.' tiecipientcommiuee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE lejcopy Statement covers peri7 0d from /-1..- L!.._ throu 3D" /1 Date of election if applicable: Ht\'tntv EIJ CITY ClEH!\S OFFICi CITY OF mcilmono (Month, Day, Year) 11 JUL 31 t PH 7=, I For Official Use Only COVER PAGE 1TY E! of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Iflceholder, Candidate Conlrolled Committee 0 Primarily Formed Ballot Measure State Candidate Election Committee Committee o Recall 0.Controlled (A/so Compteto Part 5) 0 Sponsored (/l/so Camp/ute Part 6) o General Purpose Committee Sponsored o Primarily Formed Candidate! Small Contributor Committee Officeholder Committee (Also Complete Pall 7) o Political Party!Central Commiltee 2. Type of Statement: o Preelection Statement 151('Semi-annual Statement tj Termination Slatement (Also file a Form 4 10 Termination) o Amendment (Explain below) Quarterly Statement Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 3. Committee lnformation Treasurerts) '/-?> f\f;:ea CODE/PHONE.Iz:,s:.;rc:J IvlAILING ADDHESS '5 CITY STATE ZIP CODE AREA CODEJPHONE CITY STATE ZIP CODE AHEA CODE/PHONE OPTIONf\L: FAX J E-MAil ADDRESS OPTIOWIl: FAX J E-IvIAIL ADDRESS...-. ="'" U.VV _ r",.,.""",,,a l' n,v5t7't tt 'P"Z'iwam.;t;;!7:7!=-"'F'."" _-'=,,=...-;' 4. Verification I have used all reasonable diligence in preparing and reviiewing this statement and to the best of my knowledge ti rerein and in the attached schedules is true and complete. I certify under penalty of perjurv under til laws of tile State of C llifornia that tile foregoing is true and correct..,' J Executed, 5<T' -=-= '" T Executed on Dale Executed 011 Dote BY... By, ".'.LO... "........ _.. By ---------------------- Signature of Controlling Officeholder, Candidate, State rv1cilsurc Proponent By ------------------------ Signature of ConlroUinCj Officeholder, Candidate. State Measure Proponent FPPC Form 4GO (January/OS) FPPC Toll-Free Helpline: 8GG/AS1<-FPPC (86G/275-3772) State of California
Campaign Disclosure Statement Summary Page Contributions Received 6P /7.z& 1. Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS AddLines 1 + 2 4. Nonmonetary Contributions Schedule C. Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 ColumnA ColumnB TOTAL THIS (FROMATTACHEO SCHEOlJLES) TOTALTOOATE s B;]J6() I;; /2; )tjo 0l5Z5 c:er /:::k _R--;3tJlJ! SUMMARY PAGE Statement covers period CALIFORNIA from h-r-// throughc -3D -7/ Page C F"'" of - ISO Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received 21. Expenditures Made 1/1 through 6/30 7/1 to Date /1;Jt:! 5re-- n Expenditures Made 6. Payments Made... Schedule E. Line 4 7. Loans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 "'" s 5 -' -,.9-3-- Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure limit) 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 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 I, Line 4 15. Cash Payments Column A. Line 8 above 16. ENDINGCASH BALANC.E. Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. -'" 5CJ r To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is,.. the first report being filed 17. LOAN GUARANTEES RECEiVED... Schedule B. Part 2 / Bt!r9 for this calendar year, only carry over the amounts I-from Lines 2.7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse '24&bl any). Date of Election (mm/dd/yy)...--1...-.-.-.l I...-.-.-.l Total to Date 'Amounts in this section may be different from amounts reported in Column B. 19. Outstanding Debts Add Line 2 + Line 9 in Column B above FPPC Form 460 (JanuaryI05)
Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FiJd':ij7 Type or print in Ink. Statement cove;:;-p-erd"" from /- /- /L throu6-30- LL SCHEDULE A sse a DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITIEE. ALSO ENTER I.D.loJUM8ER) s:-'l31( lfofl /'.4- =ztf"c ev /e} e:!7'2-:v/1 1/?-5ar1 'z: ''I H C/c C)!J-2J-/'EZ! 9t q IND DeOM osce I5ilJND /ocom osec OIND OCOM OSCC OIND oeom osec IF AN INDIVIDUAL, ENTER OCCUPATlON'AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF 8l1SINESS) AMOUNT RECEIVED THIS t&e It J:5;4 L./ I /',.. t9 oo tftmj 'I '."... / 4, J" tjt), J 1/ 1 1--- Schedule A Summary SUBTOTAL 1, Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.) 'h 36-6 2. Amount received this period - unitemized monetary contributions of less than 100 1 3. Total monetary contributions received this period. /"" (Add Lines 1 and 2. Enter here and on the Summary Page. Column A. Line 1.) TOTAL '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/OS)
ScheduleE Payments Made -Statement covers period from ;, /.,..- / I SCHEDULEE CALIFORNIA 460 thro/30'-// page Of5-1.0. NUMBER 9b6 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants WG meetings and appearances RFO returned contributions eta contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks Ir f. TRC candidate travel, lodging. and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' pas postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense. PRO professional services (legal, accounting) VaT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, a-mall) R--.:..L;:- C./IIc./)(/77 1/ Yc,/dL-c-?"4Q? /2b V-&?/& cym t?ftj2r- --- - ])cj;lvkj /CJ{) NAME AND ADDRESS OF PAYEE (if COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ----I--. * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) /0-0 _ 7 2. Unitemized payments made this period of under 1 00 3. Total interest paid this period on loans. (Enter amount from Schedule S, 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 6J -- -/ "."..- FPPC Form 460 (Januaryl05) FPPG Toll-Free Helpline: 8661ASK-FPPC(8661275-3772)
Schedule B - Part 1 Loans Received FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0.NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF EMPLOYED, ENTER NAME OF BUSINESS) -I a OUTSTANDING BALANCE BEGINNING THIS /JNJI HJ (b) I (e) AMOUNT AMOUNT PAID RECEIVED THIS OR FORGIVEN THIS *.e: o FORGIVEN Statement covers period from /-- *1/ thro (d) OUTSTANDING BALANCE AT CLOSE OF THIS DATE DUE J'9-1/ (e) INTEREST PAID THIS RATE SCHEDULE B -PART 1 CALIFORNIA 460 page &:[1011iD RATE It- -:l-l'id DATE INCURRED Of I.D. NUMBER 9S6(6l (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TODAJE PER ELECTION** ;' (0.;'/0 PER ELECTION ** 'ATE INCURRED ) o PAID o FORGIVEN --_% RATE PER ELECTION ** to IND 0 COM 0 OTH 0 PTY 0 SCC DATE INCURRED SUBTOTALS Schedule B Summary 1. Loans received this period (Total Column (b) plus unitemized loans of less than 100.) 2. Loans paid or forgiven this period...... (Total Column (c) plus loans under 1 00 paid orforgiven.) (Include loans paid by a third party that are also itemized on Schedule A.), ltu/7,/ I ( / 3. Net change this period. (Subtract Line 2 from Line 1.) NET!.. 1 {',IV". Enter the net here and on the Summary Page, Column A, Line 2. 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 Schedule A. ** If required. FPPC Form 460 (January/OS)