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460 Recipient Committee Campaign Statement 6-30-2012 Recipient Committee COVER PAGE p Type or print in ink. Date Stamp Campaign Statement © L U U + CALIFORNIA 460 Cover Page D V = FORM (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicAb a 22 _t____ _ from / - z. to/ (Month, Day,Year) AUG 1 2012 V For Official Use Only SEE INSTRUCTIONS ON REVERSE through ��f f/-3 - �Cl pERTINO CITY CI FIlK 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: tgi Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ISI. Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled Termination Statement (Also Complete Part 5) Sponsored ❑ ❑ Supplemental Statement-A tack Form P (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. N/t3ER�/S D Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER 5 CHA >Jr<'1 MAILING ADDRESS AA' r _r. I t I fSA-12 CkAA.�C1 �X' C-Lt4A cZL. j.--CJc7 / (4SO C.MNyCii v . C .�S. CL - STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 14, --0 CAJJ1O/f 'i�zZ- J CzRc.L? Ct,,p -1ZTL1..J0 c A- 9rO/ ceoe- P4399 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY C',,,.- �F71-AI v C / 9s� Iv- 4u8-6 Rd)-v.42� MAILING ADbRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 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 laws of the State of California that the foregoing is true and correct. Executed on `./1 11 By III Date re of Treasurer or Assistant Treasurer 9 Si,"� �/► lI v rt«.2 C Executed on By Date Signature ontrollingOfficeholder,Ca e,State Measure Proponent or Responsible Officerof Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/06) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. 460 from / - / - J--14 �- FORM C.)r > SEE INSTRUCTIONS ON REVERSE through -' Page Y of NAME OF FILER I.D. NUMBER £i Jz y c 1-Or i J 6 1 A Co ctjJ t Oct / 3 2- /r 0..‘-' Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTO DATE g r al/ General Elections 1. Monetary Contributions Schedule A,Line 3 $ d $ v 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 O 0 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ (2 $ e 20. Contributions ,� Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 1 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 6 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 0 $ 0 Candidates 7. Loans Made Schedule H,Line 3 0 0 22. Cumulative Expenditures Made* ti. SU tS I U I AL CAS H PAYMENTS Add Lines 6+7 $ v $ V (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 C2 0 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 () O (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 0 $ 0 ____I______/ $ Current Cash Statement _/_/___/ $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ / 4.1--f. "�{L To calculate Column B,add 13. Cash Receipts Column A,Line 3 above U amounts in Column A to the corresponding amounts • ion may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 v from Column B of your last reported Amounts in in Column this sect B. 15. Cash Payments Column A,Line 8 above repo Soma amo to Column A may be n neg s egative 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ /(MT' 6 2" figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7,and 9(if q g any). 18. Cash Equivalents See instructions on reverse $ // p 19. Outstanding Debts Add Line 2+Line 9 in Column a above $ ‘ / //`71 J FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)