HomeMy WebLinkAbout2014_07_15 Semiannual Form 460 - Yes on Measure Q Recipient Committee Type or print in ink. COVER PAGE
� .
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5) Z
from
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Statement covers period Date of election if applicable i geof,�
I, Z_&4 (Month, Day,Year) For Official Use Only
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SEE INSTRUCTIONS ON REVERSE through Tua 30. Z.*ILk ��`7 2/ 7�to B --- `
1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
❑ Officeholder,Candidate Controlled Committee Primarily Formed Ballot Measure ❑ Preelection Statement
❑ Quarterly Statement
Q State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd-Year Report
Q Recall Controlled E] Termination Statement
(A/so Complete Part 5) O Sponsored Also file a Form 410 Termination ❑ Supplemental Preelection
(A/so Complete Part 6) ( ) Statement-Attach Form 495
❑ General Purpose Committee ❑ Amendment(Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I.D. NUMB R
I �28 30Treasurer(s)
0
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
E5 OA ',k EASuKi✓ &L C..rti A' t TT15-6 1-9- 5 to Lz iPt-t Ei2-
MAILING ADD/R�SS
STREET CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY
G -r-r4-t-a G}', CA 9S0 ?1F> Pt_EZ�V2- « Truk a-►-�
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O. BOX MAILING ADDRESS
CITY S� ZIP CODE AREA CODE/PHONE CITY STATE QIP CODE ARE CODE/PHONE
S ! 5 t9r 1✓LOr ZO y C/4 Sz>7 V
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 ��""`� S r 1 By
ate ur IT fireror As ant Treasurer
Executed on f!_ ` � By
CV! Date ign o o Ming Officeholder,Candidate,S easure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate,State Measure Proponent
Executed on By
Date Signatureof Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772)
State of California
Type or print in ink. COVERPAGE-PART2
Recipient Committee
Campaign Statement I, 2-4>t `E CALIFORN
1 460O
RM
Cover Page—Part 2 a 30, ?„ 1 Lf
Page
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
AA 6-A-St ca(S �—
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICAB ) BALLOT NO.OR LETTER JURISDICTION ,SUPPORT
❑ OPPOSE
(9—
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY TATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
Related Committees Not Included in this State nt: List any committees ��S(-1 Kee'
not included in this statement that are controlled y you or primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contributions or make expenditures on behalf of can idacy. T(«)451 LFLA Y?—
e5 D n1 G1 Cm ter.i ti-4—,COMMITTEENAME I.D.NUMBER
�y
NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder
Committee Lis mes of
officeholder(s)or candidate(s)for which this committee is primarily f ed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREET RESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE jjFFICE SOUGH R HELD ❑SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODEIPHONE NAME OF OFFICEHOLDER OR CANDIDA FFICE SOUGHT OR HELD
❑ SUPPORT
❑OPPOSE
COMMITTEE NAME I.D. NUMBER
NAME OF OFFICEHOLDER O NDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
NAME OF TREASU R CONTROLLED COMMITTEE? NAME OF O EHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑
f-1SUPPORTYES ❑ NO ❑ OPPOSE
COMMITTEE DRESS STREET ADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
o
SummaryPage Amototwhole dollars may be rs nded I
Statement covers period -
from JAjPS 1:0_2-z 1y -
SEE INSTRUCTIONS ON REVERSE through O IS 30B t Page 3 of I Z'
NAME OF FILER t.D.NUMBER
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THiSPERIOO CALENDARYEAR Running to Both the Stat®Prima
(FROMATTACHED SCHEDULES) TOTALTO DATE g Primary
�S, • ao General Elections
1. Monetary Contributions ........................................... Schedule A,Line 3 $ $
1/1,11 Li 6 711 to Date
2. Loans Received ...................................................... schedule B,Line 3 r
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines i+2 $ ZZs•0 O $ Z7�s, 00 20. Contributions
Received $
4. Nonmonetary Contributions.................................... Schedule C,Line 3 21. Expen ' res
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ �-S-Oo $ 'ZZ$ OO M $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... Schedule E,Line 4 $ Z-00 . 00 $ zoo• 0 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0 0
22.Cumulative Expenditures Mad
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ zP0.00 $ Za0• 00 (if Su*ctto Voluntary Expenditure Limi
9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3
Date of Election To Ito Date
10.Nonmonetary Adjustment ..........................................Schedule C,Line 3 (mm/dd/yy)
11.TOTAL EXPENDITURES MADE................................Add Lines s+9+10 $ O Co $ 2.00 • 00
Current Cash Statement �� �\ $
12.Beginning Cash Balance....................... Previous summary Paye,Line 16 $ 8 t - t 3
To calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above Z'�iS. oy- amounts in Column A to the
corresponding amounts Amounts in this section y be different from amounts
14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 from Column B of your last feported in Column B.
15.Cash Payments..........................""""" " ""'".. Column A,Line a above ZF�p -1E>0 report. Some amounts in
'/ Column A may be negative
16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ 8O Y Z• 13 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 e,Part 2 $ 777 for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7, and 9(if
Y)
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ _ 9 FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
lid®Hata Contributions Received Amounts may be rounded Statement covers period
Monetary to whole dollars. 009falluxel' , '
from �� 1• '� )y •
SEE INSTRUCTIONS ON REVERSE through Jur" �� 1 Page 7 of t Z
NAME OF FILER I.D. NUMBER
04_645�2 6 �,L Co.+�war 'i i�c (3 Z '�'- `3 00
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED STREET
ADDRESS
ALSO ENTER ZIP
L CODE O CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE
(IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC-31) (IF REQUIRED)
OF BUSINESS)
❑IND
/7 ❑COM
r l CA-t) , j" 3�� oOTH
°n
�tH ❑SCC
D
COM
E]OTH
PTY C�r.���ne-�/ o1-YJO ® 2'C.a
[]SCC
❑IND
❑COM
❑OTH
❑PTY
[]SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
El SCC
SUBTOTAL$
Schedule A Summary `Contributor Codes
1. Amount received this period—itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.).......... ...... ....................$ COM-(other than PTY oecipient r SCC)
2. Amount received this period—unitemized monetary contributions of less than$100 .............................$ OTH-Other PTY-Politicall Part
business entity)
y
3. Total monetary contributions received this period. SCC-Small Contributor Committee
Add Lines 1 and 2.Enter here and on the Summa lA,Li1. ............. TOTAL $ �a
( Summary Page,Column Line )��������� FPPC Form 460(January/65)
FPPC Toll-Free Helpline:866/ASK-FPPC(86672753772)
Schedule B-Part 1 Type or print in ink. SCHEDULEB-PART1
Amounts may be rounded Statement covers period
Loans Received to whole dollars. from ' i —4-0 r ` ••• , •
SEE INSTRUCTIONS ON REVERSEthroughu/J �� �1 Page S of 2--
NAME OF FILER
I.D. NUMBER
Y�5 0 7-Tt ( 3 0 0
FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING ( ) (0) (d a (y
OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNT AMOUNTPAID OUTST DING INTEREST ORIGINAL CUMULATIVE
OF SELF-EMPLOYED,ENTER RECEIVED THIS BALANCEAT
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) BEGINNING THIS OR FORGIVEN CLOSE C THIS PAID THIS AMOUNTOF CONTRIBUTIONS
NAME OF BUSINESS) p PERIOD THIS PERIOD* PERIOD LOAN TO DATE
❑PAID CALENDAR YEAR
❑FORGIVEN RATE PER ELECTION'"'"
t❑ IND ❑ COM ❑OTH ❑ PTY $ $ $ $ $
❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDARYEAR
❑FORGIVEN RATE PER ELECTION*"
❑ IND ❑ COM ❑OTH ❑ PTY ❑ SCC
DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
❑FORGIVEN RATE PER ELECTION*"
t❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $
DATE DUE DATE INCURRED
SUBTOTALS $ $ $ $
(Enter(e)
Schedule B Summary Schedule E, on
Line 3)
1. Loans received this period....................................................................................................................$
(Total Column(b)plus unitemized loans of less than$100.) tContributor Codes
IND—Individual
2. Loans paid or forgiven this period ..................... ...................................................................................$ COM—Recipient Committee
(Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity)
PTY—Political Parry
3. Net change this period. (Subtract Line 2 from Line 1.) SCC-Small Contributor Committee
............................................................... NET $
Enter the net here and on the Summary Page,Column A,Line 2. (May be a netobve number)
"Amounts forgiven or paid by another party also must be reported on Schedule A.
*'If required. FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule C Type or print in ink.
Nonrnonetary Contributions Received Amounts may be rounded SCHEDULE C
to whole dollars. Statement covers period CALIFORNIA
from 4 FORM
SEE INSTRUCTIONS ON REVERSE through `X'.k1j 3'0 Z�f`f1 Z
NAME OF FILER Page 61 of
I.D.NUMBER
�S oiJ iSulZ� Corkr�� c t 1 3 ZS' 300
FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTER CUMULATIVE TO
DATE CONTRIBUTOR AMOUNT/
ZIP CODE OF CONTRIBUTOR * OCCUPATION AND EMPLOYER DESCRIPTION OF DATE PER ELECTION
RECEIVED CODE FAIR MARKET
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES TO DATE
NAME OF BUSINESS)
VALUE CALENDAR YEAR (IF REQUIRED)
(JAN 1-DEC 31)
❑IND
❑COM
OOTH
0 PTY
❑SCC
❑IND
❑COM
00TH
❑PTY
❑SCC
❑IND
❑COM
GOTH
❑PTY
❑SCC
❑IND
❑COM
GOTH
0 PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets SUBTOTAL$
Schedule C Summary
`Contributor Codes
1. Amount received this period-itemized nonmonetary contributions. IND-Individual
(Include all Schedule C subtotals.)....................................................... $ COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period-unitemized nonmonetary contributions of less than$100 ....................................$ OTH-Other(e.g., business entity)
3. Total nonmonetary contributions received this period. PTY-Political Party
(Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Lines 4 and 10.) ......................TOTAL $ SCC—Small Contributor Committee
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772)
Schedule D
Summary of Expenditures Type or print in ink. SCHEDULED
Statement covers period
Supporting/Opposing Other Amounts may be rounded CALIFORNIA
FORM 460
���l`f
Candidates,Measures and Committees to whole dollars. from T
SEE INSTRUCTIONS ON REVERSE through V �r 1L{ Page -7 of I ?--
NAME OF FILER
I.D. NUMBER
�(�5 OrJ iu Ei4 5-e-i-'-€ ( 328 3®
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR CUMULATIVE TO DATE PER ELECTION
DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE
(IF REQUIRED) PERIODJAN.1-DEC.31
OR COMMITTEE ( ) (IF REQUIRED)
❑ Monetary
Contribution
® Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose Expenditure
® Monetary
Contribution
® Nonmonetary
Contribution
❑ Independent
Support ® Oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ® Oppose Expenditure
SUBTOTAL $
Schedule D Summary
1. Itemized contributions and independent expenditures made this period.(Include all Schedule D subtotals.)......................................................... $
2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
Schedule E Type or print in ink. Statement covers period SCHEDtLEE
Payments Made Amounts may be rounded pCALIFORNIA
to whole dollars. �- 1 ZA t FORM •
01
from
SEE INSTRUCTIONS ON REVERSE through Jcc S 3D, 2A r`f Page of Z
NAME OF FILER I.D. NUMBER
ES o/J 6:4, CsDw"w, t T i'EF- 1 3 ZD, 3�0
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. NBR member communications RAD radio airtime and production costs
CNS campaign consultants NITG 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
RL 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 candidatelsponsor
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
CA-x,(Po o SQL '—�( o .�� -r,. Fp Pc
oZo o
' 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.).............................................................................................................. $ a'c oo
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 $ o - co
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule F Type or print in ink. SCHEDULE F
Amounts may be rounded Statement covers periodCALIFORNIA
Accrued Expenses (Unpaid Bills) to whole dollars. from _-T-470t 14 FORM 460
SEE INSTRUCTIONS ON REVERSE through Tuo,4 30� Zai t`I Page s of t
NAME OF FILER
I.D.NUMBER
13
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW campaign paraphernalia/misc. N18R 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
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
Lrr campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF CREDITOR CODE OR (a) ( (c) (d)
IN
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT OUTSTANDING AMOUNT NCURRED AMOUNT PAID OUTSTANDING
BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
*Payments that are contributions or independent expenditures must also be k'
summarized on Schedule D. SUBTOTALS$ � $ $ $
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
onthe Summary Page, Column A, Line 9.)................................................................................................................................................ NET $
May be a nega ive number
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule C.7 Type or print in ink. SCHEDULE G
Payments Made by an Agent or Independent Amounts maybe rounded Statement covers period
NIA
Contractor(on Behalf of This Committee) to whole dollars. from CrA-AS �, 7�)14FOR.
SEE INSTRUCTIONS ON REVERSE through SK rs 30J 2 t y Page ® of Z
NAME OF FILER
I.D,NUMBER
ES a�� lu EfE Su�(L E 69L Ga w.A"( r 7 CF—a✓ 1 3 2-
NAME OF AGENT OR INDEPENDENT CONTRACTOR
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIVP campaign paraphemalia/misc. NSR member communications RAD radio airtime and production costs
CNS campaign consultants NITG 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)
*Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
1 f
Attach additional information on appropriately labeled continuation sheets. TOTAL* $
*Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E. FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule H Type or print in ink. Statement covers period SCHEDULER
* Amounts may be rounded CALIFORNIA ; ,
Loans Made to Others to whole dollars. from_ MA-Al1, 2_o r4 FORM
SEE INSTRUCTIONS ON REVERSE through _T444 3_ 2-.->(y Page Q t of
NAME OF FILER
I.D.NUMBER
s µ sc t 2 s kv- 7-r c`� 32& 30 0
IF AN INDIVIDUAL,ENTER la) (b) (o) (d� (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTA DING
OF RECIPIENT OCCUPATION AND EMPLOYER BALANCE REPAYMENT OR INTEREST ORIGINAL CUMULATIVE
LOANED THIS BALANCE AT
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CIF SELF-EMPLOYED,ENTER BEGINNING THIS FORGIVENESS CLOSE OF THIS RECEIVED AMOUNT OF LOANS
NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD"
PERIOD LOAN TO DATE
0 PAIDAR YEAR
$ $ 01 S $
Ej raATE
FORGIVEN _ = PER ELECTION**
DATE DUE DATE INCURRED
PAID CALENDAR YEAR
FORGIVEN RATE PER ELECTION**
DATE DUE DATE INCURRED
*Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must SUBTOTALS Q!
also be reported on Schedule E. $ $ $ $ //
(Enter(e)on
Schedule 1,Line 3)
Schedule H Summary
1. Loans made this period ..................................................................................................................................................$ '*If Required
(Total Column(b)plus unitemized loans of less than$100.)
2. Payments received on loans...........................................................................................................................................$
(Total Column(c)plus unitemized payments of less than$100.)
3. Net change this period. (Subtract Line 2 from Line 1.).......................................................................................... NET $ _
(Enter the net here and on the Summary Page,Column A, Line 7.) May be a negative number)
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)
Schedule I Type or print in ink. SCHEDULE I
Miscellaneous Increases to Cash Amounts may be rounded Statement covers period
to whole dollars. CALIFORNIA /
6
60
SEE INSTRUCTIONS ON REVERSE through TKA 3o Z� page (Z of t Z
NAME OF FILER
I.D.NUMBER
Dn3 AAE( Su(L� Q �w•w. 7'T�E t 3� 3ao
DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
Schedule I Summary
1. Itemized increases to cash this period. .......................................................................................................................$
2. Unitemized increases to cash of under$100 this period.............................................................................................$
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .................................$_
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.)........................................................................................................................... TOTAL $
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)