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Home My WebLink AboutDan Carpenter - Form 460 - Termination Statement - 01-04-2012Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers 7z— od Date of election if applica (Month, Day, Year) from L through � - &'Q y ` 6 ' A f 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 (Also Complete Part 5) ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party /Central Committee Ballot Measure Committee Q Primarily Formed Q Controlled Q Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBE COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Date Stamp RECEIVED JAN 0 4 202 SL.0 CITY CLE 2. Type of Statement: ❑ Preelection Statement ❑ Semi- annual Statement Termination Statement ❑ Amendment (Explain below) &i,'_G 1'r� r cvco STREET C.Y^� STATE ZIP CODE AREA ! WMNG ADDRESS (IF DIFFERENT) NO AND STREET�OR P.O CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification Treasurer(s) COVER PAGE --7L— of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 AREA CODE /PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informa pwieMorResporGiblaOl6cerofSponsor Executed on By Date Signahmof Controlling OMcelidder. C mhdate. State Measure Proponent Executed on June /01 BY FPPC Form 460 Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent ( ) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 COVER PAGE - PART 2 CALIFORNIA _ • 1 Page �fO of 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOLDER OR AN IDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD / E S GHT OR HELD (INCLUDE L 01ATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION El SUPPORT (7 I li Lu / ` t ❑ OPPOSE U CA C t AA 4? Pw & IV NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD CLt °S. r Identify the controlling officeholder, candidate, or state measure proponent, if any. r 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER 7. Primarily Formed Committee List names of officeholder(s) or candidate(s) for NAME OF TREASURER CONTROLLED COMMITTEE? which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.0 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) 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 CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amounts may be rounded to whole dollars. Statement covers period 4 1 19W /. from C) 2 � Z /� Page / SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER - C� C �u Zo /� I.D. NUMBER r �W 'r U«% Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTAL TO DATE Running In Both the State Primary and g ma ry Z� 0 amyl General Elections 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ W $ f 2. Loans Received ....................... ............................... Schedule B, Line 3 1l1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ........................ Add Lines 1 +2 $ i� I $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 Ile— 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .......................... Add Lines 3 +4 $ // (Ofd $ Made $ _- $ 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 . ............................... 11. TOTAL EXPENDITURES MADE ........ ............... ,If, .e1 • 's Schedule C, Line 3 CP— n Add Lines 8 + 9 + 10 $ e �� Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 6 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 ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ I r � me . i +4 r . ! 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). 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) I If $ I �� $ I— $ I $ I $ I 1 $ 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 1ASK -FPPC I /c t V Schedule A Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded ry to whole dollars. Statement crs eriod CALIFORNIA i • 0' from FORM SEE INSTRUCTIONS ON R RSE through / Page __X_ of NAME OF FILER �+ I.D. NUMBER ' / �/`e 1- Y r�3Q r n Q.f 4,,,- �� C6 C� cI (C u ih c r � Z6 / 7_ / TO DATE (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) c file- rat. osc ❑ICOM J r% OTH �►'e CP /Cb ` �/ ❑ PTY ❑SCC %] ip v CQ f/1 'COM E, OTH Q� U12.✓ ' -° ❑ PTY GC 0 9, ! a w uCOM / / ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $� Schedule A Summary 1. Amount received this period - contributions of $100 or more. (Include all Schedule A subtotals.) ....................................... ............................... 2. Amount received this period - unitemized contributions of less than $100........... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. ...... I...... $ 6_60 ................. $ zoo- ------- TOTAL $ k? Aoc `Contributor Codes 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 Schedule E Type or print in ink. Statement covers edod Payments Made Amounts may be rounded CALIFORNIA J , i to whole dollars. - • from i RM SEE INSTRUCTIONS ON REVERSE through ` ` f Page � of NFAR I.D. NUMBER re_jevnav-4-ev (, , 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 RAID 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 PET petition circulating TEL t.v. or cable airtime and production costs =1L 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D NUMBER) 10 Qr rtGkcAid<. �zzL/ _J(Pu Lu�� rs o 6 Aso' _V<, 1. c u s n1,7 f ��re s S CODE OR Z_ l N DESCRIPTION OF PAYMENT AMOUNT PAID lYl u s � LQ, (l �� 01 � (Cl a! � vs P-4 q-q 2 7— 0 r -5 -0 ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$O J 7 Schedule E Summary [[ 1. Payments made this period of $100 or more. (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).) ................................................ ............................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ 2 > ZO FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �PV Ce SCHEDULE E (CONT.) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period CALIFORNIA ' Payments Made to whole dollars. from /-Z7 . FORM through SEE INSTRUCTIONS ON REVERSE L) 41? pl:�o K Page Of NAME OF FILER 7 jLjC Cet (Vt/ r{ k <<1 15a t,( r, C 0 1 4 = I.D. NUMBER v, r `/+M p c /Y1a 417, N �e FR AL d CODES: If one of the foliowing 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 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 -ND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals ND 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I�DNUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �PV Ce se tore, o L)Cjr Cpq3061 4rlto vea _DPU , 7P— /-Z7 -=,AC L) 41? pl:�o K do,— 15a t,( r, C 0 1 4 = `/+M p c /Y1a 417, N �e FR AL d lit es }p��r ,y, q3 �d,/ l4__I �J �r"� J ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6p^ / a FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC