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Home My WebLink AboutVEREEN PREELECT13(1) 04/22/13Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election K applicable: ' _ (Month, Day, Year) from throughAp i 2 0 2ot3 J une. q/ 2013 1. Type of Recipient Committee: All Committees — Complete Paris 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored Q Small Contributor Committee 0 Political Party /Central Committee r r Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I I.O. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF TbIn GJJ Ver'e_e,vi TDr cOu-KG l Wa,r d ( 2-o) 3 STREET ADDRESS (NO P.O. BOX) AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE Date Scamp 13 APR 25 PM 1: ix 2. Type of Statement: Preelection Statement Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page __L_ of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 NAME OF TREASURER D oy -o +-h,e Teak F van3 MAILING ADDRESS 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 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 Ct. Executed on "� �— a471 2-, - -4 -.1 j ) Date of Treasurer orAssistant Treasurer Executed on �— ota 3 B Date Signature ofCordro" CGoeholder. Candidate, State Measure Proponent or Responsift Officer of Sponsor Executed on Date By SignahreofConlrokVORcehofder , Candidate, State Measure Proponent Executed on Data By Sq-t re of Cora dkQ ORceholder. Candidate, Stage Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 8661ASK -FPPC (8662753772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE DO Yl Od d Vo rP P4 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Cif y C,otj 17C� I Ward. I _ ZO/I RESIDENTIAL/BUSINESS 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 TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee COVER PAGE - PART 2 Page A of / O NAME OF BALLOT MEASURE BALLOT NO. OR LETTER 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 officeholders) or candidate(s) for which this committee is Primarily formed. 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 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California 0 iB R Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded ry to whole dollars. Statement covers period from JC,tnuaru 1 • , SEE INSTRUCTIONS ON REVERSE through ` Z� Z013 A Page J of _1 NAME OF FILER Dona[d Vcr -eeo 4r G (�uv�c,+' 1 U/ar-d I ZOt3 I.D. NUMBER DATE DATE RECEIVED FULL FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMn TEE ALSO ENTER I.O. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER AND EMPLOYER (IFSELF- EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 31) PER ELECTION TO DATE (IF REQUIRED) OF BUSINESS) Y'1 C;id C1 [To [ IND COM -tS -J3 o°TY /DO ❑SCC ae t r► Y /t ' -CA i ❑jCo ❑PTY $'Z CIO ❑ scc 'KIND ❑COM ❑OTH []SCC Iced rq T �k r EICOM ° v z -aa -�3 o []SCC P-A t Jia rd ---n d re n a n o aND ❑COM ❑OTH t l� -13 - / ; ❑ SCC SUBTOTAL$ p� S 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.) .......... 135-0.00 $ as 0 IM '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 TOTAL $ FPPC Forth 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. � • , from through rN .2,o,2vo Page / of 16 NAME OF FILER L n.a Ue -rear -For I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. CONTRIBUTOR CODE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF -EMPLOYED, EWER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) K.re a A . I7� W� t T❑o 3 H ❑ Zo 0 / PTY ❑SCC T�A0 r" as 5fe�Vctrt ❑COM []OTH � 13 25a ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM []OTH ❑ PTY []SCC ❑ IND [3Com []OTH ❑ PTY ❑ SCC SUBTOTAL$ Lf 5'Q *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 -Free Helpline: 866/ASK -FPPC (8661275 -3772) SCHEDULEB -PART1 Schedule B -Part 1 �' '` 7' "rrrr. err � Amounts may be rounded statement covers period p Loans Received to whole dollars. �IL�IUQtrt.i • from r�) B,261 Page SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D. NUMBER 17o n a I d Vcre e, -�r Q4y Co un.U' I Wed Z d /3 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (el AMOUNT PAID OUTSTANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE OF LENDER ( IFCOMbgTTEE .ALSOENT'ERI.D.NUNBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD* CLOSE OF THIS PERIOD PAIR THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE Doylald 1%re,e,1 ❑ PAID E CALENDAR YEAR E J -2e, -h're (/ E % RATE E ❑ FORGIVEN PER ELECTION - E E E s ��i Oy DATE DUE t❑ IND ❑ COM ❑ OTH �❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION'* RATE E E E E E DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDARYEAR PER ELECTION" ❑ FORGIVEN RATE s s s s s DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ 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.) ................ 