HomeMy WebLinkAboutHANSON SEMIANN13(2)ipient Committee
Camps' n Statement
Cover iili
(Govenlment Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Sta ment covers period Date of election if applicable:
from�u �`TI )i3O 1 ZJ (Month, Day, Year)
through 1 �C p�013 f1•.
1. of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
I older, Candidate Controlled Committee
Tn(xState
❑ Primarily Formed Ballot Measure
Candidate Election Committee
Committee
Q Recall
Q Controlled
(Also Complete Part 5)
O Sponsored
❑ General Purpose Committee
(A1so Cornpfere Part 6)
O Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
O Political PartylCentral Committee
(Also Comptete Part 7)
3. Committee Information
I.D. M S I D C
4.
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
�mov�" V���S "r,
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL. FAX / E -MAIL ADDRESS
Date Stamp
f r .- I!� s. a, i '-
7
r
2. Type of Statement:
❑ Preelection Statement
9 Semi - annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurers)
COVER PAGE
Page A- of kP
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
NAME OF TREAS RER
l ay, �asf, j
MAILING ADDRESS
PHONE
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
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 correct. r /
Executed on ► z 3t e 3 y
B �'L 1. t / 1 " h'�' �•
Date Signature of TresstrerorAssistant Treasurer
Executed on Date By Signature cf C *okV Oftehokler, Candidate. §WARAeasure Proponent or Responsible Ofter of Sponsor
Executed on
Dee
By
Signature Of controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date SignaMe of ControY'ing ORroehdder. Candidate, Stale Measure Proponent
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
qi� oti� � So
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
�t €x lt tv- �k�' '5
RESIDENTIAL/B (NESS 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 TREA URER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS 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
COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX)
Page
6. Primarily Formed Ballot Measure Committee
COVER PAGE - PART 2
of
NAME OF LOT MEASURE
v1
BALLOT NO. RLETTER 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
officeholder(s) or candidates) for which this committee is primarily formed
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFI EHOLDER 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 COUE/PHONE Attach continuation sheets if necessary
FPPC Fonn 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275-3772)
State of California
Campaign Disclosure Statement
Summary Page
0
SEE INSTRUCTIONS ON REVERSE
Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement covers period
to whole dollars.
from '1,1i n '1 �l ��..� d.� � J
through�8 ` A 9 1 Page _ of
NAM OF FILER p .1 ,
���1oh� Y.EWIE
Contributions Received
1. Monetary Contributions ............ ............................... Schedule A, line 3
2. Loans Received ....................... ............................... Schedule e, 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
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16
13. Cash Receipts .................... ............................... Column A, Line 3above
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.
Column A Column B
TOTALTHIS PERIOD CALENDAR YEAR
(FROMATTACHED SCHEDULES) TOTAL TO DATE
$
$
$ ' �o q+
$ �RSo
$
$ �'TI
R �+
10 4 '� a
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 $
$
$ j
$ ►�
$ 1 o q►�_
$
t
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).
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made`
(M subiect to voluntary Expenditure Limit)
Date of Election
(mm /dd /yy)
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: 86WASK -FPPC (8661275 -3772)
Schedule D
.....
Summary of Expenditures Type or print in ink.
Statement covers period
Supporting/Opposing ON1er Amounts may be rounded
to whole dollars.
from �+'`t` t lc t
1
Candidates, Measures and Committees
`�• 1 ° t
SEE INSTRUCTIONS ON REVERSE
through
Page Of
N OF FILER
I.D. NUMBER
� 6 C A
�ka' \
` /� as r 40
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNTTHIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN.1 -DEC- 31)
(IF REQUIRED)
ORCOMMITTEE
n
r-\.1.j Vo A-
Monetary
}�
'fl
v c
Contribution
❑ Nonmonetary
QOO
I
o
+
Contribution
❑ Independent
Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ om w
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .......................... ............................... $ o '
2. Unitemized Contributions and independent expenditures made this period of under $100 ...................................................... ............................... $ 6040
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ 0 U 0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8WASK -FPPC (866!275 -3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
1 �
from
through t 3t� �0,3 Page of
NAME OF FILER I.D. NUMBER
1_� �� b��, 44�"A U, A ULi49L'1I '�Ah,'b 'Z ',i` A 4, w- 0. A \ * \_ \_., N�. i I
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphemalia /misc.
WEIR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
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
FAD
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IAD
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
PRr
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
C� s A 0 o o-
I
\
`des r, k � % C t.
tc", `'�o4+►tr wcnf<w �As�.
�
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ t + "
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. ....... TOTAL I$ �O S
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (86612753772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
Type in inIL
SCHEDULE E (CONT.)
Amounts
or print
may be rounded
statenernco�►ers POd ,
(Continu�Ition Sheet)
•
Payments Made
to "''' °'e d ° "a's
fron, o i 3
through \ e, Z,, 1 a Page � L
SEE INSTRUCTIONS ON REVERSE
of
NAME OF FILER
4 04 U -� 6 \1I) i�, Q,'\'�
r�p
c *\- vEv��
I.D. NUMBER
%aj � o
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
WG
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
F1L 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 supportingiopposing 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
COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
rt(IF
b/f,�.�Z�( �a�l a7Qto�iA�
' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ A � j p a -
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)