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Home My WebLink AboutForm 460 - Greg Brockbank for Mayor 2011 (2011-09-24)Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print In ink. Statement covers period from — Vzili — through 4 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also complete Part 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO f-1 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D.NUMBER t -3 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE -r`c, ; nDr1zq 11r, n1rF:rRrMT1 NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Date Stamp rg p 4 c "I " _�'l " Date of election if applicable: t! I U! (Month, Day, Year) COVER PAGE Page — I of V, For Official Use Only Treasurer(s) NAME OF TREASURER cz, r MAILING ADDRESS CITY STATE ZIP CODE 4. Verification est of my knowledge the information contained herein and in the attached schedules is true and complete. I certify I have used all reasonable diligence in preparing and reviewing this statement and to the b under penalty of perjury under the laws of the State of California that the foregoing is true and correct. At Executed on Date By Signarture, of Treasurer or Assistant Treasurer ti Executed on Date By S , ignature ofContr . otrig Officeholder, Candidate, State Measure Proponent or ResponsitAe c0cer of Sponsor Executed on Date By S . griatm cf C—okV Officenaider, Ca, flute. State Measure Propos-tet Executed on Cate By �fContrsfijrrg cffoemider, canacate stat46 Measure Prom-nent FPPC Form 460 {January/05} FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE <; otmb OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ESIDENTIA USINESS 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 COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEfPHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 -� Page F4 of _ BALLOT NO. OR LETTERI JURISDICTION I E]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 officeholder(s) 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 (JanuaryfW FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. qrr- IWqTRUCTIONS ON REVERSE NAME OF FILER "- -- r Expenditures Made -o 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8, SUBTOTAL CASH PAYMENTS .... ....................... ....... Add Lines 6 , 7 $ if ri. 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 $ (14, Yi Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ............................ -- .................. Column A, Line 3 above 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 gin Column Sabove $ SUMMARY PAGE Statement covers periodCALIFOR ORNIA from FM 46hi through Page of 9-5 I.D. NUMBER Column B Calendar Year Summary for Candidates CALENDAR YEM TOTALTO DATE Running in Both the State Primary and I General Elections 0 0 $ $ Column A Contributions Received $ TOTALTHISPERIOD (FROMATTACHED SCHEDULES) 1. Monetary Contributions ........................................... 2. Loans Received ...................................................... 3. SUBTOTALCASH CONTRIBUTIONS ......................... 4. Nonmonetary Contributions .................................... 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Schedule A, Line 3 Schedule B, Line 3 Add Lines 1 +2 Schedule C, Line 3U Add Lines 3 + 4 $ q $ ti -1i q r- $ Expenditures Made -o 6. Payments Made ....................................................... Schedule E, Line 4 $ 7. Loans Made............................................................. Schedule H, Line 3 8, SUBTOTAL CASH PAYMENTS .... ....................... ....... Add Lines 6 , 7 $ if ri. 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 $ (14, Yi Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts ............................ -- .................. Column A, Line 3 above 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 gin Column Sabove $ SUMMARY PAGE Statement covers periodCALIFOR ORNIA from FM 46hi through Page of 9-5 I.D. NUMBER Column B Calendar Year Summary for Candidates CALENDAR YEM TOTALTO DATE Running in Both the State Primary and I General Elections 0 0 $ $ $ 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). Ill through 6/30 7/1 to Date 20 Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* IN Subject to Voluntary Expenditure Unift) Date of Election Total to Date (mmldd/yy) *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 (8661275-3772) Rr-Inpritile AType or print in ink. SCHEDULE x ---'---'- Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 46(f from "k,hi FORM through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 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 COMMrrTEE, ALSO ENTER LD_ NUMBER) CODE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) FA COM FJOTH PTY El SOO CH�41:4- POIND El COM PTY likI IND El PTY sCC Ea IND EICOM DOTH tj El PTY SCC IND EICOM El PTY El SCC SUBTOTAL$ 3"_0 '00 Schedule A Summary AmourdnaoeivedUhispehod-itemizedmonabarynuntrihudonn. 2. Amount received this period - uniternized monetary contributions of less than $100 ... 3. Total monetary contributions received this period. (Add Lines 1and 2.Enter here and onthe Summary Page, Column A.Line 1)... ...' /� . . Form rrn.vnn�°p°_u"_,"^ FppoToll-Free Helpline: nuomSK-Fppo(8osm,a-3rr2) *Contributor Codes wm-muwuua com-neupieocommxtee (other than PTY o,SCC) orn-om, (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 from FORM 1 through) Page tof NAME OF FILERI.D. NUMBER 7 Jp DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONT RIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I -DEC. 31) (IF REQUIRED) OF BUSINESS) NIND Q�,46ari EICOM C71 r ❑ OTH ko A I oo o Or iA ❑ PTY Ej SCC FJIND EICOM [j OTH q PTY t"pi, EISCC MIND EICOM FJOTH A El PTY El SCC HIND COM FJOTH C, EIPTY [:]SCC E] IND EICOM R]OTH ❑ PTY SCC SUBTOTALS 0 *Contributor Codes IND — Individual COM — Recipient Committee (other than PT Y 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 A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period -1111110, CALIFORNIA to whole dollars.r l/ q ( 4601 from FORM 410 through —"1/ Page of NAME OF FILER I.D.NUMBER �3 ?_X 'Plllls� 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) IND E30TH i C El PTY nscc A EJIND EICOM E)CITH F] PTY EISGC (E]IND EICOM CA ❑OTH i- El PTY nSCC RIND EICOM [:]OTH _4 14 n PTY EISCC [gIND SCM OTH El PTY W n E" C1 0 a o I EISCC .qt]RTnTAl_S A, a4 --77779 *Contributor Codes IND — Individual CO%4 — 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 (866/275-3772) Schedule A (Continuation Sheet) TVDe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. r,I FORM 46 from I 0 t4 through 11 A Page of 2 I NAME OF FILER. pp i—!k AJ! tA -N, !, NUMBER J 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) (4 tj % r, 4t� t"A,ky ❑ IND EICOM OTH ❑ PTY 77 'IV �7 i EISCC IND [:]Com I zj E]CITH kj El PTY EISCC 5 ®COM IND te 0 EICITH WesT"W OM— El PTYIt aou EISCC nIND �Q, FlCOM r,-) FJOTH r-1 PTY SCC: ftlIND EICOM nOTH ElPTY 7,111F, EISCC 13 SUBTOTAL$ *Contributor Codes IND — Individual COM — Recipient Committee other than PTY or SCC) OTH — 6ther (e.g., business entity) PTY — Political Party SCC—Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/276-3772) Schedule A (Continuation Sheet) Type or print , in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. nit FORM 460 from through— Page of '4AME OF FILER I.D. NUMBER wE DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) { IND ncom - E] OTH ff0, 0 EIPTY , El SCC IND Com RJOTH p PTY E] SCC E]IND EICOM ®OTH. El PTY SCC '.e 5 L�, -111 % EIIND FICOM 0 0 E]CITH F1 PTY EJ SCC L [A IND FICOM f 1 E]OTH f-47 cv, EIPTY E] SCC SUBTOTALS w *Contributor Codes IND – Individual COM – Recipient Committee (other than PTY or SCO) 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) Schedule A (Continuation Sheet) Type or print in Ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 46 from FORM -Iq through Page --j— of NAME OF FILER rr�I.D. V G NUMBER 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) WIND Com OTH i F1 PTY 1777�7^ EISCC t. cis ig, [RIND EICOM f E]OTH W, n PTY E]SCC [IND t ncom E]CITH PTY CAI EISCC FIND [jC0M ❑OTH PTY EISCC A_ [ r IND [-]COM 6,-Z hi E]CITH r - El PTY ❑ SCC SUBTOTALS' *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 (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 460 / from—/ FORM through Page of NAME OF FILER I.D. NUMBER lot d T"C 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) [gIND []COM I C"'M E10TH -71 wr),777_17 7 711 C701k [:1 PTY FISCC SIND EICOM 15Vry EJOTH /00 F1 PTY EISCC F]IND EICOM E]OTH 77, � 7, 77 77 77 7 1, [:1 PTY EISCC FQ IND r1com ROTH t777777707 =t-7 r_1 PTY El ScC FKj IND F] COM E] OTH 7777777 [:] PTY El SGC SUBTOTALS *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/06) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Srhs-dule A (Continuation Sheet) Woe or orint in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. r. -/R / J. 46007! from qFORM through Page of NAME OF FILER j C' r- Nk I.D. NUMBER 33 -44W, 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 (IF COMMMEE,ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Com ❑ OTH 150] 0,0 0 El PTY El SCC _BIND EICOM E]OTH ta-D El PTY ❑ SCC a. D EICINOM 4, E]OTH K3 F1 PTY EISCC [91ND [:]Com E]OTH El PTY EISCC Walk _RjIND EICOM ❑CITH Jq O�) rl n PTY EISCC SUBTOTAL$ *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: 8661ASK-FPPC (866/275-3772) _qr-he-dole A (Continuation Sheet) Woe or orint in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to dollars. Statement covers period CALIFORNIA 4600- whole FORM from through Page of I.D. NUMBER NAME OF FILER L! 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUS04ESS) [:]Com 40 E] OTH V n PTY ❑SCC IND Com r, F10TH [:1 PTY LSCC R]IND EICOM ri E]OTH El PTY El SCC ❑ IND EICOM E]OTH ^ r tEl PTY nSCC FJIND FICOM E]OTH El PTY EISCC SUBTOTAL$ *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: 8661ASK-FPPC (866/275-3772) schedule A (Continuation Sheet) TvDe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA 11 to whole dollars. f 460 from J�"/ I FORM through I /it Page 13 of NAME OF FILER I.D.NUMBER 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) IND []COM f-1 PTY EISCC _tjIND K)COM OTH 6 , El PTY o F1 SCC [� IND WWWI, EICOM E] OTH k 4'cy- jo j F1 PTY EISCC E] IND []COM`(' E] OTH El PTY P 0SCC MIND rifw EICOM E]OTH 7 F-1 PTY SCC k SUBTOTALS *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) FIPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) TvDe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 60 from I ORM C� I i! through Page of- NAME OF FILER I.D. NUMBER 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSMSS) USA 1-Y, , 'u-ik-111"t �J�Amz' ND Com El OTH t El PTY El SCC n-, IND EICOMj E]OTH R PTY SCC [�iND [:]Com E] OTH 4 -777"777D-si iivirix, []PTY El SCC Ik [j] IND FICOM"j! 0 (I F10TH r "o F] PTY F] SCC WIND RCOM n' E]OTH -'c n PTY EISCC 7 SUBTOTAL$ N *Contributor Codes IND - individual COM - Recipient Committee (other than PTY or SCC) CTH - Other (e.g., business entity) PT Y - Political Party SCC - Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) schedule A (Continuation Sheet) Tvoe or Drint in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Stateme It covers period CALIFORNIA to whole dollars. FORM 460 from— rt through Page f of NAME OF FILER a I I.D. NUMBER �Tc 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -OEC. 31) (IF REQUIRED) OF BUSINESS) WIND 000M E]CITH "J El PTY EISCC IND ncom [JOTH j V El PTY EISCC [RIND EICOM E]OTH V �t ❑ PTY ❑SCC RIND FJCOM nOTH /0 n PTY EISCC FJIND E]COM 6 0, rn�t r-1 OTH 0 R PTY El SCC SUBTOTALS *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 (866/275-3772) Q,-hoAii1p A (rInnfinuation Sheet) Tvoe or orint in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statementc, overs