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HomeMy Public PortalAboutPygatt, Iris - Form 460 - 07.27.11 - 1st Semi-Annual Statement � - -- - Recipient Committee T COVER PAGE ype or print in ink. �ate Stamp �_ I Campaign Statement ' � . � � Cover Page E C E I V E (Govemment Code Sections 84200-84216.5) Page of. Statement co ers period Date of elaction if applicable: 'II q 7 � � (MOn�h, Day, Yeaf) �UL L! 20�� For Official Use Only from . , � C TY OF LYNW00 . SEEINSTRUCTIONSONREVERSE ihfOUyh Y CLERKS OFFI E 1. Type of Recipient Committee: au comm�nee, -comPieee Parts �, z, a, a�a a. 2. Type of Statement: � OKCeholder, Candidate Controlled Committee ❑ Primarily Formetl Ballot Measure ❑ Preelection Statement � Quahedy Statement � State Candidate Election Committee Committee � Semi-annuafStatement � Special Odd-Year Report Q Recall " � Controlled Termination S[atement � /aisocomPie�eaans/ � Sponsored Also fle a Form 410 Termination - � Supplemental Preelection (AlsoCompletePart6) � � Statement-AttachFOrm495 ❑ General Purpose Committee ❑ Amendment (Explain below) , Q Sponso�ed � PrimarilyFormedCandidate/ Q Small ContribulorCommittee OKceholtler Committee - Q Political Party/Central Committee � fasoCOmpeteaartD 3. Committee Information I.D. NUMBER Treasurer(s) I GOMMITTEE NAME (OR C �IDATE'S NAME IF NO COMMITTEE) � / J 'lC �� NAME OF TREASURER / c � / ' --�—�� �=� �Y���� f� � c,- / } �y ' , ���„ ,��� y // MA IN AOD SS G > �t�a � STREET ADDRESS (NO P.O. OX) . CIT STA IP CODE AREA CODE/PHONE � / � /� � �f �r. r/_�S IJ.� � _ . ' CITY � TATE ZIP CO�E AREA CODE/PHONE NAME OF ASSISTANT TREASl1RER, IF ANY ,� ,� / �/ d . (' � %D�.� ,�4 AIL G ADDRESS (IF OIFFERE T) N0. AN� TREET OR P.O. BOX MAILING ADDRES$ CITV STATE ZIP CODE AREA CODE/PHONE GTY STATE ZIP CODE AREA CODEIPHONE OPTIONA�: FAX / EMAIL A�DRE55 OPTIONAL FAX / EMAIL ADORESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the inform ' conta' d herein and in the attached schedules is true and complete. I certify . untler penalry of perjury u the laws ( o � f - � the State of California lhaf the foregoing is tm c rect. ,/ � Execuled on ( ^ � ( � // By � " i �ale . SlgnaWreo�Tr surer ssi nRreas Executed on �'� � �� By / � � Da€ Siqn Wre nvollinq0f(ceholtler,Cantlitlate,5tateMOasurePmponenlorResponsibloORmerof5ponsor Executetl an � By Da�e � SignaturwfContmllingOPoCe�oltleqCantlitlate,5tateMeasureProponem Exewted on By � �ale SigrawreofCOnlrollingO�ficehdtler,Cantlitlate,5�ateMeasurePmponenl FPPC Fo�m 460 (January/O5) _ pPPC Toli-Free Helpline: 866/ASK-FPPC (866/2�53772) . . State o! California Type ar prin[ in ink. COVERPAGE-PART2 RecipientCommittee �_ , Campaign Statement � � . ' • � Cover Page — Part 2 Page � of � 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAMEOFOFFICEHOLDEROR NDIDATE - NAMEOFBALLOTMEASURE � '� � � � � -� I ��� OFFlC �SOUGH O HEl Q LUD OCATI NAND DIST ICT NUMBER IF PLICA LE) BALLOTNO.ORLETTER JURISDICTION � SUPPORT l r! 1 I / b /` 1 ❑ OPPOSE RESIDENTI�S AD�RE55 ( O. AND STREET) CITV STAiE ZIP / — /� ��� ��� Identify the con[rolling officeholder, candidate, or state measure proponent, if any. / l/A � ( ' , � �" {G , • r � – NAME OF OFFlCEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: us�a�y�omm�ttees not induded in [his statemen[ [hat are conbolled 6y you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions oi make expendiNres on behal/ of your candidacy. COMMITTEENAME I.D.NUMBER NAMEOFTREASURER CONTROLLEDCOMMITTEE? �• PrimarilyFormedCandidate/OfficeholderCommittee LiStname5o/ oHireholder(s) o� cantlidate(sJ Por whith fhis committee is piimarily /ormed. � YES ❑ NO COMMITTEEADDftESS STREETADDRESS (NO P.O.80X) NAME OF OFFICEHOLDER OR CANDIOATE OFFICE SOIIGHT OR HELD � SUPPORT ❑ OPPOSE CITY STATE ZIP CODE � AREA CODEIPHONE NAME OF OFFICEHOLDER OR CANDIOATE pFFICE SOI/GHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEENAME I.D.NUMBER NAME OF OFFICEHOLOER OR CANDIOATE OFFICE SOUGHT OR HELD � SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HEL� ❑ YES ❑ NO ❑ SUPPORT ❑ -0PPOSE COMMITTEEAODRE55 STREETADDRESS (NOP.O.BOX) CITY STATE ZIP COOE AREA CODE/PHONE A}tach ContlnUaNOn Sheefs 1( nCC255ary . FPPC Form 660 �January105� FPPC Toll-Free Helpline: B66/ASK-FPPC (86fi12753772� Stzte ot California Campaign Disclosure Statement Type or print �� ink. SUMMARVPAGE Amoun[s may be rounded� Statement covers period �- Summary Page to wnae aoua�s. �� � from � � SEEINSTRUCTIONS ON REVERSE [hfough ;��� Page � oT� . NAME OF RLER `4- -" I.D. NUMBER �� � �. � �� � ..._ ColumnA Column B Calendar Year Summary for Candidates Contributions Received ,o,A�,��sPER�oo �A�ENOaR��,R �FROMArrncHeos��EO��s rorn�rooA� Running in Both the State Primary and /�' /J General Elections . 1. MonetaryContri6utions ............._........._................. scneameq,u�e3 S `` S v � l ili Ihmugh 6/30 7l1 to Date 2. LoansReceived............_ ........................................ scneduiee,u�ea � "�J 3. SUBTOTALCASHCONTRIBUTIONS ......................... AddLi�es�+z $ $ � 20. Cantributions � Receivetl $ $ 4. Nonmonetary Contributions .................................... scnedwec,unes �" 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED .....:.....................qddLi g .� $ Made $ . 5 Expenditures Made Expenditure Limit Summary for state 6. Payments Made .............................._..._.................. scneduree,u�ea S �_ S � Candidates 7. Loans Made ..................._...__....................._.......... scned�ieH.�ine3 � . � . /J� 22. Cumulative Expenditures Made' 8. SUBTOTALCASHPAYMENTS .................._................ Addu�ese+� $ $ ( / � pfSubjecttoValmtaryExpenEimreLimit� 9. Accrued Expenses (Unpaid Bills) ...............................scnedweF�ines � / � DateofElection 7otaltoDate - 10. Nonmonetary Adjustment ...._ .................................... scneduiec,u�e3 L�� (,/ (mm/dd/yy) 11.TOTALEXPENDITURESMADE ..............._...............nddLiness+g+io $ U $ � ._J�_ $ Current Cash Statement ������ —��— $ .� 1Z. BB91MIf1 J C3SY1 BBI2f10E ....................... Previous SummaryPage, Line i6 $ " To calculate Column B, add 13. Cash Receipts ................._................................ columna, Line 3 above amounts in Column A to the � � corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous lncreases to Cash ..._..._ ................. Schedule I, line 4 . from Column B of your last reported in Column B. 15. Cash Payments ..::.............. ...... ....:. .. / . report. Some amounts in� � . .... ............. Column A, Line 8 above � Column A may be negative 16.ENDINGCASHBALANCE.._...... $ F6� . fguresthatshouldbe subtracted fmm previous _ If this is a termination statement Line 16 musf be zero. , � periotl amounts. If this is � . . . . the frst report being fled - � 17. LOAN GUARANTEES RECEIVED .....,._._..._.......... Scheduie e, Partz $ for this calendar year, only � - carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9(if � any). � 18. C25h EquivalentS.._.� ..................._.............. Seeinstmctionsonreverse $ - 19.Al1fSf8nding DebtS ......................... AddLine2+Line9inColumnBa6ove 5� FPPCForm460(January105) � - FPPC TolbRee Helpline: B66/ASK-FPPC (866/275-3772)