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Home My WebLink AboutForm 460 101610 Commitee to Elect Tom OMalley to CC 2010Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Stateme t covers period Date of election if applicabl4: from �1 L 0 1 / 20 1 o (Month, Day Year) through 1C)t 6 /7-010 ,1 [I OCT 18 2010 CITY OF ATASCAU CITY CLERK'S OFFI COVER PAGE Page _ I of 'C For Official Use Only O 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 X Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report Q Recall. Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete pad 5)` Sponsored P (Also file a Form 410 Termination) Statement Attach Form 495 (Also Complete Part 8) ❑ Amendment (Explain below) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3 Committee Information I.D. NUMBER e ^ 14. COMMITTEE NAME (OR CANDIDATE'S,NAMq IF NO COMMITTEE) STRFFT CITE CC t� ZIP— UODE AREA CODE/PHONE �"1 ! &01 �) y q 0-� 557 ,STATE ZIP c10'� AREA CODE/PHONE Treasurer(s) NAME OF TREASURER (� W `\\\ trw\ 1 a W-VS%V\aVF MAILIr•1n An MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL. FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my k, owla ge the iIfn contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the I ws of the State of California that the foregoing is true a orrect r Executed On C (' By lure Tr u ror sistant asurer Executed on �) BY Date Signature of Controlling Officbhoider. Candldatdl�tats Mea Proponent or Responsible Officer of Sponsor Executed on BY Data Signature of Controlling OfAcaholder Candidate, Stale Measure Proponent Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR OFFICE SOUGHT OR HELD (INCLUDE LOCAPON AND DISTRICT NUMBER( IF APPLICABLE) C'pw-\ C . \ ft 0\, 1 Cho S CU RESIDENTIAUBUSINESS ADDRESS (NO. AND ST EET) CITY R STATE n 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 CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADORESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE PAGE PART2 Page of BALLOT NO. OR LETTERI JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT CE 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 (866/275.3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTI Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period to whole dollars, from through LD Page of NAME OF FILER _ I.D. NUMBER�7v 1 5- Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDAR YEAR g Primary Running in Both the State Prima and (FROM ATTACHED SCHEDULES) 1 L (�7 TOTALTO DATE 'I $ General Elections 1 Monetary Contributions Schedule A, Line 3 $ Ib v 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines i + 2 $ "' 4 a $ 20 Contributions C , Received $ $ 4 Nonmonetary Contributions Schedule C, Line 3 21 Expenditures RECEIVED Add Unes 3 + 4 $ , (Dv c) $ Made $ $ 5. TOTAL CONTRIBUTIONS _ 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 $ Vs $ Schedule H, Line 3 y Add Lines 6 + 7 $ Schedule F, Line 3 Schedule C,Line Add Lines 9 + 10 $ $ I X, 3 nes 8 Current Cash Statement 12 Beginning Cash Balance Previous Summary Page, Line 16 $ Iwo, - 13 Cash Receipts Column A, Line 3 above 14 Miscellaneous Increases to Cash Schedule 1, Line 4 15 Cash Payments Column A, Line 8 above 16 ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 161 If this is a termination statement, Line 16 must be zero. 17 LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 01 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 cant' 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 Urnit) 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 Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) �.,�...,�..�„ A Type or print in Ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received ' to whole dollars. -_ Statement covers periodCALIFORNIA' from J ` / `y, 1FORM Page SEE INSTRUC`I'!0NS ON;Ri`Vi tfSF" through of NAME tkl),». LD NUMBER DATE FULL NAMESTREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ENTER NAME AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. t DEC. 31) PER ELECTION TO DATE (IF REQUIRED) RECEIVED (IF SELF•EMPLOYED, OF BUSINESS) MND LjCom ❑PTY �� Com -4y ,�t'i_ jk)u� ❑ ❑SCC h^ 'S/��s �° \Uwe kv_' V\ coil ❑COM XOTH 5�C _ ` OOH_ ❑ PTY ❑ SCC ,^ IND COM [30TH �l?`°�� I ❑ PTY IND `tet ❑ OTOH ��i q- r� G 0o -- s q�uti os C IND ❑ COM ❑ OTH ❑ PTY ❑ SCC r� SUBTOTAL $ O V r� 'F��'F. a� ,3� l,x,kx Schedule A Summary 1 Amount received this period —itemized monetary contributions. O1 (� (Include all Schedule A subtotals.) $ 2. Amount received this period — unitemized monetary contributions of less than $100 3 Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page Column A, Line 1 ) TOTAL $ I UU 1 000 `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) T-. n ,..{ 1.. 1-6 SCHFnLJl. F R PART 1 ourieuule D -- rari i Amounts may be rounded Statement cPvers period Loans Received to whole dollars. / 1 /,-LoCALIFORNIA460 from 11 r / • 010 SEE INSTRUCTIONS 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) AMOUNT PAID OUTS ANDING BALANCE AT e) INTEREST ORIGINAL g CUMULATIVE (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAME OF BUSINESS) PERI D THIS PERIOD'PERIPERIOD LOAN TO DATE �`' ❑PAID CALENDAR YEAR al�� j '(,,�� l� PER ELECTION" S -� ❑ FORGIVEN $ ,� RATE IND ❑ COM ❑ OTH E] PTY [3DATE SCC S DATE INCURRED S DUE ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION to IND ❑ COM ❑ OTH PTY ❑ ❑ SCC $ $ S $ S DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S $ % $ $ ❑ FORGIVEN RATE PER ELECTION`" to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S $ $ $ $ DATE DUE DATE INCURRED a SUBTOTALS $ $ V. $ Schedule B Summary 1 Loans received this period (Total Column (b) plus unitemized loans of less than $100 ) 2. Loans paid or forgiven this,pedod (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, Linen. 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. (Enter (s) on Schedule E, Line 3) $ $ NET $ May be a negative number) r 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 E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period I CALIFORNIA A Ali 1 Zc1� �' • from through W / I b �� w Page ( of I.D. NUMBER CODES If one of the following codes accurately describes the payment, you may enter the code. Otherwise describe the payment. CNP 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 UT 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 AMOUNT PAID n NIS cv-�- �? CART k-'�Lc®-lz�_ * Payments that are contributions or Independent expenditures must also be summarized on Schedule D _ SUBTOTAL$ Schedule E Summary -11 $�� 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).) $ r� TOTAL $ V 5 ) 4 Total payments made this period. (Add Lines 1, 2, and 3 Enter here and on the Summary Page, Column A, Line 6) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772)