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HomeMy WebLinkAboutDEAN 460 TERM 09/28/12RecipientCofnmitbee Campaign SUMment Cover Page (Government Code Sections 8442oo434L216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. statem bs erd covers riod Da of dfection if from T 1 tJ + y r (Ma* Dar, Yeao l_ � a 10 can through 7� �� 1. Type of Recipient Committee: AN caaeabes - caepieb Parb 1, 2, s, and e. ❑ Officeholder, Candidate Controlled Committee p Primarily Famed Balat Measure Q State Candidate Election Committee Conmltee Q Recall Q Controled (A W Coeplete PW So Q Sponsored 011- 0- WINOP016) General Purpose Committee )<0 El Primarily Fanned Candidate/ Q Smal CarpribldorCanaruliee Officeholder Conanittee Q Political PartylC.entral Gorrrnittee (Aiso ConWWe Pmt n 3. Committee Inforntation kr—A --- - - - - - - — -- - •- - - -- -- - -- - - -- VV)4* ) k 54 vj rf - , �- C I jj rote -X C- I ( 2a r 0 � - CITY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX OPTIONAL FAX / E-MAIL ADDRESS SEP 28 PM 1= 40 HSfALLD CI i Y C'LEI Paw of For Official Use Orly 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly statement ❑ Semi - annual Statement ❑ Special Odd -Year Report Terminallon Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Farm 495 ❑ Amendment (Explain bed) Tneallkwer(s) NAME OF TREASURER OPTIONAL- FAX / E-MAIL ADDRESS 4. Vedficatkm I have used all reasonable diligence in preparing and reviewing this statement and to the Crest 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 Canaria that the foregoing is true and correct. an — -2-0 BY Executed on a%pmxearrr@wuworAmddwtTmmffer � Executed Oil Dols BY 3WreYeedCanlraarpOeoddda, CaKidre. SmleMsoouiePlaponstarRevoneiDleaeoerd5pareor Executed on Ode BY slp,ehedcarrairvomadiohler.ca klewshftueOeel'roww Executed on Ddb BY 9g-ak, edeardkVO1 %=hatla.CwWWeWSkGWUsaaeePreponst FPPC Fanin 41110 FPPC Te"res Fta10 : JIMASK•FPPC (eiilYl5 -SrM Stab of cdow lia Recipient Committee Type or print in ink. COVER PAGE - PART 2 Campaign Satement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE A4 hP—\I) LJ _0 �A 6. Primarilv Formed Ballot Measure Committee NAME OF BALLOT MEASURE urtK:t b7 OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPU BALLOT NO. OR LETTER W @A -z--j C, e,.-,�N RESIDE Identify the ewftoWwkg NAME OF OFFICEHOLDER. Related Committees I Mcluded M this Statement: List aayoonrrrffeaas not indudlrd in 61ft afatrrnant tint are eanho/ad by you or are pdfn•rfiy farmed to mm" con&Mma ions or matte agrrdMww on taint/ of your eandM cM. COMYIfTTEEN ME r_ y- I�Z� OF TREASURER NTROLLED COMSWTTEE? 0. ' YES [] NO COMMiTTEIR-ADDRESS STREETADDRESS (NO P.O. BOX) CITY SIAIE ZIP CODE AREA CODEIPHONE COMMrrIEENAME —46. NUMBER kft�� EA ��,4qftffi■ • P"e 2_ at JURISDICTION / I El El i/ ❑ [Co or state measure proponwW4 a any. 7. Primarily Formed Candidate/Officeholder Committee List nwnes of of icdrotd s) or candi aWsj for which bNb eo nnrltbs is pdnwr& fanned U l y 1 SIPM ZIP CODE AREA CODEIPHONE Attach coed sodon dealt N necessary FPPC Fona IM (JanveryAi) FPPC Tall -Frew Halpirta: ss1MA3K4FPPC (iKf27ii772) Slob or cdownis Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FlLER Contributions Received Type or print In Ink Amounts may be rounded to whole dollars. Column A T01ALT sPEraoD (F�ATTACHED SCHEDULES) 1. Monetary Contributions ............ ............................... sc adore A tine 3 $ $ 2. Loans Received ....................... ............................... Schedule a, Lime 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Addtirres 1 +2 $ $ 4. Nonmonetary Contributions ..... ............................... Schedr* C. Lk* 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add L& m 3 + 4 $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E Lire 4 $ 7. Loans Made .............................. ............................... schedule H, line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add ores s + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... schedule F tine 3 10. Nonmonetary Adjustment ........... ............................... schedule C, tine 3 11. TOTAL EXPENDITURES MADE . ............................... Add times a + 9 + 10 $ Current Cash Statement 12. Beginning Cash Balance ....................... Rewoussurrmary Paw, cure 16 $ 13. Cash Receipts .................... ............................... Cormm A tine 3 above 14. Miscellaneous Increases to Cash ........................... Schedule /, tine 4 15. Cash Payments ................... ............................... Comm A one s above 16. ENDNG CASH BALANCE .......... Add tires 12 + 13 + 14, Brea aftad tine 15 $ H this is a term*xWon statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule A Pan 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See:rsirucsom on reverse $ 19. Outstanding Debts ......................... Ador tine 2 + tine 9 in come~► a above $ a a Statement covers period - f-,( `7 I SUMMARYPAGE • from S� e �D 3 %/-7 tugh = o �° of I . N UMBER 3 -1-74 2. �► Coffin B Calendar Year Summary for Candidates ro� `� Running in Both the State Primary and General Elections 1/1 through &W 7/1 to Date 20. Contributions -�-0 Recenred $ $ 21 � �$ S To calculate Column B, add amounts in Cdurm A to the Col. 88p01 Kill Q, amotr>f- from Cdurm B;;, your last report Same amotr>ls in Cakrnn A may be negative figures that should be subtracted from previous period amourt<s. if this is the first report being fied for this cakindar year, only cant' over the amounts from Lines 2, 7, and 9 (d any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" tK8Wkt•rea%%k•+•y9zP-�—LAN" Date of Election Tohal >n Date (ffmVddfyy) Affix n s in this section may be different from amounts reported in Calumn B. FPPC Form 460 (Jam ary105) FPPC Toll -Fmse HeIpIMe. SWASK4931PC (e66t275 -3772) Schedtde A Toe or print In bnL SCHEMI F A Mone�Fdry Contributions Received MUMUF R MEY W FUUn O staan«,nt oo period to VAN" aouans. from —5* f ✓� �:r _ SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER ;44 j� ) I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RC IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED QFOaMWrrElE,AMENTERI.o.NLMeER) OCCUPATION AM EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF4MLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑Pry ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑cbm ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑0TH ❑Pry ❑SCC SUBTOTAL $ 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 ............................. $ I Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 'Con butor Codes IND— Inclwbdual COM — Reapier>t Cormrttee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — PdWKW Party SCC- Srrmll Cor kax"Cornrratee FPPC Form NS (Jwwwy=) FPPC Tos -Free Hdp&= Si UM-FPPC (>11SWVS M Schedule A (Continuation Sheet) TyIn ap**;rb& SCHEDULEA (COW.) Monetary Contributions Received Awe imW be nwided amb m t -- pe flod to whole dollars. r through � 17 Pape of NAME OF FILER V%4 16 ) I.D_ NUMBER 7 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMDUNT CUMULATIVETO DATE PER ELECTION RECEIVED (IF COMMITTE ALSO ENTER I.D.NUr�) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE OFSaS43VLOYED.EN NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑OTH ❑ P'TY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM [10TH ❑ PTY ❑SCC SUBTOTAL$ 'Contributor Codes IND— Individual COM — Recoent Cornrnittee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Smal ContribulorCommittee FPPC Form 460 (JmuwjAW FPPC Toll -Free !•hipline: SWASK-FPPC (0NW5 -3772) SCHEDULE 8 - PAFZT I tic eouie ts — Part 7 -itu _• may b ••• •un Amounts may be rounded .Statement coVK's Od Psrl Loans Received to whole dollars. from -A�_( , — SEE INSTRUCTIONS ON REVERSE through page _jo or NAME OF FILER I.D. NUKIBER ) 3zZ(2 -� FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER OUTSTANDING AMOIJT ItIT�f ORIGINAL CUlilli_ATNE OF LENDER OCCUPATION AND E 1PLOYER R BALANCE RECEIVED THIS AiAOlJ11TPY11D eALANCEAT PAID THIS AMDUNTOF C C>rlTR16UT10N.q OF COWATTEE, ALSO ENTER I.D. NLI BER) BUSINESS) � THIS PERIOD TM� PERIOD CLOSE OF THIS PERIOD LOAN TO DATE p PAID CALENOARYEAR s s x s S PERBzanaN� ❑ FORGIVEN RATE to IND ❑ COIM ❑ OTH C] PTY ❑ ScC i i s i DATE INCURRED i DATE DUE ❑ PAID CALENDARYEAR s s x s s PERELEanoN" ❑ FORGIVEN RATE to IND ❑ coa ❑ OTH ❑ PTY ❑ scc i s $ S i DATE DUE DATE INCURRED ❑ PAID CALENnARYEAR s s x i s ❑ FORGIVEN RATE PERS -ECTm— t❑ IND ❑ COIM p OTH [I MY ❑ SCC i s i s i DATE DUE DATE INCURRED SUBTOTALS — -5 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 $ Enter the net here and on the Summary Page, Column A, Line 2. �"" 6ea1eiiibar' 'Amourrts forgiven or paid by another party also must be reported on Schedule A. — If regLdmd I=wIs►an SdwduW E. Une3) tCanifrlT KAor Codes IND— Individual COIN —Reapk tCwwnWbe (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Pokkw Pally SCC —Small ContrbxiorCornnlittee FPPC Form 160 (Jam wyM) FPPC To"ree Helpline: WWASK -FPPC (ai6CV 37M) S !I-WM IN F Q_ PART 1 %BUN IWUUIC Ill — raUL A type or pnm W MIL Amounts may be rounded Loan Guaranfiors to whole dollars. $tatenleflt coYers period from % SEE INSTRUCTIONS ON REVERSE through Pap! —7— of J-L_ NAME OF FILER I.D. NUMBER 132 z 27 FULL NAME, STREETADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALJINCE ZIP CODE OF GUARANTOR (IF COMMITTEE. ALSO ENTER IA. NUMBER) R CODE OCCUPATION AND EMPLOYER (IF SELF 354DYED. ENTER NAMMEMBUSINESM LOAN GUARANTEED THIS PERIOD CUMULATIVE TO DATE OUTSTANDING TO DATE ❑ IND LENDER CALENDAR YEAR ❑COM DATE ❑ OTH ❑ PTY PER ELECTION (IF REQUIRED) [ISM i ❑IND LENDER CALENDARYEAR ❑COM s ❑ OTH ❑ PTY PER ELECTION (IF REOLNRED) DATE ❑SCC i ❑IND LENDER CALENDARYEAR ❑COM i []0TH PER ELECTION (IF REQUIRED) ❑ PTY DUE ❑SCC i ❑IND LENDER CAARYEAR ❑COM i ❑ 0-m ❑ PTY PER ELECTION (IF REWIRED) �� ❑SM i SUBTOTALS f FMC F«m MW ( ) FPPC Toll-Em HNptlne: NWAM -FWC (a V f"rM Schedule C Type or pdd in WL cty -N=n u r= r Nonrnone�ary Contributions Received "" to 81 • rt covams n• 1 tom . ftlughq -no SEE INSfRuc SON REVERSE NAME OF FILER I.D. NUMBER 1 -27 Zz 1 z-7 DATE ZIP CODE CONTRIBUTOR CONTRIBUTOR � AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAR ARIET CUMULATIVE To DATE ELECTION �j O DA RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OF SELF-EMPLOYED, ENTER WkME OF BUSINESS) GOODS OR SERVICES VAL11E CALENDAR YEAR (JAN 1- DEC 31) (IF REQUIRED) ❑ND ❑COM ❑OTH ❑ PTY ❑SCC ❑w ❑COM ❑OTH ❑PTY ❑SCC ❑M ❑COM ❑OTH ❑PTY pSCC ❑IND ❑CON+ [10TH ❑PTY ❑SCC 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 ..... ............................... $ Patty 3. Total nonmonetary contributions received this period. SCC —Smal contnbutorconxr ; tlee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ FPPC Form 4W (Jmwwy/05) FPPC ToN -Free l W ftm 8WAW4VPC P5V"5,TrM - C«mibutor Codes IND— Individual COM — Recipient Cammitlee (other Vw PTY or SCC) OTH — Other (e -%, business entity) PTY Poiti —d Schedule D «. _•_ Summary of Expendlaues Type or print in ink Statement covers period ,,,,//��,,,,��,,,,���p Amounts may be rounded S ngK)p using O1@r dollars. _ to whole from Candidates, Measures and Commid ees 0 !i7l SEE INSTRUCTIONS ON REVERSE through NAME OF FlLER I /' A /� DATE NAIVE OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS YEAAR� ELEC �To nATEON MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQURED) PERIOD (JAN.1 -DEC. 81) OF REQUIRED) ORC0MLffrrEE 0 Monetary C IrtnbU60n ❑ Nay ConbitpAon ❑ Independent ❑ Support ❑ Oppose ExperKkUrO ❑ Monetary Cortt1bution Nonatonetary C Intri )thin ❑ Independent ❑ Support ❑ Oppose dare ❑ Monetary CordritItIlion Nonnionetary Conbibubon ❑ Independent ❑ Swport ❑ OIL bpenditure 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 $ FPPC Fog m411110(Jmmwy=) FPPC Toll-Free help" -- 8WASK4FPPC P5WV54VM (Ciontinuafion Sheet) Type or print to hwr. Summary of Expenditures Amoarrts menu be rorwra.a fm m Supportingl'Opposing Other Candidates, Measures and Committees NAME OF FILER DESCRIPTION (IF REQUIRED) Staament rooms period hot 1 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, ORS TYPE OF PAYMENT _L _J—L_ 13 Limmtery I-�z z7 Contribution CUMULATIVE TO DATE PER ELECTION ❑ Nonmonetary CALENDAR YEAR 1 TO DATE ❑ Independent ❑ Support ❑ oppose OFREQINRED) Experxiture ❑ Monte Cortrbibon ❑ Nwwrwnetoy Coriftullon ❑ lndependerrt ❑ support ❑ oppose Bpericiture ❑ Mormtery Cor*bjbm ❑ Norimmetary CoWtution ❑ Independent ❑ support ❑ oppose Bpericiture ❑ Monte Contrixillon ❑ Nornormtery CorArbubon ❑ Indeper,der,t ❑ Support ❑ oppose ExperKIWre DESCRIPTION (IF REQUIRED) Staament rooms period hot 1 Page 0 ! of through _L _J—L_ I.D. NUMBER I-�z z7 CUMULATIVE TO DATE PER ELECTION AMOUNTTHIS CALENDAR YEAR 1 TO DATE PERIOD (JAN.1 -DEC. 31) OFREQINRED) SUBTOTAL $ FPPC Form 4W (Ja UNWYM) FPPC Tbl Free t Mtp&w 8WAW -FPPC (SWV&37M Schedule E Type or print in ink. statement covers period Pa Made Amounts rounded rs. from SEE INSTRUCTIONS ON REVERSE through Page �� of _L NAME of FILER I.D. NUMBER I ?,-Z� 2 7 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemaliahnisc. AER membercommunicattonw RAD redo airtime and production costs CNS campaign con>suitants NITG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign wakes' salaries CVC civic donations PET petition circulating TEL tv or cable airtime and production costs FIL candidate fifrglballot fees PFD phone banks TIC candidate travel, lodging, and meals FPD fundraising events POL polling and survey research TRS staf lspouse travel, lodging, and meats ND independent expenditcae others (explain)' PM postage, deivery and messenger services TSF trartirfer between oorrlrniloees of the same candidaes /sponsor LEG legal defense PRO professional services (legal. accounting) VOT voter registration LIT campaign literature and maiings PRT print ads VV® inlbimation technology cosffi (internet, e4ma7) NAME AND ADDRESS OF PAYEE OFaSUrrEE. ALSO WE I.D.NUMBEM CODE OR DESCRIPTION OF PAYMENT AAAOUNTPAD 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.) ............................................................................... ............................... $ 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 $ FPPC Form 460 (JmnuwyiW) FPPC Tob*N& FNlpline: 8WASK4FPPC (SE6W 37M Schedule E Type or prkk to ink. SCHEDULE E (COW.) Sfaarrr.rrt covws p«iod (Continuation Sheet) ArnowftmyberowWW Payments Made SEE WASTRUCTIONS ON REVEPZE e"011�' `� P w x2 of — NAME OF RL.ER I.D. MUK13ER -3Z,-Z, 1 z7 CODES: If one of the following codes accurately describes the payment, You may enter the code. Otherwise, describe the payment. CLIP campaign paraphernaliahnisc. MER membercomm nicafions RAD raJw airtime and production costs CNIS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain non monetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv or cable airtime and production costs FIL carKkhde fiingfballot fees PHD phone banks TRC candidate travel, lodging, and meals RO fundraising events POL polling and survey reseanch TRS stafNspouse travel, lodging, and meals iND independent expenditure supportingiommm others (exptwr PM 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 PRT print ads VYEB information tekflnology costs (iinternet, e -mail) NAIL AND ADDRESS OF PAYEE ( CODE OR DESCRPTION OF PAYMENT I AMOUNT PAID OF COMMITTEE, ALSO ENTER I.D. NLOADER) * Payami is OW an contrillutlons or bmkperAW* expendNuns roost also be su imerb sd on Schsdrrfe D. SUBTOTAL $ FPPC Form 4W ) FPPC TON -Free "NIPfale: NNWASK*PPC (Il6E V&37M Schedule F Accred Expenses (Unpaid Bills) Type or print in ink /►mounts gory be rarndad to vrtwle doNars. Stafbantsrlt covers hum J) ftVugh� J SCHEDULEF paps . of 17 NAME OF FLER ID.NUMBER CODES: If one of the following codes aocuratiely describes the payment, you may enter the code. Otherwise, describe the payment CIuP campaign paraphernalwimisc, fit membercommunications RAD radio airtime and prodrx*m 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 FET petition drarfating TEL tv or cable airtime and production costs Fk candidate fiinglbalbt fees PhD phone barite TRC candidate travel, bilging, and meals FND fundraising events POL poling and survey research TRS staf ispouse travel, bilging, and meals I D irdependent experdbre suPP 9foPP 9 others (exmainr PM postage, delivery and messenger services TSF transfer between committees of the same candidste/spor>sor LEG legal defense PM professional services (legal, accounting) VOT voter registration Lrr campaign ilerature and mailings PRr print ads VVEB inforrnetion technology oasts (inb "T'K a -mail) NAME AND ADDRESS OF CREDITOR (W COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (IN AMOUNT INCURRED THIS PERIOD Isl AMOUNT PAS THIS PERIOD (AM REST ON O Id) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD * Payments 6M am eabWuDaw or' esp.rmgbxus rant also M SUBTOTALS; -- — ; ; ; srranrsrissd oe SaUt+dds 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.) ............. ............................... INCURRED TOTALS $ 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.) ................................................................. ............................... ............................ PAID TOTALS $ Si ................ ............................... NET $ TM—W-6e a FPPC Fomr 4S (.tmuerY=) FPPC ToY -Free Fia%ft r 8WASK4WPC PWZF& M Schedule F Type or print in rnic SCHEDULE F (COW-) Anrormis may ba roundW St t covers period (Continuation Sheet) to wholedollam f Accrued Expenses (Unpaid Bills) �°"'� V~ — Page ofd If NAIVE OF FILER T -� 2,Zi CODES: If one of the following codes accurately describes the payment, you may enter the code_ Otherwise, describe the payment CMP campaign paraphernalialmisc. MBt members ications RAD radw airtime and production costs CPS conpaign conumants MTG meetings and appearances RFD retuned contnbutions GTB contribution (explain nonrnonetaryr OFC office expenses SAL campaign workers' salaries CVC civic donations FET petition circulating TEL t.v or cable airtime and production costs FRL candidate fitinglballot fees FFD phone banks TRC cwKkk to travel, WVng, and made FND fundraising events POL poYkmg and survey research TRS stafdspouse travel, kmdgM and meals I D independent expernfibre others (explain)* POS postage delivery and messrenlW services TSF transfer between committees or tha same cwWMaWsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign it w*= and mailings PRr print ads VIA infon7mlim Wdvwk gy coats (irdertmK e-mail) * Payrrrsrrts that are aontrWufhmm or tndepsrrdsrrt emcperrdihrrss must also be mamni rt red on Schedule M NAME AND ADDRESS OF CREDFM (W COMaarrsE, ALSO ENTM I.D. r MW-R) CODE OR DESCRIPTION OF PAYMENT ANDING OUTSTANDING I BALANCEBEG&401G OF THIS PERIOD AMOUNT INCURRED THIS PERIOD a AMOUNT PAID THIS PERIOD (ALSO REPOHr ON E) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS S —(V $ ---&L— S FPPC Form MO (JammrlryM) FPPC Toll -Froe MNpRne: $WASK-FPPC (BSGW637M Schedule G Type or prkk In ink. SGFiEDUI.E c� Payments Made by an Agent or Independent Anhourlsmayberouhdsd �aterrher�coversperlod Contractor (on Behalf of This Committee) tD1M11O1edomem horn through Page or-17 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBH2 VA 4 i0-4 j Cry 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. Qyp carnpaign parsomnalwimisc. N6R member communications PAD ratio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned corrtnbutions CTB contribution (explain nonmonetary)• OFC Office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL tv. Or cable airtime and production costs Fit- CBndldatB flelglballOt fees PFD phone baulks TRC cerh kkft travel, lodging, and meals F D fundrg181ng events PCX. polling and survey research TRS stalUspouse travel, lodgin and meals ND indwendent expenditure supporbngiopposing others (explahnp PM postage, delivery and messenger services TSF transfer between committees of the same candidatafsponsor LEG UT legal defense PTA cwmpaW Marat re and mailargs PRT professional services (legal, accounting) print ads VM VYM voter matron information technology costs (tnWnK e-mail) ' Payrnerds that are contrMotions or independent expends tuna must also be sonmartasd on Schedule D. NAME Ate ADDRESS OF PAYEE OR CRImn -OR I CODE OR DESCRIPTION OF PAYMENT , AMOUNT PAID OF COhMMr7EE. ALSO ENTER I.D. NUMBER) t Attach additional information on appropriately labeled continuation sheets. Do