HomeMy Public PortalAboutHernandez, Edwin - Form 460 - 10.26.11 - 2nd Preelection Statement Recipient Committee COVERPAGE
Cover Campaign Statement type or print in ink. Date Stamp 7F. • '
Page p (Government Code Sections 84200 - 84218.5) - r - E C E I V `, E of from Statement covers period Date of election if applicable:
/ (Month, Day, Year) UL I 2 6 2011 ial Use Only
' "_SEEiNSTRUCTIONS ON REVERSE -_ - through k -� "-� -- - - � - -
1. Type of Recipient Committee: All Committees - Complete Parts i,2,3; and 4. 2. Type of StatemenGI CLERK
Nf Officeholder, . Candidate Controlled Committee ❑ Primarily Formed Ballot Measure. -& Preelection Statement ❑ Quarterly Statement
�0 State Candidate Election Committee Committee ❑ Semi - annual Statement - ❑ Special Odd -Year Report
QRecall 0Controlled ❑ Termination Statement
IAdo complete Pan 5) ' E Supplemental Preelection -
_ � Sponsored (Alm Complete Part 6J (Also file Amendment (Ex Amendme 410 Termination) Statement - Attach Form 495 -
�, -- ; GenerafPurpose Committee ❑ plain below) -
_ Q Sponsored ❑ Primarily Formed Candidate/ -
°-+ '
Small Contributor Committee Officeholder Committee
0Political Party /Central Committee (Also Complete Pan]) -
3. Committee Information I.D. NUMBER `�/ Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
�oN -c ��L>V ��8Z7 „t) -H "y J7°%j Cr'f 7pr/ MAILING ADDRESS
3IZ z� c0� Ave
STREET ADDRESS (NO P.O. BOX) , CITY STATE ZIP CODE AREA CODE /PHONE
J 1 ZZ 'kZ66 pad A(/�
CITY 11 � STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY _
LyY ') yoy J Gr - 9 e ZG ;_-
MAILING ADDRESS (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
O FAX I E -MAIL ADDRESS - - OPTIONAL: FAX I E -MAIL ADDRESS '-
4. Verification - -
I have used all reasonable diligence in preparing and reviewing this statement and to the best ofmy knowledge the information contained 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 true and correct.
Executed on Il " Z In - I
Date By ( Signature of Treasu or Ass nt re
ista assur
Executed on B L / /
Data Signature ofContuding Ofieehoicer, Cantlitlate. State Me re Proponentor ResponsibleO cerof Sponsor
Executed on By - -
Date - Signature of Controlling Oficeholder, Candidate, State Measure Proponent -
Executed on By - Data Signature ofCOnvolling Ofir¢holtleq Candidate, State Measure Proponent
FPPC Form 460 (January165)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8651275 -3772)
State of California
Recipient Committee Type or print in ink. - - - COVER PAGE -PART2
CAUFORN
Campaign Statement O � 'A 460
Cover Page — Part
P age -z— of �
-_- : :.5 .- Officeholder: or .Candidate:Controlled:Committee _6;-. Primarily Formed_Ballot Measure•Commlttee_ -- -_ -- --
NAMES OF OFFICEHOLDER OR CANDIDATE - NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE / LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER 'JURISDICTION ❑ SUPPORT
❑OPPOSE -
RESIDEENTIAUBUSINESS ADDRESS tN O. AND STREET) CITY STATE ZIP -
Q / Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
Related Committees Not Included in this Statement: Listanycommttees
not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD - DISTRICT NO. IF ANY -
contributions or make expenditures on behalf of your candidacy. - - - -
COMMITTEENAME I.D. NUMBER -
1 t
7. Primarily Formed Candidate /Officeholder Committee List names of
ITT
NAME OF TREASURER CONTROLLED COMMEE?
officeholder(s) or candidate(s) for which this committee is primarily formed.
YES ❑ NO
1_ NAME OF OFFICEHOLDER OR CAN OFFICE SOUGHT OR HELD -
COMMITTEE ADDRESS � STREETADDRESS (NO P.O. BOX) F SUPPORT
❑OPPOSE
CITY STATE ZIP CODE A REA CO DE /PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD -
- ❑ SUPPORT .
OPPOSE
COMMITTEE NAME 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
E] YES ❑ NO - [j SUPPORT
❑OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary
_ - FPPC Form 466 (January105)
FPPC Toll -Free Helpline: 866 /ASK•FPPC (866!275 -3772)
State of California ,
Campaign Disclosure Statement Type or print in ink. _ SUMMARYPAGE
Summa a Amounts may be rounded Statement covers period
ry g to whole dollars: I '
from 7- - � J R
SEE INSTRUCTIONS ON REVERSE through _/ O L Page of
NAME OF FILER 1 NUMBER
J lunokO a— �v:G_ f�UCSurt- Za�li _ (: /,53 d
:M
Column Column's Calendar Year Summary for Candidates
Contributions Received - - ToTMHisaERioD CA
(FROMATTACHMSCHeDULES) TCTUTODATE Running in Both the State Primary and
- - - -- --- - -- -- - - --
1. Monetary Contributions . . .. ................... . .. . . . . . .... . ... . ... General Elections- r --
' - Z� . � � $ _ _
Schedule A, L ine 3 $ s -
n. 1/1 through 6130 711 to Date 2. Loans Received............. ...... ......... .. schedule B, Line 3 �`� - �'C .
3. SUBTOTAL CASH CONTRIBUTIONS ..................... Add Lines l +2 $ -1 0 5 $
20. Contributions
. - � Received $ $
4. Nonmonetary Contributions... ......._ ............. .......... schedule C, Lines
U /l 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...............:.:......... Add Lmes3 +4 '$ 7i -� O $ ! 7 7-5 Made - $ - $
Expenditures Made Expenditure Limit Summary for State
6. - Payments Made ........................ ............................... schedule E, Line 4 $ 5 9 $ Z. 3 9.5 . 2. 5 Candidates
7. loans Made .............................. : ........ ........... Schedule H, Line 3
- '^C 7- -' -- 0 22. Cumulative Expenditures Made'
S. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 5 +7 $ /b�S /, $ 2 !�J - 5 - 2, 5 (If Subjeetto Voluntary Expebdlture Limit)
9. Accrued Expenses (Unpaid Bills) .. . . .... I ... ........ ...... -- Schedule F Linea XL—
Date of Election Total to Date
10. Nonmonetary Adjustment .......................................... schedule C, Linea �— - (� - (mm /ddlyy)
11. TOTAL EXPENDITURES MADE .............. .................. Add Lines e +9 +10 $ 6 9 - $ ,�- J 9� • 2- S �_J - $
Current Cash Statement $
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ To calculate Column B, add
13. Cash Receipts ........................ Column A, Line 3 above Jet L� amounts in Column A to the
(\ corresponding amounts *Amounts in this section may be differentfrom amounts
14. Miscellaneous Increases to Cash ........................:.. Schedule 1, Line 4 - tS - from Column B of your last reported in Column B.
15, Cash Payments.. ................ "'° Column A, Line 8above report, Some amounts in
. Column may be negative
16. ENDING CASH BALANCE.......... Add Lines 12 +13+ 14, then subtract Line l5 $ y 7 ZS figures that should be
. subtracted from previous
If this is a termination statement, Line 16 must be zero. period amounts. If this is
the first report being filed -
17. LOAN GUARANTEES RECEIVED ........................... schedule B, 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 $ l Z - � - FPPC Form 460 (Janus ry/05) _
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded statement e e
Monetary Contributions Received to whole dollars. n covrs p CALIF ORNIA
'
from � - / �� ` O.
•
SEE INSTRUCTIONS ON REVERSE - through �� ' 7 'L /, Page of 7
NAME OF FILER -
—/ S� LD. NUMBER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION
RECEIVED (IF COMMITTEE. ALSO ENTER 1.0, NUMBER) - CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) OF REOUIRED)
-. ...,.
--- OF BUSINESS)_
[BIND
v a J C' OM
XOTH
Z DUI SA.Y ti �� /1✓ PTY S cv ✓_
LJSCC
IND
( It GG AI/ ❑ o H
'O.. ZDI 5 �
I ❑PTY
C> - 2 ❑SCC
d ' - 41ND
HetA? Jr/'G ❑COM cro It 'E.' _ -
Q , I ❑ OTH L D i
t Z:
5 - 16 i'l.Ar 9eSw Alr L E] PTY r p F �. R Z ` R� Cv
❑SCC
gHND
- Z 5 N.r ; ❑ PTY
S 'jV (/ "
?b2- ❑SCC r
�� I I / 1.� ✓: r 0- 4 ❑ COM-�/ I _.
I� /
(2 5 (> -/,t vier 5/
E] OTH
lIlLO} ❑ PTY
❑SCC - Vv
SUBTOTAL$ // y O
Schedule A Summary - '`Contributor Codes
1. Amount received this period - itemized monetary contributions. Q IND- Individual
........................... ......... . .... ...............................
