Loading...
460 Termination Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink, SEE INSTRUCTIONS ON REVERSE Statement covers period from dv.^ I, 010 f through -J V r-{ J q. db 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4, -:Kj Officeholder, Candidate Controlled Committee 0 Primarily Fonned Ballot Measure - .... 0 State Candidate Election Committee Committee o Recall 0 Controlled (Also Complete Part5) 0 Sponsored (Also Complete Part6) o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party!Central Committee o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER \1.~OSDQ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) (OV'^~\\eL \0 S\~\.~~) ~~'\~"..~~e-(" ~O<' Lu. ~ e <.. \'\\'\t) (,\\-7) COV\.\A.CI\ ST3~~RESS (N~~\\~ ~V~ CITY STATE ZIP CODE AREA CODE/PHONE LtA. & €.- -\~ ""0 C ~ C\ '50 \ 4. MAILING A DRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX - 5(}"'~- CITY STATE ZIP CODE AREA CODE/PHONE bCSO- C-\ <6(\- L\~\ OPTIONAL: FAX / E-MAIL ADDRESS UPERT!NO CITY Date of election if applicab (Month, Day, Year) .. ! , t' ~rnp U '0 .7 , T,~""! \vJ ! ';:] , ".:J ! o Quarterly Statement o Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 S<A ~ i-e..- ZIP CODE 6\.l{~O\ \ "0 AREA CODE/PHONE 2. Type of Statement: o Preelection Statement o Semi-annual Statement ~ Termination Statement . (Also file a Form 410 Termination) o Amendment (Explain below) Treasurer(s) NAME OF TREASURER . MA?;;G~~ESS~ 'r>~t~,^~ \ 00 \\c,,-wS,VV\. \:\\10 CI?\ t'\ \ L ~ STATE ~O\.\t) \\\,1..) C\~ NAME OF ASSISTANT TREASURER, IF ANY on By Signatur Executed on By Executed on By Signature of Treasurer or Assistant Treasurer ~'~rnlli er, candidate~te Measure Proponent or Responsible Officer of Sponsor ..- Signature of Controlling Officeholder, Candidate. State Measure Proponent Signat ceholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Campaign Statement Cover Page - Part 2 Type or print in ink, COVER PAGE - PART 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SO CA- BALLOT NO. OR LETTER JURISDICTION o SUPPORT o OPPOSE ~s c\ S-~~o... (~ ZIP 6t53 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. DISTRICT NO. IF ANY OFFICE SOUGHT OR HELD COMMITTEE NAME 1.0. NUMBER DYES o NO 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF TREASURER CONTROLLED COMMITTEE? CITY STAlE ZIP CODE AREA CODE/PHONE V;y;. NAME V\ \.ex- OFFICE SqUGHT OR HELD C,^~~\vLO ,\ G~ e>V''^ (.. ~ OFFIC UGHT OR HELD D5J SUPPORT o OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) ER OR CANDIDATE o SUPPORT o OPPOSE COMMITTEE NAME 1.0. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? DYES 0 NO NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STAlE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 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. SUMMARY PAGE Statement covers period from =-J/A lA '-- 1 0 ~ thrOUghJLAvt'e. ~O)d..o CALIFORNIA 460 FORM Page 'S '3 of I.D. NUMBER Contributions Received 1. Monetary Contributions ........................................... Schedule A. Line 3 $ 2. Loans Received ...................,...,.............................. Schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions ,...,............................... Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Column B CALENDAR YEAR TOTAL TO DATE $ Calendar Year S.ummary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Dale $ 20. Contributions Received $ 21. Expenditures Made $ $ $ $ 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 .......................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If SUbJect to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date $ ___L_---1_ $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 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 $ If this is a termination statement, Line 16 must be zero. To calculate Column S, 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). 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 9 in Column 8 above $ -----1-----1_ $ *Amounts in this section may be different from amounts reported in Column S. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)