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HomeMy WebLinkAboutCOUCH SEMIANN05(2) COVER PAGE Date Stamp ~oo in ink. Type or print Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) I of '7 - - Official Use Only Page ~ 4 PH 3 J~r' ;-1,' Date of election if appli~~~ (Month. Day, Year) covers period Statement (:> Fo, ,~ from Quarterly Statement Special Odd~ Year Report Supplemental Preelection Statement - Attach Form 495 o o o N/4- 2. Type of Statement: D Preelection Statement M. Semi-annual Statement tJ - Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) 2, 3, and 4. Measure through 1. Primarily Formed Ballot Committee o Controlled o Sponsored (AJ.so Complete Part6) Type of Recipient Committee: All Committees - Complete Parts ~ Officeholder, Candidate Controlled Committee D o State Candidate Election Committee o Recall (Also Complete Part 5) SEE INSTRUCTIONS ON REVERSE 1. Primarily Formed Candidate/ Officeholder Committee (AJsoComplelePart7) o o General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee Treasurer(s) () {!..¿;;Ut!.# .D. NAME IF NO COMMITTEE) 7)/?vli) Committee Information (OR CANDIDATE'S COMMITTEE NAME rl!/&YDS 3. CITY NAME OF CITY - AREA CODE/PHONE ZIP CODE STATE CITY AREA CODE/PHONE ZIP CODE STATE CITY ADDRESS 4. Verification 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 under the laws of the State of California that the foregoing is true and correct. E-MAIL FAX OPTIONAL: E-MAIL ADDRESS FAX OPTIONAL: certify !í )( By Executed on Sign By Executed on Candidate. State Measure Proponent Signatum of Controlling Officeholder, Candidate. State Measure Proponent FPPC Fa"" 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Signalure of Controlling Offiœholder, By By Dale D'te Executed on Executed on Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page - Part 2 - - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee - NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE l?1 V, f) [1.-,:ðt( C-II - BALLOT NO. OR LETTER JURISDICTION OFF CE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUf. IF APPLICABLE) SUPPORT ~K.€!l.s¡::¡eLZ> {!./TY CåtJIVt:.IL - ¿UÂIt.P c¡ o OPPOSE R~IDENTIAUBUSINESS 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 DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. - COMMITTEE NAME - 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER officeholder(s) or candidate(s) for which this committee is primarily formed. .....,,:::::. o NO COMMITTEE ADDRESS )RESS '.0. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD :----- STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE o SUPPORT o OPPOSE - COMMITTEE NAME ~"~ OFFICE SOUGHT OR HELD o SUPPORT o OPPOSE - NAME OF TREASURER ROLLED COMMITTEE? , OR CANDIDATE OFFICE SOUGHT OR HELD [YES DNO o SUPPORT o OPPOSE COMMITTEE ADDRESS ~ '.0. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866fASK·FPPC (8661275-3772) State of California SUMMARY PAGE Type or print in ink. Amounts may be rounded to whole dollars. Campaign Disclosure Statement Summary Page .0. NUMBER 'If'~/ '1tJ Calendar Year Summary for Candidates Running In Both the State Primary and General Elections through 1_ Column B CAlENDAR YEAR TOTN.TODATE from ~ SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~V/P ColumnA TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Contributions Received to Date 71 through 6130 1 C> - () - C> $ - D - o $ Schedule A. Line 3 Schedule S, Line 3 Monetary Contributions Loans Received .......... SUBTOTAL CASH CONTRIBUTIONS Nonmonetary Contributions ..... ........ TOTAL CONTRIBUTIONS RECEIVED 2. 3. 4. 5. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) D $ C> f?7[>~ $ 20. Contributions Received Expenditures Made 21 $ $ +2 Schedule C, Line 3 Add Lines $ $ $ $ Add Lines 3 + 4 Expenditures Made 6. Payments Made Expenditure Limit Summary Candidates Ll '1'1 - $ $ Schedule E, Line 4 Schedule H, Line 3 Made SUBTOTAL CASH PAYMENTS Loans 7. 8. 22. I $ $ Add Lines 6 + 7 Date of Election (mm/dd/yy) - - 9- Schedule F. Line 3 Schedule C, Line 3 (Unpaid Bills) Nonmonetary Adjustment """" TOTAL EXPENDITURES MADE Accrued Expenses 9. 10. $ -----.J-----.J_ -----.J-----.J_ from amounts "'Amounts in this section reported in Column S. 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). $ $ AddUnes8+9+ 10 ~/ $ Previous Summary Page, Line 16 Column A, Line 3 above Current Cash Statement 12. Beginning Cash Balance Cash Receipts Miscellaneous 11 3. - - $ $ Line 4 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse Outstanding Column A. Line 8 above Add Lines 12 + 13 + 14, then subtract Line 15 Schedule Schedule B, Part 2 16 must be zero. to Cash this is a termination statement, Line 7. LOAN GUARANTEES RECEIVED Increases Payments ENrnNG CASH BALANCE If Cash 4. 5. 6. $ $ Line 9 in Column 8 above Add Lme 2 + Debts 9. from through _/:l/5I /¿1~ _ I Page L of L 1.0. NUMBER ff;l/ ~O Type or print In Ink. Amounts may be rounded to whole dollars. Schedule E Payments Made 8tle SEE INSTRUCTIONS ON REVERSE NAME OF FILER rn Otherwise, describe the payment radio airtime and production returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same voter registration infonnation technology costs e· costs 'RAD RFD SAL "TEL lRC lRS TSF VaT V\£B the payment, you may enter I\1BR member communications MTG meetings and appearances OFC office expenses ÆT petition circulating p¡..o phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal. accounting) PRT print ads the code. 'VI;::' the following codes accurately describes (explain)· CODES: If one of campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)· civic donations candidate filinglballot fees fundraising events independent expenditure supporting/opposing others legal defense campaign literature and mailings eM' CNS em eve FIL FI\O Ii'D LEG LrT candidate/sponsor NAME AND ADDRESS OF PAYEE (1F COMMITTEE. ALSO ENTERI.O. Nl.A!BER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Y I/I'I~ &,f1IH(,(N(~71P1Y.$" ~ ,/>'ò M.> CGI/;n5VN/;ptL 4-TIf-¿.t?7IC- ~TCIU eve- /OC> CITY t'r- ~~/e-ø í!é;{4( çt.( ~e /Ite7V'T /i# {p~,~ 5:96 ¿PI" IÁTIEf ~l'WðVce- if Payments that are contributions or independent expenditures must also be summarized on Schodule D. SUBTOTAL$ ;.1 t/b mai (internet Schedule E Summary 1. Itemized 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 S, 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 $ FPPC Form 460 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Statement covers period Type or print In Ink. Amounts may be rounded to whole dollars. Schedule E (Continuation Sheet) Payments Made Page L Of---1-- .0. NUMBER ff:J.¡ 70 through 8uC-J/- SEE INSTRUCTIONS ON REVERSE NAME OF FILER PA!Y/þ 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 VOT voter registration the payment, you may enter ~ member communications MTG meetings and appearances OFC office expenses ÆT petition circulating PI-O phone banks POl polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) FRf t ad the code. CODES: If one of the following codes accurately describes O..F campaign paraphernalia/misc. CNS campaign consultants em contribution (explain nonmonetary)· eve civic donations FIL candidate fì1ingfballot fees FNJ fund raising events N) independent expenditure supporting/opposing others LEG legal defense UT campaign literature and mailings candidate/sponsor (explain)· ~. NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER¡ ?m E./J(ß4- Ú[Oif 7ÖR¡ZN,flH6Wr -'""ßtN.r.o¡E!:. 9f/tJ¿J ¡J1,.ffí/1f <> rz)/ .!. ¿;; J,( ç eKe /i1q /.5:D A VS-o '2'e9/.o# .$>"'1 ~ Oc..c.£ ¡Z lE#Y1 Š?ON~P/Z- ';'Ç"c; eve, ~FíEL.Z> CH4'~lï~ 1C;11'- ~ / :;z. ~ c7llZL> CUt!? t>r '$:R a..'Z> 4~rra;'T ..,Ç? .J7l2éer ev~ /,¿)¿:) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Fonn 460 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) SCHEDULE E (CaNT.) Type or print In ink. Amounts may be rounded to whole dollars. Schedule E (Continuation Sheet) Payments Made b ¿)"7 from ofL Page 1.0. NUMBER C¡Pß./'lo through SEE INSTRUCTIONS ON REVERSE NAME OF FILER candidate/sponsor describe the payment. radio airtime and production returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same voter registration information technology costs Otherwise, RAD "RFD SAL TEL TRC ms TSF VaT \NEB the payment, you may enter M8R member communications MTG meetings and appearanœs OFC office expenses F£T petition circulating PI-() phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (Iega[, accounting) PRT print ads the code. eoq, following codes accurately describes (explain)· V /.1:) CODES: If one of the campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary) civic donations candidate filinglballot fees fund raising events independent expenditure supporting/opposing others regal defense campaign literature and maitings Q.P CNS CTB eve FIL FN:) IN) LEG LIT e·mai (internet costs AMOUNT PAID DESCRIPTION OF PAYMENT OR CODE NAME AND ADDRESS OF PAYEE (IF COMMITTEE.. ALSO ENTER t.D. NUMBER) .# / OD Z#-..f R?T íIt.4N~9/,,"IN'C; ræJP 1I1E¡lI4f!1V f-B:j¡o/V /.s'1~ ZJðz;> vz. ,e::EP'lfé>N #rT£1'Z g'ðI.t::# P&1>/C#?70/V (' S7ò~I/}I~y ~-'-<,P ~~ FPPC Fonn 460 (JanuaryIOS) FPPC TolI·Free Helpline: 866/ASK·FPPC (866/275-3772) SUBTOTAL $ . Payments that are contributions orin dependent expenditures mustaiso be summarized on Schedule D. SCHEDULE Type or print in ink. Amounts may be rounded to whole dollars. Schedule Miscellaneous Increases to Cash ~ Of---2- Page .D. NUMBER fP;21 flo from through SEE INSTRUCTIONS ON REVERSE NAME OF FILER AMOUNT OF INCREASE TO CASH /19.~ I>'>' 3J .~ 13/.5""'1 DESCRIPTION OF RECEIPT I ¡tJTE{Z£>( . DATE RECEIVED e>7/t'P/IPS- O¿>!:Z/IP.> C>~~$ I' 1'7~ /if>' ~ / S';J. ~.J /,J.{p . !i /o//~>' /I//I~5 /. /;Ý.&Jfr5 c>o / ?'J .~ II SUBTOTAL $ ~ - $ $ $ Attach additional information on appropriately labeled continuation sheets. Schedule 1. Itemized increases to cash this period 2. Un itemized 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) to cash this period. (Add Lines 2. and 3. Enter here and on Summary 4. Total miscellaneous increases Summary Page, Line 14.) I, O~ :;h FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275·3772) TOTAL $ the