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. ... $ 1506. OD .............. I.............. NET $ 1500, 00 (May be a negative number) (Enter(e)on S&edLAe E, Line 3) 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 (8661275 -3772) Schedule E Type or print in ink. Statement covers period Pa Made Amounts may be rounded / 6 ' ym to whole dollars. from SEE INSTRUCTIONS ON REVERSE through ' Page of NAME OF FILER I.D. NUMBER Donald 1%ereeA --or Ct4-q CovnG ( Ware I 2oI3 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CI VP campaign paraphemalia /misc. NW member communications RAD radio airtime and production costs CNS campaign consultants NITG 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 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 WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR CA� oP F3o_krsrie ) J DESCRIPTION OF PAYMENT C avid l' -dal -e. -�►, I '' ✓J � -12e- -12e- C , AMOUNT PAID 425- " o P 5 ake,-s geld 7'Si91 S mrd-& v� 0 -r- S 4-a� 15-0 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................... ............................... 2. Unitemized payments made this period of under $100 ........................................................................................... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................ ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .......................... SUBTOTAL$ ............ $a�a�. 31 ............ $ ............ $ TOTAL $ y FPPC Forth 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period J ' Payments Made to whole dollars. • from co l Ct Vo--� O-F—Ac - .f, M& y - �d r s s L,ab e is � W L.6tw rl Ca mpCil jkk 'Signs 2 6�3,a " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll-Free Nelpline: 866/ASK -FPPC (86612753772) ON Schedule E SCHEDULE E (CONT.) Type or print in ink. g�e�M covers period (Continuation Sheet) Amounts may be rounded A L iF _ + • ' Payments Made whole dollars. from rr I through No rI 1 ,2o Zoe 3 Page of ---6= SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Db viald VPXe e rl 4;r- 6414 Co "Li l 4,lv-cf l 201b CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemal'ia /misc. Mt3R 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 RL 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 supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor 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 (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID n, 0474; P� N x Fl r-;e)+ .A e rS Y P �1 b 7 � c-e .1 ` cx )C ., f lye✓'s PrI OW 200 Llr-her 10 ProGiutip o' ?15 50Od Co lorpr,'n-� � � v Lrner 1b Fro(,%t:.Oh10r13 5006 60 10y- 19rirtt Igo 1 f ., " Payments that are contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866fA3K -FPPC (8661275.3772) Schedule E SCHEDULE E (CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded - • , • , Payments Made to whole dollars' J r I from �n ��T SEE INSTRUCTIONS ON REVERSE through rl '20 Page ! of �= NAME OF FILER I. D. NUMBER D0 ►a.d VeV-e-e*-1 -FD r Q-hl 60UnU l�cu -aQ 20 l 3 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 MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' 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 1RC candidate travel, lodging, and meals FAD 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 LIT campaicn literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 6 Ge /1!L , PrI 10.b V0 � / `s -P lr in Ved * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772) Campaign Disclosure Statement Summary Page SFF INSTRUCTIONS ON REVERSE NAME OF FILER T)() klat Contributions Received 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 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 Type or print in ink. Amounts may be rounded to whole dollars. U I Ward Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) $ / 3 2 � 06 �5 oa�od $ a$75'�ay $ PAGE Statement covers period from Jan�-- through 11 2o1 Column B CALENDAR YEAR TOTALTO DATE $ l3'15', o0 15-00,00 $ 21g 7S I s ;2,9 ?S $ 7g( 31 s 272- G,31 s A72 -4,31 s 2-7 to.3/ 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ 1 , ; G1 u 15,215-1 13. Cash Receipts .................... ............................... Column A, Line 3 above U 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 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 $ 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 6 16 of I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions 'L '7 81 $ Received s 21. Expenditures 'f Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (f Subject to Voluntary Expenditure Limit) Date of Election (mm/dd /yy) — t $ I 1 — 1 $ 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: 8661ASK -FPPC (8661275 -3772)