Loading...
460 Recipient Committee Campaign Statement - 2nd Amendment 10-1-14 to 10-18-14Recipient Committee Campaign Statement Cover Page (Government Code Sections B4200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period date of election if applicable: from ° / f (Month, Day, Year) through /0 /e' ! I. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4, JW Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee Q Recall 0 Controlled (Atso Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate! Q Small Contributor Committee Officeholder Committee Q Political PartylCentralCommittee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER 7 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) �1zY Cl oi G ch Cox L —e� STREET MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODElPHONE OPTIONAL: FAX ! E -MAIL ADDRESS 4. Verification Date Stamp COVER PAGE Page I of — For ar icial Use Only LIAR -52015 2. Type of Statemei . I E IN® CITY CLERK 21 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) Pk-o c/r-Pi�— (3 C &CAP', -i 'k Uh11111 i Treasu rei NAME OF TREASURER � c A � MAILING ADDRESS ic NAME Or ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX 1 E -MAIL ADDRESS STATE ZIP CODE AREA CODE /PHONE 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 foreaoino is true and correct. Executed on 3 S / By y Executed on — _0 1 -t- By Date Executed on Date By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, StaleMeasureProponent FPPC Form 460 (.January /i FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ $ 2. Loans Received ....................... ............................... Schedule &, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ $ Expenditures Made 6, Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ Cy 0 $ Current Cash Statement 12. Begfnning Cash Balance ....................... Previous Summary Page, Line 16 $ �3 6 13. Cash Receipts .................... ............................... Column A, Line 3 above '} 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 y 15. Cash Payments .................................................. Column A, Line 8 above f - 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $2 If this is a termination statement, Line 16 most be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line2 +Cino9inColumnBabove $ v 6 SUMMARY PAGE Statement covers period CALIFORNIA from i D - 1 Itom FORM 461 through �� CP % Y� _ Page of I.D. NUMBER Column B Calendar Year Summary for Candidates TOTA TODATER Running In Both the State Primary and TOTALTD DATE y General Elections 111 through 6130 711 to Date 20. Contributions Received $ $ 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). 21, Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmiddiyy) I $ I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January105) FPPC Toll -Free Helpline: E[66/ASK-FPPC (6661275 -3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER F, 4R Type or print in ink. Amounts may be rounded to whole dollars_ COA,,'JG7 r-6tq C'aLc rsL .1-oI DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER RECEIVED (IF COMMITTEL , ALSO ENTER I.D_NUMBER) CODE * DCCUPATiON AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) SCHEDULE A Statement covers period CALIFORNIA from ����`a'�f� •' 6 through / �lie Page 3 of I.D. NUMBER ( 3 )- r_�- d_�- AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN, 1 _ DEC. 31) (IF REQUIRED) 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.) ....................... TOTAL $ *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: 966/ASK-FPPC (8661275 -3772) fvY e- vLZs A4 k v AJ &) FIND ❑COM {91�(&RtI I� �r1Z WA-1 ❑ OTH Pvr/�GuA ❑❑s PTY c F]COMA� I>6LJ6-1 vpA4 ZW�, LA-4 E] OTH ❑PTY 7r C- akS-ros, CA ❑SCC F'26-1xZ :b " 7 I [RIND ❑ COMa7v1�r El OTH r c%7 �{ 94iV ❑SCC 1� �D G 9 1 ❑SCC i�,{L�i NnND O COM i 1 t�L V� /•� k t� I�- iA ❑ OTH r C9'D a lop AL -r0 , Ck 95fo-I-q- ❑ PTY ❑SCC SUBTOTAL $ 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.) ....................... TOTAL $ *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: 966/ASK-FPPC (8661275 -3772) Schedule A (Continuation Sheet) Type Monetary Contributions Received or print in ink. Amounts may be rounded SCHEDULE A (CONT) Statement covers period to whole dollars. CALIFORNIA FORM 460 from through �t7' Y % jG Page T of NAME OF FI LER I.D. NUMBER 32 is —u DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED { IFOOMMITrEE,ALSOENTERLD.NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) QE REQUIRED) OFSUSINfE�SS) -�r p �7J c rS J rre)P H ! �� 1? C� ❑COD ���� /� LOTH &A —f-ci , CA y. E] PTY ❑SCC �U Le ,vt�icf c. AND sC y&-sjr %G—i7 CC'ADi y C'Z:IZr- r j LOTH ❑PTY &,Wco m -r,P f�'Ch 1�s (�o3uiZ ���LS fZAt,' ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ 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 (8661275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER cr -/ C-0 Type or print in ink. Amounts may be rounded to whole dollars. C -iL , �,/- Statement covers period from /L, "!"> -V /�4 through /0 °/,Q — / % Page S� of I.D. NUMBER 13 z / �-d s' E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. C1VIP campaign paraphernalia/misc. MBR membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetai 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 FIND 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 (I FCOMMITTEE, ALSO ENTER I.D.WWER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID MA Me cp-0/2-y jr)-ay ri &7j Ari • P�T�J•�� �� U D7�C p t /J A"- C7 C,Cr A -r;w- � * 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. 1 0 0. 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: 8661ASK -FPPC (8661275 -3772)