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460 - 2nd Pre-election
ecipient Committee Campaign Statement Cover page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from 09/20/2009 SEE INSTRUCTIONS ON REVERSE I through 10/17/2009 1. Type of Recipient Committee: All committees - complete Parrs ~, z, 3, and 4. ® Officeholder, Candidate Controlled Committee ^ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part S) C Sponsored (Also Complete Part ti) ^ General Purpose Committee Q Sponsored ^ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1320352 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Marty Miller for Council 1009 STREE'i ADDRESS (NO P.O. BOX) 20348 Clay Street CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408 253-1168 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX i E-MAIL AUDRESS Date of election if appli (Month, Day, Year) rr.•r,,, U ~ T L L CutJ:i COVER PAGE 1 of /D Official Use Only 11/03/2009 ~ Ct.~ERTl~O CITY CL~RKJ -~-- -1-- 2. Type of Statement: ® Preelection Statement ^ Quartery Statement ^ Semi-annual Statement ^ Special Odd-Year Report ^ Termination Statement ^ Supplemental Preelection (Also file a Form 410 Termination) Statement -Attach Form 495 ^ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Claudette Miller MAILING ADDRESS 20348 Clay Street CITY STATE ZIP CODE AREA CODE/PHONE Cupertino CA 95014 408 253-1168 NAME OF ASSISTANT TREASURER, IF ANV MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the la~ws/of the State of California that the foregoing is trr rp ar,rt rnrrprt Executed on lB/L~/ ~~ ~ By D Executed on ~~.~Z=' ~~~ ~ By e Executed on Dace D~ ~ ;,~ D~ 5~~~ ru Executed on Sy Date SignatureofCorrtroNingOffioehdder,Candidate,StateMeasureProponent FPPC Forth 460 (January/O6) FPPC Toll-Free Helpline: 866IASK-FPPC (8661276-3772) State of Callfornla By Signature of ContrWing Officehdder.Candidate. State Measure Proponent ype or print in ink. COVER PAGE -PART 2 Recipient Committee Campaign Statement ~ , ~ ~ ~ ~ • 1 Cover Page -Part 2 Page 2 of ~D 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Marty Miller OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council for Cupertino RESIDENTIALBUSINESSRDDRESS (NO. AND STREET) CITY STATE ZIP 20348 Clay Street Cupertino, CA 95014 Related Committees Not Included in this Statement: Lisranycommittees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER N/A NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMITTEE ADDRESS STREETADDRESS (NOP.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER N/A NAME OF TREASURER CONTROLLED COMMITTEE? ^ YES ^ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE N/A BALLOT NO.OR LETTER I JURISDICTION - I ^ SUPPORT ^ 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 Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT ^ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Forrn 460 (January/O6) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/276.1772) State of Califomla Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... schedule A, Line 3 2. Loans Received ...................................................... scnedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Addunes ~ +z 4. Nonmonetary Contributions .................................... scnedule c, Line 3 5. TOTALCONTRIBUTIONSRECEIVED •..•.•..•.