HomeMy WebLinkAboutForm 460 Tom OMalley CTETO 073113Type or print in laic, Data Stamp,
w.
V'
Stitsr"r t ceders period
3. Carr mutes Information
,NDIDATE'S NAME IF NO COMMITTEE)
Cama i"
gate of election If applicably: le`
(Month, flay, Year) 1 , i ; t ; _ For Oftal�Use tt
aA0
. Type of Statement::
0 Preelection Statement 0 Quarterly Statement
Semi-annual Statement 0 Special Odd -Year Report
TerminafionStatement 0 Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
Amendment (Explain below)
e�
NAME OF TREASURER ?
MAILING ADDRESS
CITY STA'L'E. ZIP CODE AREA CODElE}FEFN
OPTIONAL: FAX F EMAIL ADDRESS
AN! f G#bf Mf x
I 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 trite and complete. l earthy
under penalty of perjury under the laws of the State ofCalifornla that the foregoing is true and co
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1 �- .. ,
Exadutad tis �. By
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BY Signattaa a£Cbi ira Nng ONfeshaSder: Card claire; State F (sasurs Prcpona t
FPPC I=#tm;46Q,:(4snuarylFS#
FPPC Toll -Free Holp€ins: 8661ASK-F PC (8661275-3772)
State of California
i`ro£n i
INSTRUCTION$ SI
SEE 90,REVEt -
ti#roiagtt
'I, y p 4�" _" l nt n mitts@f :Ali Crimitll#tees _ Complete Parts 1, 2, •3, and 4.
t)fllceiioidar, Carldldate Controlled Committee
Primarily Formed Ballot Measure
{ .atata Candidate Slactlart Committee
Committee
Ftcali0
Controlled
{aFsnecrrrptu#ePa+tsl
0 Sponsored
Genesi Purpose Committee
(AtSnCwnpfstsfWO)
(j Spttrlsorad
C3 Primarily Formed Candidate/
0 .mall Contributor Committee
Officeholder Committee
0 Political Party/contral Committee
(ArsoCOMAWaPWO)
3. Carr mutes Information
,NDIDATE'S NAME IF NO COMMITTEE)
Cama i"
gate of election If applicably: le`
(Month, flay, Year) 1 , i ; t ; _ For Oftal�Use tt
aA0
. Type of Statement::
0 Preelection Statement 0 Quarterly Statement
Semi-annual Statement 0 Special Odd -Year Report
TerminafionStatement 0 Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
Amendment (Explain below)
e�
NAME OF TREASURER ?
MAILING ADDRESS
CITY STA'L'E. ZIP CODE AREA CODElE}FEFN
OPTIONAL: FAX F EMAIL ADDRESS
AN! f G#bf Mf x
I 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 trite and complete. l earthy
under penalty of perjury under the laws of the State ofCalifornla that the foregoing is true and co
�
1 �- .. ,
Exadutad tis �. By
afe _. g ra £ €eaeurararAas€slantTreasurar
Executed on t BY
Data r
Executed on:
alb
Executed on
E%ta
By
BY Signattaa a£Cbi ira Nng ONfeshaSder: Card claire; State F (sasurs Prcpona t
FPPC I=#tm;46Q,:(4snuarylFS#
FPPC Toll -Free Holp€ins: 8661ASK-F PC (8661275-3772)
State of California
Type or print In Ink.
Related Ccmrraltteee 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.
CITY STATE ZIP CODE AREA GODEIPHONE
COMMITTEE NAME I.D. NUMBER
YES n NO
COMMITTEEADDRESS STREETADDRE $ (NO PO. BOX)
CITY. STATE ZiP COk3E AREA CCSDEIPHONE
�- page of
6, Primarily Farmed Ballot Measure Committee
NAME OF BALLOT MEASURE
..-
- PART
SUPPORT
1 OPPOSE
Identify the corltroilln5 officeholder, candidate, or state measure proponent, It any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR
NO. IF ANY
7, Primarily Formed Candidate/Office helder Committee List names of
offlcaholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
0 SUPPORT"
OPPOSE
NAM5 OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
0 SUPPORT,
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
[I SUPPORT
0 Oppose
Attach continuation sheets If necessary
OPPC Porro ASI# (lanuarylo$)
FPPC Toll -Free HalplIne: 86O K-PPP0 (8661274.3772)
State 'Oucaliiornle
campaig
Type or prl4lri ink,
Amuunts,they be roan lod
11 :'ti) while dollars:
Current Cash Statement ��
12. Beginning Cash Balance . ,.....,. ,,1111„; Previous Summary Page, gine t6 $
13. Cash Receipts ... > ........ ......... .. ...............: Column A, Line 3 above
14. Miscellaneous Increases to Cash ..................... Schedule 1 tine a
16, Cash Payments...... .................... ... ..............:... Column A, Line 8 above
16. ENDINGCASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract tine 95
It this is a lerrnfiiatlonstafament, Line 98 must be zero.
