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HomeMy WebLinkAboutBrandt, Bruce J. - 2012 FPPC Campaign Disclosure Forms For 2 (2) COVER PAGE Recipient Committee Type or print In ink. Date Stamp ® _ Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Page of Statement covers period Date of election if plicable: p (Month, Day,Z';r)I j�F�'iv/ D 1 10: For Official Use Only from 1i1f Y; SEE INSTRUCTIONS ON REVERSE through ZA r 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement p State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled Termination Preelection (Also Complete Part5) Q Sponsored (Also file a Form 410 Tenmination) Statement-Attach Form 495 (Also Complete part6) ❑ Amendment(Explain below) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information LD NUMBER Treasurer(s) ca( i to COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER 76 Ko6lN�tN �C 11' ET ADDRESS(NO P.O.BOX) CITY V STATE ZIP CODE AREA CODE/PHONE Z--.L ("t,d t �- 14 to OJT L Z* Cif_AcA� C 4-11 Ci z.& `s t 4 -513 373g CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY )1—('I.A►v�1 t't �� ed A e—yk l CL�t `t'Z'4'�r l d, t•s �3� e t MAILING ADDRESS(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 $�el Al t 1 JJ�3 i"G A CA, � - � d "r' "' A,-- i it 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. �r !�0 By Executed on tg( ) Data Signa asurerorAssistantTreasurer Executed on By 'signatu 6f Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer ofSpansor Date i Executed on Data By Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(8661275-3772) State of California t'ir�� Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA a 1 Campaign Statement FORM Cover Page—Part 2 Page of 6. Officeholder or Candidate Controlled Committee 6. Primarily Formed easure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP identify the controlling officeholder, candidate, or state measure proponent, if any. C44,,�z 6-7 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY 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. COMMITTEENAME I.D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.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 COMM117EENAME 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 ❑ SUPPORT ❑ YES ❑ NO ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period 11weigum,Summary Rage to whole dollars. z6 from (u �"L�t through Z-� ILD. e 3 of S SEE INSTRUCTIONS ON REVERSE NAME OF FILER NUMBER � ,t n JA%N--r��- —r"W C=U L C-T A �sT �, Flv�rrT-r�L6� � L i 3 l 5 t o ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE o General Elections 1. Monetary Contributions........................................... Schedule A,Line 3 $ $ O:GO 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 2-� ` 0 ...................... 2 20. Contributions��� Z �� „ 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines_1+2 $ $ ,< 1--� Received $ $ Ce,yC? sr ,cif 4. Nonmonetary Contributions.................................... Schedule C.tine 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ••...................•••••.AddLines3+4 $ <L)� 46.eC> $ ez,,7,i!6 'Oa Made $ $ Expenditures Made i G G Expenditure Limit Summary for State t 6. Payments Made....................................................... Schedule E,Line 4 $ 6-7,36 $ ca 1 S ZA t Candidates 7. Loans Made............................................................. Schedule H,Line 3 G.o 0 6 , 6 0 22.C_ b umulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ ' 3 4. $ �,�I i `,q (K Subject to Voluntary Expenditure UmR) C'i•9. Accrued Expenses (Unpaid Bills)...............................Schedule F a o,tine 3 y"0 C7 Date of Election Total to Date 10.Nonmonetary Adjustment..........................................ScheduleC,Linea 0 " o O •0­0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ I ,67, 7?6 $ 13 • 96 . - , $ Current Cash Statement —�—� 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ ' 7 ' 3 To calculate Column B,add . pn,13.Cash Receipts ................................................... column A,Line 3 above 2 rr-f b amounts in Column A to the � corresponding amounts *Amounts in this section maybe different from amounts 14.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 0'y from Column B of your last reported in Column B. 167 .+ 3� report. Some amounts in 15.Cash Payments.................................................. Column A,tine 8 above Column A may be negative 16.ENDING CASH BALANCE..........Add Lines 12+13+14,then subtract Line 15 $ (5 '®0 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 B,Part 2 $ 0,00 for this calendar year, only carry over the amounts from Cash Equivalents and Outstanding Debts G any)Lines 2,7,and 9(if. 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ ( `�� FPPC Form 460(January105) FPPC Toil-Free Helpiine:8661ASK-FPPC(866/275-3772) i Type or print in ink. SCHEDULEB-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period • Loans Received to whole dollars. 