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Recipient Committee Campaign Statement Cover Page

coyernment cede
secuana a4zao e4zf

RECEIVED
Type
or

ER PAGE

print in ink

la

ssl
Statement
Irom
61
covers

ZmS MOV 3Q PM
periotl
Date of eledlon If applicable

2co9 o1

Month Day YeaQ

Page

0l ial On Use

For

Only

SEE

INSTRUCTIONS ON REVERSE

Ihraugh
An cpmmmeea

200 29 05

2000 04 11

Type Q
Q

of

Recipient Committee

cemplem

Parfa

T 2 a aea 4

Type

of Statement

xQ Offceholtler Cantlidate
Recall

COnVOIIed Committee

Primarily

FOrmetl Balbl Measure

Preeletli0n SlBlement

Stale Candidate EleGion Committee

Comminee

Ouaaedy
Special
Su

Statement

annual Semi Statement

QCOmrDlletl
QSponsaed
Nm fvWWe PM bf

Year Odd

Report
Form 495

lAm rrwrere Pansl General Purpose Committee

Tenmination
AlsOfilea
Amendment

Statement Form 410

Termination

Attach Stalemenl

lemental Preelection

Explain below

Sponsoretl Q
Q Q
3
Small Contributor GOmminee Political

Primarily Formed Cantlidatel OPoCeholder Committee


law compare PMq

PartylOenhal

Committee

Committee Information
COMMITTEE NAME

o t NuMeER 12esJ SD

s Treasurer
NAME OF TREASURER

S OR CANOIOATE NAME IF NO COMMITTEE


2000

c51ey A for

Council

Yolanda

Miranda

MAILING AppRE J20 STREET W

Eana

Place

AppgE551N0 PO BO V15La
Street

CITY

SrgTE
CA 91J22 IF ANY

ZIP CODE

pREp

PHONE CODE

J05 CITY

Val

Covina
SrpTE
ZIP CODE
AREA

9635 915 626

PHONE CODE

NAME

OF ASSISTANT TREASURER

Pomona

CA

91J6a

J635 915 626


OR PO

MAILING ADDRESS

IIF DIFFERENT NO AND STREET

BO

MAILING AOORE55

CITY

STATE

21P CODE

AREA CODEIPHONE

CITY

STATE

21P CODE

AREA LODE PHONE

OPTIONAL

FA E ADORESB MAIL

OPTIONAL

Fq EMAIL ADDRESS

6626 915 62G

Verification

Ihaveusetlallreasonabletliligenceinpreparingandreviewing0lssGfementaMtothebes
pnderpenalry Gpe ury
ExecWea
on

