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A C �) � 3 7- O o O N � A 4- N O Z O T N D 3 n � N + oz D 0 Q o m m m �O ornmZv 0 (� N 3mmaJno33 a c—�maaQmm _ �i Ip N t/i. d J ti 3 ona 0 O CD CD d N d d.d ry J N d (D (j 3 m H 3 d O ! d � o O 0 O 0 a 4- N N n O C m o (D � ibb m a N 0 n y 1 AXOOMMr�Wry O m r 0 0 0 m o oT m° 3 m ,d m 3 3 0 Q m J o c m 3 m n N N d n � o C CD � y O J 2 0 N O CD mpm co D (D C) 00 D7 -{T coC)rr 00 a _ J F p� N< d �? a o � m� n o D$ o 3 ry y 6 d J d d 0 ? p�. d ...£ ° 3 m o? y N FF '.� y o n. o o o o °v 3o�o�mmn 3 3 g� n m N n 3 3 RL < ti y d d m y d 3 w 3 m o' v J U\a a d Lo N " N 0 0 J 0 m m m 3. Committee Information I.D. NUMBER Cornmr-fti, 16 Re -QA --T Mara"-* Clark STREET ADDRESS (NO P.O. BOX) Executed On J 1A I k�Dat y Signature onlmlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling OfficeMlder, Candidate, State Measure Proponent Executed on Date By Signature 0 Controlling Officeholder, Cantlitlate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5, Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Ma.Pcar-a Cla-k-k OFFICES GHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ci�i Counclimernlo2r RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP IZosernec�, CA 9 i��a Related Committees Not Included in this Statement: Listany 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. COMMITTEE NAME OF TREASURER (CONTROLLED COMMITTEE? ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I I.D. NUMBER TREASURER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page 2 of / 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JUKIJUIU I IUN ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD 7. Primarily Formed Candidate/Officeholder Committee List names of officeholderfs) or candidate($) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Cpnl Ill It C I- {-in Pe -e leci- lvargar & Clar-k Contributions Received 1. Monetary Contributions................................................... Schedule A, Line 3 2. Loans Received................................................................ schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines i+2 4. Nonmonetary Contributions ............................................ schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made....................................................................... Schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) ...... ................. - ................. Schedule F Linea 10. Nonmonetary Adjustment ......... .._............................................ Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines a+g+io Current Cash Statement 12. Beginning Cash Balance ........- .................. Previous summary Page, Line 16 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... Column A. Line a above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zem. 17. LOAN GUARANTEES RECEIVED Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ $_ $ Statement covers period from Jac) v • I1 �.0�23 through unC 3t9 X13 Column B CALENDAR YEAR TOTAL TO DATE $ /! LY4.76 -15;- $ IJHy.70 $ //41°f •7d $ /y 70. 2Z 14- 11-1 y. 10 $ 3 Ls- sz Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 4:1- 19. Outstanding Debts .................... Add Line 2+ Line 9 in Column B above $ $ //L/N•70 6 " $ 114Y.7d To calculate Column B, add amounts in Column A to the 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 fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Page 3 of--�— /y'{3S 3Z Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (It Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Cotm-lif{ee- {-o ee-p)ec-� Amounts may be rounded to whole dollars. Statement covers period from Ju through /PC, 3l �a-- SCHEDULE E Page —1_ of _y_ /q°/ 3532 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) c__ c. S'cn 6abrtel vo_((e_� [(/)Cot,, CLL CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID MTG C(re'1 Rtes %2D aJ P1 l C I �Ve-rnt Fees I / 2-0 od ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Z40,00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 1 r U, 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 90 y, 70 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 $' FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period fromT� I � 1" u77-2_ through Qe.cem.ba'3ly ZDl2 1. Type of Recipient Committee: All Committee - Complete Parts 1, 2, 3, and 4. Meholder, Candidate Controlled Committee V State Candidate Election Committee El Primarily Formed Ballot Measure ommittee O Recall Controlled (Abo CWVM Pat 5) Sponsored (Also file a Form 410 Termination) (At" C.WWs Pat 5) ❑ gneral Purpose Committee Sponsored Small Contributor Committee ❑ Primarily Formed Candidate/ Officeholder Committee Political Party/Central Committee (Arm CWPWe Pat r) 3. Committee Information &V,lr4iHee. Ce-P.lact/-islar�ar-ear Clank STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Rosel-necad CA Rl7'7p MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS c,l axrk ee a s c @ yahoo . co m Date of election if applicable: (Month, Day, Year) 2. Type of Statement: RECEIVED CITY OF ROSEMEAD JAN 2 4 2023 Cr Y CLERICS OFFICE BY: ❑ Preelection Statement ® Semi-annual Statement ❑ Termination Statement Executed on Tal )uLL. t^K. ay'r �_2� ale (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page Of5- For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER .Tulte Gentry MAILINGADDRESS 77— STATE ZIP CODE AREA ODEIPHONE RosCn'le�d, CA 9/770 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX IE -MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the info bon contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and g9nect. PL/1 Executed on SO n M ZA— aY. .2013 By y erd r, Caridimie, State Measure Proponent or Resonsible Officer of Sponsor Executed on ale By ignat ire of Controlling Officeholder, Candidate. State Measure Proponent Executed on es By Signature of Cont�oling OMcehoMer, Candidate. State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov F K a W < a Of LU0 U �nI 0 d C N Eda pr N d c c� miia a CLQ, w U U IT d E E 0 E R m m i 9 d €' 0 LL .W E .o CL ui w W O N a O a a 0 0 00 I �- ju m 0z za w a0U0U00NUKWLLOWxrxWLLC rza w OWxrx0yWULLa0K0_WULL ra w p N 0 W�xrx0yWULL0CK0_WULL 0 s s sra s O O O N O El ElEl El El El 1:10 0 0 0 0 0 0 0 z 0 0 O 0 0 o O O O o o O w w ww OO I z 00Lw z z z I a z N OO I z 00Lw z z z I a z N I a z N h1 z%t d _ .d. c a_ m c � N mc E a E L N o m o N ° 7 r+ N dE o {0 E J N r» m J d o u :- V � O .O - W = U � c w y cc d x� ry 0 E w o � a � E o M E a a � c E o C f0 = N V T a CO 0 a a m � N C C d W 9 r n o E O a E H Qv ¢ Z rc mwr X R a C W U LL, c>o C } 00 QWo c W d E R Co C Gi �jj y1) a U�° E m N y y y _ r2 f N o M c=/7 ¢ on fA zf Z H3 Vi U N w 00 ¢°ys W d 7 w¢ Cay a X o ENw c C ELU wc m Wy ¢ F G. m a U<G c a o� z 0 W co r 060i o .- M N M P C 0 G + C + J J y J y m m J m J a a L L Q G Q � y � U L Iz WW O W H U w 0 m CD y Z G1 (n Z O ami o0 2 z E m_ N = v U m Zp u O U w r o £ o m = ~ OF QC J O Z Z v U CV Ci 4 L6 ui 0 N ° d dE o {0 E J O m J d o O :- V N W = U � c w y E x� ry 0 E w o � a � E o E a M O E o J = N V T U 5 a � N W 9 r n o E O a E H Qv ¢ Z m X R a C W U LL, ui 0 C W C + O 0 C 0 C + J J y J J O1 N N 0 N U y m ry 0 0 0 o M O a Q N y G J Lu H a ¢ Z m Q a C LL, aLU C } a c W d E R Co C Gi a @ m G C O co € a N W U E m N y y y _ r2 N o M c=/7 ¢ on ¢ zf Z i U a a W d 7 w¢ W a X o c C ELU wc m E ¢ F G. m a c a ¢ z W co r 060i o .- ui N y m G a m N N 0 N U 0 0 o M O a a I1 y G J y {� a `O c N Q a C C U � d E R Co C Gi a @ m G C O co N N U 0 N N m V c N N a NN N W U U z J N U Z Z w m N y y y _ 3 N M V N c0 ui w W � D 0 Q o r Q a. LL O Z ❑ `o w 2 � F a U h -\ � U V O a ❑ U w fh E v w s w m a � J y w w � Ol Z S v U to U C Q W z V ; v1 co E« - nJ Oo - E a w c c o 91 � 5 p w o m Olp ✓� U r( E awc `'rn-oE m y T O Cp m O a 0 O a" N O a (p y i U O E_> c c` \ (`(� C d Y C N N 00 O V N d E0ca pia `-'o C ra 0]U iC 0 C "s N � > aL. QLLQ W Ow z�fnrF- rrr>� a) t O '0 U or O N N � w � O 01 U N O m C d U uN m a d T `c m 4 t`0 Eco C cc N N d c y , m d O E E C a 0 U d p O E N m >> w T E —EmiEO �.a y� 3 E Evci `=cE�v« o T N N o o" aEEoaapo as Q N �UUrOJ�nOr L mrwWMOOX� �- �20adaaaa L w U L T K d N N 6 E2 � U m L O (0 m N N U o0 0 O H - y w 114r=+ E C C O a . O 0Fr X12 L-- n O N m y aw wm m c d c c> m W z 41 o a°�°w°=N H O ccomdc-°'a me aa�-pa�0a�a C EEc0ca wmF pU G w O y"� a W U U U U P .a d U Z w m V O a J000 U) Q. N z U UUU(.) E -JJ 1 m E 7 W d 3 d t V cn O 0 N c_ O 0 a N cc m E H C N E T (0 0- "a N N E r :4 M co r V D 0 r Q a. LL O Z ❑ F a U h -\ � T V O ❑ U ��11 v w s w m a � J y w w � V ❑ p ❑ N a Q ❑ w v Q W z V ; v1 nJ Q 91 5 1 m E 7 W d 3 d t V cn O 0 N c_ O 0 a N cc m E H C N E T (0 0- "a N N E r :4 M co r V ; ) u 0 | | ( 3 5 § . y g ¥ 7 m 2) o \ M \ & K \�� ] \! aƒ � . 7\t �»® �! \_ ƒ / ) � ° \_ 2 » f� ® }!d k '2 w 0 | | ( 3 5 § Recipient Committee COVER PAGE Date Stamp _ Campaign Statement RECEIVED • Cover Page CITY OFROSEMEAD SEE INSTRUCTIONS ON REVERSE Statement covers period from July 1, 2021 through December 31, 2021 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O RecallQ Controlled (Also Complete Pert 5) 8 Sponsored (Also Complete Pert 6) ElGeneral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also Complete Pad 7) 3. Committee Information I.D. NUMBER 1392530 COMMITTEE NAME (OR CANDIDATE'S NAME IF N Committee to Re-elect Margaret Clark to Rosemead City Council 2017 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rosemead CA 91770 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX /E-MAIL ADDRESS Date of election if applicable: Page 1 of 3_.. (Month, Day, Year) JAN 18 2022 For Official Use Only CITY C OF BY: 2. Type of Statement: g Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report 0 Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Julie Gentry MAILING ADDRESS CITY STATE ZIP CODE AREACODF/PHONE Rosemead CA 91770 ( NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE%PHONE OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge a information contained herein and in the attached schedules is true and complete. I certify under penalty of �perjury under the laws of the State of California that the foregoing is true a d correct. Executed on I �. ) xz By nn Dace Signature "ofTreasur rAssistantTreasurer Executed on !dam a By Date Signature of D(itrolling Officeholder, Candidate, State Measure Proponent or Resoonsihle Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/20:16)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppr..ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Margaret Clark OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Rosemead City Council RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Rosemead CA 91770 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. NIMI I I tL NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS STREET CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO E ADDRESS BOX) CITY STATE ZIP CODE AREACODE/PHONE COVER.PAGE - PART 2 Page 2 of 3 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO, IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (lan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fplrc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page p METuly 1, 2021 • 1from SEE INSTRUCTIONS ON REVERSE through December 31, 2021 Page 3 of 3..— NAME OF FILER I.D. NUMBER Margaret Clark 1392530 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ $ Loans Received 1/1 through 6/30 7/1 to Pate2. ................................................................ Schedule a, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ $ Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule E, Line 4 $ $ Candidates 7. Loans Made....................................................................... Schedule H, Line 3 S. SUBTOTAL CASH PAYMENTS ....................................... Add Lines s + 7 $ $ 22. Cumulative Expenditures Made*(ir Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 Date of Election Total to I late 10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ $ I $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 0 13. Cash Receipts........................................................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 8 above 0 16. ENDING CASH BALANCE.................. Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Parte $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2+Line 9 in Column B above $ To calculate Column B, add amounts in Column A to the 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 carry 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/2'753772) www.fplic.ca.gov Officeholder and Candidate Date Stamp Campaign Statement- RECEIVED Short Form CITY OFROSEMEJ Date of election Happlicable: ElAmendment (Explain Below) (Month, Day, Year) JUL 27 2021 CITY CLERK'S OFF1 n A/ 1. Statement Covers Calendar Year 20 Itl 2. Officeholder or Candidate Information 3. Office Sought or Held NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ar'A are r STREETADDRESS . CITY STATE ZIPCODE RosemeoLd CA- 9`[770 AREA CODEIDAYTIME PHONE NUMBER OPTIONAL FAXIE-MAILADDRESS 4. Committee Information List all committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME AND I.D. NUMBER ADDRESS NAME OF Comrn't-e&- +o R� -�Cect �k/I e Gen/ 13`�.vo I , Cal 91776 dmcygarefGlctr/C I 5. Verification I declare under penalty of perjury that to the best of my knowledge I anticipate that I will receive less than $2,000 and that I will spend less than $2,000 during the calendar year and that I have used all reasonable diligence in preparing this statement. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on Gzsa l I DAM By %%Ze=Cq� SIGNATURE OF OFFICEHOLDER OR CANDIDATE FPPC Form 4701470 Supplement (Jan/2016) FPPC Advice: advice@fppc.w.gov (6661275-3772) www.fppc.ca.gov COVER PAGE Recipient Committee Date Stamp Campaign Statement RECEIVED ;CALIFORNIA 460 Cover Page CITY OFROSEMEAD FORM , , Statement covers period Date of election if applicable: JAN 26 2021 Page_I of 3 .7`1 `�a 3-0 (Month,Day,Year) For Official Use Only from / f/ CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through lz/3!/'°2-0 BY: 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: ,I Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot MeasurePreelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee L Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee information I.D.NUMBER Treasurer(s) !392.5[7 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAM] t�'j l� NAME OF TREASURER C L 041W//f/ h' c-f ee -e leU LGlteniC^�— MAILING ADDRESS ararCi.er� ( STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE EA CODE/PHONE GA- ' CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY ' Gm- . MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and or Assistant Treasurer Executed on J/X 11'_24 24'-7--.1 By Date Signatur f Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on - By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov ,, Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Summary Page Statement covers period CALIFORNIA4V�` from 7/1/2 2_C •FORM . O,, SEE INSTRUCTIONS ON REVERSE through /2/31/24 Zv Page 3 of 3 NAME OF FILER I.D.NUMBER eervr►orifl '16--e/ /12 are -Clark- 155 2.50 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ 0 $ 1!1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 0 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .Add Lines 3+4 $ a $ 0 Made $ $ Expenditures Made CPO Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 6y 00 $ I0 I• Candidates . 7. Loans Made Schedule H,Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ 61T' 09 $ j0 I. DO 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 6#, 00 $ 110 . 00 _—J—J $ Current Cash Statement ,t __._._I_____/ $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ g1. 1 Z To calculate Column B, 13.Cash Receipts Column A,Line 3 above 0 add amounts In Column A to the corresponding *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above. to 4, 0 0 of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 9.0.41 2 be negative figures that should be subtracted from If this Is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ o filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any).. 18. Cash Equivalents See Instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9in Column B above $ 0 FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee • Campaign Statement CALIFORNIA 460 CoverPage — Part 2 FORM' • Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE intL Otre i l C(a r1L OFFICE6 GHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION 0 SUPPORT czk 0171/act/ e iql be J' 0 OPPOSE RESIDEIVTIALJBUSINESSADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,If any. . e . NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List anycommittees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TRkASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT O OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Recipient Committee Date Stamp ,, _ _ COVER PAGE Campaign Statement Gi4LlFORNIA Cover RECEIVED iFORM,= 460 PageCITY OF ROSEMEAD - ' `-r••. Page/ of 3 Statement covers period Date of election if applicable: y� (Month,Day,Year) J U L 2 9 RECO For Official Use Only from VO-0 y0 SEE INSTRUCTIONS ON REVERSE CITY CLERK'S OFFICE through 30 2O) 1 BY: 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: g Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee J1 Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) ❑ Amendment(Explain below) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee information I.D.NUMBER Treasurer(s) /39 .S0 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Co til in r t/e 716 C--C/66:-/-- (7u.11 e 6-en.17--(/ r � t art C./ C /�r� MAILING ADDRESS. = STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE ., CA (. CITY STATE ZIP CODE MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the'nformation contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460. Cover Page — Part 2 Page of 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE • OFFICE SVJGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT // CCi/ Co(it.pj 1ir/-evoh2(- CIOPPOSE RESIDENTTIIAL/BUSINESSADDRESSS (NO.AND STREET) CITY STATE STATE ZIP , c i Identify the controlling officeholder,candidate,or state measure proponent,if any. J 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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) 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 COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period CALIFORNIA from //e/ ,0 2-0 FORM �7 SEE INSTRUCTIONS ON REVERSE through 6730/.o 24, Page 3 of 3 NAME OF FILER I.D.NUMBER 13 9a5-O Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and O' General Elections 1. Monetary Contributions Schedule A,Line 3 $ 6 $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 0 0 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 0 20. ContributionsReceived $ " $ 4. Nonmonetary Contributions Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ $ Candidates 7. Loans Made Schedule H,Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ 22. Cumulative Expenditures taryEMadt) (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ $ _i_i Current Cash Statement [f _____/ / $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ f"2, Z To calculate Column B, 13.Cash Receipts Column A,Line 3 above 0 add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule I,Line 4 - 0 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above h✓7. 0 o of your last report. Some L I amounts in Column A may �3 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ , t}/,L/g-, be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being 17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460(Jan/2016)) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov C.ivLk PAGE Recipient Committee Date Stamp CALIFORNIA Campaign Statement RECEIVED FORM 460 Cover Page CITY OF ROSEMEAD Statement covers period Date of election if applicable: t� Page of ///�®/� (Month,Day,Year) JAS ��,REM Page from �,/ For Official Use Only !! CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through 42 1' 11 BY: 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: ar Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 Preelection Statement 0 Quarterly Statement 0 State Candidate Election Committee Committee 0 Semi-annual Statement 0 Special Odd-Year Report 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored 0 (Also Termination a Forme 0nt p (Also file a Form 410 Termination) (Also Complete Pert 6) 0 General Purpose Committee 0 Amendment(Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER 139 ASO Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Co e-i'J Olt ite.a. -1.9 iiVe --eleo p (la li e G>✓n��r� crMAILING ADDRESS (/ grvf �cc/-1� STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE . Ch ( CITY STATE ZIP CODE MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to Date Signature of Control ing Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page of a3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE / - teJ -IG OFFICE SRIGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION / 0 SUPPORT Cil)11 CU LG a C t/ ✓n'e-'� F ❑ OPPOSE II RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP �/ CA 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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. El YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) 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 El SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑YES I=1 NO El SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement coversperiod Summary Page CALIFORNIA from �0/2.-(9/9 FORM 460 SEE INSTRUCTIONS ON REVERSE through 12/31/ 2 01 / Page 3 of 2 NAME OF FILER I.D.NUMBER COM m6 Z'teG 71z, 42e-,P eck" /2at�i�-ccre f- CArA cl Column A - Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line3 $ 0 $ G 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 6 0 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ D $ d 20. ContributionsReceived $ $ 4. Nonmonetary Contributions Schedule C,Line 3 6 0 21. Expenditures • 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ $ Candidates 7. Loans Made Schedule H,Line 3 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F Line 3 - Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ $ _______L_____I $ Current Cash Statement ped `l _______/__/ $ 6 o / 12. Beginning Cash Balance Previous Summary Page,Line 16 $ , 7 2- To calculate Column B, 13. Cash Receipts Column A,Line 3 above ® add amounts in Column p Ato the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 2-4 ef, a of your last report. Some 171-2 J amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ �-`, "7-2, be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If this is the first report being filed for this calendar year, 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ - only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). , 18. Cash Equivalents See instructions on reverse $ - 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov about:bl an k COVER PAGE Recipient Committee —RECIENED Campaign Statement CITY OF ROSEMEAD CALIFORNIA 40 Cover Page FORM Statement covers period Date of election if applicable: +tt- `' e? Page__i_ of. 3 ,. from 1/ �/1 / 20/q (Month,Day,'Year) For Official Use Only CITY C 1 OFFICE BY. SEE INSTRUCTIONS ON REVERSE through 6/30/- 0�- 19 1. Type of Recipient Committee: An Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: X Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement [C Quarterly Statement O State Candidate Election Committee Committee ❑ Semiannual Statement ❑ Special Odd-Year Report O Recall 0 Controlled El Termination Statement Nen confrere Pan sr C) Sponsored (Also file a Form 410 Termination) (Also Cmeplte Fen 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Aix Gc+sAelePee r; q 50 / — 3. Committee Information Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO/COMMITTEE) NAME OF TREASURER l C....67,1741'/tree, --740 Re--deer Ju.Il e- Glen% ry aruf'�� C/a;k MAILING ADDRESS /"/ J • STREET ADD ESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CA ? (. CITY STATE ZIP CODE AREA CODE+PHONE NAME OF ASSISTANT TREASURER,IF ANY CA- )4ALiNO ADORESS iF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE ARC-ACODErPHONE. OPTIONAL. FAX/E-MAIL ADDRESS OPTIONAL. FAX 1 E-MAiL ADDRESS �_... 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true :ata Signature of i(trolling(Nrr-enotuer, ardidate,51ata Measure;5roynr`ert or Responsible Orrvxr of$wnso+ Executed on By Date Signatlre of Controlling Offi[etoutef.Candidate,State Measure Proponent Executed on Date By Sigrat,ae of Controlling Offroetrolder.Gandieate,State Measure Proponent FPPC Form 460(Jan/2016) enter...t__.–1.:_.at__...._.-�..lee=Prole ,-fHt 3of33 7/11/19,7:19PM about:blank COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page— Part 2 Page 'z' of 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE' NAME OF BALLOT MEASURE i'I GC rq a r'C-I l�/cL r//c OFFICE SOU OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION [�SUPPORT Gr LFJ t f.Yt_CarrLr er) - ❑OPPOSE RESIDEN USINESS ADDRESS (NO.AND STREET) CITY STATE ZIP cli- 1de""ty the controlling officeholder,candidate,or alae 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 recehro OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. GOMMI I I LE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candldate/Of icehoider Committee List names of officehoiderp)or candidates)for which this committee is primarily formed. 0 YES ❑NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) 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 COMMITTEE NAME LD.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HEW ❑YES ❑NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets If necessary FPPC Form 460(Jan/2016) FPPC Advice:advice.fppc.ca.aov(866/275-3772) www.fppc.ca.gov 5 of 33 7/11/19,7:21 PM about:blank Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period Summary Page CALIFORNIA 460 , from /p/ a,00 FORM through 6/30/7-6 /'1 Paos. 3 of 3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1.0.NUMBER COrn rY7 I itee to te-eJ ecl- k)1. - ,- t- Cia-t-k. / 3 9 2,53 0 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions. Schedule A,Law 3 $ 0 $ 0 1/1 through 6/50 711 to Dare 2. Loans Received Schedde a Line 3 0 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 0 Received $ 0 0 4. Nonmonetary Contributions Schedule C.Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 0 $ 0 Made $ $ ........– . — Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ $ Candidates 7. Loans Made Schedule H,Line 3 22. Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS Add lines 8«7 $ $ ill Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 (mmiddlyy) 11.TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ _____ i i $ Current Cash Statement / I $ 12.Beginning Cash Balance Previous Summery Page,Line 16 $ n6. 112 To calculate Column B, 13.Cash Receipts Column A,Lino 3 above 0 add amounts in Column A to the corresponding amounts from Column B 'Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule?Line 4 0 reported in Column B. 15.Cash Payments Column A,LiflO 8 above 2.7 7. Oa of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+ 13+14.then subtract Line 75 $ G "7. g 2.. be negative figures that should be subtracted from if this is a termination statement,Line 16 must be zero, previous period amounts. If this is the first report being 17.LOAN GUARANTEES RECEIVED Schedule 8,Part2 $ --- filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(tf — any). 18. Cash Equivalents See instructions on reverse S ..--- 19. Outstanding Debts Add Line 2+Line 9 in Column 8 above $ FPPC Form 460(Jan/2016) FPPC Advice:advicelPippc.ca.gov(866/275-3772) www.fppc,ca.gov 7 of 33 7/11/19,7:22 PM Recipient Committee DateCOVER PAGE Stamp CALIFORNIA 460 Campaign Statement, RECEIVED Cover Page CITY OF ROSEMEAD FORM Statement covers period Date of election if applicable: n Page of 7/1/a© 9 (Month,Day,Year) �H� �' ��l from For Official Use Only CITY CLERK'S OFFICE SEE INSTRUCTIONS ON REVERSE through �, . •/ a_()19 BY: 1. Type of Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: NT Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled 0 Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Pert 6) 1:l General Purpose Committee 0 Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Pert 7) 3. Committee Information I.D.NUMI9R I� r A50Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER CO m pn a g-e. d /Pe -•.elec k J if e Cin 74y nai-- Qry f (� ai-// MAILING ADDRESS k STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE . Resemead Ch 9 Z 7 70 ( CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Roo niece cm-- 9/770 ( MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification . I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the' formation contained herein and in the attached schedules is true and complete. I certify under penalty of per ury under the laws of the State of California that the foregoing � Date Signature of Cont= ing Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Instructions for Recipient Committee CA FORMNIA 460 Campaign Statement= Cover Page Period Covered by a Statement: Sponsored Committees Verification: •The"period covered" by a campaign statement A sponsored committee is one that has a The statement must be signed by the committee begins the day after the closing date of the last sponsor—a business entity, organization, treasurer or the assistant treasurer named on the union, or other entity—that meets certain campaign statement filed. For example, if the committee's Statement of Organization (Form criteria. Sponsored ballot measure committees closing date of the last statement was September 410). An officeholder, candidate, or state measure 30, the beginning date of the next statement will be and general purpose committees must include proponent who controls the committee must also the name of the sponsor in the name of the October 1. sign the statement. If two or three officeholders, committee. candidates, or proponents control the committee, If this is the committee's first campaign statement, each must sign the statement. If more than three begin with January 1 of the current calendar year. Small Contributor Committees control the committee, one may sign on behalf of • This term is significant only if the committee the others. The closing date of the statement depends on the makes contributions to candidates running for type of statement you are filing. elective state office. Under certain circumstances, the responsible officer of a sponsoring organization must sign the Date of Election: Type of Statement: statement. If you are filing this statement as a preelection Check the appropriate box(es)to indicate the type statement in connection with an election, enter the of statement you are filing (or amending). Additional Important Information: date of the election. Refer to the FPPC Campaign Disclosure Manual Amendments: If you are filing an amendment to a for your type of committee for information about: Type Recipient Committee: previously filed statement, give a brief explanation of of the amendment and list the schedules being When, where, and what type of statements the Check one box to indicate the type of committee amended. Include an amended summary page, if committee is required to file. filing the statement. General descriptions are applicable. Be sure to enter the period covered of • Closing date of campaign statements. provided on the cover sheet to this form, or contact the statement you are amending. your filing officer or the FPPC for assistance. • Sponsored committee criteria. Following are some additional guidelines: Termination:A committee must continue filing • Termination criteria. campaign statements each year until it is eligible to • Recordkeeping requirements and prohibitions. Controlled Committee terminate and files a Form 410 Termination. • A controlled committee is one that is controlled Most officeholders must continue filing campaign by a candidate, officeholder or, in the case statements until they have terminated all controlled of a state ballot measure committee, by the committees and have left office. proponent of the measure. A committee is "controlled" if the candidate, officeholder, Committee I.D. Number: or proponent, his or her agent, or any other committee he or she controls, has a significant If the committee has not yet received an influence on the actions or decisions of the identification number from the Secretary of State, committee. enter"Not Yet Received." File Form 410 to obtain an I.D.Number. FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page •2• of e- i 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE f''�arar-g.t Gl1< OFFICE SOVGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT G`ky CQuaci/ El OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP /Z Identify the controlling officeholder,candidate,or state measure proponent,if any. . Rose a.rt CA 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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) 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 COMMITTEE NAME I.D.NUMBER - -- NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT 0-OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES El NO El SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Instructions for CALIFORNIA /�6O Recipient Committee FORM 4t' Campaign Statement— Cover Page Officeholder or Candidate Controlled Ballot Measure Committee: Committee: Part 6 of the Form 460 Cover Page must be Candidates must have a separate bank account completed by committees that are primarily and committee to run for different elective offices. formed to support or oppose the qualification or A candidate who is required to file campaign passage of a single ballot measure or two or more statements in connection with more than one measures being voted on in the same city, county, elective office but is only receiving contributions multicounty, or state election. A"general purpose" and making expenditures for one of the offices, ballot measure committee (one that supports may include both offices on one Form 460. In Part or opposes a variety of state and/or local ballot 5 of the cover page, enter the candidate's name measures) is not required to complete Part 6. and under"Office Sought or Held," identify each office, and state whether the candidate is seeking or holding the office. The Form 460 must be filed with the appropriate filing officer(s)for each office. For example, a city councilmember is raising funds to run for the county board of supervisors. She has no committee and is not raising or spending funds in connection with the city office, and has formed a controlled committee for the county office. To comply with the requirements to file campaign statements for both her city office and her county candidacy, she may complete one Form 460 each campaign reporting period, which she will file with the city clerk and the county elections department. In Part 5 of the Form 460 Cover Page, under "Office Sought or Held," she will state that she is holding the office of city councilmember(including the name of the city) and that she is seeking a seat on the board of supervisors (including the name of the county). FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars• Statement coverseriod p CALIFORNIA 460 from 37//Z0 f!� FORM SEE INSTRUCTIONS ON REVERSE through 12/31/ 2 o) / Page 3 of NAME OF FILER I.D.NUMBER (ern m6 ttee 710 142e—,tied' Ple"-uref &Ark, Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and �S / General Elections 1. Monetary Contributions Schedule A,Line 3 $ 6 O $ 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 6 -_ C 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ Q $ 0 20. ContributionsReceived $ $ 4. Nonmonetary Contributions Schedule C,Line 3 6 0 21. Expenditures • 5. TOTAL CONTRIBUTIONS RECEIVED AddLines3+4 $ a $ ` 0 • Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ $ Candidates 7. Loans Made Schedule H,Line 3 - 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 - Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ $ ____I_I $ Current Cash Statement /_� $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 6 .89', 'V2- To calculate Column B, 13. Cash Receipts Column A,Line 3 above 8 add amounts in Column Ato the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above 6 eFF 6 of your last report. Some amounts in Column A may • 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ it..1, 2 be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If , this is the first report being s filed for this calendar year, 17. LOAN GUARANTEES RECEIVED Schedule B,Part2 $ only carry over the amounts Cash Equivalents and Outstanding Debts • from Lines 2,7,and 9(if any). 18. Cash Equivalents See instructions on reverse $ .........- 19. 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Instructions for Summary Page CA 460 Campaign Disclosure Statement The Summary Page provides an overview of the activities. Consult the FPPC Campaign Disclosure on hand figures on Lines 12 and 16 of the Summary committee's financial activities and is completed for Manual for your type of committee for additional Page. each filing. information. Summary for Primary and General Column A reflects activities during the current Current Cash Statement: Elections (Lines 20 and 21): reporting period as reported on Schedules A through H. It is not necessary to attach a blank Lines 12-16 of the Summary Page should This section is only for committees that are: accurately reflect your current cash position. schedule if there has been no reportable activity • Controlled by a candidate who is being voted on during th&period, but it is necessary to enter a Beginning and ending cash balances should in both the state primary and general elections zero or the word "none" on the appropriate line in include the total amount of funds in your campaign (does not apply to controlled ballot measure Column A of the Summary Page. - checking and savings accounts, plus any committees); or investments that can be readily converted to cash, Column B figures should reflect the cumulative such as certificates of deposit, money market • Primarily formed to support or oppose total since January 1 of the current calendar accounts, stocks and bonds, etc. (Officeholders candidates being voted on in both the state year.* Add the totals from Column B of the and candidates are subject to bank account primary and general elections. committee's last campaign statement(if any)to the restrictions, and all committees should read the corresponding amounts in Column A. If this is the FPPC Campaign Disclosure Manual regarding Complete this summary on the preelection and first report being filed for a calendar year, only carry appropriate uses of campaign funds.) semi-annual statements for the general election, forward the amounts reported on Lines 2, 7, and covering periods during the last six months of the 9 of Column B (if any)from the committee's last Line 12(Beginning Cash Balance) must be the year(July 1 — December 31). statement. (Note: The amounts reported on Lines same as the ending cash balance reported on Line 2, 7, and 9 of Column B should be the same as 16 of your previous statement's Summary Page. If Expenditure Ceiling Summary for State the total outstanding amounts disclosed in column this is your first campaign statement, enter zero on Candidates (Line 22): (d) of Schedules B, F, and H, respectively, of the Line 12. Candidates for elective state office who have current report.) Line 16 (Ending Cash Balance) is the total of Lines accepted the voluntary expenditure ceiling for a 12, 13, and 14, minus Line 15. particular election must disclose the total amount of When loans (Schedules B and H) and accrued expenditures made through the end of the reporting expenses (Schedule F) are paid, the figures to If you are filing a termination statement, Line 16 period that are subject to the expenditure ceiling be carried from the schedules to Lines 2, 7, and must be zero. for the election. Report the date of the election 9 of Column A may be negative numbers. In this and total amount expended for that election. case, be sure to show them as negative figures on Cash Equivalents: Report totals for the primary and general elections the Summary Page(e.g.,with a minus sign (-) or includeseparately. This information is no longer required if in parentheses), and subtract them when totaling "Cash equivalents" investments that cannot be readilyconverted to cash, as well as the balance the expenditure ceiling has been lifted. (See FPPC Columns A and B. _ Campaign Disclosure Manual 1.) due on all outstanding loans the committee has *There are exceptions to the calendar year made to others(from Line 7 of Column B of the "cumulation period"for candidate elections and Summary Page). Investments that can be readily ballot measure elections held in January and early converted to cash, such as certificates of deposit or _ February, and for ballot measure qualification money market funds, should be included in the cash FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov COVER PAGE Recipient Committee Date Stamp Campaign Statement CALIFORNIARECEIVED FORM 4 60 Cover Page CITY'OFROSEMEAD 1 Statement covers period Date of election if applicable: ' n Page of from 7 !