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460 MARTIN 22-0924_RedactedRecipient Committee Campaign Statement Cover Page Statement covers period from 0TteI1 tig SEE INSTRUCTIONS ON REVERSE Type of Recipient Committee: All CemmlHeee-Complete Fare; 1, 2, s, and 4. ❑ Riceholder, Candidate Controlled Committee 8 11 Primarily Formed Ballot Measure State Candidate Election Committee O Recall mmitlee Controlled (Aha GmpleM1 PM rt Sponsored Rleecamsapaly ❑ Ganaml Purpose Committee Sponsored ® Primarily Formed Candidata/ Small Contributor Committee Officeholder Committee Political Party/Control Committee fAwCar lea Para COVERPAGE Dale of election if applicable: RECEIVED Paga of_ (Month, Day, Year) Far OMclal Ilse onty .022 S6° 30 PM 1-5 I rAr•, CITY CLERK 2. Type of Statement: Preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Terminavonstatemenl (Also Ole a Form 410 Terminenan) ❑ Anlandmani(E%plalnbelim) 3. Committee Information(errlle,? Treasurer(s) t<Ini- COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) NAME OF TREASURER r N^ Un cOjy 1Uaff;h 7 a Els STREETADDRESS000iiiijiM" &TATE LP CODE �RRpRCC6EyIrCR� a6�5 �Ah UA97 �N ,'S�/217 STATE ZIPCODE NAME OF ASSISTANT TREASURER, FANY f/ahB 4. MAILINGADDRES6pF OIFF RENT) AND STREET OR P.O. eO% MAILING ADDRESS CITY STATE ZIPCODE AREA CODEIPHONE CIN STATE ZIP WOE AREACOOEIPHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained harem and in the attached schedules is true and Complete. I certify under penalty of perjury under the laws of the Stale of California that the foregoing Is true and correct. Exewled on o9l a 9l a.BY Las E%[Cu©9/a s/Ra kd on Deb BY 6gnaWnacmhoulryolri Executed On Dale RY elgiuWre WConeoEng Olfre <q, Candidae, elate J&aaue Fmpmenl By Sanewno On giwMWn. Cand'dab. Sob Men" Orsonent FPPC Farm 466 (Jan/2616)) FPPC Advice: advice@fppc.ca.Wv (866/275-3772) Recipient Committee Campaign Statement. Cover Page —.Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Related Committees Not Included in this Statement:. List any committees not Included In.th/s statement that are controlledby you orare primarily formed go receive eontrlbuf/ons or make expenditures on behaBoryour candidacy. CITY - STATE ZIP CODE , AREA CODE/PHONE COVER PAGE - PART 2 Page of 6: Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER • -JURISDICTION ❑SUPPORT ❑ OPPOSE .Identify the controtling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE; OR PROPONENT DISTRICT NO..IF ANY T.. Primarily. Formed. Candidate/Officeholder Committee. List names of olfleeholder(s) orcendldate(s) for which thle.commlOee Is pdm&hV formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD' ; All f ^` ❑"OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFI E SOUGHT OR HELD •❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD' ❑ SUPPORT EI -OPPOSE' NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD .❑.SUPPORT .❑.OPPOSE CITY STATE ZIPCODE AREACODEIPHONE Attach contlnuadonshoots Ifnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.a.gov (866/275-3772) www.fppc.a.gov Campaign Disclosure Statement Amoco ts may be roundeds. I SUMMARY PAGE Summary Page Statement covers period a. I from n through 9 �� Page " of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Cndrma/4' Flo ec; vej Column T�� ?M^ Calendar.YearSummary for Candidal®sContributions'Received OF OMATTACHmSCHEDULES) YEAR TOTALTODATE Running In-Both the State Primary, and 1. Monetary Contributions f, 15,6e)$ 0O General, Elections ................................................... schedule A, Line $ 111 through 6M0 711: to Date 2. Loans Received................................................................ schedule B, Linea 3. SUBTOTAL CASH'CONTRIBUTIONS .............................. Add unesl+z $ $ 0PI '20:.Contribudon65-'00Received S S l 4. Nonmonetary Contributions............................................ Schedule c; Line 3 l� / 21., Expenditures D Made S S 5. TOTAL CONTRIBUTIONS RECEIVED..............................Addilnes3+4 $' ". J�A/1 $ Expenditures Made Expenditure Limit-Summary for State 6. Payments Made..................:............................................. schedule E,Una 4 $ $ :Candidates 7. Loans Made....................................................................... schedule H, Line 3 ' 8. SUBTOTAL "CASH "PAYMENTS ....:.................................. Add Lines 6+7 $ $ © 22. Cumulative Expenditures Made* (esub)MlnVutOmeryFW@ndNm limn) 9. Accrued Expenses (Unpaid Bills)._............._........................schedule F une3 Date of Election Total to Date 10. NonmonetaryAd)ustment ............... _............. _......................... ScheduleC,Line3 (mm/ddiyy) 11. TOTAL EXPENDITURES MADE '...... _............................ Add Lines a+9+10 $ 0 $ aB �oC $ $ Current.Cash Statement 12. Beginning Cash Balance ............................ . Previous summary Page, Line 16 $ . © To calculate Column B, 13. Cash Receipts_......................................................... Column A, Line 3 above add amounts In Column - 14. Miscellaneous Increases to Cash........................ :......... Schedule Line a 'Ato the corresponding " amounts from Column B. Amounts In this section may be different from amounts 15. Cash Payments................................................:........ columna; Line a above . ' of your last report:- Some. reported In Column B: In Column Amey 16: ENDING CASH BALANCE ..................Add u resfz+ 13+ 14; 0 en subtreet Line 15 $ be negative figures that ' If this Is a termination statement, Line 16 must be zero.. should be subtracted from - previous period amounts. If ".. this Is the first report being. 17. LOAN GUARANTEES RECEIVED: ............................... 'Schedule B. Part $ filed forthls calendaryear, . onlycarry over the amounts. fmm Lines 2, 7; and 9 (if Cash Equivalents and Outstanding: Debts Q any). 18. Cash Equivalents ................................................ see lnstrvUions on reverse $ 19. Outstanding Debts. ............................. Add Line 2 +Una 01n Column a shove $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppcca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may M rounded SCHEDULE A Monetary Contributions Received padad a , ' SEE INSTRUCTIONS ON REVERSE mraupn'/a/�x Paps of NAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE OCCUPATIONn AND.em KOYER RECEIVED THIS CALENMR YEAR TO DATE Ap^MTFE.NAe ExIFltlnxNR[M xaanl PERIOD (hAN.I-DEC. 31) pF REQUIRED) SKIP '.F%rV' S/ ❑COM TpI� i if iO� J/ SeglaJo� SRnJUM �rSf/a/o/LA pnTTY50 y -A.Soo ❑sOc o M6 r�fyn �arv,s/— o� M OOOTTH Re/;�ed �5av 0 Mf000 SO4 J-van Goy; s fm?o� ❑ sCc a0eji �fe55) anTV4n CrtPrsrrdp, IND �coMFr�dSer7 DOTH Soo ❑ PTY ❑ SCC []IND ❑ COM ❑ OTN ❑PTY ❑ scc ❑ IND ❑COM ❑ DTIV ❑Pry ❑SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period - itemized monetary contributions. / (Include all Schedule A subtotals.).........................................................................................................$ au 2. Amount received this period - unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. O� (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 'ConVibutor Codes IND - Indmiauel COM - Recipient Committee (other than PTY a SCC) 0TH - Omer (e.g.. Duamess entity) PTY- Fathom Pert' SCC - Small ContrllxAer Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.a.Bov (866/27$-21M) u rnnc ca.eov