07-01-09 TO 12-31-09Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink. j )
2nia 14u,
Statement covers period Date of election if applicable:
from J A, it .-.2r-, n9 (Month, Day, Year)
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
O Recall Q Controlled
(Also Complete Part 5) 0 Sponsored
General Purpose Committee (Also Complete Part 6)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Also Complete Part 7)
3. Committee Information I I.D. r~ua'L ~~I
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE),1 C
STREET ADDRESS (NO P.0 X)
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date Stamp
I F )U
12: 36
i
2. Type of Statement:
❑ Preelection Statement
Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page i of 2`
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
0
CITY
AREA CODE/PHONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge
under penalty of perjury nder the laws of the State of California that the foregoing is true and correct.
Executed q Lv,- 2 b 1 b By
Executed on ` By
Signature of Co Ili
contained herein and in the attached schedules is true and complete. I certify
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate,State Measure Proponent FPPC Form 460 (January/06)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276.3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
y7,
Contributions Received
I l I rm (1
1.
Monetary Contributions
Schedule A, Line 3 $
2.
Loans Received
Schedule e, Line 3
3.
SUBTOTAL CASH CONTRIBUTIONS
Add Lines l+2 $
4.
Nonmonetary Contributions
Schedule C, Line 3
5.
TOTAL CONTRIBUTIONS RECEIVED
AddLines 3+4 $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$
SUMMARY PAGE
Statement covers period CALIFORNIA
from (3-f •
through a l Page_ of
I.D. NUMBER
a2g<1
Column B Calendar Year Summary for Candidates
CALENDAR YEAR
TOTALTO DATE Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditures Made
6. Payments Made
Schedule e, Line 4 $
7. Loans Made
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS
Add lines 6+ 7 $
9. Accrued Expenses (Unpaid Bills)
Schedule F Line 3
10. Nonmonetary Adjustment
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE
AddLines 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 1, Line 4
15. Cash Payments Column A, Line 8 above
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 6 I .
if this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED schedule e, pall 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse $
19. Outstanding Debts Add Line 2+ Line 9 in Column 8 above $
I 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)
$
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
'Amounts in this section may be different from amounts
report. Some amounts in
reported in Column B.
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).
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)