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Form 450 Short Form 2013 k vj)p03 -43Upar http.//fppc.ca.gov/forms/rev20]208/450.pdf Recipient Committee Type or print In ink. - SHORT F ORM Campaign Statement—Short Form "s'ass"'° CALIFORNIA SF_F INSTRUCTIONS ON REVERSE • � 1 Statement covers rind Date of election if applicable: For use by recipient Committees that have not recelved a ..y,./ (Month Day Y x r,, Page---/- of_" contribution or other receipt that must be Itemized,have not from ti T f 0 F 1- �T���16:('� received or made loans and have no outstanding accrued ��Q—�� T Et i or omclal Use sole expenses through y—y_1 v 1 � _ r rT . Type of Recipient Committee �/ 2. Type of Ballot Measure Committee ❑ General Purpose Committee 0 Primarily Formed O Pre-election Statement �_, Quarterly Statement O Sponsored O Controlled O Small Contributor Committee mi-annual Statement [ Special Odd-year Report O Sponsored Termination Statement [_ Supplemental Pre-election [] Primarily Formed Candidate/ Statement-Attach Form 495 Officeholder Committee C Amendment(Explain) _ (Also check type of statement you are ameneing) 3. Committee Information I D NUN1kR ��, Treasurer(s) COMMITTEE NAME �O r u/ e w�Q1V'�Sm00LS11�� � NAME TREASURE _- IL� N�/V01)� oN � rvwILINGww�ADDRESS _ STREET ADDRESS(NO PO BOX) /�� �..�'v�i /'Q/��w)� • . 'J�Q„� O CITY a►� STATE ZIP CODE A EA COREfPH_ONE CITY STATE ZIP CODE \J IPHONE 0��, w� C�7yA/ /���("(������• AR CODEIPHONE NAME OF ASSISTANT TREASURER,IF ANY ~—�-- MAILING ADDRESS(IF DIFFERENT NO AND STREET OR PO BO �0 �I�V DII� MAILING ADDRESS �ry STATE ZIP CODE AREA—CODE/PHONE O 1A1.1 274f CITY STATE ZIP CODE AREA CODE/PHONE AX i E OPTIONAL ' MAIL ADDRESS Iy OPTIONAL FAX i E-MAIL ADDRESS 4.Verification I have used all reasonable diligence in preparing and reviewing this statement and to the est of my kn wl ge the information contained herein is true and complete I certify under penalty of per ury under the laws of the State of California that the forego is t r coned. Executed on�L 2a. B DATE y A/I �/ 7 /t� SIGNATU OF iREgS RORA TANT IREASU Executed on-�-I IfA/(r--y_--L/_V _ By '`^% DATE Executed on SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR DATE. 6y Executed on SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE STATE MEASURE PROPONENT DATE By SIGNATURE OF CONTROLLING OFFICEHOLDER CANDIDATE STATE MEASURE PROPONENT FPPC Form 450(January/05) FPPC Toll-Free Helplins:966/ASK-FPPC(8661276-3772) of 7 4/4/2013 3:04 PM 4DU(t W)).p65 -450.pdf http://fppc.ca.gov/forms/rev20l2O8/450 pdf Recipient Committee Type or prim in ink. SHORT FORM Campaign Statement Amounts may be rounded Statement covers perio to whole dollars. CALIFORNIA ' Summary Page from - — — FORM through Pape of NAME OF COMMITTEE �•O� 77Y � V�76� OF�C/W o*S �� I D NUMBER Expenditures Made 1 Expenditures of$100 or more made this period $ © �- 2. Expenditures under$100 made this period(Not itemized.) /00 r7t� 3 SUBTOTAL EXPENDITURES MADE THIS PERIOD Add Lines'I+2 $ ,/OD ' 00 4. Nonmonetary Adjustment From Line 8 Below — 0 — 5. Total expenditures made from previous statement Previous Summary Page,Line 6 $ —0 — (!f this is the first statement for the calendar year,enter zero.) 6. TOTAL EXPENDITURES MADE TO DATE Add Lines 3+SI+5 $ � 90, D o Contributions Received 7 Monetary contributions received this period $ /D©r ©0 8. Non-monetary contributions received this period 9. Total contributions received from previous statement Previous Summary Page,Line 10 $ — (if this is the first statement for the calendar year,enter zero.) 10.TOTAL CONTRIBUTIONS RECEIVED TO DATE Add Lines 7+8+9 $ Current Cash Statement 11 Beginning cash balance Previous Summary Page,Line 15 $ - 12.Cash receipts this period Line 7 above /")0, 00 13.Miscellaneous increases to cash 14 Cash expenditures this period Line 3 above / O O 15.ENDING CASH BALANCE THIS PERIOD Add Lines 11+12+13.then subtract Line 14 $ ^--- FPPC Form 450(January/06) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) 5of7 4/4/2013 2:23 PM