HomeMy WebLinkAboutForm 460 Tom OMalley for Mayor 2012 073113Type or print in ink,
Statent1707
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1, Typeof Recip€e` `t Gamm Efiee:: AIt Corm Ittees —Complete Parts 1, 2, 3, and 4.
C?fficeholder, andldate Controlled Comirittae (� Primarily Formed Ballot Measure
(j date Candidate !w#ctiori Cct�rcmit€ee Committee
( ecali 0 Controlled
(rttsn cy0folots Parr 5), . 0 Sponsored
.. (Also Complete Fart BJ
} General Purpose Committee
Q Sponsored C] Primarily Formed Candidate/
() Small Contributor Committee Officeholder Committee
()'Political PartylCentral Committee (Also Complete Part 7)
A/
COVER PACE
Date Stamp „ .
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` For Oficial Use Only
IT'i' OF ATASCADER
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CITYt twsdffi E
2. Type of Statement;
r-1 Preelection Statement
C3 Semi-annual Statement
C] Termination Statement
(Also file a Form 410 Tem7ination)
Amendment (Explain below)
0 Quarterly statement
0 Special Odd -Year Report
0 Supplemental Preelection
Statement - Attach Form 495
ts�: � `�3f`�'� €'"'moi l s`°,• �'. ;i` �:ea �+� �?�. � �:``t� 4'�"i
3. Committee Information I1.0. NUMBER Treasurer(s)
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 true and complete. I certify
under penalty of perjury under the laws of the State of -California that the.foregoing is true and tact
Executed ori ` By
�` o is a roof Treasurer or Assiatant Treasuriar
J"3
Executed on � SY
Date Sfdrtature ofnimifina()Nf fdatClindli.1A S»ta Measue Penn ant nrRn n�chtn It arnr of n nen
t, a,
Executed on
Date
Executed' on
Dale
BY Signature of contral ing Od ehoider, Candidate, State mea&urea Fr000nant
ger
Signature a Coniroling Of .;; tdder, Candidate, State Measu.e Fimponent FPPC Form 460 (Jan nary/0)
FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275.3772)
State of California
OF:OIP
•^ or print
}j Q j�ppiy
-."troll-
mittee . Primarily Formed Sallot Measure Committee
M
IT'OR HELL? ONCLUD5 LOCA" MON AND DISTRICT NUMBER IF APPLICABLE)
69T) CITY STATE ZIP
� c �v T`fz)
Related Committees Not included in this tatemprit. Ltstanycommtttees
not Included to this statement that are controlled by you or are primarily formed to recetve
contributions or make expenditures on behalf of your candidacy.
CITYSTATE ZIP CODE AREA CODE/PHONE
COMMTTTEENAME II.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
YES ( NO
COMMITTEEADDR58S STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODEIPHONIr
NAME OF BALLOT MEASURE
SALLOTNOC OR LETTER JU{2f5OiCTICStV ❑ SUPP Flt
} oppose
Identify the corftrolling officeholder, candidate, or state measure proponent, If any,
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
DISTRICT NO. IF ANY
7. Primarily Farmed Candidate/Officeholder Committee List names of
oftfceholderls) or candidatels) for which this committee is Primorlty farmed,
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
El SUPPORT
C OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
0 SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
Q SUPPORT
Q OPPOSE
Attach continuation sheets If necessary
FPPC Farm 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275.3772)
State ofzall€ortile
Type qr'print In Ink,
Amounts_rhiyy be rounded
'to Whdle` dollzirs",
A.., Monetary Contributions ..... -..-1--- ........ Schedule A, Line 3
2. Loans Received ....... ................ . Schedule B, Line 3
& SUBTOTAL CASH CONTRIBUTIONS ......... ....... Add Lines 112
4. Nortmonatery Contributlons, . .......... .......... ____ ..... Schedule C, Line 3
S. TOTAL CONTRIBUTIONS RECEIVED ...... Add Lill, 3 - 4
6, Paymidnts. Made-,.: Schedule E, Line 4
7, Loans Made _�. ......
....... SchadufaHUnO3
S. ;SUBTOTAL CASH PAYMENTS .............. .. ...... Add Lines 6 + 7
9. Accrued Expenses, (Unpaid -Bills) .... ............ schedule F, Line 3
10. Nonnionetery Adjustment ............... _ ............. Schedule C, Line 3
11, TOTAL-EXP8NDITLIRES MAbE_ .......... Lines 8 + 9 + 10
Current Cash Statement
I:Z, BegInbirt'd Cash Balance ...... ....... Previous Summary Page, Line f6
11 Cash Receipts . ........ ........... ........ .. Column A Line 3 above
14. Miscellaneous Increases to Cash __.. ...... schedule t, Line 4
15, Cash Payments ........ ...... I ...... . Column A. Line 8 above
16, ENDING CASH BALANCE.,- . .... Add Lines 12 + 13 + 14, than subtract Line 15
If this Is a tarmlriqtlon statement, Line 16 must be zero,,
PAGE
statement covers period
01RNK
from
46(
W17JM, CAR,
I �ww_
Column A Column B
TMAMISPER100 CAtSN0ARYF_4R
TOTALTOOA71w
3-1
$ .......... . . .. $
$
17, LOAN, GUARANTEES RECEIVED..,___ ... Schedula A Part 2 $
Q-ish: Eq,ulvalents and Outstanding Debts
18. Cash Equivalents ............. _ ..................... ... see Instrucl(on$ on reverse
19. Outstanding Debts .... Add Urle 21+ Lklegin Column 8 above
$
$ . ..................... . . . .
To calculate Column 8, add
amounts In Column A to the
corresponding amounts
from Column 8 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 (if
any).
1/1 through 6/30 7/1 to Date
20. Contributions
Received $
21. Expenditures
Made $ $
Expenditure Limit Summary for Stati;
Candidates
22, Cumulative Expenditures Made*
(it Subject to Voluntary Exppmd1ture Umttj
Date of Election Total to Date
(mmldd/yy)
$
$
*Amounts In this section may be different from amounts
reported In Column S.
FPPC Form 466, (January/05)
FPPC Toll -Free Halpflne. 8661ASKFPPCJ661275-3772}
type or print in ink.
.S HEDLL A
Amounts may be rounaaeaa
Monetary Ci $ributions Received tar whole dollars.�
Statement covers period
from �
„
through
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER . r LD, NUMBER
DATE FULL NAME, STREET ADDRESS AND ZIP CODE of CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TODATE PER ELECTION
{IFCOMMITFaa ALSOSNTCR1.o.NUMUFR) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE
RECEIVER CODE * #F8aLF•eMPLGYeQ,E TER NAME PERIOD (JAN. 1 - DEC. 89) (IF RSQUIREO)
ilF gU$SNESS}
i�4
MOTH
2-A
PTY
t0.tSC'{f.xru
y ,
� INCt
DCOM
GOTH
O PTY
D PCC
DINt
DC6IUt
DOTH
PTY
0SCC
CnINO
]COM
G�yOTH
U PTY
SCC
FJIND
DCOM
OTH
n PTY
D sCC
SUBTOTAL 1
Schedule k4rammary
1. Amount received this period -- itemized monetary contributions
(include all Schedule A subtotals.) ....... <......................<..,..
2. Amount received this period.— uniternized monetary contributions of less than 100. -1 .........
3, Total monetary contributions received this period.
Add I~i 'I d O t r h d 41-S P
[NO-� Individual
COM Recipient Committee
(offer than PTY or SCC)
OTH �- Other (e.g., business entity)
X'-�
TTPolilkst Party
SCC —Small Contributor Committee
{ nes an n e ere an on e u rrjai age, Column A, Une i,) ....................... IV IAL. ipFPOc Form 466 (aanuaryt05)
PPPO Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)
NAME AND ADDRESS OF PAYEE COPE OR DESCRIPTION OF PAYMENT AMOUNTPAIC
(1rC0MMr7TEE,AL60EM'rERLG.NUMBER) ( }
I - : y ? U
Payments that are contributions or Independent expenditures must also be summarized on Schedule €?,
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 13, fart 1, Column {a}.} ...:.............. ..... ........ ..:;:.,........,,. ,.,.. , ....,....
4. Total payments Made this period. (Arid Linens 1, 2, and 3. Enter here and on the Summary Page, C olumn A, .wine F. ..... ___ ... TOTAL .0
FPPC Ferns 46g (January105)'
FPPC Toll -Free Heiplinw 8661ASK-FPPC (8661275-3772)
S Et�ULE E
�a
chedule-E
Ttfp$ OY pYiflt to ink,"
Statement covars pentad
i c
Pa i"t'Ben Made
Amounts
may,:be r`,oundedw'
to. who' le: dollars.
from
l
through
Pago of
SEE INSTRUCTIONS ON REVERSE
I,0, NVMBER
NAME OF FILER
00011-9: If one of th fbilea+ittirlg codes accurately describes the payment, you may enter the code, C)therwtse, describe the payment,
0VVcampaigns paraphernalialmisc:
MBR
member communications
RAD radio airtime and production costs
RFD returned contributions
CNS oampalgn conaultartts
CTB .contribution (axplein nonmonetary)*.
MTG
OFC
meetings and appearance$
office expenses
SAI. campaign workers' salaries
CVC .clvic.d0tsatltlns -_....
r'
petition circulating
TEL t.v, or cable airtime and production costs
TRC candidate travel, lodging, and meals
Flt CBndldat$ fil(ngtbaliot fees
FIND fundraising even#s
PHO
POL
phone banks
palling and survey research �
TRS staff/spouse travel, lodging, and masts
TSF transfer between committees of the same candido€eleponscr
IND Indepertdant-expenditure supportingfopposing others {explainer
PCIS
PRO
postage, delivery and messenger services
professional services (legal, accounting)
VOT voter registration
LEG legal defense :.
l fi" campaign literature and mallings
PRr
print ads
WEB information technology costs (Internet, e -mall)
NAME AND ADDRESS OF PAYEE COPE OR DESCRIPTION OF PAYMENT AMOUNTPAIC
(1rC0MMr7TEE,AL60EM'rERLG.NUMBER) ( }
I - : y ? U
Payments that are contributions or Independent expenditures must also be summarized on Schedule €?,
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 13, fart 1, Column {a}.} ...:.............. ..... ........ ..:;:.,........,,. ,.,.. , ....,....
4. Total payments Made this period. (Arid Linens 1, 2, and 3. Enter here and on the Summary Page, C olumn A, .wine F. ..... ___ ... TOTAL .0
FPPC Ferns 46g (January105)'
FPPC Toll -Free Heiplinw 8661ASK-FPPC (8661275-3772)