01-01-05 TO 06-30-05Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Statement covers period
from J N n
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
p Officeholder, Candidate Controlled Committee
❑ Ballot Measure Committee
Q State Candidate Election Committee
0 Primarily Formed
Q Recall
0 Controlled
(Also Complele Part 5)
Q Sponsored
General Purpose Committee
(Also Complete Part 6)
Q Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party/Central Cornmittee
(A)so Complete Part 7)
Date of election If applicable
(Month, Day, Year)
2. Type of Statement:
❑ P election Statement
Semi-annual Statement
❑ Termination Statement
❑ Amendment (Explain below)
Date Stamp
G ur, -
;IPiige of _
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
3. Committee Information
I.D.
IR
PAGE
Treasurer(s)
NAME OF TREASURER i
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
tX11.C~,Al -Vtcl<~ (~Cq- \ i -~Or 6~ U > S
STREET ADDRESS (NO P.O. BOX) (j
CITY STATE ZIP CODE AREA CODE/PHONE
~YIC n t (::~A _ 24
ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
~CZ or
CITY 1 ~t ATE ZIP CODE AREA CODE/PHONE
~V t C I V1 L O ~ ZG -Z~-t
NAME OF ASSISTANT TREASURER, IF ANY
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 est of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty perjury under the laws of the State of California that the fo going tr a and I.
Executed on V.
. U v J By
Dale lure Treasurer a Assistant Treasurer
Executed on AIS: By
Date gnat a onlml ing , Ca date. tats Measure Proponent or esponst e Officer o Sponsor
Executed on By Date Signature of Controlling Officeholder, candidate, State Measure Proponent
Executed on ate By gnaturedrCo rng r,Candidate, state Measure Proponent FPPC Form 460 (June/01)
FPPC Toll-Free Helpllne: 666/ASK-FPPC
State nt Callfnrnla
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
NAME OF FILER
Statement covers period CALIFORNIA
from v 1Yl dS e
through `Yl S Page of
I.D. NUMBER
Contributions Received
1. 'onetary 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 RECEIVED ...............................Add Lines 3 + 4
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$ 5 C) C) r, C? $
Column B
CALENDAR YEAR
TOTALT O D4T E
$ 5 cw , b a $
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
fit through 6/30 711 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. Lin, 3
10. Nonmonetary Adjustment Schedule C. Line 3
11. TOTAL EXPENDITURES MADE ...................................Add Lines a + 9 + 1o
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 6 above
16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, (hen subtract Line 15
If this is a termination statement, Line 16 must be zero.
$ 2
--12.3a
$
17. LOAN GUARANTEES RECEIVED Schedule B. Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See ins(ruc(lons on reverse $
19. Outstanding Debts Add Line 2 + Line 9 in Column 8 above $
$ -~~•3D $
$ $
$ $
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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(If Subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mmtddtyy)
I-_/ $
1_1 $
-J $
'Since January 1, 2001. Amounts in this section may be
different from amounts reported In Column B.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type or print In Ink.
Amounts may be rounded
to whole dollars.
DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER)
CODE
)ZC7L7S OY Vcv nCL Gv Q(ND
17. ~cZXk~ a rt ~t OCOM
OTH
QCIV"A~ j~~ p P
sCC
IND
COM
p OTH
PTY
p SCC
IND
❑ COM
❑ OTH
a PTY
p SCC
IND
❑ COM
p OTH
OPTY
p SCC
O IND
COM
❑ OTH
Dom'
E] SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(iF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
~YwOU c~ ~ ~~k
Statement covers period
\ CALI
from v Lul S_ ii
F
SCHEDULE A
FORNIA •
ORM
through SS Page
of
I.D. NUMBER
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
!5-C%o,p0
SUBTOTAL $ 5 00 6c>
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) 500,
b
2. Amount received this period - unitemized contributions of less than $100 $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ f7 L
'Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Statement covers period
from k 1 C~'~ S
through J0 V\-e.. page
I.O. N
of
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
CMP
CNS
campaign paraphernalia/misc.
campaign consultants
MBR
member communications
RAD
.
radio airtime and production costs
C
contribution (explain nonmonetary)'
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
'
C..,
FIL
civic donations
candidate filing/ballot fees
PET
petition circulating
SAL
TEL
campaign workers
salaries
t.v. or cable airtime and production costs
FND
fundraising events
PHO
POL
phone banks
polling and survey research
TRC
candidate travel, lodging, and meals
IND
LEG
Independent expenditure supporting/opposing others (explain)'
legal defense
POS
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
LIT
campaign literature and,mailings
PRO
PRT
professional services (legal, accounting)
i
VOT
voter registration
pr
nt ads
WEB
information technology costs (Internet, e-mail)
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.)
2. Unitemized payments made this period of under $100 $ . 3
3. Total interest paid this period on loans. (Enter amount from Schedule B, 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 $
Type or print In Ink.
Amounts may be rounded
to whole dollars.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $