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Form 461 Major Donor and Type or print in ink. Independent Expenditure Committee Campaign Statement (Government Code sections 84200-84216 5) Statemeeef��t covers period Date of election if applicable: O I. /I� (Month,Day,Year) from IL-�1, SEE INSTRUCTIONS ON REVERSE through / U 'o &±L, .L 1 Name and Address NAME OF FILER / o Sf - uIr N=C rVI4J- - iv ' if filer Is other thank�an individual) r `Ib0- F76 �4ciTd Nature and Interests of Filer (Complete each applicable seCaon) © A FILER WHO IS AN INDIVIDUAL MUST LIST THE NAME,ADDRESS,AND BUSINESS INTERESTS OF EMPLOYER OR IF SELF-EMPLOYED THE NAME,ADDRESS,AND NATURE OF THE BUSINESS NAME OF EMPLOYER/BUSINESS I BUSINESS INTERESTS Li TI A FILER THAT IS A BUSINESS ENTITY MUST DESCRIBE THE BUSINESS ACTIVITY IN WHICH IT IS ENGAGED T%,-,,, rIgce- A FILER THAT IS AN ASSOCIATION PROVIDEA % I,- c -P , eJ, DESCRIPTION OF ITS INTERESTS A))4q A FILER THAT IS NOTAN INDIVIDUAL,BUSINESS ENTITY OR ASSOCIATION MUST COMMON ECONOMIC INTEREST OF THE GROUP OR ENTITY ❑Amendment (Explain) MAJOR 2p420CT 24 AM Summary (Amounts may be rounded to whole dollars) 1 Expenditures and contributions (including loans)of$100 or more made this period. (Part 5.). 2. Unitemized expenditures and contributions (Including loans) under $100 made this period. 3. Total expenditures and contributions made this period. (Add Lines 1 + 2.) 4 Total expenditures and contributions made from prior statement. (Enter amount from Line 5 of last statement filed. If this is the first statement for the calendar year, enter zero.) 5. Total expenditures and contributions (including loans) made since January 1 of the current calendar year. (Add Lines 3+4.). 4 Verification EXPENDITURE Page r et;' . For Off .al Use Only $ 75- SUBTOTAL $ '3y (�ob $ `-6` TOTAL $ cf 7 I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California at the foregoing is true and cor ect. t � Executed on y� By DATE SIGNATURE O NDIVID AL DONOR OR RE ONSIBLE OFFICER,IF OTHER THANAN INDIVIDUAL FPPC Form 461 (March/2011( FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Major Donor and Independent Expenditure Committee Campaign Statement SEE INSTRUCTIONS ON REVERSE MAJOR DONOR AND INDEPENDENT EXPENDITURE Type or print in ink. Statement covers period Amounts may be rounded to whole dollars. from r through 5. Contributions (Including Loans, Forgiveness of Loans, and Loan Guarantees) and Expenditures Made plmore.spacers needed,use addrlronal copies aphis page lw rontmoabon sheeLS) Page 6 of ` DATE NAME.STREETADDRESS,CITY STATE AND ZIP CODE TYPE OF PAYMENT DESCRIPTION OF PAYMENT CANDIDATE AND OFFICE, MEASURE AND JURISDICTION AMOUNT THIS PERIOD CUMULATIVE AMOUNT RELATED TO THIS CANDIDATE,MEASURE, OF PAYEE (IF COMMITTEE ALSO ENTER 10 NUMBERI IT OTHER THAN MONETARY CONTRIBUTION OR LOAN) OR COMMITTEE OR COMMITTEE _ /�/�,(,j /� �'�/� \/ 'l.'L/r L ❑ Monetary Contribution V v'� 1 ^to li/S�L� t\i'.7� ❑ Loan on-Monetary r ' � 7L XIn Pendent bx endlture (J,^/� / Vt /[/l�(G`I ❑ Support Oppose /�v+� ❑ Monetary ontnbutan 1,o,1,p n `� v ` d� �✓ L ❑ Loan ❑ Non-Monetary Contribution independent ❑ Support Oppose Expenditure ❑ Monetary Contribution P ❑ Loan ❑ Non-Monetary b7 � iii Contribution y L� w\J C C/ 2_t 2 / �y Iy!� Independent ❑ Support Oppose —� Expenditure ❑ Monetary Contribution / \ p�\ ^� r]� u ❑ Loan ❑ Non-Monetary Coo tnbunon 1 ' J OIL / ' L L I, ❑ Support Oppose 4'l ZD z. �c-I. py Independent Expenditure SUBTOTAL $ -7 S FPPC Form 461 (March12011) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)