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Home My Public Portal AboutForm 460 Amendment (Jan 23 - Feb 19, 2005) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. SEE INSTRUCTIONS ON REVERSE Statement covers period from 11p.~/o~ through /1 J¡ f 10 ç 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (AlsoCompfetePart5) 0 Sponsored (Also Complete Part 6) ~ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information II.D. Nui27 'f.3 J 7 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) f1(e54-V~ STREET ADDRESS (NO P.O. BOX) 3 ~ 3 ~) . :.CtJO, frt.J CITY C- L-(1 U- (Yt ò ~ cÃ C",Y\MrnO~ 6 LA)O AREA CODE/PHONE q()Cf- (Q~ (-L(3fJ H I L.L.. ZIP CODE Cf (7 " MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZI P CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS COVER PAGE Date Stamp CALIFORNIA 46 0 2001 /02 FORM R E .~ ~.' g , ",.-~, " ' "','~. "'. ..~.;I'.......~ r:¡¡F~ ¡k. ,"..Ø' Date of election if applicable: (Month, Day, Year) ~1AR 0 1 200:; of 3 I Page 3/ f/O" CTfY '~gr'~ u.. :=H\' For Official Use Only 2. Type of Statement: 0 0 0 Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) KJ Amendment (Explain below) AvO rnOU6"JAItY rtJUfT.,el (?Juno ù..s 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TF¿~.r.tA ÍJ~ ~ft k' ~ MAILING ADDRESS "353 ~, Q:)Jf)¡ t11J {~r Ll., ,S£.. V 0 STATE ZIP CODE AREA CODE/PHONE C(;f\t~o,)'J CPr '((7f( cm-'~/"V3ß NAME OF ASSISTANT TREASURER, IF ANY CITY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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 knOwiedge,the information contained herein and in the attached schedules is true and comPlf" I certify under penalty of perjury under the la~fthe State of California that the foregoing is true and correct. \" L ~ Executed on 3/1/0,.;:) By .......)'~A:.J~ , Da1e Signature of Treasurer or Assistant Treasurer Executed on Da1e Executed on Da1e Executed on Da1e By Signature of Controlling OffIceholder, Candidate, Slate Measure Proponent or Responsible OIIIcerof Sponsor Signature of ControlHng OITiœholder, Candidate, State Measure Proponent By By Signature of Cortrolling OITiœholder, Candidate, State Measure Proponent FPPC Form 460 (Ja nuary/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/27~3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER ft6~V~ ChA-~OrI Contributions Received 1. Monetary Contributions ........................................... Schedule A, Une 3 2. Loans Received ...................................................... ScheduleB, Une3 3. SUBTOTAL CASH CONTRIBUTIONS ........"............... Add Unes 1 + 2 4. Nonmonetary Contributions ...................,................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED .............."........... Add Lines 3 + 4 Expenditures Made 6. Payments Made ....................................................... ScheduleE, Une 4 7. Loans Made............................................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 9. Accrued Expenses (Unpaid Bills) .......................,....... ScheduleF, Une 3 10. Nonmonetary Adjustment .......................................... ScheduleC, Une3 11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ............"......... Previous Summary Page, Une 16 13. Cash Receipts ................................................... ColumnA, Line 3 above 14. Miscellaneous Increases to Cash ...............".......... Schedule I, Line 4 15. Cash Payments .................................................. ColumnA, Une 8 above 16. ENDING CASH BALANCE .."...... Add Unes 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED..... ..,............ ....... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse 19. Outstanding Debts ...............,......... Add Une 2 + Line 9in Column B above Type or print in ink. Amounts may be rounded to whole dollars, Column A TOTAL THIS PERIOD (FROMATTACHED SCHEDULES) $ '71~.C1ð $ (,1J'3.0() $ (,113.00 $ J ~q, ~O $ Jr'(. rv I 0 nO. 0 () $ l;t rq. ~ò $ ('113.0ê) -£ fr. fr () $ 6t.{ :23.;),,0 $ $ $ I, 0 dO .0 Ö SUMMARY PAGE Statement covers period from I /':3}ð S through .:¿), '/oj CALIFORNIA 460 FORM Column B CALENDAR YEAR TOTAL TO Qð.TE $ fÞ113.00 $ Cø11~. 00 $ ~ 7 J .3. 0 () $ () r'f. ~O $ ;)~ .1((1 ( 0 nO. 0 (') $ I 'J- ~- reJ 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). Page ~ of ., 1.0. NUMBER , ;21Lf 3 7 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made $ $ $ Expenditure Limit Summary for State Cand idates 22. Cumulative Expenditures Made* (If Subject to Voluntary expenditure Limit) Date of Election (mm/dd/yy) I I $ I I $ Total to Date *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 SEE INSTRUCTIONS ON REVERSE NAME OF FILER Pt f'S eR. V f!T [)ð. TE RECEIVED ~ I (, , O~ ;lh,\O5 ~ J ¡1 I O~ CJ-A Ite'W\ () IJ\ Type or print in ink, Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, AlSO ENTER I.D. NUMBER) CODE * ,:¡. S. UA}; 5 5 ð ~ f.ù ' I 0 Tt( ST c.L-JI\.fœtMo~ cA "'71\ . )) ( A JJtØ sc. It U 5í1O'- ,5"5' -(VJ-AtJ(, ~f'\1) C LA fl.JfY'tt 0 vr C. ^ 't 11 , N , c. H aLAS C{UACJfff)J6DS ~ '75 tW. Fõoï" ~(..'- 6tv' .¡. 31.:2 ~t... p,u;m (J II, CA ~ND 0 COM OOTH OPTY OSCC Ø4ND 0 COM OOTH OPTY OSCC OIND 0 COM OOTH OPTY OSCC OIND 0 COM OOTH OPTY OSCC OIND 0 COM OOTH OPTY OSCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPlOYED, ENTER NAME OF BUSINESS) CLI' wi CAL.. PtoF(i~SØ(., ~O ... It ... "vQ ita V 1.1,' tAnls rr' E1)u c A-r ð (l.J Ht:&(t-.; UNI'~ C 0 e,..L.f:'6, tf' 1Z~~A-TV"," Q ()frG/fJnJ &25 ð ~ ~ .:5'"' Tf' SCHEDULE A Statement covers period from J/2/3/0Ç through <. J Iff 0 j CALIFORNIA 4 6 0 FORM AMOUNT RECEIVED THIS PERIOD J 00, 00 )00.00 100" Or) SUBTOTAL$ 8 ð ø, ðO 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.) ...".................. TOTAL $ Page .3 of 3 I.D. NUMBER 12/Lf3J 7 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) 100.00 J 00 . 00 OO.ðc) ,. *Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party sec - Small Contributor Committee -, .. FPPC Form 460 (January/O6) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772)