HomeMy WebLinkAboutForm 460 063010 Committee to Elect Tom O'Malley - 2010COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
2. Type of Statement=
Typo or print in ink.
-
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(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
(] Preelection Statement
� Quarterly Statement
JUL 1 4 2070 Page�
For o tial Us¢ Only
CCTV O LERK•S CV=1E
Committee
Statement covers poriod
A4 �J 2 n [ C>
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Data of election if applicable:
(Month. may Year)
, -C10
through �! >� A^
Type of Recipient Committee All CommiH¢as -Complete Parte z, a, ane a.
2. Type of Statement=
Officeholder Candidate Controlled Committee
O Primarily Formed Ballot Measure
(] Preelection Statement
� Quarterly Statement
JJ���CCC Q State Candidate Election Committee
Committee
Semi-annual Statement
F --j Special Odd -Year Report
Q Recall
Q Controlled
Termination Statement
F--1 SUpplernantal Preelection
(aso comp/ana Parr s/
Q SponsoredAlso
file a Form 4'10 Termination
( )
Statement Attach Form 495
(.4/30 Comp/¢fes Part 6)
Q Amendment (Explain below)
Q General Purpose Committee
Q Sponsored
0 Primarily Formed Candidate/
Q Sma11 Contributor Committee
Officeholder Committee
Q Political Party/Central Committee
(syso comp/ara Part)
3. Committee Information
-o NUMaER 1 �'� 2Li-
Treasurers)
COMMITTEE NAME (OR GANpIpAT E'S NAME IF NO COMMITTEE)
NAME OF T EASU RER
\lv ��..- w `. .:.>� C,A? `a \� C��t. v2).
MAILING ADORE
STREET O P.O. 60X� TATE ZIP OOE AREA COOS/PHONE
yy�. I,�\ `' �t---,� S ATE ZIP%GOOSE/t E NA E OF ASSISTANT TREASURER, IF ANV
O. ANO STREET OR P.O. BOX MAILING ApO RE55
OPTIONAL FAX / E-MAiL AG DRESS OPTIONAL FAX / E-MAIL AOO RE SS
4. Verification
1 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 corre7
Ex¢<urea on t-7 I 1:?- ) .0 z% ) 6 sy
p to
`� S at or Assistant Treasur¢r
Exacut¢tl on �, , �� 4t'J l � tur n t
O a By Signa aof mg FddaG Ca�S a Ma po t p P
Ex¢cuted On BY
mala Signature of C:oMiolling Offi�noldar Gantlldata. 5[e[¢ Maasurn Pmpw�arrt
EX¢cut¢d on Oata BY
Slgnatve of C:onwlling OfrrBnoIGBr Candaa[a. State Maaau�a Propmant FPPC Form 460 (January/06)
FPPC Toll -F r¢¢ H¢Ipllna: 866/ASK-FPPC (866/2>5-0»2)
Stara of Galiforn la
Recipient Committee Type or print in Ink. COVER PAGE PART2
Campaign Statement � � CALIFORNIA 460'
Cover Page --Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATI N AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESS ADDRESS (N . 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.
COMMITTEE NAME I LD NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMM177EENAME LD NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Page 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 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
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 (8661275 3772)
State of California
Campaign Disclosure Statement
$
Type or print in ink.
Schedule H, Line 3
SUMMARY PAGE
Summary Page
g
Add Lines 6 + 7
Amounts may be rounded
to whole dollars.
1/0
0
Q d/^i�
Statement covers period
- ,
/ '
`.i
Schedule C, Line 3`_�
0
Add Lines 8 + 9 + 10
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from
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Page
SEE INSTRUCTIONS ON REVERSE
through
of
NAME OF FILER ^ T
I.IN ER
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTALTODATE
Running in Both the State Prima and
g Primary
1 Monetary Contributions
Schedule A, Line 3
1
$ 1 $
✓'
General Elections
2. Loans Received
Schedule 8, Line 3
�y
� � V
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS
Add tines 1 +2
$ — �'` $
20 Contributions
Received $ $
4 Nonmonetary Contributions
Schedule C, Line 3
21 Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED
Add Lines 3 + 4
$ $
Made $ $
Expenditures Made
6. Payments Made
7 Loans Made
8. SUBTOTAL CASH PAYMENTS
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment
11 TOTAL EXPENDITURES MADE
Schedule E, Line 4
$
Schedule H, Line 3
(_J
Add Lines 6 + 7
$ ®� $
1/0
0
Q d/^i�
Schedule F Line 3
t>
`.i
Schedule C, Line 3`_�
0
Add Lines 8 + 9 + 10
$ 100 $
p
H 0
Current Cash Statement
12. Beginning Cash Balance Previous Summary Page, Line 16 $ ... nt / ,Ii .�.1.I
13. Cash Receipts Column A, Line 3 above �' J
14 Miscellaneous Increases to Cash Schedule 1, Line 4 0
15 Cash Payments Column A, Line 8 above
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 e, Part 2 $
Cash Equivalents and Outstanding Debts
18 Cash Equivalents See instructions on reverse $
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"
(if Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
Amounts in this section may be different from amounts
reported in Column B
FPPC Form 460 (January/05)
FPPC Toil -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may oe rounded
Statement covers period
to whole dollars.
)
CALIFORNIA
460
from
�^
SEE INSTRUCTIONS ON REVERSE
through"' 5`�
Page of
NAME OF FILER T (�'''_10
LD NUMBER
4'-
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ADDRESS
S SAND ZIP
I.D,N DEO
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 DEC. 31)
(IF REQUIRED)
BUSINESS)
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IND
e—� � ��n���
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k 0 C)
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os
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IND
COM
r
(:)/IIli
[]OTH
t�`•�^
�, A �J
/
CCe.L O
❑SCC
❑IND
❑ COM
❑ OTH
El PTY
❑ SCC
[]IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
PTY
❑ SCC
SUBTOTAL $
Schedule A Summary
1 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 �1
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1) TOTAL $ ' 1
*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)
n _._ _ _._ _. Tuna nr print in InL SCHEDULEB PART1
Qf- JWUU1C U — rat L 1 Amounts may be rounded
Statement covers period
Loans Received to Whole dollars.
/ icyFORM
CALIFORNIA
460
from_i
INSTRUCTIONS
G kk✓`U
lilSEE 7
ON REVERSE
through
Page of
NAME OF FILER
I,D NUMBER
_
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
BALANCE
(b)
AMOUNT
(c)
AMOUNTPAID
(d)
OUTSTANDING
BALANCEAT
(e)
INTEREST
(f)
ORIGINAL
(g)
CUMULATIVE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BEGINNING THIS
RECEIVED THIS
PERIOD
OR FORGIVEN
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
NAMEOFBUSINESS)
PERIOD
THIS PE\RIOD
PERIOD
PERIOD
LOAN
TO DATE
T"kc'm
..UPAID
CALENDAR YEAR AR
"C�4v W�2
FORGIVEN
PERELECTION*
RATE
2
$
$
E
E
t ,'IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION**
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
E
E
S
E
E
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
FORGIVEN
E]PER
ELECTION"`
RATE
t❑ IND El COM ❑ OTH [:1E
PTY ❑ SCC
E
E
E
E
DATE DUE
DATE INCURRED
SUBTOTALS $ $ —50 D $36
z w.
t eu
Schedule 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.
(Enter (e) on
Schedule E, Line 3)
$
NET $
(May be a negative 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/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule C Type or print in ink. SCHEDULE C
Amounts may be rounaea
Nonmoneta Contributions Received&A
to whole dollars.
Statement covers period
ir 11
from
through �" 1�lPage_!_�O_
of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. N'U%MBLE`R'(,�,
r ( \
f 1..- 1 0
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
FAIR MARKET
CUMULATIVE TO
DATE
PER ELECTION
TO DATE
RECEIVED
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
EMPLOYED, ENTER
(IF SELF-EMPLOYED,
E OF BUSINESS)
GOODS OR SERVICES
VALUE
(JAN 1 DEC 31) CALENDAR YEAR
(IF REQUIRED)
NAMM
❑IND
❑COM
[:]OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
[]IND
[:]COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ r
Schedule C Summary
1 Amount received this period —itemized nonmonetary contributions. fir,
(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) 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 (8661275-3772)
E
Schedule E Type or print in ink. Statement covers period
Amounts may be rounded 1 CALIFORNIA4601
Payments Made to whole dollars. ` / s'�FORM
from
� ZL ��
SEE INSTRUCTIONS ON REVERSE through Page —7— of
NAME OF FILER LD NUMBER
�.� TCS _ _ iJ'j -'?-'?2-q�
CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
CW
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
PET
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)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT
Ilk
* Payments that are contributions or independent expenditures must also be summarized on Schedule D
Schedule E Summary
1 Itemized payments made this period (Include all Schedule E subtotals.)
2. Unitemized payments made this period of under $100
3 Total interest paid this period on loans. (Enter amount from Schedule B Part 1 Column (e) )
4 Total payments made this period (Add Lines 1 2 and 3 Enter here and on the Summary Page, Column A, Line 6 )
SUBTOTAL$
$
$
TOTAL $
AMOUNT PAID
1 no
100
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)