Recipient Committee Campa ign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE (c(o)[plr from March 18, 2010 May 22,2010 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. o Officeholder, Candidate Controlled Committee o State Candidate Election Committee o Recall (Also Complete Part 5) o General Purpose Committee Sponsored Small Contributor Committee o Political Party/Central Committee o Primarily Formed Ballot Measure Committee o Controlled o Sponsored (Also Complete Part 6) ~ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) Date of election if applicable: (Month, Day, Year) June 8, 2010 2. Type of Statement: bzi Preelection Statement Semi-annual Statement o Termination Statement (Also file a Form 410 Termination) o Amendment (Explain below) ~ IDat:ampE IN SAN BENITO MAY?7 2010 J E PAULGO~!QOUNTY COVER PAGE I COUNTY Page C ERK _1_ of21 For Official Use Only B'1--';;;';DE=P""UTY~Co;;LE;;;;;RK;;----rsc..- P,I 0 osdo,]"" Quarterly Statement Special Odd-Year Report o Supplemental Preelection Statement - Attach Form 495 3. Committee Information COMMITTEE NAME (OR CANDI'S NAME IF NO COMMITTEE) I.D. NUMBER Treasurer(s) NAME OF TREASURER for San Benito County Sheriff 2010 Kellie Kennedy MAILING ADDRESS 351 Eastview Court STREET ADDRESS (NO P.O. BOX) 5616 Sundown Lane CITY Hollister STATE CA ZIP CODE 95023 AREA CODE/PHONE 831-207 -0396 CITY Hollister NAME OF ASSISTANT TREASURER. IF ANY STATE CA ZIP CODE 95023 AREA CODE/PHONE 831-636-3002 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS t 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 the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and corre Executed on Date 5/26/2010 Date By \ Signatureof ConlrOningOffoceholder.Candidate.StateMeasureProponentorResponsibleOffocerof Sponsor Signatureat ControllingOtrocehold..Candidate.StateMeas..e Proponent Signatureof ControllingOffoceholder.Candidate.StateMeas..e Propanenl State of California
Recipient Committee Campaign Statement Cover Page - Part 2 COVER PAGE - PART 2 "2.. of 2.. \ 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDI 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Be nito County Sheriff RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 5616 Sundown Lane BALLOT NO. OR LETTER JURISDICTION SUPPORT o OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDI, OR PROPONENT 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. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEE ADDRESS CITY CONTROLLED COMMITTEE? DYES 0 NO STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDI STATE ZIP CODE AREA CODE/PHONE 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 o SUPPORT o OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) DYES 0 NO CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary State of California
Campa ign Disclosure Statement Summary Page SEE INSTRUCTIONS NAME OF FILER ON REVERSE from March 18,2010 SUMMARY PAGE May 22, 2010 Page 3 of.2.j J.D.NUMBER Contributions Received 1. Monetary Contributions Schedule A. Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 4. Nonmonetary Contributions. Schedule C, Line 3 5. TOTAL CONTRIBUTIONS Add Lines 3 + 4 Column A TOTAL THIS ATTACHED SCHEDULES) (FROM 15,277 10,000 25,277 1,968 27,245 Column B TOTAL TO 47,751 13,000 60,751 2,473 63,224 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 6/30 20. Contributions Received _ 21. Expenditures Made _ 7/1 to Date ---- ---- Loans SUBTOTAL Payments Made 36,320 Made CASH... PAYMENTS Schedule Add Lines E. H. Line 6 + 43 7 Expenditures Made 6. 11. 10. TOTAL Nonmonetary EXPENDITURES Adjustment MADE... Add Schedule Lines 8 C. + 9 Line + 10 3 50,328 Expenditure Limit Summary for State Candidates 50,328 22. Cumulative Expenditures Made" (If Subject to Voluntary Expenditure Limit) Date of Election (mmldd/yy) 50,328 --1--1 ---- Current Cash Statement --1--1 ---- 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. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a tennination statement, Line 16 must be zero. 17. LOAN GUARANTEES. Schedule B. Part 2 :;ash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 21,464 25,277 36,320 10,421 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). 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 TolI Free Helpline: 866/ASK FPPC (866/275-3772)
Schedule A Monetary Contributions Received from March 18, 2010 SCHEDULEA CALIFORNIA 460 FORM SEE INSTRUCTIONS 3/18/2010 3/18/2010 3/18-5/4, ON REVERSE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE * Crystal TV/Radio Shack Dealer Jeff Bushnell Carmel, CA 93923 Rachel Turturici Fresno, CA 93722 olnd IZIOTH!;ZJ IND IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED. ENTER NAME Police Officer Sand City PD THIS May 22, 2010 200 700 CUMULATIVE TO (JAN. 1 DEC. 31) 200 700 Page L\ of 2..\ 1.0. NUMBER TO (IF REQUIRED) 3/18/2010 3/22/2010 )chedule Richard Sabbatini Tami Huaracha Tres Pinos, CA 95075 A Summary Amount received this period - itemized monetary contributions. (Include a II Schedule A subtotals.) IlJ IND IIIIND Amount received this period - unitemized monetary contributions of less than Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) Cashier Don Esthers Restaurant SUBTOTAL 1,200 I~~~~ I 13,200 2,077... TOTAL 15,277 Contributor Codes IND-Individual COM - RecipientCommittee (other than PTY or SCC) OTH - Other (e.g. business entity) PTY - Political Party SCC- Small ContributorCommittee
Schedule A (Continuation Sheet) Monetary Contributions Received from March 18,2010 SCHEDULE A (CONT.), FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CO DE * IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME THIS May 22, 2010 CUMULATIVE TO (JAN. 1 DEC. 31) Page -.5 1.0. NUMBER of '2- \ TO (IF REQUIRED) 3/25/2010 Harry Hill [;Z] INO. 3/25/2010 Bill Baker IljINO Business Owner Baker & Associates 3/28-5/17 Mark Koller Fremont, CA 94539 IljINO Police Officer Hayward PD 300 300 3/30/2010 John Noble ~INO Salesman Flooring Company 200 200 3/30/2010 FVArAttA P. Hollv Grabeel ~INO Self-Employed Construction Contractor SUBTOTAL 800 I I 'CDntributor Codes INO -Individual COM - Recipient Committee (other than PTY or SCC) )TH - Other (e.g.. business entity) "TY - Political Party ;CC - Small C()ntributor Committee
Schedule A (Continuation Sheet) Monetary Contributions Received from March 18, 2010 May 22,2010 SCHEDULE A (CONT.) Page ~ of bj 1.0. NUMBER I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME THIS CUMULATIVE TO (JAN. 1 DEC. 31) TO (IF REQUIRED) 3/31/2010 Grunnable-Ament-Nelson Funeral Home olnd Il]OTH 4/2-5/1 Rosalie Campisi IlIIND 200 200 4/8/2010 Doodlebug Ranches, LLC Paicenes, CA 95043-0008 O1ND III OTH 4/10/2010 George Anderson Q1IND Salesman Global Tel-Link 4/12/2010 Axel Funke Q1IND SUBTOTAL 1,000 I I 'CDntributor CDdes NO -Individual ~OM - Recipient Committee (other than PTY or SCC) )TH - Other (e.g., business entity) 'TY - Political Party ;CC - Small Contributor Committee FPPC Form 460 (January/05)