period CALIFORNIA 460 ' to whole dollars. FORM from through— rt Page of I.D. NUMBER qAME OF FILER IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) RECEIVED OF BUSINESS) IND []COM LL nOTH El PTY o fVQ n r-. EISCC [5f1ND EICOM EJOTH El PTY E] SCC ND com OTH k-41-114-11 El PTY SCC 'CIL ®IND ncom 4 V1, loop law, [j OTH PTY 0SCC IND Com E]CTFI 0 PTY ..E1SCC SUBTOTAL$ 55 �'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) 0_t,orilitln A (r.nnfiniintinn c;hpptl Tvnp nr nrint in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to dollars. Statement covers period � CALIFORNIA 460 whole i from V FORM i CC 2 1 `7) through Page of I.D. NUMBER NAME OF FILER p g 33 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 COMMMEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPILOYED, ENTER NAME PERIOD (JAN. I - DEC. 31) (IF REQUIRED) OF BUSINESS) _j§iND r'e [JCOM E]OTH ❑PTY SCC ®IND C]COM E] OTH N- EIPTY f❑-ISCC IND 'Y EICOM OTH o 0- EIPTY EI SCC q_ IND 00:7 NCOM n OTH EIPTY EISCC QIND EICOM ct(" OOTH FIPTY SCC . . .. ... .. SUBTOTAL$ *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 A (Continuation Sheet) Type or print In ink. SCHEDULER (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period 1, CALIFORNIA to whole dollars. 4601 from FO RM through Page of NAME OF FILER 1 . NUMBER 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 (IF COMMITTEE, ALSO ENTER 1.0, NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) NIND EICOM E]OTH _777777771 - PTY El SCC pal t �t Q IND MOM E10TH <Vllr'E�� ElSPTY CC EI l7mt F77, [A IND EICOM []0TH PTY EISCC (1, , c -A" QI N D FICOM f [_]0TH C", PTY EISCC [JIND ncom nOTH n PTY El SCC "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 Y-0", SUBTOTAL$ "i- _ - FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) ',p=°^ p~^~ ^^` Schedule B — Part I Amounts may be rounded Statement covers period CALIFORNIA 460 Loans Received to whole dollars. from FORM A— through Page of SEE INSTRUCTIONS ON REVERSE I.D.NUMBER NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT AMOUNT PAID OUTSTANDING BALANCEAT INTEREST PAID THIS ORIGINAL AMOUNTOF CUMULATIVE CONTRIBUTIONS OF LENDER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING HIS RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE (IF COMMITTEE. ALSO ENTER NAME OF BUSINESS) PERIOD ERIOD RATE FORGIVEN PERELECTION- DATE DUE DATE INCURRED tEA IND El COM EJOTH El PTY El SOO E] PAID CAUENDARYEAR E] FORGIVEN PER ELECTION RATE DATE DUE DATE INCURRED tE] IND E] COM El OTH El PTY El SCC PAID CALENDAR YEAR FORGIVEN PER ELECTION RATE DATE INCURRED Schedule Summary~ � 1. Loans reoe�od8�apohod---------------------------_---------_' (Total Column (b)plus undemizedloans ofless than s1OO.) ~ * 2. Loans pe�orforg�en8�oper�d ----------------------------------- (Total Column kjplus loans under $1OOpaid orforgiven.) (include loans paid by a third party that are also itemized on Schedule A.) 3, Net change this period, Line 2from Line 1j ..... ___ ... ......... ........ Enter the net here and onthe SuhnmoryPage, Column A~Line 2. tContribmmcodeo wm—muwuva com—neunieucommmne (other than PTY v,SCC) oTn—Other (e.n, business entity) pTv—pv|uice|paxv SCC — Small Contributor Committee ��e�� *Amounts forgiven � ' FppcForm 46m "'=y==" FppoToll-Free Helpline: oss/ASmfppC (866o/5-3//2) Q'-hgMtAl lip r. Type or print in ink. SCHEDULE Amounts may ne rounaea Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIAA60! r from I l [IZ _r FORM Page of 1�3 through— 3EE INSTRUCTIONS ON REVERSE , �WME OFFILER I.D. NUMBER dd 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 DATE RECEIVED ZIP CODE OF CONTRIBUTOR ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) (IF COMMITTEE. ALSO NAME OF BUSINESS) iA 1ND 4,70 cwk &'Mks [:]COM 001 rQ FICITH RPTY [:]SCC F-JIND ICOM [:]OTH nPTY [:]SCC F-IIND FICOM [:]OTH f-1 PTY [:]SCC FJIND EICOM F -10TH El PTY EISCC Attach additional information on appropriately