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Home My WebLink About2010 Recipient Committee COVERPAGE � , Campaign Statement type or print I n i nk. Date Stamp s . Cover Page REC[1 WED ' , (Government Code Sections 84200- 84216.5) page 1 of _. � Statement covers period Date of election if applicable: JAN 2 4 2 --' from 10 -17 -2010 (Month, Day, Year) For offi cial Use Only ( 17Y �� '� •ems: DEPT SEE INSTRUCTIONS ON REVERSE through 12 -31 -2010 11-02 -2010 1. Type of Recipient Committee All Committees — Complete Parts 1, 2 , 3, and 4, 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee Semi - annual Statement Q Retail Q Controlled � ❑Special Odd -Year Report lereParrs) Sp onsored ❑ Termination Statement ❑ Supplemental Preelection (Also eca Q S P (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ General Purpose Committee (A/so Complete Part B) ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also ComptefeParr7) 3. Committee Information I.D, NUMBER Treasurer 1229403 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee to Re -elect Ron Roberts Jeanne Roberts MAILING ADDRESS 41140 Avenida Verde STREET ADDRESS (NO P.O. SOX) CITY STATE ZIP CODE AREA CODE /PHONE 41140 Avenida Verde Temecula Ca 92591 (951) 676 -2004 CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY Temecula Ca 92591 (951) 676 -2004 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. SOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS OPTIONAL: FAX/ E -MAIL ADDRESS 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury un der the laws of the State of California that the foregoing Is true and correct. Executed on 1 - 1 3 -11 By e —D� � � of eeurerorAeeisteMTreesurer ✓ R ' Executed on Dale By SignatumofConboflfngOfkeholder, ConMete, StaWMeastre ProponentorResponsib leOffiorofSponsor Executed on Data By Signature ofControC4tgOftehoMer, Cendidate, State Measure Proponent Executed on Date By Signature ofControtrngOttkeho r, Candidate, StateMeasure Proponent FPPC Form 480 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8681276.3772( State of California Recipient Committee type or print in ink. COVER PAGE -PART2 CALIFORNIA Campaign Statement FORM • i Cover Page — Part 2 Page 2 o f_ 7 _ 5. Officeholder or Candidate Controlled Committee S. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Ron Robert OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT City Council - Temecula ❑ OPPOSE RESIDENTIAUSUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 41140 Avenida Verde Temecula Ca. 82591 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate /Officeholder Committee List names of ofAceholder(s), or candidate(s) for which this committee Is primarily formed. ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8881276.3172) State of Califomla Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period - Summary Page to whole dollars. ' from 10 -17 -2010 • SEE INSTRUCTIONS ON REVERSE through 12 -31 -2010 Page 3 of 7 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and 0 1. Monetary Contributions ............ ............................... Schedule a , Line 3 $ 1,050.0 $ 10,605.00 General Elections 2. Loans Received ....................... ....:.......................... Schedule e Line 3 0 10,000.00 1/1 through 6/30 7/1 to Date 00 20,605.00 20. Contributions 050. 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ 1, $ Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 1,050.00 $ 20,605.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E Line 4 $ 1,800.00 $ 17,153.82 Candidates 7. Loans Made .............................. ............................... Schedule H Line 3 0 0 1,800.00 17,153.82 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add lines 6 + 7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C Linea 0 0 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE . ............................... Add Lines s + 9 + 10 $ 1,800.00 $ 17,153.82 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous summary Page Line 16 $ 5'985'89 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A Line 3 above 1,050.00 amounts in Column A to the 523.10 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... Schedule t, Line 4 from Column B of your last reported in Column B. 1,800.00 report. Some amounts in 15. Cash Payments .................................. Column A, Line 8 above Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14 then subtract Line 15 $ 5,758.99 figures that should be subtracted from previous ff this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from 2, �, and (if 18. Cash Equivalents ......... ............................... see instructions on riverse $ 0 00 000. FPPC Form 460 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 