Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Bohr, Keith - 2008 FPPC Campaign Disclosure Forms - Successf
Recipient Committee COVER PAGE Campaign Statement Type or print in ink. Date StampAl kc ®' , d ®e Cover Page ( DEC(Government Code Sections 84200-84216.5) 20 12 C 2 1 Pi 1`(" Wa Stateme 4,*v*r,, period Date of election if applicable: (Month, Day,Year) For official use only from SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and a; 2. Type of Statement: K 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 Parts) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 _ ❑ General Purpose Committee (Also Complete Part6) �Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ r f S Small Contributor Committee Officeholder Committee ZZ4,(I've Q Political Party/Central Committee (Also Complete Part7) 3. Committee Information I. .�NNUUM R2 Treasurer(s) C C. COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER I4-- (- /44 MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CIT STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDR (IF DIFFERENT) NO.AND STREET OR FF.O.BOX MAILING ADDRESS CITY ST E 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 4 By Date .5ipgature of Treasurer or Assistant Treasurer Executed on 2i By �� D e Signature of controlling Officeholder,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/OS) FPPC Toll-Free Helpline:866/ASK-FPPC(8661276-3772) State of California Recipient Committee p Type or print in ink. Date Stamp COVER PAGE Campaign Statement �®� a ® j 1 Cover Page (Government Code Sections 84200-84216.5) Page of Statement110 v rs period Date of election if applicable. 'DECO_` 3 . 1 D (Month, Day,Year) C I t t' v(• ` For Official Use only from / SEE INSTRUCTIONS ON REVERSE through 'ID1.2 O� w • ,, "d� 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: J 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 Also file a Form 410 Termination ❑ Supplemental Preelection (Also Complete Part5) O Sponsored ( ) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee Amendmen ;(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ y /Lull Q Small Contributor Committee Officeholder Committee Q Political Parry/Central Committee (Also Complete Pad7) �( 3. Committee Information I.D. NUM ERA Treasurer(s) �A t COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER rzo4t' MAILING ADDRESS :>� �— STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE C TY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY GO4 Ct'26 e-151 7/Y- -s"W-92' 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 Gr't�• fo 0t't f�G1�4 t(•[t�6y OPTIONAL: FAX/E-MAIL A SS 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 th laws of a State of California that the foregoing is true and correct. Executed on By /..:) te Si nature of Treasurer or Assistant Treasurer Executed on a By Date F Signature of Controlling Officeholder,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(866/276-3772) State of California Recipient Committee Type or print in ink. Date Stamp COVER PAGE Campaign Statement Q Cover Page (Government Code Sections 84200-84216.5) Page of Statement cfiver#21 7 period Date of election if appl(i�O�lr EC 2 1 PH If: 30 from — 6 Ir (Month, Day,Year) FF.,Official Use Only t SEE INSTRUCTIONS ON REVERSE through 0/ ,Os/ .2- d'o 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: )W officeholder,Candidate Controlled Committee E] Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled E] Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 F� General Purpose Committee (Also Complete Part 6) Amendmey?(Explain be o�)) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) '6f 4 "Z 3. Committee Information I.D.TqER Treasurer(s) 1 2L0 7 tA &4,� COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER F-I,1-C_S's MAILING ADDRESS STREET ADDRESS (No P.O, BOX) CITY STATE ZIP CODE AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY 46 426 G/2- 71Y— 1,92' 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 k Z,44. ti,oi/t- L_ cam OPTIONAL: FAX/E-MAIL ADUMSS 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 underth laws of e State of California that the foregoing is true and correct.V Executed on 12 3lI 7 12-- By Date Signature of Treasurer or Assistant Treasurer Executed on By Signature of Controlling Officeholder,Candidate,State Measure Proponent or Responsible Offirerof 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/06) FPPC Toll-Free Helpline:8661ASK-FPPC(866/276-3772) State of California Recipient Committee T COVERPAGE ype or print in ink. Date Stamp Campaign Statement FFFor CoverPage (Government Code Sections 84200-84216.5) Statement ov S period Date of election if applicabl HI?DEC 1 Pi=: 4 wt! of / tog (Month, Day,Year) tJ Official Use Only from C/' /�/1� / .�/1 (X/ SEE INSTRUCTIONS ON REVERSE through �+ ' y -`��M j 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: AM 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 p Recall p Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part5) O Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee Amendment(Explain bet w) Q Sponsored ❑ Primarily Formed Candidate/ L cd�r +�-��p Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUM ER Treasurer(s) Z [ COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Fel-,_4,5 �-p t( CatA '�/CO4N MAILING ADDRESSC— STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY i .26 e-19' 71Y- .s-d 1,9_? MAILING ADDRESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY rr STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE �� rT+�• �Ohf�GI��C.t(.Clawr OPTIONAL: FAX/E-MAIL ADU.99SS 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 la s of the State of California that the foregoing is true and correct. Executed on '2-` By Date ✓Signature of Treasurer orAssistant Treasurer Executed on 2 --+2-- '� By ^� Day Signature of Controlling Officeholder,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:8661ASK-FPPC(8661275-3772) State of California } Supplemental Independent Type or print in Ink. SUPPLEMENTAL INDEPENDENT EXPENDITURE Amounts may be rounded Report covers p:erIod IMM Expenditure Report to Whole dollars. from 0 L�O t` 8 SEE INSTRUCTIONS ON REVERSE through 1 3 t 1200k Page 2 of 2- NAME OF FILER I.D. NUMBER(If recipient corn.) HUNTINGTON BEACH FIREFIGHTERS ASSOCIATION 902935 4. Summary 1. Total independent expenditures of$100 or more made this period. (Part 3.)........................................................................................... $ 3 s 4 2. Total independent expenditures under$100 made this period. (Not itemized.) ........................................................................................ $ Q• 06 3. Total independent expenditures made this period (Add Lines 1 + 2.) ..........................................................................................TOTAL $ 165-7.y 1 5. Filing Officers Enter the name and address of each filing officer with whom the filer's most recent campaign statements(Form 450, 460 or 461)have been filed. 3) NAME OF FILING OFFICER DEPT OF ELECTIONS - CITY AND COUNTY OF SAN FRANCISCO HUNTINGTON BEACH CITY CLERK ADDRESS (NO. AND STREET) 2000 MAIN ST 2000 HUNTINGTON BEACH, CA 92648 1 DR. CARLTON B. GOOD LETT PLACE'CITY HALL- RM 48 CITY STATE ZIP CODE SAN FRANCISCo CA 94102 4) NAME OF FILINYFFICER LOS ANGELES"COUNTY REGISTRAH-HECUHUEH ORANGE COUNTY REGISTRAR OF VOTERS ADDRESS (NO. AND STREET) ADDRESS/ (NO. AND STREET) 124004MPERIAL HIGHWAY 1300 S. GRAND AVE., BLDG C CITY// STATE ZIP CODE Ctry STATE ZIP CODE N'ORWALK CA 90650 SANTA ANA CA 92705-4407 6. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein 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 01I3t12-0aQ ByMIKE McCLANAHAN DATE SIGN E T OR ASSISTANT TREASURER Executed on 01�L 12-009 ByMI CHAEL PERRY DATE SIGNATURE OF CONTROLLING OFFICEHOLDER,CANDIDATE,STATE RE 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 466(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period :JCALIF0' RNIA Summary Page to whole dollars. 10/22/08 1701,14 ' from SEE INSTRUCTIONS ON REVERSE through 12/31/08 page 3 of l v NAME OF FILER I.D. NUMBER Friends of Keith Bohr 1242607 Column Column Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTALTODATE g •J 13,574 62,889 General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 13,074 $ 62,889 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 300 300 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 13,374 $ 63,189 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 655.09 $ 44,668.41 Candidates 7. Loans Made........................... Schedule H,Line 3 0 0 ..... .... ............... ..... . 655.09 44,668.41 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 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 300 300 (mmldd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 955.09 $ 44,968.41 J--� $ Current Cash Statement $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 4,830.87 To calculate Column B,add 13.Cash Receipts ................................................... column A,Line 3 above 13,574 amounts in Column A to the J � $ 1565 corresponding amounts 14. Miscellaneous Increases to Cash........................... Schedule/,Line 4 from Column B of your last JI $ 15. Cash Payments.................................................. Column A,Line 6 above 655,09 report. Some amounts in Column A may be negative J / $ 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 19,314.78 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is If $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B,Part 2 $ 0 for this calendar year, only carry over the amounts "Since January 1,2001. Amounts in this section may be Cash Equivalents and Outstanding Debts from m Lines 2,7, and 9(if different from amounts reported in Column B. 0 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. • " from 10/22/08 FOR 4'60_ SEE INSTRUCTIONS ON REVERSE through 12/31/08 Page 4 of NAME OF FILER I.D. NUMBER Friends of Keith Bohr 1242607 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ( ET A IT RE,ALSO ENTER ID NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED . . CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) Please Refer to Attached 3 Spreadsheets ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ Schedule A Summary *Contributor Codes 1. Amount received this period-contributions of$100 or more. IND-Individual (Include all Schedule A subtotals.) $ 13,425 COM-RecipientCommittee ....................................................................................................... (other than PTY or SCC) period-unitemized contributions of less than$100............................................. $ 149 PTY -other 2. Amount received this P PTY—Political Party 3. Total monetary contributions received this period. SCC-Small Contributor committee Add Lines 1 and 2. Enter here and on the Summarye TOTAL $ 13,574 ( Page, Column A, Line 1.)����������������������� FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC City of Huntington Beach 2000 Main Street • Huntington Beach, CA 92648 OFFICE OF THE CITY CLERK 17,d 999 P' JOAN L. FLYNN CITY CLERK January 26, 2009 To: All Recipient Committees/Respective Filing Officers The Fair Political Practices Commission (FPPC) requires all campaign recipient committees to file a Recipient Committee Campaign Statement Form - 460. Your current obligation is to file for the period of July 1, 2008 to December 31, 2008. The attached form is due to the City Clerk's Office by 5:00 p.m. on Monday, February 2, 2009. If you have any questions regarding the filing of this form, please contact the FPPC at their toll-free advice line at (866) 275-3772, or visit their web site at w.f c.ca.gov. Reminder— Netfile, the City's online filing system is available for use and can be accessed at http://www.netfile.com/agency/chb/ . Sincerely, Joan L. Flynn City Clerk By: Deputy City Clerk Attachment: Form 460 Sister Cities: Anjo, Japan • Waitakere, New Zealand Telephone:714-536-5227) CASH RECEIPT CITY OF HUNTINGTON BEACH City Treasurer — Shari L. Freidenrich 119 P. 0. BOX 711 ® HUNTINGTON BEACH, CALIFORNIA 92648 DATEt, 1 t/ Issuing Dept ' Department Contact Phone# FUNDS RE E�IVE0BM 1 '` .+�' ADDRESS o ~� a FOR AMOUNT RECEIVED o c Cash heck# 7 Credit Card m. P red Received Finance Z` B BY Approval 0, IF 011JEtT= OD00 THR 90000,FINANCE APPROVAL REQUIRED Approval Date Business Unit Object Subs i,Sub-Ledger i Type 40, -- Z a' ® — — NAME i'io^Y SOT 1*-e-1 "4r 90-3913/1222 '/o y Y,s y� BRANCH dOd ACCOUNT NO. � �- /�� /� DATE ORD ROFE C 1 4 l � V���� �ti iV L'llG� 400, 00 �U DOLLARS 8 Huntington Beach Sol Main St. Suite H Huntinggton leach,CA 92648 1-800-760-BANK(2265)mrs FOR koL' G nS ® L 2 2 2 39 L 3 L1® 0404" "C3911° - ©HARLAND/IIBERN - -- TOTAL $ Please do not write in the box below f j i No. 1 - '717 `33, 4 CITY OF HUNTINGTON BEACH Request for Supplemental Check Department: City Clerk Date Check Desired: 12/11/08 Vendor Name: Friends of Keith Bohr Purchase Order (if applicable): OD Invoice Numbers (if applicable): TOTAL AMOUNT OF CHECK $ 1565.00 A supplemental check is required for one of the following reasons (check one): ❑ The City will lose substantial cash if the check is not prepared. ® The City is legally required to make payment on the above date. ❑ The City will be extraordinarily inconvenienced by not preparing check. ❑ Payroll check for less than $5,000 requires approval by Accounting only, Please provide justification for above and why the normal processing deadlines could not be met. This is a refund for the candidate statement and the election code gives us 30 days for the refund and we are now over that deadline, but just received the accounting from the County ROV. Account 10000100.48550 12/11/08 Department Bead App val Date 12/11/08 City Treasurer Approval Date 12/11/08 Finance Administration Approval Date CASH RECEIPT CITY OF HUNTINGTON BEACH City Treasurer — Shari L. Freidenrich P. O. BOX 711 ® a HUNTINGTON BEACH, CALIFORNIA 92648 0 o DATE l r'L> Issuing Dept. i f Depa ent Contact Phone# �( FUN RE EIVC ED�ROM ADDRESS � FOR� y�Lei �. AMOUNT RECEIVED O Cash eck# u Credit Card . ' a P red Received Finance B BY Approval o IF JECT= 0000 THR 90000,FINANCE APPROVAL REQUIRED Approval Date cc W W Business.Unit ©b'eck Subs . :Sub-Led r Icc 7777�� NAME �i`,, -kSc9T�c►�Gt �/` i� 90-3913J7222 ACCOUNT NO. DATE PAY TO THE ^ �7J�/�' /y\fin / S1 ( / �7 ORDER OF C I_ t V�� n �o ,V C'lG ` --j W��b O(/ �V G 9 �Y !/ Doi.L.aKS 8 a.< o, Huntington Beach , - 501 Main St. Suite H Huntingqton Reach,CA 92648 1-800-760-BANK(2265) FOR 1.�.. k Gq. M' - 00 12 2 2 39 13 Ilia 04048 b 596911° j� TOTAL $ 4' Please do not write in the box below Supplier Order it 9 1 Accountt Pv Batch r( ® -- - b� a CANDIDATE STATEMENT ACTUAL COST-November 4,2008 1 OFF.ASST.@ 17.90 X 2 HR 35.80 ALTERNATE LANGUAGE PAMPHLET- SPANISH 575 CHINESE 425 DEPARTMENT OVERHEAD(291.11%) 104.22 VIETNAMESE 1,350 KOREAN 425 TOTAL LABOR PER CAND.STMT. 140.02 ENGLISH SPANISH VIETNAMESE CHINESE KOREAN City of Huntington Beach PAGE SETUP 32.00 32.00 32.00 32.00 32.00 NUMBER OF 200 WORD STATEMENTS 4 TYPSET-PER#OF PAGE FOR CONTEST 2.75 2.75 2.75 2.75 2.75 NUMBER OF-400 WORD STATEMENTS 0 TRANSLATION(200 WORD) 0,00 46,00 46.00 46.00 46.00 NUMBER OF PAGES FOR CONTEST 1 TRANSLATION(400 WORD) 0.00 92.00 92.00 92.00 92.00 MULTIPLE LANGUAGES IN SAMPLE BALLOT 0 TYPESET(PER CANDIDATE STATEMENT) 0.00 45.00 45.00 45.00 45.00 ALT. LANG. PAGES(VRA) 0 TYPESET(400 WORD) 0.00 0,00 0,00 0.00 0.00 SAMPLE BALLOT ORDER 149,850 RUN CHARGE(PER 1,000) 330.00 330.00 330.00 330.00 330.00 ENGLISH ALTERNATEI **CALCULATIONS** SPANISH VIETNAMESE 200 WORD 400 WORD 200 WORD 400 WORD 200 WORD 400 WORD PAGE SETUP PLUS TYPSET PER#OF PAGES FOR CONTEST 34.75 34.75 34.75 34.75 34.75 34.75 RUN CHARGE(S/B ORDER X RUN CHG/1000) 49,450.50 49,450.50 189.75 189.75 445.50 445.50 PAGE CHARGE(RUN CHARGE DIVIDED BY PAGES OF SAMPLE 1,766.09 1,766.09 6.78 6.78 15.91 15.91 ALTERNATE LANGUAGE(DIVIDED BY PAGES OF SAMPLE BALLOT) PAGE CHG X#PGS DIVIDED BY#CANDIDATE STATEMENTS 441.52 883.04 1.69 3.39 3.98 7.96 PAGE SETUP AND TYPSET PER#OF PAGES FOR CONTEST 8.69 17.38 8.69 17.38 8.69 17.38 CHARGES DIVIDED BY SHARING CANDIDATES 400 WORD DOUBLES 200 WORD CHARGES. TRANSLATE 0.00 0.00 46.00 92.00 46.00 92.00 TYPESET(PER CANDIDATE STATEMENT) 0.00 0.00 45.00 45.00 45.00 45.00 SUBTOTAL PER STATEMENT 450.21 900,42 101,38 157.76 103.67 162.33 0%DISCOUNT 0.00 0.00 0.00 0.00 0.00 0.00 7.75%SALES TAX 34.89 69.78 0.80 ( 1.61 I 0.98 I 1.96 TOTAL 485A 0 970.20 102,19 159.37 104.65 164.29 TOTAL LABOR PER CANDIDATE STATEMENT 140.02 140.02 0.00 0.00 0.00 0.00 SUBTOTAL CANDIDATE COST 71,035.00 1,110.22 102.19 159.37 104.65 164.29 400 WORD TOTAL CANDIDATE COST INCLUDING VRA REQUIREMENTS r 1,751.00 LANGUAGES CHINESE KOREAN 200 WORD 400 WORD 200 WORD 400 WORD 34.75 34.75 34.75 34,75 14 0.2 5 14 0.2 5 14 0.2 5 14 0.2 5 5.01 5.01 5.01 5.01 1.25 2.50 I 1.25 2.50 8.69 17.38 8.69 17.38 46,00 92.00 46.00 92,00 45.00 45.00 45.00 45.00 100.94 156.88 100.94 156.88 0.00 0.00 0.00 0.00 0.77 I 1.54 I 0.77 1.54 101,71 158.42 101,71 158.42 0.00 0.00 0.00 0.00 101.71 158.42 101.71 158.42 Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amoto whole dollar may be rs nded � Statement covers periodCALIFORNIA from 10/01/08 •- • SEE INSTRUCTIONS ON REVERSE through 10/20/08 Page 3 of NAME OF FILLER _. _.---- — —^--- I.D. NUMBER Keith Bohr 1242607 ContrContributions A Column B Calendar Year Summary for Candidates ibutions Received TOTALTHIS PERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 7,341 $ 49,315 General Elections 2. Loans Received ...................................................... Schedule e,Line 3 0 0 1/1 through 6/30 7/1 to Date 3, SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ _ 7,341 $ 49,315 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................AddLines3+4 $ 7,341 $ 49,315 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 41,307.32 $ 44,013.32 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 c 41,307.32 44.013.32 22• Cumulative Expenditures Made* 8. SUBTOTAL .....................--.......... Add Lines $ $ (I►Subject to Voluntary ExpenditureUmit) 9, Accrued Expenses (Unpaid Bills) ...............................Schedule F,Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ..........................................ScheduleC,Line 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines s+9+10 $ 41,307.32 $ 44,013.32 $ Current Dash Statement 1—J $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 38,797.19 To calculate Column B,add 13, Cash Receipts ................................................... Column A,Line 3 above 7,341 amounts in Column A to the 0 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 1'ciymeats.................................................. Column A,Line sabove 41,307.32 report. Some amounts in Column A may be negative 16. END IG CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 4,830.87 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 for this calendar year, only carry over the amounts Dash Equivalents and Outstanding Debts from Lines 2,7, and 9(if 18 Cash Equivalents,........... ........................... See instructions on reverse $ 0 any). 19 Outstanding Debts.:....................... Add Line 2+Line 9 in Column 8 above $ B FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. •- / 1 from 10/01/08 A g SEE INSTRUCTIONS ON REVERSE through 10/20i08 Page of NAME OF FILER I.D. NUMBER Keith Bohr 1242607 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1-DEC.31) (IF REQUIRED) OF BUSINESS) ----v— ❑IND See Attached 2 Pages ❑COM ❑OTH ❑PTY ❑SCC -------- ❑IND ❑COM ❑OTH ❑PTY ❑SCC ----- — — ❑IND ❑COM ❑OTH ❑PTY ❑SCC []IND ❑COM ❑OTH ❑PTY ❑SCC ---- — —__—�— ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual Include all Schedule Asubtotais. .........................................................................$ 6,474 COM—RecipientCommittee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 ............................. $ 867 OTH—Other(e.g., business entity) PTY—Political Party 3. Total monetary contributions received this period, SCC-Small Contributor committee Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. 7341 t Y 9 )....................... TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE E Type or print in ink. Statement covers period Amounts may be rounded • 4 sl��'nilents, Made to whole dollars. 10/01/08 •" � from _.. _— Sf:L=Iw(;i'Rtit:1T C)NEi ON REVERSE through 10/20/08 Page of NAME Cl:: f'0-ER LD. NUMBER 1242607 nm.n RimWrW.ni�m W r.R1m.mIWmW:mmWlmiNn:pPfmPummuemmmrmnlmm®mmmaameomrvmlmommmm�vmm®vammmom®mwP�Wno®mmme>aream®mm® (.'OVES: If one of the following codes accurately describe:, the payment, you may enter the code. Otherwise, describe the payment. Cyr;' can,ipaign paraphernalia/misc. MBR member communications RAIDradio airtime and production costs GNa ooru:rultants MTG meetings and appearances RFD returned contributions C"f!3 imnhil-,ition (explain nonmonetary)" OFC, office expenses SAL campaign workers' salaries GVv: rivi(-. di,riadiores F'iT petition circulating TEL t.v. or cable airtime and production costs Fil_ candidate filing/ballot fees PI-0 phone banks TRC candidate travel,lodging,and meals FNI) iundrzIming events POI. polling and survey research TRS staff/spouse travel, lodging, and meals ND incleperide:nl: E:;penditure Supporting/opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor H!C. legal defense PRO professional services (legal, accounting) VOT voter registration ,::u�ila�airtr,iitr:r,tore,and mailings PRT print ads WEB information technology costs (internet, e-mail) tlfi WNIWiRiW.P:m:mwCPP:tIm9WNWWImW¢PWNPmNP �mmW1mW®pr$mt®®®PPOo•R1Nom0a100m®P!®11®mlPltl®mP00RYW®RII®0® NAME AND ADDRESS OF PAYEE (IF C.,o1MIM11I E,ALSOENTERI.r.wuMaER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID ruft:rr to Attached Spread Sheet 1 Page F":ryteu�:ru ^:b ihort are contributions or independent expenditurias must also be summarized on Schedule D. SUBTOTAL$ o')(JIlediLl re E SUImt'&'Yary . Iti=lrrii� d as rtn-ni:s made i:his priori, 9nciu+fE gall Sche dole E subtotals. $ 41,307.32 payments made this period of under$100 0 "tG:at�td irti:k:,r+a;�Ii:paid this pr.riDci on loans. (Enter amount froth Schedule B, Part 1, Column (e).)............................................................................... $ 0 el., Tcltall : .*,Ivrfw, nt:5,r'na&this period. Add Lines 1, 2, and 3. Enter hers:and on the Summary Page, Column A, Line 6. TOTAL $ 41,307.32 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) cl� Type or print In ink SUMMARYPAGE Campaign Disclosure Statement CD Amounts may be rounded Statement covers period •- 19 Summary Page to whole dollars, NIA 10l01108 e ` from SEE n,�STRUCTIO'4SONP.LVEFSE through 10/20/08 Page .3 of g NAME OF FI__.R I.D. NUMBER Keith Bohr 1242607 ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTKSPERrID CALENDAAYEAR kTR0'AATTACHEDS-HECULH) TOTALTOC.QE Running in Both the State Primary and 1 Monetary Contributions ........................................... SckhadubA.Line 3 $ 7,341 S 49,315 General Elections 2. Loans Received , 0 0 11t through ciao 711 to Dare ...................................................... Sched�.h;8,Line 3 3. SUHTOTALCASH CONTRIBUTIONS ......................... AddLrnes J+2 $ 7,341 $ 49,315 20.Contributions 0 0 Received $ $ 4. Nonmorietary Contributions.................................... SaheduteC,Lke3 21. Expendilures 5, TOTAL CONTRIBUTIONS RECEIVED ......•.. ••....-Add Lines3+4 S 7,341 S 49,315 Made S S 1N1,AI�I�M W 4.M911C11-ere Expenditures Made Expenditure Limit Summary for State 6. Payments Made............................. ......................... smedulsE,Lfne4 $ 41,307.32 $ 44,013.32 Candidates 7. t_oans Made..... ................................................................... scheciulsH,Li."3 0 0 8. SUBTOTALCASH PAYMENTS ..,............................... Add Lines 64 7 $ 41,307.32 5 44,013.32 22.CMsub)eetltauarox lt ntaryElend mUm1gBF 9_ Aixrued Expenses (Unpaid Bills)...............................scheduh-FLlne3 0 0 Date(if Election Total to Date 10.Nor.mon-ulary Ad}Ustrment ..........................................SCheduie C,une3 0 0 (mnVddiyy) 11, TOTAL.EX P E ND ITURES MADE................................Add Lines 8+9+To S 41,307.32 $ 44,013.32 _ J�J $ i1A?-/EMI Curront Cash Statement —�--� i► 12.Betftnnirg Cash Balance....................... PreviawSummwy Page,Line 16 $ 38,797.19 To calculate Colunm B,add 13.Cash Rec6ptS ...... Column A.Line 3 above 7,341 amounts In Column A to the 0 corresponding amounts 'Amounts In this sedian may bed'Iffe rent from amounts 14. Misccllaneous Increases to Cash......................,..,, schedt6e i.We 4 from Column B of your Iasi reported in Columns. 15. Cash, Payments.........................""""""""'"..... A.Catvarn Lune aebove 41,307.32 report. Some amaunis in Columnn A may be negative 16.ENE)1NG CASH BALANCE..........Add Lines 12+13 4 14,then aubtracrLrne m $ 4,830.87 figures that should be subtracted from previous e� It rh;s is v tenninalion statement, Line 16 must be zero. period amounts, if this is �� •��- the Frst report toeing filed 17.LOAN GUARANTEES RECEIVED........................... , 4 for this calendar year, only scheLve a Par►2 5 carry over the amounts CIACash EQUivalfents and Outstanding Debts any}Lines 2,7,and 13 (if 0 18. Casn CQuivalentS.................... see insrraliau an reveme $ 0 1 E). Outstanding Debts......................... Add Line 2+Line 91r Cahvmn a above $ FPPC Form 460(January1051 0 FPPC TolWree Helpllne.866iASK FPPC(866f271WIT72) Schedule A Type or print in Ink. SCHEDULE A o Amounts may be rounded CD Monetary Confribu�ons Received to whole dollars. Statement covers period A e from 10/01/08 FORM / SEE INSTIiUGTIONS ON REVERSE through 10/20/08 Page �t of R;,—Kirz OF FILER I.D.NUMBER Keith Bohr 1242607 FULL NAME;STREET ADDRESSANtJZIPCODEOrCON7AIE'UTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED JII GaGIfItT;B,ALEOENTERI D.hUL'.BENI CODE'� JGSELF.EMPLOVEg EWER NAME PERIOD (JAN, 1-DEC.31) (IF REQUIRED) OFSUSINESS) See Attached 2 Pages pcohl ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC [3 IND ❑COM ❑OTH []PTY ❑SCC ❑IND []COM ❑OTH ❑PTY ❑SCC ❑IND [p COM ❑0TH ❑PTY ❑SCC SUBTOTAL$ w C4 Schedule A Summary 'Contributor Codes 1. Amount received this period-iternizedmonetarycontributions. IND-Individual (Include all Schedule A sub Iota Is.)........................ .............................................................................., $ 6,474 COM--Reciplenl Commiftee Go (other then PTY or SCC) 0 2. Amountreceived this period-unitem ...............ized monetary contributions of less than$100 , $ 867 OTH—Other(e.g.,business entity) ..... .. .. PTY—Pol4tical Party 3. Total monetary contributions received this period. SCC-Small ConiributorCommittee Cq Add Lines T and 2.Enter here and on the Summar Page,CofumnA,Line 1. TOTAL $ 7341 FPPC Form 460[JanuaryF051 FPPC Toil-Free Helpline:B661ASK-FPPC(86612T5.3772) T print In Ink. SCFIEDULEE c �'Il;i�iilF. yp�r or p Statement covers period O , CDArnotlnts may be rounded "'iiiyl11e1'tt:iuiT(. to whole dollars. from 10f01f08 FORM • through 10/20108 Page < of r•:I_:r•I. it,r.,roN�oraaEVFF1sE 9 NAVE OF F LEI:- ---— --� � — I.D. NUMBER Keith llollr 1242607 •a.neaa r_-.s:rna.ry s+sua.�ma++•aameR+ww�uw�aowrm.��awoam.�sesea�w� (.'Ul}ta ;, If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 0,V1 <:amnaign:)a;aohen►3liafmisc. NIOR me mber communications RAD radio eiriime and production costs caml);rign consultants NIT niselings and appearances RFD returned contributions t,,n? contribulion(explain aanmonulury)- 0FC office expenses SAL campaign workers' salaries G C ovic donmiuns tf3 petilion circulating TEL I.a or cable airtime and production coals F1- mindidaLe flingiballoi fees P-D phone banks TRH". candidate travel,lodging,and meals V14I7 fund.aidrg event:. POt. polling and survey research TRS stafflspouse travel,lodging.and meals i2i_1 indgiPridcnt expsndituro supporlingtoppasing others(tgxplafn)1 MS postage,delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal d fense PRO professional services (legal, accaunling) VOT voter registration L;r enmps:rfn literature and mailings Pf7F print ads MB In(ormalion technology costs(Internet, e-mail) ttll eCi a�[Y.IIY 1�Yi.611i41AtYR1iPa00tliW6ss�MNSY �®BMA NAM EAND ADDRS&S OI'PAYEE r1FcovVITEF.ALSO EWF—qI-D.14-OME_R) CODE OR DESCRIP7 ION OFPAYM=NT AMOUNT PALO Plea,e refer to Attached Spread Sheet 1 Page " Cnymoats that are contributions or indopendent expenditures nilist also be summarized on Schedule D. SUBTOTAL$ Vcitecl(.fEl E ulmmary 1. temlzilU payrrlents rnadethis period.(Include all Schedule E subtotals.) .............. ,.,...........................,......,.......,................................................$ 41,307.32 2. IJniteinized payents ma this period of uncle $100 ............... .......................................................................................................................... $ 0 m 00 o -F613'.in, it paid this period can loans.(Enter amount from Schedule B,Part 1,Column(e).)...................... 0..................,........................... .......... $ 0 �•. ir�ta I Yr gents made this period. Adel Lines 1, 2 and 3.Enter here and on the Surnma Pa e, GolumnA,line S. 41,307.32 ! P ( ry 5 ? ...............,............. 'TOTAL $ CIA c FPPC Form 460(January105) '-' FPPC Tel I•Free Helpline:8 661AS K-FPPC(8661276.3772) Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period . ® ! Summary Page to whole dollars. 46 from 7/1/08 0 - SEE INSTRUCTIONS ON REVERSE through 9/30/08 page of NAME OF FILER ( J.D. NUMBER Keith Bohr I 1242607 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATTACHEDSCHEDULES) TOTALTO DATE Running in Both the State Primary and 1. Monetary Contributions ........................................... Schedule A,Line 3 $ 15,723 $ 41,974 General Elections 2. Loans Received ...................................................... Schedule B,Line 3 O 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 15,723 $ 41,974 20. Contributions Received- $ $ 4. Nonmonetary Contributions Schedule C,Line 3 753.00 1053.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 16,476 $ 43,027 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 2,706 $ 2,706 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 22. Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ 2,706 $ 2,706 (NSubjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F Line 3 0 0 Date of Election Total to Date 10.Nonmonetary Adjustment ..........................................Schedule C,Line 3 753.00 1053 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add tines s+9+10 $ 3,459 $ 3,759 $ Current Cash Statement If $ 12.Beginning Cash Balance"""""""""""' Previous Summary Page,Line 16 $ 25,780'19 To calculate Column B,add 13.Cash Receipts ....................................... ........ Column A,Line 3 above 15,723 amounts in Column A to the 0 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 a above 2706 report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 38,797.19 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 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, ands(if: 18. Cash Equivalents........................................ See instructions on reverse $ 0 Y)• 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275 3772) ScheduleA Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. p ' • ' � � 1 from 7/1/08FORM SEE INSTRUCTIONS ON REVERSE through 9/30/08 Page ly of NAME OF FILER I.D. NUMBER Friends of Keith Bohr 1242607 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED OF C.OIADDRE,ALSAND ZIP I.D.N DE O CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF•EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OFBUSINESS) MIND 7/1-9130/OS Please refer to attached spreadsheet 4 pages ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY El SCC MIND ❑cOM ❑OTH ❑PTY []SCC ❑IND ❑COM [:]OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 151V3 Schedule A Summary Contributor Codes 1. Amount received this period-itemized monetary contributions: / IND-Individual (Include all Schedule A subtotals.) „.... $ !s� ��$' COM—R(other than PTYnt .....................................................................,............,..... (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$1!00 ...................... PTY—Political Part.......$ G1 b0 OTH—Other l Par business entity) y 3. Total monetary contributions received this period. SCC-Small Contributor committee Add Lines 1 and 2. Enter here and on the SummaryColumn A, Line 1.) TOTAL $ ( Page, FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASrK-FPPC(8661275-3772) Schedule IC Type or print in ink. SCHEDUILE C Amounts maybe rounded Statement covers Nonmonetairy Contributions Received to whole dollars. period , FORNIA 7/1/08 46,01 from SEE INSTRUCTIONS ON REVERSE through 9/30/08 Page s of_! NAME OF FILER I.D.NUMBER Friends of Keith Bohr 1242607 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET DATE TO DATE RECEIVED ZIP CODE OF C (IF SELF-EMRLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OFd3USINEE v� e SSec. ❑COM 01��&S(e/f Foa�-1 Oc_ 1/ n g ! ❑OTN A�S l4��s ��al�� ���s �� 00 . 00A 0 a 00 D �6Za W/ krhee� vc-Avc- ❑PTY r ( ❑scc FIND b IS a.L ❑OTH cc �r1 S 3. 0(� ��D OD g '1 ��C/ he/` ❑PTY o �v�dr4.Sc/ .. - �kg.,Aea ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ r Schedule C Summary `Contributor Codes 1. ,Amount received this period-itemized nonmonetary contributions. IND-Individual (include all Schedule C subtoitals.).......................................................................................................................$ 7S 3 L')d COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized nonmonstary contributions of less than$100 .....................................$ OTH-Other(e.g., business entity) PTY-Political Party 3. Total nonmanetary contributions received this period, SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Suonmary Page, Cdtumn A, Lines 4 and 10.) ........ TOTAL FPPCIForm 460(January/D5) FPPC Toll-Free Helpline:866/ASIK-FPPC(866/275-3772) SCHEDULE E Schedule E Type or print in ink. Statement covers period Amounts may be rounded Payments Made y to whale dollars. 711/0g from SEE INSTRUCTIONS ON REVERSE through 9/30108 page of l d NAME OF FILER LD.NUMBER Friends of Keith Bohr 1242607 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 NO 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 PAYEE J (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �( FT C, 64Q. pp D Fc 0 00 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 .......................................................................................................................................... $— 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 $ a 7 66. OD FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/27SZ772) k "A' A4&C,�o%e^+ 4pAje Al r ra s-o %th-Bohr 7ft=a=108 7 6�f 0 07/01/08 Friends of Keith Bohr Dan McHugh 16859 Island Terrace akeville, MN 55044 Ind Self/Sports Director $200 $200 $200 Huntington Beach Hospital 17772 lthcare HB 08/06/08 Huntington Beach, CA 92647 Oth LLC $500 Laura Petasnick 310 08/06/08 Riverside Dr.Apt.912 Ind Mkt.DirNogue $50 alifornia Real Estate PAC 525 S. Virgil Avenue Los 08/06/08 Angeles, CA 900 06 $253 $253 $500 International Union of Operating Engineers St. 08/06/08 Pasadena, CA 91103 Com ID743030 $300 $300 $300 13123 W. LaSalle Circle 08/06/08 Lakewood, CO 30228 Ind Homemaker $500 Jocelyn Hoopes 14215 Crabapple Rd. 08/06/08 Golden, CO 80401 Ind Self/CPA $500 Victor Perrillo 16305 Niantic Circle 08/06/08 Huntington Beach, CA 92649 Ind S $300 $300 $300 Dave& Diana Moss 19307 Surfview Drive 08/08/06 Huntington Bea Retired $250 $250 $250 Pacifica Orthopedics Inc. 18800 Delaware St. Ste.150 08/ h, CA 92648 Oth Physcians $500 $500 $500 Richard Humble 6412 Doral Drive 08/06/08 Huntington Beach, CA 92648 Ind Sunrise Plumbing/Self $500 $500 $500 Kevin Morrissey 6731 Habor Key Circle 08/06/08 Huntington Beach, CA 92648 Ind Executive/Enterprise $500 $500 $500 Boris& Dorothy Ralphs 16106 Tortola Circle 08/06/08 Huntington Beach, CA 92649 Ind Retired $500 $500 $500 Al, 200 Main Street, Suite 206 08/20/08 Huntington Beach, CA 92648 Ind Self/Real Estate Investo $500 Ginny Koury 137 Shorecliff Road Corona 08/21/08 Del Mar. CA 92625 I $200 $500 100 W. Foothill Blvd., LLC 17300 17th Street, Ste. J-251 08/22/08 Tustin, CA 92780 O ate Investor $250 $250 $250 Edison International& Affiliated Entities 08/22/08 Rosemead, CA 91770 Oth Electric Utility $250 $250 $250 Ju 682 Sunflower Lane 08/22/08 Huntington Beach, CA 92647 Ind Homemaker $200 $200 $200 , LLC 200 Main Street, #206 08/23/08 Huntington Beach, CA 92648 Oth Real Estate I 0 $200 $500 Rainbow Disposal Co, Inc. 17121 Nichols St 08/24/08 H ng 92647 Oth Trash Hauler 1 $500 $500 $500 Beverly Walace 19682 rd Huntington Beach, CA 92646 ind Homemaker $47 $47 $47 Merrilee Madrigal 790 S guna 09/10/08 Beach, CA 92651 ind Merilee's Swimwear $500 $500 $500 . Springdale Street, 09/11/08 Westminster, CA 92683 Ind Self/Chiropractor $350 $350 $35 l 19342 Woodlands Lane Huntington 09/11/08 Beach, CA 92648 ind Self/Consultant $500 $500 $500 CEKALEX, INC 18192 Eveing Breeze Circle 09/11/08 Huntington Beach, CA 92648 Oth Manufacturer $250 $250 $250 Orange County Victory Fund 1212 Victory Blvd. 09/11/08 Burbank, CA 91502 PAC ID#1267763 $500 $500 $500 09/19/08 Ind $99 $99 $99 Terry Hayden 9 09/19/08 1 Huntington Beach, CA 92649 Ind Retired $25 $2 6131 Lyons Road, Suite 100 Wratbell, Hart, Hunt& 09/24/08 Coconut Creek, FL 33073 Oth Associates, LLC $200 $200 $200 Heat& Frost Insulators& 09/24/08 Allied Workers Local#5 PA IID#12323 $500 $500 $50 Hunsaker&Associates 3 1 Hunsaker&Associates 09/24/08 Hughes Irvine, CA 92618 Oth Planning/Enginee 0 $100 Plumbers, Steamfitters, Welders&Apprentices 3904 W. 1 st Stre S 4/08 Ana, CA 92703 PAC Local Union 582 $500 $500 $500 Fred Tinker 6465 Marigayle Circ fting/Steel 09/24/08 Huntington Beach, CA 92648 Ind Detailer $200 $200 $447 28242 Paseo les San Juan Capistrano, CA 09/24/08 92675 Ind orney/Nossaman $100 $100 Nossaman LLP 18101 Von Karman Ave. 09/24/08 #1800 Irvine, CA 92612 Oth Law Firm $200 $200 Box 382 Assoc/Planning 09/24/08 Huntin Ind Consultant $250 $250 $250 Mahaffey and Associates A Pr ss . 18881 Von Karman Ave. Ste. 09/24/08 1200 Oth Law Firm $200 $200 Pat Guidotti 6287 Pacific Point Dr 09/24/08 Huntington Beach, CA 92648 Ind Retir 200 $200 Andy Kingman 63 Kellogg Drive Wilton, Poseidon 09/24/08 Resources/CFO $150 $150 $397 David Burnett 1816 13th Street 09/24/08 Huntington Beach, CA 92648 Ind Self/Cutting Edge $450 $450 $450 Bud Berge 18650 Main St.#280 09/24/08 Huntington Beach, CA 92648 Ind Self/Investor $250 $250 $500 Bauer Investments 16511 Cotuit Circle 09/24/08 Huntington Beach, CA 92649 Ind Retired $100 $100 $147 M LA/OC O e/�(0 Council T 1626 Beverly Blvd 09/24/08 Los Angeles, CA 90026 PAC ID#8220 $250 09/24/08 Ind $99 $99 $99 Shirley& Bob Detloff Drive 09/24/08 Huntington Beach, CA 92647 Ind Retired $100 $100 $2 6871 Via Angelina Dr. 09/24/08 Huntington Beach, CA 92647 Ind Sel $100 $100 Don Evans 3941 S. Dahlia Street 09/29/08 Englewood, CO 80113 Ind Reti $500 $500 Jerome Bame 17330 Brookhurst St, Ste240 09/29/08 Hunting nd Self/Professional Coach $100 $100 $100 Janet Littlejohn 3678 Montego Drive 09/29/08 Huntingto Retired $50 $50 $50 Verlyn N. Jensen 5100 Campus Dr. Ste200 Atty./J 09/29/08 Newport Beach, CA 92660 Ind Barron, LLP $200 $200 $200 D Workers 1660 San Pablo Ave. Ste C 09f29t09 Pinole, CA 94564 PAC ID#8316 $500 Toyota of Huntington Beach 18881 Beach Blvd 09/29/08 Huntington Beac Auto Dealer $500 $500 $500 CDM Company Inc 12 Corporate Plaza, Ste 200 09/29/08 Newport Beach, CA 92660 Oth Toy Marketing $200 $200 $200 Gail Hutton 16761 Coral Cay Lane 09/29/08 Huntington Beach, CA 92649 Ind Retired $100 $100 $100 William O'Connell 16072 Davis Lane Exec. Dir/Colette's 09/30/08 Huntington Beach, CA 92649 Ind lChildren's Home $200 $200 $200 $41,774 $15,523 10-08-2008 16:43 TEAM 7145365889 PAGE:1 t t L G ' at ��r- �C jn 0 rie o i v f 1, Recipient Comm Mee C" COVER PAGE Campaign Statement Type or print In Ink. Date Stamp CU Cover Page • w (Govemment Code Sectioris 94200-84216.5) (D at <I: Statement covers period Date of election If applicabla 711108 Day.Year] --Z�)0 OCT -8 PH Page IL (Month, 4* 4S For Oftial Use only From SEE INSTRUCTIONS ON REVERSE through 9/30)08 11/4108 — I tj Vf sit G"I"01 i 1. Type of Recipient COM11111ft-0: All Commiften—complete Parts 1,2.3,and 4. 2. Type of Statement: Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Preelection Statement ❑ Owrterty Statement 0 State Candidate Election * ❑ Sen*annual Statement M Special Odd-Year Report ()Recall 0 C0*DJled Ej Termination Statement ❑ Supplemental Preelection fA&oCW�*IvPa14 0 Sponsored (Also fb a Form 410 Termination) Statement-Attach Form 495 ❑ General Purpose Committee E] Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate! 0 SmalContributorCommittee Officeholder Committee 0 Political Party/Central Corrifffte (Aft CoMAW9 Pad 7) 3. Committee Infoffrkdion I.D. NUMBER Tmasum e) 1242607 COMMITTEE NAME(OR CANDIDATES Friends of Keith Bohr Keith Bohr MAILING ADDRESS 221 Main Streetr Suite wS'Huntington Beach,CA 92648 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA COOEIPHONE' 221 Main Street,Suite"S' CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSF9'r—ANT TREASURER,IF ANY Huntington Beach,CA 92648 N/A MAILING ADDRESS (IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CT) co OD CITY STATE ZIP CODE AREA CODEIPHONE CtTY STATE ZIP CODE AREA CODEIPHONE Ln 714-536-5889 Ke1thBohr@ao1.co if) OPTIONAL: FAX I E-&ML ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS 4. Verification (E LLJ I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein"in the attached schedules is true and complete. Icertily under pere4of perjury under the laws of the Stale of California lhatthe foregoing is Irm and correct. 10106/08 Exaculed on BY Data Execuled on 10/06/08 BY Dow C dg�hj%aba Meamn Prop"Mar Responsible Offloaraf8pDram OD gW 0 CD Executed on Dais By 1� OD Ex=bed an BY Dale Somhasof Oor&WpOffimFakier CwdUW.SlAs MesumPropwwri FPPC Fwa 460(JewwrytW FPPC Toll-Free Helpline:§WASK.FPPC 1066476-37M stow of callf0mla Campaign Disclosure Statement Type or print in Ink. SUMMARYFAGE Amounts may be roundedIT Statement covers period . sa Summary Page to whale dollars. J w trorn 7/1108 a• r! CE tl SEE INSTRUCTIONS ON REVERSE through 9/30108 Page 3 of_LT t"E OF FILER I.D.NUMBER Keith Bohr 1242607 Contributions ReceivedColumnA Column Calendar Year Summary for Candidates TDIALTHGPERf`O CA-ENDAR YEAR MROMATTACHE]SCHSWLx; TCTALTOOATE Running in Both the Stale Primary and 1. Monetary Contributions $ 15,723 41,974 General Elections ........................................... Schedule A.Line 3 2. Loans Received ...................................................... Schedufe8,Liae3 0 0 1i1 through 613D 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ...................I..... Add Lkes f+2 $ 15,723 $ 41,974 20. Contr,butions Received S $ 4. NonTr rietary Contributions.................................... wtedure c.Lino 3 753.00 1053.00 21. Expenditures 5. TOTAL CO 14T RIBUTION S RECEIVED ......•.•.•.•..............Addtines3+4 $ 16,476 $ 43,027 0.tade 3 $ Expenditures Made Expenditwe Limit Summary for mite 6. Payments Made................... ................................... schedule E,Line 4 g 2,706 $ 2,706 Candidates 7. Loans Made............................................................. sshe&I&H,Lure 3 0 0 8. SUBTOTAL CASH PAYMENTS Z2.Cumulative Expenditures Mad*, .................................... Addtirrass+� $ 2,706 $ 2,705 ms„aie�cro►rorun�rEx�r►arou�eunnv 9. Accrued Expenses (Unpaid 8i1s) ....SchmduteF.Line 3 0 0 Date of Election Total to Date to.Nonrnont:tary Adjustment..........................................ScheduleC.L1ne9 753.00 1053 (mrrV*yy) 11.TOTAL EXPENDITURES MADE................................Add Una$6+9+fo $ 3,459 $ 3,759 $ CD Current Cash Statement $ M 12.Beginning Cash Balance....................... Previous SwnmaryPage,Lino 18 $ 25,7SQ.19 To calculate Column 9_awl `M 13.Cash Receipts ................................................... Cawmn A.Line 3 above 15,723 amounts in Column A to the L 0 corresponding amount •_Awn�l,€n this section may bedifie rent tom amounts 1-414.Miscellaneous Increases to Cash........................... Schedule 1,Line 4 tram Column B of your last reported irt Column B. r 2706 report. Some amounts in 15.Cash Payments.................................................. CdumnA,Lino eabove ColumnA may be negative Q 38 797.19 O ores that should be 16.ENDING CASH BALANCE..........Addunes12+13+14:then subrractLinaf5 $ � 9 If this is a termination statement, Line 16 must be zero. subtracted from previous period amounts. If this is r7 the first report beirg filed 17.LOAN GUARANTEES RECEIVED 0 for this calendar year,only Schedule B,Pm12 $ carry over the amounts from Lines 2,7,and 9(if m Cash Equiva0ents and Outstanding Debts m 0 any/. m 1 S. Cash.Equivalents........................................ See irsbucfians on reverse $ (U i OD 19. Outstanding Debts......................... Add Lrre 2 F Lira 9 in CoftmtrB above $ 0 FPPC Form 460(January/05) m, 1=PPC Toll-Free Helpline:86WASK,1713PC(a6W275.3772) m Schedule A Type or print in ink. SCHEDLM4E A period Amounts may be rounded Statement covers �Il®neR iry dr(Dntfl�Llrt�9®rts Received Amounts wftle dollars. p ®' 711/08 ® ' from FORM CE 0_ SEE INS7RUC71ON6aN REVERSE through 9130/09 Pam —ot �D NAME OF FILER I.D.NLWSER Friends of Keith Bohr 1242S07 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTGR CONTRIBLTOR IF AN INDIVIDUAL,ENTER AMOLAJT CUMULATIVE TO DATE PER ELECTION REt:$VED (FCOMMITTg,ALMENTERTD,NI;MBM CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE fF8E_F-EMPLOYED,EM9?NAME PERIOD (JAN,I-DEC.31) (IF REQUIRED) 0=6L51H� ❑IIND 711 9/30108 Please refer to attached spreadsheet 4 pages ❑C'0M ❑0TH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ©SAC ❑IND [3Com ❑OTH PTY C5CC IND Com ❑OTH PTY [SCC OD ❑IND ❑COM ❑OTH It- ❑PTY ❑SCC CC w SUBTOTALS 153 Schedule A Summary -Contributor Codes 1. Amount received this pedod—itemized monetary Contributions, IND—Individual (Include all Schedule A subtotals.)........................................................................................................$ /S 3�Sr CCM—Recipient Cornmittee (other than PTY or SCC) w 2. Amount received this period-unitemized monetary contributiians of less than$100................. .. $ OTH-Other(e.g., business entity) CDPTY-Po liticai Party m 3. Total monetary contributions recdved this period. SCC-Smah Contributor Committee o� (Add Lines 1 and 2.Enter here and on the Summary Page, Column A,Line 1.).,.....................TOTAL $ m FPPC Farm 480 Ilan uaryW) m FPPC Tall-Free Helpline.86WASK-FPPC(W61275-3772) Recipient Committee Cover Page Type or print In Ink. ! --7-pate Stamp 111114V COVER PAGE Campaign Statement 1 '71 • 1h 4 IPAr (Government Code Sections 84200-84216,5) FOR 31 Pit 3- 07 1 - - Statement covers period Date of election if applicable: : Page ofof (Month, Day, Year), i from iT For Official Use Only SEE INSTRUCTIONS ON REVERSE through . 7- 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4, 2, Type of Statement, Officeholder,Candidate Controlled Committee [7 Primarily Formed Ballot Measure ❑ Preelection Statement CD Quarterly Statement Q on Committee Committee Semi-annual Statement ❑ Special Odd-Year Report (:) Recall (:) Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) 0 Sponsored Also rile a Form 410 Termination) Statement-Attach Form 495 General Purpose Committee (Also Complete Part 6) ❑ Amendment(Expl ❑ C) Sponsored r7 Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information 1,C)I, NUM13ERa6O Treasurer(s) I�( -7 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASUPER of 0 kr MAILING ADDRESS Ae- 'S R&C '5�265191 STREET ADDRESS (NO PA, BOX) 77Y STATE ZIP CODE AREA CODElPHONE I 111_�o lell CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY h /In zi 111LI/7 '12-6VE 7/il-IL-214/3 MAILING ADORES 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, I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on- -7/3 By Date $1 r4ture of Treasurer or Assistant Treasurer Executed on- !�z=f By Date Signature of Controlling Officeholder,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,Stale Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:666/ASK-FPPC(866/275.3772) State of California Type or print in Ink, COVER PAGE,PART 2 Recipient Committee Campaign Statement ® - e Cover Page---Part 2 Page D, of _L 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE E OF BALLOT MEASURE OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO,OR LETTER JURISDICTION [] SUPPORT C\ 1\ C U 0 hC l I\ L�V��l �(�� �e°�i� ❑ OPPOSE RESIDE�USINESS ADDRESS (NO,AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. 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 N0. 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 P.O.50X) 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 ❑ SUPPORT ❑ YES ❑ NO ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO RO.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets /f necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-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. from 0 e- SEE INSTRUCTIONS ON REVERSE through —3 0 0 �Z= off _ NAME OF FILER J (� I.D. NUMBER Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISRERIOD CALENDAR YEAR Running In Both the State Prima and (FROM ATTACHED SCHEDULES) TOTAL TO DATE 9 Primary �.s �o,�S General Elections 1, Monetary Contributions ........................................... Schedule A,Line $ ,I $ 1/1 through 6l30 7/1 to Date 2, Loans Received ...................................................... Schedule 8,Line 3 d 3. SUBTOTAL CASH CONTRIBUTIONS (��,�i�l (��s$�I 20, Contributions ......................... Add Lines 1+2 $ � $ Rived $ $ 4. Nonmonetary Contributions.................................... schedule c,Line 3 0 fO 300 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ l $ .,g S Made $ $ Expenditures Made Expenditure Limit Summary for State 6, Payments Made....................................................... Schedule E,Line 4 $ 1 99 . 63 $ Candidates 7. Loans Made............................................................. Schedule H,Line 3 22, Cumulative Expenditures Made' 8, SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ _ 3 $ 4 • 3 (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 ZOO 100 360'OL) (mm/ddlyy) 11, TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ ! 3 $ �; 1 q a Current Cash Statement $ 12,Beginning Cash Balance....................... Previous summary Page,Line 16 $ t' �° To calculate Column B,add 13,Cash Receipts ................................................... Column A,Line 3 above 2401 SS .00 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 6 above ff q� r�� report. Some amounts in """"""""""""" Column A may be negative -7c 16.ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ �� ! 40' l q figures that should be subtracted from previous If this!s 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 g(if Y) 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column 8 above $ FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule Type or print in ink, SCHEDULE A iVi011eta Contributions Received Amounts may be rounded Statement vers period ® , , to whole dollars, I from c ® • . 49 - SEE INSTRUCTIONS ON REVERSE through 30 o Page of NAME OF FILER I,D. NUMBER FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER LD.NUMBER) CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC,31) (IF REQUIRED) OF BUSINESS) BIND ❑COM OTC 0 PTY❑SCC ❑IND ❑COM 71 OTH PTY []$CC []IND ❑COM ❑OTH (]PTY ❑SCC []IND ❑COM ❑OTH 7 PTY Q SCC QIND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ Schedule A Summary `Contributor Codes _ 1, Amount received this period—Itemized monetary contributions. IND—individual (include all Schedule A subtotals.) ............................................... ........................ $ ( COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ OTH—Other(e.g.. business entity) PTY—Political Party 3. Total monetary contributions received this period, SCC—Small Contributor Committee (Add Lines 1 and 2, Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE A (CONT,) Monetary Contributions Received Amounts may be rounded Statement covers period Io . , to whole dollars. / _ from log through 1301a Page. of� NAME OF FILER I.D.NUMBER r_V(1 k C,6-_&s OT IL'(A� aok, l DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (,JAN. 1 -DEC.31) (IF REQUIRED) rOFBUSINESS) A q,�r_�d f7OT ❑COM ❑pTH s / 1y -\ ! ❑PTY h 1 ❑SCC ❑IND ❑COM ❑OTH PTY []SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC (]IND ❑COM ❑OTH 7 PTY ❑SCC SUBTOTAL$ 'Contributor Codes IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH-Other(e.g.,business entity) PTY-Political Party FPPC Form b60 Janua /05 SCC-Small Contributor Committee ( rY ) FPPC Toll-Free Helpline:866/ASK.FPPC(866/275-3772) Lt k 0- Form 460 Friends of Keith Bohr Schedule A ID#1242607 1/1/08-6/30/08 2008 Date Current Total to Total This Received Name&Address Code Occupation Date Election Thomas&Sheryl Caverly 553 Temple Hills Dr. /2 ach, CA 92651 Ind Retired $25 $25 $25 James A. Lane 637 Fra on 04/23/08 Beach, CA 92648 Ind Retired $247 $247 $247 200 Main Street, LLC . 206 04/24/08 Huntington Beach, CA 92648 Oth Real Estate/Self $300 $300 $300 Hunti 300 Pacific Coast Hwy.#408 04/24/08 Huntington Beach, CA 92648 Oth HSS Retail/Sel $ $147 $147 Charles& Patricia Spencer 17591 San Rogue Ln. 04/26/08 Hun gt 7 Ind Retired $300 $300 $300 Lindsay&Tama Hirsh PO Box 5465 Fri 4/26/08 80443 Ind Planner/Summit County $50 $50 $50 Robert Mayer Sr onterey Pine Dr. 04/26/08 Newport Coast, CA 92657 Ind Real Estate/Self $300 Frawley Ranches, Inc 20189 U.S. Hwy 85 04/26/08 Spearfis Real Estate $247 $247 $247 Daryll Propp 2278 Holly C Golden, CO 80401 Ind Real Estate/Self $247 $247 $247 Carol Pr Holly Court 04/26/08 Golden, CO 80402 Ind Homemaker $247 $247 $247 H K W. Colfax Ave. 04/26/08 Lakewood, CO 80215 Ind Retail/Douglas $247 $247 $247 Mike Kreke 12605 W. Colfax Ave. Lakewood, 04/27/08 CO 80215 Ind Retired $247 $247 $247 Gaylan Propp 20353 Hwy 85 Property Manager/ 04/28/08 Spearfish, SD 57783 Ind Elkhorn Ridge $247 $247 $247 Elizabeth Propp - 18602 Quarterhorse Lane 04/29/08 Huntington Beach CA 92648 Ind Video Producer/Self $247 $247 $247 F o� N -L Jenna Koenig ista San Juan Capistrano, CA 04/30/08 92675 Ind Homemaker $247 47 Gisela Kreke 12605 W. Colfax Ave. Lakewood, 05/01/08 CO 80215 nd $247 $247 $247 Dave& Michelle Kelly 79 Waterford Way Communications/Dioces 05 4450 Ind a of Rochester $47 $47 $47 Cathy&Robert Meschuk 20451 Kelvingrove Ln: gton Beach, CA 92648 Ind President/Hyatt Die Cast $47 $47 $47 Ben & Laurie Tr conada Drive 05/03/08 Carmel Valley, CA 93924 Ind ICEO/Med Tech West $300 $300 $30 ley 4303 Oak Hill Drive Lawyer/Selective 05/03/08 Annondale, VA 22005 I $100 $100 $100 Theory Properties 2620 Rivera Drive 05/03/08 L Oth Real Estate/Self $900 $900 $500 David Bergsma 1281 N. Dustin Lane 05 r, AZ 85226 Ind Sales/Alcon $300 $300 $300 Bob&Tan ox iet Bay Lane 05/05/08 Huntington Beach, CA 92648 Ind Gen. Contr.Hoxie/Self $200 $200 $200 y Lewis 431 Hawthorne Ave. Rockford, 05/05/08 IL 61108 Ind Retired $47 Elizabeth Shier 419 Main Street,#120 Aerospace 05/05/08 Huntington Beach, C 48 Ind Consulting/Sel $300 $300 Wallcon, Inca P.O. Box 7755 Construction 05/07/08 Huntington Beach, CA 15 agement $300 $300 $300 Brett G. Blanchard 20884 Parkside Lake Real Est 8 Forest, CA 92630 Ind IDev./MAKENA $300 $300 $300 Bonnie Bruce 9163 Consultant/Chaney&Bru Cladium Ave. ce Educational 05/08/08 Fountain Valley, CA 92708 Ind. Resources, Inc. $100 $100 $100 Penny Deihl 1 219 Venice Way#1 Venice, Attorney/Morris Polich & 05/08/08 CA 90291 Ind Purdy $100 $100 $100 Dan Cooper 10035 Pamela Drive 05/08/08 Rockford, IL 61073 Ind Sales Engineer/Prosep $300 $300 $300 r CT- 30 -j1- q 15272 Bolsa Chica Road Huntington 05/08/08 Beach, CA 92649 Ind Real Estate Dev lf $300 $300 Maggie Muir 337 17th Street Oakland, Consultant/Erwin & Muir 05/08/08 CA 94612 Ind Public Affa $100 $100 $ 08/08 Ind $94 $94 $94 Michael Muir 2001 Political Consultant/ Pa A rosino, Muir& 05/08/08 Francisco, CA 94109 Ind Hansen $300 $300 $300 2001 Pacific Avenue San 05/08/08 Francisco, CA 94109 Ind Homem 0 $300 George& Louise Giacoppe 7402 Coho Dr., No. 102 05/15/08 Huntington Beach, CA 92648 Ind Retired $4 Murat Koc 200 Main Street,#105 05/15/08 Huntington Beach, CA 92648 Oth Restaurant oa $247 $247 05/15/08 Ind $99 $99 $99 Jana Westerbeke LaBrinca Owner/Gadabout 05/15/08 Tucson, AZ 85718 Ind Studios $200 00 ob&Shirley Detloff 6812 Laurelhurst Dr. 05/15/08 Huntington Beach, CA 92647 I 7 $147 $147 Michael McMahon 1232 Calle Lago EI 05/15/08 Pas General Mgr./Align Tech $50 $50 $50 Paul Goin 247 W. Mountain Sky Ave. 05/15/08 Phoenix, inacing/Wachovia $200 $200 $200 Joan Venditozzi 18622 Quarterhor Huntington Beach, CA 92648 Ind Homemaker $300 $300 $300 Joan Venditozzi 18622 Quarterhorse Lane on Beach, CA 92648 Ind Homemaker $200 $200 200 Nossaman, Gunther, Knox& Elliott, LLP 445 South Figueroa Street 05/16/08 Los Angeles, CA 90071 Oth Law Firm $300 $300 $300 Elizabeth Butler 4350 Via Dolce, Unit 209 Director of Development/ 05/21/08 Marina del Rey, CA 90292 Ind Consumer Attys of CA $50 $50 $50 Shawn &Julee Gracey 16362 Redlands Lane Hotel Manager/Joie de 05/21/08 Huntington Beach, CA 92647 Ind Vivre Hotels $247 $247 $247 r n A.) ..G H on 922 Laguna Street Real Estate/DJM 05/21/08 Santa Monica, CA 93101 Oth Partners $247 Marty& Richard Dutch 539 Westminster Ave Medical Sales/Lincoln 05/21/08 Newport Beach, CA 9 dical $100 $100 $100 Ralph Bauer 16511 Cotuit Circle 1/ each, CA 92649 Ind Retired $47 $47 $47 Pete Koenig 30811 Marbella Vista S /21/08 Capistrano, CA 92675 Ind Sales/Mktg/Intertech $300 $300 $300 Tom Andrusky Tr rt-time 05/21/08 Huntington Beach, CA 92646 Ind Consultant/Self $50 $50 $50 Fred & Barb T Marigayle Circle President/Pacific 05/21/08 Huntington Beach, CA 92648 Ind Drafting Inc. $247 $247 $247 Donna Beynon 5815 Via Verona 05/21/08 Colorado Sprin tired $47 $47 $47 05/22/08 Aimee Sanden Ind Homemaker $300 05/22/08 Ind Architect/Self $47 $47 $47 Baci Di Roma Trattoria 5 ve. Unit 3A 05/22/08 Huntington Beach, CA 92649 Oth Restauranteer/Baci $247 $247 old 7368 Center Ave. Huntington 05/22/08 Beach, CA 92647 Oth Self/Cloudmover $147 $ Dona Cloyd 3294 Tempe Drive Huntington 05/22/08 Beach, CA 92649 h $247 $247 $247 Jason & Penny Scheurer 16601 Gothard St. Ste M Contracte ha 05/22/08 Huntington Beach, CA 92647 Ind Remodeling $247 $247 $247 Gene Nagy 16632 Wellington 05/22/08 Huntington Beach, CA 92649 Ind Retired $150 $150 $150 Bill Bennett 6912 Rio Vista Drive Huntington 05/22/08 Beach, CA 92647 Ind Realtor/Remax $147 $147 $147 Michael Mehalick 320 22nd Street Huntington 05/22/08 Beach, CA 92648 Ind Architect/Self $47 $47 $47 SZ--• Margaret Kelly 8 El Arroyo Huntington Field Service Rep/City 05/22/08 Beach, CA 92647 Ind HB $50 $5 Andrew Stupin 215A 5th Street Huntington Real Estate/Coastline 05/22/08 Beach, CA 92648 Ind I $300 $300 $300 Julie Stupin 1215A 5th Street 05/22/08 Huntington Beac d Homemaker $300 $300 $300 Timothy J. Ryan &Assoc 8072 Warner Ave. Huntington Beach, CA 92647 Ind Attorney/Self $247 $247 $247 Russell erry 05/22/08 Aliso Viejo, CA 92656 Ind lPoliceman/HB $247 $247 $24 e Grote 17151 Corbina Lane#202 05/22/08 Huntington Beach, CA 92649 Ind Sales/Self 94 4 $94 Michael Brenesell PO Box 400122 Las 05/22/08 Vegas, NV 89140 Ind Br g/Self $147 $147 $147 Patt Thompson 818 Palm Ave. Hunti 2/08 Beach, CA 92648 Ind Property Mgr./Coastline $300 $300 $300 Larry Gallup 3776 Montego Dr. n Beach, CA 92649 Ind Retired $147 $147 $147 Ann Stawicki 2333 Notre ant/Beznicks 05/22/08 Mesa, CA 92626 Ind Partners $47 $47 $47 Top Shelf Packaging, Inc. 17412 Whetmore Lane Self/Top Shelf 05/22/08 Huntington Beach, CA 92647 Oth Packaging $247 G.A. Silva 5312 E. Hanbury St. Long Dist. Sales Mgr./Branson 05/22/08 Beach, CA 90808 Ind Ultra Son $147 $147 $147 Connie Boardman 8401 Sweetwater Circle Professor/Cerritos 05/22/08 Huntington Beach, CA 92646 Ind College $147 $147 $147 Deborah Cook 6692 Shetland Circle 05/22/08 Huntington Beach, CA 92648 Ind Mayor/Huntington Beach $300 $300 $300 ro Doug Traub 19391 New Haven Ln. May 22, 200 Huntington Beach, CA 92546 Ind Marketin /HB C&VB $200 Chivers Group, Inc. 6562 Polo Circle 05/22/08 Huntington Beach, CA 92648 rst Team $100 $100 $100 Bruce Shuman 6041 Judwick Circle 05/22 h, CA 92648 Ind CEO/Rainbow $247 $247 $247 Robert Dingwall 583 05/22/08 Huntington Beach, CA 92649 Ind Retired $300 $300 $300 William Holman e Real Estate 05/22/08 Huntington Beach, CA 92649 Ind Consultant/Self $147 $147 $147 jan Sassounian 21190 Beach Blvd. 05/22/08 Huntington Beach, CA 92646 Ind SAS Development/Self $247 $247 P.O. Box 05/22/08 Huntington Beach, CA 92648 Oth Owner/Kite Connection $24 Ranco Huntington Investments, LLC 40935 County Center Drive, Ste. A /0 CA 92591 Oth Developer/Ranco $300 $300 $300 Mostafa Oloumi 1717 is 05/22/08 Huntington Beach, CA 92647 Ind ADS Engineering/Self $300 $300 Pat Rodgers 7675 Clay Avenue 05/22/08 Huntington Beach, CA 92648 Ind Mktg. Dir/Bella Terra $47 Frank Barbaro 200 Main Street Santa 05/22/08 Ana, CA 92677 Ind Lawyer/Self $147 $147 $147 Chris Herr 27052 Via Callado Mortgage Broker/AFC 05/22/08 Huntington Beach, CA 92691 Ind Direct $47 $47 $47 Hreish Family Trust 17001 Saybrook Lane 05/22/08 Huntington Beach, CA 92649 Ind Retired $47 $47 $47 an Long 21195 Sailors Bay 05/22/08 Huntington Beach, CA 92648 Ind Sales/Anacomp $250 Carina Franck-Patone 1010 N. Lowell Street Dev. Dir./CA Medical 05/22/08 Santa Ana, CA 92703 Ind Assoc $247 24 05/22/08 Ind Retired $99 $99 $99 Andrew Kingman 63 Kellogg Dr es 05/22/08 CT 06897 Ind Resources $247 $247 $247 Civic Partners, Inc. enue, Suite 300 Huntington Beach, Real Estate/Civic 05/22/08 CA 92647 Oth Partners $2 $247 Ellen Nastase 20971 Surge Lane Financial Advisor/Merrill 05/22/08 Huntington Beach, CA $25 $25 $25 Richard Harlow 1742 Main Street Consultant/Self Har 22/08 Huntington Beach, CA 92648 Ind Associates $300 $300 $300 Jo 16305 Niantic Circle 05/22/08 Huntington Beach, CA 92649 Ind Teacher/LBUSD $247 $24 udith Shenkman 15682 Sunflower 05/22/08 Huntington Beach, CA 92647 Ind Retired $250 $250 Shea Homes 655 Brea Canyon Road I Home Builder/Shea 05/22/08 Walnut, CA 91789 Oth $247 $247 Shawn Tanner 10022 Fall River Ct 05/22/08 Fountain Valley, CA 92708 Ind Insuran nal $47 $47 $47 Bart Zandbergen 1485 Coral Drive 05/22/08 Laguna B Ind CFP/Fidelity Investments $47 $47 $47 Linda Moulton Patterson 9185 Caladium Avenue Con on 05/22/08 Fountain Valley, CA 92708 Ind Patterson Associates $100 $100 $100 Amanda Bergsma 2115 Arbutus 05/22/08 Newport Beach, CA 92660 Ind Homemaker $300 $300 $300 Patricia Goodman 18531 Bentley Lane Manager/LA County 05/23/08 Huntington Beach, CA 92648 Ind Office of Education $100 $100 $100 Jeff Bergsma 2115 Arbutus 05/27/08 Newport, CA 92660 Ind TEAM Design/Self $300 $300 $300 Cs .-C Amanda Berg 15 Arbutus 05/27/08 Newport Beach, CA 92660 Ind Homemaker $300 $30 ron Hayhoe 1851 Park Skyline Road 05/27/08 Santa Ana, CA 92705 Ind 47 $247 $247 Dorothy Ralphs 16106 Tortola Cir 05/27/08 Huntington Ind Retired $247 $247 $247 Mellinda Paullins 17662 Collie Lane Office Mgr. 27/08 Huntington Beach, CA 92647 Ind Design $50 $50 $50 Dale& Elle nn 2 Almelo Lane 05/27/08 Huntington Beach, CA 92649 Ind Retired $100 $100 $100 Mic Indian Road Finance/Bank of New 05/27/08 Piedmont, CA 94610 Ind York $47.47 $47.4 Brian &Cindy Olson 6315 Royal Grove Drive CFO/Quantum 05/27/08 Huntington Beach, CA 9 $100 $100 $100 Connie Mahoney 2818 Hermosa Ave. 05/27/08 Hermo Ind V.P./Fidelity Title $47 $47 $47 Red Oak Investments 2101 B 05/27/08 Irvine, CA 92612 Oth Real Estate/Red Oak $300 $300 $300 CA Real Estate PAC 525 S. il 06/01/08 Angeles, CA 90020 Com I.D.#890106 $247 $247 $247 161618 Beach Blvd. Ste 200 Property Mgr./Huntinton 06/01/08 Huntington Beach, CA 92647 Ind E k $300 $300 $300 Sal Cracchiolo 6691 Shire Circle 06/01/08 Huntington Beac Retired $200 $200 $200 Ron &Ann Mase 16642 Intrepid Lane Swimsuit 06/01/08 Huntington Beach, CA 92649 Ind Manufacturer/Self $200 $200 $200 Dann Bean 622 19th Street 06/01/08 Huntington Beach, CA 92648 Ind Retired $100 $100 $100 Siera Investment Properties, Inc. 1907 W. Magnolia Real Estate/Sierra 06/01/08 Burbank, CA 91506 Oth Investment $300 $300 $300 r Brad&Jean Kruzan 7 Court North 06/01/08 Smithfield, RI 02896 Ind Homemaker $147 $147 k 6 Executive Circle, Suite 250 Real Estate/Signal 06/01/08 Irvine, CA 92614 Oth 250 $250 $250 The Home Depot USA P.O. Box 105715 Home Depot Building 06/01/08 Atlanta, GA 30348 Oth Supplies $300 $300 $300 06/01/ Dodge Oth Auto Dealer/HB Dodge $100 $100 $100 Jeffrey Nelson 1715 Riggs Place NW ions/Verizo 06/12/08 Washington, D.C. 20009 Ind n $50 $50 $50 Richard Wes Sierk Rancho Palos Verde, CA 06/12/08 90275 Ind Financial Consultant/Self $247 $247 $247 Thurston Ave. Los 06/12/08 Angeles, CA 90049 Ind Econ. Consultant/KMA $247 $247 $247 Huntington Land & Development LLC 1300 Quail Street, Suite 11 tington 06/18/08 Newport Beach, CA 92660 Oth Land & Development $300 $ 8 Ind $99 $99 $99 06/18/08 Ind $99 $99 $99 Stephen R se Drive 06/19/08 Golden, CO 80401 Ind Sales/Mann Cos. $100 $100 yre 3920 S. Rural Street, Ste.110 06/23/08 Tempe, AZ 85282 Ind Realtor/Keller Williams $250 $ 250 Brian & Elaine Bohr 20948 N. Sweet Dreams Dr. 06/26/08 Maricopa, AZ 8523 $150 $150 $150 Gerald Moffatt 16787 Beach Blvd. #554 C.O.O./Rainbow 06/26/08 Huntington Beach, CA 92647 Ind Disposal $250 $250 $250 Sempra Energy 101 Ash Street San 06/26/08 Diego, CA 92101 Oth ISempra Energy $147 $147 $147 Karen Chepeka 2113 Huntington St. #C 06/30/08 Huntington Beach, CA 92648 Ind Mgr./Credit Union $150 $150 $150 $26,551 $26,551 $26,151 Type or print SCHE -PART1 , Schedt.-, B—Part 1 Amounts may be ._jnded Statement covers period . Loans Received to whole dollars. / I o •e �' from SEE INSTRUCTIONS ON REVERSE through 30/ d of- --�- NAME OF FILER 1/ I.D. NUMBER r 'kd` e5 e� �-e e���0kd` 1 1�1 L(11� 6 0......... � IF AN INDIVIDUAL ENTER OUTSTANDING (D) (�) OUTSTANDING e B FULL NAME,STREET ADDRESS AND 21P CODE AMOUNT AMOUNTPAID , INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE BALANCEAT OF LENDER (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD THIS PERIOD' PERIOD LOAN TO DATE []PAID CALENDAR YEAR FORGIVEN� RATE PERELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION'" E $ $ $ s ?❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC-1 DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION*' 1❑ IND ❑ COM ElOTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period.................................................................................................................... $ (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes IND-Individual 2. Loans paid or forgiven this period ......................................................................................................... $ COM-Recipient Committee (Total Column(c)p.lus 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, (May 4da negellve 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(8661275.3772) Schedule S-- Part 2 Type or print in . B-PAR72 SCH Amounts may be rounded Statement covers period ® Loan Guarantors to whole dollars, from SEE INSTRUCTIONS ON REVERSE through .30 Page of NAME OF FILER I.D. NUMBER r �� ks 6TI vc_4k eoLr ;` &07 FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE.ALSO ENTER LD,NUMBER) CODE IF SELF-EMPLOYED,ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS []IND LENDER CALENDAR YEAR ❑COM $ ❑OTH DATE PER L` ECTION (IF REQUIRED) PTY [Q SCC $ CALENDAR YEAR ❑IND DER S PER ELECTION OTH DATE (IF REQUIRED) ❑PTY ❑SCC $ CALENDARYEAR ❑IND LENDER Q COM PER ELECTION (IF REQUIRED) DATE ❑PTY ❑SCC ---- - $ CALENDAR YEAR IND LENDER ❑COM $ PER ELECTION OTH DATE (IF REQUIRED) PTY ❑SCC $ nteron SUBTOTAL $ Summary Page, une t7 only. FPPC Form 460(January/06) FPPC Toll-Free Helpline:866/ASK-FPPC(366/275.3772) Schea C Type or pr ilk. Amounts may Funded HEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers periodFO!F 0� 04 from SEE INSTRUCTIONS ON REVERSEthrough 3D L NAME OF FILER � I.D.NUMBER rv""Z- /,;, q o,7 4S 6�_ 1 FAN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE „ OCCUPATION AND EMPLOYER FAIR MARKET TO DATE ZIP CODE ODS OR SERVICES CALENDAR YEAR RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,MEOFBUSINESS) VALUE (IF REQUIRED) NAME OF BUSINESS) (JAN 1•DEC 31) < ®IND I 01"°% i(, iLTdr -5tno OCOM Vx []OTH Se�T J 300•ab 3U0.aU 1 l / rl PTY ,/� L NV�'F� Toa��c�ti V 1J1�6 $ ❑SCC H� Ul t MIND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule C Summary 'Contributor Codes 1. Amount received this period—itemized nonmonetary contributions, IND—Individual (Include all Schedule C subtotals.) ....................................................................................................................$ 3 o o oo COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$1b0 ....................................$ OTH—Other(e,g.,business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ......... ............ TOTAL $ 360.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK•FPPC(866/275.3772) Sched. J :HEDULE D Type or print in Ink. Summary o Expenditures Statement covers period � m Amounts may be rounded Supporting/Opposing Other to Whole dollars, from Candidates, Measures and Committees /{ SEE INSTRUCTIONS ON REVERSE through /3 old 8' Page of NAME OF FILER ( I.D, NUMBER t SUS �e t-td o d./t la 67 r- r\ NAME OF CANDIDATE, OFFICE,AND DISTRICT, OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE TYPE OF PAYMENT AMOUNTTHIS CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (iF REQUIRED) PERIOD (JAN.1•DEC.31) (IF REQUIRED) ORCOMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose �a�Expenditure ❑ Monetary Contribution Nonmonetary Contribution ❑ Independent ❑ Support ❑ OppQse Expenditure d ❑ Monetary \� Contribution ~\� ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period, (Include all Schedule D subtotals.)......................................................... $ 2. Unitemized contributions and independent expenditures made this period of under$100 ................................................................. ................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2, Do not enter on the Summary Page.) ............ TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helplinet 866/ASK•FPPC(8661276.3772) Schea. (Continuation Sheet) Type or print In Ink, SCHEDULED CONT. Summa of EX enditures Amounts maybe rounded Statement covers period p to whole dollars, o - Supporting/Opposing Other fromZda ® • e Candidates, Measures and Committees throughT�� Page of NAME OF FILER LD,NUMBER NAME OF CANDIDATE, OFFICE,AND DISTRICT, OR DESCRIPTION CUMULATIVETODATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE OR REQUIRED) PERIOD (JAN.1•DEC.31) (IF REQUIRED) [] Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent _may ❑ Support ❑ Oppose Expenditure Monetary o�ntribution ❑ NonmorlI tary Contribution ❑ Independents ❑ Support ❑ Oppose Expenditure Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support Oppose Expenditure ❑ Monetary ` Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ FPPC Form-460(January/08) FPPC Toll-Free Helpllne:866/ASK•FPPC(866/275-3772) SCHEDULEE Schedule E Type or print In Ink. Statement covers period Amounts may be rounded Payments Made to whole dollars, from la • SEE INSTRUCTIONS ON REVERSE through /vu Page of Ilk .t NAME OF FILER � 1 f �v NUMBER q,?6o -7 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphemalia/misc, MBR member communications RAID radio airtime and production costs CNIS campaign consultants MTG meetings and appearances —RFD returned contributions CTS contribution (explain nonmonetery)' --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 QFND 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 unting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information s (Internet, e-mail) NAME AND ADDRESS OF PAYEE ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID vd^G\do.t se 1, 06yr Q1s4..P �/ D � Jf4i ►SoC�rf(+<iyAew1 iA !AO � q1_�- iv.5�• P 6 q76 6-e;r'cc.SV(irS-+61, 6'c,f,, CA we /Jrie-�-g�. 1924 1/9 �l aim s�Ctc PO�A6 q 76 J v )U( C a6 hh " Payments that are contributions or Independent expenditures must also be summarized on Schedule D, SUBTOTAL$ l f q 5, 63 Schedule E Summary 1, Itemized payments made this period.(Include all Schedule E subtotals.) ... $ 1 , • 6 3 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).)............................................................................... $ 4, Total payments made this period. (Add Lines 1, 2,and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ t • �3 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK•FPPC(866/275.3772) SCHEDULE F Schedule F Type or print In Ink, Amounts may be rounded Statement c ! 0� vets period + • " + • A /ccrued Expenses (Unpaid Bills) to whale dollars. • ' from Q' through �u page_.)1.. of SEE INSTRUCTIONS ON REVERSE NAME OF FILER t ( /� 1 i� `^ I.D.NUMBER / 0 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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) NAME AND ADDRESS OF CREDITOR CODE OR (a) (IN (c) ( OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER 1.0.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 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 $ tl� 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 onthe 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) Schedule F Type or print In ink, SCHEDULE F(CONT.) Amounts may be rounded Statement cover period (Continuation Sheet) e ' to whole dollars, / / I �i e . 't • Accrued Expenses (Unpaid Bills) from K I (� through �3o page of . r NAME OF FILER � � /� D ( � I.D.NUMBER O CODES, If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphomalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS 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)' PC$ 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 PIRT print ads WEB information technology costs (internet, e-mail) Payments that are contributions or Independent expenditures must also be summarized on Schedule D, NAME AND ADDRESS OF CREDITOR CODE OR l ( (c) ( OUTS AMOUNT IN NCURRED AMOUNT 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 SUBTOTALS $ $ $ $ r � FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK•FPPC(866/275-3772) Sched►l'4 G Type or ' t In Ink, JWHEDULIE G Paymt Made by an Agent or Independent Amounts I,rounded Statement covers period ® .. Contractor(on Behalf of This Committee) to why.. _ollars, from oee SEE INSTRUCTIONS ON REVERSE through 120 Q Page SaZ. of NAME OF FILER � �� � I.b.NUMBER � Q � , lee A 1� NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc, MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTS 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 riling/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 ]NO 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 Lrr campaign literature and mailings PRT print ads WEB Information technology costs (Internet, e-mail) Payments that are contributions or Independent expenditures must also be summarl2ed on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE.ALSO ENTER I.O.NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL° $ Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form C( 66/275 3772) FPPC Toil-Free Heipllne:666/ASK•FPPC(8661275-3772) SCHEOULE H Schedule H Type or print In Ink, Statemen ZIZt covers period Amounts may be rounded I Loans Made to Others* Amo A a 0. to whole dollars. from SEE INSTRUCTIONS ON REVERSE through J Page 1�2_ Of e�'_ t NAME OF FILER I.D.NUMBER 1 �y�Gv 7 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL,ENTER OUTS ANDING (b) (c) OUTSTAdN BALANCE AT DING (e) M (g) OCCUPATION AND EMPLOYER BEGINNING THIS AMOUNT REPAYMENT OR INTEREST ORIGINAL CUMULATIVE OF RECIPIENT (IF SELF-EMPLOYED,ENTER BALANCE LOANED THIS FORGIVENESS RECEIVED AMOUNTOF LOANS (IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD CLOSE OF THIS THIS PERIOD, PERIOD LOAN 70 DATE I3 PAID CALENDAR YEAR \ _ $ $ 9s $ S FORGIVEN RATE PER ELECTION°'' S S S S S DATE DUE DATE INCURRED PAID CALENDAR YEAR $ $ % $ E FORGIVEN RATE PERELECTION" S S S S S DATE DUE DATE INCURRED "Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTALS $ $ $ $ also be reported on Schedule E. (Enter(e)on Schedule I,Line 3) Schedule H Summary 1. Loans made this period ..................................................................................................................................................$ (Total Column(b)plus unitemized loans of less than$100.) ..If Required 2. Payments received on loans ............................................................................................................................................$._ _ (Total Column(c)plus unitemized payments of less than$100.) 3. Net change this period, (Subtract Line 2 from Line 1.) NET $ (May We negative , (Enter the net here and on the Summary Page, Column A, Line 7.) ve n�m e r FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/A$K•FPPC(866/275.3772) Scher I Type or print in Ink. &HEDULEI Miscellaneous Increases to Cash Amounts may be rounded Statement covers period A ®. to whole dollars. from through Page_L 7... of SEE INSTRUCTIONS ON REVERSE / NAME OF FILER ) � IBER / M)I I 4�6D 2 , .j DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE,ALSO ENTER 1,0,NUMBER) INCREASE TO CASH f Attach additional information on appropriately labeled continuation sheets, SUBTOTAL $ Schedule I Summary , �{ 1, Itemized increases to cash this period. ............................................................................... ........ $ S� 2. Unitemized increases to cash of under$100 this period. ............................................................. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3, Enter here and on the SummaryPage, Line 14.) ...................................................................... .................................................... TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpllne;866/ASK•FPPC(866/278.3772) ' STATEMENT opoRo^.°zArIow lostateme., ofOrganization Type or print Recipient Committee RECEIVED AND ,�01 FORM E] Termination—See Part 5 2. Treasurer and Other Principal Officers I It L,)T STREET ADDRESS it MA t E AREA CODE/PHONE 3TREET ADDRESS(NO P.O.BOX) CITY STATE ZIP COD CITY STATE ZIP CODE AREA CODE/PHONE STREE __2 I y — IS-3 �'_5� CITY STATE ZIP CODE AREA CODE/PHONE 7/V—Sr3 6-S-gq 9 co m NAME AND POSITION OF OTHER PRINCIPAL 05FICER(S).IF APPLICABLE COUNTY OF DOMICILE COUNTY WHERE COMMITTEE IS ACTIVE IF DIFFERENT THAN COUNTY OF DOMICILE MAILING ADDRESS e— CITY STATE ZIP CODE AREA CODE/PHONE Attach additional information on app,opriately labeled continuation SheetS, 3' VerificationI have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete, | certify under penalty of perjury under of the State of California that the foregoing is true and correct. Executed on By F TREASURER OR ASS[STANT TREASURER SIGNATURE ------- Executednn Z By /DATE SIGNAT7?0;:CONTROLLING OFFICEHOLDER,CANDIDATE C)R STATE MEASURE PROPONENT Executed on DATE By SiGNATURE 01` CONTROLUNG OFrICEHOLDER CANDIDATE CR STATE MEASURE PROPONENT Executed on By DAT E SIGNATURE OF CONTROLLING OFF(CEHULDER CANDIDATE OR STATE MEASURE PROPONENT FPPC Form 41o (Jo"uury/u5) ppPc Toll-Free He|pone: uomAoK'pppc (000/zro'x7rz) STATEMENT OF ORGANIZATION Statement of Organization 'CALIFORNIA Recipient Committee FORM a 1 . INSTRUCTIONS ON REVERSE Page 2 I.D.NUMBER COMMITTEE NAME / rr k e� `� * a Z) ��o 4,Type of Committee Complete the applicable sections, • 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, • 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 YEAR OF ELECTION PARTY NAME OF CANDIDATE/OFFICEHOLDER/ URE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) Non-Partisan Non-Partisan • List the financial institution where the campaign bank account is located(controlled"candidate election"committees only) NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMBER -7l Y -�3 -Oa�� 4�/ E1,� ADDRESS CITY STATE ZIP CODE Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S)OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION CANDIDATE(S)NAME OR MEASURE(S)FULL TITLE(INCLUDE BALLOT NO.OR LETTER) (INCLUDE DISTRICT NO..CITY OR COUNTY,AS APPLICABLE) CHECK ONE SUPPORT OPPOSE SUPPORT OPPOSE FPPC Form 410 (January/05) FPPC Toll-Free Helpllne: 866/ASK-FPPC (866/275-3772) r, Statement of Organization STATEMENT OF ORGANIZATION Recipient Committee 'CALIFOIRMA. 410 . - INSTRUCTIONS ON REVERSE Page 3 COMMITTEE NAME I.D.NUMBER 4.Type of Committee (Continued) •• Not formed to support or oppose specific candidates or measures in a single election. Check only one box: D5 CITY Committee ❑ COUNTY Committee ❑ STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVITY /� n � r U �4.x sc- A 1, rc hcss A,.,A - C0VA: LJ • • List additional sponsors on an attachment, NAME OF SPONSOR INDUSTRY GROUP OR AFFIt IATION OF SPONSOR STREET ADDRESS NO.AND STREET CITY STATE ZIP CODE r • r ❑ ___,�/_� Check box and provide the date this committee qualified as a small contributor committee. If the committee qualified as a Date qualified small contributor committee on January 1,2001,enter 1/1/01, 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; • 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. FPPC Form 410 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275.3772) / .. CANDIDATE INTENTION STATEMENT Candidate Intention Statement Type or Print In Ink. Date Stamp Li For Official use Only Check One: initial 7 Amendment (Explain) 1. Candidate Information: "j NAME OF CANDIDATE (Last,First,Middle Initial) DAYTIME TELEPHONE NUMBER FAX NUMBER E-MAIL STRERETTDDRESS ' STATE ZIP CODE C I V coop-c �'4 VU4,-�'C�"TAY CA '/*',P I, Oe OFFICE SOUG T(POSITION TITLE) AGENCY NAl DISTRICT NUMBER,Wall CffNON-PARTISAN OFFICE JURISDICTION UStute (Complete Part 2.) 8KL City [] County [] MuiV'County: (Name ofMulti-County Jurisdiction) (Year of Election) 2. State Candidate Expenditure Limit Statement (CalP�candidates,judges,judicial candidates, and candidates for local offices are not required mcomplete Part 2.) =� primaglg nen,/ o/e��vn Spoo/akionoffo/oo�on (������� (7 - ������' (Check one box) []| accept the voluntary expenditure ceiling for the election stated above. [j | do not accept the voluntary expenditure ceiling for the election aty1ad above. Amendment: C) | did not exceed the expenditure ceiling in the primary or special election held on: and | accept the voluntary expenditure ceiling for the general nr special run-off election. ------~^^'------ (Mark naloll 7 On . | contributed personal funds in ex000n of the expenditure ceiling for the election stated above. J. Verification: | certiry under penaltyperjury d h laws of the State of California that the foregoing io true and correct. Executed on nionumm `'_—, _''_' `_—__ rppo Form ompanvaryms pppc Toll-Free xo/nxneuasmon-Fppc(xoo/2r5-o7rz)