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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)