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460 Termination ecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period through '1. Type of Recipient Committee: All Commit'toes -Complete Pacts f, 2, 3, and 4. "'~ Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Reca, (~so C~ete Pan 5) [] Ballot Measure Committee O Primarily Formed O Controlled O Sponsored (A/so Core, ere Pa~t 6) [] Primarily Formed Candidate/ Officeholder Committee fA/so c~,~wete P~f 7) [] General Purpose Committee O Sponsored O Small Contributor Comn'{ittee O Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET AD[~RESS (NO PO. BOX) . 0 40 & a Orlt¢ MAILING ~BBRESS (IF BIFFERENT) ~O. ANB STREET OR RO, BOX CITY STA~ lIP CO~E AREA CODE/PHONE 4oB--/25-17 -7 AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applit (Month, Day, Year) JPERTINO CITY ClL COVER PAGE Jag ~ )r Official Use Only 2. Type of Statement: [] Preelection Statement  S emkannual Statement [~ Termination Statement [] Amendment (Explain below) [] Quarterly Statement [] Special Odd-Year Report [] Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER CiTY STATE ZiP CODE Ct r 'pD CA 95014 NAME OF ASSISTANT TREASURER, IF ANY AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my know~edge 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 true and correct. Executed on / //~/~.--'Date By ~~ ~~r A~s~s~nt~Tr~surer~ ~// ,,J~/~,/~.~ · ' Date S~rature of Cont~lling Office~:~d~a~id ata, State Measure ~:Yop~ent ~ Responsible O~cer of Sp~msor Executed on By Date Signature of Controlhng O~ceholder. Cancidata. State Measure Pmporent Executed on By Date Signatem of Co~troll~g Offic~hddar, Candidate. State Measure Proponent FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC State of California ecipient Committee Campaign Statement Cover Page -- Part 2 Type or print in ink. COVER PAGE - PART 2 Page % of ~ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE L6CATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL~BUSINESSADDRESS (NO. ANDSTR~ET) ~ITY ' STATE ZIP Related Committees Not Included in this Statement: List any committees not included In this statement that are contmlled by you or are primarily foxed to receive contributions or make expenditures on behalf of your candidacy, COMMII~EE NAME NAME OF TREASURER I.D. NUMBER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITFEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [] YES [] NO COMMITTEE ADDRESS STREET ADDRESS (NO RD. BOX) 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETrER JURISDICTION BSUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Committee Listnames ofofficeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD [~SUPPORT [] OPPOSE [~]SUPPORT []OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ~'-]SUPPORT [--]OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ~-lSUPPORT []OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (Junal01) FPPC Toll-Free Helpllne: 8661ASK-FPPC State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ................... , ....................... Schedule A, Line 3 2. Loans Received ......................................................Schedule B, Line 7 3. SUBTOTALCASHCONTRIBUTIONS ......................... Add LInes I +2 4. Nonmonetary Contributions .................................... Schedule C, Une 3 5. TOTAL CONTRIBUTIONS RECEIVED ................. ; ......... AddLines 3 + 4 Expenditures Made 6. Payments Made .......................................................Schedule E, Line 4 7. Loans Made ............................................................. Schedule H, Lime 7 8. SUBTOTAL CASH PAYMENTS .................................... AddLines6+ 7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment .......................................... scheduie c. Line 3 11. TOTAL EXPENDITURES MADE ................................ Ad~ Unes S + 9 + ~ 0 Type or print in ink. Amounts may be rounded to whole dollare. Statement covers period ,rom /olz to through o/0 Column A Column B TOTN. THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCH E DULES) TOTAL TO DATE $ q:2bg,OG $ 17,4ZS,0G $ 5:20B.00 $ 17 425,0¢ Current Cash Statement 12. Beginning Cash Balance ....................... Prev~ousSummaryPage, Une,6 $ '~"~ 91'-76 13. Cash Receipts ................................................... C~u,~A. uneaa~ove ~ ;2 66.0~::) 14. Miscellaneous Increases to Cash ........................... Schedule l, Line 4 (~ 15. Cash Payments .................................................. ColumnA. UneSat~ove 1~9C~· ~-~ 16. ENDING CASH BALANCE .......... AddLInes 12+ 13+ 14, then subtract Line 15 $ 0 ff this is a terminaR)n statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Scheduie B, Pe, 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see ~stn~ons on reverse $ 19. Outstanding Debts ......................... AddLine2+UneginColumnBabove $ O 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 negafive 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). SUMMARY PAGE Page .~ of I.D. NUMBER IZ5704- Calendar Year Summary for Candidates Running in Both the State Primary and General Elections ~x~ ~ 111 through 6/30 7tl to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates ~ ~ 22. CumuleUve Expenditures Made' (If SulY~cl Io VMunlll~y Ex~endilure Llrna) Date of Election Total to Date (mm/dd/yy) /_____/__ $ / /__ $ __/ / $ __/ / $ __/ / / / $ *Since January I, 2001. Amounts in this section may be different from amounts reporled in Column B. FPPC Form 460 (June/01) FPPC Toll-Free Helpllne: 8661ASK-FPPC chedule A Type or print In Ink. SCHEDULE A Amounts may De rounaea Statementcovers period Monetary Contributions Received to whole dollars. -~ I I I I l ~ ~ M ~11 ,rom SEE INSTRUCTIONS ON REVERSE through 121:51/0i I,,ege Z~ o, c~ / DA~ FU~ N~E, STREET ADDRE~ AND ZIP CODE OF CONTRIBUTOR ~ CONTRIB~OR IF AN INDIVIDUAL, ENTER ~ CUMU~TIVE TO DATE PER ELECTION ~CUPATION AND EMPLOYER RECEIVED ~IS CALENDAR YEAR ~0 DATE RECEIVED OF~,~E~ERI.O.~R) CODE * (IFSELF-E~OYED, ENTERN~E PERIOD (JAN. 1 - DEC. 31) (IF REQUIREO) '~COM ~ -- ~ND Lc~ ~ ~co~ ~ PTY ~'"~ bfrecbr~Research ~l~De~flO, Ck %01~ Dsoo ~har~ ~ceufl'~l,S ~e,(a~: ~h ~50tgD~cc SUBTOTALS Schedule A Summary 1. Amount received this pedod - contributions of $100 or more. (Include all Schedule A subtotals.) ........................................................................................................ $ 2. Amount received this pedod - unitemized contributions of less than $100 ............................................. $ 3. Total monetary contributions received this pedod. (Add Lines I and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 44~L- 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contribulor Committee FPPC Form 460 (Junel01) FPPC Toll-Free Helplins: 8661ASK-FPPC chedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amountsmayberoundedtowholedollars. Stat~e.tcoversperlod~ i ~ ~1'~ I NAME OF RLER ~ I.DNUMBER IF AN I~OlVIDUAL, ENTER ~OUNT CUMU~TIVE TO DATE PE~ ELECTION DA~ FU~ NA~E, STRE~ ADDBE$S AND ZIP CODE OF CONTBIS~TOR CONTBIB~TOR OCCUPATION AND RBPLOYEB ' RHCEIVRD THIS CALENDAR YEAR 10 DATE RECEIVED ~ ~EE. ~ ENTER I.D. IR) CODE * (IF SE~-EMPLOYED. ENTER N~ PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRE D) OF BU~NESS) cg fle l H- ac rd ~M r ~ OTH ~ D f~v ~ ~scc ~ DIND Dcou DOTH ~ PTY Dscc ~IND ~co~ ~OTH ~ PTY ~scc ~IND ~COM ~OmH ~ PTY ~scc SUBTOTALS ~D, 'Contributor Codes IND- Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other PTY- Poli~c~,l Pady $¢~- 8n'mll C, ontrfbutm' ~:m'm'ittea FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period frore [OlZl/l~J through 12j5//~)1 SCHEDULE B - PART 1 Page ~) of ~ NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (~F COMMI'CrEE, ALSO ENTER ID. NUMBER) tD~ND []COM []OTH []PTY EIscc ti--] IND [] COM [] OTH [] PTY E] scc IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT RECEIVED THIS PERIOD AMOUNT RAID OR FORGIVEN THIS PERIOD ~l roW . 41 $ ,r' (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD s O DATE DUE DATE DUE INTEREST PAID THIS PERIOD % % I.D. NUMBER 125-7o4-B (t) Ig) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEA~ PER ELECTION** 71z~/o i - ~1 DATE INCURRED DATEINCURRED DATE INCURRED DATE DUE ,5:000 $. S $ su.ToT^,s $ 5,000- $ 100- $ 0 s 0 C~AI_ENDAR YI[AR $ PER ELECTION *'* CALENDAR YEAR S PER ELECTION*'* Schedule B Summary 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.) 