Ruben TilosRecipient Committee
Campaign Statement
Cover Page
Type or print in ink. Date Stamp
(Government Code Sections 84200-84216.5)
Statement covers period
from \ 0 J 17 / Ol.f ILE
SEE INSTRUCTIONS ON REVERSE through I \ J 2 /olf _\ \-t--'-·Z.-1-'0-"--+---lll-JAN 3 1 2005
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
·15t Officeholder, Candidate Controlled Committee · 0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
D General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
D Ballot Measure Committee 0 Primarily Formed
O Controlled
0 Sponsored
(Also Complete Part 6)
D Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
STREET ADDRESS (NO P.O. jOX)
GITA a~() k A q~~o \ ZIP cool~ (Dj ;gRb 5~2~14 MAl~ ADDRESS (IF 61FFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
4. Verification
2. Type of statemen : C\TY OF ALAMEDA
D Pree~ectionStatemen~ffY CLERK's=oiiAC~tatement
D Semi-annual StatemeM' D Special Odd-Year Report ~rmination Statement D Supplemental Preelection
D Amendment (Explain below) Statement -Attach Form 495
Treasurer(s)
NAME OF TREASURER • "ToJ~ Cla(/ercf;
CITY -STATE
?at"\ Jose , G A
NAME OF ASSISTANT TREASURER, IF ANY
AREA CODE/PHONE
{qif6 ( t:i :sq-2ocf)
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
!ion contained herein and in the attached schedules is true and complete. I
Executed on ------,0 ,..a.,...te ______ _ BY-------------------------------Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on ------,0 ,,-a.,...te ______ _ BY-------------------_,.,---,--..,.-------Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 OFFICEHOLDER 01CANDIDATE
21."\;t:,e/l T as
ZIP
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 l.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES D NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME l.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
DYES D NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION D SUPPORT
D 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 officehotder(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
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
Attach continuation sheets if necessary
FPPC Fonn 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK·FPPC
State of California
Type or print in ink. SUMMARY PAGE Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 4a.n
FORM UU
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
~i.A.b e.V) T.·/05
Contributions Received Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions . . . ....... .. . .. . . . . . ... ..... .. . .. .. .. . .. . .. Schedule A. Line 3 $ I, 20z .. ':Ll
2. Loans Received ................................ ...................... Schedule B, Line 3 -s tJO • (!JO
3. SUBTOTAL CASH CONTRIBUTIONS ............. ............ Add Lines 1 + 2 $ z:;. z. ':1.l
4. Nonmonetary Contributions.................................... Schedule c, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 7;;?.7·4-fl
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, Line 3
10. Nonmonetary Adjustment .......................................... Schedule c, Line 3
11. TOTAL EXPENDITURES MADE ................................ AddLines8+9+ 10 $
Current Cash Statement
12. Beginning Cash Balance....................... Previous Summary Page, Line 16 $
13. Cash Receipts . . . .. .. . . .. . . . . . . .. . . .. . . . . .. . . . . . ... .. . . . .. . . ... .. Column A, Line 3 above 7'7.7. '"II
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments.................................................. Column A, Line B above
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.
from -~)o_l~t _7_A_o_ .. _l ___ _
through ll fa lo'1 Page _!. ot~6" __
ColumnB
CALENDAR YEAR
TOTAL TO DATE
$ L.J J 337. 811
0
$ ~I J3 7. ~l
&b_o_. 33
$ ,,., ! 'l'f 7. 7'1
$ 1-l , !37, '1 /
$ '11 :!>31. '11
bb C2. .33
$ ~~ ':/._<J_I .71.../
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
LD. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6130 711 to 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 Total to Date
{mm/dd/yy)
__)__) __ $
__)__) __ $
__)__) __ $
__)__) __ $
__)__) __ $
__)__) __ $ -------------------------------------1 the first report being filed
17. LOAN GUARANTEES RECEIVED ...................... . Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts ......................... AddUne2+Line9inColumnBabove $
0
0
for this calendar year. only
carry over the amounts
from Lines 2, 7, and 9 {if
any).
*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
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
(IF COMMITTEE, ALSO ENTER l.D. NUMBER) CODE *
JO/ttf /ot..J
111;;/0tj
6e11(jdU"l'YI 6 t:'!&tt'h1... /llos
A-J~,..,e..J.... 1 ca.4 '?'l~Ol
Schedule A Summary
~IND
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
DINO
DCOM
DOTH
DPTY
DSCC
SUBTOTAL$
SCHEDULE A
Statement covers period
from IO /17 /o"f
CALIFORNIA 40 A
FORM \.1\.1
through ll/,.,/o'-/ Page "/ ot II
AMOUNT
RECEIVED THIS
PERIOD
t;"oo. oo
500 .or::;
1'17. '11
l.D. NUMBER
IJ,.67"{67
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
5()0-0C>
50{)<:0
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
IND-Individual 1. Amount received this period-contributions of $100 or more.
(Include all Schedule A subtotals.) ........................................................................................................ $ __ 1~, _l'-l_7_•_'i_I_ COM-Recipient Committee
(other than PTY or SCC)
OTH-Other 2. Amount received this period -unitemized contributions of less than $100 ............................................ $ ___ a_o_. <9C __ _
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ __ I ,_2_;;2_7_· _~_/_
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.
Statement covers period
from lo /17 lo"'l
SEE INSTRUCTIONS ON REVERSE through I/ h.107
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE. ALSO ENTER l.D. NUMBER)
I\ i.tkefll r.·1o 5
' .
Al~/.4-\~~, c4 '1'1.£'0}
tr:st IND 0 COM 0 OTH 0 PTY 0 sec
R""h c:vi -r. 'los
"
.41ct.,..e.J~ e""'" 'f'fs-cJt
tli('f IND 0 COM 0 OTH 0 PTY 0 sec
to IND 0 COM 0 OTH 0 PTY D sec
IF AN INDIVIDUAL, ENTER a
OUTSTANDING
OCCUPATION AND EMPLOYER BALANCE (IF SELF-EMPLOYED. ENTER BEGINNING THIS NAME OF BUSINESS) PERIOD
f:·hc.t.lf\.CA.'r,t/ ~tt
C.yf 't-&!-Se>o,'er>NJ.u.du
$ t:;"OCJ ·00
f1l...c,1Ac.,i't,V 4nf}ly$f-
C..y,o..'tsS $eMh-<J~frH'
(b) (c) (d)
AMOUNT OUTSTANDING AMOUNT PAID BALANCE AT RECEIVED THIS OR FORGIVEN CLOSE OF THIS PERIOD THIS PERIOD* PERIOD
OPAID
.Q.
~FORGIVEN
s 500.~o Al A.
DATE DUE
R)"PAID
$ ;a.>~ .PJ
~FORGIVEN
$ l7~f)0 $ }"/7. '11 Al~
DATE DUE
QPAID
0 FORGIVEN
DATE DUE
SUBTOTALS $ 173· 60 $ b 7~· {)CJ $ 0
Schedule B Summary
1. Loans received this period .................................................................................................................... $ J 75'.c/o
(Total Column (b) plus unitemized loans less than $100.)
2. Loans paid or forgiven this period ........................................................................................................ $ 67S. 00
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A)
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.
-500. 00
(May be a negative number)
t Contributor Codes
(e)
INTEREST
PAID THIS
PERIOD
_!2_3
RATE
C2
__o_%
RATE
__ %
RATE
$ C>
(Enter{e)on
Schedule E, Line 3)
SCHEDULE 8-PART 1
CALIFORNIA 4 QA
FORM Q\I
Page__.£.__ of _L
l.D. NUMBER
(f)
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
$ 5t)o.,,o s S-~
PER ELECTION**
}Oft /O'i
DATE INCURRED
CALENDAR YEAR
$ 17~ 00
PER ELECTION**
/0(1'1/01.{ $ __ _
DATE INCURRED
CALENDAR YEAR
PER ELECTION**
DATE INCURRED
*Amounts forgiven or paid by
another party also must be
reported on Schedule A.
** If required.
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
ScheduleE
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 10 /17 /o'(
through / f la. lo'/
CODES: If one of the following codes accurately describes the payment. you may enter the code. Otherwise, describe the payment.
seHEDULEE
CALIFORNIA 4e A
FORM DU
Page_6_ of~
l.D. NUMBER
l;}.67967
QvP 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 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 l.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
...-;rl~c:..11 JI OIJ 7.:<.t . q I
... CMf
Ifo.yw~1 Ct<\ Cj'CS'f'"/
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 7;>.J .'f I
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $ ;;;?, 7 ;;J./. 'ii
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).) ............................................................................... $ _____ _
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ c;/. 7 ;J. J • '1 I
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC