Sunteți pe pagina 1din 12

entCommittee Recipl Campaign Statement Cover Page

Government Cotle Sections


84 2 0 0 84216

1 r
Type
or

RPAGE
e e

print

n mk

ll
5
Statement
from
covers

yell j

E
Pif

period

Date of election it

2o0a 19 l0

applicable Month Day Vear

ur Z ii O

dag 371

pf

12

For OXicial use

only

SEE INSTRUCTIONS ON REVERSE

lhrOOgh
All

2008 31 12

2000 09 11

Type
Q Q

of

Recipient

Committee

complain commmeee

Pam

1 z s

ana 4

Type

of Statement Quarterly Statement


Vear Special Otltl Report Supplemental Preelection

xQ ORCeholtler
Revell

Cantlitlate Cpntrolletl

Committee

Primarily

FOrmetl Ballot Measure

Preelection Statement annual5latement Semi Termination Statement Also flea FOfm 410 Termination 1

Stale Cantlidate Election COmmiVee


PSn sl

COmmiKee

nw cwnpr re General

QCOnirolletl Q ponsoretl
tam co werevemel Committee

Attach Statement Form 495

Purpose Q Sponsored

Amentlment Explain below

Prmarily FOlmed Canditlatel


OKiceholder COmminee Bre 0oinp rM1 PBQn

Q Q
3

Small COnhihutor COmmiflee POllical

ParrylCenVel COmmlitee

Committee Information
COMMITTEE NAM1fE

LC

NumaER 1206350

s Treasurer
NAME OF iREASIIRER

OR

S CANDIDATE NAME IF NO

COMMITTEE

Atchley

for

Council

2000

Yolanda

Miranda

MAILING ADDRESS 26 STREET ADDRESS Val Viata W

2dna

Place
STATE

NO

PO

60Xt

CITY

21P

LODE

AREA

PHONE LOGE

e5 CITY

Street STATE ZIP CODE AREA

Covina
COOEIPHONE

CA

22 91 IF ANY

635 915 626

NAME OF ASSISTANT TREASURER

Pomona

CA

60 91

635 915 626 MAILING ADDRESS

MAILING ADDRESS

NF DIFFERENT NO ANO STREET OR PO BOX

CITY

STATE

ZIP

LODE

AREA CODE PHONE

CITY

STATE

21P LOGE

AREA

LOOEIPNONE

OPTIONAL

FAX

I EMAIL ADDRESS

OPTIONAL

FA E AODREBS MAIL

6626 915 626

Verification
I have usetl all reasonable tliligenca in preparing antl reviewtngthis statement antl to thg knowletlgelhe information coD pestnrymy d 6rte untler penalty of perjury untlerihe laws of lha State of California that the foregoing is irG
Executetl
on

inetl herein and in the attachetl schetlules is true antl complete icertify

2009 30 01
aab

By
rlvY

2
wstanliree5urer Slgnaturep Trpasweroe0

eCUletl E On

Jn09 i0 Al
Wk

gy
SlgniNeor

SMe ceMEale nVtllinB014NdEer

PmpanerM1OrResgnvble OMrerolSPonsw

EaecuteJ an
Cale

By
Sate SlgraluraolCOnLOlliygficeM1CMeCCentieMa Mysore PmFamnl

Executetl on
e Oe

By
emleec SUle Syralure NCanoWlrg Orc Ceramte Meaaurz Prowrem FPPC Toll Fee FPPC FOm NO Janueryl06 FPPC JP2 Halpline B661ASK 86612TS

