460 RecipientCommittee r f--~ r.~;.:, covERPacE
r
Campaign Statement '~'Pe p`'"t'"'"k. te m, ~ 1,
Cover Page ~ ~ ~
(Government Code Sections 84200-84216.5) ~ Jr, h; L~`+^ E, ,
Statement covers,period Date of elect(on if applica e: ~ ~ of
from ~-f a z V~ ~ ~Month, Da , Year) F r official Use oniy
~ ~o? PERTINO CITY C ERK
SEE INSTRUCTIONS ON REVERSE through ~ v~ !
1. Type of Recipient Committee: nn commin88a - comPi.te P.n$ z, a, and 4. Z. Type of Statement:
`~Officeholder, Candidate Controlled Committee ? Primarily Fortned Ballot Measure ? Preelection Statement ~(~uarterly Statement
Q State Candidate Election Committee Committee ? Semi-annual Statement ~ Special Odd-Year Report
Q Recall ~ Controlled
(AlsoComplefePaR~ ~ Sponsored '~TerminationStatement ~ SupplementalPreelection
~~~~~~rt~ (Also file a Form 410 Termination) Statement -Attach Fortn 495
? General Purpose Committee ? Amendment (Explain below)
Q Sponsored ~ Primarity Formed Candidate/
Q Small Contributor CommiBee Officeholder Committee
Q Political Party/Central Committee ~as° ~°"'~ererert n
3. Committee Information I.D. NUMBER ~ Z ~ Treasurer(s)
a s~
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME O TREASURER
~v ~+'Iw~ ~ `~hP ~ I PG'~ ~.J `1~°' ~ ~
MAILING /49bRESS
c~ r~ C~~ ~ ~ S-.~ ~ =r ~ ~ ~ s-~ ~
STREET ADDRESS (NO P.O. OX) CITY STATE ZIP CODE AREA CODE/PHONE
S `'1 ~ ~ d~e ~ ~ ~ ~ C /~4 ~1 ~-c c.~ ~t C~
CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY
(^,,~''~w C~ ~5~~ `i 6 5--~ 3~~5 ~y ,2 ~--e
MAILING ADD SS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS
^ .
CITY STATE ZIP CODE AREA CODE/PHONE CITY ~ STATE ZIP CODE AREA CODE/PHONE
~v U ~ ~
OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the law of the State of Califomia that the foregoing is true and correct.
.
° .
Executed on ~ ~ ~ By ~ m
Signetura of Tiae~ orAssisteM Treaswer
we
Executed on ' ~ ~ ~ ~ ~ gy _
Sf IfngOlficeFiddar,Car~d'idete,'~Iet~MeesuieP~oponentorRespansibleOficerdSponsa
Executed on gy
~ Signelure of CantroMirg Olficehdder, Candidefe, Stele Meesure Proporrerd
Executed on gy
~ SignaWre af Cantrollirg Officelwlder, Candidate, Stete Me~ure Proponenl
FPPC Fortn 46D (January/06)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772)
State of Califomia
Instructions for
Recipient Committee ~ ' ~ ~ ~
Campaign Statement-Cover Page
Period Covered by a Statement: Sponsored Committees ~nter "Not Yet Received.° File Form 410 to obtain an
~ ~ A sponsored committee is one that has a Number.
The period covered by a campaign statement
begins the day after the closing date of the last sponsor-a business entity, organization, union,
campaign statement you filed. For example, if the or other entity-that meets certain criteria. Veriflcation:
closin date of the last statement was Se tember Sponsored ballot measure committees and
9 P The statement must be signed by the committee
30, the be innin date of the next statement will be 9eneral purpose committees must include the
October 19 9 name of the sponsor in the name of the treasurer or the assistant treasurer named on the
committee's Statement of Organization (Form 410).
committee. An officeholder, candidate, or state measure
If this is the committee's first campaign statement, proponent who controls the committee must also
begin with January 1 of the current calendar yeac Small Contributor Committees sign the stateFnent. If two or three officeholders,
• This term is significant only if the committee candidates, or proponents control the committee,
The closing date of the statement depends on the makes contributions to candidates running for each must sign the statement. If more than three
type of statement you are filing. elective state office. control the committee, one may sign on behalf of the
others.
