HomeMy WebLinkAboutVEREEN PREELECT13(1) 04/22/13Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period Date of election K applicable:
' _ (Month, Day, Year)
from
throughAp i 2 0 2ot3 J une. q/ 2013
1. Type of Recipient Committee: All Committees — Complete Paris 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Complete Part 5) O Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored
Q Small Contributor Committee
0 Political Party /Central Committee
r r Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
3. Committee Information I I.O. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF
TbIn GJJ Ver'e_e,vi TDr cOu-KG l
Wa,r d ( 2-o) 3
STREET ADDRESS (NO P.O. BOX)
AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
Date Scamp
13 APR 25 PM 1:
ix
2. Type of Statement:
Preelection Statement
Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
COVER PAGE
Page __L_ of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
NAME OF TREASURER
D oy -o +-h,e Teak F van3
MAILING ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
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. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and Ct.
Executed on "� �— a471 2-, - -4 -.1 j )
Date of Treasurer orAssistant Treasurer
Executed on �— ota 3 B
Date Signature ofCordro" CGoeholder. Candidate, State Measure Proponent or Responsift Officer of Sponsor
Executed on Date By SignahreofConlrokVORcehofder , Candidate, State Measure Proponent
Executed on Data By Sq-t re of Cora dkQ ORceholder. Candidate, Stage Measure Proponent
FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8662753772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page — Part 2
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
DO Yl Od d Vo rP P4
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Cif y C,otj 17C� I Ward. I _ ZO/I
RESIDENTIAL/BUSINESS 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
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
COVER PAGE - PART 2
Page A of / O
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ 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
officeholders) 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
Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
State of California
0
iB
R
Schedule A Type or print in ink. SCHEDULE A
Moneta Contributions Received Amounts may be rounded
ry to whole dollars.
Statement covers period
from JC,tnuaru 1
• ,
SEE INSTRUCTIONS ON REVERSE
through ` Z� Z013
A
Page J of _1
NAME OF FILER
Dona[d Vcr -eeo 4r G (�uv�c,+' 1 U/ar-d I ZOt3
I.D. NUMBER
DATE
DATE RECEIVED
FULL
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMn TEE ALSO ENTER I.O. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
AND EMPLOYER
(IFSELF- EMPLOYED, ENTER NAME
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
OF BUSINESS)
Y'1 C;id C1 [To [
IND
COM
-tS -J3
o°TY
/DO
❑SCC
ae t r► Y /t ' -CA
i
❑jCo
❑PTY
$'Z CIO
❑ scc
'KIND
❑COM
❑OTH
[]SCC
Iced rq T �k r
EICOM
°
v
z -aa -�3
o
[]SCC
P-A t Jia rd ---n d re n a n o
aND
❑COM
❑OTH
t l�
-13
- /
;
❑ SCC
SUBTOTAL$ p� S
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) .................................................................... ...............................
2. Amount received this period — unitemized monetary contributions of less than $100 ...
I Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ..........
135-0.00
$ as 0
IM
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
TOTAL $
FPPC Forth 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole dollars.
� • ,
from
through rN .2,o,2vo
Page / of 16
NAME OF FILER
L n.a Ue -rear -For
I.D. NUMBER
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE.
CONTRIBUTOR
CODE*
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
(IF SELF -EMPLOYED, EWER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
K.re a A . I7� W� t
T❑o
3
H
❑
Zo 0
/
PTY
❑SCC
T�A0 r" as 5fe�Vctrt
❑COM
[]OTH
�
13
25a
❑SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
[]OTH
❑ PTY
[]SCC
❑ IND
[3Com
[]OTH
❑ PTY
❑ SCC
SUBTOTAL$ Lf 5'Q
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)
SCHEDULEB -PART1
Schedule B -Part 1 �' '`
7' "rrrr. err �
Amounts may be rounded
statement covers period
p
Loans Received to whole dollars.
�IL�IUQtrt.i
•
from
r�) B,261
Page
SEE INSTRUCTIONS ON REVERSE
through
of
NAME OF FILER
I.D. NUMBER
17o n a I d Vcre e, -�r Q4y Co un.U' I Wed Z d /3
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
AMOUNT
(el
AMOUNT PAID
OUTSTANDING
BALANCE AT
INTEREST
ORIGINAL
CUMULATIVE
OF LENDER
( IFCOMbgTTEE .ALSOENT'ERI.D.NUNBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
RECEIVED THIS
PERIOD
OR FORGIVEN
THIS PERIOD*
CLOSE OF THIS
PERIOD
PAIR THIS
PERIOD
AMOUNT OF
LOAN
CONTRIBUTIONS
TO DATE
Doylald 1%re,e,1
❑ PAID
E
CALENDAR YEAR
E
J
-2e, -h're (/
E
%
RATE
E
❑ FORGIVEN
PER ELECTION -
E
E
E
s ��i Oy
DATE DUE
t❑ IND ❑ COM ❑ OTH �❑ PTY ❑ SCC
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION'*
RATE
E
E
E
E
E
DATE DUE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
❑ PAID
CALENDARYEAR
PER ELECTION"
❑ FORGIVEN
RATE
s
s
s
s
s
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ $ $ $
Schedule B Summary
1. Loans received this period ................................................................... ...............................
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ............................................................... ...............................
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ................
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another party also must be reported on Schedule A.
" If required.
... $ 1506. OD
.............. I.............. NET $ 1500, 00
(May be a negative number)
(Enter(e)on
S&edLAe E, Line 3)
tContributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
Schedule E Type or print in ink. Statement covers period
Pa Made Amounts may be rounded / 6 '
ym to whole dollars.
from
SEE INSTRUCTIONS ON REVERSE through ' Page of
NAME OF FILER I.D. NUMBER
Donald 1%ereeA --or Ct4-q CovnG ( Ware I 2oI3
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CI VP
campaign paraphemalia /misc.
NW
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
NITG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetaryr
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
UT
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
CA� oP F3o_krsrie ) J
DESCRIPTION OF PAYMENT
C avid l' -dal -e. -�►, I '' ✓J � -12e- -12e- C ,
AMOUNT PAID
425-
" o P 5 ake,-s geld 7'Si91 S mrd-& v� 0 -r- S 4-a� 15-0
' Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................... ...............................
2. Unitemized payments made this period of under $100 ........................................................................................... ...............................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................ ...............................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ..........................
SUBTOTAL$
............ $a�a�. 31
............ $
............ $
TOTAL $ y
FPPC Forth 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
SCHEDULE E (CONT.)
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
Statement covers period J '
Payments Made
to whole dollars.
•
from
co l Ct
Vo--�
O-F—Ac - .f, M& y
-
�d r s s
L,ab e is
�
W
L.6tw rl Ca mpCil jkk 'Signs
2
6�3,a
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
FPPC Form 460 (January/05)
FPPC Toll-Free Nelpline: 866/ASK -FPPC (86612753772)
ON
Schedule E SCHEDULE E (CONT.)
Type or print in ink. g�e�M covers period
(Continuation Sheet) Amounts may be rounded A L iF _ + • '
Payments Made whole dollars. from rr I
through No rI 1 ,2o Zoe 3 Page of ---6=
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
Db viald VPXe e rl 4;r- 6414 Co "Li l 4,lv-cf l 201b
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW
campaign paraphemal'ia /misc.
Mt3R
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
PEr
petition circulating
TEL
t.v. or cable airtime and production costs
RL
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 candidatelsponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
UT
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
n,
0474; P� N x
Fl r-;e)+ .A
e rS
Y P
�1 b 7
�
c-e .1 ` cx )C
.,
f lye✓'s PrI OW
200
Llr-her 10 ProGiutip o' ?15
50Od Co lorpr,'n-�
� � v
Lrner 1b Fro(,%t:.Oh10r13
5006 60 10y- 19rirtt
Igo
1 f
.,
" Payments that are contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866fA3K -FPPC (8661275.3772)
Schedule E SCHEDULE E (CONT.)
Type or print in ink. Statement covers period
(Continuation Sheet) Amounts may be rounded - • , • ,
Payments Made to whole dollars' J r I
from �n ��T
SEE INSTRUCTIONS ON REVERSE through rl '20 Page ! of �=
NAME OF FILER I. D. NUMBER
D0 ►a.d VeV-e-e*-1 -FD r Q-hl 60UnU l�cu -aQ 20 l 3
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW
campaign paraphemalia /misc.
NW
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
1RC
candidate travel, lodging, and meals
FAD
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
campaicn 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
6 Ge /1!L
,
PrI 10.b V0
�
/
`s -P lr in Ved
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772)
Campaign Disclosure Statement
Summary Page
SFF INSTRUCTIONS ON REVERSE
NAME OF FILER
T)() klat
Contributions Received
1. Monetary Contributions .................... ....................... Schedule A, Line 3
2. Loans Received ....................... ............................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4. Nonmonetary Contributions ..... ............................... schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED .................... ...... Add Lines 3 +4
Expenditures Made
6. Payments Made . ............................... ....................... Schedule E Line 4
7. Loans Made .............................. ............................... Schedule H, Line 3
8. SUBTOTAL CASH 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 .... ............................ Add Lines 8 + 9 + 10
Current Cash Statement
Type or print in ink.
Amounts may be rounded
to whole dollars.
U I Ward
Column A
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
$ / 3 2 � 06
�5 oa�od
$ a$75'�ay
$
PAGE
Statement covers period
from Jan�--
through
11 2o1
Column B
CALENDAR YEAR
TOTALTO DATE
$ l3'15', o0
15-00,00
$ 21g 7S I
s ;2,9 ?S
$ 7g( 31 s 272- G,31
s A72 -4,31 s 2-7 to.3/
12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 1 , ; G1 u
15,215-1 13. Cash Receipts .................... ............................... Column A, Line 3 above U
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
15. Cash Payments ................... ............................... Column A, Line 8 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 B, 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
$
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).
Page 6 16 of
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 711 to Date
20. Contributions
'L '7 81 $
Received
s
21. Expenditures
'f
Made
$ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(f Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd /yy)
— t $
I 1 — 1 $
Total to Date
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)