(Include all Schedule A subtotals.) ..............:. $ / O S 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. contributor committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
.FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK -FPPC (866/2754772)
Schedule A (Continuation Sheet) Type or print In ink; - SCHEDULE (CONT.)
Monetary Contributions Received Amounts maybe rounded Statement covers period
�
to whole dollars. '
- 'ja
r .
from 'T � � �� �� FOR
i
through /d Page_ of
_ NAME OF FILER -
.��._ _ _'__._._..�,,,�/..fi -f��L �'_ -iY-p_ _ �/ F' G./-_.-. �.' �;,/.'. �:.. �t^=` i:. Y:./: jt<• r�J�._ c . > 2C J "��L / S ✓.�(- 4; ✓.= _ (/`" / / ..... .=- :.>.��.. _, I.D NU MBER
DATE - FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
_. RECEIVED— IF COMMITTEE. A LSO E NT E R Z. NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE.
- - -PFS ELF EMPLOYED.ENTERNAME - PERIOD. —_ _(JAN.- 1-- -0EC.- 3a) -- (IF-REQUIRED)_
OFBUSINES61
a1Fr ; Gr�rt 4 a E]CO C
❑COM
❑ PTY
6
Yl�n� ��yi oS��
' �FVi.J•x+�D .- r -�✓ r - N OM
Ej PTY
L--• r7 S � �j -2(�.S �-�t. r 11/0 ❑SCC
/ Jc�F` D
I X t v. �_7//� 7 � O
E] OTH
M
logy ' a leJ ��/ -/ GU ❑ PTY
❑
C 1 SCC
0.4 .. D l �
1;;l'7 �j Za�+�er�a( WV W DOTH �r �"` � ` b �_ � cro
❑ PTY d /
vllt)doc� clo�b �- ❑SCC y ,ssa
IND
/
{{{{ r ".�/ �I �✓-, /J 5,�1�- 'YY- L/'[,,l�G�' ❑ COM
1Q) I Ioc / S I B S R.QS� %�"r� - ❑OTH ? -Lf•, "' ^� (' L l`
❑PTY
owne C4• 90Dvo`l, ❑SCC �a tJvt
SUBTOTAL $
'Contributor Codes -
IND- Individual -
COM - Recipient Committee -
(other than PTY or SCC) -
OTH - Other (e.g., business entity) -
PTY - Political Party FPPC Form 460 (January/05)
SCC -Small Contributor Committee - - FPPC ToII -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded Statement covers period CALIF
to whole dollars. I '
from 7 X F OR M -7
through LZ - // Page 6 of /
_.._NAME OF FILER _ I.D. NUMBER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
pFCOMMIrrEB,AISO EWER LO.NUMBFRI OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE
RECEIVED — CODE - *— _(iFSELF- EMPLOYED; ENTERNAME — PERIOD - -- (JAN -I- DEC. 31) - '(IF - REQUIRED) —
OFBIISINEss)
F4 ❑COM �ju15 -2-
j jr ' /f C -G /0.✓: r li�S op,, //�/.}' O PTY 1 10-D /
A r5c12 L SDL2J� ❑SCC Cif °
Gn r ( 4.J l/ COM
1 1 2 03 Srl i/ can f ✓ c ❑❑ PTY ✓t 4� / 0�
[
❑IND
❑COM
❑ OTH
❑ PTY
❑SCC
❑IND
❑COM
❑OTH
❑ PTY
❑SCC
❑IND
❑COM
❑ OTH
❑ PTY
[:]SCC
SUBTOTAL$ d
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party FPPC Form 460 (January/05)
SCC -Small Contributor Committee FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
Schedule E Type or print in ink. SCHEDULEE
Amounts may be rounded Statement covers period ,
Payments Made to whole dollars. 7 - - / / • 1
from
SEE INSTRUCTIONS ON REVERSE through �� ZZ - y / Page of
NAME OF FILER I.D. NUMBER
5 13•
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIvP campaign paraphernalia /misc. MBR member communications BAD radio airtime and production costs
—GINS—campaign-consultants Nl7G— 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
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
LIT campaign literature and mailings -PRT print ads WEB information technology costs (internet, a -mail)
NAMEANDADDRESS OF PAYEE -
(IF COMMITTEE, ALSO ENTER i.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT - AMOUNTPAID
� 4-
Z,���
aa� G1. 9az 6 z
cG 3&f ,/ Q
Arw07) c,`. 90 i,/z
6/ At,4 L •P , p
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary ! cS
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... It
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 $ 6 5
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK•FPPC (8661275 -3772)