460 Recipient Committee Campaign Statement - 2nd Amendment 10-1-14 to 10-18-14Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections B4200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period date of election if applicable:
from ° / f (Month, Day, Year)
through /0 /e' !
I. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4,
JW Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
Q Recall 0 Controlled
(Atso Complete Part 5) O Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
Q Sponsored ❑ Primarily Formed Candidate!
Q Small Contributor Committee Officeholder Committee
Q Political PartylCentralCommittee (Also Complete Part 7)
3. Committee Information I I.D. NUMBER 7
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
�1zY Cl oi G ch Cox L —e�
STREET
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODElPHONE
OPTIONAL: FAX ! E -MAIL ADDRESS
4. Verification
Date Stamp
COVER PAGE
Page I of —
For ar icial Use Only
LIAR -52015
2. Type of Statemei . I E IN® CITY CLERK
21 Preelection Statement ❑ quarterly Statement
❑ Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
Amendment (Explain below)
Pk-o c/r-Pi�— (3 C &CAP', -i 'k Uh11111
i
Treasu rei
NAME OF TREASURER
� c A �
MAILING ADDRESS ic
NAME Or ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY
OPTIONAL: FAX 1 E -MAIL ADDRESS
STATE ZIP CODE AREA CODE /PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best
FPPC Form 460 (.January /i
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ $
2. Loans Received ....................... ............................... Schedule &, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ $
4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ $
Expenditures Made
6, Payments Made ........................ ............................... Schedule E, Line 4 $
7. Loans Made .............................. ............................... Schedule H, Line 3
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 ................................ Add Lines 8 +9 +10 $
Cy 0 $
Current Cash Statement
12. Begfnning Cash Balance ....................... Previous Summary Page, Line 16 $ �3 6
13. Cash Receipts .................... ............................... Column A, Line 3 above '}
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 y
15. Cash Payments .................................................. Column A, Line 8 above f -
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $2
If this is a termination statement, Line 16 most be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line2 +Cino9inColumnBabove $
v
6
SUMMARY PAGE
Statement covers period CALIFORNIA
from i D - 1 Itom FORM 461
through �� CP % Y� _ Page of
I.D. NUMBER
Column B Calendar Year Summary for Candidates
TOTA TODATER Running In Both the State Primary and
TOTALTD DATE y
General Elections
111 through 6130 711 to Date
20. Contributions
Received $ $
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).
21, Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mmiddiyy)
I $
I $
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: E[66/ASK-FPPC (6661275 -3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
F, 4R
Type or print in ink.
Amounts may be rounded
to whole dollars_
COA,,'JG7 r-6tq C'aLc rsL .1-oI
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
RECEIVED (IF COMMITTEL , ALSO ENTER I.D_NUMBER) CODE * DCCUPATiON AND EMPLOYER
(IF SELF - EMPLOYED, ENTER NAME
OF BUSINESS)
SCHEDULE A
Statement covers period CALIFORNIA
from ����`a'�f� •' 6
through / �lie Page 3 of
I.D. NUMBER
( 3 )- r_�- d_�-
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN, 1 _ DEC. 31) (IF REQUIRED)
Schedule A Summary
1. 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.) ....................... TOTAL $
*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: 966/ASK-FPPC (8661275 -3772)
fvY e- vLZs A4 k v AJ &)
FIND
❑COM
{91�(&RtI I� �r1Z
WA-1
❑ OTH
Pvr/�GuA
❑❑s PTY
c
F]COMA�
I>6LJ6-1 vpA4 ZW�, LA-4
E] OTH
❑PTY
7r
C- akS-ros, CA
❑SCC
F'26-1xZ :b "
7 I
[RIND
❑ COMa7v1�r
El OTH
r c%7 �{
94iV
❑SCC
1� �D G 9 1
❑SCC
i�,{L�i
NnND
O COM
i 1 t�L V� /•� k t� I�- iA
❑ OTH
r C9'D a
lop AL -r0 , Ck 95fo-I-q-
❑ PTY
❑SCC
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 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 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: 966/ASK-FPPC (8661275 -3772)
Schedule A (Continuation Sheet)
Type
Monetary Contributions Received
or print in ink.
Amounts may be rounded
SCHEDULE A (CONT)
Statement covers period
to whole dollars.
CALIFORNIA
FORM 460
from
through �t7' Y % jG
Page T of
NAME OF FI LER
I.D. NUMBER
32 is —u
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED { IFOOMMITrEE,ALSOENTERLD.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER NAME
RECEIVED THIS CALENDAR YEAR TO DATE
PERIOD (JAN. 1 - DEC. 31) QE REQUIRED)
OFSUSINfE�SS)
-�r p
�7J c rS J rre)P H ! �� 1? C�
❑COD
���� /�
LOTH
&A —f-ci , CA y.
E] PTY
❑SCC
�U Le ,vt�icf
c.
AND
sC y&-sjr
%G—i7 CC'ADi y C'Z:IZr- r
j
LOTH
❑PTY
&,Wco m -r,P
f�'Ch 1�s
(�o3uiZ
���LS
fZAt,'
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑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 (8661275 -3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
cr -/ C-0
Type or print in ink.
Amounts may be rounded
to whole dollars.
C -iL , �,/-
Statement covers period
from /L, "!"> -V /�4
through /0 °/,Q — / %
Page S� of
I.D. NUMBER
13 z / �-d s'
E
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
C1VIP
campaign paraphernalia/misc.
MBR
membercommunications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetai
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
FIND
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
(I FCOMMITTEE, ALSO ENTER I.D.WWER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
MA Me cp-0/2-y
jr)-ay ri &7j Ari •
P�T�J•�� �� U D7�C
p
t /J A"-
C7 C,Cr A -r;w- �
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. 1 0 0.
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 $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)