HomeMy WebLinkAboutVEREEN SEMIANN13(1)Recipient Committee
. Campaign Statement
Cdver Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period Date of election H applicable:
�- , , (Month, Day a j (!
A
from 1 V� I yT J
through V 30 208 A K
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF
"Don(>[d Vexe" -6-
❑ Primarily Formed Candidate/
Officeholder Committee
(Also C —Ptete Part 7)
I.D. NUMBER
) COMMITTEE)
Ct Gun6I Oard 1 2013
STREET ADDRESS (NO P.O. BOX)
UAn lNr. ADDRESS /lF DIFFER T) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
2. Type of Statement:
Date Stamp
PN3:13
! 1 T I- l_LF,Cl
❑ Preelection Statement
Semi - annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page of y
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
I�orcrl-ha �eav� E ya. vtS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
i-
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 of my owledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the taws of the State of California that the foregoing is true a d cared. . n __ /\ le�_ 1
FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772)
State of California
Executed on
"""
Date
By
orAssistant Treasurer
Executed on
r�
2 l zo J -s
Date
By
ure of t—ww tg offi . Candidate. Slate Measure Proponent or Resports�le O� of Sponsor
Executed on
By
Sgnatre of ContraAing OlFcetgWer, Candxtate, Stale Measure Proponent
on*
Executed on
!fie
By
SignatureofControlkv Officetrofder, Candxinte. StateMeaMe Proponent
FPPC Form 480 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772)
State of California
a
A Type or print in ink. SCHEDULE A,
Wa aVMM.�
Amounts may be rounded
Monetary Contributions Received to whole dollars.
Statement covers period
. i
from
through ju,ie 30126 i3 Page a`- of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER u re 2c 3 LD. NUMBER
�y\'0ad Ct
DATE
DATE
NAME, STREET ADDRESS AND ZP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE. ALSOI.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN.1 -DEC. 31)
(IF REQUIRED)
OF BUSINESS)
Nedra i. Lehr
RIND
[3COM
J- 16-,&1
-
o TY
oa
[]SCC
I komaS I T(An Son
S)ND
[3Com
.3 /� ZO13
[]SCC
[J IND
[3Com
❑ OTH
❑ PTY
[3 SCC
[3 IND
❑COM
❑ OTH
❑ PTY
❑ SCC
MIND
[3Com
[:] OTH
[] PTY
[3 SCC
SUBTOTAL$ cy-)
Schedule A Summary
1. Amount received this period — itemized monetary contributions. '06
(Include all Schedule A subtotals.) ......................................................................... ............................... $
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.) ................
................ $
TOTALS (5-50. 00
'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 -Fns Helpline: 8561ASK -FPPC (8661275 -3772)
SCHEDULEB -PART1
Schedule B — Part 1
rype or pnnc in mw.
Amounts may be rounded
Statement covers period
, ,
Loans Received
to whole dollars.
fromL —' L—_
•
Un - M 2013
Page
of
ON REVERSE
through
SEE INSTRUCTIONS
I.D. NUMBER
NAME OF FILER
Vereen
r
G Cunt I C�lurd I 10 3
FULL NAME, STREET ADDRESS AND 21P CODE
. (O jN
IF AN INDIVIDUAL ENTER OUTSTANDING AMT
OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS
()
AMOUNT PAID
OUTSTANDING
DING INTEREST
BALANCEAT PAID THIS
ORIGINAL
AMOUNT OF
CUMULATIVE
CONTRIBUTIONS
OF LENDER
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED. ENTER BEGINNING THIS
NAMEOFBUSINESS) PERIOD PERIOD
OR FORGIVEN
THIS PERIOD*
CLOSE OF THIS PERIOD
PERIOD
LOAN
TO DATE
CALENDAR YEAR
❑ PAID
❑ FORGIVEN
RATE
PER ELECTION"`
WOO—
S
$�
DATE INCURRED
S S— 3
DATE DUE
t❑ [NO ❑ COM ❑ OTH ❑ PTY
❑ SCC
❑ PAID
CALENDARYEAR
i
$
E
❑ FORGIVEN
PER ELECTION
RATE
$
S
$
$
S
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY
❑ SCC
❑ PAID
CALENDAR YEAR
$
s
$
s
❑ FORGIVEN
PER ELECTION"
RATE
$
a
s
PATE DUE
a
DATE INCURRED
s
to IND ❑ COM ❑ OTH ❑ PTY
❑ SCC
SUBTOTALS $
$
$ $
(Enner(e)on
Sd*dtde E. Lire 3)
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.) ................................ ............................... NET $
(May be a negative number)
Enter the net here and on the Summary Page, Column A, Line 2.
