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HomeMy WebLinkAboutCOUCH SEMIANN11(1)Recipient Commitbee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink Dave Stamp S nt overs period Date of election if applicable: ! / D (Month, Day, Year) 1 AUG - ! PM 3: 16 from through FcL „ f y ~;I_ER 1. Type of Recipient Committee: As conrnieaaa - Compb% Pafb % 2.3. and 4. Officeholder, Candidate Controlled Committee ❑ Primarlly Former! Ballot Measure O State Candidate Election Committee C011111 Oee O Recall O Controlled (AhoCaeiprerePair* O Sportsofed ❑ General Purpose Committee f ~ Q Sponsored ❑ Primarly Formed Candidate/ O Smaq CWWA t0r Comarlifeee Officeholder Committee O PotitiCal Party/CenbW ComndtIee (AboCwWh tePaif n 3. Committee Inforn oWn N ~/¢Y!D COGIG/5~ fdiQ eI Tr 1,'04W41,L ZOIO I.D. NUMBER 1-;,7- 7 YI S AREA OPTIONAL- FAX I E-MAIL ADDRESS I Type of Statement: Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain belovi) Pape -z of For Official Use Onty ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Tmouf+ef(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CODE AREA CODEWHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Vedfication I have used all amble ditmX~e in pi epo k artd rewfewing thin statement and to the best of rry krmwledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjiay Under the 11M of the State Of CdIbII is that ffte forego.. is true and cored. Executed an -7/31 0/ By DUD Executed on zX; BY Executed on Deb Executed on Dam 0rCwW0Wy0a0ehdds.C-K6dM MaoreProponerK FPPC Foes 480 (Jwmrylaa) FPPC TbIWrwe llelp&w 9MASK-FPPC (666076-3772) state of CaHfomfa dCmtm&oOaxhddx.Caddit mrbaarePtopatient RedpientCommOm Type or print in Ink. CONERPAGE-PART2 Campa[M Statement ' Cover Page - Part 2 pap of 5- S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 'P,#ylz> e OL e-# OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBERJPMPPUU~BLE) _GlTY z aver, "/,v E ,QSf~ RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP / Related Comm-ho , s Not Included in this Statement: use my Cpnmitrl'es not Ind~ N this sta[anrant that am caeboltad by you or are pri mangy fanned to receive conkgwBons or mafre expand6~as on baMN of your cam ffdroy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE E Identity the controlling officeholder, candidate, or stab measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed CandidateJOfficehoider Committee ust names of ofBcebakiw(s) or wrcff&Ws) far afiJdl this committee is primarily farmed NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (JsnuwYM)' FPPC Toll-Free Helpane: NWASK-FPPC (a 5rArg37M State of Califomia aign Disclosure Statement Cam Type or print in Ink SUMMARY PAGE p Summw page Amounts may be rounded to whole dollars. Statement co em period from 3G l SEE INSTRUCTIONS ON REVERSE through page at NAME OF FILER I.D. NUMBER 1~ Y!p ~or.~ ~1 /3z 7 y/ ~ Contributions Received Column A nma TMSPSOM Cohunn B Calendar Year Summary for Candidates tFn MACHMsr.►eoul:si cAUWWYW MTV LMDKM Running in Both the State Primary and General Elections 1. Monetary Contributions 111 through 5/30 7/1 to Date 2 Loans Received Sehedtde a tine 3 3. SUBTOTAL CASH CONTRIBUTIONS Add ones 1 + 2 . $ $ 20. Contributions -0- Received $ $ 4. Nonmonetary Contributions sdrodids C, t6re 3 1 21. Expenditures -10 ; 5. TOTAL CONTRIBUTIONS RECEIVED Add Unes 3 + 4 $ $ - $ 1 Made $ Expenditures Made 6. Payments Made Sd edrde & one 4 $ 7. Loans Made sd ed & H, tine 3 l 7D 3 . 8. SUBTOTAL CASH PAYMENTS Add Lbres e + 7 $ 9. Accrued Expenses (Unpaid Bills) Sdradure F Line 3 10. Nonmoneta ustment Sdadde a Une 3 7~ 3 ~ 11. TOTAL EXPENDITURES MADE Add trues e + a + 10 $ . • $ $ Current Cash Statement Aey~ 12. Cash Balance Previous SummsryPam, tine 16 $ l 703^ . 13. Beginning Recellpts . Cohmin A, Une 3 above v 14. Miscellaneous Increases to Cash SdredW& 1, Une 4 _g- /703 15. Cash Payments CohrmnA,Lino eabove `i 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, eras subtract Lbre 15 $ if N* 13 a termbliion sfatemetlt Line 16 must be zero 17. LOAN GUARANTEES RECEIVED Sd►sdrde B. Part 2 $ Cash Equivalents and Outstanding Debts 18. Casts Equivalents See bbtructiorrs on reverse $ 19. Outstanding Debts Add tine 2 + Una D in Colman B above $ To calculate Coherrrn 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 tarry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (Rateke wv*kmwyExp-cm-unm Date of Election (mmlddtyy) _ I $ Total to Date I- I $ *Amounts in this section may be different from amounts reported In Column B. FPPC Form 460 (Januery/05) FPPC Toll-Free Helpline: a66/ASK-FPPC (866WS-3772) Schad(4e E Type or print in Ink. Statement covers period Amounts may be rounded . Paymerds Made to whole dollars. from 1 / f SEE INSTRUCTIONS ON REVERSE through 3a O!~ of NAME OF FILER I.D. NUMBER 'DAYI-P eol'(cvt !31.7yl- CODES: ff one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pamphertldls"isc. NM ma nto conwwrticallons PAD radio airtime and production costs CNS care psign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonrnonstaryr OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FL candidate ffinglballot fees PHO phone banks TRC candidate travel, lodging, and meals RD fundraising everts POL poking and survey research TRS staff/spouse travel, lodging, and meals IND Endepandent expenditure 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 Liu campaign Berature and nualli s PRT print ads WEB information technology costs (intemet, e-mai) NAME AND ADDRESS OF PAYEE PFOOMMMELADOeNTIMUL DOOM CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ' ~sS f /L " Payments that ant conMbutlaw or indepandent expenditures must also be summarized on Schedule D. SUBTO'TAL$ ~525) r 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 B, 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.) $ TOTALS ,1 703 s $ . , FPPC Form 460 (Jan ary/06) FPPC TOO-Free Heiplftw. NWASK-FPPC (8661=417M) SCHEDULE E (CONT.) Schedule E Type or print In Ink Statement covers period (Continuation Sheet) A urft nWle dObe rounded Payments trade from ! go through Page : or SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER CODES: ff one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MID campaign pomp! ernsllahntac. MM member communications PAD radio airtime and production costs MTG meetings and appearances PFD returned contributions ' CTB aorlRrIbution (explain nonmonetary)' OFC PET office expenses petition circulating SAL TEL salaries campaign workers t.v. or cable airtime and production costs CVC FIL dvic donations candidate 1Bnglballot tees banks s h TRC TRS candidate travel, lodging, and meals and meals lodging stalNspouse travel IND Independent events suppargnglopposirg others (explain)' POI. F'OS urvey researc polling postage delivery and messenger services TSF , . transfer between committees of the same candidate/sponsor LEG legal dellense PRO professional services (legal, accounting) VOT VUEB voter registration Information teohnokgy costs (Internet e-mail) UT campaign ptetadxe and rrt 111111 a PRT print ads NAME AND ADDRESS OF PAYEE I CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID aeEq • ~ coraarrEE.asoerrtecc t.a rat ~~ / i~~ '00~7- 3~ _ ~Dl ' Paymtatrts tMR me conuIbudons or uKhn ndsrrt oxponditures must abo be summartxed on Schedule D. SUBTOTAL $ FPNC Form 460 (JanuoryMM FPPC Toll-Free Helptine: SWASK-FPPC (668/276-3772)