460 MARTIN 22-1022_RedactedRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers; period
from y12;1422
mrcugt 16111RA122
1. Type of Recipient Committee: AN Commltt.e.- complM. Pam 1, 2,3, and a.
Officeholder, Candidate Controlled Commitee
❑ Primarily Formed Ballot Measure
p°9°— o/—
FSlab Candidate Election Commitee
Commitee
Recall
L Controlled
bvacaMwnn51
( Sponsored
IwnC Amik
❑ General Purpose committee
Sponsored
I Primarily Farmed Candldale/
Small Contributor Committee
Oficebolder Commitee
Political Party/Central Committee
w..pmµ n
Committee InformationU. I lumi N55,115. Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NPM OFT ASURER
Com m e" fee jo eleef Gojy MA/'I rh G� Mar,<i
MAILING AO MAILING AD R��
Gk M,7
Lily/_ STATE ZIP CLUB EAc DRONE
SAP? jos- Iu+yaS}'lnhA
WIT STATE ZIP CODE NAME OF ASSISTANT I"MAssIUMLR. IF ANY
50-4� Jvle n Ga/r Sfrtnto
MAILING ADDRESS (IF DirrinrI NO. ANO BTMIFF T OR P O. BOX MAILIN ADDRESS
CITY STATE ZIPC E AREACODETHONE CITY STATE ZIPCDDE AREACO E/ HONE
I have used all reasonable diligence In preparing and mviewing this statement and to me best of my knowledge the Information conmined herein and in the attached schedube is true and complete. I
camay under penalty of perjury urlder me laws of the State of Celifomla mal the foreEva=
Esecubd on tei3i/a2 eOT,y N w..e�r
EaecUMd on 140 1,31,10 t 2 By
nae s pmeoe ..asl,m.er
Executed on ae By iy,alwo aeons rtimloue,. c.m .le, mm w r
Eireoxed an By
Dow arn" Of ale. Show m Proximon
PIPE Form 468 ean/3m6))
III Advice: advire@lppccaTilm (866/275-3713)
www1ppc.ca.8ov
p°9°— o/—
Date of election if applicable:
(Month.Day. Year)
FaOarial tke qyy
NC g lay
2. Type of Statement:
Preelection Statement
Semi-annual Statement
❑ Quarterly Statement
❑ Tarminetlor Statement
❑ Special Odd -Year Report
(Also file a Form 010 Termination)
❑ Amendment (Explain below)
Committee InformationU. I lumi N55,115. Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NPM OFT ASURER
Com m e" fee jo eleef Gojy MA/'I rh G� Mar,<i
MAILING AO MAILING AD R��
Gk M,7
Lily/_ STATE ZIP CLUB EAc DRONE
SAP? jos- Iu+yaS}'lnhA
WIT STATE ZIP CODE NAME OF ASSISTANT I"MAssIUMLR. IF ANY
50-4� Jvle n Ga/r Sfrtnto
MAILING ADDRESS (IF DirrinrI NO. ANO BTMIFF T OR P O. BOX MAILIN ADDRESS
CITY STATE ZIPC E AREACODETHONE CITY STATE ZIPCDDE AREACO E/ HONE
I have used all reasonable diligence In preparing and mviewing this statement and to me best of my knowledge the Information conmined herein and in the attached schedube is true and complete. I
camay under penalty of perjury urlder me laws of the State of Celifomla mal the foreEva=
Esecubd on tei3i/a2 eOT,y N w..e�r
EaecUMd on 140 1,31,10 t 2 By
nae s pmeoe ..asl,m.er
Executed on ae By iy,alwo aeons rtimloue,. c.m .le, mm w r
Eireoxed an By
Dow arn" Of ale. Show m Proximon
PIPE Form 468 ean/3m6))
III Advice: advire@lppccaTilm (866/275-3713)
www1ppc.ca.8ov
Recipient Committee
Campaign Statement
Cover Page — Part 2
- PART 2
Page— of_
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
4 o Ma/Y1n
OFFICES GHT OR HELD)INCLUDE LOCATION AND INSTRUCT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION
❑ SUPPORT
S �(%Q ! S+%M 9 �i�' C�U1Gi pig 3 C1 ilGpi ❑ OPPOSE
THEFT) CITY STATE ZIP
Identify the controlling officeholder, "mi Uate, or abM measure proponent, N any.
NAME OF OFFICEHOLDER, CANDIDATE. ON PROPONENT
Related Committees Not Included in this Statement: Llslenycommldmes
not Included in this Statement that are Confio?W by wu or amPdnemr fmmad to nceAS
mnMbutions or maim expenditures on behaff or yourcaM/dacy.
COMMITTEE NAME I . NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS(NO P O. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COMMITTEE NAME I.O. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMTTEE ADDRESS STREETADORESS(NO PO. BOX)
OFFICE SOUGHT OR HELD DISTRICTNO MANY
7. Primarily Formed Candidate/Officeholder Committee uatramesor
OekMddar(a) or andidato(s) for which MIS commMoe Ia Primarily romred.
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 ZIPCOOE AREAOOOEPHONE Attach condonation sheets if nacessary
FPPC Form 460 itan/2016)
FPPC Advice: advicet@fppc.cicilow (866/275.3772)
vrwvAh Pc.U.6oV
Schedule A
Amounts may be rounded
SCHEDULE A
Monetary Contributions Received
BaLeme"'°o•ers Period •-
,
codes
t%.�"�.22 •. B
100
from
(Include all Schedule A subtotals.)._.._ ... .......... ___. .........._
_.$
SEE INSTRUCTIONS ON REVERSE
through Io oda/R.2 Ppe_M_
NAME OF MEN
1.0. NUMBER
2. Amount received UPS period- unitemized monetary contributions of less than $100 .........................$
(4ssyyT
DATE
FULL NAME, STREETADDRESSANO ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
CODE*
OCCUPATION AND EMPLOYER
Or SELF EMPLOYED. ENTER wwE
RECEIVED THIS
CALENDARYEAR
TO DATE
"r COMMITTEE uwemeR to NUMBER)
PERI, 0
(JAN.tAEC. 11)
uF REQUIRED)
ID//,zr
Con
OcoM
❑OTH
Aos'rnd
So
Lo564405F LA 150-3Q
0s c
150
//p
///
f;an d}E
AB
Fi17Anlis�l / ArIFI�!
/f
1
❑OTH
rI X/0
15BO
Is n J G ;5Ar4ow AI 2426 ?5'
❑PTY
❑ RDS
777
,Q�/ l 2
1N0SGiD
COM
C-
SEM
❑ OTH
LAM
❑PTV
❑SCC
�p�a3 ;f' n
E]coM LSness
Spo
#r$Aeo
00TH
❑DSC
4anTUAnk41
❑IND
❑COM
❑ OTH
❑PTV
❑BCC
SUBTOTAL S
Schedule A SummaryconNbalm
codes
1. Amount received this pedod- itemized monetary contributions/
100
IND Individual
(Include all Schedule A subtotals.)._.._ ... .......... ___. .........._
_.$
COM- Recipient committee
(other than PTY or SCC)
Sa
OTH - Other (ee., business an")
2. Amount received UPS period- unitemized monetary contributions of less than $100 .........................$
PTY-PPlldcal Pally
SCG -aloe0 Contributor committee
3. Total monetary contributions received this period.
{�
�D
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ........ .- .........TOTALS
j r
FPPC Fmm<W Ilan/X116))
FPPC Advice: adviceliIplu.o.eov (SW/275-3"2)
www.fp•r.re.eov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whale dollars.
through Page m
CODES: If one of the following Codes accurately describes the payment, you may enter the code.
Otherwise,
describe the payment.
OMP
wmprogn paraphemahamusc.
MBR
member communications
RAD
radio airtime and Production costs
CNS
campaign Consultants
WG
meatilga and appearances
RFD
returned contributions
CTB
contdbution(explain nonmoneary)'
OFC
ogre expenses
SAL
campagn wmrkers salanes
CVC
civic donations
PET
petition umulatng
TEL
IV or cable aiNme and production cosh
FIL
candidate fllingEbarot lees
PHO
phone banks
TRC
candidate travel. lodging. and meals
END
forecasting events
ROL
string and survey research
TRS
staff/spouse Uavel, lodging, and meals
IND
independent expenditure supporhngldpposmg; others (explain)'
POS
postage, delivery and Massager Nervous
TSF
bank bewyon committees of the Name caMidate/sponsor
LEG
legal decays
PRO
Mm imal wrinces(legal, accounting)
VOT
voterregisVafon
LIT
campaign ldereNre and mailings
PRT
pentads
WEB information technology coal(inUmeL E-mail)
NAME AND ADDRESS OF PAYEE
in COMNl9EE. AL50 ENTER Io ARl
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPMD
14 If S;gas
CA-"IPA;Bp INrp SrgnS
� !I
Sznfa Al 6A 9d�to;2
GMP
The as rs +Lndk d; �w
PRT
/Ows fa.Pe� tedYet%;Smen{-
11,2 %a
N Payments that are conbibubms erindependent expendiNres mum Few be summarized on Schedule D. SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)
2. Undemized payments made this period of under $100 ............. ........... ._..
3. Total interest paid this period on loans. (Enter amount from Schedule B, Pan 1, Column (e)).... _. .... ..... _--- .... $ A
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter hereand on the Summary Page, ColumnA, Line 6.). _..__ TOTAL $ d21,12a
FPPC Farm 060 (Jan/201611
FPPC Advice: advice@fypc.ca.gov (866/275-3772)
wwwAppc.m.tev
MO
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement coven period a I t
9 from —411 V A.1 • - •
SEE INSTRUCTIONS
NAME OF FILER
through
Page
of
Contributions Received
Column A Column B
TOTAL nits PERIOD CALENDAR YEAR
Calendar Year Summary for Candidates
(FROMATTACHEDSCHEDULES) TOTAL TO DATE
Running in Both the State Primary and
1rSS0 3e so
General Elections
1. Monetary Contribution._.... __.__
.............. ScheduJIlme3
$
$ �-
ill through 6130 7/1 to Date
2. Loans Received ... ....................... ......... .............
........ ........ Schedule e. Line 3
20. Contributions 1fl "7 O�`O
3. SUBTOTAL CASH CONTRIBUTIONS. ............_...............
Add Lines 1.2
$
$
Received $ $
4. Nonmonetary Contributions........_ .................._........
_..., Schedule C. linea
21. Expenditures ^(+'
a o
5. TOTAL CONTRIBUTIONS RECEIVED_..._
............._.........Add Lines 3.4
$
$
Made $ $
Expenditures Made^
2 2 3 Q '
oL� 3 8• ��
Expenditure Limit Summary for State
6, Payments Made ...... ...-...
__. _.. Schedule E. Line 4
s
$ —� �%�
Candidates
7. Loans Made. _...._. _..
_. Schedule H. Line a
22. Cumulative Expenditures Made'
8. SUBTOTAL CASH PAYMENTS.....
-- - ._._ Add Lines 5.7
$
$
(N Subject to Voluntary Ecpenulture Wnle
9. Accrued Expenses (Unpaid Bills) _.._.........___..__.
_.. _--schedu/eF. Ltne3
Date of Election Total to Date
10. TOTAL EXP Adjustment .......
11. TOTAL EXPENDITURES MADE_.
__._..A dLinesec.9- 3
_.Adduneae+9.fD
$
$ �g• $
(mmldd/yy)
r t �n � ^ $ a, � z Q .�
111111 //1429/
na�C
�' l Y��! $ '
Current Cash Statement
12. Beginning Cash Balance........... ... ... ........
Previous Summary Pegs. Line /6
$
To Calculate Column B,
13. Cash Receipts ....... .--- .... ......................... .............
Column A, Line 3 above
add amounts in Column
14. Miscellaneous Increases to Cash ...... .........
-................. Schedule 1. Line 4
A to the corresponding
amounts from Column B
'Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments ......................
..-.... Column A, Line 6 above
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE _. ...Add lines
12+ 13.14. Men subtract Line 15
$
be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must
be zero,
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED ................................
Schedule S. Part 2
$
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
any).
18. Cash Equivalents ................ ......... ._...... .........
... See instructions on reverse
$
19. Outstanding Debts..........._._... __...... Add Line 2 + line 9 in Column B above
$
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov,