deHaan 460Re Committee
Campai Statement
Cover Pa
(Government Code S ections 849t)(1-R r
Type or print in ink.
Date Stamp
COVER PAGE
l
Executed on
Date
B
Signature of Controllin Officeholder, Candidate, State Measure Proponent
IF P P C.Form 46 (Onuar
FPPC Toll-Free,Helpline.:.:8.66/ASK- FPPC..(866/275.3772
State: of California
Statement covers :p .o
d
Date:of election.: if applica .p of
from
l
Month, Da Year "0
F '�'�bfficial Use O�'IV
I FE'
A 7 201 0
SEE INSTRUCTIONS ON REVERSE
thr ou 3
C 1 TY 0 F A LA
I P Ty. e of ReGill A m
en Comiftee: ..All Committees Complete Parts 1, 2 �3 and 4
2A Type of:Statement: CITTOLE1 0
S 'FF E
R'
L
[I O Candidate Controlled Committee:
0 State Candidate Election Committee
E] Primaril Farmed B all.0t Measure
�K'.
P Statement Quarterly Statement
.0::
Committee
0 Controlled
�:O::�Semi-annual Statement Special Odd-Year Report
(Aisc Complete Part 5
0 Sponsored
(Also Complete Part 6)
Te rm. inatio n Statement
e nt El Supple Preelection
Al s o fie a Form 410 Termination Statement Attach Form 495
E] General.. Purpose Committee
Amendment Explain below
S P onsored
Primaril Formed Candidate/
0: Small Contributor Comm ittee
Officeholder Committee
.0 Political. Party/Central Committee
(Also Complete Patt
MOM
3. Committee Information
LID, 1;J EJR
f reas
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
NAME::OF TREASURER
�MAILING ADDRESS
CITY AREA COD E/PHONE
Wfil pe i4
CITY STATE
CODE AREA CODE/PHONE.
e.
NAME OF ASSISTANT A
MAILING ADDRESS (IF DIFF 40. AND STREET' OR P.O. BOX
MAILING A.DDFESS
CITY. STATE
ZIP CODE AREA CODE/PHONE.
CITY TA SIP: E
:�-:�.:AREA. CODEIPHON
OPTIONAL: FAX
E-MAIL ADDRESS
FAX
OPTIONAL. E-MAIL AD SS
4W V60fication
ce in prepa ringand this statement have used.all reasonable dili reviewin
i nformation
Execut ed on
By
to
Si of Treasurer or Assistant Treasurer
Executed on Date
By Si of Controllin Officehoider, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on Date
B
Si of Controllin Officeholder, Candidate, State Measure Proponent
Executed on
Date
B
Signature of Controllin Officeholder, Candidate, State Measure Proponent
IF P P C.Form 46 (Onuar
FPPC Toll-Free,Helpline.:.:8.66/ASK- FPPC..(866/275.3772
State: of California
C ampa i g n D isc l o sur e
St
Summar s
SEE INS ON REVERSE
NAME CF. FILER
SUMMARY PAGE
Statement coders period j�
1
from
eA
low
through Page of
Ct��ltri ie Receive
olumn`
Column B
TOTALTHIS PERIOD
CALENDAR YEAR
(FROM ATTAC SCHEDULE
ToTALTO DATE
Monetary Contributions
Schedul A, L 3: ure
2.
Loans Received' n
Schedulf 8, rn 3
3.
SUBTOTAL CASH CONTRIBUTION Add Lines .1 2
4.
Nonmonetary Contributions.
Schedule G,: Lire 3
5.
TOTAL.CONTRIBUTIONS RECEIVED :.:a; Add Lines 3+ 4
period amounts. If this is
the first report being filed
17 LOAN G UARANTE ES R ECEIVE R Schedule B, Fart 2 for this calendar year,. only
carry over the amounts
r from Lines 2, 7, and 9 (it
.Cash Eq .iva ents and Outstanding Debt
any),
18. Cash Equivalents.... See i'nstructi'ons on reverse
19. Outstanding Debts Add Line 2 Line 9 in Column B above
Type or print in ink.
Amounts may be rounded
to whole dollars.
FPPC .Form 460 (January106)
FPPG Tell -Free Help ine. 866/ASK -FPP.G (8661275 -3772)