ethicsdept km c754e-20150825071921 - los angeles · 2015. 12. 1. · 90017 i. d. number 1313818...

COVER PAGE Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5)

t;IJ¥1f31ai~CDED Date Stamp

Statement covers period

-~r.se'6E~ from 07/01/2011

through 12/31/2011

1. Type of Recipient Committee: All Committees- Complete Parts 1,2,3, and 4.

1R1 Officeholder, Candidate Controlled Committee 0 Ballot Measure Committee ® State Candidate Election Committee 0 Primary Formed 0 Recall 0 Controlled (Also Complete Part 5.} 0 Sponsored

0 General Purpose Committee (Also Complete Part 6.)

0 Sponsored 0 Primary Formed Candidat~/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7.)

3. Committee Information I.D.NUMBER 1319901

COMMmEE NAME (OR CANDIDATE'S NAME IF NO COMMITfEE Felipe Fuentes Reform CA Ballot Measure Committee

STREET ADDRESS (NO P.O. BOX)

CITY Los Angeles

STATE ZIP CODE CA 90017-0000

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

tiTY

OPTIONAL: FAX/E-MAIL ADDRESS 2134526575

4. Verification

STATE ZIP CODE

AREA CODFJPHONE F134sz6s6s

AREA CODE/PHONE

I have used all reasonable diligencis true and complete. certify unde

Executed on \ '?JO 1/

Date of election if applicable: (Month, Day, Year)

2. Type of Sta

LOS t.HGEL:.::.S C.\ TV ETHICS co:,iMISSiOi'\

er r) ~. o ,l\ ·~·.

1 L t; ' t; 11.

1 '58 For Official Use Only

0 Pre-election Statement D Quarterly Statement 1KJ Semi-annual Statement

D Termination Statement

D Amendment (Explain below)

. . Treasurer(s) NAME OF TREASURER Felipe Fuentes

MAILING ADDRESS

0 Special Odd-Year Report

0 Supplemental Preelection Statement- Attach Form 495

CITY STATE ZIP CODE AREA CODE/PHONE (213)452-6565 Los Angeles CA 90017-0000

NAME OF ASSISTANT TREASURER, IF ANY

MAILING ADDRESS

CITY STATE ZIP CODE AREA CODE/PHONE

OPTIONAL: FAX/E-MAIL ADDRESS

formation contained herein and in the attached schedules ue and correct.

AT·

Executed on \ \~o]l 1/ DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE M

Executed on ________ _

DATE

Executed on ________ _

DATE

. .

R RESPONSIBLE OFFICER OF SPONSOR

~ -SIGNATURE OF CONTROLLING OFFICEHOLDER, CANOIDATE, STATE MEASURE PROPONENT

BY--------~~~~ SIGNATURE OF CONTROLLING OFFICEHOLOER, CANDIDATE, STATE MEASURE PROPONENT

FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK~FPPC

State of California

Recipient Committee Campaign Statement Cover Page - Part 2

Type or print in ink. COVER PAGE - PART 2

5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE

~: I

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

RESIDENTIAUBUSINESS ADDRESS (NO, AND STREET) CITY STATE ZIP

I 1' . •

Related Committees Not Included in this Statement: List any committees not Included In this statement that are controlled by you or are p~l!'larlly formed to rec&lve contributions or to make expenditures on behalf of your candidacy.

COMMITTEE NAME

Felipe Fuentes for City Council 2013

NAME OF TREASURER Felipe Fuentes

LD.NUMBER

134154)4 !

CONTROLLED COMMITTEE?

IX] YE~ D NO

COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) ·

CITY

Los Anaeles

COMMITTEE NAME

Fuentes for Assembly 2010

NAME OF TREASURER Felipe Fuentes

STATE

CA ZIP CODE

90017

I. D. NUMBER

1313818

AREA CODE/PHONE

(213) 452-6565


!IDYES D NO

COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)

CITY

Los Angeles STATE

CA ZIP CODE

90017 AREA CODE/PHONE

(213) 452-6565

6. Ballot Measure Committee NAME OF BALLOT MEASURE

BALLOT NO. OR LETTER JURISDICTION

CALIFORN,IA FO,RM

2/38

460

D SUPPORT

D OPPOSE

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

NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

Felipe Fuentes

. OFFICE SOUGHT OR HELD Held: State Assembly Person

1

DISTRICT NO. IF ANY

39

7, Pr.ima.r.Uy,Fo.r:med Committee List names of offlceholder(s) or candldate(s) for which this committee is primarily formed.

NAf:JlE OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT

D OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT

D OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT

D OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT

D OPPOSE

Attach continuation sheets if necessary

FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 8661ASK-FPPC

State of California

Type or print in ink. COVER PAGE- PART 2 ..--Recipient Committee Campaign Statement Cover Page- Part 2

5. Officeholder or Candidate Controlled Committee

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

Fuentes for Assembly 2010 Officeholder Account . ! . ~.~ ':" ..; (~~a

CAUFORNIA 4·6· .0· FORM

3/38

I.D.NUMBER

·~ , ... ;., l. . ~ .• i.: ~ ,J-,• 4 • • • j •• ~1 -:pp~~! ,c., ·II J. 11 o -1!' ' '' o •·'1. -·

NAME OF TRF.ASURER Felipe Fuentes

COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)

CITY l , i ~~ \ ,, : i : li . 1• i · · . -. · ·. ~ ·· ' L . :•

Los Angeles

• • ~ ' I ' l - I 0 • '.,

STATE

CA ZIP CODE

90017


!2n YES 0NO

AREA CODE/PPIONE

(213) 452-6565

l ' : . ... ) •-.:! : -~ i . •I ., .. · : . I l • 0 0 . ' ' I : ~·I: · ,, i· 0 J

Type or print In ink. SUMMARY PAGE Campaign Disclosure Statement Summary Page Amounts may be rounded

to whole dollars. Statement covers period CALIFORNJA

FORM .4'60 from----------

SEE INSTRUCTIONS ON REVERSE through -------- 4/38

NAME OF FILER

Felipe Fuentes Reform CA Ballot Measure Committee

Contributions Received ColumnA TOTAL TtiiS PERIOO

(FROM ATIACHEO SCHEDULES)

Column 8 CALENDAR YEAR TOTAL TO DATE

1. Monetary Contributions

Loans Received

' ·Scl1edula A, Lir1e 3 '$ 217800.00 $ 280000.00

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

Schedule B, Line 7

Add Lines 1 + 2

4. Nonmonetary Contributions ...... .. ... ........................ Schedule C, Line 3

$

.D...Q.Q_ 0 00

217800 00 $ 280000 00.

0.00 0.00

1.0. NUMBER

Calendar Year Summary for Candidates Running in Both the State Primary and General Elections

20. Contribution Received $

1/1 through 6/30 7/1 to Date

0.00 $ 0.00

5. TOTAL CONTRIBUTIONS RECEIVEP, .... .. : ..... : .. .' . .'.~ ... ~: . . ·~ · ·· Add~Li·1~e's 3·+'4 ·2-178Cl0,0'0 . "$.'' ; u

21. Expenditures · 2800QQ,QQ. · .. v i.:tMade $ 0.00 $ 0.00

Expenditures Made 6. Payments Made ....... .... ....................................... .. .... Schedule E, Line 4 $ 82407.37

7. Loans Made .... .. ................... .............................. ....... Schedule H, Line 7 0.00

8. SUBTOTAL CASH PAYMENTS............... ... .. .. .... .. ...... Add Lines 6 + 7 $ 82407.37

9. Accrued Expenses (Unpaid Bills) ........ ..................... Schedule F, Line 3 232.53

10. Nonmonetary Adjustment .......... .. .. ....... .. ....... .. ......... Schedule C, Line 3 0.00

11. TOTAL EXPENDITURES MADE................ .. .......... Add Lines 8 + 9 + 10 $ 82639.90

Jrrent Cash Statement ~

12. Beginning Cash Balance

13. Cash Receipts

14. Miscellaneous Increases to Cash

Previous Summary Page, Line 16

Column A, Line 3 above

Schedule I, Line 4

Cash Payments .......... .... ... .. .. .. .. .. .. .............. .. .... Column A, Line a above

16. ENDING CASH BALANCE ..... Add Lines 12 + 13 + 14, then subtract Line 15

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

$ 18943.77 ··' ·' ' '

217800.00

0.00

82407.37

$ 154336.40

$ 155844.43

0.00

$ 155844,43

1772.30

0.00

$ 157616.73

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 previo!JS period amounts. If this Is the first report being filed

----------------------------------------0•0-

0--lforthls calendar year, only

17. LOAN GUARANTEES RECEIVED........ .............. .... . Schedule B, Part 2 $ · carry over the ;~mounts

Cash Equivalents and Outstanding Debts 18. Cash Equivalents

' : ~ •H ·• :ao ~ ,J '

See inslructions on reverse $ ······ 'o.oo 19. Outstanding Debts Add Line 2 +Line 9 in Column B above $ 1772.30

·II' , o·,

from Lines 2, 7, and 9 (if any).

' · •• , •,j j ,'t_ I

Expenditure Limit Summary for State Candidates

22. Cumulative Expenditures Made* {If Subject to Voluntary Expenditure Limit)

Date of Election (mm/dd/yy)

g;

$.

$

g;

s;

Total to Date

·since January 1, 2001 . Amounts in this section may be different from anounts reported in Column B.

FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC

l ~·h•l · . ,. j jJ • •• : ,.'I ..:.II ' i ·Ill' I ... ,,, . .,.

SCHEDULE A Schedule A Type or print in ink. ! Amo-unts may be rounded

ontributions Received Statement covers period ' lCAUFORNIA 46'0 : to whole dollars. I

from

ON REVERSE through

-NAME OF FILER


FULL NAME. MAILING ADDRESS ···-· ,' i ~ I ' ·.. IF AN INDIVIDUAL, ENTER AMOUNT DATE

AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS

RECEIVED CODE* (IF SELF-EMPLOYF.D, ENTER NAME PERIOD (IF COMMITTF.E, ALSO ENTER I. D. NUMBER) OF BUSINESS) ·-

Rc~t Dt: 0 IND 2000.00 "'' "1 27/2011 7-Eieven, Inc. OcoM

morH ~ . \ . ~: ·' , .. _, < t · ~~ · \ ' ~:. J It I ',j'j' 1··'1· 1 '. , ., . . 'DPTY

I , ' 1 ' •• ' J •·· Dallas TX 75201 ID: Osee

Rcfct Dt: 0 IND 4000.00 12 02/2011 Abbott Laboratories OcoM

[K] OTH

Abbott Park IL 60064 DPTY ID: Osee

Ret Dt: DIND 1000.00 11 23/2011 Advance America OcoM

IX] OTH

SJ:artanburg sc 29306 DPTY I : D sec

Reg Dt: DIND 1000.00 09 19/2011 Atcultural Council of California PAC [K] COM

DorH

-- Sacramento CA 95814 DPTY 10: 761092 Osee , __ /

D IND -. ' . '.

Rcfct Dt: 2000.00 1209/2011 American Bankers Insurance Company of Florida DcoM

· [K] OTH

Miami FL 33157 0 PTY ID: Osee

SUBTOTAL$

Schedule A Summary 1. Amount received this period - contributions of $1 00 or more. . . . . . . . . .

217800 00 (Include all Schedule A subtotals.) .............. .. ...................... : ............................. .. .. ........ ......... .. ...... .. ..... $ ·

2. Amount received this period- unitemized contributions of less than $100 ........................................... . $ 0·00

3. Total ~onetary contributions received this period. . 217800

_00

(Add Lmes 1 and 2. Enter here and .PJ1 the Summary Page, Column .A. Lme 1.) ..... ...... .... .. ... TOTAL$ ·

FORM . . !

5/38 -

I.D. Number

1319901

CUMULATNE TO DATE PER ELECTION CALENDAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED) .

2000.00

; --~ . ·•

4000.00

1000.00

1000.00

2000.00

-- -- --- ----- ---. -~

·contributor Codes IND - Individual

11 I COM - Recipient Committee (other than PlY or SCC)

OTH- Other PTY - Political Party SCC- Small Contributor Committee

I ·' ' . :~ ' 1 I . .I! J •. • . I ' • j I j • I • ~ ; FPPC Form 460 (JUNE/01) FPPC Toll-Free Helpline: 866/ASK-FPPC

Schedule A ontributions Received

' ''\ t;i u .•· :r-·-1• • , . ... , • • :•

ON REVERSE

NAME OF FILER ~ '•'


DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR

RECEIVED (IF COMMITIEE. ALSO ENTER I. D .. NY¥,BfR1

·--·-····- ' . I

Rcf1t Dt: - ~q 14/201 1 American Traffic Solutions, Inc.

(

Scottsdale AZ 85260 10:

Rcf1t Dt: 09 12/2011 Anthem Blue Cross

Dayton OH 45404 10:

Rcfct Dt: 08 01/2011 Agollo Group, Inc.

Phoenix AZ 85040 ID:

RcEt Dt: 11 30/201 1 Assn. of CA Life & Health Insurance Companies PAC

-- Sacramento CA 95814 ~ ID: 761012

Rcflt Dt: 09 30/2011 Associated General Contractors PAC

~est Sa~~amento CA ' 9569.'1 D: 89019

Schedule A Summary 1. Amount received this period - contributions of $1 00 or more.

Type or print In Ink. SCHEDULE A Amounts may be rounded Statement covers period

CAUFORNIA .. 46'0 to whole dollars.

.\ ' 'I . : ~,., " , "" ' ' ·' ' ' ~ -' ' . " ,j.~ .. , .\ ,,,f,r_pm. . I . FORM·

through 6/38

'' • t LD. Number

1319901

CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

OCCUPATION AND EMPLOYER RECEIVED THIS . CALENDAR YEAR TO DATE CODE" (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED)

I-· OF BUSINESS) • • I • ... ~ ·~· t ' I ;o. i' ' ··o 1N"o--

-3900.00 3900.00

DcoM [KI OTH 0 PTY 0 sec

OIND 1500.00 1500.00 DcoM [KI OTH DPTY D sec

0 IND 3000.00 3000.00 DcoM [K] OTH ..

D PTY Osee

0 IND 1000.00 1000.00 [KI COM 0 OTH 0 PTY 0 sec

0 IND 2000.00 2000.00 lliJ COM . DoTH ' 0PTY 'I · ·:.. ' - ~-'i I : ... ··'-··h :.1 ., .•. • , ... .... "' .,. ~= , . ~ .. Osee

-- - SUBTOTAL$ [ n---J *Contributor Codes IND - Individual

(Include all Schedule A subtotals.) ......... .. ...... .. ....... .. ............... .. ....... .......................... .......................... $ ------ COM -Recipient Committee (other than PTY or SCC)

OTH-Other 2. Amount received this period- unitem_ized contributions of le.ss tll.an. $100 .. .. ........ .. ......... ..... , ... ......... .... $ ---.___..:___;:_..;-...____;,-.:

3. Total monetary contributions received this period. . , (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .. .................. TOTAL$ -------

PTY - Political Party SCC- Small Contributor Committee

FPPC Form 460 (JUNE/01) FPPC Toll-Free Helpline: 866/ASK-FPPC

Schedule A Type or print in ink. SCHEDULE A :led Statement covers period

-

CAUFORNIP. 460 from FORM . · .~

~·

through 7 I 38

NAME OF FILER J.D. Number Felipe Fuentes Reform CA Ballot Measure Committee

1319901 . ' . '' .· ., • '. ' . ' ' j• '"." , ,,, , ,., r"7 • I ,-u ~ ~ "Ill Cl-' "''!'"- •· -:• ,, _. I ._ . - -

. · ·\'f'' l .h•u ~t \,j 1.!" -.·li • . •,~ j I ~ .. . !·dY~·- 1 U.1 · ; ' )•\ - -~ ,'·~ · . \J Iii · ·' . ' ' ' I

FULL NAME, MAILING ADDRESS ' . IF AN INDIVIDUAL, ENTER AMOUNT . CUMULATIVE TO DATE PER ELECTION DATE

AND ZIP CODE OF CONTRIBUTOR , CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS . CALENDAR YEAR TO DATE

RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (IF GOMMITIEE, ALSO ENTER I. D. NUf(:lBER) j OF BUSINESS)

-~-· - ----- - ----------- - --·- ·-·- 1--, ___ ,_ - - ---· ·-·------ ----- -- ------·-

Rc~t Dt: ' 0 IND 1000.00 1000.00 - '') 22/2011 Asurion DcoM

[Z] OTH

Sterling VA 20166 D PTY 10: Osee

Rcfct Dt: D IND 1000.00 1000.00 09 02/2011 Axcess Financial Services, Inc. DcoM

[Z] OTH

Cincinnati OH 45236 DPTY 10: Osee

Rc~t Dt: ' · DIND 3000.00 3000.00 12 23/201 1 Sarona Band of Mission Indians DcoM

[Z] OTH

Lakeside CA 92040 0 PTY 10: D sec

Rcfct Dt: !KliND Vice President - Busines- 500.00 500.00 09 06/201 1 Anthon[S Bel ott · ,. .. . . DcoM s Development l • • ' .o i l ,,,. "' .... . ,. ,

· DoTH ~ Los Angeles CA 90049 DPTY U.S. Healthworks Holding

t 10: Osee Company Inc.

-Rc~t Dt: DIND 2000.00 2000.00 09 20/2011 Brid8epoint Education, Inc. DcoM

[Z] OTH

fo~n Diego CA 92128 DPTY I .

~ ., .... .. , .. ; .. ~ ""··• .,'1 ~ . Osee ;

SUBTOTAL$ ~---~ ; ·-,_--- . ·-- . . · - ~~ - ~J

Schedule A Summary 1. Amount received this period - contributions, of $,1 00 0r more, ., . :. : .· . . ,. .. • .. , . . ,, , .. . . . ,

(Include all Schedule A subtotals.) .: .. . : .. ...... ........ :: ...... ... .. .. ...... .... ... ..... .. .. .... .. .............. . : .. .. .. ..... ~ .. ... · ... :.~. $ -------

*Contributor Codes IND -Individual

. '

2. Amount received this period- unitemized 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.) .. .............. .. .. TOTAL$-------

COM - Recipient Committee (other than PTY or SCC)



Schedule A Type or print in ink. SCHEDULE A

ontributions Received .l . '-...... i- ... , -.- .. ·• 'Amounts,may be rounded Statement covers period ·· CAUFORNI~ 46;0~: to whole dollars.

from ·FORM ' · :

through 8/38 ' ON REVERSE

NAME OF FILER . '•L• IIJ,HI•~•II•q:JL.I.':i ;-1~' :;H' '!I' ! .1, !, • 'I ., I ·'. ... I.D. Number

Felipe Fuentes Reform CA Ballot Measure Committee ' 1319901

FULL NAME, MAILING ADDRESS i IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE

AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE

RECEIVED CODE• (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (IF COMMITI'EE, ALSO ENTER I. D. NUMBER) OF BUSINESS)

--·--·-·-------- -- ----- ·-·- ---------Rcf1t Dt: 0 IND 2000.00 2000.00

I . 1 11/2011 CA Academ~ of Eye Ph~sicians & Surgeons PAC aka ~cmNaf!lefV! of California DOTH

San Francisco CA 94105 D PTY ID: 980331 0 sec '

Rcfct Dt: DIND 2500.00 8500.00 10 06/201 1 CA Building lndust~ Assn. PAC [KJ COM

0 OTH

Sacramento CA 95814 D PTY JD: 890483 D sec -- ·-~~~~~

Rc~t Dt: '·' tJ IND': I ·' ;. I I .• >~a I

' 1000.00 8500.00 12 22/201 1 CA Building lndust~ Assn. PAC IKJ COM

DOTH

Sacramento CA 95814 DPTY 10: 890483 Osee

Rc~t Dt: 0 IND } 1500.00 1500.00 08 31/2011 CA Defense Counsel PAC IKI COM

i·l·

DOTH

Sacramento CA 95814 0 PTY

' ID: 850665 Osee - .. ~-~---

Rc~t Dt: DIND 2000.00 2000.00 12 22/2011 CA Hospital Association PAC · · · lKI coM·· ',-.·

S~onsored ~ CA Assn. Hospitals & Health Systems 0 OTH DPTY Sacramento CA 95814 ID: 790773 D sec

--

----·-___:_---'-S!JBTOTAL $ _I_-~--·· _........,......;......_;____,...............,. .............................. ......J Schedule A Summary 1. Amount received this period - contributions of $1 00 or more. '

(Include all Schedule A subtotals.) ............................................................................... .. ..... $ ____ _

2. Amount received this period- unitemized 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.) .................... TOTAL$-------

*Contributor Codes IND - Individual COM - Recipient Committee

(other than PTY or SCC) OTH- Other PTY - Political Party SCC- Small Contributor Committee


I


ontributions Received Amounts may be rounded Statement covers period

CAqFORNtA 460 to whole dollars.

from FORM -

'. '!•~ : .. ~b!-,4 ~1h!:·'"~ ~-~"' :. ~l - fl'.~; . .t:; t.. ··•: 1!-. fi ·t~ !.: --t,. ''j' ..... . ,.. .. . •· ·· . .. '•! • · ... : ... ~ :. · ._; ... · . .,... .. _ ..,.·.·;. ~--"' ...... • ··'!;.'"1:r"• •'! "'""' ''''•IO•· •• · • •o· lo•t ·i '""'

' '. 9/38

ON REVERSE through

NAME OF FILER '

I.D. Number Felipe Fuentes Reform CA Ballot Measure Committee

1319901

FULL NAME, MAILING ADDRESS . ' , I. , .... ' . IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE AND ZIP CODE OF CONTRIBUTOR

CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE• (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (IF COMMIHEE, ALSO ENTER 1.0. NUMElER) OF BUSINESS)

---~---- - ·--- ·-o IND ___ ·---- ------ ----_______ _ __ .. ___

f--

Rc~t Dt: 1000.00 1000.00 'I) 24/2011 CA Independent Bankers PAC !KJ COM

• OOJH i '' (•. ~ ·: ! ' .

\ DPTY ' Newport Beach CA 92660 Osee 10: 960410

Rcf1t Dt: 0 IND 1000.00 4000.00 12 12/2011 CA Medical Assn. PAC !KJ COM

DOTH

Sacramento CA 95814 0PTY

ID: 742617 Osee

Rcfct Dt: 0 IND 2000.00 2000.00 09 07/2011 CA Medical Assn. Physicians' Issues Committee !KJ COM

0 OTH ~-:-

0 PTY ';J.

Sacramento CA 95814 10: 870983 Osee

Rcfct Dt: DIND 1000.00 1000.00 09 03/2011 CA Mort~age Bankers Assn. PAC !KJ COM

0 OTH

Sacramento 95614 I' . 11 ° ,' ·[] PTY ..

-=--Osee 10:890152

-'Rcfct Dt: DIND- 2000.00 2000.00 09 08/2011 eA Nations Indian Gaming Assn. Sovereignty Protecti n IOOJ<tOM

0 OTH

Sacra~:J1to ' CA.;,,;H, (\l58~4.. . "' •. " . I ' I . ; _, •.. " D PTY .,. 1·' .. f 'I ' ·-~- ... , .

10: 126 80 ·o sec -· .. . . - ., . -~ ·. ' : . '· . '

SUBTOTAL$

Schedule A Summary

' ' .. $ ____ _ 1. Amount received this period - contributions of $1 OO .. or more. . , , . . .

