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Home My WebLink AboutJeff Aranguena - Supplemental - 10-23-2012City of san Luis oBispo 990 Palm Street, San Luis Obispo, CA 93401 -3247 Tel: (805) 781 -7100 Fax: (805) 781 -7174 ec no @slocity.org COMMITTEE NAME Jeff Aranguena for City Council ID NUMBER FPPC #1347665 COMMITTEE TYPE Officeholder, Candidate Controlled Committee CANDIDATE NAME JeffAranguena TREASURER NAME N/A Supplemental Campaign Contribution Statement (City of San Luis Obispo Municaipal Code Ch2.40.060 & Ch2.40.100) CONTRIBUTION PERIOD STARTING DATE (MM /DD/YYYY) 10/01/2012 CONTRIBUTION PERIOD ENDING DATE I Page OCT 2 5 2012 11 One or more contributions exceed disclosure limits for this form. Please include only contributions between $50.00 and $99.99 rt Monetary Contributions Received Amounts greater than $50 but less than $100, contributed during this period. MAT RE6LitEB,.u_.�:.. 10/5/12 FL€t['AIAfi¢E3EC.E7t113I$,kTC @ r.._..... �a.:..._.:= Michael Heyl EmM ITLAI3i7RfSS.DFQItFRiBUO"3�i' ¢$Ei::GIH3"3i�TE.ZIF__.m 1867 Fixlini Street San Luis Obispo CA 93401 0 FIi:R(S19Tii'9t '- $50.00 10/5/12 Charlotte Schermer 806 Vista del Brisa San Luis Obispo CA 93405 $50.00 10/5/12 Damian Camacho 247 Branch Street San Luis Obispo CA 93405 $50.00 10/5/12 Judith Lang 848 Vista Collados - San Luis Obispo, 93405 $50.00 of 9 ,Monetary Contributions Received Page a of a Amounts greater than $50 but less than $100, contributed during this period. Ex 11aT�G ry .:nvl�n�ra €�rt�c�ieitrb,__ _.,.tii�a[��s�aataisurtf " "' k cirF7r zip, ....... H One or more contributions exceed disclosure limits for this form. Please include only contributions between $50.00 and $99.99 H Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California and the City of San Luis Obispo that the foregoing is true and correct. Executed on 10/25/2012 by 'V (Date) (Signature of Treasurer) I have reviewed this statement, and to the best of my knowledge the information contained is true and complete. I certify under penalty of perjury under the laws of the State of California and the City of San Luis gbisRo that the foregoing is a true and correct. Executed on 10/25/2012 by (Date) of Candidate) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period 10/01/12 from 10/ay/2012 through 1. Type of Recipient Committee: An 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 Parf5) O Sponsored ❑ General Purpose Committee (Also Complete Pad6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (AlsocompletePartl) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jeff Aranguena for City Council STREET ADDRESS (NO P.O. BOX) 721 Johnson Ave, Apartment 77 CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 (805) 234 -1138 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 coi 10/23/2012 ! Executed on _ By Executed on Date By Executed on _ By COVERPAGE Date Stamp Date of election if applic ble: Page - of 13 - (Month, Day, Year) OCT 2 5 2012 For Official Use Only November 6, 2012 LO CITY CLERK 2. Type of Statement: is 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 MAILING ADDRESS 2103 Johnson Ave CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 (805) 208 -6284 OPTIONAL: FAX / E -MAIL ADDRESS cj@publicpolicyinc.com the information contained herein and in the attached schedules is true and complete. I certify Executed on By Date Signature oFCOnirollmg Oficehdtler, Cand idate, State Measure Propment FPPC Form 460 (January/05) 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 Jeff Aranguena OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Luis Obispo City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 721 Johnson Ave Apt 77 San Luis Obispo CA 93401 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.D. NUMBER NAMEOFTREASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAMEOFTREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) Page 2 f 13 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER (JURISDICTION I 17 SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee Listnames of ofceho /der(s) or candidate(e) 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 ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Affa h rn,fi,,,ntlnn sheets if narangary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded men Statet covers period Summary Page to whole dollars. 10/01/12 from Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 1350.00 10pa /2012 3 i'3 SEE INSTRUCTIONS ON REVERSE 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 1350.00 9. Accrued Expenses (Unpaid Bills) ............................... through 0.00 Page of schedule c, Line 3 NAME OF FILER 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 1350.00 I.D. NUMBER 13LA'4 S Contributions Received Column Column B Calendar Year Summary for Candidates TOTALTHISPE11I00 (M MATTACHEDSCHEDULES) CAL DARYEAR TOTALTODATE Running in Both the State Primary and 800. 00 6424.00 General Elections 1. Monetary Contributions ............ ............................... Schedule A, Lines $ $ 0 0.00 111 through 6/30 7/1 to Date 2. Loans Received ....................... ............................... schedule e, tine 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 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 1350.00 7. Loans Made .............................. ............................... schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 1350.00 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 10. Nonmonetary Adjustment ........... ............................... schedule c, Line 3 0.00 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 1350.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Page, Line 15 $ 770.00 13. Cash Receipts ..................... 800.00 .............................. Column A, Line 3 above 14. Miscellaneous Increases to Cash ..................... schedule 1, Line 4 0.00 15. Cash Payments ................... ............................... column A, Line aabove 850.00 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 720.00 If this is a termination statement, Line 16 must be zero. Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2+ Line 9 in Column B above $ MM ME $ 6204.00 0.00 $ 6204.00 0.00 0.00 $ 6204.00 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 carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made` (n Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /ddlyy) / $ `Amounts in this section may be different from amounts reported in Column B. 0.00 I I FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866IASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary ontributions Received Amounts may be rounded ry to dollars. Statement covers period whole 10/01/12 • from • 1 CA V//2012 13 through Page of page SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 13 " (o S" DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED ( IFCOMMITTEE ,ALSOENTERI.D.NUMSER) CODE* (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OFRUSINESS) Heat & Frost Insulators & Allied Workers Local ❑IND 10/11/2012 #5 000 100.00 100.00 FPPC #1232371 ElOTH ❑ PTY ❑SCC Dawn Legg J2CoM Liaisor)First Solar 10/11/2012 2480 Parkland Ter - San Luis Obispo, 93401 ❑❑OTH 100.00 100.00 ❑ PTY ❑SCC IBEW Local 413 ❑IND 10/1112012 FPPC 1319321 WCOM 200.00 200.00 ❑ OTH ❑ PTY ❑SCC Marilyn Armstrong BIND Retired 10/05/2012 4900 Davenport Creek Rd - San Luis Obispo, ❑COM 200.00 200.00 93401 ❑OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 600 ji,A � � a, X Schedule A Summary *Contributor Codes 1. Amount received this period - itemized monetary contributions. IND - Individual (Include all Schedule A subtotals.) ......................................................................... ............................... $ (other than PTY or SCC) 200.00 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ OTH — Other (e.g., business entity) PTY — Political Party 3. Total monetary contributions received this period. nnn nn SCC —Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) SCHEDULEB -PART1 Schedule B — Part 1 Amounts may be rounded Statement covers period 0 Loans Received to whole dollars. 10/01/12 CALIFORNIA 460 from FORM 101Qa 12012 5 13 SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER I.D. NUMBER ^ ' t P FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (C) AMOUNTPAID d) OUTSTANDING (e) INTEREST ORIGINAL Is) CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN ggLANCEAT C PAID THIS AMOUNTOF CONTRIBUTIONS (IFCOMMIT EALSOENTER I.D. NUMBER) (IFSELF- EMPLOYED, ENTER NAMEOFBIJUNESS) BEGINNING THIS PERIOD THIS PERIOD" CLOSE THIS PERIOD LOA TO DATE ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION"° RATE $ $ S $ $ DATE DUE DATEINCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR S $ _% $ $ ❑ FORGIVEN PERELECTION' RATE DATE DUE DATEINCURRED t❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION' RATE $ $ S $ $ DATE DUE DATEINCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ _/'- (enler(e)on Schedule B Summary Schedule E, Une 3) 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans of less than $100) tcontributor Codes IND—individual 2. Loans paid or forgiven this period .......................................................................... ............................... $ COM- Recipient committee (Total Column (c) plus loans under $100 paid orforgiven.) (other than PTY or; (Include learls paid by a third paFty that are also iternized en Gehedule A.) OTH — Other e.. busines: PTY — Political Party 3. Net change this period. Subtract Line 2 from Line 1. ............... NET $ SCC —Small Contributor Cor Enter the net here and on the Summary Page, Column A, Line 2. McYb88 �ae�VBeem�`) *Amounts forgiven or paid by another parry also must be reported on Schedule A. " If required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772) SCHEDULEB -PART2 Schedule B — Part 2 type or print In mK. Statement covers period , Amounts may he rounded 0. Loan Guarantors to whole dollars. 10/01/12 • .1 • from 10�, @//2012 through 6 Page of 1 3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.J NUMBER 'y( (' I > -1 e2 FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE ZIP CODE GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE, ALSO ENTER I.O.NUMBER) CODE (IFSELF-EMPLOYESS) ENTER NAMEOF BUS INE THIS PERIOD TO DATE TO DATE ❑IND LENDER CALENDARYEAR [3Com $ DATE ❑ OTH PERELECTION (IF REQUIRED) ❑ PTY []SCC CALENDARYEAR ❑IND LENDER ❑ COM $ []OTH PERELECTION DATE (IF REQUIRED) ❑ PTY ❑SCC $ CALENDARYEAR ❑IND LENDER ❑ COM $ ❑ OTH PERELECTION (IF REQUIRED) ❑ PTY DATE ❑ SCC $ LENDER CALENDARYEAR ❑IND ❑ COM $ DAZE ❑OTH PERELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ on SUBTOTAL $ summawpa ?