Campaign Statement Cover Page

Government
Gotle Sections

ommittee ipie Ret

cP RP

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or

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7 ii G I
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5 84216 84200
Statemont
covers

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Data of election if

from

apPlicablo Mono Day Year

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i of

For Official use

Only

SEE INSTRUCTIONS ON REVERSE

lM1rough
all

930
f z a ena
4

y
2

Type

of

Recipient

Committee

complete cemminea6

van

Type
rlyi

of Statement puanerly Statement

Year Special Otltl RepoN
Su

Olficeholtleq iV
Stale

Cantlitlale COnlrolletl Committee

Primarly

Formetl Ballot Measure

Preelection Statement

Cantlitlate Election Committee

Committee

annual Semi Statement

Termination Statement

Recall
van s

QCOnlrolled
QSponsored
Nm COmp Patl 6f Ne

nrso Canprele

Also

fllea Form 410

Termination

Attach Sfalement

Iemenlal Preelection
Form 995

General

Purpose Committee
Primarily
Formetl Candidate Otfceholtler Committee famcomPrerevartTl

Amentlmenl

xplain below

Q Sponsoretl

Small GOnlribulor Committee

IQ Political PartylCenbalCommittee
3 Committee Information
COMMITTEE NAME

l o NUMRER

oo7 R4
IF NO

s Treasurer
NAME OF TREgSURER 4

j
l

DR

S ATpE ME DA CgNOI NJ COMMIpTTEE

C
STATE ZIP

d
AREA COGE PHONE

AOORE56 MHILING
CITY STATE
ZIP COUE AREA PHONE CODE

STREET AOURE55

O f NO P BO

CITY

COGE

NAM nP ASSISTANT TREg6GRER

IF ANV

z an
MAILIN AUURE55

ti
NOigNO
EigTE

7G 4
PO

a ay 46V trio a
MAILING ADDRESS

pF DIFFERENLI

STREET OR PO

o ir c
CITY OPTIONAL PAX

c9 P
21P CODE AREA LDOE PHONE CITY igTE
ZIP CODE

y
AREA pLIPHONE

MAIL 55 E AODH

OPTIDNAD

FA

MAIL E AUURE55

Verification
I have used all reasonable under

diligence

in

preparing

antl

reviewing

penally

of

perjury

Ontler the laws of the Stale ofCalifornia that the

this statement antl to the best of my knowletlge the information contained herein antl in Ibe ahachetl schetlules is true and foregoing is true antl correct

complete

certify

a Exam e6

Y2 la Y
Dale b

C7S

Ry

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Data

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Type
or

prlnl in ink

COVER PAGE PART2

Recipient Committee Campaign Statement Cover Page 2 Part

Page

V fL of

Officeholder

or

Candidate Controlled Committee

Primarily

Formed l3allDt Measure Committee

NAME OF OFFICEHOLDER Oft CANDIDATE

NAME OF BALLOT MEASURE

z ccl LA G i
OFFlCE

SOUGHt OR HELD

INCWOE

LOCATION ANDO

ICT

NUMRER

IFgPPLICARLE

ORLETTER BALLOTNO

JURISDICTION

SUPPORT OPPOSE

JJ l ll U117 i7 lL VL
I

jl

I O IIML T
CIiY

v
ZIP

RESIDENTIALIOUSINEGS ADDRESS

NO 7

qNO

STREET GT

STALE

5 y

2 ly

I Y1 YtC

1767 r

Itlenllfy

the

controlling

ofllceholdbecantlltlate

or

stale

measure

proponanl if any

NAME OF OFFICEHOLDER CANDIDATE OR PROP

NT

Related Committees No Included in this Statement

naf InClVded O Inis statement that
are vn

ual any cammmeaa

fo

confmlled

cvnhibufivns or make
COMMITTEE NAME

expentlilures

primarily Iormed by yvv behalf o ypnr cantlidacy

or are

receive

OFFICE SOUGHT OR HELD

DISTR

O IF qNY

IO NUMBER

7
NAMEOF

TREASURER

DCOMMITTEE9 CONTROLLF
YES NO

Primarily

Formed Candida Committee elOfficeholder

or

Lisf

names

Vl

pnmmmaegs

l pandidam

rpr wmen m cpmmnree

dy prima

rormed

COMMITTEEAOOREGS

STREETAOORESS NO

PO

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE GOUGHT OR HELD

BOX

SUPPORT

J
CITY STATE
AREA

OPPOSE

PHONE COOE

OOE 2
IO N IMBER
CPNTROLLEU COMM
VES NO

NAME OF OFFICEHOLDER OR

CANDIQNT E

OFFICE SOUGHT OR HELD SUPPORT

OPPOSE

COMMITTEE NAME

NAME OF UFFICEHOLDER OR CANDIDATE

S OFFICE

UGIIT OR HELD

SUPPORT
OPPOSE

NAME OF IREASUREft

E9

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR

HEL
J

SUPPORT OPPOSE

COMMIIIEEADORE55

STREETADORE55

O NO P BOX

CITY

STATE

21P CODE

AREA

PHONE CODE

f5 AffdCh ConflnVeflOn She i nece55ery

FPPC Form Ofi0 Januaryl06 Fee FPPC ASK FPPC Toll Helpllne 066 10 6 61316 TI3 Blale vl Calllarnla

Campaign Disclosure Summary Page

Statement

Type

or

print In Ink
Statement
covers

SUMMARY PAGE

nmoiolwn le dollars ntletl

parlotl

from

C5 7
Bh

SEE INSTRIICTION50N REVERSE NAME Of FILER

hrou

68 36 Q

Page
O I NUMBER

ol
q
r o

1 z Tc 2 del
ColumnA
aa aeEa erbtn

7 0
and

Contributions Received
1

ColumnB
aROan cb

Calendar Year Summary for Candidates

Raonnnncaeosceenmss

rornuowrea
d 0

Running

in Both the State

Primary

General Elections

Monetary Conlibutions
loans Received SUBTOTAL CASH CONTRIBUTIONS

scneeure

enaa

3y
fJ 0 0

3 Y
vt

2 3 4 5

scbeeme e una z
Aee Lmes t z

mmaah

slap

nmoam

2n Contributions

Receivetl
25

Nonmonelary

Conlributions

scneameq ones y Addunasa

Expenditures
Matle

TOTAL CONTRIBUTIONS RECEIVED

4V

Expenditures
6 7 e 9

Made
5cnedwe E usee Scneeule lf unea Aed Lises s scneeme F Lines
smeame c use a
fo s a

Payments

Made

y Z
E

Expenditure
J y i 3
Candidates

Limii

Summary

for State

Loans Made SUBTOTAL CASH PAYMENTS

22 Cumulative

h c29 3
JUO

S3 5

Expentlllures

Matle

6rsuntanmvowmary F umat oasaw Date of Election Total to Dale

Accrued Expenses Unpaid Bills

tSc3G S r3

10

Nonmonelary Adjustment

yy dtl mm

11 TOTAL EXPENDITURES MADE Amuses

i 7

Current Cash Statement

12

Beginning

Cash Balance

PreNOUS Semma Page use is y

cowmn

R5

To calculate column B add

amounts in calumnAmlhe

13 Cash

Receipts

usesabwe

l Zz

corresponding
srneemeL USea uee aana e

amounts

14 Miscellaneous Increases to Cash

ts Cash

Payments

crosmn n

5 79 3

from column eof your last report Some amounts in

Amounls In this section may be tliRerenl from amounts reponed lnCOlumn B

Column A may be negative

t6 ENDINGCASH BALANCE Ade Lines

Ir this is
a

tz to ta
zem

rneo smnamuse M1S

figures periotl

that shouts be

subtradetl from termination statement Line 16 must be amounts

previous
If this is fled

the first report

being

17 LOAN GUARANTEES RECEIVED

scneeme a

van z

fm this calendar year only

carry
over

Ibe amounts and s

Cash Equivalents and Outstanding Debts

10
Cash

tlro v
es

Lines z

pr

Equivalents

see

msrmcrons

reverse

19 OUISIandipg Oebts

Aetl ine2 COlumn9above Line9in

tCUn L
FPPC Toll Free

FPPC Farm

6601Jenuarylb6
21 3 6 66612

Helpllne

FPPC 6661ASK

Schedule A
Moneta ry Contributions Received

Type
Amounts

or

print

ink

e sceeou A statement
covers

may

be rountletl

to whole sonars

perlotl

from

GS 7
J 3 1 U

6EE INSTRUQIONfi ON REVERSE

through
T

Ot Pdge
LD NUMBER

NAME OF FILER

Pa v Yr c
DATE FULL

9i
CODES
IF AN INDIVIDUAL ENTER OCCUPATION AND EMPLOYER IOYERErviERNnME FM AFSEIr
os xE ssl

4 Ga
PER

NAME STREET AOpRE56 AND ZIP CODE OF CONTRIBUTOR

RI xums meRro OrcoMSnireEUSO

AMOUNT RECEIVED

LUMULATIVETO DATE
CALENDAR YEAR

EIEDTION

CONTRIBUTOR

THIS

TD GATE

ftECEIVEp

PERI00

DEC t IJAN J1

nF ftEDl11RE0

i v v1 1
77

tQc3 v C

cs N

iv33

o v C e jw

orM
PTv

Eed lz

00 do3

00

Lynvo

i2 f oY

UO z 3690

OTH

IOC

80

ati 1ci iT S cC iCL Q

o8 9S

zena c Pu

PTY

g17la5

scc
p f y 2v yi P
Z

z E u J ULeXbzi vz p C rL 83y 76 4 Ytcma J

OcOM oTn PTT

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rf7

CCE

sc
COM orFl
PTY

NU 16 ll p h1Ge il

XJ C 7 t Seu 2 zcL U C

cJ 75

scc
SUBTOTALS

Schedule A Summary
1 Amount received this

comribofor cases mdiviaual INO

itemized period monetary contributions

subtotals

Include

all5cheduleA

2 Amount receivedthis P eriod moneta ry contributions oflessthan 100 unitemized

3

Recipient COM COmmiuee other IM1an PTY or sCC Omer g oTH e business entity POliliral PTY Party
small scc con6mmor commi6oe

TDtalmonetary

contributions received this

on

period
Summary Page
Column A Line

Add

Lines 1 and 2 Enter here and

the

J 1

TOTAL
FPPC ToII Free FPPC Form 460 January 05 FPPC 2 5d Nolplino 6661ASK 666

Schedule A

Continuation Sheet

rypeerprmuame
Amounts may ba rountletl to wholo dollars from

scNeouLPA coNT
Stalemeni
covers

Monetary

Contributions Received

perlotl
I

I 7

g
r
Page
D I NUMBER of

through
OF NAMF FILER

3G

L fZ i l L Gtii2
FULL

CO C
IF AN

7f
ELECTION
TO DATE

DAiE

RECEIVED

NAML STREETADDRESS ANO ZIP CODE OF CONTRIBUTOR NVMBEm IIFCVMMIItEERl50ENIERI

CONTRIBUTOR

INDIVIDUAL ENTER
smsv NeME

AMOUNT

CUMULgTIVETO DATE
CALENDAR YEAR

PER

OCCUPATION AND EMPLOYER lwsq EM AFSEIF

RECEIVED THIS
PERIOD

CODE

DEC 1 JAN Ji

IF REQUIRED

OFBUSINESS

2o y
9

I AYGGY lC4

U cL dS
91767

D
GDM PTV scc ND Ca COM oTli

s u p G

yyp 1 2
c ci yL
3 q
3
ac 77

P z a

ec J

si

7 vf7c
99

Os c
IND

od

fS

r wn c cLl ccF2 a JS
39
n r

oTH
PTV
scc Ct7

z I P

l r c i 2T z 1

00

oo

Z y

ct O

1767 x

scc
IND COM
OTH PTY SCC

SUBTOTAL

COnlribulor Gotles Intlividual IND

Recipient GOM Cornmidee

other

Ihan PTV of

SCC

OTH Other e g business

entity
FPPC Form 460 Free FPPC Toll Helpllne 6661ASWFPPC

Political PTY Patly

Small SCC ConGibulor Committee

O6 January

3 B6fi1963

Schedule B 1 Part Loans Received

Type
Amounts

or

print

In Ink

SCHEDULE B PART1 ment Stal

from
covers

may be rountletl
aallara

perlotl

to wh le

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

lM1rough

3L

L Page s
I O

0 at1
gl

NUMBER

C
IF AN INDIVIDUAL ENTER OCCUPATION ANO EMPLOYER FUiEn empmve AvsELF NAMeoFBU51NESSl
I t

FULL NAME STREET g0DRE55 AND ZIP CODE OF LENDER rvuneeRl mFglD pFCOnuIrIEEUSO J
J

OUTSTANDING
BALANCE BEGINNING THIS

I
gMOUNT PAID

hI
OUTSTANDING

PI
INTEREST

pl
ORIGINAL

AMOUNT RECEIVED THIS

PEflOD

Oft FORGIVEN
THIS

PERIOD

PERI00

OgLANCEAT CLOSE OF THIS

pE

CUMULATIVE CONTRIBUTIONS TO DATE

GlEN0A0 VEAR

PAID THIS PER00

gMOUNT OF
LOAN

PAIO
f
5 FORGIVEN

7G
J n

GO S

GY1Gf
s

CEREIFCTION
s ATEOUE

BIND

OOv s
p
s FORGIVEN RAID

coM

oTH

Ptt

scc

OOz
ATEINCURRED

uLENOnavuR

f
rvrvTE

s
pEft

ELECTION

3 DATE DDE

tO

3 DATE INCURRED

IND

COM

OTH

PTT

SCC
PAID

CALENDMYEAR

5 FORGIVEN

3
MTE

E
PER

ELECTION

f
DREDVE

r0

f
DgiEINCURREO

IND

COM

OlH

PTY

SCC

SUBTOTALS E

S
m IEmal

nr qt
Efxbal GvFea

Schedule B
1

Summary
O C b
less than

Loans received this period Total Column b plus unitemized loans of Loans

100
G

icamribumr codes
Intlivitlual IND

paid OrfOfgiven this pefod Total Column c plus IGans under 100 paid orforgiven Include loans paid by a ihirtl party that are also itemized
Net

Redplent COM Cammillee

other
on Than PTV
or

SCC

Schedule

A
NET
D

OTI1 Olher e business entity g

PTV Political

Party

change this period Subtract Line 2 from Line 1 J Enter the net here and on the Summary Page Column A Line 2
Amounts forgiven
If
Or

smart scc conmbmor committee

m a I

paid by

anotber

pally

also must be

reported

on

Schedule A FPPC Form I66 January 66 FPPC 2 Helpllna 6fifilA5K 6fi6 5

requiretl
FPPC Toll Free

Schedule E

Type
Amounts

or

print

In Ink

neouLEE
Statement
covers

Payments

Made

may be maaaetl to whale tlauars from

perlotl

7G 8

SEE INSTRUCTIONS ON REVERSE NAME OF FILER

through

Page
LD NUMBER

or

CODES
C1rP CNS CTB

IF

one

of the

following

codes

accurately

describes the
MBR

payment
meetings

you may enter the code

antl appearances

Otherwise
RFD

describe the

payment
production wsfs

campaign paraphernalialmisc
campaign
consultants cnntribulion

member communications

RAD

ratlio airtime and

MIG OFC FET PrlO

others

explain nonmonetary

office expenses

SAL
TEL TRC

returned contributions campaign workers salaries

Lv
or

CVC
FIL

dvic donations candidate

FND IND LEG LR

glinglballol tees tuntlraising events intlepentlent expentliture suppodinglopposing legal tlefense campaign literature antl mailings

petition circulating phone banks

cable airtime antl

cantlidale

production costs travel lotlging antl meals

and meals
same

explain

POL POS
H2O
FRT

polling

and survey research

lAS
TSF VOT

stattlspouse travel lotlglnq

voter

postage delivery antl messenger services pmlessional services legal acwvnling print atls

transfer between committees of the

sponsor cantlitlate

VvLB

regisbalion information technology

cows

inlernet a mail

NAME ANO ADDRESS OF PAYEE FLSpEMERl ccoHalrrEE o

COUE

OR

DESCRIPTION OF PgVMENT

AMOUNT

PAID

xurneERl
csc
Lit
T

l U01ri

Zt a s lc LL

c o2

306
1

ii

I C KK

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m ve oL 223 T

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a tir wP v 7Gtyz
Suss

i L

ca cJ
ara contrlbullons or Intlepentlent

4nG c C
expentlituras must

Fit G

YoC
Schedule

Payments ct
O BUBTOTAL

that

also he summarized on

Schedule CO

ESummary
Itemized payments

1
madethis
period

all5chedule Include

Esubtotals

53

Unitemized payments

made

this period
loans

of under 100 3
Enter

Total interest paid Total payments

this period on
this period

amount from
1

Schedule e Pad 1 Column e

the

4
A Line 6

made

Add Lines

2 and 3 Enter here and on

Summary

Page Column

TOTAL

FPPL

Form 66 Januaryl65 Toll Freo Helplina

B661ASK

86612 FPPL

FPPL 2 50

Schedule @

type

pr

ptlnun mM

coNT scREDULEE
Sfatemmtcoverz petlotl I
M

Continuation Sheet Payments Made

SEEINSTRUCTIONSON
NAME OF FILER REVERSE

AmouMS may berountletl

towhola tlOllere

GCr l tromz
thfOYgh

Ot Pege
NUMBER IU

f GJ
CODES It
CNS
one

J IC 79 C
you mag enter the

of the following

codes

accurately

describes the
IViA2 MIG

payment
member

Othetwise code
RAD RFD

describe the

payment
protlucgod
costs

CM campalgn paraphemaila ndsc

cempalgn consultants CTB wnldbuUon explain nonmonNery
CVC FIL
FND

communirallons meegngs entl appearances

ofpce expenses

radio alrgme and

OFC
ikT

SAL
TEL
TRC

civic donalians
candidate filingrhallot tees funtlraising events

patillon rimulating
phone
belles

i0 F

PDL
POS

M LEG IIr

Independent expentlilure suppoNinglopposing other explain legal delense campaign INeralure and mailings
NAME ANO AUnRE53OP PAYEE NVMBEaI

PRG
FfSt

polttng arM survey research postage delivery and messenger services professional services legal accounting
print
etls

TRS TSF VOT voter r gistratlon VvE9 Intormapon letllnelogy costs internal
OESORIPTION OF PgYMENT

reWmetl contdbulions campaign workers salaries t v cable aldlme entl produrAion costs or wMitlaW travel lodging entl meals spouse s1eN travel lodging and meals harslet between mmrrvpees of the same
a

sponsor candltlate

mail
AMOUNTPRIU

L n Of COMMIIi AL6D EN1 LD

COUE

OR

nRUO UJc

G y Ana

C 72u
yc a

L ff

hz7 Z

czrc

2i x

bars F

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ac2

7Z c

wr u n tJ OrytQ

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ocv

LP r 7 C IO fG1 eO
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Jvrtn

C i Ln zQso Lk FGr

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on

00 8 x

ntributione Payments that ma c

or

d lndepeptlantexpontliNres must also be aummariz

Schedule D

j Sl1eTOTAI
FPPC FOfm ap
FPPC To14Frea Nelpllne BBWASK FPPG

Jdnbaryl0a

86a11T6DTT2

ScheduleF

Accrued

Expenses

Unpaid Bills

Type or prbtl in ink Amountsmeyberountletl

tpwhmedanam

DULEF
Statement coversperiotl
rrom
J

through
SEE

US JG 9

Page
D I NUMBER

y af1L

INSTRUCTIONS ON REVERSE

NAME OF FILER

a
CODES
ClvP

a 6o
yo may enter the code

If

one

of the

following

cotles

accurately describes

the
MaR

payment
meetings

Otherwise describe the payment

RAD RFD SAL
TEL TRC

CNS CTB CVC

FIL FND

campaign paraphemalialmisc campaign consultants

conlribulion explain nonmonetary civic donations candidate filing fees ballot

member communlcatlans
and aPPearances office expenses

radio airtime and protluctien costa

MrG OFC
FET

returnetl wnldbutions campaign workers salaries

v t or cable alNme and

tuntlralsing

events

PF10 POL
S PO

petition circulating phone banks

palling antl survey research postage tlelivery and messenger services prolesslonal services legal accounting

pmducllon

costs

cantlitlale travel

lotlging

and meals
end meals
same

TRS

staglapouse hovel 1otl91ng

voter

IND
LEG LIT

Intlepentlent expenditure supporlinglopposing others explain

TSF
VOT

transfer behveen commlllees of the

sponsor cantlitlale

legal defense campaign literature and

PRO

mailings

PRT

print

atls

reglshation WEB Information technology

Ibl
AMOUNT INCURRED THIS PERI00

costa Internet

malt a
dl
OUTSTANDING BALANCE AT CLOSE

p
NAME AND AODREBS OF CREDITOR
AE COnMIlSaa
FlSO amEa tb

cl
AMOUNT PAID THIS PERIOD
Woo
BEaoni Dx

xbNaam

CODE OR DESCRIPTION OF PAYMENT

OUTSTANDING BALANCE BEGINNING OF TNIS PERIOD

El

OF THIS PERIOD

99 t C n rVl G ox 9M d C h r 9oaTi

yam

t j

Po

CO

C3 CaC1C
cS0 O

GL

ce c

O rd

Raymenla
cummarlaed

Ibel
Dn

are

conVNUtlane

or

Intlepmtlent eapentlilurea moat also

be

SUBTOTALS

6chetlule 0

Schedule F Summary
for 1 Total accrued expenses incurred this period Include all Schedule F Column b subtotals accrued expenses of 100 or more plus total unitemized accrued expenses under 100 2 Total accrued expenses paid this period Include all Schedule F Column c subtotals for payments under 10D accrued expenses of 100 or more plus total unitemized payments on accrued expenses 3 Nef
on
on

INCURRED TOTALS

9
A

GO

PAID TOTALS

change

this

period Subtract

Line 2 from Line 1 Line

Enter the difference here and NET

O
erew
er ma

the

Summary Page Column A

9
FPPC TOII Free

av

FPPC Form 460

January106

FPPC P A6K BT 886 2I6 Halpllne 866

Schedule E

rypearpdmmmk
Amoerds may be rountletl

coNt scNEDULeE
Smtementcovars
from

QOOtlnuatl00 heet
Payments
NAME OF FILER

riod p
a

fowholld0lfart

Made

SEE INSTRUCTIONS ON REVERSE

through

Pagan
ID NUMBE0

Of Lam

y
one

CODES
GNS
CfB

If

of the

following codes accurately

describes

the payment you

MnR
MIG

may enter the

GMP campaign paraphernalla misc

campaign
s cOnsullan

member communlcallenr

Otherwise cotla describe the paymenl RM ratlio aidime end protluc8ori costs
RFD
SAL

meetings aM appeeiances
Otgce expenses

returned cpnVibulions

CVC
FIL FND
rd

cOntribWon explain namlonetary rivk tlonations

OFC
FET

campaign
Lv
or

workers

saladea

e ballol candltla Bling kea

tundrelsinBevwds

FHD POL
alhem

LEG
LIT

hkependent expentlllure supPOdinglppppsing legal defense

campaign Itleralure and mailings

explain

POS

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DESCRIPTION OF CAYMENT
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