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Home My WebLink AboutForm 460 A Better AtascaderoRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from J through ^ le Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED JUL 31 2006 OF ATASI CLERK'S COVERPAGE Page ! of is- I For Official Use Only 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4, 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ P election Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee Semi-annual Statement ❑ Special Odd -Year Report 0 Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (A CompletePart5) 0 Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495 (Also Complete Part 6) ❑ Amendment (Explain below) General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ ® Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) or or 3. Committee Information I I'D r ;I E, ti 160 COMMITTEE NAME (OR CANDIDATE'S NAME/IF NO COMMITTEE) TREET CITY MAILiUO ADDRESS_(IF DIFFERENT) NO. f CI(TA q S T_ ZIP C"ODEr AREA CODE/PHONE Treasurer(s) NAME OF TREASURER MAILINGADDRESS CITY ,%.y+- CA STAT /,J r Au- :fit AV e—e (< NAME OF ASSISTANT TREASORER, IF ANY ZIP CODE AR r , W S'C.' A.� 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the best of my knowledge the information Ined herein and In the attached schedules is true and complete. I certify under penalty of perjury un r the I�ws of the State of California that the foregoing is true and correc , „ `i�,S' , Executed on By a� e na�„rar.nr cisiant Treasurer Executed on _,,.� e Executed on Executed on Date By By By Signature ofControlling Offireholder,Candidate, State Measure Proponent FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 866/ASK-FPPC (666!275-3772) State of California Type or print In ink. Recipient Committee Campaign Statement Cover Page -- Part 2 . Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION :AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET; CITY _ STATE ZIP 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. I.D. NUMBER NAME OF TREASURER 9 CONTROLLLD GOMMI I I Lt l ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY . STATE: ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑I YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE: ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOTMEASURE COVER PAGE - PART 2 Page `� of f �5s 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 i. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT [] OPPOSE %,ME OF O'FrICEHOLDER OR CANDIDATE'_ OFFICE SQ4G T 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 (Januana/05 FPPC Toll -Free Helpline: 865/ASK-FPPC (866/275-3772 State of Cailfomi: schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) lonetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period d �' �� . � • from Page of � through 71 3 0 C0� WE OF FILER S a t aL �— �� r"- `✓' .- ;r r;"w :" I.D, NUMBER u1 5> `~P7 ham" DATE RECEIVED ZIP FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE. A fTTEE ADDRESS LD. NUMBER) O CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF•EMPLOYED,ENTER NAME OF BUSINESS) PERIOD (JAN, 1 -DEC. 31) (IF REQUIRED) to I 1 ❑ COM OTH l� P 49Ir4 40�] r C.��r -;,7 '2'y ` L [] PTY ❑SCC R ❑ COMdj o °n � C? d �� D SCC ✓ -< < Vi � ��=��'a°'� []COM DOTH�� %% / J l l r A A` ❑ PTY ❑SCC I! ,4�e_:_.f� I'OU's / NowDOTH�/(� ❑COM �! �� 7 r / ELE I -TA-5-CA Ozj�_c D PTY SCC ^� DOTH i D PTY []SCC SUBTOTAL$ *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) K jchedule A (Continuation Sheet) Type or print In ink. SCHEDULE (CONT.) N ®ilGtaiy (:®ntr°ibutions I ecelved Amounts may be rounded to whole dollars.CALIFORNIA Statement covers period from f ' , ' FORM through Pane of AME OF FILER h 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(D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE CODE * pF SELF-EMPLOYED, ENTER NAME PERIOD OFSUSINESS) (JAN, 1 - DEC. 31) (IF REQUIRED) NO 606 0 PTY 1 11 l t � � /� . L��J rC A iJ rl F-1SSP.5-'- ,/� G`L Ali:? Z1' ,A/ Lti�LJ' NJ % coM �?d r7PTY ❑SGC jr ❑cOM ❑OTH - AKcAVi--;e0 Z ❑PTY ❑SCG �G� ��1 ,1 ✓ TIND ❑ COM J C] OTH —A 60 PTY SGC IIE] OTH ❑PTY J / []SCG�nY= "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 SUBTOTAL 6 � Ar V FPPC Form 460 (January/0; FPPC Toll -Free Helpline: 866/ASK-FPPC (866/276-377: ;cheduleA Type or print In Ink. SCHEDULE Amounts may be rounded nonetary Contributions Received to whole dollars. Statement covers period from through e of :_:E INSTRUCTIONS ON REVERSE AME OF FILER I.D. NUMBER C." DATE RECEIVED FULL NAME, STREET ADDRESS ANT) ZIP CODE OF CONTRIBUTOR 0FGONIMVr7EE, ALSO ENTER I D, IIWASER) CONTRIBUTOR CODE 11 AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS PERIOD CUmULATIVETO DATE CALENDAR YEAR (JAN. 1 - DEC, 31) PER ELECTION TO DATE (IF REQUIRED) OF BUSINESS) (3Com EDOTH �.� / &f I 'gel, �!7 ?2— PTY `��✓�`" E]COM []QTH „/�%G ( r ❑ PTY 117 SCC 21KD 17 Com OTH osis' 'loll C ? PTY F7 SCC D hpmlQb� flA 0 E]Com I F -I 0TH -1 ezv PTY (3sCp L!,A) &UACC MAE) F7 COM I770TH C, PTYV 03CC 11-0 -9 _ --- 910, 0 110h SUBTOTAL $,f 'chedule A Summary *Contributor Codes Amount received this period — itemized monetary contributions. (include all Schedule A subtotals) ................... .................... ....................................... ........... Amount received this period — uniternized monetary contributions of less than $100 ................. $ sic /Z Total monetary contributions received this period. C�'3 5 'Add Lines I and 2 Enter here and an the Summary Page, Column A Line 1.) ....................... TOTAL $ rr-r,%, Form 460 Wanuary 01 FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-377; IND— Individual COM — Recipient Committee (other than PTY or SCO) 0TH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Tvna nr nrin4 In Ino SCHE1)l11 F R. PART 1 7VIIVU UIV 17 — ran 1 Amounts may be rounded Statement covers period .oans Received to whole dollars. i ! 4 CALIFORNIA ' from FORM EE INSTRUCTIONS ON REVERSE through" Page Cf� of AME RF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND TIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER OUTSTANDING BALANCE AMOUNT (o) UNT PAID OFORGIVEN OUTSTANDING (a) ORIGINAL (g) CUMULATIVE (IF COMMITTEE, ALSO ENTER LD.NUMBER) BEGINNING THI5 RECEIVED THIS PERIOD OR BALANCEAT CL05EOFTHIS PAlDT HIS AMOUNT OF CONTRIBUTION: NAME OF BUSINESS) RIO THIS PERIOD* PERinn PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR S S ❑ FORGIVEN RATE PER ELECTION*' ❑ IND ❑ COM ❑ 0TH ❑ PTY ❑ SCC S $ S $ S DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR S $ % §_ $ © FORGIVEN PER ELECTION *' RATE $ $ $ $ S DATE DUE DATE INCURRED IND COM ❑ ❑ ❑ 0TH ❑ PTY ❑ SCC [� PAID CALENDAR YEAR $ S % §_ $ ❑ FORGIVEN PER ELECTION RATE ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s $ $ DATE DUE $ $ DATE INCURRED SUBTOTALS $ $ $ $ schedule B Summary Loansreceived this period..................................................................... (Total Column (b) plus unitemized loans of less than $100.) 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.) 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. ....................... $ ............................... $ ............................ NET $ (May be a negative number) (Enter (9) on Schedule E, Line 3) tContributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) 0TH — 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 Schedule C Type or print in ink. crNGnl II c Nonmoneta Contributions Received """-"`" 01_1 �"�� .— ry to whole dollars, Statement covers period p • from ('/ 0 O • • l ®��' SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER ` � ")q' X44 I.D. NUMBER (-3;0 Ct � DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I,D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR TO DATE IF REQUIRED ( ) NAME OF BUSINESS) (JAN 1 - DEC 31) ❑IND [3COM DOTH 0 PTY SCC (]IND ICOM [] OTH [] PTY I] SCC I]IND COM ] OTH 0 PTY ]SCC j]IND ❑COM GOTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary 1, Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) .................................................. 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .... $-- 7 .... 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/of FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377; Schedule D % ..t C-- rll.. Gr H;=nl 11 F r n rqj v� �nNvrru��urtca type yr print in InK. Statement covers period % SAmounts may be rounded upporting/Opposing Other to dollars. + • • • 1 ft whole ,.andidates, Measures and Committees from IF'age 'EE INSTRUCTIONS ON REVERSE through ✓ of DAME 0X- ID NUMB/ER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1 • DEC. 31 ) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ independent ❑ Support ❑ Oppose 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.)......................................................... $ _ d ?. 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.) TOTAL $ FPPC Form 460 (January/05 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772 3cheduie E Continuation Sheet) "ayments Made SEE IN Type or print In Ink. Amounts may be rounded to whole dollars. 6�-K / <: C17 e �10E-2p,110 :ODES: If one of the following codes accurately describes the payment, W campaign paraphernalia/misc. MBR ;NS campaign consultants MTG ;TB contribution (explain nonmonetary)" OFC ;VC civic donations PET :IL candidate filing/ballot fees PHO ND fundraising events POL VD independent expenditure supporting/opposing others (explain)* POS .EG legal defense PRO .R campaign literature and mailings PRT SCHEDULE E (CONT. Statement covers period CALIFORNIA from F,ORM mgr through �� Page "7 of 1,0%f. NUMBER q you may enter the code. Otherwise, member communications RAD meetings and appearances RFD office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, dellvery and messenger services TSF professional services (legal, accounting) VOT print ads WEB describe the payment. radio airtime and production costs returned contributions campaign workers' salaries t,v, or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponso voter registration information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE ff COMMITTEE, ALSO ENTER I.D. UMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID 5 74" . . _ lie Tee btllvg De5- 41-1I Z z Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/0 FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377 el - SSCHEDULE E (CONT.) chedule E Type or print in ink. Statement covers period , Continuation Sheet) Amounts may be rounded t • , to whole dollars. e • ayments Made from L EE INSTRUCTIONS ON REVERSE through —� Mage of TAME OF FILER J.D. NUMBER :ODES: If one of the fallowing codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. AV campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs ;NS campaign consultants MTG meetings and appearances RFD returned contributions ;TB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries ;VC civic donations PET petition circulating TEL t.v. or cable airtime and production costs 'IL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals ND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals Z independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor EG legal defense PRO professional services (legal, accounting) VOT voter registration IT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO EIVTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 2Z( Pic Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ �� FPPC Foran 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) L� Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE LAME OF FIL Type or print in ink. ,Amounts may be rounded to whole dollars, Statement covers period from . � ( through -730 C1 'ODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise. describe the payment Page ! f of 1.0 NUMBER NP campaign paraphernalia/mist. VIBR member communications RAD radio airtime and production costa :NS campaign consultants MTG meetings and appearances RFD returned contributions ;T8 contribution (explain nonmonetary)' CFC office expenses SAL campaign workers' salaries VC civic donations FE' petition circulating TEL t.v, or cable airtime and production costs 1L candidate filing/ballot fees PHO phone banks 7RC candidate travel, lodging, and meals NO fundraising events Pa polling and survey research TRS staff/spouse travel, lodging, and meals +D independent expenditure supporting/opposing o9herG +;exolair,. POS postage, delivery and messenger services TSF transfer between committees of the same candidateisponso EG legal defense PRO professional services (legal, accounting; VOT voter registration .ri campaign literature and mailings P57 print ads VVES information technology costs (internet, e -mai)) NAME AND ADDRESS OF PAYEE L;- MITTEE, ALSO ENTER f . NUMBER; CODE OR DESCRIP7'1ON OF PAYMENT AMOUNT PAID f G,`r G k%� C6 AA,- Y_() -� � Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 6 Schedule E Summary +. Itemized payments made this period. (InClUde ai Schedule E subtotals.) ......................... ?. Unitemized payments made this period of under $100 ............................ r �. Total interest paid this period on loans. ;Enter amount from Schedule B, Part 1, Column (e).)........... ................ $ !. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page. Column A. Line 6.) ............................. TOTAL $-��- =PPC Form 460 (January/L FPPC Toll -Free Helpline: 81>6/.ASK-FPPC (8661275-377 SCHEDULE F ichedule F Type or print in ink. Amounts may be rounded Statement overs period • - , ' accrued Expenses (Unpaid Bills) to whole dollars. from I ®6 • - through �© Page 12— of /,51 EE INSTRUCTIONS ON REVERSE AME OF F R ji LD. MqER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. IVP campaign paraphernalia/misc. IVR member communications RAD radio airtime and production costs ;NS campaign consultants MTG meetings and appearances RFD returned contributions ;TB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries ;VC civic donations PET petition circulating TEL t.v, or cable airtime and production costs 7IL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals 7ND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals VD independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor .EG legal defense PRO professional services (legal, accounting) VOT voter registration .IT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNTIN CURRED THIS PERIOD (C) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ ummarized on Schedule D. Schedule F Summary Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)...... ?. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) . Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................. INCURRED TOTALS $ PAID TOTALS $ ............... NET $ May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule G Payments Made by an Agent or Independent Type or print in Ink. Amounts may be rounded Statement covers period SCHEDULE p Contractor (on Behalf of This Committee) to whole dollars, CALIFORNIA from FORM • ' SEE INSTRUCTIONS ON REVERSE through 7 ® S Page of e . NAM FILER _ I.D. N E NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations FET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR IIF COMMITTEE,ALSO ENTER 1.0. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (January/0; FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-377, RCHFDLJI F I ichedule H Type or print in ink. Statement covers period Amounts may be rounded Made to Others* • - - .oans to whole dollars. fromL.�'� • EE INSTRUCTIONS ON REVERSE through Page off AME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (a) OUTSTANDING (b) AMOUNT (c) REPAYMENT OR (d OUTSTANDING (e) INTEREST M ORIGINAL (g) CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCEAT CLOSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD" P IOD LOAN TO DATE [:] PAID CALENDAR YEAR $ S % S $ PERELECTION" ❑ FORGIVEN RATE $ S $ S $ DATE DUE DATE INCURRED C] PAID CALENDAR YEAR $ $ % $ $ FORGIVEN PER ELECTION' RATE 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 I. 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.) (enter (e) on Schedule I, Line 3) ...................................................... $ If Required .................................................... $ ............................................... NET (May be a negative number) FPPC Form 460 (January/05 FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772 C/-herilllA 1 SCHFr)tJ] F Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from � � through . � • Page of G.1 NAME OF FILE ,_� I.D. NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCEAMOUNT (IF COMMITTEE, ALSO ENTER LD, NUMBER) DESCRIPTION OF RECEIPT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period........................................................................................................................ $ 2. Unitemized increases to cash of under $100 this period............................................................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)........................................................................................................................... TOTAL $ FPPC Form 460 (January/0( FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-377;