Loading...
HomeMy WebLinkAboutGreen, Cathy - 2009 FPPC Campaign Disclosure Forms - Success Campaign Disclosure Statement Type or print In ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. ) CALIFORNIA d from .SSE �LIt �g ®e 'cif SEE iNSTRUCTIONS ON REVERSE through ! ®/ Page of + NAME 04:FILER I.D.NUMBER ;AA' . Colur6r;A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERiOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $ 111 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule a,Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ $ 20. Contributions � Received $ $ 4. Nonmonetary Contributions.................................... schedule G,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ••..•.••.•.•••.......••••••Add Lines 3+4 $ $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6, Payments Made.............................-........................ Schedule E,Line 4 $ $ Candidates 7. Loans Made............................................................. Schedule H,Line 3 22, Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ tit Subject to Voluntary Expenditure limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment ....Schedule C,Line 3 .20 (mm/dd/yy) 11 TOTAL EXPENDITURES MADE ....Add Lines 8+9+10 $ $ -6- �� f $ Current Cash Statement ,.t --1--J $ 12.Beginning Cash Balance ....................... Previous Summary Page,Line 15 $ To calculate Column B,add 13,Cash Receipts ..... Column A,Line 3 above ' amounts in Column A to the corresponding amounts 'Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... schedule 1,Line 4 from Column B of your last reported in Column S. 15.Cash Payments.................................................. Column A,Line 8 above report. Some amounts inColumn A may be negative 16,ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ figures that should be subtracted from previous ff this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17,LOAN GUARANTEES RECEIVED........................... Schedule 8,Part 2 $ for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2.7,and 9(if any) 18. Cash Equivalents........................................ See Instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column 8 above $ FPPC Form 460(January/05) - - - _FP._PG_ToiL-Fxee_Heipiint::-8661ASK=EPPC_(8661275.3T72)--=---=- A COVER PAGE Recipient Committee Type or print In Ink. Date Stamp _107�� CLIFORNIA Campaign Statement 40 Cover Page h FORM (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicaba--19 JUL 3 1 AN 9: 32 (Month, Day,Year) Page of from For Official Use Only r A SEE INSTRUCTIONS ON REVERSE through 36jan 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: —0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 7 Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee �Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Parts) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 7 General Purpose Committee (Also Complete Part 6) ❑ Amendment(Explain below) (:) Sponsored FJ Primarily Formed Candidate/ (DSmall Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also C 3, Committee Information I.D. NUMBER Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER MAILING ADDRESS 17 E3 7 A STREET ADDRESS(NO P.O. BOX) CITY STATE CODE AREA CODE/PHONE U57 LML=l4 PJ I-A 9�' 7 2/0,YZ Oz!)30 CITY' r STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY __z. A:--A C—A q9Y 7 71Y.R77=zP zn - 27 TV.0, MAILING AODReSS (IF DIFFERENT) NO,AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE A Al— !:!!i 1 &A ' / r,I ZX517- Zd0yKe-36 OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/-E-MAIL ADDRESS 4. Verification 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 correct, Executed on � e By 'Date TreasurerorAssistantT-reasurer Executed on A By J-4 Doe Signature of r1linholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Offloeholder,Candidate,State Measure Proponent Executed on By tursotCQntraWngOff"holder,Candidate,StateMeasure-Pmpone -------FPP Form 46U(Januaryffl!�_ FPPC Toll-Free Helplins:866/ASK-FPPC(866/275-3772) State of California Type or print in Ink. COVERPAGE-PART2 Recipient Committee .' .- Campaign statement ®. a . 1 Cover Page— Fart 2 Page of ` 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE /LOCATION rAND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STIXEET) CITY �r STATE ZIP ��—��� ��A���� Identify the controlling officeholder, candidate, or state measure proponent, if any. (p/�v �� ��� NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not Included In this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO PO.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary FPPC Form 460(January/05) FPPC roll-Free Helpline;8661ASK-FPPC(866/275.3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period ®- Summary Page to whole dollars. d from ev SEE INSTRUCTIONS ON REVERSE through 6 V(ld�t © Page�3 of_ NAME OF FILER / I.D. NUMBER Colur6n A Column a Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ -� $ �1 1/1 through 6/30 711 to Date 2, Loans Received ...................................................... Schedule B,Line 3 3, SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ ash $ .,k 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 -9 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ......•....................Add Lines 3+4 $ $ -69- Made $ $ Expenditures Made Expenditure Limit Summary for State 6, Payments Made....................................................... Schedule E,Line 4 $ - $ Candidates 7. Loans Made ...... Schedule H,Line 3 -� `�`....................................................... 22, Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ - - $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 Date of Election Total to Date 10, Nonmonetary Adjustment ..........................................Schedule C,Line 3 -00- (mm/dd/yy) 11, TOTAL EXPENDITURES MADE................................Add Lines 6+9+10 $ $ _^��� $ Current Cash Statement $ 12.Beginning Cash Balance ....................... Previous Summary Page,Line 16 $ $ To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3 above amounts in Column A to the 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. -15.Cash Payments.................................................. Column A,Line 8 above report. Some amounts in Column A may be negative 16,ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ ` figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero, period amounts. If this is the first report being filed 17,LOAN GUARANTEES RECEIVED........................... Schedule 8,Part 2 $ �� for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from ones 2,7,ands(if q g � any), 18. Cash Equivalents........................................ See Instructions on reverse $ 19, Outstanding Debts......................... Add Line 2+Line 9 in Column 8 above $ ��d FPPC Form 460(January/05) - —FPMTall=free-Hetplirre.866rASK--FPPC-(866t2T"7'72)- f Schedule —Part 1 Type or print In Ink. SCHEDULE 8-PART 1 Amounts may be rounded Statement covers 1perlodLoans Received to whole dollars. from :SEE INSTRUCTIONS ON REVERSE through 4' 1-anPage. of NAME OF FILER I.D. NUMBER FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (�) OUTSTANDING dT— (e g) OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNTPAID UTSBAL NOINCE INTEREST ORIGINAL CUMULATIVE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF•EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUN70F CONTRIBUTIONS NAME OF BU ERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE C-_.9,,K/1d4& / Cry � (" ❑PAID CALENDAR YEAR $ $ RATE % $ $ f26 �� ❑FORGIVEN X� PER ELECTION*O t C�BT $ $ OATN IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE I CURBED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION"" t❑ IND ❑ COM ❑ OTH $ $ $ $ $❑ PTY ❑ SCC DATE DUE GATE INCURRED ❑PAID CALENDAR YEAR $ $ v $ s ❑FORGIVEN RATE PER ELECTION" to INC) ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ .� $ -� $ �cine $ (Enter(a)on Schedule B Summary Scnedule E,Line 3) 1. Loans received this period....................................................................................................................$ (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 2. Loans paid or forgiven this period ......................................................................................................... $ IND-IndividualCOM-RecipientCommittee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g.,business entity) PTY-Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) ............. NET $ SCC-Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (Maybe a negative number) '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(866/275-3772)