01-01-09 TO 06-30-09Rgcipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print in ink.
Statement covers period
from i~1 ! Z
SEE INSTRUCTIONS ON REVERSE
I
through Z 06 1
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
Q Recall
O Controlled
(Also Complete Part 5)
O 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.D. NUMB
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
4V1C',~.k 1Gt: 1•'~ C;b1 1~Z~~ l)~s'YlSV
STREET ADDRESS (NO P.O. BOX)
II I b lv ~t~`~ \~r
CITY 1 ( STATE ZIP CODE/ AREA COD~E//P/HONE
IT
LV\C L OL L i 1i _ f l ` ! 2 I( ~tCb C •,'2)D( ' ~ l>7K.%-b
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY . STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if appl
(Month, Day, Year)
Date Stamp
JUN 30 AN 10.
2. Type of Statement:
❑ Preelection Statement
Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
COVER PAGE
Page of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
NAME OF TREASURER 1j f
~ i ct-L> V ey yk_ l L r
MAILING ADDRESS
"71(-,, i ~ , . ~
CITY } STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4.
veritication
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 t
correct.-
Executed
Date By
ign =t TWasurer
Executed )
t Date By Signature c~,Coiftuliling Officeholder, Car0date, State VeAtft Proponent or Responsible Officer of Sponsor
Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By Data 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 Califomia
Campaign Disclosure Statement
Type or print in ink.
SUMMARY PAGE
Summary Page
Amounts may be rounded
t
h
l
d
ll
Statement covers eriod
p
'
o w
o
e
o
ars.
I
.1
from
C
FORM
C
A
SEE INSTRUCTIONS ON REVERSE
through
C
Page of
NAME OF FILER
1
I.D. NUMBER
t~ L
-ir t) n"~~
I
~ t_) i'U i s
z S q
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROM ATTACHED SCHEDULES)
CALENDARYEAR
TOTALTODATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A, Line 3
$
$
2. Loans Received Schedule B, Line 3
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 +2
$
$
20. Contributions
Received $ $
4. Nonmonetary Contributions Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4
$ _
$
Made $ $ _
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made Schedule E, Line 4
$ -
$
Candidates
7. Loans Made Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7
$
$
22. Cumulative Expenditures Made`
(If Subject to Voluntary Expenditure LIrnIQ
9. Accrued Expenses (Unpaid Bills) Schedule F Line 3
-
D
t
f E
a
e o
lection Total to Date
10. Nonmonetary Adjustment Schedule C, Line 3
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE ................................Add Lines s + g + 10
$
$
$
Current Cash Statement
$
12. Beginning Cash Balance Previous Summary Page, Line 16
$
To calculate Column B, add
13. Cash Receipts Column A, Line 3 above
amounts in Column A to the
14. Miscellaneous Increases to Cash Schedule 1, Line 4
corresponding amounts
from Column B of your last
'Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments Column A, Line 6 above
report. Some amounts in
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15
$ <<~
Column A may be negative
figures that should be
If this is a termination statement, Line 16 must be zero.
subtracted from previous
period amounts. If this is
the first report being filed
17. LOAN GUARANTEES RECEIVED Schedule A Part 2
$
for this calendar year, only
carry over the amounts
Cash Equivalents and Outstanding Debts
from Lines 2, 7, and 9 (if
any).
18. Cash Equivalents See instructions on reverse
$
19. Outstanding Debts Add Line 2 + Line s in Column B above
$
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)