HomeMy WebLinkAboutForm 460 Tom OMalley CTETO Amendment 073113PAGE
Type or. print In ink.. Date, Stamp, 11
4W
(Coverrsrrlerrt.Cctda Sectlons 8424{7-84216.5}
sta erne . caters' Period hate of eleatlon tf appilcdbEJc ' ; 3
3E
'
(Month, Day, Years �- _ For 0815151 Use Only
from
STATE Zip CODE
tit r -P , uw ^ _ ..
0
C1 Y OF ATASCAQ,ERO
I i Y CLERK'?FFICE
2. Type of Statement,.
0 Preetecoon Statement 0 Quarterly Statement
n Semi-annual Statement 0 Special Odd -Year Report
0 Termination Statement F"j supplemental Preelection
(Also fits a Form 410 Termination) Statement -Attach Form 496
Amenbrilent (Explain below) ,
y Y
Treasurer(s)
NAME OF T SURER
I
.lea. 1
MAILING ADDRESS
CITY STATE ZIP CODE" AREA CODEIPHON
OPTIONAL. FAX 1 E-MAIL ADDRESS
4. Verification
€ have used all reasonable diligence In preparing and reviewing this statement and to the beat 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 thatthe:foregoing is true and correct.
Executed ori Jay
Data naturae a6surarflrAaSteta{!'iraaasrrar
Executed on oats 13Y isignatureofcantmRing, cartotda Candidate, State Measure PropnrmntorR64pW1WRaUtflteitttFSporraor
Executed on 8y
DeiB SignAturaort'nnirnt�r?gi}Htc�fhatcier;CandEdatu. ,taR+!�aaurs�Fro,�cnant
Executed on By
Dain $ignatura of Contmfl ng OERcehtatdar; Land data: State Measure, Proper,adt FPPC Forint 460, �Jainua'ylg$)
FPPC Toll -Free Helpline: 8661ASK-FPPC ($661275-3772)
State of California
't—
SE VI~RSs INSTRUCTIONS ON RE
, -,,through
. Type p6 iSO1PIent Q0t'8'i-All Committees —Complete Paris 1, 2.3, and 4.
Clfttcein6fd6r; bandide(O'Ctntfollet€ Committee
Ej Primarily Formed Ballot Measure
:Stats Carldlda#e laCl€afl Catilti� ft8# ' "
Committee
Fi Cali
Q Controlled
{Alioirmpfeta Part 5} .
0 sponsored
ettsrai Purpose Cornrr+it#ee
(arsoCnrr,0ala Part s)
Q Sponsored
C Primarllylµom�ed Candidate/
0 Sinal! Contributor Committee
Officeholder Committee
fAlsoCamialsto Pert 7j
0 Political Party/Central Committee
3. Committee Information
IAX NuMa; R
COMMITTVEE NAME (OR CAS DIDATE1 NAME I.NO GC}M `TTSE}
STATE Zip CODE
tit r -P , uw ^ _ ..
0
C1 Y OF ATASCAQ,ERO
I i Y CLERK'?FFICE
2. Type of Statement,.
0 Preetecoon Statement 0 Quarterly Statement
n Semi-annual Statement 0 Special Odd -Year Report
0 Termination Statement F"j supplemental Preelection
(Also fits a Form 410 Termination) Statement -Attach Form 496
Amenbrilent (Explain below) ,
y Y
Treasurer(s)
NAME OF T SURER
I
.lea. 1
MAILING ADDRESS
CITY STATE ZIP CODE" AREA CODEIPHON
OPTIONAL. FAX 1 E-MAIL ADDRESS
4. Verification
€ have used all reasonable diligence In preparing and reviewing this statement and to the beat 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 thatthe:foregoing is true and correct.
Executed ori Jay
Data naturae a6surarflrAaSteta{!'iraaasrrar
Executed on oats 13Y isignatureofcantmRing, cartotda Candidate, State Measure PropnrmntorR64pW1WRaUtflteitttFSporraor
Executed on 8y
DeiB SignAturaort'nnirnt�r?gi}Htc�fhatcier;CandEdatu. ,taR+!�aaurs�Fro,�cnant
Executed on By
Dain $ignatura of Contmfl ng OERcehtatdar; Land data: State Measure, Proper,adt FPPC Forint 460, �Jainua'ylg$)
FPPC Toll -Free Helpline: 8661ASK-FPPC ($661275-3772)
State of California
6> nt Orhmittee
�p '-St atement
r a e 'aid 2
Type or print in ink.