(Include all Schedule A subtotals.) ...... · ·

2. Amount received this period- unitemized contributions of less than $100 .................................... .. ...... $ -------

3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and o~ , the Summary Page, Col~mr 1· ~ine 1

1) .................... TOTAL $ ----,.-----...,-

[ -----. ----~

_-__ · -~-~~- . ~ ..... :... . •' ··· --------- - --


(other than PTY or SCC) OTH-Other PTY - Political Party SCC- Small Contributor Committee


Schedule A

NAME OF FILER Felipe Fuentes Reform CA Ballot Measure.Gommittee

'

DATE FULL NAME, MAILING ADDRESS AND ZIP CODE OF CONTRIBUTOR

RECEIVED (IF COMMmEE, ALSO ENTER J.D. NUMBER)

--- ---Rc~t Dt:

q 31/2011 C o~l ·

Sacramento CA 95814 ID: 1266809

Rc~t Dt: 08 26/201 1 CA Professional Firefi~tors PAC

Sacramento CA 95833 10:744058

Rcf1t Dt: 09 12/201 1 CA Psychological Assn. PAC

Sacramento CA 95814 ID: 822974

Rcfct Dt: t . . :r

09 06/2011 CA Radiol~ical PAC

,_ Sacramento CA 95814 ID: 811596

·Rc~t Dt: 08 24/2011 CA Restaurant Assodiatii;)n':P'kt 1

''' ,, '

(

Sacr~~~~.to CA 95814 ID· 89 2 1

Schedule A Summary 1. Amount received this period - contributions of $100 or more.

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

Type or print in Ink. SCHEDULE A

i

CONTRIBUTOR CODE*

OIND IKI COM 0 OTH 0 PTY 0 sec

D IND OcoM DoTH 0 PTY lKl sec

D IND IKI COM DOTH OPTY Osee

[:] 11\JD IKI COM DOTH 0 PTY 0 sec

0 IND ,, IK1 cdM ... ·

DoTH OPTY 0 sec

:led --- - . Statement covers period CAUFORNIA 4:60

' FORM . from i

through 10/38

I.D. Number

\ -., ·• . .. ,. ,I

1319901 : -

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE

(IF SELF-EMPLOYED, ENTER NAME PERIOD --~BUSINESS)

1000.00

1000.00

, .

; ~'

750.00

, . 1000.00

I o I .· ·.;~w :111 ,· ., .,, .' •• q • ., ... . , .. ZP,,.O,O .... QO ..... _ .

SUBTOTAL$

..... ................ $ ____ _

(JAN. 1- DEC. 31) (IF REQUIRED)

-- --- -- ~-

1000.00

1000.00

750.00

;,1 000.00

.2000.00

-~- ~~~ -... · I •contributor Codes IND - Individual COM - Recipient Committee

2. Amount received this period- unitemized contributibns of less than $100 ...... .... .... .. ..................... .. ..... $ -------(other than PTY or SCC)

OTH-Other

3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 .) ................... . TOTAL$------


FPPC Form 460 (JUNEI01) FPPC Toll-Free Helpline: 8661ASK-FPPC

Schedule A Typ,~ oc· pr!nt in il'lk. SCHEDULE A ~ed Statement covers period

CAUFORNCA ~60 I from FORM' - ..

through 11 I 38 " -

I.D. Number

1319901 --~· ______ ,_ - '

FULL NAME, MAILING ADDRESS IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE


RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 .. DEC. 31) (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I. D. NUMBER) ------~-·-

O_F BUSINESS) --r-------- ·-•-·• ______ ,. Rc~t Dt: 01ND 1000.00 1000.00 'r:l 24/201 1 CA Society of Industrial Medicine & Surgery PAC IKJ COM

DoTH

Sacramento CA 95814 0 PTY ID: 810568 D sec

Rc~t Dt: 0 IND 10000.00 10000.00 10 21/2011 CA State Pipe Trades Council Political Action Fund DcoM

0 OTH .f.'.

Sacramento CA 95814 D PTY ID: 743895 lXI sec

Rc~t Dt: DIND 3900.00 3900.00 08 26/2011 CA Tribal Business Alliance IE PAC 1KJ COM

1 . . ,jj .. •, .,,, , · · · GJ OTH• .. •. , I

Sacramento CA 95814 Lffity ID: 1270258 c

" -Rc~t Dt: DIND 1000.00 1000.00 09 27/2011 California Association of Health Facilities PAC lKJ COM

DOTH . ··; . ' :.. ~- : -. I D PTl'

I J: . \ ' .... ·, ll Sacramento

, \,I .. rF CA• · 95853 D sec ID: 741816 ;

-Rcfct Dt: 0 IND .. :< ~ - ·I·· I II!\· I 1500.00 ~ 1500.00 09 08/2011 California Independent Telephone PAO 1KJ COM

· DoTH

Sacramento CA 95814 DPTY ID· 771171 Osee

SUBTOTAL$ I I Schedule A Summary *Contributor Codes

1. Amount received this period- contributions of $100 or more. . IND -Individual

(Include all Schedule A subtotals.) ........................................................................................................ $ COM -Recipient Committee (other than PTY or SCC)

2. Amount received this period - unitemized contributions of less than $100 ............................................ $ 1OTH- Other

3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...... .. TOTAL$------




ontributions Received Amo-unts m-ay be rounded Statement covers period

CAUFQRNIA 460 ,I to whole dollars.

from

ON REVERSE through

NAME OF FILER


DATE FULL NAME, MAILING ADDRESS IF AN INDIVIDUAL, ENTER AMOUNT


RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (IF COMMITTEE, ALSO ENTER J.D. NUMBER) OF BUSINESS) ·- - ·-----·- ·- f--·---------~-------~------------------ --·-·--- --

Rc~t Dt: D IND 2000.00 • 0 21/2011 California Poultry Federation State PAC IKI COM

DOTH

Modesto CA 95350 D PTY ID:911046 Osee ,,

Rc~t Dt: DIND 10000.00 11 23/201 1 California State Association of Electrical Workers DcoM

DOTH .. , .. ~ .. . . ' . ' CJ PTY

.,,

Pasadena CA 91101 ID:743107 .it.:'

'. [KI sec, .. '

Rcf1t Dt: D IND 1000.00 09 19/2011 CAL-PT-PAC IKI COM

DOTH

Sacramento CA 95833 0P1Y ,, ,, I I Ht. ... ,,.,_ ',,,· i ID: 780079 D sec

Rc~t Dt: :

'; .I • \, tJ IND .l 1boo:oo· · · ! . :

12 30/2011 Can Manufacturers Institute ,' DcoM IKI OTH

Washington DC 20036 D PTY ID: --

Osee -

Rc~t Dt: D IND 3000.00 12 30/201 1 Cisco Systems, Inc. EPAC IKI COM

DOTH

Burl~~~ame CA 94010 DPTY ID: 1 2423 Osee

SUBTOTAL$

Schedule A Summary 1. Amount received this period -contributions of $100 or more.

(Include all Schedule A subtotals.) ........................................... .. .. ............................................. $ ____ ~


3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL$------

'FORM . '\ i

12/38 i

I I.D. Number -, 1319901

CUMULATIVE TO DATE PER ELECTION CAL EN DAR YEAR TO DATE (JAN. 1 -DEC. 31) (IF REQUIRED)

-- -2000.00

10000.00

:

1000.00

1000.00

3000.00

-- --- --------~- " --------~~]

•contributor Codes IND - Individual COM - Recipient Committee

(other than PTY or SCC) OTH- Other PTY -- Political Party SCC-- Small Contributor Committee




CALIFORNIA 4r60. to whole dollars. from FORM.. ·. · -- _ ....

through 13/38 -1 ON REVERSE

NAME OF FILER I.D. Number

J Felipe Fuentes Reform CA Ballot Measure Committee 1319901



RECENED CODE• (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) (IF COMMITIEE, ALSO ENTER I. D. NUMf!ER) -- r-- ---~~~':!_SINESS) ·---- -- ---- r---- - ---

Rcf1t Dt: Corrections Co~oration of America (eeA)

~ [J IND . . 2000.00 2000.00 "1811/2011 DeoM

,.

[KlOTH

Nashville TN 37215 OPTY ID: C! sec

Rcf1t Dt: D IND 1500.00 1500.00 1017/2011 Covanta Energy Corp.· t•IJ,I-1··: _:, . ,, .. d•'. '· ._._ ; 0 COM,·J ' .,\ i,, • 0 I '

00 OTH .. ·~t

Morristown NJ 07960 D PTY ID: Osee

Rcfct Dt: lKJIND Vice President/General 500.00 500.00 09 06/2011 Counsel Kevin Coyle 0COM

. . ~. ' . .. .. '• ' . . .. , ' ' ., : ·EJ·oTH •r· '! ' ·' ., : · 1. '."; ; ~ . ' '~ r: . , ,, I 1.,,, •• ' 1 •' ' \,, • • o l• o

D PTY U.S. ·Healthworks Holding ' Cameron Park CA; ·95682

Osee Company Inc. . · : ID:

:

Rcfct Dt: I lKJIND CEO 2000.00 2000.00 09 06/2011 D e$ DeoM

0 OTH

-· Sacramento eA 95811 D PTY pynamic Healthcare Solut-

ID: Osee 1ons

-R.cfct Dt: OIND 2500.00 2500.00 09 07/2011 Dart Container DcoM

[KlOTH

~~son Ml 48854 0PTY 0 sec

SUBTOTAL$ [ ~ . , ---- . 'II :--~


(Include all Schedule A subtotals.) .. .. ......... ............. .. ... ... ... ...... ... ... ...... .... ... ....... .............. ..... .. ........ ..... . $ -------

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

3. Total monetary contributions received this period. ~ '·· ' ·· ·· (Add Lines1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .... ..... ........... TOTAL$------


(other than PTY or SCC) OTH- Other PTY - Political Party

"SCC- Small Contributor Committee



ontributions Received Amounts may be rounded Statement covers period CALIFOR~IA 4610 to whole dollars.

from FORM' . I

through 14 I 38 ON REVERSE

NAME OF FILER 1 .. . , ... ~

LD. Number Felipe Fuentes Reform CA Ballot Measure Committee

. 1319901



RECEIVED CODE* .. (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (IF COMMITTEE, ALSO ENTER LD. NUMBER) . OF BUSINESS) ------·--1-- -- -· l j",. 1XJ IND .

~ ------- ·~---·--- ---··

Rcfct Dt: Senior Vice President 500.00 500.00 '19 06/2011 Kurt Davis DcoM

DOTH

Placerville CA 95667 8 RTY .. pynamic Healthcare Solut-

'•' 1pns · ID: sec -

Rc~t Dt: DIND 1000.00 1000.00 12 30/2011 DirecTV Inc. DcoM

IKI OTH

EISegundo CA 902:45 DPTY 10: .... '• .. '• ' !ill sc.c ' ' ' '; .. ' ' ' '

Ret Dt: DMB Associates, Inc. and Affiliates

D IND 2000.00 3000.00 12 29/2011 DcoM

' IKI OTH

Scottsdale AZ 85258 D PTY

~'-·-----~.~~'--ID: Osee

~-. ·-Rcfct Dt: DIND 2000.00 2000.00 09 06/2011 oramic Healthcare Solutions DcoM

lK] OTH

- Sacramento CA 95811 DPTY 10: Osee

l~c~t Dt: D IND 1000.00 1000.00 08 31/2011 EdVoice for the Kids PAC IKl COM

DOTH

Sacramento CA 95814 0 PTY 10: 1243091 0 sec

SUBTOTAL$ ~-: - .-;.---·----------·- ., I Schedule A Summary 1. Amount received this period -contributions of $100 or more.

