01-01-11 TO 06-30-11---ReGipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1.
Type or print in ink.
Date of election if applicable:
(Month, Day, Year)
Date Stamp
Statement covers period
from - ( I)A , A ?,O it
through ))p.C :31 It 16 t
Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
Q State Candidate Election Committee
O Recall
(Also Complete Part 5)
❑ Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
~f General Purpose Committee
O Sponsored
0 Small Contributor Committee
Q Political Party/Central Commi
3. Committee Information
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D.NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
b~- Luc, C»r s
ADDRESS (NO P.
C
ADDRESS (IF DIFFERENT) NO. AND STREET O
ZIP CODE AREA CODE/PHO
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF ASSISIANI iHt:AbUKtK, It- PINY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable d' ence in preparing and reviewing this statement and to the best of my know) a the information contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury unde thhe laws of the State of California that the foregoing is true and correct.
Executed on - Date ~ ~ L, By
Signature of Treasurer or Assistant Treasurer
Executed on
Date
Executed on
Date
Executed on
Date
2. Type of Statement:
❑ Preelection Statement
Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page of _
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275.3772)
State of California
(4
~t o ~~~I I~ t1J~
CITY STATE ZIP CODE AREA CODE/PHONE
Campaign Disclosure Statement
Summary Page
SEE INSTRiOCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SUMMARYPAGE
CALIFORNIA
1
Page of
NAME OF FILER
r
1
L
I.D. NUMBER u l~
~ ~ ~ ~ l~ I
5
~
t
Column
o
Column B
Calendar Year Summary for Candidates
Contributions Received
To
R
D
A
Running in Both the State Primary and
g
(FROM ATTACHED SCHEDULES)
LTO DATE
TOT
General Elections
1. Monetary Contributions
Schedule A, Line 3
$ $
111 through 6/30 711 to Date
2. Loans Received
Schedule B, Line 3
~
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS
Add Lines 1 + 2
$
$
Received $ $
4. Nonmonetary Contributions.
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED •
Add Lines 3+4
$ $
Made $ $
Expenditures Made
6. Payments Made
7. Loans Made
8. SUBTOTALCASH PAYMENTS
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment
11. TOTAL EXPENDITURES MADE
Schedule E, Line 4
$
Schedule H, Line 3
Add Lines 6 + 7
$
Schedule F, Line 3
Schedule C, Line 3
Add Lines 8 + 9 + 10
$
Current Cash Statement
'2. 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 6 above
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 5 l
It le.,,,inol;.,., cl nlomnnl I inn 19 mnct ha morn
$ s
$
$ 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).
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 9 in Column B above $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/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)