Form 460 10-21-12 to 12-31-12 Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period Date of election if applicable
from ��� ! /1- (Month, Day, Year)
through
I. Type of Recipient Committee: All committees-Complete Parrs 1,2,3,and 4.
❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
0 Recall Q Controlled
(Also Complete Part 5) O Sponsored
(Also Complete Part 6)
E] General Purpose Committee
Q Sponsored Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7)
3. Committee Information
COMMITTEE NAME(OR
f C ,Aez�
STREET ADDRESS (NO P.0
I.D NUMBER
NAME IF NO COMMITTEE) e
STATE ZIP CODE AREA CODE/PHONE
bnc;,`.1, /-r, S CA_ :iy 76t 6,3Y-51.n
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.0 BOX
STATE ZIP CODE AREA CODE/PHONE
6/VbCt-1 ® ye-06 r,t�
OPTI NA . FAX/E-MAIL AD MESS
Date Stamp
CITY OF ENCI,-HiTA
CI s rf?
1? JAN3 !
2. Type of Statement:
❑ Preelection Statement
❑ Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment(Explain below)
Treasurer(s)
COVER PAGE
s
P p:� Page�— of
i`I t
For Official Use Only
❑ Quarterly Statement
❑ Special Odd-Year Report
❑ Supplemental Preelection
Statement-Attach Form 495
NAME OF TREASURER
CIT4. f STATE ZIP CODE AREA CODE/PHONF
�.P cr,
MAILING ADDRESS
V;W,i Y 76 a ms's y
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. _
Executed on e l/
Date
Executed on
Date
Executed on
Date
Executed on
Date
By
By
Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor
By
Signature of Controlling Officeholder,Candidate,State Measure Proponent
By
Signature of Controlling Officeholder,Candidate,State Measure Proponent
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866 1ASK-FPPC(866/275-3772)
State of California
Recipient Committee Type or print in ink. COVER PAGE-PART 2
Campaign Statement �• " 460
Cover Page—Part 2
S. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
16A (1J30) kP L.
YO I I
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
f5 t)L �l ^ T A.S crr y Oxxlwcil il_
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY tt STATE ZIP
i
2►4 ca%► ("t—v S �rJGS �K• N ��4VAS
CA-
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO RD BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME LD NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO RO BOX)
Page Z of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnames of
officeholder(s)or candidates)for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink.
Amounts may be rounded
Summary Page to whole dollars.
SEE INSTRUCTIONS ON REVERSE
SUMMARY PAGE
Statement covers period CALIFORNIA
from /0/21 // ), FORM , 1
through al i / / a_4T Page --3- of
NAME OF FILER Big �t0
6. Payments Made
Schedule E,Line 4
7 Loans Made
Schedule H,Line 3
I.D. NUMBER
/3S Fy'7
Contributions Received
9 Accrued Expenses (Unpaid Bills)
Column
Column
Calendar Year Summary for Candidates
11 TOTAL EXPENDITURES MADE
Add Lines 8+9+10
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TO TO DATE
Running in Both the State Primary and
1 Monetary Contributions
Schedule A,Linea
$ � � $
D�
General Elections
2. Loans Received
Schedule B,Line 3
•160
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS
Add Lines 1+2
$ _23 TIP• Db $
00
20. Contributions
4 Nonmonetary Contributions
Schedule C,Line 3
Received $ $
5. TOTAL CONTRIBUTIONS RECEIVED
Add Lines 3+4
$ 02 kta. bP $
? 0'0
21 Expenditures
Made $ $
Expenditures Made
6. Payments Made
Schedule E,Line 4
7 Loans Made
Schedule H,Line 3
8. SUBTOTALCASH PAYMENTS
Add Lines 6+7
9 Accrued Expenses (Unpaid Bills)
Schedule F,Line 3
10 Nonmonetary Adjustment
Schedule C,Line 3
11 TOTAL EXPENDITURES MADE
Add Lines 8+9+10
$ 04 .00 $ 3Gok- "
$
$
$ a o $ � • o
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 8above
16 ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
•
17 LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0 I
Cash Equivalents and Outstanding Debts y
18 Cash Equivalents See instructions on reverse $ 'I%
19 Outstanding Debts Add Line 2+Line 9 in Column B above $
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*
(H Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
I $
I $
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460(January/05)
FPPC Toll-Free Helpline•866/ASK-FPPC(866/275-3772)
•ScheduleA Type or print in ink.
A t SCHEDULE A
b
Monetary Contributions Received moun s may a rounded
to whole dollars.
Statement over period
from �"`
CALIFORNIA
•
'
SEE INSTRUCTIONS
throughi4W3 1 R
�•�
ON REVERSE
Page 01
NAME OF FILER
A 4\A Z— '�Q s T
I.D. NUMBER
DATE
FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF-EMPLOYED,ENTER NAME
PERIOD
(JAN.1 -DEC.31)
(IF REQUIRED)
OF BUSINESS)
❑IND
❑COM
E]OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$
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 )
$ 0
$ oZ3F,o�
TOTAL $
*Contributor Codes
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(866/275-3772)
0-11I.—J-1— M ,1_�A
Tvne nr nrint in inir
Rr:HFr)I II F R-PAPT 1
VMM.Y ....—. a,& , Amounts may be rounded
Loans Received to whole dollars.
