HomeMy WebLinkAboutForm 460 - Yes on Measure QFtedepient Committee
Carr paign Statement
Cover Page
(t overninent Code Sections 84200-84210.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink:
statement covers period
from J' -'-`'( (, BLS
e4-(,-'e 31, tots /JoJ Z, zo(o
2. Type of Statement:
through
Date of election if applicable:
(Month, Ray, Year)
11 Type of Retlipiept Committee: All committees - Complete Parts 1, 2.3, and 4.
❑ Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
Q Recall
jAlo Complete Part 5)
❑ General Purpose Committee
Q Sponsoted
Q Sinall Contributor Committee
Q Political barty/Central Committee
Primarily Formed Ballot Measure
Committee
O Controlled
Q Sponsored
(Also Complete Part 6)
❑ Primarily Forrtled Candidate(
Officeholder Committee
(Also Complete Port 7)
I f' t ; COVER PAGE
Date Stariip
of t2'
For Official Use Only
SV.
0 Preelection Statement
Semi-annual Statement
et -
Termination Statement
(Also file a Form 410 Termination)
I] Amendment (xplain below)
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
3 Committee Information
COMMITTEE NAME (OFR CANDIDATE'S NAME IF NO COMMITT )
N+GS /o�IJ�.M�I� LErL� C� GO YhMt " 7✓
(2- -ro 1,26 S4•12-4"TveVi-
I.D, NUMeER
STREET ADDRESS (Nc+ P.O. Rox)
. ('
CITY � STATE ZIP CODE AREA CODE/PHONE
€
44 �` -Ai z i Imo (.f- _ ( Po Pe -Nit
MAILING ADDRESS or DIFFERENT) NO. 'AND STREET OR P.O. BOX���
+
ZIP CODE AREA'CODE/PHONE
-ry
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(a)
NAME OF TREASURER
sN
M II IN ADDRESS
CITY
STATE ZIP CODE
SA P-A-TO ‘4- C*i-t Po ie i I4
NAME OF ASSISTANT TREASURER, IF ANY
I- zA• 60- WE' T TWAA7.3
MAILINC7 ADDRESS
AREA CODE/PHONE
STATE ZIP CODE AREA CODE/PHONE
C i/i-+-1 Fm(z-NI 4-
OPTIONAL: FAX / E-MAIL ADDRESS
Of
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 chat the foregoing is true and Correct.
Executed bn - - a i ...31, 2e / % gy l -`1-
Date Sigrtiture ' rerorpslcigFRtiNTecuter
Executed bn .
Executed ,Sri
Executed bn
Date
Date
By
By
Watered Controlling Officeholder, Candidate,StateMeesul'ePropeneratdrResponslbleOffacerofSponsor
By .
Signature &Controlling Ott cehaleer,'Candeate, Stale MeaEure Proponent
Signatu eofControlingOfficeholder,Candil0e,StaateMeasureProponent pppC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK.FPPC (866/2754772)
State of California
Recipient Committee
Campaign Statement
Cover Page --- Part 2
1 3 z— 3o o
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTL4UBUSINESS ADDRESS (NO. AND STREET) CITY
Type or print in ink.
STATE ZIP
Related Committees Not Included in this State, ent: List any committees
not included in this statement that are controlled by you o are primarily farmed to receive
contributions or make expenditures on behalf of • candidacy.
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
CONTROLLED COMMITTEE?
DYES ❑NO
COMMITTEE ADDRESS STREET.'.DDRESS (NO P.O. BOX)
CITY rJrY
COMMITTEE NAME
NAME OF TREA JRER
STATE ZIP CODE AREA CODE/PHONE
I.D. NUMBER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITT' ' ADDRESS STREET ADDRESS (NO P.Q. BOX)
C
STATE ZIP CODE --� AREA CODE/PHONE
COVER PAGE- PART 2
CALIFORNIA 4 6 0
FORM
lv
20 t S — D EGE'"'v y7 31 zotS Page Z of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
AM, e5;14' 4.2 C t�
BALLOT NO. OR LETTER
JURISDICTION 4-i2, Tb 5 - SUPPORT
sivo Q Cf--M2.
4 Ca,A4utz.f ❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7, Primarily Formed Candidate/Officeholder Committee List n es of
officeholder(s) or candidate(s) for which this committee is primarily forme
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR LD
III SUPPORT
■ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
`
F I SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
-,- - -. a .-..ems.,
NAME OF OFFICEHOLDER OR CANDIDATE-
A
OFFICE SOUGHT OR HELD
SUPPORT
■ OPPOSE
NAME OF OFFICEHOLDEROR CANDIDATE
.fit_. —
OFFICE SOUGHT OR HELD
U SUPPORT
III OPPOSE
.._�-
Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASP:-FPPG (866/275.8772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
from
Statement covers period
J04y t, ZoIS
through'G,"'G-`r 31
�ls
dF) aS..'suLj2-g" (
Contributions Received
1. Monetary Contributions Schedule A, Line 3
2. Loans Received Schedule 8, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines
4. Nonmonetary Contributions Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines
Veen.,.....
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 sdnedure c, Line 3
11. TOTAL EXPENDITURES MADE Add Lines g+ 9+ 10 $
1+2
3+4
$
Column A
TOTAL THIS PERIOD
(FROM ATAC HEO SCHEDULES)
Column B
CALENDAR YEAR
TOTAL TO DATE
0
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line 16 $
13. Cash Receipts ..,., Column A, Line 3 above
fi
14. Miscellaneous Increases to Cash Schedule I, Line 4
15. Cash Payments Column A, Line 8 above
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 3 71-- N - btf
3r7'M. 6y
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $
Cash Equivalents and Outstanding Debts
18, Cash Equivalents See instruC4ions qn reverse $
19, Outstanding Debts Add Line 2+ tine 9 in Column B above $
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).
UMMARY PAGE
Page 3
t 2—
I.D. NUMBER
i3ZP3ev
Calendar Year Summary for Candidates
Running in Both the State Primary
General Elections
20. Contributions
Received
21. Expe .Tres
e $
1i1
7l1 to Date
$.
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Mad
(If Subject to Voluntary Expenditure Limi
Date of Election
(mmidd/yy)
To I to Date
"'Amounts in this section •y be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A
Type or print in ink.
SCHEDULE A
famouncs may cue rounaea
MonetaryContributions Received to whole dollars.CALIFORNIAu
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from TA-\ Y (i Za (5
FORM ' i
through �`�!" s
Page
4 of t v
NAME OF FILER
.,s o,ss m-e- t--sc&2� i G® w,w�;T-f-e.e (iCe 4-e�e
ID.NUMBER
t 3Z8 3o v
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(¢COMMITrEE.,AL OENTfERLD.PJUMBER)
CONTRIBUTOR
CQDE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IFSELF-EMPLOYED. ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CUMULATR,E T'O DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31;
PER ILLLLECTI ,
Tt l
`, :QUIRED)
■ IND
❑CONi
■ OTH
❑ PTY
■SCC
■ IND
COM
■ OTH
■ PTY
SCC
/
■ IND
■ COM
V
■ SCC
■ IND
III COM
■ OTH
III PTY
NI SCC
■ IND
■COM
❑OTH
0 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
HID —Ind clual
COM— Raapient Committee
(other than PTY or SCC;
0ITH — Other (e.g., business entity)
P'T?— Prolitiricil Party
SCC— Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helga line: 865/ASK-FPPC (ti66/275-3772)
SCHEDULE 3-PART 1
ll l.lC VI pJ1 III) n11 IIIn.
Schedule B — Part 1 • I Amounts maybe rounded
Loans Received to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ,y—t -"-\'t f, Z� i 5
CALIFO-NIA 460
FOR1/l
I,
l'2—
Page S of
through pGL (
-
'Lbt S
NAME OF FILER
t / s -4-. S.red-c
I.D. NUMBER.
t 3 2 S a o
\ c 5 o,ti M cam— $- --Ce.. & w..,..: k e. re_
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF aELF•EMPLO'fED, ENTER
NAME OF BUSINESS)
OUTSTANDING
BEGBALANCEINNING THIS
P RIOD
AMOUNT
RECEIVED THIS
PERIOD
AMOUNT PAID
OR FORGIVEN
THIS PERIOD''
tl
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
e
INTEREST
PAID THIS
PERIOD
q
ORIGINAL
AMOUNT()
(�
LATlVE
ONTRIBUTIONS
TO DATE
t❑ IND ❑ COM 0 OTH 0 PTY 0 SCC
❑ PAID
�'/�
CALENDAR YEAR
PER ELECTION'
❑ FORGIVEN
/;
RATE
DATE INCUR":ED
//
DATE DUE
❑ PAID
$
$
%
$
CALENDAR YEAR
$
PER ELECTION"*
$
❑ FORGIVEN
RATE
$
DATE INCURtt,ED
t❑ IND ❑ COM 0 OTH 0 PTY 0 SCC
$ __ __
$
DATE DUE
❑ PAID
$
$
o
CALENDAR YEAR
$
$—.--....w
PER ELECTION**
$
—
-
0 FORGIVEN
RATE
DATE INCURI!;ED
—
t ❑ COM ❑ OTH 0 PTY Li SCC
DATE DUE
—
'^
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.) NET $
Enter the net here and on the Summary Page, Column A, Line 2.
L**mounts forgiven or paid by another party also must be reported on Schedule A.
ff required.
(May bean alive number)
(Enter(e)en
Schedule E, Line 3)
tContributor Codes
IND - Individual
COM - Recipient Committee
(other tt`an PTY or SCC).
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (January /0.5)
FPPC Toll -Free Helpline: 866PASK-FPPC (LB66/275-3772)
Schedule C
Type or print in ink.
SCI-kEDU LE C
rcmouncs may oe WUnue47
Nonmonetary Contributions Received to whole
hole dollars.
SEE INSTRUCTIONS ON REVERSE
From
through
Statement covers period
3-0 f ‘, 20ts
1'
CALIFORNIA Au 0
1; FORM
0 GG _i
Page - _� of t .2..
_
NAME OF FILER
eS Mes,Swre.._ & �►,.`,,,,.:
lice 2es4orc
Sa.r��q
1.D, NUMBER
1322 30 0
RECEIVED
1 �11/1U�1 01�1111
FULL NAME, STREET' ADDRESS AND
ZIP CODE OF CONTRIBUTOR
OF COMMITTEE, ALSO ENTER I D. NUMBER)
I PIS\M ail I
CONTRIBUTOR
CODE *
IrIRM
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(If SELF-EMPLOYED, ENTER
NAME OF EIUSINESSI
PI�I I A1��1 RIOIe+
DESCRIPTION OF
GOODS OR. SERVICES
AMOUNT!
FAIR MARKET
VALUE
®IIIG�
IIIRp�d®P�IIY�II�Ic
CUMULAT EVE TO
DATEDATE
CALENDAR YEAR
(JAN 1 -DEC 31
PER E ', ON
!DATE
(IF REQUIRED)
■IND
000M
OTH
■ PTY
❑SCC
■ IND
❑COM
00TH
❑ PTY
0SCC
";
/"
■ IND
CID.
-00TH
0PT Y
❑SCC.
• IND
■ COM
ID OTH
0 PTY
SCC
pCC
—
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
z.
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.) TOTAL $
rontr'ibutor Codes
O- Individual
OM •- Recipient Committee
(other than PTY or SCC)
T H Other (e.g„ businesti entity)
Y,�. Political Paarty
C- Small Contributor Committee
FPPC Form 460 (Janr„Iaryf05)
FPPC Toll -Free Helpline: t166/ASK-FPPC (866/275-3772)
Schedule D
SCHEDULED
Summary of Expenditures Type or print in ink.
Supporting/OpposingOther Amounts may be rounded
to whole dollars.
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
from
through
Statement covers period
J `4)—i'( I/ t S
CALIFORNIA 460
FORMIII
► Z
Page of ....
I�s-4-w.i-� 31
so
NAME OF FILER
eS !LE-SLIJR-e-
w. ire. TT
/ems `6 re- S /61-4
I.D. NUMBER
32.-F 300
7oc,,+4
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNTTHIS
PERIOD
CUMULATIVE- TO DATE
CALENDAR YEAR
(JAN. 1-DEC.311
PER ELE.'"'
,TE
REQUIRED)
.y'
• Monetary
Contribution
• Nonmonetary
Contribution
• Independent
Expenditure
Support ■ Oppose
• Monetary
Contribution
• Nonmonetary
Contributio
• Independent
gcpenditure
0 Support U Oppose
.__/
• Monetary
Contribution
• Nonmonetary
Contribution
❑ Independent
Expenditure
Support ■ Oppose
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 450 (January/05)
FPPC Toll -Free Fielplinee: 866JASK-FPPC 066i 753772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from .J7-30-1 l t S
bc. C e r6.-e-zs r's"-
/eS a r` Iv` f & w. r. / Scr'e4A-oci
through
SCHEDULEE
CALIFORNIA 4G,` O
FORM ��,jj
Page of
12
I.D. NUMBER
3300
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
cMa
CNS
CTB
CVC
FL
END
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)"
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)"
legal defense
campaign literature and mailings
IVBR
MTG
OFC
PET
PHO
POL
POS
PRO
FRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
R.AD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER IA. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
* 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 (866/275.3772)
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
o "ec-S w,i �, Q., CA. Vv,�� -�� / /LeS rc So 3-‘
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise
GAP
CNS
CTB
CVC
FL
END
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)"
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NOR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE F
, describe the payment.
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, a -mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INC
THIS PERIOD
(e)
AMOUNT PAID
THIS PERIOD
(ALSO REP E)
d
�_Y
tiTeuTANDING
BALANCE AT CLOSE
OF THIS PERIOD
* Payments that are contributions or independent expenditures must also be
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.)
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,)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.)
INCURRED TOTALS $
PAID TOTALS $
NET $
May be egarive number
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
GNP
CNS
CTB
CVC
FL
FND
IND
LEG
LIT
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
S Mec , Sv..r d- e
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Statement covers period
from jo-1--1 l + Zo t S
through b? - ---*--C
+s
S� a rc �/ c�I`► 4 q
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtirne and production costa
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (intemet, a -mail)
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
MBR
MTG
OFC
FEf'
PHO
POL
POS
PRO
FRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD
RFD
SAL
TEL
.
RO
TRS
TSF
VOT
WEB
SCHEDULE G
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE. ALSO ENTER I.D. NUNIEER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT AID
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.
Amounts may be rounded
Loans Made to Others*to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from �KL`y l) 6 is
through 11)cc 3E
CALIFO. NIA j� �(1
FOR vi
""1 V
Page tt of ,I2-
NAME OF FILER
` 'e_ S o— M -5v.(2-
LD. NUMBER
! 3Z 3o e7
G Cm44-•w, l ✓�576 2 e' /2 A-T o 6A
FULL NAME, STREET ADDRESS AND ZIP CODE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
pLITS (a)
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
LOANED THIS
PERIOD
(c)
REPAYMENT OR
FORGIVENESS
�,
THIS PERIOD
A(I
OUTST DING
BALANCE I
CLOSE OF THIS
PERIrJ�
(e)
INTEREST
RECEIVED
�
ORIGINAL
Ah !I'
LOAN
IMULATIVE
LCAAT
TO DATE
❑ PAID
CALENDAR YEAR
GIVEN
RATE
PER ELECTION**
DATE DUE
DATE INCURRED
$
❑ PAID
RATE
$
CALENDAR YEAR
FORGIVEN
El FORGIVEN
$
ELECTION"*
DATE DUE
DATE INCURRED
`Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must
also be reported on Schedule E.
SUBTOTALS
$
$
$ Y3r
$
Schedule H Summary
1. Loans made this period $
(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.)
(Enter (e) on
Schedule L Line 3)
(May be a live ti&live number(
**If Required
FPPC Ferm 460 (January/05)
FPPC Toll -Free Helpiint-: 8661ASK-I"PPC (666.2754772)
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
aaarammom.
5
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from TLA.1-lt "2-Z> I S
through
-2-4)
P-EASLA../CiptAkiv.. k 61=
DATE
RECEIVED
SA-a-At-774,4-
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
t
Page of
io.NUMSER
t 32S2C
minresammemmenpusmo....amm.1.0*
DESCRIPTION OF RECEIPT
AMOUNT OF
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
Summary Page, Line 14.) TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Heipline: 866/ASK-FPPC (866/275,3772)