HomeMy Public PortalAboutForm 460 (Feb 18 - June 30, 2007)
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
from
SEE INSTRUCTIONS ON REVERSE
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
'')v] Officeholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure
f\ 0 State Candidate Election Committee Committee
o Recall 0 Controlled .
(A/so Complele Part 5) 0 Sponsored
(Also Complete Parl6)
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
o Primarily Formed Candidate!
Officeholder Committee
(AIS{) Complete Pari 7)
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
f
fJolltt6il
F5,,-
MAILING ADDRESS (IF DIFFERENT) NO.
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
COVER PAGE
CALIFORNIA 460
I FORM
Date Stamp
RECEIVE
Date of ejection if applicable:
(Month, Day, Year)
Page of
JUt 2 3 _ For Official Use Only
CITY CLERK
2. Type of Statement:
o Preelection Statement
'bl Semi-annual Statement
TI lermination Statement
(Also file a Form 410 Termination)
o Amendment (Explain below)
o Quarterly Statement
o Special Odd-Year Report
o Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
OPTIONAL: FAX / E-MAil ADDRESS
I certify
4.
Executed on
Executed on
By
Executed on
By
Executed on
By
Signature of COIl trolling Officeholder, Cpndidale, Slate Measure PropOllent
D,.
SignalureofContrcling
FPPC Form 460 (January/OS)
FPPC Toll-free Helpline: 866/ASK.FPPC (866/275-3n2)
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
-r6tZ S',
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 NAr.[~
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES
o NO
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STAlE
AREA CODE/PHONE
ZIP CODE
COMMITTEE NAME
1.0. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES
DNa
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
AREA CODE/PHONE
ZIP CODE
COVERPAGE-PART2
6. Primarily Formed 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 Candidate/Officeholder Committee List names of
offlceholder(s) or candidate(s) for which this committee is primarily formed.
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
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD o SUPPORT
o OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FCtL Be
~
Contributions Received
1. Monetary Contributions
2.
3.
Schedule A, Line 3
Loans Received
Schedule 8, Line 3
SUBTOTAL CASH CONTRIBUTIONS
Add Lines 1 + 2
4. Nonmonetary Contributions .........-....
............. Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ... ....................... Add Une, 3 + 4
Expenditures Made
6. Payments Made ................. ............... Schedule E, Line 4
7. Loans Made ................................ m.............. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .............. ..................... Add Une, 6 + 7
9. Accrued Expenses (Unpaid Bills) ................... .........ScheduleF, Line 3
10. Nonmonetary Adjustment .......................
11. TOTAL EXPENDITURES MADE ................
....... Schedule C, Line 3
,Add Lines 8 + 9 + 10
Current Cash Statement
12. Beginning Cash Balance .......... Previous Summary Page. Line 16
13. Cash Receipts ..... ............................................. Column A, Line 3 above
14. Miscellaneous Increases to Cash.... Schedule I, Line 4
15. Cash Payments ................
Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED
..................... Schedule S, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ............................ See instructions on reverse
19. Outstanding Debts ...................... AddLine2+ Line 9in Column B above
Type or print in ink.
Amounts may be rounded
to whole dollars.
$
$
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rr1 - $
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$
$
$
$
$
$
$
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$
$
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1
$
Column B
CALENDAR YEAR
TO~ TOM
Is R
,
Igi#'
(~
1~1-
I
l)O blt.i!l
7l> 6 (R; Yj
.-B-
To calculate Column S, 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).
SUMMARY PAGE
Calendar Year Summary for Candidat s
Running in Both the State Primary and
General Elections
1/11hrough 6/30
7/1 to Date
20. Contributions
Received $
21. Expenditures
Made $
$
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure L.lmlt)
Date of Election
(mm/dd/yy)
Total to Date
-----.f-----.f_
$
-----.f-----.f_
$
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK.FPPC (866/275-3772)
Schedule A
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
~)O!07
~/~ /01
:2!zh(07
IF AN INDIV1DI../AL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OFBUSINESS)
FUll NAME, STREET ADDRESS AND ZIP CODE OF CONT
(IF COMMITIEE. AlSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
SUBTOTAL $
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.) ...............................................................................
2. Amount received this period _ unitemized monetary contributions of less than $100 ..
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .........
u............$
..................... $
............. TOTAL $
SCHEDULE A
from
CALIFORNIA 460
FORM
through
Page of
1.0. NUMBER
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
z.5:0. -
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*Contributor Codes
~ IND-Individual
~ .-- COM-Recipient Committee
"" ct'f (other than PTY or SCC)
~ _~ OTH - Other (e,g., business entity)
PTY - Political Party
~ q~ _ SCC - Small Contributor Committee
I FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
from
SCHEDULE E
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
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toIL
~t(J1t!I/
CODES: If ne of the followin
CfvP campaign paraphernalia/misc.
eNS campaign consultants
CTB contribution (explain nonmonetary)"
eve civic donations
FIL candidate filing/ballot fees
FND fund raising events
IND independent expenditure supporting/opposing others (explain)"
LEG legal defense
LIT campaign literature and mailings
codes accurately describes t e payment, you may enter th" code. Otherwise, describe the payment.
MBR member communications RAD radio airtime and production costs
MfG meetings and appearances RFD returned contributions
OFC office expenses SAL campaign workers' salaries
PET petition circulating TEL t.v. or cable airtime and production costs
PHO phone banks 1RC candidate travel, lodging, and meals
POL polling and survey research TRS staff/spouse travel, lodging, and meals
POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
FRO professional services (legal, accounting) VOT voter registration
ffiT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
fD> s: f1?>
I C(I'/t't Llf /11a I 17~
~ LIT f11qf I'1S
AMOUNT PAID
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I ~~ 11/ ce--
/ZJ. /7
(I
-
M
;;>-1 IS
ft(:11
J-/IS'
72$). ;U;
zrJt: ~
* Payments that are contributions or independe expenditures must also be summarized on Schedule D.
SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................ ................................. $
2. Unitemized payments made this period ofunder$100 ........................................................................................ ......................................... ....... $
3. Total interest paid this period on loans. (Enter amount from Schedule S, Part 1, Column (e).) ............................... ..................................... ......... $
4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, ColumnA, Line 6.) ..... ....................... TOTAL $
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.0
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FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK.FPPC (866/275-3772)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
through
SCHEDULE E (CONT.)
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
from
CALIFORNIA 460
FORM
e payment, you may enter the code. Otherwise, describe the payment.
R member communications '- RAD radio airtime and production costs
rvrrG meetings and appearances RFD returned contributions
OFC office expenses SAL campaign workers' salaries
FEr petition circulating TEL t.v. or cable airtime and production costs
Fl-lO phone banks mc candidate travel, lodging, and meals
POL polling and survey research TRS staff/spouse travel, lodging, and meals
pas postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
PRO professional services (legal, accounting) VOT voter registration
PRT print ads WEB information technology costs (internet, e-mail)
CODES: If one of the foliowing codes accurately describes t
avp campaign paraphernalia/misc.
GNS campaign consultants
GTE contribution (explain nonmonetary)*
GVe civic donations
FIL candidate filing/ballot fees
FND fund raising events
!NO independent expenditure supporting/opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
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C 'fl/2P Jt1
I tj-20 IV '1/ 1/
~/o3, 01
/1-/13%
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
FPPC Form 460 (Jan ary/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)