HomeMy Public PortalAboutHernandez, Edwin - Form 460 - Semi-Annual Amendment (10.24.11 - 12.31.11) 10.22.12 Recipient Committee COVERPAGE 30 Campaign Statement Type or print In Ink. Da a Samp • a - , • '
Cover Page RE CEIVE
D
(Government Code Sections 84200 - 84216.5) Page of
Statement covers ported Date of election if applicable:
/
from O — l/ , / (Month, Day, Year) OCT 0 2 2 For Official Use Only
% l� L L IL
SEE INSTRUCTIONS ON REVERSE through OF LYNWOOD
1. Type of Recipient Committee: All Committees - complete Parts t, 2, 3, and 4. 2. Type of Statement:
E6- Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ,V- Preelection Statement ❑ Quarterly Statement
Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report
Q Revell Q Controlled 5) amp4:e Par, Sponsored ❑ Termination Statement C] Supplemental Preelection
(Also C
SP (Also file a Form 410 Termination) Statement - Attach Form 495
(a C.10" Pm:� Amendment (Explain below
E] General Purpose Committee E] A d E
( P ) .
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee officeholder Committee
O Political Party /Central Committee (amconoe:e Par 7)
3. Committee Information I I.D. NUMBER Treasurer(s) 0_* �z 4�
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ' f e'
3 / V
MAILING ADDRESS
Fo✓ f-'f^s u r s,— 7,0 1/ 1y J wog
STREET ADDRESS (NO P.O. BOX) �D CITY STATE ZIP CODE AREA CODEIPHONE
312- Z_ 2t,40e- AJC 713 /yz 3/0 713- /y d8'
CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY
10,ro -( - U - ' o 2,1
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
/ k-` W n.3 d cz . � T1 7 / 3 ' 6 rlxt / - C-0 4 -
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 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. C ,
Executed on Z - / -4 By C� /
psp Sq=xsotTna or ASUStWT u2r
Executed on 1 Z �' 1 1 By 1
Oab Slaitiaxam Gamdleq Otrxetakar ,Cmtldab,Sbb Meesue Pmpanaea Res sOt�mSpamor
Executed on By
Dab Slpimuem Coneurvq Q' M1Celalder .Candome, Sims MOasua Pivpvwa
Executed on By
Den, SpimvaotWmolsp oDWma.carooma.6weMeman Piop� FPPC Form 460 (January/05)
FPPC Toll-Free Holplina: 866 /ASK.FPPC,(866 1275 -7772)
State of California
t
Typo. or print In Ink. COVER PAGE - PART 2
Recipient Committee . - , .
Campaign Statement ' •
Cover Page — Part 2
Pago
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF O OR CANDIDATES '' ( NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
–}— ❑ OPPOSE
LJ � 1� U� �� 1 1' r f/ il S ✓ r�t.'1�
RESIDENTIALPSUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
L j / Z
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.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMIfTEE7 7 • Primarily Formed Candidate /Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) 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 E] SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES E] NO ❑ C] OPPOSE SUPPORT
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Holpline: 8661ASK -FPPC (8661276 -3773)
State of California
Campaign Disclosure Statement Typo or print In Ink. SUMMARYPAGE
Amounts may be rounded Statement covers period -
Summary Page to whole dollars.
from / — Zy // F OR M
SEE INSTRUCTIONS ON REVERSE
through L 3/ - Page �L— of
NAME OF FILER p- _ a I.D. NUMBER
iJCL") / ) y11s3�"
Column A Column B Calendar Year Summary for Candidates
Contributions Received T01471e5PE = utE WywR
(FRCNIAirACHEDSLHEtxAES) ToTA TOIA Running in Both the State Primary and
CO General Elections
27-0 1. Monetary Contributions ............ ............................... Schedule A. Line 3 S � 7S S � P. 75
1/1 through 6130 711 to Date
2. Loans Received ....................... ............................... schedule e, Line 3 1 &, / Z
11 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 -2 S 2 7r• S 7 Y. 7,� 20. Rece i v ullons
Receietl 5 5
4. Nonmonetary ConVibutions ..... ............................... schedule C. Line 3 �' nU +• 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...... ..................... Add Lines 3 - 4 S S 7��7' 7,S Made S S
Expenditures Made 7 Expenditure Limit Summary for State
6. Payments Made ........................ .....:......................... Schedu E, Line 4 S 7S �- 6 _ S Candidates
7. Loans Made .............................. ............................... Schedule H. tine 3 e+7�
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add tines 6.7 S l .�p �S ,S �J Nsuelmsmvownrary Eiymelmrc umhl
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... Schedule C. Line 3 i+ — . � — (mm/ddlyy)
11. TOTAL EXPENDITURES MADE .............. .................. AddLmes8.9 -m S g I -S V ✓' -�`••S 5 y 9 , $5 �,� �� S
s
Current Cash Statement '/ �� s
12. Beginning Cash Balance ....................... Previous summary Page, Line 16 s JS //Y 7 S To calculate Column B. atltl
'
y
13. Cash Receipts .................... ............................... Column A, Line 3 above Z O / S .C1D amounts In Column A to the
corresponding amounts *Amounts in this section may be different from amounts
14. Miscellaneous Increases to Cash ........................... Schedule L Line from Column B of your last reported in Column B.
