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460 Recipient Committee Campaign Statement TerminationRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. 3. Committee Information 4. I.D. NUMBER /2 n /Z 9./ 9 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) C�i' /G er L„ le �. J Af ci} % C v V 7 0i) Z 0 /% STREET ADDRESS (NO P.O. BOX) Date Executed on Date Executed on Date By By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Recipient Committee Type or print in ink. Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Gdl_e,- Wl ')y OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cdy RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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 contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME 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) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I 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 Listnames 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 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 Summa Page Summary g Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 ? re 1 -/- d FORM from SEE o ?015— 3 INSTRUCTIONS ON REVERSE through Page of NAME OF FILER 01 4✓0 .�9 I.D. NUMBER 12 9 -¢ ei 9 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROMATTACHED SCHEDULES) CALENDAR YEAR TOTALTO DATE Running in Both the State Primary and 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 0 $ General Elections 2. Loans Received ....................... ............................... Schedule B, Line 3 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ (] $ 20. Contributions 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 O Received $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ V $ 21. Expenditures Made $ $ Expenditures Made 6. Payments Made / o S J 9 0 (% Expenditure Limit Summary for State ........................ ............................... Schedule e, Line 4 $ $ Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 y 8. SUBTOTAL CASH PAYMENTS ... ............................... Add Lines 6 +7 $ i 0.0 % $ / 0 S/ g 0 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule 1= Line 3 i) 10. Nonmonetary Date of Election Total to Date Adjustment ........... ............................... Schedule C, Line 3 O (mm /dd /yy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 1051 f o $ l © S- / R CIO J —� $ �_� $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 if v� $ % �!' `(O To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 0 amounts in Column A to the 14. Miscellaneous Increases to Cash ...................... Schedule 1, Line 4 V corresponding amounts from Column B of your last *Amounts in this section may be different from amounts Cash Payments ................... ............................... Column A, Line 8above 6? g o $ i15. � report. Some amounts in reported in Column B. 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ y Column A may be negative figures that should be If this is a termination statement, Line 16 must be zero. subtracted from previous period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule a, Part 2 $ 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ any). 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above .4, V CDDr C.._... ACA , _•.IAe\ FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A tvivnetary L ontrwutionS Kecelved " "" ..,4y — mull "u to whole dollars. Statement covers period CALIFORNIA from FORM SEE INSTRUCTIONS `S ON REVERSE through Page e of NAME OF FILER g �I/ I.D. NUMBER 12- g-41 y�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 OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Q 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 $ 6) "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) r+ _ I_ _ _. _ . _ w Tuna nr n inf ;m inlr q(.HFrll II F R _ PART i .,.11 RcMV111W u — r 01 L I Amounts may be rounded Statement covers period Loans Received to Whole dollars. CALIFORNIA . ' from " SEE INSTRUCTIONS ON REVERSE through 's Page 5 of ` NAME OF FILER 1 (� I.D. NUMBER 12 9 4919 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT O (c) A OUTSTANDING (e) (f) (g) OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS AMOUNTPAID BALANCEAT INTEREST ORIGINAL CUMULATIVE (IF COMMITTEE, ALSO ENTER I.D.NUMBER) (IF SELF - EMPLOYED, ENTER NAMEOFBUSINESS) BEGINNING THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE / y 6/ �6 C �7 (� 7A Q PAID CALENDARYEAR 2_ 21p3 PER ELECTION ** � C d! C(/�r,(i!��'�0 ❑ FORGIVEN RATE /" e 4- g � Old LC t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION** RATE tEl IND ❑ COM ❑ OTH [_1 PTY ❑ SCC $ $ $ $ DATE DUE DATE INCURRED $ ❑ PAID CALENDAR YEAR $ $ % $ S E-] FORGIVEN FORGIVEN PER ELECTION*" t❑ IND ❑ COM ❑ OTH El PTY ❑ SCC $ $ $ $ DATE DUE DATE INCURRED $ SUBTOTALS $ $ $ $ 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. 0 0 NET $ 0 (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 /ASK -FPPC (866/275 -3772) Schedule D crurni u � n _ M M11 • —• J —1 r-_ -yNc — 11—K "' 11M. Supporting /Opposing Other Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. Candidates, Measures and Committees `mod -ds from • - 460 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER �zqZ/ DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) W d /YM 0i l2� Monetary �(� , / / rr oo ��li�dr�li� ��a /�- Contribution rC7u�G ❑ Nonmonetary2j� Contribution ❑ Independent Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 2 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .......................... ............................... $ Z 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.) Z S V 9 ) ........._.. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from / / /S through 7-20 —/_5 SCHEDULEE CALIFORNIA FORM 460 Page 7 of 7 I.D. NUMBER 1z9/-/�1� CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia /misc. MBR member communications RAID 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 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 (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID I NC & e —e e IqV6 CVC Lune /✓ew %',� �v!? C-1 aly .f Q q r (� 1/ �j -7,0 r<U• l3ok l2 3 GIPC f 1271'S'I(2 �2�U * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ /() -o 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, Column A, Line 6.) .. ............................. $ i. 90 ............................. $ ` ©� /. 40 ................ TOTAL $ / D SJ/ , f 11 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)