• ................AddLines3+4 Column A TOTALTHIS PERIOD (FROM ATTACHED SCH EDUCES) $ ~©ai $ ~~~3/ 0 $ d o3 / $ Is/~ f SUMMARY PAGE Statement covers period e - ~, from ~ ~ e d ~~ through ~ ~7 ~~-/ Page ~ of Column B CALENDARYEAR TOTALTO DJ~TE $ 6/Q ~~ $ is ~9 I.D. NUMBER I32-63Si- Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 7/1 to Date $ $ $ $ Expenditures Made 6. Payments Made ....................................................... scnedule E, Line 4 $ (J ~ ~ `P 7. Loans Made ............................................................. scnedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ................................. ... Add Lines s + ~ $ p 3 S~ • ~ ~ 9. Accrued Expenses (Unpaid Bills) ............................ ... scnedule F une 3 _~ 10. Nonmonetary Adjustment ........................................ .. scnedule c, Line 3 11. TOTAL EXPENDITURES MADE ................................ Adduness+s+to $ .Z $ /a Zg. ~~ ,~ $ ~.~, S~ Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, une is $ ~ !'oS • ~~ 13. Cash Receipts ..................................... ~/ ~ .............. Column A, Line 3 above ~ ,, o 14. Miscellaneous Increases to Cash ........................... scnedule 1, Line 4 ~ 15. Cash Payments .................................................. Column A, Line 8 above ~.3 S~O • Z~ 16. ENDING CASH BALANCE .......... Add ones tz + t 3 + ta, then subhact Line 15 $ D2~ ~ D' `F~ ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... scnedule 6, 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 $ Vii` 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). Expenditure Limit Summary for State Candidates 2~. Cumuiaiive expenditures made= (HSubleetto VoluMyry Expendlturc LImR) Date of Election Total to Date (mmldd/yy) ~ J-~ $ I ~~ ~ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/2753772) chedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print In Ink Amounts may be rounded to whole dollars. OF FILER lvl•~er~ /kl ~ wucl~, 280 5 DATE I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR RECEIVED QFCOMMfTTEE,ALSOENTERI.D.NUMBER) CODE ~~f !~~?~J't7q i1~'~~t1hn-~r~tP,r~rn, ^coM ~~Q ~~r 17/~LD6~/j' ~D ^OTH ^ PTY C~~T~/UDr L°4•rl~rpl~ ^scc [~MD N ~SS L E/L- ^COM ~ ~~~ 9 /~ ~ j 6-p mot' o ~ ~ t rt~ f 4 ^ OTH ^ PTY (~t~2.T Nv C~.. 4 - ^scc [gfND r+ ~ .., ti . s T~ ,r ^ coM ~/~1-/?.1~0 l I' `3 ~ C' L.~ 1 NG- 1v`I ST (SL~ ^ PTY `~stEd2 Ct 1 C4. 9 ~- ^scc ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER QFSELE-EMPLOYED, ENTER NAME OF BUSINESS) r I R ~E D Jwo~>E ~tS~t2_lLt- (~lRfCTv ~~ ~K rltlW7~w • / •- - StatemeQnt covers periopd from ©`~ ~ ~! through ~~ r~ ~~ SCHEDULE A Page ~ of ~~ I.D. NUMBER / 3 ~-0 3 SZ AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS .CALENDAR YEAR TO DATE PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) S~ • ~ ~, n.~~ L . ~...~. $DO. rro 260. d-o L.1 ~~/'~ H-f) SUBTOTALS ~ r! ~t `j • Oa Schedule A Summary 1. Amount received this period -itemized monetary contributions. ~~ (Include all Schedule A subtotals.) ... ................................................................................................... $ 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ I `f3~ 3. Total monetary contributions received this period. v~ 'Contributor Codes IND-Individual COM - Reapient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, COlumn A, Line 1.) ....................... TOTAL $ FPPC Form 480 (January/05) FPPC Toll-Free Helpllne: 886/ASK-FPPC (8881275-3772) chedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ~ . to whole dollars. 09/20/2009 • - ~ ~ ' from through 10/17/2009 page ~ of ~O NAME OF FILER I.D. NUMBER M~~`~l ~Il,~u.-~.~2 ~2~pt~1l~U L o~pOy' 1320352 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR pFCOMMITTEE ALSOENTERI.o.NUMBER> CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED , CODE * QFSELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) 'p/ls/~c~ ~ l2 ~~t~~-'t-~ ~R-Iz`T 0 M 1~eWTsgT rr~~ ~~o EJ 0 5~ ~~f En- ~IZ-~JC ~~ iC ^OTH ~,~Tf ~ ~~- 18~~ ~ ~ ~-O. ®b . Cv~pE2-T~iUfl ~ C~. 4.5°~`~ ps c ~ 17 ~ ~ I NNE, - L.J~ E ~ Pn, ~OGOC~tirSy~Cr ` 1, O ti l'~'Q ~-Q~j'. 19 ~o S(~,N-d~ VA t-E , ~ 0 2P'~ ^scc ~Pfc-t~krr A .. .... ., _ ~1~ .. c ^IND ~/L ZO'DR ~.. hW- y-UI~IU1 i1 1 ~t-Ai~ C..S/n~~ pc^~ 1~ O M M - T-Tfc~ Dd~ ~ ~`cJ~. ~ ~C~'(p n1 l ~I:VfN ^OTH I ~ ~~ ~ ~ V ~ ~ODO. crt7 /OOt~, d-o ~ ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC SUBTOTAL; ~ S ` ~. d'D ~~ `Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY- Political Party SCC -Small Contributor Committee FPPC Form 460 (January/OS) FPPC Toll-Free HelpUne: 866/ASK-FPPC (866/275-3772) chedule A (Continuation Sheet) Type or printlnink. SCHEDULER (CONT.) Monetary Contributions Received Amounts may be rounded Statement coversperlod ~. to whole dollars. 09/20/2009 from • - ~ • through 10/17/2009 page ~~ of / ~ NAME OF FILER ~s~T ~ ~ II.L~ /L ~ {i- ~ Ou.n9 C t ~-. 2t~' I.D. NUMBER 1320352 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTERI.D.NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED pFSELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 7 -DEC. 31) (IF REQUIRED) (D M \~C 1 ~'I~L~ r~~i ~ ~~ IND COM (Nsu QiaNcE. j}GENT ~`1J~2v'~ J ~ ~-S' S ~~ 8~~ .S~- Izd' ~~ p PTY ~i/kTt~ ~(k12tv"~ /coo. clfl ~ p o, eo . . - ~`(, ,~ r ^ scc j~~~~E Q'~~ ` IND OTH CONTr2h(-TDi2. L.~Qc1.Q~ l~,°~~ Old k~ 1 t 33 ~( lNG- t~'I,~ST 1st_e ^ ~D~tC` ~ t ~ ^SCC ~ ~ ~ tv+o 1 ,~ A Dot ~)2,E/k ~-'~ UN ~ C C ~~ ~^~ICND 1~ o~H ~PPci~ 4f ~ 1 ~- q ~j -o I x-If~~rJ I~t~t-rrtet~ ^PTY ~ . ~ ~o • v ^ scc ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC SUBTOTALS 7 ~~.6a `Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/275-3772) chedule A (Continuation Sheet) Tvpe or print in Ink SCHEDULE A (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers period to whole dollars. 09/20/2009 • • ~ ~ from through 10/17/2009 Page 7 of /D NAME OF FILER ~1,/~12-"[~{ ~t t-~ 12. ~2 ~u~ ~ ~~ 4 I.D. NUMBER 1320352 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED pFCOMMfTTEE,ALSOENiERI.D.NUMBER) CODE * pFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) QIND I oI ~~~ (1, ~ S H-!~!-sl?-L `-t~12-IA ~1?~?I D71~ I ^COM ~TH ~O. d-D S~©. (1"0 (p USU N . lA'(91 F R ~ • BLDG~$~ ( ^ PTY ~~ZZ ~~~ 5( ^SCC ^ ~~A ~f ~C Nf~Y • W ~ Y'~ /'~-reXA• ^IND ^ COM CCJSCtI~'f~IJt ~ U ' ~V/?I7~h~9 ?j~O W +C~'}'~sYl.i-EST~~ ~~ ^OTH ~~I~t.00 9q. 00 1 ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC ^IND ^ COM ^ OTH ^ PTY ^SCC SUBTOTAL ~ ! Q~. O'o 'Contributor Codes IND-Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline:866/ASK-FPPC (8661275-3772) Yna nr nrln4 in inlc SCHEDULE B -PART 1 Schedule B -Part 7 """- -" '"-"""- -"" -"'"~ Amounts may be rounded Statement covers period ~ ~ _ Loans Received to whole dollars. os/2o/loos . ' • ~ from . 10/17/2009 ~ SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER ~~~ /'"6 /L[..~Ge.. ~ 2 ~GC ~/G ! L e2d ~~ ~f' 1320352 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER QFSELF-EMPLOYED ENTER OUTSTANDING BALANCE B G AMOUNT RECEIVED THIS (~) AMOUNTPAID OR FORGIVEN OUTSTANDING gALANCEAT INTEREST PAID THIS ORIGINAL AMOUNT OF CUMULATIVE CONTRIBUTIONS (IFCOMMITTEE, ALSOENTERI.O.NUMBER) , NAME OF BUSINESS) E INNING THIS PERIOD THIS PERIOD' CLOSE OF THIS PERIOD LOAN TO DATE CCa ~ _I ~ /~ A ( ~ ~Q ~ c .1 I " ( ~~~ ~S~ ^ PPJD CALENDAR YEAR _ S ~ % S S ~ ~ ~ © '3~'X Ga' ~ e~ ^ FORGIVEN RA7E ~R G ~-~. .e..~-~ na a Sol I/y~~ ~ ~ _ _ ~~ _ _ _ ¢ 2j~a t^ IND L~ COM ^ OTH ^ PTY ^SCC ~ ~~ '~^ v ~ - DATE DUE DATE INCURRED i~ ~ ^ PAID CALENDAR YEAR s s % s s ^ FORGIVEN RArE PER ELECTION *' S S f S f T^ IND ^ COM ^ OTH ^ PTY ^ SCC DATE DUE -__ DATE INCURRED ^ PAID CALENDARYEAR S S % S S ^ FORGIVEN RAre PER ELECTION M S S S S S t^ IND ^ COM ^ OTH ^ PTY ^ SCC DATE DUE DATE INCURRED SUBTOTALS $ i $ ~'~~ S Schedule B Summary 1. Loans received this period .................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Llne 2. cMaybeaneyaGvenurr~Der) 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. (Enter (e)on SdiedVe E, Line 3) tContributor Codes IND -Individual COM -Recipient Committee (other than PTY or SCC) OTH -Other (e.g., business entity) PTY -Political Party SCC -Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) chedule E type or print in ink. Statement covers period .~.. -- Pa menu Made Amounts may be rounded • ~ ~ • ' y to whole dollars. ~ 0 • • from SEE INSTRUCTIONS ON REVERSE through ~b /7 !~v ` Page of !~ NAME OF FILER I.D. NUMBER M..412.i~ ~lc~F.12-. ~~2 ~u~uc/~ 2607' /3~d3,~Z CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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 FET petition circulating TEL t.v. or cable airtime and production costs FlL candidate filing/ballot fees FtiO phone banks TfZC candidate travel, lodging, and meals FND fundraising events F'OL polling and survey research TftS staff/spouse travel, lodging, and meals hD independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense Ft20 professional services (legal, accounting) VOT voter registration Lfr campaign literature and mailings PRT print ads V11E6 information technology costs (internal, a-mail) NAME AND ADDRESS OF PAYEE (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (9`Rh/-PI fL ~E,btNL` ~~ ~ J rV f ~ ~ ~ ~ v ` .. ~ ~..... - '~~ ~-l ~ . 4 ~38~ ~e I t-rt~,a~.. ~~-~ p p . ~ o ~t ~ 10 ~ ~4L. ~t.~3 • ?3 ~~~~~R.iwrtNG- Z ~1( rb3 •Z.f ~ ~, ~ o parr K ( . * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL= ~j (p (7, T~ Schedule E Summary 1. Itemized a ments made this eriod. Include all Schedule E subtotals. ~ 3~ 6 • ~"~ P Y P ( ) .............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ n 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ ~ 4. Total a ments made this eriod. Add Lines 1, 2, and 3. Enter here and on the Summa Pa e, Column A, Line 6. g 3~0 ' ~'"~ p Y P ( rY 9 ) ............................. TOTAL S FPPC Form 460 (January/05) FPPC Toll-Free Helpllne: 866/ASK-FPPC (666/275-3772) chedule E SCHEDULE E (CONT.) (Continuation Sheet) type or print In ink. Amounts may be rounded Statement covers period ~ ~ . ~ , Payments Made to whole dollars. q ~j ~ from ~ / ~ ~~ / ' q 1 througlf ~ ~ ~D ( p f ~~ ~~ SEE INSTRUCTIONS ON REVERSE age O NAME OF FILER I.D. NUMBER ~ t2T~ /~1 c ~~2 ~ ~ ~ ~ 180 ~' p 3 < 3 ~ 3"~ ~. . r , . CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CD/P campaign paraphemalia/misc. NCR 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 and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FTJD fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals riD 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 Lfr campaign literature and mailings PRT print ads WEB information technology costs (intemet, a-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ~~q~r~ r/~~F~'R~Fi X g vr~ l e ~ ~ ~ 5, D~ A-,w.l~-- I ~ l ~ , lA3 "Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL = 7jg, 7~ FPPC Form 460 (January/05) FPPC Toll-Free HeIpllne: 866/ASK-FPPC (866/275-5772)