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
'Amounts forgiven or paid by another party also must be reported on Schedule A.
FPPC Form 460 (January/OS)
'• If required. i FPPC Toll -Free Helpline: 8661ASK -FPPC (86W275 -3TT2)
SCHEDULE E (CONT.)
Schedule E Type or print in ink. Statement covers
(Continuation Sheet) Amounts may be rounded � period
m from whole dollars.
Payments Made ' } `1
throughvuh Q 301 page 4_ of.
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
Donald Veree i --0r G+4 Cn.Lnca I I,)ard I 201 ;5
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise,
describe the payment.
CMP
campaign paraphemalia/misc.
NM
member communications
RAD
RFD
radio airtime and production costs
returned contributions
CNS
campaign consultants
MTG
OFC
meetings and appearances
office expenses
SAL
campaign workers' salaries
CTB
contribution (explain nonmonetary)'
PET
petition circulating
TEL
t.v. or cable airtime and production costs
CVC
civic donations
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIL
candidate filing/ballot fees
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
FND
NOD
fundraising events
independent expenditure supportinglopposing 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
WEB
voter registration
information technology costs (intemet, e-mail)
LIT
campaign literature and mailings
PRT
print ads
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
UMM,14e_�
C-� CQU. i L
A l 1
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
FJ,r-c -()n �i`cJ�fi Ceiebf"?�l��n oo
-fir 5taf� /vv lu �feer-s 35
3 I Lo cc n re-Pa y rr\ent
' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ //// 3 1
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275.3772)
Campaign Disclosure Statement
Summary Page
SEE INSI KUL, I IVRO vI.
NAME OF FILER
-Tln In /,t l d VPm'a'
Contributions Received
--For
Type or print in ink.
Amounts may be rounded
to whole dollars.
CCU V1G 1 bjark- l 2013
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
F TnTAL CONTRIBUTIONS RECEIVED •• .... ..........••••.•....•AddLines3 +4
Column A
TOTAL THIS PERIOD
(FROMATTACHED SCHEDULES)
$J Jed, UQ
$
$� D, Ud
Expenditures Made �j
.,,... Schedule E, Line 4 $
6. Payments Made .................. ............................... j
Schedule H, Line 3
7. Loans Made .............................. ............................... � 3
Add Lines 6 + 7 $ r r �_—!
8. SUBTOTALCASH PAYMENTS ..........................
9. Accrued Expenses (Unpaid Bills) .............................. Schedule F. Line 3
10. Nonmonetary Adjustment ..........................................
......... ...............................
Schedule c, Line 3
11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + s + 10 $ l I r 1
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 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 8, Part 2 $
Cash Equivalents and Outstanding Debts C�
18. Cash Equivalents ......... ............................... see instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line s in column B above $
Statement covers covers period
from /�
through _11& aaa O' k) ?
Column B
CALENDAR YEAR
TOTALTODATE
$ �Qt od
$ C2 Z5-0100
$ 2:25D-, OU
$ 4/670q,&2
$ 102
$
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 3— of 5
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
ill through 6/30 7/1 to Date
20, Contributions
Received $ $
21. Expenditures $
Made $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(if Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm /ddlyy)
$
*Amounts in this section may be different from amounts
reported in Column B.
FpPC Form 460 (January/05)
FPPC Toll -Free Heipune: 8661ASK -FPPC (8661275 -3772)