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Home My WebLink AboutNANCE 460 TERM 6/27/17Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE COVER Statement coven: period Date of election if applicable: (OU J2 27 P17 n page from 5-a) -)I (Month, Day, Year) For( through Type of Recipient Committee: An cemords"S_ complete I.M. 1, 2, a, and 4. (,$ OfftcehoMer, Cantlidate Controlled Committee O State Candidate Election Committee ❑ Primarily Formed Ballot Measure O Recall Committee Controlletl /use co.laNn4sl O Sponsored ❑ General Purpose CommiHee (Mm O.W. roe el O Sponsored O Small Contributor Committee ❑ Primarily Formed Candidate/ Officeholder O Political Party /Central Committee Committee (^s0c""d'Ia PWP S. Committee Information ue rGi Co'-tnu 101 2. Type of Statement: I f ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd Year Report X Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) E OF TREAS ER , TANY '! CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL'. FAX /E- MARADDRESS 4. verification I have used all reasonable diligence in preparing and reviewing this statement and to the Is t of my know i. ge the infor anon containetl herein and in the attached schedules is true and complete certify under penalty of perriuu runder the laws of the State of Caldomia that the foregoingi eand con c. Executed on �(/ _ I —' / DeIB `� RY $pp u o /TreeaulBraA i¢I nl4eeeurer °L V Executed on _ — 2� ' / Otle� By $qpt IXCOnbOIImg OKGlwps. CaMIJHe,$Iale MBa¢ure PTponenl pr geaponai 7. Us— Executed on pansar Dale By Slpnelure M Conlmlling Oflcabl0er, CeMlpale, $Isle Meeaure P�oponenl Executed On oele BY gnatme of ConV011ing OlOwpolder CanEidale. Stale Meaw�e Pmpenenl FPPC Form 460 (lan/2016) FPPC Advice: advice@fopc.ca.aov (866/2]5 -3]22) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee Related Committees Not Included in this Statement: List any committees not included In this statement that are cantrelledby you arm primarily {,med to receive contributions or make sxpendttums on behalf of yovrcandidacy. COMMITTEE NAME LD.NUMBER NAME OF TREASURER CONTROLLEDCOMMITTEE7 ❑ YES ❑ NO COMMITTEEADDRESS STREETADORESS (NO PO. BOX) CITY STATE ZIP CODE AR EA CODEPHONE COMMITTEE NAME )D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE ❑ YES [ NO COMMITTEEADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREACODEIPHONE COVER PAGE - PART 2 Page a of I 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidmis) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT O ❑ 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 continuation sheets ifnecessary FPPC Form 46011an /2036) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppaca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whale dollars. SEE FILER Received 1. Monetary Contributions ...... ...__._ Schedule A. 1.3 $ . a4c. CS 2. Loans Received _ _.. Schadula a Line 3 $ 17 3. SUBTOTAL CASH CONTRIBUTIONS _.. __._. MdLlnesl.2 $ 151 a4o.05 4. Nonmonetary Contributions ..._. ... ........ .......__......... Scheduk C, Linea 30 8, 00 5. TOTAL CONTRIBUTIONS RECEIVED ..._..__.__..._.___.Add Lines3.< $ 15,548.05 10. Nonmonetary Adjustment . _...... Expenditures Made 6. Payments Made... .. ,.. Snhaduk E. Line 4 $ 17 7. Loans Made .... _ SnhadWa H, Linea 8. SUBTOTAL CASH PAYMENTS_. _._ . AWLAes6 *r rt $ 1110(0340 9, Accrued Expenses (Unpaid Bills) ....... ........_....._.... Scheduk F. tine3 10. Nonmonetary Adjustment . _...... __.......... S eduk C. Line a Sing, 00 11. TOTAL EXPENDITURES MADE ...._........._... _.___....... Ada Lines a.a. m $ 111 311 4o Current Cash Statement p zz 12. Beginning Cash Balance summary Page Line l6 $ I18 a3• W 5 13. Cash Receipts_.. _.._ ........_ caumn A. Line 3 ahmm 14. Miscellaneous Increases to Cash ........_.._.....__._._.__ Scheduk I Eric 15. Cash Payments._ ._._...... ......_. CiAi. A, tine eabove i7f ,Oro 3,40 16. ENDING CASH BALANCE ......._.......Add tines 12. 13. 14, then suhtracurne 16 $ If this is a termination statement Line 16 must he zero. 17. LOAN GUARANTEES RECEIVED __... --- ._.......... Scie0nke. Pane $ 0 18. Cash Equivalents.. vnstructions on reverse $ 19. Outstanding Debts .....___........._........ Ada Line 211. 9 in Column e above $ _ ant covers period a)-l'7 through 6-j5-0 I Page 3 of 7 308. co $ i43�7a7. v9 $ {/ $ N 3 I . ,30A 00 To calculate Column B, add amounts m Column Ato the corresponding amounts from Column e Of your last report. some amounts in Column A may be negative figures that should be subtracted from Previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). i38 7082 Calendar Year Summary for Candidate, Running in Both the State Primary and General Elections 1H twough i31ao 711 to Date 20. Contrbutions Receivetl $ $ 21. EzpandiWres Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expencilturas Made' Is suepn ro vaumery ..is.. llmal Date of Election Total to Date (mmlddiyy) JJ $ $ 'Amounts in this section may be different from amounts repo led in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advicetafppc.ca.gov (866/275d3"2) www.fploc.ca.go , Schedule A Amounts may be rounded SCHEDULE 7 Monetary Contributions Received '"°holedollars. satementeoraaPeriod from 5-at -17 • 1 through /J —�� !!11WBER SEE INSTRUCTIONS ON REVERSE OI� NAME F FILER t�1I�� L. �p Q,yl /IIlJ *1C,C (� �3(J 7OSZ DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMUTATIVETODATE PERELECTION RECEIVED IIFOORMISlEEAFEC ENTER m. NUuesar CODE • OCCUPATION AND EMPLOYER RECENEDTHIS CALENDAR YEPA TO DATE (IF SELF EMPLDrEO, eNTERwwE oFea51NE551 PERIOD (JAN.I DEC . 31) (IF REQUIRED) SI (Uf yt ly'CB I ❑IND d3 II"1 i a Ac+LbA -Si it Q�o. XCOM ❑OTH IO $J/ "il.'f3 Comma�ee, 4k- 137011oq FnnowI N e - [1 PTY )ow -00 ❑ SCC IL3elTJ a' FrANt ❑IND Ial n �1l 00 Se ve( (vT, OOTH 5iot�oFoO 9%ro,oGb,� t 1 El PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ scc ❑ IND ❑ COM ❑ OTH []PTY ❑ SCC ❑ IND ❑ COM [30TH ❑ PTY ❑ SCC SUBTOTALS IS1C1W.t70 <ati� 4 ,;T;. `'•_."'.„ Schedule A Summary 1. Amount received this period - itemized monetary contributions. 15 0(70, Utz (Include all Schedule A subtotals.). ............ .... .... ................. _....._..... ........... ......$ t 2. Amount received this period - umtemized monetary contributions of less than $100..... .. . ......$ 2y 0,05 3. Total monetary contributions received this period. 3'i0 �j (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)...._ ............... TOTAL $ Is 1 - Contributor Codes IND- Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - PDIKIEEI Party SCC - Small Contributor Committee FPPC Form 960 (tan /2026) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) ink SCHEWLEC 5citeaule c AM0unte maybe rounded ad BtatemenlcoversPe d SUBTOTAL $ Nonmonetary Contributions Received towhoiedalam. 5- a ) -)-7 • . fTPm b 17 - rJ 5 7 Mrougb Paa of SEE INSTRUCTIONS ON REVERSE LD. NUMBER NAME1aFILER ?�cW�Ce i387o8a ..................._$ OTH - Other (e.g., lNlelneee entity) PTY Poklll:el PZdy 3. Total nonmenetary contributors received this period. FULL NAME STREET ADDRESS AM CONTRIBUTOR IF AN INDNIDUAL, ENTER ATION NDERA OCCUPAibNpND EMPLOYER DESCRIMION OF SERVICES PR HARK FAIR kNRKET CUMULATIVE TO DATE CALENDAR YEA0. PER ELECTION TO MTE DATE RECEIVED ZIP CODE OF CONTRIBUTOR 'IF CCMMIiTEE N. SO ENTER I O NURNERI CCOE SEE .'NUNRSRI a COODSOR VALUE (JAN DEC 31) (IE REQUIRED) a M IADIOV) OIND W" a o �cp or�o+� 5-iuhux5 pscc ]IND E 3c0M ElOTH ❑PT pscc pIND 000M ❑OTH ❑PTY pscc RIND ocom LIOTH EIPTV pSCC Attach additional information on appropriately labeled continuation sheets SUBTOTAL $ Schedule C Summary •ContriWor OOdes 1. Amount received this period- itemized nonmonetary contributions. Q aa M _i0�%�W IHD- 111dNi11ual COM- Reolaiem Camryihes ....... ....._............_...........$ ..... ......_..._ ........ ......._........ _._........__.. (Include all Schedule C subtotals.) ... ........._ _ ( cc) e 2. Amount received this period - unitemized nonmonelary conMbutons of less than $ 100._ ...._...._ ..................._$ OTH - Other (e.g., lNlelneee entity) PTY Poklll:el PZdy 3. Total nonmenetary contributors received this period. 3o810(g scc -Smau Cont- Worcommltme (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ FIRM Formi;( (Januaryl05) FPPC ToIlF rea Helpllna: BBBIASK -FPPC (968R] &3T121 Schedule E Payments Made 5 ON REVS ESE. I w&0- Amounts may be rounded to whole dollars. covers from 5-31-1-7 through - 6 V/5_ /7 — I Page 6 ol_L_ J35 709a NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT p[GOMM nn[. Al. In" 11 In a ©r vr° f — - Cri15 L�U7c ✓� J c Gtft(/�IdA�jYl I3an Ene41c{co SI Lr t icu/cS �3co.rn ' Payments that are comributens ar independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 15ta 1 EtD Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals) ........_. __.... ..____.... .. _........ c� $ I� 3?3 (Piz, 2. Unitemized payments made this period of under $100 ... . -..... __... -- - -- - - - - -- ----- "$— q-_�J_ 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 $ FPPC Form 460 pan /20161 FPPC Advice: advice@fppc.ca.8ov (866/275 -31721 wwwdppc.ca.8ot Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded towholedoilars. SCHEDULE from .J -a,', 7 • - through 6_�S —'1 Page of 7 �� IU�ce � 'i3Ya�vea I COOEW If one of the following Codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. END campaign parephomalia /misc. NER mambercommun catons RAD radio airtime and production costs CNIS campaign consultants MITG meetings and appearances RFD returned contributions CIH contribution (explain nonmonetand- OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL Lv. or cable airtime and production costs 11 0. candidate fill kadlot fees Rid phone banks TRC Candidate travel, lodging. and meals END fundraising events POL poPOg and survey reseamh TIPS staff /spouse travel, lodging, and meals No independent expa a itue, supp r ingmetneing others (explmadl POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal oaten. PRO professional services (legal, accounting) VOT voter registration LIT campaign Increase and mailings PRT print ads WEB udonnatmo techemle, costs (internee a mail) NAME AND ADDRESS OF PAYEE pr oou.rmae Also am[a I x.xeal CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID i83U F�� V"S Deivr GUS s�l{�n ( � 61uo Sky (Cl Med '� Oa II fl re-,00 lqlo dndSt.� #moo fv vt71c�DQQCaSfic� ��5� Oc Se vaq o II -(� Consct 1 n K6 4 . VrStu. privi � � ' Payments that are cons butiona or Independent expenditures must also be summarized on schedule D. SUBTOTAL E FPPC Form "a (January/05) FPPC Toll -Free Helpline: 0661ASK -FPPC (6062)5.07]2) •� (off