Ca paign Statement Cover Page

Govemment Code Sections 84200 84218 5

Stateme from

rent

Committee

Type

oven

Ink

7o 7 eov period

Date of eleetlon If appllc Month Day Year

CC 2

S 33
Page c

e For Official Use Only y

SEE INSTRUCTIONS ON REVERSE

through

Z
2 Type of Statement

Us

1 Type of Recipient Committee All Committees Complete Parts 1 2 3 and 4

Officeholder Candidate Controlled Committee Primarily Formed Ballot Measure
Committee

Q State Candidate Election Committee

preelectlon e Statement
annual Semi Statement TenninaBon Statement

Quarterly Statement Special Odd Year Report Supplemental Preelection

Statement Attach Form 495

Q Recall
Also Compere Pena

O Controlled O Sponsored
Almcomperepsd5

C General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political PartyCentral Committee
3 Committee Information

Also file a Form 410 Termination Amendment Explain below

Primarily Formed Candidate

Officeholder Committee

Arise Compete Part r

D NUMBEk

3DO

s Treasurer ri547r C
Z

t ri ZoSa

55 C kno d rri
STREET ADDRESS NO P BOX O

A C
FD12G
STATE ZIP CODE

26

9Z6a7d

E3L

5 ri i7

Cif

7z rl
NAME OF ASSISTANT TREASURER IF ANY

M
MAILING ADDRESS

CITY n

STATE

ZIP CODE

AREA CODE PHONE

CITY

STATE

ZIP CODE

AREA CODEPHONE

IS r P fit 50 C I l e e rl 20 L D j Cbtn
r
OPTIONAL FAX EMAIL ADDRESS

Verification

I have used all reasonable diligence in preparing and reviewing this statement and to the best of under penalty ofperjury under the laws of the State ofCalifornia that the foregoing Is true and col
Executed on

the Information contained herein and In the attached schedules is true and complete I certify

Executed on lb Lo
Executed on
Executed on
Oats

rte

By

BY By
By

SIpnM

Sgnelure atControOinp OlhcelwMer Canddate Stale Measure Pmpomnt

FPPC Form 180 January105

State of California

FPPC TollFree Helplins 888 8881275 FPPC ASK 3772

C0aign
NAME OF FILER

Disclosure Statement

Summary Page

Amounts may be rounded

to whole dollars

Type

In Ink

Statement covers period

from

SEE INSTRUCTIONS ON R

through v

of

Contributions Received
1
2

Column A
THISPER100 TOT

Column B
CALENDARYEAA
TOTALTo DAIS

FROMATTACHED SCHEDULEe

Calendar Year Summary for Candidates Running in Both the State Primary and
General Elections
111 through 6 30
1 7 to Dale

Monetary Contributions
Loans Received

schedule A Line 3

schedule e Linea
Add Lines I 2

SUBTOTAL CASH CONTRIBUTIONS

20 Contributions
Received

4
5

Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED

Schedule C Linea
Add Lines 3 4

qg
br S

21 Expenditures
Made

Expenditures Made
6
7 8

Expenditure Limit Summary for State

Candidates

Payments Made
Loans Made SUBTOTAL CASH PAYMENTS

schedule E Line 4

schedule H Linea

22 Cumulative Expenditures Made

Add Lines 6 7

IN 80tedto Voluntary ExpnEllure Llmlt Date of Election Total to Date

9 Accrued Expenses Unpaid Bills 10 Nonmonetary Adjustment

11 TOTAL EXPENDITURES MADE

schedule F Line 3
schedule C Line 3
Addunesa s lo

ddlyy mm

R
I

Current Cash Statement

12 Beginning Cash Balance
13 Cash Receipts
14 Miscellaneous Increases to Cash
PrevloussummaryPage Line 1s
Column A Line 3above schedule 1 Line 4 Column A Line a above Add Lines 12 13 14 then subtract Line 15

To calculate Column 8 add

amounts in Column A to the

corresponding amounts

15 Cash Payments
16 ENDING CASH BALANCE

DnC
Q

If this is a termination statement Line 16 must be zem

17 LOAN GUARANTEES RECEIVED

schedule s Part 2

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
carry over the amounts

Amounts in this section may be different from amounts reported in Column B

Cash Equivalents and Outstanding Debts

18 Cash Equivalents
19 Outstanding Debts
sea instmoaons on reverse

from Lines 2 7 and 9 if

any

Add Dne 2 Line sin Columneabove

FPPC Form 460 January

FPPC Toll Free Helpline 8661ASK FPPC 866 3772 276

SAP
NAME OF FILER

Monetary Contributions Received

SEE INSTRUCTIONS ON REVERSE

towwhhole Amo

Arint

In Ink

be

CHEOULE
statemalt o vero period
I

arsaea

from

through

LG 30
FULL NAME STREET ADDRESS AND LP CODE OF CONTRIBUTOR
IFCOMMr RALSOE MBER M O RI

NM 7

oT

DATE RECEIVED

CONTRIBUTOR CODE
IND

IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER

EUreR MFLOreo eFSFis NAA1E OFBUSMSS

RECEIVED THIS AMOUNT

PERIOD

CUMULATNETO DATE
CALENDAR YEAR

PER ELECTION TO DATE

JAN 1 DEC 31

IF REQUIRED

yyJJ

3 7O 0
ir 113

Lp r

on
scc COM OOTH
PTY

aa te s

1S 4

yQM L y 6 Z bna CD 4 I G

08CC

IND COM
OTH PTY

SCC IND
COM
OTH PTY

SCC

IND COM OTH

PTY

SCC SUBTOTAL

q 9S
Codes

Schedule A Summary
1 Amount received this period itemized monetary contributions Include all Schedule A subtotals
7

IND

Individual

COM OTH PTY

Recipient Committee

other than PTY or SCC

Other e business entity g Political Party
SCC Small Contrtbutw Committee

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 S
FPPC Form 400 January 06

FPPC TollFree Helpllne 86S ASKFPPC 888 2763772

ule Ad
NAME OF FILER

Payments Made
SEE INSTRUCTIONS ON REVERSF

Type or Amounts may

prWk

SCHEDULEE

rounded

Statement covers period

e

of to whole dollars

from

through
r 20 S ct
IVER member communications

Page
D I NUMBER

of

936d
RAD
RFD

CODES If one of the following codes accurately describes the payment you may enter the code Otherwise describe the payment
CMP CNS CTB
CVC

campaign paraphemalialmisc campaign consultants contribution explain nonmonetary

civic donations

radio airtime and production costs

returned contributions

FL FND M LEG LIT

candidate filinglballot fees fundraising events independent expenditure supporting others explain opposing legal defense campaign literature and mailings

MTG OFC PET PHO POL S PO PRO FAT

meetings and appearances office expenses petition circulating phone banks polling and survey research postage delivery and messenger services professional services legal accounting print ads

SAL campaign workers salaries TEL l or cable airtime and production costs v TRC candidate travel lodging and meals TRS staffspouse travel lodging and meals TSF transfer between committees of the same candidatesponsor VOT voter registration WEB Information technology costs Internet amall

NAME AND ADDRESS OF PAYEE IF COMMnraa OEN a NUMeex D I

CODE

OR

DESCRIPTION OF PAYMENT

AMOUNT PAID

ct gz

V 3 m

Lf
Ll

7YIt7 vt YLQ
rc w n
J

92

z IJ I r k 6 W K 0
4 Doev
c

32P

74 11 f

1
o

Lt
SUBTOTALS

Payments that are contributions or Independent expenditures must also be summarized on Schedule D

Schedule E Summary
1 Itemized payments made this period Include all Schedule E subtotals 2 Unitemized payments made this period of under 100

4
p

3 Total interest paid this period on loans Enter amount from Schedule B Part 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

FPPC Form 460 January 05 FPPC TollFree Helpllns 866IASKFPPC 8661276 3772

Sloule Sheet Continuation

E

Type or Amounts may be rounded

to whole dollars

pr6k

Payments Made

Page

of

D I NUMBER

CODES If one of the following codes accurately describes the payment you may enter the code Otherwise describe the payment
CNP CNS CTS
CVC

campaign paraphernalialmisc campaign consultants contribution explain nonmonetary

civic donations

MISR

member communications

RAID
RFD

radio airtime and production costs

returned contributions

FIL
FND W LEG LIT

candidate filing fees ballot

fundraising events Independent expenditure supporting opposing others explain legal defense campaign literature and mailings
NAME AND ADDRESS OF PAYEE IF COMMnTEE ALSO ENTER I NUMBER D

MTG OFC PET PHO POL POS PRO PRT

meetings and appearances office expenses petition circulating phone banks polling and survey research postage delivery and messenger services professional services legal accounting print ads
CODE
OR

SAL TEL
TRC TRS TSF VOT VBEB

campaign workers salaries v t or cable airtime and production costs

candidate travel lodging and meals staffspouse travel lodging and meals transfer between committees of the same candidate sponsor voter registration information technology costs Internet e mail
AMOUNTPAID

DESCRIPTION OF PAYMENT

32 C s a r eS fog l s

Payments that are contributions o ind e mustalso besummarized on Schedule D r itures d n xp

SUBTOTALS 32
FPPC Form 460 January 05 FPPC TollFree Helpllne 866 ASKFPPC 866 2764772