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HomeMy WebLinkAboutDEAN PREELECT10(2) $ : m �p. li .. < OOO O4 1 !III 114 ii I 04 1 1 1 ill 8 S 3 m vcfi I 1 A �' Q WI 0 6 5 11 .1.1 g m o m T ca m° 3. 1 N XI m _ 'P..; 4 ill f ,0 73 NI El 1 o la: a m 3 y 11 3 41 a' m m go m s o o i e i z 3 _ , m © m -q a a • , X. '✓ r 7 H .. • N x VP 1m O n 3 f C D —1 pI ili n o p -i D m�` Recp Comm0w Type or print In Ink. COVER PAGE- PART 2 Camper SWftmeW • 1 Cover Page - Part 2 Page a of V 5. Officeholder or Candidate Controlled Committee u+Mt OF UFFICEHOLDER OR CANDIDATE -vr -Fl 9 vn ncLU kIMULUM LULAIIUN AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER &A- RESIDENTIALIBUSINESS CA- D^Z Identify the controlling l NAME OF OFFICEHOLDER, 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE _ Related Committees Not Included in this Statement: ust any committees not kwhm fed in Oft strMment that are cmdmftd by you or are primarily formed to receive cankauftna or make ehrpen twws on b~ of yow candWacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER STREETADDRESS (NO P. YES ❑ NO COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS S EETADDRESS (NO P.O. BOX) OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee ust names of ofliceholdWs) or candid#Ws) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICES HT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR C DIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER R CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary JURISDICTION ❑ SUPPORT ❑ OPPOSE candidate, or state measure proponent, if any. PROPONENT FPPC For.. 160 (January105) FPPC Toll-Free Heine: 86WASK-FPPC (86612753772) state of California Campaign Disclosure Statement summary Paw SEE INSTRUCTIONS ON REVERSE NAME OF ILER J-, / ` V Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period `t'. a f from through 1 6r olyi D Page of I.D. NUMBER a~,1/111C~C) 1 l u I7~ as a~-- Contributions Received ColumnA Column B Calendar Year Summary for Candidates TOTALTM PERIOD CALENDAR YEAR (FROMATTACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and 1. Monetary Contributions A090. 0 General Elections Schedule A. Line 3 $ $ 2. Loans Received scnedub e. Lure 3 50o-o.Jo 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add lines 1 +2 $ ~o 55D • 00 $ 20. Contributions 4. Nonmonetary Contributions schedule c. Line 3 50. 00 Received $ $ 5. TOTAL CONTRIBUTIONS RECEIVED Add Li - 0/~ (0(000 0 21• Expenditures nes 3 14 lJ $ $ Made $ $ 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 Sdmdure C, Line 3 11. TOTAL EXPENDITURES MADE Add ones s + 9 + 10 $ $ $ air $ Current Cash Statement 12. Beginning Cash Balance Previous sumnrery Page. Line 16 $ 13. Cash Receipts Colurrot A. Line 3 above (D,G SCE • ~U 14. Miscellaneous Increases to Cash schedule 1, Line 4 15. Cash Payments Colurmt A, Line 8 above -411 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ Cl If this is a t m*mflon statement; Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED schedule t3. Part 2 $ -Emmons Cash Equivalents and Outstanding Debts 18. Cash Equivalents see instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line gin Colurmr B above $ 22. Cumulative Expenditures Made' (W Subi-t to VolunMry E>grenW um Limit) Date of Election (mm/dd/yy) Total to Date -_j-J $ $ To calculate Column B, add amounts in Column A to the corresponding amounts 'Amounts in this section may be different from amounts from Column B of your last reported in Column B. 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 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Expenditure Limit Summary for State Candidates Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period from through Page of ` MPWC yr rILrK o C I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMMITTEE. ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE CODE * OF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 'vILLrv rKIND ~~l I ~ ❑COM F1 PTY ❑SCc ~c~1r C f1~~ o ! F" ❑PTY ❑ scc ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ CoM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 150 00 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 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) $ loc q 'J`0000 ma ont utor ommlttee TOTAL; ~050 -00 FPPC Form 460 (January/06) FPPC Toil-Free Helpline: 666/ASK-FPPC (8661275-3772) 'Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party scc -s ma c rib c Schedule B - Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. rwmwc Vr rILtK SCHEDULE B - PART 1 Statement covers period e from 3,010 through `.}o p of ' r (D I.D. NUMBER IJ 1L v v u r~ r -(i FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OF LENDER OCCUPATION AND EMPLOYER OF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) t+® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ pTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ pTY ❑ SCC I OUTSTANDIN G BALANCE Ibl AMOUNT AMOUNTPAID OUTS ANDING BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN ' BALANCEAT CLOSE OF THIS PERIOD THIS PERIOD PERIOD ❑ PAID S : ❑ FORGIVEN S s T~/i f S DATE DUE s Is $Is sLWOTALs $ 4500.cos $ s 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 bans paid by a third party that are also itemized on Schedule A.) I 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 (Enter (e) on Schedule E, Line 3) $ 4500, 0-c---) $ -e)~' NET $ 415 Co. Co (May be a negarrve number) ❑ PAID s s ❑ FORGIVEN s _ INTEREST ORIGINAL CUMULATIVE PAID THIS AMOUNTOF CONTRIBUTIONS PERIOD LOAN TO DATE CALENDAR YEAR % $ E RATE I i PER ELECTION'' S DATE INCURRED CALENDARYEAR RATE PER ELECTION'" DATE DUE I $ I DATE INCURRED I S ❑ PAID CALENDAR YEAR s s % $ $ ❑ FORGIVEN RATE PER ELECTION S DATE DUE : DATE INCURRED 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 (8661276-3772) Schedule B - Part 2 Loan Guarantors SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from I ~ '-o 1 D through a-t i to 1 ar i pagg ['-84t wa" c uo c k'v2c ~0 I ~ o SCHEDULE S - PART 2 ~ of -LS-' I.D. NUMBER 1 tea. ~ a~" FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OFSEf-EMPLOYED,ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS) ❑IND LENDER CALENDARYEAR ❑ COM $ ❑ OTH DATE PER ELECTION ❑ PTY (IF REQUIRED) ❑ SCC S ❑ IND LENDER CALENDAR YEAR ❑ COM s ❑ OTH PER ELECTION DATE (IF REQUIRED) El PTY ❑ SCC $ CALENDARYEAR ❑ IND LENDER ❑ COM $ PER ELECTION ❑ OTH (IF REQUIRED) ❑ PTY ❑ SCC ❑ IND LENDER CALENDAR YEAR ❑ COM $ ❑ OTH PER ELECTION (IF REQUIRED) F-1 PTY ❑ SCC $ Erft on SUBTOTAL $ SuTM^~ Li~re'17 aflyt FPPC Fond 460 (January/06) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-4772) Schedule C Type or print in ink. crNl`ni u r: r 'rt covers period eCe1V to whole dollars. st° rr _ from ~to at)ID . h 1 ~ alc)l o SEE INSTRUCTIONS O th r:4- l roug N REVERSE Page of NAME OF FILER S4 VV%YA 0- Ct)u ac i L 1 LD.NUMBER l ~aa DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * CODE WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 -DEC 31) TO DATE IF REQUIRED) ( []IND []COM [10TH ❑PTY [1SCC ❑m ❑am ❑OTH ❑PTY [1SCC ❑m ❑CM ❑OTH [-lPTY ❑SCC ❑m [1COM [:1OTH ❑PTY [1SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 I Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) $ $ 5®.©© TOTAL $ 50° 0 C) '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/06) FPPC Toll-Free Helpline: 4166/ASK-FPPC (6661276.3772) Schedule D Summary of Expenditures Type or print in ink. SuppOlrI IWOpposing Ottw Amounts may rounded to whole dollars. Car~didaies, Measures and CommMmm SEE INSTRUCTIONS ON RFVFRSF LEK Statement covers period from T through D y page of 15 I.D. NUMBER D + W u N I V L► I L' ~ ► I -V-t..,j L i~T v W A. L--1 u W tUT Ct I r-)o l U l '3 as lcr) -f DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNTTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.I.DEC.31) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Inde endent p ❑ Support ❑ oppose Expenditure ❑ Monetary Contribution ❑ Nonrnonetary Contrbifion ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 2. Unitemized contributions and independent expenditures made this period of under $100 $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL ; lez FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 666/ASK-FPPC (8661275-3772) Schedule D (Continuation Sheet) Type or print in Ink. SCI4FnlA F n /CANTI of Figp III im, ■ nmounrs My de rounded Sunwim" ^ ~ Statement covers period to whole dollars ~ Sup~p-- I FOpposl • , Candidates, Measures and Committees , J h l ti / o-ol-b th page of roug NAME OF FILER I.D. NUMBER ~cw ~~a~r~ ow-ti @ eq U I , C) I.D ~ -3 aa-I a~- NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE ORCOMMITTEE PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetery Contribution ❑ Inde endent p ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonrnonetary Contribution Inde endent p ❑ ❑ Support ❑ Oppose Expenditure SUBTOTAL S FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (86612754772) Schedule E SCHED It Type or print In ink. Statement covers period Ds77..de Amounts may be rounded ' to whole dollars. 0C4 from rd~ j~ SEE INSTRUCTIONS ON REVERSE through a©t) page 1 ` " of NAME OF FILER r v ~ v, l ?aa a~ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CWI CNS campaign paraptimnalialfmisc' campaign tents MBR member communications RAD radio airtime and production costs M xintribution (explain ^0 ryy MT1G OFC meetings and appearances office expenses RFD returned contributions ' CVC FL c ivic donations candidate fNinglballot fees PET petition circulating SAL TEL campaign workers salaries t.v. or cable airtime and production costs FN fundraising events PHD phone banks TRC candidate travel, lodging, and meats IND independent expenditure supporting/opposing others (explain)' POL POS polling and survey research postage delivery and messenger services TRS TSF staff/spouse travel, lodging, and meals t f b LEG LIT legal defense PRD , professional services (legal, accounting) VOT rans er etween committees of the same candidate/sponsor voter registration campaign and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (W COMWrTEE, ALSO ENTER I.D. NUMBER) 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.) $ $ $ .......................TOTALS aS FPPC Form 460 (January105) FPPC Toll-Free Helpline: 86WASK-FPPC (666/275-3772) " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E SCHEDULE E (CONT.) . (Continuation Sheet) Type or print In Ink Amounts may be rounded Statement covers period • 1 Payments Made to whole dollars. a~ l from through W ~t LL L J/ SEE INSTRUCTIONS ON REVERSE pap _ of NAM OF IFILER v I.D. NUMBER CODES: N one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP cwnpwp Paraptrernawnisc. CNS cam ai n K M N6R member c:orrxnunicaWrIS RAD radio airtime and production costs p g OOr1iu 8rl ~ cm*bLOw ( nmmonetary)• MTG OFC meetings and appearances office expenses RFD returned contributions SAL campaign workers' salaries cm donations ~ cart ..W W fiinglbaNot fees PET PHD petition circulating phone banks TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals FN ~ events supporting/opposing others (explain)' POL POS poling and survey research postage, delivery and messenger TRS staff/spouse travel, lodging, and meals services TSF transfer between committees of the same candidate/sponsor LEG LE legal dekinse campaign literature and mallings PR professional services (legal, accounting) VOT voter registration Print ads VVEB information technology costs (intemet, a-mail) NAME AND ADDRESI^ OF PAYEE (IF COMMnTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID " Psynrants OW we contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toil-Free Helpiine: $MASK-FPPC (1366/275-3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from + Q through r• SCHEDULE F Page 10 of 1 NAME OF FILER ' 1 ^ ~ / Mo-rv L A ;~T )S4- t /Vc~ ~ L v i 4D 1 I.D. NUMBER CODES: K one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CQIP campaign peraplia., Is/misc. kW member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain rwnrnonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FL candidate tilinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafNspouse travel, lodging, and meals IND 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 voter registration LIT canValgn literature and meeings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF CREDITOR OF COMaaTTEE. ALSO ENTER I.D. NLWBER) CODE OR DESCRIPTION OF PAYMENT (OUTSTANDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNT IN NCURRED THIS PERIOD (e) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Paynaols that are eonlribulions or independent expenditum must also be SUBTOTALS $ $ $ $ suminerl oed on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) INCURRED TOTALS $ - PAID TOTALS $ NET $ May be a negabw member FPPC Form 460 (January/05) FPPC Toil-Free Helpline: 8661ASK-FPPC (8661275-3772) Sctteclt" G Type or print in Ink SCHEDULE G Payments Marie by an Agent or Independent Amounts may be rounded statement covers period Contractor (on Behalf of This Committee) to whole dollars. from , 1 • i SEE INSTRUCTIONS ON REVERSE through pop of NAME OF FILER 't) I.D. NUMBER jAct ~~fvtn D-eo,-n 4-r- IS-4. VNFdurd ) ~3 a -,3o Q--~ NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OUP campaign paraphernaNa/misc. MBR 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 FiL candidate ftNngballot fees PFIO 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 VVEB information technology costs (intemet, e-mail) " Psynants that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID OF COMMITTEE. ALSO ENTER I.D. NUMBER) Attach additional information on apprupriately labeled continuation sheets. TOTAL* $ Do not trarmdbr to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Sdmdule E. FPPC For.. 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) SCHEDULE H Schedule H Type or print in ink Statement covers period Loans Made to Others* Am to ~ oars. from C)c l , o' • h o-4 1 l C) th e ` j of Pa SEE INSTRUCTIONS ON REVERSE roug g NAME OF FILER an -cr V-_-_44 v~a)CcA e t_j win i 1 -0)-C)) n D-e I.D. NUMBER 1 3a la _ FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (C) REPAYMENT OR OUTSTANDING BALANCE AT IN INTEREST m ORIGINAL (9) CUMULATIVE LOANS OF RECIPIENT OF COMMRTEE ALSO ENTER LID. NUMBER) OF SELF-EMPLOYED, BUSINESS) ENTER NAME of eusn+ESS) BEGINNING THIS PERIOD LOANED THIS PERIOD FORGIVENESS * THIS PERIOD* CLOSE OF THIS PERIOD RI D RECEIVED AMOUNT OF LOAN TO DATE PAID CALENDAR YEAR S $ % $ $ E] FORGIVEN WE PER ELECTION"" S S S S S DATE DUE DATE INCURRED PAID CALENDAR YEAR $ % s $ s FORGIVEN RATE PER ELECTION- S S S S S DATE DUE DATE INCURRED *Loans that an eontribrdlorw to anodwr candidate or committee must dso be su mwrized on Schedule D. Loans forgiven must SUBTOTALS $ i $ i also be rspabd on Schedule E k=- .1. Schedule I, Line 3) Schedule H Summary 1. Loans made this period (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) (Enter the net here and on the Summary Page, Column A, Line 7.) $ *'If Required $ W + (Mry a native number) FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-F1PPC (8661275.3772) SCHEDULEI wrwUUM 1 IYPB yr Anna an ore. % Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE statement c!7~7) from D through ~oi0 • , Page of NAME OF FILER 1 + L o Tor- 1 J+ V'Ya 1,CA a~~-] Oc) Lt r C~ I C) I T.) I.D. NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period $ 2. Unitemized increases to cash of under $100 this period $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) TOTAL $ FPPC Form 460 (January/06) FPPC Toil-Free Helpline: 8661ASK-FPPC (8661275-3772)