Date of Election: Type of Statement:
If ou are filin this statement as a reelection Check the a ro riate box es to indicate the e of Under certain circumstances, the responsible officer
y 9 p pp p ryp of a sponsoring organization must sign the
statement in connection with an election, enter the statement you are filing (or amending). statement.
date of the election.
Amendments: If you are filing an amendment to a -
Type of Recipient Committee: previously filed statement, give a brief explanation of Additional Important Information:
the amendment and list the schedules being Referto the FPPC Campaign Disclosure Manual for
Check one box to indicate the type of committee amended. Include an amended summary page, if yourtype of committee for information about:
filing the statement. General descriptions are applicable. Be sure to enter the period covered of
provided on the cover sheet to this form, or contact the statement you are amending. • When, where, and what type of statements the
your filing officer or the FPPC for assistance. committee is required to file.
Following are some additional guidelines: Termination: A committee must continue filing • Closing date of campaign statements.
campaign statements each year until it is eligible to • Sponsored committee criteria.
Controlled Committee terminate and files a Form 410 TeRnination.
• A controlled committee is one that is controlled Most officeholders must continue filing campaign • Termination criteria.
by a candidate, officeholder or, in the case of a statements until they have terminated all controlled • Recordkeeping requirements and prohibitions.
state ballot measure committee, by the proponent committees and have left o~ce.
of the measure. A committee is "controlled" if the
candidate, officeholder, or proponent, his or her Committee I.D. Number'
agent, or any other committee he or she controls, ~
has a significant influence on the actions or If the committee has not yet received an
decisions of the committee. identification number from the Secretary of State, FPPC Form 460 (January/05)
FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/275-3772)
7ype or pr(nt in ink. COVERPAGE-PART2
Recipient Committee
Campaign Statement • - ~ , ~ ~
Cover Page - Part 2 • -
Page ~ of ~
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF FFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION
? SUPPORT
~ ~ ~ C~~ , r ? OPPOSE
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STqTE Z~p
~ Identify the controlling officeholder, candidate, or state measure proponent, tf any.
ITl
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: Listanycommlttees -
not included !n fhis statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contrf6utions or make expenditures on behalf of your candfdacy. _
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER ~ CONTROLLED COMMITTEE7 7. Primarily Formed Candidate/Officeholder Committee List names of
off'iceho/der(sJ or candidate(sJ foi whlch fhis comm)ttee is primarily formed.
? YES ? NO
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
r ~SUPPORT
~~j y~~ C f~ C~.r~c ~i ? OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF FFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
? SUPPORT
? OPPOSE
COMMITTEENAME I.D. NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
? SUPPORT
? OPPOSE
NAME OF TREASURER CONTROLLEDCOMMITTEE7
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE 50UGHT OR HELD
? YES ? NO ? SUPPORT
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) ? OPPOSE
C~TY STAlE ZIP CODE AREA CODEIPHONE
Attach contlnuation sheets if necessary
- FPPC Fortn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/Z75-3772)
State of Caltfomfa
Instructions for . - . ~ ~ ~
Recipient Committee • -
Campaign Statement- Cover Page
Officeholder or Candidate Controlled Ballot Measure Committee:
Committee: Part 6 of the Form 460 Cover Page must be
Candidates must have a separate bank account and completed by committees that are primarily formed
committee to run for different elective offices. A to support or oppose the qualification or passage of
candidate who is required to file campaign a single ballot measure or two or more measures
statements in connection with more than one being voted on in the same city, county, multicounty,
elective office but is only receiving contributions and or state election. A"general purpose' ballot
making expenditures for one of the o~ces, may measure committee (one that supports or opposes a
include both o~ces on one Form 460. In Part 5 of variety of state and/or local ballot measures) is not
the cover page, enter the candidate's name and required to complete Part 6. ~
under "Office Sought or Held,° ident~fy each office,
and state whether the candidate is seeking or
holding the o~ce. The Form 460 must be filed with
the appropriate filing officer(s) for each office.
For example, a city councilmember is raising funds ~
, to run for the county board of supervisors. She has
no committee and is not raising or spending funds in ~
connection with the city office, and has formed a
controlled committee for the county office. To
comply with the requirements to file campaign
statements for both her city office and her county
candidacy, she may complete one Form 460 each
campaign reporting period, which she will file with
the city clerk and the county elections department.
I n Part 5 of the Form 460 Cover Page, under "O~ce
Sought or Held,° she will state that she is holding ~
the office of city councilmember (including the name
of the city) and that she is seeking a seat on the ,
board of supervisors (including the name of the
county).
FPPC Form 460 (January105)
FPPC Toll-Free Helpllne: 8661ASK-FPPC (866/275-3772)
Campaign Disclosure Statement Type or prlnt in ink. SUMMARYPAGE
Summa Pa @ ~ Amounts may be rounded Statement covers perlod ,
rY 9 to whole do~~ars. ~
from- ~~L~ ~I /C~~ • ~ • ~
SEE INSTRUCTIONS ON REVERSE through L Page of ~
NAME OF FILER I.D. ~ UMBER
ti v 1 Q
Contributions Received ColumnA Column B Calendar Year Summary for Candidates
TOTALTHIS PERIOD CALENDAR YEAR
(FROMATfACHmSCHEDULE5) TOTALTOOATE Running in Both the State Primar~ and
1 General Elections
1. Monetary Contributions scned~ie a, Line 3 g ~ ~V . C~ t~ g ~n~ 4'
~ Q 1/1 through 6/30 7/1 to Date
2. Loans Received scnedu~e e. Line 3 ~~jrl t7
3. SUBTOTAL CASH CONTRIBUTIONS .qdd unes t+ 2 g 4' f~ 2D. Contributions
Received $ $
4. Nonmonetary Contributions s~neduie c, l~na 3 C~
-'T 21. Expenditures
5. TOTALCONTRIBUTIONSRECEIVED • ..........................Addlines3+q $ ~7 ~ • 00 $ 2 5~ ~1~1~ ~.D Made $ $
Expenditures Made ~~U ~ ~j C- ~c~ Expenditure Limit Summary for State
6. Payments Made scnedu?e E. Line 4 $ j g G~r 9'~ Candidates
7. . Loans Made scned~~e H. Line 3
8. SUBTOTALCASH PAYMENTS Add 1.ines e+ ~ g "3(~ ~1`~~~~ $ j~'j . c; ~ 22. Cumulative Expenditures Made'
. ( (R SubJed to VoluMary Expendlture Umk)
9. Accrued Expenses (Unpaid Bills) scneduie F ~ne s
Date of Election Total to Date
10. Nonmonetary Adjustment scnedu~e c, line 3 (mm/dd/yy) .
11. TOTAL EXPENDITURES MADE Add ~ines s+ s+ 10 $ ~U~f tp~ g'~ 3~ •.4~q _ J__~ $
Current Cash Statement _J_J $
12. Beginning Cash Balance P~ev~ous summaryPe~, une ~e $
y~ ~b To calculate Column B, add
13. CaSh ReCelptS Co?umn A, une 3 above 7 amounts in Column A to the
corresponding amounts Rp,mounts in this section ma be different from amounts
14. Miscellaneous Increases to Cash s~ned~?e i, Line 4 Y
from Column B of your last ~Ported in Column B.
15. Cash Payments Column A, une e above 3 ~ ~Po~• Some amounts in '
Column A may be negative
16. ENDING CASH BALANCE Add unes 1 z+ ~3 + ~4, fhen subtracf Line 15 $ , ~ Q~~ figures ihat should be
subtracted from previous
If this is a tem?ination statement Line 16 must be zero. period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED scneduie e, Part 2 $ for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts ~ from Lines 2, and 9(if
18. Cesh EqUlvelefltS See inshuctions on reverse $ any).
19. OUtSte~d'Iflg D@bts Add Line 2+ l.ine 9 in Column B above $ FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Instructions for
Summary Page ~ ~ ~ ~ ~ ' • 1
Campaign Disclosure Statement
The Summary Page provides an overview of the Manual for your type of committee for additional Summary for Primary and General
committee's financial activities and is completed for information. Elections (Lines 20 and 21):
each filing.
