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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)