not transfer to any odw sdmdule or to the Summary Page. This tole! may not equal the amould Paid to the agent or independent contractor as reported on Schedule E. TOTAL' $ FPPC Form 4W (.lanuaryM) FPPC TON -Free Hdpline: RIBA /ASK -FPPC (Sfd271-VM FPPC Fonn 4W (JanuwyM6) FPPC TaMfree HaNpline:SWAM-FPPC (s,WW53TM1 SCFEDULE H Schedule H 'ye or p* t In h` stihOwit Cove ""iO`' A Loans Made to Others' dollom through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FlLFl2 I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL' ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT REPAYMENT OR OUTSTANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) PF BEGINNING THIS LOANED THIS PERIOD FTM CLOSE OF THIS RECEIVED AMOUNTOF LOAN LOANS TO 131TE NAME OF & PAID CALENDAR YEAR s s % $ i ❑ FORGIVEN PER ELECTIOM' F49E s s s s $ DATE DUE DATE INCURRED PAID CALENDAR YEAR PERELECrION' 0 FORGIVEN FINE i i i i i DATE DUE DATE INCURRED "Loans that we coWlIndli m to anadw candidate or corrarlMINN must also be srrrmrarized on Schedule D. Loans forgiven must $— $ _ $� also be nVorted on Schedule E. SUBTOTALS $ Mrft Man Schedule 1. Line 3) Schedule H Summary 146-- 1. Loans made this period ... ................................................................................................................ ............................... .,. ff Required (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on bans ............................................................................................................ ............................... $ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................... ............................... NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) QWW FPPC Fonn 4W (JanuwyM6) FPPC TaMfree HaNpline:SWAM-FPPC (s,WW53TM1 Schedule 1 ROW171 N-F I Miscellaneous Increases to Cash Amey%It mW be rounfta mWhaedowm. SEE INSTRUCTIONS ON REVERSE StatmetcowmPerw dwouo Pnww or NAME OF FILER I.D. NUMBER 3 zZ z? DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE OF COM MEE. ALSO ER I.D. FIBER) ENT DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional Wbimation on anwWwWy labobd continuation sheets. SUBTOTAL $ Schedule 1 Summary le_ 1. Itemized increases to cash this period ......................................................................................... ............................... $ 2. Unitemized increases to cash of under $100 this period .............................................................. ............................... $ -�dr 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 SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $ FPPC Form 4W (J=%NwY R FPPC Toll me Helms: SWASK -FPPC (806/275.377?) Print Page 1 of 1 From: Roberta Gafford ( To: • Date: Fri, September 14, 2012 12:06:46 PM 12 SEP 28 PM • & BAKER5F i-ELD CI 1 y CNA!ct: Campaign Form 460 and Form 410 Marvin, Since you were inquiring about terminating your committee, the next campaign statement filing is due October 51h* It will cover any campaign activity for the period July 1 to September 30. Should you want to termination your current committee, this would probably be a good time to do so if you are going to get clear any debt and have a zero balance in your account. Link to the 460 - Campaign Statement Form: http: //www.fppc.ca.goy /forms /rev2012O8 /460.pdf Link to the Form 410 - Committee Termination Form: http : / /www.fppc.ca.gov /forms /rev2012O8 /410.pdf Roberta Gafford, CIVIC City Clerk City of Bakersfield 1600 Truxtun Avenue Bakersfield, CA 93301 (661) 326 -3074 FAX(661)32373780 The City Clerk is the local official who administers democratic processes such as elections, access to city records, and all legislative actions ensuring transparency to the public. The City Clerk acts as a compliance officer for federal, state, and local statutes including the Political Reform Act, the Brown Act, and the Public Records Act. The City Clerk manages public inquiries and relationships and provides support services for the City Council. 4_p a �,,j Vv-,_� -2 - 9) 2,0 �T i� C �E/� C_ , f 1