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460 Second Pre-Election Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period ,.om .,.oug, of election (Month, Day, Year) Date Stamp OCT ~ t~ Z~l COVER PAGE \ o, I0 For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete Part 5) [] General Purpose Committee C) Sponsored C) Small Contributor Committee C) Political Party/Central Committee [] Ballot Measure Committee 0 Primarily Formed 0 Controlled O Sponsored (Also Complete Part 6) [] Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: '[~' Preelection Statement [] Semi-annual Statement [] Termination Statement [] Amendment (Explain below) , Statement [] Special Odd-Year Repod [] Supplemental Preelection Statement - Attach Form 495 3. Committee Information ll.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 1725 -7045 STREET ADDRESS (NO P.O. BOX) 109~0 ~(r~e~onfe. ~d CITY , STATE ZIP CODE . MAILIN~ ADDRESS (IF DIPFERENT) NO, · . AREA CODE/PHONE 4~-729-17&7 Treasurer(s) OF TREASURER MAILING ADDRESSi / /o940 ~i~-a~orlte T~d CITY F I ', STATE ZIP ~DE AREA CODE/PHONE ct~peF~OC~ 9DOI~~?-lZg-lYe7 NAME OF A~ISTANT TREASU~R, IF ANY MAILING ADDRESS C,TY ,_~ne. STATE z,P CODE AREA CODE,PHO.E C,TY STATE ZIP CODE AREACOOE.PRO.E OPTIONAL: FAX / E-MAIL ADDRESS Verification OPTIONAL: FAX / E-MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the besl of my knowledge the information contained herein and in the altached 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. ~ , Executed on t 0/'Z~)/O I B, _ C ,,,' Executed on By Executed on By Dele . S;gnature ~ Conm=aing O~iceho~. Candidate, Slate Measure Propmen! FPP C Form 460 (J une/01 ) FPPC Toll-Free Helpllne: 866/ASK-FPPC State of California ecipient Committee Campaign Statement Cover Page m Part 2 Type or print in ink. COVER PAGE - PART 2 Page /~- of iD 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE AT, . ^.D D.STR,OT .UMBER 'F OFFICE SOUGHT OR HELD (INCLUDE LOC O APPLICABLE) RESIDEN~USINESS ADDRESS (NO. AND S ) ~A~ ZIP Related Committees Not Included in this Statement: List any committees not included in thle statement that are controlled by you or ers primarily formed to receive contributions or make expenditures on beheff of your candidacy, COMMII H-E NAME ll.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ~ I-I YES [] .o COMMITTEE ADDRESS STREET ADDRESS (NO P.O, BOX) CITY STA'IE ZIP CODE AREA CODE/PHONE COMMI3-~EE NAME ll.D. NUMBER NAME OF TREASURER CONTROLLED COMMII I J [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZiP CODE AREA CODE/PHONE 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER IJURISDICTION I ~l_~ ~)~Pp(~(~T Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO, IF ANY I 7. Primarily Formed Committee List names of officeholder(s) or candidste(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE OFFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE )FFICE SOUGHT OR HELD [] SUPPORT [] OPPOSE Attach continuation sheets if necessary FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts mey be rounded to whole dollars. State~e,,l covers period ,rom through SUMMARY PAGE Page ~)' of IQ NAME OF FILER Contributions Received 1. Monetary Contributions ...................~ ....................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule B, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... Add Lines 3 + 4 Column A TOTN. TH~S PERIOD (FROM ATTACHED SCHEDULES) Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+7 $ 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F, Line 3 1 0. Nonmonetary Adjustment .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+ 10 $ O- Current Cash Statement 12. Beginning Cash Balance ....................... Prewous SummaryPage, Line 16 $ 13. Cash Receipts ................................................... ColumnA, Line3above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. ColumnA, Line8above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 1 8. Cash Equivalents ........................................ see instmc~ons on reverse 19. Outstanding Debts ......................... Add Une 2 + Line 9 in Column B above 985- O- $ Column B CALENDAR YEAR TOTAL TO OATE 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.D. NUMBER Calendar Year Summary for Candidates Running in Both the Stat_._._e Primary and General Elections ~ A 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates ~'~,~ ~ 22. Cumulative Expenditures Mede* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) /L /_. _ $ / / $ __/ L__ $ I.~L__ $ I.__L__ $ /.__/.__ $ *Since January 1,2001. Amounts in this section may be tifferent from amounts reported in Column B. FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule A Typ- or print in ink. SCHEDULE A Amounts may oe rounaea Statement covers period ~ IIIl I BI I~ ~1~ Mone. wContrib~ions R~eived ~E OF FILERI l.~. NgBERM IF AN INDIVIDUAL, ENTER ~OUNT CUMU~TIVE TO DATE PER ELECTION OA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIB~OR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (Ir~I~EE, A~ENTERI.D.NU~ER) CODE * (IFSELF-EMPLOYED, ENTERNAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF ~USINESS) 91~/0~ ~44 ~erb'~sh~re'br ~co~ ~ es~a+c ~00 - I0o - DOTH DSCC 0 co~ ~ PTY duFY~no,cA %0~ 4 ~cc ~cou 91zelo~ ~9ov sh~-~0,ck ~ OOTH ~c-~'rcd ~- ' ~ PTY ~r~'no, (A ~0i4 rosco SUBtOTaLS b 00 ' :;: : :l Schedule A Summary 1. Amount received this period- contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ 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 $ 9_ :000 - C :9 B~5 - *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC chedule A (Continuation Sheet) Type or print in ink. SCHEOULE A (CONT.) Monetary Contributions Received Amount. may be ro,,nded Steteme.t covers period ,ow,o,e,o,,ere. NAME OF FILER M IF AN INDIVIDUAL, ENTER~UNT CUMU~TIVE TO DATEPER ELECTION DA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYERRECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IFCO~I~EE,A~EN~RI.O. NUM~R) CODE * (IFSELF-EMPLOYED, ENTERN~E PERIOD (JAN. I - DEC. 31) (IF REQUIRED) ~co~ d~.~-~'no, C~ $5o~ uscc u.,, ~wa~d Oones ~ ¢ - iO0 cu~,r~'r)O, C~ 9~o~4 os~c ~ram,~ 950~4 uscc caper~'no, C~ 950~4 uscc ~'ara-oqa,, CA 95070 SUBTOTALS ~00-- *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY ~- Political Parly SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC chedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary C~ntributions Received Amounts may be rounded St&te,,ient covers period '°wh°led°llars' from ~.~9 I'~/0 [ i ~lll i ,.rou.h /ZO/OI ..,. O_____o, lO ~AME OF FILER ' I.D. NUMBER I IF AN INDIVIDUAL, ENTER ~OUNT CUMU~TIVETO DATE PER ELECTION DA~ FULL NAME, STRE~ ADDRESS AND ZIP CODE OF CONTRIB~OR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED(IF~I~EE.~OEN~RI.D. NUM~R) CODE * (IFSELF-EMPLOYED, ENTERN~E PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF ~SlNESS) IO~os/o~t~c ~?, ~ro~o Ln D~°~",ry 3e~f-cm~b~ JO0 .- Ioo - P/o51o~ bo Pack,cAve ~zoo ~?~.ry PAC 9~099 200~ ~- ~n~atocl~o,CA 94 ~t uscc uco. Re~' rc~ ~00 - ~ - iO/~/O~ IZo~ ~e~ koap C+ B PTY da~cf ~o/~ch i0/~/Ol ~~.flO,~ZOZ 'DdKn~6A ~14 ascc~°~" 'vcA,~¢mm~wayCa+ ~pf¢al ~00~ 5ruCe Woot~r~ oco.k~a~a~ cr ~0/o5/o~ Ct~ 17 ~inbow ~r =.rye°'" ~ani¢c gock~0o- ioo-- ~r~'oo, ~ 95o~a SUBTOTAL *Contributor Codes IND- Individual COM - Recipient Committee (other than PrY or SCC) OTH - Other PTY ~* Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC chedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT,) Monetary Contributions Received Amounts may be rounded State ..... ;, covers period to whole dollars, from .hrou,h I0 [z o/o t ,.~. ~ x O DA~ FULLN~E,~TREE~DRE~SANDZlPCODEOFCONT~IBEOR COBTRI~UTOR IF ~N INDIVIDUAL, ENT~ JOUNT CUUU~TIVETOSATE P~ELEC?IO~ OCCUPATION ~N~ ~PLOYE~ REC~IVE~ THIS CALENDAR YEA~ TO DATE RECEI~D I~F C~EE, A~O EN~R ~.0. NU~) CODE * I~F SELF-EMPLOYED. EN~R NAME PERIOO (JAN. 1 - DEC. 31 ) (IF REQUIRE~ ) OF BUS~NESS) ' ~iND Dscc 6~ Vincik aco~ D PTY ~IND Blrq/oI tCeO iramO e Rd oo- iO0-- DcoM DOT~ D PTY Dscc *Contributor Codes IND - Individual COM- Recipient Committee (other ~ PTY or SCC) OTH - Other PTY ~ Political Party SCC - Small Contributor Committee FPPC Form 460 (June/O1) FPPC Toll-Free Helpline: 866/ASK-FPPC chedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Type or print in ink. Amounts may be rounded to whole dollars. OUTSTANDING BALANCE BEGINNING THIS PER OD Statement covers period ,rom Og/' 5)OI ,hro,,.h OIZO/O I (b) (c) OUTST(,~N) DING INTEREST SCHEDULE B - PART 1 Page ._.~ of iO I.D. NUMBER (t) (g) ORIGINAL CUMULATIVE tCI IND [] COM [] OTH [] PTY [] SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD $ $ AMOUNT PAID OR FORGIVEN THIS PERIOD * [] PAID FORGIVEN © [] PAID S [] FORGIVEN BALANCE AT CLOSE OF THIS PERIOD DATE DUE PAID THIS PERIOD 0 RATE $. O RATE AMOUNT OF LOAN nlz~ I0 i DATEINCURRED [] PAID CONTRIBUTIONS TO DATE CALENDAR YEAR PER ELECTION*" [] FORGIVEN DATEDUE RATE DATE INCURRED s S DATE DUE DATE INCURRED t[] IND [] COM [] OTH [] PTY [] SCC SUBTOTALS $ (Enter (e) on Schedule E, Line 3) CALENDAR YEAR $ PER ELECTION S CALENDAR YEAR $ PER ELECTION $ Schedule B Summary 0 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid orforgiven 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 pedod. (Subtract Line 2 from Line 1 .) ............................................................... NET $ O (May be a negaliVe number) Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid byI another party also must be reported on Schedule A. / / ** If required, j It Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC chedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09 i'''''~'~/01 through Iolzo ~el P.ge '~ o, /0 NAME OF FILER crazies- , Orrin CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ~ campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetar/)* CVC civic donations FIL candidate filing/ballot fees F'ND fundraising events IXD independent expenditure supporting/opposing others (explain)' LEG legal defense LIT campaign literature and mailings I.D. NUMBER MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating R-tO phone banks POt. polling and survey reseamh POS postage, delive~ and messenger services PRO professional services (legal, accounting) PRT print ads RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL 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 WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMn'FEE, AL.SO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ~er~no, ~ffornid 95014 PoS ~i'% - * Payments that are contributions or independent expenditures must .:.o be summarized on Schedule O. SUBTOTAL $ I~5 0 5 .41 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).) ............................................................................... $ 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~lc;. I;5 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through l~/ SCHEDULEF NAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events independent expenditure supporting/opposing others (explain)* LEG legal defense LiT campaign literature and mailings MBR member communications MTG meetings and appearances CFC olfice expenses PET petition circulating Pr-lO phone banks POI_ polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PH~ print ads I.D. NUMBER PAD radio airtime and production costs P, FD returned contributions SAL campaign workers' salaries TEL 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 WEB information technology costs (intemet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMI~EE, ALSO ENTER I.e. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD '?Iff Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for ~ I ~(__,) -- accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ ~ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ O 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ r~ / ~ 0 -- FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC