Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement cov rs period from ~ 13 through &/'$o/ 17 Date of election if applicable: (Month, Day, Year) 4/2/2013 813JUL 31 Page _. of (, For Official Use Only 1. Type of Recipient Committee: All committees-complete Pans 1, 2, 3, and 4. 121 Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part S) Q General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee O Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) O Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: 0 Preelection Statement O Semi-annual Statement 1i2J Termination Statement (Also file a Form 410 Termination) 0 Amendment (Explain below) 0 Quarterly Statement 0 Special Odd-Year Report 0 Supplemental Preelection Statement Attach Form 495 3. Committee Information COMMITIEE NAME (OR CANDI'S NAME IF NO COMMITIEE) STREET ADDRESS (NO P.O. BOX) 300 W. Glenoaks Blvd., Suite #300 CITY Glendale STATE l.d. NUMBER ZIP CODE CA 91202 MAILING ADDRESS (IF DIFFERENT) NO. ANO STREET OR P.O. BOX AREA CODE/PHONE (626)969-1304 Treasurer(s) NAME OF TREASURER Rosalyn Butala MAILING ADDRESS 300 W. Glenoaks Blvd., Suite #300 CI TY Glendale NAME OF ASSISTANT TREASURER. IF ANY MAILING ADDRESS STATE ZIP CODE AREA CODE/PHONE CA 91202 (626)969-1304 CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E-MAIL ADDRESS OPTIONAL: FAX I 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 contained herein and in th e 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 and Executedon 7 h1/j?; BY--../:;::~'2:.~~~d~~~~~~------ 1 I Date Executed on J /!; J /~ Date Executed on ------,Dal=-,------- Executed on ------,Da111 -------- FPPC Toll-Free Helpline: 866/ASK.f PPC (8661275-3772) State of California
Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council for Glendale, CA RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY SfATE ZIP 300 W. Glenoaks Blvd., Suite #300 Glendale CA 91202 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 contribufions or make expenditures on behalf of your candidacy. NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT 0 OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDI, OR PROPONENT OFFICE SOUGHT OR HELD I OISTRJCT NO. IF ANY COMMITTEE NAME l.d. NUMBER NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMITTEE? DYES D NO 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 CANDI OFFICE SOUGHT OR HELD 0 SUPPORT D OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD 0 SUPPORT 0 OPPOSE COMMITTEE NAME l.d. NUMBER NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD D D SUPPORT OPPOSE NAME OF TREASURER COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CONTROLLED COMMITTEE? D YES D NO NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD D D SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275 3772) State of California
Campaign Disclosure Statement Summary Page SUMMARY PAGE Page _-;, of R> 1.0. NUMBER Contributions Received 1. Monetary Contributions......................... Schedule A. LJne 3 $ 2. Loans Received.................. Schedule s. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines 1 + 2 S 4. Nonmonetary Contributions... Schedule c. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED... Md Lines 3 + 4 $ Column A TOTAL 'THIS PERIOD (FROMATTAaiEDSCHEDlllS) '/ ;::/ ~, l/d t(},/v "}/~'?_&' ~?Bl 5"! c~-. 1~ ColumnB TOTA!. TOOATE s /~.~I!J. ffj ~ a!?cv s l 1~. q ~ t7 I ''1!)t; 5, ',,,,.. $ /fdzj/'.?. ~/' Calendar Year Summary for Candidates Running in Both the State Primary and GeneraJ Elections 1 /1 through 6/30 7/1 lo Date 20. Contributions Received $ $ 21. Expenditures Made $ s Expenditures Made 6. Payments Made....................... Schedule E. Line 4 $ 7. Loans Made............................................. Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS... Md Lines 6 + 7 S 9. Accrued Expenses (Unpaid Bills)... ScheduleF;LJne3 10. Nonmonetary Adjustment... Schedule c. Line 3 11. TOTAL EXPENDITURES MADE... Add Lines a+ 9 + 10 $ -,q IL/.?I ) -0 '.,/. _, _,.a...,...:.-:... 6. :;;;i r s s -it?-.q j (Jb,. I J Cl/ -.,,. v-.o -i::;;-,,v_.;, Ii if ~-Y,,.. $ Lt.e.12f$!-? ~ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* ~f Subject to Vofunlary Expenditure limit) Date of Election (mm/dd/yy) _/_/ Total to Date $ 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 Une 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED......... Schedule 8, Part 2 S Cash Equivalents and Outstanding Debts 18. Cash Equivalents... See instructions on reverse $ 19. Outstanding Debts.... Add Line 2 + Une 9 in Column 8 above $ --zq1u 5 J 4P~t~ (JO~ o.oo l!j. IJ? To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your las1 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 cany 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/ASK-FPPC (866/275-3n2)
Schedule A Monetary Contributions Received trom "3/r7/13 SCHEDULE A through {d /=aft 3' Page L of ~t~~-- l.d. NUMBER t">5~~""2w RECEIVED 3/11/13 3/15/13 3/10/13 3/22/13 3/25/13 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR OF COlll.MITTEE.ALSO ENrc:Rl.0.NUMBER) Richard Stein 409 W. Wilson Ave., #2 Glendale, CA 91203 Marcella Beth Theisman 3248 Foothill Blvd. La Cresenta, CA 91214 John L. Sadd, JR. 330 N. Brand Blvd., #200 Glendale, CA 91203 California Real Estate Political Action Committee 525 S. Virgil Ave. Los Angeles. CA 90020 Warren L. Ferrell 205 E. Alameda Ave. #B Burbank. CA 91502 0 1ND ~IND 0PTY oscc ~IND D COM D OTH OIND ggom 1!211ND D COM IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFSElJ'.Etl.Pt.OYED. ENTER NAME OF BUSINESS) Self Employed Realtor Sundance Realty Nurse USC Noms Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.)... $ 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.)... TOTAL $ AMOUNT CUMULATIVE TO PER ELECTION RECEIVED THIS TO PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 100.00 100.00 100.00 {VtJ.d!J I 'ffv uij I (ijp.jjd /(Jl}JfJ 1.000.00 ( tjcij~ tji) 200.00 SUBTOTAL$ f, P0 ~ t7f? 1;100, t7d J '1-'le!D I q 2fl.Cit7 *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 Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) I
Schedule A (Continuation Sheet) Monetary Contributions Received from 1/13 through ft? /67/13 SCHEDULE A (CONT.) l.d.number RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IFCOMMITTEE.ALSOENTElHO. NUMBER) CODE IF AN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER ~F SELF EMPLOYEO. ENTER NAME OF BUSINESS) AMOUNT CUMULATIVE TO PER ELECTION RECEIVED THIS TO PERIOD (JAN. 1 DEC. 31) (IF REQUIRED) lljino ~~ ~~~ ~~s 250.00 1t)tJ/fi ~-&V 3/25/13 Adel Luzuriaga 147 Cumberland Rd. Glendale, CA 91202 lljino OPTY oscc Self Employed Real Estate Broker 500.00 ~VP ~tii) 3/27/13 Richard L. James 3090 Buckingham Rd. Glendale, CA 91206 llllnd Attorney Law Offices of Richard L. James 500.00 S~v fj) 3/23/13 Ashley A. Godsey 2171 Cardinal Pl., #8 Oxnard, CA 93033 IZJINO D COM D OTH Self Empoyed 500.00 ~cp 3/20/13 Mary E. Lotz 2364 Teasley St. La Crescenta, CA 91214 IZJINO D OTH 100.00 /#l/ov 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 Toll-Free Helpline: 8661ASK-FPPC (866/275-3n2)
Schedule A (Continuation Sheet) Monetary Contributions Received from 3' ft 7 /C$ through W20{; '".:S RECEIVED FULL NAME, STREET ADDRESS AND ZJP CODE OF CONTRIBUTOR CONTRIBUTOR (lfcommitiee. Al.SOENTERLO. N\JMSER) CODE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEl.F EMP1.0YEO. ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN, 1 DEC. 31) PER ELECTION TO (IF REQUIRED) 3/23/13 Edward D'Adam 1911 Grismer Ave. Burbank, CA 91504 i;zj lnd Retired 500.00 3/22/13 Albert Abkarian 907 Old Phillips Rd. Glendale, CA 91207 lljind Attorney 500.00 ~;'VZ? 3/28/13 John L. Gregg P 0 Box 158 Verdugo City, CA 91046 i;zj IND R.eA-ted 1,000.00 l JPt),00 3/27/13 Joe Kroening 4243 Wiley Ln. La Crescenta, CA 91214 (l)ind D COM e~va..- /}dt,t '6~farz, 100.00 (~tj,. tft) /FJtJ.tJO 3/28/13 Joseph H. Kanimian 300 W. Glenoaks Blvd., #100 Glendale, CA 91202 (l)ind Attorney Law Offices of Joseph H. Kanimian 300.00 J;/!2ofJ SUBTOTAL$ 2. 1 'fcxj,c:o *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 Fonn 460 (January/OS) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received from '&/17 Jz3 r 2 through {/ /?;:; {;.3 SCHEDULE A (CONT.) Page "1 of (<j, l.d.number RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR ~FCOll!MrTTEE,ALSOENTERl.0. NUMS ERI CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF saf-empldyed. ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN. 1 - DEC. 31) PER ELECTION TO (IF REQUIRED) 3/30/13 3/22/13 Robert Burnette 208 Thompson Ave. Glendale, CA 91201 Ronald D. Barnes 1401 Valley View Dr., #218 Glendale, CA 91202 IZJIND D OTH 0PTY oscc '2]1ND oscc Self Employed Television/Films Retired 200.00 250.00 3/28/13 Lenna Tyler-Kast TIE 300 E. Glenoaks Blvd., #300 Glendale, CA 91202 DINO liz]oth 0PTY oscc 1,000.00 D INO 0 PTY oscc D INO OPTY oscc SUBTOTAL$,, '-(5[}_{)7 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 Toll-Free Helpline: 866/ASK-FPPC (866/275 3772)
Schedule B-Part 1 Loans Received a (b) IF AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS ANO ZJP CODE OUTSTANDING AMOUNT OF LENDER OCCUPATION AND EMPLOYER BALANCE (IF SELF-EMPLOYED, ENTER RECEIVED THIS (IF COMMITTEE. Al.SO ENTER 1.0. NUMBER) BEGINNING THIS NA.\llE OF BUSINESS) PERIOD Rick Barnes Realtor 300 W. Glenoaks Blvd., #300 Real Estate One Glendale, CA 91202 t~ IND 0 COM 0 OTH D sec s 3, 100.00 $ 0,00 (c) AMOUNT PAID OR FORGIVEN THIS PERIOD l!lj PAID from 2/tz/13- through "7?: 1 13 (di OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD s 3, 100.QO $ _ f' f/i c.d D FORGIVEN OPAID DUE l I INTEREST PAID THIS PERIOD % RATE SCHEDULE B-PART 1 Page_$ 1.0. NUMBER of 1B 111 (g) ORIGINAL CUMULATIVE AMOUNT OF CONTRIBUTIONS LOAN TO $ 3,100.0 $ 3,100.00 INCURRED P2R ELECTION** 0 FORGIVEN % R.4TE PER ELECTION to IND o com o orh o PTY o sec 0PAID DUE INCURRED $ D FORGIVEN % RATE PER ELECTION"" to IND 0 COM D OTH D sec Schedule B Summary SUBTOTALS$ 0.00 $ 1. Loans received this period................................................. $ (Total Column (b} plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period............................................................ $ (Total Colum n (c} plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)... NET $ Enterthe net here and on the Summary Page, Column A, Line 2. DUE 3,100.00 $ 3,100.00 0.00 3,100.00 (3,100.00J (May be a negative number) $ 0.00 (Enter (e) on Sd1edu!e E, Line 3) INCURRED 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 *Amounts forgiven or paid by another party also must be reported on Sclledule A. ** If required. FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule B - Part 2 Loan Guarantors from.3:...l/...:.l_,,_?-+- / _,_1_.3. SCHEDULE B - PART 2 through _t.p~(-~-"-+,b""""'l~2-- Page~ of Ji l.d. NUMBER FULL NAME, STREET ADDRESS ANO ZIP CODE OF GUARANTOR (IF COMMITTEE.Al.SO ENTER ID. NUMBER) CONTRIBUTOR CODE DINO IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEJ..F.EMPLOYED. ENTER NAME OF BUSINESS) LOAN LENDER AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO $ BALANCE OUTSTANDING TO OPTY o scc PER ELECTION (IF REQUIRED) DINO LENDER OAlc CAI.EN OAR YEAR s PER ELECTION (IF REQUIRED) $ D INO D OTH O PTY oscc LENDER PER ELECTION {IF REQUIRED) s DINO LENDER oscc PER ELECTION (IF REQUIRED) SUBTOTAL $ 0.00 nteron Summary Page, Une17only. FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772}
'1vl n::uun:: ".,,..- -,... SCHEDULEC Nonmonetary Contributions Received from 3/t J /13 through /., /3?11y Page _[Q_ of.ii_ l.d.number RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMB:R) CONTRIBUTOR CODE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO (JAN 1 - DEC 31) PER ELECTION TO (IF REQUIRED) Andranik Kirkorian fl ~ 3/26/13 5422 LJt l:,.,re, ~~ "f'1v i;-1 La Cresenta, CA91214 fill IND o scc Custom Banners, U Wire Frame for Lawn Signs 581.51 581.51 4/2/13 DINO DINO DINO D COM Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 581.51 Schedule C Summary 1. Amount received this period-itemized nonmonetary contributions. 581 _ (Include all Schedule C subtotals.)... $ 51 _ 2. Amount received this period-unitemized non monetary contributions of less than $100... $ 3. Total nonmonetary contributions received this period. 581 _ (Add Lines 1and2. Enter here and on the Summary Page, Column A, lines4 and 10.)... TOTAL 51 $ o._o_o_ *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 Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
ScheduleD Summary of Expenditures Supporting/Opposing Other Candidates Measures and Committees ' from _3~/;_7~/~/3 CALIFORNIA SCHEDULED 460 I ~) '1-,P/J ~ through Page_lL_ ofll_ I l.d. NUMBER NAME OF CANDI, OFFICE, AND DISTRICT. OR MEASURE NUMBER OR LEITER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) CUMULATIVE TO PER ELECTION AMOUNT THIS TO PERIOD (JAN. 1-0EC.31) (IF REQUIRED) D Support D Support D Support 0 Oppose D Oppose 0 Oppose D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Nonmonetary Contribution D Independent Expenditure D Monetary Contribution D Non monetary Contribution D Independent Expenditure SUBTOTAL$ 0.00 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)... $ o_.o_o_ 2. Unitemized contributions and independent expenditures made this period of under $100... $ o_._o_o_ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)... TOTAL $ o_.o_o_ FPPC ToH-Free Helpline: 866/ASK-FPPC (866/275-3n2)
ScheduleE Payments Made Type or print in Ink. from p/17 /J'~ I through (/ /~ /J ~ SCHEDULEE Page J::k_ of Jb l.d. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. OIP campaign paraphernalia/misc. MBR membercommunications 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 wor1<ers' salaries eve civic donations PEr petition circulating Ta t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks 1RC candidate travel, lodging, and meals AID fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals N:l 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 \NEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE PFCOMMITIEE.A!.SOENTERID.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Minuteman Press Postcards 446 S. Central Ave. Lit 348.80 Glendale, CA 91204 Jonathan Alvarado 1152 S. Harvard Blvd. CNS 700.00 Los Angeles, CA 90006 True Davis 930 Cambridge Dr. PHO 210.00 Burbank, CA 91504 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ /.?- ~~ BD 1. Itemized payments made this period. (Include all Schedule E subtotals.)... $ 7, 112,,. ft?{ 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).)... $ / _g~;,...,:&~lf_, ct?. _~_00 ~-- 117~ 3 ( 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... TOTAL $.U. _ FPPC Fonn 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275 3772)
Schedule E (Continuation Sheet) Payments Made from 31r 7 /1 3 SCHEDULE E (CONT.) through ~/~oft~ I Pagefl_ of~ l.d. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryr OFC office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs FL candidate filingjballot fees Pl-0 phone banks lrc candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals lflo independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads \NEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID CA Law Enforcement Voter Guide 3700 Wilshire Blvd., #10508 LIT Los Angeles, Ca 90010 Slate Mailer 1,200.00 Moises Vasquez 1152 S. Harvard Blvd. PHO Los Angeles, CA 90006 200.00 Sheila McNichols 417 W. Foothill Blvd., #453 CNS Glendora, CA 91741 1,200.00 Rosalyn Butala 2208 Continental Ave., #8 CNS South El Monte, Ca 91733 775.00 Luis Sosa 300 W. Glenoaks Blvd., #100 CNS Glendale, CA 91202 400.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$, FPPC Fonn 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3n2)
Schedule E (Continuation Sheet) Payments Made to whole dollais. from~j~,r-/t~7=+-/~1~~--- through &.? /?0/1 '3 SCHEDULE E (CONT.) r Page J4 of~ 1.0.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Olf' campaign paraphernalia/misc. ~R member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions etb contribution (explain nonmonetary)* OFe office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fi ling/ballot fees Pl-0 phone banks TRe candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals lfld 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 IM:B information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER 1.0. NUM9ER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Sheila McNichols 417 W. Foothill Blvd., #453 OFC Glendora, CA 91741 Reimbursements 2,640.00 City of Glendale California 613 E. Broadway, Room 100 FIL Glendale, CA 91206 Candidates Statement in the Sample Ballot 118.87 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$,::;;7S-g/8 FPPC Form 460 (JanuaryfOS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) 7
Schedule F Accrued Expenses (Unpaid Bills) Statement covers P.eriod from ~/17 /L3 k 1 ;, 1 1:: SCHEDULEF through {;A// Z. Page. ofjl 1.0.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O\/P campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryt OFe office expenses SAL campaign workers' salaries eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs RL candidate filing/ballot fees PH) phone banks TRC candidate travel, lodging, and meals Fii() fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals JllO independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS$ $ $ $ Schedule F Summary 1 :~:~=~c~~~;::se~:;~ 6~c~;r~~~~spfu:ri~~~l(~~~~~i:~~ 8 acchc~~~~ :~P~~l~:nu~Je~u$b~~~lr~~~- -... INCURRED TOTALS $ --=~~~:.._erzj 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on p tjv accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)... PAID TOTALS$---'------ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0 tif> on the Summary Page, Column A, Line 9.)... NET$ Maybean~mnum&er FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
ScheduleG Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) from 3 /!7/13 through ~ /rlt~ SCHEDULEG Page _/.!i2_ of~ 1.0.NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ct..iP campaign paraphernalia/misc. MBR membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions etb contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries eve civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FL candidate filing/ballot fees PH:> phone banks 1RC candidate travel, lodging, and meals FflV fundraising events POL polling 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 LfT 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 ANO ADDRESS OF PAYEE OR CREDITOR OF COMMITTEE. ALSO EN'TER 1.0. NU.\llllER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* $ {) /7fJ I *Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 4GO (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule H Loans Made to Others* from '!J/17,, i-/; 3 through_~... i.;.._~-----f'-'-/_j_ SCHEDULEH Page 11 1.D. NUMBER of {tb FULL NAME. STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) IF AN INDIVlDUAL, ENTER OCCUPATION AND EMPLOYER QF S5LF EMPLOYEO, ENTER Nf,ME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) (c) OUTST~DING AMOUNT REPAYMENT OR BALANCE AT LOANED THIS FORGIVENESS CLOSE OF THIS PERIOD THIS PERIOD* PER (e) INTEREST RECEIVED (I) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE LOANS TO D PAID D FORGIVEN '/, RATE PER ELECTION.. DUE INCURRED D PAID $ D FORGIVEN % RATE s PER ELECTION'* $ _ DUE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period... $ &_._{:7V (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans... $ 6J.,. /JV (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)... NET $ fj. cfl> (Enter the net here and on the Summary Page, Column A, Line 7.) lm y.,. negative num!> r> **If Required
Schedule I Miscellaneous Increases to Cash from 48 /; 7 /;?J through &/2:2/!3 SCHEDULE I Page~ of~ l.d.number RECENED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, Al.SO ENTER 1.0. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional infonnation on appropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period... $..I}'-"-.-~-- 2. Unitemized increases to cash of under $100 this period... $,C,._..""i7f?--'- - 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)... $ -~tz~tjv 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the