17, LOAN GUARANTEES RECEIVED-- ...... .1..1,.1.11 SCheduta S, Part 2 $
Cash 9quivalents and Outstand.Ing Debts
18. Cash Equivalents ......... .......... „..,....... see Instructions on reverse
19. Outstanding Debts 1,1,11.,. 1...... Adel Lina 2+Line 91n Column above
$
Column B
CALENOARYEAR
TOTALTOVArE
b
FORK
r
Calendar`Summary ��I�III�I I�III lull Ilf� h IUl Ili for C
ia
ndidat
Running in Both the State Primary
d
General Elections
1l1 through 6130 711 to Date
241: Contributions
Racelved $ $
21. 5xpend)tures
Made
Mt I H sit,r
2. Cumulative Expenditures Made*
(!f Subject to Vatuntsry ExpoodKturo UrnEt)
Late of Election
(rnmlddlyy)
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 B.
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);
FPPC Form 466 (Jar)ttarytd }
i*PP Toll -Free oIpII te: 8661ASK-FPPC (14661275-3772)
c�h P'��3ii��t_fts: �ece ved
Column A
-
TOMTtKisPEM00
(FROM, AiTACHF04CHEDULaS).
:4 . ..
1.. Mona#ary Contrlbu#lens .......... ..........................
Schedule Ltne I
S
2, Loans Received ;:: ... ,111:1 ..
Schedules, W9 3_
, SUBTOTALCASH CONTRIBUTIONS ....
Addtlnest+2
4. Nortmonetary Contributions ..;..;.
Schedule C, Llno 3
41
. TOTAL CONTRIBUTIONS REO IVE0 ,:.. . Add Lines 3+4
6, .......;: .......... ......... ......
Schedule E, Line 4
7: L roams Made 1,:11 1 ,.,.,:.,, ....,....
Schedule ht, Line 3
8. $URTOTALCA�H PAYMIwNT .:;, ,111 1 .... ............:...
Add Lines 6+7
9.'Accrued.Bxpenses.(Unpald,.Bills)................................ScheduletrLrne8
10. Nonrsbh� tery Act}U #)1tant . ....... . . ......... .11:11:......
schedule C,Lino 3
.iO� L14X�E461"TURESMADE... ...;....AddUnal8+s+10
-4-2-
Current Cash Statement ��
12. Beginning Cash Balance . ,.....,. ,,1111„; Previous Summary Page, gine t6 $
13. Cash Receipts ... > ........ ......... .. ...............: Column A, Line 3 above
14. Miscellaneous Increases to Cash ..................... Schedule 1 tine a
16, Cash Payments...... .................... ... ..............:... Column A, Line 8 above
16. ENDINGCASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract tine 95
It this is a lerrnfiiatlonstafament, Line 98 must be zero.
17, LOAN GUARANTEES RECEIVED-- ...... .1..1,.1.11 SCheduta S, Part 2 $
Cash 9quivalents and Outstand.Ing Debts
18. Cash Equivalents ......... .......... „..,....... see Instructions on reverse
19. Outstanding Debts 1,1,11.,. 1...... Adel Lina 2+Line 91n Column above
$
Column B
CALENOARYEAR
TOTALTOVArE
b
FORK
r
Calendar`Summary ��I�III�I I�III lull Ilf� h IUl Ili for C
ia
ndidat
Running in Both the State Primary
d
General Elections
1l1 through 6130 711 to Date
241: Contributions
Racelved $ $
21. 5xpend)tures
Made
Mt I H sit,r
2. Cumulative Expenditures Made*
(!f Subject to Vatuntsry ExpoodKturo UrnEt)
Late of Election
(rnmlddlyy)
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 B.
