cipientCommittee

Campaign
Cover Page
Government
Cotla SaGlona SEE INSTRUCTIONS ON REVERSE

Statement
5 a4200A4216
Statemont
Irom

type

or

print

In Ink

vf FI i l T SLL
appliceblet

I
a

vERPAG9 1 f
e

covers

period

Oale or election H

1 iy 10
t

oo

Itii i is U

Pepe

of

2009 01
2009 30 06
a

Monty Day Vear

For omdal use onry

tllrepell
All commlma

2006 04 11
2

type

of

Recipient

Committee

mplero de c P t z9 na

Type

of Statement

0 Officehoitler Centlldate Cenpolletl Committee State Cantlltlate EleGlon COmmlaee Q Recall

plPPCmPwN Pony

Primarily FOrmetl aello Meesure Commitlea

PreeleGlon Slelement
Sembannual Slatemenl

puartetly Statement
S Peclel OtldYeer

Centmllatl O Sponsoetl
eroreny J lamcc

Repon

TertnlnaOOn Statement Also flies FOim 4lo Terminetlon

Amentlmenf

SupplamantalPreeleetlon
Aaech Slelement POrtn 485

General Purpose Commitlea

Q Sponsored
Q Smell COnldbuWrCOmmlaea

Explain Eelcw

PrlmeNlyfonnetl Candldate
Officeholtler Committee nPanp cma lAa

O
3

POllllcal Party Commillee CenVal

Commitlea Information

D I NurnaER

1309990
COMMITTEE NAME IOR CANDIDATE NAME IF NO S COMMITTEEI

Treasurer s i
NgME nF TgEgS11RER

Rothman for Mayor

Klnde Durkee
MAILING ADORE85

1212 5
aTREEi gDORE69 INO P BO O f
CITY

Victory

BI
6TATE ZIP CODE AREA CODE PHONE

1190 Sequoia Olen

CITY
9TATE
21P

Burbank
CODE AgEA CODEIPHONf
NAME OF AS919TANT THE

GA
9DRER IF ANT

91502

0669 260 878

Pomona
1212 S
CITY

CA
el
BTATE

91766

0869 260 818

MAILING gODRE99

MAILINO ApORE99 IF DIFFERENTI NO AND STREET OR P BO O

Victory

21P CODE

AREA LOOEIPHONE

CITY

STATE

ZIP CODE

AREA

PHONE COOE

Burbank
OPTIONA4
F0 CMUIL

CA
ADDRE9s

81502

0669 260 818

OPTIONAL

I FA EMAIL g00RE99

Verification
I have used ep reasonable dAfpence In prepadnBendrevlewlng lMa sfelemeni andlO the bes knowledge Nafnformelio ofmy antler penalty of parlury untlertha laws olthe State Of California that Ne Poregoing la Weantl coned ExePetetl
Pn

cdrolnedharein and

the ettechedecheduteshlme andcompJera ICeNIy

2009 09 07
ay

Kinds Durkee
I yW

olTRtwear py Au

pled

Pn

2009 09 07
wn

ey
ay

Elliott Rothman spiowreacmmeiego

x A
mlmr Leramm s

aeloNOmurasmw mmRxl NwumpmPPn

Executed

on

91preNrt NLm4aArpOMmllad6GM

Slab e

MeuunPmponml

Exeeutetl

00

ay

one am agrepxeWCmtmYwppmm

slme e

Memun

PmPProm
FPPC TPIPFroe

FPPC Form N6a

JmuerylOT

Melpline

g6WFPPO a6

Z e 6 1966rz

stet Pw nrorm

Type

or

print

in ink

COVER FAGE PARE 2

Recipient Committee Campaign Statement Cover Page Part 2

Page
6 Ballot Measure Committee
NAME OF BALLOT MEASURE

of

Otficeholder
NAME OP

or

Cantlitlate Controlletl Committee

OFFICEHOLDER OR CANDIDATE

Elliot Rothman
OFFICE SOUGHT OR HELD INCWDE LOCATION ANO DISTRICT NUMBER IF APPLICABLE BALLOT NO OR LETTER JURISDICTION
SUPPORT

Mayor City of Pomona

RESIVENTIALIBUSINESS ADDRESS

OPPOSE

NO

AND

STREET

CITY

STATE

ZIP

12

Vi CSOry BI

Burbank

CA

91504

Identify he controlling officeholder cantlitlate

NAME OF

or

state measure

proponent

if any

OFFICEHOLVER CANDIDATE OR

PROPONENT

Related Committees Not Inclutletl in this Statement

notincludedin this statement chat conVibufions
or are on

List any committees

to receive
OFFICE SOUCM OR HELD DISTRICT NO IF arvr

controlledby you
behalf o your

or are

primarily loaned

make

expenditures

canditlacy
ID NUMBER

COMMITTEE NAME

NAME

OF TREASURER

CONTROLLED COMMITTEEP
VEG NO

Primarily
NAME

Formed Committee

List

names

of

ror prcandidare s enolaer oHi

which this committee is primarily formed OF OFFICEHOLDER OR CANVIDATE OFFICE SOUGHT OR HELV SUPPORT
OPPOSE

COMMITTEE AOVRE55

STREET ABBRESS

NO

P0

BO

CITY

STATE

ZIP

COVE

AREA CODEIPHONE

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

sUPPORi OPPOSE
COMMITTEE NAME
LD NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD

SUPPORT
OPPOSE

NAME OF TREASURER

CONTROLLED COMMITTEEi YES

NO

NAME OF OFFICEHOLDER OR CANVIVATE

OFFICE SOUGHT OR HELV SUPPORT

OPPOSE

COMMITTEE PVUREBB

STREET ADDRESS

NO P0 BOX

CITT

STATE

ZIP COVE

AREA COVE PHONE

AfrdCh COntinYdlion 5heer5l SSdry e O

FPPC Farm 46a FPPC ToII Free

June101

Helpllne

FPPC ASK 666

state of CalKornia

Campaign

Disclosure Statement

Type

or

print

in ink

SUMMAR PAGE Statement

from

Summa rY Pa 9 a

Amounts may be rounded to whole dollars

period 2009 01
covers

sEe

wsTaucrlorvs orv aevERSE

through

2009 06130

page

of

NAME OF FILER

0 NUMBER

Rothman For Mayor

1309990
Column A Column B
owre mru

Contributions Received
1 2 3 4 5

Calendar Year Summary for Candidates

iacneoescrEOUresr IrxoM
scnedme a ones scneamea one
ado ernes r z

Running

in Both the State

Primary
rn

and

Monetary

COntributions

00 0 00 0
00 0

00 0 00 0
00 0

General Elections
rn

gn mro srso

m Dale

Loans Receivetl

SUBTOTAL CASH CONTRIBUTIONS

2D Contributions Received 21 5 5

Nonmonetary

COnVibutions

scnedure c ones
nda uness n

00 0 00 0
g

00 0
00 0

Expenditures
Made 5 S

TOTAL CONTRIBUTIONS RECEIVED

Expenditures
6

Made
srneame

Payments

Matle

E uee

87 2718
00 0

87 2718
00 0

Expenditure
Candidates

Limit

Summary

for State

7
8 9 10

Loans Made SUBTOTAL CASH PAYMENTS Accrued Exp Unpaid nses

srneewe r unaz add uees

r s

87 2718
00 0

87 2718
00 0

22 Cumulative Expenditures Made

Ircsudieouo vaoevey eseeonore umnr Date of Election Total to Date

Bills

Scnedure F rinea

Nonmonetary Adjustment

srneemeq

Imes

00 0 87 2718

00 0 87 2718

yy mMdd

11 TOTAL EXPENDITURES MADE

nda

ro s eesa u

Current Cash Statement

12

S
vehoas

Beginning Cash Balance

sammavy vave uee

corumn

is

00 19504
00 0 00 900
To wlcula Column B add e amounts in Column Ato the

Cash 13

Receipts

a ones anove

14 Miscellaneous Increases to Cash

15 Cash

corresponding

amounts

srneaureluee

Payments
ueee

cowmn a one eanove ra rs rz tnee sabnacr uee rs

zero

87 2718
5

from Column Bof yourlast report Some amounts in

Column A maY be negative figures that should be subtracted from

16 ENDING CASH BALANCE ode

13 17685

Ihis I isafermination statement Line l6 must be

previous
If this is

period

amounts

the rst

report being filed

17 LOAN GUARANTEES RECEIVED

scneawe

B cart z

00 0

for this calendar year

only

OtStandlOgDebts CdshEgUlvalentSandC
18
19

carry over the amounts from Lines z 7 it ands

Since January 1 2001 Amounts in this section may be

romamountsreportedinColumne tliRerent

Cash Equivalents

see raetmarcoes

oe

ravarse

00 0
5

any

Outstanding

Debls

ode onez Commn unesin above

00 0

FPPC Form 466 FPPC Toll Free

61 June

Helpline

FPPC 6661ASK

Schedule E

Type

or

print in ink

Statement

covers

Payments

Made

Amounts may be rounded

to whole dollars

periotl

from

0112009 01 o5f3oreoo9 a Pdgeof

Le

t
s

SEE INSTRUC ON REVERSE ON6

ihrou9h

NAME OF FILER

NUMEER

Rothman For

Mayor
of the

1309990

CODES
CfvP
CP6

If

one

following

codes

accurately

describes the

payment you may enter the cotle Otherwise describe the payment
member communications
RAD

CTB CVC FL FND

ND

campaign paraphernalia misc campaign consultants contribution explain nonmonetary

civic donations cantlitlate filingrballol lees

MBR

ratlio airtime antl

production
salaries

costs

M7G
OFC

meetings

antl appearances

RFD

returned centributicns

office expenses

SAL lEL
TRC

campaignworkers
e canditla Vavel

FET
PrlO

LEG Lfr

fundraising events intlependent expenditure supporting opposing legal defense campaign literature antl mailings

PGL
others

explain

POS PRO
PRr

petHion drwla0ng phone Canks polling and survey research postage tlelivery antl messenger services professional services legal accounting
print ads

v t or cable airtime antl

poducion costs lotlging and meals

same

TRS TSF VOT

FB N

spouse stag Vavel lodging antl meals

transfer between committees of he
voter

cantlidatelsponsor

registration information technology

costs

mail interne a

NgME ANe A00RESS OF iNTEE

pr comwnEE u6o ErsrEa i rvomeEN O

CODE

OR

nESCRIPTION OF fKTMENT

AMOUNT fl110

Downtown

Property Owners Association

CVC CA 91766 00 160

401 S Main St 101

Pomona

Durkee
1212 S

Associates

Victory

BI CA

PRO 91502

69 748

Burbank Durkee 8 Associates 1212 S

Victory

BI CA
91502

PRO

40 501

Burbank

Payments

hat

are

contributions

or

indepentlenl expenditures

must also be summarized on Schedule D

SUBTOTAL

141 D D9

Schedule E

Summary
Inclutle all Schedule E subtotals

1 Pa Y ments made this P eriod of 100 or more 2 Unitemized

87 2718 0

payments made this Period of under 100

on

3 Total interest P aid this P eriod 4 Total

loans

Enter amount from Schedule

B Part 1 Column

0
TOTAL

payments made this period Add Lines 1 2

and 3 Enter here and on the

Summary Page Column A Line 6

87 2718

FPPC Toll Free

FPPC Farm 660 June 01 FPPC Helpline B66IASK

Schedule E

Continuation Sheet Payments Made

sEE INSTRUCnorvs oN REVERSE
NAME

Type or print in ink Amountsmay be rounded

towholedollars

E scHFD
Statement
from
covers

ccoMr

period

2009 01 2009 30 06 5

through

page

of

OF FILER

LD NUM6ER

Rothman For

Mayor
of the

1309990

CODES
CIvP CIJS CTB
CVC FD

If

one

following

codes

accurately

describes the
MBR MrG
OFC

payment you may

enter the code

Otherwise describe the payment

RAp RFD
SAL
Td TRC TRS

campaign paraphernalialmisc campaign consultants

contribution explain civic donations
candidate

member communications

meetings and appearances

office expenses

nonmonetary

tees ballo fling

events

FND IND
LEG Llr

fundraising

RT Rio POL

intlependent expenditure

opposing supporting

others

explain

legal defense campagn literature

PQS PRO
RTI

petition circulating phone banks polling and survey research postage tlelivery and messenger services
professional services Qegal accounting print atls
CODE OR

TSF VOT
VufB

radio airtime antl protluc vests ion reWrned contributions campaign workers salaries v t or cable airtime and production costs randitlafe travel lodging antl meals spouse stag travel lodging antl meals weon transfer be committees of the same wndidatelsponsor
voter registration
information

antl

mailings
NgME AND ADDRE550F g1YEE
a IF COMminEe pl

technology

costs

emet mail in a
AMOUNT

DESCRIPTION OF FTVMENT

fNID

Durkee

Associates PRO 00 250

1212 S
Durkee

Victory

BI CA 91502

Burbank

Associates
PRO

1212 S Durkee

Victory

BI

00 500

Burbank

CA

91502

Associates
PRO CA
91502

1212 S

Victory

BI

44 258

Burbank
Jason Rothman

1190

Sequoia

Glen

MTG CA 91766

34 300

Pomona

hatare Payments contributions orindepentlentexpentli must also be summarized on Schedule D ores

SUBTOTAL

78 1308

FPPC Toll Free

FPPC Form d60 Junel0l FPPC Helpline e66lASK

Schedule I Miscellaneous Increases YO Cash

inink orprin 7yp

Amounts may be rountletl rowholedorrars Sratementcovers

SCHEDULE I

periotl

from

2009 01

SEE

INBTRVCTIONS ON REVERSE

through

2009 30 06

page

of

NAME OF FILER

D I NUMBER

Rothman For Mayor

1309990
FULL NAME AND ADDRESS OF SOURCE yr comwmeE
usa emex io

DATE

AMOUNT

RECEIVED

DESCRIPTION OF RECEIPT

OF

xumeex

INCREASE TO CASH

Durkee 2009 30 06

Associates

Refund
00 900

1212 S Victory BI Burbank CA

91502

Attach addifionalinPormationon

appropriatelylabeled continuation sheets

SUBTOTALS

00 900

Schedule I

Summary
100
or more

1 Increases to cash of

this

period period
Schedule

00 900

2 Unitemized increases to cash under 100 this 3 Total of all interest received this eriod
on

loans made to others

H Column

e
on

0
the

4 Total miscellaneous increases to cash this

period Add

Lines

1 2 and 3 Enter here and

Summary Page

Line

14

TOTAL

00 900
FPPC Farm 460 JUne101 FPPC Toll Helpline B661ASK Free FPPC

Filing Notes
FomUSchedule Reference No
Test

TEXT0000000000648
E 834

Lunch

Meeting with

Elliott Rothman Pam Rothman Jason Rothman Dinner

Meeting

with

Morgan

Brown Tim Sauntlers Elliott Rothman 8 Steve

Actchly

ForMSchedule

Reference No

TcU

Schctlulc Fonn

Rcfcrcncc No

Tcst