OFFICE StJUGHT.tR MLD( LOGATiQt! ANO DISTRICT NUMBER IF APPLICABLE)
RSS1f3ENTIALIBUSINE$S ADORES ETj CITY STATE ZIP
Routed Committees Not Included in this Statement t.ist any committees
not Included In this statement that are controlled'by you or are primartfy formed to receive
contributions or make expenditures on behalf of your candidacy:
CITY STATE ZIP CODE AREA CODE/PHONE
s Page of
. Primarily Formed Ballot measure Committee
NAME OF BALLOT MEASi3S4E
BALLOT NO, OR LETTER JURISDICTION � SUPPORT
OPPOSE
PAIN 2
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
s- s
IDISTRICT NO, IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
otrlceholderls) or car didatelsj 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
El SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
CITY STATE tjP GORE AREA GODFJPHONE
Attach continuation sheets if necessary
FFPC Farm 480 (January/05}
FPPO roll -Free Holiiltnc 866/ASK-PI PE (86647S-3772)
State of4allfornla
36 8 ktgT1 wcsur ML,Type or print in ink.
Amoonts.tnay be rounded
to wh6lo 'd hors,
Current Cash Statement
12. Beginhing Cash Belance ........ ......:.. Previous Summary Page, tine 16
13, Gash Receipts
14. Miscellaneous Increases to Cash.... .... ...._ ..... Schedule 1, Line d
15. Cash Payments ........ . -1111-11— ... __ Column A, Gine 8 above
16. ENDING CASH BALANCE .......,.. Add Lines 12 + 13 + 14, then subtract Gina 16
1f this is s fart7ineflon statement, Gane 18 must be term,
17. LOAN GUARANTEES RECEIVED ............ . . ........ Schedule 8, Part 2
Cash. Equivalents and Outstanding Debts
18, Cash Equivalents.,,.,,.,, ...;.... .,«:.,.,..,, See Insfructlons on reverse
19. Outstanding Debts... ............. ......:.. Arid One 2+ Lina 9 In Column 8 above
Column A .
TOTALTHt9fit=Pi3t5p
' {�fiSGtTd,kiiAGHEC15GtfiECRfLES}
C
..._ �✓.
Q
S
RAGE
Statement covers period ; �' � , i
fron,__14
\5 4 ,
through Pae of
Column 8
CA1,9NDAR mR
TOTAL TODATE
$'
150
_
$
t,c�, r�unsat:lz
5 7l
Calendar Year Summary for Candidate's
Running in Both the State Primary and
General Elections
111 through 6130 711 to Date
20, Contributions
Received $
21; Expenditures
Made
22 Cumulative Expenditures Made*
(It 9ublsot to VOWnta3y E:Xpanrditure Umftj
Date of Election Total to Date
(mmlddlyyj
To calculate Column 8, add
amounts In Column A to the
corresponding amounts 'Amounts In this section may be different from amounts
from Column 8 of your last reported In Column S.
report. Some amounts In
Column may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filen
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any);
PPPC Form 460 (Januaryl6s)
EPPC Toll -t=ree Helpllne: 866/ASIC FPPC {$6&1275-3772)
Ctr9�at �ecely d
'i. mo-'nEtafy Cdnteibutions :....... .......... ...:.: ........,.
Schedule A, Linea
2, Loans Received . ..::>;;: . ::...... ......... ......;„...
S, dine $, Glee 3
1 SUBTOTAL CASH CONTRIBUTIONS
;.,. ......._,.
AddLlnea t +2
4: Nonmonetary Contributions ....... . ..:...;. ....,,«......
Schedule G, Llne,3
5, TOTAL CONTRIBUTIONSRECEIVED _«.: ..:::::..........
Add Lines 2 + 4,
6; Payments Made, ... .. ;.:.: ........ ::....... .......:,..
Schedule E, Line 4
TLoans Mado
.._: ..,.::..... . ..... ...<:.;.. .
Schaduta N, tJrre 3
8. 'SUBTOTAL CASH PAYMENTS ;:.«. ..::::.: ...............
