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Home My WebLink AboutJeff Aranguena - Form 460 - Preelection - 10-23-2012Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if appli from 10/01/12 (Month, Day, Year) through 10 %0/2012 I November 6, 2012 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Pan 5J O Sponsored ❑ General Purpose Committee (Also Compete Part6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also CompletePaaf7) 3. Committee Information I I.D. NUMBER Jeff Aranguena for City Council STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS jeff,aranguena@)gmaii.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of under penalty of perjury under the laws of the State of California that the foregoing is true and cci Executed on 10/23/2012 By Executed on By 2. Type of Statement: Date Stamp OCT 2 5 2012 COVERPAGE Page t of t'3 For Official Use Only ® Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement _ ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY C.J. Young CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 ( OPTIONAL: FAX / E -MAIL ADDRESS cj @ publicpolicyinc.com contained herein and in the attached schedules is true and complete. I certify Executed on By Data Sgnature of Controlling OficehoWer, Cantlitlaie, SWe Measwe Proponent Executed on By Date Signatureof Controlling OlficehoWer, Candidate, State Measure Proponent FPPC Form 460(January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (66612754772) State of California Type or print In ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement O CALIFORNIA 460 Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jeff Aranguena OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Luis Obispo City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Luis Obispo CA 93401 Page 2 O � 3 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER (JURISDICTION I [I 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: Llstanycommittees not included in this statement that are controlled by you or are primarily formed to receive OFFICE contributions or make expenditures on behalf of your candidacy. NAMEOFTREASURER COMMITTEENAME NAME OF TREASURER I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODEIPHONE I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREA CODE/PHONE DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee Listnames of oKceholderial or candidates) 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 J063 OPPOSE FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275,3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/01 /12 from SUMMARY PAGE FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) 10 3 13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER I_SAq�e �S Contributions Received Column Column Calendar Year Summary for Candidates TOTALTHISPERI00 (FRWMACHEDSCHEDULES) CALENDARYEAR TOTALMOO Running in Both the State Primary and 800. 00 6424.00 General Elections 1. Monetary Contributions ............ ............................... Schedule a, Line 3 $ $ 0 0.00 111 through 6/30 711 to Date 2. Loans Received ....................... ............................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ 800.00 $ 6424.00 20. Contributions 0.00 1194.00 Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule c, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ 800 $ 7618.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 1350.00 $ 6204.00 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 1350. 00 6204.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ $ (IfSubjectto Voluntary Expenditure Umlt) 9. Accrued Expenses (Unpaid Bills) � � � � � Schedule F Linea 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Linea 0.00 0.00 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +e +10 $ 1350.00 $ 6204.00 /J $ Current Cash Statement 770.00 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 800.00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts 850.00 report. Some amounts in reported in Column B. 15. Cash Payments ................... ............................... Column A, Line 8 above Column A may be negative 720.00 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract line 15 $ figures that should be subtracted from previous IF this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 0.00 r e r nniv ........................... srherltife &, Part 2 carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0.00 any). 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0.00 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule A Type or print In ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to dollars. Statement covers period whole 10/01/12 1 from • l(-#U/2012 4 ( 3 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.) . NUMBER DATE ADDRESS AND FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (EFTA I.D. NUMBER) CODE* OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NMIE RECEIVED THIS PERIOD CALENDAR YEAR (JAN. 1 - DEC. 31) TO DATE (IF REQUIRED) OFSUSINESS) Heat & Frost Insulators & Allied Workers Local ❑IND 10/11/2012 #5 BcoM 100.00 100.00 FPPC# 1232371 ❑OTH ❑ PTY ❑ SCC Dawn Legg 01ND Liaiso ry First Solar 10/11/2012 - San Luis Obispo, 93401 ❑❑CO 100.00 100.00 ❑ PTY [-]SCC IBEW Local 413 ❑IND 10/11/2012 FPPC 1319321 CO 200.00 200.00 ❑z ❑ PTY ❑SCC Marilyn Armstrong ®IND Retired 10/05/2012 - San Luis Obispo, ❑coM 200.00 200.00 93401 ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC SUBTOTAL$ 600 Schedule A Summary Contributor Codes 1. Amount received this period — itemized monetary contributions. ann nn IND — Individual (include all Schedule A subtotals.) 2. Amount received this period — unitemized monetary 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.) ...... TOTAL $ 200.00 �;�rvl- ne�:IPrerre„rnrmtmee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) SCHEDULEB -PART1 Schedule B— Part 1 Amounts —may be rounded Statement covers period Loans Received to whole dollars. 10/01/12 CALIFORNIA • 1 from FORM 101W12012 5 3 SEE INSTRUCTIONS ON REVERSE through Page Of 1 NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (e) AMOUNTPAID a) OUTS NDING (e) INTEREST (f) ORIGINAL (g CUMULATIVE OFLENDER OCCUPATION AND EMPLOYER (IFSELF- EMPLOYED,ENTER BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCEAT CLOSE OF THIS PAIDTHIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D. NUMBER) NAMEOFBUSINESSI PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION" RATE $ S S S S DATE DUE DATE INCURRED t ❑ IND El COM El OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION" RATE $ $ S $ $ DATE DUE DATEINCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION" RATE S S 3 $ $ DATEDUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $% Schedule B Summary 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.) 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. " If required. $ ........................... $ (Enter (e)on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) PTY — Political Party NET $ SCC — Small Contributor Committee (May be negative number) FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) SCHEDULEB -PART2 scneauie B— Nan z type or print In mK. Statement covers period Amounts may be rounded Lo an Guarantors 10/01/12 . • 1 to whole dollars. from SEE INSTRUCTIONS ON REVERSE 1 CA $//2012 through Of 1 3 7NR NAME OF FILER �s FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D.NUMBER) CODE (IFSELEMPLOYED,ENTER NAMME OF BUSINESS THIS PERIOD TO DATE TO DATE ❑IND LENDER CALENDARYEAR ❑COM $ DATE ❑OTH PERELECTION (IF REQUIRED) ❑ PTY ❑ SCC CALENDARYEAR ❑ IND LENDER ❑ COM $ ❑OTH PERELECTION DATE (IF REQUIRED) []PTY ❑SCC $ CALENDARYEAR ❑IND LENDER ❑ COM $ ❑OTH PERELECTION DATE (IF REQUIRED) ❑ PTY ❑ SCC $ E] IND LENDER CALENDARYEAR ❑ COM $ ❑ OTH PER ELECTION DA.� (IF REQUIRED) ❑ PTY ❑SCC $ stun SUBTOTAL $ SummaryPage, ) Lhel7only. FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK -FPPC (8661276 -3772) Schedule C Type or print in ink. SCHEDULE C Amounts may t rounded Nonmonetary Contributions Received towholedollare. Statement cove10/01/12 iod CALIFORNIA i . , from O SEE INSTRUCTIONS ON REVERSE 1(&12012 through 7 Page Of L NAME OF FILER I.D. NUMBER S DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR WAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE • OCCUPATION AND EMPLOYER (UPATIONAND E ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ❑IND ❑COM ❑ 0TH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑ 0TH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ � � I Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.) ....................................................................... ............................... 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.) ...................... TOTAL $ 'Contributor Codes IND— Individual COM — Recipient Committee OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) Schedule D SCHEDULED summary of Expenditures Type or print in ink. Statement covers period Supporting/Opposing Other Amounts may be rounded dollars. 10101/12 CALIFORNIA • ' to whole Candidates, Measures and Committees from FORM 1 3/2012 8 SEE INSTRUCTIONS ON REVERSE through Page of 13 NAME OF FILER I.D. NUMBER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1 -DEC. 37) (IF REQUIRED) OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ x qa? Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) 2. Unitemized contributions and independent expenditures made this period of under $100 ..... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661276 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 10/01/12 l qja //2012 through Page of 13 NAME OF FILER 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 paraphernaliatmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MiG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations PEF petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse 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 (IF CWMITrEE,ALS0 ENTER I.D. NUMBER, CODE OR ME Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT AMOUNTPAID 1 11 SUBTOTAL$ 850.00 Schedule E Summary 850.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 0.00 2. Unitemized payments made thi6 peried of under $100 $ 000 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 $ 850.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period 10/01/12 from SCHEDULEF SEE INSTRUCTIONS ON REVERSE CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THISPERIOD 101 .70/2012 through Page 10 of 13 NAME OF FILER I.D. NUMBER I��t�`� CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphernalia/misc. AVER member communications RAID radio airtime and production costs CNS campaign consultants N rG 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 FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals M 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 PRr print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THISPERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCEATCLOSE OF THIS PERIOD * Payments that are contributions or independent expenditures must also be SUBTOTALS $ summarized on Schedule D. $ $ $ Schedule F Summary 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 payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule G Type or print In ink. Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER NAME OF AGENT OR INDEPENDENT 10 /01 1(11;.@//2012 through Page II of i3 I.D.NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs C14S 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 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) ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ * Do not transfer to any other schedule or to the Summary 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 (8661275 -3772) SCHEDULEH Schedule H Type or print in ink. Statement covers period Amounts may be rounded 10/01/12 CALIFORNIA ' • Loans Made to Others* to whole dollars. from FORM 10AD112012 19, 13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER 134 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) AMOUNT (q REPAYMENT OR a OUTSTADING (e) INTEREST f0 ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF -EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS THIS LOSE O E THIS CLOSE RECEIVED AM LOANS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD PERIOD LOAN LOAN TO DATE PAID CALENDAR YEAR ❑ FORGIVEN PERELECTION" $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ Y _% $ $ FORGIVEN PERELECTION' FATE $ $ $ S $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTALS $ $ $ €- "-'-- also be reported on Schedule E. (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period ................................................................................................................... ............................... $ * *If Required (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ............................................................................................................ ............................... $ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2from Line 1.) ........................................................... ............................... N (Enter the net here and on the Summary Page, Column A, Line 7.) May �e a �Baove aambeN FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Scharff la I Art HFnl II F I Miscellaneous Increases to Cash Amountsmayberounded towholedollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 10/01/12 from 16AO //2012 through e. , •' Page of t3 NAME OF FILER I.D. NUMBER 12>L4 7(' �(. s DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period ......................................................................................... ............................... $ 2. Unitemized 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 Sum_ mary Page, Line 14.) ............................................................................................ ............................... TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772)