Gilmore 460Recipient Committee
Campaign Statement
Cover Page
Type or print in ink.
(Government Code Sections 84200-84216.5)
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
IY\' Officeholder, Candidate Controlled Committee D Primarily Formed Ballot Measure
"'\ 0 State Candidate Election Committee Committee
O Recall 0 Controlled
(Also Complete Part SJ O Sponsored
(Also Compete Part 6)
0 General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
O Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) "-"' JA IA J -c e; /Vf H rt 7 15" G ro 15" t.. Ger I 'l ""-/ b
6IL11-10 ~ti'
STREET ADDRESS (NO P.O. BOX)
CITY
Po Box "?fl ft;
STATE ZIP CODE AREA CODE/PHONE
4 Li+ rt£" A c '4 91.J£6J fib-';).) .. ~)3 '/
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX ~
3 '-f G :J. c A ft; t. t.-1/ t-H A t.. A tvf ~ v" c A 9'/ fa'J
Date of election if
(Month, Day, i'.\Lfo,MEDA
LEF!K'S OFFICE
2. Type of Statement:
0 Preelection Statement
0 Semi-annual Statement
0 Termination Statement
(Also file a Form 410 Termination)
0 Amendment (Explain below)
Treasurer(s)
MAILING ADDRESS
0 Quarterly Statement
0 Special Odd-Year Report
0 Supplemental Preelection
Statement -Attach Form 495
'J'f S Ii
A. tA/"ff!' tJ A c "4 9 'ftJ
ZIP CODE d/o-s
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
ONE
AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
SllJ--5;tJ-"57JY
OPTIONAL: FAX I E-MAIL ADDRESS J
fC/0 , ~ ~ I "-<jfe 17 fill no 1l. 17"(!!> A t/y/'161/A tyE7', l\JW
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 u er the I s of the State of California that the foregoing · correct.
Executed on
e ,
1'-"""-- :~~~~~~'.'.'::""-:::~~~~~~--
BY~~~~~--,,,.-..,.........,.,,,......,....,,,...-=,....,....,.,..-.,,..-.,,.,,.,.-~...,.,.~-=~--:~~~~~~
Signature of Controlling Officeholder, Candidate, State Measure Proponent
BY~~~~~__,,,.-..,.........,.,,,.....,....,,...-=,....,....,.,...-,,--,,-,..,..-.,,,-,...,.,.~-:::-~--:~~~~~--
Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Fonn 460 (January/OS)
FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)
State of California
Type or print in ink.
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)
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
t a?5 s I. Ci/ A J(,L65 ?r 14 It 41'-1!: II I/ c A <'!JI.id/
Related Committees Not Included in this Statement: Listanycommittees
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
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE
COMMITTEE NAME
NAME OF TREASURER
COMMITTEE ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
7.
BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT
0 OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE
DISTRICT NO. IF ANY
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELD
D SUPPORT
D OPPOSE
D SUPPORT
0 OPPOSE
D SUPPORT
0 OPPOSE
D SUPPORT
D OPPOSE
Attach continuation sheets if necessary
FPPC Fonn 460 (January/OS)
FPPC Toll·Free Helpline: 866/ASK-FPPC (866/275-3772}
State of California
Type or print in ink. Campaign Disclosure Statement
Summary Page Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
c ,..,, J 77
Contributions Received
1. Monetary Contributions . ....... ... ......... ..... ..... ............. Schedule A, Une 3 $
2. Loans Received . . . . .. . . . . . . .. . . ... . . . . . . . . .. . . . . . . . ... . . . . . .. . . . . . . . . Schedule B, Une 3
3. SUBTOTAL CASH CONTRIBUTIONS .................... ..... Add unes t + 2 $
4. Non monetary Contributions.................................... Schedule c, Une 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Unes 3 + 4 $
Expenditures Made
6. Payments Made . . . . . . . . ......... .. . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . .. . . . Schedule E, Line 4 $
7. Loans Made............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Unes 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Une 3
10. Non monetary Adjustment .......................................... Schedule c. Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Unes B + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... PreviousSummaryPage,Line16 $
13. Cash Receipts . . . . . . . . . . .. . . . . . . . . .. . . . . . .. . .. . . . . . . . . .. . . . ... . .. Column A, Line 3 above
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 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED........................... ScheduleB, Part2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Une 2 +Line 9 in Column B above $
Column A
TOTAL THIS PERIOD '
(FROM ATTACHED SCHEDULES)
100.c:::io
/ "1 .. C2, tl t1
$
$
$
$
$
$
Columns
CALENDAR YEAR
TOTAL TO DATE
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
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
/'3..';>0)?,
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6/30 7/1 to Date
20. Contributions
Received $ ------$ _____ _
21. Expenditures
Made $ ------$ _____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(lfSubjectto Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
__J__J __
Total to Date
$ _____ _
__j__J__ $ ____ _
•Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK·FPPC (866/275-3772)
Type or print in ink. SCHEDULEB-PART1
Schedule B -Part 1
loans Received
Amounts may be rounded
to whole dollars.
Statement c7crs period
from z4o/" CALIFORNIA 4Ql'\
FORM . UV
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER l.D. NUMBER)
to IND 0 COM 0 OTH 0 PTY 0 sec
to IND D COM 0 OTH 0 PTY 0 sec
to IND D COM 0 OTH D PTY D sec
Schedule B Summary
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
a (b) (c) OUTS"'JAdN) DING OL[f,::.t~g~NG AMOUNT AMOUNTPAID ''
BEGINNING THIS RECEIVED THIS OR FORGIVEN cE~~~F'¥'~s
PERIOD THIS PERIOD• p RI D
0PAJD
0FORGIVEN
s j.j/>, Ol) $ __ _
0PAJD
0FORGIVEN
DATE DUE
0PAJD
D FORGIVEN
DATE DUE
SUBTOTALS$ $ $
1. Loans received this period .................................................................................................................... $
(Total Column (b) plus unitemized loans of 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.)
-z:i f!), () C>
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. <Maybe a negauvenumb•r>
$
(e)
INTEREST
PAID THIS
PERIOD
__ %
RATE
__ %
RATE
Page _!:f__ of L
LD. NUMBER
I
s _i-'--i._o_,
'/;~ PER ELECTION**
CALENDAR YEAR
PER ELECTION**
DATE INCURRED
CALENDAR YEAR
PER ELECTION**
DATE INCURRED
(Enter(e)on
Schedule E, Line 3)
tContributor Codes
IND-Individual
COM-Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
SCC-Small Contributor Committee
*Amounts forgiven or paid by another party also must be reported on Schedule A.
•• If required. FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)