. 7q
15. Cash Payments ................... ............................... Column a, Li 3 S 8 report. Some amounts in
line — _ 7 Column A may be negative
16. ENDING CASH BALANCE .......... Add tines 12. 13 • 14, men subtract Line 15 S 5 r= figures that should be
"- subtracted from previous
if this is a termination statement, Line 16 must be zero. - pen od amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED ........................... schedule a, Part 2 5 for this calendar year, only
carry over the amounts -
Cash Equivalents and Outstanding Debts f Lines 2, 7, and 9 (if
18. Cash Equivalents ......... ............................... See instructions on reverse S
19. Outstanding Debts ......................... Add tine 2 - Line a in Column 9 above S FPPC Form 460(January105)
FPPC Toll -Froe Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule A Typo or print in Ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded Statement covers period
to whole dollars. • '
from C) -7 � e �j
l y
SEE INSTRUCTIONS ON REVERSE through 7 - -J / ' / / Page of J
NAME OF FILER I.D. NUMBER.
Cor/il; `ft fy Z/v�. ni :.� / 4 �ti� . r �� a �' 'y/-J ""D d C' � / �'f s sir - Z-0 /1 C :j
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
OF rANYrirEE, ♦L50 EMEA Le.NUYBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED eFSEtF-EUrtoYEO,EW!Ut AUE PERIOD (JAN.I -DEC. 31) (IF REQUIRED)
OF 9USWE55)
D �, Z -
37 OTH
Y ❑PTY 1 J
�>i�✓Z /�a cA - 906y ❑scc —_ --
D
�� � Y� W 4 i✓ 5 f-0 J T]COM
If f 5 n IA. I'( S ❑❑OPTTYH W O
c n - 006)/ ❑scc
❑IND
(' (J YO r LI tit ❑COM
_ _Z/0 1 O ZO ! L Z 3 Z BOTH •� ��
SLG�Ar(`N//�v 9 S��zK ❑ /
��'li>� ^j �! S �7 , ❑IND
� / ❑COM
' U ' 3 Z 7 �t So U 14. S' r' ��OTH 2 S ❑ 'D
PTv
yoPS ❑scc
OND
_ N( r ,, JA;11A /.� ❑cOM n r rt l�i^
(�- �� �I 7170 Por4 A ✓� ❑OTH zldv
El PTY
/ rJ Ulf" L Gn - / O EIS CC 5�5• ¢�V
SUBTOTALS / 5 CV _ +•'
Schedule A Summary *Contributor Codes
1. Amount received this Period - itemized monetary contributions. / /_ IND —I Recipient COM— (pie
(Include all Schedule A subtotals.) ......................................................................... ............................... S f / JU/7S otherthan PTY or SCC)
2. Amount received this period - unitemized monetary contributions of less than $100 ............................. S 7 OTH — Other (e.g.. business entity)
P rY PTY — Political Party
3. Total monetary contributions received this period. , scc -Small Contributorcommiaee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL S !/1� ^ 7 S
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule A (Continuation Sheet) Typo or print In ink SCHEDULE (CONT)
Monetary Contributions Received Amounts may be rounded Statement covore period e - ,
to whole dollars. � '
from IO " z— — / ( e '
through � Paga of
NAME OF FILERL/ ,, O I.D. NUMBER
GO Nllr'1 "I f G l ?� N u� ..) �f �t,✓.J A ,J J4 Z �,, G.t �5,.� S W La / l 3 `// S .3 �"
FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED OF cOMMniEE, ALSO EWER LD.NUMaER) CODE OFSELFEMKOYED. EWER NAME PERIOD
(JAN. t - DEC. 31) (IF ftEOUIRED)
OF BUSINESS)
ND 1
❑COM T�
�J d IL
Iv •�' 7 Z /� VNi(n1 A ✓rL E] OTH `JIry
� •. f" l 4i,� CA - 24 ❑SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTALS � Uv
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Parry FPPC Form 460 (January/05)
SCC - Small Contributor Committee FPPC Toll -Froo Helplino: 866 /ASK -FPPC (8661275 -7772)
Type or print In Ink. SCHEDULE B - PART 1
Schedule B — Part 1 Amounts may be rounded Statement covers period -
Loans Received to whole dollars. from Af - z Y - l/ - J •
? Q -
SEE IN STRUCTIONS ON REVERSE through / / Page of r
NAME OF FILLER I.D. NUMBE �GGJ 1 '.) rt'� / 3 7/ S 3
IF AN INDIVIDUAL, ENTER (eI (b) 1�) Id) (e) lt) (g)
FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF LENDER OCCU BTI1ONANND E MPLOYER BEG ING THIS RECEIVED THIS OR FORGIVEN C A C THIS PAID THIS AMOUNTOF CONTRIBUTIONS
OF LOMMmR) I EE, ALSO I.E. I.e.tNMB NAMEOFBNSINESS) PERIOD THIS PER PERIOD LOAN TO DATE
1 � ` tJ n �J i" c!'eg10 CALENDARYEAR
FORGIVEN RATE G PER ELECTION
0 4-7)
TEND E] COM ❑ OTH [:1 PTY ❑ SCC DATE WE DATE INCURRED
E] PAID CALENDARYEAR
S f _% $ S
E] FORGIVEN RATE PER ELECTION ^
f S $ S S
TO. IND ❑ COM ❑ OTH [:1 PTV ❑ SCC DATE WE DATE INCURRED
E] PAID CALENDARYEAR
S S —% S 5
F] FORGIVEN RATE PERELECTION"
f S S 5 $
T❑ IND ❑ COM ❑ O_TH ❑ PTY ❑ SCC DATE WE DATE INCURRED
SUBTOTALS S - $ /Z- S 19- �
S - = y '• �
�
(Emer(e)on
Schedule B Summary Smeawe E. Um 3)
1. Loans received this period ..................................................................................... ............................... S
(Total Column (b) plus unitemized loans of less than 5100.) -,Contributor Codes
A IND — Individual
2. Loans paid or forgiven this period .......................................................................... ............................... S �•�� COM— Recipient Committee
(Total Column (c) plus loans under 5100 paid or forgiven.) (other than PTV or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) r OTH — Other (e.g.. business entity)
/ C
PTY — Sma Party
ib
a this eriod. (Subtract Line 2 from Line 1. (� T SCC- Smancontdbutorcomminee
3. Net change P ) ................................ ............................... NET S
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 (January105)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule D
SCHEDULED
Summary of Expenditures T or print in Ink. Statement covers period
Su ortin /O osin Other Amounts may of rounded • I' J e '
PP 9 PP 9 to whole dollars. /p • Z c,/, � / 5 1 91 - 41 , 1
Candidates, Measures and Committees from ?
SEE INSTRUCTIONS ON REVERSE through L l l - / Page of
NAME OF FILER I.D. NUMBER
ly f�s r4�, 13 4-11 S 3 8�
DATE OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS KCAL EN YEARE PER T O DATEiON
NAME OF CANDIDATE,
MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. t- DEC.]t) (IF REOUIRED)
ORCOMMITTEE
11 �rYrlr � �p v Uri ,E{__Monetary
_ �• ., '/ Contribution
j ACV F ❑ Nonmonetary i�rl
Contribution
Ci�a D U 'J vV ❑ Independent
Support ❑ oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑
Support ❑ Oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ oppose Expenditure -
SUBTOTAL s SO
Schedule D Summary O
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .......................... ............................... S
2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................... ............................... 3
3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL S S
FPPC Form 460 (JanuarylOS)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
SCHEDULEE
Schedule E Type or print In Ink. Statement covers period • -
Amounts may be rounded (/'
Payments Made to whole dollars. from /0-
SEE INSTRUCTIONS ON REVERSE
through Z / ( Pago A! L of
NAME OF FILER I.D. NUMBER
CdWtl;, -4- -� �c0 a� j(� rfa.���/irc , {�' ¢,,�r,s,,r Y" �7i/ /3 S
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP campaign paraphernaliaimisc. 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 FEr 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
PJD independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the some candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
UT campaign literature and mailings PRr print ads VVEB information technology costs (internet. e-mail)
NAME AND ADDRESS OF PAYEE
QFfAMN(iTEl;AL6o r.MERI.e.NUNeEli) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
p�3yo �IJ�
`� Quo C, ta �O
e- 4 don � &E^cA �-+� 4 � �CJ � A
r s
Payments that are contributions or independent expenditures must also be summarized on Schedule 0. SUBTOTALS
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. S Z 3 70 7S
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 U
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTALS 7-3 70. 7s
FPPC Form 460 (January/05)
FPPC Toll -Froe Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule E Type or print in ink. SCHEDULE E(CONT)
(Continuation Sheet) Amounts may be rounded Statement covers period CALIFO I '
. Z
Payments Made to whole dollars from �� ' '? /( FOR '
through I Z J 1 - / Page � of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER p I,D.NUMBER
O A4 r t: F �rC; 4 X -
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphernalia/misc. MSR 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 FEr petition circulating TEL Lv. or cable airtime and production costs
F1L candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals
FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging. and meals
M independent expenditure suppordnglopposing 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 I CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID
OF WUMMEE. A W ENTER I.O. NUMBER)
M to , : ,��. �,: FJ, .f %cam 1
y A O A. G ��
J � �-
CO y „( r t : f'f � - /�7 �i�>^c � �•(n � ✓ r �/jf I. -- ', ti.
v5 3 -+,43 ✓L IZ
y is-
Payments that are contribut o r I ndepe n dent e xp e nditures must also be summarized on Schedule D. SUBTOTALS D 9 Z
FPPC Form 460 (January/05)
FPPC Toll -Froo Helpline: 8661ASK -FPPC (8661275-3772)