Current Cash Statement: This section is only for committees that are:
Column A reflects activities during the current ~ Controlled by a candidate who is being voted on
reporting period as reported on SchedulesA through Lines 12-16 of the Summary Page should accurately
reflect our current cash osition. Be innin and in both the state primary and general elections
H. It is not necessary to attach a blank schedule if y p 9 9 (does not apply to controlled ballot measure
there has been no reportable activity during the ending cash balances should include the total
amount of funds in our cam ai n checkin and committees); or
period, but it is necessary to enter a zero or the y p 9 9
word "none" on the appropriate line in Column A of . savings accounts, plus any investments that can be • Primarily formed to support or oppose candidates
the Summary Page. readily converted to cash, such as certificates of being voted on in both the state primary and
deposit, money market accounts, stocks and general elections.
Column B figures should reflect the cumulative total bonds, etc. (Officeholders and candidates are ~
since January 1 of the current calendar year.' Add subject to bank account restrictions, and all Complete this summary on the preelection and
the totals from Column B of the committee's last committees should read the FPPC Cam~aiqn semi-annual statements forthe general election,
campaign statement (if any) tq the corresponding Disclosure Manual regarding appropriate uses of covering periods during the last six months of the
amounts in Column A. If this is the first report being campaignfunds.) year(July 1-December31).
filed for a calendar year, only carry forward the
amounts reported on Lines 2, 7, and 9 of Column B Line 12 (Beginning Cash Balance) must be the same Expenditure Ceiling Summary for State
(if any) from the committee's last statement. (Note: as the ending cash balance reported on Line 16 of Candidates (Line 22):
The amounts reported on Lines 2, 7, and 9 of Column your previous statemenYs Summary Page. If this is
B should be. the same as the total outstanding your first campaign statement, enter zero on Line 12. Candidates for elective state office who have
amounts disclosed in column (d) of Schedules B, F, accepted the voluntary expenditure ceiling fora
and H, respectively, of the current report.) Line 16 (Ending Cash Balance) is the total of Lines particular election must disclose the total amount of
12, 13, and 14, minus Line 15. expenditures made through the end ofthe reporting
When loans (Schedules B and H) and accrued period that are subject to the expenditure ceiling for
expenses (Schedule F) are paid, the figures to be ~f you are filing a termination statement, Line the election. Report the date of the election and
carried from the schedules to Lines 2, 7, ~nd 9 of 76 must be zero. total amount expended forthat election. Report
Column A may be negative numbers. In this case, totals for the primary and general elections
be sure to show them as negative figures on the Cash Equivalents: separately. This information is no longer required if
Summary Page (e.g., with a minus sign or in "Cashequivalents"includeinvestmentsthatcannotbe the expenditure ceiling has been lifted. (See FPPC
parentheses), and subtractthem when totaling readily converted to cash, as well as the balance due Cam~aign Disclosure Manual 1.)
Columns A and B. on all outstanding loans the committee has made to
others (ftom Line 7 of Column B of the Summary
*There are exceptions to the calendar year Page). Investments that can be readily converted to
"cumulation period° for candidate elections and cash, such as certificates of deposit or money
ballot measure elections held in January and early market funds, should be included in the cash on hand
February, and for ballot measure qualification figures on Lines 12 and 16 of the Summary Page.