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);
FPPC Form 466 (Jar)ttarytd }
i*PP Toll -Free oIpII te: 8661ASK-FPPC (14661275-3772)
DAiI"
C Ot
FULL NAME, SADDRESS AND t' CODE OF CONTRIBUTOR C7R
STREET AD
CO tTRtBUTOR
IF AN INDIVIDUAL, ENTER
(ICCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO.DATE
CALENDAR YEAR
PER ELECTION
T t?DAT�
RECEIVED
(IFCOMMITTEE;A.SOFWERI,D.NUM$eR}
CODE
(EFaFtfr-C-MPL0YE0,FNTERNAME
PERIOD
(JAN, 1 - DEC. 31)
(IF REQUIRED)
t1F�El84t4ES8}
31
1
[r�3T0TH
\' i
scHl bLJLr E3 -PART i
cTIeoLtie — rli`L '€
Loans Received
Amounts may be rounded
fa wasp€� dollars,
ate�rorrtn►eperiod
1 i
4141
SEE INSTRUCTIONS ON REVERSE
through
Pais of
NAME OF FILER
M
LD. NUMBER
Y
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IFCOMMIT`rEE,ALWENTiwR10.NUMBER)
IF AN INDIVIDUAL, ENTER OUTSTANDING tb€ €�}
OCCUPATION AND EMPLOYER AMOUNT AMOUNTPAID 078 A GING INTEREST
BALANCE RECEIVEDTHIs, SALANCEAr
lip ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS PA€tiiHlS
NAMEOI r3uslNsssy PERIOD THIS PERIOD * PERIOD
ORIGINAL CUMULATIVE
A OUNTC#I Cc�NTR€BUTICNS
LOAN TO BATE
PAID
a
H
m»...w.wr+x. iA
v
CALENDAR YEAR
d
qdn �y {;^q�•; a
END o COM l OTH D PTY Q sco
+$q `��r� y
FORGIVEN
RATE
S
PER ELECTION**
DATE DUE
DATE INCURRED
PAID
CALENDAR YEAR
RATE
FORGIVEN
PER ELECTION **
td IND [3 COM 0 OTH _ CI PTY 0 SCG
s �
� �
$
�
DATE INCURRED
$
DATEDUE
F1 PAID
(;Ai,.ENDAR YEAR
°la
RATE
S
S
FORGIVEN,
PER ELECTION"
T� IND COM OTH PTYo $CC
DATE INCURRED
DATEDUE
p6Wf4AL p
7.
1. Loans received this period +......+ r ....r....+.................................................... ..+.+..+. , .++......«,..,..,.,..+. �
(Total Column (b) plus unitemized loans of less than 100.)
2. Loans paid or forgiven this period
(Tata! Column (c) plus leans Under $100 paid or forgiven.)
(include loans paid by a third party that are also itemized on Schedule A.)
3. Not change this period. (Subtract* Line 2 from Line 1) ........ ......... ...,.,..< +......., ............>.... NET
Enter the net here and on the Summary Fuge, Column A, Line 2. (May beonegotivenvmbar)
ian[er tttf art
B::hBchi[k E, �,Ifl��i
ttoritributor Codes
lNb _ lndmduaE
CCDM - Recipient Committee
(other than PTY or SCC)
{STH - Other (e.g., business entity)
PTY � Political Party
SCC --Small Con0butorCommittee
*Amounts forgiven or paid by another party also must be reported on Schedule A.
if required.
FPPC Form 450'(January/05)
FPPC Tait -Free Hetpllne; 866/ASK..FPPC (8661275-3772)
�§chedule E
Payments Mad-,,,
ism
'T stat'emon, covers perion',
Arno
to.w'loie' dollars. '7
from
Of
through �2:1 Page
SEE INSTRUCTION$ ON REVERSE
NAME 6F--FlUEk
a the fb wing,co as abcU toly' escribs' e e CithefWlse, describe the payment.
CODES: If -an' of ra describes the payment, You may enter th code.
OP
MBR
member communications
RAD
WD
radio airtime and production costs
returned contributions
C
MTG
OFC
meetings and appearances
office expenses
SAL
campaign workers' salaries
CTB
6646q �qxplaln nonmonetary)* � I � I
-: :�'� ''
PV
petition circulating
TEL
Lv, or cable airtime and production costs
cvc
FIL
:chic; , , " , , , —
candidate5fiiin'g' allot feei
PHO
phone banks
TRC
TRs
candidate travel, lodgl% and meals
staff/spouse travel, lodging, and meals
FND
1101
f6ndiilt'lir'� 'OV436"ti �
ln4pihftnt�e�odndlture supp6rting/opposing others (explainr
POL
POS
polling and survey research
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
logal.dafense
PRO
professional services (legal, accounting)
VOT
WEB
voter registration
Information technology costs (Internet, e-mail)
i rr'
and mallinas
PW
print ads
Payments that I are contributions or Independent expenditures must also be summarized on Schedule M SUH-1-VIAL,;1
SchedulummarY
1, itemized pay nts made this period, (include all Schedule E subtotals.) ........ ......... ..................... -- ......... -- ........ ..... $
2. Unil emized payments rhade this period of under $100 ....... ...... ......... - ... —.1 ..... — ..... .................. ..... — —1.1-1-1 ................ ............. ......... $
3. Total interest.paid this period on loans. (Enter amount from Schedule B, Part 1, Column (a).) -- ............. .............. ........ ..... .......... $
$
4, Total payments made this period, (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Una ....... TOTAL
FPPC Form 460'{January[O5)
FPPC Toll -Free Halpt I Inat 886/ASK-FPPC (866/2*3772)