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Home My WebLink AboutMERRILL 460 TERM 10/21/1641 1 Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Type of Recipient Committee: al Cemmittaee- Complete Palo f, 2, a, ma 4. lef"Qrflceholder, Candidate Controlled Com ni tee Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled 1°°'r°"PrY -x 0 Sponsored ❑ General Purpose Committee 0 Sponsored 0 Smell Contributor Committee 0 Political Party /Central Committee 3. Committee Information rum wm+dnna ❑ Primarily Formed Candidate/ Officeholder Committee wPcx,,MWP r) ae MgAp -t L roe- M7yox z016 3 STREET ADDRESS ( AREA CODOPHONE CITf STATE ZIP CODE AREACODErPHONE OPTIONAL'. FAX /E- MAILAODRESS Date of eleadan e, (Month, Dag VC M e AP 8:54 P•e•� ofd_ For Ongel Use Only 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Cdd -Year Report l?"Terminexon Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treaeurer(e) GAn r fFu�x�voEZ //?e�z2(u MNLING AOORESa AREA CODENHONf � NAMEOFASSISTANTTREASURER, IFANY 6;,IAA" L614M 0,1,V CITY OPTIONAL'. FAX /E- MAILADDRESS 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the beat of my knowledge the IMormelion contained herein and in the allached schedules Is true end complete. I oen0y, under penally of penury under Me laws of the Stare of California that the foregoing is We and correct ` Execute on 1012-111(, By _( /6 IOneWR rwunrwxMlY�r TMWAr EtreMMl Cn 4� BY MgnaWreINCmbdplrp wM1dMr. Grdtlab, WMe nPrcpmeMOr Ree�nYda cx al panwr Ex.Won pM eY 910ralirre IXg Gr, eMgaN.50h Meewn Pmramnl Exxxxxxi BY I11.— MYlrq Oftio.d. , x.. S. M.. rwnl Cars FIxK Form 460Ilan /3016) FPPC Advice: edviu®fppr.ra.6ov (666/275 -3772) v Jilipc.ra.gov 1 1 1 Recipient Committee Campaign Statement Cover Page — Part 2 6. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE &&x Meizait_L. MO OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER FAPPLICABLE) AM4 , Ct7Y OF B/FKGKS�E O Related Committees Not Included in this Statement: ustanycomornmem not Wanted in that Statement that am otor"O d by you or are prfmadly formed to receive wm6lbudons or mane eapendlWro on belied or your cameowy. COMMITTEE NAME G. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS(NO PO, BOX) CITY STATE ZIP CODE AREACODEIPHONE Papa ? of ? 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ OP SUPPOE ❑ POSE Identify the cmromlling officeholder, candidate, or state measure pro Hmont, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF MY 7. Primarily Formed Candidate/Officeholder Committee List name of ofteholdWA or cendNNtin) for whkh Mh Committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach confinuedon sheets ffneeeeury FPPC Form 460 Van/2016) FPPC Advice: advice@fppc.ca.gov (866/27S.3772) vnrtw.fPPC.oNgov : I I Campaign Disclosure Statement Amounts may be rounded Summary Page to feticide dollars, NAME OF FILER MALL Fore N.+Yoe zo,,& Statement rovers period from zl—e //6 Contributions Received Column A Column B . . . ........... s I.,* E, u,s 4 $ 5-61447 To THM PERIOD 7. Loans Made ............... ............................... s uhe K LI,x, 3 (PROM AnPEHED W VIAES) AM Lines 6 +7 TM& TO WE 1. Monetary Contributions .................. ............................... soffestas A, Li,,e 3 $ $ 59o,00 2. Loans Received ................ ............................ . ... ... ........ StlefMa 8, Lines .. , , -- soMue c, Line 3 at�> /63'39 3. SUBTOTAL CASH CONTRIBUTIONS.... ........................ - AMLIn.1,2 $ $ go 15-3, zF 4. Nortmonstary Contributions .... . ................................ sofsEMs c, Linea 5. TOTAL CONTRIBUTIONS RECEIVED........._ ........... ...... JIM L,xss 3 +a $ $ fO 7.43 21? Expenditures Made 6. Payments Made. .... ...... . . ... . . . ........... s I.,* E, u,s 4 $ 5-61447 $ go 75'3,z9 7. Loans Made ............... ............................... s uhe K LI,x, 3 B. SUBTOTAL CASH PAYMENTS . . . ................................... AM Lines 6 +7 $ S6 H.P7 $ 9o'-1 3,z'? 9. Accrued Expenses (Unpaid Bills) ....... ...... Sonedua F, U.3 10. Nommonetery Adjustment......._ ........... .. , , -- soMue c, Line 3 11. TOTAL EXPENDITURES MADE ......... ...... - Add Lix a +9 +10 S •7 $ go 161. ZIF Current Cash Statement 12. Beginning Cash Balance ..._.._ FnnixosimmivyPageLimie $ 13. Cash Receipts..._ ...................._ ............. . . . . ... . . .. Column A, Line 3isix. 14. Miscellaneous Increases to Cash .................................. SdahAel, Lixi 15. Cash Payments ......................................................... 16. ENDING CASH BALANCE -AW Lines 12+13+ 14, fl,,n subleof Lins 15 $ If this Is a termination seemaiN, Line 16 must be zm. 17. LOAN GUARANTEES RECEIVED ................................ Sdnede 8, vent $ 18, Cash Equivalents ............... ............................... see inafrvcaooa onnwrae $ 19. Outstanding Debts ......- ............. Add Une 2+ Llix, 9 M CEN. B soo. $ To calculate Column E, add amounts In Column A to be corresponding amounts from Column 8 of your last report. Some amounts In Column A may be negative figures that should be subtracted from previous period amounts If Me Is Me first report being filed for this calendar year, only carry over the amounts from Lt. 2. 7, and 9 (if any). I pass 3 of 5' 1 13,- gqs-? Calendar Year Summary for Candidates Running In Both the State Primary and General Elections III tvot,h 120 7/1 ti Oats 20, Contribution Received 21. Expenditures Made Expenditure Limit Summary for State Candidates M. Cumulative Expenditures Made Date of Election Real to Data (mnVdd/yy) $ t $ - 'Amounts In Mis section may be different from amounts %ported in Column B FPPC Form 460 (Jan/2016) FPK Advice: adviceftrc.ca.gow (866/275-3772) vnvss-fPpc,w-PV All 1 Schedule E Amounts may be rounded Payments Made to whole dollars. NeAklLl_ r-00- Minas 1 �. from % / Ll(, through /O 21 (o Page K of CODES: If one of the following codes accurately describes the payment, you may enter the Code. Otherwise, describe the payment M 3 /!S9 CMP campaign pamphemalia/misc. MBR member communications RAO radio airtime and production costs CNS campaign consultants MTG mee8rgs and appearances RFD returned contributions CTB contnbutlon (explain nonmonetary)' OFC once expenses SAL campaign workers salaries CVC civic donations PET petition osculating TEL t.v. or cable airtime and production costs FIL candidate Blinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralaing events POL polling and survey research TRS staMspouse travel, lodging, and meals IND independent expenditure suppoNngbpposing otham( explain)' POS postage, delivery and messenger services TSF transfer behveen committees of the same wndidete /sponsor LEG legal defense PRO professional services (legal, accounting) VOT vmerreglstreMon LIT campaign literature and mailings PRT pent ads WEB information technology costa (Internet, e-maiq NAMEANDADDRESS OF PAYEE (IF COMMnrEF. ALSO Earea io. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Gry2r5TiAN /hEYrcA/. 5'ER ✓rG aS piMripL REV.wmEN-r LvAN 9AA of 4'x O .y' C.f B9NK FEES' Tv CLnFE /ICCr, 3z. 00 ® A Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ J�iay.8% Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ... ............................... 2. Unitemized payments made this period of under $ 100 ................................ ............................... $ Sv147 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) .............................................. ............................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) . .......................... TOTAL $ 564.87 FPPC Form 460 (Jan/20161 FPPC Advice: advlw@fppc.ca.8ov (8661275 -3112) www.fPPc.rs.eov :..: I Schedule) 1 i SCHEDUI E I Miscellaneous Increases to Cash to ob dollars. 6btamaM coven I-- a- �.1 from 7 r� /6 .- through X42 �r Y/o Paga r of 6 SEE IN TRUCTIONS ON REVERSE NAME OF FILER MERR/L MAYOR 20/6 LD. NUMBER Fos 1383'Y5"Q DATE RECEIVED FULLNAMEAND ADDRESSOFSOURCE (IF cwumsE use srvrea,o. xwssal DE6CRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH c(1tN16 GE/arrsr/nN WoprG ?L S6avrcES ;. FadAN PeFrry GtsN , Attach additional Information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period .............................................................................................. ..............................$ 15-0"90 2. Unitemized increases to cash of under $1 DO this period ................................................................... ..............................$ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ......... ..............................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the ($/j,09 SummaryPage, Line 14.) .............................................................................................. ............................... TOTAL $ FPPC Form 460 (Jan/3016) FPPC Advice: adW.@fWc.ca.8ov (111661 rww.iPPc.n.Bov