Action Alameda 460COVER PAGE Recipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
d Officeholder, Candidate Controlled Committee O Ballot Measure Committee
'1<-0 State Candidate Election Committee O Primarily Formed
0 Recall 0 Controlled
{Also Complele Part 5) O Sponsored
D General Purpose Committee
0 Sponsored
O Small Contr,i~utor Committee
0 PoliticaJ:~a'rty/Central Committee
3. Committee Information
STREET ADDRESS (NO P.O. 2 7~
CITY
(Also Complete Part 6)
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
AREA CODE/PHONE
Date of election if appl
(Month, Day, Year
LE
JUL 3 0 2007
TY OF ALAMEDA
CLERK'S OFFICE
For Official Use Only
2. Type of Statement:
O Preelection Statement
~ Semi-annual Statement
D Termination Statement
0 Amendment (Explain below)
Treasurer(s)
0 Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Form 495
NAME OF TREA8l!llh V' J/J CA/<..
MAIUNG 1:330 ~ tJL(Jf/OS' 5r
CITY /' CODE " rf ll/IJJc;J)f} VI tp/50L
NAME OF ASSISTANT TREASURER. IF ANY
AREA CODE/PHONE
5/0 -522 •lf.£>
510· IZ/J
MAILING ADDRESS
AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I 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.
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
Executed on ~vt-y~ WOJ
Executed on A-·o .,t I • ,_.01
Executed on
I Date
Date
By
By
By
By
Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate. State Measure Proponenr FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
State of California
Recipient Committee
Campaign Statement
Cover Page -Part 2
Type or print in Ink.
5. Officeholder or Candidate Controlled Committee
NAME OF 0£FICEHOLDER OR CANDIDATE
hJt/ti dtd/IA~' ll9ri3A1t,,, G l&JJt/!E 7J-}om.solt/'
OFFICE SOUGHT OR H~ (INCLUDE LOCATIONAND DISTRICT NUMBER IF APPLICABLE)
/J1AVoR., Clrp ~UVA/t//L C17J' tf;t/PC/.l--
REs1DEKlT1Auai1S1NEss ADDRESS (NO. AND sTRffi) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not Included In this statement that are controlled by you or are primarily fqrmed to .receive
contributions or make expenditures on behalf of your candidacy.
COMMJJ:rEE NAME •
. NAME OF TREASURER . .
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY
.• l.D. NUMBER
c"ONTROLLED COMMITTEE?
DYES ONO
STREET ADDRESS (NO P.O. BOX)
STATE
..
ZIP CODE AREA CODE/PHONE
I.I;:> • .NUMBER
CONTROLLED COMMITTEE?
0 YES 0 NO
STREET ADDRESS (NO P.O. BOX)
STATE ZIP CODE AREA CODE/PHONE
6~ Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION D SUPPORT
0 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 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 D SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR Hao D SUPPORT
0 OPPOSE
Attach continuation sheets If necessary
FPPC Form 460 (Junef01)
FPPC Toll-Free Helpline: 86&/ASK·FPPC
State of California
Type or print in ink . . Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars. Statement covers period
"/" ~I~ za;i~ throug/?J~;~ SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Acnr;.
Contributions Received
1. Monetary Contributions ........... ... ........... ........ .......... Schedule A, Line 3 $
2. Loans Received ...................... :............................... Schedule B, Line 7
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 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 7
8. SUBTOTAL CASH PAYMENTS .................................... Addlines6+ 1 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines s + 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 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a tennination 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 ......................... Addline2+Line9inColumnBabove $
Column A
TOTAL THIS PERIOD
(FR6M ATTACHED SCHEDULES) ---
'Z/8ofJ,,eJ5
'}$()(},~ -
-
7.f';o/
$
ColumnB
CALENDAR YEAR
3~z/aEu
$ 3; yo. 66
I
$ '22 uo,'61 I .
$ 'E,-Z/0, £/
To calculate Column 8, 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).
l.D. NUMBER
I 7-.fJC/9{,1-
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 ID Date
20. Contributions
Received $ ____ _ $ ____ _
21. Expenditures
Made $ ____ _ $ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
__} __ _,
Total to Date
$ _____ _
$ _____ _
$ ____ _
__} _ __}__ $ ____ _;_
__J $ _____ _
___j___J__ $ ____ _
*Since January 1, 2001 . Amounts in this section may be
different from amounts reported in Column B.
