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HomeMy Public PortalAboutJacinto, Edwin - Form 460 - 06.07.11 - Statement covering 07.01.09 - 06.03.11 � . � � . . .� .. � . /�'� COVERPAGE Recipient Committee T o� prin[ in ink. Date Stamp Campaign Statement •' • � � � Cover Page E C�� v E ' (Govemment Code Sections 84200-84216.5) Page � of � Statement covers period Date of election if applicable: � J�N� O�� ZO�� i/"� �� � �� ��� � , (MOflth, Day, Vea�) For Officlal Use Only from J � ^1 i SEE INSTRUCTIONS ON REVERSE ' � through J �/ �� � �� 3. v`� ITY O F LY N WO D 1 Y CLERKS OFF CE 1. Type of Recipient Committee: nn comm�nees -com aa,rs i, z, a, a�a a. 2. Type of Statement: �-0ffceholder, Candidate Contmlled Committee ❑ Primarily Formed Ballot Measure � ❑ Preelection Statement � Quarterly Slatement QStateCandidateElectionCOmmittee CommiUee Semi-annualStalement �-5pecialOtld-YearReport (J Recall Q Conlmlled �M1�1 w�socomPie�eaansl . � Sponsored l ❑ SupplementalPreelection (aisocomPrereaanel (Also fle a Form 410 Termination) . Statement-Attach Form 495 � � ❑ General Purpose Committee ❑ Amendment (Ezplain below) � Sponsored ❑ PrimarilyFOrmedCandida�e/ . QSmaIlContributorCommit�ee OfficeholderCommittee � QP011ticalParty/CentrelCOmmittee lArsocomPie�eaan» 3. Committee Information i.o. n,ursaea Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ' �� Gf �� l✓��/ � . �ff �•n�D � l� MAILING ADDRESS v / V1 �'''-� �"�-� �e 7 v �-1 �,,, � .� � e,.,� '� � 6 ���`o S �� l� �+ � - STREET A�DRESS (NO P.O. BOX) CITY � � STA ZIP C�DDE„ �ARE�CO �� 'S�o �S �/�.;� S 2 c. � c.�� �� �-1-tz y � �..-�'v—^• r �� _ [� L�r �� CITV . STATE ZIP CODE �% JEQ�C� EIPH� NE �� � NAME OF HS515 NT TREASURER, IF ANY �' MAILWG ADDRESS QF DIFFERENT) N0. AND STREET OR P.O. HO% . �/ ' � � MAILING A�DRESS CITV STATE ZIP CODE AREA CODE/PHONE CITV STATE ZIP CO�E AREA COOEIPHONE OPTIONAIL FAX I EMAIL ADDRE55 OPTIONAL' FAX / EMAIL ADDRE55 4. VervficaUon 6have used all reasonable diligence in preparing and reviewing this statement and to thebest of my knowl dge e inf atian contai ed herein and in ihe atlached schedules is irue and complete. I.certify under penalry of perjury under the laws of the State of Califomia that the foregoing is tme and correct. ' Exewled on �/ �/ / � �- � � , g � ��e eotTr a r arASSlslaniTreasu r ' . Executed on gy � �ete SignaWreofCOnlmXingOPoceholder dida „5f eMeesurePr rren�or spon � ffineroiSFOnwr Executed on gy Oare SignaWreo ontrolli gOff eFOI e,Can - ,S�a�eMeasurePmponent Executed on gy � oate � � Si Wrem ng reholder,Cantlitlate,5la;eMeasurePmponent � FPPC Form460 (Januaryl05) ' FPPC Tall-Free Helplin¢: 866IASK-FPPC (866/275-3772) � . � State of California 2� � � R2C14J1@f➢tC011ll'TllttO@ - . Type or print in ink. � _ COVERPAGE-PART2 Campaign Statement , � � � . � Cover Page — Part 2 � Page � of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed 8allot Measure Committee NAME OF OFFlCEHOLOER OR CANDI�ATE � � NAMEOFBALLOTMEASURE ' � � �.� (:.��`YJ � • �I �, h 1� � OFFl ESOl1GHTORHECD(WCWDELOCATIONA BALLOTNO.ORLETTER JURISDICTION �SUPPORT ��� �_ ��' /. � lJ.�} � � ❑OPPOSE RESIDEN AUeUSWESSADORESS (NO.ANDSTREET) CITV � STATE ZIP . Identify the Controlling �officeholder, candidate, or state measure proponent, if any. .- � � NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Induded in this Statement: usra�y�o�„m�nees not included in this statemenf that are controlled by you or are primarily formed to receive OPFICE SOUGHT 012 HELD ��� � DISTRICT NO. IP ANV contributions or make expendifure5 on behalf o/ your candidacy. COMMITTEENAME ' I.D.NUMBER NAMEOFTREASURER CONTROLLEDCOMMITTEE? �• PrimarilyFormedCandidate/OfficeholderCommittee Listnamesof o//iceho/der(sJ or candidate(s) Por which this committee is primarily formed. ❑ YES ❑ NO COMMITTEEADDRE55 STREETADDRESS (NO P.O. BOX) NAME OF OFFIGEHOLDER OR CANDI�ATE OFFICE SOUGHT OR HELD � ❑ SUPPORT ❑ OPPOSE CITY STAiE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOL�ER OR CANDI�ATE OFFICE SOUGHT OR HELO ❑ SUPPORT ❑ OPPOSE COMMITTEENAME I.D.NUMBER _ NAME OF OFFICEHOLDER OR CANDIDATE OFRCE SOUGHT OR HELD � SUPPORT ❑ OPPOSE NAME OF iREASURER � CONTROLLED COMMITTEE? NAME OF OFRCEHOLDER OR CANOIDATE OFRCE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE' COMMITTEEAODRESS �STREETADDRESS (NOP.O.BOX) � � CITY STATE ZIP CO�E AREA CODE/PHONE At[a[h continuafion Sheets if neces5aly � FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866IASK-FPPC (Bfi6/275-7772) ' . � � State of California Campaign Disclosure Statement r a, P ��nt in ink. SUMMARYPAGE -� AmoUnts may be rounded � - $UI111118�/ Pag@ . . _ ta whole dollars. � � State covers period �- I, 1 . . � � from JV�� � 'L-�o � •- SEE INSTRUCTIONS ON REVERSE �fhfOUyh J vy � �� �" Page � Of NAME OF FILER I.D. NUMBER � G�; � � ,� �, h � - ColumnA Column6 Calendar Year Summary for Candidates C.OI1tCl�]UtIO1lS R@C21VeC� ' rornirwsvEaioo cn�EUOnRV�a �FROnvarra�HeoscHeou�es� rorA�roonre Running in Both the State Primary and ,y Generel Elections 1. Monetary Contributions ....._ ....................._............. soned�ie a, u�e s S S _s�� ` V1 through 6/30 7/1 to Date 2. Loans Received ......._ ............................................. scneame e, u�e s 3. SUBTOTALCASH CONTRIBUTIONS ......................... ndd�ines � +z $ S Z�'S y � g 20. CoNributions � Received $ $ � 4. Nonmonetary Contributions .............:.._................., scnedwe c, �ine s � � 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED ...........................qdd�i $ 5�2�� $ Made $ $ EXpendltures Made � S, � Expenditure Limit Summary for State 6. Payments Made .............._...._._.............................. soneduiee,u�ea S S Z� �� g Candidates 7. Loans Made ....................................................._,..... soned�re H, crne s '�— ��j 22. Cumulative Expenditures Matlet - 8. SUBTOTALCASHPAYMENTS .................................... AddLiness+7 $ 1 �S $ (I(Sub�ect[oVOlunfaryExpentlimreLimit� 9. Accrued Ex enses Un aid Bills s�nedwrF u�e s u�� P ( p ��°���--���-��-�--�-�- �s DateofElection TotaltoDate 10. Nonmonetary Adjustment .......................................... scnedwec, �ines f (mm/dd/yy) . 11. TOTALEXPENDITURESMADE .................._._.._.....Add�iness+s+io $ _/ J��� $ � _�� $ Current Cash Statement �„ �� $ 12. Beginning Cash Balance ....................... a,e�ro�s summaryPa9e, u�e is S ro calculate Column a, add 13.C8Sh Recelpts .............................._................... ColumnA,Line3above ��/�� amountsinColumnAtothe � � � �� corresponding amounts 'AmouNS in this section may be different from amounts 14. Miscellaneous tncreases t0 CBSh .....:..................._ SchedWe ( Line 4 ,/9 � from Column B of your last reported in Column B. � � 15. Cash PaymEntS .................................................. ColumnA, Line 8 above l�/ report. Some amounts in lumn A may be negative 16. ENDINGCASHBALANCE _...._.. nddLines i2+73+iq thensubtract�ine 75 S figures that should�be � subtrected from previous 1� this is a termination statement, Line i6 must be zero. � � period amounts. If this is � � the frst report being filed 17. LOAN GUARANTEES RECEIVED ........................... scneeme e, Pan 2 $ for this calendar year, only � carry over the amounls � � from Lines 2, 7 and 9(if Cash Equivalents and Outstanding Debts any). 1 S. C85h EqUIVeIBf1i5 ........................................ See instmctions on reverse $ - 19. OUtStanding Debts ......................... AtltlLine2tLine9inColumnBabove $ FPPCFOrm460(Januaryl05) � - . FPPC Toll-FreeHelpline: 8661ASK-FPPC (8661275-3772) • .� Schedule A Type or print in ink. SCHEDULE A Amounts may �6e rounded Statement covers eriod Monetary Contributions Received � �o whole dollars. rn, ��� � .- ,� � � � from `�° r � •- th`rough " �� 3 ' �' Pa e SEE INSTRUCTIONS ON REVERSE . . g of NAME OF FILER �� � � � � � � � ' � � ' 1.D.NUMBE �..i� tJ ✓ C.-: ..� DA7E� FULI. NAME, STREET ADDRE55 AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR �F AN� INDIVI�IIAL ENTER AMOUNT Cl1Ml1LAT�VETO DATE PER ELECTION RECENED pFGOMMiTTee.n�soENTERI.D.NOMOER) CODE * OCCUPAT�ONANDEMPLOYER RECEIVED THIS CALEN�AR YEAR TODATE pFSe�F-eMa�oveqeNrearvnMe PERIOD (dAN. �-OEC.31) pF REQUIRED) OFBUSWE55) ' ❑IND ❑COM ❑ OTH ❑ PTV ❑SCC ❑IND ❑COM ❑ OTH ' ❑ PTv ❑scc ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH . . ❑PT1' . � . ❑ SCC SUBTOTAL$ � � . �. �� - - �. $C�l@C�U�2 Q1 $U17117181')/ 'Contributor Codes 1. Amount receivedShis period - itemized monetary contributions. wo-individuai (Indude aII Schedule A subtotals.) conn-Recipiem comm�tiee ........................................................................................................ $ (other ihan PN or SCC) 2. Amount received this period - unitemized monetary co�tributions of less than $100 ............................. $ OTH — Other (e.g., business entiry) . PTY—POlitical Party 3. Totalmonetarycontributionsreceivedthisperiod. Scc-smaucontributorcommittee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ � FPPC Form 460 (January/OS) � � FPPC Toll-Free Helpline:8661ASK-FPPC (86612753772} Schedule A(Continuation Sheet) Typeorprintinink. SCHEDULEA (CONT.) Monetar Contributions Received Amo��isma Y . Statementcovers period � . , � towholedoliars. � from.� /SLh�� •' . � � � ` through� � ��� page!�of NAME OF Fl�ER � �� ` / � / � �. �/�� I.D�,NUMBER . . fi�.i hl -0ATE FULL NAME, STREET A�DRE55 AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMUL4TIVETO DATE �PER ELECTION prcortnrtninee.A�soeNreaio.NUMaee� CONTRIBUTOR OCWPATIONANDEMPLOVER RECEIVEDTHIS CALENOARYEAR T0�7ATE RECENED � CO�E* � � �1FSELFEMPLOYEO.ENTERrvAME PERIOD (�qN.i-DEC.31) QFRE�UIRED) OFBU6ME56J �� (.�/, ,..1 /Q . ?,�f � C , �t., t3 ���� iNO � ❑com � �t z� (/� �3 3 ��� �.s�j"�'"` S� o ����� �Z-�7S�1�� � i�_��� S — l . � � � fiv �J � �' � � � ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY � ❑ SCC ❑IND ❑ COM ❑ OTH ❑ FTV ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC . . SUBTOTAL$ .� � Ji7� J/ . . . . 'COntributar Codes • � IND-lntlividual , COM — Reciplent Committee i (other than PN or SCC) ' OTH — Other (e.g., buslness entity) ' � �PTY—PoliticalParty SCC —Small Contributor Committee FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 8661ASK-FPpC (866/2753772) SC�I@C�U�@�B.—PaCt � � Type or print in ink. , SCHEDULEB-PART1 � Amounts may be rounded . Statement covers period Loans Received co whole tlollars. ��y /fr Z �� y ��� �� � . from / sEE iNSiRUCrioNS o�u REVERSE � - through '��� � � � zi � � Page � � of NAME OF RLER . , .� I.D.NUMeER ��� �t/ � r�,� l� _ � C � h /-� IF AN INDIVIDUAL ENTER ° ( (c� �dJ � �e) ��) (g) PULL NAME, STREETADDRESS AND ZIP CODE OUTSTAN�ING AMOUNT qMOUNTPAID OUTSTANDING �NTEREST ORIGINAL Cl1MULATIVE OFLENDER OCCUPATIONANDEMPLOYER - gALANCE .RECEIVEDTHIS BALANCEAT pqIDTH15 AMOl1NTOF CONTRIeUTIONS � pFCOMmiTTEE,n�soENrEato.uuMaER� OFSE�F-EMa�ovEO,ENrEa BEGINNING THIS � OR FORGNEN CLOSEOFTHIS NFmeoFausiNess) PERIOD PERIO� THISPERIOD' pERIOD PERIOD LOAN TODATE �� / ,�� � -. / ^ �/ , ..fi . ❑PHIO CALENDARVEAR �/L/ J r7 ( J ///'''JJJ y' � 3 5 % g S � � � �'[/ ���� � S �� � ��� �� (. � FORGIVEN �� . PER ELEGTION" /__QQQ(!/ )� d ` � WVJ� "' / ��� "Y 5 S �Y�- S���� a 5 S t� IN ❑ COM ❑ OTH PTV ❑ SCC ' DATEDt1E DATEINCIIRREO � - — � PAI� CALENDARYEAR 8 $ b 5 S � FORGNEN Rp PEft ELECTION •` $ 8 5 g g t0 IN� ❑ COM ❑ OTH� ❑ PTV ❑ SCC . �ATEDUE pATEINCURRED � PAI❑ CALENDAR YEAR 5 8 % 5 $ � FORGIVEN aAiE pER ELECTION"'" t0 IND ❑ coM ❑ oTH ❑ Pn ❑ scc s s s s s onrEOUE onrEiNCURaEO . .. SUBTOTALS $ $ $ $ - (ENer (e) an � Sehedule B Summary S�,ed��eE.���e3� 1 . Loans received this period .................................................................................................................... $ (Totaf Column (b) plus unitemized loans of less than $100.) tcor,cr�butor codes IND–Individual 2. Loans paid orforgiven this period ......................................................................................................... $ coM-Recipientcommittee (Total Column (c) plus loans under $100 paid orforgiven.) (other ihan PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) oTH - otner (e.q., business entiry) . PTY–PoliticalParty � . 3. Netchan ethis eriod. SubtractLine2fromLine1. sCC-smaucontribumrcommittee 9 P � ) ............................................................... NET $ Enterthe net here and on the Summary Page, Column A, Line 2 "� aybeanega1venomeeQ 'Amounts forgiven or paid by another party also must be reported on Schedule A � � - " If required. � �FPPC Form 460 �Januaryl05) � . � � FPPC 7oll-Free Helpline:866/ASK-FPPC (8 6 612 75-3 77 2) . Schedule B— Part 2 Tvae or Qrint in ink. � SCHEDULEB-PART2 ' . LO8f1 GU8�81ltOCS ' �lmounts may be �rounded� �Statement covers pe�iod �- -� •to whole� dollars. ,� � �� � p 4 • - � � 1 from I SEEINSTRUCTIONS ON REVERSE ' th�ough 1 V ;��� 'Page �,of NAME OF RLER I.D. NUMB �.� G`."�`..� r2 � c, �' �� PULL NAME STREET ADDRESS AN❑ IF AN IN�IVIDl1AL, ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATIONAN� EMPLOVER LOAN GUARANTEE� WMULATIVE Ol1T5TANDING pFCOMMITTEE,NLS�ENiERI.D.NUMBER) CODE OFSELFEMPLOYE�,EMER TODATE NnMwF euswess THIS PERIOD TO DATE ❑IND IENDER � CALENDARVEAR ❑ COM y ' ❑OTH � onrE aERE�ECTioN ❑ Pry � QF REQUIRED� ❑ SCC $ � CALEN�ARYEAR � ❑IND �ENOEa � ❑COM s ❑ OTH PER ELECTION ' ' DATE ' (IF REQUIREp) ❑ PN ❑SCC s - CALEN�ARVEAR ❑IND �ENOEa � ❑COM . g . ❑ OTH PER ELECTION (IF REQWRED) ❑ PN DATE ❑ SCC $ � - _., ' ' ❑IND � , LENDER CALENDARVEAR ❑COM 8 ❑ OTH pATE PER EIECTION QF REQUIRED) ❑ Prv ❑scc s � � - En[eron - � � � � - SUBTOTAL $ s�mma�yPa9e. . .. � n ry . - � FPPC Form 460 (Januaryl05) � ' FPPC Toll-Free Helpline: 866/ASK-FPPC (86fi/275-3772) Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded Nonmonetary Contributions Received to whole doliars. S[a[ement covers period •- • 1 from � isz,�y .- • -�i� 3 2o i � SEEINSTRUCTIONSONREVERSE thfOUgh — page�Of NAME OF FlLER � � p � �,�` // � � y � I.D.NUMBER Yi % � IFANINDIVI�UAL,ENTER CUMULATIVE TO FULL NAME. STREET AODRE55 AND CONTRIBUTOR AMOUNT/ PER ELECTION DATE �ESCRIPTION OF DATE RECEIVED Z�P CODE OF CONTRIBUTOR . OCCUPATION AND EMPLOYER FAIR MARKET (IFCOMMITTEE,ALSOENTERI.�.NIIMBER) CODE �IFSELFEMPLOYE�,EMER GOODSORSERVICES VAWE CALENDARYEAR TODA?E unMeoFeusiuess) (JAN1-DEC37) (IFREQUIRED) ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND �COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH � PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 'Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. iNO-individuai (Include all Schedule C subtotals.) ..................................................................................................................... $ coM-Recipientcommittee (other ihan PTY or SCC) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 .................................... $ OTH - Other (e.g., business entity) PTY - Political Party 