€ L'n.17m1y. - FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275.3772) Schedule C A Type or print in ink. _ _ _ _- _ SCHEDULEC Nonmonetary Contributions Received Vtowholedollars u�� Statement covers period CALIFORNIA 10/01/12 ' • from FORM ffrr"^^ �&/2012 7 SEE INSTRUCTIONS ON REVERSE through Page of 13 NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND CONTRIBUTOR FAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER (IFSELF- EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) ,ENTER NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ _ , t fy 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 (January105) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772) Schedule D summa of EX enditures Type or print in ink. summary p Statement covers period Amounts may be rounded Supporting /Opposing Other to dollars, 10/01/12 CALIF 460 Whole Candidates, Measures and Committees from .O 1 x&12012 8 SEE INSTRUCTIONS ON REVERSE through Page of i 3 NAME OF FILER I.D. NUMBER 3� 4(o � DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CU DATE CAA LENDAR LENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) ORCOMMITTEE ❑ 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 $z 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/06) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276 -3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in Ink. Amounts may be rounded to whole dollars. covers period 10/01/12 from 1 qja //2012 through Page � of � 3 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MID campaign paraphernalia /misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PFIO phone banks FIND fundraising events POL polling and survey research W independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR RAD Payments that are contributions or independent expenditures must also be summarized on Schedule D. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff /spouse travel, lodging, and meals TSF transfer between committees of the same candidate /sponsor VOT voter registration WEB information technology costs (internet, e-mail) DESCRIPTION OF PAYMENT Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ........................................... ............................... AMOUNTPAID 11� SUBTOTAL$ 850.00 : 1 11 0.00 2. Unitemized payments made this period of under $100 $ 0.00 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/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772) Schedule F Type or print In ink. nts Accrued Expenses (Unpaid Bills) Amotow oleydbolllaos. SCHEDULE F Statement covers period from •- 10/01/12 - 101,26%/2012 through 11D e 1 of 13 UMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /mist. fvBR member communications RAD radio airtime and production costs CNIS campaign consultants MrG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryp 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 FIND 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 Lrr campaign literature and mailings PRT 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 ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNT IN NCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE 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 onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772) Schedule G Type or print In ink. SCHEI Payments Made b an Agent or Independent Amounts may be rounded Statement covers period � • . Y Y 9 p 10/01/12 Contractor (on Behalf of This Committee) to whole dollars. from • - 10ja@/ /2012 SEE INSTRUCTIONS ON REVERSE through e I of NAME OF FILER NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. aVP campaign paraphernalia /mist. M IR 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 FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals PD 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: 866 /ASK -FPPC (86612753772) SCHEDULEH Schedule H Type or print in ink. Statement covers period Amounts may be rounded 10/01 /12 Loans Made to Others* to whole dollars. from 10AV/2012 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) AMOUNT (c) REPAY �� OUTST DING (e) INTEREST Ifl ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BEGINNING THIS LOANED THIS FORGIVENESS BALANCE THIS CLOSE OF THIS RECEIVED AMOUNTOF LOANS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR $ 11 _% $ $ FORGIVEN PERELECTION** RATE 5 $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR E] FORGIVEN PERELECTION** $ $ $ $ $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee r� must also be summarized on Schedule D. Loans forgiven must $ µ -- also be reported on Schedule E. SUBTOTALS $ $ s� '°' (Enter (e) on Schedule 1, Line 3) Schedule H Summary 1. Loans made this period ................................................................................................................... ............................... $ f 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 2 from Line 1.) ........................................................... ............................... (Enter the net here and on the Summary Page, Column A, Line 7.) Mer� e an.eeYm�) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Crhnrinln 1 I4W. aclljw9i Miscellaneous Increases to Cash Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 10/01/12 from 10A@//2012 through �. e - 0 ' Page = of 13 NAME OF FILER I.D.((NUUM��B��ER-7' Ill T�O�OS DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.O. NUMBER) DESCRIPTION OF RECEIPT AMOUNTOF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule 1 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 SummaryPage, Line 14.) ..................................................................................... ............................... .... $ TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)