HomeMy Public PortalAboutPygatt, Iris - Form 460 - 03.22.12 - 2nd Semi-Annual Statement - Amendment Type or print in Ink Recipient Committee D S M CAUF COVERPAGE
Campaign Statement 0 - ' • 1
Cover Page C I
(Government Code Sections 84200-84216.5) r
Statement covers period Date of election if applicable: Page—
from
J (Month. Day, Year) MAR 2 2 2012 For Official Use Only
C! /
SEE INSi RUCTIONS ON REVERSE thf0ug . D
h l ITY ITY OF LYNWC CLERKS OFF IC
1. Type of Recipient Committee: An commlttoes - Complete Para 1, z, a, and 4. 2. Type of Statement:
L P (C fficeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report
O Recall Q Controlled Termination Statement
CaMP
oe npan s) Sponsored ❑ E] Supplemental Preelection
(Al
O SP (Also file a Form 410 Termination) Statement -Attach Form 495
❑ General Purpose Committee
WISe OW4ftmPWo ® Ame men (Expl below)
'
O Sponsored ❑ Primarily Formed Candidatel ( )!
Q Small Contributor Committee Officeholder Committee /)
0 Political Party/Central Committee (Almcomp Pw7) LjJ[
3. Committee Information LD NUMB R / Treasurer(s)
COMMITTEE NAME (OR CA{ N/ DDIIIDD�{ /)//' /LS / /, ///N/+AMMEE IIIFF NNO COMMITTEE) /� /j N T EASURER /
/ V / / C/l V �yI LIN D SS
STREET ADDRE (NO P, x)%) - IT $TAT 1 C DE R A CODEIPHON
CI�� ' ATE ZIP CODE AREA CODEIPHONE NA OF PISMSTAM TREASUR ,
MAILUJO ADDRESS (IF DIFFERE ) NO. AhC1,STR2ET OR P. O% MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: 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 b st 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 a d co
ate '� / ) '
Ezee on J4— �J �oAja 2 By m Tm
Exewtee on Dra By y ,Cad4Se,stYa MeawePmpwruvrRnpvmu•O.�aspmv
Executed on Ob By Cf dc-=" � • Caddaft S= Me Pmpv
Eaewted on D= By Slr�eolcmue QO�.Caimae.Sl Me PmPOrs
FPPC Farm 460 (January/05)
FPPC To1HFrvo Holplino: 666 /ASK -FPPC (866!276.7772)
State of California
Typo or print in Ink. COVERPAGE -PART2
Recipient Committee .- t
Campaign Statement
Cover Page — Part 2
Page m— of-
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHO R OR CANDI A 1 / NAME OF BALLOT MEASURE
/FFId' SOUG T RR LO PNNCL DEL AFIO D S TN ER FAPP CABLE) BALLOT NO. OR LETTER JURISDICTION E] SUPPORT
FI
l / l ' I)�� L( /C [] OPPOSE
RESID L!B
T INESSADRE
DSt (NO. ANDS EET) CITY STATE ZIP
/ � // n // 2 4 � Identity the controlling officeholder, candidate, or state measure proponent, if any.
( VY� ��V1 (.�Y lU �/� NAME OF OFFICEHOLOEft, CANDIDATE, OR PROPONENT
Related Committees Not Included in this State list anycommittees
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.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CO ROLLED COMMITTEE? 7• Primarily Formed Candidate /Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
iYES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BO>n NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODEIPHONE 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
E] YES C] NO [] SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Froe Helpline: 866IASK.FPPC (866876 -3772)
State of California
Schedule A Type or print in Ink. SCHEDULE A
Amounts may be rounded Statement covers period
Monetary Contributions Received to whole dollars. • ' I ' J 1
to 02= - // •"
from / l—
SEE INSTRUCTIONS ON REVERSE through Z, Paaggee'/ of"�
N AME OF F ) R 1.9 NUMBER
FULL NAME, STREET ADDRESS AND ZIP ODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL- ENTER AMOUNT CUMULATNETO DATE PER ELECTION
DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED (IFCANHDTEE, OENn U).NUMZER) CODE OF SELFE KOYED. EWfUt E PERIOD
(JAN. 1 - DEC. 71) (IF REQUIRED)
OF BUSWE55)
�d(a kCj2GGFV�)'1 /(y( IND
COM Qp,G G
ll- -�d l/ 5a5 5 UrR / l / � °n �cd•o0
❑SCC
.E.
❑IND
❑COM
❑ OTH
❑ PTA'
❑SCC
❑IND
❑COM
❑OTH
❑ PTY
❑SCC
❑IND
❑COM
❑OTH
❑ PTY
❑SCC
❑IND
❑COM
❑OTH
❑ PTY
❑ScC
SUBTOTALS
Schedule A Summary 'Contributor Codes
1, Amount received this period - itemized monetary contributions. , / IND- Individual
COM Recipient Committee
(Include all Schedule A subtotals.) S a)
......................................................................... ............................... 5 (other than PTY or SCC)
2. Amount received this period - unitemized monetary contributions of less than $100 ............................. S (1 7 OT y H _ P I e (e. rt business entity)
3. Total monetary contributions received this period. SCC - Small Contributor committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A. Line 1.) ....................... TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Froo Holpline: 866/ASK -FPPC (86612753772)
Campaign Disclosure Statement Type or print in Ink. SUMMARY PAGE
Amounts may be rounded
Summary Page to whole dollars. Stat� qnn rs pe�o� . - t
from FORM �1
SEE INSTRUCTIONS ON REVERSE through /4- ( // Page -! of
NAME OF FILER f � �}-_ / � - / � I.D. NUMBER
ColumnA Column Calendar Year Summary for Candidates
Contributions Received TM 171e5 PERtee �GVI YE
(FRWATfA0lffe904EDUIFS) TCTNM to Running in Both the State Primary and
j — �� General Elections
1. Monetary Contributions ............ ............................... schedule a Line a 5 .,<`j%l� "'1 5
— /DC)�S v1 mme 6130 n1 10 Date
2. Loans Received ....................... ............................... smedure B. line a _
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 . 2 S s h d ' 20. Contributions
b n Received S 5
4. Nonmonetary Contributions ..... ............................... schedule C. Linea 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3.4 $ Slh -M S Made 5 S
Expenditures Made 7 / // Expenditure Limit Summary for State
6. Payments Made ........................ ............................... Schedule E,Line4 S S L 7 Candidates
7. Loans Made .............................. ............................... Schedule H, Linea
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6t7 S � -- $ 1 1,U 17 (it Subject tovotunury Expenditure umlq
I
9. Accrued Expenses (Unpaid Bills) ........ . ...................... Schedule F Line a �_ �,� Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... schedule C. Linea _ �
(mmlddtyy)
11. TOTAL EXPENDITURES MADE ................................ Addunesa +a +10 S $ q.
Current Cash Statement r � I S
12. Beginning Cash Balance ....................... Previous summaryPaae, tine 16 S To calculate Column B. add
amounts in Column A to the
13. Cash Receipts .................... ............................... coNmnA, Uneaabove corres pending amounts
P 9 *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash ........................... schedule 1, tine 4 �• from Column B of your last mponed in Column B.
15. Cash Payments ............. ...... ............................... C olumn A. Line a above � q report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add tines 12. 13, 14, then subtrea Line 15 S J_[,t--�r— _ 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. Pan 2 S for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts ere ones z, 7, and s (if
18. Cash Equivalents ......... ............................... see Instructions on ramrse 5
19. Outstanding Debts ......................... Add Lino 2 Line 9 in Column B above 5 FPPC Form 460 7)
14
• FPPC ToFree Helpline::866 1ASK -FPPC (866/275 661275 -J3 77272)
Typo or print In Ink. SCHEDULEB -PART1
Schedule B — Part 1 Amounts may be rounded Statoment covers period
Loans Received to whole dollars. /� ::a _ 460
Irom -!
SEE INSTRUCTIONS ON REVERSE lhrough2 lI Page 1Y_9_
NAME OF FILER / I.D. NUMBER
Ca // /3 / 12 5
IF AN IN DUAL, ENTER (e) (b) K) la) (e) 10 (a)
FULL NAME, STREET ADDRESS AND LP CODE OUTSTANDING AMOUNT AMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE BALANCEAT
OF LENDER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS
(WCORNITTEEKSOENSERL). aFSELFFMPLOYEO. ENTER BEGINNING THIS PERIOD CLOSE OF THIS
- N OFEUSDI s) THIS PERIOD PERIOD LOAN TO DATE
NUInBEry
�y l.C.PN1W CALEN DARYEAR
$ O
❑FORGIVEN /] "re PERELECDON
' L / �/� �y ( /0a o "CA 94
' IND ❑ COM ❑ OTH ❑ PTY ❑ SCC V �DA — E f ou�E — URRED
❑ PAID CALENDAR YEAR
f 3 —% 3 f
C] FORGIVEN MTE PERESECTION"
f S S 3 $
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
O PAID CALENDARYEAR
S $
FORGIVEN MTE PER ELECTION
3 f S f 3
T❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ 1 �1�OS (/ _
(Emm(e)m
Schedule B Summary SttmealeELn 3)
1. Loans received this period ...................................................................................... ..............................5
(Total Column (b) plus unitemized loans of less than $100.) TContributor Codes
IND— Individual
2. Loans paid or forgiven this period .......................................................................... ............................... $ COM— Recipient Committee
(Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH - other PTY business eentity) entity) Party ty
3. Net change this period. Subtract Line 2 from Line 1. ................. ............................... NET 5 !/ SCC — Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another parry also must be reported on Schedule A.
--
If required. FPPC Form 460 (January/05)
FPPC Toll -Free Holpline: 866 /ASK -FPPC (8661275 -3772)
SCHEDULEE
Schedule E Type or print in Ink. Statement covers period a am
Amounts may be rounded from
Payments Made to whole dollars. • "
SEE INSTRUCTIONS ON REVERSE through 42 3/ Pago 4 �-- Of
NAME OF FILER I.D. NUMBER
r C , / / Z09 67
CODES: If one of the following codes accurate describes the payment, you may enter the code. Otherwise, describe the payment.
GNP 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 Lv. 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
W 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 WEEK information technology costs (internet, a -mail)
NAME AND ADDRESS OF PAYEE
pFCODUn1ss„usoFxreA l.o. NeNaete CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
� e X 01 K Ca /? �O A ,1 G -1/ a� / �i
-6
mg
Payments that are co ntributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... S
2 . Unitemized payments made this period of under $100 ........................................................................................................... ............................... 5
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 $
FPPC Forrn 460 (January/05)
FPPC Toll -Free Helpllne: 8661ASK -FPPC (866/275 -3772)
Schedule E Type or print In ink SCHEDULE E(CONT)
(Continuation Sheet) Amounts may be rounded Statement covers period CAUF , '
Payments Made to whole dollars. from _ —// FOR
SEE INSTRUCTIONS ON REVERSE throug Pag o1 - 1 1—
NAME OF FILER /� nn I.D. NUMBER
r / Cl
CODES: If one of the following codes accurate) describes the payment, you may enter the code. Otherwise, describe the payment.
CNP campaign pamphernalia/misc. MBR member communicattons RAD radio airtime and production costs
CNS campaign consultants WIG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonetary)' OTC office expenses SAL campaign workers' salaries
CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs
FIL candidate filing/ballot fees PhD phone banks TRC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS stafgspouse travel, lodging, and meals
It`D Independent expenditure suppordnglopposfng 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 Y4EB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF cowem A W ELATE le. NUMBER)
w s�ao� 67j �5
expenditures must also be summarized on Schedule D. SUBTOTAL S
Payments that are contributions or Independent pe r
FPPC Form 460 (Janti ry105)
FPPC Toll -Free Helpllne: 866fASK -FPPC (8661275-3772)