3. Totalnonmonetarycontributionsreceivedthisperiod scc-smaiicontriburorcommittee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ FPPC Form 460 (Januaryl05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/2753772) Schedule D '• ' ' SCHEDULED � -- SUI71h181'�/ Of EXp@IIC�ItUCQS Type or print in ink . statement covers period Amounts ma be rounded. � • � Supporting/Opposing Other � wno�e ao��a.s. Tu �ji�, " ._ ��• � Candidates, Measures and Committees ''°'" SEE INSTRUC710N5 ON REVERSE through '" '" �. �� � Page� of NAME OF FILER ' n /�� '. - � " � � �� IM "V /�.. .J C{.. G./ h�`� . - . .. I.�. NUMBE . 1 DFTE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR CUMULATNETO DATE PER ELECTION MEASl1RENUMBERORLETTERANDJURISDICTION, T�PEOFPAVMENT DESCRIPTION AMOl1NTTHIS CALENDARYEAR TODATE -ORCOMMRiEE (IFREpUIRED) .pERIOD (JAN.i-DEC.31 ) QFREQUIRED) ' � Monetary � � Contribu�ion � Nonmonetary Coniribution � Independent � ❑ Support ❑ Oppose Expenditure ' � Monetary Confribution - � Nonmonetary � - Contribution � Independent � ❑ Support ❑ Oppose Expenditure � Monetary Coniribution � Nonmonetary � Coniribution � Independent ❑ Support ❑ Oppose Expenditure � � � � SUBTOTAL $ � ` � � Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $ 2. Unitemized contributions and independent expenditures madethis 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.) ............ TOTAL $ � FPPC Form 460 (January/05) � FPPC Toll-Free Helpline:8661ASK-FPPC (6661275-3772) � ` �, 4 . Schedule D . �COIItIIlUBt1011�s�'1QBt�� . Typeorprin[inink. ' � SCHEDULED CONT. � Summary of Expenditures , ^"'°�"�5 ma be �°°^aea Statemen[ coversperiod towholedollars. � •' ' Supporting/Opposing Other J �" 3�� y .- '•� Candidates, Measures and Committees from . . . . . through � v� � Page _ . of NAMEOFFlLER ' � � � � � � � �� � � � � �. � ' 1.0. NUMBER DATE NAME OF CAN�IDATE, OFFICE, AN� �ISTRICT, OR TYPE OF PAVMENT �ESCRIPTION AMOUNTTHIS CUMl1LATNETO DATE � PER ELECTION MEASURE NUMBER OR �ETTER AND JURISDICTION, (IF RE�uIREO) CALENDAR YEAR TOOATE ORCOMMITTEE , PERIW �JAN.I-0EC.31) QFREpuIRED) � Monetary Coniribution _ �� Nonmonetary � Coniribution . � Independent � . ❑ Support � Oppose Expenditure � � Monelary Conhibution � � Nonmonetary Contributian � Independent ❑ Support ❑ Oppose Expendi�ure � Monetary - Contribution � Nonmonetary - Coniribulion � Independent ❑ Support ❑ Oppose Ezpenditure � � �Monetary � Contribution � Nonmonetary Conhibution � IndependeN � ❑ Support ❑ Oppose Expenditure � SUBTOTAL $ - . � - � . . � . FPPCFOrm460(January/OS) - � FPPC Toll-Free Helpline: 8fifi/ASK-FPPC (866/2753772) SCHEDULEE ScheduleE Type or print in ink. ` Statement covers period 1 Amounts ma be rounded Payments Made ro wnoie aona�5. .� �• � � . � . . � . � from SEE INSTRUCTIONS ON REVERSE through. Page � of NAMEOFFILER, � �� - �� � I.�.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalialmisa MBR membercommunications RAD radio aitlime and production costs CNS campaign consultants MTG meetings and appearences RFD returned contributions . CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations � ' PEf petition circulating lEL t.v. or cable airtime and production cosis FIL cantlidate filing/ballot fees ' PI-f� phone banks TRC candidate Uavel, lodging, and meals ' � FND fundraising events - POL polling and survey research TRS staff/spouse travel, lodging, and meals � IND independent expenditure suppoding/opposing others (explain)" POS postage, delivery and messenger services TSF transfer belween committees of lhe same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter regisiration LIT campaign literature and mailings PRT print ads VvE6 information technology wsis (internet, e-mail) � NAME AND AD�RESS OF PAYEE - (iFCOmmirree,n�soeNleai.o.NUmeea) . CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID �J Qr � �/LI M S C-fE'� ✓j.� �7� "�� e.�-� � ti�,�-,�����- e��-y �rc�z C .�� G9SiLt�,�s �i�� � ' .� . ✓7 ,� L /�-�'� � 2�' 70 C--O 6 S �� �'T'1 sS � G�s �3 � .� �i s � � �,� s Z .� c� <o G,�-�,� � �G Zs �� M� l- y� ��' N-P� N 6 I n 2'3 y'/ t_.o..� � � L� ��� ��� _ L � � .. �( �- � 7� �v " Payments tha[ are contrihutions or independent expenditures must also be summarized on Schedule D. � SUBTOTAL$ Schedule E Summary ��� � j 1. Itemized a ments made this eriod. Include all Schedule E subtotals. ,,,,,,,,,,,,,,, $ p Y P ( ) ..:...................................................................................... 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, ColumnA, Line 6.) ............................. 707AL $�� . � � .� FPPCForm460(January/05) . . - . FPPC Toll-Free Helpline:8661ASK-FPPC (666/2753772) SChedule E ' - scHeou�eetcoNr.� Type or print in�ink. � Statement wvers eriod �COIltI11U8t1Of1 SFl@@t) � � Amoun[smayberounded� ' , � � . P �' � Payments Made �oWno�eao��a.�. r�om � � y 7 i�0 5 � • � � throu h JV � 3� �! � SEE INSTRUCTIONS ON REVERSE � ' 9 � PdyE 01 NAME OF FILER � � � I.D.NUMBER �- � �i � � ,; �' /�- - �" CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. ' MBR member communications RAD radio aihime and production cos�s . CNS campaign consultaMS - MTG meetings and appearances� RFD retumed coniributions � C1B coNribution (explain nonmonetary)` . OFC office expenses SAL campaign workers' salaries CVC civic donations PEf petition ciFCUlating . TF1 t.v. or ca61e aidime and production costs FIL candidate flinglballot fees PFp phone hanks 7RC candidate iravel, lodging, and meals FND fundreising events POL polling and survey research TRS staff/spouse travel, lodging. and meals ND independent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services TSF transfer between commitlees of Ihe same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration � LIT campa"rgn literature and mailings PRT print ads WEB information lechnology costs (internet, e-mail) � NAMEANOAD�RESSOPPAYEE CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID (IF COMMITTEE, AL50 ENTER ID. NlIM9ER) �/L7 (,v �I �..J � - �} G, � � � 3 � �s��h-,� .s�.�� f py� C�� ��`'� L� t,�,� � o zl v ; `Paymentsthatarecontri6utionsorindependentexpentlituresmustalsobesummarizedonSchetluleD. ' � � SUBTOTAL$ / y-� ( FPPC Form 460 (January/OS) �fPPC To14Free Helpline: 866/ASK-FPPC (866/2753772) - SCHEDULEF SCfI@C�U�@ F Type or print in ink �-� � Amounts may be rounded ' � Sfat�nt covers period �' � , . Accrued Expenses (Unpaid Bills) �ow,,oieaoua�s. J U i�.�,,; •- • from ' throUgh �£ � ���� SEEINSTRUCiIONSONREVERSE Page Of NAME OF FILER � /f { . �/ % �/V I � / �� "' Cj� / �� L'l.� � . I.D. NUM ER - . CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphemalia/mi5c. MBR member communications RAD radio airtime and produc�ion cos�s CNS campaign consultants MTG meetings and appearances RFD reWmed contributions CTH coniribution (explain nonmonetary)' OFC oifice expenses SAL campaign workers' salaries CVC civic tlonations FE7 petition circulating lEL t.v. or cable airtime antl production costs FlL canditlate filinglballo4 fees PHO phone banks li2C cantlidate iravel, lodging, and meals FND fundraising events POL polling and survey research TRS staif/spouse travel, lodging, and meals � WD independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer belween committees of ihe same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter regisiration � Lfi campaign literature and mailings pRT print ads WEB information technology costs (intemet, e-mail) NAME AND A�DRESS OF CREDITOR CODE OR (a) (b) (c) (d) (IFCOMMITTEe,q�soENiERIO.NUMBER� DESCRIPTIONOFPAVMENT OUTSTANOING AMOUNiINCUftREO AMOUNTPAID O�TSTANDING � BALANCEBEGINNING THISPER10� THISPERIOD BALANCEATCLOSE � OF THIS pERIOD (A�so aeaoarou e� OF THIS PERIOD ' ' Payments that are coniributions or independen[ expenditures must also be SUBTOTALS $ ' summarized on Schedule D. S . S $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for � �' accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ ����� � 2. Total accrued expenses paid this period. Qnclude all Schedule F, Column (c) subtotals for payments on � accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net change this period. (Subtrect Line 2 from Line 1_ Enter the difference here and �Z�� ��� on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $ Maroea�eear�e��mbe, � � FPPC Form 4fi0 (January/OS) . FPPC 7o11-Free Helpline: 866IASK•FPPC (866/2753772) Schedule F �Type or print in ink. SCHEDULE F(CONT.) . � Amounts may be rounded Statement covers eriod •� •' (Continuation Sheet) m Wno�eaoua�. l �� ��� �� f � � _ � � Accrued Expenses (Unpaid Bills) <<om� � 7'1 � ,.r 3.L"�I � through '� r_` page of NAMEOFFlLER () � / � �� � � - � �� Wi /�J � ' . `./.� � � /J � �I.O. NUMBER. . d� � CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misa . MBR member communications , RAD radio airtime and production cosis _ CNS campaign consultants MTG meetings and appearances RFD retumed coniributions CTB con(ribution. (explain nonmonetary)` - OFC oFfice expenses � SAL cartipaign workers' salaries ' CVC civic donations ' PEf petition circulating lEL t.v, or cable airtime and production cosis FIL candidate filing/ballot fees PHp phone banks 1RC candidate iravel, lodging, and meals � FND fundraising events POL polling and survey research lR5 staff/spouse irevel, lodging, and meals IND independent expenditure supportinglopposing others (ezplain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor � LEG legal defense PRO professional services Qegal, accounting) VOT voter registration lJT campaign literature and mailings pRT print ads . VvEB information technology costs (intemet, e-mail) ' Payments that are contributions or independent expenditures must also�be summarized on ScBedule D. NAME ANO ADORESS OF CREOITOR CODE OR (a) (b) (c) (tl) DESCRIPTIONOFPAYMENT OUTSTANDING AMOUNTINCURRED � AMOUNTPAID O�TSTANDING . (iFCOnnMillee,n�soeN'reei.o.uuMeee) BALANCEBEGWNING 7HISPERIOD� THISPERI00 BALANCEATCLOSE OFTHISPERIOD (ALSOREPOaroNE) OFTHISPERIOD ,A— n� �i � � � � `J �� � � G �� ��-t,� 2 �-=',�°, ^�-�,^' � ��-�/�-° �OUI � 5 S �' � � J �.���� SUBTOTALS$ $ $ $ ,���� , � S -�� �'"� �— - � � O / � � FPPC Form 460 (January105) � FPPC 7o11-Free Helpline:866/ASK-FPPC (866/275-3772) �� SChedUleG scweou�ec ' Type or print in�ink. � . . Payments Made by an Agent or Independent nmo�nc5 ma be �o��aea sca�emenc �o�e�5 P e.�oa �_ Contractor (on Behalf of This Committee) `°"'n r om �L , . �� �„'� . - � • � . . . � .. throu h �.l U� � 7^ 1 I � . SEE INS7RUCTIONS ON REVERSE , 9 � r Page ot NAMEOFFILER - j,D.NU ER l�i� �,.�� �..J /� _ - � � �� NAMEOFAGENTORINOEPENDENTCONTRACTOR . � � � � ' - . � - � CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP� campaign paraphemalialmisc. MBR membercommunications RAD �radio airtime and production cosis CNS campaign consWtants MTG meetings and appearances ' RFD retumed wnhibutions � CTB contribution (explain nonmonetaryp - OFC office ��expenses SAL campaign workers' salaries � CVC civic donations PET petition circulating lEL t.v. or cable airtime and production costs� FIL candidate fling/ballot tees PHO phone banks lRC candidate iravel, lodging, and meals FND fundraising events . POL polling and survey research TRS stafflspouse travel, lodging, and meals IND �intlependent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of �he same candidate/sponsor LEG legal defense PRO professional services pegal, accounting) VOT voter registration _ - � LIT campaign literature and mailings PRT print atls VvEB information technology costs (internet, e-maiq ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. . NAMEANDADDRESS OF PAYEE OR CREDITOR pFCOMmirree,p�soervieRi.o.NUMaea� CODE OR DESCRIPTIONOFPAVMENT AMOUNTPAID Attach additional information on appropriately labeled continuation sheets. TOTAL* 8 ' Do no( transfer to any other schedule or to the Summary Page. This total may not equal the amounf paid to [he agent or � independent contrecfor as on Schedule E � FPPC Form 460 (Januaryl05) . FPPC To11-Free Helpline: S66/ASK-FPPC (866@753772) ' - SCHEDULE�H � .SC�'1@C�U�O �"� � � �Type or print in ink. Statemen[ covers period Loans Made to Others* Amounts may be rounded �/� �� � � c , .� I � 1 . to whole tlollars. from � L SEE INSTRUCTIONS ON REVERSE . - � through � � �-' 3 �� 1 Page �of NAME OF FILER - � -� I.D.NUMBER �� (,�; ,� f�- c.h -�� IF AN'INDNIDUAL, ENTER � (bl - (c� (tl �e� (q �q� FULL�NAME,STREETAD�RESSAND ZIPCOOE OCCUPATIONAND EMPLOYER OUTSTANDING AMOUNT REPAYMENTOR OUTSTA�DING INTEREST ORIGINAL CUMULATNE OF RECIPIENT ' BALANCE LOANED THIS BALANCEAT � - �iFCOmMirree.n�soeureaio.uumeea7 OFSe�F-ema�oveqeurea BEGINNINGTHIS FORGIVENESS CLOSEOFTHIS RECEIVED � AMOUNTOF � LOANS � NAMEOFBUSINESS� pERIOD PERIOD THISPERIDD PERIOD LOAN TODATE � PAID CALENOAR VEAR 3 5 % 5 5 � � FORGNEN ��` - PERELECTION" S 3 $ $ $ OATE �UE OATE WCURRED � PAI� CHLENpAR YEAR 8 $ o � 8 FORGNEN �� ❑ PER ELECTION" ' 8 5 4 $ 5 DATE DUE pATE MCURRED *Loans that are contributionsto another candidate or committee . � must also be summarized on Schedule D. Loans forgiven must SUBTOTALS � also be reported on Schedule E. $ $ $ $ � �Enter(e) on � Schetlule I, Llna 3) Schedule H Summary � 1. Loans made this period .................................................................................................................................................. $ *�If Required (Total Column (b) plus unitemized loans of less than $100.) � 2 . Payments received on loans ........................................................................................................................................... $ (Total Column (c) plus unitemized payments of less than $100.) � 3. Net change this period. (Subtract Line 2 from Line 1.) .............................:............................................................ NET $ �May ee a neea�ive numner) (Enter the net here and on the Summary Page, Column A, Line 7.) _ � � FPPC Porm460 (January/OS) � ' FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule I Typeorprintinink. SCHEDULEI � Miscellaneous Increases to.Cash Amo���sma Statementcoversperiod . , . . , . towholedollars. r-n . / 5 � J � I � ' . . . � . .from 'J Zv . � . . SEE INSTRUCTIONS ON REVERSE through J vN �� 3 �� � Pa e of 9 NAMEOFFlLER � � � � �� � � � � I.O.NU BE ' � �� DATE FULL NAME AND AD�RESS OF SOURCE AMOl1NT OF RECEIVEO �iF comMirree, A�so eNrea i.o. uurtnsea) DESCRI PTION OF RECEIPT . � INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period . ....................................................................................................................... $ 2. Unitemized increases to cash of under $100 this period ............................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the r // SummaryPage, Line 14.) .......................................__..........................................,...................................... TOTAL $��� . FPPC Form 460 (January/05) � - FPPC Toll•Free Helpline: 866/ASK-FPPC (8661275-3772)