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Schedule A Type or print in ink. SCHEDULE A <br /> Amounts may be rounded Statement covers period <br /> Monetary Contributions Received to whole dollars. CALIFORNIA 460 <br /> from 9/20/09 FORM <br /> through 10/17/09 Page 4 14 <br /> of <br /> SEE INSTRUCTIONS ON REVERSE <br /> NAME OF FILER I.D. NUMBER <br /> JOHN SEYBERT 1313963 <br /> IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION <br /> DATE FULL NAME,STREET ADDRESS ALSO <br /> ENTER I.D.AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE <br /> RECEIVED (tFCOMMITTEE,ALSNUMBER) CODE* (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) <br /> OF BUSINESS) <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> ❑IND <br /> ❑COM <br /> ❑OTH <br /> ❑PTY <br /> ❑SCC <br /> SUBTOTAL$ <br /> Schedule A Summary *Contributor Codes <br /> 1. Amount received this period—itemized monetary contributions. IND—Individual <br /> (Include all Schedule A subtotals.) $ 6,950 COM-Recipient Committee <br /> (other than PTY or SCC) <br /> 99 OTH—Other(e.g.,business entity) <br /> 2. Amount received this period—unitemized monetary contributions of less than$100 PTY—Political Party <br /> SCC—Small Contributor Committee <br /> 3. Total monetary contributions received this period. 7,049 <br /> (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Line 1.) TOTAL $ FPPC Form 460(January/05) <br /> FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) <br />