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Peter Arellano - Form 460 - 2012/10/21 - 2012/10/30Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from 40 %1Z iZ through 1. Type of Recipient Committee: AN Committees - Complete Parts 1, 2, 3, and 4. f /I Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure T Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Pert 5) O Sponsored Executed on By Date FPPC Form 460 (January/05) rrn ion-rree neipunc: 866/ASK -FPPC (8661275.1772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 6. Officeholder or Candidate Controlled Committee NAUF,OF OFFICEHOLDER OR CANDIDATE e,ec bye - \\ON\ OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) 1 CA ?50 ao RESIDENTIA IIUSINESA ADDRESS (N f. AND ST EET) CITY STATE ZIP 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. 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) CITY STATE ZIP CODE AREA CODE /PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER COVER PAGE - PART 2 Page of ❑ SUPPORT ❑ OPPOSE Identity 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 List names of officeholder(s) or candidate(s) 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 Attach continuation sheets if necessary FPPC Form 460 (January105) FPPC Toll -Free Helpline: 8661ASK -FPPC (86612753772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Statement covers period Summary Page to whole dollars. from SEE INSTRUCTIONS ON REVERSE through NAME OF FILER Pe �r b Contributions Received ColumnA TOTALTHIS PERIOD (FROMATTACHEDSCHEDULES) Column CALENDAR YEAR TOTALTOCATE 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ $ 55 ' 2. Loans Received ....................... ............................... Schedule e, Line 3 5 00` C O 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 5d • $ �5S• k 9. 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 Schedule F Line 3 ^' i 5. TOTAL CONTRIBUTIONS RECEIVED •••.••• ••..••.••••••.•.•••• Add Lines 3 +4 C $ 6[) $ Schedule C, Line 3 Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ -Q $ %U J-JAJ • T t0 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ $ (0 lion 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 ^' i 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $ $ 4 ice++ Z� Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 'E O5 • q5 13. Cash Receipts .................... ............................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ b �? 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 gin Column B above $ /0 /5.0c) 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). SUMMARY PAGE Page—a— of v I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6 /30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (K Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772) @.:L....J..1.. A Tvne or nrint in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 from 10 O, through i Page of SEE INSTRUCTIONS ON REVERSE —o NAME OF FILER I.D. NUMBER 3S�g3�`5 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, ALSO ENTER I.D. NUMBER) CODE (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) IND 1 — �mPlo�r� 50 j, 20i2_ `�, lect-soV1 1 % %O5 00-142 .SUiT Sq ❑OTH osTY ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (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.) ...................... 50-00 TOTAL $ 50. 50 FPPC Form 460 (January /05) FPPC TolWree Helpline: 866 /ASK -FPPC (866/275 -3772) *Contributor Codes IND – individual COM –Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC –Small Contributor Committee SCHEDULE B - PART 1 I ypt: YI P1111t 111 1110.. Schedule B — Part 1 Amounts may be rounded Statement cover period CALIFORNIA 460 Loans Received to whole dollars. o 9 FORM from L0 Page SEE INSTRUCTIONS ON REVERSE through —5— of NAME OF FILER I.D. NUMBER Are NA_v, 13 81 3 25 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE AMOUNT RECEIVED THIS (`I AMOUNT PAID OUTSTANDING T e INTEREST PAID THIS ORIGINAL AMOUNT OF 9 CUMULATIVE CONTRIBUTIONS ( IF COMMITTEE, ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED, ENTER NAMEOFBUSINESS) BEGINNING THIS p R O PERIOD OR FORGIVEN THIS PERIOD' CLOSE OF THIS LOSE OF T PERIOD PERIOD LOAN TO DATE ��0 M 1te ���1 ❑PAID CALE�N.D.AR�YEAR , -��\ 7q` / Y Ov o0' c� tFG 1 rac-V jovve -`r' S �f �� $ _52 mob % RATE �,,n s D $ E —!� JI,`rojl c A S,66�o �+�`Se�' ❑FORGIVEN PER ELECTION*" goo, S S $ oa• t IND ❑ COM [:1 OTH El PTY ❑ SCC $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION *" RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION'"" RATE $ S S S S DATE DUE 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.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May bea negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (Enter (e) on Schedule E, Line 3) r tContributor Codes IND - Individual COM - Recipient Committee (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: 866 /ASK -FPPC (866/275.3772) 9 Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Statement covers erriiiod from d 4�-- through SCHEDULE F Page 6 of 6 I.D. NUMBER /91/S 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 FL 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 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 OUTSTANDING BALANCE BEGINNING (b ) AMOUNTINCURRED THIS PERIOD (c AMOUNT PAID THIS PERIOD d OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD l � o,,�,�•r cowl,, u�•ca. i�i�ls Gtr 95o v '4 tom' ,D 0<,0 r110+,Ov� S O Q L10, C�v * Payments that are contributions or independent expenditures must also be SUBTOTALS $ �15 , �Q $ $ $ 515. or 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 /ASK -FPPC (866/275 -3772)