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7ecipient Committee
*
&ampaignStatement
:over Page
Government

II

Code S e c t i o n s 84200-84216.5)

I
EE INSTRUCTIONS O N REVERSE

. Type of Recipient Committee:


Officeholder, C a n d i d a t e C o n t r o l l e d

**- I

Statement

c o v e r s period

.
AII Committees

Committee

- Complete

Parts

I , 2, 3, a n d 4.

of election i f a p p l i c a b l e :
( ~ o n t h Day,
,
Year)

Date

0P r i m a r i l y F o r m e d
0Controlled

(Also Complete Pan 5)

0 Sponsored

2. Type of Statement:

B a l l o t M e a s u r e Committee

0 S t a t e C a n d i d a t e E l e c t i o n Committee
0 Recall

CLERR

: : A K I A ' rJ "
,J

O ~ J A H ~PHO I

Date Stamp

(Also Complete Pan 6)

to2

L
For Official Use Only

Preelection Statement

Quarterly Statement

Semi-annual Statement

Special Odd-Year R e p o r t

Termination Statement

Supplemental Preelection

A m e n d m e n t (Explain below)

Statement

- Attach Form 4 9 5

General Purpose Committee

0 Sponsored
0S m a l l C o n t r i b u t o r C o m m i t t e e
0Political P a r t y / C e n t r a l C o m m i t t e e

Primarily F o r m e d C a n d i d a t e l
O f f i c e h o l d e r Committee
(Also Complete Pan 7)

I
I D. NUMBER

. Committee Information

COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)

O&KLW~F,QS

FILST

??/??/

B R O ~ J NF012

Treasurer(s)
NAME OF TREASURER

MhYoR

HRROLD P E N D E K & Z G S
-.-. - ,

MAILING ADDRESS

STREET ADDRESS (NO P.O. BOX)

ClTY

ZIPCODE

STATE

44607

cA

e)*rnb

MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.0 BOX

- CITY

STATE

OPTIONAL:

ZIP CODE

AREA CODEIPHONE

- , . V " b

STATE
.
-

ClTY

NAME OF ASSISTANT TREASURER. IF ANY

- AREA CODEiPHONE
9~609
,-.- ,,,
ZIP GODE

.---

- - -. - .

'

MAILING ADDRESS

AREA CODEIPHONE

CITY

STATE

ZIP CODE

AREA CODEiPHONE

OPTIONAL: FAX i E-MAIL ADDRESS

FAX IE-MAIL ADDRESS

Verification
I have

used

all

r e a s o n a b l e diligence

in

Execuled o n

Executed o n

preparing

and

.m

BY

Dale

By
BY

Executed o n

Date

r e v i e w i n g this s t a t e m e n t and t o t h e b e s t o f my k n o w l e d g e t h e i n f o r m a t i o n c o n t a i n e d h e r e i n and in t h e a t t a c h e d s c h e d u l e s


o f C a l i f o r n i a t h a t t h e f o r e g o i n g is t r u e and c o r r e

BY

uV,$

,/

rrPHlidna nature of Treasurer or P l i s d n r Treasurer

is t r u e and c o m p l e t e . I

Signalure d C 0 n l ~ 4 l i i ~ O f i iMIasure
~ ~ ~
Proponent
d ~ ~or Responsible
~ t ~
011icer of Sponsor

IIder. Candidate. Stale Measure Proponent

//

SignalurrJ61ControllingOffic

I
Signature 01 ControllingOfliceholder.Candidate. Srale Measure Proponent

FPPC F o r m 460 ( J u n d O l )
FPPC Toll-Free Helpline: 8661ASK-FPPC
Slate o f California

Type or print in ink.

Recipient Committee
Campaign Statement
Cover Page - Part 2

Officeholder or Candidate Controlled Committee

6. Ballot Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE

TERRY

NAME OF BALLOT MEASURE

BROWN
BALLOT NO OR L E n E R

OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)

P/7rtYQR OF

SUPPORT

q OPPOSE

~ ~ ~ K L A - N O

AESIDENTIAUBUSINESS ADDRESS (NO AND STREET)

JURISDICTION

CITY

STATE

c-#+44603

o&KcPr;nrD

ZIP

Identify the controlling officeholder, candidate, or state measure proponent, if any.


NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

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.

B R QW/v I I.D. NUMBER

COMMlnEE NAME

- - - ,

i'MAE OF TREASURER

H-LD
- -

ClTY

~-

P E N D E P -5
--

.-.-

7. Primarily Formed Committee

List names of officeholder(s) or candidate(s) for


which this committee is primarily formed.

CONTROLLED COMMITTEE?

COMMITTEE ADDRESS

DISTRICT NO. IF ANY

OFFICE SOUGHT OR HELD

ONO

OYES

NAME OF OFFICEHOLDER OR CANDIDATE

STREET ADDRESS (NO P.O. BOX)

STATE

OPPOSE
ZIP CODE

AREA CODElPHONE

NAMEOF
OFFICEHOLDER
'

OR CANDIDATE

CONTROLLED COMMITTEE?
YES

CITY

n SUPPORT

OFFICE SOUGHT OR HELD

OPPOSE

'
NAME OF OFFICEHOLDER OR CANDIDATE

COMMlnEE ADDRESS

SUPPORT

I.D. NUMBER

NAME OF TREASURER

OFFICE SOUGHT OR HELD

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT

OPPOSE

OFFICE SOUGHT OR HELD

NO

OPPOSE

STREET ADDRESS (NO P.O. BOX)

STATE

ZIP CODE

AREA CODEIPHONE

Attach continuation sheets if necessary

FPPC Form 460 (JundOl)


FPPC Toll-Free Helpline: 866lASK-FPPC
State of California

ampaign Disclosure Statement

SIIMMARY PAGF

?yp' G i piiiii in ink.


Amounts may b e rounded
t o whole dollars.

ummary Page

Page

E INSTRUCTIONS ON REVERSE
ME OF FILER

I
-

mtributions Received
Monetary Contributions ...........................................

Schedule A, Line 3

oans Received .....................................................

Schedule 6, Line 7

Column A

Column B

TOTALTHIS PERIOD
(FROM AnACHEDSCHEDULES)

CALENDAR YEAR
TOTALTO DATE

SUBTOTAL CASH CONTRIBUTIONS .........................


Nonrnonetary Contributions ....................................

Add ~ i n e s1 + 2
Schedule C, Line 3

TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4

rpenditures Made
payments Made .......................................................

Schedule E Line 4

Loans Made ..........................................................

Schedule H, Line 7
AddLines 6 + 7

SUBTOTAL CASH PAYMENTS ....................................

.;)?
q

1 3 4 2 b3

27.82

I ?4 3 -63

72

9 2

Prevrous Summarypage. Line 16

Cash Receipts ...................................................

Column A, L~ne3 above

Miscellaneous Increases to Cash ...........................


Cash Payments ..................................................

ENDING CASH BALANCE ......... Add Lines

f2

Schedule I, Line 4

Column A, Lne 8above

+ 13 +

14, then subtract Line 1 5

I f this is a termination statement, Line 16 must be zero.


~

LOAN GUARANTEES RECEIVED ...........................

Schedule 8.Part 2

~ s hEquivalents and Outstanding Debts


Cash Equivalents ........................................
Outstanding Debts ......................... AddLine

20. Contributions
Received
$

3.;gciitures
$

Expenditure Limit Summary for State


Candidates
22. Cumulative Expenditures Made'
(It Subject t o Voluntary Expenditure Limit)

Total to Date

Date of Election
(mmlddiyy)

134

"ent Cash Statement


-deginning Cash Balance .......................

711 to Date

111 through 6/30

Calendar Year Summary for Candidates


Running in Both the State Primary and
General Elections

II

Nonrnonetary Adjustment .......................................... Schedule C, Line 3


10

Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3


TOTAL EXPENDITURES MADE ................................ ~ d d ~ f n 8e +s 9 +

I1

I.D. NUMBER

To calculate Column B, add


amounts i n 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 lrom 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

1
1
-

LA-

'Since January 1, 2001. Amounts in this section may be


different from amounts reported in Column 6.

any).

see instructions on reverse

2 +Line 9 in Column B above

FPPC Form 460 (JuneIOl)


FPPC Toll-Free Helpline: 866lASK-FPPC

:hedule A
onetary Contributions Received

Type or prln! in ink.


Amounts may be rounded
to whole dollars.

SCHEDULE A
Statement covers p e r i o d

Page

INSTRUCTIONS ON REVERSE

AE OF FILER

'A~LlLfr\/D&esF l n S T DATE
'IECEIVED

(IFCOMMITTEE. ALSO ENTER I D NUMBER)

MAY^<

BRDUN

FULL NAME. STREET ADDRESS AN0 ZIP CODE OF CONTRIBUTOR

CONTRIBUTOR
CODE *

IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF EMPLOYED ENTER NAME
OF BUSINESS)

I D NUMBER

931 971
AMOUNT
RECEIVED THIS
PERIOD

CUMULATIVE TO DATE
CALENDAR YEAR
(JAN 1 - DEC 31)

PER ELECTION
TO DATE
(IF REQUIRED)

0IND

qCOM
qOTH
q PTY
scc
OlND
OCOM
qOTH
q PTY
1
3SCC
OIND
COM
C] OTH
PTY
qSCC
OlND
COM
OTH
Q PTY
C] SCC

OlND
OCOM
C]OTH

0PTY
SCC
:

,,.+.
...

SUBTOTAL $

i,

hedule A Summary

'Contributor Codes

received this period - contributions of $100 or more.


Include all Schedule A subtotals.) ........................................................................................................

IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Ottier
PTY -Political Party
SCC - Small Contributor Committee

{mount

z
L

\mount

received this period - unitemized contributions of less than $1 00 .............................................$

otal monetary contributions received this period.


Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $

2s.

2s

'1

FPPC Form 460 (JunelOl)


FPPC Toll-Free Helpline: 8 6 6 / ~ ~ ~ - F P P C

:heduleE
lyrnents Made

Type or print i n ink.


A m o u n t s may be rounded
t o whole dollars.

lNsTRucrloNs ON REVERSE

. of

E OF FILER

3ES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
campaign paraphernalialmisc.
campaign consultants
contribulion (explain nonmonetary)'
civic donations
candidate filingballot fees
fundraising events
independent expenditure supportinglopposing others (explain)'
legal defense
campaign literature and mailings

MBR
MTG

OFC
PET
pH0

POL
POS
PW

member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads

RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB

radio airtime and production costs


returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
stafflspouse travel, lodging, and meals
transfer between committees of the same candidatelsponsor
voter registration
information technology costs (internet, e-mail)

NAME A N D ADDRESS OF PAYEE


(IF COMMITTEE.ALSO ENTER I.D. NUMBER)

CODE

OR

lments that are contributions or independent expenditures m u s t also b e summarized o n Schedule D.

DESCRIPTION OF PAYMENT

AMOUNT PAID

I
SUBTOTAL$

ledule E Summary
3yments made this period of $100 or more. (Include all Schedule E subtotals.) .................................................................................................. $
nitemized payments made this period of under $100 ..........................................................................................................................................

)tal interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $
)tat payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL

17-2l6

172.a &
-557 ' s6

t a L2

FPPC Form 460 (JunelOl)


FPPC Toll-Free Helpline: 866lASK-FPPC

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