Schedule A (Continuation Sheet) Monetary Contributions Received from March 18,2010 SCHEDULE A (CONT.) I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE. IF AN INDIVIDUAL, ENTER (IF SELF EMPLOYED, ENTER NAME THIS May 22,2010 CUMULATIVE TO (JAN. 1 - DEC. 31) Page...:J 1.0. NUMBER of 2... I TO (IF REQUIRED) 4/16/201 0 Dorothv Sabbatini IlJ IND DeOM DOTH 200 200 4/16/2010 Jay Jacobson Paicenas, CA 95043 Ilj IND DSCC Self-Employed Entrepreneur 4/21/2010 De Vries Law Group San Juan Bautista, CA 95045 olnd DCOM IlJ OTH osee 4/21/2010 Peace Officers Research Assoc of California Sacramento, CA 95834 olnd DeOM IljOTH Dsec 4/21/2010 Operating Engineers Local 3 District 90 Morgan Hill, CA 95024 DIND DeoM ~OTH Dsce 1,000 1,000 SUBTOTAL 2,700 I I Contributor Codes IND -Individual COM - Recipient Committee (othe r than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee
Schedule A (Continuation Sheet) Moneta ry Contributions Received RECEIVEO, FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CO DE * IF AN INDIVIDUAL. ENTER (IF SELF EMPLOYED, ENTER NAME from March 18,2010 THIS May 22, 2010 CUMULATIVE TO (JAN. 1 DEC, 31) SCHEDULE A (CONT.) Page -.B. 1.0. NUMBER of 2.1 TO (IF REQUIRED) 5/4/2010 Ken Wolf Tile OIND DCOM III OTH 5/4/2010 Canty Security & Investigations, Inc OIND hljoth oscc 5/4/2010 Nancy Cuffney Salinas, CA 93908 IlIIND Undersheriff Monterey County Sheriff's Office 5/3/2010 Tyrone Holmquist DCOM DSCC Self-Employed Retail Shop 5/3/2010 Deputy Sheriff's Assoc of Santa Clara County SanJose,CA 95112 OIND (ZJ OTH SUBTOTAL 900 I I 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) JTH - Other (e.g., business entity) :>TY- Politica I Party ;CC - Small Contributor Committee
Schedule A (Continuation Sheet) Monetary Contributions Received, from March 18, 2010 May 22,2010 SCHEDULE A (CONT.) Page -9 of 2. \ 1.0. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IFCOMMITTEE,ALSOENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO (IF REQUIRED) 4/26/2010 Cynthia Taylor Los Angeles, CA 90027 IIIINO Sales Global TelLink 200 200 4/28/201 0 Daniel McMath & Susan Bada San Juan Bautista, CA 95045 IIIINO Devcon Construction 4/28/2010 Beverly & Leonard Poletti IIIINO 4/23/2010 George Mortan Watsonville, CA 95077 IIIINO 300 300 4/23/2010 Paul & Carol Ann Feisthamel IIIINO SUBTOTAL 800 I.. -, Contributor Codes INO -Individual COM - Recipient Committee (otherthan PTY or SCC) OTH - Other (e.g.. business entity) PTY - Political Party SCC - Small Contributor Committee
Schedu Ie A (Continuation Sheet) Monetary Contributions Received from March 18, 2010 SCHEDULE A (eont.) NAME OF FILE R, May 22,2010 Page '0 of -Zd 1.0. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED. ENTER NAME THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO (IF REQUIRED) 5/2/2010 Geoffrey Karty IlJ IND DeOM DOTH oscc Correctional Officer Santa Cruz County 5/4/2010 Government Indianapolis, IN 46268 Payment Services, Inc DIND oeom IIIOTH Dsee 5/4/2010 Bryan Penney IlJIND Deputy Sheriff San Benito County 5/6/2010 Cynthia Colman osee Assistant Focus Sports Therapy 5/10/2010 John & Ellen Fisher DeOM DOTH Dsec Self-Employed Bookkeeping Service SUBTOTALS 900 I I 'Contributor Codes IND-Individual COM - RecipientCommittee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC- Small ContributorCommittee FPpe Form 460 (January/OS)
Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FilER, FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0.NUMBER) CODE * IF AN INDIVIDUAL, ENTER (IF SELF EMPLOYED. ENTER NAME from March 18,2010 May 22, 2010 THIS CUMULATIVE TO (JAN. 1 DEC. 31) SCHEDULE A (CONT.) Page -1J I.D. NUMBER of 2:J. TO (IF REQUIRED) 5/7/2010 Kitchell Construction Sacramento, CA olnd fljoth 1, 1, 5/13/2010 Francisco Rivera Bail Bondsman Eight Ball Bailbonds 300 300 5/13/2010 William Fithian Hollister, CA 93940 President & Medical Dir California Forensic Medical Group 750 750 5/13/2010 David Callis Executive Bank of America 5/17/2010 Edgar & Margaret Markham Q1IND DCOM SUBTOTAL 2,750 I I CDntributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee
Schedule A (Continuation Sheet) Monetary Contributions Received from March 18,2010 SCHEDULE A (CONT.) May 22, 2010 Page.lL of 2- \ NAME OF FilER I.D. NUMBER I FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0.NUMBER) CODE * IF AN INDIVIDUAL. ENTER (IF SELF EMPLOYED. ENTER NAME THIS CUMULATIVE TO (JAN. 1 DEC. 31) TO (IF REQUIRED) 5/21/2010 Beth Anne Kafer Salinas, CA 93906 [liind 9-11 Manager San Benito Cnty Sheriff 160 160 5/15/2010 Laura Kirschmann Self employed Bookkeeper 5/15/2010 Daniel Hustedt Salinas, CA 93908 Vice President of Finance California Forensic Medical Group 750 750 5/14/2010 Robert Scagliotti Self-Employed Farmer 5/14/2010 Edward Nino Gilroy, CA Deputy Sheriff San Benito County 300 SUBTOTAL 1,210 I I 'Contributor Codes IND-Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g.. business entity) PTY- Political Party SCC- Small ContributorCommittee
Schedule A (Continuation Sheet) Monetary Contributions Received from March 18, 2010 May 22,2010 SCHEDULE A (CONT.) Page i3 of-2j I ltd. NUMBER I I FUll NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO (IF REQUIRED) 5/11/2010 5/17/2010 Lupe DeRosa San Juan Bautista, CA 95045 Victor Casada IlJ (ND DCOM DOTH oscc Records Specialist San Benito County Sheriff Deputy Sheriff San Benito County 5/21/2010 B~verly Prior Architects San Francisco, CA!:J4108 OIND DCOM 'lioth oscc 5/21/2010 John Hopper San Juan Bautista, CA 95045 ~INO Reporter The San Juan Star 140 140 5/21/2010 Edward Escamilla ~INO Lieutenant San Benito Co Sheriff's Office SUBTOTAL 540 I I 'Contributor Codes INO -Individual COM - Recipient Committee (othe r than PTY or SCC) OTH - Other (e.g.. business entity) PTY - PolitiCCIIParty sce - Small Contributor Committee FPPC Toll-Free Helpline: 866/ASK FPPC (866/275-3772)
Schedule A (Continuation Sheet) Monetary Contributions Received from March 18, 2010 SCHEDULE A (CO NT.) NAME OF FilER I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I,D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME THIS May 22,2010 Page ~ CUMUlATIVE TO (JAN. 1 - DEC. 31) I.D. NUMBER of 2... \ TO (IF REQUIRED) 5/18/2010 Richard Anderson iljlnd Self-Employed Real Estate 5/15/2010 Jose Agredano 'ljind Pilot Air National Guard 5/12/2010 Salvador & Irene Agredano 'ljind 260 5/7/2010 Francisco & Margarita Quezada Mechanic Gilroy Foods olnd DCOM DSCC SUBTOTAL 400 I I Contributor C()des IND -Individua I COM - Recipie nt Committee (other than PTY or SCC) OTH - Other (e.g., business entity) TY - Political Party CC - Small Contributor Committee FPPC Form 460 (January/05)
10,000 3,000 March May 18,2010 22, (b) (e) (I) OUTSTANDING CUMULATIVE (d) Statement OCCUPATION covers AND EMPLOYER (91 PAID period OUTSTANDING CONTRIBUTIONSBEGINNING BALANCEAT ORIGINAL INTEREST BALANCE ofpaid Page ~ FORM CALIFORNIA,ded 460 2.. THIS OR FORGIVEN CLOSE OF THIS THIS THIS TO5/17/201 LOAN \ o NAMEOFBUSINESS) San Undersheriff Benito County PAID 11/09/09 RATE s s ELECTION o FORGIVEN s ~ S S S -_% S S CALENDARYEAR DUE o COM OTH PTY SCC INCURRED Type or print DUE in ink COM " 864 Monterey Street --'~ SCHEDULE B - PART 1 I.D. NUMBER SUBTOTALS 10,000 I I (Enter (e) on ichedule B Summary ScheduleE.Line3) Loans received this period (Total Column (b) plus unitemized loans of less than.) Loans paid or forgiven this period (Total Column (c) plus loans under paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) Net change this period. (Subtract Line 2 from Line 1.) Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A.... NET 10,000 10,000 (May be a negative number) tcdntributor IND -Individual Codes COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee If required.
Schedule C Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE from March 18,2010 May 22,2010 SCHEDULE C Page ~ 1.0. NUMBER ofll FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Ketcham Ranch!;ZIIND OIND 3/11/201 I () Rancher I California Forest Products o PlY!;ZIOTH CONTRIBUTOR I OCCUPATION IF AN INDIVIDUAL, AND EMPLOYER ENTER CODE * (IF SELF-EMPLOYED. ENTER I GOODS DESCRIPTION OR SERVICES OF NAME -- OIND Post & Fencing I FAIR MARKET VALUE 403 CUMULATIVE TO (JAN 1 DEC 31) 403 TO (IF REQUIRED) Firewood for BBQ Fundraiser 150 150 Cattleman Assoc Dinner Dance 2 tickets Crab Feed Dinner Attach additional information on appropriately labeled continuation sheets. SUBTOTAL 753 )chedule C Summary Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.) Amount received this period - unitemized nonmonetary contributions of less than Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) 1,843. 125 TOTAL 1,968 Contributor Codes INO-Individual COM- RecipientCommittee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC- Small ContributorCommittee
Schedu Ie C Nonmonetary Contributions Received from March 18,2010 SCHEDULE C SEE INSTRUC TIONS ON REVERSE May 22,2010 page~of~ I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR I OCCUPATION IF AN INDIVIDUAL, AND EMPLOYER ENTER CODE * (IF SELF-EMPLOYED. ENTER I GOODS DESCRIPTION OR SERVICES OF NAME I FAIR MARKET VALUE CUMULATIVE TO (JAN 1 - DEC 31) TO (IF REQUIRED) 4/30/2010 Daniel De Vries PO Box 996 San Juan Bautista, CA 95045 QJIND DeoM DOTH osee Attorney De Vries Law Group Tickets Heart of Casa Event 130 130 5/12/2010 Creative Design 1700 Airline Hwy, PMB 379 DIND DeOM QJOTH osee Advertising 480 480 OIND osee DIND DeOM osee Attach additional information on appropriately labeled continuation sheets. SUBTOTAL 610 )chedule C Summary Amount received this period - itemized nonmonetary contributions. (Include all Schedule C subtotals.) Amount received this period - unitemized nonmonetary contributions of less than. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) 'ContributDr Codes 1,843 IND -Individual COM - Recipient Committee (other than PTY Dr SCC) 125 OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor CDmmittee TOTAL 1,968
Schedule Payments E Made from March 18, 2010 SCHEDULE E SEE INSTRUCTIONS ON REVERSE May 22, 2010 Page ~ of 2.. \ I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. aiip campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTE contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries evc civic do nations PET petition circulating TEL t.v. or cable airtime and production costs IL candidate filing/ballot fees PHO phone banks mc candidate travel, lodging, and meals FNO fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals NO 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 JT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT CODE PAID IF COMMITTEE. ALSO ENTER 1.0. NUMBER) Election Education Guide NAME AND ADDRESS OF PAYEE 16,328 425 170 CMP PRO POS.. Ad Feature Postage creation listing andfor mailing on Premier the preperation Election Cinemas Education Guide Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 16,923 ichedule E Summary. Itemized payments made this period. (Include all Schedule E subtotals.). Unitemized payments made this period of under 1 00 Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).). Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.). 36,265 55 ----- TOTAL,.,,..,)0,320
Schedule E (Continuation Sheet) Payments Made from March 18, 2010 SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE May 22, 2010 Page ~ I.D. NUIVIDc" of1:j CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CWP campaign paraphernalia/misc. MBR membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTE contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic do nations F T petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks lrc candidate travel, lodging, and meals FND fundraising events POL polling and survey research lrs staff/spouse travel, lodging, and meals ND 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 ill campaign literature and mailings PRT print ads IlVEB information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT PAID CODE NAME AND ADDRESS OF PAYEE 900 Appearance Guide Speed Mailing Facility Fund-raising Campaign rent List Data for in tickets the campaign Entry Primarymeeting 2010 California Voters 381 115 150 California NRA-Hollister Voters Guide San Benito County Chamber of Commerce Payments tha1are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 1,646
Schedule E (Continuation Sheet) Payments Made from March 18, 2010 SCHEDULE E (CONT.) SEE INSTRUCTIONS Pat T urtu rici ON REVERSE May 22,2010 Page.2..Q. of ~ 1.0. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. crvp 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 nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic do nations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidaie 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 NO indepen dent 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) OR DESCRIPTION OF PAYMENT PAID CODE 2,018 2,000 995 755 770 WEB CNS CMP FND Web March Fundraising Food Inclusion design and insupplies April 2010 event andconsultant implementation Voter 5/21 for Fund-raising guide fee BBQ NAME AND ADDRESS OF PAYEE Voter Paines lvarezguide Res Catering taurant Slate Cards Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 6,538
Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILE R from March 18,2010 May 22, 2010 SCHEDULE E (CONT.) Page2L of--.z::..l 1.0. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. ajp 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 workers' salaries CVC civic donations FEr petition circulating "TEL t.v. or cable airtime and production costs FIL 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 NO 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 VIlES information technology costs (internet, e-mail) OR DESCRIPTION OF PAYMENT ASAP Martella USPSSigns Printing for 324 LIT Lincoln Avenue CODE PAID Salinas, 64 Hollister, WMaple Alisal CA CA postage Street campaign 93901 95023 signs 4,573 6,365 220 NAME AND ADDRESS OF PAYEE Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 11,158