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Home My WebLink About2014_10_23 Form 460 - Yes on Measure Q Recipient Committee COVER PAGE Campaign Statement Type or print in ink. Date St - � � � � � Cover Page - (Government Code Sections 84200-84216.5) . �; ge 1 of l Z Statement covers period Date of election if applicable: OCT `� D i� from ce—+,D 1 Zo I`{ (Month, Day,Year) For Official Use Only ]pp. /JuJ 2- , 2.010 SEE INSTRUCTIONS ON REVERSE through x40.4 4, Z-- / T By 1. Type of Recipient Committee: All Committees-Complete Parts t,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ti; Primarily Formed Ballot Measure Preelection Statement 4 Z Q State Candidate Election Committee Committee El Quarterly Statement Recall ❑ Semi-annual Statement Controlled ❑ Special Odd-Year Report (Also Complete Part 5) 0 Sponsored ❑ Termination Statement ❑ Supplemental Preelection (Also completePart6) (Also file a Form 410 Termination) Statement-Attach Form 495 ❑ General Purpose Committee ❑ Amendment(Explain below) 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 oO Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) v NAME OF TREASURER u,P-LeYt- MAILING ADDRESS STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE ( S A--M�,A- C,47- :5070S CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY i Taf5A_ � 4So 7� ` FLEu/Z K ^I WAILING ADDRESS MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O. BOX ESS -{ CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE L,�-Mc !� GQ8 95-?0 �a�Tb�,�- CA 4507V � 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— f7c—t o t—el ;1-3, z'1' Date By Si a Treasureror stantTreasurer Executed on�v Z 3 70/ By Date/ igr C ntrollingoffice der,Candidate, to Meas a Proponent or Responsibl OfficerofSponsor 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/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275.3772) State of California Recipient Committee Type or print in ink. Campaign Statement coveRPACE.PART 2 Cover Page—Part 2 CALIFORNIAFORM . 1 i 32� 3oa tZ 5. Officeholder or Candidate Controlled Committee Page 2" of NAME OF OFFICEHOLDER OR CANDIDATE s• Primarily Farmed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF,gppLlC, LE S�� ) BALLOT NO,OR LETTER . JURISDICTION RESIDF_NTIAUBUSINESS ADDRESS (NO.AND STREET) CITY -/L,r�H:]0:!OP:P0:SSE T STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. Related Committees Not Included in this Statement: List any committees NAME OF OFFICEHOLD�E`R,.C/�ANDIDATE,OR PROPONENT not included in this statement that are co tr ed b {r2�s �'c/ ("t2– contributions or make expenditures re o al y you f are primarily formed to receive OFFICE SOUGHT OR HELD your c didacy. --me-Rs"A-EVL DISTRICT NO. IF ANY COMMITTEE NAME I.D. NUMBER ES mn1 QL NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee Listnames ❑ YES ❑ NO officeholder(s)or candidate(s)for which this committee is primarily formed. COMMITTEE ADDRESS STREET DRESS (NO P.O.BOX) NAME OF OFFI77=7—CEHOLDER OR CANDIDATE OFFICE SOUGHT OR HE CITY STATE ZIP CODE AREA CODElPHONE El SUPPORT NAME OF OFFICEHOLDER OR CANDIDATE El OPPOSE FIC OUGHT OR HELD COMMITTEE NAME _ I.D. NUMBER ❑SUPPORT ---- ❑OPPOSE NAME OF OFFICEHOLDER RCAN D_ OFFICE SOUGHT OR HELD NAME OF TREAS ER ❑ SUPPORT CONTROLLEDCOMMITTEE? � ❑OPPOSE ❑ YES ❑ NO NAME OF OFFICEH( pER OR CANDIDATE OFFICE SOUGHT OR HELD COMMITTE DRESS � STREETADDRESS (NO P.O.BOX) �� ❑ SUPPORT ❑ CITY OPPOSE STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 460(January/05 FPPC Toll-Free Helpline:866 ASK,FPPC(866/2753772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. /" from ate+ ,�t� 1 SEE INSTRUCTIONS ON REVERSE through ac�-° (S 10'k Page 3 of 1 NAME OF FILER n O 11 I.D.NUMBER O c C Column Column B Calendar Year Summary for Candidat Contributions Received TOTAL THIS'PFRIOD CALENDARYEAR Running m Both the State Prima nd (FROMATTACHEDSCHEDULES) TOTALTO DATE 7 c General Elections 1. Monetary Contributions ........................................... schedule A,Line 3 $ $ �1�roug2. Loans Received ...................................................... Schedule B,Line 3 �� a 0 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ f'�^� 3 20. Contributions Received $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 54r-►e.,a 21. Expe res 5. TOTAL CONTRIBUTIONS RECEIVED ••••.••............ .......Add Lines 3+4 $ 0 $ �4-r.tw—Q Sty,.} e $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ '357:570. oo $ 5e e- Candidates 7. Loans Made................. .......... Schedule H,Line 3 ^h+�1 l .................................. 22. Cumulative Expenditures Mads* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ 3 55 0_ oo $ 3 (If Subjeetto Voluntary Expenditure Llmip� 9. Accrued Expenses (Unpaid Bills)...............................Schedule F,Line 3 Date of Election Total to Date 10.Nonmonetary Adjustment.....•....................................schedule C,Line 3 ,4-•.....,"Q (mm/dd/yy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 3 SSD, oo $ 54—J-c Current Cash Statement —�—�/B. 12.Beginning Cash Balance....................... Previous summary Page,Line 16 $ � Z' i 3 To calculate Column B,add 13.Cash Receipts ................................................... CoiumnA,Line 3 above amounts in Column A to the corresponding amounts 'Amounts in this sent from amounts 14.Miscellaneous increases to Cash........................... Schedule 1,Line 4 from Column B of your last reported in Column 15.Cash Payments.................................................. Column A,Line 8 above s®• O o report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ 1't o figures that should be AVA1,f-Ad3c.0 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 $ for this calendar year, only yy carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and s(if any). 18. Cash Equivalents..............__...... ............... See instructions on reverse $ l� 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 7 / FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded Statement covers period Monetary to whole dollars. CALIFORNIA from 4 �('"` ( 'bei F•RM SEE INSTRUCTIONS ON REVERSE through �� t�e �� Page 4 of 1-2— NAME ZNAME OF FILER I.D. NUMBER FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSI,,NESS) ❑IND ❑COM ❑OTH ❑PTY GcrJ `i1`�T+.S ❑SCC C7c3� e g ❑IND ❑COM ❑OTH ( ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY [:]SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ Schedule A Summary *contributor Codes 1. Amount received this period-itemized monetary contributions. (� IND-Individual (Include all Schedule Asubtotals.) $ COM-Recipient Committee ........................................................................................................ (other than PTY or 2. Amount received this period-unitemOTH-Other(e.g.,business entity)ized monetary contributions of less than$100.............................$ PTY-Political Party & Total monetary contributions received this period. SCC-Small Contributor committee (Add Lines 1 and 2.Enter here and on the Summary Page,Column A,Line 1.).......................TOTAL $ ` FPPC Forth 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule B-Part 1 Type or print in ink. SCHEDULEB-PART1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from OCo�!'�!' ( 7-K-( s SEE INSTRUCTIONS ON REVERSE through e g Page of Z NAME OF FILER I.D. NUMBER FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING (b) (c) (e) g) OCCUPATION AND EMPLOYER AMOUNT AMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE BALANCEAT (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEOF BUSINESS) IOD PERIOD THIS PERIOD'" PERIOD PERIOD LOAN TO DATE PAID CALENDARYEAR ❑FORGIVEN RATE PERELECTION- t❑ 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 ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTI ON* t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ j $ $ Schedule Schedule B Summa Schedule E,Line 3) 1. Loans received this period....................................................................................................................$ (Total Column(b)plus unitemized loans of less than$100.) 1tContributor Codes IND-Individual 2. Loans paid orforgiven this period .........................................................................................................$ — COM-Recipient Committee (Total Column(c)plus loans under$100 paid orforgiven.) (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 Party 3. Net change this period. Subtract Line 2 from Line 1. SCC-Small contributor Committee 9 P ( }............................................................... NET $ — Enter the net here and on the Summary Page,Column A,Line 2. (May be a negetive 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(866/2753772) Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded Nonmoneta Contributions Received Statement covers period rY to whole dollars. CALIFORNIA 1 from OG4163 2-,vc F• • SEE INSTRUCTIONS ON REVERSE through ��" f$ �`f Page (- of f Z NAME OF FILER I.D.NUMBER Y e_5 [ 3 2S"' 3 0 0 FULL NAME,STREET ADDRESS AND CONTRIBUTOR [FAN INDIVIDUAL,ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO PER ER ELECTION DATE ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIRMARKET CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE (IF REQUIRED) NAME OF BUSINESS) (JAN 1-DEC 31) [-]IND ❑COM 00TH 0 PTY ❑SCC ❑IND ❑COM 00TH ❑PTY ❑SCC [:]IND ❑COM 00TH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑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) PTY—Political Party 3. Total nonmonetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Lines 4 and 10.) ......................TOTAL $ r FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule D SummaSumma of Expenditures Type or print in ink. SCHEDULED ry p ures Amounts may be rounded Statement covers period Supporting/Opposing Other to whole dollars. , Candidates,Measures and Committees from �'�'GY 1, -2.0 SEE INSTRUCTIONS ON REVERSE through8� Z-0t4 Page 7 of NAME OF FILER I.D. NUMBER C.V -2-SN 3 0® DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN.1-DEC.31) (IF REQUIRUIR ED) ❑ 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. SCHEDULEE Payments • Made Amounts may be rounded Statement covers period I ' y to whole dollars. p (,.ry - from 14 SEE INSTRUCTIONS ON REVERSE through Oc'�O�r�r t$, 2bPage of t Z NAME OF FILER I.D. NUMBER S cy� �.eA 5.r✓'� 61 �_e.,...w.It !f-G 1 3 L p 3 0 0 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID S- ___+1, . P,,:,,-FW 5 �., . 1st y g -K 1 z l Ar f- S-6 C-P, 00 tc-- 3, SSo * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ?j Sso 00 c Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ 3 55, o0 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 Summa Page,Column A, Line 6. TOTAL $ 3, p Y p ( Summary 9 ) .............. 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 period + + • Accrued Expenses (Unpaid Bills) to whole dollars. from � '�' 1. Zat4 h �c'�"�''`r f� �"f ! d L SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER 1 3 ZR 3 00 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants Mi'G 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 BSD 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(intemet, e-mail) NAME AND ADDRESS OF CREDITOR (a) (b) (c) (d) CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT 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 SUBTOTALS$ $ summarized on Schedule D. $ $ 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 n ptive number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period Contractor(on Behalf of This Committee) to whole dollars. from (, ��'� CALIFORNIA•- 4601 h �� t' c'7 i L SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER �s �� i I.D.NUMBER 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. CNP campaign paraphernalia/misc. NIBR 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 M 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(intemet, 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 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 CALIFORNIA SCHEDULE H Amounts may be rounded Loans Made to Others* to whole dollars. from � �� O RM SEE INSTRUCTIONS ON REVERSE through �` ta+ Page (( of r Z NAME Or FILER I.D.NUMBER 5 wie�s�r� Q Cp I IF AN INDIVIDUAL,ENTER e) (b) (c) (d (e) M (9) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER REPAYMENT OR OF RECIPIENT (IF SELF-EMPLOYED,ENTER BEGINNING THIS LOANED THIS FORGIVENESS CLOSE OOF THIS RECEIVED AMOUNT OF LOANS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE PAID CALENDAR YEAR E] FORGIVEN RATE PEP,ELECTION— $ $ $ $ $ DATE DUE DATE INCURRED E]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 $ $ $ $ also be reported on Schedule E. (Enter(e)on Schedule I,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 $ Or (Enter the net here and on the Summary Page, Column A,Line 7.) (May be a rative 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. •� � J from kA_(,-.- t, 1'P e� • SEE INSTRUCTIONS ON REVERSE through e>c'7�(Ytf-(9� Page t2— of 12— NAME ZNAME OF FILER I.D.NUMBER C- . �s..� 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 1 Summary y 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(866/2753772)