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Home My WebLink AboutFREEMAN SEMIANN17(2)Recipient Committee Campaign Statement Cover Page (MOmh, SEE INSTRUCTIONS ON REVERSE 2b AM 10: 2I x I f L -_ ., 1, Type of Fteclplent Committee: AlleNmmle.e.- comgwnml,z,a,ena<./ 2, Type of Statement: plrmetrdMr, Gre,irie[e Gnbolleri Gmmelee ❑ Prlmarly Formal Ballot Meeewe w❑r Prwbc4on Stammem ❑ Owderly Statement seem-amwl Statement ❑ Specbl OdGYeer Raped O Sbte GWe,ete Election Gmmlttee Cwnmbw ter, O Resell O Grardleri ❑ Termketlonelatemem ( o.mye Pele OSponwred (Also as a Form HO Temrinatn) ne Commpee pe.uµNMn ❑ AmendmBm(EXPlet below) O Spcmcrent Pmwdy Formed Cenrikletel O Small ConVlbNOr Gmm,tee ORmholder Cnmmdbe O Poliecal PartylGrttnel Commktee tnen'b Ara 3. Committee Information ]MMRTEE NAME tOX GNUIUwi e 5 nnme i� rv„ummi r.f -,-O .v.h Srov Gity eun.cl 1, ;1-040) R AW E ( O. BOX) 01Y VATE ZIP COO M: 9XIS-MAILADDRESS Treasurers) T / CITr SrATE mp CME ANEA..EN.E or,N NL WIEWrLAOM.E I now used all reawretle d1li,enw N prepare, are, reulewin, his statement and to two teM of my krgMeri,e Cre WfOrmelbn owdineri here h catily uMer pmmty of perjury wrier the lean of to We of Caeomb Net the f rasping la tae and corned. L Executed By _I^ O�iJYI 1 4ib V� ;le one g n E..Wd.n � By tun vn tle, ee ran . E.tsd.n e------------ BY pneW,e Ne assns me FPPC Form CEB (lan/2o16) Print Form FPPC Adroke: adNw@fPPCSaioMW q Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS 04 REVERSE A armament from Mrouah Type of Reclplent Comm Mae: All Gummebex- Ooorpbb AIM 1, t x, am 4.1 �f OIr Wft,. CandidSte Comrolletl Commaee ❑ Primarly Form rd Belot Meamxe O Slate CeMbela Ebctbn CammmVea Commodore Cp b Q M � . O brone slwnaoratl ya.wpenlel ❑ OSre��mod Commodore ❑ Primanty Formed Centlitletel O Sm IH CordrUnkor COmmlm* OMwhoftler Cammdlae O Poft.i AmoA o1ml Commob I'Me O"aiM1 -p )MMRTEE AM. (.A LANgOPI G S 1' NM[ r- PV GVMmn ) rfL�BYyN O•v\ 96r C;nty OU'vLCI I,202,Oi CItt O S( J� r ceeTA�TE E�IPCIOacL' Z1ZLt Yt AMSACCOEN LONE �p,yC�N3�rc CJ� R�afi ld�/GG5— B'l3`1 bm- nAiasRrss(a llFF ATE ZP DWE OD NE i Woman. Type of Statement: to ❑f Preebduon Slalamem yo. sem"nmal Sonemem ❑ Temminion Slabmem (Abo fib a Form 410 Terminelion) ❑ AmelMmem (Explain boom) Treasurer(s) COVER PAGE •el Peee--�— of ForolncLl u.e only ❑ GueneMsWummm ❑ Special Odl-Yeer Rnm,t AL ILily 2 &V-0'A _ e F = So IZa a c 6- 5s -91=04 NAME Ci ASS18lANliFFASURER, IFANY � ILIPIG A(X4ZESS Or, SIATE E :IFCOO —ARIEAC35 E — C IOML FM I EMAIL ADDRESS 4. Verification haw mde ell reerorobenmv unce b e Imm, oB entl unsoIn8 Mb alabmemantl b Me beat and Me Informalbn wnlalrotl herein entl b the adecMa achetluba is true entl wmpbla. ceNN untla oemM d rodw unLbr lho lawn dMe Sole of Cel3anle Met Me lom8oinp ie We entl cared E.00don Dori ti Eze done EmoAod on De)e E.Md on Clear CovBr Py7 By BY BY BY run na .....M ... orl. FPFC Fmm e6D (len/ =016) FPPC AdNOe:a Mow@fmoo..Wu(866/i]S -373) Mlww.lppcoB.Bov Print Farm Recipient Committee Campaign Statement The Form 460 Is for use by all recipient committees, including: Candidates, Officeholders and Their Controlled Committees • A candidate or officeholder who has a controlled committee, or who has raised or spent or volt raise or spend $2,000 or more during a calendar year in connection with election to office or holding office. The Form 460 is also required if $2,000 or more will be raised or spent during the calendar year at the behest of the officeholder or candidate. Primarily Formed Ballot Measure Committees • A person, entity, or organization that receives contributions totaling $2,000 or more during a calendar year for the primary purpose of supporting or opposing the qualification, passage, or defeat of a single ballot measure or two or more measures being voted on in the same city, county, multi -county or state election. Primarily Formed Candidate/Officeholder Committees • A person, entity, or organization that receives contributions totaling $2,000 or more during a calendar year to support or oppose a single candidate or officeholder, or two or more candidates or officeholders who are being voted upon in the same city, county, or multi - county election. This type of committee is not controlled by the candidete(s) or officeholder(s). General Purpose Committees • A person, entity, or organization that receives contributions totaling $2,000 or more during a calendar year to support or oppose various candidates and measures (e.g., political parties, political action committees). Non - controlled committees that do not receive contributions, loans, or miscellaneous receipts totaling $100 or more from a single source during a calendar year may use Form 460— Recipient Committee Campaign Statement — Short Form. Note: Refer to the Statement of Organization, Form 410, for guidance to determine the type of committee. Use the Form 460 to file any of the following: • Preelection Statement • Semi - annual Statement • quarterly Statement • Special Odd -Year Report • Termination Statement • Amendment to a previously filed statement Note: Mark the preelection statement box if a committee files a monthly report in connection with a LAFCO proposal. See reverse for general guidance on where to file this form. Contribution Limits: Candidates for elective state office are subject to state contribution limits. Contributions received by committees for the purpose of making contributions to candidates for elective state office are also subject to limits. A chart identifying the limits is located at www. fppc.ce.gov. In addition, local candidates may be subject to contribution limits imposed by local ordinance. questions conceming local limits should be addressed to election officials in the local jurisdiction. This form was prepared by the Fair Political Practices Commission (FPPC), For detailed information on campaign reporting requirements and the Information Practices Act of 1977, see the FPPC Campaign Disdosure Manual for your type of committee (available from your filing officer or the FPPC). Campaign filing deadlines, forms, and other informational materials are available on the FPPC websile (wwwfppc.ca.gov). FP Farm 460(lan/3a36) FPK A4NCe: ed~hiw..ao,(866/115 -3M) www.fppc.oaov Instructions for Recipient Committee Campaign Statement Where to File: In general, state committees file with the Secretary of State and local committees file with the filing officer of the local jurisdiction. State Committees: State committees include state candidates and officeholders, all judicial candidates and judges, committees that support or oppose state candidates and ballot measures (e.g. PACs, political parties), committees that support or oppose candidates and ballot measure in more than one county and candidates and committees formed for CaIPERS or CaISTRS elections. Secretary of State Political Reform Division 1500 11th Street, Room 495 Sacramento, CA 95814 Phone(916)653 -6224 Fax(916)653 -5045 www.sos.ca.gov Additional Copies: A copy of this form must also be filed with a state candidate's county of domicile's filing officer, if the state candidate committee does not file Form 460 electronically with the Secretary of State. A copy of this form must also be filed with a local filing officer if the committee is controlled by a candidate for state elective office and the committee is formed for a local election. A copy of this form must also be filed with the relevant CaIPERS or CaISTRS office if the committee is a candidate controlled or a primarily formed committee for a CaIPERS or CaISTRS election. Acandicate seeking a CaIPERS or CalSTRS election is not required to file a copy of the statement with the candidate's county of domicile. Local Committees: Elected officers and candidates for local agencies that have jurisdiction in two or more counties and committees that support or oppose candidates or local measures being voted on in one of these jurisdictions, file an original and one copy with the election offidal for the county with the largest number of registered voters in the district and one copy with their county of domicile. Elected county officeholders and candidates for county offices, and committees that support or oppose candidates or ballot measures being voted on within a single county, file an original and one copy with the election official for that county. Elected city officeholders and candidates for city offices, and committees that support or oppose candidates and ballot measures in a single city, file an original and one copy with the city clerk. Fast Facts: Paper Copies: Most committees must file the original and one copy in paper format with the designated filing officer. Most state committees must also file an electronic version. Some local jurisdictions also require electronic submissions. Electronic Filing: State committees must file electronic reports with the Secretary of State if the committee receives contributions or makes expenditures totaling $25,000 or more. General Purpose Committees: FPPC regulation 18227.5 sets out the procedures for determining whether a committee should file with the state, county or city elections office. In general, such committees file with the Secretary of State unless the committee makes more than 70% of its contributions and expenditures in connection with a city election or county election. The regulation sets out reviewtimelines and exceptions. Acommittee cannot knowingly file in an incorrecijurisdiction with the intention of avoiding the appropriate legal disclosure to the public. Committees that change jurisdictions file in both jurisdictions unfil the end of the calendar year. LAFCO Proposals: Committees primarily formed to support or oppose a LAFCO proposal file this form with the county elections office in the county that the proposal may be voted upon. Once a proposal is listed on a ballot, a committee will file as a multi- county, county or city committee. Statement of Organization: A committee must make certain that its Statement of Organization, Form 410, is current and correct. This form induces information such as a candidate's year of election and the name of the committee's principal officers as well as other important information regarding the committee's formation. Information listed on a Form 460 must be the same as that disclosed on the Form 410. rrrc corm a60 (Jan/2016) FPPC A4vke: advice ®fp .m.ro,(9sa/R7a -am) www.fW.ca.M Recipient Committee Campaign Statement Cover Page — Part 2 5. OMceholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR LAND WTE art C—C- 1— ^'r ee— m C).'^, OFFICE SOUDHT OR HELD(INCLUPE OCATIONANDrtSTRICT NUMBER IFAPPICABL > RESDENNIUBUSNESSADORESS (NO, ANDSTREET) CITY STATE �IP 212.E -J `JJed�am�ti\.} Plr.ca� t3ox�.�s Related Committees Not Included In this Statement: uateHy POnamnaaa net 1. In Wa tlafemant Nar am coeW W by ten orsm pdnMHly bmrad to nx, ro PW~— P.nWO, a Hffb,rea on IMtlfaya taMlGey. COMMITTEE NAME II.D. NUMBER NAME OF TREASURER CONIROLLEO COMMITTEE1 ❑ YES ❑ NO COMMITTEEACORESS STREET ADDRESS NO P O. BO%) CITY STATE ZIP CODE AREACODENHONE COMMITTEE NAME LO. NUMBER NAME OF TREASURER CONTROLLEDCOMMITTEEi ❑ YES ❑ NO COMMITTEEACORESS STREET ADDRESS NO PC. BO%) CITY STATE ZIPCODE AREACODENHONE Clear Cover Pg2 Print Form PART 2 Page_ of_ Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER JURISDICTION I ❑ OPPOSED ❑ OPPOSE Ode * the u bvlffln, omosholder, unditlale, or stain measure proponent, If any. NAME OF OFFICEHOLDER, CANIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO FAMY 7. Primarily Formed CandidatelO fBosholder Committee Lhtn . or oOAxf! oWw(s) a cenardaya) br ~ WatarvMawlsprtfv brmad. NAME OF OFFICEHOLDER OR CANDOATE OFFICES WOR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE XFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ QoPoBE NAME OFOFFICEHOLCER OR CANDIDATE CRRCE SOUGHT OR HELD ❑ SUPPORT ❑OPPOSE Attee1H con W o Won shsetr M mceaary FPPC Form W (an 12mS) FPPC Advire: adWre@fsp aNaov(M/27SaM) -- fppuwgov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period I EM N, Summary Page Me, Page of NAME OF FILER Expenditures Made Column A Column B Calendar Year Summary for Candidates Contributions Received rota me eeswo c+LENbvt ra Running in Both the State Primary and 6. Payments Made ....... ........... ...._ .... ............................... scneduroE,unea Iraoe . .D. SCHEDULES) mTUto o.te 7. Loans Made........ ... .... .... .......... .......... ..... .......... ............... Smedure H. Lines General Elections ! r'=7� O^'3 ssaa�»nn�' 7 1. Monetary Contributions .............._.. ._...........,........_........ scnedure a. Libre 3 $ • $ u+ thmogh 6W30 tat to Date 9. Accrued Expenses (Unpaid Bills)._..._....___. 2. Loans Received ................................. ............................... Seledure e, Linea 2D. � 1.5oO.00 $�.�b� q q�,�7 $ 1 3. 7 r a ,4d l� 3. SUBTOTAL CASH CONTRIBUTIONS _...._._........... ....... add Linea l +2 $ Receivatl Received 4. Nonmonetary Contributions................... ................. ... ..... schedule c, Line 3 11. TOTAL EXPENDITURES MADE, ..._...___.__ 21. Expenditures CONTRIBUTIONS RECEIVED Lwea 3.G $ - "-�• �7� $ / Made 5. TOTAL ...... ..... ....... ..._....._....See Expenditures Made $ *,/—Y -7.S/ $ IRY,98S,5/ 6. Payments Made ....... ........... ...._ .... ............................... scneduroE,unea 7. Loans Made........ ... .... .... .......... .......... ..... .......... ............... Smedure H. Lines $ / ` %,7 S / $ 8. SUBTOTAL CASH PAYMENTS........ .... ............................ add Lines 6 +7 9. Accrued Expenses (Unpaid Bills)._..._....___. _._............_... snhedure F L.3 10. Nonmonetary Adjustment_...._....____ .. ......................_.._..... SC+redme C. Line 3 11. TOTAL EXPENDITURES MADE, ..._...___.__ .................. Add Lines 6 +g +10 8 rL,/YZ51 $ /89�dg"Sf Current Cash Statement 12, Beginning Cash Balance ........ ,.... .., _.......... Previous summary Pegs, Line 16 $ t1 13. Cash Receipts ...... ..... ... ......... ....... .......... ... .... .......... .. coiumn A, Line 3eco.e �?� •�� 14. Miscellaneous Increases to Cash---- .............. ...... smaduie 1, Lines ^ y 3i �y3�' /b 15. Cash Payments .. ................... ........ _.............._.......... cowmn A. Line eaoove �/ "/J l 16. ENDING CASH BALANCE __ ..............Add Linea 12. 13. fe. then subbed Line 15 $ If this le a febmination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Scnedufe S, Pad 2 $ To calculate Column B. add amounts In Column A M the corresponding amounts from Column B of your last report. Some amounts in Column A may bet negative figures that should be subtracted from previous pedotl amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (H any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' is SUbj b Wan" Ex,dituro Llmle Date of Election Total to Dale (mMddlyy) Jam_ $ $ 'Amounts in this section may be different from amounts reported in Column B. 18. Cash Equivalents ................. ............................... se.embuceansonreverae $ 19. Outstanding Debts ..... add UM2 +LinegaGdumn Ssbcee $ FPPC Form 460 (lan /2016) FPPC Advice: advice @fppc.a.gov (866/275 -3772) www.h pc.o.8ov fichadida A Amounb may be rounded SCHEDULE A Monetary Contributions Received smmantCpVQfBPeri" •- , from • g Mnugh PNe_of_ __ _ BEE INSTRUCTIONS ON REVERSE �- NME OF FILER L0. NUMBER DATE FULLP ME, STREET ADDRESS AND ZIP CODE OF WNTRI&JTOR CONTRIBUTOR WAN ININVIWA, ENTER CCCUPATIONANDEMPLOVEfl AMOUNT ftECEIVEDTHIS CUMULATIVE TO MTE CALENWRVEAR PER ELECTION TO DATE RECEIVED OFCttenm[[.4ro 011EP ID.11VMeEm CODES pFae ..YE.ENT...E PERIOD (JAN1 DEC. 31) (IF REQUIRED) E891 ❑ IND ° COM ° on+ El PTY ❑ SCC ._CC��`/`1. f�,x.✓,1C \n °qIND COM O PTY t?uC_. G R 7- 4 BCC z�il Pb� C_a� Q AyttoV ° ON 50o PTY $o. 4�7s w c- 4 C o GAA ❑scc °IND ❑CON I]OTH °Pry ❑scc ❑ IND ° CAM ❑ OTH ❑PTY ° SIX SUBTOTAL$ Schedule A Summary 1. Amount received this period -itemized monetary contributions. (Include all Schedule Asubtotals.) .................. ............................... 2. Amount received this period - unitemized monetary contributions of less than $ 100 ...........................$ 3. Total monetary contributions received this period, — i r (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ J��_ O 6 Clear Sch. A Print Form 'COmdbulor(D, e IND- 1WiVWuel CAM- Recipem Cammidee (ether Nen PTY or SCC) 0TH- 0ther(e.g., We mssemdy) PTV — Palkical Pam SCC —Sm lJGvmribWOr CommYtee FPPC Form W (Jan /2016) FPPCAEvice: adWce @fpm.w.gov(866/2y5.3M) www.ippc.a.gov Schedule E Payments Made Amounts may be mundetl towholedolhus. Pees_ of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. WP campaign parephemellalme, MBR member wmmumbabors RAID md'o aiNme end"duabn costs CNS campaign consultants MTG meaeigsardappeenncee RFD nonmed conbibutons CTB wntribWion(expbin nonmowlary)' OFC office ex Peru. SAL wmpoign workma' salaries CVC civic donations PET petiton circulating TEL L. or cattle almost and production wets FIL candidate filiiglballot teen PHO phone banks TRC candidate bevel, lodging, and meals FND fundreieing events POL polling and survey research TRS steglspouse bevel, lodging, and meals IM independent expenditure suppotineropposing ousts(explaM)' PCS postage, delivery and messenger seniws TER bemfer between communes of the same wrdidetelaponwr LEG legal defenses PIiO professional servbes(Iegel, aawnting) VOT cater regamatbn LIT cemPign litammm, and mailings PRT pint ads VVEB Information technology were nntemeh e-maie NAMEANDAODRESS OF MYEE Ile W... unoa,rm I., NuuaaI CCOE OR DESCRIPTION OF PAYMEM AMOUNTPAID m o tilt o- P do LP1 SAL Ga ,gwt�n -PPor e GaPPb�! e4gGCi "1 S•gL Cuw+Ptal �N z 35,0 Sav ier Reyes G A S/�L Gpv �ai�v 5�,p�b'1 a }eSfr� 350.0- 1C>VI, GA StgL Gc�m�a1 >n S+npPorl'Si'a`r�*ri »al 5flO.C�C G¢wc v0- d.lc A, L �avn 0-1 S�+ crj'S�a44�y1 H,B� P`0- Crn.$d -(� 'f'RS 5ai'uFr�r `) 7 , `16 T= o.5t 5-F riP G °.rj, �. 'g T25 �'.ra,Ve.l'c>r»eoY\3 3 Z I Z 1 �1a P p Y '- o v^r &-n' \ +1 " "CRS 'i 14C ' Payments Met em wntribufions or indapeMentexpenditures must also be wmmarlxed on Schedule D. SUBTOTAL $.,/ 2 V I'l 1 37 Schedule E Summary L 1. Itemized payments made this Period. (Include all Schedule E subt otals.) ......... ............ .................................... ,..... .................... ,...... _... _............ $ 2. Unitemized payments made this period of under $ 100 ....... .... .. .................. ...... .,.... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (a).). ... . ... .... ............. ....... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line S.). _2 0I E Print Form .................. TOTAL $ — FPPC Form 960 tan/2016) FPPC Adl &MACe @fppc.Cagov (666/37S.3M) www.fppcca.eov Schedule A Wntsm be rounded Wl- EDULEE (Continuation Sheet) b vfioh tlolbre. Sbbmant covers perloE Payments Made are m Mrough Page— of_ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP ampaipn peraphemelielmec. MBR member communications RAD radio airtime and production mats CNS campei0n mnauhanb MTG meebgearldappearemee RFD returned canlrWUdca OTIS opnII Mplaln nonmorebry)' OFC office evaaes SAL amagn vrorkels sledes CVC cW donations PET petldon diculating TEL Lv or able san. and production coats FIL candidate flirgiballet fees PI-10 phone bars TRIO candidate travel, lodging. and meals FND funciralein, everts POL pomp and wnay raeemch TRS aeffMMuea travel, lodging. and meets IND Independent expenditure suppodinglopposingm era (explain)' POS postage, delYery and messager services TSF hamfer between mmmiheas of the mme Famidab/sponedr LEG legal defense PRO pmfesslonal ser mss (legal, amoureft VOT voter reglelatlon LIT campaign literature and melinga PRT pro ads WEB Ineomlatlon techmlogy costs(intenreL aanaip NAME AND ADDRESS OF PAYEE IIPCp.Mn1EE. /.L&IBJreR ➢..10 CODE OR DESCRIPTION OF PAYMENT MOUNT PAID W 13 MP O�LL >wn} rr-Ce. 9.00 1Ne.l15 �O'�j'� Iq ly CN^D o-LLbu+�� C+.a a�r6o W.e.tl lj (^HMlt.b 11 t) GNP O.t -C_d Kati �' F'L'T 3r07% (�'- pC'>ac �C� WG{2i V. c z 5 T'LVE SO3,9 - zvza5 0 (>c\�)�ico'�\ �/i51DVl�j Vo- Hd.l,p wi4k ilin� R.$n I Y)2 GM°. va ra Ava) 9a r\ I.ttP.craa\ GA �^le�i'e -rvt. Pn.c14 -ic !�GSc°.a.vr�k r GNS COk r � 0, GO% SCHEDULE F Schedule F Amounts may be rounded gtstement coven Io0 Accrued Expenses (Unpaid Bills) toeM1pledollara. pat MmugM1 Page_ of_ 10 NUMBER UUUeb: IT one of the following codes accurately describes the payment, you may enter the code. Othermse, describe the payment. CMP campaign perapiemalie/miac. MBR member commu petbna RAD raft airline and production wets CNS Renewal consultants MTG meetings and appearances RFD retuned contributions CM wnabufion(explain nonmoreary)' DEC maw expenses SAL campxign.rlare seI.Ras CVC civic dommona PET pegbon circutatiig TEL t.v or cable aifine and pro lumon wste FIL candidate fifng2alke tees PI-10 phone banks TRC candidate trawl, Iodgre, eM meek FIND paMraters events POL polling and survey reawren TRS sae/ spousebawl, IND kldepandea expenditure suppodlrglepwaing others explain)' POS prokmaxdelivery Messenger .,I. TSF mmifte,eofmask transferistAeen wmmieaea of the same canfdatelawnwr LEG tsgaldeknae PRO ces el eervcea (lapel, accounting) prim VOT voter registration LIT campaign Igeraare eM mesinga PRT prim ads mis WEB information technology rasa (intemat a -mail) NAME ANDADORESS OF CREDITOR Ira OWmnLB ALSO elm 10 NUmaEm CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD lal MOUNT INCURRED THISPERIOD dial AMOUNT PAID THIS PERIOD ALSO eErom ON E) OUTSTPNOING BAIANCE AT CLOSE OF THIS PERIOD o e ..... x..NN. ors NeP'Nm'm oe'F.sNr'e mNM mso Re SUBTOTALS S $ f f Schedule F Summary 1. Total accrued expenses incurred this period. (include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ....................... .......................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $ 100.) .... .... ........ .... .......... .... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) .................................................................................................................................................... ............................... NET$ CIW Shc. F Prltlt Fpm vy� FPPP Form Cgs (Ja/5016) FPPC Ad vice: advloeensoc...row(116ed ..fp,.ugov Instructions for Schedule F Accrued Expenses (Unpaid Bills) Report unpaid bills for goods or services on Schedule F. If the amount owed to a single vendor is $100 or more at the end of the reporting period, you must disclose the name and street address, city, state, and zip code of the payee or creditor and the amount incurred during the period that is outstanding at the end of the period (Column (b)). Continue reporting the accrued expense on each subsequent campaign statement until it is paid. You are not required to report on Schedule F regular administrative overhead expenses, such as rent, utilities, phones, or employee salaries if you have not received a bill in the normal course of business or If the due date for the payment is after the closing date of the statement. If you do not know the exact amount of a debt or obligation, provide an estimate. Once the exact amount is known, amend the estimated amount or note the correct amount on the next campaign statement. Unpaid bills of less than $100 at the end of the reporting period are added together and included in the total reported on Line 1 of the Schedule F Summary . When accrued expenses are paid, the payments are reported on Schedule E. Also report the payment on Schedule F, Column (c). Code or Description of Payment: If one of the expenditure codes listed on Schedule F fully describes the payment, enter the code. A full description of each code is provided on the back of the Schedule E Continuation Sheet. If none of the codes fully explains the expenditure, enter a brief description of the goods or services instead. There are special instructions on the back of the Schedule E Continuation Sheet for coding and describing nonmonetary contributions and independent expenditures to support/oppose other candidates, committees, and ballot measures. Accrued expenses that are nonmonetary contributions and independent expenditures must also be summarized on Schedule D when incurred. Credit Card Payments Disclose the name, address, and amount owed or paid to the credit card company during the period. Also disclose the name, address, amount paid, and code or description of payment for each vendor paid $100 or more. You may disclose the vendor payments on Schedule F or Schedule G. Payments by Agents and Independent Contractors: When an agent or independent contractor (e.g„ campaign worker, advertising agency, campaign management firm) makes payments on your behalf ( "subvendor payments "), disclose the name, address, amount paid and code or description of payment for each vendor paid $500 or more. Disclose amounts owed to the agent or independent contractor on Schedule F. You may disclose the subvendor payments on Schedule F or Schedule G. Note: It is not necessary to reitemize credit card vendors or agent subvendors on Schedule F or G when payments are made on accrued expenses, or if an accrued expense is itemized on more than one statement. Forgiveness or Third Party Payment of an Accrued Expense: If creditor forgives or reduces an outstanding debt, or a third party pays a debt for you, report the transaction as follows: • In the "Description of Payment" column, state that the debt was forgiven, reduced, or paid by a third party. • Report the amount forgiven, reduced, or paid by a third party as a negative figure in the 'Amount Incurred This Period" column (Column (b)). • Report a nonmonetary contribution from the creditor or third party on Schedule C. Do not report the forgiveness, reduction, or third party payment on Schedule E. Refer to the FPPC Campaign Disclosure Manual for your type of committee for important information about recordkeeping, cash expenditures, permissible uses of campaign funds, and more. FPPC Form 460 (lan /2036) FPPC MWm: adNre@fPPC.ca.rov (666/2753]]3) www.fPPCca.aov Schedule F Amounts may M roundetl (Continuation Sheet) toximMdollars. rSuW*-onl mverspe riod Accrued Expenses (Unpaid Bills) h SCHEDULE F(CONT) Page— of CODES: If one of the following codes accurately describes the payment, you may enter the code. Othervnse, describe the payment. CMP campaign pamptpmalialmbc. MBR member communicators; RAD man airtime and production costs GINS campign conaullen MTG meefinpsendappemnces RFD returnedconbutidm OTIS oontntion(exptan nonmonetary)' OFC office expenses SAL campaign wmles. selarna CVC dvn domaxons PET Prob. Blrculefirg TEL t.v. or Bade akme and pmduodon costs FIL candiderofilitglbelldfeea PHO phone banks TRC carsidits MIMI lodging, a ul meals END fundraising even POL polling end survey research TRS &a6/spouse travel, Wg6g, aid meets IND independent expeMbure su ,mminglopppdng others(explas)' POS posbge, delivery std messenger services TSF transfer between commies of me Same ran6mlelaporaor LEG legal dabnee PRO profulsnnal servicee("I,aaountiig) VOT Moran regiabedon LIT campaign Immature BW meilirge PRT MM ads WEB information technology cosh(inrnet, a -maig Paymen that are contributions or Independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR ar EDENC7FE Um EWER re. NUMBER) DOOR OR DESCRIPTION OF PAYMENT let OUTSTANDING BALANCE BEGINNING OF THIS PERIOD la) AMOUNTINCURRED THIS PERIOD W AMOUNTPAIO THIS PERIOD Woo RErom ENE (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALSS $ $ $ CNV $M. Fion. !MM ftypnk FPrK Form 460 (un /2016) FPPCA II aduire @FppE.Gi4oM (1166/275am) ..fppuca.6uv Schedule G Payments Made by an Agent or Independent Amounts may ne rounded Contractor (on Behalf of This Committee) to sMOle dollars. Page— of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP cempeign paraphemalsiimal MBR member commuscamons RAD retfo airtime am producd. Male CNS campaign consulleNa MTG meefiigs ant appearances RFD reWmdd conlnWAions CM contribution (explain nommonetara' DEC .fim expenses SAL campaignworsersseleres CVC civic donalona PET pets.. cimulab% TEL t. v. or code ailtlme and production code FIL mntlgete filingNalomlees P110 phone harms TRC candidate morel, lodging. and! mesh END furdreisingevene PDL polling and wrvey research TRS staff /spouse tavel, lodgng. and mess IND irdependaM expemblure supportirlglopposng ahere(explam)Y PO.S postage, Wrarymd messenger services TSF transfer belvaen committees of the dame candidste /spomor LEG legal defeme PRO professional services (legal accounting) VOT voter regetredon LIT campaign limemWre and! m WiN. PRT print ads WEB infonnaten technology coema(intemel, a -mail ' Peymene them ere wrentudom or independent expertness must also be aummenced on Schedule D. Attach additional information on appropnafely labeled continuation sheets. TOTAL" $ 'DO coda mmmkrbenY omersNadAe ate fhe Scmnrery Paps. TMs FUaI maYequel fheamonaf paid to Me eBeM m FPPC Form 060 (1./3016) vxkperdeM wMrsmres m/Med on ScAedso E FPPC Advice: advice @fpP:.u.`dv (666/375.3M) Clear Seh.O WIM FOrfn axonsfw -o.res Instructions for Schedule G Payments Made by an Agent or Independent Contractor Report payments made on your behalf during the reporting period by an agent of independent contractor (such as a campaign management firm or an advertising agency) on Schedule G. Schedule G may be completed by the agent or independent contractor and provided to you or Schedule G may be completed by you from information provided by the agent or independent contractor. Report expenditures of $500 or more (other than expenditures for the agents or independent contractor's overhead and normal operating expenses) made on your behalf during the reporting period. Once a subvendor payment has been itemized on Schedule E, F, or G, it does not need to be itemized again. For example, if a subvendor payment is reported on Schedule F or G as part of an accrued expense, the subvendor information does not need to be reported again on subsequent reports. Code or Description of Payment If one of the expenditure codes listed on Schedule G fully describes the payment, enter the code. A full description of each code is provided on the back of the Schedule E Continuation Sheet. If none of the codes fully explains the expenditure, enter a brief description of the payment instead. Important: Officeholders and candidates may reimburse an agent or independent contractor for expenditures made on their behalf only tf all of the following criteria are met: • There is a written contract between the officeholder or candidate and the agent or independent contractor that provides for the reimbursement; The treasurer is provided with a dated receipt and written description of each expenditure prior to reimbursement; and Reimbursement is paid within 45 calendar days after the agent or independent contractor makes the expenditures. Generally, if reimbursement is not paid within 45 calendar days, report the expendtture as a nonmonetary contribution on Schedule C, Refer to the FPPC Campaign Disclosure Manual for your type of committee for additional instructions. FPK F . 160 (Jan /x016) FPK MWI.: edvae &W.ca.6ov (666/275 -3M) www.fpP .n.BOv FYH:IdHHry1 Schedule Amounts may W mundW Statement covers aedw , to whole dollar. a 6 Loans Made to Others` 6vm •'� SEE INSTRUCTIONS ON REVERSE MmNugll Pepe— Of NAME OF FILER I.D. NUMBER FULL NAME STREETADDRESSANp ZIP COUP IFANINLYVICUAL ENTER OUTSTANDING PI AMOUNT IH REPAYMENTOR Idl OUTSTANDING 1.1 INTEREST "I ORIGINAL lel CUMULATIVE RUE»CervreR OCCUPATION AND EMPLOYER Rg1ANCE LOANED THIS FORGIVENESS BALANCE AT RECEIVED AMOUNT OF LOPNB YFCOAU.mFOEF w. M1VMBERI er SEEEOFL�w�TER BEGINNING THIS PERIOD CLOSE OFTHIa LOAN TO MTE 1 THIS PERIOD' ❑ END ULLENDARYEAR 1 1 ❑FORGIVEN RELERIOX MlE 1 DATE WE BATE INCVRREO ❑ GAIO CALENDAR YEAR 1 ❑FORGIVEN PER ELECTION" M DATE WE WTE INNRREO 'Loans Nat are conalbutions m arolher candsh s or committee must elm be summanomd on Schedule D. Loans kngiven must also be reported on Schedule E. SUBTOTAL$ $ S { S Schedule H Summary 1. Loans made this period ............... .......................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ...... ........... .............. ...... ...................... ..... (Total Column (c) plus unitemized payments of less than $100,) 3. Net change this period. (Subtract Line 2 from line 1.) ......................... (Enter the net here and on the Summary Page, Column A, Line 7.) CWr Sph. N PrIM Form (En.1.1. ..1. I, Uh. ]t $ ^If Required ........NET I m.r B.•ma�Ir..,.�em FPPC Form e60 (ran /3016) FPPC Aduke: sdvke@fDpc.FaI (866 /875 -37T!) ..fp,.ca.Bov Instructions for Schedule G Payments Made by an Agent or Independent Contractor Report payments made on your behalf during the reporting period by an agent or independent contractor (such as a campaign management firm or an advertising agency) on Schedule G. Schedule G may be completed by the agent or independent contractor and provided to you or Schedule G may be completed by you from information provided by the agent or independent contractor. Report expenditures of $500 or more (other than expenditures for the agent's or independent contractor's overhead and normal operating expenses) made on your behalf during the reporting period. Once a subvendor payment has been itemized on Schedule E, F, or G, it does not need to be itemized again. For example, if a subvendor payment is reported on Schedule F or G as part of an accrued expense, the subvendor information does not need to be reported again on subsequent reports. Code or Description of Payment If one of the expenditure codes listed on Schedule G fully describes the payment, enter the code. A full description of each code is provided on the back of the Schedule E Continuation Sheet. If none of the codes fully explains the expenditure, enter a brief description of the payment instead. Important: Officeholders and candidates may reimburse an agent or independent contractor for expenditures made on their behalf only if all of the following criteria are met: • There is a written contract between the officeholder or candidate and the agent or independent contractor that provides for the reimbursement; The treasurer is provided with a dated receipt and written description of each expenditure prior to reimbursement; and Reimbursement is paid within 45 calendar days after the agent or independent contractor makes the expenditures. Generally, if reimbursement is not paid within 45 calendar days, report the expenditure as a nonmonetery contribution on Schedule C. Refer to the FPPC Campaign Disclosure Manual for your type of committee for additional instructions. FPK Form 460 (lan/2016) FPK MV.:adivkii&par..i (966%115 -3M) ..fpN.ra.Vv Schedule 1 Amounts may be rounth! SCHEDULEI Miscellaneous Increases to Cash to vtole dollars. Stamment covers peHw �gl Gam •' SEE INSTRUCTIONS ON REVERSE trough gaga n(_ NWE OF FILER ID NUMBER MTE RECEIVED FULL NAMEANDADDRESS OF SOURCE miel to.MNeEm DESCRIPTIM OF RECEIPT AMOUNTOF INCREASETOOASH ,}..IlrcpµTlEEUm VA`/%ok� 4o�'VO.v�id H �`[::, i� l; r � If '� E. it 4. iF'5 j'bJ31i11 I�COk- YSAe`4gaYY'.^.GYPPIFI2rl' i�tGYN0.� ll• JJ r�,,,)O le�,a j+ &&I CV.+'raw Pecs °+i. Attach additional information on appropriately labeled conNnushon sheets. SUBTOTALS Schedule 1 Summary 1. Itemized increases to cash this Period ... ............. ..... .......... ............. ...,.,....., .......... ................ ,,.... ...................... ..... ......... $ 2. Unitemized increases to cash of under $100 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 SummaryPage, Line 14.) ..... ............... ......................... ................... ..... ............................ ................. .... ...... TOTAL $ FPPCFOrm u60 (hs/Iel6) Clesr Bch.l P(Int Form FPPC AdWon el1vko hgfpp:.aUgov(11661 vnvw.fPpc <a.gov J Instructions for Schedule I Miscellaneous Increases to Cash Report any transaction that increases the cash position of the officeholder, candidate, or committee, but is not a monetary contribution, loan, or loan repayment, on Schedule I. Itemize the sources of $100 or more received during the reporting period. Examples include: • Interest received or credited to checking or savings accounts or other time deposits. • Proceeds from the sale of property, such as paintings, furniture, or other items sold at garage sales or auctions, etc., when the amount received is the 'fair marketvalue" of the item, Amounts received over the fair market value are reported on Schedule A. (Report donated items as nonmonetary contributions on Schedule C.) • Proceeds from the sale of campaign property, such as office furniture or equipment. • Refunds received on deposits, such as telephone deposits. • Refunds received from overpayment of bills. • Transfers received from another authorized committee of the same candidate. (Candidates for elective state office should refer to FPPC Campaign Disclosure Manual 1 for information about reporting transferred funds that must be attributed to specific contributors of the committee making the transfer.) Report on Line 3 of the Schedule I Summary the lump sum of interest payments received on loans made to others. Do not itemize. This amount is transferred from Schedule H, Column (g). FPPC Form 46(1 (lee/1036) FPPC My :a dv.@fpK...8av(866/116 -311!) www.fPP�.aBOv