10, (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded statement covers period to whole dollars. • - from 10 -17 -2010 - SEE INSTRUCTIONS ON REVERSE through 12 -31 -2010 Page 4 of 7 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION , DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD - (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND 10/22/2010 CREPAC I.D. #890106 W]COM $250.00 $250.00 525 Virgil Ave. ❑OTH Los Angeles, CA 90020 ❑ PTY ❑ SCC ❑IND David Lowry ❑COM Retired 10 -27 -2010 125 Standish St. ®OTH $750.00 $1,500.00 Duxbury, MA 02332 ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC It SUBTOTAL$ 1,000.00, I r Schedule A Summary 'Contributor Codes 1. Amount received this period - itemized monetary contributions. IND- individual ....... ..............................$ 1,000.00 COM— Re (Include all Schedule A subtotals.) .................................... ............................... (other than PTY or SCC) 2. Amount received this eriod - unitemized monetary contributions of less than $100 ............................. $ 50.00 OTH — Other (e.g., business entity) P ry PTY — Political Party 3. Total monetary contributions received this period. SCC -Small Contributor committee Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Line 1. TOTAL $ 1,050.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Type or print In Ink. SCHEDULEB -PART1 Schedule B —Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars 10 -17 -2010 . S • from SEE INSTRUCTIONS ON REVERSE I through 12 -31 -2010 Page 5 of -7 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 IF AN INDIVIDUAL, ENTER AMOUNT INTEREST ORIGINAL CUMULATIVE FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING 10 OUTS ANDING e 9 OCCUPATION AND. EMPLOYER BALANCE AMOUNT PAID BALANCEAT OF LENDER pFSELF EMPLOYED, EWER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE ALSO ENTER LD.NUMBER) NAMEOFeuSINESS) PERIOD THIS PERIOD" PERIOD LOAN TO DATE Ron Roberts Mayor Pro Tem C] PAID CALENDAR YEAR 41140 Avenida Verde City of Temecula $ O $ $10,000. % $ $10,000 $ $10,000. Temecula, Ca. 92591 / E] FORGIVEN RATE PER ELECTION $ $10.000. $ a $ O none $ 07 -27 -10 $ to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION ** S S S S S to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE S DATE INCURRED S SUBTOTALS $ O $ Q$ $10,000 $ OT Schedule B Summary ( Enter ` s� edule E, ,Lln unea> 1. Loans received this period $ 0 (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes IND—Individual 2. Loans paid or forgiven this period ........................................................................:. ..........I.................... $ 0 COM— Recipient Committee (Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) PTY — Political Party 3. Net change this period. (Subtract Line 2 from Line 1,) .......... NET $ 0 SCC —Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (Ma be a negative number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661276 -3772) Schedule E Type or print In Ink, SCHEDULES Statement covers period 6 . Amounts may be rounded / � f Payments Made to whole dollars 10 -17 -2010 • from throug 12 -31 -2010 Page 6 of SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign parap6emalia/misc. MBR member communications RAD radio, airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FM fundralsing events POL polling and survey research TRS staff /spouse travel, lodging, and meals MD Independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENIER CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Final Touch Marketing 30097 Via Velez PI. CNS $1,200.00 Temecula, Ca. 92592 Justin Truong 41140 Avenida Verde SAL $300.00 Temecula, Ca. 92591 Korey Holaas 41140 Avenida Verde SAL $300.00 Temecula, Ca. 92591 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $1,800.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 1,800.00 2. Unitemized payments made this period of under $100 .....I....... $ 0 3. Total Interest paid this period on loans. Enter amount from Schedule B Part 1 Column e 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................ TOTAL $ $1,800.00 FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 8661ASK -FPPC (8661276.3772) Schedule I Type or print in ink. SCHEDULE I Miscellaneous Increases to Cash Amounts may be rounded Statement covers period to whole dollars. 10 -17 -2010 •' from through 12 -31 -2010 Page 7 of 7 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH City of Temecula Reimbursement of Campaign Fees 10 -20 -10 P.O. Box 9033 $523.10 Temecula, CA 92589 -9033 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 523.10 Schedule I Summary 1. Itemized increases to cash this period ......................................................................................... ............................... $ 523.10 2. Unitemized increases to cash of under $100 this period .............................................................. ............................... $ 0 3. Total of all interest received this period on loans made to others. Schedule H, Column (e). 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14. .... TOTAL $ 523.10 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Recipient Committee Type or print in ink. Date stamp • - • 1 Cover Page , ' (Government Code Sections 84200 - 84216.5) Page 1 of Statement covers period Date of election if applicable: RECEIVED 10 -01 -2010 (Month, Day, Year) For Official Use Only from SEE INSTRUCTIONS ON REVERSE through 10 -16 -2010 11 -02 -2010 OCT 21 2010 -4 P 61MIRKS ON= 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. 2.. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement (Also Complete Part 5) O Sponsored Also file a Form 410 Termination ❑ Supplemental Preelection (Also Complete Part 6) (Also Statement - Attach Form 495 F General Purpose Committee ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3- Committee Information I.D. NUMBER Treasurer(s) 1229403 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee To Re -elect Ron Roberts Jeanne Roberts MAILING ADDRESS 41140 Avenida Verde STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 41140 Avenida Verde Temecula Ca 92591 (9510 676 -2004 CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY Temecula Ca 92591 (951) 676 -2004 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of pequry under the laws of the State of California that the foregoing is true and correct. Executed on 1 ✓ j'0 '/' By Date Signatur eror istant Treasurer Executed on 20 By Date Signature of Controlling Officeholder; te, Stale Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/276 -3772) State of California Recipient Committee Type or print in ink. COVER PAGE -PART2 CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page 2 of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Ron Roberts OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT City Council - Temecula I I ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 41 Avenid Verde T CA. 92591 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612754772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. t from 10 -01 -2010 • - I • SEE INSTRUCTIONS ON REVERSE through 10 -16 -2010 Page 3 of 6 NAME OF FILER I.D. NUMBER Committee To Re -Elect Ron Roberts 1229403 TD Colu l mn A D Column B Calendar Year Summary for Candidates Contributions Received (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ $ 2,350.00 $ $9,555.00 2. Loans Received ....................... ............................... schedule a, Line 3 0 $10,000.00 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1 +2 $ $ 2,350.00 $ $19,555.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ $ 2,350.00 $ $19,555.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... schedule e, Line $ $4,969.86 $ $15,353.82 Candidates 7. Loans Made .............................. ............................... schedule H, Line 3 0 0 $4,969.86 $15,353.82 22• Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS ..... ............................... Add Lines 6 +7 $ $ ( If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 0 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE . .............................:. Add Lines s + s + 10 $ $ 4,969.86 $ $15,353.82 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $ $ 8,605.75 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above $2,350.00 amounts in Column A to the 0 corresponding amounts Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 from Column B of your last reported in Column B. 15. Cash Payments ................... ............................... Column A, Line a above $4,969.86 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ $ 5,985.89 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED ..............:............ schedule e, Part 2 $ 0 for this calendar year, only _ carry over the amounts Cash Equivalents and Outstanding Debts am Lines 2, 7, ands (if 18. Cash Equivalents ......... ............................... see instructions on reverse $ o y 19. Outstanding Debts ......................... Add Line 2 +Line s in Column a above $ $ 10,000.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule A Type or print in ink. SCHEDULE A Monetary ontributions Rived Amounts may be rounded Statement covers period ry Received to whole dollars. CALIFORNIA 10 -01 -2010 • from FORM SEE INSTRUCTIONS ON REVERSE through 10 -16 -2010 Page 1 of NAME OF FILER I.D. NUMBER Committee To Re -elect Ron Roberts 1229403 STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ( COMMITTEE, RALSAND ZIP I.D. NUMBER) DE O CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Highpointe Communities Inc. OCoM 10 -14 -2010 15 Enterprise Suite 250 W]OTH $1,000.00 $1,000.00 Aliso Veijo, Ca. 92656 ❑ PTY ❑SCC ❑IND Temecula Creek Inn ❑COM 10 -14 -2010 17550 Bernardo Oaks Drive ®OTH $1,000.00 $1,000.00 San Diego, Ca. 92128 ❑ PTY ❑ SCC ❑IND Dual Development Inc. ❑COM 10 -13 -2010 28464 Old Town Front St. Suite B ®OTH $300.00 $300.00 Temecula, Ca. 92590 ❑ PTY ❑ SCC ❑IND ❑ COM ❑ 0TH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY [:]SCC SUBTOTAL$ $2,300.00 Schedule A Summary 'Contributor Codes 1. Amount received this period - itemized monetary contributions. IND - individual (Include all Schedule A subtotals.) ......................................................................... ............................... $ $2,300.00 COM— Recipient Committee (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ $50.00 OTH — Other (e.g., business entity) PTY— Political Party 3. Total monetary contributions received this period. SCC -Small contributor committee Add Lines 1 and 2. Enter here and on the Summa Page, Column A, Line 1. TOTAL $ $2,350.00 (Add g ) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Type or print in ink. SCHEDULEB -PART1 Schedule B — Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. from 10 -01 -2010 . q __C_ SEE INSTRUCTIONS ON REVERSE through 10 -16 -2010 page o NAME OF FILER I.D. NUMBER Committee To Re -elect Ron Roberts 1229403 IF AN INDIVIDUAL, ENTER OUTSTANDING O 1C1 OUTSTANDING (e 9 FULL NAME, STREET ADDRESS AND ZIP CODE AMOUNT AMOUNT PAID INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE EAT OF LENDER (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE LOSE O OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) P PERIOD THIS PERIOD PERIOD LOAN TO DATE Ron Roberts Mayor Pro Tern ❑ PAID CALENDAR YEAR 41140 Avenida Verde City of Temecula $ __0 _ $ $ 10,000 % $ $10,000 $ $10,000 Temecula, Ca. 92591 ❑FORGIVEN RATE PERELECTION- $ $10,000 $ $ none $ 07 -27 -10 $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION*" $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ $10,000 $ 0 Schedule B Summary (Enter( Sch edule E, , Line 3) 1. Loans received this period $ 0 ..................................................................................... ............................... (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes 0 IND — Individual 2. Loans paid or forgiven this period .......................................................................... ............................... $ COM — Recipient Committee (Total Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH — Other (e.g., business entity) PTY — Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) ................ NET $ 0 SCC — Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (Ma be a ne number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. SCHEDULEE Amounts may be rounded Statement covers period • . I Payments Made to whole dollars. from 10 -01 -2010 • - • t SEE INSTRUCTIONS ON REVERSE through 10 -16 -2010 Page of NAME OF FILER I.D. NUMBER Committee To Re -elect Ron Roberts 1229403 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals — FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals ND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID A B Mailing Solutions 42066 Avenida Alvarido Ste Q LIT $2,897.67 Temecula, Ca. 92590 Final Touch Marketing 30097 Via Velez Pl. LIT $1,946.63 Temecula, Ca. 92592 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $4,844.30 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ...................... $ $ 4,844.30 2. Unitemized payments made this period of under $100 ............................................... ............................... ............ ............................... $ $ 125.56 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ $4,969.86 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Reci ient Committee COVER PAGE Campai Statement Type or print in ink. Date stamp , Cover Page RECE9e E. (Government Code Sections 84200 - 84216.5) - 5 200 Page 1 of Statement covers period Date of election if applicable: 1 from 07 -01 -2010 (Month, Day, Year) oCT 1 For Official Use Only CRTY CLERKS DEPT SEE INSTRUCTIONS ON REVERSE through 09 -30 -2010 11-02-2010 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) 0 Sponsored Also file a Form 410 Termination (Also Complete Part 6) (Also Statement -Attach Form 495 ❑ General Purpose Committee ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1229403 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee To Re -elect Ron Roberts Jeanne Roberts MAILING ADDRESS 41140 Avenida Verde STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE - 41140 Avenida Verde Temecula Ca 92591 (951) 676 -2004 CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY Temecula Ca 92591 (951) 676 -2004 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is.true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on — �O By Date gn ureof reasureror Assistant Treasurer Executed on / 0 - 1 0 By Date STg Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Type or print in ink. COVERPAGE -PART2 Recipient Committee CALIFORNIA Campaign Statement FORM ' • Cover Page — Part 2 Page 2 of —n 5. 