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460 Pre-Election Amendment (1st) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 01/01/2006 through 09/30/2006 Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Par/5) 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. D D General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) [Xl Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Par/6) D Primarily Formed Candidate/ Officeholder Committee (Also Complete Par/7) I.D. NUMBER 1289527 YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS., INC. STREET ADDRESS (NO P.O. BOX) 591 REDWOOD HIGHWAY, #4000 CITY STATE ZIP CODE AREA CODEIPHONE MILL VALLEY. CA 94941 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 415-389-6800 CITY AREA CODEIPHONE STATE ZIP CODE OPTIONAL: FAX / E-MAil ADDRESS 11/07/2006 COVER PAGE Dale of election if applicable (Month, Day. Year) 27 f'~ " l'~.J 2. Type of Statement: IX] Preelection Statement D Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) ~ Amendment (Explain below) ADJUST ESTIMATED ACCRUED EXPENSES TO ACTUAL AMOUNTS D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MR JASON D. KAUNE MAILING ADDRESS 591 REDWOOD HIGHWAY. #4000 CITY MILL VALLEY, CA 94941 NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE AREA CODE/PHONE 415-389-6800 MR qRnN P WRTrH MAILING ADDRESS 591 REDWOOD HIGHWAY, #4000 CITY STATE ZIP CODE AREA CODE/PHONE MTI.T. VAT,T,RY CA 94941 OPTIONAL: FAX / E-MAil ADDRESS ,41c.._":l.QQ_hAnn 415-389-6874 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 /() I~ r /~,n?6 By Date Executed on By Date Executed on By Date Executed on By Date ~- Signature of Controlling Officeholder. Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK.FPPC (866/275-3772) Slate of California Type or print in ink. Recipient Committee Campaign Statement 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 APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listanycommittees 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES oNO STREET ADDRESS (NO P.O. BOX) COMMITTEE ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary COVER PAGE - PART 2 Page ~ of---L-- 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE MEASURE BALLOT NO. OR LETTER E JURISDICTION CITY OF CUPERTINO IZJ SUPPORT o 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 names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE FPPC Fonn 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE from through Statement covers period CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS. INC. 01/01/2006 09/30/2006 Page~ of~ I.D. NUMBER 1289527 Contributions Received Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ 30,800.00 $ 30,800.00 0.00 0.00 $ 30,800.00 $ 30,800.00 21,461.56 21,461. 56 $ 52,261.56 $ 52,261.56 1. Monetary Contributions ........................................... Schedule A. Line 3 2. Loans Received ...................................................... Schedule B. 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 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 711 to Date 20. Contributions Received $ 21. Expenditures Made $ $ $ 0.00 Expenditure Limit Summary for State Candidates Expenditures Made 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made ............................................................. Schedule H, Line 3 0.00 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 ................................AddLines B+ 9 + 10 $ 0.00 66,515.40 21,461. 56 87.976.96 $ 0.00 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) Total to Date 0.00 $ 0.00 -----.l-----.l_ $ 66 515.40 21 461.56 $ 87.976.96 0.00 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 .................................................. ColumnA, Line Babove 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 30.800.00 0.00 0.00 30,800.00 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts......................... AddLine2+Line9inColumnBabove $ 0.00 66,515.40 To calculate Column 8, 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). -----.l-----.l_ $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866IASK-FPPC (8661275-3772) Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2006 through 09/30/2006 SEE INSTRUCTIONS ON REVERSE NAME OF FILER YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS., INC. DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) 09/11/2006 MS DOROTHY STOW IXlIND 20197 LAS ONDAS WAY DCOM DOTH CUPERTINO, CA 95014 DPTY DSCC 09/19/2006 TOLL BROTHERS, INC DiND 250 GILBRATAR ROAD DCOM 00 OTH HORSHAM, PA 19044 DPTY DSCC 09/21/2006 THE RIDING GROUP III, LLC DiND 99 ALMADEN BLVD DCOM SUITE 720 lKJ OTH SAN JOSE, CA 95113 DPTY DSCC 09/26/2006 THE GUZZARDO PARTNERSHIP INC DiND 836 MONTGOMERY STREET DCOM lKJ OTH SAN FRANCISCO. CA 9413 3 DPTY DSCC 09/28/2006 THE JACK AND CHOP SHOW DiND 700 EMERSON STREET DCOM lKJ OTH PALO ALTO, CA 94301 DPTY DSCC RETIRED 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 ofless 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 $ AMOUNT RECEIVED THIS PERIOD 300.00 5,000.00 20,000.00 500.00 5,000.00 30,800.00 30,800.00 0,00 30,800.00 SCHEDULE A CALIFORNIA 460 FORM Page~of~ I.D. NUMBER 1289527 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REaUIRED) 300.00 26,461.56 20,000.00 500.00 5,000.00 '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/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule C Nonmonetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE C Statement covers period CALIFORNIA 460 FORM from 01/01/2006 SEE INSTRUCTIONS ON REVERSE NAME OF FILER YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS., INC. through 09/30/2006 Page~ of~~ 1.0. NUMBER 1289527 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITlEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR o~6~~~~I~~~~~~~~~~~ER DESCRIPTION OF CODE * (IF SELF.EMPLOYED, ENTER GOODS OR SERVICES NAME OF BUSINESS) AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) 08/31/2006 TOLL BROTHERS, INC 250 GILBRATAR ROAD OIND oeOM [!] OTH OPTY osee OIND oeOM IX] OTH OPTY osee OIND oeOM OOTH OPTY osec OIND oeOM OOTH OPTY osec STAFF TIME, OVERHEAD AND REIMBURSED EXPENSES 9,187.80 26,461.56 HORSHAM, PA 19044 09/30/2006 TOLL BROTHERS, INC 250 GILBRATAR ROAD 3~~EIl~E AND REIMBURSED EXPENSES 12,273.76 26,461. 56 HORSHAM, PA 19044 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 21,461.56 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 I ND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g.. business entity) PTY - Political Party SCC - Small Contributor Committee 21,461.56 0.00 21,461.56 FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2006 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS., INC. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/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 N) 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) through 09/30/2006 Page~ of~ I.D. NUMBER 1289527 CODE OR lal (bl Ie) (dl NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD LAKE RESEARCH PARTNERS POL 0.00 11,975 00 0.00 11,975.00 1726 M STREET, NW SUITE 500 WASHINGTON DC 20036 TRAMUTOLA, LLC CNS 0.00 7,500.00 0.00 7,500.00 191 RIDGEWAY AVENUE OAKLAND CA 94611 NIELSEN, MERKSAMER, PARRINELLO, MUELLER & NAYLOR. LLP PRO 0.00 5,657.79 0.00 5,657.79 591 REDWOOD HIGHWAY BUILDING 4000 MILL VALLEY CA 94941 · Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 0.00 $ 25,132.79$ 0.00$ 25,132.79 Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $1 00 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 $1 00 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 on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ 66 515.40 0.00 66,515.40 May be a negative number FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE F (CONT.) Statement covers period from 01/01/2006 CALIFORNIA 460 FORM through 09/30/2006 Page~ of -L_ l.D. NUMBER NAME OF FILER YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS. INC. 1289527 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. o,p campaign paraphernalia/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 A-lO phone banks TRC candidate travel, lodging, and meals FND fund raising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND 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 (internet, e-mail) * Payments that are contributions or independent expenditures musl also be summarized on Schedule D. CODE OR (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMmEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD DFS ASSOCIATES SEE SCHEDULE G 0.00 12,801.55 0.00 12,801. 55 1625 THE ALAMEDA SUITE 204 SAN JOSE CA 95126 WINNING CONNECTI0NS POL 0.00 14.000.00 0.00 14,000.00 317 PENNSYLVANIA AVE., SE 2ND FLOOR WASHINGTON DC 20003 DFS ASSOCIATES CNS 0.00 10.000.00 0.00 10,000.00 1625 THE ALAMEDA SUITE 204 SAN JOSE CA 95126 NIELSEN. MERKSAMER, PARRINELLO, MUELLER & NAYLOR, LLP PRO 0.00 4,581.06 0.00 4,581.06 591 REDWOOD HIGHWAY BUILDING 4000 MILL VALLEY CA 94941 SUBTOTALS $ 0.00 $ 41,382.61 $ 0.00 $ 41,382.61 FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE G Statement covers period from 01/01/2006 CALIFORNIA 460 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS. INC. NAME OF AGENT OR INDEPENDENT CONTRACTOR DFS ASSOCIATES through 09/30/2006 Page~ of~ I.D. NUMBER 1289527 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. eM=' campaign paraphernalia/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 A-IO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals I\lD independent expenditure supporting/opposing others (explain). POS postage, delivery and messenger services TSF transfer between cornmittees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB infomnation technology costs (internet, e-mail) * Payments that are contribu1ions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) PAT KIRK PHOTOGRAPHY LIT 1,094.14 1546 MONTALBAN DRIVE SAN JOSE CA 95120 PRINTMAIL PROS LIT 883.30 1<_0 BERRYESSA ROAD SAN JOSE CA 95133 US POST OFFICE POS 2,520.37 SAN JOSE CA 95128 AUTUMN PRESS LIT 5,601.77 945 CAMEILA STREET BERKELEY CA 94710 Attach additional information on appropriately labeled continuation sheets. TOTAL * $ 10,099.58 . 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/OS) FPPC TolI.Free Helpline: 866/ASK.FPPC (866/275-3772) Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 01/01/2006 CALIFORNIA 460 FORM SCHEDULE G SEE INSTRUCTIONS ON REVERSE NAME OF FILER YES ON MEASURE E, TO SUPPORT GOOD GOVERNMENT, SCHOOLS, THE LOCAL ECONOMY AND ENVIRONMENTALLY FRIENDLY HOUSING, WITH MAJOR FUNDING BY TOLL BROS. INC. NAME OF AGENT OR INDEPENDENT CONTRACTOR DFS ASSOCIATES through 09/30/2006 Page~ of~ I.D. NUMBER 1289527 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 0vP campaign paraphernalia/misc. IIIt3R member communications RAD radio airtime and production costs CNS campaign consullants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary" OFC office expenses SAL campaign workers' salaries CVC civic donations FEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees A-lO phone banks TRC candidate travel, lodging, and meals FNJ fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals NO 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 UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER !.D. NUMBER) SUPEROXYGEN, INC LIT 2,000.00 11815 MAYFIELD AVENUE SUITE 202 LOS ANGELES CA 90049 Attach additional information on appropriately labeled continuation sheets. TOTAL * $ 2,000.00 . 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/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)