itCipientCommittee Campaign Statement Cover Page

Government
Code Sections

Type

or

print In Ink

CI
applicable

n F 6 LCI I LEI
S

COVERPAGE
S

1 I

5 84216 84200
Statement
from
covers

period

Date of election If

1 f Zl I 0

Pfl

ga

pf for OnGal Use

1x171

1R t 9 q

Month Oey Year

Only

SEE INSTRUCTIONS ON REVERSE

Through
al

Q z 31 12
a

2006 06
2

Type

of

Recipient

Committee

complete commhbe Pelts 1 a a one

Type of Statement
Preelection Statement

0 OKCeholtlep Cantlitlate COntrolletl Committee State Candidate Election Committee Q Recall

amconpmle Fartbf

Primarily

Formed Ballot Measure

Ouartedy

Statement

Committee Q Controlled

annual5tatemenl Semi
Telminagon Statement

Sponsoretl

Tam cm s elePm P

Also

files Form 410

Termination

Special Otlt4Year Report Supplemental Preelection

Attach Statement FOlm 495

COmmiflea GeneralPUrpos

Amentlment

Explain below

Q Q Q
3

Sponsored
Small COnhibutor COmmidee Political Party Committee Central

Formed Cantlitlalel Ofgceholtler Committee

Primariy

rewrt p Abocw

Committee Intortnation
COMMITTEE NAME

LD

NIIMBEfl

970413
NAME IF NO COMMITTEE

Treasurers
NPME OF TREASpgER

OR

S CANDIDPTE

Friends of Elliott Rothman

Kintle Durkee
MAILING ADDRESS

1212 5
O STREET ADDRESS NO P RO

Victory B
STATE 21P

CITY

CODE

AREA CODE PHONE

1190
CITY

Sequoia

plan
STATE ZIP CODE AREA COOEIPHONE

Burbank
NAME
OF ASSISTANT

GA
TREASIrRER IF ANT

81502

Ofifi9 260 818

Pomona
MAILINO ADDRESS

CA
IF DIFFERENT
NO

91766

0669 260 818

MAILING ADDRESS

O ANp STREET OR P BOX

1212 S
CITY

Victory 81
STATE ZIP CODE AREA COOE PHONE

CITV

STATE

ZIP

CODE

AREA

PHONE CODE

Burbank
OPTIONAL

CA
I MAIL FA E ADDRESS

91502

0669 260 818

OPTIONAL
FA E ADDRESS MAIL

Verification
I have usetl all reasonable antler

tliligence

In

preparing

one

reviewing this

penalty of perjury
med E
nn

untlerthe laws of the State of California that the

statement end to Pie best of my knowledge the inform foregoing le true and mrtect

ion mnfainetl here

antl in the attached schetlules is lme and

complete ICertiy

2009 09 01
pX

ey
ay

Kinds Durkee
p

eyea olT
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mm

a enw E

nn

2009 09 01
Darn

Elliott Rothman
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r rem

PUmmmOlAmrNSPUmu R

Execmae

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State al Calirornla

Type

or

print

In Ink

COVER rAGE PARE 2

e e

Recipient Campaign Statement Cover Page Part 2

Page

Committee

1
of

Officeholder

or

Candidate Controlletl Committee

Ballot Measure Committee

NAME OF BALLOT MEASURE

NAME OF OFFICEHOLDER OR CANDIDATE

Elliott Rothman
OFFICE SOUGHT OR HELD

INCLUDE LOCATION

ANO

DISTRILi NUMBER IF gPPLICABLEI

BALLOT NO OR LETTER

JURISDICTION

SUPPORT
OPPOSE

City Council Member City of Pomona

BUSINESS RESIDENTIAL ADDRESS

District 5
LIN STATE ZIP

N0

AND

BTREET

1212 S Victory BI

Burbank

CA

91502

Itlentify the controlling officeholder candidate

or

sate measure

proponent gany

NAME OF OFFICEHOLDER CANDIDATE OR PROPONENT

Relatetl Committees Not Included in this Statement

natinclueee in ehia statemenHhatare controlled

List any comminees

by you

or are

primarily

ormetl to receive

OFFICE SOUGHT OR HELD

DISTRICT NO IF ANT

condibudona

or

make

ezpendifures

on

behal of yow candidacy

LD NUMBER

COMMniEE NAME

NAME OF TREASURER

LOMROLLED COMMITTEES
YES NO

Primarily

FOrmetl Committee

Liat

names

or lor ss OlOMCeholder canditlate

which this comminee is

primarily

ormed

COMMITTEE ADDRESS

STREET ADDRESS

INO P0 BOXI

NAME OF

OFFICEHOLDER Ofl CANDIDATE

OFFICE SOUGHT OR MELD SUPPORT OPPOSE

CITT

STATE

ZIP LOGE

AREA CODE PHONE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE

SOUGHT OR HELD
SUPPORT OPPOSE

COMMITTEE NAME

LO NUMBER

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR MELD

SUPPORT OPPOSE

NAME OF TREASURER

CONTROLLED COMMITTEES
NAME OF

DFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT

TES
COMMITTEE ADDRESS

NO
OPPOSE

STREET ADDRESS NO PO BO

LITV

STATE

21P CODE

AREA CODE PHONE

ArrdCh COnrlOYdrIOO shOefS

12Ces5dry

FPPC Form CbO IJUne 01

FPPC Toll Fne

Helpllne

FPPC 8661ASK

State of Lelllotnla

Campaign Disclosure Summary Page

Statement

Type

or

print

in ink

SUMMAM PAGE
Statement
covers

Amoto whole dollars

nded

period

from

2008 19 10 2006 31 12 3
3

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

through

Page

of

O I NUMBER

Friends Of Elliott Rothman

ColumnA
uralavraloo m

970413
Column B
re oo ro

Contributions Received
Monetary Contributions
Loans Received SUBTOTAL CASH CONTRIBUTIONS

Calentlar Year

Summary

for Candidates

esl caEov aeaao noon

Running

in Both he State

Primary
m

and

scneame a ones
scneame e coor
aaa ones r z

00 0
00 0
9

00 0
00 0

General Elections
ut

Inrwen

acw

to

Dale

2 3
4

00 0 00 0

00 0 00 0

20 ConMbutions Received 21

Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED

scneame c u s a aoo ones a

Expentlilures
Made

00 0

00 0

Expenditures Made
6 7

Payments Made
Loans Made

scneame

E unee

00 0 00 0

24 9212 00 0

Expentliture
Candidates

Limit

Summary

for S e a

scneame e uaev
aaa ones s

8 9
10

SUBTOTAL CASH PAYMENTS Accrued Expenses Unpaid Bills

00 0 00 0 00 0

24 9212 00 0
00 0

22 Cumulative

Expenditures Made
Total to Date

Ia wepnwvmunury F umq mmlrt e

scneame E cne a

Date of Election

Nonmonetary Adjustment

scheaure c r inea aaa ones e s ro

mmltltllyy

11 TOTAL EXPENDITURES MADE

00 0

24 9212

Current Cash Statement

12

Beginning Cash Balance

vreacus

summery ve e

one rs

00 0 00 0
00 0
To cakulate Column B add amounts in Column Ato the

13 Cash Receipts
14 Miscellaneous Increases to Cash 15 Cash

cdumn a uneaaeove

correspontling

amounts

scneame r one o e a esaoo corum u

Payments
aaa tines tz ta

00 0 00 0

hom Column B of your last report Some amounts in

ColumnAmay

be

negative

16 ENDING CASH BALANCE

f roan smracr one fs

gores

that should be

Irthis isa termination statemen l6musr be Line

zem

subtractetl from previous pedotl amounts If this is

17 LOAN GUARANTEES RECEIVED

scneowe s aenz

00 0

the frst report being led for this calendar year ty tarry over the amounts antl 9 if from Lines 2

Cash Equivalents and

16 19 Cash

Since Janua h 1 2001 Amounts in this segion tlitferent from amounts repodetl in Column B

ma Y

be

Outstanding

Debts
see insrmcnans
on remrse

Equivalents
Debts

S S

00 0 00 0

any
FPPC Form 460
FPPC Toll Free

Outstanding

am cne z

oneain cdarsae snore

Ot June

FPPC Melpline e66lASK