(CQ)r1f I CALIFORNIA 4602001/02FORM

Recipient CommitteeCampaign StatementCover Page(Govemment Code Sections 84200-84216.5)

Type or print in ink.

, Dtmm~IN SAN BENITO COUNTY

COVER PAGE

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

~ Officeholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measureo State Candidate Election Committee Committee

o Recall 0 Controlled(Also Complete Part 5) 0 Sponsored

(Also Complete Part 6)

Statement covers period

March 18,2010

o Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)

4

J.--of

1

o Quarterty Statement

o Special Odd-Year Report

o Supplemental PreelectionStatement - Attach Form 495

MAY 27 ZOlO Page

J~LEZ, ~O~N_1YC IJK.••• For Official Use OnlyJune 8, 2010

2. Type of Statement:

QJ Preelection Statement

o Semi-annual Statement

o Termination Statement(Also file a Form 410 Termination)

o Amendment (Explain below)

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

May 22,2010

from

through

o General Purpose Committeeo Sponsoredo Small Contributor Committeeo Political Party/Central Committee

SEE INSTRUCTIONS ON REVERSE

I.D. NUMBER

1285267COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)

3. Committee Information

CANDICE FOR DA 2010

STREET ADDRESS (NO P.O. BOX)

7940 Lovers LaneCITY

HollisterSTATE ZIP CODE

CA 95023AREA CODE/PHONE

831-636-7464

Treasurer(s)

NAME OF TREASURER

Stephanie GrossMAILING ADDRESS

1390 Sunset DriveCITY STATE ZIP CODE

Hollister CA 95023NAME OF ASSISTANT TREASURER, IF ANY

AREA CODE/PHONE

831-637 -5667

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

PO BOX 578MAILING ADDRESS

4. Verification

I have used all reasonable diligence in preparing and reviewing this statement and)cl1he bestun der penalty of pe~ury under the laws of the State of California that the foregoiniis tr

CITY

HollisterOPTIONAL: FAX / E-MAIL ADDRESS

ained herein and in the attached schedules is true and complete. I certify

AREA CODE/PHONEZIP CODESTATECITY

OPTIONAL: FAX / E-MAIL ADDRESS

831-630-9137/ grooming95023@yahoo.com

AREA CODE/PHONEZIP CODE

95024

STATE

CA

May 26, 2010Date

May 26,2010Date

Executed on

Executed on

Executed on ------CO;;;at!;e-------- By SignatureofContromngOfficehotder,Candidate,StateMeasureProponent

FPPC Form 460 (January/OS)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

State of California

Executed on ------"'Oa::it;;'e--------By -=....,..._...,.".....,... ..•••.....".,,,......,....,..,.....,....,.......,......,,,....,......,.,..._...,,.__ ....,... _Signatureot ControllingOfficeholder,Candidate,StateMeasureProponent

Statement covers periodCampaign Disclosure StatementSummary Page

Type or print In Ink.Amounts may be rounded

to whole dollars.

from March 18,2010

SUMMARY PAGE

CALIFORNIA 460FORM

I.D. NUMBER

1285267ColumnA

Column BCalendar Year Summary for CandidatesTOTAl THIS PERIOD

CALENDAR YEAR

Running in Both the State Primary and(FROM ATTACHED SCHEDULES)TOTAl TO DATE

200.00

1810.00General Elections

Schedule A, Line 3

$ $1/1 through 6/30

7/1 to Date

Schedule e, Line 3Add Lines 1 + 2

$200.00$1810.0020. Contributions

1810.00Received$ $

Schedule C. Line 321. Expenditures

$

200.00 1810.00Made$1406.75$Add Lines 3 + 4

$

Expenditure Limit Summary for State

Schedule E, Line 4

$ $1406.75ICandidates

Schedule H. Line 31406.75

I22. Cumulative Expenditures Made*Add Lines 6 + 7

$ $ (If Subject to Voluntary Expenditure Urnlt)

SEE INSTRUCTIONS ON REVERSE

NAME a F FILER

Candice for DA 2010

Contributions Received

1. Monetary Contributions .

2. Loans Received .

3. SUBTOTALCASH CONTRIBUTIONS .

4. Nonmonetary Contributions .

5. TOTAL CONTRIBUTIONS RECEIVED .

Expenditures Made6. Payments Made .

7. Loans Made .

8. SUBTOTAL CASH PAYMENTS .

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

10. Nonmonetary Adjustment Schedule C, Line 3

11. TOTAL EXPENDITURES MADE AddLines 8+9 + 10 $ $

through

1406.75

May 22,2010

Date of Election

(mm/ddlyy)

----1----1__

Page 3 of 4

Total to Date

$----

Column A, Line 3 above

Previous Summary Page. Line 16

15. Cash Payments ColumnA, Line 8above

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

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

Cash Equivalents and Outstanding Debts18. Cash Equivalents See instructions on reverse

19. Outstanding Debts Add Line 2 + Line 9 in Column e above

$----

FPPC Form 460 (January/05)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

*Amounts in this section may be different from amountsreported in Column B.

----1----1__To calculate Column B, addamounts in Column A to the

corresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).

363.93

200.00

563.93

$

$

$

$

$

Schedule I, Line 4

SChedule e. Part 2

Current Cash Statement12. Beginning Cash Balance .

13. Cash Receipts .

14. Miscellaneous Increases to Cash .

17. LOAN GUARANTEES RECEIVED .

Statement covers periodSchedule AMonetary Contributions Received

Type or print in Ink.Amounts may be rounded

to whole dollars.

from March 18,2010

SCHEDULE A

CALIFORNIA 460FORM

4SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

Candice for DA 2010

through May22,2010 Page

I.D. NUMBER

1285267

of 4

DATE I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I CONTRIBUTORRECEIVED (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE *IF AN INDIVIDUAL, ENTER

OCCUPATION AND EMPLOYER(IF SELF·EMPLOYED. ENTER NAME

OF BUSINESS)

AMOUNTRECEIVED THIS

PERIOD

CUMULATIVE TO DATECALENDAR YEAR

(JAN. 1 - DEC. 31)

PER ELECTIONTO DATE

(IF REaUIRED)

OINDOCOM'lIOTHOPTYOSCC

OIND

OCOMOOTHOPTYOSCC

OINOOCOM

OOTHOPTY

osceOINOOCOMOOTHOPTYOSCC

OINOOCOMOOTHOPTYOSCC

==:::!::::==========================S=U=B-T-O-TA-L-S---2-0-0.-00-1 I

'Contributor Codes

Schedule A Summary .. INO-Individual

1. Amount received this period - itemized monetary contributions. 200.00 COM _ Recipient Committee(Include all Schedule A subtotals.) $ ------- (other than PTY or SCC)

OTH - Other (e.g., business entity)PTY - Political PartySCC - Small Contributor Committee

2. Amount received this period - unitemized monetary 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.)FPPC Form 460(January/OS)

FPPCToll-Free Helpline: 866/ASK-FPPC(866/275-3772)

4/30/2010Deoutv Sheriffs Association

Hollister, CA 95023

200.00

TOTAL $ 200.00

200.00 200.00