460 Recipient Commitee 01-01-13 thru 06-30-13Recipient Committee
CampaignStatement
Cove- Page
(Gavemment Code Sections 84200 -8421
SEE 1 STRUCT)ONS ON REVERSE
Type or print in ink.
Statement covers period Date of eiection if a.pplic
— j - Month, Day, `{ear)
tram
through
1. Type f Recipient Committee: All Committees - Complete PlaFW 1, L, 3, and 4.
OffiGeholder, Candidate Controlled Cckmmitlee L]
Primarily Formed Ballot Measure
State Candidate Election Committee
Committee
Recall
Controlled
WS0 GVMPr Palt
Sponsored
Ej �rki Purpose orrl�ni�
{,�r,�o Corrrplete � s)
Sponsored
Primarily Formed Candidate/
Small Contributor Committee
Of reho[der Committee
Political Pa rty/C entrai Go mmitte
(Auso Comprete Pad 7)
3. Gommiftee Information I.D. NUMBER
COMMITTEE TAME (OFD CANDIDATE'S NAME IF NO COMMITTEE)
74/_ Y (f 0 zo�, 7 Cl
� �
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.D. BOX
I D F 1i 1'N
JUL 16 20i3
COVER PAGE
Of Ai
or Offidal Use Only
PN CITTYY CL IRK
Type of Statement~
Preelection Statement 0 Quarterly Statement
Sears -- annual Statement E Special Odd -bear Report
erminatiun Statement D Supplemental Preelection
(Also file a Form 41.0 Termination) Statement - Attach Form 495
Amendment (Explain below
Treasurer(s)
DAME OF TREASURER
URER
/-/ /j9,7
MAILING
NAME OF ASSISTANT T TREASURE . IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE #PHONE
OPTIONAL: FAX # E -MAIL ADDRESS OPTIONAL FAX ! E-MAIL ADDRESS
4. verification
I have used a 11 reasonable d 1119 ence in preparing and re iewing this statement and to the best of my C n ow [edg a the info rrnabon contained herein and in the attached schedules is true and complete_ [ certify
sander penalty of penury under the laws of the State of C a Iifomia that the foregoing is true and correct.
Executed on B
Eeced on B -
fa Signature ofControlling OfcehoWer*CarEdidate. State ML-asure Proponent
. FPPC Form aso (January/05)
FPPC Toll -Free Helpline: 866# } -[~PP (8661275 -3772)
Mate of Iwallfoia
Recipient G mmitee Type or print in ink.
Campaign Statement
Corer 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)
(f 0 pv7/, g7V
t
RESIDENTIAUBUSI NESS ADDRESS (NO_ AND STREW CITE STATE ZIP
7cai C*�
Re Eated Committees Not Inlcluded 1n this Statem entt List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contribu€ions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D_ NUMBER
NAME OF TREASURER CONTI OLN..ED COMMITTEE?
F] YES NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOAC)
CITY STATE ZIP CODE AREA CODEWHO 1E.
O MI- 17EENAME N.D_ N 11U1BER
NAME OF TREASURER CONTROLLED COMMITTEE?
E] YES NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOAC)
CITY 'SATE ZIP CODE AREA CO€?EIPHONE
6. Primarily Formed Ballot llot ea sure Committee
NAME OF BALLOT }MEASURE
BALLOT NO. OR LETTER
COVER PAID E - PART
Page of I (
D SUPPORT
ED OPPOSE
Identify the, controlling G ceholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO_ IF AN
7. Primarily Formed andidat l ffli eholder Committee Listnames of
officeholder(s) or candidatew for which this co rrrwee 'is primarily formed
NAME OF OFFICEHOLDER OR CANDND TE I OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
I AAAE OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
SUPPORT
0 OPPOSE
OFFICE SOUGHT OR HELD
F � SUPpORT
OPPOSE
OFFICE SOUGHT OR HELD
SUPPORT
❑ OPPOSE
OFFICE SOUGHT OR HELD
�] SUPPORT
OPPOSE
Attach continuatfon sheets ff necessary
FPPC Farm 466 Paouaryw)
FPPO Toll -Free h spline: 8 6 /AS -FPP (866!276 -3772)
SUte of California
Campaign Disclosure Statement Type or print in ink,
Amounts may be rounded � � to who[e dollars.
SFE INSTRUCTIONS 1 REVERSE
NAME OF FILER
SUMMARY PAGE
Statement covers period
from 1-1-13
through Page_ of—H
I.D. NUMBER
Calendar Year Sumrnary for Candidates
Running in Both the State Primary and
General Elections.
111 through 6/30 7!1 to Date
Contributions Received Column A Column B
TOTALTHIS PERIOD CALFENDAR YEAR
(FROM ATTACHED SCHEDULES). TOTALTO DATE
I- Monetary Contributions -- ------ - - - - -- ---- - - - - - -- •- ••-- - - - - -- ,. Schedule � Line $ $
_ r
2- Loans F eceived . . .. ............ .................. . . . . .. ......... Schedule B, Line
3. SUBTOTAL CASH CONTRIBUTIONS - ------ - - - - -- - ------- AddLlnesl+2 $ — - .�
4. Nonmonetary Contributions ............. ....• - - - - -- .._.._... rL- , Line 3
_ - TOTAL CONTRI B UTIO NS RECEIVED . ... ......... . . . . .. ....... Add Lines 3 + 4
12- Beginnin 1 larCe ........... . .. . .. . .. Previous
Page, Line 16
Expenditures Made
6- Payments Made - - - -- ............................... e ' 0
. . . .. ........... Schedule E, Lue t
$
7. Loans Made .----- - - - - -- ----............................................ Schedule H, Une 3
8- SUBTOTALCASH PAYMENTS ----------------------------------- Ad -d Lines B+ 7 $ � We 0 0 Ll TU a 0�
$ _
9- Ac=ed Expenses Unpaid Bills) ............................... Schedule F. Lire 3 0
10. Nonmonetary Adjustment - ---- - - - -- -------- - - - - -................. chedule G, Line 3 V
11. TOTAL EXPE N DITUI ES MADE ............. ..... ...... . . .. Add Line a + 9 + 16 $ � � go $
Current Cash Statement
12- Beginnin 1 larCe ........... . .. . .. . .. Previous
Page, Line 16
$
-
To calculate Column Bx aid
13. Cash Receipts ipts ............. . .......... . ............. . ..... Column A, Lure 3 above
_�
amounts in Column A to the
14- 11llESOelianeo�., Increases to Cash ......................... checlule l+ Lfrre
_ _ --
l
��
corresponding amounts
o clurr�t� B of your rapt
15. ash Payments ._. ...... ........ . . .. .......... . ..... . . . .. ... olurmnA Line 8 above
� �
report_ Some amounts in
16- ENDING CASH BALANCE .......... Add Lines 1 + ? + 14, then subtract Line 1
$ �
olumn A may be negative
figures that should be
If this ! a er rr a ror� statement Line ? must be zero.
subtracted from previous
,
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED EIVED ..... ....... ........ ...... Schedule: 13, Part 2
$
for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts
from Lines 2, 7, and 9 (if
18. Cash Equivalents . .... . . . . .. .......... ......... . . .. .. fee instructions
$
�
any).
19. Outstanding Debts . . . . . .. .............. Arid Line 2 + Line 9 in Column R above
$
g. Contributons
Received $
21 - Expenditures
Made $ $
Expenditure Lim.1t Summary for State
Candidates
22. Cumulative Expenditures Made*
(If S ubjeCttoVoluntary Expenditure Limit)
Date of Election Total to Date
mmlddlyy)
*Amounts in this sermon may be different from amount
reported in Column B.
FPPC Fora 460 (January/05)
FPPC Toll -Free Helpllne: 866 #ASK -FPP (8661275 -3772)
SG Ul A
Type or print in ink.
SCHEDULE A
Monetary Contributions Received
Amounts
Amount may be rounded
Statement covers period
�
whole dollar_
•' •
FORM IA460
#rare
SEE INSTRUCTIONS ON REVERSE
-
through Page of . .....
NAME OF FILER-
I.D. NlJi81
DATE
FULL NAME. STREET ADDRESS AND ZIP ODE OF CONTRIBUTOR
OQA3Ti i8UT R
IF AN INDIVIDUAL, ENTER
AMOUNT
UMULATIVETO DATE
PER ELECTION
RECEIVED
VFCOMM =E� ALSO EWr to_ NUMBER)
BODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
OF -EMPLOYED. ENTERr E
PERIOD
(IAN_ 1 - DEC. 1 )
(IF REQUIRED)
OF BUSTNEsS)
❑ IND
❑ M
❑ TH
❑ PTY
❑ SCC
FIND
❑ COI
❑ OTH
❑ PTY
[]SCC
❑ IND
❑C M
❑ OTH
L] PTY
❑ SCC _
❑ ID
❑ CCU
❑ OTH
❑ PTY
SCC
❑ iND
ocom
❑ OTH
❑ PTY
❑ SCC
117K� [ ♦��
V i/T /T i
�TF'_^LYf'.i'. � .� -` -_ ii._ "_ .L.�s,' �y:1 ..�•+..r ".. r 4 '4!1's:'=... _ ""T' .
�-,`,"Z ,�i= r?.: _�.�..�f.���i:::7 - -� "._ `�.- ,.7`•- Yr.,r�,�i',��rJ•'t;
� "- '�"a73� � r'�� { �__ �'.` �y�-'. ��"{ c'- �"` ���„ �"M�SCC,"l?� }n�'__"ti'= n.�k+a=
i9* -_.' F?i= �i:�.yL:.r�''i�.- '_''�"r'i� } ',t"',.i- ��. "iiYr_ c�i.'.. ,.'r- �•.=ti i.
�+;, -: ":.. -ate .1i: __•`. _"_ ; -� �., -. __ !'�''t" {, .'S1'.4 �';''SF ='
bhl A bumry
1. Amount received this period —itemized monetary contributions.
(Include. all Schedule A subtotals.) .......................... . ... ............................... . ................................ s 0
2. AI'uLlnt received this pudud — L1r1itmid monetary contributio n of less than $100 ............................
0
. Total monetary contributions received this period.
Add L- E . 0
n 1 and . I--ntur Hor U and un the Summary Page, Column A, Line 'l . ..s .................... T TAL - -
F P PC Form 460 (Jan uaryl0 )
FP PC Tall -Free Help] ine: 6661 SK -FPP (8661275-3772)
Schedule B —Fart I
Loans Received
SEE INSTRUCTIONS ON REVERSE
NAMLV UF; FILER
6/V
FULL NAME, STREET ADDRESS AND ZIP CODE
F LENDER
{IF D MU -TEE, ALSO ENTER I.D. NUMBER)
I D Q COM Q OTH Q PTY Q SCC
fiQ I lD Q C M Q OTH Q PTY Q SOD
-�Q IND Q OOM Q OTH Q PTY Q SC
Schedule B Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement Covers period
from `_" 2 013
through
IF AN INDIIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
M
AMOUNT PAID
OUTSTANDING
�e)
INTER EST
EST
(t SELF-EMPLOYED,
RECEIVED THIS
BEINNlN THIS
R FROIlEN
CLOSE OF THIS
PAID THIS
NAMEOFBUSINES)
PERK
PERIOD
THIS PERIOD
PE D
PERIOD
Co ; M['^ be
$
Q PAID
PER ELECTION **
DATE INCURRED
D
CALENDAR YEAR
-
[] DRC�IEN
$
Ix,
RATE
I
CALENDAR YEAR
_
$
-
$
$
DATE INCURRED
DATE DUE
Q PAID
Q FORGIVEN
RATE
DATE DUE
Q PAID
Q FORD EN
RATE
DATE DUE
U BTTL
$
Loans received this period ............................................. $
(Tota l Column b plus unitemi ed loans of less than 100. ) ,....a. ,..........a ......
2. Loans paid or forgiven th i period ....... a ... a .... ......... a a a ... $ (9
Column o pl us loans under $100 paid orforgiven.)
(Include loans paid by a third party that are also Itemized on Schedule A.
3- Net change this period. (Subtract Line 2 from Line I. ) .......... .......a 0
Inter ..... a. ..................... a.............. 1��i` $
the net here and on the Su Page, Column A, Line + . a (May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
If required.
(Enter (e) on
Schedule E, Line )
SCHEDULE B - PART 1
Page
of
IaD_ NUMBER
M
(g)
ORIGINAL
CUMULATIVE
AMOUNT OF
CONTRIBUTIONS
LOAN
TO DATE
CALENDAR YEAR
f)
$
PER ELECTION **
DATE INCURRED
CALENDAR YEAR
PER ELECTION *'
DATE INCURI D
CALENDAR YEAR
_
PER ELECT €ON
DATE INCURRED
I'Contributor Codes
IND — fndividual
COIF — l e �pierit Committee
(other than PTY or SCC)
OTH — Other (e.g-,r business entity
PTY— Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC To[[ -Free HlPfine; OIL -FPPC (866/275 -3772)
Schedule
Summary of Expenditures Type or Print in ink.
Supporting /opposing Other Amounts may be rounded
to whole dollars.
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION
MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED)
OR COMMITTEE
MITTEE
SCHEDULED
Statement covers period
from
through Page Of
I.D. NUMBER
2.-
CUMULATIVE TO DATE PER ELECTION
AMOUNTTHIS CALENDAR YEAR TO DATE
PERIOD (JAN_ I - DEC. 31) flF REQUIRED)
Monetary
ontdbufion 500
Nonmonetary
ontibuflon
El Independent
support El Oppose- Expenditure
—9—(
6v [7/ Monetary
ontribubon
Nonrnonetary
Contribution
E] Indi6pendent
Kupport ❑ oppose Expenditure
Jr
C- 1 116f, C 0. Z Monetary
Contribution
4A P
J v onmonetary '"
onbr bu #ion
Independent
Support Oppose Expenditure
SUBTOTAL
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) .................. ,... ............................... 2. Unitemi ed contributions and independent expenditures made this penlod of under 1 .................. . ........... ......_......... t... .............................. .
3. Total contributions and independent expenditures made this pefiod. Add Limes 1 and 2. Do not enter on the Summary Page. ........... TOTAL
FPPC Form 460 (January/05)
FPPC Tol I -Free Heiplin : { FPP (8661275-3772)
Schedule D.
(Continuation Sheet)
Summary of Expenditures
Supporting /Opposing Other
Candidates, Measures and Committees
Type or print in ink.
Amounts may be rounded
to whole dollars.
I SY« U- VrL.[--r%
+
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER IET rE AND JURISDICTION,
7 I OF �A1� EfVT
OR COMMrFrEE
Monetary
Contribution
L4 I J�A
Nonmonet2ry
Contribution
--� Support E] oppose
l
Independent
Expenditure
6
4
Z.
Nr Monetary
onbibut on
+ J ffjf
Nonmonetary
o nY ELF ii+Io ,
Support Oppose
Independent
Expenditure
KrMonetary
Contribution
ILI k i .11 �Y � � �f
Nonmonetary
Contribution
Support Oppose
Independent
Expenditure
Monetar
�r �
j .
vntnbufio
❑ lonrnonetary
Contribution
P6upport Oppose
] Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
Statement covers period
from
--2
SCHEDULED
through Page of
I.D. NUMBER
CUM LATIVETO DATF PER ELECTION
NT`i CALENDAR YEAR TO DATE
PERIOD (JW 1- DEC. 31) (IF REQUIRED)
4.2sw
� z ou
SUBTOTAL
-7
FPPC Form 460 (.lanuar jo )
FPPC Toll -Free elpline: 8661ASK.FPPC (86=75 -3772)
Schedule
(Continuation Sheet)
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
Type or print in ink.
Amounts may be rGunded
tcy uvhole dollars.
NAME UF FIU -K
J
kcr4- LJP -i
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OIL
MEASURE NUMBER OR LET I- R AND JURISDICTION,
TYPE OF PAYMENT
O COMMITTEE
W!otet2 ry
lte-lg- AIALI'-ivi
Contibutlon
❑ Nonrnonetary
Cony but on
Ej Independent
Expenditure
PCs upport [ Oppose
=,=
Monetary
�.
.- - ,4
Contribution
ionmoretary
Contributon
El Independent
i?f Support ❑ oppose
Expenditure
Monetary
-L , * � tN
Contribution
t onrnonetary
Con bubo n
Independent
Expenditure
pupport Q oppose
❑ Monetary
Contribution
E] lonmonetary
Contribution
El Independent
] Support E] oppose
Expenditure
DESCRIPTION
(IF REQUIRED)
SUBTOTAL $
SCHEDULED (C NT
Statement corers }period
frorn k 13
through Page of
I.D_ NUMBER
CU ULA- ET DATE PER ELECTION
A IIOE iVTT 1 CALENDAR YEAR TO DATE
PERIOD (JAN► 1 --DEC. 1) [IF REQUIRED
4 2o0
V L)
FPPC Form 460 (January/05)
FPP To[] -Free Helpllne: 36 lA K-i~PP (86V275-3772)
Schedule E Type or P .eint in ink.
(Continuation'Sheet) Amounts may be rounded
Payments Made to whole doilar .
SEE INSTRUCTIONS ON REVERSE
NAMt: Clk NU:: X
G
SCHEDULE E ( NT
tatament cov ars period _ FORM from 3
'4 1:�
through :.
Pale �, of
LD. NUMBER
CODES:. If one of the foll.owing codes accurately describes the payment, you may enter the code. then i describe
} the payment,
QVP
NS
campaign paraphemalialmi o.
campaign- consultants
MBR
member communications
FAD radio airtime and production costs
TB
contribution (explain nonmonetary )'
MTO
OFC
meetings and appearances
office expenses
RFD returned contributions
SAL '
CVG
FIL
civic donations
candidate filing/ballot fees
PEF
petition circulating
campaign warker salaries
TEL t.vr or cable airtime and production costs
ND
fundraising p n s
P
P L
-phone-banks
polling and sur p research
TRG candidate
travel , lodging, and meal
TR staff/spouse {wavet, lodging, and meals
LEG
independent expenditure supporting /opposing others (explain)*
legal defuse �
g
postage, deliverer and messenger services
TSF transfer between corn m ttees of the same candidat /S onsor
p
campaign literature and mailings
PRO
PRT
professional services (legal, accounting)
print ads
VOT voter registration
_ WEB information technology costs intemet, e -mail
NAME AND ADDRESS OF PAYEE
OF COMMITTEE. ALSO ENT I.D. NUMBED
O 41
DESCRIPTION OF PAYMENT AM UIV`r PAlD
� ve 2. '' e '
fc LA
%FIN %JL+11W16JUJU LF, SU13TOTAL w o
FPPG Form 460 Panuar l05)
FPPG ToR -Free Helpline: IA K-FPP (8M275-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER Lj
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SCHEDULES
Page of
I.D. NUMBER
CODES: if one of the following codas accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CAP
campaign paraphernallalmi c.
MBR
member communications
RAID
radio airtime and production costs
CMS
campaign consultants
MTG
meetings and appearances
RFD
returned contributons
C'IB
contribution. explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petifion circulating
TEL
t. or cable irUme and production cosh
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
PCL
polling and survey research
T S
staff/spouse travel, lodging, and meals
ICED
independent expenditure supporting/opposing others (explain)*
P S
postage, delivery and messenger services
T F
transfer between committees of the same candidatelsponsof
LEG
legal defense
PRO
professional services (legal, accounfing )
V T
voter registration
LlT
campaign literature and mailings
PRT
print ads
VVEB
information technology costs internet, -mail)
NAME AND ADDRESS OF PAYEE
(1F COMMITTEE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
)iS1"flKI A gt -4,— & a z d
Z 7 //YA J7-�-i# 170
44 &/1, 2- -rVPi
-f --., W 4L C76 9' Ta 0
L qv, Lv -70
Payments that are contributions or ind pendent expenditures must also be summarized on Schedule D. SUBTOTAL
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.
..as........... .................................... ..........................................
2. Unitemized payments made this period of under 10
3. Total inte rest paid this period on loans. (Enter- amount from Schedule B, Part .1, C lu m n (e).) ................................................... ,.....,..................... - -
4, Tatar payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Pa, Column A, bins ............................. TOTAL
e.
FPPC Form 460 (January/05)
-FPPC Toll -Free H 1pline; 6/A F -FPP (8661275-3T72)
Schedule E Type or print in ink.
(Continuation Sheet) _ Amounts may be rounded
Payments Made towholedollars.
SEE INSTRUCTIONS ON REVERSE
NAME of FILER
e, + kPJ
s
SCHEDULE (COIN)
Statement covers period
fro m_._ [ [ I'S
through ---- Page Of
I.D. NUMBER
! -Z,. i q C1
ODES: If one of the following codes accurately describes the aym nt, you may enter the od '. Otherwise, describe the pa m nt_
CW campaign paraphemaliatmisc,
NS campaign. consultants
lVBR
MTG
member communications
meetings and appearances
RAD
RFD
radio airtime and production costs
retumed r: oftibutsons
TB contribution (explain nonmarzetary )*
CVC civic donations
OFC
PET
office expenses
petition circulating
SAL
TEL
campaigri workers' salaries
tm or cable airtime and production costs
FL candidate filingfballot frees
FND fundraising events
ND
PHO
PCL
phone-banks
polling and survey research
TRD
T S
candidate travel, lodging, and meals..
staff /spouse travel, lodging, and ,Heals
independent expenditure supportingfopposing others (explain)*
lE legal defense
POS
PRO
postage, delivery and messenger services TSP
professional services (legal, accounting) VDT
transfer between cornrrlittees of the same r ndidatefsponsor
gofer registration
SIT campaign literature and mailings
PRA`
print ads
_ FR info, abon technology costs internet, e-mail)
` € TAME AND ADDRESS E OF PAYEE
OF COMMFFrEF- ALSO TER I.D. NUMBER)
CODE DR
DESCRIPTION PAYMENT
AMOUNT PAID
ivw
Y x
+(
I ��
vro\n
i
&I-VI L/, ZI C-1 _4 PLY
w a 11ty
i -en Ly
y
V
,al C14
' Payments that are contributions or independent expend itures must also be summarized on Schedule D. U BT TAL -�
FPP C Fo rrin 460 (Janu a ry105)
FP PC Tall -Free Helpline: 61 # 1 -PPP (866127&3772)