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460 Recipient Committee Campaign Statement 10-22-11Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if ap from b 4 /��/ �l (Month, Day, Ye; through 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 O Controlled (Also Complete Part 5) O Sponsored (Also COmoleta Part 6) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER /33 qo6/ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) 14 4 =K * 4 -Le'o- rO u NG.L ad // STREET ADDRESS (NO P.O. BOX) J-03V-8 e4-4 -q 5;7W_CET CITY STATE ZIP CODE AREA CODE /PHONE Cup&2-r C+ 43-'0/5- V0?12J9 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS D) - �Tr p IR COVER PAGE OCT 2 7 e —/_ of _T For Official Use Only CU ERTINO CITY C 2. Type of Statement: ). Preelection Statement ❑ Semi - 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 e Z.,}u D e f`lG Af / cz i% MAILING ADDRESS OLO .3 tl 5 CITY STATE ZIP CODE AREA CODE /PHONE (Up E,O2 7-1 o C9-.. Y rb I/ NAME OF MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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 4 / ?L Aw By - / Rp. rxn ihla Offl rtf Smnv Executed on Date Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California By Signature of Controlling Officeholder, Candidate, State Measure Proponent Recipient Committee Type or print in ink. COVERPAGE -PART2 CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE /VI14#27' y Af 1Z -C4e&- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) (!t 7 6 u Avcfc. mG d14 r,6410 RESIDENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) Page of NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑SUPPORT ❑ 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 ❑ 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 �-• • .�.,c �� �,vvc rrr«r1 i,vvcirnvrvc Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amounts may be rounded to whole dollars. Statement covers period - I ' from through 0 2Z Page 3 of If SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER r- "t Co / 3 3 ? 06 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) CALENDARYEAR TOTALTO DATE Running in Both the State Primary and 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 9 7 ' $ ds; 7QV ero General Elections 2. Loans Received ....................... ............................... Schedule e, Line 3 ���' aw 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ l� 79y- $ _7 4ff, Oa 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ......... .................. Add Lines 3 +4 $ Z? 7/ /, � $ 02 ��� O'a Made $ $ Expenditures Made 6. Payments Made ........................... 7. Loans Made .. ............................... S. SUB T GTAL CASH PX [AEN I S .... 9. Accrued Expenses (Unpaid Bills) 10. Nonmonetary Adjustment ........... 11. TOTAL EXPENDITURES MADE ... ............................ Schedule E, Line 4 ............................ Schedule H, Line 3 . ............................... Add Lines 6 + 7 ............................... Schedule F, Line 3 ............................... Schedule C, Line 3 ............................. Add Lines 8 + 9 + 10 $ / o J s 'kz. zi $ /S�3 /L• y'P $ Expenditure Limit Summary for State Candidates $ / 0/3-�2. 2-1 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0/91 2-3 13. Cash Receipts .................... ............................... Column A Line 3 above / ?!!:2f f, 0'0 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 o 15. Cash Payments ................... ............................... Column A, Line s above / 57 / 1 G1 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14 then subtract Line 15 $ 'r35: D Z 1f this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ IK 19. Outstanding Debts ......................... Add Line 2 + Line 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). 22. Cumulative FxnPnd1ttiros Maria* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I $ I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetar Contributions Rived m muum5 may oe rounueo ry ons ece to whole dollars. Statement covers period CALIFO &ZLAd from • R / Z �� /� through L� q SEE INSTRUCTIONS ON REVERSE Page ` of ` NAME OF FILER I.D. NUMBER fX ,j,2 - i-y wry /44At die C'otid /L Za 906 DATE EET A DD FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTEE, I.D. NUMBE CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 0414 7l'i!I cA • 4#'L7MtFJUT A-Scoc- ❑IND a Il l ZOl 1 P #4 C CAA Oh-G LocA L. T Ate. t4COM ) V A ") q-s" r SrE 7.o a ❑❑ PTY g"�D • o-c S7?D, o 3A<12AVMe4J1 C4• 173 ❑SCC oeeCot-o6y /NC— ❑ COM 9 f 30l yo[[ 57O dWu F&2,6) Ih Sr. .7*+k Flew,2 ❑ OTH pn'C"sS q - 2, 10 S44A) GKA-N R.t S C-0 V CA- t?* // / ❑ PTY ❑ SCC A Aiu,bA 114-MM-5 IND J ❑COM 7 / Wjf ivJ �-• K J ` Uv ❑PTY /LY�T [ /L6/l) [ vi✓. (rte , vv. �L C�+F6TI N o 1 C.4. a �-a[ e'PrA1K'7rrEC_ Zo CL*c EVA-r.) Lo L..) ❑IND ��jlyorl 5z� s- M I c_L_t c N piL STE Z/.1 ❑ FPvc-14- 11,40 00? 