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Perry Woodward - Form 460 - 2012/01/01 - 2012/06/30 Amendmentw Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in Ink. Statement covers period Date of elec i Day, Year) from ��a 2o12. J v a` SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Controlled 0 Recall (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee ❑ Primarily Formed Candidate/ • Sponsored Officeholder Committee • Small Contributor Committee (Also complete Part 7) 0 Political Party /Central Committee I.D. NUMBER 3 Committee Information 133�t21 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) cG i• F1ct� t�leodw.�d /Naya� 2eI Z_ STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE �:lio� Gi4- 95-024 �08-89� -920` MAILING AD RESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE ZIP CODE AREA CODE /PHONE CITY OPTIONAL: FAX / E-MAIL ADDRESS ,otdoodti41,tI -- `cf ✓a - /qN. GOM Nov. C, 2011— 2. Type of Statement: ❑ Preelection Statement ❑ Semi - annual Statement DAP Stamp i' ❑ Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) COVER PAGE I of cf- For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 t� :g�gt}c loan rc- p•y,rt�f- Treasurer(s) NAME OF TREASURER /tileik . W. Goagr! MAILING ADDRESS i5o L - -•� G°�.f CITY STATE ZIP CODE AREA CODE /PHONE �•l�e y e- A -rro 2.6 'fob- S If 2- 94 3 3 NAME OF ASSISTANT TREASURER, IF ANY c eeV oc MAILING ADD SS _ y /� 7.z 1 fit lG /2'� CITY STATE ZIP CODE AREA COD HONE 02-6 1�ffif 9Z '41 FAX / E- AIL ADDRE; wood" id 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to attached schedules is true and complete. I certify Executed on By Signature of Controlling Officeholder, Candidate, State Measure Proponent Dale By signature of ControllingOffice holder, Candidate, State MeasureProponent FPPC Form 460 (January/05) Executed on Date FPPC Toll-Free Helpline: 868 /ASK.FPPC (8681275 -3772) State of California r Type or print in ink. Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER � — Z CiOM' 1kL 4 /t, cj Oc ad v✓P ,a y o -- 2 Expenditures Made ° ,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Schedule E, Line 4 $ 6. Payments Made ..................... 7. Loans Made ............................ Schedule H, Line 3 ° 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 4 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 u— 6 11. TOTAL EXPENDITURES MADE . ............................... Add Lines 8 + 9 + 10 $ Current Cash Statement 6 (,/-7 20 12. Beginning Cash Balance ....................... Previous summary Page, Line 1s $ r d 40 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 4 $ 15. Cash Payments ................... ............................... Column A, Line 8 above 't 3 �8 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17 1 nAnl rt IARANTEES 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 a above $ Statement covers period from 20, t Z through 3� 0ZOfZ page Column B CALENDARYEAR TOTALTO DATE $ 2,760 (5.ocoi $ [ 2.1 zero) 0. $ ( 2, 2.qO) i Schedule B — Part 1 Loans Received AC \ /COCG Type or print in ink. Amounts may be rounded to whole dollars. NAME OF FILER /_ k.. _J. CI«-1- c, ..dWa '-s .Kdyal 2-01 SCHEDULEB -PART1 Statement covers period CALIFORNIA from Ja'IJ • / 2ot'Z— • through Jv'�c. 301 2012 Page of µ I.D. NUMBER 1-334+7-11 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. .............. $ 0 $ 5000 6.-0007' NET $ (May be a negative number) Sdhedule E. Line 3) tContributor Codes IND — Individual co M — 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 (8661275 -3772) AMOUNT (�) AMOUNT PAID OUTSTANDING BALANCEAT INTEREST ORIGINAL CUMULATIVE PAID THIS AMOUNTOF CONTRIBUTIONS IF AN INDIVIDUAL, ENTER OUTSTANDING FULL NAME, STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER BALANCE THIS RECEIVED THIS OR FORGIVEN « CLOSE OF THIS PERIOD LOAN TO DATE OF LENDER (IF SELF - EMPLOYED, ENTER BEGINNING PERIOD THIS PERIOD (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PE PAID CALENDARYEAR w+ �/. 5,000 $ $_ °ro $ 5, °°� $ l�nid '72.,v 611, Ad/t v!• rf C4i4bIMW / /01�dfi�/ RATE PER ELECTION** �• ❑FORGIVEN _ %��/ tj�eeo � C.I vy, GA 9%'02 -0 N 14 1P 000 Low � $ $ $ $ DUE DATE D $ DATE INCURRED ttCi IND ❑ COM ❑ OTH ❑ PTY ❑ SCC CALENDARYEAR J� ❑ PAID $ $ -RAT E PER ELECTION" ❑ FORGIVEN $ $ $ $ DATE INCURRED DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC CALENDARYEAR ❑ PAID RATE PER ELECTION ❑ FORGIVEN $ $ $ $ DATE INCURRED DATE DUE try 1. n rnee 71 OTH rl PTY n 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. .............. $ 0 $ 5000 6.-0007' NET $ (May be a negative number) Sdhedule E. Line 3) tContributor Codes IND — Individual co M — 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 (8661275 -3772) 4 Schedule E Payments Made Type or print in Ink. Amounts may be rounded to whole dollars. SEE INS I rein.. „ui.o .... NAME OF FILER �i � ...I�Jc� � zj/, (NIOdW� /CJ J "�A1/C� 1 Z� Statement covers period from JA J. 1 ► 2012- through jvAc.30, Z01 Page Lt of A 1 331ty l ay enter the code. Otherwise, describes the payment, you me, describe CODES: If one of the following codes accurately MBR member communications diairtime and production costs CMS campaign emalialmisc. MTG meetings and appearances RFD SAL returned contributions campaign workers' salaries CNS CTB consul campaign consultants contribution (explain nonmonetary)' OFC PET office expenses petition circulating TEL t.v. or cable airtime and production costs travel, lodging, and meals CVC civic donations PHO phone banks TRC TRS candidate staff /spouse travel, lodging, and meals FIL candidate filing /ballot fees POL polling and survey research transfer committees of the same candidate sponsor FIND IND fundraising events independent expenditure supporting /opposing others (explain)' POS PRO postage, delivery and messenger services professional services (legal, accounting) VOT voter registration technology costs (internet, e-mail) LEG legal defense PRT print ads WEB information LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) V.S , V63+,,( Sei ,/Icc_ CODE OR DESCRIPTION OF PAYMENT 4"'t –ckff 5-4—f 5 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 6a L f.8 SUBTOTAL$ ors 6- Cb Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ...................................•..•••••••••••••••••••••••••••••••••• ••••••"•"...............,..•••. "' $ ............................... $ 2. Unitemized payments made this period of under $100 ............................ . .. ........................................... ............................... $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) • �8 A Line 6) ..... TOTAL $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, o umn , . ......... FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)