COVER PAGE

Recipient Committee Campaign Statement Cover Page

Government Code Sections 84200 84216 5
from

Type or print in ink

Statement covers period

Date of election if

AUG I Pit 2 38

Page

of 4

2011 01 2011 30 06

Month Day

For Offdal Use Only

SEE INSTRUCTIONS ON REVERSE

through

2008 11104

1 Type of Recipient Committee All committees Complete Parts 1 2 3 and 4

Officeholder Candidate Controlled Committee
State Candidate Election Committee

2 Type of Statement
Preelection Statement

Primarily Formed Ballot Measure

Committee

Semi annual Statement

I Ouartorly Statement
Special Odd Yoar Report Supplemental Preelection
Statement Attach Form 495

0 Recall
Aeo Compbla Pmr5

0 Controlled
0 Sponsored
AmO mMAN6 0

Termination Statement Also file a Form 410 Termination

E General Purpose Committee 0 Sponsored 0 Small Contdbutor Committee

Amendment Explain below

Primarily Formed Candidate

Officoholder Commltteo
lAJWGora em Pan 7

0 Political PartyCentral Committee

3 Committee Information

0 1 NUMBER

1309990

s Treasurer
NAME OF TREASURER

COMMITTEE NAME OR CANDIDATE NAME IF NO COMMrTTEE S

Rothman for Mayor 2008

Kinde Durkee
MAILING ADDRESS

1212 S Victory BI
STREET ADDRESS NO P BOX O
CITY

STATE

ZIP CODE

AREA CODE PHONE

1190 Sequoia Glen

CITY

Burbank
STATE ZIP CODE
AREA CODEPHONE

CA
I

91502

260 818 0669

NAME OF ASSISTANT TREASURER IF ANY

Pomona

CA

91766

260 818 0669

MAILING ADDRESS IF DIFFERENT NO AND STREET OR P BOX O

1212 S Victory BI
CITY

STATE

ZIP CODE

AREA CODEPHONE

Burbank
OPTIONAL FAX MAIL E ADDRESS

CA

91502

260 818 0669

OPTIONAL FAX EMAIL ADDRESS

Verification

I have used all reasonable diligence In preparing and reviewing this statement and to the best of my knowledge the under penalty of perjury under the laws of the State of California that the foregoing is true and correct

In the attached schedules is true and complete I cortity

It

2011 09 07
Executed on
earn

By Kinde Durkee
By Elliott Rothman 011xe SpuareINCmWlltrp
By

Executed on

2011 09 07
Dab

Executed on
Dab

aays 51 INCOrbaeJg ClRdxYaet tlidalO Meaa Pmpotwxl Sefe n

Executed on
a IX

BY

edIFp SlgmaaedCO OIIkeMMr CarEpan Stay Mgaute Pmpor 1 urc

FPPC Form 480 January 05

State of California

FPPC T014Free Helpline 8661ASKFPPC 8881275 3772

Type or print in Ink

COVERPAGE PART2

Recipient Committee Campaign Statement

Cover Page
Part 2
Page 2

of 4

5 Officeholder or Candidate Controlled Committee

NAME OF OFFICEHOLDER OR CANDIDATE

6 Primarily Formed Ballot Measure Committee

NAME OF BALLOTMEASURE

Elliott Rothman
OFFICE SOUGHT OR HELD INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE Pomona Mayor
RESIDENTIALBUSINESS ADDRESS NO AND STREET CITY
STATE
ZIP

BALLOT NO OR LETTER

JURISDICTION

SUPPORT OPPOSE

1212 S Victory B

Burbank

CA

91504

Identify the controlling officeholder candidate or state measure proponent if any

NAME OF OFFICEHOLDER CANDIDATE OR PROPONENT

Related Committees Not Included in this Statement Listany committees

not included in this statement that are controlled by you or primarily formed to receive are
contributions or make expenditures on behalf of your candidacy
NUMBER

OFFICE SOUGHT OR HELD

DISTRICT NO IF ANY

NAME OF TREASURER YES

NO

7 Primarily Formed Candidate Officeholder Committee List names of

s officeholder or candidates for which this committee is primarily formed
STREET

COMMITTEE ADDRESS

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

is

COMMITTEE NAME

D I NUMBER

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

NAME OF TREASURER

NAME OF OFFICEHOLDER OR CANDIDATE YES

NO

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

COMMITTEE ADDRESS

STREETADDRESS NO

CITY

STATE

ZIP CODE

AREA CODEIPHONE

Attach continuation sheets if necessary

FPPC Form 460 January 05 FPPC Toll Free Helpline 8661ASK FPPC 866 9772 276
State of California

Campaign Disclosure Statement

Type or print in Ink

Amounts may be rounded
to whole dollars

Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER

Statement covers period

from

2011 01101
3012011 06

through

Page 3
D I NUMBER

of 4

Rothman For Mayor

ColumnA

1309990

Contributions Received
1
2

ColumnB
DALENDMYF
TOTALTDI

TOTAL

MPEaIOD

r mOMAT C

DSCHEDULeS

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

Monetary Contributions
Loans Received

schedule A Line 3

00 0
00 0

00 0
00 0
S

schedule e Line 3
Add Lines I 2

3 0 SUBTOTALCASH CONTRIBUTIONS
4
5

00 0
00 0

00 0 00 0 00 0

20 Contributions
Received I
21 Expenditures
Made

Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED

schedule C Line 3
Add Lines 3 4

00 0

Expenditures Made
6
7 B

Payments Made
Loans Made SUBTOTAL CASH PAYMENTS

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

75 578
00 0

75 578
00 0
75 578

Expenditure Limit Summary for State

Candidates

Ii
22 Cumulative Expenditures Made

75 578
00 0 00 0
S

9 Accrued Expenses Unpaid Bills 10 Nonmonetary Adjustment

11 TOTAL EXPENDITURES MADE

schedule F Line a
Schedule C Line 3

00 0
00 0

If Subject to voluntary Expenditure Limit

Date of Election
Total to Date

mnVddlyy

Add Lines 8 9 10

75 578

75 578

Current Cash Statement

12 Beginning Cash Balance
Previous Summary Page Line la
Column A Line 3above
schedule 1 Linea Column A Line a above

34 15249
To calculate Column B add

13 Cash Receipts
14 Miscellaneous Increases to Cash

00 0
00 0 75 578 59 14670

amounts in Column Atothe

15 Cash Payments
16 ENDING CASH BALANCE

Add Lines 12

13 14 then subtract Line 15

It this is a termination statement Line 16 must be zero

17 LOAN GUARANTEES RECEIVED

schedule E Pan 2

00 0

Cash Equivalents and Outstanding Debts

18 Cash Equivalents 19 Outstanding Debts
See instructions on reverse
Add Line 2 tine 9 in Column 8 above

00 0 00 0

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 the first report being filed for this calendar year only tarty over the amounts from Lines 2 7 and 9 if any

Amounts in this section may be different from amounts

reported in Column B

FPPC Form 460 January 05 FPPC Toil Free Helpline 866 86612753772 FPPC ASK

Schedule E

Payments Made
ON REVERSE

Type or print in ink Amounts may be rounded

to whole dollars

Statement covers
from

2011 01101

through 06 2011 30

I Page 4
11309990

of 4

man For Mayor

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

campaign paraphemaliamist campaign consultants

contribution explain nonmonetary
civic donations

MBR

member communications

MTG
OFC PET PHO POL POS PRO PRT

meetings and appearances

office expenses petition circulating phone banks polling and survey research postage delivery and messenger services professional services legal accounting print ads

R4D RFD

radio airtime and production costs returned contributions

SAL campaign workers salaries

TEL TRC
TSF VOT

FIL FNm

candidate rlling fees ballot fundraising events

v t or cable airtime and production costs candidate travel lodging and meals
transfer between committees of the same candidatesponsor voter registration

TRS staffspouse travel lodging and meals WEB information technology costs internet e mail

IND LEG LIT

independent expenditure supporting opposing others explain legal defense campaign literature and mailings
NAME AND ADDRESS OF PAYEE IF COMMITTEE ALSO ENrER I NUMBER D

CODE

OR

DESCRIPTION OF PAYMENT

AMOUNT PAID

1212 S Victory BI
Burbank

PRO
CA 91502

01 210

1212 S

tory c k

BI

CA

91502

PRO

I
SUBTOTAL

67 106

1212

S Victory BI
CA 91502

PRO

07 Y47

Burbank

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

75 543

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
00 0
TOTAL

75 543
00 35

4 Total payments made this period Add Lines 1 2 and 3 Enter here and on the Summary Page Column A Line 6

75 578

FPPC Form 460 January 05 FPPC TollFree Helpline 866ASK FPPC 866t2753772