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HomeMy WebLinkAbout2013_01 Semi Annual Disclosure - Committee to Restore SaratogaRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period I Date of election if appl 7 / f l .0 t L from l j l (Month, Day, Year) through Iz1 31 If 7_=t?2 I IA3.04 Z, Zo00 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall ©''Controlled (Also Complete Parts) 0 Sponsored ❑ General Purpose Committee (Also Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee fAlso Complete Part 7) 3. Committee Information I.D. NUMBER (3Z830o 4. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Y�5 0,3 rK ER st,A�c74�E Q co M C o MM TTSE T'� 1 '° Sly {LIE - IZf�Ta ev STREET ADDRESS (NO P.O. BOX) ( CITY STATE ZIP CODE AREA CODE /PHONE sq � Tod; f CA 450.7o (�, MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE e-A 950 ?o OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp � 6101 9 T E COVER PAGE of f -z— JAN 2 4 2013 1111 For Official Use Only 2. Type of Statement: ❑ Preelection Statement jrSemi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER l fL%5K f° YPKC R- MAILING ADDRESS SkfyiF�Ci1�, C4 9 $c7 C CITY STATE ZIP CODE AREA CODE /PHONE I- LL6(.L M KE7 -M A-id NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS :541?_ To e;k, c-,4 950-70 ( * CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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 _ ` -7, t By i /h ✓� Y� i D to Sign re of Treasurer or Assistant Tre Executed on 3 �a/ B C, a Date rr a y Signature oYCnnt inn ()ffirrhnlrlpr. Canrtirialp Sfntp MAnq,,m Pmnnnpnlnr Rpennneih 1prlffrprnf Rnnnenr Executed on Dale By Executed on By Dale Signature of ControllingO(f ceholder ,Candidate,StateMeasure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK-FPPC (866/2753772) State of California Type or print in ink. COVERPAGE -PART2 Recipient Committee Campaign Statement � CALIFORNIA 4 • 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 RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY / 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 formed to receive contributions or make expenditures on behalf of your c didacy. I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET DRESS (NO P.O. BOX) CITY / STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREAS RER CONTROLLED COMMITTEE? ❑ YES ❑ NO COM10 ADDRESS STREET ADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODElPHONE :6�- 13 2-S 3 o 0 Page Z of I 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE M &-ASu(LC Q BALLOT NO. OR LETTER JURISDICTION SUPPORT �NT/4 c-LAa A Cc. 71:1 OPPOSE a SA,(z & -N e Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT - —1(2- l St'l f 7zg5A SLl/L=Y2- OFFICE SOUGHT OR HUL t L S 0,4 0 DISTRICT NO. IF ANY 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 ❑ SUPP ❑ OSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE \ FIC 71IGHT OR HELD ❑ SUPPORT N❑ OPPOSE NAME OF OFFICEHOLDER OR CAND E 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 Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement clovers period from t Z-0 t 7- PAGE SEE INSTRUCTIONS ON REVERSE through !2 3t t Z Page 3 of t y NAME OF FILER I.D. NUMBER YES ©A ,u �45u�E G�� �Go.w..w.� i%ecSf-o!'c ��- 2R --i-o� I -3 z-9- 3o 0 Contributions Received Column A TOTALTHISPERIOD (FROMATTACHED SCHEDULES) 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 2. Loans Received ....................... ............................... 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Schedule B, Line 3 Add Lines 1 + 2 L,L_ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 12-6. 00 5. TOTAL CONTRIBUTIONS RECEIVED ......• ....................AddLines3 +4 $ 10. Nonmonetary Adjustment ........... ............................... Expenditures Made 6. Payments Made ........................ ............................... Schedule e, Line 4 $ t 26 . Oo 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 12-6. 00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ....................... ......... Add Lines a +9 +10 $ t Zb 00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ......................... ......................... Column A, Line 8 above f 7, 1 • ° O 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ _ :1102— 2 t If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pan 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line gin Column B above $ s� l Column B CALENDAR YEAR TOTALTODATE $ $ $ $ $ 16 q 00 $ lto4- 00 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). Calendar Year Summary for Candidates Running in Both the State Primary General Elections ,J' 1/1 tf01, h 6 7/1 to Date 20. Contributions Received $ 21. E�xpe� ures I,�eae $ $ 0 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made (If Subject to Voluntary Expenditure Limi Date of Election To to Date (mm /dd /yy) —J_—J $ —J "'s 'Amounts in this secti, reported in Column B. r be different from amounts FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received Statement covers p eriod to whole dollars. from 711 / CALIFORNIA FORM (� 3 t ZO ` Z� SEE INSTRUCTIONS ON REVERSE through Page of 1-2, NAME OF FILER I.D. NUMBER ,/� ,P\ Es Ark 1►1 Sc�l14 E rt,�, i%► �e 4,:, Q� 54 4-. -,?- Q 300 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE, ALSO ENTER .D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND ❑COM ]� O❑ 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 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 Forth 460 (January105) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) "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 Tuna nr nrint in in4 SCHEDULEB -PART1 scneouie t3 — Part *'u ; �� 'u. Amounts may be rounded Statement covers period P Loans Received to whole dollars. I -Z ° t. -2- CALIFORNIA r g ' from 2-t ( • SEE INSTRUCTIONS ON REVERSE through Z t —t7-- Page of f NAME OF FILER I.D. NUMBER y eS cl/� M 6A rz c �Ga ,ti+-, .i.-"° �f -fo ids -fart .��- O � a. t 322? FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE AMOUNT ( AMO UNN T PAID OUTSTANDING o INTEREST ORIGINAL CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF•EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEOF BUSINESS) PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION"* t❑ 0 DATE DUE IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION'"* RATE tEl 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 $ 4P $ $ $ 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. (May be 9�egathra number) (Enter (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 '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. Nonmonetary Contributions Received Amounts may to whole doolf rounded REVERSE x/65 A) m e t.,-l_ 2 6- ca /f / C� , 't-o DATE FULL NAME, STREET ADDRESS AND I CONTRIBUTOR I OCCUPATION IF AN INDIVIDUAL, I AND EMPLOYER RECEIVED ZIP CODE OF CONTRIBUTOR CODE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) ❑IND ❑COM MOTH ❑ PTY ❑SCC ❑IND ❑COM MOTH (� ❑ PTY 7 ❑SCC ❑IND MCOM MOTH ❑ PTY ❑scc ❑IND ❑COM MOTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. Statement covers period CALIFORNIA from _ 71-1 t "L FORM • through LL Z O �' page of I Z I.D. NUMBER l 3 Z F 3 a o AMOUNT/ CUMULATIVE TO DESCRIPTIONOF DATE PER ELECTION GOODS OR SERVICES FAIR MARKET TO DATE VALUE CALENDAR YEAR IF REQUIRED (JAN 1 - DEC 31) ( ) 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 Forth 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule D vaA538514401y v. a�w�nsarwrara 1yPe or Pnnc in inK. Statement covers period Supporting/Opposing Other Amounts rounded CALIFORNIA ' to whole dollars. Candidates, Measures and Committees from i ° t . 12-1 3 e Z° SEE INSTRUCTIONS ON REVERSE through t Page . 17- NAME OF FILER I.D. NUMBER / V .S and M 6ASLA- a-C Q C C-� /w� Jh T r6'� n �L6�TO ��£ �Mki /a d -2j C; C, DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE ORCOMMITTEE (IF REQUIRED) PERIOD JAN. 1 -DEC. 37 ( ) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution r- ❑ Nonmonetary Conftft ndent ❑ 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 "pline: 866/ASK -FPPC (8661275,9772) Schedule E Type or print In ink. campaign paraphemalia /misc. SCHEDULEE Payments Made Amounts may be rounded radio airtime and production costs Statement covers period 1 WrG to Whole dollars. RFD from 7 1, Zo, -z— . contribution (explain nonmonetary)' OFC office expenses Z 31 '�-� 8 SEE INSTRUCTIONS ON REVERSE civic donations candidate fipng/ballot fees PET PHO 1 2_ through l 1 Z- Page NAME OF FILER R0 fundraising events I.D. NUMBER �[E-S �r3 S�t_26 QI Cerw.�• --� 'f-+c� 4.0 i2�s- Vr2. �- •r'�'4e S�. � 3 z? 30 o CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNIP campaign paraphemalia /misc. kgR member communications RAD radio airtime and production costs CNS campaign consultants WrG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC FIL civic donations candidate fipng/ballot fees PET PHO petition circulating banks TEL Lv. or cable airtime and production costs R0 fundraising events POL phone polling and survey research TRC TRS candidate travel, lodging, and meals 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 candidatetsponsor 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 OF OOMWTEE, ALSO ENTER 6D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID 5 6-c— (2-g- �fL �.( o r— ST74 TV- pp e.-( -n C-- t- vc6r- o✓trw. � aJ e, J>c' S'E C--r? Wa Fr ,+ I o 1 . b0i 510/3 P o oK 14-4,7 �(� r�EtJ t^E£ r�o2- Gorw,w�r rrr✓�5 �- Si4{ /L,!>r.wersTlTO Gr4 4 S Fn -2. `" ! °E 6 7 I g 6 3 a ,¢t..t_E^J kt-4c ,q -,lE. i�o5 (LSn1 Gist -t-- '7 ,SA4 ,- T o G G.4 9!50-70 9 ,F s 1:79 ✓L (, . o " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ( Z 6 _ p O Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) (2-6-00 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 $ (Z - ao FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 86WASK -FPPC (86612753772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTI NAME OF FILER ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from t I �OIZ through I 'IJ 31 2-O t Z `{6S and me- A-_Ckk 2 E0. � Ca nti.,�w.; - T -T-L-E -r„ /Z_r-5T -b/e C ��r2 -r4 7-a c A SCHEDULE F a# +, • l L Page of I.D. NUMBER t >2S 3 ©C7 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /misc. NUR member communications RAD radio airtime and production costs CNS campaign consultants MfG 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 able 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 (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d7 FS1"_NDING -1'txar CE AT CLOSE OF THIS PERIOD * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ 1., $ `Y ��'} summarized on Schedule D. ° Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for �S 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 negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772) Schedule G Type or print in ink. SCHEDULE G Payments Made by an Agent or Independent Amounts maybe rounded Statement covers period to whole dollars. - Contractor (on Behalf of This Committee) from 'z � I '� k z . 22A kvi • � SEE INSTRUCTIONS ON REVERSE through 122 (31 Zo%-L Page t � of t Z NAME OF FILER '-Ws 0A Ilk �F Su 11-C #�'�� �o �S-6 sc I.D. I cy CQ (e✓`.o nti,. rN. i 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. CbP Campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MT'G meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations � petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals ND independent expenditure supportinglopposing 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 AMOUJV.T -PAfb 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 (866/2753772) SCHEDULEH scneaule H Type or print In ink. Loans Made to Others* Amounts may rounded to whole doolf lars. Statement covers period J F from Z,r. � r • ' i • ' SEE INSTRUCTIONS ON REVERSE through t Z 3r 2 Page f ( Of r Z 9 NAME OF FILER I.D. NUMBER �( �5 00 rtu. > Mn n..: -tT-E E- t—t� /LEs r a 1Z4E- SA-(Z-k7a,5;.4 t 3 -2-& 30 0 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) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT LOANED THIS PERIOD (c) REPAYMENT OR FORGIVENESS THIS PERIOD* (dl OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED M ORIGINAL AMOj1NT01"� - _ LOAN (g� -eU ULATIVE LOANS TO DATE PAID CALENDAR YEAR D.FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED PAID CALENDAR YEAR FORGIVEN PER ELECTION ** RATE 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 ................................................................................................................... ............................... $ (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 Tegalive number) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule I TVDe or print in ink. SCHEDULE 1 Miscellaneous Increases to Cash Amounts may be rounded Statement covers period to whole dollars. from 7 I '2_0 t Z A ' • ' through i d Z' SEE INSTRUCTIONS ON REVERSE page of NAME OF FILER I.D. NUMBER Y 5 o a AA S� (2 E Q ` C_o w, . r+- �-f-c G -� l� -S-tv f e r-'40 t 3 2 Sao DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER 1 DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ r"�' 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)