Statement covers riod
from
CALIFORNIA 460
FOR M
SEE INSTRUCTIONS ON REVERSE
through!
Page_ of
NAME OF FILER 94 el, 6 A A A Z •
LD NUMBER
FULL NAME,STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE,ALSO ENTER I.D_NUMBER)
M A %vI
1 .
PTOA)f AU
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED,ENTER
NAMEOFSUSINESS)
��T� R—�
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
�
AMOUNT
O
RECEIVED THIS
PERIOD
O
I`)
AMOUNTPAID
OR FORGIVEN
THIS PERIOD*
X PAID
//--''
$��
OUTSTANDING
A
BALANCEAT
CLOSE OF THIS
PERIOD
$ �
lel
INTEREST
PAID THIS
PERIOD
0%
RATE
(f)
ORIGINAL
AMOUNTOF
LOAN
$304
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
Jaw
❑FORGIVEN
PER ELECTION**
tM(IND El COM [:1 OTH E] PTY E] SCC
$
$
$
$
DATE DUE
DATE INCURRED
$
❑PAID
CALENDARYEAR
E]FORGIVEN FORGIVEN
PER ELECTION**
tEl IND El COM El OTH [:1 PTY ❑ SCC
$
$
$
$
DATE DUE
DATE INCURRED
$
❑PAID
CALENDAR YEAR
RATE
❑FORGIVEN
PER ELECTION**
t
t[] IND El COM ❑ OTH E] PTY E] SCC
$
$
$
$
DATE DUE
DATE INCURRED
$
SUBTOTALS $ $ $ $
acneouie b summary
1 Loans received this period
(Total Column(b)plus unitemized loans of less than$100 )
2. Loans paid or forgiven this period
(Total Column(c)plus loans under$100 paid or forgiven )
(Include loans paid by a third party that are also itemized on Schedule A.)
3 Net change this period. (Subtract Line 2 from Line 1 )
Enter the net here and on the Summary Page,Column A, Line 2.
*Amounts forgiven or paid by another party also must be reported on Schedule A.
**If required.
0
Schedule E,Line 3)
36p(Q .oO
$
DCo. Gb�
('34
NET $
(May be a negabw number)
tContributor Codes
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/OS)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement cove71.*—eriod
from 0 Zw
SCHEDULE E
SEE INSTRUCTIONS ON REVERSE througff! V Page _ of 7
NAME OF FILER I.D NUM ER
j?,t5 +218g� is r 7
CODES: If one of the following codes accurately describes the payment, you may enter the code
Otherwise, describe the payment.
CUP
CNIS
campaign paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CTB
campaign consultants
contribution (explain nonmonetary)*
MTG
OFC
meetings and appearances
office expenses
RFD
returned contributions
CVC
civic donations
PET
petition circulating
SAL
TEL
campaign workers' salaries
t.v.or cable airtime and production costs
FIL
FtD
candidate filing/ballot fees
fundraising events
PHO
phone banks
TRC
candidate travel,lodging,and meals
M
independent expenditure supporting/opposing others (explain)*
POL
POS
polling and survey research
postage, delivery and messenger services
TRS
TSF
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
LEG
LIT
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE.ALSO ENTER I.D.NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
r4 If2o*✓
-c � � 5 4C g A 0.2,.
CT
/o AA) EPi4 M11115
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3 1& 0
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)
$_3
$
$
TOTAL $
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
SCHEDULE H
Jcfl @QUIe M Type or print in ink. Statement overs eriod
Loans Made to Others* Amounts may be rounded `� 2
to whole dollars. from
CALIFORNIA '
•
SEE INSTRUCTIONS ON REVERSE throughl � �
Page � of
NAME OF FILER
I.D.NUMBER
FULL NAME,STREET ADDRESS AND ZIP CODE
OF RECIPIENT
(IF COMMITTEE,ALSO ENTER I.D.NUMBER)
IF AN INDIVIDUAL,ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED ENTER
NAME OF BUSINESS)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
LOANED THIS
PERIOD
Il
REPAYMENT OR
FORGIVENESS
THIS PERIOD
ld)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
(e)
INTEREST
RECEIVED
IQ
ORIGINAL
AMOUNT OF
LOAN
191
CUMULATIVE
LOANS
TO DATE
NET $
(May be a negative number)
❑ PAID
CALENDAR YEAR
$
$
%
$
$ 6:11,
FORGIVEN
PER ELECTION-
Na��
RATE
DATE DUE
DATE INCURRED
PAID
CALENDAR YEAR
Ej FORGIVEN
PER ELECTION"
RATE
s
$
$
$
DATE DUE
DATE INCURRED
$
"Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must
also be reported on Schedule E. SUBTOTALS
$
$
$
$
Schedule H Summary
1 Loans made this period
(Total Column(b)plus unitemized loans of less than$100)
2. Payments received on loans
(Total Column(c)plus unitemized payments of less than$100 )
3 Net change this period. (Subtract Line 2 from Line 1 )
(Enter the net here and on the Summary Page, Column A, Line 7 )
**If Required
FPPC Form 460(January/Os)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
1�
(Enter(e)on
Schedule 1,Line 3)
D
$
O
$
D
NET $
(May be a negative number)
**If Required
FPPC Form 460(January/Os)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
1