8 mac. C�JYMp�ELC� / �/ �,S►O O 8 ❑ 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.) .......... It 14 o0 TOTAL $ 1 q 111- '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/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) nnoneiary l.onirIDULIonS Kecelvea Amounts may be rounded Statementcovers period • RNIA to whole dollars. from y9�i��l� . ' • through l /a2Z� Page of NAME OF FILER I.D. NUMBER /1'ji4/2 /ZIILLEi2- �2 C'o�.� •Zdi� 133 906/ DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR QFCOMMITTEE,ALS .D.N DE O CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 1A ( 'LOl1 L � //�� /_ // c1UAIE !C.( DA G-ufs XIND � ��S N W kl smoopj /z. 57V- ❑OTH Sb O.tl-o IA^OLLx IJI ct.) I I A, R� q 3 El PTY ❑ SCC SE1.1F �ItiiI�� -r►�l ( Zo10 ? I I �+ r� n &O 109A T n IC-1— P `O �Q✓lIGL,IA�( ❑IND ❑ COM BOTH �1�W El PTY ��. 216 1bu)soD cf I Tq a. 4q ❑ SCC (rt L tl ir ✓LT Wo lU G-- KCOM p �'p1 1719 l 0(,A- Gtl.3 &2.r 00 �tS.. ✓-0�2 G �( �� E] PTH Qv 10 ?8 PeA)1A1? �t *VC ❑❑sTY �I Ada( ,r4 M N Ct4" I - r�E ❑ ❑CO M �$'2fl11 Iq PI 9TE s C12lEEK ►3t.uD PTY 3aeo, rrfl 3CS�o.lrn t* kA PICA 7 N 0 C. a SV I V ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL *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/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) nnonetar/ ContrIDutlonS Keceivea Amounts may be rounded Statement covers period CALIF ORNIA to whole dollars. 09 0 from FORM /O /ZZ L� 7 through D Page of NAME OF FILER /I4 4X-FY nl a-"2 ro Cc u n/ / 4_ '040// I.D. NUMBER / 3 3 9O6 / DATE RECEIVED ESS FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ( EET A COM MITT E E, R ALS EN ZIP I.D. NU DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE CODE * (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) /fit �i�L ❑IND J[I�G/ZNi►4 ��/ 3120[/ S2r S• v/ i /� -4d ❑OTH FAOCA* 5 f O 6 �jSDa•On 6p. Bo l /.pS �dlG4�S, �• 9DOZo El PTY ❑SCC KIND ❑ COM P12N Tc S T V /QIZO// Po '6 7 *V-q ❑OTH LQO•fi0 �60.6D Cup r,Na, r.�, qm[r ❑PTY r,.f^DWCA ❑ SCC i Sf> CO /ZPo�4tld/� ❑IND FICOM /20 // 2 066o srrve * L�l 'LK R LV0 3 3 J Z TH $o � o • [ro SD &v v-o e,"PC2r1Avo � ct. jyv1 ❑SCC Job Af C-IC4M,7 Wy / //.2/ g0 AK_ S/'f/XE Aaje ❑ICO ❑OTH 12 E T /Rr D 21M. cro ❑PTY CkPE/Zr1ND C4. TS ❑SCC (]IND O � / s � S A'4 191' //- /"/A Af' -/U 6 '4 / D CO 2E r[ 2Fi1� 30 it / ! z S — V R D L!/✓ r CIZES ,- -Pl El PTY lDD. C ct AE/L r /.w , c-4. y' ro.5/ [ SUBT $ '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/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Tune or nrinf in ink SCHEDULE B - PART 1 5cneauie b — Fart i Amounts may be rounded Statement covers period - Loans Received to whole dollars. ' J from _ -Q LS ZD 1/ •' �1 17 ` SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER /hAyY_ /kr�c ��'1 �/z. Cdu�vc« ao1� l33fro6� FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (c) AMOUNTPAID OUTSTA NDING BALANCEAT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER NAME BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNT OF CONTRIBUTIONS OF BUSINESS > RI THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR ZO 3 5` t C L -q S Y 1 fz-c D $ PK $ ds.o-v m % $ 4i7. $ raI' Nom- vT ❑ FORGIVEN RATE PER ELECTION �,n $ Ua $ $ e_ 8 8 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION *' RATE tf1 iun f1 nnu r1 C „, U i U 8 E 8 S 8 .., ,.�...,� vn,�u+.vi♦nw ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 8 8 8 $ 8 DATE DUE DATE INCURRED SUBTOTALS $ $ $ X//Ov, ev $ 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.) ............................. Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ....................... $ NET $ (May be a negative 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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded y to whole dollars. „p /�� /� from GU SEE INSTRUCTIONS ON REVERSE through l u ��� Page ? of NAME OF FILER I.D. NUMBER 4149ry *( -L&2. IO CO UAiC14- ;20// 1339061 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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID G.To C�., 9 5 3 �ACtPrG / or�. S• Z ivy .� Ti2 , lEF T �,/ i 3� i�.S % s�3 �$-CIP< P/z /,vT• 6- / 2 ,4 A sr&k 7- /siv 3 Z JU C4. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 5 - 2- 37, ?S Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ /d -S?[ • G / 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 $ ,[h -mil• 6 l FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID /�AG /Ft� �2 / ,v Ti�✓� SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period - J Payments Made to oars. t hl dollars from 10-0c120l/ � - P)eeCt 5 10 -AJ 0_6/titC<Al/C-T7 IAIC- through zo ` SEE INSTRUCTIONS ON REVERSE 1 Z ( 7, °-° Pa 9 of ` P NAME OF FILER /yl•�?Ty i4tl r 2 6 u.v c14 - 2-a Ye-4A A�OPq A*t /,✓ 7 G� I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /misc. MIBR 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 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 (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID /�AG /Ft� �2 / ,v Ti�✓� P)eeCt 5 10 -AJ 0_6/titC<Al/C-T7 IAIC- 1 Z ( 7, °-° Ye-4A A�OPq A*t /,✓ 7 G� / /fS jJdST oA c..E S� Z-0 5 CA-. �O 3 f2 , 2 ) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS --35 . 94 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)