California

R COVER

PAGE Recipient Committee Campaign T Cover

Page Govemment Code Sections 84200 84216

Statement Type or print in

e Ink CI

ER

rp

or Statement covers
Only

01 07 applicable

eerlod Date or election if 201 Month Day

5 II JAN 3 I AM

2008 SEE INSTRUCTIONS ON

31 12 from
REVERSE

2010 11 04

P
Tormination
CITY
STATE ZIP

CIE7F

Ii

Year Of clal Use

through 1 Type of Recipient Commit e All committees Complete Parts 1 2 and

Statement I1 Officeholder Candidate Controlled Statement 0 State Candidate Election Report Q
Al Preelection

4 2 Type of
Measure Preelection Committee Semi annual Controlled Termination

Committee Primarily Formed Ballot

Committee

Recall 0 Ca0rykbPe13 O
Committee AboCampb Po

Statement Quartery Statement Special Yoar Odd Statemont Supplemental

Statement Attach Form

495 C General Purpose below Q

Sponsored Also file a Form 410 d Amendment Explain

Sponsored Primarily Formed

Committee Offlooholdor
Committee AaoComFkmPan

Candidate 0 Small Contributor Commit ee O PoliticalParty Cenlret

7 3 Committee

I Information D

NUMBER

Treasurer 1309990
COMMITTEE NAME OF

s COMMITTEE NAME OR CANDIDATES NAME IF NO

TREASURER Rothman for Mayor

2008 Kinde
Durkee MAILING

ADDRESS 1212 S Victory

BI STREET ADDRESS NO O P
BOX

CODE AREA CODE

PHONE 1190 Sequoia

0669

Gle
CITY

Burbank

CA

818 91502 260

STATE ZIP

CODE AREA CODE

PHONE NAME OF ASSISTANT TREASURER IF

ANY

Pomona

CA

917 8181260
BOX MAILING

0669 MAILING ADDRESS IF DIFFERENT NO AND STREET OR O P

ADDRESS 1212 S Victory

BI

CITY

STATE ZIP

CODE AREA

CODEIPHONE

CITY

STATE ZIP

CODE AREA

CODEIPHONE
0669 OPTIONAL FAXE MAIL

Burbank

CA

91502 8181260
ADDRESS OPTIONAL FAXE MAIL

ADDRESS 4

Verifcaton I have used all reasonable dil gence in preparing and reviewing this statement and to the best of my knorAedge the informetio
certify under penalty of perjury under the laws of the State of California that the foregoing Is true and
Durkee Executed

co ined

cor ect

hereiryend the attached schedules Is true and complet I

11 01 l
on

LUm Dam
B on

2011 Kinde
By
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Rothman Executed

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1 1 er 7 11
1

1 Elliott
By 61paNa CarOta0ela0akely Cazbbam stem
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Preporimt FPPD Form 480

3772 State of State of California

January109 FPPCToll Free Helpline 888A3K FPPC 8861279 FPPC TollFree Helpline 888 A3KFPPC 8861279 3772

Type or print in ink

COVER PAGE PART 2

Recipient Committee Campaign Statement

Cover Page

Part 2

Pago
5 Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE

of 5

6 Primarily Formed Ballot Measure Committee

NAME OF BALLOT MEASURE

Elliott Rothman
OFFICE SOUGHT OR HELD INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE
BALLOT NO OR LETTER
JURISDICTION

SUPPORT OPPOSE

Mayor

City of Pomona
NO AND STREET CITY
STATE
ZIP

RESIDENTIAVBUSINESS ADDRESS

1212 S Victory BI

Burban

915

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 contributions or make expenditures on behalf of your candidacy
D I NUMBER OFFICE SOUGHT OR HELD DISTRICT NO IF ANY

NAME OF TREASURER
YES STREET

7 Primarily Formed CandidateOfficeholder Committee list names of

s officeholder or candldatels for which this committee is primarily formed
NO

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

CITY

STATE

ZIP CODE

AREA CODEIPHONE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

COMMITTEENAME

NUMBER

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT
OPPOSE

NAME OF TREASURER
YES

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

NO

CITY

STATE

ZIP CODE

AREA CODE PHONE

Attach continuation sheets if necessary

FPPC Form 460 January 05

FPPC TollFree Helpline 866ASK FPPC 8661275 7772

State of California

Campaign Disclosure Statement Summary Page

Type or print in ink Amounts may be rounded

to Whole dollars

Statement covers period

from

0112010 07

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

through 12 2010 31

age P 3
D I NUMBER

f o 5

Rothman For Mayor

Contributions Received
1
2

1309990

ColumnA
TDTALTHISPERIDD

Column
CALENDARYEAR TCTALTODATE

FROMATTACHEDSCHEDULES

Calendar Year Summary for Candidates Running in Both the State Primary and
General Elections
111 through 6130
711 to Dale

Monetary Contributions
Loans Received

Schedule A Line 3

00 0

00 100
00 0 00 100 00 0

Schedule B Line 3

00 0
S

3 SUBTOTALCASH CONTRIBUTIONS
4
5

Add Lines I 2 Schedule C Line 3

Add Lines 3 4

00 0
00 0

20 Contributions
Received

Nonmonetary Contributions
TOTAL CONTRIBUTIONSRECEIVED

21 Expenditures

00 0

00 100

Made

Expenditures Made
6
7

Payments Made
Loans Made

Schedule E Line 4
Schedule H Line 3
Add Lines 6 7

35 876
00 0 35 876
00 0

87 1421 00 0 87 1421

Expenditure Limit Summary for State

Candidates 22 Cumulative Expenditures Made
if Subject to voluntary Expenditure Limit Date of Election
Total to Date

SUBTOTAL CASH PAYMENTS

Accrued Expenses Unpaid Bills

Schedule F Line 3 schedule c Line 3

Add Lines 8 9 10

00 0 00 0 87 1421

10 Nonmonetary Adjustment
11 TOTAL EXPEN DITURES MADE

00 0 35 876

ddlyy mm

Current Cash Statement 12 Beginning Cash Balance

Previous Summery Page Line 16
Column A Line 3above
schedule 1 Line 4

3
69 16125
To calculate Column B add

13 is Cash Receipts
14 Miscellaneous Increases to Cash

00 0 00 0 35 876

amounts in Column A to the

15 Cash Payments
16 ENDING CASH BALANCE
Add Lines 12 113

Column A Line 6above

14 then subtract Line 15

34 15249

If this is a termination statement Line 16 must be zero

corresponding amounts from Column B of your last report Some amounts in Column A may be negative figures that should be subtracted from previous period amounts If this is

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

the first report being fled

17 LOAN GUARANTEES RECEIVED
Schedule B Pert 2

for this calendar year only

carry over the amounts

Cash Equivalents and Outstanding Debts

18 Cash Equivalents 19 Outstanding Debts
See instructions on reverse Add Line 2 Line 9 in Column Babove

from Lines 2 7 and 9 if

00 0 00 0
any FPPC Form 460 January 05 FPPC ToilFree Helpline 866ASK FPPC 8661275 3772

Schedule E

Type or print in ink

Amounts may be rounded
to whole dollars

Payments Made
SEE INSTRUCTIONS ON REVERSE

Statement covers period

from

M 192290 I
5

2010 01 07

through 12 2010 31

Page 4
1309990

of 5

Mayor

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

campaign paraphernalia mist campaign consultants contribution explain nonmonetary

civic donations

NSR

member communications

RAD
RFD

radio airtime and production costs

returned contributions

MTG OFC

meetings and appearances office expenses

RL

candidate filing ballot fees

FND fundraising events

PD LEG LIT

PET PHO POL

petition circulating phone banks polling and survey research

SAL TEL TRC

campaign workers salaries v t or cable airtime and production costs candidate travel lodging and meals

TRS
TSF
VOT

staffspouse travel lodging and meals

transfer between committees of the same candidatesponsor
voter registration

independent expenditure supportingopposing others explain legal defense campaign literature and mailings
NAME AND ADDRESS OF PAYEE

POS postage delivery and messenger services PRO professional services legal accounting
PRT print ads

WEB information technology costs internet e mail

AWO QFCOMMRTEE ENTER I NUMBER O

CODE

OR

DESCRIPTION OF PAYMENT

AMOUNT PAID

COPS Voter Guide

705 2 E Bidwell St 970

Folsom
Durkee Associates

LIT

00 250

CA

95630

ID 599014

1212 S Victory BI
Burbank Durkee Associates CA 91502

PRO

12 311

1212 S Victory BI
Burbank CA 91502

PRO

80 201

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

SUBTOTAL

92 762

Schedule E Summary
1 Itemized P a Y ments made this P period Include all Schedule E subtotals

35 876 00 0 00 0

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

35 876

FPPC Form 460 January 05

FPPC Toll Free Helpline 8661ASKFPPC 866 2753772

Schedule E

SCHEDULE E CONT
Type or print in ink Amounts may be rounded
to whole dollars
from

Continuation Sheet Payments Made

period 2010 07101

through 12 2010 31
Rothman For Mayor

Page 5
D I NUMBER

of 5

1309990

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

campaign pamphemalia misc campaign consultants contribution explain nonmonetary

civic donations

MBR

member communications

RAID

radio airtime and production costs

returned contributions

RL FIND

candidate filing fees ballot fundraising events

MTG OFC PET PHO

meetings and appearances office expenses petition circulating phone banks

RFD SAL TEL

TRC

campaign workers salaries Lv or cable airtime and production costs candidate travel lodging and meals

NO

LEG UT

independent expenditure supportingopposing others explain legal defense campaign literature and mailings
NAME AND ADDRESS OF PAYEE

POL POS PRO

PRT

polling and survey research postage delivery and messenger services professional services legal accounting
print ads
CODE OR

TRS
TSF VOT VVEB

staffspouse travel lodging and meals

transfer between committees of the same candidatesponsor voter registration

information technology costs internet e mail

AMOUNTPAID

DESCRIPTION OF PAYMENT

OF COMMITTEE ALSO ENTER I NeMBER D

Durkee

Associates
PRO 4 113

1212 S Victory BI
Burbank

CA

91502

Payments thatare contributions or independent exp mustals be summarized o S D n

SUBTOTAL

43 113

FPPC Form 460 January 05 FPPC TollFree Helpli ne 866 86612753772 FPPC ASK