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Form 460 7/1/11-12/31/11 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from z ° y% — v l through Z.; a.�5) -C c t I 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure- 0 State Candidate Election Committee Committee Q Recall Q Controlled fAtso Complete Part 5) 0 Sponsored General Purpose Committee O Sponsored Q Small Contributor Committee O Political Party/Central Committee 3. Committee Information (Also Complete Part 61 ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.G. NUMBER NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) STREET ADDRESS (NO P.O. BOX) 16-170 /9t-LVC1_ CITY STATE ZIP CODE AREA CODE/PHONE MAILING CITY STATE ZIP CODE AREA CODE/PHONE 76_C ­71' OPTIONAL. FAX/E•MA1L ADDRESS Date of election if applicable: (Month. Day,Year) Date Stamp 2JA t 123 t 111: 0 2. Type of Statement: Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Treasurer(s) NAME OF TREASURER Lek-CAA 'S C'IY) MAILING ADDRESS COVER PAGE Page— of A For Official Use Only ❑ Quarterly Statement ❑ Special Odd-Year Report ❑ Supplemental Preelection Statement-Attach Form 495 Q_Cam_. CITY STATE ZIP CODE AREA CODEIPHONE 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 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 correct. f i Executed on By ✓c, ° 41 Date Signature of Treasurer or Assistant Treasurer Executed on BY Date Signature of Controlling Offx:ehdder,Candidate,State Measure Proponent or Responsible OKrcer of Sponaor Executed on By Date Signature of Controging Orficetx7lger,Candidate.State Measure Proponent Executed on BY Dale Signature of`,:ontrgNu,B Officeholder,Carrdidat®,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) State of California C .mpaign Disclosure Statement Type or print in ink. SUMMARY PAGE a Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. FORM 460 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBEP rt 10<f Contributions Received Column A TOTALTHISPERIOD tFROM ATTACHED SCHEDULESJ Column B CALENDAR YEAR TOTALTODATE Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1. xxonotaryCnnmbuunno ----- ------- -- xch°mx ^Li" v a S cc) 1/1 through 6/30 7/1 to Date 2. LoanuRaceived ------------------ Schedule e Line x �~ 3. SUBTOTAL CASH CONTRIBUTIONS ... ... ......... Add Lines , ~2 $ s 20. Contributions 4. NonmonetaryContributionn--------— --- Schedule c Line o -- -- 21. Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED .... ........... ..... —Add Lines s~^ o a Expenditures Made Schedule E.Line 4 n » s. paymanmmade------------------. 7. Loans Made....................... ... ... — ..... ..... ---- Schedule*Line x �~ Add v^r $ $ 8. SUBTOTAL CASH PAYMENTS ............... .................... Lines 8, Accrued Expenses (Unpaid Bills) ............................... Schedule p Line x -- -- 10. Nonmonetury Adjustment .....___... ... ............. .... Schedule c Line x -- - Current Cash Statement 12. Beginning Cash Balance ..... ........... ..... Previous Summary Page,Line 16 $ To calculate Column B.add corresponding amounts 14. Miscellaneous Increases to Cash.... ...... ........ Schedule/.Line 4 from Column B of your last report. some amounts in 15. Cash Payments......... Column A Line 8 above Column A may be negative figures that should be 16. ENDING CASH BALANCE.......... Add Lines 12 13+ 14,then subtract Line 15 $ subtracted from previous If this is a termination statement. Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........... ......... Schedule 6,Par?2 $ for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts any). 19. Outstanding Debts........... AddLine 2+Line 9in Column 8 above $ Expenditure Limit Summary for State Candidates 22. Cumulative sn Made* (it Subject to Voluntary Expenditure Limit) Date m Election Total mDate $ � $ | v Amounts in this section may be different from amounts reported in Column B. pppo Form wm(Januaryms) Schedule A Monetary Contributions Received Type or print in ink. SCHEDULE A Amounts may be rounded 4 Statement covers period I to whole dollars. %9 1! FORM �� , from --� SUBTOTALSw "�� Schedule A Summary Amount received this period—itemized monetary contributions. Include all Schedule A subtotals. 2. Amount received this period—unitemized monetary 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.)...... $ _�;,o« (n�>c) .....I... TOTAL $ 'J'01 WN IND–Individual COM–Recipient Committee (other than PTY or SCC) OTH–Other(e.g., business entity) PTY–Political Party SCC--Small Contributor Committee FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) 9 Y I %,���% - �i � through fT�� I Page of SEE INSTRUCTIONS ON REVERSE - _. I.D. NUMBER NAME OF FILER /7, t .�. C>re e n C,. FULL NAME.STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR I IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS ! CUMULATIVE TO DATE CALENDAR YEAR j PER ELECTION TO DATE GATE RECEIVED � (IF ALSO ENTER CODE * (IF SELF-E ER NAME PERIOD i I (JAN:1-DEC.31) t IF REQUIRED) i OF BUSINESS) OF BUSINESS} Y - IND i ❑COM ❑OTH PTY ❑SCC []IND 17 COM j ❑OTH I [�PTY i SCC I �� ❑IND ❑COM __1 OTH ❑PTY I I I SCC i- ❑IND COM ❑OTH i ❑PTY ❑SCC i j ❑IND []COM ❑OTH i PTY []SCC --� SUBTOTALSw "�� Schedule A Summary Amount received this period—itemized monetary contributions. Include all Schedule A subtotals. 2. Amount received this period—unitemized monetary 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.)...... $ _�;,o« (n�>c) .....I... TOTAL $ 'J'01 WN IND–Individual COM–Recipient Committee (other than PTY or SCC) OTH–Other(e.g., business entity) PTY–Political Party SCC--Small Contributor Committee FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from c - �- through LJ -40 0 ( Page- of —^T— I.D. NUMBER E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAO radio airtime and production costs RFD returned contributions CNS campaign consultants MTG meetings and appearances OFC office expenses SAL campaign workers' salaries CT3 contribution (explain nonmonetary)' PET petition circulating TEL t.v. or cable airtime and production costs CVC civic donations 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 TSF transfer between committees of the same candidate/sponsor M independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) VOT voter registration WEB information technology costs (internet. e-mail) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER 1.0.NUMBER) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.). ......... ......................... ...... ............ ............ ............. $ $ 2. Unitemized payments made this period of under$100 ........................................................................................................... ............................... 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 $ C C-'� FPPC Form 460(January/05) FPPC Toil-Free Heipline:866/ASK-FPPC(866/275-3772)