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460 Recipient Committee Campaign Statement 10-22-2011 Reci ientCommittee COVER PAGE p Type or print in ink. Date Stamp CALIFORNIA Campaign Statement FORM 4 6 0 Cover Page CG; I_; U (Government Code Sections 84200 - 84216.5) 1 11 of f q Statement covers period Date of election if applic lb ' . I from • ` 2s, 2011 (Month, Day, Year) 1 - ✓ r) / =or Official Use Only SEE INSTRUCTIONS ON REVERSE - through c t Z ? ? J/ j " ti ` i evil I g CUPERTINO CITY CL'RK 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure X Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report Q Recall 0 Controlled ❑ Termination Statement Also file a Form 410 Termination) ❑ Supplemental -A tack Form (Also Complete Part 5) 0 Sponsored ( ) Statement - Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER /Z 9 $e / a { 9 Treasurer(s) COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) / NAME OF TREASURER 6,. 4411 -74,— 6/ l o 1G, % 2 0// HQ le, k k l ii 1 MAILING ADDRESS , — MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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. � v/ z 7 / %i Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 State of California Type or print in ink. COVER PAGE -PART2 Recipient Committee Campaign Statement CALIFORNIA 460 Cover Page — Part 2 Page Z ' of f Lj 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT Ar4Gi1 t? -w ;fir . C / C lJ ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP ` 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed CandidateiOfficehoider Coinii1ittee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772) State of California Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. 460 from .S S ZJ 2 (/// FORM SEE INSTRUCTIONS ON REVERSE through dct Z7 24/ Page 3 of /L I' NAME OF FILER I.D. NUMBER Column A Column B Calendar Year Summary for Candidates Contributions Received TO1AL THIS PERIOD CALENOARYEAR Running In Both the State Prima and (FREt1ATTACHED SCHEDULES) , TOTA:IODATE g Primary /I/ .37. 65,666_d0 General Elections 1. Monetary Contributions Schedule A, Une 3 $ $ 2. Loans Received Schedule s Line 3 /, 0011 . 00 /, a V l" , eD 1/1 through 6130 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ / c, 1 00 $ 6 b, ‘a. 00 20. Contributions Received • $ $ 4. Nonmonetary Contributions Schedule C. Line 3 0 / , 012 SI 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddUnes3 +4 $ / 5-/ fi7• 00 $ 6 7, 7vg. s / Made $ $ Expenditures Made /5, V 8U Y,$.3 22,92.5.87 Expenditure Limit Summary for State 6. Payments Made Schedule E, Line 4 $ /' $ Candidates 0 7. Loans Made Schedule H, Une 3 8. SUBTOTAL CASH PA iviEEiv T S Add Lin s e + 7 $ I S. ` 4 tg0 ' b $ $ 32, '12_5 . 8 7 22. Cumulative Voluntary Made* Expenditure Lbnit) 9. Accrued Expenses (Unpaid Bills) Schedule F Una 3 0 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C, Une 3 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Unes8 +9 +10 $ / C. 91 °. dh $ 3Z, 9,2,5 . 67 _____I,J $ Current Cash Statement / 9 °l — J--/ $ 12. Beginning Cash Balance Previous Summary Page, Une 15 $ To calculate Column B, add 13. Cash Receipts column A, Une 3 above / S, 31. 012 amounts in Column A to the 0 corresponding amounts *Amounts In this section may be different from amounts 14. Miscellaneous Increases to Cash schedule 1, Line 4 from Column B of your last reported in Column B. 15. Cash Payments Column A, Line 8 above /5,980. 8 $ report. Some amounts In Column A may be negative 16. ENDING CASH BALANCE Add Unes 12 + 13 + 14, then subtract Une 15 $ 3 0 9 / 0 figures that should be subtracted from previous If this is a termination statemen4 Line 16 must be zero. period amounts. If this is the first report being flied 17. LOAN GUARANTEES RECEIVED Schedule e, Part 2 $ 0 for this calendar year, only • carry over the amounts Cash Equivalents and Outstanding Debts 0 from ) Unes 2, 7, and 9 (If 18. Cash Equivalents see instructions on reverse $ 0 0 0 (, F P PC Form 460 19. Outstanding Debts Add Line 2 + Line 91n Column ( (January /05) /05 Column 8 above $ ) FPPC Toll -Free Helpiine: 888/ASK-FPPC (886/275 -3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period 460 Monetary Contributions Received to whole dollars. CALIFORNIA from ' C z S. Z 0 // FORM 41 • SEE INSTRUCTIONS ON REVERSE through G Cf Z?, Z / Zvi( Page of NAME OF FILER I.D. NUMBER 6/RVIf 64 ! 2 9 5 f I / DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF COMMITTEE, ALSO ENTER I.D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) I L ® IND !0 / x•70 Cl�a^tine Dam /7r /p, /ha -45& Sl/ 1 � /i7 ❑SCC ZIND 10` Y eI/ FP-.5 4511 7 ❑COM 1 C 0 filQ, 1,h sil I, / ❑ SCC iv 4 gi S^t..& x IND COM 71 a ❑❑scc 4'"', /�j 7 / G' fi.7Z+/ e44N 'MIND Uf (;) ❑ ❑SCC Ac6 - e;„� IND / / / ❑ SCC SUBTOTAL$ / ? 0 0 Schedule A Summary *Contributor Codes 1. Amount received this period - itemized monetary contributions. / y IND — Individual (Include all Schedule A subtotals.) $ COM— RecipientCommittee (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 $ OTH — Other (e.g., business entity) p ry PTY — Political Party 3. Total monetary contributions received this period. 1 1 17 SCC - Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts ma be rounded S tatement covers period 460 rY P CALIFORNIA to whole dollars. from S O/ / 2 ? o// FORM 1 through v / � Z ' Z J // Page of r NAME OF FILER I.D. NUMBER 6 /A 1,Jd1,1 /Z9 5/f/9 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION RECEIVED ( IFCOMMITEE,ALSOENTERI.D CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) /� / 1 E1ND CC /t(c ) 6O cJQ" ❑COM S'�ii1�t 4J'I' J 1 y • ❑ ❑scc cw ��- ��—.,;� A. - 2C IND D e �l ❑ OTH ro -1 / ^k I l0 D � O scc ❑SCC ��C`neL In ✓Oj7.^. i r� CAll MC ❑IND q ,/ COM Q S 0 0 / ❑SCC lb De f1n i 1 a rr,o —� ❑IND ❑COM q �'�U J / l , ❑ PTY SUBTOTAL$ S / 0 *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party FPPC Form 460 (January/05) SCC— Small Contributor Committee FPPC Toll-Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers period CALIFORNIA 460 to whole dollars. • from fe Z 3 Z ;/1 FORM through ec Z , Z J// Page of NAME OF FILER I.D. NUMBER 6/1/-1 L-J 1' 7 /2')Y DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE. ALSO ENTER I.D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMPUVED,ENrER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) / CR E PA c ❑IND q ❑ ❑s PTY c ❑ IND f (; qq �ecaJcq .. ❑COM �l oscc I n IND ` 1 �/ V. C k i LIB ❑ COM r��-� i+ LJ -, n n J? , 9 d OTH 1 p sc PTY GA pp� IND /C f i- k �.h� / ^ .) ❑COM r /� An. lie P- /)� ❑scc // 10 / kip 1 Resja)Q.k_Acr a 1 END 69 11/ n1 .. . o SCC SUBTOTAL$ L/ 9 D `') *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party FPPC Form 460 (January/06) SCC- Small Contributor Committee FPPC Toll-Free Helpline: 8661ASK -FPPC (866/275.3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts ma rounded S tatement covers period rY to whole dollars. CALIFORNIA 460 Z i t ? // FORM OLD Z2 ?v 11 7 ) through / Page of NAME OF FILER I.D. NUMBER Gi ^')- 6 ii /2_9yfi 9 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED ( IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE QF SELF•EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 10 E Oa I/ 0 ch v. RIND _ j ❑COM to i.1 ter ID PTY 7A) 4el� *'' 1' • oscc V C C Y, �1 000 �¢ / / ❑COM 't 1 / °- ❑scc /v/ /Sri 0 1 n 0 0 IND _ a i IlJ ❑ COM nit / 0 p �� �! - ❑ SCC glIND / 0 / O 1 i C vi liJ U ❑ COM Se/4- 2 Z p scc IND /Y A 1 C i p en ),'I it-- • ZZ / 0 0 SCC P SUBTOTAL$ 1 p S *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party FPPC Form 460 (January/05) SCC- Small Contributor Committee FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA w `0 to whole dollars, from fitT Z ? Z J) / FORM s}(� Oct t2 VI1 i through / Page o NAME OF FILER I.D. NUMBER G;J' h1 el5 /Z 1/ 7 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I. D. NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF•EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) M 7 I0r ► - 1 C‘ 1 "(C4, 1 2Q�B� AND / J 0 O T H rem -'e et t /e J 22 ❑ SCC BIND / D 0 -$. n F(iA1,5 El COM 1 / Zz ❑scc J ®'IND / S hi k C 4 , i ❑ 6-, tf /6 / COM J � e j A /Zil. / � ❑PTY �U //o �� i�i ' 0 '17 ❑scc f e' '— Z' it 7s S4;-1 L a ®IND I ❑COM • / Z.:1-- ❑SCC /0/ Het Jen Liu C; II DCOM 1 0..c.‘ 1/ / Z, ❑ PTY J v it c1.,,Tr t?� ❑ scc SUBTOTAL$ _S 0 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OThl - Other (e.g., business entity) PTY- Political Party FPPC Form 460 (January/06) SCC - Small Contributor Committee FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from 1 t 1 , Z 8 11 FORM through Page of Li NAME OF FILER I.D. NUMBER C*11‘,tek `^(16 tziWi'9 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) I1ND 1. y C 6 — Hill Li t4 000M Z ' 0 0SCC i� Yi C . C ' A v 0C M p 9 00TH r Q - 1/n t 7 /v J el— / ( 0S c 191 Lil / '�lh� • " ®IND /2L' ❑scc G{ I IND i V 0 COM fa-11;--ed , ° /0 0 z - / 0SCC OIND / V - 7hcir0 N/ h J Gv1 ['CO ��-' 0 PTY 0 SCC SUBTOTAL$ To ∎? *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party FPPC Form 460 (January/06) SCC - Small Contributor Committee FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print lnink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. from J @ p _4 Z r z J 1 / FORM 0 c Z Z, Z ° 1 1 /5/ through Page of NAME OF FILER I.D. NUMBER (��5� -- FILER , /194//19 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT ITT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMEE, ALSO ENTER IA . NUMBER CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) 1 0/ IN; l /ip c' hoiq 000M /hf,r - n7dit elA Z L / 0S PTY '�h l $ ❑IND ` / L t, ❑ OTH J C•�� ChN19 lBK,4t° Z SO ❑scc _ ❑ IND 1 a / 1)r r/'a , /31;7 / G) Ha 11 COM ©"✓n[f' ❑scc ❑ IND ❑COM ❑ OTH ❑PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ g� *Contributor Codes IND— Individual • COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party FPPC Fonn 460 (January/05) SCC— Small Contributor Committee FPPC Toll -Free Helpline: 866/ASK -FPPC (8661276 -3772) Type or print in ink. SCHEDULE B - PART 1 Schedule B — Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from f Z7. 7 " „' CALIFORNIA FORM 460 Je/' v cf Z Z Z aft 1 'T SEE INSTRUCTIONS ON REVERSE through ./ Page / ` of NAME OF FILER I.D. NUMBER 6 ;l4a -1 (,J eej /294/14 IF AN INDIVIDUAL, ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCE AT OF LENDER (IF SELF EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE /” / //� )O�•/�� / / ❑ PAID q CALENDAR YEAR (� ' C j- al- C , r1.1'+' ‘' C I 0 10 t 1 —// $ $ $ s s t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ El FORGIVEN RATE PER ELECTION** $ $ $ $ $ t^ ^ — DATE DUE DATE INCURRED L) IND ❑ COM L J v i ri ❑ PTY i ❑ .�i..v ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN RATE PER ELECTION t $ $ $ $ $ ❑ IND ❑ COM ❑ O TH ❑PTY 0 DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (Enter(e) on Schedule B Summary Schedule E, Line 3) 1. Loans received this period $ / 0 `' (7 (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes 0 IND— Individual 2. Loans paid or forgiven this period $ COM - Recipient Committee (Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) PTY — Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 0 SCC— Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (may be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule D SCHEDULED Summa ry Statement covers period of Ex p enditures Type or print in ink. 460 Amounts may be rounded Amo CALIFORNIA Supporting /Opposing Other to whole dollars. from J1/�f > 7 al/ FORM Candidates, Measures and Committees G' C1 x`11 SEE INSTRUCTIONS ON REVERSE through f Z � � J `� Page / of 1 NAME OF FILER I.D. NUMBER �Z 9 c 9/ 1 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION CUMULATIVETO DATE PER ELECTION DATE TYPE OF PAYMENT AMOUNT THIS MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) CALENDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) Mcr-f1 M/llt!' --(3r (, vtC,) 1O /1 S Monetary Contribution l ~ ❑ Nonmonetary Fr(C4 / 339 o 6 / �3 SOQ Contribution ❑ Independent rgr Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent El Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 3500 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 $ / 5 U 19 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULE E Schedule E Type or print in ink. Statement covers period CALIFORNIA Pa Payments Made Amounts may be rounded .� 460 Y to whole dollars. Q� / 2.s' 2 c // FORM from 1 SEE INSTRUCTIONS ON REVERSE through 2?, ?el/ Page /3 of NAME OF FILER I.D. NUMBER 6 ,24-'/ A47 /i /2 9 5`9/9 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 ENTERI.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID r ere LQtnw,j ti J. ,cJfCrI J(',• IVoe 9 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ "7 ei Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ /5 `fps 43. 17 2. Unitemized payments made this period of under $100 $ U 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ /S t/ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E SCHEDULEE(CONT.) Type or print in ink. (Continuation Sheet) Amounts maybe rounded Statement covers period CALIFORNIA 460 Payments Made to whole dollars from fj , / n ? i// FORM J� through C Z 7, Z"/ Page / T / of I _! SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 6, /4o i.l-)) i z. 9 V s/9 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 MFG 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) POI / I, Pe' ,'i - 4 l /Y) ct - 74. .✓1.% /d 4, — (1, 4,1 4,1 ( 8 to irAtt, ?r11411 L I T - Pa) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1 ) 9C2- . V FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)