460 Semi-Annual (Oct-Dec) ecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-64216.5)
SEEINSTRUCTIONS ON REVERSE
Type or print in ink
Statement covRrs period
from
through
1. ~pe of Recipient Committee: All Committees-Complete Parts 1, 2, s, and a.
Officeholder, Candidate ConUolled Committee ^ Primarily Formed Ballof Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(NsoComplefePanS) Q Sponsored
(AlsoCompkfePad61
^ General Purpose Committee
Q Sponsored ^ Primarily Formed Candidate)
Q Small Contributor Committee Officeholder Committee
QPoliticalPartylCentralCommittee INsoCompleteFart7J
3. Committee Information LD. NUMI~E~' ~ 6
COMMITTEE NAME (OR CCANDIDATE'S NAME IF NO COMMITTEE) J~ `~
V ~ I
Date of election if
(Month, Day,
2 00 ~-==
~~~. ~
FE8 • ~ ~D
2. Type of Statement:
^ Preelection Statement
Semi-annual Statement
^ Termination Statement
(Also file a Foal 410 Termination)
^ Amendment (Explain below)
~JVERPAGE
of
For Official Use Only
CITY
^ Quartedy Statement
^ Special Odd-Year Report
^ Supplemental Preelection
Statement -Attach Farm 495
Treasurer(s)
NAME OF TREASURER
MAILING A[~DRESSI I I
Ihinn n ~~~ /~ _ I, I~i.,L~
II!I°'I i V/Yr Il..l -V/A.U. VvpSl ~ 1
CI Y STATE ZIP CODE AREA CODEIPHONE
MAILING AI90RES5 ,/ ~ ~ I
~~~~2 ~Af~ ~'~`~~- (~~~5
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX 1 E-MAIL ADDRESS
ZIP CODE
AREA CODE/PHONE
4, Verification
I have used all reasonable diligence in preparing and revievdng this statement and to the best of my knowledge the i ormation contained herein and in the attached schedules is true and complete. I cerlity
under penalty of perjury underthe laws ofthe State of California thatthe foregoing is true and correct. ~ ~ j)
Executed on ~ BY
De
Executed on I ~ ~ 6Y
ate
Executed on BY
pyly Signature of ConVdingOfficehdder,Candidate, State Measure Proponent
Executed on BY
pyre Signature orControNingOfficehdder,Candidate,S>ateMeasureProponent FPPCform460(January105)
FPPC Toll-Free Helpline: 9661ASK•FPPC (8661275.9772)
State of California
ecipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in ink.
6. Primarily Formed Ballot Measure Committee
Page ~ of
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICE OLDER OR CANDIDATE
V'~I ~ 2/1
OFFICE SOUGHT OR HEL (IN LUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
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 anycommitrees
not included in this statement that are controlled by you or are primarily /ormed to receive
conhibuflons or make expenditures on behal/ of your candidacy.
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLEDCOMMITTEE?
^ YES ^ NO
COMMITTEEADDRESS STREETADDRESS (NOP.O.BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEE NAME
NAME OF TREASURER CONTROLLEDCOMMITTEE?
^ YES ^ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX)
CITY
STATE ZIP CODE AREA CODEIPHONE
NAME OFBALLOTMEASURE
BALLOTNO.ORLETTER JURISDICTION ^ SUPPORT
^ OPPOSE
OFFICE SOUGHT OR HELD
COVER PAGE-PART2
DISTRICT N0. IF ANY
7. Primarily Formed CandidatelOfficeholderGommittee List names o/
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 SOUGHT OR HELD
^ SUPPORT
^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ^ SUPPORT
^ OPPOSE
Attach continuation sheets if necessary
I.D. NUMBER
FPPC Form 460 (January105)
FPPC Toll•Free Helpline: 6661ASK•FPPC (8661275.5711)
State of California
RESIDENTIALBUSINESSADDR~SS (NO.ANDSTREET) CITY STATE ZIP
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME Of FILER
Statement cove/rns erCi{od
from ~~ l D
through ~ 2 `~ ~ Page
Contributions Received ColumnA
TOTALTHISPERIOD
(FROMATTACHEDSCHEDULES)
1. Monetary Contributions .........................................:. scneduieq,unes $ jA
2. Loans Received ..................................................... schedule e, Line 3
3. SUBTOTALCASH CONTRIBUTIONS ......................... Addunes 1 +2 $ ~ ~0
4. Nonmonetary Contributions .................................... scneduiec,Line9
5. TOTALCONTRIBUTIONSRECEIVED ...........................gddLines3+q $
Expenditures Made
6. Payments Made ....................................................... schedule E, une 4 $
7. Loans Made ............................................................. schedule ri, une s ~-
8. SUBTOTALCASHPAYMENTS .................................... qdd Liness+z R ~ri~,
9. Accrued Expenses (Unpaid Bills) ............................... scneduie Fune 3 _~_
10. Nonmonetary Adjustment .......................................... scneduie c, Line 3
11. TOTALEXPENDITURESMADE ................................gddunesa.g+to $
Type or print in ink,
Amounts may be rounded
to whole dollars.
Column B
CALENDARYEAR
TOTALTODATE
$ ~~~17
Spc6
$ 13~~
~-
$ 1 ~ 032
e /7/1~~.% ~~,
$ ~ ~~ 3
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summaryPage, Line 16
13. Cash Receipts ................................................... column q, Line 3 above
14. Miscellaneous Increases to Cash ........................... scnedulei,une4
15. Cash Payments .................................................. Column A,line9above
16. ENDING CASH BALANCE .......... gdd~nes tz + 13 + 14, then subtractune 15
$ 20RK~ `~
~~
$~?
I.D. NUMBER
SUMMARY PAGE
of
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6130 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
jir5uujeui iu Yuiunury expenditure iimitj
Date of Election Total to Date
(mmlddlyy)
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
fgures that should be
subtracted from previous
period amounts. If this is
the first repon being filed
for this calendar year, only
carry aver the amounts
from Lines 2, 7, and 9 (if
any).
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule a,Part2 $
Cash Equivalents and Outstanding Debts
18. Cash EgUlValentS ........................................ Seeinstruch'onsonreverse $
19. OUtStanCfing Debts ......................... qdd Linez+Line9inColumnBabove $ ~~~~
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January105)
FPPC Toll•Free Helpline: 8681ASK•FPPC (8661275.3772)
chedule A Type or print in ink SCHEDULE A
Monetary Contributions Received Amounts may be rounded statement covers period
to whole dollars. I
from D ~ ~ I • ~ 1
SEE INSTRUCTIONS ON REVERSE through ~ ~~ ~C Page of
NAME OF FILER
~~ ~ ~r1 n I.D. NUMBER
t/N i~ g~~3
DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION
QFCAMMRTEE, A150ENTERLD.NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE
QFSELF-EMPLDYED,ENTERNAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED)
11 OFBUSINEBS)
~,'~iiutnlc- ~eZ IND
~2~I~ 1~~~ S~ ~°~ ~~ ^COM S~~r E~P~ry~
~/~~~~ ^OTH ~ ~ ,~ ~ ~G~ ~~ 6O
~u~~'~'~~~ 1 ^PTY ~e~ L~~ ~~ G~`~P
^scc
^IND
^COM
^ OTH
^ PTY
^SCC
^IND
^COM
^OTH
^ PTY
^scc
^IND
^COM
^OTH
^ PTY
^SCC
^IND
^COM
^ OTH
^ PTY
^SCC
SUBTOTAL$
Schedule A Summafy
1. Amount received this period -itemized monetary contributions.
(Include all Schedule A subtotals.) ........................................................................................................ $ r~~
2. Amount received this period -unitemizetl 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 Caries
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 (January105)
FPPC Toll-Free Helpline: 8661ASK•FPPC (8661275.3772)
chedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink
Amounts may be rounded
to whole dollars.
NAME OF FILER
Statement cover period
from ~~ ~~ ~~
through
Page 5 of S
I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CtuP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MiG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonelary)' OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TFl t.v, or cable airtime and production costs
FlL candidate filinglballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals
t•D independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
Lfr campaign literature and mailings PRT print ads VvEB information technology costs (internet, a-mail)
NAME AND ADDRESS OF PAYEE
QFCOMMITTEE, ALSO ENTERLD.NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAD
(~;P~
I
I ~ ~ ~ LI
ii
. ~,,~ ~.-~ r ,
~~ ~r~,~o ~n -1~~I ~
R~0`~(~ ~r%, ~~ ~ [~ L I
~~1 ~ o,~ C~~R5133
* Payments that are contributions or independent expenditures must also be summarized on Schedule D, SUBTOTALS ~`'~ L'
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $
n
2. Unitemizetl 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 (January105)
FPPC Toll-Free Helpline: 8661ASK•FPPC (8661275.3772)