1 (� _ from (��z1 1 SEE INSTRUCTIONS ON REVERSE through i l 1 Zo 1� Page_ of NAME OF FILER I.D. NUMBER TO t t<SI�1-1 e- [k,-c r- PPA 4 w4n we;`3,5� e2e,,,A0k C 17`f C. Q 1j C-I 1 Z"' IF AN INDIVIDUAL, ENTER a (b) (c) (d) (a) M FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNTPAID BALANCEAT OF LENDER (IFSELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE 7,5" y 0 V-;, "y rb k K PAID CALENDAR YEAR (5 I .v 4h 0,Ci 0 G 'i ai 40-06 .4 sV_;•v �-�►?s ( �Jt1i3cQ Lt4t/ �`� L(,�.�Oia �,CY� $ $ RATE $� $ ** N ,0 FORGIVEN PER ELECTION ZZ 4 6 l*-r $ $ $-t f $ t;9 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED SUBTOTALS $ $ $ $ (Enter(e)on Schedule B Summary Schedule E,Line 3) o, cQ 1. Loans received this period....................................................................................................................$ (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes 'Z 6 ,Gcr IND—Individual 2. Loans paid or forgiven this period ......................................................................................................... $ ( COM-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 $ Z.;-k 4 0,u6 SCC-Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be 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) SCHEDULE E Type or print in ink. Schedule� Statement covers period ®- Amounts may be rounded Payments Made to whole dollars. from �0 t SEE INSTRUCTIONS ON REVERSE through (1 1 Z, ry page of NAME OF FILER I I.D.NUMBER <-0 V.V\ t'r75.,:i- 7 G Z L, `t l-t:V'V 'RkW':`\ )61"W� (J-�:,D <,t'i C,qU..1^J•44'L. 'Z�s i-7� � \�i l CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone',banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals M independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID 14 k ta�wA 12,9 46 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.)................................ .............................................. $ ( �`�' '36 2. Unitemized payments made this period of under$100 •••••• $ 4 .......................................... ....... 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 Toll-Free Helpline:866/ASX-FPPC(866/275-3772) STATEMENT OF ORGANIZATION Statement of Organization WF Recipient CommitteeINSTRUCTIONS ON REVERSE COMMITTEE NAME .,_�+ q s (q �j ( LD�.}NUSMBEtR a,,7�N\ 1 t 'd„�y o lam.(,..� fZ"J'I?'A'' 9�+'�C.<� Y"63��'�- k�„t S V^}I x"'' 14l+)) gs�� �..�� �1.�.N�.✓E� !iv� !/ TT f� o �.� ♦t a' 4.Type of Committee Complete the applicable sections. p o •e e a List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held,and district number, if any, and the year of the election. o List the political party with which each officeholder or candidate is affiliated or check"non-partisan." ® If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY Non-Partisan [] the financial institution where the ank account is located(controlled"candidate election"committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER "3flgY4, A- n M\zq k 114 2�'4ft5" ";2'� 076 44--66 �lr; ADDRESS CITY STATE ZIP CODE 2— Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATES NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION O (INCLUDE DISTRICT NO.,CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (April/2011) FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772) • STATEMENT OF ORGANIZATION Statement of Organization Recipient Committee I uI® osi a INSTRUCTIONS ON REVERSE Page 3 I.D.NUMBER COMMITTEE NAME — <C 4 � � %i j i-< di-tJ 4.Type of Committee (Continued) a e Not formed to support or oppose specific candidates or measures in a single election. Check only one box: 'JIM ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY .. a •, a' List additional sponsors on an attachment. NAME OF SPONSOR INDUSTRY GROUP OR AFFILIATION OF SPONSOR STREETADDRESS NO.AND STREET CITY STATE ZIP CODE WINO , a s ❑ f J Date qualified 5.Termination Requirements By signing the verification,the treasurer,assistant treasurer and/or candidate,officeholder,or proponent certify that all of the following conditions have been met: • This committee has ceased to receive contributions and make expenditures; This committee does not anticipate receiving contributions or making expenditures in the future; This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; o This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees may be used for political, legislative or governmental purposes under Government Code Sections 89511 - 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (April/2011) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772) COVER PAGE Recipient Committee Type or print in Ink. Date Stamp e. Campaign Statement - ® - Cover Page (Government Code Sections 84200-84216.5) Page t of Statement covers period Date of election IfLir ili�atite. s12 (Month, Day,Year) r) For Official Use Only from tO A 12. SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (also complete Pans) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 General Purpose Committee (Also Complete Pad6) ❑ Amendment(Explain below) ❑ 0 Sponsored ❑ Primarily Formed Candidate/ ommittee Officeholder Committee Q Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER Treasurer(s) (30 10 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER B�r r e� SOY x {I n MAILING ADDRESS r STREET ADD Y� b+ , CQ1/'f1z`� 2" -2 Z3 is I ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE 1_2 W L cAA_ ` L A 4i 1441 1$, 313 . uq LZ CITY v STATE ZIP CODE AREA CODE/PHONE NAME OF ASSI ANT TREASURER,Ir ANY ('2'p c�. , e-A z b 14-) 313 '39 3 i �ry ue Ycc v MAILING ADDRESS F DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE i t,, ,,� " ,_ (a,� , , �t-Z64/ -7I,4 -313M3"13? OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: tkX I E-MAIL ADDRESS `v"e�w� FiYv s! :-5�' ' 7 r,, 7 t4 — b�— b 3 3 o 4. Verification 1 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_ t 6 � t (z- By oafs Signatu of raw.rerorAssistantTreasurer Executed on_. 10 By oats ontrollingOtficeholder,Candidate,State Measure Proponent orftesponsibleOlhcerofSponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature ofConWging Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/DS) FPPC Toll-Free Helpline:866IASK-FPPC(8661275.3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee Campaign Statement • Cover Page—Fart 2 Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDE CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ] ❑ OPPOSE t RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP t� Identify the controlling officeholder, candidate, or state measure proponent, if any. �� �� ' a���Q G>✓ri� ' �5,E&ek I 2644 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY 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. COMMTTTEENAME I.D.NUMBER 7• Primarily Formed Candidate/Officeholder Committee List names of CONTROLLED COMMITTEE? NAME OF TREASURER officeholder(s)or candidates)for which this committee Is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE 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 El SUPPORT ❑OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ YES ❑ NO ❑ OPPOSE COMMITTEEADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Januaryl05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of Califomia Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period 0 - Summary Page to whole dollars. ®- � from to, through /i Page > of SEE INSTRUCTIONS ON REVERSE �— NAME OF FILER I.D.NUMBER Co t,^hrr.'. Column A Column B TGe lendar Year Summary for Candidates Contributions Received TOTALTHISKRIOD CALENDARYEAR (FROMATTACHEO SCHEDULES) TOTALTO DATE nning in Both the State Prima and neral Elections 1. Monetary Contributions ........................................... schedule A,Line 3 $ D`"0 $ �'.5 1/1 through 6130 711 to Date 2. Loans Received a ' 4a ...................................................... Schedule B,Line 3 2Q. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 0 ,00 �$ o '0 Received $ $ 4. Nonmoneta Contributions.............................. `,"� `� { o ry ...... Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 0` `'0 $ �d t3 < Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 0,`'� $ 34`d J,6 0 Candidates 7. Loans Made............................................................. Schedule H,Line 3 6'rS'� b 460.......................................... 22.Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 0,00 $ --A t ,e 0 IB Subject to voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 0% 4 r 4 0 o .1.'4 Date of Election Total to Date 10.Nonmonetary Adjustment ..Schedule C,Line 3 0 V 41'6; zs ` e:0 (mm/dd/yy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8+9+1D $ 0 , 60 $ $ Current Cash Statement —J—� $ 12.Beginning Cash Balance................ ... Previous Summary Page,Line 16 $ (�"�` �" g g •••• To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 8 '0 amounts in Column A to the corresponding0,50 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 B. Payments............... ...... Column A Line 8 above ' , �� report. Some amounts t 15.Cash Pai y ••••••••••••••••••••••••••••• Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,than subtract Line 15 $ ( 61 ,16 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 B,Part 2 $ t c> for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,ands(if any)" 18. Cash Equivalents........................................ see instructions on reverse $ 19. Outstanding Debts................ ... Add Line 2+Line 9 in Column B above $ 4 a o °Oo FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772) I Type or print in ink. SCHEDULEB-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from to t _._ SEE INSTRUCTIONS ON REVERSE through i6 1*11 Page _ 1__ of NAME OF FILER I.D. NUMBER Go m ty� T"'T : Tv e ��� �ruli�G�+! Y 7iLlAx�i �+ � 0: CoId.V%4( So r3 i 1 5 id IF AN INDIVIDUAL, ENTER a (b) (c) d e f g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTS ANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID gALANGEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAIR THIS AMOUNT OF CONTRIBUTIONS -� (IF COMMITTEE,ALSO ENTER LD.NUMBER) NAME OF BUSINESS) IO PERIOD THIS PERIOD* PERIOD LOAN TO DATE '�Y Y ❑PAID CALENDARYEAR •� b I w tt�r`� � t��we Ro� ;Y(-4 $ 0.-.4*�> $2,Ci40.60 0 % $ $ �y� (}y /. ❑ ** FORGIVEN RATE PER ELECTION" 6.5' f33'Z., $ tj&,IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DA EINCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION** tEl IND ❑ COM ❑ OTH [I PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR $ $ % $ $ E]FORGIVEN RATE PER ELECTION** $ $ $ $ $ tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATEINCURRED SUBTOTALS $ $ $ $ pp® (Enter(e)on Schedule Summary Schedule E,Line 3) 1. Loans received this period $ ®'0 a (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes O. ca IND—Individual 2. Loans paid or forgiven this period ......................................................................................................... $ COM—Recipient Committee (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) r7 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. (May beanegative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January105) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE F Schedule F Type or print in ink. Statement covers period Amounts may be rounded d ® O Accrued Expenses (Unpaid Bills) to whole dollars. from i through, t O ��''��t Z page � of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER c� n� r>\ tY�� Tc, �Lr✓c ��AN t Goy lt►4►)-11t,)67oJ aii.4<% LiT'Y c.ovVC)L, `La) i3it��o CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others(explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail) CODE OR (a) (b) 70N'E) (d) NAME AND ADDRESS OF CREDITOR OUTSTANDING AMOUNT INCURRED AMOUOUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS BALANCE AT CLOSE OF THIS PERIOD (ALSO ROF THIS PERIOD 0,/ rl?40 io a cry 6 Cv, Z)e 4c) 60 + 4e� spa "Payments that are contributions or Independent expenditures must also be SUBTOTALS$ 2 ct AG.G@ $ G, 6 0 $ O, Cy O $ z r 4o,,© summarized on Schedule D. ` j Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS_$ �' "`� 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0. 00 accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.).................................PAID TOTALS$ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and , U onthe Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$ May be a negative number FPPC Form 460(January/06) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) Recipient Committee COVER PAGE p Type or print in ink. Date Stamp �Campaign ®- Statement Cover Page T ®- (Government Code Sections 84200-84216.5) Page__i— of�— Statement covers period Date of election ) � �9i , 1e: t""' ���,1 .�.� (Month, Day, i) ) P`'` ' `'"L For Official Use Only from -7 112 SEE INSTRUCTIONS ON REVERSE through .1 130' Nov 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure K Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled ❑ Termination Statement Also file a Form 410 Termination ❑ Supplemental Preelection (Also Complete Pan5) Q Sponsored ( ) Statement-Attach Form 495 ❑ General Purpose Committee (Also Complete Part 6) ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) r_M 1 610 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER C ® M MAILING ADDRESS s\`t► a-�G .: C; cJca ty we; Zca i� STREET ADDRESS (NO P.O. BOX) CITY / STATE ZIP CODE AREA CODE/PHONE 2Z3�il W�llicv � l.ru..e> i'cyr„ r �edt � Lf} CITY WSTATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTAMT TREASURER, IF ANY 1r1 w•n'�`•y 'i�v. �" , , G c't Z/6 3 12�S'u'e' MAILING ADDRES (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS I L,c„v`p CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE /�� AREA CODE/PHONE? OPTIONAL: FAX/E-MAIL ADDRESS ii OPTIONAL: FAX/E AIL ADDR SS 6 re, �1•� -j v.0 It, � � -sores 1 . y r t",f3 v% 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 ® � '461 L By Date Si nature of Treasurer or Assistant Treasurer Executed on I C Z By Date Sig tureofControllingOfficeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee ®- Campaign Statement FORM Cover Page—Part 2 Page y 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 AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP ry p, 1 Cg Identify the controlling officeholder, candidate, or state measure proponent, if any. t Z 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 STREETADDRESS (NO P.O.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 ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/276-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period e Aft Summary Page to whole dollars. � � ® ® , from -7.�( • SEE INSTRUCTIONS ON REVERSE through' N-L' Page 3 of NAME OF FILER I.D. NUMBER t 3 i i6 4a Co umnA Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE D General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ d•,60 $ 0, 06 2. Loans Received ...................................................... Schedule s,Line 3 C7�. 0Ca �O O0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ 0, 60 $ 1}tsv..> 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0, c' 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ o' r`Q $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ `� (5 $ 3A. Candidates 7. Loans Made............................................................. Schedule H,Line 3 0106 6. old 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ .4 6 • yo $ 81 (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 O=Gb .-23t:p Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Linea 0 Go (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines s+9+10 $ 0, oa $ 34 Current Cash Statement _ --J $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 5 `73/- To calculate Column B,add 13. Cash Receipts . . Column A,Line 3 above 0, 00 amounts in Column A to the ....................... . . . .. .... ........ .... a>;:gyp corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule/,Line 4 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 8 above e, 00 report. Some amounts inColumn A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ I ell figures that should be subtracted from previous tf 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 s,Part 2 $ C.C50 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines z, 7,ands(if 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column a above $ A rr• `'r' FPPC Form 460(January106) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. SCHEDULEB-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from � � � CALIFORNIA®R d SEE INSTRUCTIONS ON REVERSE through I Page—!_ of NAME OF FILER I.D. NUMBER Co w{ { e ` c, ele� Byl�cr'.A'l qL4; ✓^ 201Z c31 j 1 IF AN INDIVIDUAL, ENTER a O (c) (d) (e) (fI (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS A T OF CONTRIBUTIONS (tFCOMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE >1�5Y dT Q rez ❑PAID CALENDAR YEAR v Jet ��T 1�t fl O. J 40 o,o o RATE ,d q �,. NM�� ❑FORGIVEN PER ELECTION** 1 cl.,m4 (fl��tiC'Jy. Vr�Q%J, en - t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE{ CU RED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ,Y.Lt SUBTOTALS $ $ $ $ � r q,, (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period.................................................................................................................... $ 0,00 (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes �� a� IND—Individual 2. Loans paid or forgiven this period ......................................................................................................... $ COM-Recipient Committee (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 $ Enter the net here and on the Summary Page,Column A, Line 2. (May beanegative number) SCC—Small Contributor Committee *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) SCHEDULEE Type or print in ink. Schedule Amounts may be rounded Statement covers period iCALIFORNIAa Payments Made to whole dollars. ~7 I I y ®" 01 from SEE INSTRUCTIONS ON REVERSE through Y �" L Page of NAME OF FILER I.D. NUMBER Ge t*t\m c -T T C-6 Zd 6!,6 "f (3 f fl c4 lAN . CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PR ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 134.w ors A rc.�h' e H t�_ti y6 7.ao�I �roo�� ts � `' 0�=� t �c��1 l�t��C`Tfi�L� k w ) � * WAIN— Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ , �© Schedule S Summary 1. Itemized payments made this period. Include all Schedule E subtotals. .......................................... $ -4 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1,Column e . "` ` C2 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 48 - ,� FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE F Schedule F Type or print in ink. Statement covers period A ®R Amounts may be rounded Accrued Expenses (Unpaid Balls) to whole dollars. Z � from r through- page 6 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER }-{-�N 51 CODES: If one of the following codes accurately describes the payme t, you may enter the code. Otherwise, describe the payment. CNP campaign paraphematia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NfTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR CODE OR ( ( ( ( OUTSTANDING INCURRED AMOUNT NCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE o� OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 0 54 :�v G Gi4 0,00, C> Gc� t C�'r�;�J' 1 Z z 3& *Payments that are contributions or independent expenditures must also be SUBTOTALS $ Zt 4G,oc� $ 0-op $ fj $ 'Z summarized on Schedule