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Recipient Committee Campaign Statement Cover Page

Government Code Sections 84200 84216 5


from

0
Type or print in Ink
Statement covers period

Date of election If appllcabl


Month Day Year

O OCT

5 PH y 1 pogo

01

ky

For Ol6ciai Ure Only

SEE INSTRUCTIONS ON REVERSE

Ithrough 1 O I
Primarily Formed Ballot Measure
Committee

ho 1112
2 Type of Statement 0 Preelection Statement
Semi annual Statement
Termination Statement

1 Type of Recipient Committee All Committees Complete Parts 1 2 3 and 4


Officeholder Candidate Controlled Committee

Q State Candidate Election Committee Q Recall


Aeo C Pad5 ple

Q Controlled Q Sponsored
fAno Canpbfe Perth

Quarterly Statement Special Odd Year Report

Supplemental Preelection
Statement Attach Form 495

Also file a Form 410 Termination Amendment Explain below

General Purpose Committee

Q Sponsored Q Small Contributor Committee Q Political PartyCentral Committee


3 Committee Information

Primarily Formed Candidate


Officeholder Committee
Abn Complete Part 7

s Treasurer
NAME OF TREASURER

liylvVG c U Tp pUrYto C14 Za I lhc Co v


STREET ADDRESS NO P BOX O

h vc V c d D 1

S4

bS 1 kr law k
CITY

Qn t e
STATE ZIP CODE AREA CODE PHONE

0C z P0
CITY

CA
STATE

b ql
ZIP CODE

A00535
AREA CODE PHONE

MAILING ADDRESS IF DIFFERENT NO AND STREET OR P BOX O

MAILING ADD

Tunes i

Pf ed Lo y
Yl

C
ZIP CODE AREA CODE PHONE

ESS

CITY

ll f tC r f l 1i1
OPTIONAL FAX EMAIL ADDRESS OPTIONAL FAX

UA

ra za

E MAIL ADDRESS

xis 9 cl

ei1hY1U RwkhaV ZDID


4 Verification

eM 0wl 5L11
knowledg

I have used all reasonable dlllgence In preparing and reviewing this statement and to the best under penalty of perjury under the laws of the State of California that the foregoing is true a cor
Executed on

maf n ontained Brain and in the attached schedules is true and complete I certify

1t 0 3O
Data

By
rX re ror Assistant Treasurer

Executed an

10 30 9
Delp

By
Si

mp

Measue Proponmtar RasponNde OexerWSlMnor

Executed on

By

Executed on
Dale

By SlputuredCordmimOtACenoker Candoste Stets Measure Proponent

FPPC Form 460 Januery106


State of California

FPPC Tollfine Helpline 866 ASKFPPC 8661275 3772

Recipient Committee
Campaign Statement Part 2 Cover Page

Type or print in Ink

COVERPAGE PART2

Page Z
6 Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE

of

6 Primarily Formed Ballot Measure Committee


NAME OF BALLOT MEASURE

UK HLLV INCLUUt LUCAI ION AND DISTRICT NUMBER IF

BALLOT NO OR LETTER

0 CI C4 i aob

JURISDICTION

SUPPORT OPPOSE

Identify the controlling officeholder candidate or state measure proponent If any


NAME OF OFFICEHOLDER CANDIDATE OR PROPONENT

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
i I itt rvn t

DISTRICT N0 IF ANY

D I NUMBER

NAME OF TREASURER

CONTROLLED COMMITTEE
YES
NO

7 Primarily Formed CandidateOfficeholder Committee List names of


officeholders or candidate for which this committee is primarily formed s
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD SUPPORT OPPOSE

COMMITTEEADDRESS

STREETADDRESS NO P BOX O

CITY

STATE

ZIP CODE

AREA CODElPHONE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD SUPPORT OPPOSE

COMMITTEE NAME

D I NUMBER

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

NAMEOFTREASURER

CONTROLLED COMMITTEE
YES

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

NO

SUPPORT OPPOSE

COMMITTEE ADDRESS

STREETADDRESS NO P BOX O

CITY

STATE

ZIP CODE

AREA CODEIPHONE

Attach continuation sheets if necessary

FPPC Form 460 January 06

FPPC Toll Free Helpline 666ASK FPPC 86612764772


State of California

NE
Campaign Disclosure Statement Summary Page

0
Type or print in Ink Amounts may be rounded
to whole dollars

0
Statement covers period
CALIFOR

from 1i 110
through
Page
D I NUMBER

SEE INSTRUCTIONS ON Ri
NAME OF FILER

of

I
11

6V Ay 0A to CI I MUI n Sn S 0 Ici
Contributions Received
1
2
Column A
TOTALTHIs PERIOD

00 2
Column B

913 o J33
Calendar Year Summary for Candidates Running in Both the State Primary and
General Elections
1 through 6 30 20 Contributions Received
1 7 to Date

FROM AT TAC HED SCHE WLES

TOTALTODATE OALENDARYEAR 4 y l q2 i
1 004 oy

Monetary Contributions
Loans Received

Schedule A Line 3

H r 5 1 11L
J
5
0Li

Schedule e Line 3
Add Lines 1 2
Schedule C Linea Add Lines 3 4

SUBTOTALCASH CONTRIBUTIONS

4 2 1 01
Io CC

5 5yl q2
4

j
V

i b 92
3

4
5

Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED

21tp el Z
43
et

zIl b

97

21 Expenditures
Made

Expenditures Made
6
7

Payments Made
Loans Made

schedule E Line

L 6

Expenditure Limit Summary for State


Candidates

Schedule n Line 3

SUBTOTALCASH PAYMENTS

Add Lines 6 7
schedule R Line 3

b2 1 73

3 Ir8b2
S

22 Cumulative Expenditures Made


It aublect to VoW Expendaum unit aery
Date of Election Total to Date

Accrued Expenses Unpaid Bills

10 Nonmonetary Adjustment
11 TOTAL EXPENDITURES MADE

Schedule C Line 3
Add Lines 8 g to

b95

Cc

yy mmidd

53 51

3
d

Current Cash Statement


12 Beginning Cash Balance
13 Cash Receipts
14 Miscellaneous Increases to Cash
Previous summary Page Line 16
Column A Line 3 above

To calculate Column B add

Sr S41 R2
5 4

amounts in Column A to the

schedule I Line 4
Column A Line a above

15 Cash Payments
16 ENDING CASH BALANCE
Add Lines 12 13

14 then subtract Line 15

If this is a termination statement Line 16 must be zero

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

Amounts in this section may be different from amounts reported in Column B

17 LOAN GUARANTEES RECEIVED

Schedule s Pert 2

le

the first report being hied for this calendar year only
tarty over the amounts

Cash Equivalents and Outstanding Debts


18 Cash Equivalents 19 Outstanding Debts
See instructions on reverse
Add Line 2 Line 9in Column eabove

from Lines 2 7 and 9 if any

t1LG

FPPC Form 460 January 05 FPPC Toll Free Helpline 8661ASKFPPC 8661275 77721

0
Schedule A
Type or print In Ink
mO

0
SCHEDULE A

Monetary Contributions Received

Statement covers period t o whole dollar s tCALIFORNIA


from

ms may

nuou

I OR F

460
of

SEE INSTRUCTIONS ON REVERSE NAME OF FILER

through

Page
D I NUMBER

vta 71V
RECEIVED DATE

v th P6 Y
OFCOMMRTEE

0vun

C1

covoui
CONTRIBUTOR CODE
RIND
COM OTH
PTY

SAY IC S T
IF AN INDIVIDUAL ENTER

ZD It
AMOUNT

sl3 133a
CUMULATIVE TO DATE CALENDAR YEAR
PER ELECTION

FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR


SO ENTER I NUMBER D

OCCUPATION AND EMPLOYER

RECENED THIS
PERIOD

TO DATE

OF SELF ENTEIit MPLOYED


OFSUSINESSI

ME

1 JAN DEC 31

IF REQUIRED

mwwu

A CaS s lkl

J kz j o
t Z 7I J
L

U tdyc Cry CY c e
bmaaa CAC
WPS4 cctS R 5eyvico Lw kolcurn
Ll StOfI 1

Mt Or
f

Cb1tj 2CA n
tT SSG

ZC1J oz

SCC
IND COM QZ OTH El SCC IND

Lids S a CA

00 o 02

t i yl Z

ch

to

PrOr MfdIGAI fntV


d E I
Lcs
I

u vFQ4 JVc Sr
I

COM BOTH

CA
tlEynV

DG

ISC
1WND
COM

O AS Q

jJlt V
ai 1

a3bi 04LUDLa A 0 4
Wks Uuz CA
f if 1 M vkpdt
JAVA Y1 CS t S cue s2 io

OTH
PTV

f f

c z

ct0004

SCC

Fhi

11oa

IND COM

ElT
SCC

00

ao

log L

SUBTOTAL

00 1 0C3
Contributor Codes
IND Individual

Schedule A Summary
1 Amount received this period itemized monetary contributions Include all Schedule A subtotals 2 Amount received this period unitemized monetary contributions of less than 100
TOTAL

t il

t IZ
54 1 L

COM Recipient Committee other than PTY or SCC OTH Other e business entity g PTY Political Parry
SCC Small Contributor Committee

3 Total monetary contributions received this period Add Lines 1 and 2 Enter here and on the Summary Page Column A Line 1

FPPC Form 460 January 05 FPPC ToilFree Helpline 8661ASK FPPC 8661275 3772

Schedule A Continuation Sheet Monetary Contributions Receivea

Type or print in Ink


Amounts may be rounded
to whole dollars
from

SCHEDULE

CONT

stateme covers period

NIA ALIFOR C

through C A
NAME OF FILER

Page
D I NUMBER

of

1 0

n E

S W j fiN

vLrn orn

nu l gi ck 5 o S4Yi
IF AN INDIVIDUAL ENTER
OCCUPATION AND EMPLOYER
OF SELF ENTER NAME EMPLOYED

813 133t
CUMULATIVETO DATE CALENDAR YEAR PER ELECTION

RECEIVED DATE

FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR


OF COMMITTEE AL50 ENTER I NUM8ER D

CONTRIBUTOR CODE

RECEIVED THIS AMOUNT


PERIOD

TO DATE

OF BUSINESS

JAN 1 DEC 31

IF REQUIRED

MLloyer Pru LL er
I SjI
Lt

fVO
GA

G 20y

92335

OTH El PTY SCC

coM
3 J u0
tt riST l

200 Q zY

Trit A PDo
131 t D
22
Y

y rnt
CAe g2b12

Liti

pco pS
IND

1 2
lv
Y

OTH
PTY

Q1 ISSl P

25

o Z

cumin

04 t 1S iLC 1V2

IC C 1l 1 la 15111 S i 1
iAht
C0

U1f

CC

OTH 0OTH
El PTY scc

5D

VQ

OIe eV 4

4 ti 3

0xId vt 4jlo 1j2


Solo tXujkncc Or

e 4 j yS S t Ow p Y151 l r
t1 2Q58 C N

COM EjOTH 1 E PTY SCC

IUJiS Gnc C U

ao

ZxD

WQ

yt

0 1

IND COM

Y C

on
SCC
SUBTOTALS

4 26e

44

au

Yfi

Contributor Codes

IND

Individual

COM

OTH PTY
SCC

Recipient Committee other than PTY or SCC Other e business entity g Political Party
Small Contributor Committee

FPPC Form 460 January 05 FPPC Toll Free Helpline 8661ASKFPPC 8661275 3772

0
Schedule A Continuation Sheet
Monetary Contributions Received
Type or print in Ink Amounts may be rounded
to whole dollars from

SCHEDULE Statement covers period


J

CONT

through
NAME OF FILER

Page ID
D I NUMBER

IIII
Of

nvtq

SW

DYYU

CO UvAM
CONTRIBUTOR CODE

0 Z01

1330813
CUMULATIVE TO DATE
CALENDAR YEAR PER ELECTION TO DATE

RECEIVED DATE

FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR

IF AN INDIVIDUAL ENTER
OCCUPATION AND EMPLOYER
OF SELF ENTER NAME EMPLOYED OFI USINESS

OF COMMITTEE ALSO ENTER I NUMBER D

RECEIVED THIS AMOUNT


PERIOD

1 JAN DEC 31

IF REQUIRED

Lay

IlJ I2

POC T t 3 LI Y 1

TtA y

t y A C

el

YA q

Ck

pcoM
1

0OTH

x philli Ih f alp
V J1C U C 1 YCi 1L

sC
WIND

e 11 Irv t Y sG
u L

31100

l Cii

0O
C PTY
SCC

pyope
Munalcy
Ike YKI4 j

100 OD

g I W a0

pi SC

KPY hY180Y

IND
COM

JohrsDr

11y 13ti Au l Gw

0TH OTH
PTY SCC

Sp O UCl

t M

eaddour

EOIND
COM

q4 IQ r Z

III q1 LLB C1eAyyY Ave

0OTH

r GYnt G

scc
IND COM
OTH PTY

r G E

19 1 0

119 JLs

SCC

SUBTO
Contributor Codes
IND Individual

OJ Iq V

COM Recipient Committee other than PTY or SCC OTH Other e business entity g PTY Poldicat Party
SCC Small Contributor Committee

FPPC Form 460 January 06

FPPC Toll Free Helplins 8661ASK FPPC 8661275 3772

0
Mnr I 4 1

0
SCHEDULES PART1

ocneoule C

Yart 7

Loans Received

Amounts may be rounded


to whole dollars

Statement covers period


from

CALIF
M OR F

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER

through

01 I 3l
o zo

IG

Page
D I NUMBER

Of

1 v1 4
LENDER OF

CAV r SW
IF AN INDIVIDUAL ENTE R OCCUPATION AND EMPLOYER
IF SELF ENTER EMPLOYED NAMEOFBUSINESS

LGLvtc
AMOUNT

Yic s
AMOUNTPAID OR FORGIVEN

3a 3 I3 1
INTEREST ORIGINAL
AMOUNTOF

FULL NAME STREET ADDRESS AND ZIP CODE

OUTSTANDING BALANCE
BEGINNING THIS
PERIOD

OUTSTANDING
BALANCEAT

RECEIVED THIS
PERIOD

D IFCOMMMTEEALSOEWERI NUMBER

THIS PERIOD CLOSE OF THIS PERIOD


f
FORGIVEN
I

PAID THIS PERIOD

CUMULATIVE CONTRIBUTIONS TO DATE


CALENDARYEAR

LOAN

3 PAID

N CJ C2 U
n

1 I vli
PTY BCC

f
I

V VL
S

2 rr
RATE

f 110 C 09Io
DATE INCURRED

PER ELECTION

t IND

OY CAt Ctnto10
El COM
OTH

N fit
DATE DUE

EI PAID
E

CALENDARYEAR
S

S
RATE

FORGIVEN

PER ELECTION

f DATE DUE

t IND

COM

OTH

PTV

SCC
PAID

DATE INCURRED

CALENDARYEAR

RATE

FORGIVEN

PERELi

E DATEDUE

t IND

El COM 3 OTH

El PTY

D SCC
SUBTOTALS

DATE INCURRED
F

71

Schedule B Summary
1 Loans received this period

m e Ermr

SOIe

E Lim 3

0 I11
tContributor Codes
IND Individual

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

COM OTH PTY NET

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 Enter the net here and on the Summary Page Column A Line 2
Amounts forgiven or paid by another party also must be reported on Schedule A
I required

Recipient Committee other than PTY or SCC Other e business entity g Political Party

l7
Y b n numbeq uw g

SCC Small Contributor Committee

FPPC Form 460 January 05 FPPC TollFree Helpline 866ASK FPPC 866 2753772

Schedule C
onmone on Contributions ulJOns

Type or print in Ink


w ow mar

SCHFni 11 Fr

to whole dollars

Statement covers period


from

CALIF

i 1 0
q

460
1

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER

through 11
Pov

Page
D I NUMBER

Of

Ci CuNGi
IF AN INDIVIDUAL ENTER
OCCUPATION AND EMPLOYER

S
AMOUNT

ZOLO

133D813
PER ELECTION
TO DATE IF REQUIRED

DATE

FULL NAME STREET ADDRESS AND

RECEIVED

ZIP CODE OF CONTRIBUTOR

IF COMMITTEE ALSO ENTER I NUMBER D

CONTRIBUTOR CODE
FIND
COM

IF BELF OF BUSINESS NAME OF BUSINESS ENTER

DESCRIPTION IC GOODS OR SERVICES

FAIR MARKET

CUMULATIVE TO DATE CALENDAR YEAR

VALUE

JAN 1 DEC 31

SGY wLa3 Ge GT sho y

1ko 6I5

yWtrA rp

rJ

o c Y 1c rt s
s e

s t An

oPn
SCC

Therms

m 000

IND COM OTH


PTY

SCC
IND COM OTH
PTY

SCC IND COM OTH


PTY

SCC

Attach additional information on appropriately labeled continuation sheets

L BTOTA SU E

Schedule C Summary
1 Amount received this period itemized nonmonetary contributions
Include all Schedule C subtotals

Contributor Codes

boC o3
9
TOTAL

IND

Individual

COM OTH PTY

2 Amount received this period unitemized nonmonetary contributions of less than 100 3 Total nonmonetary contributions received this period Add Lines 1 and 2 Enter here and on the Summary Page Column A Lines 4 and 10

L7

Recipient Committee other than PTY or SCC Other e business entity g Political Party

SCC Small Contdbutor Committee

low 5

iJ O

FPPC Form 460 January 05 FPPC Toil Free Helpline 8661ASKFPPC 8661275 3772

SCHEDULEE

Schedule E Pa y ments Made

Typo or print in Ink rounded A mounts may


to whole dolof lars

Statement covers period


from
t l

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER

through

0G

S WbG

vY YD 1GVict C K 1
MBR MfG MfG OFC PEr PHO POL

j c

Yi C 1G
RAD
RFD

ZULO

CODES If one of the following codes accurately describes the payment you may enter the code Otherwise describe the payment
CAP CNS CTB
CVC

71DUMBE

of

l3

campaign paraphernalia misc campaign consultants contribution explain nonmonetary


civic donations

member communications

radio airtime and production costs


returned contributions

FIL FPD

candidate filing fees ballot fundralsing events

meetings and appearances office expenses petition cirwlating phone banks polling and survey research

PD LEG UT

Independent expenditure supportingopposing others explain legal defense campaign literature and mailings
NAME AND ADDRESS OF PAYEE IF COMMITTEE ENTER ID ALSO NUMBER

POS PRO
PRT

postage delivery and messenger services professional services legal accounting


print ads

SAL campaign workers salaries TEL t or cable airtime and production costs v TRC candidate travel lodging and meals TRS staffspouse travel lodging and meals TSF transfer between committees of the same candidatesponsor VOT voter registration WEB Information technology costs internet e mail

CODE

OR

DESCRIPTION OF PAYMENT

AMOUNTPAID

4 nVI

6D 42t r uV Oy Cl cowicl y f 3 133u8 piU slvcch 2 p S


Pwnww
A emv

ee 1
US

CoLSI

pro S lnclavlceprtve
a hv G
YL

e c Si E
l o Ff1 s c
cigh Carnp L14
s 8 vkss Cads
I

Y porhlsv COO
tai Su xlve clancX
H t
e

G P v

f yc G
e fv

1 k z N ve

LI T

ZW

Payments that are contributions or Independent expenditures must also be summarized on Schedule D

SUBTOTALS

I Z U O l7

Schedule E Summary
1 Itemized payments made this period Include all Schedule E subtotals
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

H5I
7 5 34 U1

32

4 Total payments made this period Add Lines 1 2 and 3 Enter here and on the Summary Page Column A Line 6

TOTAL

L4 I b 2

FPPC Form 460 January 05

FPPC TollFree Helpline 8661ASKFPPC 8661275 5772

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

SCHEDULE E CONTI
Statement covers period
from

r1

I
tV

60
page

through

of

I1

Y v SW1 n VIV
CW CNS CTB
CVC

N y YVt
M6R

nvtc l

l c Yl S 5
RAD
RFD

L Z

D I L 13353

NUMBER

CODES If one of the following codes accurately describes the payment you may enter the code Otherwise describe the payment
campaign paraphemalia misc campaign consultants
member communications

radio airtime and production costs


returned contributions

contribution explain nonmonetary


civic donations

IVITG OFC
PET PFD POL POS

meetings and appearances office expenses


petition circulating phone banks polling and survey research postage delivery and messenger services

FIL
FIND

candidate filing fees ballot


fundraising events

D t
LEG UT

independent expenditure supportingopposing others explain


legal defense campaign literature and mailings
NAME AND ADDRESS OF PAYEE
IF COMMITTEE ALSO EWER I NUMBER D

PRO
PRT

professional services legal accounting


print ads
CODE OR

SAL TEL TRC TRS TSF VOT WEB

campaign workers salaries Lv or cable airtime and production costs candidate travel lodging and meals staffspouse travel lodging and meals transfer between committees of the same candidatesponsor voter registration information technology costs Internet a mail
AMOUNT PAID

DESCRIPTION OF PAYMENT

Cows Lgh 1 fi2 I S 1 X

L t ovu l S y wc
C14
4 907 ZSTCIJ VN YC

Ctctvrt tna
lf lo C 1I h C
1TIO

w lc

nS Si

a 14

IF

LA V CtY LI S ie

3 ll3

11P LY16 c Ylv PCS y hcAn Cie vl o

Uvlc c ib6hya nCc


11 2 N CQ P
gii m X v
b

1 C

1 t

oc

o o

CA t VJ3a
t

Fr nV eYS

Py ncirn C COYcLC x
IIC
ut

N G 3 carLey te
CA 1 f b 10
SUBTOTALS

Payments that are contributions or independent expenditures must also be summarized on Schedule D

b2 4 4

FPPC Form 460 January105 FPPC TollFree Helpline 866 ASK FPPC 86612753772

0
Schedule E

0
CONT SCHEDULEE Type or print In Ink Amounts may be rounded
to whole dollars
from

Continuat Sheet Payments Made


BPS INSI RUCTIONS ON REVERSE
NAME OI FILER

Statement covers period

l I
bI
III

through f I

Page of
D I NUMBER

A ol
CODES If one of the following codes accurately describes the payment you may enter the code Otherwise describe the payment
CNP CNS CTB
CVC

133 13
NiBR member communications

campaign paraphernallamist campaign consultants


contribution explain nonmonetary
civic donations

RAO
RFD

radio airtime and production costs


returned contributions

MTG
OFC

meetings and appearances


office expenses

SAL

campaign workers salaries

FIL FND IND LEG

candidate filing fees ballot fundraising events independent expenditure supporting others explain opposing legal defense

LIT

campaign literature and mailings


NAME AND ADDRESS OF PAYEE IF COMMRTEE ALSO EWER I NUMBER D

PET PHO POL POS PRO PRT

petition circulating phone banks polling and survey research postage delivery and messenger services professional services legal accounting print ads
CODE OR

TEL TRC TRS TSF VOT EB V

Lv or cable airtime and production costs candidate travel lodging and meals staffspouse travel lodging and meals transfer between committees of the same candidatesponsor voter registration information technology costs internet amad
AMOUNTPAID

DESCRIPTION OF PAYMENT

v fi Mac e 29 S 1 u

or C

UFf

R M rACA Z
I gyr y c

G
y U

4Z

A j I P u S

1S i

IIG2 N C f Av cwo o
C
L Sa env cl
I

IT L

lo Ne ES
ef nr fo cP n
Cdr r

b3 1 0Z

CG
r to Ivc rOLC
Cat

GS AD bcv
F1 L
1 Z

Lct Ay e les irl

1 0o D

Payments that are contributions or independent expenditures must also be summarized on Schedule D

SUBTOTALS 5
FPPC Form 460 January 05 FPPC Toll Free Helpllne 866ASK FPPC 866 2753772

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