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Alameda Education Association PAC 460Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Type or print in ink. 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 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 �j / I.\- NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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 CODEIPHONE 6. Primarily Formed Ballot Measure Committee COVER PAGE -PART 2 Page of NAME OF BALLOT MEASURE iQ N 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 sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) State of California Campai Disclosure Statement Summar Pa SEE INSTRUCTIONS ON REVERSE T or print in ink. Amounts ma be rounded to whole dollars. NAME OF FILER fh��/Vl -2C�(� � l�C.��tO r"� Contributions Received Column A TOTALTHIS PERIOD ( FROM ATTACHED SCHEDULES 1, Monetar Contributions ............ ............................... Schedule A, Line 3 $ i5cm 2. Loans Received ...................................................... Schedule B, Line 3 0 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I + 2 $ (.5 4. Nonmonetar Contributions .................................... Schedule C, Line 3 V 5. TOTAL CONTRIBUTIONS RECEIVED ... ....................... Add Lines 3 + 4 $ SUMMARY PAGE Statement covers period CALIFORNIA 46�:l from "Zo t Q FORM throu t'200 Pa of I.D. NUMBER I $ 21. Expenditures Made Expenditures Made 6. Pa Made.... ........................ .......................... Schedule E, Line 4 $ 7. Loans Made ......................... .................. ................ Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS . ................. ........... — — Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3 10, Nonmon eta r Adjustment . ........ - .............. ................ Schedule C, Line 3 1 1. TOTAL EXPENDITURES MADE . ............................... Add Lines 6 + 9 + 10 $ +3 .................................... $ -- - ------------ 1 . 0 e) Current Cash Statement 0 1 12. Be Cash Balance ....................... Previous Summar Pa Line 16 $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 lot 15. Cash Pa ........................ ................. Column A, Line 6 above 4i 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. .......................... 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ . . . ..... ............. E .......... .... .. . .... . .... . ...... Cash E and Outstanding Debts 18. Cash E ........................................ see instructions on reverse $ 19. Outstandin Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 M To calculate Column 13, add amounts in Column A to the correspondin amounts from Column B of y our last report. Some amounts in Column A ma be ne fi that should be subtracted from previous period amounts. If this is the first report bein filed for this calendar y ear, onl carr over the amounts from Lines 2, 7, and 9 (if an Expenditure Limit Summar for State Candidates 22. Cumulative Expenditures Made* ( if Subject to %b I u ntar Expenditure Limit) Date of Election Total to Date ( mm/dd/ yy) iN- $- tQ0-V *Amounts in this section ma be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule T or print in ink. SCHEDULE A Monetar Contributions Received Amounts ma be rounded Statement covers period to whole dollars. CALIFORNIA 460- from I (�_Awa'f S� I,() to FORM IJ throu lkm_ 1,010 Pa SEE INSTRUCTIONS ON REVERSE --t— of NAME OF FILER 2 I.D. NUMBER A 6i� 'PAC, DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED THIS PERIOD CALENDAR YEAR ( JAN. I - DEC. 31 TO DATE ( IF REQUIRED) c A A []IND %K-Com ❑ OTH zz) o PTY ❑ scC ❑ CA 911t�)V�_o IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ com ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC RIND [:] COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 5 (3 C o o Schedule A Summar *Contributor Codes 1. Amount received this period - itemized monetar contributions. IND- Individual (Include all Schedule A subtotals.) ........................................................... ............................................ $ 000 (1) COM - Recipient Committee ( other than PTY or SC ) C 2. Amount received this period - unitemized monetar contributions of less than $100 ............................. $ 00 OTH - Other ( e. g ., business entit PTY - Political Part 3. Total monetar contributions received this period. 13 1 ­1 ac) SCC = Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summar Pa Column A, Line 1.) ....................... TOTAL - FPPC Form 460 ( Januar y 105 ) FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Tvnp nr nrint in ink (Enter (e) on Schedule E, Line 3) zscneduie b' vart 1 - .a V- -- r - - - -- - -- ...._. Amounts may be rounded Statement covers period Loans Received to Whole dollars, � ISO SEE INSTRUCTIONS O N REVERSE through _ . Page of NAME OF FILER I.D. NUMBER D 43 A 0 ` P -7 )4 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER f OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT ��� AMOUNT PAID ( d) OUTSTANDING BALANCE AT (e} INTEREST (�a ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF ENTER BEGINNING T HIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNT OF CONTRIBUTIONS TO DATE NAME OF BUSINESS) PERI THIS PERIOD PERIOD LOAN ❑ PAID CALENDAR YEAR E] FORGIVEN RATE PER ELECTION t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED DATE DUE ❑ PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION '"'� DATE DUE t❑ I ND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION '' DATE DUE t❑ IND ❑ COM ❑ OTH [] PTY ❑ SCC DATE INCURRED SUBTOTALS ... . .....:...::.:. ..::.......:.: j•. Schedule B Summary 1. Loans received this period ............. ........................................................................ ............................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid orforglven this period .......................................................................... ............................... $ (Total Column (c) plus loans under $100 paid or forgiven.) N( PC�� SCHEDULE B - PART t tContributor Codes IND -- Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Politica I Party SCC —Small Contributor Committee (Include loans pall by a third party that are also itemized on Schedule A.) �j . / A. i 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ Enter the net here and on the Summa Page, Column A, Line 2 . (Maybe anegative num ear} *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 480 (January/05) FPPC Toll -Free Helpline: 8681ASK-FPPC (8661276.3772) SCHEDULE B- PART 2 ouneu u Ile t3 — rart z t or print in 111711K. Amounts ma be rounded Statement covers period Loan Guarantors to whole dollars. throu '3s� TO 10 SEE INSTRUCTIONS ON REVERSE Pa of NAME OF FILER I.D. NUMBER • Au, voz (ta. 0 C Ax_'�" 6wkv�tA_V'� W AC54 ?kc Lm'..y\ �'?o �Z_ al I t 1_05 FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING ( IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE ❑IND LENDER CALENDARYEAR mcom $ DATE ❑ OTH PER ELECTION EIPTY (IF REQUIRED) ❑SCC CALENDAR YEAR nIND LENDER mcom $ ❑ OTH PER ELECTION DATE ( IF REQUIRED ❑ PTY Dscc $ DIND LENDER CALENDAR YEAR ❑com nOTH PER ELECTION (IF REQUIRED) DATE ❑ PTY EJSCC $ [:]IND LENDER CALENDAR F com $ DATE ❑OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ Enter on SUBTOTAL Summar Pa ti Line 17 onl FPPC Form 460 (Januar FPPC Toll-Free Helpline: 8661ASK-FPPC (8661276-3772) SCHEDULE Pa I.D. NUMBER i 212L47 f DATE ................... FULL NAME, STREET ADDRESS AND CONTRIBUTOR WAN INDIVIDUAL, ENTER ❑ AMOUNT/ DESCRIPTION ❑OF CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR ( IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER ( IF SELF-EMPLOYED. ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) ❑IND E-]COM E]OTH Ej PTY EISCC ❑IND EICOM [] OTH ❑ PTY 0SCC ❑IND ❑COM E] OTH E] PTY []SCC []IND []COM [ [] PTY [:] SCC .. .. ... Attach additional information on appropriatel labeled continuation sheets. SUBTOTAL $ ... ... . ... .... Schedule C Summar 1. Amount received this period — itemized nonmonetar contributions. IA- (Include all Schedule C subtotals. ................................ .................................................................................... $ 2. Amount received this period — unitemized nonmonetar contributions of less than $100 .................................... $ 3. Total nonmonetar contributions received this period. (Add Lines 1 and 2. Enter here and on the Summar Pa Column A, Lines 4 and 10.) ...................... TOTAL $ �t�` *Contributor Codes IN❑ — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other ( e. g ., business entit PTY — Political Part SCC — Small Contributor Committee FPPC Form 460 ( Januar y 105 ) FPPC Toll-Free Helpfine: 8661ASK-FPPC (8661276-3772) -ScheduleD Summar of Expenditures T or print in ink. SCHEDULED Statement covers period Suppottin Other Amounts ma be rounded A n Candidates, . Measures and Committees to whole dollars. from j 'N10 (3 SEE INSTRUCTIONS ON REVERSE throu Pa of NAME OF FILER I.D. NUMBER ka_�ikkc"C� A(-Ji'm­ V � Akvv� k o r 1�& N '_PA-C,, I- I __� 2. � 4 . DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS - CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE ORCOMMITTEE PERIOD (JAN, 1 DEC� 31) ( IF REQUIRED Monetar <-N Contribution Nonmonetary __q3 Contribution E] Independent Support Oppose Expenditure Monetar Contribution E] Nonmonetar Contribution Independent E] Support oppose Expenditure Monetar Contribution Nonmonetar Contribution E] Independent Support Oppose Expenditure SUBTOTAL Lz_ C13 Schedule QSummary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule ooubtntals.)................................................... �-�=� 2. unuomizeo contributions and independent expenditures made this period munuer«noo ..................................................................................... $___��____ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. cm not enter on the Summary Page.) ---- TO TA L ��� FPPC Form 460 (January/06) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER Statement covers period from through _ 30 1 2"Q P kkc-10vo V'\ 0 A _o'0 "A (U"U' A&A- - M, SCHEDULE E Page g of I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. otherwise, describe the payment. CW campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CN5 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 FlL 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 ND 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 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 SUBTOTAL $ .. . .......................... Schedule E Summary :� 1 . itemized payments made this period. Include all Schedule subtotals. .. ...... .:.. ...... ............ .......... $ D o 43 2. Unitemized payments made this period of under $1 oo ............................... ........... ............................................... ............................... $ _ -- . ............... ... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 4. Total pay ments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. ..... TOTAL $ FPPC Form 468 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule E (Continuation Sheet) 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 e through _ a SCHEDULE E (CONT.) Pa of 9 I . NUMBER ,. A &A­, r3z,� q- ZJ 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 PEI' 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) � _ ,° I , ' , . C a- * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ �', :'m FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -3772) [11,01104511111114:8 Schedule F T or print in ink. Amounts ma be rounded Statement covers period I I Accrued Expenses (Unpaid Bills to whole dollars. from Z0.(.1Q , . ■ SEE INSTRUCTIONS ON REVERSE throu Pa of NAME OF LER M * Pa that are contributions or independent expenditures must also be SUBTOTALS $ summarized on Schedule D. $ $ $ Schedule F Summar 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for 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 pa on accrued expenses of $100 or more, plus total uniternized pa on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net chan this period. ( Subtract Line 2 from Line 1. Enter the difference here and on the Summar Pa Column A, Line 9. ................................................................................................................................................ NET $ Ma be a ne number FPPC Form 460 (Januar FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) I.D. NUMBER yM w A Al (�,VwAo, U 4 N iLSO L y, ' � ` g. r .. A& A . . . .. . . . ........... CODES: If one of the followin codes accuratel describes the pa y ou ma enter the code. Otherwise, describe the pa CMP campai paraphernalia/misc. IVIBR member communications RAD radio airtime and production costs CNS campai consultants IVITG meetin and appearances RFD returned contributions CTB contribution (explain nonmonetar OFC office expenses SAL campai workers' salaries CVC civic donations PE petition circulatin TEL t.v. or cable airtime and production costs FIL candidate filin fees PHO phone banks TRC candidate travel, lod and meals FND fundraisin events POL pollin and surve research TRS staff/spouse travel, lod and meals IND independent expenditure supportin others ( explain ) * POS posta deliver and messen services TSF transfer between committees of the same candidate/sponsor LEG le defense PRO professional services ( le g al, accountin VOT voter re LIT campai literature and mailin PRT print ads WEB information technolo costs ( internet, e-mail NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I_D_ NUMBER CODE OR DESCRIPTION OF PAYMENT OUTSTANDING (b) AMOUNTINCURRED (c) AMOUNT PAID (d) OUTSTANDING BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E OF THI PERIOD M * Pa that are contributions or independent expenditures must also be SUBTOTALS $ summarized on Schedule D. $ $ $ Schedule F Summar 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for 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 pa on accrued expenses of $100 or more, plus total uniternized pa on accrued expenses under $100.) ................................. PAID TOTALS $ 3. Net chan this period. ( Subtract Line 2 from Line 1. Enter the difference here and on the Summar Pa Column A, Line 9. ................................................................................................................................................ NET $ Ma be a ne number FPPC Form 460 (Januar FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON R EVERSE Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER t ®. SCHEDULE G Statement covers period 46 from .� - through of I.D. NUMBER 2,6 4;L( NAME OF AGENT OR INDEPENDENT CONTRACTOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �J 1A, ( r t� 0 �A-e� - ) 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 GTB 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 IL 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 VVEB 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �J 1A, Attach additional Information on appropriately labeled continuation sheets_ TOTAL'* $ * 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. FPPC Form 460 (January /05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772) SCWE DULEI:. Sched H Type or print In Ink. Statement covers period Loans Made to Others* Amounts may be rounded to whole dollars. from H A _ . r SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER AEA- T-A­c Q) Z. (0 q Z-111 FULL NAME, STREET ADDRESS AND ZIP CO OF RECIPIENT IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT ��� REPAYMENT ❑R DUTST�NDING BALANCE AT ��� INTEREST �� ORIGINAL �9) CUMULATIVE (IF COMMITTEE, ALSO ENTER I-D. NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD LOANED THIS PERIOD FORGIVENESS THIS PERIOD CLOSE OF THIS PERIOD RECEIVED AMOUNT OF LOAN LOANS TO DATE PAID CALENDAR YEAR FORGIVEN HATE PER ELECTION'``* DATE DUE DATE INCURRED Ej PAI D CALENDAR YEAR FORGIVEN RATE PER ELECTION DATE DUE DATE INCURRED * Loans that are cunt rihutions to another candidate or committee _ must also he summarized on Schedule D. Leans forgiven must SUBTOTALS also be reporte P d on Schedule l� $ (Enter (e) on Schedule 1, Line 3) Schedule H Summary 1 . Loans made this period ................................................................................................................... ............................... $ (Total Column (h) plus unitemized loans of less than $100.) * *If Required 2. Payments received on loans ......................... . ... .............................................................................................................. $ V (Total Column (c) plus unitemized payments of less than $100) 3. Net change this period. (Subtract Line 2 from Line 1.) ... ........................................................ ............................... NET $ (E the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 488 (January /06) FPPC Toll -Free Helpl"tne: 8861ASK -FPPC (8681275 -3772) SCHEDULE Pa of I.D. NUMBER AMOUNT OF INCREASE TO CASH P I k Attach additional information on appropriatel labeled continuation sheets. SUBTOTAL $ ( Schedule I Summar 1. Itemized increases to cash this period . .............................................................................. ................................. $ 2. Uniternized increases to cash of under $100 this period . ............................................................................................ $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................................. $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.) ........................................................................................................................... TOTAL FPPC Form 460 (January105) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)