State of Calllornia

Type

or

print in Ink

COVER PAGE PART2

Recipient Committee Campaign Statement Cover Page Part 2


Page
of
ix

Officeholder

or

Candidate Controlled Committee

Primarily
NAME

Formed Ballot Measure Committee

NAME OF OFFICEHOLDER OR OgN01DATE


Mi

OF BALLOT MEASURE

Stephen Atchley
BALLOT NO LETTER OR JURISDICTION SUPPORT OPPOSE

OFFICE SOUGHT OR HELD INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE

p Ci Council
Pomona

Member

BUSINESS RESIDENTIAI ADDRESS


ves

NO

AND

STREET
cA s196e

CITY

STATE

ZIP

vat

visea

sereee

eomona

Itlentify

the

controlling oHlceholder candidate

or

state measure proponent H any

NAME OF OFFICEHOLDER CANDIDATE OR PROPONENT

Related Committees Nol Included in this Statement


not

Lisr any cpmmircees


formed fp receive

Inclutletl In fhls sWMmenf


or

Nat are
on

controlled

by you

or are

pdmarlly

OFFICE SOUGHT OR HELD

DISTRICT NO IF ANV

conblbutlons

make expenditures

behal o your candidacy


ID

COMMITTCENPME

NUMBER

NAME

OFTREASURER

COMROLLEDCOMMITTEE YES
NO

ceholtler I Primarily Formed Candidate


a ceholder oH
or

Committee

Llsr names p

s candidate for wMCh this committee is pdmadly formed


OFFICE SOUGHT OR HELD SUPPORT
OPPOSE

COMMITTEEAODRESS

STREETAOORESS NO P O

BO

NAME OF OFFICEHOLDER OR CANDIDATE

CITY

SigTE

ZIP CODE

gREA CODE PHONE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD


SUPPORT

OPPOSE COMMITTEENAME LD NUMBER NAMEOFOFFICEHOLOERORCANDIDATE


OFFICE SOUGHT OR HELD

SUPPORT
OPPOSE

NgME OFTREpSURER

CONTROLLED COMMITiEE9

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

VES COMMITTEE ADDRESS STREETpDDRESS NO PO

NO

SUPPORT OPPOSE

80

CITY

rA1E

ZIP CODE

AREA CODFIPHONE

Attach conflnua sheets if necessary ion

FPPC TolbFm

FPPC Form 060 January105 Helpline e6NA5 WfPPC 0661P6JTR

aPo 5 of California

Campaign Disclosure Statement Summary Page

Trpe

pr

print

in ink ndetl statement covers

UMMARYPACE

gmoto whole

tlollars
from

period
a

zooe ls to

SEE INSTRUCTIONS ON REVERSE NPME OF FILER

tbpu8h

2000 31 12

Page
0 1

3
NUM6ER

Of

12

ALChley fOi COmCil

2000

1206350

ColumnA

Contributions Received
1

Column B
caenoeavsu r urow o

Calendar Year

rorArmiseealoo

Summary for

Candidates

xr rrnornnnncneoxnalnr

Runnin 9 in Both the State Prima ry and General Elections


m

Monetary COntnbutions
Loans Received

scneawa A Linea scneawe e uses


Aaa L r eea z

00 503 5
oo aoo

op sle n

mmvyh

ciao

m Dale

2 3 4
5

Aoo

00

SUBTOTAL CASH CONTRIBUTIONS

oa sm s

sle n ao oo o

20 contributions

Received
oo o oo sm s
21

Nonmonetary Contributions
TOTALCONTRIBUTIONS RECEIVED

scnedme4 unea aee u a esa

Expenditures
Made

oo zv sle

Expenditures Made
6 7 8 9
10

Expenditure
scnaduieECnea
scnedme a unea
3e 3 io o

Limit

Summary

for State

Payments

Matle

pa za zAT po p

Cantlidales

Loans Made SUBTOTAL CASH PAYMENTS Accmetl

oo o
fo

Aoe unesb eEtine3 SCncdu ssneawe c urea


ones a lp s

3e ov3 00 0
oo o

za za3 oa
0o 0

22 Cumulative Expentlitures Matle uo vea ei u tns vm elwreumul Dale of Eledion Total to Date

Expenses Unpaid Bills

Nonmonetary Adjustmen

o oo

mmltltllyy

tt TOTAL EXPENDITURES MADE Aae

la

le oT3

zs

oa za3

Current Cash Statement


12

Beginning Cash Balance Receipts

eviovs P

s e semmayPase L
edema e a uee 3abo

le azos

To calculate column B add s vos po


oo o

13 Cash

amounts in COmmnAmthe

conespontling report

amounts

14 Miscellaneous Increases to Cash 15 Cash

gmountsin Nissection

scnaemeL Uaeq LdemaAUae Babeve

maybetlifierent

from amounts

from Column eoF

yourlast

reponetl

in COlumne

Payments
Aaa ones

lo ova 39
3y eo

Some amounts in

1fi ENDING CASH BALANCE


Il this u
a

ta tt mea subbaa uae rs


zem

termination statemenp Line 16 must 6e

17 LOAN GUARANTEES RECEIVED

Scneemee

Ganz

oo o

negative figures Nat snouts be subVaged from previous period amounts Il Nis is the finY report being filed for this calendar year only
Column A maY be carry
over

Ne amounts ana s

Cash
18 19

Equivalents
Equivalents

and

Outstanding

Debts
see msruclroas
on reeese

arum r
ao o

ones z

pr

Cash

OUISIanding Debts

Atla One2 Cdumnaabove Line9in

00 x00 FPPL Tall Free

FPPC FOnn 4fi0 January105 FPPC 53 Helpllne 0661ASK 66612 2

ScheduleA Moneta ry Contributions Received

Type

or

print

m mx Statement covers

scHEOULFa

Amounts may be rounEetl to whole dollars

periotl

IrOm

2000 19 10

SEE INSTRUCTIONS ON REVERSE NAME OF FILER

M1roYgh

2000 31 12

Page

OI

12

LD NUMBER
2000 1206350

ACChley for Council

FULL

RECEIVED

NAME STREET ADDRESS ANO ZIP CODE OF CONTRIBUTOR AL5paxlEgto IiFCOMMmaE rvuMasal

IF AN

CONTRIBUTOR
CODES

INDIVIDUAL ENTER

PMOUNi
RECEIVED THIS

CUMULATNETO DATE CALENDAR YEAR

PER

ELECTION

OCCUPATIONAND EMPLOYER
enieRntme emPmveo cs prs

TOOATE

PERIOD
00 500

n6asl

DEC 1 JgN 31
00 500

IF REQUIRED
G00 00 500

2000 23 10

905

h e

Scree

caC

ND
COM
r

aal renn

eec sc
cA

elag

nngelea paay cu

9oou

Ox OTH PTY SGG


LINO
COM
00 500 00 500 GOB 00 500

2000 03 11

viva

s2

wbiccie

a s1

noacebel3o

cn

9a6ao

Ox OTH PTY SGG ND x COM OTH


o zac Con 00 250 00 250 G00 00 250

2008 03 11

Cobb

9s

vz

Genuine

eonserueeion

ceiina

ix

5DO9

PTY

SCC
200a 03 11 ralzpiex
llol w

BIND
McKinley Ave
CA 68 91

00 250

250 A0

G00

00 250

Pomona

COM x OTH PTY SCG QIND COM DTH PTV PiD


president
00 250 00 250 GOB 00 250

20od 23 10
315

envao

ning Mo Canyon
oel

Rd

pOmOna

Pdir

Cornea

Naq

CA

92625

SUBTOTALS

i aso

00

Schedule A

Summary
period
itemized

cnmrmator cnaea

t Amount received this

monetary

contributions
oB B s a

Inaivlaual IND

Include

all Schedule

Asubtotals unitemized period monefarycontribufionsof


period
A Line 1
TO7AL
on

2 Amountreceived this
3 Total

lessthan

100

o0 ss

RealNem coM committee other tM1an PTV or SCC Other g OTH e business entity
Political PTY Pady smart scc comnbutor COmmmee

monetary

contributions received this

Add Lines 1 and 2 Enter here and

the Summa ry Pa 9 e Column

s so3 00 FPPC Form 060

65 January

FPPC Toll Helpline 66filASK Free FPPC

T2 6 6fiW2T5

Continuation ScheduleA Sheet Monetary Contributions Received

Type

or

printin ink
statement
covers

SCHEDULER CONT

A1110Ynte may be rounded to whole dollars

period

from

zoos 19 to

e
page
I O s

through
NAME OF FILER

lz

31 2000

of

lz

NUMBER

cbley A fox

Council

2000

50 1206

OAIE

FULL

NAME STREET AOORESS ANO ZIP CODE OF CONTRIBUTOR


OrcaNNmex Aisoarvream m WUVe

CONTRIBUTOR CODE

RECEIVED
serum

IF qN INOIVIOUAL ENTER OCCUPATIONAND EMPLOYER emttorsgemearvune 3 OTSS

AMOUM
RECEIVED THIS

CUMULATIVETO DATE
CALENDAR YEAR

PER ELECTION

TO DATE

PERIOD

3t DEC t JPN
00 300 cps

IF REpUIREO
00 300

oFeuswessl
xealcn

zoos 03 11
03 W

care

mc

caret
cA

Ave

mono

9vsv

IND COM x OTH PTY SCC QIND COM OTH PTY


Developer
Genisls
Real
Estate

00 300

2008 W 11

eaynelle
339

Ip

00 250

00 250

G00

00 250

clan

11 x

or

Group

Dallas

rx

szae

SCC
vewle

2000 23 10
ss

Invescmenc

company aac

1Np

00 500

00 500

G00

00 500

n mowca

Ave

Vplantl

CA

86 91

GOM X OTH PTY sCC


IND
po soc soD op cos aa soo

zoos 3e le

encm ma Realcy

co

Ilsa

croaaroaaa Of

car CA

ay

uoan
91946

y Ci

ry Intlus

COM x OTH PTY


scc

2000 23 10

Suzanne

Richmond

o c

1131

Warren

ave

X IND COM OTH

Adminis Cramr

00 99

00 199

GOB

00 199

eroa

m3

aezm

PTY SCC

ar Flags

Bank

SNBTOTAL

1 a9

00

Canlributor COtles Individual IND

Recipient COM Commitee

Other
OTH Other

than PTV Or

SCC
FPPC Form 660
FPPC TolhFree

e g business entity Political PTY Patly


Small SCC Conlnbutor Committee

Januaryl06

FPPC 3 8681A5K 53 Helpline 86612

Schedule A

Continuation Sheet

Monetary

Contributions Received

Typeprpnmmmw smayberounrletl Amoun


fO Vlhale dOlldS

scHeouLeA CONT

covemperiotl Statemen
from
2008 19 10

thrcu9h
NAME

zoos 31 lz

page

of

12

OF FILER
2008

D I NUMBER
50 1286

Acchley for Council

OAiE

FULL NAME STREET AppRE55 ANO21P CODE OF CONTRIBUTOR


reamuvm9a91 usou Urcomumee

IF AN WOIVIpOAL ENTER

AMOONT

DONTRIBUTOR
COOEa

RECEIVED
hex ac

