Anda di halaman 1dari 7

Cam p ai g n Statement Cover Page

Government
Code Sedicns

Committee Reci

il i
Ja L

ce P

Type

or

pdnt

In mk

CT
qtr f

i rll
111

5 64216 64200
Statement from
covers

periotl

Date of election if applicable

eu U

3i J

iir
Page

zom6 ai of

Month Day Veer

of

For OX Uae ial

Only

SEE INSTRUCTIONS ON REVERSE

though
All

20pe 3o 06 2

Oa 11 2008

Type Q Q

of

Recipient Committee

complete capmineea

Parts

t z a aa4 a

Type

of Statement puanedy Special


Statement

OffcehOltler
Recall

Cantlitlate Controlled Committee

Prmarily

Fprmetl ballot Measure

Preelection Statement Semiannual5falement

Slate Cantlitlate Election

COmmtttee

Comminee

Q
Committee

Gonlmlletl

Termination Statement

grso CamPMle Pans

Q Gponsoretl
Alm CamPlelaPen6

Report Supplemental Preelection


Attach Statement Form 495

Vear Odtl

Also

glee FOm1410

Termination

Generel

Purpose Sponsoretl

Amentlment

Explain below

Primarily

FOrmetl Cantlitlate
Pan

Q Q
3

Small ConUibutor Committee Political PartylCentral Comminee

Of6ceholtler Committee
Ana w mmre

Committee Information
COMMITTEE NAME

I O NUMBER 1266350

s Treasurer
NAME OF TREASURER

10R

S CANDIDATE NAME IF NO

COMMITTEE

Atchley

or

Council

2006

Yolanda

Miranda

MAILING ApORESS 928 STREET ADDRESS O NO P BOX eet SC STATE CA 91966 ZIP CODE AREA CODEIPHONE CITY W

Edna

Place STATE
21P CODE
AREA CODE PHONE

965 CITY

Val

Via

Ca

Covina

Cp

91922 IF ANY

5 16 915 626

NAME OF p551STANT TREASURER

Pomona

96J5 915 626


ANO STREET OR PO RO MAILING AOORE65

MAILING AODREBS

IF DIFFERENT NO

CITY

SWTE

ZIP

CODE

AREA CODE PHONE

CITY

STATE

ZIP

CODE

AREA LOOEIPHONE

OPTIONAL

FAX

MAIL E ADDRESS

OPTIONAL

FA E ADOREfiS MAIL

6626 915 626

Verification
I have usetl all reasonable
untler

tlillgence

in

preparing

antl

reviewing

this statement antl to the be

penally of perjury
ExecWetl
on

untlerthe laws of

the Glale of Calitomia Mat tM1e

foregoing

is tru

ntl

2006 23 09
Dak
n9 9l E9 nAn mm

ey

Gairiwk

n erei tlh aJJ rmation t tlgthe o inth kn9wle info c antl e


alureoRreaeureror fiiB

attachetl schedules is true and

complete ICedify

Vf j a amirempnr AS9n

Ex6eWatl

on

By
seaaMrear

oaw uwl

la sl alama we a Maa Pre

r msPa Iaepa dReePOr

Erecule0

on

By
Lbin elab alure Slg clCm4o14np OlralgaeC Candaale Meeaue Pmrynenl

ExecWetl On
wm

By

Wer Sale 9paluredCanmllly O6rce Cenaasre Memua Pmranem

FPPL Form WO

05 January

FPPL ToIFFree Halpline 0861ASWFPPC fi66ftI5 Il J


filale of California

Type

or

print

in Ink

DOVER PAGE PART2


e

Recipient Committee Campaign Statement Cover Page Part 2


Page
2

0
of

Officeholder

or

Candidate Controlled Committee

Primarily
NAME

Formed Ballot Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE


Mr

OFBALLOT MEASURE

Stephen Atchley INCWDE HELO LOCATION


ANO

OFFICE SOUGHT OR

ICT OIST0 NUMBER IF APPLICABLE

OR DALLOTNO LETTER

JURISDICTION

SUPPORT

City Council
Pomona 6

ber Mert

OPPOSE

REBIOENTIALIBUSINE55 ADDRESS
aes

NO

AND STREET
cA s196e

CITY

SLATE

ZIP

vat

vlsea

sereec

Pomona

Itlentlty
NAME OF

the

controlling officeholtleM cantlitlate

or

state measure pr@ponenq If any

OFFICEHOLDER CPNDIDATE OR PROPONENT

Related Committees Nol Included in this Statement


nclWetl nor in O sstafemenlfhal
are

Lisf any commlrcees OFFICE SOUGHT OR HELD


DIGTRICT NO IF ANV

@d control by you or are pamadly armed fo receive conhYDuaons or mane espendifures on Dehal al your candidacy COMMITTEE NAME LD NUMBER

NAME OF TREASURER

CONTROLLEDCOMMITTEE9
YES NO

Primarily

Formed Cantlitlate Committee Officeholder


or

usr

names

@l

sl neenader o

s canalaate

for wm ula commrrce@ rF n

pdmarpy

armed

COMMITTEE AppRE55

STREETAp0RE55 NO PO BO

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT
OPPOSE

CITY

STALE

ZIP CODE

AREA CODEIPHONE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT
OPPOSE

COMMITTEE NPME

LD NUMBER NAME OF OFFCEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD


SUPPORT

OPPOSE
NAME OF TREASURER

CONTROLLED COMMITTEE
YES NO

NAME OF

OFFICEHOLDER OR CANDIDATE

OFFICE BOUGHT OR HELD SUPPORT OPPOSE

COMMITTEE ADDRESS

STREETAppRE55

NO

PO

BO

CITY

STATE

ZIP CODE

AREA

PHONE CODE

Lacn A continuation SDeets I necessary

FPPC Foml

d60 JanuarylOS

FPPC To16Free

Nelpllne

FPPC 6dP2 0661ASK BE612


State o Callfornia

Campaign Disclosure Statement Summary Page

TYPe
Amounts

or

may be rountletl to whole tlollars

print

BUM
Statement
from
covers

PACE

perlotl

e e

2006 01 ol

SEE

INSTRUCTIONS
Eoz

ON REVERSE

through

J 200a 06 O

Page
D I NUMBER

of

NAME OF FILER

ACChley

Council

2000

50 1286

Contributions Received
1 2 3
4

ColumnA

eoumsr scx xeo o IraoMaim


scnedure A LrnaJ
scneada

rColucmMnea owm ioru


g
z 44a po
oo o oa z aag oo o

Calendar Year

Summary

for Candidates

Running

in Both the State

Primary
1

and

General Elections

Monetary COntributions
Loans Received SUBTOTAL CASH CONTRIBUTIONS

oe 44o z
oo o

11hmu9n 1 6130
e iaeJ 00 449 z
oo o

to Dare

20 ConVibulions Received

Aatl Gaest z scnadwe

Nonmonetary Contributions
TOTAL CONTRIBUTIONS RECEIVED

Lines z

21 Expenditures
4as oo

Add UaesJ a

co z a4e

Made

Expenditures
6
7

Made
smeada

Expenditure
E Gaea
es zes as ase

Limit

Summary

for State

Payments Made
Loans

Candidates
Matle

Made

scneede x Gae3 Add uaes6 F Gael

00 0

00 0

22 Cumulative

Expentlltures

8
9 10

SUBTOTALCASH PAYMENTS
Accmed

as s0e
oo o

vs vee

prsvgeawvmvnaysxemanvnumiq

Expenses Unpaid Bills 5cnaduro

oo n
oo o

Date of Election

Total to Date

Nonmonetary Adjustment scneede4Liaea


Aea

oo o

mmltldlyy

PENDITURES 11 TOTAL F MADE

lo q Linese

vs ve6

9s ese

Current Cash Statement


12

Beginning Cash Balance Receipts

Prariaus

summary Page

Gbef6

64 1JSZ

To calculate Column B atltl


oo aae z
oo 6

13 Cash

Ldumn A Gne Jebove scneewet Gma Column A Line Babove


uae is

amounts in Column AtO Ne

corresponding
95 980

amounts

14 Miscellaneous Increases to Cash

Rom CoiumnBOf

yourlast

gmounts in this section may be tliRerent lmm amounts repprtetl in Column e

15 Cash

Payments

repOM1 Some dmoOnte In


Column A may be negative 6gums that should be subtradetl from

tfi ENDINGCASH BALANCE Add Linos lz men subo an 14 IJ


Il this is
a

z azJ oa

previous
If this is

termination statement Line 16 must be

zero

pedotl
Scnedde e Part2
oo o

amounts

the first report being Bletl

17 LOAN GUARANTEES RECEIVED

for this calendar year only carry over the amounts

Cash
18

Equivalents and Outstanding Debts


Equivalents
see insvucrro s
as

farnm Y
reverse o op

Linea z

ana

stir

Cash

OUtstanding 19 Debts

Add Line2 9ln Ldumn Babove Line

00 0

FPPC Form A60 FPPC TOIpFree Helpline B661ASK FPPC

January105 2 3 5 06613

SChed
Moneta ry Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME

Type

or

pn ink statement
covers

Amounts may be rountletl


to whole dollars

period

DUCE
J

from

zppa pl of

through

2008 30 06

page
I D

of

OF FILER
Eor

NUMBER

Atchley

Council

2008

1206350

DATE

RECEIVED

FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR uBO wMBERI OrcvMVnreE EUiERrO

CONTRIBUTOR

CODEe

IF AN INDIVIDUAL ENTER OCCUPATION pND EMPLOYER EMTERMnME BMFLOYEO prserr OFBBBINE55

PMOUNT RECEIVED THIS

CUMUtATIVETO DATE CALENDAR YEAR

PER ELECTION
TO DATE

PERIOD
500 AO

DEC 1 JpN 31
00 500

QF REQUIRED
GOB

2008 24 04

hens

Seeolce

IND

00 500

19 B4e

vauey elva
CA 9ll96

COM x OTH
PTY

Puente

CiC
2000 26 02
aiilo Calaerov

vv

aae emme

way
CA

kB29e

Manna

Ilel

Rey

98292

QIND COM OTH PTY

Project Manager

00 Sv0

00 500

GOB

00 500

GeG

Poldings

SCC
e 8era s

2000 24 04

on le s

Neal

cevelopmene

IND
COM

00 150

00 150

GOB

00 15v

38588
sl

e Lo

Fxusa

Na

288

0X oTH
PTY

nOnte

cA

9viz3

scc
2008 29 04
en

ry cme

t vevelopme

ecC

BIND
COM

00 300

00 300

GOB

00 v0

18588

waver

sa A

aa

zoo

x OTH
PTY

el

Mante

CA

31 91

SCC
2000 z4 03
ae er u ante evvmee

c 1

eeveuy
nngelee

m el

IND COM Ox OTH


PTV

oo soo

vo spB

c oe

Bo soO

cn

9888a

SCC SUBTOTALS
ssc l
op

ag b
comribmor codas
IND mdividaal

ya

Schedule A Include

Summary
period itemized monetary ASUbtotals
contributions
co z 449

1 Amount received this


all Schedule

Hecipiem coM commntee other than PTY or SCC


Diner g OTH e Iwsinessennty

2 Amounlreceived this

unitemized period monetaryconldbulions

ofless than

100

0o 0

Political PTY Party


smart scc conNbumr commiuee

3 Total monetary conMbutions received this period Add Lines 1 and 2 Enter here and on the Summary

Page Column A

Line

TOTAL

499 2

BO

FPPC Form 60IJanuary105 FPPC FPPC TolhFree Helpline 86filASK

BTT2 86NP5

ContinuationSheet ScheduTeA
Monetary Contributions Received

tl AmounLtmayberounC
rs o whole tloll from

Typeorprlntinl
OC

8latementcoversperiotl
z B1 o1
BOe

coNT scneou
e

through
NAME

2Bpe 66ha

page
D I

of

OF FILER
for Council
2008

NUMBER

cM1ley A

1286350

OATS RECEIVED

FULL

NAME

STREET AppftESS AND ZIP CODE OF CONTRIBUTOR

IF AN

OFCOMMITIEE

ncso

CONTRIBUTOR
CODE
t

INDIVIDUAL ENTER

PMWM

CUMULATNE TOOATE

PER ELECTION

euMaeRl EmPRrv

sEPFAE IwLOr oomM cnNOMYER


OFBUSMEEa

RECPEERIOp

IS

CALENDAR VEAR

TOOATE

JAN

DEC 31

IF REDUIREO
GOB 00 299

2008 26 02

rey aef
U 42

e z

springer
320P

Pcomenaae

Way
CA

Ap

QIND COM OTH SCC

ney o At

00 249

00 249

Seffrey

a
At

pringeI
Ldw

rrea

Ue1

Rey

9pR92

s Attorney
Leader

2008 24 04

Oinh

vo

23s9o

xta9ecreec
ear
cA

cc

QIND COM OTH


PTV

00 100

00 100

GOB

00 100

vietnamese

community

among

zmc zs 91

SCC
Ameilca
mLeina Clonal

2000 29 04
msoe
e1 cover Azusa

Gioop

Inc

xa

20o

Monte

cA

3 9

BIND COM Ox OTH PTy SCC


IND

00 150

00 150

GOB

00 150

COM
OTH
PTV

SCC IND COM


OTH
PTV

SCC
SUBTOTALS
499 pB

SS

Contributor Cotles
IrMiviCUal IND
CO M

Commieee ftecipien

OTH PTV

Nan PTY pr SCC g e business entity Political Party

oUer

Other

Small SCC Contributor COmmiBee

FPPC TolhFree

FPPC Farm C60 January106 ABWFPPC 6 2 3 Helpline 866 86612

Schedule E

Type
Amounts

or

print

Payments

Made

ma

be rountletl from

CHEDULEE

Statement

covers

peri0tl

to whole tlollars

zoos ol of

SEE INSTRUCTIONS ON REVERSE


NAME OF

lhrOpgh

3 06 20nB

edge
LO

Of

FILER
foi

NUMBER

Atchley

Council

2008

1286350

CODES
TR

If one of the

following

codes

accurately describes the payment you may enter the code Otherwise tlescribe the payment
R N

campaign paraphernalia misc

member communications

RAD RrD SAL TEL TIC

radio airtime and production cods


retumetl conMbulions

CNB
CrB CVC

campaign

consultants

NTG
OFC FET RU

meetings

and appea2nws

conVibution

explain npnmonetary

ogice expenses

campaign

workers salaries

civic donations

FlL
FPA M LEG LR

candidate ding fees ballot

fundraising evenLS independent expenditure supPOdinglopposing legal defense campaign literature and mailings

POL
others

explain

FOS PIm PRr

petition circulating phone banks polling and survey research postage tlelivery antl messenger services professional services legal accounting print atls

v t or cable airtime and candidate travel

TRS
TSF VOT WEB

production costs lotlging and meals slaRlspouse travel lotlging and meals
Imnsfer between committees of Ne
voter
same

sponsor candidate

registration information technology

costs

internee a mail

NAME AND ADDRESS OF PAYEE


tlrconMmeEnlwemsaio MUUxEaI

CODE

OR

DESCRIPTION OF PAYMENT

AMOUNTPAID
05 113

Copy xvik
1f5 wee

tng erln
Flol
xve

LIT

mlaerla

Miranda

PRO

00 250

vee

a ea

elate

Cwita
Yolataa

CA

91122 PRO 12i 00

Mfianaa

v29

edna

elate

Covina

CA

3 9t

Payments

het

ere

contributions

Or

Intlependent expenditures must also be summarizes

On

Schedule D

SUBTOTALS

TS aee

Schedule E Summary
1 Itemized P a Y ments made this P eriod

Include all ScheduleE Subtotals

as ade

2 Unitemized payments

100 under madethisperiod o


on

oo d

3 Total interest P aid this D eriod

loans

Enter amount from Schedule

B Part 1 Column

00

4 Total PY menu made this P eriod Add Lines 1 a

2 and 3 Enter here and

on the Summa N

Pa 9 e Column

Line 6

TOTAL

sae as

FPPC Form 060 FPPC Toll Belpllne a661ASK Free FPPC

January105 2 B661YI53i

Scher
Continuation Sheet Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER

Type

or

print

In ink

corvT scHeo
SUtement covers

Amounts may be roundetl towholetlollars

perlotl

J from

2ooe o1 2ooe 3p oe

throw g h

Page
LO NUM6ER

Atchley

fo

Council

2000

1286350

CODES
QvP GN6

If

one

of he

following

codes

accurately

describes the
R M rvRG

payment you may


meetings

enter the code

Otherwise describe the payment


RAD RFD radio aitlime and

campaign paraphemalialmisc campaign consultants


conldbulion
cantlitlate

membercommunications antl appearances

production

vests

returned conlribvlions

GTB
CVC
FlL

explain nonmonetaryl
fees
others

OFC
FET ID P POL

lice o expenses

SAL
TE1 TRC

campaign
Lv
or

woBers salaries

civic tlonations

Blinglballol
events

petition circulating phone banks


polling arM survey research postage tlelivery antl messenger services

cable aitlime antl production costs cantlidate travel lodging antl meals

FNO
W LEG LIT

runtlraising

TRS
TSF VOT WEB

spouse slafl travel lotlging


voter

antl meals

intlepentlent expentliture supportinglopposing legal defense campaign literature antl mailings

explain

FOS PRO

OZT

professional print ads

services

legal accounting

Ne same cantlitlatelaponsor registration information technology costs internel a mail

transfer between committees of

NAME ANO AOORESB OF PAYEE

CODE

OR

pF COMMirtEE
tlen TeaMla
tom

AL50 ENTER r0

NVMBEflI

DESCRIPTION OF PAYMENT

AMOUNT PAID

1492

eingingwood

Ave

WPB

00 500

Payments thatare contfibutions

eapentlitures orintlepentlen

mustalso be summarizetl on

SChetlule D

SUBTOTALS
FPPC Form d60 FPPC Toll Free

po sap

Helpline

FPPC ASK B66

Januery106 2 3 fi Bfifil2

Anda mungkin juga menyukai