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Committee to Save Open Space 460Recipient Committee Type or print in ink. Date Stam Campaign Statement a Corer Pa a 2009 (Government Code Sections 84200 84216.5) Statement covers period Date of election if alW F A LAMED A Month Da �P, from d SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committ All Committees Complete Parts I, 2, 3, and 4 2. Type of Statement: COVER PAGE Page of For Official Use Only Offtceholder, Candidate Controlled Committee Primarily Formed Ballot Measure Preelection Statement Quarterly Statement 0 State Candidate Election Committee Committee Semi annual Statement Special Odd Year Report Q Recall C) Controlled Termination Statement Su lemental Preelection [Also Complete Part 5] 0 Sponsored PP (Also file a Form 410 Termination) Statement Attach Form 495 le• General Purpose Committee (Also Cornp ta Parl B) Amendment (Explain below) 0 Sponsored Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee a Political PartylCentral Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasu COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER j MAILING ADDRESS el Y STREET ADDRESS (NO P.Q. BOX) CITY STATE ZIP CODE AREA CODE/PHONE ' - CITY STATE ZIP CQDE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CDDEIPHONE OPTIONAL: FAX 1 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. Executed on By � r Executed on g ❑ate y Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible officer of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) State of California Recipient Committee Campaign Statement Cover Page Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Belated Committees Not Included in this Statement List 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 L.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 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 CALIFORNIA FORM 4601. Page of 6. Primarily Formed Ballot .pleasure Committee NAME OF BALLOT MEASURE fix, w 1 L. n a gyp' r r 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 List names 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 streets if necessary Type or print i c il" COVER PAGE.- PART 2 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Campaig Disclosure Statem Type or print in ink. SUMMARYPAGE Summary Page Amounts may be rounded Statement covers erivd to whole dollars. p 460.1 from 4 FORM SEE INSTRUCT INNS ON REVERSE throw 9 Page of NAME OF FILER I.D. NUMBER Contributions Re Column A Column B Calendar. Year .Sulm.mary. for Candidates TOTALTHl5PERIOD CALENDAR YEAR (FROM AT°ACHEDSCHEDULES) TOTA#_,TODATE Ru in Both the State Primary and General Elections 1. Monetary Co ntribution s Schedule A, Line 3 Loans Received Schedule B, Line 3 111 through 6130 711 to Date 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 'a,,,.,.....,_ Expendi Made Expenditure Limit Summary ry far State E. Payments Made Schedule E Line 4 Candidates. 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines s 7 22. Cumulative Expenditures Made* (If 6ubject to Voluntary Expenditure Llmit) 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 Date of Election Total to Date 10. Nonmonetary Adustrneilt Schedule C, Line 3 �mm/ddlyy) 11. TOTAL EXPENDITURES MADE I Add Lines 8 +9+ 18 I Current Cash Statement Beginning Cash Balance Previous Summary Page, Line 16 To calculate Column B, add i.j Cash Receipts Column A, Line 3 above amounts in Column A to the 14. Miscellaneous Increases to Cash Schedule 1 Line 4 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments Column A, Line 8 above r report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE Add Lines 12 13 14, then subtract Line 15 figures that should be subtracted from previous If this is a termination st at eme nt, Line 1 6 must be zero. period amounts. if this is the first report being filed 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 for this calendar year, only carry over the amounts Cash Equivalents and outstanding Debts from Lines 2, 7, and 9 (if Y) 18 Cash Equivalents See instructions on reverse 4) 19 Outstanding Debts Add Line 2 Line 9 in Column B above FPPC Form 450 (January/05) FPPC Toll -Free Helpline: 8551ASK -FPPC (8551275 -3772)