my

knowletlge Neinformation

wntainetl herein and in the attached schetlules is true antl complete

ICertity

antler Nelaws of the State of CalBOmia that Ne

foregoirq

is We

2009 JO 05
Wb

ey
Slgra
adT
wer

orA

nlireazura

ExeCCtea

nn

l0 OS

9M JDn
nalrr

Dy
NUreolCan q

C Iiigpficetotler

pbM

PmpaeM

eOlAmrM9pansw

Eancutea

on

By
2tlale Ca Wer SgnaNeorCCnlydly OlFa
SUk MZOUn Pnpdpnl

E xeNtaa On IXiN

By
Stlb CaMEere arenl SgreNaoreon4oXlrg OttreaW Mpawrap
FPPC FPPC Form 60

O5 January

FPPC 1 ASN 5 tolPFree Xelpllne 566 66612


Srale pl California

type

pr

pri

inR

PARrz coveRpncle

Recipient Committee Campaign Statement Cover Page Part 2


Page

of

Officeholder

or

Candidate Controlled Committee

Primarily

Formed Ballot Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE


mr

NAME OF BALLOT MEASURE

ephen Y Accnl

ey

OFFICE SOUGHT OR

INCLUDE HELD LOCATION

ANOOISTRICT NUMBER

IFaPPLICABLE

OR BALLOTND LETTER

JURISDICTION

City

Cowcil
6

SUPPORT
OPPOSE

Member

Pomona

RESIDENTIAUBUSINESS ADDRESS
Pas

NO

qNp

STREET
cA 61966

CITY

STALE

ZIP

vat

vises

screec

Pomona

Itlentity

he

controlling ofliceholtleg ranglgate

or

state measure

proponenq

it any

NAME OF OFFCEHOLDER CANDIDATE OR PROPONENT

Relatetl Committees Not Included in this Statement


f n IncludM In

List any committees


o reeeive

this SfaMment niaf are controlled bYWU


make

onMbufions

or

expendiNres

on

behalf oI your

d primarily rm candidacy
r are

OFFICE SOUGHT OR HELD

DISTRICT N0 IF ANY

COMMITTEE NPME

LD NUMBER

NAME OF

TREASURER

CONTROLLEDCOMMITTEE TES
NO

Primarily

Formed Candidate Committee Officeholder


or

usr

names

sf orfittholder

sf candldan

Ior which Nls committee Is

primarily

omred

COMMITfEEAODRE55

STREETADDRESS

NO

O P

BOX

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD SUPPORT OPPOSE

CITY

STATE

ZIP CODE

AREA COOE PHONE

NAME OF OFFICEHOLDER OR CeN01DATE

OFFICE SOUGHT Oft HELD

SUPPORT
OPPOSE

COMMITTEENPME

LD

NUMBER NAME OF OFFICEHOLDER

OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT

OPPOSE
NAME OF TREASURER

COMROLLEO COMMITTEE
TES

NAME OF OFFCEHOLDER OR CANDIDATE

OFFICE

SOUGHT OR HELD

NO

SUPPORT
OPPOSE

COMMIITEEADDRESS

STREETADORESS

NO

O 7 P BO

CITY

SrATE

ZIP CODE

AREA CODEIPHONE

Attach cpnrinuatibn Sheets it necessary

FPPC Form FPPC TolbFee

L60

O6I January

Nelpline

ASKFPPC 86

TT 6661PTS

Slate of California

Campaign Disclosure SUmmary Page

Statement

TYPe

or

prim

in

ink

SUMMARY PACE Statement


rpm
cevers

Amounts may be rpuntletl to wbole tlollars

periotl

nph9 p

1
pf
r

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER

hroyyK

2009 29 05

page
O I

NUMBER

Atchley

foi

Council

2008

1286350

Contributions Received
1 2
3

DOIUmnA

ColumnB
e rarurow

Calendar Year

rraomnrramepsaswtssl
scneame A unaa
scneame a OneJ
0o soo

aisesaop

Summary

for Candidates

Runnin 9 in Both the State Prima rY and General Elections


1l1 MmugM1 6190
1 to Dete

Monetary COnMbutions
Loans Receivetl

o0 soo

00 a00 o0 loa

oo 0 soa oo 00 0

SUBTOTALCASH CONTRIBUTIONS

Aoa unesr z scnaema c uaea Aaa enesa 9

20 Contributions
Receivetl 2t

4 5

Nonmonetary COntributions
TOTALCONTRIBUTIONS RECEIVED

00 6

loa oo

so0 op

Expentlitures Matle

Expenditures Made
fi

EKpenditure
scneemee wea scneade r Unea
Aea

Limit

Summary

for Stale

Payments Made
Loans Made

fio le

ev so

Candidates

7 8 9 10

0o 0

oo p

22 Cumula lve

ures Ezpentli

Matle

SUBTOTALCASH PAYMENTS
Accrued

z uness

lev eo

eo ls

nwvaunun aawaumnl q o nes e Date of Bedion Totalfo Date

Unpaid Expenses Bills

scneadeFUaea scneema c Unea


9 uness

oo a
po 0

ao0 o oc
laz eo

Nonmonetary AdjuslmenL

mmltltllyy

tt TOTAL EXPENDITURES MADE aae

r6

fia ev

Current Cash Statement


t2

Beginning

Cash Balance

Pienas sumnw une l6 yaa9e A Cdam uoe 3above

80 3y

To calculate Column B atld


loo oo
so op

13 Cash

Receipts

ampums in Column Ato the

wrrespontling
14 Miscellaneous Increases to Cash ScneeWet Lipeq
Cdumn A tine aebove
subvacuine t5

amounts

15 Cash Payments

eo lev 00 0

from Column BOf your last report Some amounts in Column A may be negative figures mat should be sublracfetl from

gmounls intbis section may betliRerenf fromamoun6 reportetlin Column B

16 ENDING DASN BALANCE Amunes 2 men 14 ta


I this u a termination stalemenL Line 1s must be
zero

previous
If Ibis is

periotl
aez scneame e i o oo

amounts

17 LOAN GUARANTEES RECEIVED

the first repptl being filetl for tbis calentlar year only carry over Ibe amounts Linea

Cash
18

Equivalents
Equivalents

and

Outstanding
Aee

Debts
see msnucnpns
on re cse

apm v
5
6 oe

antl g

nr

Cash

OUtslanding 19 Debts

tine9m tinez Odumneabove

op o

FPPC Form Free FPPC Toll

4601Januarylo6
2 3 5 166612

Helpline

FPPC B661ASK

Schedule A

rrpe

or

print

m ink

scHeouLE A
Statement covers

Monetary Contributions

Received

Amounts may be rountletl


m wncle apiiars

periptl
e

rrom

zaa9 ot at

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER

through

2009 29 05

page
ID

Of

NUMBER

Atchley

fon

Council

2008

1296350

RECEIVED

FULL NAME STREET ADDRESS ANn ZIP CODE OF CONTRIBUTOR nc50Erv1EnmrvuusErzl OFEOwdniE

OONTRIRUTOR
CODE

IF PN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER Eniearvune IIESELFEmROVe


OEBU5INESSI

AMOUNT
RECEIVED THIS PERIOD

CUMULATIVEtOOATE
CALENDAR

PER ELECTION

VEAR

TO DATE

DEC 1 JAN 31
00 500

IF REDUIREO
GOB

2009 19 02

cal ecM

lemene

Auco

ivc

pas

ma

sc

panova

CA

66 91

BIND COM Ox OTH PTY scc INo COM


OTH
PTV

00 500

00 500

scc INo COM


DTH
PTY sCC

IND
COM OTH PTY

SCC IND COM OTH


PTV

SGC
SUBTOTALS
ao sao

Schedule A Include

Summary
period
itemized

combbwor coees

1 Amount received this all Schedule

monetary

contributions
seo oo

Inmviaaal wD

Asubtotals
period
unitemized monetary contributions of less than

COM
OTH

ciple R nt Comm ittee

omerman

PTY Or

scc

2 Amount received this

100
TO7AL

o oo

Otber e business entity g

Prv P011ncal

Pany

3 Total monetary contributions received this period Add Lines 1 and 2 Enter here and on the Summary

Small ScC COnmbutor COmminee

Page

Column A Line

soo oa

FPPC Form 460 FPPC T014Free Helpline 866 FPPC ASN

January105 2 86619531

Schedule B 1 Part
Loans Received

Tree
Amounts

pr

iR mx Statement
covers

seHeouLe a PART1

undetl may be r

period
F

tD v aDllara HOle from

zoa9 Dl pl

1
5

SEE INSTRUCTIONS ON REVER6E


NAME OF FILER

Nroggh

2009 29 05

Page

I D NUMBER

Atchley

Eox

Council

2008

1Y06J50

FULL NgME STREET ADDRESS ANO ZIP CODE OF LENDER

IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER R EnlxovEneNr OFSeaF Nsssl

to OUTSTANDING

Iq AMOUNTPAID
OR FORGIVEN

lal
OUTSTANDING
eAIANCE AT

ASOErvreamrvulueERl pFCWUnIns
Yolanda MiYanda

BALANCE BEGINNING THIS


p RI

AMOUNT
RECEIVED THIS PERI00

INTEREST

ORIGINAL
gMOUNTOF

Igl CUMULATIVE CONTRIBUTIONS


TOOATE CALENOARYEAR

CLOSE OFTHI6
PERI 0

PAID

THIS

PxeasureIED
rolanaa
a AssoC
Ceu

THIS PERIOD

PERIOD

LOAN

VAID
s s FORGIVEN ap apo
a a oo

vze

eana
CA

elace Miranda
s 91022

os
RATE

aoo po
x

s
pEfl

COV ina

ELECTION
oo oo

o oo s DATE DUE s

e zo zl L1
DATE INCURRED

IND

CaM

OTH

PTr

scc
PAID

CALENMRYEAR

3
aATe

3 PERELECiIOrv

FOgGIVEN

3
ATEDIIE

4
DATE INCURRED

r0

IND

COM

OTH

PTY

cC

p
i

PAID

CALENDPAYEAfl

i FORGIVEN

D8
ATF

PERELECTION

3 DnTE DUE

f
GATE wGURREO

10

IND

COM

OTH

PTY

SCC

SUBTOTALS

o oo

aoo pp

so p

pa o

Schedule B
1

Summary
oo o

sm wl E

eloo IEOIa TI U

Loans received this Pedod Total Column b plus unitemized loans of less than Loans

