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Home My Public Portal AboutHernandez, Edwin - Form 460 - Pre-election Amendment (07.01.11 - 09.24.11) - 10.22.12 Recipient Committee 1 \ \ 1 T y pe or print In Ink. Dam Samp CAUFO Campaign Statement ' Cover Page E C E I V E g (Government Code Sections 84200 - 84216.5) Page i f of Statement covers period Data of election If applicable: from M I ( / Month, �D Year) OCT 2 2 2012 For Official Use Only SEE INSTRUCTIONS ON REVERSE through Ib•' a I I TY OF LY N W OO I Y CLERKS nF P 1. Type of Recipient Committee: All Commieooa — COrnPlota Part, 1, 2, 4, and 4. 2. Type of Statement: r l - Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure -Preelection Statement ❑ Quarterly Statement • State Candidate Election Committee Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report • Recall O Controlled ❑ Termination Statement - ❑ Supplemental Preelection (Aao CPmplCe Pan 5) O Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 F1 General Purpose Committee (A O ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Parry /Central Committee (MM CWPlme Pane 3. Committee Information I.D. NUMBER Treasurer(s) 13 `// 5 3 8 °� >� E r�J6L /j d IZ- COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER La r(r( %/f �1ac v %mil ld- - __)A.15dvZ 3izz 000a/ Of ✓e, C MAILING ADDRESS / r� U �� r li /`SJ4r•l Z!J I I �� G Ucjz) C STREET ADDRESS (NO P.O. BOX) ? Y p CITY r STATE ZIP CODE AREA CODE/PHONE 31 2,2- 2C ✓Wa9d PJC l 7/� /5'2, 3io �i3 - iY CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY �� Gtr :c✓ U ?0 2 � z MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODEIPHONE 1 { flCIJ A /J 0%2,,. CdN ,-J 7/ 6 rl OPTIONAL: FAX I 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 We and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. IN /� Executed on 5 �( th �. z � �� By Erb SgruPae olTnasumvASti , azuer Executed on Oa0 B y Saaaed CaioamiBer, C.alom'a.5ta'e Meeaie or Reapa't[mis(k'+Pm orSpaea Executed on BY D® S9u aa!Caro`. 603mnddar, CaMaae.S=aMmwn PraPo. Executed an BY Das 5yra:uootCanaow80� ,Cmmxa, State Means PropvMia FPPC Form 460 (January/05) FPPC Toll•Fmu Halplina: 866/ASK -FPPC (8661276 -3772) State of California Typo or print In Ink. COVER PAGE - PART 2 Recipient Committee . - Campaign Statement ' • Cover Page — Part 2 Page ? of S. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAMEOF BALLOTMEASURE "-y:') f�- <'r.)n,J Wtiz OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) / BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT d / �j �z / • �I//�S ,.J T'FjT" ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP wov n r c.� Identify the controlling officeholder, candidate, or state measure proponent, If any. 3 /zvdl � _ /y� ✓ur6a�9 NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not Included in this Statement: Ust 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 ezpenditvres on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate /Officeholder Committee List names of olfceholderfs) or candidates) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE I OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT F1 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 C] YES ❑ NO ❑ [] OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Farm 460 (January/05) FPPC Toll -Free Helaine: 866 /ASK -FPPC (8661275-3172) State of California Campaign Disclosure Statement Typo or print In Ink. SUMMARY PAGE Amounts may be rounded Summary Page to whole dollars. Statement covers period CALIFORNIA J ' • from . 7 SEE INSTRUCTIONS ON REVERSE through - �� Page � of 1_ NAME OF FILER / I.D. NUMBER C-6 � t,( �G� w�� ! /.fin J�z,Z- Fri GC E. s�� o / -7 ColumnA Column Calendar Year Summary for Candidates Contributions Received TOTUTwsaEM00 G ND,Vt A Running in Both the State Prima and (FFZOUATTACN DSCNEIXhES) TOTA TOOATE 9 Primary General Elections 1. Monetary Contributions ............ ............................... Schedule A, Una 3 5 70Z 5 7700 T. L ",fj / L Z,$ r 111 through 6130 7/1 to Date 2. Loans Received ....................... ............................... schedule s, Line 3 a+o � l 9 ZS 9 75 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 - 2 S 5 Received 5 �� S 4. Nonmonetary Contributions ...... ............................... Schedule C, Line 3 � a� 21. Expenditures ,� G 5. TOTAL CONTRIBUTIONS RECEIVED ............................ ddunes31a 5 � �1 'L � w S /c, 2 S Made 5 5 Expenditures Made / Expenditure Limit Summary for State 6. Payments Made ....................... ............................... schedule E, Linea 5 7 .3 r - ZS s 7 . 3 6 • Z - 5 Candidates 7. Loans Made .............................. ............................... schedule H. Line 3 `Ark- - 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6.7 s 73 i& • 2-S' 5 736 - ZS Or 5ubim to Wlunmy Ei endlture Urnh) 9. Accrued Expenses (Unpaid Bills schedule F Line 3 or- -%9_ Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... schedule c, Line 3 - 66-" $ - (mm/dd/yy) 11. TOTAL EXPENDITURES MADE .............. .................. Add Lines 8 -g -10 S *7 Z 5 7.? Z-S J� S Current Cash Statement �� S 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 5 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A. Una 3 atone 1 9 L 5 am amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule r, Linea from Column B of your last reported in Column B. 3 G Z$ report. Some amounts In 15, Cash Payments ................... ............................... column A. Lma Sabo" B Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12. 13 - r4 m o en subuect Line 15 S �l S' 7-S figures That should be subtracted from previous It this is a termination statement, Line 16 must be zem. period amounts. If this is the first repon being filed 17. LOAN GUARANTEES RECEIVED ........................... schedule e, Pan 2 5 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from ones z, 7, and s pr ' Ago y 18. Cash Equivalents ......... ............................... sae instructions on reverse S 19. Outstanding Debts ......................... Add Line 2 -Line s in Column a above 5 Z: Z5 FPPC Form 460(January/05) FPPC Toll-Free Helpline: B66lASK•FPPC (8661275.3772) Schedule A T or print In Ink. SCHEDULE A Monetary Contributions Received Amounts may be roundod Statement covers period to whole dollars. CAUFORNIA J ' FORM from 7 7 � - SEE INSTRUCTIONS ON REVERSE through _ "�— / Page Of 7 NAME OF FILER I.D. NUMBER co&V � �o �/�� `�r I !3Y1,5 DATE CONTRIBUTOR NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IFCONWiTEEKSOENiERLO.NUYaDi) CODE � OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED OF SELF-ERPD .F R NUIE PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) / ❑IND ❑COM ( BIN 1 / /� .l1 (n.J U�7i ❑ o SCC /0'(A E]OTH D O I � y 'WM1r - do �it. �� OM 1031 i ,L ✓G ❑PTY Sv d 764 < `f O ?SO ❑SCC ^ O ❑IND ❑COM ll �J L'� L Z C. - O Z6 ❑scc ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC SUBTOTALS 7w +•• '� Schedule A Summary •contributorCodes 1. Amount received this period - itemized monetary contributions. IND - Individual Include all ScheduleAsubtotals.) S r� COM- Rthplentnommio ( ......................................................................... ............................... (other than PTY or SCC) 2. Amount received this eriod- unitemized monetary contributions of less than 5100 ............................. S �— OTH - Other (e.g., business entity) P rY PTY- Political Parry 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 S 7 FPPC Form 460 (January/05) FPPC Toll -Freo Helpline: 866 /ASK -FPPC (8661275.3772) Typo or print In ink. SCHEDULEB- PART1. Schedule B —Part 1 Amounts may bo rountlod Statomont covers period CAUFO Loans Received to wholo dollars. / _ �/ e _ 4 from — FOR C SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Coal '/o �� //j fkrist�J�� ly,�r e�-� v ,4�i�s iii/ 137/5 8 IF AN INDMDUAL. ENTER (eI (e) IU Id1 let 1U 191 FULL NAME, STREET ADDRESS AND LP CODE OCCUPATION AND EMPLOYER OUTSTANING FOUNT AMOU PAID OUTSTANDING OUTSTANDING INTEREST ORIGINAL CUMULATIVE N OF LENDER (IF SELF {N E NNEER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IFCDYMNTEE.K50 ENTER I.p.NUUeER1 NANEOFSUSINESSI PERIOD THIS PERIOD' PERIOD LOAN TO DATE E] PAID CALENOARYEAR �� J �ii. t� 3 (5 S r1 Z� % S r L ?I s I P. LS 'v T FORGIVEN RATE PER ELECTION vUpd (i^ gaz6v � � • 'L zy II II 1 'a 6 .q- go ND ❑ COM 7 0 OTH ❑ PTV ❑ sCC J P A y / DATE DUE 3 DATE INCURRED S PAID CALENDAR YEAR 3 S _% $ $ FORGIVEN RATE PER ELECTION" f S $ S S T ❑ IND ❑ COM C1 OTH El PTY ❑ SCC DATE DUE DATE INCURRED E] PAID CALENDARYEAR S f % $ 3 FORGIVEN RATE PER ELECTION^ S 3 S $ f T❑ IND ❑ COM ❑ OTH ❑ PTY ❑ sCC DATE DUE DATE INCURRED q7/ SUBTOTALS S S S $ (E=R (e) Schedule B Summary 6 o' Aa " 3) 1. Loans received this period ..................................................................................... ............................... S 2 J (Total Column (b) plus unitemized loans of less than $100.) _ TContributor Codes IND—Individual 2. Loans paid or forgiven this period .......................................................................... ............................... S `v ' COM- Recipient committee (Total Column (c) plus loans under S100 paid or forgiven.) (other than PTY or sCC) (Include loans paid by a third party that are also itemized on Schedule A.) ZS OTH - Other (e.g., business entity) .7 PTY - Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET S Z - SCC - Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. Swaen.9.�'e° 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. FPPC Form 460 (JanUaryt05) FPPC Toll -Free Helpllne: B66/ASK -FPPC (8661275 -3772) Schedule D SCHEDULE Statement covers period Summary of Expenditures Type or print In Ink. Amounts may be rounded _ Supporting /Opposing Other to whole dollars. 7 �� • • , • tf Candidates, Measures and Committees ro SEE INSTRUCTIONS ON REVERSE through Page O of / NAME OF FILER I I.D. NUMBER NAME OF CANDIDATE, OFFICE. AND DISTRICT, OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT OF REOUI IO AMOUNT THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 -DEC. 31) (IF REOUIRED) OR COMMITTEE ,, �L X11 ' "AC -6;' Monetary Contribution / V ;"j A C �`� `�-/ ❑ Nonmonetary Contribution f ❑ Independent X ❑ Oppose Expenditure P7 C onetary : lS Contribution , PA / ❑ Nonmonetary � S �� // P 'i'✓ / / Contribution �Of d � � ❑ Independent 7 Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTALS y fj /_ � ti g �-,tsv Schedule D Summary 1. Itemized contributions and independent expenditures made this period. Include all Schedule D subtotals. S y . Z s 2. Unitemized contributions and independent expenditures made this period of under 5100 ...................................................... ............................... S (f { 19L_ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL S FPPC Form 460 (January/05) FPPC Toll -Free Helplino: 8661ASK -FPPC (866/275 -3772) . SCHFDULEE Typo or print in Ink. Statement covers period • - Schedule E Amounts may be rounded ' Payments Made to whole dollars. from / 7 �j SEE INSTRUCTIONS ON REVERSE through / F - z ' �� // I Page E of I.D. NUMBER NAME OF FILER // �J p L �,/� 1��£•r� i 2/�Ci/c�cJ °J / J�„Jo�vz far G. T�`r� Sv s,� za // 1 .3 T � CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CvP campaign paraphernalialmisc. 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 PEr 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 stafEfspouse travel, lodging, and meals M independent expenditure supporanglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense FRO professional services (legal, accounting) VOT voter registration Lf r campaign literature and mailings PRT print ads VvEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Q,r 6FWU A of SC/r �J9A.1�°�Y r 3 c O Z g ( ✓ _�- �� sc�2 fir /1 _TJ /3'/03 (oS I Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS Schedule E Summary 9 -z-5 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... 5 :3 6. 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... S 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................................................. ............................... S �- 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ) ............................. TOTAL S 7 3 6 - Z S FPPC Fore 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)