Recipient Committee Campaign Statement Cover Page
(Government Code Sections 84200-84216 5)
Statement covers period
SEE INSTRUCTIONS ON REVERSE
from
01/01/2012
through
03/17/2012
RI Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall E
General Purpose Committee
I .D NUMBER
JAELRoommocapaymew
Ar)
E
Preelection Statement
of
56
For Official Use Only
1:1
Termination Statement (Also file a Form 410 Termination)
E
Amendment (Explain below)
Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495
Ei Semi-annual Statement
NAME OF TREASURER
2012
Bett y Presley MAILING ADDRESS 30151 Tomas CITY
30151 Tomas STATE
ZIP CODE
Rancho Santa Margarita, CA 92688 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX STATE
CITY
Page 1
Treasurer(s)
1342399
STREET ADDRESS (NO P.O. BOX)
OPTIONAL: FAX
MAR 2 1 2012
(Also Complete Parr 7)
3. Committee Information COMMITTEE NAME (OR CANDIDATE S NAME IF NO COMMITTEE)
CITY
D
Primarily Formed Candidate/ Officeholder Committee
0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee
Debbie Arnold for Supervisor
COVER PAGE
2. Type of Statennent:
Primarily Formed Ballot Measure Committee 0 Controlled 0 SpOnsored miso Comp/ere Pod
Part 5)
Date of election if applicable (Month, Day, Year) 06/05/2012
1. Type ofIRecipient Committee: AHCommittees—CompteParts 1,2,3, and 4.
(Also Complete
nit
Type or print in ink.
ZIP CODE
AREA CODE/PHONE
STATE
Rancho Santa Margarita, CA NAME OF ASSISTANT TREASURER. IF ANY
ZIP CODE
92688
AREA CODEIPHONE
999-858-7498
949-858-7448 MAILING ADDRESS AREA CODE/PHONE
/ E-MAIL ADDRESS
STATE
CITY
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
949-858-6807
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 tp P ia d correct. Executed on
03/20/2012
Executed on
03131/7E13
Executed on
Executed on
www.netfile.com
Dare Date Dale Date
By By By
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signature of Controarng Officeholder, Canddate. state Measure Proponent signaaure Cairollaig Offrcehdder, Candidate, Slate Measure Proponent
FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866 1 ASK-FPPC (866/275-3772) State of California