Loading...
HomeMy Public PortalAboutPygatt, Iris - Form 460 - 10.18.11 - 1st Preelection Statementa Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 -84216 5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if appli from r 7 Z ` (Month, Day, Year) � through ' - ° ( � 1 Type of Recipient Committee: All committees- Complete Parts 1, 2, 3, and 4. © Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) O Sponsored (Also Complete Pad 6) 1 General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also complete Part 7) 3. Committee Information I D NUMBER COMMIT NAME OMMITIty, / 111/4 SB f rc ; r/r1 r X717--./. R_ '//'7 x CITY OPTIONAL FAX I E -MAIL ZIP 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best under penalty of perjury underthe laws of the State of California that the foregoing is true aq& Executed on By Executed on _ By Executed on _ By Executed on By note C( Date Stamp - 1 ^ � a O p 7 of E V E' V 9e For Official Use OCT 1 8 2011 2. Type of StatementiI I Y l:L Preetect on Statement ' v Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination ❑ Amendment (Explain below) Treasurer(s) ADDRESS ERKS OFFICE ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 I NE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL FAX / E -MAIL ADDRESS knowledge the information contained herein and in the attached schedules Is true and complete certify t i /-, Z _ n rvvc norm seu Idanuarymcl FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California NAME OF ASSISTANT TREASURER, IF ANY Type or print in Ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee COMMITTEENAME ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NOP.O BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME NAME OF TREASURER LID NUMBER ❑ YES ❑ NO PO. CITY STATE ZIP CODE AREA CODE /PHONE COVERPAGE -PART2 Page-.41Z— of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER ❑ 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 List names of officehoider(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 (8661275 -3772) State of California 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. - Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE `- NAME /) r - -_4 l Contributions Received 1 Monetary Contributions 2 Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTAL CONTRIBUTIONS RECEIVED Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) Schedule A, Line 3 $ Schedule B, Line 3 Add Lines l +2 $ Schedule C, Line 3 Add Lmes3 +4 $ Statem -g ent covers period •� from / —/' ��Z through 9 — q _ I Page _zp__ of I.D.NUMBER Column B CALENDARYEAR TOTALTODATE $ 1),I 11 0 m Calendar Year Summary for Candidate: Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20, Contributions Received $ $ 21 Expenditures Made $ $ Expenditures Made 6. Payments Made 7 Loans Made 8 SUBTOTAL CASH PAYMENTS 9. Accrued Expenses (Unpaid Bills) 10 Nonmonetary Adjustment 11 TOTAL EXPENDITURES MADE Schedu14, Line 4 $ V Schedule H, Line 3 Add Lmee6 +7 p$ Schedule F, Line 3 Schedule C, Line 3 Add Lines 8 +9 +10 $ FAY .r r r / A Current Cash Statement 12. Beginning Cash Balance Previous Summary Page. Line 16 13, Cash Receipts Column A, Line 3above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15 Cash Payments Column A, Line 8a6ove 16 ENDING CASH BALANCE Add Lines 12 + 13+ 14. then subtract Line 15 If this is a termination statement, Line 16 must be zero 0 ITS V W_ 6 17 LOAN GUARANTEES RECEIVED Schedule B. Part 2 $ Cash Equivalents and Outstanding Debts _ 18 Cash Equivalents See instructions on reverse $ _ 19 Outstanding Debts Add Line 2+ Line 9 in Column B above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) ____Jf $ To calculate Column B, add amounts in Column A to the corresponding amounts 'Amounts in this section may be different from amounts from Column B of your last reported in Column B report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts If this Is the first report being fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (If any) FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded y to whole dollars. from SEE INS ON R EVERSE NAME OF FILER n � /✓ r � through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CW campaign paraphernalia /mist MBR member communications RAID CNS campaign consultants Ml meetings and appearances RFD CTB contribution (explain nonmonetary)` OFC office expenses SAL CVC civic donations PEr petition circulating TEL FIL candidate fling /ballot fees PHO phone banks TRC FIND fundraising events ROL polling and survey research TRS IND Independent expenditure supporting /opposing others (explain)` POS postage, delivery and messenger services TSF LEG 'legal defense PRO professional services (legal, accounting) VO T LIT campaign literature and mailings PRT print ads WE B describe the payment Page _ of eK radio airtime and production costs returned contributions campaign workers' salaries t.v or cable airtime and production costs candidate travel, lodging, and meals staff /spouse travel, lodging, and meals transfer between committees of the same candidate /sponsor voter registration Information technology costs (intemet, a -mad) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID L'V IJ4 Ly/Vw&UD ,tr 1 13 D D, lL I i IS k 1 LY 1VWU D C h. uaU2 + �>�I�DIQ�7 i� 111i9 fees (' S Cii tS�Pa�a LA 11�iI Sa�Rd� �t -D�au � b hiP i IQ =d YYIUI�i1V �? ©D.G'G x rJ Ff sa of h LAe s ���1 Se It 5, iq ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. _ SUBTOTAL$ 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.) M TOTAL $ r FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) ISM - id Schedule E (Continuation Sheet) Payments Made NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. from 9 /—// through SCHEDULEE Page V I of 1 15� LD NUMBER CODES. If one %tithe following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc MBR member communications RAD 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 Onternef, a -mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, A ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID / L 5 5 'Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2 n- n FPPC Form 460 (January/OS) FPPC Tali -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULEB -PART1 Schedule B — Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. — — / CALIFO F O R M • 1 9 //� Page SEE INSTRUCTIONS ON REVERSE through JC., of NAME OF FILER I D NUMBER S i3a1�5 FULL NAME, STREE A DRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER 00 OUTSTANDING (b) AMOUNT I.) AMOU NT PAID Pu OUTSTANDING le) INTEREST in ORIGINAL 10 CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SEL F -E MPLOYE D , BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN EAT CLOSE LOSE O OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER IO NUMBER) NAME OF OF BUSINESS) PERIOD PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE E] PAID ° CALENDAR YEAR �s 9+� e to s 1ve RFC Ifol�'e� 5 5 % E�� FORGIVEN 8 l W 00 V I, C �Y y�ZLZ �s� `Nr /lQCtl( ftniE 5 PER ELECTION" 8 / t IND ❑ COM El OTH E:1 PTY ❑SCC l DATE DUE DATE INCURRED E] PAID CALENDAR YEAR 8 $ % E 8 FORGIVEN PER ELECTION" RATE 8 8 8 5 5 DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC PAID CALENDARYEAR 8 8 % 8 8 ❑ FORGIVEN PER ELECTION" RATE 5 8 8 $ E DATE DUE DATE INCURRED TO IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ _ I 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 $ NET $ (FY be a - -g-t— numbep (Enter (ef on Schedule E. Une 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 (8661275 -3772)