Loading...
460 Recipient Committee Campaign Statement 10-22-2011Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if appli from a (Month, Day, Year) through w�—/ vv z` 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. VOfficeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) F General Purpose Committee 0 Sponsored F Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER COMMITTEE NAME (O C ANDIDATE'S NAME IF NO COMMITTEE) t -f`?rti f cTOCET n - MAILING ADDFtESS (IF DIFFERENT) NO - AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OCT 2 7 PERTINO CITY C COVERPAGE L of !s_� Official Use Only 2. Tyr of Statement: Measure Preelection Statement ❑ Quarterly 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) 1/ fe 6;� NAME OF TREASURER Al MAILING ADDR /!�= NAME OF ASST TANT TREASURER, IF A ' MAILING ADDR�S 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the By - Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 Page Z of U. VIIILANIVIUGI VI LlQII U IUCILU %1U11L1 VII %IU1111111LLM: 6. Primarily Formed Ballot Measure Committee NAME OF OFF EHOLDER OR CANDIDATE NAME OF BALLOT MEASURE o e .,,r 7o4 OFFICE SOUGHT OR HELD (INCLUDE LOC ION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION E] SUPPORT ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STAT ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER "A' "" v' " R " " " ""C CFTEAC„RCO ,,��, ", EDC0 11.1.1 TEE? 7. Primarily Formed Candidate /Officeholder Committee List names of YES vV ' "' I I ' officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? p YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 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 CODEIPHONE Attach continuation sheets if necessary Type or print in ink. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER i/ SUMMARYPAGE Statement covers period CALIFORNIA 4 from F through �C f� Page — of I.D. NUMBER D-4 7 6 l'.) 6 6? U V Contributions Received Column Column B Schedule E. Line 4 Calendar Year Summary for Candidates Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... TOTALTHISPERIOD CALENDARYEAR (FROMATTACHED SCHEDULES) TOTALTO DATE 9. Accrued Expenses (Unpaid Bills) ............................... Running in Both the State Primary and 10. Nonmonetary Adjustment ........... ............................... Schedule C Line / 4 - � Add Lines 8 +9 +10 General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 Eb T � $ $ 4 2. Loans Received ....................... ............................... Schedule a, Line 3 � ey v e 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ —� 46 oa $ 20. Contributions 7�i 0 ! 9 c' ` Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures �G 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ �. 7 � 0C $ Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E. Line 4 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C Line 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ I _� , -' � P $ $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. �/� 46,c $ 0 J b P 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, 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 $ r $ To calculate Column B, add amounts in Column A to the corresponding amounts "Amounts in this section may be different from amounts from Column B of your last reported in Column B. 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). FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers eriod p C ALIFORNIA , m- r �� "// fro •- • through C d, 4' 1 C /! Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ( IFCOMMIT7EEALSOENTERI.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) �• WIND � �� D 'ntinC,`4/ r rC;�/�'r' / / ❑SCC �� ❑COM ❑ OTH �o ❑ PTY /rn % /tita �c ye �t ❑SCC ❑IND ❑COM �t�ni'e / o ❑OTH 4- , Irllr' ❑ PTA ❑SCC fer r / ❑ COM ❑ OTH lie ❑ PTY ❑SCC 1 a) c v * T' -fLS f' L % ❑COM OTH l ❑ Y 1 f 2 4 V` � P + TY ❑S CC SUBTOTAL$ Y 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 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... $ v,aG .........................$ ............ TOTAL $ / G 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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period • to whole dollars. • _ • from a��10 /� through Page of _[P NAME OF FILER I.D. NUMBER DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , (IF COMMITTEE ENTER I.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ,ALSO CODE (IF SELF-EMPLOYEE), ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) - [:]COM E] OTH ❑ ❑SCC �1 ❑ IND []COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH I1 PTY o SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ *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 (866/275 -3772) SCHEDULE B - PART 1 . ... r .....- ... ...... Schedule — art Amounts may be rounded Statement covers period CALIFO � 1 Loans Received to whole dollars. � _ • from - 0 ct' ✓/ 2 i �C Page SEE INSTRUCTIONS ON REVERSE through . of NAME OF FILER I.D. i FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER , OCCUPATION AND EMPLOYER a) OUTSTANDING BALANCE (b) AMOUNT (0 AMOUNT PAID (d) OUTSTANDING BALANCEAT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF ENTER NAME OF BUSINESS) BEGINNING THIS PERT D RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD CLOSE OF THIS PERIOD PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE �,r {y'?E � � C ! �/) ;� 1. � f�• - �i� �� � ❑ PAID CALENDAR YEAR _ $ E S S S �" t El IND El COM El OTH [01 PTY [ SCC C��7(� & DATE DUE DATE INCURRED N ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION ** RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC E $ $ $ E DATE DUE DATE INCURRED Lj PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S S E DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ 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.) ............................. 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. (tnter (e) on c tdule E, Line 3) ............ ............................... $ ...........I .................. NET $ �(� xx (May e a negative numbed 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) Schedule C Type or print in ink. scuFnl n F c ramouncs may ue rounueu Nonmonetary Contributions Received to whole dollars. Statement covers period 1 ir from • ' .- through 4Z _2� � l page_ of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER DATE FULL NAME. STREET ADDRESS AND CONTRIBUTOR ]FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) HIND ❑ COM /�� kur�L o °n�; �� � �� a ❑SCC /01,(F ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ uT H ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ ./ Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ................... ............................... 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ......... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ........ ......................$ 9Uv, ...................... $ ........ TOTAL $ 6 er r: I v C '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 (866/275 -3772) Schedule E Payments Made SE E INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Statement covers period from through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULEE Page �L__ of I.D. NUMBER 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 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 FND fundraising events POL polling and survey research TRS 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) 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 1A X ,-: /0 * 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. 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 $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) x X