2nd 460 Semi-annual amendment
Type or print in Ink.
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
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Date of election If ap
(Month, Day, Ye:
Statement covers period
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Official Use Only
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Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
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2. Type of Statement:
Preelection Statement
Semi-annual Statemen
Termination Stàlemen'
(Also file a Form 410 Termination)
Amendment
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2, 3, and 4.
Measure
through
Committees - Complete Parts 1,
D Primarily Formed Ballot
Committee
o Controlled
o Sponsored
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SEE INSTRUCTIONS ON REVERSE
Committee
!þI Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also C<Jmplete Parl. 5)
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o Small Contributor Committee
o Political Party/Central Committee
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AREA CODE/pHONE
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Treasurer(s)
NAME OF TREASURER
.D. NUMBER
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COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
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3. Committee Information
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STREET ADDRESS (NO P.O. BOX)
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AREA CODE/pHONE
ZIP CODE
STATE
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AREA CODEfPHONE
ZIP CODE
STATE
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certify
is true and complete.
E.MAll ADDRESS
Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best afmy knowledge the information contained herein and in the attached schedules
under penalty of pe~ury under the laws of the srte of California that the foregoing is true and correct.
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Executed on
Treasurer
ure Proponent or Responsible Officer of Sponsor
FAX
OPTIONAL:
Signature of Cool
By
By
E-MAil ADDRESS
OPTIONAl: FAX
Executed on
4.
older, Candidate, Slate Meesure Prupor.ent
Signature of Gonlrolling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (Januaryf05)
FPPC ToU-Free Helpline: 866/ASK-FPPC (866/21"5-3772)
State of California
SignatureofControUing
By
By
Date
Date
Executed on
Executed on
Statement covers period
from _ Î Ir I Xl. </-
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through / ~
Type or print in ink.
Amounts may be rounded
to whole dollars.
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, . Schedule E
.... Payments Made
of Y
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Page _
1.0. NUMBER
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
)-\02, 7
Otherwise. describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
1El t.v. or cable airtime and production costs
me candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidale/sponsor
VOT voter registration
WEB information technology costs
a-mail
AMOUNT PAID
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ccurately describes the payment, you may enter the code.
fv18R member communications
MTG meetings and appearances
OFC office expenses
ÆT petition circulating
FHO phone banks
POL polling and survey research
?OS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
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CODES: If one of the ·rollowing codes
0vP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)"
CVC civic donations
FIL candidate filinglballot fees
FND fundraising events
It..o independent expenditure supporting/opposing others
LEG legal defense
LIT campaign literature and mailings
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(internet
-OR DESCRIPTION OF PAYMENT
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FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK,FPPC (866/275,3772)
also be summarized on Schedule D.
must
are contributions or independent expenditures
* Payments that
chedule E Summary
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Scheduie E subtotals.
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eml2ed payments made this period of under $1 00
interest paid
udeal
Itemized payments made this period.
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here and on the Summary Page,
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2, and 3.
this period on loans.
Total payments made this period.
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Total
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3.
4.