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)