HomeMy Public PortalAboutForm 460 Termination Amendment
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print In ink.
CO. . rAGE
Date Stamp
CALIFORNIA 460
2001102
FORM
Statement covers period
from 2 - 2/) - OS-
RECEIVED
Date of election if applicable:
(Month. Day, Year)
2005
Page ----L-- of 'J
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
through
<: -.30-0..5-
3-J(}S
CITY CtERK
CITY or CU>,R:l;.MOl\,;T
1. Type of Recipient Committee:
o
o General Purpose Committee
o Sponsored
o Small Contributor Committee
o Political Party/Central Committee
o Primarily Formed Candidatel
Officehclder Committee
(Also~.Pait7)
2. Type of Statement:
o Preelection Statement
o Semi-annual Statement
[8l Tenninalion Statement
(Also file a Form 410 Termination)
~ Amendment (Explain below)
,15Z>.~ <J(../Et=.ACC' o.c-
o Quarterly Statement
o Special Odd~ Year Report
o Supp~mental Preelection
Statement - Attach form 495
Officeholder, Candidate Controlled Committee
o State Candidate Election Committee
o Recall
(Also CompIs/e Patt 5)
All Committees - Complete Parts 1, 2, 3, and 4.
D Primarily Formed Ballot Measure
Committee
o Controlled
o Sponsored
(AQo CanpieI8 Patf 6)
COA/r;;e,.BdT/d.../ -!?Ef-utVCEFJ
LD. NUMBER
/;J 7.2(;..2
Treasurer(s)
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME OF TREASURER
PAT )/-/lutJUCc/ ~?Ae.
MAILING ADDRESS
~/
;:,~
ell'
GU/7C;/
2 L/ 20
AJ.
hl,esa
STATE
4r/Enltl[
ZIP CODE AREA CODE/PHONE
7; 7// (lo"l) G2'-/-J.J7?
LFI7"-
STREET ADDRESS (NO P.O. BOX)
{../o ChG~/e>h,r> /)n,/c
CITY STATE ZIP CODE
~LIl-~h/nONl ('/1 9/7//
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
AREA CODE/PHONE
('?o~) t2L/- 33 7;7
(!;La/.2E7>>o,vT C-A
NAME OF ASSISTANT TREASURER, IF ANY
Prrk~ SCAL'4
MAILING ADDRESS
G/O
C;'/;/R L..D T?').J D.flILIE
STATE ZIP CODE )
e7;7/1 (909,
AREA CODE/PHONE
STATE
ZIP CODE
AREA CODEIPHONE
CITY
CITY
Ccfl,eErbO,v! , (' fi
OPTIONAl: FAX / E-MAil ADDRESS
C2C - 0.2 /.3
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 true and complete.
under penalty of perjury un~er Ihe laws of the Stale of California that the foregoing is true an~ecl.
Execuledon /.2~$-cJS- By V~
""'"
/2-1 7 t(
I certify
Executed on
By
Measufe Propooent or ResponsibIEI Officer 01 Sponsor
Sigoalure
Do.
By
Sigoature oIConlrollirlQOflicatJader, CaIldidala, Stale Maa5l.lfe Proponenl
Executed on
Executed on
Oale
By
Signature of Controlling OfflCehokl6l, Caodidaltl, Stale Measure Propolltllll
FPPC Form 460 (January/OS)
FPPC TolI.Free Helpline: 866JASK-FPPC (8661275-3172)
Stale of California
, ,
Type or print in ink.
COVERPAGE-PART2
Recipient Committee
Campaign Statement
Cover Page - Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
AL LOG/!
OFFICE SOUGHT OR HElD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
(! IT/I ~J)i/tJ elL
RESlDENTIAL.1BUSINESS ADDRESS (NO. AND STREET)
CITY
STATE
ZIP
3 7'10
Ave,
,
(!,L/lRErno,vl /(!/I 9171/
t: LrYll,t!l4
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
contribuUons or make expenditures on behalf of your candidacy.
COMMITTEE NAME
1.0. NUMBER
II)
NAME OF TREASURER
CONTROLLED COMMITTEE?
DYES
o NO
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STAlE
ZIP CODE
AREA CODE/PHONE
COMMITTEE NAME
l.D. NUMBER
NAME OF TREASURER
CONTROUED COMMITTEE?
DYES
ONO
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
1v/4
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
I DISTRICT NO. If ANY
OFFICE SOUGHT OR HElD
7. Primarily Formed Candidate/Officeholder Committee List names of
offlceholder(s) or cilndidilte(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 D SU~ORT
o OPPOSE
Attach continuation sheets if necessary
, '
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866JASK-FPPC (8661275-3712)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AL LIIC/9
--/;r
(!,
~u,vc/ /
Contributions Received
1. Monetary Contributions ............................. Schedule A, Line 3
2. Loans Received .._.nn__..........___............................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ................ ........ Add Unes '.2
4. Nonmonetary Contributions ............................. Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Unes 3 .4
Type or print in ink.
Amounts may be rounded
to whole dollars.
Column A
TOTAl1lilSPERIOD
(fROMATTACHED SCHEOlJLES)
$
Ie. 5'1... ",
20-0-" -
5&5e. 9'7
o
SUMMARY PAGE
Statement covers pedod
CALIFORNIA 460
FORM
from 2..2o.().5
through
Column B
CALENDAR YEAR
TOTAlTOOATE
$ 'lo9t. ~7
S/F7T"'L..-
$ /'16'16. 97
3~ -
$ /'7'4''Ie. 77
c: -.3oo~-
.3
of
'J
Page
1.0. NUMBER
/272&2
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
M_ $
$
$
Expenditures Made
6. Payments Made ...................................... Schedule E, Line 4 $
7. Loans Made .......................................... .................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .......... ......................... AddLines'.' $
9. Accrued Expenses (Unpaid Bills) ..... ............ Schedule F. Line 3
10. Nonmonetary Adjustment .... ..................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................Add Lines'. 9.,0 $
7.>;s2-_ s<.
75-32.
-0 -
-0
-,.<2
/5.32.
$
1<1/ 'IS- "'I
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(11 Su~lo Yotuntuy expenditure LlrrMtJ
Date of Election
(mmlddlyy)
Total 10 Date
_0 _
$
/'1/1/( t4
o
o
i'f / <If. "if
----1----1_
$
$
Current Cash Statement
12. Beginning Cash Balance ....................... PraviousSummarypagB,Line 16
13. Cash Receipts ......... ......................... ....... ColumnA, Line 3 above
14. Miscellaneous Increases to Cash. ........... Schedule I. Line 4
15. Cash Payments ............ ............................... Column A. Line 8 above
16. ENDING CASH BA1ANCE . .. Add Lines 12 + 13 -t- 14, thensubtradLine 15
If this is a termination statement, Una 16 must be zero.
$
3,1.24 .$11
3, ".. 1~
/ .).$
7.532. --<Z
To calculate Column Bf add
amounts in Column A 10 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).
17. LOAN GUARANTEES RECEIVED .......
Schedule e, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents.. ....................... See instructions on reverse
19. Outstanding Debts.
Add Line 2 -t- UIlO 9 in Column B above $
, '
$
o
$
$
----1----1_ $
*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 (866/275-3712)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
L L ElG 4
J;;r
Cr
/.2 7...2 c;.2
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(lfCOMMITTEE,AlSOENTERI,Q,NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(If SELF-EMPlOYED, ENTER NAME
Of BUSINESS)
SCHEDULE A
Statement covers period
from 2 -.2 0 . o..s-
CALIFORNIA 460
FORM
through
{,.3o oS-
pag.~of 9
AMOUNT
RECEIVED THIS
PERIOD
1.0. NUMBER
CUMULATIVE TO DATE
CAlENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
IODATE
(IF REQUIRED)
;Do/A...//"
3-1'0.r
-k./-I' Shlet::.
-jls 27 Ee'AJe)'
L A 1/~7e<A/c; c:.A
9'7stJ
3-7,0-J-
:DouC~AS J<J/"hVS",J
/2/7 ,8IE~woop .L?O.4.cJ
GLL:7JD4Le; ~. 9'/.2<7.2-
5- 70/
ft7L!A //G'SL-O~
1"0. 8<>"'- 730
T Lh>'pLr r"A/ CA
3</w-
37-aJ
/fe~A,J A,e,r-!<J"'-
3 /'7 Y"'LE /"Vk?J!./,",
eL/J.;I2E/hoA./~ CA 9/7/1
/
3-1'-0-'-
26e4
/,ELi'Er-IU
W. Eu~
-S-ne m-
I a-<> J
(!L .4~/no"Jr-::
CA 'j17/1
-
Schedule A Summary
1. Amount received this period - itemized monetary contributions.
(Include all Schedule A subtotals.) ...........................................
J8fND
OCOM
OOTH
OPTY
oscc
JiSlIND
OCOM
OOTH
OPTY
OSCC
QI1ND
OCOM
OOTH
OPTY
OSCC
I31ND
OCOM
OOTH
OPTY
OSCC
QiIND
OCOM
OOTH
OPTY
OSCC
;=;"-';1"';(/1..4"-
AOUI.s.:>~
.e E rl,e~-G
;:?E" T/ "".c-Z;
Rk'779rL- SA~-s
/f~hl"~ 4/',...~~~
SUBTOTAL $
.....................................................$
................... $
2. Amount received this period - un itemized 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 $
/0-0 -
1'7~
'7'7 -
/5:)-
/~-
52/ J> -
Y;l j' -
701' 9'7
It. Ot. '1'1
0--0
'1'1 -
9:7-
/5() -
/0-& -
*Contribulor Codes
INO -Individual
COM - Recipient Committee
(olher than PlY or see)
OTH - Other (e.g., business entity)
PTY ~ Political Party
see - Small Contributor Committee
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK.FPPC (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
NAME OF FILER
AL LElC4
./;,,.-
/27.2 t.2
Type or print in ink.
Amounts may be rounded
to whole dollars.
(!,
(!OU/1C/- /
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IFCOt.1MlTTEE,ALSOENTERl.D.NUM6ER) CODE *
SCHEDULE A (eONT.)
from
Statement covers period
CALIFORNIA 460
FORM
through
2 -20 -as-
c: -30 -0.5-
Page~ ofL-
1.0. NUMBER
IF AN INDIVIOUAl, ENTER AMOUNT CUMULATIVE TO DATE PER ElECTION
OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(If SElf-EMPlOYED, ENTER NAME PERIOD (JAN. 1 ~ DEC. 31) (IF REQUIRED)
Of BUSINESS)
/TTN'.A/7
/0-3 - .2..5tJ -
~ ","77,e ~j:J
256 - S<w -
&-1-05"
S 7'7>,e""
/V'?/?"7</"r ,eo"",""
2tlND
OCOM
OOTH
OPTY
osee
@lND
oeoM
OOTH
OPTY
osee
OIND
o COM
OOTH
OPTY
osee
OIND
oeOM
OOTH
OPTY
osee
OIND
oeOM
OOTH
OPTY
osee
PaUl.- PELt:)
L/2/" W /LL/Q/??.E7TE Lp-v,,;-
(!.L4REh7o.-vr; C 4- 'f'/71/
c: - I-ocr
~/
It 77
C!'LA-"U?/nOVT) CA 7'/7//
*Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTY or SCe)
OTH - Other (e.g., business entity)
PlY - Political Party
SCC - Small Contributor Committee
SUBTOTAl $
3.5i) _,-0
-
FPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule B - Part 1
Loans Received
Type or print In ink.
Amounts may be rounded
to whole dollars.
SCHEDULE B - PART 1
Statement covers period
from 2 -2<1-0_'
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
-AI
~~
(?~<I-?D /
L e "}<<--
e~
through
i - 30 os
CALIFORNIA 460
FORM
Page h ofL
1.0. NUMBER
P
.
ORIGiNAl CUMULATlVE
AMOUNT OF CONTRIBUTIONS
LOAN rOOATE
CAlENDAR YEAR
s3o-uv ~ -0 -
PER ElECTtON "*
FUll NAME, STREET ADDRESS AND ZIP CODE
OF lENDER
(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
(b)
AI.1Ol.Nr
RECEIVED THIS
PERIOD
(] ,elA./O / LJ '" no
(0)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD ..
lifPAlO
, /7o~<71
[81 FORGIVEN
, 32'7'7- 7'
..A'L L Cl CA
37'10 EL/hoe__
&/ltZ".-,-no,,-,;- C4
,
~ u.c
7'7//
,30-v0 '"
$7 It7m .,u
t
INO 0 COM 0 OTH 0 PTY 0 see
(d
OUTSTANDING
BALANCE AT
CLOSE OF THIS
,
-0 -
DATE DUE
.
INTEREST
PAID THIS
PERIOD
~%
"""
/2 -c -041
DATE INCURRED
o PAlO
CAlENDAR YEAR
,
o FORGIVEN
to 'NO 0 COM 0 OTH 0 PTY 0 SCC
CALENDAR YEAR
o PAlO
,
o FORGlI/EN
to 'NO 0 COM 0 OTH 0 PTY 0 SCC
~-~---- - ~_ d
SUBTOTALS $
$
(Eoler(e)on
~E,liJe3)
Schedule B Summary
1_ Loans received this period .H.HH..H._H_.HHH.HHH.H.HHHHHH.HH....H .HHHH.......HH_HH_HHHHH_HHHHHHHH..._ $
(Total Column (b) plus un itemized loans of less than $100_)
2. Loans paid or forgiven this period HH.....ouu.HuuuU.u.H
(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.) HH'" .....U...H.H
Enter the net here and on the Summary Page, Column A, Line 2.
HH' $
NET $
* Amounts forgiven or paid by another party also must be reported on Schedule A.
U If required.
,
DATE DUE
DATEOUE
$
.2 a-o-n -
50717> -
< 300-0 -~
(Milybea""lla~vtl" r)
_%
"""
_%
"""
$
PER ELECTION **
DATE INCURRED
PERELECTlONfl
DATE tNCURREO
tContribulor Codes
INO -Individual
COM - Recipient Committee
(other than PTY or seC)
OTH - Other (e.g., business entity)
PlY - Political Party
see - Small Contributor Committee
fPPC Form 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866127S-3172)
NAME AND ADDRESS OF PAYEE
(If COMMIITEE. ALSO ENTER I,D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
USps. PaS 1,-/(,32-
C LAI'-f fY'O NI P,€.kJ, ~ Co Pi LIT
loE S PE-f^,~ SreE~ 375/, ,;.3
CL/}/2.~o~ C4 9/71/
(! t /j-"'Emo,V/ CcU~/tFl€....- P/C'i ;UEWS ,o,--<"'CL:' ACJs /707- 7
/0 I S COLLE6 C AvF
C LA-If! ,e-y?) o..vr; CA 917 '/
s-
from
2 Zc af
CALIFORNIA 460
FORM
SCHEDUlE E
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
through
C:30c75
Page ----1'- of L-
l.D. NUMBER
L
L E/c.,4
~r
{ -A
(Iou
C{ /
/~
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
(M;) campaign paraphernalia/misc. fvI3R member communications RAn radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RfD returned contributions
CTE contribution (explain nonmonetaryt OFC office expenses SAL campaign workers' salaries
CVC civic donations FEr petition circulating lEL t. v. or cable airtime and production costs
FIL candidate filing/ballot fees PH:) phone banks TRC candidate travel,lOOging, and meals
FND fundraislng events POL polling and survey research 1RS staff/spouse travel. lodging, and meals
I'D independent expenditure supporting/opposing 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)
. Payments that are contributions or independent expenditures must also be summarized on Schedule O.
SUBTOTAL $
5Z as: 70
, ,
Schedule E Summary
1. Ilemized payments made this period. (Include all Schedule E subtotals.) ......... ......................................,......... ....................
2. Unitemized payments made this period of under $100 ........................................... .......................................... ...............
3. Total interest paid this period on loans. (Enter amount from 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, ColumnA, Line 6.) ........... .................
TOTAL $
7So5. 27
z 7 :L~
o
75.J.2 sc
.................. $
.... $
................ $
FPPC Form 460 (JanuaryI05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print In ink.
Amounts may be rounded
to whole dollars.
SCHEDULE E ,vONT)
from
2 -20 -0..<
<::-3o-C}S-
CALIFORNIA 460
FORM
Slatement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
through
Page ~ Of--:Z-
1.0. NUMBER
L LkIC/I
~,
C'
1'/
/2724,2
CODES: If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment
Q..P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
CTB contribution (explain nonmonelary)* a=C office expenses SAL campaign workers' salaries
eve civic donations FEr petition circulating TEl tv. or cable airtime and production costs
FIl candidate filing/ballot fees PH:> phone banks TRC candidate travel, lodging, and meals
FNO fundraising events PCt. polling and survey research TRS staff/spouse travel, lodging, and meals
I'D 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
ur campaign literature and mailings PRT print ads 'AlEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
b/h/so,J ;f3ES mue"'ur FUiJ &,,-/,"'I"fi 1'2".) 5;cJa I E'l/E7JT ILl? 33
107 !,4L€ At/EVL/F
CL. /l tZF />? '" AfT) CA 9/71)
~L LDGA ?A.e rUIL i'EI''''7 />"~ o,t:'L.:>~ /70,,:?, -<
Ill- STA12r: er.8 ,f e rUEA.l o~ ou~-.e"q GE or <?... v~~<? vn. ^-' .so -
'0 EL-1;~C7?(,)N
<I
. Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ If<j'1- S7
FPPC Form 460 (JanuaryJ05)
FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
.. .
Schedule I
Miscellaneous Increases to Cash
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
2 -2 20..s-
G, -300.5-
CALIFORNIA 460
FORM
SCHEDULE I
SEE INSTRUCTIONS ON REVERSE
NAME OF FilER
through
Page -7-- Of-Jl--
1.0. NUMBER
~L
L DC /-l
.;;;"
c.
/
/::> 72t:..2
DATE
RECEIVED
FUll NAME AND ADDRESS OF SOURCE
(IF C0t.4MITIEE. ALSO ENTER 1.0. NlJMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
&.30 -as~
jJ P F B A/t/K' -< T.C'oS/
J~r-- ON CP[Crt::/A/C;;
/.:1..3
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
;...23
Schedule I Summary
1. Itemized increases 10 cash this period. ......_............... ....................... .............. ....._.........
2. Unitemized increases to cash of under $100 this period_ ...._.........
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e)_) .... ...............
4. Total miscellaneous increases 10 cash this period. (Add Lines 1, 2, and 3_ Enter here and on the
Summary Page, Line 14.) .................. .............................. ..... ............. ...._........
.........$
..$
-$
/_:23
o
o
TOTAL $
/-<3
"
FPPC Form 460 (January/05)
fPPC Toll-free Helpline: 866JASK-FPPC (866/275-3772)