(Include all Schedule A subtotals.) ....................................................................... .. ............. $ ____ _

2. Amount received this period- uniteh1ize<;t .contributions of less thf.ln .$100 , ... ., J.,.. .. ....... , .. ·,; ,: ... .. ......... ... $ ~ 1:


~·\ d -1 :,·,




Schedule A Type or print In Ink. SCHEDULE A


CAUFORNIA 4"60: to whole dollars. from FORM ' I

...• ,: t .~~ .-ti - ; ~.- ·~··· • ~ • :dJ ~ ~-!~ .:~ n~; .. pi.- ~ ... • ~ '.'• ( .JU ' ' _ .. , ., ... " ... ··-'"""""""': ...• I ' ,, 1 • • • • 1 o 'f • 0 I• J , ..,. ,~ , ·;

through 15 I 38 ON REVERSE

NAME OF FILER I.D. Number Felipe Fuentes Reform CA Ballot Measure Committee ,.

1319901

DATE FULL NAME, MAILING ADDRESS IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE

RECEIVED CODE * (IF SELF-EMPLOYE'D, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (IF COMMITTEF., ALSO ENTER I. D. NUMBER) - ·------- - -- ... --~-----·-·---- - --- -- -----~~~SINESS) -·--- --

Rcgot .. fi] ~gM 2000.00 2000.00 ~o 13/2011 FARM PAC .. . ·I

DOTH

Sacramento CA 95833 DPTY ID: 760960 D sec

Ret Dt: DIND 3000.00 3000.00 10 28/2011 Foster Poultz Farms .' .[]coM I ·' . I ..

I ;.

[K] OTH ' Livingston CA 95334 D PTY ID: ,' Osee

Rcfct Dt: [KJ IND Vice President, Californ- 500.00 500.00 09 06/2011 Therese Hernandez · DcoM ia Operations

DOTH

Manhattan Beach CA 90266 D PTY u :s. Healthworks Holding

ID: D sec Company, Inc.

RcfLt Dt: DIND 1500.00 1500.00 09 27/2011 Hilex Poly Co., LLC DcoM

[K] OTH

Hartsville sc 29550 . ' 0PTY ·I - Osee ID:

'Rc~t Dt: D IND 10000.00 10000.00 10 21/2011 I.B.E.W. Local18 Water & Power Defense League DcoM

DOTH

Los An~eles CA ... 90004 0 PTY i "I \ ~ I

'[ IZJ sec .... , ... , , . . , . '

I ID· 744 17

SUBTOTAL$ -r---- _ ---------~ .-. ] Schedule A Summary : ·contributor Codes 1. Amount received this period- contributions of $100 or more. IND -Individual

(Include all Schedule A subtotals.) ..... .. ................................................... ... ........... ...... ...... ..... .. .. ........ ... $ COM - Recipient Committee (other than PTY or SCC)

2. Amount received this period- unitemized contributions of less than $100 .......... ...... ......... .... .......... ..... $ OTH- Other

3. Total monetary contributions received this period. ·· ' '' · · • · (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ... ................. TOTAL$-------





C·ALIFORNIA 460. to whole dollars.

from ·nfORM ,..,,

i ,. through 16 I 38

i ON REVERSE

NAME OF FILER I.D. Number ..,

Felipe Fuentes Reform CA Ballot Measure Committee 1319901

FULL NAME, MAILING ADDRESS IF AN INDIVIDUAL, ENTER AMOUNT CUMULATNE TO DATE PER ELECTION DATE

AND ZIP CODE OF CONTRIBUTOR CONT.RIBUTQR . 9CCUPATION AND EMPLOYER RECENED THIS CALENDAR YEAR TO DATE

RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31 ) (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I.D. NUMBER} OF BUSINESS} --- -- -- ----·- '"' -- - 1-------- - - - - - - --

Rent ot: DIND 1500.00 1500.00 7 06/2011 Insurance Auto Auctions DcoM

IKl OTH

Westchester · IL ; 601 54 0 PTY ' I D sec 10:

Rent ot: DIND 1500.00 1500.00 09 08/2011 Kin~s River Water Political Action Committee IKI COM

; DOTH

Dinuba CA 93618 D PTY ID: 930708 Osee

Rcf1t Dt: 0 IND 1000.00 1000.00 09 19/2011 La~e Scale Solar Assn. PAC I !X! COM

DoTH ,. '

Sacramento CA 95814 D PTY ID: 1332838 0 sec -

Rif2t Dt: DIND 2000.00 2000.00 1 29/2011 Luxottica ~g~~ r, . \ · ) \ ' ~ !.,· ~~. ! r

r Mason OH 45040 / D PTY ID: D sec

Rc~t Dt: DIND 3900.00 3900.00 08 23/2011 Ma~estic Realty Co. DcoM

IKl OTH

City of Industry CA 91746 D PTY 10: D sec

SUBTOTAL$ - - . ---~


(Include all Schedule A subtotals.) ......... .. ..... .. ...... ........... , ... .. .. ..... , . •. ,., ... .. ... ..... .. , .. , .. ...... ............. .. .. ...... ... $ ------

2. Amount received this period- unitemized 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.) ... .. ......... ...... TOTAL$-------

\o oi'lt\ ·l tjl": I • · · .I)



FPPC Form 460 (JUNEf01) FPPC Toll-Free Helpline: 866/ASK-FPPC

Schedule A Type or print In ink. SCHEDULE A

ontributions Received Amounts may be rounded Statement covers period CA~lJ~,ORNJA 460 to '~{hole dollars. ..

from

ON REVERSE through

NAME OF FILER

Felipe Fuentes Reform CA Ballot Measure Committee .. ,. l •! ·"' L,,

FULL. NAME, MAILING ADDRESS IF AN INDIVIDUAL, ENTER AMOUNT DATE


RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (IF COMMITIEE, ALSO F.NTER I.D. NUMBER) OF BUSINESS) ·--· - -

, Rcfct Dt: " ~ ~' I . l ! 'I ·, ' !RJ INQ Senior Vice President 500.00 0

'I 06/2011 Joseph Mallas DcoM l

DoTH

Stevenson Ranch CA 91381 B~rc U.S. Healthworks Holding

! Company Inc, 10: :

Rcf2t Dt: DIND 3000.00 07 29/2011 Marriott International, Inc. DcoM

[K] OTH

Louisville TN 37777 0 PTY 10: i ~ •. u .. •i ! [;)sec ! . - -

Rcf2t Dt: D IND 3000.00 11 23/201 1 Me Donald's California Operators PAC [K] COM

DOTH

Sacramento CA 95814 D PTY 10: 782257 Osee

Rc~t Dt: DIND 2000.00 12 30/2011 MoronW Band of Mission Indians Native American Ri~ htffii!OOM

[K] OTH ,.. Banning CA 92220 OPTY

10: Osee ·~

DIND Rcf2t Dt: 1500.00 12 22/2011 NextEra Ener~ Resources LLC DcoM

IKJ OTH :?-

Juno Beach FL 33408 DPTY 10: D sec

SUBTOTAL$


(Include all Schedule A subtotals.) .... ................ .. ..... .......................... .. .... .. ...................... ......... ....... ... .. $ -------

2. Amount received this period- unitemized contributions of less than $100 ....... ....... .. ..... .................. ..... $ -------

3. Total monetary contributions received thiz period.. · '· '· '''··f · '" ·" i ; .,., .• :.,. ;,, .. v ,l.; i,,

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

I ,>- '• j

FORM ·

17/38 I

I.D. Number I

~ 1319901 I CUMULATIVE TO DATE PER ELECTION

CALENDAR YEAR TO DATE (JAN. 1 - DEC. 31) (IF REQUIRED)

-

'• 500.00

f----·-~- .-· --

3000.00

3000.00

2000.00

1500.00

I - -- - m -• •- • --~~


(other than PTY or SCC) OTH - Other PTY - Political Party SCC- Small Contributor Committee

FPPC Form 460 (JUNE/01) FPPC: Toll-Free Helpline: 866/ASK-FPPC

·,;.



CAUF?R~IA 4·~60 to whole dollars. from F0~1;,

~~ ' ~ .... 18/38 ON REVERSE

through

NAME OF FILER I.D. Number Felipe Fuentes Reform CA Ballot Measure Committee

1319901

FULL NAMf-,,MAIHIJIG,,AQP~.r;:.~~ , . COIIJTRIBU:rrOR IF AN INDIVIDUAL, E:::!'JTEk AMO~N,T , j ! CUMULATIVE TO DATE PER ELECTION

DATE AND ZIP CODE OF CONTRIBUTmt OCCUI"ATION AND EMPLOYER RECEIVEDTHIS CALEND~R YEAR TO DATE

RECEIVED ' CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I. D. NUC0BER) I

OF BUSINESS) ·----- -- - - ·--- j---

Rcf1t Dt: DIND 1000.00 1000.00 '11 0/2011 Nike Inc. and Affiliates OCOM

[ZJ OTH

Beaverton OR ~7005-6453 !:J PJ.Y ~ ID: ' Osee

Rcf1t Dt: D IND 1000.00 1000.00 12 15/2011 NR Energy Inc. DcoM

[ZJ OTH

Princeton NJ 08540 DPTY ID: Osee ..

Rcf1t Dt: D IND 3900.00 3900.00 1111/2011 ODS Technologies, LP dba TVG Network OcoM

IKI OTH

Los Angeles CA 90045 OPTY ID: 0 sec

Rcfct Dt: [K] IND Chief Medical Officer 500.00 500.00 09 06/2011 Leonard Okun DcoM

0 OTH

Leucadia CA 92024 0 PlY U.S. Healthworks Medical - D sec Group ID: ,, - ...

-Rcf1t Dt: 0 IND 500.00 500.00 08 14/2011 Pacific Egg & Poultry Assn. PAC [ZJ COM

DOTH

Sacramento CA 95814 0 PTY ID: 983310 0 ~cc

----·-----· . .... SUBTOTAL$ I . ~-=~~--~ Schedule A Summary 1. Amount received this period - contributions of $1 00 or more.

(Include all Schedule A subtotals.}·''.';li.~pi,~x~,•lb>l .. ,L:.•' ................ .. ... , .•.• ,: ........ , ... 4 ....... , ..... -:: •. : ...... : .. . ' :~.!! .. ,, ... : .L ..... $ 1 , .. , ,'' ' ' I • I '

2. Amount received this period - unitemized. contributions of les~\ thi:m $100 ................................... .. ....... $ -------

3. Total monetary contributions received this period. ' (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) .................... TOTAL$-------

1 1 l q I .d 1.1ti .• ~,;.l j J.. d ,, '· l

*Contributor Codes IND - Individual

, , COM - Recipient Committee (other than PTY or SCC)


FPPC Form 460 (JUNEI01) FPPC Toll-Free Helpline: 866/ASK-FPPC


ontributions Received ............ ..... .. ,, Amounts may be rounded Statement covers period .

I CALIF.ORNI~ 46f0 •.. -.~-! "'' ~ . .,1 \ ·' " ·· · • to whole dollars . -~

from FORM . I

-~ i ' . !" .• tl' --~ ' 1· ,, .. -~. ~

through 19/38 ON REVERSE

NAME OF FILER I.D. Number Felipe Fuentes Reform CA Ballot Measur€1•.Gpmmittee:·: .... _, ' . . . ' '

.. ' . ~ . • • ·' o o 1

•· o ''.. ~ 1, 1 o I ' • • I, :, , -' o .1) .l ... ,_ .:. !i.': ;

' 1319901

r' i ' ;_: .•. ; ',_ , ,,-_1.;1 I ,._.-.. ' ' . ,, )

FULL NAME, MAILING ADDRESS ' IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE AND ZIP CODE OF CONTRIBUTOR

CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE'* (IF SELF .. EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) (IF COMMITTEE, ALSO ENTER I. D. NUMBER)

.. -~ -BUS,INESS) ·- -- ·- ---.Qcf1t Ot: D INO 3900.00 3900.00

119/2011 Pala Band of Mission Indians DeeM IKJ eTH

Para CA 92059 DPTY

10: D sec

Rcf1t Ot: D INO 5000.00 10000.00 09 14/2011 P a~a Band of Luiseno Indians DeeM

IKJ eTH

Temecula CA 92592 D PTY 10: Osee

, . ~---

Rc~t Ot: D INO 5000.00 10000.00 12 30/2011 Pechan~a Band of Luiseno Indians DeeM

IKJ eTH

Temecula CA 92592 D PTY 10: D sec -

Rcf1t Ot: D INO 2000.00 2000.00 10 10/2011 o Inc. DeeM ·;

IKJ eTH ·•·

r Aliso Viejo CA 92656 D PTY 10: D sec

_.

Rc~t Ot: D INO 2000.00 3000.00 07 29/2011 Personal Insurance Federation of CA Agents & Emplo eei@'~M

· ·· ·· .... ·· 1 0 OTH ' . ... ;

Sacramento CA 95814 . 1 · D PTY ;I 1o: 133if487 D sec

____________ S_U_B_TO_T_A_L_$ .·. ~~ ~ ] Schedule A Summary · '! "!,, .. ,,.,,_,,, ,ii:• .• :... ·:

1. Amount received this period - contri'6liiion15 'bf $'1'dl<.f or niore. \ 1 ~ · ' i · • · ' I · ··· · · t , ... .... i

(Include all Schedule A subtotals.) .. ' ......................................................................................... : ............ $ -------






Schedule A ontributions Rec~iv~d• ,,".,. .~ : ... ·"" , ~ . '

' • , ~ "\ .i -~·t · 4:~:' ... ·I I , •.. :_ .. I

' ~! I

ON REVERSE

NAME OF FILER ' ... Felipe Fuentes Reform CA Ballot Measure Committee

FULL NAME, MAILING ADDRESS DATE AND ZIP CODE OF CONTRIBUTOR

RECEIVED (IF COMMITTEE, AI.SO ENTER I. D. NUMBER)

·------~--------·----

. ~c~t Ot: 128/2011' PG&E Corporation

San Francisco CA 94105 10:

Rc~t Ot: 08 23/2011 PG&E Comoration

San Francisco CA 94105 10:

Rc~t Dt: 11 30/2011 PriceWaterhouseCoopers LLP

Fort Lauderdale FL 33301 10:

Rc~t Ot: 11 23/2011 PriceWaterhouseCoopers LLP

r Fort Lauderdale FL 3330J ' 10:

,'l

-·

Rcfct Ot: 09 08/2011 Professic;mal Engineer.·s ~n1,q~fi.f1;uerr:m;Jent (P~.CG-PA 1 · · ·

Sacra~~~to CA 95814 ID: 822 1 'r=~-",;_,J .

t'·


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

.,J •• • 1.

Type or print in ink. SCHEDULE A

•' Amounts may be rounded Statement cov~rs period ;

CALIFO-RNiA 46'0. ' to! whole dollars. · 'i

from fORM -·· -·

' ·' I • . I I ,·, j through 20 I 38

I.D. Number

1319901

IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE

CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) ···-·

DINO 5000.00 7000.00 DcoM lXI OTH D PTY D sec

DINO 2000.00 7000.00 DcoM 1KJ OTH D PTY D sec

D IND 1500.00 2500.00 DcoM IKJ OTH DPTY 'l

Osee EIIN.O 1000.00 2500.00

COM •I

[Z] OTH DPTY Osee·

DINO 2000.00 2000.00 ~) D COM .. ,. , • ·I , .. ~~_ill,JI•nn~ ··• 1

i· l· J.L l ..

DoTH DPTY LKl sec

SUBTOTAL$ [~---- -,: - -~ .... - -- -~~l

.. ... $ ____ _

•contributor Codes IND -Individual COM - Recipient Committee

2. Amount received this period- unitemized contributions of less than $100 ............................................ $ -------(other than PTY or SCC)

OTH- Other PTY - Political Party


SCC- Small Contributor Committee

FPPC Form 460 (JUNE/01) FPPC Toll-Free Helpline: 866fASK-FPPC


ft:~o~~:n':~:::n:,~~~~~ .. .. .... _ ... L .. " _stat~mer~t cov~rs period .

I

ontributions Re~e,iv.etd ......• , ........... , . · ' · GAUFORNIA 460 ..

from FORM '

,• i through 21/38

ON REVERSE

NAME OF FILER I.D. Number


DATE FULL NAME, MAILING ADDRESS IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION


RECEIVED CODE • (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) (IF COMMITTEE, ALSO ENTER J.D. NUMBER) OF BUSINESS) - -- ··-

.. Rc~t Dt: DIND 1000.00 1000.00 l 28/2011 Recording Industry Association of America Inc. CA PA t: [KI COM

DoTH

Washinton DC 20036 DPTY 10:943 03 Osee

Rcf1t Dt: DIND 1500.00 1500.00 08 17/2011 RHA, Inc. DcoM

~OTH ·,·, '

Fresno CA 93650 PTY 10: D sec

Rc~t Dt: D IND r 1000.00 1000.00 09 20/201 1 SC Johnson DcoM '·'

[KI OTH

Racine \Xtl"1,1 (,~t;~tl3;" : ·\ ~\•i.,; 1.. • • · [J P'fY• ., · ·'1.'1·,,:,r. ;' ,1 ' '

ID: .. Osee

Rcf1t Dt: D IND 2000.00 4800.00 09 19/2011 Sem~ra ergy

.,.,,. :i. DcoM· i . ..

[KI OTH - San Diego CA 92101 0 PTY

ID: D sec

DIND 2800.00 4800.00 Rc~t Dt: 12 31/2011 ~r ergy l'''i~~y~·(J . DcoM : ' , ~ > •:!.1 : ', .oi• I.;, ·~ ~.I H o ~' • 1•

1

' .. ,. !KI OTH '· 1' "' ;,. t .I ~ · 'I .. ''''' I

San Diego CA 92101 DPTY ID: D sec

SUBTOTAL$


(Include all Schedule A subtotals.) .......................................... . .. ............................................... $ ____ _

2. Amount received this period- unitemized 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.) .................... TOTAL$ -------

. ·- .. -~---. ·.·---~




. ' j.¥~.( ··~.~-" ~,J· j I •• .'l ~!. · I'{~ •· •

".) j • ' ~I

Schedule A Type-or print In Ink. SCHEDULE A


1 CALIFORNIA 4'60 to whole dollars. i

from FORM I


NAME OF FILER I.D. Number Felipe Fuentes Reform CA Ballot Measure Committee

1319901

FULL NAME, MAILING ADDRESS IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE AND ZIP CODE OF CONTRIBUTOR

CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD {JAN. 1 -DEC. 31) (IF REQUIRED) (IF COMMITTEE', ALSO ENTER 1.0. NUMBER) or BUSINESS)

-·--·~- --·- --- --RcRt Dt: D IND 1000.00 1000.00 .... 14/2011 Solar Alliance CAPAC rKl cb'M

DoTH

Scituate MA 02060 DPTY

10: 1327739 Osee

Ret Dt: D INO 10000.00 10000.00 1021/2011 uthern CA Pipe es Oistrict Council #16 PAC El COM ! •·::···~"''''''·\''"' .. " ·1

•· · • , ' OTH , •I

l

D PTY t<.

Los An~eles CA 90020 10: 7q0 15 IKI sec

Rc~t Ot: D INO 1500.00 1500.00 07 27/2011 nt Nextel DcoM

lKJ OTH

San Francisco CA 9410"!.1' . :•. EJ PTY'. I i'

10: D sec

Rcfct Ot: D INO 3900.00 3900.00 07 08/2011 The Bicycle Casino DcoM

IKI OTH

Bell Gardens CA,,~ H ~02{)1 0PTY ~ , . D sec ,, .

10: . Rcfct Ot: 09 09/2011 The CA Assn. of Pest Control Advisers

Sacra~1~nto CA 95834 10: 801164

Schedule A Summary 1. Amount received this period ~ contributions of $1 00 or more.

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

' ..

--D INO 1500.00 IKI COM DOTH D PTY D sec

SUBTOTAL$

.. ............................. $ ____ _


3. Total monetary contributions received this period. , l'•', (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1 ;) .................... TOTAL$-------

1500.00

[----~. . ------~-··--········•: ...... ! *Contributor Codes IND - Individual COM - Recipient Committee


FPPC Form 460 (JUNE/01) FPPC Toll-Free Helpline: 8661ASK-FPPC



qALIFQRNIA 460; to whole dollars.

from FORM' 1

i


NAME OF FILER 1.0. Number Felipe Fuentes Reform CA Ballot Measure Committel3 ! : .... '~ '· ·· I

1319901 .... d FULL NAME, MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE •

(IF SEI.F-f:MPI.OYr.:D, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) - - . (IF COMMilTEr;, ALSO ENTER I.D. NUMBER) . ----·-· --. -. -. ·- . OF BUSINESS)

·~-·

Rcfct Dt: U.S. HealthWorks • ·'·· ;··., ., , ·' · · ' EJ ~gM 3500.00 3500.00 /-., 06/2011

[KJ OTH

Valencia CA 91355 D PTY ID: Osee

Rcf1t Dt: D IND .,

500.00 500.00 1219/2011 United Airlines Inc. DcoM

[KJ OTH

San Francisco CA 94128 DPTY ID: D sec

-

Rcfct Dt: -· EJ IND · ' 5000.00 ·5000.00 09 06/2011 US Healthworks, Inc. PAC 1KJ COM

DoTH

Alpharetta GA 30005 0 PTY ID: C00414706 Osee

Ret Dt: r_: • '' .• ·., '~~.i!·:I.J 1 au~o 3900.00 3900.00

12 22/2011 Verizon · col'itl .. , ., .. I ;· .. ,

1KJ OTH ~ Sacramento CA 95814 DPTY

10: Osee Rc~t Dt: D IND 1950.00 1950.00 12 22/2011 Verizon Communications, Inc. Good Govt. Club- CA IKJ COM

DOTH

Sacramento CA 95814 DPTY Osee 10· 790703 _,_

Schedule A Summary •tl-i

1. Amount received this period- contributions of $100 or more. (Include all Schedule A subtotals.) ......

SUBTOTAL$

............................. $ ____ _

2. Amount received this period - unitemized contributions of less than $100 ............................................ $ -------

3. Total monetary contributions received thil~·perio'd. l f 1

'· ' • ! '~ .lu L .i

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

I ---~ I *Contributor Codes IND -Individual COM - Recipient Committee



Schedule A Type or print in ink SCHEDULE A ded Statement covers period

CAUFORNIA 460 from FORM "' · . ·

through 24/38 ---

' • I · '· ' ···-~ NAME OF FILER

' ;I .. , I.D. Number Felipe Fuentes Reform CA Ballot Measure Coinmittee i

1319901

DATE FULL NAME, MAILING ADDRESS CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

RECEIVED AND ZIP CODE OF CONTRIBUTOR CODE '

OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE

(IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 .. DEC. 31) (IF REQUIRED)

OF BUSINESS) .. 0 -IND

-Rc~t Dt: 2500.00 2500.00

---' ·1 30/2011 Yocha Dehe Wintun Nation OCOM IKI OTH ' ; !

Brooks CA 95606 0PTY ID : Osee

Rcfct Dt: D IND 1000.00 1000.00 08 09/2011 Yum! Brands Inc. DcoM

lXJ OTH

Louisville KY 40213 D PTY

ID: Osee

I -~ _,I ·~ ;.~.'; I~ I I - !~-- • I 1 I , ~~ , ; I i I ~

. - , , .,: - - --· .. -~;.., .. .. ... .. __ .... - . , : · · , .t . .... ..... SUBTOTAL$ ..... 2.1780.0.00.J ______ -_ ······-~~ Schedule A Summary 1. Amount received this period - contributions of $1 00 or more.

(Include all Schedule A subtotals.) .... .. .... .... .. ..... .... .... .. .. .... ........ ... ... .. .... ... ...... .. .. .. ......... ... ..... ........... .. .. $ ------

2. Amount received this period - unitemized 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.) :,. .. ..... ............ TOTAL$------




ScheduleD \ •,_., .. ,,.. ....... . •.• \,.J~. ,, ., .. .. ,.a .. 1... .• I ; 11()i , OJ I ,, SCHEDULED

Summary of Expenditures I '

Type or print in ink. Statement covers period

Supporting/Opposing Other Amounts may be rounded CALIFORNIA 460 to whole dollars.

from FORM Candidates, Measures and Committees

SEE INSTRUCTIONS ON REVERSE through 25 i 38 -NAME OF FILER J.D. NUMBER


-~~=-·--· ·------~--·--=~-~-----·- _.,_,. __ ~ DATE CANDIDATE AND OFFICE, lYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMMULATIVE TO DATE PER ELECTION

MEASURE AND JURISDICTION, OR COMMITTEE (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE JAN.1 -DEC. 31) (IF REQUIRED)

10/05/2011 Latino Voters League 18] Monetary Contribution

10000.00 10000.00

'- Statewide 0 Non-Monetary Contribution

Di~trict N,o: ' .. [] ,lnd~pe~derit

' IR] Support D Oppose

Expenditure

12/02/2011 California Opportunity and Prosperity Act 18] Monetary Contribution

15000.00 15000.00

Statewide 0 Non-Monetary • • , ~' 'j Ll ' I • ~ .Contribution . r I ''I ,.

' ' I'

District No: ~ D '"'"''"''"' J .

~ Support . _Q_S_)_pp_~~~----- .. ----Expenditure

2_.:_• __ ·_· ·--~-· --- _____ ::.___~-------------- - -----------'- -- - --- --- --- --- -.. -.. it. ___ ..... L___, ________ -

' -~I r 1~.· j • -·~ 0:. ·\, : , ·l: J1 . U I

SUBTOTAL $

, .... ·-·-·············---------------·

25000.00 .. , , _ _':__ - 1

Schedule D Summary

1. Contributions and independent expenditures made this period of $100 or more. (Include all ScheduleD subtotals.) ................ $ 25000 00

2. Unitemized contributions and independent expenditures made this period of under $1 00 ............ . ....................... $ 0.00

3. Total contributions and independent expenditures made this period. (Add Line!? 1 and 2. Do not enter on the Summary Page.)......... TOTAL$ 25000.00

.. ' . ;


SCHEDULE E - - -- --- -

Type or print in ink. Schedule E Statement covers period CALIFORNIA 4

16,0

Payments Made Amounts may be rounded

to whole dollars. from · fORM · -. . .

SEE INSTRUCTIONS ON .REVERSE through 26/38

NAME OF FILER LD. NUMBER

Felipe Fuentes Reform CA Ballot Measure Committee 1319901 ,,

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

CMP campaign paraphernalia/misc. CNS campaign consultants

TB contribution (explain nonmonetaryt ~ vC civic donations FIL candidate filing/ballot fees FND fundraising events INO independent expenditure supporting/opposing others (explain)" LEG legal defense

-·' __ ,, ............ ~~. ···-· ~ .. ~ ........................ ~ .... , . I

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER).

CA Opportunity and Prosperity Act Committee

Los ll.nro~ln~ C'.A _90017

Charlotte Dobbs & Co.

Lcs Acgeles C8 90010

~ Charlotte Dobbs & Co.

. Los 8cgeles GA SQQHl

MBR member communications MTG meetings and appearances OFC , officl'!,expenses· PET ' petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO _ profe!!;;ional ~ervices (legal, accounting)

' ' ' ' tJI.,,. ---" ,,.: '· I : I ~ ~ • ;

CODE OR

CTB ID: 1343285

, , . , ...

OFC 10:

POS 10:

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

Schedule E Summary

,,

RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime ·and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration .. -- ........... ·-··-·. ·--· .. ·-·- ---·- ···- . ·· -· -· ··-··

1 I ,

DESCRIPTION OF PAYMENT AMOUNT PAID

15000.00 I "

3.75

78.22

SUBTOTAL$

1. Payments made this period of $100 or more. (Include all Schedule E subtotal,s.) ..... ....... .. ............................. ... .. .... ....................................... $ 82407.37 '

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).) .... .. ..... ... .. ... ... .. . ..

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .. .. .. .. .. . . , .. . . .. . •. r

$ 0.00

.. ... .. $ 0.00

TOTAL$ 82407.37


SCHEDULE E

Schedule E Type or print In Ink. Statement covers period CALIFORNIA 460' Amounts may be rounded

Payments Made to whole dollars. from . FORM ·

SEE INSTRUCTIONS ON REVERSE through 27 I 38 -·

NAME OF FILER '• I.D. NUMBER



CMP CNS ' TB

___ .;c FIL FND IND LEG _,

-

campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundralslng events independent expenditure supporting/op'posing others·(e)~Jiain)* legal defense · "' .... "'t:""''i:Z'' ...................... ....................... i:Z ....

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) .

David Pruitt Consulting, LLC

Sacramento CA 95814


Sa~rameoic C8 Q~A14


~ CA Q"A14

. •' '

MBR ' 'niember com~'unications · MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks

RAD radio airtime and prdouction costs RFD returned contributions SAL campaign workers' salaries

POL .. P.OIIin,g. anlil survey research Pbs pdstag~. delivery and messenger services PRO . professional services (legal, accounting)

TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS -stamspouse travel, lodging, and meals

· TSF : ~ transfer between committees of the same candidate/sponsor VOT voter registration

.... ..... --- . . - ····-···· .... - ~····-·- ----- ····-···-· . ....

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

ID: CNS 28300.00

ID: TRS 11/29/11-11/30/1.1_(Sacramento to Ontario CA) Airfare for 1

to Attend Fundra1smg Event ' 403.40

ID: TRS ~2/1d3/1.1_ (Sacramento to Burbank, CA) Airfare for 1 to Attend 146.70

un ra1smg Event

* Payment.~ that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$

Schedule E Summary ··

1. Payments made this period of $100 or more. (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, Part1, Column (e).) ............... .. ...... ... ... ............. , ... ......... $ ------

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ... ....................... TOTAL$------

., ,. 'r!· ;i( ''I·_., '" ··· ,., I ' • 1 ! •[f

·'· .r

.' o!l 1 ! ' ; • "I • ' 1 1 · 1·- t •· ,· (-<( ' ]"

I 1 • . ;, · ;.:I~;. · .~·:\, I \ •


•

SCHEDULE E

Schedule E Type or print in ink. Statement covers period CALIFORNIA 46r0


to whole dollars. from FORM . _ -·

' "

;~.~ I I <. '/"•o'l; • ; ' . • ' I • • ' • I • ~ through i.:. 28/38 SEE INSTRUCTIONS ON REVERSE NAME OF FILER 1.0. NUMBER

Felipe Fuentes Reform CA Ballot Measure Committee 1319901 ,, '' '· ,. -

CODES: If one of the following codeS,qwC}-!r~teJy.qE:)~<:;r,ibes the payment; you r.nay er]ter t~e cod!;!.,. Otherwise, describe the payment.

CMP campaign paraphernalia/misc. CNS campaign consultants

TB contribution (explain nonmonetary)* JC civic donations

FIL candidate filing/ballot fees FND fundraising events , IND independent expenditure supporting/opposing others (explain)* LEG legal defense ,_,,

\.IC:UII~i;U~II IIL'V'IC:HUIV !;UI\.ol IIIQIIIII~Y

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I. D. NUMBER)


Sacr:ameotc CA Q"\R14

MBR member communications !MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) ' ' '' Dlun ~~~

CODE OR

ID: FND

RAD radio airtime and production costs RFD returned contributions SAL camp~!.gn workers' 1~alaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration ··-- .... _ .... _ .. _ .. ·--.... - . .JY: ---·- .... - ... -., _,,_ ..


713.00

David Pruitt Consulting, LLC ID: FND 8/19/11 Meal for Candidate +9 for Fundraising Event 1302.70

Sacr:amAnto CA ~fiR14

David Pruitt Consulting, LLC 10: : FND 8/29/11 Meal for Candidate +7 for Fundraising Event 490.48 -

~::~r.r::~mAnto CA ~!'ifl14 '

• Payments that aro contributions or independent expenditures must also be su,mmar!zed on ~chedule D: '' .. -.10•.;:, • • ........ •· '· '. ', •

SUBTOTAL$

Schedule E Summary

1. Payments made this period of $100 or more. (Include all Schedule E.subtotals.) ............................ .. ............................................................. $ ------• : 1 '· L . ; I• ~

2. Unitemized payments made this p~riot~,f,1f.t:t,n~,~r ~~100 ; · .. ; ...... ,.,,i ......... ! •. ;"< ••••••• ~·····i··:····'·'·'.-•·· ·· •··· 1 .,.1 .••. , •• , •. , . .•• 1 . ..••. ;,pl.:~~.wl . :.;,L .. < •• ~.: .................... $ ------

3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)

4. Total payments made this period. (Add lines 1, 2, and 3. En'ter here and on the Summary Page, Column A, Line 6.) · ' -;\ . ,.,... 0 ! . . : 1. !r.;· · ' .~r •, ··~1i'l~ ~~IJ:df

.......... $ ______ _

.......... TOTAL$ -----


Type dr print in Ink. SCHEDULE E

Statement covers period Schedule E Payments Made

;.d~j o £~i'f· • yl J .: o(l i;;y i o .'f I J\ , . . . ·.· i Amoun~ may. be rou.nded., ........... , .. ., .. ' . i. ' ·:~ ·::I .I!.! ~·~ .· j j !_ ;: ' ;: ;~ . .• ' ·. . ; CALIFORNIA 4610 FORM to whole dollars~

from----------

SEE INSTRUCTIONS ON REVERSE •.. , ._ ,.;,,, . . .. ,· J ,_ . . ..L ... . ..... . . .. •. 1 , . .• . through--------:-- 29/38

NAME OF FILER I.D. NUMBER


·~--~- -~~-----..


CMP CNS --TB

/C ' i=IL

FND INO LEG I.. II

F= -

campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense \.ICIIIIIJC11~11 IIL'QICILUIW Qll\.4 IIICllllrlY~

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMIITEE, ALSO ENTER LD. NUMBER)

David Topp

co~~~~~ -~•~ f'.A Qt;R1.d.

Kaufman Legal Group

. '- 1•.

I m: Anm>IP<:. f'.A qnn11

Kaufman Legal Group

' 1- '•f~ •'" . 1 • j ~ j .'.: ~ : ' :, ; .• 1

I no::. AnnAIA<:. f'.A qnn11 ' · '

··~.. '. '· ' . ~,,

MBR MTG OFC PET PHO POL POS PRO

I'''

10:

10: .

10:

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

IIIILQ\..1.;10

CODE OR

. FND

PRO .;, ' .

OFC ;

\ '\.

I .. ·,,,. LJ · ~ ~ i .t: . ~ 1,.; I J -~ •

* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.

.. ..

Schedule E Summary I ~· 0 I

~: .. \: .

1. Payments made this period of $100 or more. (Include all Schedule E subtotals.)

2. Unitemized payments made this period of under $100. .. ...... ...... ................ ..

;

-

RAD RFD SAL TEL TRC TRS TSF VOT

' ·' H ·: , ,.i i;11t

radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration

.... ..__ ,.,,..,,,,,....,..,""''' •-~''''""''""'YY .., .... ., • .., ,n..,,,,..,~ 1 ..,,,,..,,


279.29

16067.50

376.76

' I .. : 1. , I .

SUBTOTAL$

.. ......... $ ____ _

.. .............. $ ____ _

3. Total interest paid this period on lo:·1fl3. (Enter a;·noUh~ fwm Schedule 8, Part 1, Column (e).) . ' "'. .. .... .. .. $ ____ _

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .... .. ........ TOTAL$-----


SCHEDULE E

Schedule E Type or print in ink. Statement covers period CAUFORNIA 460


FORM · . ' '

to whole dollars. from ' ; . ' ' ·

SEE INSTRUCTIONS ON REVERSE through 30/38


Felipe Fuentes Reform CA Ballot Measure Committee 1- '' · I

....... . ··• ., . I

~ . "\ .. , , ......... . '' \' ' 1319901 ~ t,·

CODES: If one of the following codes accurately ~f3SCribes the payment, you may enter the code. Otherwise, describe the payment.

CMP CNS

. 'TB

-- .1/C FIL

--

FND INO LEG

-·.

-

campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense ..., •• .,HI-''-1Mt• uu .. ,..,. • ..., , "" ..,.,,_ .,,,....,,.IH'-'

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO I!NTER I.D. NUI',l!3ERI , ,

Latino Voters League

I cs Acgeles CA 9QQ3j · ··, -"•·p .; !, 1.. ' ' NGP VAN, Inc.

w~o::hinntnn nr. ?fl(l(lt;

Bankcard Center

Salt I alse Citl£ UI a~J 3Q-QB33. -.~ ..... ,,.~,_~..,. ....

MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and sunley research POS postage, delivery and messenger services PRO professional services (legal, accounting) . . ~ . '"n _.__

. .. ' ' " I CODE <;>R

CTB 10: 1292527

. ' ..... ;1 OFC ·. I , ;

10· I .

" ...


--


····-·· ··-··-··. _, ... -- ---- ·· ··-···-·· -· ··-··


10000.00

,.

250.00

10: Credit Card Payment 8995.57

_,._~~. ,, • Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$

Schedule E Summary

1. Payments made this period of $109 ~r mr-~e . (lrlfiude,all S7h9dule E s~.lbtc,tal$. ) . . . : ... . : .... ..... . .. .. ... .. ... .. .... ... _ .. _. ........ ...... ................ .. .............. $ ------

2. Unitemized payments made this pe,riod of under::$100. • .. .. ... .... .. .... ............ .. .. .......... ...... .... .. ............ .. .. ........ ............... .. ...... .......... ...... ...... .. .. $ ------

3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) .) ......... .... ....... ... ................ ....... ........ $ ------

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ...... .. .......... ........ TOTAL$ _____ _


"''' ' I ·\~ 1-•,1"!.1'•, I ' '·\~~;; -~ '.l..,·,•:!. · II ... ' · r ' '· '"" ·• • ' "'' ''"' ' •· ·I• II · , ~ SCHEDULE E

Schedule E Type >o·r print in ink. Statement covers period CAUFORNIA 460 Amounts may be rounded

Payments Made to whole dollars. from FORM

. : j ( I I~(.\' il't <il ;, 'J . ·' . . , .· 1 ': •·••·· , . I . I . . ,._ ,., .. . . ... .... .. ... : .. .. " ... . J ... through --'.;.._, • 31/38 SEE INSTRUCTIONS ON REVERSE i· ill.~~. ln J .. t\ ·.-Hi \' 'r 1,-. . ~· '"' ·· Ln •. i,:.l : . ; .. ' . . . NAME OF FILER

\~ 1.0. NUMBER

Felipe Fuentes Reform CA Ballot Measure Committee ; .

1319901 ,_


CMP CNS 'TB

_._vc FIL FND IND LEG _,

campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense ......... ,tJ .... •~·· ............................. ... ,.,. ..... yv

NAME AND ADDRESS OF PAYEE OR CREDITOR IIF COMMITTEE, Al!SO ENJER 1:0; NUMBER) •

Bankcard Center

S:=~lt I :=~kA r.itv liT A411n.nA11

Chop's Steakhouse .

~ r.A Q!'iA14

MBR member communications MTG meetings and appearances OFC office expenses

;

PET petition circulating PHO. phone .banks· . POL polling and suriley research POS postage, delivery and messenger services PRO professional services (legal, accounting)

' "' IJI"" --~

' !;OQ.~ o1R

ID: OFC

' 10:

I MTG



••-- ., ., ...,.,,,,...u...,,. ,_...,,,,..,..,r~: ...,. .... ._,. ... 11n ... .,,_,1 ..,..,.,...,.,.

DE:SCRIPTIO'N OF PAYMENT AMOUNT PAID

info[ 281.19]

info[ 448.82]

Ella Dining Room & Bar :: -·t,\···· !0: --o'ol·

MTG info[ 64.42] - ·•' , ~ . ..,.;, ,, • . · I~ .~.~. '. ,,,. .•,. . ' ,;

~ •ntn r.A Q!'iR1A.

* Payments that are contributions or independent expenditures niust also be summarized on Schedule D. SUBTOTAL$

Schedule E Summary -wJ·"':'r:r~·.'t'~~,""-:'

·; j. • I i ~ ~ • ~ l ,/,., .. , ~; I , 1'-;--r"-·-·.·.-r.i·~-;~.~... . ' ::=::-=t~J4~--:~.::-;:;,-::~-~.: ....,:':···====:::;===================

•· 1. Payments made this period of $100 or more. (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 8, Part 1, Column (e).) .. .......... .... ........... .. ......................... $ ------

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A. Line 6.) ... ...... ... ... ... ........ TOTAL$------

' ; !.1 FPPC Form 460 (June/01)

FPPC Toll-Free Helpline: 866/ASK-FPPC

SCHEDULE E

Schedule E Type or print in ink. Amounts may be rounded I Statement covers period

Payments Made -. : :F•t-~r.~~iT~~·;;:;;;::; r,n~·~.:. ·.:: ;_;~,r~ · -;-: .,; ,ii~ ·*" .. :;...;; ·:.~ ~' .. 1-:1 L .! r;~;wtlpla do~ari,i, .: ... ~ - ., .. ·-; -~- i ~-: .. ,.~}:.-. <ttUli{• tn.;,~;·~;; ~:;;.:;.~;.1. "- ' i;

CALIFORNIA . 460 FORM


NAME OF FILER 1.0. NUMBER

Felipe Fuentes Reform CA Ballot Measure. Committee 1319901


CMP CNS 'TB

.- VC FiL FND IND LEG ~·'

- :··-..

-

campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* J· .,..1 ,.,11., 1i,,,, .;, . •.• ;;., ;., civic donations · · candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense uc;;uiiUUI II IIL\oti~LL.UV 1;1111._. IIIQIIIIIY~ .

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITIEE, ALSO ENTI:R 1.0. NUMBER)

Ella Dining Room & Bar

~ r.A Qt:;A1.:1

Fatman Cigars

'· -1 • ; 1 " - ~;to '. , , 1 ~ •···";

~ mto r.A Ql:\A11

Fox & Goose Public House

MBR member communications MTG meetings and appearances OFC office :expenj;es, . ..,.. ; ,. , PET petition circulating 'PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting)

'''' 1-""" ~~~

CODE OR

i., .l ..... ·{ ~ il.

RAD radio airtime and production costs RFD returned contributions ;$.[\,!.i.f ~rnpaign workers' salaries TEL tv. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration . . -- .... -.... -.. -.. ·--· .. ·~·- ---·- ····-· ·· -· -···-··


ID: FND 10/11/11 Meal for Candidate +2 For Fundraising Event info[ 111.74]

·~~. --

ID: FND info[ 790.35]

'i· • l'·'' •. 14 '1 .. ;1,.j. •· .... ··' . . ,, , ._;

ID: MTG info[ 87.65)

Sacramento CA , -~5i:.1:.!t1~~!~~ ·:.· . ::.~::..!~~~ .;_ .· : ; :·~~~; .. ·:;·. i•" : . ·; · t1L.:· ...;.ltJ. . ..;,iJ..J.J ~· ., ~ ·" ._, .... , . .., -Ji: .. , ~ :~:. :'.\, ..... . .:-,. ,,,,;,;.;, .. ·

* Payments that are contributions or independent expenditures must als;l be summarized on Schedule D. SUBTOTAL$

Schedule E Summary

1. Payments made this period of $100 or more. (Include all Schedu!e E subtotals.) ........ . ..................................................... :' '' '"''''"''$ ____ _

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).) ...................................................... $ ------

4. Total payments made this period; ~A~;d .li~es~: 2, and 3. En~~r her~ :~n?_ o~ the ~um~ary Page, Colurym ~·Yn.1. ~ : ) ·:. ii-' ·\ ir'iC '": · : · ······ . TOTAL$------


y .;,!~J:.,l~~·~:- ·/:i: ;: ' -- "~ "; ' · · ·· '--"-- ~· • 'i '·• . '-1 ... JJ'; .' .- · . .' \J.I , .• . ~ ' l .1\; .... , ... ....... .. . .. • ... . . : _-_j_, __ .·. j, '.,,;, ·, .. ,~:. _·,:;; .-.. < SCHEDULEE -Type or print in ink. Statement covers period

CALifORNIA 460 .. Amo'unts may be rounded ..

FORM ·· : to whole dollars. from -

through 33/38

. . . ... . - . I.D. NUMBER NAME OF FILER ' . .. ..- · ' i · ,., ;' 1· · . .. ,, '


- --- ----- ---


CMP CNS 'TB

--' 1/C FIL FND INO LEG ....

. '~.

campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense \.tc:llllfJC::U~:PI IU'C;ICJ.LUI'I:i Qll'-4 IIIQIIIIIMi)

NAME AND ADDRESS OF PAYEE OR CREDITOR (I F COMMITIEE, ALSO ENTER.I.D. NUMBER.I

Fox & Goose Public House

Sacramecto G8 958:1:1 ... , ... Mulvaney's

Sacra me etc .. CA 95811

..

MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) '''-' tJIIII\ en,,...,

c,CODE OR



¥ Y .......... IIIIUII IIU\1'-111 \'WVIIII'VIV IJ VV..;I'\.,;J 111\VIII .... \J VIIIQII


ID: FND 8/20/11 Meal for Candidate + 7 For Fundraising Event info[ 157.00]

.,......-; -. ~: FND 8/16/11 Meal for Candidate +11 For Fundraising Event info[ 954.22]

10:

FND 6/8/11 Meal for Candidate +6 for F!..!ndraising Event info[ 746.46] Mulvaney's . •., ..... t.ilrl>''"' . . , .. _ ..... <•:; ' .. .. ... ,_ ... . : ! ·10:· ·'--· · ' · · ' '11. . "J .,i ( -4:· ! J · ! ~. : . ':""" . ~ ' .. ·' ~." . . : - ~ . ~· . ~ ... .• ' ,:• ~· ',' . .

.. ' . ..

. '· ..

Sacrameclo CA. S5flj 1 - -* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$

Schedule E Summary

1. Payments made this period of $100 _or more. (Include all Schedule E subtotals.) ..... .. .... ... ................... .. .................... .. .... $ ___ _

2. Unitemized payments made this perrod of under $100. .. ..... ..... .... .... ....... ... .. .......... .... .. ...... .... ..... .... .... .. .... ... ........ .... ... ..

3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e) .)

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ......... .

.. ... .. ...... .. ... $ ____ _

.... ...... ...... . $ ____ _

TOTAL$-----


SCHEDULE E ; ' ' Schedule E Type or print in Ink. Statement covers period CALifORNIA 460 Amounts may be rounded

Payments Made ' to whole dollars. FORM ' from




- ---


CMP CNS

TB ._ AC FIL FND IND LEG

campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense

LIT campaign literature and mailings

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)

MBR MTG OFC PET PHO POL POS PRO

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

PRT print ads

CODE OR

FND



WEB information technology costs (internet, email)


Seiland's Market Cafe

..... .. · ~·· ·-"··· ·- •. , - . ,, .. , , ... -ID; . •··· 8/11/11 Meal for Candidate +9 For Fundraising Event info[ 904.96] .

Sacramento f'.A !=1!1RHl

Southwest Airlines 10: IND/TRS/Measure USug_p9rt- 3/3/11 (Sacramento to Burbank, CA) Airfare for 1 for G01V Measure L

info[ 361.40]

-- Fl Paso IX ;aJ~~~ - \. . .. . ·l i, I .. ;,l ' ' ,. r'' ' ,,, ,, I ' •! ';"' :•' 1. ~~-· ~_. ·~- ~""' . '•' '

Southwest Airlines ID' I I' c'Nf)ITARrfS/Measure USugport- 3/3/11 (S--a-c-ra_m_e_n_t·o-to_B_u_r_b-an-k-1------- · · I are for 1 for GOTV Measure L '

info[ 361.40]

El Paso TX __ 79925

• Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$

Schedule E Summary

1. Payments made this period of $100 or more. (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).) ......... ...... ................. .. .................... $ ------

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................... ....... TOTAL$------


SCHEDULE E

Schedule E Type or print in Ink. Statement covers period CALIE5)RNIA 460


to whole dollars. from . FORM~ 1

•


NAME OF FILER 1.0. NUMBER



CMP CNS ~Ts

/C -FIL FND INO LEG LIT

campaign paraphernalia/misc. MBR member communications campaign consultants MTG meetings and appearances contribution (explain nonmonetary)* OFC office expenses civic donations PET petition circulating candidate filing/ballot fees PHO phone bariks ;. fundraising events POL polling and survey research

radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals

independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services legal defense PRO professional services (legal, accounting)


transfer between committees of the same candidate/sponsor voter registration

campaign literature and mailings PRT print ads WEB information technology costs (intern~!, email)

NAME AND ADDRESS OF PAYE!:. OR_CB~D!T()R , , , . .o-,. .•. • . . ·.1 . . .

Spataro's

(IF COMMITTEE, ALSO ENTER 1.0. NUMilERI . . . . ' . '. ' I .:CODE OR DESCRIPTION OF PAYMENT

10: FND 16/14/11 Meal for Candidate +15 for Fundraising Event

AMOUNT PAID

info[ 1334.30]

.• .., .. )~~· ~~~: .•.. , ,., ....... , .... • • •·· · " i • .- •· .. , .. .. · • • ·P .... f • • ' •: • .• , v · ~~· 1 .. ~ l· ;r. 1 '""· · ~ ~ .. .

Sacramento CA 95R1:4..:__ _ 1 • • • 'J _l ~--.....:..~· -·-- .:.;.''-''~-· .•a· ''---------+-------. . .. · . .:' ; I MTG 17121/11 Meal for Candidate +2 To Discuss Fundraising

Swabbies Restaurant & Bar

Sacramento n---- ___CA _ _llli837_ __

The Broiler Steakhouse

~ C'.A !=lfiF\14

: 10: info[ 116.69]

10: FND info[ 661_85]

• Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 82407.37

Schedule E Summary

1. Payments made this period of $100 or more. (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).) ...... ................. ................... ............ $ ------

4. Total payments made this period. (Add lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................ _ ......... TOTAL$------

:··· FPPC Form 460 (June/01) FPPC Toll-Free Helpline: 866/ASK-FPPC

SeHEDULEF

Schedule F Type or print In Ink.

CALIFORNIA 460 Amounts may be rounded Statement covers period

Accrued Expenses (Unpaid Bills) to whole dollars. FORM from

through 36/38 SEE INSTRUCTIONS ON REVERSE




eMP eNS era eve

campaign paraphernalia/misc. . , . " · ., , .. · campaign consultants contribution (explain nonmonetary)* civic donations

· ..o'>ID INO LEG LIT

candidate fil ing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legaldefense , .... • ., ; . ...... ,.: ·· ·

campaign literature and mailings ..... ., . t.J .. ::, ... ,

c"

NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER)

Bankcard Center '10: ..

... t,l- ·~:"!~V:jf··" ""''' ..,., ;~ .. ~ .... , ... , ... W. "'~' ., .. , ..... ·fl !'I ' ·~'

;, .. ·;

Salt Lake Cit~ UT a413o-os3;2 ID:

Charlotte Dobbs & Co.

Los Anaeles _CA. 90010 10:

-Charlotte Dobbs & Co.

_Los 8ogeles C8 9QQjQ ---- --·-

*Payments that are contributions or independent expenditures must also be summarized on Schedule D.

Schedule F Summary

, .,MBR ... mem!:lef .;:omrrwnications· MTG meetings and appearances OFe office expensas PET petition circulating PHO phone banks POL polling and survey research POS oostage, deljvery and messenger services PRO' professionai servic:es (legsil, ar.c:;unting) .. P.RT .· print ads , . , .,

... ~-

(a) CODE OR OUTSTANDING

DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD

IND . I 722.80 ITRS/Measurtl ti'Suppu11'" · •· of • " ~ '1' " · · ~ ( •• •' '"" r•····~·-... · "'

I .

POS 78.22

OFC 3.75

------ ------

SUBTOTALS $

1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for

RAD radio airtime and prQduction costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRe candidate travel, lodging , and meals TRS staff/spouse travel, lodging, and meals T)5F transfer between committees of the same candidate/sponsor vtiT · v61ei' l'egfstration WEB information technolpgy costs (internet, email)

(b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING

THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD

722.80 0.00 .. . 0,00 ,., .,. >' '• , .. , .., ,. • "' ' .II ~ • ' '< • Ia · "" r 0' · ~ .J '

0.00 78.22 0.00

0.00 3.75 0.00

·--

$ $ $

accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) .... ............ ..... .. .. ...... .. .. ............. .. INCURRED TOTALS$ 1772.30

2. Total accrued expenses paid this period. (lncludealLSchedul,~ ,f,, Y,glun:m . {~).sybtotal~for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) ............... .. .. .. .. .. .......... ..

3. Net change this period. ~ubtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line ·

• ;r· _.. '" • • 'i . "'' ' .' ·:;J I ' . ~ , " t •' ~ .. T

•• ., · • ' · r•t ..,~ '!

1} . :•. I ' • ,, , ,

PAID l 'OTALS $ 1539.77

NET$ 232.53 May be a negative number.

FPPC Form 460 (Junef01) FPPC Toll-Free Helpline: 866/ASK-FPPC

::•. SCHEDULE F

Schedule F Type or print In ink. Amounts may be rounded Statement covers period CALIFORNIA 460 Accrued Expenses (Unpaid Bills) to whole dollars. FORM from

<! , ,,,, .. '"'• ' • t j .j . ' ~ J~ I

through 37/38 .. SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER


-- --- --- ---- --- -------

CODES: If one of the following codes accurately describes the payment, you, may enter the .code. Otherwise, describe, the oayment. _ ' .. . . - ' " I . . · .. • . . :· .. , , . .

CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants · MTG meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses

• CVC civic donations PET petition circulating candidate filing/ballot fees PHO phone banks

-rND fundraising events - •· POL polling and'Sl!(Vey research IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads

(a) NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR OUTSTANDING ,

(If COMMITfEE, Al .SO ENTE~,I . (\,~~~B.';~) ... , .,, ... _.:, ,, , ,; ,, . . , ; , , •.. , .. I> DESCRlPTION,!)F..t>.AYJI!IF,.I:{r. · BfoLA.NGE·BEGINNINS· ... ~ .

OF THIS PERIOD

10: CNS 735.00 David Pruitt Consulting, LLC

SacramentQ CA 95814

10: OFC 0 .00 Kaufman Legal Group

. Los Anaeles CA 90017 '·

10: PRO 0.00 ·Kaufman Legal Group

LQS 8ngeles _____ C.A 90017 ---

RAD RFD SAL TEL TRC TRS TSF VOT WEB

(b)

radio airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, ·lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (internet, email)

(c) (d) AMOUNT INCURRED

... " . v· TH!S·PERIGJ!}\ ·· ,..'!,,, .' AMOUNT PAID OUTSTANDING THIS PERIOD DALANCE AT CLOSE

(ALSO REPORT ON E) OF THIS PERIOD

0.00 735.00 0.00

5.30 0.00 5.30

1767.00 0.00 1767.00

• Payments that are contributions or independent expenditures mw;t also be summarized on Schedule D. 'SU3TOTALS $ 1539.77$ 1772.30$ 1539.77 $ 1772.30

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 $100.).. ................................................ INCURRED TOTALS$ _____ _ ... . . ~ o.;_ . • t,_.·- •...o~·· - ~ , i~ - ·1 ~· 1,¥ 1; ~ ·- ~ -~'.l .. o, r ', ·~- ·1 ' /; 1 1 ,,,· i:._, ~ 1 · ', j .I .~ L 11', , I : '~ ..; ; h . : ; '. 1 '~)":1,•~ !;· ' ~- ~ 'l '" ,l t.' ) .~.' i'

2. Total accrued expenses paid this p~lriua . (indud& ail Schedule F, Column (c) subtotals !'or paymer1ts on .

accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)..................................... PAID TOTALS$-------

3. Net change this period. ~ubtract Une 2 from Line 1. Enter the difference here and

on the Summary Page, Column A, Line 9.).. ...... .. .................................................................. ..... ...... .. ....................... .. ..................................... .... NET$~~-::--,.,--·---.-~-May be a negative number. I ~~ .• -l , , , ' .:.:•:: I


Schedule G , , \ 4 •: 1:olh• _,• ;, . . ~ · . ' 4 1.~ ~.. . '

.• T· · tin Ink SCHEDULE G

ded Statement covers period CALIFORNIA 460

from FORM

, th ~ough_· _. ·.:.,_;_ •. 38/38 o .. .H. ... ~ II "'V II " U-II\,.11'1\.J' lJI'I I ' L..Yi-1""•11- I . NAME OF FILER I.D. NUMBER Felipe Fuentes Reform CA Ballot Measure Committee

;

:. :•. 1319901 NAME OF AGENT OR INDEPENDENT CONTRACTOR



CMP campaign paraphernalia/misc. MSR · member·comr.n.unications CNS campaign consultants MTG meetings and appearances ~TB contribution (explain nonmonetary)* OFC office expenses . 1/C civic donations PET petition circulating

··FIL candidate filing/ballot fees PHO phone banks FND fund raising events POL polling and survey research INO independent expenditure supportinQIPP.P,P.~no: others (explain)* I 80,?, . po~tage,

1d13livel)l a_nd mes~enger servi9es . .

LEG legal defense ·:<• · ;:· •:~, , .• ,t · ,. · ' ·.,. ·· ·· · · ' ·i' ~Rd protes'slona\'serilice~ (lega't', li~6ouhfin9r1 "'"~ LIT campaign literature and mailings ; PRT print ads *Payments that are conti'lbutlons or Independent expenditures must also be sunlmarlzed on Schedule D

RAD radio airtime and pr:pduction costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals

, . ,~!,S,F .. )r,~r~f~r,. petween c~mmlttees of the same candidate/sponsor ·, . . vo"f voter registration .

. WEB information technology costs (internet, email)

NAME AND ADDRESS OF PAYEE OR CREDITOR - CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID jlF COMMITTEE, ALSO ENTER 1.0, NUMBER)

FND Ella Dining Room & Bar ID:

' Sacramento CA 95814 .,.

FND Tickets.com, Inc. 10:

Costa Mesa CA 92626 - ·· · -~-""'-' .. _ ., f . - .. •.

ID:

... ld:

.

10:

:. l .. l, (o } ." 1 · ' .. ' , . I ~,' . ~!

Attach additional information on appropriately labeled continuation sheets.

• Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E.

i

~.( ~ ~-:' r -r .u~~ ~;;i i' :4_. 1" : I . t· I •: • •:1 1 ' ·I · . L :·~---!i · -I I. · , +. r .T~. ' ·1 I .}_•, ·!. ' I; !· l I tJI ,., ...

I , . if i'j) J(j ~ ~- ··• ~ . .'. ,, · ·•···' · ·"

~~ \ ".i, , ., !\; .'f t··,J. n' '' ·•

1302.70

713.00

,j

TOTAL* $


ethicsdept km c754e-20150825071921 - los angeles · 2015. 12. 1. · 90017 i. d. number 1313818...

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