Airl+ r
9. Accrued, Expenses (Unpaid. Bills)...... ;......... ..............
schedule P Line 3
1ti. No' ninonetery Adjustment
-:......,. ....«. .............«.
Schedule G, Lino3
1 l . TOTAL E'XPENIJIT"URE MACE -_Add
.... ......... ........., Lines 8 + 9 + 10
Current Cash Statement
12. Beginhing Cash Belance ........ ......:.. Previous Summary Page, tine 16
13, Gash Receipts
14. Miscellaneous Increases to Cash.... .... ...._ ..... Schedule 1, Line d
15. Cash Payments ........ . -1111-11— ... __ Column A, Gine 8 above
16. ENDING CASH BALANCE .......,.. Add Lines 12 + 13 + 14, then subtract Gina 16
1f this is s fart7ineflon statement, Gane 18 must be term,
17. LOAN GUARANTEES RECEIVED ............ . . ........ Schedule 8, Part 2
Cash. Equivalents and Outstanding Debts
18, Cash Equivalents.,,.,,.,, ...;.... .,«:.,.,..,, See Insfructlons on reverse
19. Outstanding Debts... ............. ......:.. Arid One 2+ Lina 9 In Column 8 above
Column A .
TOTALTHt9fit=Pi3t5p
' {�fiSGtTd,kiiAGHEC15GtfiECRfLES}
C
..._ �✓.
Q
S
RAGE
Statement covers period ; �' � , i
fron,__14
\5 4 ,
through Pae of
Column 8
CA1,9NDAR mR
TOTAL TODATE
$'
150
_
$
t,c�, r�unsat:lz
5 7l
Calendar Year Summary for Candidate's
Running in Both the State Primary and
General Elections
111 through 6130 711 to Date
20, Contributions
Received $
21; Expenditures
Made
22 Cumulative Expenditures Made*
(It 9ublsot to VOWnta3y E:Xpanrditure Umftj
Date of Election Total to Date
(mmlddlyyj
To calculate Column 8, add
amounts In Column A to the
corresponding amounts 'Amounts In this section may be different from amounts
from Column 8 of your last reported In Column S.
report. Some amounts In
Column may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filen
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any);
PPPC Form 460 (Januaryl6s)
EPPC Toll -t=ree Helpllne: 866/ASIC FPPC {$6&1275-3772)
SEE INSTRUr:TIONA ON RFVFRfiK
Type or print In ink.
Amounts may be rounded
to whole dollars.
Statement covers perlod
from
throuch
SCHI�Dt.tt A
NAME OF FILER
_
_ I.D, NUMBER
'12 IF
. T? 2-9
DATE FULL NAME, STREET ADDRESS AND ZIP CODE Of: CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER. AMOUNT CUMULATIVETO.DATE PER ELECTION
RECEIVED IIFc0MMIrTEI AL8oENTER1,o,NUMBER1 OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
CODE
(IF SELFEMPLOVED, ENTER NAME PERIOD {JAN. 1 -DEG: 31) (IF REQUIRED)
OFBUSINESSI
MIND
EICt7M
GOTH
O PTY
0 8GC
O INt7
Q Ct7M
OTH
E PTY
Q IND
❑COM
17TH
p PTY
0SCC
O IND
E] CCM
[] t7TH
❑ PTY
[USCG
IJ IND
C]COM
[:] t7TH
❑ PTY
[] SGG
SUBTOTAL
Schedule A Summary
e,
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,
{Add Lines 1 and 2. Enter here and on the Summary Frage, Column A, Line `I.} ..,....:. ,....:..... TQTAL
FPPC Form 466 (JanuarylUS)
FPPG Toll -Free Helpline; 866JA$K-FPPD {8661276-3712}
*Contr,Nutor Godes
IND Individual
COM —Reelplent Committee
(other than PTY or SGC)
OTH — Other (e,g., business entity)
PTY -- Political Party
SGC —Small Contributor Committee
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
OF COMMITT9E,ALSO ENTER I.D. NUMBER)
lov)
(IND E) COM p ort p PTY ❑ SCC
tEl IND OCOM 0 OTH 0 PTY [3 $Cc
'Cj IND Ej COM Cj OTH 0 PTY [j SCC
Type or print In Ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
OCCUPATION AND 15MPLOYER
OF SELF-EMPLOYCOENTER
NAMEOFBUSINEM
Statement covers period
from —A—LA0
through
AMULIN I AMOUNTPAID I 'J'3A"kNUOV INTEREST
ISIV15 CLOSANCE Al
I =D THIS OR FORGIVE_� I a OF THIS PAID THIS
PERIOD I THIS PERIOD =911nm PERIOD
13 PAID
$ %
0 FORGIVEN RATE
DATE DUE
PAID
S_
0 FORGIVEN I I
"Te
0 PAID
0 FORGIVEN,
Page of
W. NUMBER
ORIGINAL CUMULATIVE
AMOUNT OF CONTRIBUTIONS
LOAN TODATE
CALENDAR YEAR
3 -
PER ELECTION"
OitTE INCURRED
CALENDAR YEAR
S_ I S_
PER ELECTION "
DATE DUE 6A -Te -INCURRED
CALENDAR YEAR
RATE
PER ELECDON
ATS DUE DATE INCURRED
SUBTOTALS $
$ $
&V5 s
Schedule' B SUmmary
1. Loans received this period .................................... ......... ....... .......
(Total Column .(b) plus uniternized loans of less than $100.).
2. Loans paid 6rforgiven this period ........ ......... $
(Total Column (c) plus loans under $100 paid orforgivem)
(include loans paid by a third party that are also itemized on Schedule A,)
I Net change this peridd. (Subtract Line 2 from Line 1,) . ................ ......... ......... ......... NET $
V
Enter the not here and on the Summary Pace Column A Lin,-- 7 �?Mr�,Or)
t'tontributor Codes
-"Nb-frfdlviduai
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other business entity)
PTYrPblltlwj Party
SCO -Small Contributor Committee
'Amounts forgiven or paid by another party also must be reported on Schedule A.
If required,
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-37721
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER _
+ L
S
CHEDULE
Type or pint in rrik 5tatemerrt covert period ,
Arrtiiyrtts Wray be rgurided'
to whci1e do ars.
from
through. t Page o
I,D. NUMSER }
{ G
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEe,ALSOrN7r-At.o:NuMsER)
CODE OR DESCRIPTION OFPAYMENT
AMOUNTPRto
t� �t
o
CODES: if one of the folloWlng codes accurately desctibEis the payment, you may enter the code.Otherwise, describe
the payment.
C
" oampaEgn parap errsallatmisc;
MBR
member communications
RAD
radio airtime and production costs
CNS
campy fgn" consultants.. `
MTC
meetings and appearances
RF
returned contributions
CTB .:
contrlbiltfoo (exp€a)rr,ntinmonetsry)*
CLEC
office expenses
SAL
campaign workers' salaries
GVC
FiL
.civic d rsatlans ., .
candidate "!inglbsilot fees
FE7
.petltton circulating
TEL
t.v, or cable aldlma and production costs
FND
ralstng evens
POL
phone banks
polling and survey research
TRC
TRS
candidate travel, lodging, and meals
stafflspouse travel, lodging, and meals
1N
lndeperk dht expenditure supportinglopposing others (explaln)*
POS
postage, delivery and messenger services
TSP
transfer between committees of the same candidate/sponsor
LES
iegat: defense . , .
PRC
' professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and remallirlgs
PIAT
print ads
WEB
Information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IFCOMMITTEe,ALSOrN7r-At.o:NuMsER)
CODE OR DESCRIPTION OFPAYMENT
AMOUNTPRto
t� �t
o
Payments that are contributions or independent expendit6res must also be summarized on Schedule D, SUBTOTAL
Schedule E :Summ ry
1, Itemized payments made this period. (include all Schedule E subtotals $ C
Z Unitemized payments -made this period of under 100
3. Total Interest"paid this period on loans. (Enter amount from Schedule 8, Part `l, Column (e).)......... .....: .. ......:.. ....:.: .......:.> ........ V
4. Total payments made this period. (Add Lines t; 2, and 3. Enter here and on the Summary Page, Column A, line .) .... ....... <..............::: TOTAL
FP`PC Corm 46t1(JapuaryM)'
EPPC Toll -Free Helpline: 566/ASK-FPPC (86g/ T5. 772)