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Home My WebLink AboutBFLAG PREELECT10(2)COVER PAGE Recipient Committee Campaign Statement Cover Page (Government Code Sections 134200-84216.5) from SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period I Date of election if applicable: jc , i iL (Month, Day, Year) through i 0 1(13 10 1. Type of Recipient Committee: AN Conimittaas - Complete Paris 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee Q State Candidate Election Committee Q Recall (Also Complete Part 5) (General Purpose Committee mall Contributor Committee Q Political Party/Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee O Controlled Q Sponsored (A~ pads1 ❑ Primarily Formed Candidate/ Officeholder Committee (Also CompktePW 7? I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) z-4 -nv~54cll-e~N) STREET ADDRESS (NO P.O. BOX) ;' AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS Kc'N' L; 7, u7c-' Date Stamp 10 OCT 20 Fri 3:3 2. Type of Statement: 6?-'Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Page of For Official Use Only ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER / 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 f my knowledge m 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 a_ IM~"~ e9ct: Executed on BY Dale i urer Assistant Treasurer Executed on Data of Cantd"Officeftoldt. Canddaie, State Measure Proponent or Responsible Officerof Sponsor Executed on Dale By SgialireofConinia gOfteholder.Candidate.StaleMeasureProponent Executed on Dais By Sgr»re of Cowoarg pNAhoNer, Carodate. State Measure Proponent FPPC Form 460 (January105) FPPC Toll-Free Helpifne: 8661ASK-FPPC (86612T6-3772) State of Califomia Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. .1 - from 1C}-'i SEE INSTRUCTIONS ON REVERSE through ° -I ) C Page 'ZI of NAME OF FILER I.D. NUMBER Contributions Received 1. Monetary Contributions schedule A, Line 3 2. Loans Received Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 4. Nonmonetary Contributions schedule C, Lure 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) 0 $ $ $ Column B CALENDAR YEAR TOTALTO DATE $ ~ql . u C) ` f 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 $ $ Expenditures Made 6. Payments Made schedule E. Line 4 $ T7 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ ; CA03 . P 7 7 9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 10. Nonmonetary Adjustment ` Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add tines e + s + 10 $ , f3 $ 61.7, r7~ G s 97 1-7 1 $ C0 1-7 &ct Current Cash Statement 12. Beginning Cash Balance Previous Summary Page. Line 16 $ T+ T~1!f fC) 13. Cash Receipts Column A, Line 3 above IJ 14. Miscellaneous Increases to Cash schedule 1. Line 4 0 15. Cash Payments Column A, Line 6 above 0. 04,3 71 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 91, z":L H 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 a above $ r) 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (s subject to Volunhry Expenditure Limit) Date of Election (mm/dd/yy) Total to Date I JI $ 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) - Schedule D SCHEDULED Summary of Expenditures Type or print in ink. Statement covers period Amounts may be rounded SuppordnWOpposing Other to whole dollars. Candidates, Measures and Committees from i i -1 C SEE INSTRUCTIONS ON REVERSE through Page 3 of J NAME OF FILER - I.D. NUMBER tK3 FLA r- iF~ Z' I 5 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNTTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 -DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ic)/, MAP-I A A ~Aonetary Contribution Z cc) C' Z QC-` if'c' ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 2 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.) rY ) TOTAL $ FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 86WASK-FPPC (8661275-3772) Schedule E Type or print In ink. Statement covers period P~~ Amounts may be rounded to whole dollars. from ~C."t -IC SEE INSTRUCTIONS ON REVERSE through `C' I IC Page of NAME OF FILER I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CbP campaign paraphernada/misc. MBR 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 filinglbalot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising everts POL poling 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 VVEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (W COMWrrEE, ALSO EWER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Lac- C~I~ i=-(.,~~? ~ i_=-~.c~.L.:.~:~~~ ~ ~ ' ~ ~ ) R AY kP-S;i=iC-K;D r r~t~- IF ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ • ( f 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.) $ Z~17- E, $ 17 TOTAL $ FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 86WASK-FPPC (8661275-3772) Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink Amounts may be rounded Statement covers period , . ' Payments Made to whole dollars' from h I _(6 thro SEE INSTRUCTIONS ON REVERSE u g Page ✓ of NAME OF FILER I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP Campaign poaphenwha/misc. NW member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB conirlIxAm (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FL. candidate filingiballot 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 tltD independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor Iii legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE ALSO ENTER I.D. NU OF COM UrrTTEE. MBERR) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ( ` T j ~ ' ~f~{'''~~~'' ~,y~ l~"'~- ~1~~C.. F~-'c-~ • ,r- 4J -!..✓~-"'-~+~~C~r L-("'~~-'c,,.~ ~ 1~~~1~,~ 9 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)