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HomeMy WebLinkAboutBENHAM SEMIANN12(2)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from '+1 I / 1 .-- through !.)- / 3 1 / !;t_ 1. Type of Recipient Committee: All Committees — complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee O Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER /0-?a5) 101.. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) e6 T d S; O C -uP"_Pr_0harY>✓ STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date of election if applicable: (Month, Day, Year) L COVER PAGE Date Stamp 3 JAN 3 J AM g: kage �— of K ri _ For Official Use Only r iLl. i I.! i `)` C! ERK 2. Type of Statement: Preelection Statement Semi - annual Statement ermination Statement Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurers) ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the b st of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is a an ect. Executed on ey Date reasurer or Assistant Treasurer r 7� Executed on I _ By Date I Signature & Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By SignaWreofContnAngOfficeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) State of Califomia Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL&IUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVERPAGE -PART2 Page 12— of =L— BAL.�OT NO. OR LETTER JURISDICTION rEl SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. from _ —T� �12--.- SEE INSTRUCTIONS ON REVERSE through ' Z/ 3 1 i Z Page of NAME OF FILER I.D. NUMBER CCmrr�1') f rc- V Elect SLLC -- &- r -) he' r -, -r-- l J Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 Column A Column B Contributions Received 7. Loans Made .............................. ............................... TOTAL ThHSPERIOD CALENDAR YEAR (FROMATTACHEDSCHEDULES) TOTALTODAM 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ © $ 2. Loans Received ....................... ............................... Schedule 8, Line 3 n —�-- 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $ �--- 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 O O 5. TOTAL CONTRIBUTIONS RECEIVED .......................... . Add Lines 3 + 4 $ — $ D Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ �) .Z� "I 't w $ 7. Loans Made .............................. ............................... Schedule H, Line 3 n- 8. SUBTOTAL CASH PAYMENTS ........ ............................ Add Lines 6 + 7 $ , Z--"q ' : f0 $ J p� I D 3-1. 61 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... 11. TOTAL EXPENDITURES MADE . ............................... Schedule C, Line 3 Add Lines 8 + 9 + 10 O $ $ �) 2- I �P Current Cash Statement �� Z 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 Q 15. Cash Payments ................... ............................... Column A, Line 8 above 5 121�,._ r 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract line 15 $ 0 K this is a termination statement, line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule A Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............ ............................ See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 1/1 through 6130 711 to Date $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' M subject to votuntry Expenditure Limit) Date of Election Total to Date (mm/dd /yy) —J —J $ `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (JanuaryMS) FPPC Totl -Free Helpline: 8661ASK -FPPC (866/275.3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Amounts may be rounded J to whole dollars. from through V3 1/ 1 1 I Page 1 of NAME OF FILER I.D. NUMBER Cryrm i *e To Ej ecl Sue & halv✓V 1 122-5 Ito Z CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia /mist. IuIBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals W 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID �,�e�dy vVayl�e N��s. +�� Sc.hotu,rshl� cs u �d v�inc2 r» CIVIC ) )F11L ht � CVC. 5a,od * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 61 4q e ,34 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $� �r 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).) ................................................ ............................... $ b 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ S q1P FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772) Schedule E SCHEDULE E (CONT.) Type or print in ink. (Continuation Sheet) Amounts may be rounded Statement covers period • ' J . ' Payments Made to whole dollars. from e through 0A_ Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER U-m ✓n i �cc lo- Elect Sipe, &, -7 hams I a x-51 tor _01— CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID G u i l l e rm[) Si (UL e r1 fe5 �- r"3 PA L . * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS �C5(� ,t)L2 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Type or print In ink. Amounts may be rounded to whole dollars. Cinmm+6110 EIecf Sue, &oVicerW SCHEDULE E (CO Statement covers period CALIFORNIA �11�-from V O through a�3 Page _112— of I.D. NUMBER _ a951 toZ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals NOD independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /spor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMnTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 754. E Subtr�nc�r : 1%ri2on �l��2/GbS If I o0 oFG Sitcb Vtr+ator : ��rf�� 4q.00 Su b v-&Ido r : U-5 PoS&I Ser ko- W . 00 P6 ! & • 150.00 IN ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL FPPC Forth 460 (January FPPC Toll -Free Helpiine: 866/ASK -FPPC (8661275 -3, Schedule E SCHEDULE E (CO Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded / CALIFO " NIA I Payments Made to whole dollars. from �� )1 17' e RM SEE INSTRUCTIONS ON REVERSE through 12-/ 3 i Z_ Page of NAME OF FILER � I•���� cemwI� (4 F(CGt Sue P_r41hl Wt_, 1 -�. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /spot LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT camnaian literature and maillnos PIRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID .dub VWd*r: MOO CrI004M try 1XI. DO &,k)- Vk4&qq*1erS Si(�bvcr►dar: 1 P" bG vA"t,+uYs ACV ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January FPPC Toll -Free Helpline: 86WASK -FPPC (8661275 -3,