The URL can be used to link to this page

Form 461 Major Donor and Independent Expenditure Committee Campaign Statement (Government Code sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE MAJOR DONOR AND INDEPENDENT EXPENDITURE Typeorprintin ink. ,- CITY CITYC,� �� I r � through rZ 5c> Ii. Name and Address of Filer NAME OF FILER (Include name(s)of all affiliated entities whose contributions are included in this statement.) _- CITY RESPONSIBLE OFFICER (If filer is other than an individual) STATE AREA CODE/DAYTIME PHONE %®. .5(31--.�(f�:) 2. Nature and Interests Of Filer (Complete each applicable section.) F 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 TBUSINESS INTERESTS ADDRESS OF EMPLOYER/BUSINESS ,A FILER THAT IS A BUSINESS ENTITY MUST DESCRIBE THE BUSINESS ACTIVITY IN WHICH IT IS ENGAGED Q A FILER THAT IS AN ASSOCIATION MUST PROVIDE A SPECIFIC DESCRIPTION OF ITS INTERESTS A FILER THAT IS NOT AN INDIVIDUAL,BUSINESS ENTITY,OR ASSOCIATION MUST DESCRIBE THE COMMON ECONOMIC INTEREST OF THE GROUP OR ENTITY Amendment (Explain): i:ZA!� 10/ ,' Date of election if a (1 4: Q (Month,Day,Year) 3. 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.).............................. Verificati®n Page � of °, For Official Use Only . $ $ .SUBTOTAL $—9 74-530� TOTAL $ 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 that the fo going is true and correct. Executed on �'" !� By pAr SI R INDIVIDUAL DONOR OR RESPON ICER IF OTHER THAN AN INDIVIDUAL FPPC Form 461 (Jan/03) FPPC Toll-Free Flelpline: 866/ASK-FPPC 866/275-3772 Major Donor and Independent Expenditure Committee Campaign statement SEE INSTRUCTIONS ON REVERSE NAME OF FILER INDEPENDENT EXPENDITURE COMMITTEE AND MAJOR DONOR COMMITTEE STATEMENT Type or print in ink. Statemen cov period Amounts may be rounded to whole dollars. s ®`3 Is= from through (11/15 page � of 5. Contributions (including Loans, Forgiveness of Loans, and Loan Guarantees)and Expenditures Made (If more space is needed,use additional copies of this page forcontinuation sheets.) DATE NAME,STREET ADDRESS,CITY,STATE AND ZIP CODE OF PAYEE (IF COMMITTEE.ALSO ENTER 1.0.NUMBER) TYPE OF PAYMENT DESCRIPTION OF PAYMENT (IF OTHER THAN MONETARY CONTRIBUTION OR LOAN) CANDIDATE AND OFFICE, MEASURE AND JURISDICTION, OR COMMITTEE AMOUNT THIS PERIOD CUMULATIVE AMOUNT RELATED TO THIS CANDIDATE,MEASURE, OR COMMITTEE A Monetary r Contribution d C^�i ® ac>'Af 1=7 ❑ Loan Non-Monetary Contribution ® Independent Expenditure I�%j®'�� [] Support Oppose Monetary / Contribution /�� J'r�tJ a`-✓—/� i'� ' ❑ Independent Expenditure El Support Oppose 4p %�� s� .�� '�hla° �� ®/� ✓' P �� , � �' Monetary Contribution ❑ Loan ❑ Non-Monetary Contribution ❑ Independent Expenditure ❑ Support Oppose ., Monetary Contribution '— ❑ Loan ❑ Non-Monetary Contribution ��✓/�>/✓—/�� m �.�®� ° ❑ Independent Expenditure ❑ Support ER/Oppose SUBTOTAL FPPC Form 461 (Jan/03) FPPC Toll-Free Helpline: 866/ASK-FPPC 8661275-3772