OCCUPATION AND EMPLOYER


enamveO pFSeiF ENTeaeune

REOEIVEDTHIS
PERIOD

COMIILATIVETO DATE LALENDAR YEAR

PER ELECTION
TOOATE

1 JAN

pEC

31
GOB

IF REQUIREp
00 250

551 OsaV611
wtvnftela

z00B 03 11
silo
v9a

ggina Sc

OND COM
OTH

Realty Advisor

00 250

00 250

eeway 9
Tx

wo

sxa

mex

nazlaa

lsa4o

spry
SCC

mia callf

n eais

2008 03 13
44

walnuc

curve

BIND GOM x OTH


PTY

00 299

00 249

GOB

00 249

eemeatl

CA

9ll90

scc
em m c

zoos z3 lB
qv ne r

nary ca

Ave

IND COM x OTH


PN

00 200

oo zoO

c B6

200 Ba

mood

CA

64 91

CC
aia Cla n Ten

2008 24 11
s a er s CA name

QND COM
elva

Musician

00 500

00 500

GOB

00 500

APC

OTH
pry

Cava

Pasadena

9366 91301

CC
2008 03 11
eraltl
v ez Tess

QIND COM
sce so

Real

Estate

Developer

00 250

00 250

GOB

00 250

2s1

mas rn

sc

na m

CA

9P66

OTH Pn sCD

cerala

tesaier

SUBTOTALS

pp 1 44a

Contributor Gotles Individual IND

Recigent COM CommAtee other than PTV or SCC OTH Olher e g business entity Political PTV Patly
Small SCC Contributor Committee

FVPC Form 660 FPPC Toll Helpline e661ASN FPPC Free

January105 2 1 efiN2Tl

Schedule A

Continuation Sheet

Type

or

print in ink
covers Slatemen zoos 1B to

SCHEDULER CONY

Monetary

Contributions Received

s Amoun may be rountletl to whole dollars from

period
J

mrougtl
NAME OF FILER

12

31 x2009

Page

of

12

LO NUMBER

ALChley

f0

CoYnCil

2008

1286350

GATE

FULL NAME STREET ADDRESS ANO ZIP CODE OF GONTRIRUTOR


rvrtam uso OrcomrnmEE rvumeral

IF AN CONTRIBUTOR

INOIVIOUAL

ENTER

AMOUNT RECEIVED THIS

CUMULATIVETO DATE
CALENDAR YEAR

PER ELECTION

RECEIVED a egi 0 Webs Ce

COOE

OCCUPATION AND EMPLOYER


emenlume Innaveo s pFSe
OF6USINEE51

TODATE

PERIOD

1 JAN DEC 31
00 500 G00

IF REOUIREO
00 F00

08 2 11

vTSS

enerw

weac

vote

ie

QIND COM OTH


0 914

ViC

nC Sid PS

00 500

So

CA

y Univeisi
S IIC SC1

of

Rancho

Nca

onga

CA

H231 Ch

SGG BIND COM


OTH PTV

SCG IND COM


OTH
PTY

SCC BIND COM


OTH
PTY

SCC

IND COM
OTH
PTV

SCC
SUBTOTALS
soB oo

As

DOnidbulor Codes Intlivitlual IND

Recipient COM Commitlee other than PTV or SCC OTH Other e business emiry g PTV Political Patly
maIlCOnkiboto SCG Commitlee

