HomeMy Public PortalAboutPygatt, Iris - Form 460 - 01.24.12 - 2nd Semi-Annual Statement Recipient Committee COVER PAGE
Type or print in ink. Date Stamp
Campaign Statement '' , FORM ECEIVE
Cover Page
(Government Code Sections 84200 - 84216.5) Page —I-- of
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from
Statement covers period Date of election if applicable:
/ l /I 1 I (Month, Day, Year) JAN 2 4 2012 For Official Use Only
Q
SEE INSTRUCTIONS ON REVERSE through O ITY OF LYNWO D
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1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, B, and 4. 2. Type of Statement:
`[ Officeholder. Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee II44II Semi - annual Statement
-Recall Q —
Controlled j°` E] Special Odd -Year Report
❑ Termination Statement ❑ Su lemental Preelection--
(AlsoComplelePad5) O Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495
(Also Compete Part 6)
F General Purpose Committee ❑Amendment (Explain below)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party /Central Committee (Also complete Part 7),
3. Committee Information I. N MB R 3 q Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAM IF NO COMMITTYE) J NAME OF THE R
Cl
M ILI ADORBSS
STREET ADDRESS (NO P.O. BOX) City STATE ZIP CODE AREA CODE /PH
/ `S 1
CIT STATE ZIP ODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY
MAI IN D ESS (IF DIFFERS - .
AND STREET E OR .O / MAILING ADDRESS
CITY W 0 a r S TATE-- AREA CODE /PHGITV STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS 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 /underrttthh /7e laws of the State of California that the foregoing is tru Poor ect.
/ ` <� / By /
Executed on
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// not r s raro Assistan T asurer
Executed on / —2 r oaL/ / By nm / a
Dale Signature of WYi refpltler, ntlitlale,State Measure Proponentor Responsible OAoer of Sponsor
Executed on By
Date Sigmtureof ControYmg Offiwf tder,Cawidate,State Measure Proponent
Executed on By
Date SgmNre of Controlling OM1iceholtleq Cantlitlete, Slate Measure Proponent FPPC Form 460 (January 105)
FPPC Toll -Free Helpline: 666 /ASK -FPPC (866 1276 -7772)
State of California
Type or print in ink. COVER PAGE -PART2
Recipient Committee
CALIFORNIA
Campaign Statement F R 46
1
Cover Page — Part 2 _
Page �'__ of
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
OFFIC SOUGHT O R HELD NCL DE LOCATION AND DISTRJCT NU ER IF APPLICABLE J' BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
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// I - -- - -- – ❑- OPPOSE ---
RESIDENTI /BU NESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT
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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEENAME I.D. NUMBER
NAMEOFTREASURER CONTROLLED COMMITTEE? 7 • Primarily Formed Candidate /OfficeholderCommit tee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEEADDRESS 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
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
❑ YES ❑ NO ❑ SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/06)
FPPC Toll -Free Helpiine: 866 1ASK -FPPC (8661275 -7772)
Stale or California
Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE
Amounts may be rounded Statement covers period -
Summary Page to whole dollars. /�� f / � . �
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from
SEE INSTRUCTIONS ON REVERSE through `� �J ` / / Page —3-- of
NAME OF FILER / I.D. NUMBER
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Contributions Received ColumnA Column B Calendar Year Summary for Candidates
TOTALTHISPERIOD CALENDARYEAR
(FROM ATTACHED SCHEDULES) TOTALTOOATE Running in Both the State Primary and
General Elections
------ 1- -Monetary Contributions ......... ................ ............... _scneduleA.unea_.$_. _$. -
- - --. -- .
-- � ��1/1 tnrdu0ti 6/30 "- 7/1 to Date'
2. Loans Received ....................... ............................... schedule B, Line _
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t +2 $ $ 20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 j� 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ... ....................AddLines3 +4 $ (J $ Made $ $
Expenditures Made �j Expenditure Limit Summary for State
6. Payments Made ........ _ .............. ............................... schedule E, Line $ $ / Candidates
7. Loans Made .............................. ............................... schedule H, Line 3
22. Cumulative Expenditures Made'
8. , SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ $ (If Subject to Voluntary Expenditure Limit(
9. Accrued Expenses (Unpaid Bills) ........ ....................... Schedule F Line 3 Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 (mm /dd /yy)
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +to $ $9 _2�z a �� $
Current Cash Statement —� $
s .
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ To Calculate Column B, add
13. Cash Receipts ................... ............................ .... Column A, Line 3 above - 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 1 from Column B of your last reported in Column B.
j
15. Cash Payments ................... ............................... Column A, Line eabove report. Some amounts in Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 +13 +f4, 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
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, PaH 2 $ �J for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts from Lines z, 7, and s (if
a
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 /ASK -FPPC (8661276.3772)
SCHEDULEE
Type or print in ink.
Schedule E Amounts may be rounded Statement covers period CALIFORNIA 460
Payments Made to whole dollars. from /..�5 -11 •'
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SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FIL R I.D. NUMBER
L l /
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CfvP campaign paraphernalia /mist. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
' --- - CTS - contribution (explain nonmonetary)' OFC_ office expens _ _ _ _ _ SAL campaign workers' salaries
CVC civic donations PET petition circulating - TEC" - Lv. or cable 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
IN1D 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
(IF COMMITTEE, ALSO ENTER LO. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
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' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary ! 1
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).) ................................................ ............................... $ c
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule E SCHEDULEE(CONT)
Type or print in ink.
(Continuation Sheet) Amounts may be rounded Statement /5co period CALIF I , , FORM Payments Made to whole dollars. from l �� i _I 1
SEE INSTRUCTIONS ON REVERSE through Page -sc of
NAME OF FILER I.D. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW 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 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
LTT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
NAMEAND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
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` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL fS
FPPC F rm 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)