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. 5,000 - ~1 ~200 - It Contributor Codes IND - Individual COM - Recipient Committee (other than P'FY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committe{ (Enter (e) on Sched~e E, Line 3) *Amounts forgiven or paid by] another party also must be reported on Schedule A, ** If required. FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule E Payments Made SEEINSTRUCTtONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through Page 7 of (~ I.D, NUMBER 1 670z CODES: ClVi° campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR member communications MTG meetings and appearances OFC office expenses PET petition cimulating PHO phone banks POL polling and survey mseamh POS postage, delivery 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 'iRC 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTERI.D. NUMBER} CODE OR DESCRIPTION OF PAYMENT AMOUNT RAID io,nd Win n Co ~ln ,~Y-~e~ CA 9511~ cA S 5050 on, e * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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 $ 1'2, 25.54 74,3D O FPPC Form 460 (Junel0i) FPPC Toll-Free Helpline: 8661ASK-FPPC chedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period ,rom through [2l 31/0 I CODES: I! one of the following codes accurately describes the payment, you may enter the code. Otherwise, ~ campalgn paraphemalia/misc. IvlBl:lmembercommunications ON8 campaign consulfants IvlrB meetings and appearances OTB contribution (explain nonmonetary)* Off(:: office expenses OVO civic donations ~ potition circulating RL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research ~ independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services SCHEDULE E (CON'[ Page 5 of ~ I.D. NUMBER describe the payment. PAD radio airtime and production costs FV--D returned contributions SAL campaign workers' salaries TEL t.v. or cable airlime 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 LEG legal defense PRO professional services (legal, accounting) VDT voter registration UT campaign literature and mailings I-'HI print ads WEB information technology costs (interact, e-mail) NAME AND ADDRESS OF PAYEE (IF CONIMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID er no,c 95o Fo8 7o - Payments that are contributions or independent expenditures must also be summar,zed on Schedule D. su-m-rA, $ -7 (7155.0% FPPC Form 460 (June/D1) FPPC Toll-Free Helpline: 8661ASK-FPPC CHEDULE F Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) towholedollars. SEE iNSTRUCTIONS ON REVERSE 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. QVP 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)* DFC office expenses SAL campaign workers' salaries CVC civic donations H:~ petition cimulating 7EL t.v. or cable airtime and production costs FIL candidate filing~ballot fees PHO phone banks 'I~C candidate travel, lodging, and meals FND fundraising events POL polling and survey research 3~S staff/spouse travel, lodging, and meals IND 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) VDT voter registration Lff campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER ID. NUMBER) DESCRIPTION OF PAYMENT BALANCEBEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD ~ab~n ?ulfdo I~o bc~acidt~C-~~l LI'C 3,000- 1,1_Oo- 4,ZoO- 0 ~ on ~oor~ 19z5 Rainbpw >r LiT I 460- 729,&0 7~119.¢0 0 summarized* Payments that are contributions or independent expenditures must also been Schedule D. SUBTOTALS $ 4 ~ 4 ~ 0 -- $ / )(~'~-$ ' ~J)0 $ L/~ ) ~'5'~ 9' (J~0$ O Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 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 $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 4 4 50 on the Summary Page, Column A, Line 9.) ....................................................................................................................................... NET $ FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 8661ASK-FPPC