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Home My WebLink AboutMeasure Q -Form 460 7-1-11 to 12-31-11Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) Type or print in ink. Statement covers period from -11 ( (Zo t 1 SEE INSTRUCTIONS ON REVERSE I through tZI -&' I ?-O tk 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information COMMITTEE NAME (OR 21 Primarily Formed Ballot Measure Committee 0"Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER Y€ S o,rJ M 6-45v-9-E Q STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 9IS070 (* MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE S/ �4� I A4 G,A- '950 TO OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp RECEIVIED Date of election if applicable: 1 , ,,;, (Month, Day, Year) V JAN t `'u iL J COVER PAGE of For Official Use Only of �, Zo to I � CIT 5 c'�GP�a. Ov� 2. Type of Statement: ❑ 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) Treasurer(s) NAME OF TREASURER ri(LISK -C 4 PKEyz— — MAILING ADDRESS f 9S070 CITY STATE ZIP CODE AREA CODE /PHONE FGEua- KF irJKA7J NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS $A- PzA-rb c A , C/E 9 so 7 o 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 J�-Aot1Ar" 2S. zD'. z. Dale Executed ono D to Executed on Date By By By Signature ofControlling 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 (86612753772) State of Califomia Recipient Committee Type or print in ink. COVERPAGE -PART2 Campaign Statement CALIFORNIA FORM • 1 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPL ABLE) RESIDENTIAUB US] NESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Sta ment: List any committees not included in this statement that are controlled by you r are primarily formed to receive contributions or make expenditures on behalf of your andidacy. COMMITTEE NAME �, 0 I I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREE ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREAS 6RER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITT ADDRESS STREET ADDRESS (NO P.O. BOX) CITY, STATE ZIP CODE AREA CODE /PHONE l' 3 z8 30 o I Page Z of ( -t- 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE A&eA*A c -K�' �Z BALLOT NO. OR LETTER JURISDICTION SUPPORT Q 115- fi CA-A424 C-o • E] OPPOSE S+" -To fA Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT 'T7USK C-`t' P+t6V2- 1 7-2GY1r su 42E7Z- OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY puroksL"l -am Ya-5 oA M.67+-4-26' ca CD w. rv. , 'irmEE 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SO T OR HELD ❑ SUPPORT ,1 N ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDAT OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLD R CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866 /ASK -FPPC (86612753772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amounts may be rounded to Whole dollars. schedule H, Line 3 Statement covers period CALIFORNIA 6 Add Lines 6 + 7 $ ZI l6. -71 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 from 71 I 1 Zo ki —r FORM Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ t Z 3 3 t SEE INSTRUCTIONS ON REVERSE through Zell Page of NAME OF FILER I.D. NUMBER �(rsS aP1 MC .SuA6 Q Contributions Received Column Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primary a '� � S 31 General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ $ 350 1/1 through 6/ 7/1 to Date 2. Loans Received ....................... ............................... schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... add Lines 1 + z $ � $ 'L / K I a / / 20. Contributions eciveive d $ Received e 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 21. e s 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ $ 14, (V I Ma $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 7. Loans Made .............................. ............................... schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ ZI l6. -71 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 $ Z( (O- ?t Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 7. �� Z • 12- 13. Cash Receipts .................... ............................... Column A, Line 3above Q�- 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above Z (L • '7 1 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 7, S 6 6 . Z ( 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 instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line gin Column B above $ 7t6-2- Zit 2_t to _ -7 ( = Expenditure Limit Summary for State $ 7, 1,77.9-/ Candidates 7, 37� yy 22. Cumulative Expenditures Mad $ (If Subject to Voluntary Expenditure Limi Date of Election To I to Date (mm /dd /yy) $ 7, 37 8. 94 $ 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). "Amounts in this section reported in Column B. , be different from amounts FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. CONTRIBUTOR SCHEDULE A Monetary Contributions Received ry Amounts may be rounded to whole dollars. PER ELECTION TO DATE Statement covers period • ' ' CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD ( from 7/1 1 ZO t1� - • through Z 13 / mo t( Page 4 12— SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER Co W, 1 ( 32-8 300 DATE ZIP DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (E COMMITTEE,ALSAND I.D.N CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND ❑COM ❑ OTH /1jC)#3 1E E] PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ 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 $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) SCHEDULER -PART1 Schedule B - Part 1 "ur r-... ... --.. d Amounts may be rounded Statement covers period Loans Received to whole dollars. -7 I t 1 �' t from 1 � Z 2,0 (t ( y SEE INSTRUCTIONS ON REVERSE through Page J of NAME OF FILER I.D. NUMBER Yt�s OrJ M eA-Su,,0-tC t Co I-, tr - 4-1-. e 13 Z o c:> FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (c) AMOUNT PAID OUTSTANDING BAyANCEAT INTEREST ORIGINAL CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION**" RATE $ $�_ $ $ $ tEl f t�t7A)G DATE INCURRED DATE DUE IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PER ELECTION ** DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION'"' RATE $ $ $ $ $ DATE DUE t ❑ IND ❑ COM ❑ OTH ❑PTY El DATE INCURRED SUBTOTALS $ $ $ 9 $ 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 orforgiven.) (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.) ........................ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ..... ............................... NET $ (Maybe a gative number) (tnter(e) on Schedule E, Line 3) tContributor 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 (866/2753772) Schedule C Type or print in ink. A _ _.._._ SCHEDULE C ayw�ars�eu onmonetary Contributions Received to whole dollars, Statement P covers period - from -7 / Zo l/ . • , ( Z 31 k SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER TIES O,J AA. Q cc v-v— -++-(f e- 13 2-23 ID c> DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIRMARKET CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) JAN 1 -DEC 31 ❑IND ❑ COM ❑ OTH ❑ PTY []SCC ❑ IND ❑ COM ❑ OTH ❑ PTY [-]SCC ❑IND ❑COM PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 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 $ "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 (866/275 -3772) Schedule D cruFnl u G n aummar OT CX enunures type or print in mK. Statement covers period Supporting/Opposing Other Amounts may be rounded to whole dollars. I zo t -71( s . • • ' Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through � 7' St ZOtt Page 7 of 12-- NAME OF FILER I.D. NUMBER o/,� M &-A-.$tt 13 30o DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contributio endent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary Ir Ix 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 (866/275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. A Statement covers period CALIFORNIA from 711 20 t t FORM 46 through l Z 3r 7.a l l Page NAME OF FILER I.D. NUMBER Y 65 0ps t_o4s c t_i(_c Q C.o w. , ++cc 3 2 fs` 3 0 0 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIvP campaign paraphemalia /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 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 Lrr campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID fzol.� SG 8 0 ew JC0L —D Mtsc. S -A4-rD C, � . rA 9S o -7 o G wK P V� Q o d - ✓Le,,t /►�^• (T+�'S erg -�..�- Z l 6 . -71 * 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.) ............................................................................... ............................... $ Z( 6. 1 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).) ................................................ ............................... $ or 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ........ TOTAL $ 2A (O .-7 ( FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULE F Schedule F Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA 1 Accrued Expenses (Unpaid Bills) to whole dollars. from 7 l, I SOLI '' campaign consultants MTG through 12-1 31 zot 1 page ` of I SEE INSTRUCTIONS ON REVERSE CTB contribution (explain nonmonetary)" OFC NAME OF FILER SAL campaign workers' salaries I.D. NUMBER `F6-5 0,J m EA-St✓rZ c2 Co w. petition circulating R.300 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 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 (intemet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNT IN CURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE 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 $ v a e a ne 6ve num er FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G SCHEDULE G Type or print in ink. Payments Made by an Agent or Independent Amounts may be rounded Statement covers period CALIFORNIA 1 Contractor (on Behalf of This Committee) to whole dollars. from '7 Z,0 FORM 460 t a ZI 3t I �tl !° of � Z SEE INSTRUCTIONS ON REVERSE through Page NAME OF FILER I.D. NUMBER �^ \ `( e�5 DA ( 3-2,R 300 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 paraphemalia /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 PET petition circulating TEL Lv. 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 (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 1 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 Schedule H Type or print in ink. S Statement covers period Loans Made to Others* Amounts may be rounded U U to whole dollars. f from I T (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period ................................................................................................................... ............................... $ (Total Column (b) plus unitemized loans of less than $100.) If Required 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 ne ative number) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schpdulp I Sr:HFnl II F I Miscellaneous Increases to Cash Amountsmayberounded Statement covers period �. to whole dollars. from 71 I ' through Z 3i Za l t Page t Z of Z SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER \' 1 C S oiJE�kSa. �t-E (�2 Co w. +,,.� -�-; -G2, ( 32oo 3 0 o DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. 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 (866/275 -3772) SUBTOTAL$