D. t Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on c2 a� accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) .................................PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and O on the Summary Page, Column A, Line 9.) ................................................................................................................... NET $ ����������������������������� May be a negative number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Recipient � C�E �� �\ ���eype - Campaign Statement (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicab.1 from 01/01/2012 (Month, Day,Year) For Official Use Only SEE INSTRUCTIONS ON REVERSE through 06/30/2012 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and4. 2. Type of Statement: Fx Officeholder,Candidate Controlled Committee F Primarily Formed Ballot Measure E-] Preelection Statement E] Quarterly Statement 0 State Candidate Election Committee Committee El Semi-annual Statement E] Special Odd-Year Report 0 Recall 0 Controlled El Termination Statement E] Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statemen F� General Purpose Committee (Also Complete Part 6) E] Amendment(Explain below) 0 Sponsored F-] Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete P�rt 7) 3. Committee Information 11311510 Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee to Elect Brandt for Huntington Beach City Council 2012 Donna Brandt MAILING ADDRESS -Z7S81 6,^Q �77 "'t i HuntingtonSTREET ADDRE CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY ADDRESS (IF DIFFERENT) NO.AND STREET OR RO. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE 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. |oertify under penalty uf perjury under the laws vf the State uf California that the foregoing ia true and correct. Executed on ' By Date I/ Signatulf,E of Treasurer or Assistant Treasurer ' . Executed on 7 ' By I 'Date Ortgnat,��f Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on av __ Signature----Controlling Officeholder,Candidate,State Measure-----Proponent FPPC Form wmpe > pppo Toll-Free*elpxne.x66xxox-Fppnmo61uro-3/72> State mCalifornia Type or print in ink. COVER PAGE-PART 2 Recipient Committee Campaign Statement A ®LIFORNIAR__ Cover Page—Part 2 Page 2 of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEA OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE City Council Member RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 'Z23t( V-)e_ k' Identify the controlling officeholder, candidate, or state measure proponent, if any. Huntington Beach 92646 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 STREETADDRESS (NO P.O.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 ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) State of California Campaign Disclosure Statement Type or print In ink. SUMMARY PAGE Amounts may be rounded Statement covers period FF Summary Page to whole dollars. vIo f zefromSEE INSTRUCTIONS ON REVERSE through Zy t G NAME OF FILER I.D.NUMBER Go r(�m;1'1ee -1-4; l"-lei`)' 13yda' Av'r )4=jhJ%", -3'a C: �'a�w,ZA un- )31 15I0 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and (FROMATTACHEDSCHEDULES) TOTALTODATE g Primary 0 oo o a-aa General Elections 1. Monetary Contributions........................................... schedule A,tine 3 $ $ 1!1 through 6/30 7t1 to Cate 2. Loans Received ...................................................... Schedule e,Line 3 .I�a,o .G w �:O O 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ Ao6°,ocb $ $00.op> 20. Contributions �� Received 4. Nonmonetary Contributions.................................... Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 400,00 $ kba Q 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made..................................................I.... Schedule E,Line 4 $ ��° $ •g d Candidates 7. Loans Made......................................................... Schedule H,Line 3 ®°.e 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ........ Add Lines 6+7 $ 3 00. $ tom,t5 Ct (If Subject tovoluMary Expenditure Umit) 9. Accrued Expenses (Unpaid Bills)...............................schedule F Line 3 '`6® csG ac Date of Election Total to Date 10,Nonmonetary Adjustment..........................................Schedule C,Line 3 01 o o, ®. -® (mm/ddfyy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ :yao. ®' $ 3,ate;6-® $ Current Cash Statement _ �--J $ i 12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above .d 0° 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 B. 15.Cash Payments.................................................. Column A,Line 8 above 3®o-1�® report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE..........Add tines 12+13+14,then subtract Line 15 $ Z D b '3`' 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 B,Part 2 $ 0,00 for this calendar year, only carry over the amounts Cash Equivalents and OutstandingDebts from Lines 2,7,ands(if 18. Cash Equivalents....................................... See instructions on reverse $ 0�a ® any). 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ A*a+ate FPPC Form 460(Januaryl05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772) SCHEDULE B-PART 1 Type or print in ink. Schedule B—Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from 0 t 1 � ! t 0 1 SEE INSTRUCTIONS ON REVERSE through d6 3` -L0 -_- Page of 6 I.D.NUMBER NAME OF FILER ¢� 31 15,10 Lo�Z d e f) 191 a Ibl kl ( 1 ( 1 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL.ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCEAT OF LENDER (IF OCCUPATION EMPLOYER BEGINNING THIS RE FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS OF COMMITTEE,ALSO ENTER I.D.NUMBER) NAMEOFBUSINESS) O PERIOD THIS PERIOD" PERIOD LOAN TO DATE �0 ❑PAID CALENDAR YEAR ZL381 Watl � �-�v.� a o.Go a Z)940,60 0 % a�Cr4o,00 a -{oo.sae 6 N ❑FORGIVEN RATE PER ELECTION`" Q 26�16 h a Z T40.-C a A00.6o a 0,00 a ►0 1"7 2010 a IND ElCOM ❑ OTH ❑ PTY ElSCC DATE DUE DATE IN UR D [�PAID CALENDARYEAR S S % a S ❑FORGIVEN RATE PER ELECTION' S tEl IND ❑COM ❑ OTH ❑ PTY ❑ SCC S a S DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION°" S t❑ IND ❑ COM [I OTH El PTY ❑ SCC $ a $ DATE DUE a DATE INCURRED SUBTOTALS $ 400-60 $ $ 7.rgdlo.au $ (Enter(e)on Schedule B Summary Schedule E,Une 3) 1. Loans received this period...................... ...........................................................................................$ boo.ao _ — (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 0� ao IND-Individual 2. Loans paid or forgiven this period .........................................................................................................$ COM—Recipient Committee (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 $ .boo.oo SCC—Small Contributor Committee (Maybes negative numbeQ Enter the net here and on the Summary Page,Column A,Line 2. '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(8661275-3772) SCHEDULE E �'. Schedule E Type or print in ink. Statement covers period ®. Amounts may be rounded Payments blade to whole dollars. c>1/O 1 1 1�a I7_ from SEE INSTRUCTIONS ON REVERSE through o6 �2 Page S of NAME OF FILER I.D.NUMBER �iolt�M�'rT`t� 'So tiLE�-� �iR�N�1 �=66t 1i 11�•MWCIW) OLACtk e-ATY Go'Ul, XIL, z 0 17 — CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MfG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office'expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone'banks TRC candidate travel,lodging,and meals FND fundraising events POL polling'and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional counting) VOT voter registration Lrr campaign literature and mailings PRT prin mation technology costs(intemet,a-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID R l m, Iq 1 Z 1 d4+) ",ra. 19 v e.. r-fi; dam. 'ee,&A CA. 1?L b 4 6 'L134 mean S 1a o ,'ao 6119, Q7,64 7 13-2r il meriu� cW Ic.tn16 A, W\-11"KtN G*Av�' " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals. ......•••••. $.................................................................................................. 2. Unitemized payments made this period of under$100 ........................... ••..•• $ �,ca 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 $ 3 ao•d o FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE F MM, Schedule F Type or print In Ink. Statement covers period ® ` Amounts may be rounded d 1 P Accrued E1Lpe7tSeS (Unpaid dills) to whole dollars. o) 1ol ]zoVL_ e " from��� -T-- through � 6 3` Z�oty page 6 of 46 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER 46 lees@` ram• �I t av e uJn G ICam 1 L. 311�)o CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CM? campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants- MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WE nology costs (Internet,e-mail) NAME AND ADDRESS OF CREDITOR CODE OR l ( ( OUTSTAA IN AMOUNT INCURRED AMOUNN T PAID OUTSTANDING (IF COMMITTEE.ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 39f"e_V_ -r Z1Sga.00 Pr`�r Z�5�o * 60 40TO.00 o. 00 2�C/40., bo ZZ.38I A. q't6 46 *Payments that are contributions or independent expenditures must also be SUBTOTALS$ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b)subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)........................................... INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c)subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.).................................PAID TOTALS$ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 4 oo a o onthe Summary Page, Column A, Line 9.)................................................................................................................................................ NET$ May be a negative num er FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(8661276-3772)