100
aDO on

icpnnibwor codes Indivitlual IND

forgiventhis Period Total Column c plus loans under 100 paid or forgiven Include loans paid by a third party that are also itemized
or

paid

on

Schedule

A
NET
oo aoo

Recipiem CoM COmminee Comer man PTy or scc 0TH Omer e g business entity
PTV Political Party Small SCG Contributor Committee

Net

this periotl Subtract Line2from Line l Enter the net here and on the Summary Page Column A Line 2

change

mea Il a IM

Amounts If

forgiven

or

paitl by

another party also mug be reportetlon Schetlule A FPPC Form d60 FPPC Toll Helpline 866IASK Free FPPC

required

OBI January Y B 6 e6N2

Schedule E

Type

SCHEWLEE
or

print

in ink

Statement

covers

Payments

Made

Amounts may be ropntletl to whole tlonars

riotl p
s

from

zoos m pt

SEE INSTRUCTIONS ON REVERSE NAME OF FILER ey Acm


m

through

2d09 9 p5

page
LD

of

NUMDER

iit a c

apee

SzaeT So

CODES
GP CtdS CTB CVC

If

one

of the

following

codes

accurately

describes the payment you may enter the code


MBR

Otherwise describe the payment


D R RFD radio airtime antl protluGion ws s reWrned contriputions

campaign paraphemaFa misc


campaign wnsultants
cnntdbution

membercommuniralions

MrG

meetings

and appeaances

explain nonmonetary

OFC
FET

civic tlonaGOns

office expenses petition circulating

SAL
Td TRC TRS TSF

campaign
v t
or

workers salaries

FIL
FDD M

wntlitlate 6linglballo fees

Pro PCL

phone

banks

LEG
LR

funtlraising events intlependenl expenditure suppodinglopposinq others explain legal tlefense campaign literature antl mailings

Fb5
8Zr

polling antl survey research postage tlelivery and messenger services

production costs travel lodging antl meals staRlspouse Vavel lotlging antl meals
candidate transfer between committees of the same voter

cable airtime and

sponsor candidate

professional services legal accounting print ads

VOT
VyEB

regisValion

information

technology

costs interne a mail

NPME AND ADDRESS OF PAYEE prcommineenLSOEUrEameiUnreERI


Yo
anoa

CODE
pR0

OR

DESCRIPTION OP PAYMENT

AMOUNT PAID

Miianoa 1B BO

aCAa91IJ3 Clwloa

Payments Iha

are

contributions or independent expentlitur must also be summarizetl s

on

Schetlule D

SUBTOTALS

Sav e

Schedule E
i Itemized

Summary
eo ieo

payments made this period all ScheduleE SUbtotalsJ Include

2 Unitemized Payments madethis


3 Total interest aid this

100 Period ofunder


loans

oo o

eriod

on

Enteramounl from Schedule B Pan 1 Column

op p

4 Total P a Y menu made this P eriod

Add Lines

1 2 and 3 Enter here

and

on

the Summa ry Pa 9 e Column

A Line 6

TOTAL

teT eo

FPPC Form 660

Januaryl05

FPPC TolhFree Helpline 6661ASK 66612 FPPC 5 I T

Schedule I
Miscellaneous Increases to Cash

Type

or

print

in ink statement covers period


e

SCHEDULE I
J

Amounts may be rounded to whole Collars

from

2009 ol Ol

p
v

SEE

INSTRUCTIONS ON REVERSE
OF FILER
Eor

2009 29 hmueh 05

Page

of

NAME

D I NUMBER

Aechley

Council

2008

1286350

GATE

FULL NAME ANDADDRES50F SOURCE


pF LOmninEE 4iEOErvieamnumeEn

RECEIVED

DESCRIPTION OF RECEIPT

INCREASE TO

AMOUNT OF CASH

Attach atltlitional in ormafion

on

appmpriarely labeled continuation sheets

SUBTOTAL E

o 00

Schedule I Summary
1 Itemized increases to cash this

period

ca o

2 Unitemized increases to cash of under this 100 3 Total of all interest received this

period Schedule H
Column

oo so

period

on

loans made to others

J e
on

oa o

4 Total miscellaneous increases to cash this

period Add Lines 1 2 and 3 Enter here and

the TOTAL
oo so

Summary Page

Line

14

FPPC Farm Ofi8

January1051

FPPC Toll Halpline BfifiIABK B6fiR FPPC 3 Free 2 7

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