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HomeMy WebLinkAboutCAMPBELL PREELECT13(1) 04/25/13tecipientCtommittee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE COVER PAGE Type or print in ink. Date Stamp 4 I 4 Statement covers period Date of election if applicable: Page of — from f 1 3 / % P /3 (Month, Day, Year) 3 APR 25 , -1 2: 3g For Official Use Only through 1. Type of Recipient Committee: An Commitres - camper Pares e, 2, 3, and 4. 2. of Statement: XOfficeholder, Candidate Controlled Committee p Primarily Formed Ballot Measure Preelection Statement K ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Yea Report Q Recall Q Controlled (Also Complete Part 5) O Sponsored ❑ Termination Statemerlt (Also file a Form 410 Termination) ❑ Supplemental Preelection Statement - Attach Form 495 ❑ General Purpose Committee (Also complete Part 6) ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political PartyrAntral Committee (Al- complete Part n 3. Committee Information I.D. NUMBER Trewu"S) EE/ E CANDIDATES NiAn M E IF NO � COMMITTEE) Nl AMA/Mw E (OR 1 EE //���V7 NAME /LFT MV ° �CCOt/MM�My�IITT/ / ` �Fr-T;REASURER NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX / E -MAIL ADDRESS 4. Verification / I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informabon tined 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 foregoi Executed on -7 1A 6- ) �� BY I� Dab sonalreo�FTjreas�uer Treasurer Executed on By C If Dale ofCan lofrgOlGoehddwCanddale.Stele Wasure Proponent orRes7iarrsitile Officer ofSponsor Executed on Date By Signh"oICaraaFngO icelwMW Caiadam,staleMeast"Propment Executed on Dale BY SignalreofCmIllyd 0 1111wholda .Cariadate.SfaleMeamaePropment FPPC Form 460 (JanuwVM6) FPPC Toll -Free HNPp w: $MASK-FPPC (6661276.3772) Star of CalNbrnis Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in ink. 5. Officeholder or Candidate Controlled Committee NALf,OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHTOR HELD (INCLUDE LOCATION AND D TRICT NUMBER IF APPLICABLE) � ` CiOUNO-I'l WAkd l RESIDENTIA CITY STATE Related Committees Not Included in this Statement: Listanyoormrses not Included in this sbMmsnt that are conboNed by you or are p imadly formed to receire conWbudons or make expaafifitres on bebaN of yaw carmUdaey. COMMITTEE NAME I.D. NUMBER zlior/Aee lJ �� (� NAMEE,OF TREASU ,G COMMITTEE? L/ / !/ YES ❑ NO COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page of BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or stabs measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Lj& names of o1lFeel►older(s) or candildeWs) for whk h this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE -... ur -- Attach condnuahon sheet$ # necessary FPPC Form 460 (Jemory/86) FPPC ToWFm H "ne: SMASK+FPPC (1166/276.3772) Stale or California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER 6. Payments Made ........................ ............................... sdtedure E, Line 4 $ 7. Loans Made. ............................................................ sdmdt* H, Line 3 Aor Contributions Received Add Lines 6 + 7 $ o Column A TOTALTHS PERIOD scnedure F Line 3 10. Nonmonetary Adjustment ........... ............................... (FROMATTACHEDSCHEDIAES) 1. Monetary Contributions ............ ............................... sdredure A, Line 3 $ 6400- 2. Loans Received ....................... ............................... Schedule s, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 // L $ cP �T C o 4. Nonmonetary Contributions ..... ............................... smedure C, Line 3 !!2�r12 n 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 3 7 D 0 Expenditures Made 6. Payments Made ........................ ............................... sdtedure E, Line 4 $ 7. Loans Made. ............................................................ sdmdt* H, Line 3 Aor 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ o 9. Accrued Expenses (Unpaid Bills) ............................... scnedure F Line 3 10. Nonmonetary Adjustment ........... ............................... sdredule C, Line 3 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + s + 10 $ Current Cash Statement _ 12. Beginning Cash Balance ....................... aevious smynary, Paw, tine 16 $ (Di 13. Cash Receipts .................... ............................... CoannA, Line 3above : 14. Miscellaneous Increases to Cash ........................... sd►edute /, Line 4 iDOa .�t�5 L' f 15. Cash Payments ................... ............................... Column A, tines above 0a- 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, (hen subirad Line 15 $ o �i ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... sd►edab e, part 2 $ o Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on revem $ o 19. Outstanding Debts ......................... Add Line 2 + Line s in Coiwm a above $ Statement covers period from througho Column B CALEMAR YEAR TOTALTODATE $ to Voo $ j Foo $ J��f✓' $ o0 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 an amts from Lines 2, 7, and 9 (if any). SUMMARY PAGE Page of I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' pf eubjeattoveY.dury Espendarwe rump Date of Election Total to Date (nmVddlyy) I $ I 1 1 $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schledulle A Type or print in ink. SCHEDULE A MOrtefd C0�1111bUtiOf1S Received Amounts may oe rounaea ry to whole dollars. Statement covers period ` / from ' SEE INSTRUCTIONS ON REVERSE through 4 1 Page Of NAMW FILER ii l� L--C� f � � /C�f/• id / // v� � Cam-/ I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TODATE OF REQUIRED) OF BUSINESS) mfl� �o� yew C� nn Ol � ❑ OTH eQ,QocIpbc_1 t ND ❑COM,� °°� Lo• � /I"��yiN ' '- ❑SCC ❑OTH ° PTY ❑SCC e. 9�weSleiy C��o S&A. el / "° - / ✓ ���, ❑OTH � PTY ❑[]SCC ya5 ND ❑ V 3 ❑oOTH [1] S ' - SUBTOTAL; Schedule A Summary 1. Amount received this period - itemized monetary contributions. 5,- O (Include all Schedule A subtotals.) ................................................................ ............................... ......... $ _ 2. Amount received this period - unitemized monetary contributions of less than $100 ................... .......... $ 010 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ to"-lb v , -- '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 (Jarrwry/(15) FPPC Toll-Fns Helpline: SMASK-FPPC (866/275 -3772) Schedule A (Continuation Sheet) Tvoe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts "y be rounded to whole dollars Shtament rs period .. 1 ftorn a C/ through` pie of _ F F/IL�ER%� ,'Q 7 I.D. NUMBER DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ( I�COe�MITTEE ,ALSOENIERI.D.NUMBER) CONTRIBUTOR CAE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER QF SELF - EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (,IAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) OF BUSINESS) [ / lG l �/ f 15 COM / ` ❑ OTH 0Fry ❑SCC NIND COM []°TH ✓�'1/�l} r1 VLT U .. r�� �C1(� a� �b� &'g60�NeAID 0 SCC COM ❑OTH r�l%421V L_' � y o� oOPn ❑SCC ❑IND ❑COM ❑ OTH ❑ PN ❑ SCC SUBTOTALS y Gn eD° '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 (Januery/05) FPPC ToN -Free Helpline: WWASK-FPPC (SSW7S3772) Scher dule C TVix or frkd in mk SCHEDULE C funoulm whol ydoll Nonmonefiary Contributions Received Ststem rd cove period , 1 . from SEE INSTRUCTIONS ON REVERSE through -Y Page of NAME OF FILER afnmAe- I.D. NUMBER I.D. / 7�) / 1 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF -EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) IF REQUIRED) 'Jl R Ltbbs a/1 15 �-- 11 13 ❑Con„ []0TH o� ❑m ❑COM ❑OTT+ ❑Fry ❑SCC ❑IND ❑COM []0TH []PTY ❑SCC ❑IND ❑CORA ❑OTH []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.) ...................................................................................... ............................... $ ",coo 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... ............................... $ 3. Total nonmonetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10. TOTAL $ bo '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 (Jarwary/05) FPPC TolWree Helpline: DWASK-FPPC (6861275 -3772) Schedule E Type or print in ink Statement covers, period Amounts may be rounded 460 Payments to whole dollars. from SEE INSTRUCTIONS ON REVERSE through Page of NAME FILER / `'� / I.D. NUMBER /n IC°_ /G°L' Jai r4AV I1�� CODES: If one of the following codes accurately describes CMP campaign paraphermalia/n-isc. CNS campaign consultants GM contribution (explain nonmonetary)" CVC civic donations RL candidate filing/ballot fees RD fundraising events I(,D independent expenditure supporting /opposing others (explain)' LEG legal defense UT campaign literature and mailings he payment, you may enter the code_ Otherwise, describe the payment. Mt32 member communications RAD radio airtime and production costs MTG meetings and appearances RFD returned contributions CFC office expenses, SAL campaign workers' salaries PET petition circulating TIE tv. or cable airtime and production costs PFID phone bars TRC candidate travel, lodging, and meals POL polling and survey research TRS staff /spouse travel, lodging, and meals POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor PRO professional services (legal, accounting) VOT voter registration PRT print ads WEB information technology costs (internet, e-4nail) NAME AND ADDRESS OF PAYEE (IF C06MTTEE, ALSO ENTER I -D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID "9- kePQ-s-6 I- e l c) f7%5 Ae5,�'914 ys 6)�ee� ¢-151-1)001 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary Xg ,- 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 (JanuaryMS) FPPC Toll-Free Hetphne: 8WAW+7PC (a661275 -3772) Schedule E Type or prirt in ink SCHEDULE E (CONT ) (Continuation Sheet) Among�►be '`°°" Payments Made to YYhO1e dON'm from 13 SEE INSTRUCTIONS ON REVERSE through Page of 7 R / , / G I.D. NUMBER ,tygmi� CODES: If one of the following codes accurately describes the payment, you may enter the code. OthervAse, describe the payment. C7uP campaign paraphernalia/misc. NW membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain non monetary)* CFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv. or cable airtime and production costs FIL candidate filing/ballot fees PhD 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 candidateisponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMFTTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID b�c so, .ZOA) /'� /e�� �✓ O ' r - Dyti�m�� , . * Paymerds that are contriMdions or independent expermdihmes roust also be summarized on SchedWe D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll-Free Helplfne: 86WASK -FPPC (866/275.3772) 9 SCHEDULE IF Schedule F Type or print in ink state Rrerrt ove OUTSTaANDING BALANCE BEGINNING b AMOUNT INCURRED THIS PERIOD c AMOUNT PAID THIS PERIOD A OF THIS PERIOD e Accrued Expenses (Unpaid Bills) OF THIS PERIOD towwho�d Nar�s 0 F'C,. from � 150L f! con p» — • Payrrrarrts that are eord ibullons a bd"ondwd expendihrrrs must also be SUBTOTALS $ / �' ©� ✓ $ / r ©� s / CJ oD ' s sarrnariasd on Sdwdula D. Schedule F Summary ' 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for oO 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.) .. ............................... PAID TOTALS $ f �� 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ M� anegative . FPPC Form 460 (Januwy/05) FPPC Toll -Free Helpline: SWASK -FPPC (8661275 -3772)