HomeMy Public PortalAboutPygatt, Iris - Form 460 - 10.31.11 - 2nd Preelection Statement Recipient Committee COVERPAGE
Type or print In ink. Date SteOp 3 ''
Campaign Statement •'
Cover Page E C E I V E
(Government Code Sections 84200 - 84216.5)
Stat ment co vers period Date of election if applicable: - Page __ji_— of
' (Month, Day, Year) OL ( 2 0�� For Official Use Only
from
SEE INSTRUCTIONS ON REVERSE through /� �� �!/ t� l ITY 0 F. LY N W 00 D -
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1. Type of Recipient Committee: All Committees- complete Part, 1, z, 3, and 4. 2. Type of Statement:
Ial Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Preelection Statement - ❑ quarterly Statement
l / \ 0 State Candidate Election Committee Committee Semi - annual Statement ❑ Special Odd -Year Report
0 Recall 0 Controlled ❑ Termination Statement Supplemental Preelection
(Also complete Part 5) _ 0 Sponsored (Also file a Form 410 Termination) ❑ Statement -Attach Form 495
(Also Complete Part 6)
❑ General Purpose Committee ❑ Amendment (Explain below) _
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (Alm Complete Part 7)
3. Committee Information I. . NUM R Treasurers)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NA F T EASU
/ J ��
0 I �� L f YYY tr
A/ / —�� A ING ADDRES _
ST ,/xO DR 5 II P / O. B/O/ / a
EET E
1 �) GIT STA ZIP CODE ARE CODE/PHONIE /
Z STfCr zip CODE a i CODEIR NAME OF ASSISTANT TREASURER, IF ANY
MAI G ADDRESS (IF DIFFERENT) NO. AND S 0 P.O. BOX (hJ (l (J , MAILING ADDRESS
CITY STATE' ZIP CODE ) ARE /PHONE CITY CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS'
4. Verification
I have used ail reasonable diligence in preparing and reviewing this statement and to the best of my knowledge lh ormatio tamed herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is tr an correct
t �
Executed on By
• Sig to fTrea eror ssistant asurer
Executed on By — f
Date / ignatureo I OffidMblder, Canditlate, State Measure Preponentor Responsible Ofoerd Sponsor
Executetl on By
. Data Signature of controlling INficenolder. Canditlate, State Measure Propment
Executed on B
. - Oats y SignatweefCOntrolling OfficeMltler, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -1772)
State of California
Type or print in Ink. COVERPAGE -PART2
Recipient Committee CALIFORNIA
Campaign Statement F 460
Cover Page — Part 2
Page - of
5. Officeholder or Candidate Controlled Committee - - -- -- - - - -- 6.-Primarily- Ballot Measure Committee
NAME OF OFFICEHOL OR CANDIDATE -� t - NAMEOF BALLOTMEASURE
OFFICE OU HT R EL INCLUDE LOCATION AND DIS RI NUMBER IF APPLICABLt) / / BALLOT NO. OR LETTER JURISDICTION - ❑ SUPPORT
0, 1) El OPPOSE
/ r
RESIDENTIAL /BUSINES ADDRESS (NO. A D STREE CITY STATE ZIP - -
�� v � / � ' �� /J Identify the controlling officeholder, candidate, or state measure proponent, if any.
}—J `f NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: List any committees
TRICT NO. IF ANY
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DIS
contributions or make expenditures on behalf of your candidacy.
COMMITTEENAME I.D.NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate /Officeholder Committee List names of
r YES NO
officeholder(s) or candidates) for which this committee is primarily formed.
❑
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER 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 CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES F1 NO ❑ SUPPORT
❑
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) - OPPOSE
CITY STATE ZIP CODE AREA CODE /PHONE - Attach continuation sheets if necessary
FPPC Form 460 (Januar)1105)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
— State of California
Campaign Disclosure Statement T or print in Ink. SUMMARYPAGE
Summa Pa a Amounts may be rounded Statement covers period - CALIFOR
ry g to whole dollars. r _ > J • '
from / I -
SEE INSTRUCTIONS ON REVERSE - through [ / � Page -3-- of
NAME OF FILER - I.D. NUMBER
ColumnA ColumnB Calendar Year Summary for Candidates
Contributions Received TOTALTHiSPERiOD CALENDARVEAR Running m Bath the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTOOATE g Pri
General Elections
1. Monetary Contributions ............ ............................... schedule A, Line 3 $ $ "
t
1/1 through 6/30 711 to Dale
2. Loans Received _ ............................... :.................... Schedule B, Line 3 �% do
3. SUBTOTAL CASH CONTRIBUTIONS .............. :......... Add Lines f +2 $ 4 1 , e4 20. Contributions
_ Received $ $
4. Nonmonetary Contributions ..... ............................... Schedule c, Line 3 ! / 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ....... .................... Add Lines 3 +4 $ $ 5 a�
Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made ....... : .................... ......... .................. schedule E, Line S 41 � l $ 4.Z 7� Candidates
7. Loans Made .............................. ..:............................ Schedule H, Line 3 7 �
1 22. Cumulative Expenditures Made'
8. SUBTOTALCASH PAYMENTS ....................... Add Lines 6 +7 $ . za $ '/ �n (If Subject to voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) .... ................. scnedme F, Linea - -�
Date of Election Total to Date
10. Nonmonetary Adjustment ............................. .......... ... schedule c, Line - (mm /dd lyy)
11. TOTAL EXPENDITURES MADE ............. .................. Add Lines 8.9 +10 $ - $ r — $ "
Current Cash Statement � L){ —J� $
12. Beginning Cash Balance ....................... Previous summaryPage.une 16 $ yy} 7o calculate Column B, add
13. Cash RE! CE! IptS..........: ......... ............................... Column A, Line 3 above C,J amounts in Column A to the
corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash ..................... .... Schedule 1, line 4 from Column B of your last reported in Column B.
15, Cash Payments ..... .......... column A, Line 9above
report. Some amounts in
- , - - Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract line 15 $ "� figures that should be
subtracted from previous '
If this is a termination statement, Line 16 must be zero. - period amounts. If this is -
}y� the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule 8, Part 2 $ for this calendar year, only
carry over the amounts .
Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if
18. Cash Equivalents ......... ............................... See instructions on reverse $ any).
19. Outstanding Debts ....... ....._...... ..... Add Line 2+ Line 9 in Column B above $ FPPC Form 460(January/05)
" FPPC Toll -Free Helpline: 866 1ASK -FPPC (666/275 -3772)
Type or print in ink.
SCHEDULEB -PART1
Schedule B — Part 1 Amounts may be rounded Statement covers period
Loans Received to whole dollars. G , CALIF
from •
4 6 0
!r
_ AE INSTRUCTIONS ON REVERSE _ throug Pag of
AME OF FILER - - - -- - _ _ _ - - I.D. NUMBER
1'3A la-5
IF AN INDIVIDUAL, ENTER a W - -(e)— _(d)_ IN _ (0
FULL NAME, STREET ADDRESS AND ZIP CODE (gl
OUTSTANDING AMOUNT gMOUNT PAID OUTSTANDG INTEREST ORIGINAL CUMULATIVE
OF LENDER OCC ( UP ELFOMPLO D D M NTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLLOSE OF 7H IS PAID THIS AMOUNTOF CONTRIBUTIONS
(IF COMMITTEE. ALSO ENTER I. D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD LOAN TO DATE
T l� USING S) P / ID /y) THIS PERIOD' ERI D /(���J��(�{�J
10 3 15 •�r ' r lK.q/ � Q••an( �l/ ❑ PA ID
5, b/YJ ar7 % CALEND
6 t Z D C] FORGIVEN RATE PER ELECTION•• $ $ s D COM D OTH D PTV D SCC DATE DUE DATE INCURRED
D PAID CALENDARYEAR
4 s % s $
FORGIVEN RATE PER ELECTION ••
s
$ $ s $
tD IND D COM D OTH D PTV D SCC DATE DUE DATE INCURRED
D PAID CALENDARYEAR
D FORGIVEN RATE PER ELECTION
$ 5 $ s 4
tD IND D COM D OTH D PTY D SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ $ ��rad $ Q
(Ewer (e) on
Schedule B Summary Stlhedde E,Une3)
1. Loans received this period ..................................................................................... ............................... $
(Total Column (b) plus unitemized loans of less than $100.) tcontributor Codes
IND - individual
2. Loans paid orforgiven this period .......................................................................... ............................... $ r_� COM- Recipient Committee
(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 - Other (e.g., business entity)
PTY- Political Party
3. Net change this period. Subtract Line 2 from Line 1. SCC -Small Contributor committee
9 P ( ) ................................ ............................... NET $ G
Enter the net here and on the Summary Page, Column A, Line 2. M =r °CeOCeerrveOYmbeQ
'Amounts forgiven or paid by another party 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 E Type or print in ink. SCHEDULEE
Amounts may be rounded Statement covers period ,
Payments Made to Whole dollars. • • ' 0 '
from
SEE INSTRUCTIONS ON REVERSE - through FPaq, of
NAME OF FILER
_ I.D. NUMBER
CODES: If one of the following codes ccur ely describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia /mist. MBR member communications - RAID 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 - FEr petition circulating TEL Cv. or cable airtime and production costs "
FIL candidate fling /ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FND 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
UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAMEANDADDRESS OF PAYEE
(IE COMMITTEE, ALSO ENTER rD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID_
";
6 71 Y C s1*- _e_woo (20
. r .
a9
a
', of�o _ L/
` Payments t at are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ f:L'
7sT � 33;.7
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ....................................:.......................................... ............................... $1
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 $ 1T{ ` W)
" FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
Schedule E SCHEDULEE(CONT.)
Type or print in Ink. d i
covers peri (Continuation Sheet) Amounts may be rounded Statement CALIFORNIA � • ,
Payments Made to whole dollars. F
from
,
SEE INSTRUCTIONS ON REVERSE through Pa e of ��•" -� 9
NA E t` I.D.NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code - Otherwise,— describe - the - payment.
CMR campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CT13 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 fling /ballot fees PI-10 phone banks TRC candidate travel, lodging, and meals
FIND fundraising events ROL 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 FRO professional services (legal, accounting) VOT voter registration
UT campaign literature and mailings PRT print ads VVEB Information technology costs (internet, e-mail)
NAMEAND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
(IF COMMITTEE, ALSO EWER ID. NUMBER)
' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS ;
,3
FPPC Form 0 ( anuary/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275.3772)