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HomeMy WebLinkAboutCOUCH SEMIANN06(1) Dale i5iiiii By By By Propc:iiiiiiI or Responsible omeara! Sponsor Signature a!Conlralrlf1g C>IIiceI1old8(, C8ndidale. S_ M...... Proponent Signature a!ConlroIIing 0tIi_, Candidate. S_ M...... Proponent FPPC Fonn 460 (Januaryt051 FPPC ToII-F..... Helpline: U61ASK-FPPC (8661275-3n21 State of California Executed on Executed on Executed on 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 under the laws of the State of California that the foregoing is true and correct. Executed on By certify OPTIONAL: FAX t E-MAIL ADDRESS AREA CODE/PHONE OPTIONAl: FAX CITY MAILING ADDRESS t E-MAIL ADDRESS STATE ZIP CODE AREA CODEfPHONE rfl./ eN/:>.s NAME IF NO COMMITTEE) "r 7)4v1P ~J(el( Committee Infonnatlon COMMITTEE NAME (OR CANDIDATE'S 3. o General Purpose Committee o Sponsored o Small Contributor Committee o Political PartylCentral Committee Type of Recipient Committee: ~ Officeholder. Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Compfe/rI Pat! S) .0. NUMBE o Primarily Formed Candidate! Officeholder Committee (Also c"",*"" Patt 7} All Commltten - Complete Parts 1,2, 3, and 4- o Primarily Formed Ballot Measure Committee o Controned o Sponsored (NwI c......,.. PattS) ';Z I 90 Treasurer(s) Type of Statement: o Preelection Statement ~ SEKn~annuaISta~ent o Termination 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 1. SEE INSTRUCTIONS ON REVERSE through St8tement from 2. D8te of election If 8PPIiC8bft (Month, Day. Year) BA II RSFIELO " \... Y Cl ~ P8ge / of 7 For Official Use Only Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print In Ink. AM 8: 0 Date Stamp CALIFORNIA FORM 460 COVER PAGE 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 YAY/D &UCIf OFFICE SOUGHT OR HElD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) - BALLOT NO. OR LETTER JURISDICTION ~113a:> tlNtlL - LV. Related Committees Not Included in this Statement: Ust 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 tlXpendftures on behalf of your candidacy. COMMITTEE NAME - - 7. Primarily Formed Candidate/OffIceholder Committee Ust names of NAME OF TREASURER offlceholdttr(s} or candldate(s} for which this committee Is primarily formed. COMMITTEE ADDRESS [fRe;; NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ~ STATE ZIP CODE AREA CODElPHONE NAME OF OFFICEHOLDER OR CANDIDATE - COMMITTEE NAME NAME OF OFFICEHOLDER OR CANDIDATE o SUPPORT o OPPOSE - NAME OF TREASURER D COMMITTEE? DNO o SUPPORT rRe;; o OPPOSE COMMITTEE ADDRESS ~.O. BOX) CITY STATE ZIP CODE AREA CODElPHONE Attach continuation sheets If necessary FPPC FOftII 460 (January/OS) FPPC Toll-Free Helpline: H8IASK-FPPC (1881275-3772) State of California Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Amounts may be rounded ED Summary Page to whole dollars, from through . - Of-1- SEE INSTRUCTIONS ON REVERSE - .0. NUMBER NAME OF FILER 'V&:YIP t?tJuetf 9 f/!/ 'it) - Contributions Received ColumnA Column B Calendar Year Summary for Candidates TOTAl. THIS PERIOD CAl.ENOAR YEAR Running In Both the State Primary and (FROMATTACIED SCHEDUlES) TOTAl. TODATE General Elections - - 1. Monetary Contributions ................................ Schedule A. Une 3 $ $ 1/1 through 6130 7/1 to Date ,- - 2. Loans Received ........................................... Schedule 8. Une 3 - - 20. Contributions -er 3. SUBTOTAL CASH CONTRIBUTIONS .......... Add Unes 1 + 2 $ $ Received $ $ - - 4. Nonmonetary Contributions ......................... Schedule C, Une 3 21. Expenditures tt7 S 5" - - Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ......... ....AddLine83+4 $ $ - Expenditures Made (., '7~5' expenditure Limit Summary for State 6. Payments Made ............................................ Schedule E. Une 4 $ $ Candidates 7. Loans Made .................................................. Schedule H, Une 3 - b ,7"> 22. Cumulative Expenditure. Mad 8. SUBTOTAL CASH PAYMENTS ...................... AddUnes6+ 7 $ $ III Subject to Voluntuy ExpencIitww 9. Accrued Expenses (Unpaid Bills) ................. . Schedule F. Une 3 - Date of Election 10. Nonmonetary A~justment ............................. Schedule C, Une 3 - (mmlddlyy) 11. TOTAL EXPENDITURES MADE ..................... AddUnes8+9+ 10 $ ~J 'ftlS- $ ----1----1_ - Current Cash Statement ----1----1_ 12. Beginning Cash Balance ....................... Pl8viousSummaryPage. Une 16 $ 1. 0;'> To calculate Column B, add 13. Cash Receipts ................................................... ColumnA. Une 3 above - amounts in Column A to the - corresponding amounts ()~ *Amounts in this seelion 14. Miscellaneous Increases to Cash ........................... Schedule /. Une 4 ~ from Column B of your last reported in Column B. 15. Cash Payments .................................................. ColumnA. Une 8 above 7t report. Some amounts in if; Column A may be negative 16. ENDING CASH BAlANCE .......... AddUnes 12+ 13+ 14. thensubtractUne 15 $ figures that should be subtracted from previous If this is a termination statement, Une 16 must be zero. period amounts. If this is - the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule 8. Part 2 $ for this calendar year, only - carry over the amounts - Cash Equivalents and Outstanding Debts from Lines 2. 7. and 9 (if - any). 18. Cash Equivalents. ........... See insl11JcIions on re_ $ - - FPPC Fonn 460 (January/OS) 19. Outstanding Debts Add Une 2 + Une 9 in Column 8 above $ FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3n2) FPPC FORn 460 (JanuaryI05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemized payments made this period of under $1 00 ............................ 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 $ (; '1 () 5:. :1-1 I ~ r'~ <- rl Schedule E Summary ~ 3tJO - · Payments that are contributions or ndependent expenditures must also be summarized on Schedule D. SUBTOTAL $ ~r { :::4-?,#21 CLUK I :>~/, 'T/P)I7lIN ~ /f\lT~/1T/oNA'- C,ve '-;).U& SrPN.>#(J- S:rcN.s,,~ ~lIlc1-IIV.THt-'?,f-~ E 'PA/2IL~ -:-. or J;<<PIfI'TNe4re1€el2"'~~ I;' CJ 0 ft'o ~Jtl.. (!,lrV lA-NilE€- tI~~F/&Jr/ I?t..i> eN:? " #) 060 I o ~4f /ffU/VIQlTIO/tl..s CODES: eM' CNS CTB CVC FIL FW N) LEG LIT - NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) If one of the following codes accurately describes campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations candidate fjlinglballot fees fund raising events independent expenditure supporting/opposing others legal defense campaign literature and mailings (explain)" CODE the payment, you may enter the code. M3R member communications MfG meetings and appearances OFC office expenses PET petition circulating ~ phone banks POl polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads OR DESCRIPTION OF PAYMENT Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL 'campaign workers' salaries T8. t.v. or cable airtime and production costs 1RC candidate travel. lodging. and meals TRS staff/spouse travel, lodging. and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, AMOUNT PAID e-mail) SEE INSTRUCTIONS ON REVERSE NAME OF FILER ''/1 .;.A Yrp &u~ Page -i- 1.0. NUMBER ?tf.7/7~ Schedule E Payments Made Type or print In Ink. Amounts may be rounded to whole dollars. through from FPPC Fonn 460 (Januaryl'05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) ..- ....-....-...-.. ..__...._.-.~ """.......... \11........11"".., li;ii~III~IIJ DESCRIPTION OF PAYMENT AMOUNT PAID NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) ;f/06 'Jo/"lAl'/) ;2e1}9~/V eLe/Jf eN7/J,<Y YFA-fl:-t:PdIL AP /vAT)t. Wli.]:> '/tt/zjt:ey ;::i?p/..-~/O-IY eve.. AIIC71e>/'I /7l?M sptYV $(7/2- fOe.> Y t? u..,. /ri- f7>/L t!if;e/~ eve.. A/II/Vtll'tl- <$#Nd/.J€r ss.-o .f? ~ IV .so f2.. /t:~;tN eoV.NfY t7ttN eLl{;? 0'1('" Jf/NNWIfL ruNP M-IJ'//VC) ~oo PI/\' 1\Ic..=;L. /JI#IT/~~ ~J61J(l? ~& AfT? C~tJ?A--/ tlN VIJtH/yjt7E/'li .:7/7 * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ /, / " 'I CODes: If one of the following codes accurately describes eM=> campaign paraphemalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary). eve civic donations FIL candidate filinglbaliot fees F/I[) fund raising events N) independent expenditure supporting/opposing others LEG legal defense lIT campaign literature and mailings (explain). the payment, you may enter the code. Otherwise, describe the payment. M3R member communications RAD radio airtime and produ~on costs MTG meetings and appearances RFD returned contributions ~ OFe office expenses SAL campaign workers' salaries PET petition circulating TEL t.v. or cable airtime and production costs Pt-K) phone banks lRC 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 PRO professional services (legal, accounting) VOT SEE INSTRUCTIONS ON REVERSE NAME OF FILER .n V / z::> &J tI Oil Schedule E (Continuation Sheet) Payments Made Type or print In ink. Amounts may be rounded to whole dollars. Statement covers period . from --.! - through - Page S of~ 1.0. NUMBER fR.J-/1o DESCRIPTION OF PAYMENT AMOUNT PAID NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) .g6' y.5 f' t'~ / /2.Ls L'Lit & eve, t7PL.F flJ-P /2NA-)'Hf?Ny ~~O6 , Srj/o'/tl $,~ ~()~q-HWtrs.rr &II-~ eve.. rf?~ -<;'0 AI S d-/2- S~C> , 111 t?-I?J7N~ fr;e 'Wt? '-lift Lt)H1E~.s A1/t) ~ ,lLr/lO#,So=- t o/~A,P * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ / J' I~ ,:tL /~ FPPC Fonn 460 (JanuaryI05) FPPC TolI-Frve Helpline: 8661ASK-FPPC (866/275-3772) ;; - CODES: If one of the following codes accurately describes O.f' campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary). CVC civic donations FIL candidate filinglballot fees FIll) fund raising events IN) independent expenditure supporting/opposing others LEG legal defense LIT campaign literature and mailings (explain)' the payment, you may enter the code. Otherwise, tJBR member communications RAD MTG meetings and appearances RFD OFC office expenses SAL PEr petition circulating TB... PH) phone banks TRC POl polling and survey research TRS POS postage, delivery and messenger services TSF PRO professional services (legal, accounting) VOT PRT print ads WEB describe the payment. radio airtime and prodl.\ff1on costs 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 candidate/sponsor voter registration infonmation technology ,ts (' I) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE - NAME OF FILER -PND e-t't( e!l Type or print In ink. Amounts may be rounded to whole dollars. SCHEDULE E (CONT.) Statement covers period ~NIA 46 0 from _ - through - pag.~ Of~ 1.0. NUMBER 9. '~/qO ~ .' '. '. ~ ,. . Schedule I Miscellaneous Increases to Cash Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE I SEE INSTRUCTIONS ON REVERSE NAME OF FILER Statement covers period from () I j" I It) t;:. I ' through t " /.it) /0 b ( I CALIFORNIA 460 FORM Page -2- of ~ 1.0. NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE OF COMMITTEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF RECEIPT ~' AMOUNT OF INCREASE TO CASH /lVle"ze'.>'I ;t/~ f, ?J' /? t:> I f"~ /19: ?'7 /77, AS /9/ I 1? /91. 1'1 :;;1Jf /,/# g~Ney / Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ l (/ r I. :J.j Schedule I Summary 1. Itemized increases to 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 to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) ..................................................... ............................................... .................. ..... TOTAL $ FPPC Fonn 460 (JanuaryI05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3n2)