FPPC Form 46g Januarylg5 FPPC SJ FPPC Tell Helpline 666IASK 66612 Frre 2

Schedule B 1 Part Loans Received

Type

or

print

in ink

PART1 SCHEDULE B

Amounts may be roundee to whole tlollars

statement
from

covers

period

zoos ls to

EE INSTRUCTIONS ON REVERSE NAME OF FILER

Ihrou 9 h

2008 31 12

pa 9 e
LO NUM6ER 1286350

pf

12

Atchley

for

Council

2006

FULL NAME TREET ADDRESS AND ZIP CODE

IF AN

INDIVIDUAL ENTER

OUTSTANDING
BALANCE

OF LENDER OFCOmmmeEUSOSNrtRro rvVUSeaI Yolanda


2a W

OCCUPATION AND EMPLOYER

0 PMOUNT RECEIVED THIS


PERIOD

AMOUNT PAID
OR FORGIVEN THI

OUTBTgNOING
aALANGEAT

1
INTEREST

91
CUMUTATNE

ORIGINAL AMOUNT OF LOAN

eunovaOFinaR psseLF

BEGINNING THI
p R p

CLOSE OF THIS
p
I

PAID THI

CONTRIBUTIONS

Niianea
Etlna
CA Place

TreasurerFn
Yolanda

Nsssl

PERIOD

PERIOD

TO DATE
CALENpARYEAR

pg10
Op O
00 900 S 6 3

Mi Zanda

Ut
TE n

00 900
3 3 pEft Op O

COVina

93922

AasOCiates
00 0 00 900 3 S

FORGIVEN
00 p

ELELTION
aoo oo

3 GATE OUE
PAID

2008 21 11
OATEINCURREn

5
CALENOARYEAR

IND

GOM

OTN

PTV

CC

S FORGIVEN

U
RAiE

S pERELECPON

E OAieoUE PATE INCURREp

TI

IND

COM

OTH

PTY

SCC
PA10

WLErvOAR VFAR O
e PA

E FORGIVEN

PERELEGTION

E
OATS WE

3
OATS WCVRREO

IND

GOM

OTH

PTY

sCC

SUBTOTALS S

po apa

p op

pp 9pp

pp p

elui e En

Schedule B Summary
1

leE Gcnem

Lmeal

Loans received this

pedod
unitemized loans of less than

pp 9pp

Total
2 Loans

Column

b plus

100
pp p

iCOnmbmor Coaes Indivitlual IND

forgiven this period Column y plus loans under 100 paid or forgiven Total Include loans paid by a third party that are also itemized paid
or

on

Schedule

A
NET
pp 900

Reapiem com committee omer man PTV or scc oTH omer e g business emity Political PTV Pady
Small SCC COntdbumr Committee

Net

change this period Subtract Line2from Enterihe net here and on the Summary Page
Amounts If

Line

l
A Line
2 Bchedule A

Column reportetl
on

l m 4 1

forgiven

or

paid by

another

paey also

must to

required
FPPC ToII Free

FPPC Form 660 Januaryl06 FPPC 53 3 Helpline 866IASK 88612

scHEDULEE

Schedule E

Type

or

pnm

ink

Payments

Made

Amounts may be rountletl o whale dollars

Statement

covers

periotl

e d

from

zoo6 19 io

SEE INSTRIICTION50N REVERSE

lhroUgh

2000 31 12

pagB
O I

Of

12

NPME OF FILER Atchley


foi

NOMBER

Council

2008

6350 12

CODES
CbP CIS

If

one

of the

fallowing

codes

accurately

describes the
hHR MrG

payment
meetings

you may enter the code Otherwise describe the payment


RAO

CTB
CVC FlL FTD W

campaign paraphernalia misc campaign consultants conVibution explain nonmonetary


civic donations cantlitlate

membercommuniwtions
antl appearances

ratlio airtime antl

production

costs

RFD SAL

returnetl contributions

OFC
PEf PFIJ FOL FQS

office expenses

campaign workers salaries


v t or cable airtime antl cantlitlate travel

ballot fling
events

fees

funtlraisinq

intlepentlent expentliture supportinglopposing others explain

tEG
Lfi

legal defense campaign literature

n R
and

peWion circulating phone banks polling and survey research postage tlelivery antl messenger services professional services Qegal accounting
print atls

TEL
TRC TRS TSF VOT WEB

production costs lodging antl meals spouse waft travel lotlging antl meals
transfer between commidees of the same candidateleponspr
voter

registration

mailings

RZr

information technology costs intemet a mail

NAME ANO AOORE55 OF PAYEE uUmBEB1 tIFCOUmmEEnrEOEnismD


C AM

CODE

OR

DESCRIPTION OF PATMENr

NAOUNi PA10

LIT

1 09

do ao 9eac cA ReI n

9Dnv

NIAC

LIT

53 359 3

nea doceeaon sban cn


c A cns

00 000 1

113

ao Reao

cacalina Au eeam cA

sdn3

Payments

that are conVibulions or intlepentlent

ures expentli

must also be summarizetl

on

Schetlule D

SUBTOTAL

66 9 06a

Schedule E Summary
ltemized i

payments

madethis

Include period

all Schedule

Esubtotals

le pw io

2 Unitemized

Payments madethisperiod
aid this eriod
on

of under 100 Enteramount from Schedule B Part


on

Do o

3 Total interest
4 Total

loans

1 Column

po p

payments made this period Add Lines 1 2 and 3 Enter here antl

the

Summary Page

Column A Line

TOTAL

2e ip DT3

FPPC Farm d60 FPPC FPPC Toll Helpline 8661ASH Free

05 January 2 3 5 86N2

Sche
NAME OF FILER

Type

or

print

in ink

Continuation Sheet Payments Made


sEE INSTRUCTIONS ON REVERSE

Amounts may be rounded towhole tlollars

nt Sfatem covers

coNT E scnEDU
periotl
g

from

zone 1e 10 2008 33 12

thrOU g h

Peg

10

12

Ln NUMBER

ACChley

foz

Council

2000

120635e

CODES
QvP

one

of the

following

codes

accurately

describes the payment you may enter the code Otherwise describe the payment
MDR MrG OFC FET membercommunicatieps RAD RFD SAL TEL mtllo airtime and

CF6
CfB

campaign paraphernalialmisa campaign consultants contribution explain nonmonetary


civic donations

protluction

costs

meetings

and appearences

returrretl conbibulions

oRice expenses

campaign workers salaries


v t or cable airtime and

GVC
FIL FFD NJ LEG LIT

petition circulating
pM1One banks

protluction

costs

Blingloallot fundraising events legal tlefense campaign literature

cantlitlate

fees

Prp
FIA

TRC
TRS TSF

canditlate travel lodging and meals

intlepentlen expentliWre suppOrtingloppOSinq others


and

explain
Pftl
RZf

mailings
NAME ANO

polling antl survey research postage tlelivery antl messenger seMCes professional services legal accounting print atls
CODE
OR

staRlspouse travel lodging

antl meals

VOT
WEB

transfer between committees of the same cantlitlatelsponspr voter registration information

technology

costs

intemet a mail
AMOUNT PAID

ADDRESS OF PAYEE
al

ar caNNiiieE also into rvn


me Patx Atc ey

DESCRIPTION OFPAYMENT

65

Val

a Via
cA

iee S OFC 36 301

eomona

sv6e

aa rola

mlranaa

Covina
voiaaaa

Cana
CA

a ela
9182

pp yo PRO

anaa m

2e

a ea
CA

Place
22 91

aos

36 3

Covina

are ributionsorintlepentlenteapentlituresmuslalso Payments tha con

he summarizetl

on

Schedule D

SUBTOTALS
FPPC Form 46g

z 1 ooa

Januaryld5

FPPC TolpFree Melpline B661ASK FPPC

3TT3 T6 B6N

G Sche
Payments
Made

Type

or

print In ink

by

an

Agent

or

Contractor

on

Behalf of This

Independent Committee

Amounts maybe rountletl

Statement from

covers

perlotl

BGBLec
11

tovAtoletlollars

zope 19 1o

SEE INSTRUCTIONS ON REVERSE NAME OF FILER cM11ey A


for Cowcil
acne

through

tope 31 1x

page

of

1z

D I NUMBER 1206350

NAME OF AGENT OR INDEPENDENT CONTRACTOR

CODES
bP

If

one

of the

following

codes

accurately

describes the
MBF2 MTG

payment you may


meetings

enter the code

Otherwise describe the payment


RAD ratlio airtime antl

CKS
CTB CVC FIL FTD O r lEG LIT

campaign paraphemalia misc campaign consultants contribution explain nonmonetary


civic tlpnalipns

membertommuniw6ons
antl appearances

protluction

costs

returnetl contributions

OFC
FEl PFU

office expenses petition circulating

SAL
TFL TRC TRS TSF

ballot Kling teas funtlraising events Indepentlent expenditure suppoNnglopposing legal tletense campaign literature and mailings
cantlitlate that
are

