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HomeMy Public PortalAboutCarr, Patricia - Form 460 - 11.28.11 - 2nd Preelection StatementRecipient 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 applicable: from W /r Cl -��� III, (Month, Day, Year) 4� through k 1 Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. [�/Offceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Ppd5) 0 Sponsored (Also Compete PadN ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also Complete Part 7) 3. Committee Information D Nu O Ll 1 g 1 41 c om,r -tt 4k Y TO i2levC PC,,i,;> V1C, Cau A, hir>res+ c. .>n C.ac uvci ©t 1 J CITY ^' STATE ZIP CODE AREA CODE /PHONE t� � �,G �' T 3toZ(, MAILI G ADDRESS (IF DIFFERENT) NO AND STREET OR PO BOX CITY STATE ZIP CODE AREA CODE /PHONE FAX / E -MAIL ADDRESS Date Stamp ECEH V NOV 2 8 2011 Pa _ of For Of6aal Use Onty ,���,` ^ PITY OF LYNWOD TY CLERKS OF ICE 2. Type of Statement: ❑' Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also fie a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) MAILING ADDRESS ' CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my 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 akdQrrect 11 Executed on Executed on Dare Executed on Executed on By By B Sgrcalurauf CorNOlbg OPficehdder, Candidlne, SWte Measure Proponent By - SignaWreofCOnV011ing ORicehdder, CarMidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California A= L�If`IW C,G 12 icayna NAM OF ASSISTANT TREASURER, IF,ANY Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. PAtOK OFFICEHOLDER R CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) e& c0aw k RESIDENTIAL/BUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP \ S Ss uwt'wU cc-( LQ)XQ)— 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. .'0018,11 INS 1771G18I 1�]4DLrdN�S NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME I0 NUMBER NAME OF TREASURER CONTROLLED COMMITTEE'+ ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NOP.O BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVERPAGE -PART2 Page k of 7 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION I ❑ 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 officeholder(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 (January105) FPPC Toll -Free Helpline: 866 /ASK.FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Schedule H, Line 3 Amounts may be rounded to whole dollars. Add Lines 6 +7 Statement covers period - I t 10. Nonmonetary Adjustment Schedule C, Line 3 11 TOTAL EXPENDITURES MADE .Add Lines 8 +9 +10 C7 from 9 �- a G --� ` FORM °d 5 �� b 15. Cash Payments Column A, Line 8above through Page 2— of y- SEE INSTRUCTIONS ON REVERSE 0 IF this is a termination statement, Line 16 must be zero OF FILER w 17 LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ to NUMBER , I cCf_G 18. Cash Equivalents See instructions on reverse I A S ool�mn roD Co B Calendar Year Summary for Candidates Contributions Received To TOTALTODATE Running in Both the State Primary and (FROMACLACeED SCHEDULES) c) "7 3 O ^ g General Elections 1 Monetary Contributions Schedule A, Linea $ o $ 15 Do O -' 111 through 6130 7/1 to Date 2. Loans Received Schedule B, Line 3 • V 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ & 73 - 0 o $ — (� 20 Contributions Received $ $ O — 4 Nonmonetary Contributions Schedule C, Linea 21 Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 +4 $ 15 , 73 0o $ -fl -' Made $ $ Expenditures Made 6. Payments Made Schedule E,, Line 4 7 Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) . Schedule F Linea 10. Nonmonetary Adjustment Schedule C, Line 3 11 TOTAL EXPENDITURES MADE .Add Lines 8 +9 +10 $ 2573 -oD $ -0 b — -0- $ $ O — $ $ E? Current Cash Statement — + 12.Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3above a� 7 3 " p 0 14 Miscellaneous Increases to Cash Schedule 1, Line 4 ^ D 1 °d 5 �� b 15. Cash Payments Column A, Line 8above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 IF this is a termination statement, Line 16 must be zero w 17 LOAN GUARANTEES RECEIVED Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ �I 19. Outstanding Debts Add Line 2+ Line gin Column B above $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure Umit) Date of Election Total to Date (mm /dd /yy) E1 E1 Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helaine: 866 1ASK -FPPC (866/275 -3772) i Schedule A Type or print in ink. SCHEDULE A Monetar Contributions Received Amounts may oe rounded ry to whole dollars. Statement covers period CALIFORNIA ' �` — t 1 O.. • from through 4 'a.` \t Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER to NUMBER p� CL e / DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ENTER I QFCO ADDRESS AND EEOI CONTRIBUTOR IF AN INDIVIDUAL, ENTER IF AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IFSELF- EMPLOYED, ENrERNAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) I151 Q411'e'VL i, Qt5pk6L -f S ❑❑IND as0 -ov L 5� $W� QPTY tD d3eacl C_4, ❑scc q - -tt �ov>,owt Ro�tLt ez ❑IND t3uStwesSv�ct� li5 =U C7 P ❑COM []0TH k+vvL 1- C.q 0 1 b-A_ SCC V't CIM OV\ r..a AA �CF)(A'e ❑IND Gc,L,S \vv eSSV\ge, t I I CL L 4 V��- �0.>~ c -C. �O.v .p EICOM ❑OTTH []PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY []SCC SUBTOTAL$ "��cD 0 Schedule A Summary 1 Amount received this period —itemized monetary contributions. (Include all Schedule A subtotals.) 2. Amount received this period — unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 ) $ $ TOTAL $ l " a - ' _ (9 9 *Contributor 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 (866/2753772) Tvno nr Print in ink SCHEDULE B -PART 1 scneauie ti — cart i Amounts may be rounded Statement covers period Loans Received to whole dollars. /r `l _5,c CALIFORN OR , from ((�� L0_% T_k\ SEE INSTRUCTIONS ON REVERSE through Page —5-- of NAME OF FILER ID NUMBER V `�C L V 1 �y�r S 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AM (q AMOUNTPAID OUTSTANDING BALANCEAT le) INTEREST RI ORIGINAL (u) CUMULATIVE IIFCOMMITTEE, 4LSn ENTERID NUMBER) IIF SELF - EMPLOYED ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEOFBUSINESS PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE ^/ \ 1 G'li'Y'J1LC.� CCL�H , Q-36 PAID CALENDARYEAR -Q ��� p \ IN � vr• ` ry $ I 3�1- VV - V -U _ >TE /y� (� S1 /—mb 8 �Q L] FORGIVEN R PER ELECTION " /- //T ' D� n 17) $ $ $ 4 DATEDUE DATEINCURRED t IND WCOM ❑ OTH D PTV ❑ SCC PAID CALENDARYEAR FORGIVEN PER ELECTION "* RATE tEl IND ❑ COM ❑ OTH ❑ PTV ❑ SCC g g g S $ DATEDUE DATE INCURRED PAID CALENDAR YEAR $ 3 k s FORGIVEN PER ELECTION ** RITE t❑ IND [I COM El OTH ❑ PTY ❑ BCC g $ - DATE DUE PATE INCURRED SUBTOTALS $ �S � V 0� - � ,� $ 1 5 DO - a $ _ b 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. $ A sob 0o $ NET $ rM, be A negative number; (Enter (e)oP Schedule E, Line 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 (866/2753772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may be rounded y to whole dollars. from C 1 — 'k`3 1 SEE INSTRUCTIONS ON REVERSE through 1 V d Page (• of-77— NAME OF FILER LD NUMBER �t AJ\ Ct C_GLV'v` q ( CODES. If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMY campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MFG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFG 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 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 PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IFDOMMnTEE, ALSO ENTERt D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Colby Pbz�e,r L_ 177 O �33a, w. 1a•t•t -% PL Nos 'moNAe6e ccj ci oots 6Z� pl� C9�`G �{.tts i�v�tvt�tv►Cr, I_aT (QO(� Z7 3 5 15 T 3\ v a S 0 c V Gctk ! © \ 1 A- \ cz, ` 1 cc -Y., C V 07 L A 7 C� 000OX 1 -7 0 tp H- air% I,-, Ca 1 b `7 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ k b Schedule E Summary 3. j — 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.) $ 1573 .vQ $ C tI TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule E (Continuation Sheet) Payments Made ON REVERSE A LaT-,J� Type or print in ink. Amounts may be rounded to whole dollars. covers SCHEDULE E(CONT) from 9 -as -(t through Page of _:�_ 10. NUMBER 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 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 PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling /ballot fees RHO 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 commlffees 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, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CXT� e 6�o�,e4,o Pao �ooLoc� 380 V ►ev w sf S >,L 7v�6 � AO Ofd C¢'1 � S tos Lkvvq s L f�Ocn Tai \2�r pN� 400-oc lc�a 3 � P�v. -o �✓.p � y (uwoo tN C-C4 cla-co a tarntcar Goo( Ruyr SA L (coo coC 3B 5 `j tesa9 -e ;�- - t_�.vwvo� CIQ 4.0 a"&0a aMPa<gtn (Pc OL) -'na v V,(� ) &C-6 C-'ct�2w t .i P-00 ork rv\ea g ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 9 Do FPPC Form 460 (January/05) FPPCToll -Free Helpline: 866IASK -FPPC (8661275 -3772)