`2 0(k (Month,Day,Year) ��� 1 � LU l� For Official Use Only � ( ®PLY SEE INSTRUCTIONS ON REVERSE ;-. through �a'� `/_ / � ®7 1. Type of.Recipient Committee: All Committees-Complete Parts 1,2,3,and 4. 2. Type of Statement: X Officeholder,Candidate Controlled Committee ❑ Primarily.Formed Ballot Measure ❑ Preelection Statement ❑ ,Quarterly Statement 0 State Candidate Election Committee Committee : Semi-annual Statement ❑ Special.Odd-Year Report o Recall 0 Controlled ❑(Also Complete Part • 0 Sponsored Termination Statement (Also file a Form 410 Termination) (Also Complete Part BJ ❑ General Purpose Committee - D Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central•Committee (Also ComplatePart.7) 3. Committee Information I. NUMBER Treasurer(s) /3I , 30 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME TREASURER na.l rel- C' a P'k MAILING ADDRESS (� STREET ADDRESS(NO P.O.BOX) CITY STATE' ZIP CODE AREA CODE/PHONE . Ro -e_nem- . CA q/ 770 CITY STATE ZIP CODE . AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY RD5-er C4 917-70 ( MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY. STATE ZIPCODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/-E-MAIL-ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4 Verification I have used all reasonable diligence in preparing and reviewing this,statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State.of California that the foregoing is true and correct. Date - gnature of Treasurer or Assis•nt Treasurer / Executed on' C—/V—/ By '✓ Date Signatu:/f Controlling Officeholder,Candidate,State Measure Proponent or Responsible Officer of Sponsor Executed on By Date - Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) COVER PAGE PART 2 Recipient Committee " .. CALIFORNIA 460 Campaign Statement FORM Cover Page — Part 2 . Page c9-N of 5. Officeholder or Candidate Controlled Committee 6 Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Manz {• C/a r-k OFFICE SC7GHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) NO BALLOT OR LETTER JURISDICTION . :. ❑ SUPPORT: ❑ OPPOSE RESIDE ;IALBUSINESSADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. / ase4✓r -•e2; Cl4 91-77 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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY , contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed'Candidate/Officeholder Committee List names of officeholder(s)or candidate(s).:for which this committee'.is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT.OR HELD El SUPPORT ❑.OPPOSE CITY ' STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME - I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE . OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE " NAME OF TREASURER CONTROLLED COMMITTEE? AN GH • NAME OF'OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 1_1 SUPPORT ❑'YES ❑ NO COMMITTEE'ADDRESS : STREET ADDRESS'(NO P.O.BOX)_. ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attachcontinuafion sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of ExpendituresAmo unts may be rounded Statement•covers period to:whole dollars. CALIFORNIA /' Supporting/Opposing Other60 from 7r///S F • ORM Candidates, Measures and Committees• of through / SEE INSTRUCTIONS ON REVERSE 0-- r r 81 Page ••� , 7 1 NAME OF FILER,' I.D.NUMBER NAME OF CANDIDATE`OFFICE AND DISTRICT,.OR DESCRIPTION .. CUMULATIVE TO DATE:_ PER ELECTION. DATE TYPE OF PAYMENT AMOUNT THIS ` CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) OR COMMITTEE PERIOD (JAN..1-DEC.37) (IF REQUIRED) 'IaE-// K a• GS sFt � 00� 1Conertbu on . Idos/_.n ; °D 10116/1g n-eon�cct 64( j6-11et 7-0r co u.Nonmonetary �..� g C . .. . : ontribution. -. k+ Independent Support ❑ Oppose- Expenditure • ID..Monetary. Contribution. o'' Nonmonetary • Contribution ❑ Independent. 0 Support 0 '.Oppose Expenditure • 0 Monetary Contribution o Nonmonetary .. . Contribution • 0 Independent 0 Support 0 Oppose. .. : . Expenditure SUBTOTAL. $ 4 4r'l ! � Schedule D Summary 00 1. Itemized contributions and Independent expenditures made this e . Include all Scheduleriodp... ( D subtotals.) ° � $ � 2. Unitemized.contributions andindependent expenditures made this period of under$100 $ ` '- 3. Total contributions and;independent expenditures made this period (Add Lines 1 and 2 Do not enter on the Summary Page.) TOTAL. $ 5- FPPC Form 460(Jan/2016) FPPC Advice•advice@fppc.ca.gov(866/275-3772) .. . ..: www.fppc.ca.gov Campaign Disclosure.Statement: .; Amountse SUMMARY PAGE may be round d to whole dollars. Statement covers periodSUnlary Page CALIF ORNIA } 6O from 7////g FORM SEE INSTRUCTIONS ON REVERSE through t a�/ l 8 Page ( of LI NAME OF FILERI e 't —tele:c /V�c✓C�a lczre� 33 0 o NUMBER 1r! e_ Contributions Received Column A Column B Calendar Year Summary_'for Candidates. TOTAL THIS PERIOD CALENDAR YEAR .. (FROM ATTACHED SCHEDULES) TOTAL TO DATE .Running in Both the State Primary and Monetary er Gen al Elections 2.1. loanReceived butions Schedule e'Line 3 $ $ Line 3 © 1/1 through 6/30 7/1 to Date 20. 3: SUBTOTAL::CASH CONTRIBUTIONS Add Lines 1.+2 $; l Contributions $ Received. $ . $ 4. Nonmonetary•ContributionsSchedule c,Line.3 a 21. _ Expenditures Made $ 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 '.$ 0 $ $ Expenditures Made 00 Expenditure Limit Summary for State 6 Payments Made ' Schedule E;Line4 ...'$ • © 2-` $;. /15 • Candidates 7. Loans:Made Schedule H Line 3 8. SUBTOTAL CASH PAYMENTS Add:Lines 6+'7 $: .-D " as Voluntary eu Made* 22. Cumulative Expenditures $ (If'Subject Vol ary Expenditure Limit) CD 9.: Accrued Expenses(Unpaid Bills) ScheduleFLine3 � Date of Election 'Total to Date 10. Nonmonetary Adjustment Schedule C,Line a - © (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines a+9+10 $ J-0 $ /L a• d[� Current Cash Statement : . $ 'Cash Balance; Previous Summary Page,Line 16 - $ ` � �` Z 12. BeginningTo calculate Column B, 13. Cash Receipts Column A,Line 3 above 0 add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14:Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A Linea above . � a. 0'o of, our last report. Some Y p amounts in Column A may 16: ENDING CASH BALANCE - Add Lines 12+13-+14;then subtract Line 15 $ 9. . 2 be negative figures that ,.• should be subtracted from If this is a'termination statement,Line 16 must be"zero. previous period amounts. If • this is the first report being year, 17. LOAN-GUARANTEES RECEIVED -Schedule B,Part 2 $ filed for this calendar Y,only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any) 18. Cash Equivalents ' See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov LEo I. t , .0 { : \� , { , 0 LO LID \ Et L j � \ ce D n � } cL RI O. ` IC oE -1.0 j} § LU P. [ Li � _/ , _ dca \ &} N - $ 1— 21es o \ } ! P•• C ) - ) ) - . : : al \ � , E _ EO 0 } \ _ ) {\ f44 : : 4- P11 : 59! ) ( ! \//! Lori _, to - \ } ^ \ RI 0 20 0 / €2 E ,\ / , , \ \ \ _ \ ( � \ \ / : - : : f | cc ci ,0 in- ! ! 51— z Ga CL � 2 k � LU 12 CI W- » �a0 0w g ) - } ( \ j ( CO x } _ 3.3°� Ca z ° 00 d p9 ) } } ) / q RI \ \ \ 0 8 | d o E ; At ! \ { - : - IJ t[ & � \ n , _ - , 0 0 CD : - > FI N to E 0 \ , 0 ao K , o0 \ ( : E , : ! : ! z Ln V ! _ , ! : ! : , : , - [ ! - =o nn on nn § \ »\ ( LL z / o ea \ H q 0 Ca < mi . § E \ 00 - Eo \ ; i- ; m mo c et 2 - .15 Eo o \ 0 0 z o.LU Ill LLI 0 \ } \ \Ea cc o } \ \ LL To' \ \ } \ ƒ \ j - z 0 ƒ) 0 0 0 \ \ i} Lu w z z ! 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E _ - fi t - S 2 R . = /; sosuy 30 \ e / , a \ / Q/; / ` ‘.3; / : J \ \ . . a a . 69 Qin/# #!» N \ x /,u, 000 No , Q0 ® , e \ \ « \ < E �( \ : � ' I { - - \ ; -2 IL \ ) : ` , - t , , , , ! { / } ) ) : , cCN . \ \ � � / |es w y } to ) j , _ il — a ! 7 a) _ \ k = \ / J k . : 4 o c � { ) — ( \ \ ) ) , ! § / < @ E 2 ; : = 1 ; ® ow � � ) \ - \ / } ) a0aj {co � � cm C EE ® 0 - � S00 -I CO O \ : CO u2 } I » 0 \ \ / \ / } 0 / 0) 01 ( ) \ ) \ ) ) � ) ) \ \ ; o 9 _ Ca R \ �co \ / to o a : 0 en to }§ - k ! » _ \ _ • 2 2 ° ° \ { \ 3 /U. ! \ \ y - , , , 2 ` v 9 / b td11. { � \| / 2 - a 2Lij II. ; _ - _ E ! / \ , 9 § / GGg ! ! ! \ SQQQ § z \ Iii G % o0 on . i ( co \ co c { , _: a : : a : /\ % « ; —TI3 .- 0. j - - \ § C - - U co 6C 0 - jcn co – � � � / % ) § _ 0 0GI / e / / \ / E ) § c \ / ( \ / ) \ \ IL 3Le } E \ \ ° E ) § ! : foot , ! ; l , 2 z r ; « § ! § ; § , § ; ; : } § E j \ \ Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from Ih / i through 1. Type of Recipient Committee: AS committees - complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Pad 5) O Sponsored ❑ General Purpose Committee (Al. Complete Pad 6) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also Complete Pad 7) 3. Committee Information I.D. NUMBER lay��3 Ct)071V6y1Ce1 �a &-- eJecf dl?��a -� ClaTl< � , aiAie ur wuc MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. DOX CITY STATE ZIP CODE AREACODE /PHONE Date of election if applicable: (Month, Day, Year) 2. Type of Statement: • ❑ Preelection Statement Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE Page of For Official Use ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER JGJl � Ge_o+frtP . CITY STATE ZIPCODE AREACODE /PHONE Rogemec (�et'770 NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS CITY STATE ZIPCODE I AREA CODE /PHONE OPTIONAL: FAX /E- MAILADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the Executed on -- / 2/� / 7 g y _. Oata Signature of Cantrofling ORceheldeg Candidate, Stale Measure Proponent or Responsible Officer of Sponsor Executed on B Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on B Date Signature of Controlling OHlceholdeG Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 Page ? — of G 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE N'a'rg -e - u6 rk UN ntLu iHNULUUt 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE 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. COMMITTEE NAME I I.D. NUMBER ❑ YES ❑ NO P.O. BOX) CITY STATE ZIP CODE AREACODE /PHONE COMMITTEE NAME I I.D. NUMBER ❑ YES ❑ NO (NO P.O. BOX) CITY STATE ZIP CODE AREACODE /PHONE OFFICE SOUGHT OR HELD NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee Lisrnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD T ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARYPAGE Summary page to whole dollars. Statement covers period i a= from — 7 (o Expenditures Made 6. Payments Made ................. -- .......... ,....... ..._....... ............ Schedule E, Line $ 500, - �✓ 3 0 !i00 _ O $ SO 8 9. Accrued Expenses (Unpaid Bills) ... ..... ................ ...- ... .......... Schedule F. Line 3 through a ( U7 Page of SEE INSTRUCTIONS ON REVERSE 0 o(' — p 5' S $ q NAME OF FILER I.D. NUMBER C©vnnniH ec , Mal area ( 3 9 2 Sad oo C B Calendar Year Summary for Candidates Contributions Received To P Running in Both the State Primary and (FROMAITACHEO SCHEDULES) TOTAL TO DATE ev General Elections 1. Monetary Contributions .................... ............................... Schedule A, Line 3 $ 23 (o L/ 3 LD 0 $ ?1 1/1 through 6130 7/1 to Date 2. Loans Received ................................. ............................... Schedule 6, Line 3 h t"J °O v 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 3 64 3, $ 36 ( {'3 . Received $ $ 4. Nonmonetary Contributions .... ........ .............................. Schedule C, Line 3 G G 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED... . ........ ... . ..... .. .. Add Lines 3 +4 aG $ 3Gµ3• — OU $ _a( ' Made $ $ Expenditures Made 6. Payments Made ................. -- .......... ,....... ..._....... ............ Schedule E, Line $ 500, - i Loans Made_ ..... .... ... _.,., ......... _.._............_...___..... 8. SUBTOTAL CASH PAYMENTS._ ....... _._.._......... scheduie,v Lille 3 ............. .Add Lines e +7 $ 0 !i00 _ O $ SO 8 9. Accrued Expenses (Unpaid Bills) ... ..... ................ ...- ... .......... Schedule F. Line 3 0 CL 10. NonmonetaryAdjustment .............--..................- 11, TOTAL EXPENDITURES MADE..... ..... - ... -- ...._.....- ...._ScheduleC,Line3 .... .... ....... Add Lines 8 + 9 + 10 $ 0 o(' — p 5' S $ q Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ D 13, Cash Receipts ............................ ............................... Column A, Line 3 above 3 G L43 , 0 ' 14. Miscellaneous Increases to Cash ...... .............. - ...... .... Schedule 1, Line 4 O 15. Cash Payments ..................... .................... Column A, Line a above S0r).S 16. ENDING CASH BALANCE .... - . ...... .....Add Lines 12 + 13 + 14, then subtract Line 15 $ 3 1 '-1 2.. 14 7— If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule a Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............. -- ............ Add Line 2 +Line s in Column 8 above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subh,ct to Voluntary Expeod ture Limit) Date of Election Total to Date (mm /dd /yy) E3 To calculate Column B, add amounts in Column AID the 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 carry 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 (Jan/201.6) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Sche A Amounts may be rounded SCHEDULE A two tt;ta Fy %'OnEributions Received -- -- - � " " Statement covers period CALIFO ' from 1/ d/ • FO SEE INSTRUCTIONS ON REVERSE through Page " of NAME OF FILER N1 / JY) e'YI � ��P� 4z:) �� -P-ee- i ' ///v G'L oC� t�GCly"� I.D. NU 0 -- DATE RECEIVED FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE* IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION ' TO DATE (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED ) ❑OTH ❑TH / ,9 �Pi7%l'L'GL /f�c` OU El PTY ❑SCC // �// �4-/,e 6ellr ®.IND ❑ COM oPTH ❑ SCC &ND El PTY ❑ SCC Pe Y Nurnao El OTH ! ❑ PTY El SCC J�l // ❑ PTY ❑ SCC SUBTOTAL$ .� muuu w M vu111111A1y . 1. Amount received this period — itemized monetary contributions. (Include all Schedule Asubtotals.) ..... - ............. ........... .......... .................... .................... - ...................... $ 3 yIq y 2. Amount received this period — unitemized monetary contributions of less than $100- .........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ 2 6 y v IND - individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice; advice @fppc.ca.gov (866/275 -3772) w W.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) monetary contributions Received to whole dollars. Statement covers period. I CALIFO from F O RM Page ( of through ' 3 / NAME OF FILER I.D. NUMBER �onrnx � � Iv � - �- Iu-� -- ✓l?a;�uKJ CCczrl< I3 9 �2 s� ca DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR REET DD CO MM ITT EE, S SAND ZIP I. CODE NUM BER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) G-fJ 1.5 SG .BIND l d. /3j LG� ❑ PTY ❑ SCC ❑ IND El COM 00TH 200.00 cscV 2.00 SPTY ❑ SCC - -7` �r e/ a n e l / X`IND ❑ COM 00TH l r1 �G7.S(2 /D2( 41251JOer /000, O Ip00 pc � / El PITY U ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY 0 SCC ❑ IND ❑ COM 0 OTH ❑ PTY ❑ SCC SUBTOTAL$ *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor. Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275.3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period Payments Made to whole dollars. from z 6 _ C o✓ rn,He -e {- ke - el' cC f- ar-of Clark through /343/,/ / G I Page 6 of GL CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSC3 EN ER r D_ NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID -- � — ygrk �tss�m�ly Dist- -ulc.f 9 p t' loll Can Cen -1 -ra'f Corn rn l C-�ee -� � r-D 2 0 v , O C� 1 ,L� f-jox 1o78f 1265 , 2 rner.A.CA 91 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ....... ............................... 2. Unitemized payments made this period of under $100 .......................... o n $ zo c0 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.)........................... 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JJ a r LX O i v 4 z w a O z F- U W O O `1 Ww a= LL� LLo �Q NF WZ bo ow 2 0 F� W2 22 zo 71 60 O dl u 1 a �" �,N o u y np J f O m N N O A � N C � m w as E 0 LL U N as a ; LL m C n S E LL f V LL J � W N N O O z 0 �w \` 2 w • � �N W ¢ LL' Vb • N � ] Z _ a z a w W a m E °J o fl N O L z R rc U W ❑ d J 9 V C • c =a a ® V E u =s ~ E Q W WE ]w O LL Od N � w� 6 w 0 QQ y Zw y r A V �LL zg d W � c:l V N O Da K W J� 7 o d z � = O i ww W> M. r a LL LL G U ❑ K C z O W n Mz J F 0 7 to J F a- O 1 N L _ G O N C N c N � N L U a� 3 C W : a a m c U � N N r N N L m ' O J ' O a C a Q N N .- cp D_ O � N O C � o w a a L o 4) o N a m � C N U O_ U d; O N O N L 0 {p N N U > T U O . C V ` O N U _ R N N N c N a J E w m w o E N C d O 7 ro fA U v a) a c d a N M W 7 N E o E E d Y w0 E N M V N N O h c � o m o °? v U Ea �LL LL y' N a3 LL O W 0 c a m LL. F U n . d LL Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) .SEE INSTRUCTIONS ON REVERSE Type or print In Ink. Statement covers period Date of election from 4ZLI/ 3 (Month, DE through Dale Stamp. -. _. I COVERPAGE For Official Use Only 1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4. 2. Type of Statement _ _ .__. -i N Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure R' Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee - ❑ Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled E] Termination Statement El Supplemental Preelection ( Also COmple(e Pen5) Sponsored � P (Also file a Form 410 Termination) Statement -Attach Form 495 F-1 General Purpose Committee (Afsocomofe Pan6) E] Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ - Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also complete Pan 7) 3. Committee Information I I.D . NUMBER CANDIDATE'S NAME STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE f v CA 91770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE By OPTIONAL /' FAX / E -MAIL 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the Information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the Stale of California that the foregoing is true and correct. Executed on �i Dae Executed on /a�✓�/ /�' pale Executed on Dale Executed on Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE &Sent," C/+ 9/7' _ -- - NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE By — SlgneWre o�onlroAiig ODrcetwMer, Cantlitlek, Stele Measure PropeneMwResporeible OFirerorSporem By Signaure d Controlling Oxioeholder, Cantlitlela, Seale M ensure Proponent By SignatureofCoMroling OfioeMltler, Candidate, Slate Measure R ponenl FPPC Form 460 (January/06) FPPC Toll -Free Helpllne: 866 1ASK -FPPC (8661275 -3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 Type or print in Ink. COVERPAGE -PART2 Page 2 of 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 12r�.Gf rte C %Gt r� OFFICE FOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 1 C+ 91 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER OFFICE SOUGHT OR HELD ❑ SUPPORT CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME ❑ SUPPORT I.D. NUMBER NAMEOFTREASURER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) ZIP CODE AREA CODE /PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee usrnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 1ASK -FPPC (6661276 -3772) State of California Campaign Disclosure Statement Summary Page Type or print In Ink. Amounts may be rounded to whole. dollars. Statement covers period from T/ /_3 SUMMARYPAGE SEE INSTRUCTIONS ON REVERSE 6. Payments Made..... ............................................. .... Schedule E, Line through 4 ( Page of Add Lines 6 +7 NAME OF FILE Schedule F Linea 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ........... .................Add I.D. NUMBER �Cr'rh✓✓)fdTe„ � re = eQeca` 4� C'� -i�c fa3�i'!7� Contributions Received 1. Monetary Contributions ............ ............................... _ schedule A, Line 3 Column TOTALT11ISPER100 (mOMATTACHEDSCHEDULES) p0 $ +�0 ColumnB CA ENDARYPAR TOTALTODATE 00 $ o2 aZ 94 Calendar Year Summary for Candidates ' Running n Both the State Prima and Primary General Elections 1/1 through 6/30 711 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 '^ -- 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines t +2 $ :22-'Ig D $ - �9rCl. 00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... 5. TOTAL CONTRIBUTIONS RECEIVED ........ ................... Schedule C, Line 3 Add Lines 3 +4 21. Expenditures Made $ $ $ 2--l-9ff1 00 $ ��9 Expenditures Made 6. Payments Made..... ............................................. .... Schedule E, Line 7. Loans Made .............................. ............................... Schedule n, Line 3 B. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) .............. ................. Schedule F Linea 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ........... .................Add Lines 8 +9 +10 $ a3o7, 95 $ 2'307•g $ 23a7. 95 $ 2307, !S $ 2307. $ ®Z3o7. Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 15. Cash Payments., ...... ..... __ .... ........................... Column A, Line a above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 ff this is a termination statement, Line 16 must be zero. $ wyy,zJ/ a7 --`IP. 00 $ 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pad 2 $ Cash Equivalents and Outstanding Debts _ 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line2+Lineein Column Babove $ To calculate Column B, add amounts in Column A to the 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 fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" is Sublecuo Voluntary Expenditure Limit) Date of EleeBon Total to Date (mmldd/yy) I $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 8661ASK -FPPC (8661275.3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period I CALIFO 1 � from 3 through / Page - 7 of� NAME OF FILER I.D. NUMBER Cern vnt�les {o 6-�� n� are7 1 23 9 , 77; DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF coMMITTEE,AL8O EWER I.D. NUMBER) CODE * OFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 7 •DEC. 31) OF REQUIRED) OF BUSINESS) R • ca_CC10 1 OND 000M �� C � cnwd Def 1 d na -hct_ l 00 od �a l3 ❑ scc Q- ZW�2P�Yl &AV"C-C/ ®INp ❑COM 3 ❑SCC Edna Uav {art a Toan' le �wD ❑COM . IN-C °/ vey,ka- � El SCC �n �7 �7 / (�Pnnij d 1gicriann R�V°>7 d PJND ❑COM Ckli l' l✓l / I 1 � !// ❑SCC SUBTOTAL$ - /0 0 , °U '7 ad "Contributor Codes IND- Individual COM- Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 46b (January /05) FPPC Toll -Free Helpllne: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. 22_ 9W, p ° Monetary Contributions Received Amounts may be rounueu Statement covers period CALIFORNIA to whole dollars. from /:3 • ' • through / 3 15 7 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER &-"Y'L an t fly 56 rye -_-_Z_ C/' / 2 3 9% Z (o DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFGJMMITTEE,ALSO ENTER LO.NUMSER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) // �tsarVL 'r` ry�Lrr- .Sf 07 .BIND ❑COM O PT �e 7 /0 o °d po ID O. [:]SCC ❑ IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ cOM ❑OTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL $ / d O /b ' Schedule A Summary 1. Amount received this period— itemized monetary contributions. (Include all Schedule A subtotals.) ..........................................................:.............. ............................... $ p �0. oa 2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ 9S" 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ SCHEDULE A "Contributor Codes, IND — Individual COM— Reclplent Committee (other than PTY or SCC) 0TH — Other (e.g., business entity) PTY — Political Party SCC— Small Contributor QommiNee FPPC Form 460 (January/05) FPPC Toll -Free Helplino: 8661AS K -FPPC (8661275 -3772) Schedule E Type or print in ink. Statement covers period Payments Made Amounts may rounded from /3 CALIF 460 to whole dollars. lars. SEE INSTRUCTIONS ON REVERSE through /3 _ Page 6 of 7 NAME OF FILER I.D. NUMBER clomma 7`f�� s L� -c P.. /I? acct Gee «!c /.;Z 3 y9 76 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CIVP campaign parephemalia/misc. MBR member communications — RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PEr petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingthallot fees PHO phone banks TRC candidate travel, lodging, and meals - END fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals W independent expenditure supporting /opposing others (explain)" POS postage, delivery and messenger services TSF _ transfer belween committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IFDOMMITTEE,ALSD ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Sc -t-e- F� 14�in Oe4so4 4M. SAP— yard S(RnS '5" a� ft /cL/)d cA 9r786 fej /i �a / E r- — Sf b/ 5 �/ i Zos 4n C 4-- 9'0❑ZI 1"05-lra e se-�- t1l « Li F. �1 vie laerIndf 390- 00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 2. Unitemized payments made this period of under $100 ........................... . ,,, $ 0 00 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 $ �1- 30 Z 95 FPPC Form 468 (January106) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -8772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULEE(CONT) (Continuation Sheet) Type or print in ink. Amounts may be rounded Pas Statement covers period •" , ' Payments Made �S to whole dollars. �� oa from / /i /i3 • • through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER /J /_ _ LB_)7Mf71 /T�. -/o - ,a,Pec /1 = C'la - /a-3 �'7 Flo CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)• OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralsing events POL polling and survey research - TRS stafflspouse travel, lodging, and meals IND Independent expenditure supporting /opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE OF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 116 us, P5� e �,�� Pas P331157-e- //'57 / /& /(s poy7 �Grvtr� �S Pos7�a�� �� oa /a 4e f " Payments that are contributions or Independent e xpenditures must also be summarized on Schedule D. SUBTOTAL$ )) ;.' 71) FPPC Form 460 (January/06) FPPC Toll -Free Helpline: B661ASK -FPPC (8661276 -3772) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Statement covers period Date of election if from y Z / 7-- (Month, Day, through :) oil For Official Use Only 1. Type of Recipient Committee: An Committees— complete Parts 1, 2, 3, and 4. 2. Type of St 4tement: ° s Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee K Semi - annual Statement ❑ Special Odd -Year Report Q Recall - Q Controlled ❑ Termination Statement El Supplemental Preelection (Also compere Pad s) Q Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 L] General Purpose Committee (mso Compere Pad6) ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also G.PlelePad Z) 3. Committee Information I I.D. NUMBER A n� (OR CANDIDATE'S NAME IF NO COMMITTEE) �'on7r✓1i� � /r?I? - �c - � �artyare>` C'��c.s -(� STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 65_ > eA 9/770 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. By I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on �/ 5/ �q Oale Executed on -65 163 Ogle Executed on Dale Executed on Dale Treasurer(s) NAME OF TREASURER ,QA_0_y2 t le- mherf- MAILING ., CITY STATE ZIP CODE AREA CODE /PHONE hR63 " ­aa4 LR 4!770 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS By � Signs of Cent Ing Offlceholtler, Cantlitlate, Slate Measure Proponmtor RestrOMMe OffirerofSponsm By Sgrehaeof Controlling OacetwMer, CentlHele, Stale Measure Proponent By Signature orCOntrollrng Oificefidtler, Centlitlak, Stele Measure Roponen[. FPPC Form 460 (January/06) FPPC Toll -Free Helpllne: 666 1ASK -FPPC (6661276 State of California Date Stamp of 3 1 2013 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink NA ME OF OFFICEHOLDER OR CANDIDATE �h / 4Ija Ci r� [ fa- OFFICE WUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP - 1?0 S e&M&_d eA 4/770 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. COMMITTEE NAME I.D. NUMBER NAMEOFTREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMIT TEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 6, Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVERPAGE -PART2 Page _2V__ of BALLOT NO. OR LETTER JURISDICTION I ❑SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER. CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholderls) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: B661ASK -FPPC (666/2754772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement / covers period from a4 1 Z / SUMMARY PAGE Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 7. Loans Made .............................. ............................... Z 3/ j Z Page Of Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 10. Nonmonetary Adjustment ........... ............................... through 11. TOTAL EXPENDITURES MADE .............. .................. Add Lines 8 +9 +10 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 0yr,,m -1 fifes ¢o r-0 -2�rf � areJ 61,-k /a 3 9976 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD LALENDARYEAR Runnin in Both the State Prima and Running Primar (FROMATTACHED SCHEDULES) 39. °° TOTALTO DOTE 5W 39- °O General Elections 1. Monetary Contributions ............ ............................... Schedule A, Linea $ .5 $ 111 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... Schedule B, Line 0`2 68 S - 7 y u3 % 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ J 3 $ Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21 Expenditures 0� X39• - 20 $ 54 ,39' Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ....... ................... .Add Lines 3 +4 $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 11. TOTAL EXPENDITURES MADE .............. .................. Add Lines 8 +9 +10 Expenditure Limit Summary for State $ �3Co3• 76 $ aSlO. 76 Candidates $ 331? $ 35 ?6 $ 336 3, - 7 6 $ 3 /o, 7C� Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line le $ (dRr pa 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8above 16, ENDING CASH BALANCE .......... Add Lines 12 -13 +14, then subtract Line 15 $ A / Al qc If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B. Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2+ Une 9 in Column B above $ 22. Cumulative Expenditures Made` pr subject to voluntary Expenditure Limit) Date of Election Total to Date (mmtddtyy) 4 1 I To calculate Column B, add amounts In Column A to the corresponding amounts *Amounts in this section may be different from amounts from Column B of your last reported in Column B. 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 carry over the amounts from Lines 2, 7, and 9 (if any). I FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) S rhedule A Type or print In ink. SCHEDULE A - - Amounts may be rounded Monetary Contributions Received to Whole dollars. statement covers period CALIF p from �i ///-- FO through / °�' 3� / � of Page --Y— -- SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Ca3q`/74 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AN AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR CALEN PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.O.NUMBER) CODE (I CUPAT I ON ENTER NAME PERIOD -DEC. 31) (IF REQUIRED) OFBUSINESS) E.IND (� /Z(JJ /Z 'y q J a mes .J ❑ Scc hI' - WI Il/am-5 0 0Wv-.0r ®IND ❑COM n A- #of -12 wf' 00 6 ? ❑SCC "�'� ❑IND (�� � D- / ❑OOTH Tisura�rc d� Sao. 00 l / q ?7;zg wt_ve� /VO;2 ElPTY q R-03 -" � c 917 -7 0 ❑SCC ID /LS� 7 1 /+ l�0m71 / ,�I� al-5d -er-" MIND ❑COM ❑OTH a OD oo h 00 c Idts1 -rec,- [XIND _ f2- /O/a l ew—,, � 7LSGLOTY" ❑COM ❑OTH 00 !! �, ❑SCC SUBTOTAL$ Schedule A Summary * Contributor Codes 1. Amount received this period - itemized monetary contributions. O O IND- Individual COM- Committee ......................................................................... ............................... Include all Schedule A subtotals. $ (other than PTY or SCC) (othe than P D O 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ a' �. OTH - Other business entity) PTY - Political l Part y 3. Total monetary contributions received this period. 00 SCC -Small Contributor committee Add Lines 1 and 2. Enter here and on the Summa Page, Column , Line . TOTAL $ C 'f 0 7' Summar P A 1 9 ������������������������ FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772) Schedule A (Continuation Sheet) TvDe or orint in ink. SCHEDULEA (CONT) Monetary Contributions Received Amounts may be rounded to dollars. Statement covers period a I , whole from l v • through 3J Page of ._,L NAME OF FILER I.D. NUMBER horn if fo ��- ePz, /� are-V /-7 3 T974� DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCOMMITTEE,ALSO ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE • QFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) - j JJ �y7 ll�� ` 1- anCIan /1�zka&l L ' MIND ❑COM fQGLiLz _ 00 /b-o27 /a � ❑SCC t0 1 0. ,cy /' CKIND ❑COM ( /Q9 O0 � ❑SCC kC IND �r �L�l / (GL.3G ❑OTH O / " 'F�.Pi�/ /00 G�yPe� ❑SCC JNIND ❑COM 00 +' � El PTY L] SCC NIND KQy//l L7vl. / "C O/�G+;a -✓ ❑COM p-a /L D PTY SUBTOTAL$ j L�GI OU "Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period e to whole dollars. ` f from / I 6 ' F OR M Page of through f NAME OF FILER I.D. NUMBER la3 997 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR QFGO ADDRESS AND I.D UMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED . CODE (FBELFEMPLOYED, ENTER NAME PERIOD (JAN.7 -DEC. 37) (IF REQUIRED) OF BUSINESS) q MIND MOTH ❑ PTY ❑SCC SIND /� °7✓)- L� PX�/ y � l e ❑SCC MIND ❑COM MOTH ❑ PTY ❑ SCC MIND ❑COM MOTH ❑ PTY ❑SCC MIND ❑COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 36D." *Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January/06) FPPC Toll -Free Helpllne: 86G/AS K -FPPC (86612754772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from ;X[ [y E SEE INSTRUCTIONS O REVERSE through ` /Z Page of _ NAME OF FILER I.D. NUMBER < - %am 1 1ez Al OL 12 3 21 - 7 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CHIP campaign pamphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonebuy)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate fling /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralsing events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense - PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALBO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF � PAYMENT AMOUNT PAID grl E 1fa l /-2r�.- 2v5-eH e" cr 4 < U5, P0.51-ae Po S 05{vge, d4an[ "'q par -k- � ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ - 3 j [ s Oa Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ r�8, 7G 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).) ................................................ ............................... $ made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. TOTAL $ 3 �O� 4. Total payments P ( rY 9 ) ............................. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275.3772) Utticeholder, Candidate, and'Controlled Committee Type or print in Ink Campaign Statement - Long Form (Government Code Sections 84200 - 84218.5) SEE INSTRUCTIONS ON REVERSE - Check one of the following boxes to Indicate the type of statement being filed: ❑ Pre - election Statement ❑ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) ❑ Special Odd -Year Campaign Report Semi- annual Statement Termination Statement (Attach a completed Form 415 to this statement.) OFFIC SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDE TIAL OR BUSINESS ADDRESS tNO. AND STREET) PAN CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE PERMANENT ADDRESS OF TREASURER (NO. AND STREET) CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE from through /00/77 r / Date of election If applicable: (Month, Day, Year) RKEIVED CfTY OF ROSFME� JUL 151999 CITY CLERK'S COVER PAGE – LONG FORM Page _y_ of For OHiclal Use Only II Other Committees Not Included in this Statement: ustanyether committees not Included In this consolidated statement that are controlled by you and any committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME 1 I.O. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) CITY STATE ZIP CODE AREA CODE/DAYTIME PHONE ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) CITY STATE ZIP CODE AREA CODEIDAYTIME PHONE Attach additional Information on appropriately labeled continuaflon sheets. Verification I have used all reasonable diligence In preparing this statement. 1 have reviewed the statement and to the best of my knl complete. I certify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct. Executed on 7// �/ A 9 At /PD S c _M4 f, q C-4 .DATE CITY AND STATE By has used all reasonable diligence In preparing this statement. I have reviewed the statement and to the best of my knowledge the Information contained herein and In the attached schedules Is true and complete: 1 certify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct. Executed on %�iy/ 99 At ti a SC1yJLAr� / /1 /OFFICEHOLDER Executed on At By DATE CITY AND BTATE SIGNATURE OF CANDIDATE /OFFICEHOLDER Executed on At B DATE - CITY AND STATE y SIGNATURE OF CANDIDATE /OFFICEHOLDER FOR INFORMATION REQUIRED TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 19", SEE INFORMATION MANUAL ON CAM PAION DI qGLQSUBE PROVISIONS OF THE Pot iTICAI REFORM ACT. State of California Fair Political Practices Commission C "ampaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received 1. Monetary Contributions ...................... ............................... Schedule A, Line 3 2. Loans Received .................................. ............................... Schedule e, Line 7 3. SUBTOTAL CASH CONTRIBUTIONS .................................. Add Lines 1 +2 4. Non• monetaryContributions ............. ............................... Schedule C. Lines 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises)....... Add Lines 3+ 4 6. Enforceable Guaraontees,eLine 18 below .... ............................... ( ) ....................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED . ............................... Add Lines 5 +6 Type or print in Ink Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Statement covers period from � /A; � through Column B' TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) Page � of $ /7 $ 0 $ I.D. NUMBER Column C TOTAL TO DATE (ADD COLUMNS A • B) $ O $ C� $ 0 $ t/� $ K) $ a' $ Expenditures Made 8. Cash Payments (Other than Loans Made) .................... Schedule E, Line 5 $ <% $ G " $ 9. Loans Made ......................................... ............................... Schedule H, Line 7 O l3 10. SUBTOTAL CASH PAYMENTS .............. ............................... Add Lines 8+ 9 11. Accrued Expenses (Unpaid Bills) ..... ............................... Schedule F Line 5 $ �2 $ $ Cd 12. TOTAL EXPENDITURES MADE ........... ............................... Add Lines 10+ 11 $ S $ C-2 Current Cash Statement 13. Beginning Cash Balance .............................. Previous Summary Page, Line 17 $ From previous Statement Summary Page, Column C. However, d 14. Cash Receipts .......................... .... ............................... Column A, Line 3 above thls is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises 15. Miscellaneous Increases to Cash ..... ............................... Schedule i, Line 4 6 (Line 6), Loans Made (Line 9), and Accrued Expenses (Une 11). 