Form 460 amendment to 2010 form (2) 460(1-05)p65-460 pdf
Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
http.//www.fppc.ca.gov/forms/1-05forms/460 pdf
COVER PAGE
Type or print in ink. Date Stamp e„
Statement covers period Date of election if applicable: ` of
from
LO 110/0 (Month Day Year) For Official Use Only
through '—;i /I- 0--�
1. Type of Recipient Committee: All committees-compete Parts 1,2,s,and 4.
❑ Officeholder.Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Mery Complefe Part 3) 0 Sponsored
X General Purpose Committee
(450 Car"Per r/
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (A+socvrndete Part n
3. Committee Information I D NU?UMBER
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE)/-
C->
STATE ZIP CODE
Sao moo? e)
) PO BOX
E
AREA CODE/PHONE
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd-Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement -Attach Form 495
Amendment(Explain below)
r_
--- ,,Sa lamb- 7�,-q I e-
Titeasurer'(s)
NAME OF TREASURER
.Sa�Aon'
CITY STATE ZIP CODE AREA CODE/PHONE
SC
MAILING ADDRESS
AREA COOErPHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL FAX !E-MAJL ADDRESS
4. Verification
I have used all reasonable diligence to 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 penally of perjury under the laws of the State of Callfornla that the foregoing Is true and correct
n _ n
Executed on
Date
Executed on
Date
Executed on
Date
Executed on
Date
3 of 3'
or
By
Signattre d CorkdIng Officeholcliir C arduate,Stat eMeasure Pro panentor Re Sponside 0111m of Sperksor
By
Signal ureotCortrolirgOtTicetrdder.Canddate.9faleMeasure Prop anert
By
9gnalve0fC0rtrdirg0lkeWder.Canddate.9lateMeasurePropowt FPPC Forth 460(January/05)
FPPC 1+0111-Ff00 Helping 666/A SK-FPPC(66&2754772)
state of California
3/13/2013 1 47 PM
460(1-05).p65 -460 pdf
)I
Schedule D
http.//www.fppc ca.gov/forms/1-05forms/460 pdf
CJ-149=1"I 11 I=n
'7ullail ly vl r-Ape"uIlufeS type or print in Irw-
Statement covers period
Supporting/Opposing Other Amounts may be rounded
CALIFORNIA '
�
to whole dollars.
Candidates,Measures and Committees
from /D -/ - �o
SEE INSTRUCTIONS ON REVERSE
through s3 —C-1v/0
Page of
NAME OFF]LER
10 NUMBER
DATE
NAME OF CANDIDATE. OFFICE.AND DISTRICT OR
MEASURE NUMBER OR LETTER AND JURISDICTION.
TYPE OF PAYMENT
DESCRIPTION
OF REQUREO!
AMOUNTTFIIS
CUMULATIVE TODATE
CALENDAR YEAR
PER ELECTION
TODATE
ORCOMMITTEE
PERIOD
GIAR I-DEC.31)
(IF REQUIRED)
❑ Monetary
Contribution ��
C'4 WLF Q
03 J�
��LQ ✓2C r I
❑ Nonmonetary
j
!!/
Contribution
Independent
Support ❑ Oppose
'Expenditure
/
O n k / c2 v? Z_
❑ Monetary
Contribution
nQ I
f J
��/ C1OQ /
❑ Nonmonetary
(ca !1
Cr
6
C i /1 C l (
Contribution
`} Independent
upport ❑ Oppose
T' Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $
Schedule D Summary
1 Itemized contributions and independent expenditures made this period (Include all Schedule D subtotals )
2 Unitemized contributions and independent expenditures made this period of under$100
3 Total contributions and independent expenditures made this period (Add Lines 1 and 2 Do not enter on the Summary Page.)
$ i L5wy, .,?a
-MIAL $ /l Fy as
FPPC Form 460(Jenuaryl05)
FPPC Toll-Free Helpllne.SGWASK-FPPC(8661275.3772)
18 of 33 3/14/2013 7 31 PM