HomeMy Public PortalAboutForm 460 (Jan 1 - June 30, 2007)
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print In Ink.
ED
CALIFORNIA 460
2001/02
FORM
COVER PAGE
from
1/1/07
Date of election if applicable:
(Month. Day. Year)
JUt 3 1 DJ1
Page
1
of
12
Statement covers period
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
through
6/30/07
3/3/09
CfTY ClERK
CITY Of ClAAEMONr
1. Type of Recipient Committee:
o
Officehofder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also Complete Part 5)
All Committees - Complete Parts 1, 2. 3, and 4.
D Ballot Measure Committee
o Primarily Formed
o Controlled
o Sponsored
(Also Complete Part6)
2. Type of Statement:
D Preelection Statement
iii Semi-annual Statement
o Termination Statement
o Amendment (Explain below)
o Quarter1y Statement
o Special Odd-Year Report
o Supplemental Preelection
Statement - Attach Form 495
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
iii Primarily Fanned Candidate/
Officeholder Committee
(A/$OCompletePart7)
3. Committee Infonnation
1.0. NUMBER
1272663
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Committee to Elect Corey Calaycay
STREET ADDRESS (NO P.O. BOX)
1555 West Baseline Road
CITY
Claremont
STATE ZIP CODE
CA 91711
AREA CODE/PHONE
(909) 621-2079
NAME OF TREASURER
Robert W. Bowcock
MAILING ADDRESS
1021 Belleville Court
CITY
Claremont
NAME OF ASSISTANT TREASURER, IF ANY
STATE
CA
ZIP CODE
91711
AREA CODE/PHONE
(909) 621-1266
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
STATE
ZIP CODE
AREA CODE/PHONE
CITY
STATE
ZIP CODE
AREA CODE/PHONE
CITY
OPTIONAl: FAX I E-MAil ADDRESS
OPTIONAl: FAX / E-MAil ADDRESS
(909)621-1196 / bbowcock@irmwater.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k the'
certify under penalty of perjury under the laws of the State of California that the foregoing is true d correct.
Executed on 7/31/07
"'"
Executed on 7/31/07
"'"
Executed on
"'"
Executed on
"'"
By
d in the attached schedules is true and complete.
By
By
By
Signature ofConlroUing OfIic:eholder, Candidate, State Measure Proponent
FPPC Fonn 460 (JuneJ01)
FPPC TolI-Free Helpline: 866/ASK-FPPC
State of California
Type or print In Ink.
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY
STATE
ZIP
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.
COMMITTEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES ONO
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
COMMITTEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES ONO
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODElPHONE
COVER PAGE - PART2
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
o SUPPORT
o 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 Committee List names of offlceholder(s) or candldate(s) for
which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD iii SUPPORT
Corey Calaycay City Council o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
Attach continuation sheets if necessary
FPPC Fonn 460 (JuneI01)
FPPC TolI.F.... Helpline: 8861ASK.FPPC
State of Caltfomla
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
from
through
Statement covers period
CALIFORNIA 460
FORM
1/1107
6/30/07
3
of
12
Page
1.0. NUMBER
Contributions Received
1. Monetary Contributions .......................
2. Loans Received ........................................
3.
4.
Schedule A, Line 3
Schedule e, Line 3
SUBTOTAL CASH CONTRIBUTIONS
AddUnes 1 + 2
Nonmonetary Contributions ..........................
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED
........ AddUnes 3 +4
Expenditure Limit Summary for State
Candidates
Expenditures Made
6. Payments Made .................... ........................
7. Loans Made..... ............................
Schedule E, Line 4
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ............. Add Un.. '.7
g. Accrued Expenses (Unpaid Bills) ................... ........Schedu"'F,Un.3
10. Nonmonetary Adjustment ..... ............................ ScheduleC, Line 3
11. TOTAL EXPENDITURES MADE ............ .....AddUn....9.'O
Column A Column B
TOTAL THISFERIOO CAlENDAR YeAR
(FROM ATTACI-ED SCHEDUlES) TOT,AL TO DATE
$ 0.00 $ 0.00
0.00 0.00
$ 0.00 $ 0.00
0.00 0.00
$ 0.00 $ 0.00
$
0.00
0.00
0.00
0.00
0.00
0.00
$
0.00
0.00
0.00
0.00
0.00
0.00
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6130 7/1 to Date
$
$
$
$
20. Contributions
Received $ $
21. Expenditures
Made $ $
22. Cumulative Expenditures Made"
(If Subject 10 Voluntliry Ellpendllure Umtlj
Date of Election Total to Date
(mm/dd/yy)
___L__---1_ $
-----1-----1_ $
-----1-----1_ $
-----1-----1_ $
-----1-----1_ $
-----1-----1_ $
Current Cash Statement
12. Beginning Cash Balance
13. Cash Receipts
........ Previous Summary Page, Une 16
................................... ColumnA, Une 3 above
14. Miscellaneous Increases to Cash
Schedule I, Une 4
15. Cash Payments ................................................. ColumnA, Une B above
16. ENDING CASH BALANCE .......... Add Lines 12+ 13+ 14, thensubtractUne 15
If this is a termination statement, Line 16 must be zero.
$
2.290.84
0.00
0.00
0.00
2,290.84
$
17. LOAN GUARANTEES RECEIVED ........................... Schedul... Part 2
$
0.00
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................... See instructions on reverse
19. Outstanding Debts ...............
Add Line 2 + Une 9 in Column B above
$
$
0.00
0.00
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 filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
"Since January 1, 2001. Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK.FPPC
Schedule A
Monetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SCHEDULE A
from
1/1/07
CALIFORNIA 460
FORM
Statement covers period
SEe INSTRUCTIONS ON REVERSE
NAME OF FilER
through
6/30/07
Page
1.0. NUMBER
4
of
12
DATE
RECEIVED
FULL NAME. STREET ADDRESS AND ZIP CODe OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE. AlSO ENTER 1.0. NUMBER) CODe *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
IODATE
(IF REQUIRED)
OIND
o COM
OOTH
OPTY
OSCC
OIND
OCOM
OOTH
OPTY
OSCC
OIND
OCOM
OOTH
OPTY
OSCC
OIND
OCOM
OOTH
OPTY
OSCC
OIND
OCOM
OOTH
OPTY
OSCC
SUBTOTALS
.Contributor Codes
INO -Individual
COM - Recipient Committee
(other than PTY or SCe)
OTH - Other
PTY - Political Party
see - Small Contributor Committee
Schedule A Summary
1. Amount received this period - contributions of $1 00 or more.
(Include all Schedule A subtotals.) ..................................... .................................................. ............... $
2. Amount received this period-unitemized 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 $
0.00
0.00
0.00
FPPC Form 460 (June/01)
FPPC TolI-Froe Helpline: 866/ASK-FPPC
Schedule B - Part 1
Loans Received
Type or print In Ink.
Amounts may be founded
to whole dollars.
SCHEDULE B - PART 1
from
1/1/07
CALIFORNIA 460
FORM
Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
6/30/07
Page 5
1.0. NUMBER
of
12
FULL NAME, STREET ADDRESS AND ZIP CODE
OF lENDER
<IF COMMITTEE. AlSO ENTER 1.0. NUMBER)
IF AN INDIVIDUAL, ENTER . ('1 ('I . .
OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS
(IF SElF-EMPlOYED, ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS
NAME OF BUSINESS) PERIOD THIS PERIOD '* PERIOD LOAN TO DATE
OPAlD CALENDAR YEAR
. _%
o FORGIVEN "'" PER ELECTION"
DATE DUE DATE INCURRED
o PAID CALENDAR YEAR
_%
o FORGIVEN ,,,m PER ELECTION.....
DATE DUE DATE INCURRED
DPAID CALENDAR YEAR
. _%
D FORGIVEN "''' PER ELECTtON-
to (NO 0 COM 0 OTH 0 PTY 0 see
to IND 0 COM 0 OTH 0 PTY 0 see
to IND 0 COM 0 OTH 0 PTY 0 see
DATE DUE
DATE INCURRED
SUBTOTALS $
$
$
$
Schedule B Summary
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unnemized loans 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.) ............................................................... NET $
Enter the net here and on the Summary Page, Column A, Line 2.
(Enter(e)on
ScheduleE,Line3)
0.00
*Amounts forgiven or paid by
another party also must be
reported on Schedule A,
0.00
** If required,
0.00
(Maybeanegattvenumber)
t Contributor Codes
!NO -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other PTY - Political Party SCC - Small Contributor Committee
FPPC Form 460 (June/Ot)
FPPC Toll-Free Helpline: 666/ASK.FPPC
Schedule C
Nonmonetary Contributions Received
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
1/1/07
CALIFORNIA 460
FORM
SCHEDULE C
seE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
6/30/07
Page
6
of
12
I.D. NUMBER
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER LD. NUMBER)
CONTRIBUTOR
CODe *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYEO. ENTER
NAME OF BUSINESS)
DESCRIPTION OF
GOODS OR SERVICES
AMOUNT!
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEe 31)
PER ELECTION
TO DATE
(IF REQUIRED)
DIND
DCOM
DOlH
DPTY
DSCC
DIND
DCOM
DOlH
DPTY
DSCC
DIND
DCOM
DOlH
DPTY
osee
DIND
DCOM
DOlH
DPTY
DSCC
Attach additional information on appropriately labe/ed continuation sheets.
SUBTOTAL $
Schedule C Summary
1. Amount received this period - nonmonetary contributions of $1 00 or more.
(Include all Schedule C subtotals.) ......................................... ...............................
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCe)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
2. Amount received this period - unitemized nonmonetary contributions of less than $1 00
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
.u........u......... $
u..............u..... $
0.00
0.00
0.00
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
from
1/1/07
CALIFORNIA 460
FORM
SCHEDULE D
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
SEe INSTRUCTIONS ON REVERSE
NAME OF FILER
through
6/30/07
7
Page
1.0. NUMBER
of
12
o Support
o Oppose
TYPE OF PAYMENT DESCRIPTION
(IF REQUIRED)
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
SUBTOTAL S
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
o Support
o Oppose
o Support
o Oppose
Schedule 0 Summary
1. Contributions and independent expendijures made this period of $1 00 or more. (Include all Schedule D subtotals.)
uuuuu $
0.00
0.00
0.00
2. Unitemized contributions and independent expenditures made this period of under $1 00
uuu.uuuuuuuu.uuu. $
3. Total contributions and independent expenditures made this period. (Add lines 1 and 2. Do not enter on the Summary Page.) ... u u. u.... TOTAL $
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK.FPPC
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEIlULEE
from
1/1/07
CALIFORNIA 460
FORM
Statement covers period
see INSTRUCTIONS ON REVERSE
NAME OF FILER
through
6/30/07
Page 8 of 12
1.0. NUMBER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
a,..p campaign paraphernalia/misc. rv1BR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
em contribution (explain nonmonetary)* CFC office expenses SAL campaign workers' salaries
eve civic donations FEr petition circulating T8... t.v. or cable airtime and production costs
FIL candidate filinglballot fees PI<) phone banks 1RC candidate travel, lodging, and meals
FND fundraising events POL polling and sUlvey research lRS stafflspouse travel, lodging, and meals
NJ independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger selVices TSF transfer between committees of the same candidate/sponsor
LEG legal defense FRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings AU print ads VIlES 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
. Payments that are contributions or Independent expenditures must also be summarized on Schedule O.
SUBTOTALS
Schedule E Summary
1. Payments made this period of$100 or more. (Include all Schedule E subtotals.) ............................ ............. ....................................................... $
2. Unitemized payments made this period of under $1 00 .................................................................. ....................................................................... $
3. Total interest paid this period on loans. (Enter amountfrom 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 $
0.00
0.00
0.00
0.00
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE F
CALIFORNIA 460
FORM
from
Statement covers period
1/1/07
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
6/30/07
page~ of~
1.0. NUMBER
CODES: If one of the fOllowing codes accurately describes the payment, you may enter the code.
()yP campaign paraphernalia/misc. ~ member communications
CNS campaign consultants MTG meetings and appearances
em contribution (explain nonmonetary). OFe office expenses
eve civic donations FEr petition circulating
FIL candidate filinglballot fees A-O phone banks
FND fundraising events POL polling and survey research
NJ independent expenditure supporting/opposing others (explain). POS postage, delivery and messenger services
LEG legal defense PRO professional services (legal, accounting)
LIT campaign literature and mailings PRT print ads
Otherwise, describe the payment.
RAD radio airtime and production costs
RFD returned contributions
SAL campaign workers' salaries
TB... t.v. or cable airtime and production costs
TRC candidate travel, lodging, and meals
TRS staff/spouse travel, lodging, and meals
TSF transfer between committees of the same candidate/sponsor
VQT voter registration
\I\E8 information technology costs (internet, e.mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(0)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INCURRED
THIS PERrOD
(e)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
.. Payments that are contributions or Independent expenditures must also be
sunmarlzed on Schedule D.
SUBTOTALS $
$
$
$
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
accnued expenses of $100 or more, plus total unitemized accrued expenses under $100.)......................... .................. INCURRED TOTALS $
2. Total accnued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accnued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 000
on the Summary Page, Column A, Line 9.) ............................................................................................................................................... NET $ .'
Maybe a negative number
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 886/ASK.FPPC
0.00
0.00
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
from
Statement covers period
1/1/07
CALIFORNIA 460
FORM
SCHEDULE G
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SEe INSTRUCTIONS ON REVERSE
NAME OF FILER
through
6/30/07
10
Page
I.D. NUMBER
of
12
NAME OF AGENT OR INDEPENDENT CONTRACTOR
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
0tP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs
eNS campaign consultants MTG meetings and appearances RFD returned contributions
eTB contribution (explain nonmonetary). OFe office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating T8. t.v. or cable airtime and production costs
FIL candidate filinglballot fees A-iO phone banks lRC candidate travel. lodging, and meals
FT\O fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
tv independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense FRO professional services (legal, accounting) VOT voter registration
UT campaign literature and mailings mr print ads V\oEB information technology costs (intemet, e-mail)
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMmEE, ALSO ENTER 1.0. NUMBER)
CODE
OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
Attach additional infonnation on appropriately labeled continuation sheets.
TOTAL" $
0.00
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E,
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule H
Loans Made to Others*
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SCHEDULE H
from
1/1/07
CALIFORNIA 460
FORM
Statement covers period
see INSTRUCTIONS ON REVERSE
NAME OF FILER
through
6/30/07
Page 11
1.0. NUMBER
of
12
FULL NAME, STREET ADDRESS AND ZIP CODe
OF RECIPIENT
(IF COMMITTEE. AlSO ENTER 1.0. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
(.)
OUTSTANDING
BALANCE
BEGINNING THIS
PERI 0
(0)
AMOUNT
LOANED THIS
PER roo
I')
REPAYMENT OR
FORGIVENESS
THIS PERIOOfl
OUTSTJ\'~DING
BALANCE AT
CLOSE OF THIS
PERI 0
(.j
INTEREST
RECEIVED
'"
ORIGINAL
AMOUNT OF
lOAN
(0)
CUMULATIVE
LOANS
TO DATE
o PAID
CALENDAR YEAR
_%
.""
o FORGIVEN
PER ELfCTIDN-
DATE DUE
DATE INCURRED
o PAID
CALENDAR YEAR
.
o FORGIVEN
_%
"""
PER ELECTION-
DATE DUE
DATE INCURRED
"Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must
also be reported on Schedule E.
SUBTOTALS $
$
$
$
(Enter (e) on
Schedule I, Line 3)
Schedule H Summary
1. Loans made this period .............. .............................. .................................
(Total Column (b) plus unitemized loans less than $100.)
2. Payments received on loans ............................ .................................
(Total Column (c) plus unitemized payments less than $100.)
.................................$
0.00
**If Required
..........$
0.00
3. Net change this period. (Subtract Line 2 from Line 1.) ..........................
(Enter the net here and on the Summary Page. Column A. Line 7.)
........................... NET $
0.00
{Maybe a negative number)
FPPC Form 460 (June/Ol)
FPPC Toll-Free Helpline: 8661ASK-FPPC
Schedule I
Miscellaneous Increases to Cash
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SCHEDULE I
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
1/1/07
6/30/07
CALIFORNIA 460
FORM
Statement covers period
from
Page
1.0. NUMBER
12
of
12
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER LD. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attach additional infonnation on appropriately labeled continuation sheets.
SUBTOTAL $
Schedule I Summary
1. Increases to cash of $100 or more this period. .......................................................................................................... $
2. Unitemized increases to cash under $100 this period. ..............................................................................................$
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ........................................................................................................................... TOTAL $
0.00
0.00
0.00
0.00
FPPC Fonn 460 (June/01)
FPPC TolI-Froe Helpline: 866/ASK-FPPC