HomeMy WebLinkAboutForm 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
CITY STATE ZIP CODE
;
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
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
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sCC
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IND
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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)... ...'
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FppoToll-Free Helpline: nuomSK-Fppo(8osm,a-3rr2)
*Contributor Codes
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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
Page tof
through)
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)
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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
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(
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)
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*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
Page of 2
0 t4
through 11 A
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
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SUBTOTAL$
*Contributor Codes
IND — Individual
COM — Recipient Committee
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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)
{
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SUBTOTALS
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*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
Page --j— of
-Iq
through
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)
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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)
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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)
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*Contributor Codes
IND- Individual
COM - Recipient Committee
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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)
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V
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PTY
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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
Page 13 of
through I /it
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
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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
Page of-
C� I i!
through
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—
Page f
rt
through
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)