Debts . . . . .. . . . . . . . . . . . .. . . . . . Add Line 2 .. Line 9 in Column B above $
TOTAL ll-llSPERIOO
(FROMATTACHEOSCHEOUlES)
5b7·DY
through t: -~_3,Q -/ .>-Page ___ of __ _
$
$
$
$
$
$
ColumnB
CALENDAR VEAR
TOTAL TO DATE
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
I.•. NUMBER
1/-.)65-~·~
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 711 to Dale
20. Contributions
Received $ ____ _ $ ____ _
21. Elependitures
M~e $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made~
llfSubJe<:t:to Vcluntary Eltpendltura UmltJ
Date of Election Total to Date
(mm/dd/yy)
__J__J __ $
__J__j __ $
__J__J __ $
___J___J __ $
__J $
___J___J __ $
*Since January 1, 2001. Amounts in this section may be
different from amounls reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866JASK-FPPC
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAMEOF~ t,-.._
Type or print in ink.
Amounts may be rounded
to whole dollars.
.~I-
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SElF•EMPlOYED, ENTER NAME
OF BUSINESS)
(IFCOMMITTEE,AlSOENTERI.0.NUMBER) CODE *
Schedule A Summary
1. Amount received this period-contributions of $100 or more.
•IND •COM
00TH •PTY •sec
•IND •COM
00TH
0PTY •sec
•tND •COM
DOTH •PTY •sec
•IND •COM
DOTH •PTY •sec
QIND •COM
DOTH
0PTY •sec
SUBTOTAL$
Statement covers period
from /-/ -/£:
•· . . 7 b /·-
through ,3?0
SCHEDULE A
CALIFORNIA 4 6 0
FORM
Page ___ of __ _
I.D. NUMBER
//-6.> 2-95".
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
(other than PTY or SCC)
0TH-Other 2. Amount received this period-unitemized 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 $ l10 n,..,._.
PTY -Political Party
SCC -Small Contributor Committee
FPPC Form 4-60 (June/01)
FPPC Toll-Free Helpline: B66/ASK-FPPC
Schedule B -Part 1
Loans Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from / -/ -/ )-
SEE INSTRUCTIONS ON REVERSE through 6 ~,;:k;? ~ /.>
FULL NAME, STREET ADDRESS AND ZIP C E
OF LENDER
PF COMMITTEE, ALSO ENTER I.D. NUMBER)
to IND • COM O 0TH O PTY O sec
to IND o coM o om o PTY o sec
t • IND O COM O 0TH O PTY O sec
Schedule B Summary
~f SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
OUTSTANDING
BALANCE
BEGINNING THIS
PE I
$ ___ _
SUBTOTALS $
~I-
(bl (CJ
AMOUNT AMOUNT PAID
RECEIVED THIS OR FORGNEN
PERIOD THIS PERIOD *
QPAID
s
0 FORGIVEN
$
•PAID
QFORGI\IEN
$ ___ _ $ ___ _
QPAID
S· ___ _
• FORGIVEN
$
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans 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.)
\PA-c
OUTSTANDING
BALANCEAT
CLOSE OF THIS
p I
DATEOUE
$
DATE DUE
$ ___ _
DATE DUE
$
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ J/l(;5vs.~
Enter the net here and on the Summary Page, Column A, Line 2. iMoyb<I o,-..galivenum~~
t Contributor Codes
$
$
e
INTEREST
PAID THIS
PERIOD
__ %
RATE
__ %
RATE
$ ___ _
__ %
RATE
jEntef (e) on
Schedule E, Une 3)
SCHEDULE B -PART 1
CALIFORNIA 46 0
FORM
Page___ of __ _
1.D. NUMBER
ORIGINAL
AMOUNT OF
LOAN
DATE INCURRED
$ ___ _
DATE INCURRED
$ ___ _
DATE INCURRED
g
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
$ ___ _
PER ELECTION ...
$ ___ _
CALENDAR YEAR
$ ___ _
PER ELECTION""
$ ___ _
CALENDAR YEAR
PER ELECTION ..
*Amounts forgiven or paid by
another party also mus! be
reported on Schedule A.
•• If required.
IND-Individual COM -Recipient Committee (other than PTY or SCC) 0TH -Other PTY -Political Party sec -Small Contributor Committee FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
ScheduleE
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be roundod
to whole dollars.
Statement covers period
from / -/ -/5-
through b --J,b -I}.~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
SCHEDULEE
CALIFORNIA 460
FORM
Page ___ of __ _
l.D. NUMBER
I I -3 {>--z_? 2
OvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL t.v. or cable airtime aod production costs
FIL candidate filing/ballot fees P1-0 phone banks TRC candidate travel, lodging, and meals
FtO fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
W 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
LIT campaign literature and mailings PRT print ads lJI.EB information technology costs (internet, e-ma~)
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
V/DLLL
* Payments that are contributions or Independent expenditures must also ba summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Payments made this period of $100 or more. (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).) ............................................................................... $ _____ _
U6/.4....'-. 4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, line 6.) ............................. TOTAL $ ~-L..-=4-...-.=--~~-
FPPC Form 460 {June/01}
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from /-/-/£
through 6 -..R> -✓,>-
SCHEDULE E (CONT.)
CALIFORNIA 460
FORM
Page ___ of __ _
I.D.NUMSER
CODES: If one of the following code
o.,p campaign paraphernalia/misc.
ccurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNS campaign consultants
CTB contribution (explain nonmonetary)"
CVC civic donations
FIL candidate filing/ballot fees
Fl\O fundraising events
NJ independent expenditure supporting/opposing others (explaint
LEG legal defense
UT campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(If COMMITTEE, ALSO ENTER I.D. NUMBER)
}I!_~
MBR member communications RAD radio airtime and production costs
MTG meetings and appearances RFD returned contributions
OFC office expenses SAL campaign workers' salaries
F£T petition circulating 1EL l.v. or cable airtime and production costs
Pl-0 phone banks TRC candidate travel, lodging, and meals
POL polling and survey research TRS staff/spouse travel, lodging, and meals
POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
PRO professional services (legal, accounting) VOT voter registration
PRT print ads VVE8 information technology costs (internet, e-mail)
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ l/[~
FPPC Form 460 (June/01)
FPPC Toll.f'ree Helpline: 866/ASK-FPPC
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILE';:?
I &-,lp-,-c_
DATE
RECEIVED
FULL NAME ANO ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER J.C. NUMBER)
Type or print in ink.
Amounts may be rounded
to whole dollars.
fc._L "-~/~_, 4 ~ ~~/o/'e--<;;;$
r~a""'~/ ~,"'J!-L~ r b---• z.,.-._
~ ZS.., f'( (Iv,·'<. ,-( h.... 2 K ~ '22£.··
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Statement covers period
from / -/ -/.>-
through b ~-/~
DESCRIPTION OF RECEIPT
SUBTOTAL$
1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _
2. Unitemized increases to cash 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 , c£'
Summary Page, Line 14.) ........................................................................................................................... TOTAL $ _____ _
SCHEDULE I
CALIFORNIA 460
FORM
Paga ___ of __ _
LO.NUMBER
AMOUNT OF
INCREASE TO CASH
FPPC Form 460 (June/01)
FPPC Toll-Fraa Helpline: 866/ASK-FPPC