460 Recipient Committee Campaign Statement - Amendment 10-19-14 to 12-31-14Recipient Committee
Campaign Statement
Corner Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 10 %p'— i7"
through
Ia 3/- i[(
I. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
F/i Officeholder, Candidate Controlled Committee ❑
Primarily Formed Ballot Measure
0 State Candidate Election Committee
Committee
0 Recall
0 Controlled
(Also Complete Part 5)
0 Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
0 Sponsored ❑
Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party /Central Committee
(Also Complete Part 7)
3. Committee Information I.D. NUMBER -
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Date Stamp
i7E
Date of election if applicable: R _�
(Month, Day, Year) 2015
I
i /- 4- _:'� OWE RT1N® CITY C
2. Type of Statement:
❑ Preelection Statement ❑
Semi - annual Statement ❑
❑ Termination Statement ❑
(Also file a Form 410 Termination)
] Amendment (Explain below)
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX 1 E -MAIL ADDRESS
4» Verification
COVER PAGE
Page E
For Official Use Only
Quarterly Statement
Special Odd -Year Report
Supplemental Preelection
Statement -Attach Form 495
.PAOJ7,P
Treasurer(s)
NA,'NE OF TREASURER }
MAILING ADDRESS
NAME OFJASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX 1 E-MAIL ADDRESS
have used all reasonable diligence in preparing and reviewing this statement and to the best
-
Executed on k
Date
Executed on
Date
Executed on
Date
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (JanuarylQS)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.5772)
State of California
Campaign Disclosure Statement
Type or print in ink.
SUMMARYPAGE
Summary Page
Amounts may be rounded
to
Statement covers p eriod
CALIFORNIA
whole dollars.
from /%
FORM
SEE INSTRUCTIONS ON REVERSE
J�
through
Page y of
NAME OF FILER
I.Q. NUMBER
Contributions Received
ColumnA
Column B
Calendar Year Summary for Candidates
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDARYEAR
TOTALTODATE
Running In Both the State Primary and
g mal y
General Elections
1. Monetary Contributions ...................................
A, Line 3
$ $
2. Loans Received ....................... ........................ . . .. . ..
schedules, Line 3
111 through 6139 711 to Date
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +z
$ $
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ...............................
schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 +4
$ $
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ........................ ...............................
schedule E, Line 4
$ $
Candidates
7. Loans Made .............................. ............................... Schedule 1-1, Line 3
8. SUBTOTAL CASH PAYMENTS ................ .................... Add Lines & + 7
$ $
22. Cumulative Expenditures Made*
QF Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ........ ....................... Schedule F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... schedule C, Linea
(mmlddiyy)
11. TOTAL EXPENDITURES MADE .... ............................Add
Lines 8 + 9 + 10
$ $
$
Current Cash Statement l
12. Beginning Cash Balance... .................... Previous Summary Page, Line 18 $ f Z b
13. Cash Receipts .................... ............................... column A, Line 3 above g)
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 O
15. Cash Payments ................... ............................... Column A, Line 8 above (431U-
If '� ,•f
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ � I r y
this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, part 2 $
U
Cash Equivalents and Outstanding Debts
L
18- Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column 6 above $ k�,.-
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).
� 1 $
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Tall -Free Helpline: 866/ASK-FPPC (866/275 -3772)
_9f— hP_rlll lIP A Type or print in ink, SCHEDULE A
Amounts may be rounded
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA A60
from ;?�/y
FORM
through/;?- ` 3
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
: l C i-IA A -0 r-tf Cr�/AfC--c
I.D. NUMBER
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF EET ADDRESS ALSO ND ZIP J.D. NUrneeR}
CONTRIBUTOR IF AN INDIVIDUAL, ENTER
* OCCUPATION AND EMPLOYER
CODE
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF SELF - EMPLOYED, ENTER NAME
OFBUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
i Al2-b 1'7 fl L �
y f
P❑ CQM
r_1 PTY
S'4r &6? CA 91- 2 t;
❑ScC cvwPU
'v0C—, r CW (AN 7
C.c�a t
}
M Z LLFR 4 0& - pT 3
MIND
MOTH
❑ PTY p 4 p7-k -
❑SCC
G:r P vA L�9-F
ocaM S &l� - �,�r�C oxb-p
� n 4 r0-52 A CA— 9k-o 7 0
❑ PTY
❑scc cam rl
MIND
❑COM
❑ OTH
M PTY
❑SCC
MIND
❑ COM
❑ OTH
❑ 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: 866 /ASK -FPPC (8661275 -3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
64t rz y GoAI G, wit c �L
SCHEDULES
Statement covers period CALIFORNIA
from /D— /?` /S� FORM
through f �- 31 l Page 4 of
I.D. NUMBER
CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
i I�0
CHIP
campaign paraphernalia /mist,
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 filinglballot 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 supportinglopposing 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
(IFCOMM]TTEE, ALSO ENTER W.NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
prr -W Nu4 r,(,"7?
- �✓z-�� �, c,� ��;
+✓ uI- Rx: cH -7"-19
2c�r-ruf N � INK/" T- 6?UT
4 A r o s-c- 9k /-:?, 3
s mPto y Srz
* 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.) ............................................................................... ............................... $
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, Co[umn A, Line 6. ... TOTAL $ c
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275 -3772)