16. Cash Payments ........................... ............................... Column A, Line 10 above � Q 17. ENDING CASH BALANCE ............. Add Lines 13+ 14+ 15, then subtract Line 16 $ ' ; ?' BALANCE Summary for Candidates in Both June and ENDIT BE A NEGATIVE SHOULD November Elections If this is a termination statement, Line 17 mUSf I)B ZBlO. NOT BE ANEGATIVE AMOUNT 18. LOAN GUARANTEES RECEIVED ................... Schedule e, Part 1, Column (b) $ Cash Equivalents and Outstanding Debts 19. Cash Equivalents ..................... ............................... See Instructions on reverse $ 20. Outstanding Debts . ............................... Add Line 2+ Line 11 In Column C above $ III through 6130 711 to Dale 21. Contributions Received........... $ 22. Expenditures Made.................. $ r r!vyP Recipient Committee Campaign Statement (Govemment Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Statement covers period from / 1. Type of Recipient Committee: AII.Committees– Complete Parts 1, 2, 3, and7 EL Officeholder, Candidate ❑ Primarily Formed Candidate/ Controlled Committee Officeholder Committee (Also Complete Part 4.) (Also Complete Part 6.) ❑ Ballot Measure Committee ❑ General Purpose Committee Q Primarily Formed Q Sponsored Q Controlled Q Broad Based Q Sponsored (Also Complete Part 5.) 3. Committee Information I 903 33� COMMITTEEN AME pp�� OC)C,c // ]D1G_r iiCGDur7f �✓- l�RrGt��.tiZ� STREET ADDRESS (NO P.O. BOX) / CITY STATE ZIPCODE AREA CODE/PHONE �as�rne�,f. CA 9/7-7 0 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIPCODE AREA CODE/PHONE , OPTIONAL: FAX/ E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) COVER PAGE Date Stamp JAN 2 8 2000 I Page4— of -3 For 081clal Use Only CITY CLERK'S OFFICE 2. Type of Statement: ❑ Pre - election Statement 2 Semi- annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Treasurer(s) NAMEOFTREASURER G�rfrude M, �� l J/ MAILINGADDRESS ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Pre - election Statement - Attach Form 495 CITY STATE ZIP CODE AREACODE/PHONE 1ro5 7o MAILINGADDRESS CITY, . STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX /E-MAILADDRESS FPPC Form 460 (9)99) For Technical Assistance: 916/322.5660 State of California Recipient Committee Campaign Statement Cover Page — Part 2 4. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Type or print In Ink. 5. Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - Page -;_I of BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT 11 OPPOSE RESIDEIIfTTLAUBB�U77SINESS ADDRESS (NO.ANDSTEET) CITY' STATE ZIP Identity the controlling officeholder, candidate, or state measure proponent, if any. �OS- U /rlyli[yC. G/q' f1_77,0 NAME OF OFFICEHOLDER, CANDIDATE OR, PROPONENT Related Committees Not Included in this Statement: List any committees not included In this consolidated statement that are controlled by you or which are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME I I.D. NUMBER 6. Primarily Formed Committee List names o /oMceholder(s) or candldefa(a) for which this committee Is primarily formed. NAME OF TREASURER ADDRESS (NO P.O. BOX) ❑ YES ❑ NO CITY STATE ZIPCODE AREA CODE/PHONE Attach 7. Verification NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. i certify under penalty of perjury under the laws of the State of California that the foreqoinq is true and correct.. Executedon DATE Executed on i/-2.7 /G a DATE Executed on DATE Executed on DATE By By � SIGNATURE OFCO ROLLINGOFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR By By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 (6/99) For Technical Assistance: 9161322 -5660 State of California Fix,.. ` Campaign Disclosure Statement Summary Page ON REVERSE NAME OF FILER Type or print In Ink. Amounts may be rounded to whole dollars. Statement o ers period from ( q9 through 1a131100 SUMMARY Page of I.D.NUMBER Contributions Received 6. Column A schedule E. Line 4 Column B• Loans Made ........................................... ............................... Column C 8. SUBTOTAL CASH PAYMENTS ................. ............................... Add Lines 6 +7 TOTAL THIS PERIOD Accrued Expenses (Unpaid Bills) ............. ............................... TOTAL PREVIOUS PERIOD 10. TOTALTODATE Schedule C. Line 3 11. TOTAL EXPENDITURES MADE .......... ............................... (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (COLUMNS A, B) 1. Monetary Contributions ....................... ............................... Schedule A, Line 3 $ C7 $ 0 $ 0 2. Loans Received .................................... ............................... Schedule B, Line 7 C� 0 O 3. SUBTOTAL CASH CONTRIBUTIONS ................................... Add Lines 1 +2 $ U $ 0 $ 0 4. Nonmonetary Contributions ................ ............................... Schedule C. Line 3 0 - 6 O 5. TOTAL CONTRIBUTIONS RECEIVED ..... ............................... Add Lines 3 +4 $ 0 $ n $ 0 Expenditures Made 6. Payments Made ..................................... ............................... schedule E. Line 4 7. Loans Made ........................................... ............................... Schedule H, Line 7 8. SUBTOTAL CASH PAYMENTS ................. ............................... Add Lines 6 +7 9. Accrued Expenses (Unpaid Bills) ............. ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........................ ............................... Schedule C. Line 3 11. TOTAL EXPENDITURES MADE .......... ............................... Add Lines 6 +9+ 10 Current Cash Statement 12. Beginning Cash Balance . ............................... Previous Summary Page, Line 16 13. Cash Receipts ............................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........ ............................... Schedule 1, Line 4 15. Cash Payments ............................. ............................... Column A, Line 6 above 16. ENDING CASH BALANCE .............. Add Lines 12+ 13+ 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 0 $ n $ c7 0 $ $ /12.1. i6 • From previous statement Summary Page, Column C. However, if this p Is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Loans Made (Line 7), and Accrued 0 Expenses (Line 9). ri $ z r . 96 Summary for Candidates in Both June and November Elections 17. LOAN GUARANTEES RECEIVED ................... Schedule B, Part 1, Column (b) $ 6 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ...................... ............................... See instructions on reverse $ 19. Outstanding Debts .... ............................... Add Line 2 + Line 9 In Column C above $ 1/1 through 6130 7/1 to Date 20. Contributions Received ............ $ 21. Expenditures Made.................. $ FPPC Form 460 (6/99) For Technical Assistance: 9161322 -5660 Officeholder, Candidate, Type or print in Ink. and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200. 84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: ❑ Pre - election Statement ❑ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) ❑ Special Odd -Year Campaign Report Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) I OffICe o er an I ate' an ontro a Committee Included in tfTis Statement NAME OF OFFICEHOLDER OR CANDIDATE AND DIST RIOT NUMBER 11 City /ba/ycl1_ Ntgell4ew- c/� I% �f- /tpscr�2�ro RESIDENTIAL ORIWINESSADDAf St tND. ANDESIM1[nl ; CITY I STATE EIPCODE AMACODEMAYTIMEPIIOUE COMMITTEE ADDRESS (HO.AND STREET) _ CITY STATE ZIP CODE AREA CODIIDAYIIME PHONE NAr,iE OF TREASURER 6��rn/,��� M PE RMAHf NI ADDAf S S Of TREASURER , (NO. AND STATE T) CITY STATE IIP CODE AREA COOUOAYTIME PHONE III Verification Statement covers period from through of Date of election If appllc (Month, Day, Year) COVER m ET Ej., t rY Or Ko sti_ fc ; JAN 2 5 1999 CLERK'S OFFICE __Z_ of -A — For Official Use Only other Committees Not Included in this Statement: List any other committees not includedln this consolidated statement that are controlled by you and any committees of whichyou have knowledge that are primarily formed to receive contributions ortomake expenditures on behalfof your candidacy. COMMMFI NAME COMMITTEE ADDRE COMMITTEE NAME AND STRI Elf LD. NUMBER contAoEtio COMMIT ❑ YES ❑ No Ile CODE AREA CODNDAYTIME NAME Or TREASURER CONTROLLED COMMITIN 1 ❑ YES ❑ ND COMMIr1EE ADDRESS (1NO. AND STREET) CITY STATE ZIP CODE AREA CODI/DAYIIMENOTE Attach additional Information on appropriately labeled continuation sheets. I have used all reasonable diligence In preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and Complete. I certify under penalty of perjury under the laws of the State of California that the foregoing ASURER An offlceholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonabl¢ diligence and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the Slate of California that the foregoing is true < /DATE CITY AND STATE SIGNATURE 01 CANIIIDAIEIDIFIC(IIDIOIR Executed on At By DATE CITY AND STATE SIGNATURE 01 CANDIDAIIImn(1NOt Dt R Executed on At By DATE OTYANDSTAIE SIGNATURE 01 CANDIDA111m11C1110101A FOR INFORMATION Rt OUMID TO BE PAOVIDED TO YOU PUASUART TO THE INFORMA110N PIUCTICES ACT 01 1 9 1 ) . S E E INIDRI.IA710N MAIIUAL ON CAMPAIGN OISCl OS11Rf PROVISIONS 011111 POIIII(At ANOAM AQ Campaign Disclosure Statement Type or print In ink. Summary Page Amounts may be rounded Statement Covers period to whole dollars. from SEE INSTRUCTIONS ON REVERSE through 21 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received Column A Column B' TOTAL THIS nRIOD TOTAL PREVIOUS PERIOD (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) 1. Monetary Contributions ............................... Schedulf A, Line 3 S /i S 2. Loans Received .......... ..............................: Schedule s, Line 7 _ O O 3. SUBTOTAL CASH CONTRIBUTIONS ...................... ArldLInesl +2 S (� S 4. Non - monetary Contributions ......................... Schedule C, Line 3 0 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) AddLlnes3+4 S 6. Enforceable Promises (Exclude Loan Guarantees, Line 18 below) ................... ' Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 5 +6 S S �% Expenditures Made B. Cash Payments (Other than Loans Made) w Schedule E, Llne 5 S - 0 S 0 9. Loans Made . ............... ..................... .I......... Schedule H, Line 7 10. SUBTOTACCASH PAYMENTS ........................ Add Lines 8+9: S Q S 11. Accrued Expenses (Unpaid Bills) ........................ Schedule F, Line 5 12. TOTAL EXPENDITURES MADE Add Lines to ♦ 11 S n S Current Cash Statement 13. Beginning Cash Balance .................. Previous Summary Page, Line 14. Cash Receipts .............. ................. ....... Column A, Une3 above 1 S. Miscellaneous Increases to Cash ........................ Schedule 1, Line 4 16., Cash Payments .° .... ............................... column A, Line to above 17. ENDING CASH BALANCE ..... AddLlnes 13 s 14 + I5, then subtract Line 16 If thb ti a termination statement, Une 17must be zero. SUMMARY PAGE � Column C TOTAL TO DATE (ADD COLUMNS A I a -2 f�_ • From previous Statement Summary Page, Column C. However, If 0 this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line ry 6), Loans Made (Line 9), and Accrued Expenses (Line 11). n I NOING CASH BALANCE Sllouto NOT al A NEGATIVE AMOUNT Summary for Candidates in Both June and November Elections - .. 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Part I,, Column (b) S 21. Co t edtionz 1/1 through 6130 711 to Date S Cash Equivalents and Outstanding.Debts 19. Cash Equivalents . ............................... See lnttrvctlons on reverse S in n, rrra El n .. ar,_., ... ... - . - . 22. (E�xpeeditures S iceholder, Candidate, Type or print in Ink. 'Controlled Committee RECEIVE[) ,ipaign Statement — Long Form CITY OF ROSEMEAD [hon, Inment Code Sections 84200-84 2 1 6.5) STRUCTIONS ON REVERSE JUL 131998 one of the following boxes to indicate the type of statement being filed: Pre - election Statement Supplemental Pre - election Statement (Attach a completed Fol@rfNs L1EPA,' &.QFF;CE Special Odd Year Campaign Report Semiannual Statement Termination Statement (Attach a completed Form 415 to this statement.) I fficeholder Candidate , an Controlled Committee Tcluded in tfTis Statement %ME OF OFFICEHOLDER OR CANDIDATE KZ IOU INI OR ME to (IN CLOD[ LOCA11011AND DISTRICT NWAfiEM1 11 APPl1U aL[t . lDt of OR a USlll[SS ADDY IND. AND IS RE[L) C,} 92710 ( Y SIAI( 11PCOnt AREA COOMAYSIMEE PIIONE TD01My TES T6 `Ll C ,7,9V �- iy "16F/I/AL IAIAIII ASURER tIAII Zip coot ARIA(ODIMAYI:?AE PHONE Statement covers period I Date Slamp through Date of election It applica (Month, Day, Year) OVER PAGE - LONG FORM so 1� Page of For Official Use Only utner t.ommltteeS Not Included to this Statement: LIST anyother commlffeesnot includedln this consolida red lta lenlent fhaf are controlled by you andany committees of which you have knowledge Thai t are pr6narlly fornsed to receive rontrlbutlont ortomake expenditures on behal lofyourcandidicy, _ COMMITT(E NAME L0. N NADER NARIE Of TREASURER CONTROLLEO COMMITTEE 1 0 IVA)F 4601rl. 0 "Yrs ❑ No COMMITTEE ADD S (110, Alit) SIKH T) CITY STATE ZIP COD( AREA CODEIDAYIIIAE PHONE [J Y(5 ❑ No Cm.n.1111l1 ADDRESS DID. AND Sl Rl! 0 IAA11IM ADDRESS OI TREASURER 1110. AND SIAE I N CITY SIAIE ZIP CODE ARIA CODI/I)AYTIIAE PECINE Y $]All ZIPCODE A CODE4)AYIIMI 111011[ Attach additlonallnformatlon on appropriately labeled continuation sheets. enncation .aye used all reasonable diligence In preparing this Statement. I have reviewed the statement and to the best of my knowledge the Information contained herein and in the attached schedules is Ae end complete. I certify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct. strutted on At R UAIt CITY Al10 tIPt! Y SIC 1lAi11Rl OI I RI A 4lIRl R I officeholder or candidate who controls a committee mutt also verify the campaign statement. I have used all reasonable diligence 01 CA Me Clinnnou1RI PRnvltiDrlsm un PnnIICAI R(10WAACT Officeholder, Candidate, and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE one to indicate the type of statement Type or print in Ink. Pre - election Statement Supplemental Pre - election Statement (Att ach a completed Form 495 tot his statement.) Special Odd -Year Campaign Report Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) Aticeholder Candidate, ncluded in tAis Statemer mmli NAME OF OFFICEHOLDER OR CANDIDATE ,"W6 Ct -4-4r OFFICE SOUGHT OR HE LO (INCLUDE LOCATION AND DISTRICT NUMBER If APPLICABLE) Uzi /VC IL�y��3y1B�J2 ( y a/ �"USZ7vIC�ll� RESIDINIIALOAII SW SA00BE11 (NO.ANDSIRECT) CITY STATE ZIP CODE AREA CODEIDAYTIME PIIONE CITY STATE ZIP CODE AREA CODIMAYIIME PHONE POS'ep'4�h0 CA— %17 %0 � NAME OF TREASURER 6L— )e—rf_ct )e t9. BItL /N65 EE RMANE M ADORE SS Of TREASURER (110. AND Sl RE ITT CITY STATE ZIP CODE AREA CODEMAY71ME PHONE CA- 9/77 4) Statement covers period from 1 11q-% IF through iM 19� Date of election If applicable: (Month, Day, Year) COVER RIP � ces,9ni RECEIVED TY OF ROSEMD JAN '2 31997 Page of For Official Use Only utner Committees Not Included in this Statement: Listanyother committees not included in this consolidated statement that are controlled byyou and any Committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER I.O. NUMBER 10E:Ja11tlBi ❑ YES ❑ NO COMMITTEE ADDRESS (NO.AIID STREET) CRY STATE ZIPCODE AREA CODEMAY11ME PHONE I.D. NUMBER NAME Of TREASURER _ CONI ROLIID COMMITTEE ❑ YES ❑ No COMMITTEE ADDRESS DIO.ARD STREET) CRY - STATE ZIR CODE ARE A CODEA)ATIME PRONE Attach addltlonal Information on appropriately labeled continuation sheets, III Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herelIT and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the.State of California that the foregoing is / ATE CITY AIID STATE An officeholde r or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my kn Wedge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certiI under penalty of perjury under the laws of the State of California that the foregoing is true & DATE CRYAIIOSTATE SIGNATURE 01 CANDIDATE /Or IICENCRI ER Executed on At DATE Executed on At DATE CITY AND STATE CITY ARDSTATE By By 1URI 01 CANDIDA1110IIIC(Nnln[A 01 CANDIDAIEIOIIIC(IIOIDIR IOR (III ORMAT 1011 A[ QUIRE D TO II PROVIDED TO YOU PURSUANT TO THE INI ORM ATION PRACTICES AM OF 191). ST E INI ORMA IIDN MANUAL Oil CAMPAIGN DISCIC RIRr PROVISIONS OF 111E POI II ICAt PI IFIRM AC RtA 1• of Ca llfnlnlA FaII Po Pfle" I P, Rrtlr. P rnm misdnn Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Amounts may be rounded Summary Page towhole dollars. Statement covers period from /�//97 r r through 2- SEE INSTRUCTIONS ON REVERSE 44/97 Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER M G ,.E r G P_ - ce., G a `% 3— -3 3e; Contributions Received Column Column B• ColumnC IOTA L THIS PERIOD TOTAL PREVIOUS PERK) TOTAL TO DATE PROM ATTACHED S(HEDULES) (SEE NOTE BELOW) (ADD COLUMNS A• B) 1. Monetary Contributions ............................... Schedule A, Line 3 s /7a5- G0 f O S /rlaS 00 2. Loans Received .......... ............................... Schedule e, Lim 7 U /P0. OD /PO. 00 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Addunes 1 +2 S /7aS'no S O f / 906; 00 4. Non - monetary Contributions ......................... Schedule C, Line 3 O O 0 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) AddLines3+4 $ /'l2S.dd S O S %905;00 6. Enforceable Promises O O (Exclude Loan Guarantees, Line td below) ................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddtJness + 6 S /7aS;- S O f /9Q5. 00 Expenditures Made I 8. Cash Payments (Other than Loans Made) ............ Schedule E, Line 5 S / 6 9 %_3 S 9. Loans Made .............. ............................... Schedule H, Line 7 n O 10. SUBTOTAL CASH PAYMENTS ............................ Add Llnesa +9 .S /69.73 S O 11. Accrued Expenses (Unpaid Bills) ........................ schedule F Line 5 D O 0 12. TOTAL EXPENDITURES MADE ......................... Add Lines 10 + 11 S / /n 9 73 f O Current Cash Statement 13. Beginning Cash Balance .................. Previous summary Page, Line 17 S t /Li'f7 • From previous Statement Summary Page, Column C. However, if 14. Cash Receipts ....... ............................... Column A, Line 3 above /7.25" OD this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line 15. Miscellaneous Increases to Cash ........................ Schedule 1, Line 4 0 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ..... ............................... Column A, Line 1O above 17. ENDING CASH BALANCE ..... Add Lines 13 + 14 + 15, thensubtract Line 16 s Z726,74 Summary. for Candidates in Both June and N this Is a termination statement, Line l7must berero.- [ NDING CASH BALANCE SHOUED November Elections NOT a[ A NEGATIVE AMOUNT 1/1 through 6130 711 to Date 18. LOAN GUARANTEES RECEIVED .............. Schedule B, Part 1, Column (b) S D 21. Reeeveutions U S Cash Equivalents and Outstanding Debts d .... 19. Cash Equivalents . ............................... See instructions onreverse S © z2. Expenditures MAde ....... S 7n nlltOnnriinn namc Aekllln.7 Schedule A Type or print in Ink. SCHEDULFA Monetary id "rnounc: may ue rounaeo y ons eceve to whole dollars. Statement covers period from 14,47 LLi 9 4112 1 1t T SEE INSTRUCTIONS ON REVERSE through Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Ca -E 77 ,ems - EL(FCr Mfr£G �A er` x/0 3- 336 DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR (If COMMITTEE, INADOMON TO COMMITTEE'S NAME AND ADDRESS. ENT FRI. D. NUMBER OCCUPATION AND EMPLOYER (if SELF-EMPLOYED. ENTER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CUMULATIVE TO DATE OIL IT NO I.D.NUMBER HAS BEEN ASSIGNED. ENTER TREASURE R'S NAME AND ADDRESS) NAME OF BUSINESS) PERIOD CALENDAR YEAR (1AN.1 -DEC. 31) OTHER (IF APPLICABLE) /orn hleL % /lma. C�rAnt/t✓ Ut�Y/Y�Z //d�99 7 Warr, a"d CIa'a 41101 1 SUBTOTAL $ Monetary Contributions Summary 1. Amount received this period —contributions of $100 or more. (Include all Schedule A subtotals.) ............................. ............................... a 64) cSOf� 2. Amount received this period — contributions of less than 5100. (Do not itemize.) ........................................................................................ ............................... s /eZ25. 00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....:........... I ......................... TOTAL $ Schedule E Payments and Contributions (Other Than Loans) Made Type or print In ink. Amounts may t>e rounded to whole dollars. Statement covers period from SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 97 Pape _ of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER N &kk6i e4+.et - ebM/sflrrZ" TO 111A7e6_ i/e6'7" C419-e—A_- 903 - 3 3 6 CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. 'C' - MONETARY AND IN-KIND (NON-MONETARY) 'B' - BROADCAST ADVERTISING 'G'- GENERAL OPERATIONS AND OVERHEAD. CONTRIBUTIONS TO OTHER CANDIDATES 'N' - NEWSPAPER AND PERIODICAL ADVERTISING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES '0'- OUTSIDE ADVERTISING - (MUST BE DESCRIBED) 'I' - INDEPENDENT EXPENDITURES 'S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P' - PROFESSIONAL MANAGEMENT AND CONSULTING SERVICES 'L' - LITERATURE 'F' - FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITT[(.IN ADDNION TO COMMITTEE'S NAME AND ADDRESS. ENTER I. D. NUMBER OR, IF NO ED. NUM BE R HAS BEE N ASSIGNED. ENTER TR[ ASURER'S NAME AND ADDRESS) IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL S officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part/. Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ....................... ............................... $ 6 2. Payments made this period of under $100. (Do not itemiie.) ........................................ ............................... $ /(o % 73 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 11, Column (d).) .............................. $ O 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...... ............................... $ 6 5. Tntal navmpnts made thin neriod. (Add Lines 1, 2. 3. and 4. Enter here and on the Summary Pane, Column A, Line B.) ........... T/.T.I IF /G 9, 73 Officeholder, Candidate, Type of print in ink. and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200 - 84218.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: - ❑ Pre - election Statement ❑ Supplemental Pre - election Statement ( Attach a completed Form 495 to this statement.) I, Special Odd -Year Campaign Report Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) i ice o er . ant ate, an Controlled committee Included in t�tis Statement NAME OF OFFICEHOLDER OR CANDIDATE MR2GAkET C-LA-RK OFFICE SOUGHT CANTLE) (INCLUDE LOCATION AND DISIRIO NUMBER If APPLICABLE) r-It✓ COUAiC/LA9EMQIEF�P - CIfY of 2626_MEgjn RESIDENTIAL OR BUSINESS ADDRESS IND. AND STREET) CITY STATE or- � /cENoLDc72 Hccoun/T' Pole AREA CODEADAYTIME Statement covers period from thr Dug IS _7CZL- Date of electionlif applicable: (Month, Day, Year) K mp ECEIVE® OF.ROSEMEAD Page � Df- JUL10 1997 For Official Use CLERK'S G FORM Other Committees Not Included In this Statement: List anyother committees not included in this consolidated statement that are controlled by you and any committees of which you have knowledge that are primarily formed to receive contrlbutlons or to make expenditures on behalfofyour candidacy. COMMITTEE NAME _ I.O. NUMBER %�cNUIIVG NAME Of TREASURER ""•' ^" "`° ""...... ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) CT' STATE ZIP CODE AREA CODEMAYTIME PHONE I.D. NUMBER COMMITTEEADDRESS (NO. AND STREE I) ZIP CODE AREA CODEMAYTIME PHONE NAME Or TREASURER COW ROLLED COMMITTEE? YES ❑ No 1?6SC 9 MEA -o �A 1-7-20 ❑ NAME OF TREASURER COMMITTEE ADDRESS NO. AND STREET) GE/r r-e uo� N1 G��L�Inl6c PERMANENT ADDRESS Of TREASURER (NO. AND STPf IT) CITY STATE ZIP CODE AREA CODEMAYTIME PHONE -/, ✓ COY STATE ZIP CODE AREA CODE/DAYTIME PHONE /26SF/�IL/}fi Lii 7 %A % % Attach addi tionallnf ormationonapproprlately labeled continuation sheets. III en Icatlon I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the � laws of the State of California that the foregoing is true and correct. .�,// - Executed on / " % At �! ` -"�" Qi By / DATE CRY AND STATE IG NA T URE Of CANDI DA E /OF HC E Hot 0ER Executed on At By DATE CITY AND STATE SIGNATURE Of CANDIDATE /OIEICEIIOI DER Executed on At By DATE CITY AND STATE SIGNATURE Of CANDIDAT E/Of NCEHOLDE R FOR INFORMATION Rf OIIIPf 0 TO BF PROVIDED TO YOU PURSUANT 101HE INFORMATION PRACTICES ACT Of 197?. SEE INf ORMATION MANUAI ON CAMPAIGN DISC( OSURE PROVISIONS Of III[ FOl ITICAL RE f ORM ACT Campaign Disclosure Statement Type or print In ink. SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. Statement covers period , from SEE INSTRUCTIONS ON REVERSE through ✓10 Page of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER - 1141R6" C-7 cZAkK - orf�_Ei4oUOf7E ACCiuiu — Contributions Received Column A Column B• Column C TOTAL THIS PERIOD 707AL PREVIOUS PERIOD TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMNS A• a) 1. Monetary Contributions ............................... Schedule A, Linea S 6 f 0 f /7 2. Loans Received .......... ............................... Schedule 0, Line 7 0 0 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add Lines I♦ 2 S 0 S 0 S 0 4. Non - monetary Contributions ......................... Schedule C Line 3 0 0 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Add Lines 3+4 S f n f 6.. Enforceable Promises 0 61 (Exclude loan Guarantees, Line 18 below) ................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddunesS 16 S f C S Expenditures Made I 8. Cash Payments (Other than Loans Made.) ............ Schedule E, Line 5 S 11, 87 S 17 f 1/17 9. Loans Made .............. ............................... Schedule H, Line 7 6 d f3 10. SUBTOTAL CASH PAYMENTS ............................ Add Lines 8 +9 S 1P7 S S 7/•8% 11. Accrued Expenses (Unpaid Bills) ..................... ScheduleFUms /F 0 0 12. TOTAL EXPENDITURES MADE ................... _.... Addunes 10 i 11 S �� ". 97 S �) S l �• p p % Current Cash Statement 13. Beginning Cash Balance .................. Previous Summary Page, Line 17 S O • From previous Statement Summary Page, Column C. However, if 14. Cash Receipts ....... ............................... Column A, Linea above D this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line 15. Miscellaneous Increases to Cash ........................ Schedule 1, Line 4 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ...... :............................. Column A, Line FO above 17. ENDING CASH BALANCE ..... Add Lines 13 r 74 s 15, then subtract Line 16 ff this is a termination statement, Line 17 must be zero. ENDING CASH BALANCE SHOULD Nor BE A NEGATIVE AMOUNT 18. LOAN GUARANTEES RECEIVED .............. Schedule a, Part 1, Column (b) S l7 Cash Equivalents and Outstanding Debts b 19. Cash Equivalents . ............................... See instructions on reverse S 20. Outstanding Debts ................. Add Line ♦ Line II in Column Cabove $ Summary for Candidates in Both June and November Elections 21. Receivetlti ... S 22. Ursnditures $ Made ...... 111 through 660 711 to Date - Schedule E Type or print in ink. SCHEDULE E Amounts may be rounded Statement covers period g Payments and Contributions to whole dollars. jp;jl l (Other Than Loans) Made from SEE INSTRUCTIONS ON REVERSE through ��� Page of NAME OF OFFICEHOLDER ORCANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER q,+)C6,A-P -CT t GI-H-et OPFIC6Ha1-06_4 ACC -OUNT CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Referto the back of Schedule E- Continuation Sheet for detailed explanations of each category. 'C' — MONETARY AND IN-KIND (NON-MONETARY) 'B' — BROADCAST ADVERTISING 'G' — GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES 'N' — NEWSPAPER AND PERIODICAL ADVERTISING 'T' — TRAVEL, ACCOMMODATIONS AND MEALS ANDCOMMITTEES 'O "— OUTSIDE ADVERTISING (MUST BE DESCRIBED) . 'I" — INDEPENDENT EXPENDITURES 'S' — SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P — PROFESSIONAL MANAGEMENT AND CONSULTING SERVICE$ 'L' — LITERATURE - 'F' -- FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION OF COMMITTEE, IN ADDITION TO COMMITTEE•s NAME AND ADDRESS, ENTERIO. NUMBER Oa, N NO I.D. NUMBER HAS BEEN ASSIGNED. EMIR TREASURER'S NAME AND ADDRESS) IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Important. Contributions and expenditures made out of campaign funds to or on behalf of other officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Pa Part I. SUBTOTAL S Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ....................... ....................:.......... $ 0 2. Payments made this period of under S 100. (Do not itemize.) ........................................ ............................... $ % A 87 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. $ U 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...... ............................... $ Q S. Total payments made this period. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Page, Column A, Line 8.) ........... TOTAL $ y 7 Type or print In Ink. SCHEDULEI :>crleciule I Amounts may be rounded Statement covers period Miscellaneous Increases to Cash to Whole dollars. from � 9 through 30 SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE CAA 2K .. Orr -! Fo�Dsfe 11CCCire,N o e. MA �Gh �rcT I• page of _ I.D. NUMBER _ __ DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE. IN ADDITION TO COMMITTEES NAME AND ADORE SS, ENTER I.D. NUMBER OTI If HOLD - NUMB[R HAS B[FN ASSIGNED. IS TREASURER'S NAME AND ADDRESS Com ml flee 'lv .%- CL€C -- IY4>12,6fr2E7- (24Af -K 316'9 A) �ieosFZ cT.i4[� j?oSEME/fa c fr 91770 DESCRIPTION OF RECEIPT r7a.S(W CtC rt,"in. Sur�✓cc5 �u c(S dv tfJ ECZ�i�/ accoun] AMOUNT OF INCREASE TO CASH ft` . / /3 3 3 17 I Attach additional information on appropriately labeled continuation sheets. SUIT I V IAL a / / -1 3, , Miscellaneous Increases to Cash Summary 1. Jncreases to cash of $100 or more this period. $ �/ 3�i • b 3 ................... ........................... 2. Increases to cash under $100 this period. (Do not itemize.) .................. ............................... S _ 3. Total of all interest received this period on loans made to others. (Schedule H, Part II (b).) .................... S (> IF Tntal miarellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the . / 3 %83 T/TTA1 4 _ Officeholder, Candidate, and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200. 84216.5) SEE INSTRUCTIONS ON REVERSE one of the following statement being Type or print in Ink Pre -ele Rion Statement Supplemental Pre - election Statement (Attach a completed Form 495 tothis statement.) Special Odd -Year Campaign Report Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) utticenoloer Lancimate, an Included in this Statement m NAME OF OFFICEHOLDER OR CANDIDATE MAf�ER,fxT G�/`fP.K OFFICE SOUGHS OR HELD (INCLUDE IOCATION AND DIST RIOT NUMBER O APPLICABLE) CouNCILM6^3C/?, •C/ of + 2!5t /Yt AD RL SIDENIIAL OR BUSINESS ADDRESS 1110.AN STRUT) ✓ CITY STATE ZIPCOOL AREA CODEMAYT(ME PI (ONE brryt TTL= E To )eC- - C -i-ECT /11,46_ :OIAPAI11E( ADDRESS (NO. AND STREET) STATE ZIP CODE CA 9/770 TREASURER Statement covers period from 6 through �� '�8 Date of election If applicable: (Month, Day, Year) V5y/97 Date Stamp RECEIVED 'OF ROSEMEE JUN 0:.; 1997 CITY CLERK'S of utner Lommlttees root incivaeo In tins statement: List anyother committees not included in this consolidafecistatement that are controlledby you and any committees of which you have knowledge that are primarily formed to receive Contributions ortomake expenditures on behalf ofyour candidacy. COMMITTEE NAME I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) I.D.NUMBER CITY -331, COMMITTEE NAME STATE EIPCODE AREA CODEMAYIIME I.D. AREA CODEMAYIIME PHONE NAME OF TREASURER CON) ROLLED COMMITTEE ❑ YES ❑ NO COMMITTEE ADDRESS OED. AND STREET) aoE,P-Tx&1)L= /L1. 131L-U1r/6S PE WANT InT ADORE SS Of TREASURER (110. AND STREET) CRT STATE ZIP CODE AREA CODIMAYIIME PITON[ CITY STATE ZIP CODE AREA CODEMAYT(M[ PHONE _ RD5C- -M� —J}D C/} 91776 ( Attach additional Information on appropriately labeled continuation sheets. Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information containe herein nd in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. Icenify under penaltyof perjury under the laws of the State of California that the foregoing is true and correct. CANOIDAIf1Off1((NOt DIR Executed on At DATE CITY AND STATE Executed on At DATE CITY AND STATE By SIGNAIun( OF (ANOIDAISIOIf IC(Iln(nIR By SIGNATURE 01 CANOIOAIEIOffI(SIIOID(R FOR INFORMATION AIQUIREO TO al PROVIDED TO YOU PURSUANT 10 THE IIITORPAATION PRACTICES Act Or Fr SIC INf ORIAAIIOIIMAIIUALONCAMPAIGNOIScLONIAI PROVISIONS01 SIZE POIIIICAt REIORMACT Stare of rAlNn,nla Falr Pnpf I1xI P,ArnrP, rnmmis%lnn Campaign Disclosure Statement Summary Page Type or print In Ink. Amounts may be rounded to whole. dollars. Statement covers period from SUMMARY PAGE 15. Miscellaneous Increases to Cash ........................ Schedule 1, Line / %�/• a0 16. Cash Payments ..... ............................... column A, Line roabove ^7 50�0.9�0 17. ENDING CASH BALANCE ..... Add Lines 13 + 14 + 15, then subtract Line 16 S —_ H this is a termination statement. Line 17 must be zero. ENDING CASH BALANCE SHOULD NOT aE A NEGATIVE AMOUNT 6), Loans Made (Line 9), and Accrued Expenses (Line 11). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Pan f, Column( b) S 0 21. Contrib44tions S Receive tl .... Cash Equivalents and Outstanding Debts U 22. Ex enditures f 19. Cash Equivalents . ............................... Seetnrtructronsonreverte S M�de ....... ')n 0,.tAtandinn nehtc ....... Add l.Ine J + I.inw /I in Column C above 4 0 through °?Y 7 Page of SEE INSTRUCTIONS ON REVERSE _ NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER " Hii- Ie.G'Aec-r GL - n /�L -L-'L� CT /Li/h AYEc2 T �b 3 -3 3 Contributions Received column A Column B• Column C TOTAL THIS RRIOD TOTAL REV10US PERIOD TOTAL TO DATE IF ROM ATTACHE D SCHEDULES) (SEE NOTE BELOW) (ADDCMUMMA ♦ a) 1. Monetary Contributions ............. ................. Schedule A, Line.? f /79 ,99 f �{5f32.00 s Gz2G.99 2. Loans Received .......... ............................... Schedule e, Line 7 - 0 Q - 3. SUBTOTAL CASH CONTRIBUTIONS ...................... AddLinesI+2 f %7 V32, 66 S �2L•g9 4. Non - monetary Contributions ......................... Schedule C, Line 3 96 E0, 6D %y. ao 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Addt/nes3+4 S 7gci °9 `l S 5-3`14, 06 s ?/ po. Q9 6. Enforceable Promises (Exclude Loan Guarantees, Line I6 below) ................... Schedule D, Line 7 O O 0 7. TOTAL CONTRIBUTIONS RECEIVED ...._ ............... AddLlnes5+6 S �79'f.99 S 5396.60 s 7/Qa.99 Expenditures Made /J 6, 9� 2 0 U S /01 S. Cash Payments (Other than Loans Made) ............ Schedule E, Line 5 f 7 J�Q S 9. Loans Made .............. ............................... schedule N, Line 7 o 10. SUBTOTAL CASH PAYMENTS ............ ............... AddLlnesB +9 S �SU6.�IL S =2003.50 11. Accrued Expenses (Unpaid Bills) ........................ Schedule F Lines r 0 0 12. TOTAL EXPENDITURES MADE ......................... AddLineslO ♦ It f ys0 �v. 9�o S 20635' S (P S /0. 416 Current Cash Statement 13. Beginning Cash Balance .................. Previous summary Page, Line 17 S .� l0 9 �- % % + From previous Statement Summary page, Column C. However, if '7 9 y qq this is the first report filed for the calendar year, Column B should be 14. Cash Receipts p Column A, Line 3 above blank except for Loam Received (Line 2), Enforceable Promises (Line 15. Miscellaneous Increases to Cash ........................ Schedule 1, Line / %�/• a0 16. Cash Payments ..... ............................... column A, Line roabove ^7 50�0.9�0 17. ENDING CASH BALANCE ..... Add Lines 13 + 14 + 15, then subtract Line 16 S —_ H this is a termination statement. Line 17 must be zero. ENDING CASH BALANCE SHOULD NOT aE A NEGATIVE AMOUNT 6), Loans Made (Line 9), and Accrued Expenses (Line 11). Summary for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Pan f, Column( b) S 0 21. Contrib44tions S Receive tl .... Cash Equivalents and Outstanding Debts U 22. Ex enditures f 19. Cash Equivalents . ............................... Seetnrtructronsonreverte S M�de ....... ')n 0,.tAtandinn nehtc ....... Add l.Ine J + I.inw /I in Column C above 4 0 Schedule A Type or print in ink, SCHEDULEA Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period f from A? SEE INSTRUCTIONS ON REVERSE X through 97 .3 Pa G a of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER MR -Lt-, , 7- e_L4-2 K - CoM nq r 7TTEE -/ � eC- --LE C7_ i� 3 - 3 3 6 DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR (IF COMMITTEF, IN ADD" ION 7000MMM(t'SNAME AND ADDRESS, [MY FRI. D. NUMBER OCCUPATION AND EMPLOYER (IF SELF -EMPLOYED, ENTER AMOUNT RECEIVEDTHIS CUMULATIVE TO DATE CALENDAR YEAR CALENDAR RYEA) CUMULATIVE TO DATE OTHER OR-IF NOI.D. NUM BE R HAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) NAME OF BUSINESS) - PERIOD (IF APPLICABLE) Wr /�iG-rn Firse�iein �r l,/e v/a7 7 o�, Kue Sew �Btc rtinS�J. °Dq aD a�� /9 why �k Qo n fcic¢a�scr C'R6E,Fcu Strul a57�, p° Aso, ao a6/ 7 a /9 T�tm liican ' } k7arne. Ba�lu, Szl�,ld `'° 7 a 7/y SUBTOTAL Monetary Contributions Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ...... ........... ......... .......................................................................... $ %SD0 60 2. Amount received this period — contributions of less than $100. (Do not itemize.) ........................................................................................ ............................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .... ....... ............................... TOTAL $ ! % L6 9% r Schedule A'(Continuation Sheet) Type or print in Ink. SCHEDULE A (cont.) Amounts may be rounded Monetary Contributions Received to whole dollars. - - Statement covers period from 97 ME= Page ` of through 5 �-8 7 NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Piq �}2c�T GL/}Rie- el-6IyM!7TeL: Tu eC-- ELFtF/'1/3CGitkE7 Cu9Z I.D. NUMBER 963 -33 (o DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR INA (IF IF OID. NUMBER BEEN ASSIGNED. T EAS ADDRESS, EN AND A DRESS) OR,IfN01.0. HUMEFR NAS EFEN ASSIGNf D.ENTE0. TREASURER'S NAME AND ADDRESS) OCCUPATION AND EMPLOYER )Ii SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVEDTHIS PERIOD CUMULATIVE TO DATE CALENDARYEAR (JAN.1- DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) 3 /�7 / ly�hbpo %� /� T u�ti a SV. od �6b, SUBTOTAL S Schedule I Type or print in Ink. SCHEDULE I Amounts may be rounded Miscellaneous Increases t0 Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period From �GT �7p through 5 28 L 7 ' �{� ; rylyl't fi7 1 a Page � of L NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE /'hLc4a rC.f �a-rk - CO M /711 /VtZ '/-D Pe - cl=ccf -Mar a ,-el"- Clam I.D. NUMBER ?63- 3 3 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEt. INADDOION 10 COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR, IF NO LD. NUMBER HAS BEEN ASSIGNED. EWER TREASURER'S NAME AND ApDPf55 ) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH I Attach additional information on appropriately labeled continuation sheets. SUBTOTAL S Miscellaneous Increases to Cash Summary 1. Increases to cash of $100 or more this period . .............................. ............................... S 2. Increases to cash under $100 this period. (Do not itemize.) ......................... I ....................... $ Od 3. Total of all interest received this period on loans made to others. (Schedule H, Part II (b).) .................... $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 15.) ................ TOTAL Do Schedule E Type or print In Ink. SCHEDULE E Amounts may be rounded Statement covers period Payments and Contributions to whole dollars. (Other Than Loans) Made from 7 SEE INSTRUCTIONS ON REVERSE through �? % Pape of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER N4-eS#Ie C-1' cZAR-k- - e�a m M 7-0 e67 cci RA-A?,!5A Z-- _ cfZ"q-,A­, K 9a 3 - 3 3 (a CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, you may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. 'C' — MONETARY AND IN-KIND (NON-MONETARY) 'B" — BROADCAST ADVERTISING 'G'— GENERAL OPERATIONS AND OVERHEAD, CONTRIBUTIONS TO OTHER CANDIDATES 'N" — NEWSPAPER AND PERIODICAL ADVERTISING 'T" — TRAVEL, ACCOMMODATIONS AND MEALS ANDCOMMITTEES 'O'— OUTSIDE ADVERTISING (MUST BE DESCRIBED) 'I" — INDEPENDENT EXPENDITURES 'S" — SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P' — PROFESSIONAL MANAGEMENT AND CONSULTING - Al in 7r 8D3 SERVICES 'L" — LITERATURE 'F' — FUNDRAISING EVENTS NAME ANDADDRESSOF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. (if COMMITTEE, IN ADDITION TO COMMITTEE S NAME AND ADDRESS, ENTER I D. NUMBER OR, IF NO LD. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) kwk Cxpres5 �apet- t cf-aphTCs L M21ler v��G� P o, aox 7011 QOCDETH' CA 90A41- 7oIM I S-(zc P es 610 e• L/C(( 7'A - Al in 7r 8D3 f�osfr»as�r - vi 1?6Se- rne.ad CIA c(I-770 Important: Contributions and expenditures made out of campaign funds to or on behalf of other officeholders, candidates committees, or ballot measures must also be enteredon the Allocation Page, Part 1. SUBTOTAL S S"z%.189 I Payments and Contributions Made Summary 1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ......................... 5 .Yf ............................. r., 2. Payments made this period of under 5100. (Do not itemize.) ........ ..... $ 3?3:,4 c% y 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part 11, Column (d).) .............................. $ 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...... ............................... 5 rD 5. Tnta) navmenta made this neriod. (Add Lines 1, 2. 3. and 4. Enter here and on the Summary Pane. Column A. Line 8.) ........... Schedule E Type or print In ink. SCHEDULE E (cont.) Amounts may be rounded (Continuation Sheet) - to whole dollars. Statement covers period , Payments and Contributions from iG `I7 (Other Than Loans) Made SEE INSTRUCTIONS ON REVERSE through Page ` of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER M R6/t2cT C1--4k2/ (-- COMM (mac ro KG - L: LC- eT- HAaA-e -c r CLFl ILK 9 0 3 - 3 3 6 NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION CODES FOR CLASSIFYING EXPENDITURES (IF COMMITTEE. IN ADDITION TO COMMOTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR. IF NO I.D. 'C' - MONETARY AND IN-KIND (NON-MONETARY) 'B" - BROADCAST ADVERTISING 'G'- GENERAL OPERATIONS AND OVERHEAD CONTRIBUTIONS TO OTHER CANDIDATES 'N' - NEWSPAPER AND PERIODICAL ADVERTI SING 'T' - TRAVEL, ACCOMMODATIONS AND MEALS AND COMMITTEES 'O'- OUTSIDE ADVERTISING (MUST BE DESCRIBED) 'I' - INDEPENDENT EXPENDITURES 'S" - SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P' - PROFESSIONAL MANAGEMENT AND CONSULTING IicC- oE.xtt A�'67011 -ooy74 SERVICES 'L' - LITERATURE 'F" - FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION (IF COMMITTEE. IN ADDITION TO COMMOTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR. IF NO I.D. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) - CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ' ho5fmas: -er Ls. S?r✓,ce- I L S�O,00 ROn{,exe;.s `tinr -, CA 91 754 13CLnk of- A- merica. - -an54' 64 Surplus -FI nols +0 Or-P Ce_AD1 LC-r' Check # X19 113.3 ,? 3 IicC- oE.xtt A�'67011 -ooy74 E SUBTOTAL S / i0� 3 r g3 9 Officeholder, Candidate, Type or print In ink. and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: " Pre - election statement ❑ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) l�l Special Odd -Year Campaign Report - Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) NAME OF OFFICEHOLDER OR CANDIDATE IV A -RUARe r C&lta, OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CouWCiLMrrlBG� 6.17 -Y Off- 1P05c-H6 —A0 RE SIDE NTIAL OR BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP CODE AREA CODEMAYTIME PHONE 05EN/�! D l7 70 11Z"EF 7-0 2E -erz Ecr ANce, 47[ 3.36 COMMITTEE ADDRESS (NO. AND STREET) CITY STATE ZIP COOS AREA CODEMAYTIME PHONE /QOSGMrAO CA- `11%70 E M. MILLI PERMANENT ADDRESS OF TREASURER '.v. env.. - -1 CITY STATE ZIP CODE AREA CODEMAYTIME PHONE K050'f&_}D . CA- 9i770 ( Statement covers period from % through Date of election If applicable: (Month, Day, Year) : &Af 7 1 � / . COVERPAGE - LONGFORD Date Stamp CITY CIF i�L) �- L� i�y� Page of For Official Use Only CITY CLERK'S OFFICE ether Committees Not Included in this Statement: Lirtanyother committees not included in this consolidated statement that are controlled by you and any committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER 1-1. 1-1 °` °" "..... ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) CITY STATE ZIP CODE AREA COOMAYTIME PHONE ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) CITY STATE ZIP CODE AREA COOMAYTIME PHONE Attach additional Information on appropriately labeled continuation sheets. III Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and tothe best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true CANDIDAIUOFFICENOMER Executed on At By DATE CITY AND STATE SIGNATURE OF CANDIDATUCIFFICEHOLDER Executed on At By DATE CITY AND STATE SIGNATURE 01 CANDIDATE /OFFICEHOLDER FOR INFORMATION REOSRRE D TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1977. SIT INSORMATION MANUAL ON CAMPAIGN DISCI OSUM PROVISIONS OF THE POLITICAL REFORM ACT Campaign'Disclosure Statement Summary Page Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 7 J, SUMMARY PAGE If this Is a termination statement, Line 17must be zero. IN DING CASH BALANCE SHOULD NOT BE A NEGATIVE AMOUNT 18. LOAN GUARANTEES RECEIVED .............. SChedule8,Partl, Column (b) f 0 Cash Equivalents and Outstanding Debts �p 19. Cash Equivalents . ............................... See instructionson reverse S T3 7n 0i,tdanr4inn nohfc ,_-Zr r1ir1l In.2 + rin. it inrnl,,,..n r.hnv. November Elections 21. ContfibUUtions Receive o .... s 22. `xpeeditures f 1/1 through 6130 7/1 to Date I through °� /S Pape SEE INSTRUCTIONS ON REVERSE of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE - I.D. NUMBER NhAP2GA -RC- —I eLA-I -k - CO/fM /TTtC TD ec -�L�ci /1(A ed Gt c—T Cu4 e_K 90-3-5-36 Contributions Received Column A Column B• Column C - TOTAL TIIIS PERIOD TOTAL PREVIOUS PERIOD TOTAL TO DATE (FROM ATTACHED SCHEDULES) (SEE NOTE BELOW) (ADD COLUMNS • B) 1. Monetary Contributions .............................. schedule A, Linea $ - 12710700 f 17,25.00 s 04ra4 0 2. Loans Received .......... ............................... Schedule 6, Line 7 —j90-00 /80.00 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Add Lines I +2 S 2. 3L'%_ LSO.. _ , f %919 00 4. Non-monetary ontributions ry ................. schedule C, Line D y�i�y, OU 5. S U B TOTAL CONTRI B U T16N S (Exclude Enforceable Promises) AddLines3+4 f Y �/7 00 f �`IOS, 00 S �j�i�lo,00 6. Enforceable Promises Ail (Exclude Loan Guarantees, Line 19 below) ................... Schedule D, Line 7 Lf S 3`lfl�r00 f l90 0 S�%la.G� 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 5 +6 Expenditures Made 8. Cash Payments (Other than Loans Made) ............ Schedule E, Une5 S JIM. 77 s li�9, 73 S ,1-.003• �i� 9. Loans Made .............. ............................... Schedule H, Line 7 to 0 D 10. SUBTOTAL CASH PAYMENTS ............................ Add Lines a +9 S 1'.33,. 7 7 S 1611,73 0603.5-v 11. Accrued Expenses (Unpaid Bills) ........................ Schedule F, Lines 0 0 f 12. TOTAL EXPENDITURES MADE ......................... Add Lines 10 + If S 1931.7 % S 16 9, 73 Current Cash Statement 13. Beginning Cash Balance .................. Previous summary Page, Line 17 S %:d.'il{ • From previous Statement Summary Page, Column C. However, if 14. Cash Receipts ..................... Column A, Line 3 above .25-27,00 this is the first report filed for the calendar year, Column B should be """""""' blank except for Loans Received (Line 2), Enforceable Promises (Line 15. Miscellaneous Increases to Cash Schedule 1, Line 4/. rrC/ s1 6), Loans Made (Line 9), a nd Accrued Expenses (Li ne 11). 16. Cash Payments ..... ............................... Column A, Line 10 above %� 17. ENDING CASH BALANCE ..... Add Lines 13 + 14 + 15, then subtract Line 16 rh)s' f a �9.'lu. 9^/ ...-,Summary. for Candidates in Both June and If this Is a termination statement, Line 17must be zero. IN DING CASH BALANCE SHOULD NOT BE A NEGATIVE AMOUNT 18. LOAN GUARANTEES RECEIVED .............. SChedule8,Partl, Column (b) f 0 Cash Equivalents and Outstanding Debts �p 19. Cash Equivalents . ............................... See instructionson reverse S T3 7n 0i,tdanr4inn nohfc ,_-Zr r1ir1l In.2 + rin. it inrnl,,,..n r.hnv. November Elections 21. ContfibUUtions Receive o .... s 22. `xpeeditures f 1/1 through 6130 7/1 to Date I • r � SrhPrfillP A Type or print in Ink. SCHEDULE A Monetary Contributions Received Amountsmay bllars. ed }! to whole dollars. statement covers period ) p n from / /7 q/ _ MEMO through a /S 97 SEE INSTRUCTIONS ON REVERSE Pape of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER NAZO-ZFF C tAck 7a 3-3-36 - DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR (II COMM ITT[ E.INADDII$ON IOCOMMOTEI'S NAME AND ADDRESS, ENT ERLONUMBER OCCUPATION AND EMPLOYER (If SELf- EMPLOYED,ENTER AMOUNT RECEIVEDTHIS CUMULATIVE TO DATE CALENDAR YEAR CUMULATIVE TO DATE OTHER OR, IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER TREASURE R'S NAME AND ADDRESS) NAME Of BUSINESS) PERIOD (JAN.1 -DEC. 31) (IF APPLICABLE)'. clan 11 + Celnct Urx if ,-) Direciz. --. Z3 °o �zb/99 A/ex Zia ! zs 97 orestiehnant MD P DJer fs Me�i �a1 VICC- Pre.5.�.1�- x/3/97 A ✓. zoo ZOO O° 5err-a Mar(re Uttla 8vo Pa; n.24m a CA `% 1 /0'7 /ILLY �GL W n2 r� &,:I— /ku>J--r: -ale S Zoo 00 SUBTOTAL $ Monetary Contributions Summary 1. Amount received this period —contributions of $100 or more. (include all Schedule A subtotals.) .... ...: ...................................................... ...................................... $_/0009 60 2. Amount received this period — contributions of less than 5100. (Do not itemize.) ........................................................................................ ............................... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........... ............................... TOTAL S C'kn'lFllea Dmr+I TVDe or Drint In Ink. SCHEDULER - Part I Amounts may be rounded Loans Received to whole dollars. Statement covers period from through �.S SEE INSTRUCTIONS ON REVERSE - Pape of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER MtrR� l� CLR•2/C- (3q7Y1V17_7Z=e ra �zECrMRlea�r�crcui< 10-3- 336 DATE RECEIVED LENDER OR GUARANTOR'S FULL NAME AND ADDRESS (IF COMMMEE, ENTER FULL NAME, ADDRESS AND LD. NUMBER, IFNOLD. NUMBER HAS BEEN ASSIGNED. ENTER THE TREASURER'S NAME AND ADDRESS) LENDER/ GUARANTOR'S OCCUPATION AND EMPLOYER (IF SELF EMPLOYED. ENTER BUSINESS NAME) LENDER INFORMATION GUARANTOR INFORMATION DUE DATEI INTEREST RATE AMOUNT OFLOAN CUMULATIVE TO DATE AMOUNT GUARANTEED CUMULATNE TO DATE ' DUE DATE CALENDAR YEAR CALENDAR YEAR t f INTEREST MTE OTHER OTHER ❑ Lender ❑ Guarantor" DUE DATE CALENDAR YEAR CALENDARYEAR s s INTEREST MTE ' OTHER OTHER ❑ lender ❑ Guarantor" K f t DUE DATE CALENDAR YEAR CALENDAR YEAR f f INTEREST RATE OTHER OTHER ❑ Lender ❑ Guarantor* u t s (R) "See important instructions on reverse. SUBTOTAL S ro) Entel(b)on S Svmm.N P.qe, Lire to arry. Loans Received — Part I Summary 1. Loans of $100 or more received this period. (Include all Loans Received —Part I (a) subtotals.) .......... $ 2. Loans under $100 received this period. (Do notitemize.) ............. ............................... $ 3. Total loans received this period. (Add Lines 1 and 2.) ........ ............................... TOTAL $ Loans Received — Part II Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) Q7, subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ............... $ �BE� -• 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2. ... $ 0" I Sm 6. Total loans repaid, forgiven, or paid by a third party this period. � (Add Lines + 5.) ........................................ ............................... TOTAL S 7. Net change this period. (Subtract Line 6 from Line 3.) NET S (�" �QC�) ....I....... __J__.I._ r••._.....,... n...-- r_E..__..A I:_ -I Schedule R — Part II Type or print in Ink. SCHEDULE B -Part II Amounts may be rounded Repayments Made on Loans Received, Loans to whole dollars., Forgiven, and Loans Repaid by a Third Party SEE INSTRUCTIONS ON REVERSE Statement covers period from y. ' Page of.—L_ through. — NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE 11W H9-T CU+R,e - CoMIYTE To I.D. NUMBER %03 -- 336 DATE OF R PAYMENT FORGNENESS DATE OF ORIGINALLOAN FULL NAME OF LENDER INTEREST RATE (IF CHANGED) AMOUNT REPAID OR e FORGIVEN ON PRINCIPAL (EXCLUDE PAYMENT OF INTEREST) OUTSTANDING PRINCIPAL INTEREST -PAID y I \ Attach additional information on appropriately labeled continuation Sheets. SUBTOTAL f TOTAL INTEREST PAID THIS PERIOD (') S 'IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, including the name and address of the person forgiving the loan or the third party making the payment, and the amount forgiven or paid. Enter the amount In column (d) in the summary section ol5chedule E, Line 3. Do not carry this total to the summary section o/ Schedule B. A Schedule C Type or print In Ink. SCHEDULE C Amounts may be rounded Statement covers period Non - Monetary Contributions Received- to whole dollars. from SEE INSTRUCTIONS ON REVERSE - through °2 �s Page "' of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER iiK6 -KC-T CcA -PK- C0-nrt(7r0-E TO 9E-E:1.EC7_ cLA-P_�_- 963 -3360 FULL NAME AND ADDRESS OF CONTRIBUTOR DATE (IF COMMInFI. INADDITION TO COMMITTEE'S NAME AND ADDPEST, OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET CUMULATIVE TO CUMULATIVE TO RECEIVED (Il SEIf�EMRLOYENESS) PLO OF GOO DS OR SERVICES VALUE CALENDAR DATE DATE OTHER f NTFR I.D. NUMREREA U ERSD. NUMBER AD BEEN SS ASSIGNED, BUSINESS) AN.1- YEAR (IF APPLICABLE) ENTER TREASURER'S HAM[ AND ADDRESS) UAN. I " DEC. E I ) a 9 J Fo&ery Harris ✓on`s Mar-L Collectors 10 220 � Tbps CvW Wmr,05 a 997 (�ma Ch6na%r owoer 1 3S l � I Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ MENININEEMEM Non - Monetary Contributions Summary 1. Amount received this period— non - monetary contributions of $100 or more. Z z O (Inclu de all Schedule C subtotals.) .................................................... ............................... E 2. Amount received this period— non - monetary contributions of less than 5100. /,, ' "1 I (Do not itemize.) ......................................................................... ............................... 5 r7q 3. Total non - monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 4.) TOTAL S -k M 1 s r.s cum I.t.I 4 a, ve, )oo from pr e-Ut oDs 5{- a9- e.Y,2e;1-1- Scl,�le,� ar,rvt non -moV1e }finis 4 Schedule E ountsmayberoun SCHEDULEE Amounts may be rounded Statement covers period Payments and Contributions to whole dollars. (Other Than Loans) Made from — 4112 SEE INSTRUCTIONS ON REVERSE through fs Page_ of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER TD eG�Gecr Mft&4Rt-r GLACk CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. 'C' — MONETARY AND IN- KIND(NON- MONETARY) 'B' — BROADCAST ADVERTISING 'G'— GENERAL OPERATIONS AND OVERHEAD, CONTRIBUTIONS TO OTHER CANDIDATES 'N' — NEWSPAPER AND PERIODICAL ADVERTISING 'T' — TRAVEL, ACCOMMODATIONS AND MEALS ANDCOMMITTEES 'O'— OUTSIDE ADVERTISING (MUST BE DESCRIBED) 'I' — INDEPENDENT EXPENDITURES 'S' — SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS 'P' — PROFESSIONAL MANAGEMENT AND CONSULTING C GLCE i, �5� 8838 E Vctll-ect 81 SERVICES 'L" — LITERATURE 'F' — FUNDRAISING EVENTS NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. Of COMMITTEE. IN ADDITION TO COMMITTEE'S NAME AND ADDRESS, ENTER I.D. NUMBER OR, N NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 1/L7 lC Prz55;c,aaP fGrEl�% TCS L Mot, i SOS P.O. 8OX' ?orY f bvwl,e CA la z4 / -17otf 1 /7q CE +y fl� ��=�M��� C GLCE i, �5� 8838 E Vctll-ect 81 ' l�os2,vvu?ad Cf�'J�t-I-7o �o6i1 -IGa.I l7ak� � lAi�e(s, ill.(�� �'� 4060 LLtiLrn er 13l vd . r31c1 y 1 � , gLLE�lxLwlc cry 4152z Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL. $ 5 % 8' officeholders, candidates, committees, or ballot measures must also be entered on the Al location Page, Part 1. %8 Payments and Contributions Made Summary 1. Payments made this period of f 100 or more. (Include all Schedule E subtotals.) ............................ :......................... $ Jqyz 90 2. Payments made this period of under $ 100. (Do not itemize.) ........................................ ............................... $ .& 8% 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part II, Column (d).) .............................. $ 40 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...... ............................... S .0 S. Total oavments made this oeriod. (Add Lines 1, 2, 3, and 4. Enter here and on the Summary Facie, Column A, Line B.) ........... TOTN- �� 33, 77 1' ( Schedule E Type or print in ink. AMOUNTPAID SCHEDULEE(COnt.) (Continuation Sheet) Amounts may be rounded to whole dollars. F5_ 39 0.57, 73 3 Statement covers period (l . Payments and Contributions 1. (Other Than Loans) Made from f.S 97 SEE INSTRUCTIONS ON REVERSE through Page " of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Mn" 06% e Azx- C4WN/77&-67 , 9a3 -- 336 CODES FOR CLASSIFYING EXPENDITURES 'C' — MONETARY AND IN-KIND (NON-MONETARY) ''B" — BROADCAST ADVERTISING 'G'— GENERAL OPERATIONS ANDOVERHEAD CONTRIBUTIONSTO OTHER CANDIDATES 'N' — NEWSPAPER AND PERIODICAL ADVERTISING 'T" — TRAVEL, ACCOMMODATIONS AND MEALS ANDCOMMITTEES 'O'— OUTSIDE ADVERTISING (MUST BE DESCRIBED) '1' — INDEPENDENT EXPENDITURES 'S' — SURVEYS, SIGNATURE GATHERING DOOR -TO -DOOR SOLICITATIONS 'P' — PROFESSIONAL MANAGEMENT AND CONSULTING 'L" — LITERATURE , 'F" — FUNDRAISING EVENTS SERVICES NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION DE COMMITTEI, IN ADDITION TO COMM MEE 'S NAME AND ADDRESS, ENTER LD. NUMBER OR IF NO I.D. NUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID �os{—rhas�er 12052 nt eacl CRI- ji J F5_ 39 0.57, 73 3 SUBTOTAL � C1`5�, ?_ Schedule) Type or print In Ink. SCHEDULE[ Amounts may be rounded Miscellaneous increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from a III �1i ) a ill „i< FSI ° ^I Page of e through NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (Ii COMMITTEI, IN ADDITION 7000MMITIECS NAME AND ADDRESS, ENTER 10. NUMBER OR. If NO I.O. HUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME AND ADDRESS ) DESCRIPTION OF RECEIPT AMOUNTOF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL S Miscellaneous Increases to Cash Summary 1. Increases to cash of 5100 or more this period . .............................. ............................... S O 2. Increases to cash under $100 this period. (Do not itemize.) 017 3. Total of all interest received this period on loans made to others. (Schedule H, Part II (b).) .................... $ 6 4. Total miscellaneous increases to cash this period: (Add Lines 1, 2, and 3. Enter here and on the ®/J� Summary Page, Line 15.) ......................................... ............................... TOTALS? /. h Officeholder, Candidate, and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE one OI the Following boxes to indicate the type of Statement Type or print in Ink. filed: Pre - election Statement Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) Special Odd -Year Campaign Report Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) JITTlcenolaer Canaltlate, a ncluded in tfiis Statement AME OF OFFICEHOLDER OR CANDIDAI OR NEED (INCLUDE tro riTV ADDRESS dxe C /rY or /c�sG�l��9D Al SID[Nll LOA BUSIN[Sf AD00.E 31 IND. AND STA[[H CIT Yp STATE EIPCODE AREA CODEMAYTIME PHONE ITT EE NAME %GEffc c.J�; ltt- f1 tGUUNi r-�`� I.D.NUMBER COIAMIIIE[ ADDAESS (NO.AHOSIREET) , CITY STATE ZIP CODE AREA CODEMAYTIME PHONE - ��= �Txuor iy Bi«i��s PE RMANE NI ADORE SS Of TREASURE R - (NO. AND STILL E I) % & CITY STATE ZIP CODE AREA CODEMAYTIME PHONE Statement covers period from through ia�.� %,9 z Date of electloh If applicable: (Month, Day, Year) COVER PAGE - LONG F01 Date Stamp _ -..� .,.�,t RECEIVED Ell if CITY OF ROSEME D Page of y JAN 1X1998 / - For Official Use Only CITY CLERK'S OFF? E Uther Committees Not Included in this Statement: Ortanyother committees not includedin this consolidatedstatement that are controlledby you andany Committees of which you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacv. COMMITTEE NAME I.D. HUMBER NAME Or TREASURER CONTNOLLI D COMMITTEE? ❑ YES ❑ No COMMITTEE ADDRESS (NO. AND STREET) STATE ZIP CODE AAEA CODEMAYTIMf PHONE D. NUMBER CONT ROLLED COMMITTEE? ❑ YES ❑ No COMMITTEE ADDRESS (NO.AND STREET) STATE EIPCODE AREA CODEMAYTIME PHOIIE Attach additional Information on appropriately labeled continuation Sheets. I have used all reasonable diligence 1n preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. l certify under penalty of perjury under the laws of the State of California that the foregoing is treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of; perjury under the laws of the State of California that the foregoing is true and correct. Executed on I � I B At _ /l OSCfM &?0 r/+ By & � OAi CITY AND STATE SIGNATURE OI CANDIDATE /OffICE1101 DER Executed on At DAH Executed on At DATE CITY AND STATE CITY AND STATE By By SIGNAIUH 01 CANDIDAIEIOIIICIIIOIDIR SIGNATURE 01 CANDMAIVOIFICEHOLUIR IOA HIf ORMATIDH RECTUTAED TO IE PAOYIDID 10 YOU PURSUANT 10 TIT[ 111FOAMA11ON PRACTICE S ACI OF 19 ET, S[ E INI ORIA All ON MANUAL ON CAMPAIGN DISCI OSIERS PROVISIONS Or III[ POI ITICAL RE FORM ACT SW, of rA llfn,nlR Fat, Pnl)1 I,A P,a rlua rnm ml, dnn Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Rece 1. Monetary Contributions ............................... 2. Loans Received .......... ..............................: 3. SUBTOTAL CASH CONTRIBUTIONS ...................... 4. Non - monetary Contributions ......................... S. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) 6. Enforceable Promises (Exclude Loan Guarantees, Une id below) ................... 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Expenditures Made B. Cash Payments (Other than Loans Made) ............ 9. Loans Made .............. ............................... 10. SUBTOTAL CASH PAYMENTS ............................ 11. Accrued Expenses (Unpaid Bi)ls) ........................ 12. TOTAL EXPENDITURES MADE ......................... Schedulf A, Line 3 Schedule 6, Line 7 Add unet 1 .2 Type or print In Ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) t U S Statement covers period from —, ,? through � 3 i /-f7 Column B' TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) SUMMARY PAGE Page Of I.D. NUMBER S O s TOTAL TO DATE (ADD COLUMNS • B) 0 Schedule C, Line 3 D O n Add Lines 3 a 4 S U S ) S Schedule D, Lim 7 U Add UnesS 4 6 S C% S n S a I Schedule E, Line 5 Schedule H, Line 7 Add UrNI f 9 Schedule F, Line 5 Add Lines 10 # If Current Cash Statement 13. Beginning Cash Balance .................. Previous Summary Page, Line 17 14. Cash Receipts ....... ............................... Column A, Line 3 above 15. Miscellaneous Increases to Cash ........................ Schedule 1, Line 16. Cash Payments ..... ............................... Column A, Line 10 above 17. ENDING CASH BALANCE ..... Add lines 13 v 14 4 15, then subtract Line 16 It this Is a termination statement, Line 17 must be zero. $ d S S S O CJ S a S O • From previous Statement Summary Page, Column C. However, if O this is the first report filed for the calendar year, Column B should be blank except for Loans Received (Line 2), Enforceable Promises (Line O 6), Loans Made (Line 9), and Accrued Expenses (Line 11). O ENDING CASH BALANCE SHOULD NOT BE A NEGATIVE AMOUNT 18. LOAN GUARANTEES RECEIVED .............. Schedule e, Part 1, Column (b) S Cash Equivalents and Outstanding Debts 19. Cash Equivalents . ............................... See instructions on reverse S 7n rintctandin, nphtc nrh-Il inn2,ii— EE in rnh,mn f.hnv. Summary. for Candidates in Both June and November Elections 1/1 through 6/30 7/1 to Date 21. Contributions Receive S 22.peeditures S T Officeholder, Candidate, Type or print in ink and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200-84216 5) SEE INSTRUCTIONS ON REVERSE Check one of the following boxes to indicate the type of statement being filed: ❑ Pre - election Statement ❑ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) Special Odd -Year Campaign Report Semi - annual Statement Termination Statement (Attach a completed Form 415 to this statement.) Included in this Statement NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DIST RIC ill/ ( G P61DFNlIAI OR BUSMESS ADDRESS (ND. AI CITY STATE COVERPAGE -Loh Statement covers period RtCEYYE® from O17y OF ROSEMEA through 3 Date of election if applicable: JUL` `� 1996 Page / of For Official Use (Month, Day, Year) CITY CLERK'S OFFI y�19� Other Committees Not Included In this Statement: ustanyother committees not included in this consolidated statement that are controlled by you and any committees of whkh you have knowledge that are primarily formed to receive contributions or to make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMMEET ❑ YES ❑ NO CODEMAYTIME PHONE COMMITTEE ADDRESS (NO. AND STREET) , CITY - STATE ZIP CODE AREA CODEMAYTIME PHONE CITY STATE ZIP coot AREA CODEIDAYTIME PHONE ❑ YES ❑ NO COMMITTEE ADDRESS (NO. AND STREET) M BLLL)MGS PE RMANENT ADDRESS Of TREASURER (NO. AND STREET) CRY STATE ZIP CODE AREA CODEMAYTIME PHONE ZIP CODE AREA CODEMAYTIME PHONE /l4 41770 Attach additional Information on appropriately labeled continuation sheets. III Verification I have used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of An officeholder or candidate who controls a committee must also verify the campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true /0f FIC(HOLDE R Executed on At DATE Executed on At DATE CITY AND STATE CITY AND STATE By SIGNATURE OF CANDIDATEIORICEHOLDER By SIGNATURE OF CANDIDATE /Offl(FHOID[P FOR INFORMATION MOUIMD TO BE PROVIDED TO YOU PURSUANT TO THE INFORMATION PRACTICES ACT OF 1911, SEE INFORMATION MANUAL ON CAMPAIGN DISCLOSURE PROVISIONS Of THE POLITICAL REFORM ACT. I } Campaign Disclosure Statement `Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE ntributions 1. Monetary Contributions ............................... 2. Loans Received .......... ............................... 3. SUBTOTAL CASH CONTRIBUTIONS ..................... Type or print in Ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) Schedule A, Line 3 S CJ S 'Schedule 8, Line 7 0 S O Statement cowers period from /�� /� through Column B• TOTAL PREVIOUS PERIOD (SEE NOTE BELOIN) Add Lines I+2 S 4. Non - monetary Contributions ......................... Schedule C, Linea S. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Add Lines 3 +4 S O S i s O 6. Enforceable Promises O % O (Exclude Loan Guarantees, Line 18 below) ................... Schedule A Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... Add Lines 5 +6 S O S O S O Expenditures Made B. Cash Payments (Other than Loans Made) ............ Schedule E, Line s S 0 s O S D 9. Loans Made .............. ............................... Schedule H, Line 7 O 10. SUBTOTAL CASH PAYMENTS ............................ Addl.lnes8+9 S D S S O 11. Accrued Expenses (Unpaid Bills) .............. _........ Schedule F Line s O v U 12. TOTAL EXPENDITURES MADE ......................... Add Lines 10 +11 f h f D S D Current Cash Statement 13. Beginning Cash Balance .................. Previous Summary Page, Line 17 S l 9/- /.P From previous Statement Summary Page, Column C. However, if 14. Cash Receipts Column A, Line 3 above (j this is the first report filed for the calendar year, Column 9 should be P . . • . . . . . . blank except for Loans Received (Line 2), Enforceable Promises (Line 15. Miscellaneous Increases to Cash Schedule 1, Line 4 0 6), Loans Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ..... ............................... Column A, Line 10 above O 17. ENDING CASH BALANCE ..... Add Lines 13 r 14 + f5, then subtract line 16 If this is a termination statement, Line 17 must be zero. ENDING CASH BALANCE SHOULD NOT BE A NEGATIVE AMOUNT 18. LOAN GUARANTEES RECEIVED .............. Schedule 9, Part 1, Column( b) S Q Cash Equivalents and Outstanding Debts 19. Cash Equivalents . ............................... See instructions on reverse f Q 20. Oulstandinci Debts Add Line 2+ Line l l in Column C above s _� _. -___— .- - Summary for Candidates in Both June and November Elections 21. Receiveyti... S 22. (E�x nclitures S 1/1 through 6/30 7/1 to Date Ctffit'eholder, Candidate, Type or print in Ink. and Controlled Committee Campaign Statement — Long Form (Government Code Sections 84200. 84216.5) SEE INSTRUCTIONS ON REVERSE .heck one of the following boxes to indicate the type of statement being filed: ❑ Pre - election Statement ❑ Supplemental Pre - election Statement (Attach a completed Form 495 to this statement.) ❑ Special Odd -Year Campaign Report ® Semi - annual Statement n Termination Statement (Attach a completed Form 415 to this statement.) Officeholder Candidate, and Controlled Committee Included in &s Statement NAME OF OFFICEHOLDER OR CANDIDATE M 14ilm ,+i C"T r L-A -k',r O F F ICE SOUGHT OR HELD (INCLUDE IOCAl ION AND DISTRICT NUMBER It APPLICABLE) WUNLILMElii3,s, !'2�l OF kosefgEA -O At SIDENI IAt OR IUSIfI(fS AOOR[SS (NO. AND STALE I) CH STATE LIP CODE AREA CODEIDAYTIME PHONE COMMITTEE ADDRESS - INO.ANDS7REEL) (ED. NUMBER CITY STATE ZIP CODE AREA CODVDAYTIME PHONE yI� eUSCM,,7 I w �S /� -/ CA- 7// 7 0 [ NAME OF TREASURER CRY STATE ZIP CODE AREA CODVDAYIIME PHONE 6,Fx z,j)Y H. /�yN6s COMMITTEE NAME PF RMA,IENI ADORE SS OF TREASURER 1110. AND STREET) CHY STATE ZIP CODE AREA COWMAYTIME PHONE ,e65&711 Er?9-0 C-A 92770 ( III Verification ,.1.. NG FORM Statement covers period I Date Stamp from Z // /g11e. RECEIVED through / CITY OF ROSEMEA Date of election If applicable: Page _/_ of (Month, Day, Year) JAN 231997 For Official Use Only rpe/sEE2 CLCnczar! l�iz /9z uaovinc tuzra v 31q #7 CITY CLERK'S OFFICE t er C Om ITT l tte es Ot nc u e In t Is S tatement: List any other committees not included In this consolidated statement that are controlled li and any committees of which you have knowledge that are.prlmarlly formed to receive contributions ortomake expenditures on behalf of your candidacy. COMMMIENAME (ED. NUMBER NAME OF TREASURER CONTROLLED COMMITTic7 ❑ YES ❑ NO COMMITTEE ADDRESS FIO.AND STREET) CRY STATE ZIP CODE AREA CODVDAYIIME PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONI ROILED COMMIITEEI ❑ YES ❑ NO COMMITTFF ADDRESS (NO. AND STREET) CITY STATE EIPCOOE ARIA CODEADAYTIME PHONE Attach additional Informal on appropriately labeled continuation shee ti. I have used all reasonable diligence In preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws o1 the.Siate of California that the foregoing An officeholder or candidate who controls a commtteee must also verlfythe campaign statement. I have used all reasonable diligence and to the best of my knowledge the treasurer has used all reasonable diligence in preparing this statement. I have reviewed the statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. Icertify y under penaltyof perjury under the laws of the State of California that the foregoing is true and correct. Executed on__ / /;�L /_� At �.i L�)d%E�AT� eA CANDIOAl11011 H fHO1DER Executed DATE At CITY AND STATE By SIGNATURE OF CANNI04I(tOIIICf IN`NUA Executed on At By - DATE ❑IYANDS TE SIGNATURE Of CANDOA1UOFFICIF1OIDIR I OR UN OMAAll011 Al OU AtD 101E PAOVIDID TO YOU PURSUANT TO THE INIORlAAYIOII PRACTICES AO OF 1977. SEC INTO AM 111011 MANUAL OI! CAMPAIGN Of cto IF I PROVISIONS Of 111E POLECAT FIT FORM Act Stab nI CAIIFn,nIA FA, P NfIrAlnu Clir e, rnnlmlydnn Campaign Disclosure Statement Type or print In ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE Contributions Received Column I DIAL THIS KRIOD (FROM ATI ACHED SCHEDULES) 1. Monetary Contributions ............................... Schedule A, Linea S 00 2. Loans Received .......... ............................... Schedule 8, Line? /80,00 3. SUBTOTAL CASH CONTRIBUTIONS ...................... Addunes I f 2 S 2Z? 00 4. Non - monetary Contributions ......................... Schedule C, Line 3 0 Statement covers perlod through /`Z '6 Column B' TOTAL PREVIOUS PERIOD (SEE NOTE BELOW) s 0 0 S a SUMMARY PAGE Page Z of 5— Arad 11,Td918 Y03 -334 1 Column C TOTAL TO DATE (ADD COWMNSA • a) $ 99, 00 / R0, 00 S 279.00 n 5. SUBTOTAL CONTRIBUTIONS (Exclude Enforceable Promises) Add Lines 344 S 2.7100 f 0 S 279.00 6. Enforceable Promises 0 n O ,(Exclude loan Guarantees, Line I8 below) ................... Schedule D, Line 7 7. TOTAL CONTRIBUTIONS RECEIVED ..................... AddLlnes5 f 6 $ z%� 00 S e3 S 279. 00 Expenditures Made B. Cash Payments (Other than Loans Made) ............ Schedule E, Line 5 S % 3 0 `/ %/ S 0 s /'3 05! 71 9. Loans Made ............... ......................... ...... Schedule H, Line 7 n O 0 10. SUBTOTAL CASH PAYMENTS ............................ AddLlnes8 f 9 S / 3 OA/, 71 S 0 S / 30 �• %/ 11. Accrued Expenses (Unpaid Bills) ._ ........ .. ..._..... Schedule F, Line 5 /) 0 U 12. TOTAL EXPENDITURES MADE ......................... Add Lines 10+11 S 1304f•71 S 0 f /30'/.7/ Current Cash Statement 13. Beginning Cash Balance .................. Previous Summary Page, Line 17 S • From previous Statement Summary Page, Column C. However, if .1191-19 14. Cash Receipts .................... p Column A, Line 3 above Zr79 00 this is the tint report filed for the calendar year, Column B should be - blank except for Loans Received (Line 2), Enforceable Promises (Line 15. Miscellaneous Increases to Cash ........................ Schedule 1, Line 4 0 6), Loa ns Made (Line 9), and Accrued Expenses (Line 11). 16. Cash Payments ..... ............................... Column A, Line TO above /30y:7/ 17. ENDING CASH BALANCE..... Addl inet13f14415,thensubtractLine16 f /6 Sr42 Summary, for Candidates in Both June and Nthishra termination statement, Line f7mustbezero. ENDING CASH BALANCE SHOULD November Elections NOT BE A NEGATIVE AMOUNT - 111 through 6130 7/1 to Date 18. LOAN GUARANTEES RECEIVED .............. Schedule 8, Part 1, Column (b)• S y nt 21. Roribltions uu S Cash Equivalents and Outstanding Debts ... 19. Cash Equivalents ............... I................ See instructions on reverse s �' 22. Ex Qnditures MRde S 7n n, tctanrtlnn nnhfc I Art-siln.7 . Tin, rE; r r „mnrAhnv. . /80. Od k Schedule A Type or print in ink. SCHEDULF A n H1Dums may oe rounaeo monetary on rt u Ions Received to whole dollars. _ SEE INSTRUCTIONS ON REVERSE Statement covers period fromrj(ri f Paye 3 of through NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE �RN17t�- 7-D 6E -,ter M 0_41f le_ I.D. NUMBER 9p 3 - 336 DATE RECEIVED FULL NAME AND ADDRESS OF CONTRIBUTOR (IL COMMITTEE. IN ADDITION TO COMMMEF'S NAME AND ADDRESS, ENTFRI.D. NUMBER 0411 HOLD, NUMBER HAS BEEN ASSIGNED. ENTER TREASURER'S NAME ANDADDRESS) OCCUPATION AND EMPLOYER IIf SELF-EMPLOYED, NAME OF BUSINESS) AMOUNT RECEIVEDTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (IAN. t - DEC. 31) CUMULATIVE TO DATE OTHER (IF APPLICABLE) RA SUBTOTAL S ... ".kart wnuE000Vna 0111111O1y 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ........................... ....................... ... ..... ..... ... .... .... .....:. S 2. Amount received this period — contributions of less than $100. (Do not itemize.) ........................................................................................ ............................... S 99. 00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .... :..................................... TOTAL S y9 go Schedule B —Part I Loans Received Type or print in Ink. Amounts may be rounded to whole dollars. statement covers period from MViz SCHEDULEB - Part I SEE INSTRUCTIONS ON REVERSE through 3 Rage of NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER L-A-t - C41011 7775,F t -4 z F e z DATE (ENDER OR GUARANTOR'S FULL NAME AND ADDRESS LENDER /GUARANTOR'S LENDER INFORMATION GUARANTOR INFORMATION RECEIVED UMBERH HAS ASST NED NAME. ADDRESS ER1 NUMBER. ADDRESS) OCCUPATION OYED, AND EMPLOYER (IE SELF NUMBER NAS BEEN ASSIGNED, ENTER THE ID SASVPU'S NAME AND ADDRESS) (MUIOYf D,ENRRBUSINFSS NAME) DUE DATE/ AMOUNT CUMULATIVE AMOUNT GOMOLATNf INTEREST RATE OFLOAN IODATE GUARANTEED TO DATE s S INTEREST PATE OTHER OTHER ❑ Lender ❑ Guarantor* x S S IU N) Ent,, ME on *See important instructions on reverse. SUBTOTAL S S sLine18YR „f,, unfaonty. Loans Received — Part 1 Summary 1. Loans of $100 or more received this period. (Include all Loans Received —Part l(a)subtotals.) .......... S de 2. Loans under $100 received this period. (Do notitemize.) ............ ............................... S 0 3. Total loans received this period. (Add Lines 1 and 2.) p ........ ............................... DUE O0 �5�0. CALENDAR EOO CALENDAR YEA IT 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) INTEREST RATE (Add Lines + 5.) ............... ............................... ..........................TOTAL OTHER OTHER NET Do Af-d [n +n., k n nn, S. n n.n +nrf nn ♦I,a Cm m an, Pano rnl,I,nn A l inn N / r ❑ Lender ❑ Guarantor* x IS s - DUE DATE CALENDAR YEAR CALENDAR YEAR S INTEREST RATE S OTHER OTHER ❑ Lender ❑ Guarantor* I x s S DUE DATE CALENDAR YEAR CALENDARYtAR s S INTEREST PATE OTHER OTHER ❑ Lender ❑ Guarantor* x S S IU N) Ent,, ME on *See important instructions on reverse. SUBTOTAL S S sLine18YR „f,, unfaonty. Loans Received — Part 1 Summary 1. Loans of $100 or more received this period. (Include all Loans Received —Part l(a)subtotals.) .......... S de 2. Loans under $100 received this period. (Do notitemize.) ............ ............................... S 0 3. Total loans received this period. (Add Lines 1 and 2.) p ........ ............................... TOTAL S O0 �5�0. Loans Received — Part 11 Summary 4. Loans of $100 or more repaid, forgiven, or paid by a third party this period. (Include all Part II (c) subtotals. If forgiven or paid by a third party, also itemize the transaction on Schedule A.) ....... :...... E G 5. Loans under $100 repaid, forgiven, or paid by a third party. (Do no itemize.) If forgiven or paid by a third party, include this amount on Schedule A Summary, Line 2 . ........................... $ D 6. Total loans repaid, forgiven, or paid by a third party this period. 6 (Add Lines + 5.) ............... ............................... ..........................TOTAL $ 7. Net change this period. (Subtract Line 6 from Line 3.) NET Do Af-d [n +n., k n nn, S. n n.n +nrf nn ♦I,a Cm m an, Pano rnl,I,nn A l inn S Schedule E Payments and Contributions (Other Than Loans) Made Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from %3//'799 SCHEDULEE SEE INSTRUCTIONS ON REVERSE through 3 Page._ Of -s NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER Y /CGA/CET GtA7QC - ('0MM?TZ-E n AE_- 90 S-336 CODES FOR CLASSIFYING EXPENDITURES If one of the following codes accurately describes the expenditure, ou may enter the code and leave the "Description of Payment' column blank. Refer to the back of Schedule E- Continuation Sheet for detailed explanations of each category. "C' — MONETARY AND IN-KIND (NON-MONETARY) 'B' — BROADCAST ADVERTISING 'G' — GENERAL OPERATIONS AND OVERHEAD. CONTRIBUTIONS TO OTHER CANDIDATES 'N" — NEWSPAPER AND PERIODICAL ADVERTISING 'T' — TRAVEL,ACCOMMODATIONS AND MEALS ANDCOMMITTEES 'O' — OUTSIDE ADVERTISING AND 7-dc nsc..+ -no v (MUST BE DESCRIBED) 'I' — INDEPENDENT EXPENDITURES "S" — SURVEYS, SIGNATURE GATHERING, DOOR-TO-DOOR SOLICITATIONS P" — PROFESSIONAL MANAGEMENT AND CONSULTING -. SERVICES 'L' — LITERATURE 'F" — FUNDRAISING EVENTS L I�GtLLC FZF(T6 PEr2M�- I�o5T -Aa'T NAME AND ADDRESS OF PAYEE, CREDITOR, OR RECIPIENT OF CONTRIBUTION IMPORTANT: DO NOT ITEMIZE THE PAYMENT OF ACCRUED EXPENSES ON SCHEDULE E. DE COMMETTEE. m ADDITION TO COMMITTEE'S NAME AND ADDRESS. ENTER ID. NUMBER OR. N NO I.D. REPORT ONLY THE LUMP SUM OF SUCH PAYMENTS ON LINE 4 OF THE SUMMARY SECTION BELOW. CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID NUMBER HAS BEEN ASSIGNED, ENTER TREASURER'S NAME AND ADDRESS) L'/Jy of 00 _- eL c�ar)ef<_ 8LYD AND 7-dc nsc..+ -no v �� � kent-LeFy E EwJF/4+� c/4 fr-7-7o -. GtS. %�75 � S Ur CC L I�GtLLC FZF(T6 PEr2M�- I�o5T -Aa'T 38O — fZ03E- Y�It =ft-D cFi Important: Contributions and expenditures made out of campaign funds to or on behalf of other SUBTOTAL S officeholders, candidates, committees, or ballot measures must also be entered on the Allocation Page, Part 1. Payments and Contributions Made Summary 1. Payments made this period of f 100 or more. (Include all Schedule E subtotals.) ............................: Z 2-8o ap 2. Payments made this period of under f 100. (DoI not itemize.) ........................................ ............................... j 2,y, 71 3. Total interest paid this period on outstanding loans. (Enter amount from Schedule B, Part Il, Column (d).) .............................. f 0 4. Total accrued expenses paid this period. (Do not itemize. Enter amount from Schedule F, Line 4.) ...... ............................... f 0 5. Total navmpnts made this neriod. (Add Lines 1, 2. 3. and 4. Enter here and on the Summary Pane, Column A, Line 8.) ...........