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Home My WebLink AboutGILL RAJ 460 PREELECTIONRecipient Committee Date Stamp COVER PAGE Campaign Statement �' • Cover Page SEE INSTRUCTIONS ON REVERSE 2 OCT — 4 PH 3: 35 Page of Statement covers period Date of election if applicable: ^ r I ` 2y (Month, Day, Year) For Official Use Only from �/ [ l r y ]�f Bf 1L17K"S ILL) �i i lr +11-7� 1t,K through ry 'Govfc J_ Y 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Pail 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) CITY � STATE ZIP CODE AREA CODE/PHONE )/ , MAILING ADDRESS (W DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) ar / NAME OF TREASURER 1 ��/ � MAILING ADDRESS �( CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 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 t. Executed on ! j1— _' —1—` By Date Signature Z;:;:sistant Treasurer Executed on Y� By Date Signature of Contr ling Offic9t6lder, Ca ate, State Measure Probd4ent or Responsible Officer of Sponsor Executed on Date Executed on By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE r'I,-A3 G►, U— OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) Go uts ct� >ql- t, -- 4 7 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? P"j t7 /1 Cr t.\"� ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page z of 6. Primarily Formed Ballot Measure Committee 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 ofFceholder(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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. statement covers periodCALIFORNIA — FORM I 9 q • � from 51 it 2� SEE INSTRUCTIONS ON REVERSE through 2 Z Page -1— of NAME OF FILER I ��/e I.D. NUMBER lum Calendar Year Summary for Candidates Contributions Received THIS TOTALERAioD CALENDAR YEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule s, Line 3 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3� A' 21. Expenditures Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED...............................Add Lines 3+4 $a $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ "Z'A 7. Loans Made....................................................................... Schedule H, Line 3 .044 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ P� 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 A�1A 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 r44 11. TOTAL EXPENDITURES MADE....................................Add Lines 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 8above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ - Q, 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 $ A 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 4'3� / $ To calculate Column B, add amounts in Column A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in 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). FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov gl 91 Schedule A Amounts may be rounded SCHEDULE A LO W110Ie dollars. Monetary Contributions ReceivedCALIFORNIA Statement covers period , from J Zy60 . - SEE INSTRUCTIONS ON REVERSE through Page q of NAME OF FILER y/L � ^ � � � I /v,`'ap_Jl_�dl' �(] I.D. NUMBER DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) �y�l i/2 r!'Q6Y►�7C.��/ r"� �.1 IND ❑ COM`��i � ❑ PTY ❑ SCC ISI N D El c S r a D-lID oI `!�\ El SCC I�cty1}2` El IND ❑❑i, COM �ij�� )• 9Lt `� �• 7 21 Lv F SHE+ m s�n1� bE ' ❑❑ COM l WTH � S3� 1 SCC y1 (-Yy /� ,7 utic`n �7 f - err• INDs''coM /' (2,W $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $�5� `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 (Jan/2016)) advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov FPPC Advice g(, 9/ q� Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period from FPage.Fq through NAME OF FILER � 12 � � n 1 ra _ -7 I.D. NUMBER DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) %n, W4 %Lvf' � ❑IND n �iS S , P � �' 0Scc ' r 00 ❑ IND El COM �} ) (� ElSCC ZGfI� S19p1 L �/1'lSDY1� ❑IND �A714 „ 11 • `.T,�,,� 9 El SCC `�(`rv`P1JI- ' F /)'1 Li Izl�j SI " ❑ IND ❑ El PTY ❑SCC � mG�i► �t�/ h • jv . ❑IND �[ 4� � 4A J ' ❑ PTY scc - -- - - SUBTOTAL $ `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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov :+edule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. SCHEDULE (CONT.) CALIFORNIAfrom A Statement covers period — !!5 FORM • Page through I.D. NUMBER IAME OF FILER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTORCONTRIBUTORCODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) ----- --- - — — — --'✓ f�/' l/ ❑ IND (IF SELF-EMPLOYED, ENTER NAME) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) —J ---- -C i y l ' V ❑ COM BOTH b - [I PTY El SCC )Y vY / GjY•�„`" ��rn 1 ' ❑ IND El COM /-�J "' �S'�•-� 1 d� %7% __ ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY - — - - - — ❑ SCC ❑IND V ❑ COM ❑ OTH ❑ PTY -------- - - --- --- — El SCC ❑ IND ❑ COM ❑ OTH ❑ PTY '--- _�-__------- — SUBTOTAL $ ISM ,Ontributor Codes ID - Individual OM - Recipient Committee (other than PTY or SCC) TH - Other (e.g., business entity) IY - Political Party :C - Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov