Campaign Statement Cover Page

9421e5 Government Gode Sections 84200

Statement covers from

ommittee Recipie

ype

lnt p

I
Bale of election if applic

rt

RPAGE

iTY i ii
loi

m sm a

1
Page
Far

perlotl

I i

i j

of
onicial Uae Only

V J

Month Oay Vear

i hl Q

SEE INSTRUCTIONS ON REVERSE

through

0 3

l 6
2

complete mmineea Type of Recipient Committee All c Pansy a ana a Controlletl Committee g ORceholtler Candidate Primarily Formed Ballot Measure

Type

of Statement puarterly
Statement

Preelection Statement

SIaleCanditlata Election Commillee

Recall

Commillee

annualSlatement QSemi
Termination Statement

Vear Special Odd Report

QCOntrolletl

lAlm c Percs mpne

QSponsoretl
A15v COmplefe arc6 Commillee

Supplemental

Preelecllon

Alsofllea
Canditlatel

Form 410

Termination

Attach Statement Form 495

Purpose Q Sponsoretl

General

Amendment Explain below

PrimarilyPormed
Committee

Q
Q
3

Small COnMbutor Committee Political

OHlseholtler Commillee

Central Party

fam c Pa4IJ mPbb

Committee Information
COMMITTEE NAME

D I

rvu

s Treasurer
NAMF OF TREA9URER n G

OR

S CANDIDATE NAME IF NO COMMITTEE

YL
TREEi ADDRESS

A
i 1

NO

LBj POOW
Wn 6

l lJ

MAILING AOURESS

CIl Y

STATE

ZIP

CODE

PHONE AREA WOE

eS
CI1Y MAILING

T 1 bo
SihTE 21P CWE AREA CODEIPHONE
NAM OP

A6GISIANT TREASURE

NV

1a7
90

t 2a

t o2 z2 a
MAILING AnORE95

NO f STREET OR P O

CITY

ERENt1y0 DODRE65r1 n1 avla dvx

FA E ADDRESS MAIL

STATE

21P

CWE

AREA

PHONE CODE

LIiY

STATE

ZIP CWE

PHONE REA CWE

CAL

R 171oq
OPTIONAL FA E ADDRESS MALL

OPTIONAL

Verification
I have usetl all reasonable antler

penalty

of

tliligence In preparing antl reviewing this statement and l0lhe best of my knowletlge ntler perjury the laws of lM1e Stale of California That the roregoing is true antl correct

the information conlalnetl herein an0 in the atlachetl schetlules is true end

comOlele

certify

Executes

on

U
Dak Uale

Rv

y
slsna
aolTreaw lam Treaau ae OeC Caraieal

Exeemea

an

av

Slgrulwd

a nggfi

Execuletl

BY
Dab

e eem Me ley
I

panwr NOrerM gmmlorReapanslele P

IalueolCmlm 51

e Ceel VIAmbIad 9lale MOVUrePRWnenl

Stela Meaeure PmpaeM

a cul Ex on Wk

ey

eale LaM MimlvlOer SlgnatwaalemvoAmg

FPPC Toll Free

FPPC Form 4601Januerylb6 FPPC T13 Halpline b661A5H 666I2T6 State of Galifornla

Type

or

print

in Ink

COVER PAGE PART2

Recipient Committee Campaign Statement Cover Page Part 2

Page
of

Officeholder
NAME OF OFFICE

or

Candidate Controlled Committee

ER OR CANDIDATE

Primarily

Formed Ballot Measure Committee

NAME OF BALLOT MEASURE

OFFICE SOUGHT OR HELD

pNCWDE LOCATION AND DI

TNUMBER IF

APPLICABLE

BALLOT NO LETTER OR

JURISDICTION

SUPPORT

r C
RESIDENTIALIBUSINE55 ADDREGS

NO

AND

STREET

T1 q y
Rpf

YvI n E Y y AIE Iy T C S
16e IIn LW
LLL

OPPOSE
ZIP

ItlentifY
NAME OF

the

conlrolling otficeholtlor cantlitlate

state

measure

Proponent

If any

OFFICEHOLDER CANGIDATE OR PROPONENT

etl Rela Committees No Included in this Statement

included in Mis statement that
or

mrcees uhf aay com rormed l0 receive OFFICE SOUGHT OR HELD pISTRICT NO IF ANY

are
on

controlled ny you
hehalr or yom

confrihufions COMMITTE

maXe

expendifnrez

imaHly p candidary
or are

AME

ID

NUMBER

NAME OF TREgSURER

CONTROLLED COMMITTEEi
VEG

manly Formed
onm

Officeholder Candidate Committee

mr wmm mis commutee rs

List

names

of

mertsl
6

er

sf paadidafe

pnmamy

mea ro

NO
NFlME OF OF

HOLDER OR CANDIDATE

OFFCE GOUGHT OR HELD

GOMMITTEEgDDRESS

ST

TApDRESS

NO

PO

BO

l SUPP00
OPPOSE

CITY

STA1

ZIP CODE

PHONE AREA CODE

NAME

OF OFFICEHOLDER OR

DIOATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

COMMITTEE NAME

NUMBER NAME OF OFFICEHOLDER OR CANDIDATE FICE SOUGHT OR HELD SUPPORT

OPPOSE CONTROLLED CO YES COMMITTEEhDGRE55

O STREETADDRESS NO P BO NO i E

NAME OF

TREASURER

rygME OF

OFFICEHOLDER OR CANDIDATE

OFFICE SOUGI

RHELD

IJ J

SUPPORT
OPPOSE

CITY

STALE

21P CODE

AREA CODFJPHONE

IaCh q ConfinYdflOn SheefS i r1ecessery

f
FPPL Form 060
FPPL

O6 January

FPPL P6 Fred Toll Nelpllne 6661A6K 966

omia Lali Sla

Campaign Disclosure Statement Summary Page

Type
Amounts

or

print

In Ink Statement covers

SUMMARY PAGE

may be rountlad

to whole

dollars from

porlotl

c i
3 fr
Page
O I NUMBER Of

SEE

IN6TRUCTIONS ON REVERSE

hrOngh

NAME OF FILER

ColumnA

ColumnB

Calendar Year

Contributions Received
1 2

Summary

for Candidates

xEOeuxpouLar na iraoM
scneame n uee a
scneaub

cimuiowiea
S

Running

in Both the Stale

Primary
n

and

General Elections Monetary Contributions

Loans Received

vt

mroe6h erob

to

Dale

e Linea

SUBTOTAL CASH CONTRIBUTIONS

4

p U
v

2p Contributions

gdeuoes r z

Received
z1 Expenditures

Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED

scnadme c ueea qm ueesa

Ll 2

7 r

Made

Expenditures
6
7 B 9

Made
schedule e une a
smedme x Linea qde ones s

Expenditure

Limit

Summary for

e a S

Payments

Made

r 77

Candidates

Loans Matle SUBTOTALCASH PAYMENTS

to Lb X0 5

22 Cumulative

773 7

Expentlltures

Matle

ul eLm nmm P nmvmaaeryE sanl n

Date of Election Total to Date

Accrued Expenses Unpaid Bills scneamefi

tines

10 Nonmonetary Adjustment
11 TOTAL EXPENDITURES MADE

schedule c ueea
m s Aad Lines a

tltllyy mm

1
S

75 5

Current Cash Statement

2 Be 9 innin 9 Cash Balance
13 Cash
wahoua

summanPa6a

Line ra

Receipts
to Cash

Comme A Lmeaabove ueer scbeame cowne q weeabove

ts rz

p 3S l pU
L1 rJ
vi h

To calculate Column B atltl

amounts in GOlumnAmthe

correspontling

amounts

14 Miscellaneous Increases 15 Cash Payments

3 J v

Amounls in this section may be tlitterent from amounts

from COlumnB Ol your last repod Some amounts in

repodedinCOiumn

16 ENDING CASH BALANCE qdd unea ll this is

a

ta mee

subrrea uee l5

termination statement Line 16 must b0 zem

6
scneame s Faez

17 LOAN GUARANTEES RECEIVED

ColumnAmay be negative figures that shoultl be subtracted from previous periotl amounts If Ihis is the first report being 51etl for this calendar year only
carry
over

the amounts

Cash
16 19

Equivalents
Equivalents
Debts

and

Outstanding

Debts
sea

arnv
on rever e

Lines z ands ir

Cash

rnswmens

Outstanding

ueeain gmenez cewmeeamra

QQ 73

FPPC Farm a60 tJanuaryia5 FPPC 5 FPPC To14Free Relpllne 6661ASK 86612 31 3

ScheduleA
Moneta ry Contributions Received

Type

or

print

in ink Statement covers

SCHEDULER

Amounts may

be rountletl

to whole tlollars

period

from

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

through

Z c3 dl

Page
I O NUMBER

of

c 4 C 7l
DATE RECEIVED
FULL

NAME

STREET

AnDRE55 AND ZIP CODE OF GONTRInUTOR

wso

CONTRIBUTOR
CODE

ppconnmee

rvuneenl ervrenrD

IF AN INDIVIpUAL ENTER OCCUPATION AND EMPLOYER

Ilr
rF s EUVlovE4 EMERNaME

AMOUNT
RELENEO THIS PERI00

CUMULATIVETO DATE CALENDAR YEAR

PER ELECTION TO DATE

DEC 1 JAN J1

nF REQUIRED

BVSINtsS o

uci yvt

G L 2 J r5 T v Y U 95 C 4y U rL1X IISF CWW YYka

10

1 y

IKD COM orH

PTY

CGD
o IG P C vf
n

O tJCI

9iZlocZG

SCC O DM oTH scc

e2J Lc yyL YLex cz Q Y v f O

v

QC

y tGz il LO
3 7a d 2

DTH

oLLC

OCJ

scc
IND COM

02

7 t Lj l CPryu t Gl s
1
2

TH
PTV t scc

e B WKtJbUrT

1ov YI

a 6

av

J Cb
969
2 C 8 cDG T s

D DDM
oTH
v P

nay J re
i

zivz

scc

e iZ u11 p
SUBTOTALS

bz1
U
comrroulor cones mdimdual IND

Schedule

ASummary yq g

1 Amount received his

period itemized monetary contributions Include all ScheduleA subtotals

2 Amount received this 3

unitemized period monetary

period
on

contributions of less than 700

RecipientCOmminee COM other than PTV or SCC usiness entity

pry olmca Party

TOTAL

Totalmonetary

contributions receivedthis

smanconldbWOr scc comminee

Add Lines 1 and 2 Enter here and

the Summa ry

Page

Column A Line 1

g
FPPC Form 060 FPPC Toll Free

g5 January

FPPC ASK Helpllne 666

2 5d 8

s
Continuation ScheduleA Sheet Monetary Contributions Received
lypeorprmtmink
Amounts may be rountlutl Statement covers

scHPDOLPA coruT

perlotl

to whole tlollars
from

C5 4 b S 3

t
page
D I NUMBER

through
NAME OF FILEP

of

DP1E RECEIVED

FULL

NAME

STREET ADDRESS ANO ZIP CODE OF so aEwuwmeen

CONTRIBUTOR

CONTRIBUTOR
CODE

IF AN INDIVIDUAL ENTER OCCUPATION qNO EMPLOYER

EMEa mvEn Ex pE SEIF NnME E551

AMOUNT
RECEIVED

CUMULATIVETO DATE CALENDAR YEAR

PER

ELECTION

1 rvvwteEn ato Ervi

THIS

TO GATE

PERIOD

DEC 1 JAN 31i

IF REQUIRED

Y Old
qq

vrJ
z

U
o 7 q

coM
H

trLtMaa2v Qc

05
1ND
GOM oTH PTV scc
n

r ay

3l

jYl LC J SJI J l 34

n l f s L o LL
75

2 L h 77C
PD

y
v

rte G L
7 66

3J G 7u tuo

y 4J vCr0 zQazzx L

coM

rL rta oLGt

Zh 3
scc

orb Jr

ZiU 7S

r G
LYLC
v

af l

e L
l

J 12C1aM1 tiG

IND COM

IX IOYJ Tl J

1cZ 1 O

Zl Gl7 Q

HH

scc

IND GOM
OTH PTY

SCC
SU6TOTAL8

q4g

COnbibulor GOtles Intlivi0uaf IND

Recipient COM

Committee

other Than PTY or SCC OTH Other e business entity g PTV POlilical Party
Small SCC Contributor Cmnmiltee
FPPC Toll Free

FPPC Form 460 Januarylg5 FPPC 3T Helpline BfiSIASK Bg51215 P

scNFDULEE

Schedule E

Type

or

print

In Ink

Statement covers p erlotl

Payments

Made

Amounts may be rountletl

to whole dollars from

pg 16yg

SEE INSTRUCTIONS ON REVERSE

NAME

through

Pdge
I D NBMBER

Of

OF FILER

CODES
OvP CNS

If

one

of the

following

codes

accurately describes

the
MBn
MTG OFG

payment
meetinys

you may enter the code

antl appearances

Otherwise
RFD

describe the

payment
protluclion
costs

misc campaign paraphernalia

member communications

RAD

radio aidime antl

campaign

consultants

relurnetl contributions

CTB
CVC 9L JD
IPA

contribution explain civic donations cantlitlale

nonmonetary
fees

office expenses

SAL

campaign

workers salaries

FET
HO F

petition circulating
phone banks polling antl survey research postage delivery and messenger services essional pm services legal acwunting print ads

TF1
TRC

v i or cable aidime antl

pmtluction

costs

ballot fling
events

cantlitlate travel lotlging antl meals

Nndraising

OL F
others

TRS
TSF VOT WEB

stalflspouse travel lotlging

voter

and meals
same

indepentlent expentlilure suppodinq opposing

legal tlefense campaign literature
antl

explain

POS PF20

transfer between committees of the

canditlalelsponsor

LEG LR

mailings

PRr

registration information technology

costs

internet a mail

NAME AND ADDREGS OF PATES

rvemaarej Alsoamram prfAmmnee

CODE

OR

DESCRIPTION OF PAYMENT

AMOUNT PAID

YL I CCQD 2 n Y1 C
r 40w

if

wr ia zc d
9 Lc cam e eY
P

e2r CrJL yyo 07 Ce c d iJitc tGC yi

ds

s
C ht

J7
a r

0 3

mzw e6 vt r ux

CJ l Yl2c 6rmr

r in
SUBTOTAL

r ac

z
Payments
that
are

z cU
contributions or

cam

Intlepontlenl expenditures

must also bo summarizetl on Schetlule D

Schedule E Summary
1 Itemized

payments

made this

period Include period

all Schedule E subtotals

2 Unitemized

payments
paid
this

made this

of under

100

3 Total interest 4 Total

period

on

Column loans Enter amount from Schedule B Part 1 e

Lines 1 2 and3 Enter here and
on

payments

made this

period Add

the

Summary Page

Column A Line

TOTAL
FPPC Form aaa FPPC Toll Free

Januaryl05

Helpllno

FPPC 888IASK

0PT2 5 Z B6

Schedule I

PdRURmk yPen
AmtJnnt6marbernnnaea
to whole tlollars Pom

SCHEDIILEI

MiscellaneouslncreasestoCash

lea stacementcoverspe

O T
y

through
6EEINSTRUCTIONS ON REVERSE NAME OF FILER

Pages L of
U I NUMBER

GATE RECEIVED

FULL NAME AND ADDRESS OF SOURCE

M50 la couul4e
EIrtEa

DESCRIPTION OF PECEIPT

PMODNT OF INCREASE TO CASH

laMaEn m

Attach additional information

on

inuation appropriarery labeletl con

sheets

SUBTOTALS

Schedule I Summary
1 Itemized increases o cash this

period
100 this period
on loans

3 025

a3

2 Unitemized increases to cash of under

3 Total of alt interest received this

4 Total miscellaneous

period

made fo others
Lines

Schedule H

Column

e
on

increases to cash this

period Add

1 2 and 3 Enter here and

the TOTAL

Summar Y Pa 9 e line 14

c2

3 3
FPPC Form O661Januaryl05

FPPC FPPC ToIFFree HelPllne B661ASK

2 6661315