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HomeMy WebLinkAboutForm 460 Tom OMalley for Mayor 2012 013114SEE INSTRUCTIONS ON R �V TYPO or print In tnlc. Data Stamp . RECEI ED S#at®msiit covers period✓ . r _ boat Q Controlled (atsacornptet$Paits�.. 0 Sponsored dim, eralPU,rpoIi Committee (AtsctCamptafePa�B} Q sponsored 0 Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also CompieiePad 4 ►ate of election if appiicabl4. : t E gage —�-= �-_ Of (Month, Day, Year) J 3 t0 4 For Official Use v {, t . _ 2. Type of Statement: 0 Preelection Statement j Quarterly Statement Semi-annual Statement C] Special Odd -Year Report r l ` orminallon Statement [ Supplemental Prestect€on (Also file a f=orm 410 Termination) Statement -Attach Form 445 0 Amenhment (Explain below) 3, Committod (tT cartlt tiprt I.D. NUMBERTreasurer(s) I have used all reasonable diligence In preparing and reviewing this statement and to the bast of my knowledge the information contained herein and in the attached schedules is true and complete. t certify under penalty of penury under the laws of the State ofCalifornia that the foregoing Is true and coril t Executed oil .v 1 tty Date Sig tofTr rer'orAa¢iatsntTreaaurar Executed on r . . Date SY gnauraa rntroMgtNBW€eider.Uan to, State assure Pmpnnon#txrtctsgMaitaleiiittearnfSpoi= Executed oil By Date StgnatureofC•nn#rdi?ng4it4tashnidar„Cansf€date.SwtahteasumPr orPe nt Executed on BY Dafa Signature of Gc ntrz Cling Qfficek older, Cand dela, Eta#a t lase i°ts PnpananS FP#C Form d&Q (January/9#1 FPFC Tolf-Free Holpiino. i 66/ASK.FppC 0664275.3772} State of California Type or print In Ink, ? g 6. Primarily Formed Ballot Measure Committee NAMEOF BALLOT MEASURE BALLOT NO, OR LETTER JURISDICTION— 0 SUPPORT OPPOSE Identify the controlling ofticeholder, candidate, or state measure proponent, If any.. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Related Committees Not included in this tatement List any committees not included to this statement that are coniroliad:b primarily OFFICE SOUGHT OR HELD y you Or aro rtmarii formed to receive DISTRICT NO. IF ANY....... contributions or make expenditures Ort behalf of your candidacy. 6177 .7 " STATE ZIP CODI~ AREA CODEIPHONE 7, Primarily Formed Candidate/Officeholder Committee List names of officoholder(s) or candidato(s) for which this committee is prlmariiy former NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Q SUPPORT 0 OPPOSE NAME OF OFFtMHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 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 CI iY. STATI QIP CQL1E AREA CODFJPHONE Attach ctsit#lttuaiiori sheets If necessary FPPC Fort 460 (Januarylos) FPPC Toll -Free Helpline: SiSOIASK-FPPO (111161275.3772) State of'Callformw 1 tulonatary Contributions ..,<::. ...::........ Schedule A, Lina 3 . Moans Received .......................«. . ,,.,.... ......_'_ Schodure e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .... Add trnos l + 2 4, Npn€nonetery Contributions,... .... <Schedule C"_LMO 5. TOTAL tWt}N7'R#BU`f`iON`FtECiV0 ;,,. .,;.::t ......... Add Lines 3+4 Exp nditures ado 6;. Payments. Made . .......: .......:: .....:::: .... :......„ Schedule E, t.fne d $ 7, LOatlS Made .................... ....... Schedule N, Line 3 8. SUBTbTAL GASH PAYMENTB ... ........::,> Add Lines s + 9: Accrued.:Expgnses (Unpaid Bills)....... .................. ......ScheduleF.Line3 *, No"'n monetarY Adjustment , 11, TOTAL EXP NWORE S MADE,...«,,..,.,... ..... _Add Lines s+a + 13 8 i Current Cash Statement 12. Beginning Cash Balance Previous summerlPage, Line 18 $ 11 Cash Receipts .......... ........ .................. Column A, Line 3above 14. Miscellaneous Increases to Cash .................. Schedule t Line 4 15: Cash too 16. ENDINGCASHOALANCE ..........:add Lines 12 + 13 + 14, than subtract Line fit) if tlhli Is a tamrina#tan statement, Lime 16 must be aero; 17. LOAN GUARANTEES RECEIVED ... ........ Schedule 8, Part 2 CAS.. equivalents and Outstanding ��ht 18, Cash Equivalents,., ........ ......... ............. See rnstructlons an reverse 19: Outstanding Debts .. _........:.:........ Ada cine 2+ tine 91r, Column s above YiJ3yiSYif"K7 t A Staternent,covers period t�� '� IP� IWIVq u� lUii i from through Page Of t.u; NuMseR �fj Column B Calender Year Summary for Candidates COTA°ao TS �€r nin in 4ot the State Primary n General Elections 1/1 through 6/34 7r1 to Crate To calculate Column 8, add amounts In Column A to the corresponding amounts from Column 13 of your last report, Some amounts in Column A may be negative figures that Should be subtracted frau previous period amounts. if this is the first report being filed for ibis calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any), 20, Contributions Received 21: Expenditures Made $ $ Expenditure Limit Summary for Stets Candidates 22. Cumulative Expenditures made* Ii€ su�Iacsf fa i�otuntary �X�sfnd3tUr� t,tmif} Date of Election Total to Data (mm/dd/yy) *Amounts In this section may be different from amounts reported In Column B. FPPC Forth 4611:(Januaryfd5) FPPC Toll -Free Helpline. 86eiA3 -FPPG (8661275-3772)' Ptbhedule,A Type or print in ink, GHWUi E A MonetaryContributions Received Amounts may be rounded to whole dollars. Statem nt ovars period fromFOW INSTRUOTloNSo through Pae 1. SEE REVERSE of NAME OF FILER � s i.D. NtJM0R 0 06V Ti DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ttFeouMiTTEE,ALSOEWERI,D.NUMBEtt} CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO,DATE PER ELECTION CALENDAR YEAR TODAT"E (IF SELF•CMFLaYEC),ENTER NAME OF BtlstNCss) PERIOD (JAN. I -DEC. 31) (€F REQUIRED) ND ICOMt OOTH 13 PTS n*JcoM ,. ms.....µ IND ,,.w..+:....__........ _.,:;..;e,...._.«... ..,„,k,..,.,,._«.-�- -«,,. El PTY .. [LSCCINDM r`� X%j `��. 9 �aaP i3i" fi .. MViVt..... v-o. (�'}'ryt�HEl n# mak„ / T't# []$CC OIND E]COM O( OTH n PTY []SCC EIIND ©CONI EIOTH PTY SUBTOTAL$ Soo Schedule Aui mo ary I Amours# rece'lVed this eriod — itemised t #a P ITtone Q1 con#rl utloIJ�tIrl (include all Schedule A subtotals.), ....... ................I............ ,........ ........:....:... , ............. $ a 2. Amount received this period — unitemized monetary contributions of less than $100 ,. 3. iotal monetary contributions received this period. {Add Lines `t and 2. Enter here and on the Summary Page, Column A, Eine 9 <..... ........... TOTAL FPPC Pours 400 (Januaiy/065) PPPC Toll -Free Helpline .8661ASK-FlIPC (866127fi-3772") *Contributor Codes IND-- €nd€Vidual COM r- Recipient Committee (other than PTY or SCG) OTH —tither (e.g., business entity) PTY--Pant€cat Party SCC-- Small Contributor Committee CODES' lfoh6dftit@ following codes accura#eiy describes the payment, you may enter the code. Ot I hervvise, describe the payment, tR campaign "Parapherrmaliafrrliso. MSR member communications RAD radio airtime and production costs CICS campaign consultants ' Iaxplain MrG meetings and appearances FtFi SAL returnedontritutions campaign workers' salaries CTS - contribution nonmcnetaty)*. QFC FST office expenses petition circulating TEL t.v. or cable airtime and production costs CVC' FiL .civic dal etltins . ... candidete fltingiballot fees PHO phone banks candidate travel, lodging, and meals FND IND' fundrait,Ing events tndaltandetnaxpe»diture supporting/opposing others (explain)* POL PUS polling and survey research postage, delivery and messenger services TTRCRS TRS TSFtransfer stafffspouse travel, lodging, and meals between committees of the same candidate/sponsor LEG legal. dafense .. PRO professional services (legal, accounting) VOT >ES voter registration information technology costs (Intemet, e-mail) LIT campaig,rt literature and mailings PRT print ads NAME AND ADDRESS OF PAYE rIFCCkhlMiir.Al94EDr7EftI.D. VUtiBri} CC7ClE OR DESGi�tFTIrJN t�F PAYMENT AMOUNTPAID SID Payments that are contributions or independent expenditures must also be summarized on Scha tuts D. UBTOTAL; Schedule E Summary 1; Itemized pants made tido period. {Include all Schedule`E subtotals.} , Unitemized payments made this period of under $100 ......:.:........: .....,, ...,.,,., ....,. 3. Total interest.paid this period on loans. {Enter amount from Schedule B, Vert 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. TOTAL 1 � FPPC Form 460 (Januaryf06)' FPPC Toll-Froe helpline: 66/ASK-FPP (6SB127S•3772)