activities. Consult the FPPC Campaign Disclosure FPPC Form 460 (Januaryl05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A Type or print In Ink. SCHEDULE A
Amounts may be rounded Statement covers
Monetary Contributions Received to whole dollars, period ,
from 1~'~ J~ I ~ '
SEE INSTRUCTIONS ON REVERSE th~ough Page ~ Of ~
NAME OF FILER •
I.D. NUMBER
pA~ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~F AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (IFCOMMITTEE,ALSOENTERI.D.NUMBER) CODE * OCCUPAT70NAND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE
QFSELF-EMPLOYED,ENTERNAME PERIOD (JAN. 7- DEC. 31) (IF REQUIRED)
OF BUSINESS)
, r ~~'~~rLl~~ ~COM ~r,~SS~
~uI% f~~ tUs UrSI"~ . ?OTH ` ~ ~au•U~ /
~s j ~n
? PTY l~ V ~ C:L
C v V C~"-F~'' ? SCC
^ + ND
~
1 , f , . ? COM ' r ~ ~ ~
' . . ? OTH ' ' - - -
. . , ? PT~'
, 1 ? SCC
? IND
? COM
? OTH
? PTY
? SCC
~ IND
? COM
? OTH
? PTY
? SCC
? IND
? COM
? OTH
? PTY
? SCC
SUBTOTAL~ ' ~
- ~ z l.~n~ a~ ir
Schedule A Summary •ContributorCodes
1. Amount received this period - itemized monetary contributions. O~,(' U IND-Indivldual
(IncludeallScheduleAsubtotals.) ~ COM-RecipientCommittee
(other than PTY or SCC)
2. Amount received this period - unitemized monetary contributions of less than $100 $ OTH - Other (e.g., business entity)
~ ~ ~ ~ ~ ~ ~ ~ ~ PTY - Political Party
3. Total monetary contributions received this period. 3 iY~ ~ SCC-Small ContributorCommittee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL ~
FPPC Form 460 (January/05)
FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/275-3772)
Instructions for
Schedule A ~ ~ ~ ~ ~ • 1
Monetary Contributions Received
Report monetary contributions (except loans) contributions through employee payroll deductions Contributions from Committees:
received during the reporting period on Schedule A. or membership dues. When itemizing a contribution from another
Also report on Schedule A if a contributor forgives a recipient committee, disclose the identification
loan for you or a third party pays a loan for you. COntributo~ COdes:
Loans received during the period are reported on number assigned to that committee by the Secretary
Schedule B. Certain transfers between a state For each itemized contributor, check the applicable of State in addition to its name and address. If no
candidate's controlled committees are also ~ntributorcode: ID number has been assigned, provide the name
disclosed on Schedule A. (See FPPC Campaign IND-contributions from any irtdividual's personal and address of that committee's treasurer.
Disclosure Manual 1.) funds.
Intermediaries:
If a total of $100 or more is received from a single COM-contributions from othercommittees that If you receive a contribution through an
contributor during a calendar year, report the name, receive contributions. These committees will have intermediary (i.e., you have received a contribution
street address, city, state and zip code of the an identification number assigned by the Secretary check from a person other than the true source of
contributor, the amount contributed this period, and of State. Examples: political action committees, the funds), disclose all of the required information
the cumulative amount received from the contributor other candidates' committees. (State comm'ittees for both the intermediary and the actual contributor.
since January 1 of the current calendar year.* should use PTY or SCC when appropriate.)
Incfude monetary and nonmonetary contributions OTH-business entities and other contributors. Pe~ EleCtlOn to Date:
and loans when reporting the cumulative amount.
Contributions totaling less than $100 received from PN~ontributions from political parties (including Candidates subject to state contribution limits (or if
a single contributor during a calendar year are state and county central committees). required by local ordinance) must disclose the
cumulative amount received from each contributor
reported as a lump sum on Line 2 of the Schedule A SCC-contributions from small contributorcommittees during the limitation cycle in addition.to the calendar
Summary. (applicable only to state candidates and committees). yearcumulative amount. (Candidates forelective
"There are exceptions to the calendar year state office should refer to FPPC Campaign
"cumulation period~ for candidate elections and Contributions from Individuals: Disclosure Manual 1.)
ballot measure elections held in January and early When itemizing a contribution from an individual,
February, and for ballot measure qualification also disclose the contributor's occupation and the Additional Important Information:
activities. (See the FPP.C Campaign Disclosure name of his or her employer. If the contributor is Referto the FPPC Campaign Disclosure Manual for
Manuals for candidates and ballot measure. self-employed, provide the name of his or her your type of committee for important information
committees.) business. If the contributor is not employed, enter about aggregating monetary and nonmonetary
°none." contributions, recordkee in rohibitions on cash
Date Received: p 9~ p
It is not necessary to enter occupation and employer contributions, returning contributions, and more.
A monetary contribution has been received when information for other types of contributors (such as
the candidate or committee, or an agent of the • business entities).
candidate or committee, receives or obtains control
of the check or other negotiable instrument. There Missing Contributor Information: A contribution
are special rules for reporting the date contributions of $100 or more must be returned to the contributor
are received by a committee that collects within 60 days if the recipient does not obtain the
contributor's address, occupation and employer. FPPC Form aso (~anuary~o5)
FPPC Toll-Free He1pllne: 866/ASK-FPPC (866/275-3772)
Type or print In ink. SCHEDULEB-PART1
Schedule B- P81~ 1 Amounts may be rounded 5tatement covers perfod
Loans Received to whole doliars. from ~G'r Z Ei 1
! ~
~
SEEINSTRUCTIONS ON REVERSE through ~ r~ Page of~
NAME OF FILER ~ I.D. NUMBER
1~, y.,. ~ ~ ~Z~Css~ ~
IF AN INDIVIDUAL, ENTER OUTSTANDING (6~ OUTST~~DING ~e? (p)
FULL NAME, STREET ADDRESS AND ZIP CODE AMOUNT qMOUNTPAID INTEREST ORIGINAL CUMULATNE
OCCUPATIONAND EMPLOYER BAIANCE BALANCEAT
OF LENDER (IFSELFEMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS P~D THIS AMOUNTOF CONTRIBUTIONS
(IFCOMMfTTEE,ALSOENTERI.D.NUMBER) µ~EOFBU5INESS) PERIOD THIS PERIOD" PERIOD LOAN TODATE
P C7 ~`•A. h`~ ? PAID CALENDAR YEAR
~1V ~ e~ c4 tc s 25 3 z~ U% s zs 32c~ s zs 3 A~
1 S p c S~~ o~~ ~ FORGIVEN ~TE PERELECTION~
~'lp., ~r~ c~~4u~a ;:a (P' ZSi~' c~ }Z~~)~ ZS,3 ZG~~
s s s s :
t? IND COM ? OTH ? PTY ? SCC DATEDl1E DATEINCURRED
~ PAID CALENDARYFAR
, S S % S S
~ FORGIVEN ~TE PERELECTION"'
s s s s~ s
t? IND ? COM ? OTH ? PTY ? SCC DATEDUE DATEINCURRED
• ~ PAID C/tLENDARYEAR
s s % s s
~ FORGIVEN ~TE PERELECTION~
s s s s s
t? IND ? COM ? OTH ? PTY ? SCC DATE WE DATE INCURRE~
SUBTOTALS S~z.O S S Z.S ~U 5 ~c~:;~ '
. . . .
(Enter (e) on
Schedule B Summary ~ S~aE,~3~
~,zc. ~
1. Loans received this period $
(Total Column (b) plus unitemized loans of less than $100.) ' tcontribucor codes
IND - Individual
2. Loans paid orforgiven this period $ COM-RecipientCommittee
(Total Column (c) plus loans under $100 paid orforgiven.) (other than PTY or SCC)
~(Include loans paid by a third party that are also itemized on Schedule A.) ~ oTH - otner (e.g., business entity)
~ ~ V PTY-PoliticalParty
3. Net change this period. (Subtract Line 2 from Line 1.) scc-smau contributor committee
NET $
Enter the net here and on the Summary Page, Column A, LIf1E Z. (Maybeanegetivenumber)
'Amounts forgiven or paid by another pariy also must be reported on Schedule A.
" If required. FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A(Continuation Sheet) T~rpeorprintinink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded Statementcovers period
to whole dollars. • ' I
from • ' ~ i
through Page of
NAME OF FILER
I.D. NUMBER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATNETO DATE PER ELECTION
RECEIVED OFCOMMffTEE,ALSOENfERI.D.NUMBEf~ CONTRIBUTOR OCCUPATIONANDEMPLOYER RECEIVEDTHIS CALENDARYEAR TODATE
CODE * (IFSELFEMPLOYED,ENTERNAME PERIOD
OFBUSINESSy (JAN. 1- DEC. 37) (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
~
~ SUBTOTALS ~ r ~ zr>y~ `di~~ ~~x~:~ s
~"d~rd'~Frr rx~ ° ~ `i
'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)
SCHEDU~ E
Schedule E Type or print in ink. Statement covers period
Pa ments Made Amounts may be rounded '
Y to whole dollars. ~ ~ ~ 'Z ( U'J • ~
from
SEE INSTRUCTIONS ON REVERSE through L J~ Pege .~L~ of ~
NAME OF FILER I.D. NUMBER
CODES: If one of #he following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
GuP campaign paraphemalia/misc. MBR membercommunications RAD radio airtime and production costs ,
CNS campaign consultants MfG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating ~E1 t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PFIO phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
ND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger senrices TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LfT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IFCOMMfTTE~ALSOENTERI.D:NUMBER) CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID
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" Payments that are contrlbutions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL~ ~ U~ T~~
Schedule E Summary ~ 4 ~ ~-V
1. Itemized payments made this period. (Include all Schedule E subtotals.) $ ~
. ~I
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 $,~U4'
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Instructions for , ~ • '
Schedule E . -
Payments Made
Report payments on Schedule E(otherthan loans). Cr'edit Ca~d Payments: An officer or employee of the committee; or
For each payment of $100 or more made during the Disclose the name, address, and amount paid to the The spouse of any of the above.
period, report the name and street address, city, credit card company during the period. Also
disclose the name, address, amount paid, and code Loans:
state, and zip code of the payee or creditor, and the or descri tion of a ment for each vendor aid $100
amount paid during the period. Payments of less p p y P Report interest paid on loans received on Line 3 of
than $100 durin the eriod are re orted as a lum or more. You may disclose the vendor payments on the Schedule E Summary (from Schedule B, Part 1,
9 p p p Schedule E or Schedule G. Column
sum on Line 2 of the Schedule E Summary. (e))•
However, if two or more payments under $100 were Do not report payments made on loans received on
made for a single product or service and the total Payments by Agents and Independent
paid during the period was $100 or more, itemize the Contractors: Schedule E. Report loan repayments on Schedule B.
total amount paid during the period. When an agent or independent contractor (e.g., Do not report loans made to others on Schedule E.
campaign worker, advertising agency, campaign Report loans made on Schedule H.
Report on Schedule E payments made on management firm) makes payments on your behalf
expenses that were reported on a previous ("subvendorpayments°), disclosethe name, Savings Accounts/Certi~cates of
statement as accrued expenses. Also report the address, amount paid, and code or description of Deposit/Money Market Accounts:
required information on Schedule F. paymentforeach vendor paid $500 or more. Do not report transfers of campaign funds into
Disclnse payments to the agent or independent savings accounts, certificates of deposit, money
Code or Description of Payment: contractor on Schedule E. You may disclose the market accounts, or the purchase of any other asset
If one of the codes listed on Schedule E fully subvendor payments on Schedule E or Schedule G. that can readily be converted to cash on Schedule
describes the payment, enter the code. A full E. Continue reporting these amounts as part of your
description of each code is provided on the back of Ownership Interests or Business cash on hand on the Summary Page.
the Schedule E-Continuation Sheet. If none ofthe Employment:
codes fully explains the payment, leave the "Code° A ballot measure committee that makes a payment Additional Important Information:
column blank and enter a brief description of the to any business entity (1) which is owned 50 percent Referto the FPPC Campaign Disclosure Manual for
goods or services purchased in the "Description of or more by any of the individuals listed below, or 2
Payment" column. yourtype of committee for important information
in which any of the individuals listed below is an about recordkeeping, returning contributions,
officer, partner, consultant or employee, must report prohibitions on cash expenditures, permissible uses
Candidates: that individual's name, relationship to the committee, of campaign funds, and more. '
All payments in connection with your campaign must and a description of the ownership interest or
be made from the campaign bank account. To use position with the business entity. Individuals
personal funds forcampaign purposes, you must first covered by(1) and (2) above include:
deposit the funds in the campaign bank account. - A candidate or person c~ntrolling the
committee; or
FPPC Form 460 (January/05)
FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/275-3772)