FPPC Form 460 (June/01)
FPPC.Toll-Free Helpline: 866/ASK·FPPC
. ScheduleA
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
NAME OF F1!£R . ' · ·
1Jcr10,J /JCA-IJJG fl ro ~ Yli!l1urM··sAi&
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE *
Schedule A Summary
1. Amount received this period -contributions of $100 or more.
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
0COM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH> -
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
oscc
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
.(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
SUBTOTAL$
AMOUNT
RECEIVED THIS
PERIOD
(Include all Schedule A subtotals.) ........................................................................................................ $ _____ _
2. Amount received this period-unitemized contributions of less than $1 oo ............................................. $ ______ _
3. Total monetary contributions received this period. A
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........ : .............. TOTAL $ ___ .... y,,__ __
l.D. NUMBER
17£;9'4 6l
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
·contributor Codes
IND-Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH-Other
PTY -Political Party
SCC-Small Contributor Committee
FPPC Form 460 (June/01)
FPPC Toll·Free Helpline: 866/ASK·FPPC
Type or print in ink. Schedule B -Part 1
Loans Received
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Ac11 ojl) /1t1Jlil l!flJIJ ro
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER LO. NUMBER)
to IND D COM 0 OTH D PTY 0 sec
to IND D COM 0 OTH D PTY 0 sec
to IND 0 COM 0 OTH 0 PTY 0 sec
Schedule B Summary
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
a
OUTSTANDING
BALANCE
BEGINNING THIS
PERI D
$ ___ _
SUBTOTALS $
(b) (c)
AMOUNT AMOUNT PAID
RECEIVED THIS OR FORGIVEN
PERIOD THIS PERIOD*
0PAID
D FORGIVEN
OPAID
D FORGIVEN
0PAID
$
0 FORGIVEN
$
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans less than $100.)
2. Loans paid or forgiven this period ......................................................................................................... $
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
$
(d)
OUTSTANDING
BALANCE AT
CLOSE OF THIS.·
PE I
DATE DUE
DATE DUE
$
DATE DUE
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................... NET $
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
t Contributor Codes
IND-Individual COM-Recipient Committee (other than PTY or SCC) OTH -Other PTY -Political Party SCC-Small Contributor Committee
$
(e)
INTEREST
PAID THIS
PERIOD
__ %
RATE
$ ___ _
__ %
RATE
__ %
RATE
(Enter (e) on
Schedule E, Line 3)
l.D. NUMBER
(I)
ORIGINAL
AMOUNT OF
LOAN
DATE INCURRED
DATE INCURRED
DATE INCURRED
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
$ ___ _
PER ELECTION**
$ ___ _
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
$ ___ _
PER ELECTION**
$ ___ _
•Amounts forgiven or paid by
another party also must be
reported on Schedule A.
•• If required.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
ScheduleC
Nonmonetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
llm o;f) At111H 1?1J11
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER l.D. NUMBER)
Type or print in ink.
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL. ENTER
CONTRIBUTOR OCCUPATION AND EMPLOYER
CODE*
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
OIND
DCOM
DOTH
DPTY
oscc
DINO
OCOM
DOTH
OPTY
oscc
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
Attach additional information on appropriately labeled continuation sheets.
Schedule C Summary
1. Amount received this period -nonmonetary contributions of $100 or more.
DESCRIPTION OF
GOODS OR SERVICES
SUBTOTAL$
AMOUNT/
FAIR MARKET
VALUE
(Include all Schedule C subtotals.) ..................................................................................................................... $ _____ _
2. Amount received this period-unitemized non monetary contributions of less than $100 .................................... $ ______ _
3. Total nonmonetary contributions received this period. d
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ __ __,_y[ __ _
SCHEDULEC
CALIFORNIA 460
FORM
~
Page·_b__ of k
LO.NUMBER
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1·DEC31)
*Contributor Codes
IND-Individual
PER ELECTION
TO DATE
(IF REQUIRED)
COM-Recipient Committee
(other than PTY or SCC)
OTH-Other
PTY -Political Party
SCC-Small Contributor Committee
FPPC Form 460 {June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
ScheduleD
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER • •
Type or print in ink.
Amounts may be rounded
to whole dollars.
AlrJOP /Jy.;,mBiJIJ. m BlE'cr JlGi#rA-Jl/
DATE NAME-OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
0 Support 0 Oppose
0 Support 0 Oppose
0 Support 0 Oppose
Schedule D Summary
TYPE OF PAYMENT
0 Monetary
Contribution
0 Non monetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Non monetary
Contribution
0 Independent
Expenditure
0 Monetary
Contribution
0 Nonmonetary
Contribution
0 Independent
Expenditure
DESCRIPTION AMOUNT THIS
(IF REQUIRED) PERIOD
SUBTOTAL$
l:D. NUM!3Ei1 • •
/Z!J9'/~
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1-DEC.31)
PER ELECTION
TO DATE
(IF REQUIRED)
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) .............................................. $ _____ _
2. Unitemized contributions and independent 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 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
ScheduleE
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE Page _f2__ of~
NAME OF FILER
tT!O)J /JtlJ/f/l?/j
l.D. NUMBER
CODES: If-one of the following c?des accurately' describ~§ the payment, you. may enter the code. Otherwise, describe the payment.
CfvP campaign paraphernalia/misc. MBA 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 tv. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TAC 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
ur campaign literature and mailings PRf print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER l.D. NUMBER)
e1Jt/ tPr IJL/.JAtb-Pr:J
lit-19/J1et>A C,IJ
CODE OR
F!L-
lT/7
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL$
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ _____ _
2. Unitemized payments made this period of under $1 DO ....... ; .................................................................................................................................. $ _____ _
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $ _____ 65 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ ZSOO.
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Amounts may be rounded
to whole dollars.
l.D. NUMBER NAME OF FILER
l!t o# 4LA J'IJ eJ>IJ
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
ClvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
eTB contribution (explain nonmonetary)* OFe office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRC. can.didate 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
UT campaign ·literature and mailings PAT print ads WEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
.• .
.
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D.
Schedule F Summary
(a}
CODE OR OUTSTANDING
DESCRIPTION OF PAYMENT BALANCE BEGINNING
OF THIS PERIOD
SUBTOTALS$
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for
(b) (c) (d)
AMOUNT INCURRED AMOUNT PAID OUTSTANDING
THIS PERIOD THIS PERIOD BALANCE AT CLOSE
(ALSO REPORT ON E) OF THIS PERIOD
.
$ $ $
accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $ _____ _
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ................................. PAID TOTALS $ _____ _
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET$--~+-~-
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
ScheduleG Type or print in ink. SeHEDULEG
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
Amounts may be rounded
to whole dollars. CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER l.D.NUMBER
1zg
NAME OF AGENT OR INDEPENDENT CONTRACTOR ..
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
Cfv'P campaign paraphernalia/misc. MBA membercommunications RAD radio airtime and production costs
CNS campaign consultants MTG meetings and appearances RFD returned contributions
eTB contribution (explain nonmonetary)* OFe office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable.airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TAC candidate travel, lodging, and meals
FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals
IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor
LEG legal defense PRO professional services (legal, accounting) VOT voter registration
LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR (IF COMMITTEE, ALSO ENTER l.O. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E.
DESCRIPTION OF PAYMENT AMOUNT PAID
,
TOTAL*$ If
I
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
Schedule H
Loans Made to Others*
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
lfc110JJ lltlJf)1eJ}I} TO ezBUr JFllAM BIJ/~/bflj) fl/oMJ:~J)
IF AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OF RECIPIENT
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) (IF SELF·EMPLOYED, ENTER
NAME OF BUSINESS)
*Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must
also be reported on Schedule E.
Schedule H Summary
(a) (b)
OUTSTANDING AMOUNT
BALANCE LOANED THIS BEGINNING THIS
PERIOD PERIOD
$
SUBTOTALS $
(c) OUTST~~DING. REPAYMENT OR
FORGIVENESS BALANCE AT
CLOSE OF THIS
THIS PERIOD* PERIOD
0 PAID
$
0 FORGIVEN
$
DATE DUE
0 PAID
0 FORGIVEN
DATE DUE
$ $
(e)
-INTEREST
RECEIVED .
-~-%
RATE
__ %
RATE
$
(Enter (e) on
Schedule I, Line 3)
1. Loans made this period .................................................................................................................................................. $ _____ _
(Total Column (b) plus unitemized loans less than $100.)
2. Payments received on loans ........................................................................................................................................... $ _____ _
(Total Column (c) plus unitemized payments less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.) ........................................................................................ NET $ ___ ef,~-~
{May be a negative number)
(Enter the net here and on the Summary Page, Column A, Line 7.)
(I) (g)
ORIGINAL CUMULATIVE
AMOUNT OF LOANS
LOAN TO DATE
CALENDAR YEAR
PER ELECTION**
$
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION**
$
DATE INCURRED
**If Required
FPPC Form 460 {June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Type or print in ink.
Amounts may be rounded
to whole dollars.
DESCRIPTION OF RECEIPT
SUBTOTAL$
1. Increases to cash of $100 or more this period ........................................................................................................... $ _____ _
2. Unitemized increases to cash under $100 this period ............................................................................................... $ ______ _
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ ------
r.D.NUMBER
IZ
AMOUNT OF
INCREASE TO CASH
4. ~~t~lmn;;~~~~ne~o~~~n~~~)a.~~-~.:.~ .. ~.~~-~--~~'.~--~~~'.~~: .. ~~~~--~·i·~-~-~--~.' .. ~'..~~~-~ .... :~~~~-~~~~-~-~-~--~~-~~~....... TOTAL $ ---~9----
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC