HomeMy WebLinkAboutCOUCH SEMIANN11(1)Recipient Commitbee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink Dave Stamp
S nt overs period Date of election if applicable:
! / D (Month, Day, Year) 1 AUG - ! PM 3: 16
from
through FcL „ f y ~;I_ER
1. Type of Recipient Committee: As conrnieaaa - Compb% Pafb % 2.3. and 4.
Officeholder, Candidate Controlled Committee ❑ Primarlly Former! Ballot Measure
O State Candidate Election Committee C011111 Oee
O Recall O Controlled
(AhoCaeiprerePair*
O Sportsofed
❑ General Purpose Committee f ~
Q Sponsored ❑ Primarly Formed Candidate/
O Smaq CWWA t0r Comarlifeee Officeholder Committee
O PotitiCal Party/CenbW ComndtIee (AboCwWh tePaif n
3. Committee Inforn oWn
N
~/¢Y!D COGIG/5~ fdiQ eI Tr 1,'04W41,L ZOIO
I.D. NUMBER
1-;,7- 7 YI S
AREA
OPTIONAL- FAX I E-MAIL ADDRESS
I Type of Statement:
Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain belovi)
Pape -z of
For Official Use Onty
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Tmouf+ef(s)
NAME OF TREASURER
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEWHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Vedfication
I have used all amble ditmX~e in pi epo k artd rewfewing thin statement and to the best of rry krmwledge the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjiay Under the 11M of the State Of CdIbII is that ffte forego.. is true and cored.
Executed an -7/31 0/ By
DUD
Executed on zX; BY
Executed on Deb
Executed on
Dam 0rCwW0Wy0a0ehdds.C-K6dM MaoreProponerK FPPC Foes 480 (Jwmrylaa)
FPPC TbIWrwe llelp&w 9MASK-FPPC (666076-3772)
state of CaHfomfa
dCmtm&oOaxhddx.Caddit mrbaarePtopatient
RedpientCommOm Type or print in Ink. CONERPAGE-PART2
Campa[M Statement '
Cover Page - Part 2
pap of 5-
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
'P,#ylz> e OL e-#
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBERJPMPPUU~BLE)
_GlTY z aver, "/,v
E ,QSf~
RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
/
Related Comm-ho , s Not Included in this Statement: use my Cpnmitrl'es
not Ind~ N this sta[anrant that am caeboltad by you or are pri mangy fanned to receive
conkgwBons or mafre expand6~as on baMN of your cam ffdroy.
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
E
Identity the controlling officeholder, candidate, or stab measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed CandidateJOfficehoider Committee ust names of
ofBcebakiw(s) or wrcff&Ws) far afiJdl this committee is primarily farmed
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 (JsnuwYM)'
FPPC Toll-Free Helpane: NWASK-FPPC (a 5rArg37M
State of Califomia
aign Disclosure Statement
Cam
Type or print in Ink
SUMMARY PAGE
p
Summw page
Amounts may be rounded
to whole dollars.
Statement co em period
from
3G l
SEE INSTRUCTIONS ON REVERSE
through
page at
NAME OF FILER
I.D. NUMBER
1~ Y!p ~or.~ ~1
/3z 7 y/ ~
Contributions Received
Column A
nma TMSPSOM
Cohunn B
Calendar Year Summary for Candidates
tFn MACHMsr.►eoul:si
cAUWWYW
MTV LMDKM
Running in Both the State Primary and
General Elections
1. Monetary Contributions
111 through 5/30 7/1 to Date
2 Loans Received Sehedtde a tine 3
3. SUBTOTAL CASH CONTRIBUTIONS Add ones 1 + 2
.
$ $
20. Contributions -0-
Received $ $
4. Nonmonetary Contributions
sdrodids C, t6re 3
1
21. Expenditures
-10
;
5. TOTAL CONTRIBUTIONS RECEIVED Add Unes 3 + 4
$ $
-
$ 1
Made
$
Expenditures Made
6. Payments Made
Sd edrde & one 4
$
7. Loans Made
sd ed & H, tine 3
l 7D 3 .
8. SUBTOTAL CASH PAYMENTS
Add Lbres e + 7
$
9. Accrued Expenses (Unpaid Bills)
Sdradure F Line 3
10. Nonmoneta ustment
Sdadde a Une 3
7~ 3
~
11. TOTAL EXPENDITURES MADE
Add trues e + a + 10
$
.
•
$
$
Current Cash Statement Aey~
12. Cash Balance Previous SummsryPam, tine 16 $ l 703^ .
13. Beginning Recellpts . Cohmin A, Une 3 above v
14. Miscellaneous Increases to Cash SdredW& 1, Une 4 _g-
/703
15. Cash Payments CohrmnA,Lino eabove `i
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, eras subtract Lbre 15 $
if N* 13 a termbliion sfatemetlt Line 16 must be zero
17. LOAN GUARANTEES RECEIVED Sd►sdrde B. Part 2 $
Cash Equivalents and Outstanding Debts
18. Casts Equivalents See bbtructiorrs on reverse $
19. Outstanding Debts Add tine 2 + Una D in Colman B above $
To calculate Coherrrn 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
tarry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(Rateke wv*kmwyExp-cm-unm
Date of Election
(mmlddtyy)
_ I $
Total to Date
I- I $
*Amounts in this section may be different from amounts
reported In Column B.
FPPC Form 460 (Januery/05)
FPPC Toll-Free Helpline: a66/ASK-FPPC (866WS-3772)
Schad(4e E Type or print in Ink. Statement covers period
Amounts may be rounded .
Paymerds Made to whole dollars. from 1 / f
SEE INSTRUCTIONS ON REVERSE through 3a O!~ of
NAME OF FILER I.D. NUMBER
'DAYI-P eol'(cvt !31.7yl-
CODES: ff one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign pamphertldls"isc.
NM
ma nto conwwrticallons
PAD
radio airtime and production costs
CNS
care psign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonrnonstaryr
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FL
candidate ffinglballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
RD
fundraising everts
POL
poking and survey research
TRS
staff/spouse travel, lodging, and meals
IND
Endepandent expenditure
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
Liu
campaign Berature and nualli s
PRT
print ads
WEB
information technology costs (intemet, e-mai)
NAME AND ADDRESS OF PAYEE
PFOOMMMELADOeNTIMUL DOOM CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
' ~sS f /L
" Payments that ant conMbutlaw or indepandent expenditures must also be summarized on Schedule D. SUBTO'TAL$ ~525) r
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 ,1 703 s
$ . ,
FPPC Form 460 (Jan ary/06)
FPPC TOO-Free Heiplftw. NWASK-FPPC (8661=417M)
SCHEDULE E (CONT.)
Schedule E Type or print In Ink Statement covers period
(Continuation Sheet) A urft nWle dObe rounded Payments trade from ! go
through Page : or
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D. NUMBER
CODES: ff one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
MID
campaign pomp! ernsllahntac.
MM
member communications
PAD
radio airtime and production costs
MTG
meetings and appearances
PFD
returned contributions
'
CTB
aorlRrIbution (explain nonmonetary)'
OFC
PET
office expenses
petition circulating
SAL
TEL
salaries
campaign workers
t.v. or cable airtime and production costs
CVC
FIL
dvic donations
candidate 1Bnglballot tees
banks s
h
TRC
TRS
candidate travel, lodging, and meals
and meals
lodging
stalNspouse travel
IND
Independent events
suppargnglopposirg others (explain)'
POI.
F'OS
urvey researc
polling
postage delivery and messenger services
TSF
,
.
transfer between committees of the same candidate/sponsor
LEG
legal dellense
PRO
professional services (legal, accounting)
VOT
VUEB
voter registration
Information teohnokgy costs (Internet e-mail)
UT
campaign ptetadxe and rrt 111111 a
PRT
print ads
NAME AND ADDRESS OF PAYEE I CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID
aeEq
• ~ coraarrEE.asoerrtecc t.a rat
~~
/
i~~
'00~7- 3~ _
~Dl
' Paymtatrts tMR me conuIbudons or uKhn ndsrrt oxponditures must abo be summartxed on Schedule D. SUBTOTAL $
FPNC Form 460 (JanuoryMM
FPPC Toll-Free Helptine: SWASK-FPPC (668/276-3772)