labeled continuation sheets. a U 0 1 U IAL ;0 - �' Vj, - %j Schedule C Summary 1. Amount received this period - itemized nonmonetary contributions. rte; w1 (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.) ....... __ .... .,..,..TOTAL $ n *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 (866/275-3772) �SCHEDULED - Summary of Expenditures Type or print in ink. Statement covers period Amounts may be rounded Supporting/Opposing Other to whole dollars. from Candidates, Measures and Committees through CALIFORNIA FORM 460 -;�-3 Page of SEE INSTRUCTIONS ON REVERSE CUMULATIVE TO DATE PER ELECTION DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNTTHIS PERIOD CALENDAR YEAR (JAN. 1 - DEC31) TO DATE (IF REQUIRED) OR COMMITTEE Monetary Contribution Nonmonetary 11-10 Contribution E] Independent El Support E] Oppose Expenditure Contribution Nonmonetary f Contribution Independent Support C] Oppose Expenditure Monetary Contribution Contribution Independent Support F1 Oppose Expenditure SUBTOTAL $ Schedule KjSummary 1. |bam�adoon�ibudonsand independent oxpondhuoeomade this por�d.(|ndudeeUSohed�nDoubbda|y]-------------------� ~- 2, Uniternized contributions and independent expenditures made this period of under $100 .... .................. ............... —... ...... —.......... $ 2.Total contributions and independentexpenditures made this period. (Add Lines 1and 2. Do not enter onthe Summary Pagej 2 ii nTOTAL $ FPPC Form 460 (January/05) Schedule E Payments Made cFG wcTRI )('TIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period { from tK through { Page of I.D. NUMBER 14 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CTB contribution (explain nonmonetary)' OFC PET office expenses petition circulating TEL t.v. or cable airtime and production costs CVC FIl_ civic donations 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 I�D 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 WEB voter registration information technology costs (intemet, e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER ID. NUMBER) 4,:.' -r- i i.F * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1 _ w 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.) ............................. TOTAL $ I FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) SCHEDULE E (CONT.) Schedule E Type or print in ink. Amounts may be rounded CNP Statement covers period CALIFORNIA I i ii (Continuation Sheet) dollars. radio airtime and production costs returned contributions CNS .. i Payments Made to whole SAL from CTB contribution (explain nonmonetary)• PET petition circulating TEL f 9 G civic donations candidate filing/ballot fees PHO POL phone banks polling and survey research through` Page of SEE INSTRUCTIONS ON REVERSE fundraising events independent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services I.D. NUMBER NAME OF FILER . '7 professional services (legal, accounting) VOT voter registration LEG CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/mise.. WOR member communications RAD RFD radio airtime and production costs returned contributions CNS campaign consultants MTG OFC meetings and appearances office expenses SAL campaign workers' salaries CTB contribution (explain nonmonetary)• PET petition circulating TEL t.v. or cable airtime and production costs CVC FIL civic donations candidate filing/ballot fees PHO POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals staff/spouse travel, lodging, and meals FND W fundraising events independent expenditure supporting/opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor . PRO professional services (legal, accounting) VOT voter registration LEG legal defense PPT print nrie VVEB information technology costs (intemet, e-mail) UI wn�Nmy„,,.. .�...... ...... ...r.....�_ - NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) e } J,> w_ . y * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 8661ASK-FPPC (8661275-3772)