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Peter Arellano - Form 460 - 2012/11/01 - 2012/12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period I Date of election if applicable I I J 1a (Month, Day, Year) from -a INSTRUCTIONS ON REVERSE through I �zv (?- _N lv, ;C' to 1. T e of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D.�R3 Z5 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) /37 � 4. PeAe-,Agek*Ay, \vv u . O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Date Stamp reelection Statement Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME F TREASUF MAILING ADDRESS COVER PAGE Page ___L__ of _ For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true Proponent or Responsible Officerof Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Pe\ e'r t_/. .� "re li" OFFICE SOUGHT OR/HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENJIAL /BUSINESS ADDRESS (NO. AND STREET) &TY 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 STREET ADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVERPAGE -PART2 Page of BALLOT NO. OR LETTER JURISDICTION ❑ 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 List names of offlceholder(s) 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 ❑ OPPOSE CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California • Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period WSYT1111114120 . , Summary Page to whole dollars. `� /� i �� • from SEE INSTRUCTIONS ON REVERSE through ' v Page_ of_ NAME FILER I.D. NUMBER %e 3 so q5 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR Running In Both the State Prima and (FROMATTACHEDSCHEDULES) TOTALTO DATE g Primary 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ ° b�? $ S$d e6t General Elections 1/1 through 6130 7/1 to Date 2. Loans Received ....................... ............................... Schedule e, Line 3 5 ©p. 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 175, E 1 $ %S f� . S/ 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... AddLines3 +4 $ I �•� $ �Sr6rJ.4�� Made $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ (G % $ 7. Loans Made .............................. ............................... Schedule H, Line 3 V _ _ 7 L✓ "7 19 S 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ (o,? $ 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 8 +9 +10 $ —72,7c (-7 $ —1 t q 15 Current Cash Statement / 3C� 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ ��' 13. Cash Receipts .................... ............................... Column A, Line 3above 175" UG 14. Miscellaneous Increases to Cash ........................... schedule I, Line 4 y 15. Cash Payments ................... ............................... Column A, Line 8 above 7• 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 33 a. 3 �5 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column S above $ 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (M Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I _II $ If $ "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 (86612753772) M _ r -h;mrh do A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460, from I/ I �� FORM through � Page � of �— SEE INSTRUCTIONS ON REVERSE � _ NAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) fL j ��U �A . �.c�} "r ❑ COM l,iz� i No LA AO►' vjo,� ❑ OTH & <-A 9_5o;ko ❑ PTY SCC ❑ �� IND El COM �J �� v�/ nye "C�, // T LNt. ❑ OTH qry u C(ni� G 1cc)y (f 356 D-^— El s cc ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ Pte' ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 2,o-15. �O 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 .................... $ .325. cx� .................... $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 3 �5 o "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 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) SCHEDULE B - PART 1 Schedule B — Part 1 runt yr ay b rrr u Amounts may be rounded Statement c vers eriod p � - Loans Received to whole dollars. - • 1 from I 1015 I 1 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNTPAID (d) OUTSTANDING BALANCEAT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE OF LENDER (IFCOMMITTEE, ALSOENTERI.D. NUMBER) (IFSELF- EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE NAME OF BUSINESS) PERIOD THIS PERIOD* PERIOD Pe�� Arelt,,�o M N�It �pglp CALENDARYEAR 7't73 ,� >7� � c-� �,�c�la�t �^ $5�? I•r�, $ �r drat CA 95C1� + �°►w/s2r ❑ FORGIVEN RATE PERELECTION** $� $ $ Scio'0 t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ _ DATE II CtRED DATE DUE ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION*" RATE DATE DUE DATE INCURRED tEl 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.) .................... ............................... 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. $ _e $ 500, eo NET $ ,500. do (Maybe a negative number) (Enter (e) on Schedule E, Line 3) rtContributor 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) JI Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from _11416,1� through ' 3 Page T' of SCHEDULE E N E OF FILER I.D. NUMBER res _b. 13VS -3;�Ls CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalia /mist. MBR 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTERLD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID �S �� s,4-� 5cib, o � %li- ,6/L/ G CA 9S'c o7r� st) YO j2 L. 70 0 7 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ �� 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ G0 4. Total payments made this period. (Add Lines 11 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $ / FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from F through _�J3,1/a — SCHEDULE E (CONT.) Page of I.D. NUMBER I3Vg3a5 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 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 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID � C) Cc5 Ccx mpo tr�w Alec w,n & W51 Co,";4ze krrc to r CoN4,oy C / 9s`o aG 4 `ec,ce_ \-c,' o�(S 2 50-00 P6( k ��cet 41�� v;s,� &7 i 7 sc,occ,wev ko - l v&7 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ / &, a FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)