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Ron Roberts OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE City Council - T e m ecu l a RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 41140 Aven ida Verde Temecula Ca. 92591 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES F NO E] SUPPORT [j OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612753772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Summary Page to whole dollars. statement covers period CALIFORNIA , from 07 -01 -2010 • - • SEE INSTRUCTIONS ON REVERSE through 09 -30 -2010 Page 3 of 12 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Runni In Both the State Primar and (FROM ATTACHED SCHEDULES) TOTALTODATE g ma ry General Elections 1. Monetary Contributions ............ ............................... Schedule A Linea $ - 7 , ao oo $ 7 i aaS. 06 2. Loans Received ....................... ............................... Schedule e, Line 3 $10,000.00 $10,000.00 1/1 through 6130 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I +2 $ $17,205.00 $ $1;'205.00 20. Contributions . 0 0 Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ $17205.00 $ $27 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule e, Line $ $10,283.96 $ $10,383.96 Candidates 7. Loans Made .............................. ............................... Schedule H Line 3 0 0 $10,283.96 $10,383.96 22• Cumulative Expenditures Made" 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Exp enses ( Bills 0 0 Date of Election Total to Date p ( p � ............................... Schedule F, Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C „Line 3 0 0 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE .... ............................Add lines 6 +9 + 10 $ $10,283.96 $ $10,383.96 J $ Current Cash Statement » $ 12. Beginning Cash Balance ....................... Previous Summary Page Line 16 $ $1684.71 To calculate Column B, add $ 13. Cash Receipts .................... ............................... Column A, Line 3 above $t7205.00 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last $ 15. Cash Payments ............. :. Column A, Line 6 above $10,283.96 report. Some amounts in ”" .. Column A may be negative $ ,605.75 figures that should be - � $ 8 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14 then subtract Line 15 $ 9 subtracted from previous if this is a termination statement, Line 16 must be zero. period amounts. If this is $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule e PaK 2 $ 0 for this calendar year, only carry over the amounts 'Since January 1, 2001. Amounts in this section may be Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if different from amounts reported in Column B. any). 18. Cash Equivalents ......... .............................:. See instructions on reverse $ 0 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column 8 above $ $1 0,000.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to Whole dollars. • - .1 from 07 -01 -2010 - SEE INSTRUCTIONS ON REVERSE through 09 -30 -2010 Page 4 of NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE, ALSO I.D. NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE , RECEIVED CODE * ( IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND 08 -09 -2010 Rancon Winchester Valley 200 LLC ❑CoM $200.00 $200.00 41391 Kalmia #200 BOTH Murrieta Ca, 92562 ❑ PTY ❑SCC ❑ IND Rancon Winchester Valley 155, LLC ❑CoM 08 -09 -2010 41391 Kalmia #200 MOTH $200.00 $200.00 Murrieta, Ca 92562 ❑ PTY ❑ SCC ❑IND Rancon Winchester Valley 85 LLC ❑COM 08 -09 -2010 41391 Kalmis #200 ®OTH $200.00 $200.00 Murrieta, Ca. 92562 ❑ PTY ❑ SCC IND Rancon Winchester Valley 63 LLC ❑ COM 08 -09 -2010 41391 Kalmia #200 WJoTH, $200.00 $200.00 Murrieta, Ca. 92562 ❑ PTY ❑ SCC Europa Village LLC ❑IND 08 -09 -2010 41391 Kalmia #200 ❑ W]OTH $200.00 $200.00 TH Murrieta, Ca. 92562 ❑ PTY ❑ SCC SUBTOTAL$ $ 1,000.00' Schedule A Summary Contributor Codes 1. Amount received this period - itemized monetary contributions. IND - Individual (Include all Schedule Asubtotals.) .•.•. • ............................ $ , . a o COM- RecipientCommittee ..........................:........... ............................... _ (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 ............................. $ $1709.00 OTH - Other (e.g., business entity) PTY —Political Party 3. Total monetary contributions received this period. SCC -Small contributor committee Add Lines 1 and 2. Enter here and on the Summa e TOTAL $ 2Q j' as (Add Page, Column A, Line 1. ) FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. / ' from 07 -01 -2010 FORM through 09 -30 -2010 Page 5 of NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND IFSELLFEMP SELF-EMPLOYED, ENTER RECEIVED IOD THIS CALENDAR YEAR TO DATE RECEIVED (IFCOMMITTEE, ALSO ENTER I.D. NUMBER) CODE ( (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND CR &R Incorporated ❑coM 08 -05 -2010 11292 Western Ave ZOTH $1,000.00 $1,000.00 Stanton, Ca. 90680 ❑ PTY ❑ SCC Rosa's Cantina ❑IND 09 -06 -2010 28636 Old Town Front St. ❑COM $100.00 $100.00 OTH Temecula, Ca. 92590 ❑ PTY ❑ SCC Lubrani & Brown ❑IND 09 -10 -2010 41391 Kalmia St #300 ❑coM $198.00 $198.00 ® OTH Murrieta, Ca. 92562 ❑ PTY ❑ SCC Phillips B. Baily ❑IND 09 -10 -2010 36150 Pauba Road ❑coM $500.00 $500.00 ®OTH Temecula, Ca. 92592 ❑ PTY ❑ SCC Kathleen Hamilton ❑IND 09 -10 -2010 42626 Deluz ❑COM $400.00 $400.00 ® OTH Temecula, Ca 92590 ❑ PTY ❑ SCC S UBTOTAL$ $2198.00 "Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party FPPC Form 460 (January/05) SCC —Small Contributor Committee FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contr ibutions Received Amounts may be rounded Statement covers period • . to whole dollars. / ' from 07 -01 -2010 FOR through 09 -30 -2010 Page 6 of 14 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED ( CO MMITTE E, ALS AND EN ZIP I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Jeffrey B. Byers EICOM 09 -10 -2010 49275 Via Vaquero ®OTH $100.00 $100.00 Temecula, Ca. 92590 ❑ PTY ❑ SCC South Coast Winery Inc. ❑IND 09 -07 -2010 34843 Rancho California Road ❑COM $100.00 $100.00 ®OTH Temecula, Ca 92591 ❑ PTY ❑ SCC Matthew Fagan Consulting Services ❑IND 09 -09 -2010 42011 Avenida Vista Ladera ❑COM $200.00 $200.00 ®OTH Temecula, Ca. 92591 ❑ PTY ❑ SCC Jon H. Lieberg ❑IND 09 -07 -2010 41911 Fifth St. Ste 300 ❑ COM $198.00 $198.00 ®OTH Temecula, Ca. 92590 ❑ PTY ❑ SCC ❑IND Sachse, James and Lopardo LLC corm 08 -30 -2010 205 W. Alvarado, Ste 1 ®OTH $1.00.00 $100.00 Fallbrook, Ca. 92028 ❑ PTY ❑ SCC SUBTOTAL$ $698.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Parry FPPC Form SCC —Small Contributor Committee C( ) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866127568/2753�772T72) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT) Monetary Contributions Received Amounts may be rounded Statement covers period _ to whole dollars. 07 -01 -2010 e - • ' from through 09 -30 -2010 Page 7 of /4 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION ( COMMITTEE, RADDRESS ZIP I.D. NUMBER) DE O OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * ( IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) - Jeff Comerchero ®❑IOM CEO Rancon Corp. IND 09 -26 -2010 41981 Avenida Vista Ladera E] OTH $500.00 $500.00 Temecula, Ca. 92591 ❑ PTY ❑ SCC David Turch and Associates ❑IND 09 -25 -2010 517 2nd St. NE ❑IoM $500.00 $500.00 ® OTH Washington DC 20002 ❑ PTY ❑ SCC Final Touch Marketing ❑IND 09 -10 -2010 30097 Via Velez PI. ❑IoM $100.00 $100.00 ®OTH Temecula, Ca. 92591 ❑ PTY ❑ SCC Barbara Wilder OIOM Retired 09 -13 -2010 28560 Via Santa Rosa ❑CO $500.00 $500.00 Temecula, Ca. 92590 ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ $1600.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party FPPC Form 460 (January/05) SCC — Small Contributor Committee FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275772) Schedule B — Part Type or print in ink. SCHEDULEB -PART1 Amounts may be rounded Statement covers period Loans Received to whole dollars. CALIFORNIA • 1 from 07 -01 -2010 FORM SEE INSTRUCTIONS ON REVERSE through 09 -30 -2010 Page 8 of 12 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 IF AN INDIVIDUAL, ENTER a (b) ( (d) (e) f (g) FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT OF LENDER (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE C THIS PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D.NUMBER) NAMEOF BUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE Ron Roberts Mayor Pro Tern ❑ PAID CALENDARYEAR 41140 Avenida Verde City of Temecula $ $ $10,000.0 0 $ $ 10,000.(d $ $10,000.(d Temecula, Ca. 92591 ❑ FORGIVEN RATE PER ELECTION $ $ $10,000.00 $ n $ 07 -27 -2010 $ t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $10,000.00 $ 0 $ $10,000.00 $ 0 (Enter (e) on Schedule B Summary Schedule E, Line 3) 1. Loans received this period .......................... :................... ...................................... ............................... $ $10,000.00 (Total Column (b) plus unitemized loans less than $100.) Amounts forgiven or paid by another party also must be 2. Loans paid or forgiven this period .......................................................................... ............................... $ 0 reported on Schedule A. (Total Column (c) plus loans under $100 paid or forgiven.) *• If required. (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. Subtract Line 2 from Line 1. .............. NET $ $10,000.00 g P ( ) ....................: Enter the net here and on the Summary Page, Column A, Line 2. (Ma be a ne number) t Contributor Codes IND–Individual COM – Recipient Committee (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 SCHEDULE E Schedule E Type or print in ink. Statement covers period . Amounts may be rounded I t Payments Made to whole dollars. from 07 -01 -2010 • SEE INSTRUCTIONS ON REVERSE through 09 -30 -2010 Page 9 of 12 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating . TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals - ND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Temecula PO Box 9033 / 43200 Business Park Drive FIL $25.00 Temecula, 92590 City of Temecula 43200 Business Park Drive FIL $925.00 Temecula, CA 92590 The UPS Store 27475 Ynez Road POS $116.44 Temecula, Ca. Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $1,066.44 Schedule E Summary 1. Itemized payments made this period. Include all Schedule. E subtotals. $ $10,383.96 2. Unitemized payments made this period of under $100 ............................................. ............................... .......................... $ 0 3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).) ............. $ 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ $10,383.96 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded Statement covers period . to whole dollars. e ' Payments Made from 07 -01 -2010 SEE INSTRUCTIONS ON REVERSE through 09 -30 -2010 Page 10 of 1 1 NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals ED independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Final Touch Marketing 30097 Via Velez Place LIT $329.51 Temecula, Ca. 92591 Final Touch Marketing 30097 Via Velez Place CMP $1197.55 Temecula, Ca. 92591 Lowes 40390 Winchester Rd. CMP $95.33 Temecula, Ca. 92591 Office Depot 39690 Winchester Road CMP $37.28 Temecula, Ca. 92591 Albertsons Market Rancho Calif. Road FND $30.71 Temecula, Ca. 92591 " Payments that are contributions or indepe expenditures must also be summarized on Schedule D. SUBTOTAL $ $1690.38 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) Schedule E SCHEDULE E (CONT.) Type or print in ink. Statement covers period (Continuation Sheet) Amounts may be rounded CALIFORNIA , Payments Made to whole dollars. from 07 -01 -2010 • ' SEE INSTRUCTIONS ON REVERSE through 09 -30 -2010 Page 11 of NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) U S Postal Service Temecula, Ca. 92591 LIT $132.00 Korey Holaas 41140 Avenida Verde SAL $200.00 Temecula, Ca. 92591 Justin Thurong 41140 Avenida Verde SAL $200.00 Temecula, Ca. 92591 SAFE Rancho California Road CVC $80.00 Temecula, Ca. 92591 A B Mailing Solutions 42066 Avenida Alvarido LIT $2,325.48 Temecula, Ca. 92591 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ $2,937.48 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Type or print in ink. Statement covers period SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded CALIFORNIA J t Payments Made to whole dollars. from 07 -01 -2010 • through 09 -30 -2010 Page 12 of 2 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Re -elect Ron Roberts 1229403 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Final Touch Marketing 30097 Via Velez Place LIT $1,507.28 Temecula, Ca. 92591 Final Touch Marketing 30097 Via Velez Place, CNS $2,500.00 Temecula, Ca. 92591 American Classic Catering 27465 Commerce Center Dr. FND $682.38 Temecula, Ca. 92590 * Payments that are contributions or indepe expenditures must also be summarized on Schedule D. SUBTOTAL $ $4,689.66 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Recipient Committee COVERPAGE Campaign Statement Type or print in ink. Date Stamp CALIFO .1 Cover Page r (Government Code Sections 84200 - 84216.5) FORM Statement covers period Date of election if applicable: itSC Page 1 of 4 01 -01 -2010 (Month, Day, Year) from For Official Use Only 06 -30 -2010 11 -07 -2006 JUL 1:6 2010 SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees - complete Parts 1, 2, 3 and 4. 2 . Type of Statement: [K Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee O Primarily Formed ® Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled Termination Statement (Also Complete Part 5) � - 0 Sponsored ❑ F Supplemental Preelection (Also C omplete Pa rt d E] Amendment (Explain below) Statement - Attach Form 495 ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1229403 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee To Re -elect Ron Roberts Jeanne Roberts MAILING ADDRESS 41140 Avenida Verde STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 41140 Avenida Verde Temecula Ca 92591 (951) 676 -2004 CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY Temecula Ca 92591 (951) 676 -2004 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 7 —/ lO - 1d By —Z } Date , aJF3N of T surer or Assistant Treasurer Executed on f o By ^� Date Signature of Controlling Officeholder, Cand idate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on June /01 460 BY FPPC Form Date Signature of Controlling Officeholder, Candidate, State Measure Proponent ( FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page 2 of 4 5. Officeholder or Candidate Controlled Committee 6. Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Ron Roberts OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE City Council - Temecula RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 41140 Avenida Verde Temecula Ca 92591 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Committee List names of officeholder(s) or candidates) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE /PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Attach continuation sheets if necessary FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Summary Page to whole dollars. Statement covers period from 01 -01 -2010 • ' � , SEE INSTRUCTIONS ON REVERSE through 07 -01 -2010 Page 3 of 4 NAME OF FILER I.D. NUMBER Committee To Re -elect Ron Roberts 1229403 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR R in Both the State Prim and (FROM ATTACHED SCHEDULES) TOTALTODATE g ma rY 1. Monetary Contributions ............ ............................... schedule A Line 3 $ 0 $ 0 General Elections 2. Loans Received ....................... ............................... Schedule e, Line 3 0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 0 $ 0 20. Contributions 0 0 Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ....... .................... Add Lines 3 +4 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... schedule E Line 4 $ $100.00 $ $100.00 Candidates 7. Loans Made .............................. ............................... schedule H Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines s + $100.00 $100.00 22• Cumulative Expenditures Made* $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... schedule C Line 3 0 0 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE .... ............................Add Lines s + s + 10 $ $100.00 $ $100.00 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ $1784.71 To calculate Column B, add J� $ 13. Cash Receipts .................... ............................... Column A, Line 3 above 0 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... schedule /, Linea from Column B of your last I_J $ 15. Cash Payments ............. $100.00 report. Some amounts in Column A, Line s above Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14 then subtract Line 15 $ $1684.71 figures that should be $ subtracted from previous if this is a termination statement, Line 16 must be zero. period amounts. If this is $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... schedule e, Part 2 $ 0 for this calendar year, only carry over the amounts *Since January 1, 2001. Amounts in this section may be Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9 (if different from amounts reported in Column B. 18. Cash Equivalents ......... ............................... see instructions on reverse $ a n y ). y ) 19. Outstanding Debts ......................... Add Line 2 + Line s in Column B above $ 0 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E Type or print in ink. Statement covers period SCHEDULE E Payments Made Amounts may be rounded • • ' Y to whole dollars. from 01 -01 -2010 • 07 -01 -2010 4 4 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee To Re -elect Ron Roberts 1229403 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The Junior Statesman Foundation Beneficiary Jordan Hartsinck CVC $100.00 400 S. El Camino Real San Mateo Ca. 94402 p " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $100.00 Schedule E Summary 1. Payments made this period of $100 or. more. Include all Schedule E subtotals. $ 100.00 2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 0 3. Total interest paid this period on loans. Enter amount from Schedule B Part 1, Column (e).) $ 0 4. Total payments made this period. Add Lines 1 2 and 3. Enter here and on the Summary Page, Column A Line 6. TOTAL $ $100.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC