Recipient Committee Campaign Statement Cover Page

Government Cede
Sections

OVER PAGE

Typa

er

print

in ink

1 CI ITYD
applicabl

5 84218 94200
Statement
Irom
covers

patlatl

Date of election II

7 S 4 P

Alt lo 4

Page

of Ony

2009 01 07 2009 19 09
2

Month Day Yeari

For OfSCMI USe

a 3 l
i

SEE INSTRUGTIDN6 DN REVERSE

through
An

1 Type of Reolplant Committee 0 ORcaholdec Centlidate Conirolletl

COmPIet a cmamm

ne sa P l ana 4 Ballot Measure

Type

of Statement CuaMtly
Statement

Committee

Slete Cantlltlele Q Recall

Perty pbocoaAw Generel

Election Committee

pdmarlly FOrmetl
Committee

PrealecOOn Salamenl
Semiannual Statement

Q ControAed Q Sponawetl
AAacuAmele Perce

Special

TermineOOn Statement

Also

glee Fomt 410

Report SupplamentalPreelec0on
Ageph Statement FOrrn 495

OtldYear

Tarmne9on

Purpose

COmminae

Amentlment

Q Sponsored Q Small Conbibutm Committee Q POllllcal Party COmmMea Cenlrel

3

Explain below

Primarily Formetl Candidate Officeholder COmml9ee

p a W uac

Committee Information

L0 NUMBER

1309990

Treasurer

COMMITTEE NAME 0R CANOIDATE NAMF IF NO COMMITTEEI 6

NAME nF TPEASURER

Rothman for

Mayor

Klnde Durkee
MAILING ADOPESS

1212 5
STREET ADORE58 INO P BO O I
LITT

Victory

BI
STATE ZIP COOE AREA COOEIPMONE

1190 Sequoia Glen

CITY
STATE

Burbank
ZIP CODE
AREA

CA
TREg6URER
IF ANT

91502

0688 260 818

COOEIPHONE

NAME OF ASSISTANT

Pomona
MAILING gDDRE66

CA
IF pIFFERENT NO ANO
STREET

91766
OR P BOX O

0669 260 818

MAILING ADDRE39

1212 S Vlctary BI
CITY
6TATE

21P LODE

ggEA CODE PHONE

CIN

6TgTE

21P

CODE

AREA CODFJPHONE

Burbank
OPTIONAL
FA

CA
6M411 ADDRE39

81502

0689 260 618

OPTIONAL
Y F0

MAIL E ADORE66

Veriflcatlon
I have used ell reasonable tllllgence In prepatlng and reviewing this statement antl to the oi bes my knowledge the Informal undarpenaly of periuryuntleriha laws oRhe State of Callfomla that Naforegoing is true and colred
9 Exacal
an

hmntelnetl herel

din the atlaehetl schedules is true antlmmplete IwRlfy

2009 22 09
2009 22 09
m o

sY

Kinds Durkee
N tumr e R Avel

Exealad on

By

Elliott Rothman
amemconemaro sw
aimre cm r

l omurmsrea aereaalel ma re MenweF

Exeomee

an

ev
suia eammate rwmr marememomunsolll sie Memun Pmponem

Exewled

on

IB u

BY
elaMaoun EBrewrealLmeWap OaceMmr Cer4aau S Pmpomm

FPPC Ferm 480 tJanuary 05 A6 FPPC TPII Nelpline 88 WFPPC iBBLZTSBTR Free Stets pl Cellbrnla

Type

or

print

in ink

PART2 COVER PAGE

Recipient Committee Campaign Statement Cover Page Part 2

Page

of

Officeholder

or

Candidate Controlled Committee

Primarily

Formed Bello Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE

NAME OF BALLOT MEASURE

Elliot Rothman
OFFICE SOUGHT OR HELD LOCATION AND DISTRICT NUMBER IF APPLICABLE INCLUDE OR BALLOTNO LETTER
JURISDICTION

SUPPORT
oPPOSE

Mayor City
t2i2

of Pomona
NO
AND

BUBINEBS RESIDENTIAL ADDRESS

STREET

CITY

STATE

ZIP

ICtOry t BI

Burbank

CA

J150Q

Itlentify

the

e controlling officoholtler canliitla

or

state measure

proponent if

any

NAME OF OFFICEHOLDER CANDIDATE OR PROPONENT

Related Committees Not Included in his Statement

not

t Li aAy ommirceea
to

included in this statement that

or

are
on

controlled by you
behal oI your

contribu0ons

make

expendifwes

primarily rormetl candidacy

or are

receive

OFFICE sOUGHT OR HELD

DISTRICT NO IF ANV

COMMITTEE NAME

LD NUMBER

NAME OF TREASURER

CONTROLLED COMMmEE
TES NO

Primarily

Formed CandidatelOfficeholder Committee

or

List

names

s ceholtler o

s candidate

for which this committee is

primarily

formed

COMMITTEEADDRESS

STREETAWRESS

NO

PO

BOX

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT

OPPOSE
CITT STATE ZIP CODE AREA COpEIPHONE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD SUPPORT

OPPOSE

COMMITTEE NAME

Ip NUMBER NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE

NAME OF TREASDRER

CONTROLLEDCOMMITTEE
VES

NAME OF OFFICEHOLDER OR CANDIpATE

OFFICE SOUGHT OR HELD

SUPPORT
OPPOSE

NO

COMMITTEEADDRESS

STREETADORESS

NO PO BOX

CITY

STALE

ZIP CODE

AREA CODE PHONE

Attach continuation sheets

necessary i

FPPL Form 660 FPPL To14Free

Helpllne

FPPC 666IABK

Januaryl06 3 1 6 8662

State of California

Campaign

Disclosure Statement

TYPe

or

print

in ink Statement
covers

SUMMARY PAGE

Summary Page

Amounts may be rounded o whole tlollars

period

from

0112009 07 2DD9 19 D9
3
NUMBER

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

tNOUgh

Page
I n

Of

Rothman For Mayor

ColumnA

1309990
ColumnB

Contributions RBCeiVed
1 2 3
4

Calendar Year Summary for Candidates

Runnin 9 in Both the Stale Prima ry and General Elections
vt mro vao gn
n
m e oa

anioo rws onl

esl rmomarrnweoscnew

ooeTe croru

raa AtenoAa

Monetary

Contributions

5cnedure A maa

00 0

00 0 00 0
g

Loans Received SUBTOTALCASH CONTRIBUTIONS

scnedwe e mea
Aae

00 0 00 0 00 0
00 0

z ripest

00 0

20 Contributions Receivetl 5

Nonmonetary

Contributions

scnadwagenea qda unesa a

00 0
00 0

p1

Expendltures
Matle

TOTALCONTRIBUTIONS RECEIVED

Expendltures Made
6 7 8 9 tL

Payments Matle
Loans Made

srnedwe E Linea

46 1704

35 4423 00 0
35 4423

Expenditure
Candidates

Limit

Summary

for Slate

sonaewe n uaea
Aad ones 6

00 0 48 1704 00 0
00 0
g

33 Cumulative

Expentlitures

Matle

SUBTOTALCASH PAYMENTS

y nrovoloou Drsa6l aSPenenme umlD

Accrued Expenses Unpaid Bills srnadweq

iinez

OD O 00 0
g

Date of Election

Total to Date

Nonmonetary AtljustmenL

scnedmeo uaea
to g

mmldtllyy

11 TOTAL EXPENDITURES MADE Ade Liaea6

48 1704

35 4423

Current Cash Statement

12

Beginning

Cash

Balance

Previous

summary Page

une to

13 17665
To calculate Column B atltl

13 Cash Receipts

emumn A Line aa6ore

scnedme

00 0

amounts in Column Ato the

14 Miscellaneous Increases to Cash

15 Cash

1 unea

OD D
48 1704
5

corresponding

amounts

from Column Bof your last

Payments
Add ones

cowma q uaea anove

mracttme la ta tz rhea a is

16 ENDING CABH BALANCE

Il this Is a

65 15980

report Some amounts in ColumnAmay be negative figures that should be

subtractetl from

Amounts in this section may be tlifferent from amounts reported inCOlumn B

previous

terminatlon statement

Llne 16 must be zem

17 LOAN GUARANTEES RECEIVED

scnedure a Portz

00 0

If this Is the first report being flletl for this calendar year only carry over the amounts

perlotl

amounts

Cash
18 19

Equivalents and Outstanding Debts

Equivalents
Debts
see msrmcrmna
on reverse

Cash

8
5

00 0
DD D

arum y

Linea z

and g

ir

Outstanding

inesin Addwez Columna above

FPPC Form 660 JanuarylD51

FPPC T011 Free

Helpllne

FPPC 8661ASK

3 53 186612

Schedule D

scHEIwLEU

Summary

of

Expenditures

Type

or

print in ink

Statement

covers

U PP ortin 9

PP OSIn 9 Other Candidates Measures and Committees

SEE INSTRUCTIONS ON REVERSE
NAME

Amounts may be rounded to whole dollars

period

from

2009 01 07
Page 4
of

2009 19 through 09

OF FILER

D I NUMBER

Rothman For

Mayor
NAME OF CANDIDATE OFFICE AND DISTRICT OR MEASURE NUMBER OR LETTER AND JURISDICTION
ORCOMMITTEE

1309990
CUMUTATIVETO DATE PER ELECTION

PATE

ttPE Of PAYMENT

DESCRIPTION IF REDUIRFD

AMOUNT THIS
PERIOD

CALENDAR YEAR DFC I JAN m

TO DATE IF REQUIRED

Jason Rothman

Monetary
Conldbutian

00 1000 G2009
00 1000

2009 02 09

Sohool Board Member

Pomona Unified School District

Nonmonetary
Contribution

1000

Support

Oppose

Independent Expenditure Monetary

Contribution

Nonmonetary
Contribution

Support

Oppose

Independent Expenditure Monetary

ion Contdbu

Nonmonetary
Contribution

Independent SupPOd Oppose

ExpendlWre

SUBTOTAL

00 1000

Schedule D

Summary
ex P enditures

1 Itemized contributions and inde P endent 2 Unitemized contributions and

made this P eriod made his

otals Include all Schedule Dsub

00 1000 0 00 1000

independent expenditures
ex P enditures

period of under 100

Do not enter
on

3 Total contributions and inde P endent

made this P eriod Add Lines 1 and 2

the Summa ry Pa 9 e

TOTAL

FPPC Form 660

Januaryl0fi

FPPC Toll Helpline 666 Free 8fi61ASK 2T63T FPPC

SCHEDULEE

SChedUle E Pa y menu Made

Type
Amounts

or

print

in ink

may be rounded

Statement
from

covers

period

to whole dollars

0112009 07 D9f19f2gD9 5

O
6

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

IhrOYgh

Pdg
LD

O1

NUMBER

Rothman For

Mayor
of the

1309990

CODES
QvP CNS
CTB

If

one

following

codes

accurately describes

the
NiER

payment you may

meetings

enter the code Otherwise describe the

RAD fiFO

payment
protluction
costs

campaign pamphemalialmisc
campaign
consultants

member communications
antl appearances

mtlio airtime and

fi PG CFC

returned contdbulians

contribution explain nonmonetary

offce expenses

CVC
FlL FND IW

civic donations
cantlitlate

PcT
fees

petition circulating
phone
banks and survey research and messenger services

SAL TEL
TRC TRS

campaign workers salaries

Lv or cable airtime antl rantlitlate travel

protluclion

costs

ballot filing
events

funtlraising

Prp POL
oNers

lodging

antl meals and meals

same

polling

spouse stag ravel lotlging

voter

intlepentlent expenditure suppodinglopposing

explain

FOS

postage tlelivery print

ads

TSF

transfer between committees of the

wndldatelsponsor

LEG
LfT

legal defense
cempaiBn
Illereture antl

FRO

professional services legal accounting

VOT
VvEB

registration

mallings

HZf

Informetlon

technology

casts

Internet email

NAME ANO

eureai rlrcomrnmeeals

AOORESS OF PAYEE rvumEERt

CODE

OR

DESCRIPTION OF PAYMENT

AMOUNT PALO

Durkee 1212 S Durkee

1212 S

Associates

Victory

61
CA

PRO 91502

64 202

Burbank

Associates

Victory

BI

PRO CA
Fair CMP 91502

84 101

Burbank Los

Angeles County

1 110 W McKinley Av
Pomona s n Paym
that are contributions

00 400

CA
or

91768
must also be summarizetl
on

intlepentlent expenditures

Schetlule D

SUBTOTALS

48 704

Schedule E
1 Itemized
a

Summary
menu made this

eriod

Include all Schedule Esubtotals

48 1704 0

2 Unitemized

his 100 payments made Periodof under

on

3 Total interest P aid this P eriod

loans

Enteramount from 12

Schedule B Part 1 Column

on

4 Total P a Y menu made this P eriod

Add Lines

and 3 Enter here and

the Summa ry Pa 9 e Column

Line 6

TOTAL

48 1704

FPPC Form 460

January105

FPPC Toll Helpline 866 186612 Eros FPPC 0 ASK 6 2

Schee E

Type

or

print

in ink

coNT1 E ED scI
Statement
nom
covers

Continuation Sheet Payments Made

SEE INSTRUCTIONS ON REVERSE
NAME OF

Amounts may be rountled to whole dollars

period
I

2009 01 07 2909 U9f19

I

through

pag9

of

FILER

D NDMBER

Rothman For

Mayor
of the

1309990

CODES
CNP CMS CTB CVC
FIL FND Ifs

If

one

following

codes

accurately

describes the
MBF2 MrG

payment
meetings

you may enter the code

antl apPearanws

ise Otherv describe the payment

RAD
RFD SAL

campaign paraphernalia misc campaign consultants

contdbufion

member communications
office expenses

ratlio airtime antl

production

costs

relumed contrbutions

explain nonmonetary

OFC
Pd

campaign workers salaries

t v or cable airtime antl

dvic tlanations

petition circulating

TEL
TRC

production

costs

cantlitlate fling fees ballot

FiJ
POL

phone banks
palling and survey research postage tlelivery and messenger services

cantlitlate travel lodging and meals

fundraising

events

TRS
TSF

staRlspouse travel lotlging

transfer
voter

and meals
same

independent expenditure suppodinglopposing others explain

POS
PRO
PRr

between committees of the

costs

candidafelsponsor

LEG
Lfr

legal defense

professional services legal accounting

VOT
WEB

campaign Illemture and mailings

NAME AND ADDRESS OF

print

ads

registration information technWOgy

intemet a mail
AMOONT PAID

lF COMMniEE ALW EMER

I n

PgYEE NpM9ERt

CODE

OR

DESCRIPTION OF PgYMENT

Rothman For School Board 2009

CTB
1190 00 1000

Sequoia

Glen CA

Pomona

91766

ID 1321232

are Paymentstha

contributions orindependent ezpentlitures mustalso besummarizetl

on

Schedulo D

SUBTOTAL

00 1000

FPPC Form 660 January106

FPPC Toll Free

FPPC 5 Helpline 6661ASK 186613 3