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Home My WebLink AboutDEAN SEMIANN11(1)Redipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In Ink. State en covers period from ''11 through V I 1. Type of Recipient Committee: All CommitWs - Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall Q Controlled peso compere Part 5) Q Sponsored (Also Complete Pert 6) ❑ General Purpose Committee Q Sponsored (g Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee (Also Complete Pad n O Political Party/Central Committee Date Stamp COVER PAGE - Page of I ate of election If applicable: (Month, Day, Year) 2011 AUG - I PM 3: 4 gor Official Use Only a b BAKER i F i.0 C1T CLERK 2. Type of statement: ❑ Preelection Statement ❑ Quarterly Statement K Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) 3. Committee information I I.D. NUMBER Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S E IF NO COMMITTEE) NAME OF TREASURER r~nC' l l~ ~1 ~v i to Q~c~ l 1 n n n ImVW`'TL O~l W Y a MAILING ADDRESS CODE/PHONE STREET ADDRE (NO P.O. BOX) 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info lion contained herein and in the attached schedules is true and Complete. I certify under penalty of perjury un r the la s of the State of California that the foregoing is rue correct. V Executed on _ BY O Signature otTreasureror Assistant Treasurer Executed on Dale BY Signature dControRing Officeholder. Candidate. State Measure Proponent or Responsible Olfioer of Sponsor Executed on Data By Signature olControllingOfRoahdder, Candidate. State Measure Proponent Executed on D~ BY Signature of ControWrq Ofltoehokler. Candidate. State Measure Proponent FPPC Forth 460 (January/05} FPPC Toll-Free Helpline: 8661ASK-FPPC (666/275-3772) State of California Recipient Committee Campaign Statement Cover Page - Part 2 Type or print in ink COWER PAGE - PART 2 Pape a of L- 5. Officeholder or Candidate Controlled Committee OFFICEHOLDER OR M(Lc t v OFFICE SOUGHT OR HELD (IN UDE LOCATION AND NUMBER IF APPLICABLE) LA W"A 77uact I ~ I C) R ~ NESS ADDRESS (NO. AND STFtEET) CITY ,~ ~ Related Committees Not induded in this Statement: List any eoeaaetees not hrchrdrd h Ws sdlNwa 1 that are canboMd by you or are prlrna ffY Am. to recowe contributions cr aak* asparrdtl~ on bahaM o/ roar carrddrey I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑YES ❑NO COMMMEEADDRESS STREETADDREP6 (NO P.O. BOX) SlATE ZIP CODE AREA COMMITTEENAME / II.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRE S :FEET ADDRESS (NO P.O. BOX) CITY SATE 21P CODE AREA CODEIPHONE 6. Primarily Formed Ballot Nomura Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICf10N 1E] SUPPORT Identify the controlling NAME OF OFFICEHOLDER.. OFFICE SOUGHT OR caodidata, or stab measure proponent, H any. OR PROPONENT DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder List names of off&vh idar(s) or acrd Ws) for whkh UNs prlrnaNly lbrnad NAME OF OFFICEHOLDER OR CANDIDATE E SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR IDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OR CANDIDATE NAME OF OFFICEH OFFICE SOUGHT OR HELD ❑ SUPPORT 7 ❑ OPPOSE NAME OF OFFICE ER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach condinundon sheats if necessary FPPC Fern pe (Jawwryaq FPPC ToWFMO H Ipa--: nMSK-FPPC PBW2754M Stub of CaWands Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Summary Page to whole dollars. Statement covers period CALIFORNIA 460 from O through ~`r ~1 aa) SEE INSTRUCTIONS ON REVERSE Page- of E FILER J i.D. NUMBER v~ I s+ ~~~1 .~OA )a__~ Contributions Received Column A TOTALTHSPERIOD (FROM ATTACHED SCHFDUIESI 1. Monetary Contributions schedule A. Line 3 $ 2. Loans Received Schedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2 $ 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED AddLines 3+4 $ _ Column B Calendar Year Summary for Candidates To ALLND YEAR TOATEE Running in Both the State Primary and General Elections $ $ 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditures Made 6. Payments Made Schedule E, Line a $ 7. Loans Made Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 10. Nonmonetary Adjustment schedule C, Line 3 11. TOTAL EXPENDITURES MADE AddLines 8+9+10 $ $ $ $ Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 $ 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments Column A, Line 6 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 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 + Line s in column 6 above $ To calculate Column 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 carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* la subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ I -~1 $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) SchedW@ A Type or print in ink SCHEDULE A may le Nags nd.a from statement T .►..s period Monetary Contributions Received w tom who I I ~ . 1 through papa --4- of ,L SEE INSTRUCTIONS ON REVERSE OF FILER A I.D. NUMBER vL~n~ ) aaI a DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TODATE RECEIVED OFOOWAMEE,ALSO ENTER LO.NUMBER) CODE + (IF5HF4IPL0YW ENTERNIN1E PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUBINEBS) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑tND ❑COM ❑ OTH ❑ PTY ❑SCC ❑M ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑PTY ❑ SCC SUBTOTAL: Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include aN Schedule A subtotals.) $ 2. Amount received this period - unitemized monetary contributions of less than $100 $ 3. Total monetary c ontributiorts received this period. (Add Lines 1 and 2 Ent here and the S P Colo A L' 1 TOTAL *Contributor Codes IND-WxNvidual COM - Reapierw Conwniibe (other than PTY or SCC) OTH - other (e.g.. business entity) PTY- Poiiiical Party SCC - Smal Cor**R w comritise er on unlrnary age, its" , Ine $ FPPC Form 460 (JanuwyMR FPPC Toll-Free a IAMea: $MASK-FPPC (INSWI 41772) SCHEDULE S -PART 1 17pw W1 P1111t ul slaw- Schedule B - Part 1 Amounts may be rounded stab" t orers period Unns Rived to whole do"em from- SEE INSTRUCTIONS ON REVERSE I.O. NUMBER NAME OF FILER FULL NAME STREET ADDRESS AND LP CODE IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER OUTSIMANDING BALANCE (b) AMOUNT CEIVED THIS AMOUNT PAID DING tiALANCEAT INTEREST PAID THIS M ORIGINAL AMOUNT OF CUMULATIVE • CONTRIBUTIONS OF LENDER (IFCOM1UITEE.AMEN1 IDALMIER) SBF~~. OF ~E m~ BEGINNING THIS PERIOD RE PERK THIS PERIOpi'; CLOSE OF T1#S PERIOD LOAN TO DATE ❑ PAD CALENDAR YEAR i % f f f f ❑ FORGIVEN RATE PER ELECTION' s t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s DATE DUE s DATE INCURRED ❑ PAID CALENDAR YEAR f s f % s ❑ FORGIVEN RATE PER ELECTION" s t❑ INC) ❑ COM ❑ OTH ❑ PTY ❑ SCC s s s DATE DUE f DATE INCURRED ❑ PAID CALENDARYEAR % $ s f s ❑ FORGIVEN RATE PER ELECTION" f t[3 IND [I COM ❑ OTH ❑ PTY ❑ SCC f f f DATEDIE i DATE INCURRED SUBTOTALS $ i& 1-Wcn '~`~`~1e3' Schedule B Summary 1. Loans received this period (Total Column (b) plus unitemized bans of less than $100.) 2. Loans paid or forgiven this period (Total Column (c) plus loans under $100 paid or forgiven.) (include loons paid by a third party that are also itemized on Schedule A.) r-~ NET $ tCoftft for codes IND-Individual COM -Redolent Cowwribee (other then PTY or SCC) OTH - Other (e.g.. b11skwss entity) PTY-PORIC0l Pang SCC - Smell Conlrtbutor Con.nittee 3. Not change this period. (Subtract Line 2 from Line 1.) Enter the not here and on the Summary Page, Column A, Line 2. 'Amotalts t MWen or paid by W WOW party also nwd be reported on Sdwdule A. " If required FPPCFon MW(Jan101"I ) FPPC Ta-Free "011011m: SWASK-FPPC (85=76417M SCHEDULES-PART2 ScIndule B - Part 2 lypu or print in mu. awl nt owns period Amounts may be rounded Loan Guarantors h d ll l • ' ars. to w o o e from h throu of Pa e SEE INSTRUCTIONS ON REVERSE g g _ NAME OF FILER + ` ^ jL\ U I v V Wy (/1 W -l C?~' I I.D. D.NUMBER FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING ZIP CODE OF GUARANTOR OFCOie/ITEE ALSO ENIBtLD NIMER) CODE AFS -13MOVE0.ENTER THIS PERIOD TO DATE TO DATE , . LENDER CALENDAR YEAR aI~ [:]CODA s ❑ OTH DATE PER ELECTION OF REOLXRED) ❑ PTY 0scc $ CALENDARYEAR LENDER ❑ CODA S ❑ OTH DATE PER ELECTION (IF REMARED) ❑ PTY pscc f CALENDAR YEAR MID LENDER ❑ CODA f PER ELECTION [JOTH (IF REOLIIRED) DATE ❑ PTY ❑ SCC s CALENDAR YEAR []IND LENDER C]COM f GOTH DATE PER ELECTION OF REOUIRED) ❑ PTY ❑ scc i an pop. SUBTOTAL $ -y FPPC Form 4W (JOHN"I" FPPC TOIWm m%%M r SWASK-FPPC (MW27537M Schedule C Nortmonetary Contributions Received ON FJ from / through l0 3 ju Paps of _L~ I.D. NUMBER Nam- b" ( Lwa at L t D-v b DATE FULL NAME. STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO GATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE ALSO ENTER I.D. NUMBER) CODE * IF SELF43WLOVED. ENTER NAME OF eU8POW GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) OF REQUIRED) ❑m ❑CoM ❑OTH ❑P'TY ❑SCC ❑M ❑com ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑COM ❑OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. (Include ail Schedule C subtotaft.) $ 2. Amount received this period - unitemized nonmonetary contributions of less than $100 $ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) Type or print In Ink. Amounts may be rounded 801arnnsnk to wlnois dollars. I PTY -r%=U%1 Party l scc - Smelt cenkibutor committee J TOTAL i FPPC Form 460 (.ianuwyiM FPPC Toll-Free ieliftw. 8WASK4PPC (tifil2T54rM 'Cor&Wutor Codes IND-kxlvkk d COM - Recipient Conlnliltee (outer than PTY or SCC) OTH - Other (e.g., business entity) Schedule D Summary of Expo Wkures Candldafee, Measures and Committees SEE INSTRUCTIONS ON REVERSE Typo or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER r . I I - D. ~ A Statement covers period from through Papa U of ~L I.D. NUMBER I lvr v"l I A I V ~w LL 1c,~ I d-010 d 4 jd- - t-CUMULATIVE IODATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE. AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION. TYPE OF PAYMENT DESCRIPTION OF REQUIRED) AMOUNTTHIS PERIOD CALENDAR YEAR (JAN.1-DEC. 31) TO DATE (IF REQUIRED) OR COMMITTEE ❑ Monatery Conlr button ❑ NorvnonetMY COrtrbutIon ❑ support ❑ oppose ExperWiture ❑ Monetary Contri mMon ❑ Norviondtary Contribution rvOlure E ❑ Support ❑ Oppose MIe ❑ Monetary conIfIXAM ❑ Nwinonetary Conhitiubor1 ❑ kndepend8" t ❑ SwW ❑ oppose Expencillure SUBTOTAL t " . Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 2. Unitemized contributions and independent expenditures made this period of under $100 $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ FPPC Form Ii0 (JanuwryiDti) FPPC Toll-Fras lfeipNrM: I1tt/Aa1(-FPPC (iEE1276~37721 Schedit& E Type or print in Ink SCIEDULEE p~,,,,~~ Amounts may be rounded Statement ovens period aym rIlI to whole dollars. from ( • SEE INSTRUCTIONS ON REVERSE through 3D Pape 9 of NAME OF FILER L ^ S+ w a-d ~L D. NUMBER Na" I 'D.01 . N" I (mil D CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, d escribe the payment. C MP carrrpsign P-aPl aindidmisc. NM menta carwrirticatiora RAD raft airtime and pmduclion rxale CNS campaign consultants WIG meift and appearances RFD returned conlrNxdk ns contribution (aaplein mnmm day)' OPC office expenses SAL cernpaign workers' salaries CM FU pmillin Cktuigft la t.v or cable airtime and production coats FL candid le t■rgybaU tees FM plane banks TW candidate towel, edging, and meals FIND fiffidnilsing events POL poMrp and survey research TRS stalllspouse travel. Iorig' ng, and meals M Independent expenditure supporting/opposing others (explain)' POS postage. delivery and messenger services TSF transfer between eonvnRtees of the same candidate/sponsor L EG legal defense PR P~ services (legal. ac cou ring) NOT voler registration LE canipsign literature and naiings print ads VVI$ in immution tectxaiogy coats (Internet. e-nrel ) ' Payments that are contributions or independent expenditures must also be summarized on schedule D. SUBTOTAL $ 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.) TOTAL $ FPPC Form NO (Januarymm FPPC Toll-Free HIs"ne: @MAW-FPPC (98MT5.3M SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink Amoum is may be rounded to wl dollars. Statsm nt ovens period horn I fto" DI Pape -)-C-) of SEE INSTRUCTIONS ON REVERSE NAAME OF FILER a L n 1 ~)c 1gyp l1- Y V `n rM-6 Uh4 &"I ~ O I.D. NUMBER CODES: H one of the following codes accurately describes the payment, ] you may enter the code. Otherwise, describe the payment. CAvP campaign paraptlerrlsllelmisc WIER memberooffIr xYcstlom RAD radio ablin and production awls CNS campaign consullerrts MM rtaaeTrgs and appearances RFD returned eonbdbulfons CV (explain IbbAon CIFC oMce expenses SAL arnpaip workers' salaries CVC civic -Mdona FET Pew circula" lei. Lv. or able airlin and production costs FIL R andiri te 1~kglbaMot tees PHD phone banks TRC eals re Male fraud, lodging. and., FWD 8lndrai:irg events POL pof V and survey research TRS staftpouse travel. lodging, and meals IND independent expenditure sclpporUrglopposkg others (explein)- POS Postage, delivery and messenger services TS bansim between convnillees of the same crndideWsponsa LIM ~ debase PRO professional services (legal. same rtlng) vow reqWq~ LfT campaign lileralm and maft pRT print ads B hilonnaft 9y cooft ( , a-rnafn NAME AND ADDRESS OF CREDITOR OF OOMWFTEE. ALSO OVER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT OUTSTAANDING BALANCE BEGINNING OF THIS PERIOD AMOUNTIINCURRED THIS PERIOD e AMOUNTPAID THIS PERIOD (ALSO REPORT ON E) d OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD • PayrlMrrte that are oonkNodoes or a deperrdeat eapenvift- a want also be - SUBTOTALS $ $ s $ swomwtod on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) NET i F70 FPPC Form Ii0 (Jartuary/06) FPPC Tog-Free H@Wkw: SMASR-FPPC (SB&7T6-3772) Schedule G Type or print in ink. stetw"M • Payments Made by an Agent or Independent Amounts Iney be rounuled parbd Contractor (on Behalf of This Committee) to whole dollars. trom 30 Page Of -L~L SEE INSTRUCTIONS ON REVERSE 1\AeOF FILER -V1V ~ ~ I S+ V-?"A CU 1 D ( I.D. NUMBER 3asr.~' NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: ff one of the folk wing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaRalmfsc. MB2 neiMm conxrsx*zVons RAD radio airtkrhe and production costs CNS campaign Consultants NM rneetirtgs and appearances RFD returned contributions CTB contribution (expel rwmnoratwy)• OPC office expenses SAL canpeo workers' salaries CVC civic donations PET petifon Ong TEL t.v. or cable airtime and production costs FI candidate MVM@M fees PMO phone banks TRC candidate trenlel, odging, and meals FND fcrndralsirg everts POL polling and survey research TRS statdspouse travel, kxigirg, and meek Ii•D independent expenditure11ng/opposing others (expleinr POS postage, delivery and messenger services TSF barofer between Conrrhitlees of the same andidate/sponsor LEG legal defenee PRO professional servkxs (legal. accounting) VOT voter registration LIT campaign literature and inoftngs PRr print ads VYEB information Mdwx W costs (Internet, e-mail) ' Payments that are Cort fix tions or I I pets I I expendit was must aleo be srarNr - Ir on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR ( CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID (IF COMMTTEE. ALSO EWM I.D. NWISM Attach additional information on apprnpiiately labeled continuation sheets. TOTAL" t Do not tranarbr to any otlmr sdwdule or to the Sarrxrrsry Page. TN/s total may not equal the amoumt paid to Vw agent or If independent contactor as reported on Sc adudr E. FPPC Form 40 (.lannaryl" FPPC Tb&Fm* MalpMta: $MASK-FPPC (1118W275 -M Schedule H Type or p" In Ink wraa Amowft rounftd • womb dolem Loans Made to Others* f~ 7 thI ( Pap. _LL~ SEE INSTRUCTIONS ON REVERSE I.D. NUMBER v i V~ -o V\~ Coo ~~t C wf ~ C) ~ ~aa ia~- FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTS ANDING BALANCE ~ REPAYMENT OR OUTSTANDING BALANCE AT INTEREST RECEIVED ORIGINAL AMOUNT OF CUMULATIVE LOANS OF RECIPIENT (IF COIaRrrEE. ALDO ENTER LD. NUMBER) OF -EMPLOYED. ENTER N~A1E OF BUBINEW PERIOD BEGINNING THIS LOANED THIS PERIOD FORGIVENESS THIS PERIOD' CLOSE OF THIS PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR % s s : s FORGIVEN WE PER ELECTION" $ s s s DATE DUE $ DATE INCURRED ❑ PAID CALENDAR YEAR % i i S i FORGIVEN RAE PER ELECTION" DATE DUE DATE INCURRED 'Loans d" aM COnwwvw s t0 anotlMr CMI or conlmilM. ~'r . . must dso b. sumnstis.N! on 8ehs&& D. Loans forpivm must SUBTOTALS s i f s t " L' } 'f also b. @F n M on 8ehsdub E Sdw diM 1, Unt 3) Schedule H Summary 1. Loans made this period (Total Column (b) plus unitemized bans of less than $100.) 2. Payments received on loans (Total Column (c) plus unitemized payments of less than $100.) $ 3. Net change this period. (Subtract Line 2 from Line 1.) (Enter the net here and on the Summary Page, Column A, Line 7.) $ NET $ "If Required FPPC Foam 460 (Jsmisry106) FPPC T06*090 H.NPNe.: SWAM-FPPC (86W276377Z) Schedule 1 SCHIEWLE Miscellaneous Increases to Cash Anwunts tm" be ramd.a towmmbdoNw& SEE INSTRUCTIONS ON REVERSE s K covws psrlod ! t ! . 1 Paps 1~ of 13 NAME OF FILER I.D. NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (F oowrrTe ALSO ENTER LD. NUMB) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled con inuabw sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period $ 2. Undemized 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 $ F IFPPC Foam 40 (JWwwYiW FPPC To0-F~ HNpNn~: $MASK-FPPC (111"WS-37M