phone
polling

banks
antl survey research antl messenger servces

others

explain

PoL PC6
PIm PRT

campaign workers salaries v t or cable aiNme antl pratludion costs cantlitlate travel lotlging antl meals sta8lspouse ravel lodging antl meals
transfer between committees of the same

postage tlelivery

sponsor cantlitlate

professional services legal attounting print atls


on

VOT
VvEB

regis8ation information technology


voter

vests

intemet a mail

Payments

contributions

or

intlepentlent expentlitures mustalso be summarizetl

Schetlule D

NAME PND ADDRESS OF PAYEE OR CREDITOR


ee lir commn Afro exTSRro xuMeral
s u eoswl

OODE
Pos

OR

DESCRIPTION OF PAYMENT

AMOUNT PAID op zea 1

vieea se

fapfN

cacalina
seam

ao Reao

cA

sozn

S V

PoaCa1

Servicec

PO

00 980

12n1N

Catalina

Ave

Redondo

eeacM1

CA

9n2

Attach additional in ormalion

on

appropriately
a

labeled continuation sheets


This total may not

TOTAL

oo zes z

Do no fransler b any other schedule

fo the

Summary Page

equal

he amount

paitl

to he

agent

independent

cpnhacfor

as

reported

on

Schetlule E FPPC Toll Free

FPPC Form 660 Januaryl03 FPPC 15 Helpline 86WASK S6N 3 3T

G SChe
Contractor on Behalf of This
SEEINSTRUCTIONS ON REVERSE
NAME OF FILER

Type

or

p7nt

in ink

Payments Made by an Agent orlndependent Committee

Amounts may berountletl

coversperlotl Statemen
rrom

EDULEG
e 4

to whole tlollars

zppe 1s Tp

through

2008 31 12

page

of

I D NUMBER
2ooe 1286350

Atchley for Cowcil


NAME

OF AGENT OR INDEPENpENT CONTRACTOR Atchley

Patrice

CODES
F C

If one of the

following

codes

accurately

describes the payment you may enter the code


MBR membercommunica6ons

Otherwise
RAD
RFD

describe the

payment

LNIS
CfB
CVC FIL
FPD

campaign paraphernalialmisc campaign consultants contribution explain nonmonetary


civic donations centlitlate

ratlio ainime antl pmtluction costs retumetl wnlribu0ons

MIG

meetings

and appearances

OFC
FET
PHO

Office expenses petition circulating

filinglballOt
events

fees

fundraising

POL

1D 1

independent expenditure supportinglopposing others explain

LEG
LR

legal defense campaign literature

antl

mailings
or

NS PRA PFT

phone banks polling and survey research postage delivery antl messenger services professional services gegal acwunting print ads
on

SAL TEL 1RC


1RS

Campaign workers salaries


cantlitlate travel

antl pratluption vests lodging and meals staHlspouse Imvel lodging and meals
1 v or table airtime

TSF

transfer between wmmidees of the


voter

same

sponsor cantlitlale

VOT
WEB

registration information techwlogy

costs

interne a mail

Payments

Matare cronMibuROns

iMependentexpentlitures

must also be summarized

Schetlule D

NAME ANp ADDRESS OF PAYEE OR CREDITOR IF COMUnREE AL50 ENTE R I O NUMRE RI


criculc

CODE OFC

OR

OESLRIPTION OF PAYMENT

AMOUNT PAIO
99 5 2

y Ct
M1bwne

Stares

Inc

JS 2

Ave

Pomona

CA

66 91

Attach addifional in ormation

on

appropriately

labeled continuation sheets Page This total may npf Bqual


he amount

TO7AL S paid
Po he

99 ns

independent

erto Do not tens any other Schetlule a o the Summary conhactor as reportetl on Schetlule E

agent

FPPL Farm 4fi0 January106


Free FPPL Toll

Helpllne

FPPC 8661ASK

E 8fifJ2T639

S-ar putea să vă placă și