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HomeMy WebLinkAboutBPOA PREELECT10(2)Redpiwt Committee Campaign SUbement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Statement covers period from oc'l' • I I u I through OCT. 169 l uto Date of election If applicable: (Month, Day, Year) Date Stamp COVER PAGE page I of For Official Use Only I Z 010OCT 21 PM t~: 3 2. Type of Statement: 06PreeiectionStatement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd-Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) 1. Type of Recipient Committee: AN Co M*Ws - complete Prins 1, 2, 3, and 4. ❑ Oflioehoider, Candidate controlled committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recd 0 Controlled (W-CompleleParr5l O Sponsored Purpose Committee (AboCompkbPted/i) rSporsored ❑ Primarily Formed Candidate/ Q Smog Contributor Comrritlee Officeholder Comn itttee Q Political Parly/Central Committee (Also C0MPh a Fbd 7) 3. Committee information 6 PC A NAME IF ~1`f 1 C.~C L ~CT~ ADDRESS (NO P.O. BOX) I.D. NUMBER 1 Tremu"s) q NAME OF TREASURER MAILING ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS MAILING ADDRESS 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 information c herein and in the attached schedules is true and complete. I certity under penalty of perjury under the atnrs of the State of California that the foregoing is true and correct. Executed on / a ! By 1 - I Dew Said" of Treasurer orAssislaM Treasurer Executed on Deb By Signehr2 dCorMroling Ollkahdder, Candidate, Stets Meawre ProponerM or Resporaiide Olricer dSponsor Executed on Date By SignapsedConlroeng OfReeholder, Candidate. Stale Measure Proporxrd Executed on ads BY SignolreofCMhaft Ofmoholder.CardKkte. MewtSBProponent FPPC Form 160 (January106) FPPC Toll-Free Helplhle: 666IASK-FPPC (066W5-3772) State of California Campaign Disclosure Statement sugnm~ 7 SEE INSTRUCTIONS ON REVERSE type or print in Ink. SUMMARYPA Amounts may be rounded Statement covers period to whole dollars. M ' from Cl) Cr. i i d ,cf through _nC~- b~~~ Page Z of NAME OF FILER PO A Poi < < C ~k j_ A-(:; Contributions Received 1. Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS add unss 1 +2 4. Nonmonetary Contributi ons Schedule C, Use 3 5. TOTAL CONTRIBUTIONS RECEIVED add Unes 3 + 4 i O Q- z Wl CoMxnn A TOTALTHO PEMOD WROMArrACNED ES) $ z jo0o m $ 7.01)00 12 $ 7-00oO Column B CALENDMtYEAR TOTALTO DATE $ ~ o ©D o 0 $ 1000 $ (20 D EXpendituires Made 6. Payments Made Schedule E. Line 4 $ i 7. Loans Made Schedule H. Lbhe 3 ICJ 8. SUBTOTAL CASH PAYMENTS Add ones 6 + 7 $ 1 9. Accrued EXpen6es (Unpaid BIpS) SdmedYhN F Lu►e 3 10. Nonmoneteuy Adjustment Schedule C. Line 3 ~ 11. TOTAL EXPENDITURES MADE Add Lines s + a + 1o $ 2).'"-t I I Current Cash Statemant 12. Beginning Cash Balance Previous SunmharyPage, Line 16 $ 33t3Uo. v, _ 13. Cash Receipts Column A. Line 3 above 2,00o.- 14. Miscellaneous Increases to Cash Schedule 1. Line 4 15. Cash Payrnernts Col um A. Line a above 16. ENOM CAM BALANCE add Lkw 12 + 13 + 14, then subbed Line 15 $ H Gds is a tsrnwnlliau atalanlelrt. Llaee 16 must be zero. 17. LOAN GUARANTEES RECEIVED Sdmsdwe B, Part 2 $ P Cash Equivalents and Outstanding Debts 18. Cash Equivalents see inz6uciom on revs se $ 19. Outstanding Debts Add Line 2 + Une 9 in Colrunrm B above $ 42~ $ _6(0-4 33. $ _ 33- $ 6 (10 33 . To calculate Cokxm B, add anxxM in Column A to the corresponding amounts from Column B of your last report. Some amounts in Colum A may be negative figures that should be subtracted from previous period amounts. ff this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if arty). I.D. NUMBER 9IS49Z- Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7n to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' RS MiMtoVbha"Eq-W ik-Limit) Date of Election Total to Date (mmlddlyy) J_l $ 'Amounts in this section may be different from amounts reported in Column B. FPPC For.. 460 (January/05) FPPC Toll-Free Helpline: 1116WASK-FPPC (x66/275-3772) Ar4melado A Type or print in ink. SCHEDULE A nts may be whole dollars rounded Monetary Contributions Received Amoto statement covers period , from through OCT. IG ~I~ Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 00A pow tCA C-T-0t%~ C01NAtM(1TCE C14307- DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFSUSMESS) ❑IND 0 1(~ 3QOA APT 4t1000 ~ ooo jo , ❑SCC ❑ IND to Isl~o C3FoA ❑ COM Al ow ~,ooo M PTY , ❑SCC ❑IND ❑ COM ❑OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ -Z .00() Schedule A Summary 1. Amount received this period - itemized monetary contributions. (include all Schedule A subtotals.) $ 2 0 Q C~ 2. Amount received this period - unitemized monetary contributions of less than $100 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) $ 0 TOTALS 2- / Q 00 *Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OT H - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (13661275-3772) Schedule D SCHEDULE D Summary of Expenditures Type or print in ink. d d Statement covers period e i Other Amounts may be roun SupportitlglOppos to whole dollars. pc,T, ' ?,p 10 , derjoin r Measures and Ctanmittees / from through mr. b Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 943492 E)POk t_,iTkcAL_ AG d/J Cow►~r . DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OR COMMITTEE ❑ Monetary contribucior, Vk I O J ❑ N ryry C,U►MiM uN Ir-AT10r4S 1 2 00 t ~ ` oridbufion t independent k6-TA INCA A 1 } ❑ Support oppose Expenditure CdtJ rW LTI 4 G ❑ Monetary Contribution GQP-VIVv1 Il 1 1 VV\O k s. u p e D ❑ Nonmonetary Co n M VA Vin! I G4T a/4S 0 10 Contrbitim I f E independent _ t xb S (G N S / ❑ Support oppose Expenditure NO OlV ❑ Monetary Contribution ❑ Norwrionetary Contribution ❑ independent ❑ Support ❑ Oppose Expenditure HO SUBTOTAL $ Schedule D Summary 0 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 $ 0 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 3v, 3 1 L FPPC Form 460 (January/05) FPPC Toll-Free Helplins: B66IASK-FPPC (BSW275-3772)