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Recipient Committee

Cam

GOVemment

Cover Page

al

Statement
5 Ba21fi 84200
Statement from

type

or

print

in Ink

CovER PAGE
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CI
covers

CLERK
27
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Page
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Cade Sections

perlotl

Data of election if appll

xolo D1 Ot

MOOLh DaY Vearl

of

For

omCial Use ony

ONS SEE MSiRUC ON REVERSE

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al

20L0 JO 06

Type

of

Recipient

Committee

complete committee

Padn

t z 3 ana 4

Type

of Statement

Q O Candiaate fceM1olde

Controlled Cammidee

Pdmadty

Formed Ballot Measure

Preelection Statement SemiannualSUtement Termination Statement

Quarterly Statement Spedal


Vear Odtl

Q State Candidate Q Revell


almcmmbla
Pan

Election Committee

Committee

ConUOlled

Repoli

Q
Committee

5 p ons red

Supplemental

Preelection

Also fllea FOnrl 410 Termination


Amendment Explain belov

Attach Statement Form 495

ww w fNmco Pa Gene2l

PUryose

Q Sponsored Q Small COntributorCommiuee POlitiplPartylCenhal Committee


3 Committee Information
COMMILiEE NAME IOR CANOIpAiES NAA1E IF NO

Primariy Fanned Cantlidatel


Officeholder Committee
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Lp

NuMaSR 1 6 094

s Treasurer
NAME

COMMITLEE

OF

TREASURER

Cee Cortml

Lo

ElecC

Danielle

Sato

Claudia

enoiio Gosalez

MAILING AppRE55 3E STREET ADDRESS tN0 443 CITY Chester PO 5

Sierra

Madre

OniC

A STATE ZIP CODE AREA CODEIPHONE

a0

CITY

Place STATE ZIP LODE PREP LOp EIPMONE

Pasatlena

CA

9110

1556 0 3 J2J

NAME OF ASSISTANT

TREASURER IF ANV

Pomona

CA

1609 9ll60

SS 23J 951
BO

MAILING ADDRESS

HF DIFFERENT NO AND STREET OR PO

MAILNG ADDRESS

CITY

STATE

LIP CODE

AREA

LOp EPHONE

LITV

STATE

21P CODE

AREA LODEIPHONE

OPTIONAL

FAX

EMAIL ADDRESS

OPTIONAL

FAX

61AIL E ADDRESS

Verification
I have used all reasonable under

diligence

in

prepadngaM reviewing

this sUtement antl to Nebestpf my knovA

ge

mlation containetl herein and in Rte attached schedules is Weantl

IceN1y te mmpl

penalty

of

penury

under the laws Of the State of CalilOmia that the

foregoing is
aY

We and coned

Executetlw

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ExaBtm

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FPPC Form

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FPPC TDII Helpllne 006 I06NEISd Free FPPC ASH R


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print

in inM

COVER PAGE PART2

Recipient Committee Campaign Statement Cover Page Part2


Page

a
or

Officeholder

or

Candidate Controlled Committee

Primarily
NAME

Formed Ballot Measure Committee

NAME OF OFFICEHOLDER OR CANDIDATE


Danielle
SOCo

OF BALLOTMEASURE

OFFICE SOUGHT OR HELD LOCATONANO DISTRICT NUMBER IF APPLICABLE INLWDE g Ci Council Member Pomona 1 City of
REBIDENTIAUBUSINESS ADDRESS
2 4

OR B4LLOTNO LETTER

JURISDICTION

SUPPORi
OPPOSE

NO ANO STREETI
LA

CITY

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21P

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609 9ll6B

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NAME OF

Ne

controlling pRIC3M1Otleq Cantllddh

Or

SUIe me83Yr

prayOR6aq

if

any

OFFICEHOLDER CANDIDATE OR PROPONEM

Related Committees Not Included in this Statement


not

Lisr any commlrtres lormetl m receive


OFFICE SOUGHT OR HELD

Includes In Mls sMtemenr Mat


or

are on

controlletl

by you

conhibu0ons

make

tures erpenn

Dehall or ypuc

pnmanly cantlitlacy
or are

DISTRICT NO IF qNY

COMMITTEE WIME

LD NUMBER

NAME OF TREASURER

LONTROLLEDLOMMITTEE

Primarily
NAME

Formed Candidate Committee Officeholder


01

List

names

or

s oMCeholner

s antllaare for

wines

M15 commmee 8 unmanly IormeM


OFFICE 60UGHT OR

YES
COMMATEE ADDRESS BTREETADDRESS

NO OF OFFICEHOLDER OR CANDIDATE

NO

PO

BOXI

HELDSUPPORT
OPPOSE

CITY

TAIE

ZIP CODE

AREI

CODEIPHONE

NAME

OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT OPPOSE COMMITTEE NAME


ID

NUMBER
NAME OF OFFlCEHOLDER OR CANDIDATE

OFFICE SOUGHT OR NELD

SUPPORT

OPPOSE
NAME OF TREASURER

LONTROLLEDLOMMITTEEP
vE5 NO

NAME

OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPoRT WPOSE

COMMITTEEADDRESS

STREETADDRESS

NO PO BO I

CITY

STATE

ZIP CODE

AREA CODEIPHONE

Attach ronlinuation sheets i necessary

FPPC Toll Eros

FPPC Foml a60 January1051 FPPC Tri ABK IT Helpline 666 a66 Btaro

of Calaemh

Campaign Disclosure Summary Page

Statement

ryPe
Amounts

er

nt nk P I
rountletl

SUMMARY PAGE

may De

m wools mnara

Statement
from

covers

periotl

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SEE INSTROLTIONS ON REVERSE NnME Of FILER ee C Conen


Co

through

z01p 0 O6

Page
I D

I NOMBER

Elec

Danielle

Solo

6 09i t

Contributions Received
1

ColumnA
nxn rorurcs

ColumnB

Calendar Vear

Summary

for Candidates

crmsnenues rr Imov

w
re

Runnin 9

Both the State Prima ry and General Elections


m
in

Monetary Contributions
Loans Received
SUBTOTALCASH CONTRIBUTIONS

scneewe A une

00 0

p0 o

2
3

oh In

wao

xn

to

Dale

scrmmrle e a eJ Ana G z es
smeOUieGGnea

00 o

oo 0 00 0 o ao

po o

20 COntdbudons

Received
21

Nonmonetary Contributions
TOTALCONTRIBUTIONS RECEIVED

oo o

Expenditures
Made

aee uness a

00 0

oo

Expenditures Made
6

Expenditure
eo scneemeE O

Limit

Summary

for State

Payments

Made

oo aas

aos oo

Candidates

7 8 9 10

Loans Made SUBTOTALCASH PAYMENTS Accruetl

smeemefl eaea

00 0

00 0

22 Cumulative Aeo Li esa


scnaewee tines

Ex

Dentlltures

Matle

oL aps

aos oo

In

mnH o mrve amvox sve umpl Total to Date

Expenses tJnpaitl Bills

ao o oo o

oo

Date of Electi n

Nonmonetary Atljustment

smeawe c a es

oo

Immmdryy

11 TOTAL EXPENDITURES MADE nee as e 9 o

aos

po

aos po

JJ

Curren Cash Statement


12

S
Prevmus

Beginning

Cash Balance

summary Pege

ene rs

lspz

zs

Towlwiate Coiumn B add


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13 Cash

Receipts

emamn A v eaamve
Scneewe 1 firrea

amounts In COlamnA to the

14 Mi5fEan000S InLn Cash a5e5tO 16 Cash

cortespontling
pp 00 aps

amounts

Payments
see aces z u

emume A Linea above

f ham GOlumn B your last report Some ampunk in ColumnA may be

m Ampunk in Nis seGipn may be tliflerenl h amounk

repaned

in Column B

negative

16 ENDINGCASH BALANCE
If his is
a

un sufieaa we s

t o9zzs

figures periotl

mat should DQ If this is

subtracted Irom previous


termination sratemenC Line 16 mus be
zem

amounts

17 LOAN GUARANTEES RECENED

smeewe e Gertz

bo L

the first report being fled for mis Cdlentlar year Dory carry over the amaunk ana s rr Lines z

Cash
18 19

Equivalents and Outstanding Debts


Epuivalen6
Debts
see immuwmswmeme AOO Lina z ne Bin Cmumnea6ova s
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from r
3
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Wanuary105

Helpline 866IASWFPPC 86612 2 5

SLHEWLEE

Schedule E

Type

or

print

in In Y

Statement

covers

Payments
SEE

Made

Amounts may be rountletl tp wnple tlpllara from

Derlotl

zalo Ill of

ON INSTROCTION REVER6E

thrpngh

2n10 JO 06

pagB
LD NUMBER

el

NAME OF FILER ommlcfee


0

63ec

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o so

6 13094

CODES
tlN LNS CTB LVL FlL
FAD

If

one of the

following codes accurately describes the payment you may


NBR

enter the code

Otherwise describe the payment


RAD RFD SAL TEL

campaign paraphemalia misc campaign cansultanls contribution explain nonmonetary


dvic donations

member communications

ratlio airtime and production rests


reNmetl contributions

MITG
pFL

meetiigs

and appeamncas

otkw expenses

campaign
v t or

workers salaries

rantlitlate Olinglballpl tees

PET PHJ
POL
pryers

petition circulating phone banks

cable airime and

protludion

costs

TRC
TRS TSF VOT WEB

cantlitlate travel lotlging and meals

W LEG

IR

luntlraising events iMepeMent expentliWre suppoNnglopPosing legal tlefense campaign IiteraNre antl mailings

explain

PO
PRO PRr

polling and survey research postage tlelivery one messenger services professional semcas Ilegal accounting print ads

staRlspouse Vavel lodging


voter

and meals
same

oanster heWeen committees of the

cantlidatelsponsor

registration information technology

costs

inlernet a mail

NAME ANDADDRE650F PAYEE

prcceemPEmsoeurePlp raivaePl
ro
an
a

LODE

OR

DESCRIPTION OF PAVMEM

AMOUNTPAID

ae n

eao

zso oa

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sma

late

Covina

91433

UPS

e o 6

p5a9

pns

Oa 155

1p1

Pomoeu

66 CAe91

Blvtl

p110

Payments that

are

contributions

or

intlependant expentlltures

must also be eummarizetl on Schatlule P

SUBTOTALS

mo xos

Schedule E
1 Itemized

Summary
made this

payments

Include period all Schedule Esubtotals

4P pp

Unitemized 2

payments
aid this

madethis eriod
on

100 periodofunder
loans

po p

3 Total interest
4 Total

Enter amount from Schedule B Part 1 Column


Lines

o pm

payments

made this

periotl Adtl

1 2 antl 3 Enter here and

on

the

Summary Page

Column

Line

TOTALS

aos 00

FPPC Toll Free

FPPC Farm KO lanuary a6 FPPC Sg Nelplim B66IASK 86613 II

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