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Home My WebLink AboutPOWELL PREELECT13(2) 04/23/13Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Date Stamp COVER PAGE stateme t cov rs period Date of election if applicable: Page --A- of from � Y� ��C 1 n ' I (Month, Day, Year) For Official Use Only F1�` �3�(+ n�� through v �� 46,;W3 13 b'' _I ' , iiiY (1.Efih 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also CorrgrletePart5) 0 Sponsored ❑ General Purpose Committee O Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information 4. (Also Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Compete Part 7) I.D. NUMBER COMMITTEE N ME (OR CANDIDATE'S NAME IF NO COMMITTEE a��3 onnin%+it ee -Vv F, 1ec+ ome- Y.OJOux, +O �aKers�i elc� CI COL.Wdi j \4 AIRA I hloWe. CITY STATE ZIP CODE AREA CODE /PHONE 2. Type of Statement: Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) p Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E -MAIL ADDRESS Verification 1 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 perl'ury u der the I ws of the State of California that the foregoing is true ai correct. Executed on B _ Executed on � � By �9�rTre� �M Treasurer Date Signature off Cor*o*V Officeholder, Candidate, State Measure Proponent or Responsible ORcer of Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Date Signature of ContraAing Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement roRm • Cover Page — Part 2 Page � of ! -r 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE --7r,>me.KA )owe- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) t Q;I+Q LIM W AM RESIDENTIALIBUSINESS ADDRESS (NO. ANO TREET) 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. COMMITTEENAME Nbn1e I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) C ITY 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 NAME OF.BALLOT MEASURE BALLOT +IO.OR LETTER I JURISDICTION I ❑ 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 ofBceho/dero) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD � SUPPORT Torn '4 V� I �' �) Whad [] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD O 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 /ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Summary Page Amounts may be rounded to whole dollars. StaterT/�; v rs period • , from s i r3 Page 3— of - • SEE INSTRUCTIONS ON REVERSE through e N"AE O� FILER bn/n, ��C �l. •�JYI V GNf� "I' � 1 IG!(J � W • ��(4 1. NUMBER �� IN04- Contributions Received Column A Column B CALENDAR YEAR Calendar Year Summary for ndidates TOTALTF9SPERIOD (FROMATTACHEDSCHEWLES) TOTALTODATE Running in Both the State Primary and 1 bb • �� General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ $ tt1 through si3o 711 to Date 2. Loans Received ....................... ............................... Schedule s, Line 3 0 o b 3. SUBTOTALCASH CONTRIBUTIONS .............. ........... Add Lines 1 + 2 $ '1 � � • � V $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 D-00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED •• ..... ..............••••••AddLines3 +4 $ • b Q $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... schedule E, Line 4 $ 2&o-00 $ Candidates 7. Loans Made .............................. ............................... schedule H, Line 3 V - D �+ OD O D 22. Cumulative Expenditures Made" Subject to voluntary Expenditure Limit) 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ $ (If 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 b.,o O Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0. ID (mm /dd /yy) 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + 9 + 10 $ �200. 0 0 $ _ 1 $ Current Cash Statement 12. Beginning Cash Balance ....................... previous Summary Page. Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 100-0 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 O. o O 15. Cash Payments ................... ............................... Column A, line 8 above -2- h co• o 0 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ —70• O / If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ D• C) Cash Equivalents and Outstanding Debts d • O O 18. Cash Equivalents ............ ............................ see instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ V O 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). *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A Statement covers period 1 13 ' from col ✓ j ' 2 1 Page of I.D. NUMBER . t__I C I I n mm L.LJ IJ VVII It11ITTC: CIeL'T 2 PHLa1 I IvUr V C f DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE,ILLSND W. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMO NT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) I even 'POW e I I %%�� } ❑ PTY ❑SCC IDD.DD OD•b ❑IND []COM ❑ OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ......................................................................... ............................... $ DO 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ • b U 3. Total monetary contributions received this period. Inh (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ - FPPC Form 460 (January/05) FPPC Toll4ree Helpline: 8661ASK -FPPC (8661275 -3772) Type or print in ink. Schedule B - Part 1 Amounts may be rounded Statement cov rs period Loans Received to whole dollars. from 4 ' /3 through 'v ' SFE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMrTTEE. ALSO ENTER I.D. NUMBER) 1 v owe_ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC lyp p e &U'n WAd1 IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (tFSELF£MPLOYED.ENTER NAMEOFSUSINESS) OUTSTANDING BALANCE BEGINNING THIS PER D AMOUNT RECEIVED THIS PERIOD AMOUNTPAID OR FORGIVEN THIS PERIOD* OUTSTANDING BALANCEAT CLOSE OF THIS PERIOD e INTEREST PAID THIS PERIOD g ORIGINAL CUMULATIVE ❑ PAID CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR $ g % PER ELECTION— DATE INCURRED ❑ FORGIVEN RATE $ $ $ $ $ PER ELECTION DATE DUE DATE INCURRED ❑ PAID $ $ % RATE ❑ FORGIVEN $ $ g E DATE DUE $ I$ SUBTOTALS $ U $ ❑ PAID $ $ ❑ FORGIVEN E $ DATE DUE v$ v$ SCHEDULE B- PART 1 Page o, _, I.D. NUMBER IJ6� K)e4- KWeir g ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO DATE CALENDAR YEAR S $ PER ELECTION— DATE INCURRED CALENDARYEAR $ $ PER ELECTION DATE INCURRED CALENDARYEAR RATE PER ELECTION'" DATE INCURRED (Enter(e)on Sedule E, Line 3) Schedule B Summary ch 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.) 0 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ (May be a negative number) 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. 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: 8661ASK -FPPC (8661275 -3772) SCHEDULEB -PART2 Schedule B — Part 2 Type or print in ink. Amounts may be rounded Statem nt co ers period . / • Loan Guarantors to whole dollars. ' 13 FORM from through u Page _&— of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER npt / use l , I,tLA Nof lei FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSOENfERI.D.NUMBER) CODE (IF SELFEOFBUSIO,ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS) LENDER CALENDARYEAR ❑IND ❑ COM $ DATE ❑ OTN PER ELECTION (IF REQUIRED) ❑ PTY ❑SCC $ CALENDAR YEAR ❑IND LENDER ❑COM $ ❑OTH PER ELECTION (IF REQUIRED) DATE ❑ PTY ❑SCC $ CALENDARYEAR ❑ IND LENDER $ ❑ COM PER ELECTION ❑OTH (IF REQUIRED) DATE ❑ PTY ❑SCC $ CALENDAR YEAR ❑ IND LENDER ❑COM $ DATE ❑OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑SCC $ Erdw an SUBTOTAL $ Suffyrary Pne. U* 7 oMy. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 86WASK -FPPC (8661275 -3772) C— L-41..11. 9► Type or print in ink. Sr:HFn1 11 F C` Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statem nt cov rs period ' ' • from A I L through v Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER rQl t) I l ka Owe �f &tm; wadi, Na ytf e� 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. BUST D. ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 -DEC 31) (IF REQUIRED) ❑IND ❑COM ❑0TH ❑PTY ❑scc ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑Scc ❑ IND [3Com ❑OTH ❑m ❑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 — uniternized 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.) ...................... ............ $ D ............ $ TOTAL $ 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 (January /05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) Schedule D SCHEDIRE D Summary of Expenditures Type or print in ink. Statement covers period Supporting/Opposing Other Amounts may of rounded ' to whole dollars. ' � FORM, Candidafies, Measures and Committees from �( Q� SEE INSTRUCTIONS ON REVERSE through V Page v o NAME OF FILER I.D. NUMBER ZA m' ee 1 1 WWI w CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OR COMMITTEE ❑ Monetary �� O Tm e' OW e Contribution r q , X 1 Nonmonetary (► nP�.i Sn s i ins �ontribution ❑ Independent � • Support ❑ Oppose Expenditure 00 "I�l/• D ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary $ o0 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................... ............................... o 0 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 Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772) Schedule E Type or print in ink. Statement covers period CALIFORN Amounts may be rounded A 460 ' Paym nb Made to whole dollars. from • through Page of SEE INSTRUCTIONS ON REVERSE T.1J I.D. NUMBER NAME OF FILER 2.o►;� Cv �m m �P� -Iv �� _ --rri,e l o wee I +z) 54 d i CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphemalia /misc. k4BR member communications RAD radio airtime and production costs CNS campaign consultants k4TG 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 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 IPD 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 campaign literature and mailings PRr print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE I (IFCOMNIMME.&WENTERI.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �+? }' A -nnu &l Wee&F Ytxcr Nei PbPrs `., �� TRrt $ 0►oo• 00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0/D Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................. ...... •• •• • •...................... $ 2.6 6 b•o`. 2. Uniternized 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 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275-3772) SCHEDULE F Schedule F Type or print in ink. Amounts may be rounded State m nt co ers period CALIFORNIA , Accrued Expenses (Unpaid Bills) to whole dollars. ' from (a) (b) W through , Page LIL— of. SEE INSTRUCTIONS ON REVERSE CODE OR OUTSTANDING I.D. NUMBER NAME OF FILER a D 13 C omm�� I� Torn,e,�� Bowe II �o r�► I Nc�+ �e� CODES: If one of the following codes accurately describes the payment, you may enter the code. Oth rwise, describe the payment. CW campaign paraphemalia /misc. NOR member communications RAD radio airtime and production costs RFD returned contributions CNS campaign consultants CTB contribution (explain nonmonetary)' MfG OFC meetings and appearances office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals FIL candidate filing /ballot fees FND fundraising events PHO POL phone banks polling and survey research TRS staff /spouse travel, lodging, and meals between committees of the same candidate/sponsor IND independent expenditure supportingtopposing others (explain)' POS PRO postage, delivery and messenger services professional services (legal, accounting) TSF transfer VOT voter registration LEG legal defense i rr r Mnminn Weratavc nnA mailinns PRT print ads WEB information technology costs (internet, e-mail) • Payments that are contributions or independent expenditures must also be SUBTOTALS $ D $ Cis b $ U summarized 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 $ 0 ... ............................... I NET $ M ay be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) (a) (b) W (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (W COMMITTEE. ALSO ENTER I.O. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 1� • Payments that are contributions or independent expenditures must also be SUBTOTALS $ D $ Cis b $ U summarized 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 $ 0 ... ............................... I NET $ M ay be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule G Type or print in ink. SCHEDULE G state snt c vers period , Payments Made by an Agent or Independent Amounts may be rounded 13 • Contractor (on Behalf of This Committee) to whole dollars. from L3 through PageA_ of. SEE INSTRUCTIONS ON REVERSE I.O. NUMBER NAME OF FILER 3 �blnm+k%ee - D � I �ec tome ow�ll N v� �.�+ 2�v4ed NAME OF AGENT OR INDEPENDENT CONTRACTOR `\ o M-e. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CtuP campaign paraphemalia /misc. MBR member communications RAD radio airtime and production costs RFD returned contributions CNS campaign consultants MTG CTB contribution (explain nonmonetary)* OFC meetings and appearances office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals F1L candidate filing/ballot fees PFIO FND fundraising events POL phone banks polling and survey research TRS staff /spouse travel, lodging, and meals TSF transfer between committees of the same candidatelsponsor IPD independent expenditure supporting/opposing others (explain)' POS PRO postage, delivery and messenger services professional services (legal, accounting) VOT voter registration LEG legal defense LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (January/05) independent contractor as reported on Schedule E. FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) SCHEDULE H Schedu le H Type or print in ink. Statement covers period CALIFORNIA A • Amounts may be rounded 21 113 FORM Loans Made to Others* to whole dollars. from Page LZ—_ of 3 through,-5118 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 3 Cc�mmi 4.eV -& E I,ec Imes Pouu II -� 'etd `I kl - Nth- �e� �eCe,t IF AN INDIVIDUAL, ENTER la (b) (c) (4 let DING INTEREST FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT REPAYMENT OR OUTSTANNAL OCCUPATION AND EMPLOYER BALANCE BALANCE AT RECEIVED ORIGI (� (9) CUMULATIVE AMOUNT OF LOANS OF RECIPIENT LOANED THIS (IF SELF - EMPLOYED, ENTER BEGINNING THIS FORGIVENESS CLOSE OF THIS PERIOD (IF COMMITTEE, ALSO ENTER I. D. NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD" PERIOD LOAN TO DATE PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION— S S DATE INCURRED S $ $ DATE DUE PAID CALENDAR YEAR $ $ % $ $ FORGIVEN RATE PER ELECTION" 3 s DATE INCURRED = $ E DATE DUE `Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTALS $ $ $ $ also be reported on Schedule E. IFnta (nl on 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.) Schedule I, Line 3) ................................................ ............................... $ V .......................................................... I............... $ O ............. ............................... ........................... W (May be a negative number) '"If Required FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule I _SCHEDULEI Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Stat412- nt covers period from through � v � CALIFORNIA J • ' Page j3— of 1� NAME OF FILER XI,3 i �-�e� �v IFW4 Tome Rowell �oL(A& 1�i d i I.D. NUMBER No ut am 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 $ )J Schedule I Summary b 1. Itemized increases to cash this period ......................................................................................... ............................... $ O 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 0 SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $ FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)