HomeMy WebLinkAboutLAKE 461 10/30/15Major Donor and
Independent Expenditure Committee
Campaign Statement
ov
(Gernment ode sechons04200-04216.5)
SEE INSTRUCTIONS ON REVERSE
1. Name and Address of Filer
NAME OF FILER
Diane S. Lake
PAL OR MAILINU AOORE55 .
Md UJIFW erau interests or rner (CanpeNeach Bpplicablesedim.)
® A FILER WHO IS AN INDIVIDUAL MUST LIST THE NAME, ADDRESS, AND BUSINESS INTERESTS
OF EMPLOYER OR, IF SELF - EMPLOYED, THE NAME, ADDRESS, AND NATURE OF THE BUSINESS
NAME OF EMPLOYE"USINESS BUSINESS INTEI
None Homemaker
ADDRESS OF EMPLOYERraUSINESS
❑ A FILER THAT IS ABUSINESS ENTITY MUST DESCRIBE THE BUSINESSACTIVII
ENGAGED
❑ A FILER THAT ISM ASSOCIATION MUST PROVIDEA SPECIFIC DESCRIPTION
❑ AFILER THAT IS NOTAN INDIVIDUAL, BUSINEGS ENTRY, ORASSOCKnON MU
COMMON ECONOMIC INTEREST OF THE GROUP OR ENTITY
❑ Amendment (Explain):
MAJOR DONOR AND
Dale Sbmp
election if applik _ 7 1 1 nil 9: 24
Day, Year)
INDEPENDENT EXPENDITURE
COMMITTEE STATEMENT
a I •
rea 1 m 3
(Amounts may be Mounded! W whole dollars.)
1. Expenditures and Contributions
(including loans) of $100 or more
made this period. (Part 5.) ................. ...............................
$ 33000.00
2. Unhemized expenditures and
Contributions (including loans) under
$100 made this period ....................... ...............................
$ 0.00
3. Total expenditures and Contributions
made this period. (Add Lines 1 + 2.) ................SUBTOTAL
$ 33000.00
4. Total expenditures and Contributions
made from prior statement. (Enter
amount from Line 5 of last statement
filed. If this is the first statement for
the Calendar year, enter zero.) .......... ...............................
$ 17500.00
5. Total expenditures and Contributions
( induding loans) made since
January i of the current calendar year.
(Add Lines 3 + 4.) ......................... ..........................TOTAL
$ 50500.00
verification
I have used all reasonable diligence in preparing this statement. I have
reviewed the statement and to the best of my knowledge the information
contained herein is true and Complete. I Certify under penalty of perjury under
the laws of the State of California that the foregoing is true and correct. _ o
Executed on 10/3012015 By Diane S. Lake X 1'
DATE SIGNANRE OF IIJ INDUALOONOROR
RESPONSIBLE OFFICER, IF OTHER THAN AN INDIVIDUAL
FPPC Form 461 (Memh12011)
FPPC Toll -Free Helpline: IAWASKFPPC (666CiD`"Tr2)
Major Donor and MA" DONORAND INDEPENDIENTEX DITURE
COMMITTEE STATEMENT
Independent Expenditure Committee Amountsmaynbinink. d Statement Covers perl '' / ,
Campaign Statement to whole dollars. from 07/01/2015 •'
through 09/30/2015 page 2 M 3
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Diane S. Lake
5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made
(1 /mom space is needed, use additional copies oT Nis page for Continuation sheets.)
DATE
NAME, STREETADDRESS, CITY. STATE AND ZIP CODE
TYPE OF PAYMENT
DESCRIPTION OF
PAYMENT
CANDIDATE AND OFFICE,
MEASURE AND JURISDICTION,
AMOUNTTHIS
CUMULATIVE AMOUNT
RELATED TO THIS
OF PAYEE
pr OTHER TRIM MONETARY
OR COMMITTEE
PERIOD
CANDIDATE, MEASURE,
(IF COMMTTEE, NbO ENTER I.D. NUN Em
CCNTROUTICNORLOPN)
ORCOMMITI
California Republican Party Team CAL
® MNSAw,
California Republican Party
❑ Loan
0:810163
❑ N MoneMy
Conbibulbn
❑ Imepeneem
E,�eMiM1,n
® Support ❑ Oppose
Kern County Young Republicans PAC
❑ MDnawy
Payment to Liberty
Kern County Young
❑ Loan
for radio ad
ID:801804
® Non- Monamry
Coni bulkn
❑ Intlepmtlem
EipeMdure
® support ❑ Oppose
Kern County Young Republicans PAC
❑ Monamry
Payment to Liberty
Kern County Young
❑ Loan
for radio ad
0: 801804
® Non tionswy
Contribution
❑ Indepentlent
® Support ❑ Dpi'mm
EryMMINTe
California Republican Party Team CAL
® MonaMy
California Republican Party
❑
0:810163
❑ Son-Morway
Contribution
d
❑ IMepene
support Oppose
[]
Bl re
SUBTOTAL f 32000.00
FPPC Form 461 (June109)
FPPC Toll -Free Nelpline: a66IASK -FPPC (8661275 -3772)
/reef
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Major Donor and
Independent Expenditure Committee
Campaign Statement
SEE INSTRUCTIONS ON REVERSE
NAME OF FLER
Diane S. Lake
Type or print In Ink.
Amounts may be rounded
to whole dollam.
Statement coven Paris
from 07/01/2015
through 09130/2015
5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made
(/ /more space is needed, use additional Copies of this page Por continuation sheets.)
Page 3 of 3
DATE
NAME, STREETADDRESS, CRY, STATEAND ZIP CODE
TYPE OF PAYMENT
DESCRIPTIONOF
MYMENT
CANDIDATEAND OFFICE,
MEASUREANDJURISDICTION,
AMOUNTTHIS
CUMULATIVEAMOUNT
RELATED TO THIS
OF PAYEE
(ROTHERTHANMONETARY
ORCOMMITTEE
PERIOD
CANDIDATE, MEASURE.
or CwMiTTEE USO ENTER ID, NVMeexl
DoNmss"TON OR LOAM
ORCOMMITIEE
Kem County Young Republicans PAC
[3 Monenetary
Payment to Liberty
Kem County Young
i] Lon
for radio ad
ID: 801804
® No shay
Conmit non
❑ IntleperMenl
I$i Support ❑ oppose
Expentlimre
Monetary
Contribution
Loan
Non- Monetary
CoMtlbNion
bMepeMem
0 Support ❑ Oppose
Exespart re
Monetary
Contribution
Loan
NIrrWonetary
ConlnWlian
E,gFen MeM
Support ❑ Oppose
Expentltau
Mmwtary
Contribution
Lean
Non- Mnnetery
Cmnbulion
0 Inaepeneem
Support ❑ Oppose
Expentliture
SUBTOTAL f 1000.00-
FPPC Form 461 (June/09)
FPPC Toll -Free Halplina: 866IASK -FPPC (86612753772)
IiNt
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