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Home My WebLink AboutDEAN SEMMIANN17(2)Recipient Committee Campaign Statement Cover Page Committee to Bled Mamn Dean Bakersfield City Council WaM 12018 .*AEET>ooxEesiuo vO.aoq wTION.� sMIuwR W[n5z5 MOWMPe Me InkmNpon mn1.IM0 Aemin.M IO Ne eX.CNJ eNMWee N Irve eM Wmgele. I H"142VIL OF fiy mwn7M71M.ams ex. c.neen. .Iwmv. eem., INK FMMMO p.n/20161 FPPC ANI«; e4vlu@fpPC.u.eov (a56/D5-3A2) '. •'NOcu.gov Recipient Committee Campaign Statement Cover Page— Part 2 5. Officeholder or Candidate Controlled Commltlee —c OF C£MEFRM.8R OR CMIOI W lE Mervin Dean OFFICE SOUGHT OR FE1DaNC1LCE LOCATION NUDI6TRICi...IFAP%ICe9El Bakersfield Cly Coundl weal 1 REFgEM LMNE55PDDREW M.MtlDb1REEn ,STATE TATE ZC Related Commeteee Not Included in this Statemam u�«r[emRrM.. zl In[IUJM In MN afMmuN Mf en caMrellq 6YY[✓ w M pilmaMy bmNC b FxW re [ubidN[na ormaFa npen✓Me«wbMral/[I«ur [aMlOary. ', COMNILIEE NAME I.O.NWPER Committee W elect Marvin Dean Bakersfield 14001M NIYEOFTRFASIIRERCOM"-"ccMMRnEY Rob Hernandez ❑ VE ONO CONYnTEEI00gE66 51REEi 0eORES4 MOP.O. I STATE dPCCCf Fq COOEMIOFE cguMmFFNME LD.NuxeER H4rEOFTfFAerIgFA CONTROUEDCONNn1FEi COx ❑VE6 ONO YITIEEO[CRESS sTREETACMEE4 ado Ro. golR cl V STATE ZIF.. EACOOETMIX{ Page 2 of 2 6. PNmadly Formed Ballot Measure Comadda. BALLOT W. ON Ip M JLRISOCTIOM 6UPPom ❑ OFPo6E IdomY the ..'MlOaN.a[Men[aMlenc. uLY.a o. -Re gRPM.nI. n. m. WME OF OFFlCEngLEq. cONOIMTe ON PROF W ENT 7. Primarily Famed Canlldale/ fflo.holder Committee Lot-- of emMaNerb) or «naMMU a..m[n pY cemmm« le Mm.nry b.m«. — OF OFFICENgCEA ORCP MTE FFICESOW, HELD suwGRT Marvin Dean0 Diy DOUnblt Ward 1 ❑ OFPOSE NAME OF FFICE WERM WNDMTE OFFICEEOWWOR D ❑ b Ecom ❑ ovvo E NNLEOFOFFICFNpLEA CRCNgpISE OFFICESWtlROq NELO ❑ ❑ OPPo6E PF*. NAME OF MoccNOLMR OR CMDevac OFFICE SOUGHT OR I6D DWFFOFT ❑ OPP. R. ov.. .eMaY M«ce«R, FPPC Fpm 060(10./20.) FPPC AEVIM: aEWaogfR [.[a.g la66o75-3721 mweryvro.aov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers pared �.1 from pp rf 4 57 SEE INSTRUCPONS ON REVERSE through Page_ M NAME OF FILER l a _ � • � Le. NUMBER Contributions ReceivedColumnA Column Calendar Year Summary for Candidates Tofu T til PERIOD iFiew RAOHEO EDHEDmEst MEN -a YEpR TOTAL TO E Running in Both the State Primary and 1. Monetary Contributions...., iZOu General Elections ................. ..................... smadvroa, Linea S $ 2. Loans Received ................................................................ sclredvk e. Line 3 �� Ill through 6130 7l1 M Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Ada Lines 1+2 $ � Q $ 20. Contributions Received S $ 4. Nonmonetary Contributions ................... __..._................ schedule C Lina3 27. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED.... ........... ........ . Aodi-ir.3+4 E i r12T $ Made $ $ Expenditures Made 2,y 55— Expenditure Limit Summary for State 6, Payments Made................................................................ schedule E. LNre4 $ la $ Candidates T. Loans Made.. .............................. ..... ..... ....... wre 3 -0- 8. SUBTOTAL CASH PAYMENTS .......................................... AdLines6i) $ tf 30U.S) 22. Cumulative Expenditures Made- ofSubhmb%lunni, upendirim LMO) 9. Accrued Expenses (Unpaid Bills) ............................. -........... Schedule E Lrvre 3 '®' Date of Election Total to Date 10. Nonmonetary Adjustment- Soeduro C. Lire 3 Ar (mrrVddiyy) — 11. TOTAL EXPENDITURES MADE ....... ....-....... ......... .... .. Addunes8+9.10 $ tl' $ $ Current Cash Statement 1 �_J� $ 12. Beginning Cash Balance ......................__. Previous summary Pays, Line rs $ � � ` To calculate Column B. 13, Cash Receipts ........................................................... coNmnA, line 3 eburs add enroums in Column 14. Miscellaneous Increases W Cash ............................... scnedum (Line 4 -�' Ate the romespondirlg *Amounts in this section may be diferent from amounts _. amounts from Column B reported in Column B. 15. Cash Payments. . Cavi V. a above ....................................................... of your last report. Some �^ amounts in Column A may 16. ENDING CASH BALANCE __........._.. alyres fza t3. fs, M. aublran Linef5 AW E 01' be negative figures that that If this is a termination statement, Line 16 must be zero should be subtracted from previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ............ ................... schemne e. Parti $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7, and 9(if any). 18. Cash Equivalents..._ ..............._............_._......... see insimcxons on reverse E 19. Outstanding Debts--..... .......... Add Lv02+Lina9v OvuRR8EdxPo $ FPPC Form 460 pan/2016) FPPC Advice: advice@fppc.ca.eov (866/275-3772) www.fppc.ca.8ov Instructions for Summary Page Campaign Disclosure Statement The Summary Page provides an overview of the committee's financial activities and is completed for each filing. Column A reflects activities during the current reporting period as reported on Schedules A through H. It is not necessary to attach a blank schedule if there has been no reportable activity during the period, but it is necessary to enter a zero or the word "none" on the appropriate line in Column A of the Summary Page. Column B figures should reflect the cumulative total since January 1 of the current calendar year* Add the totals from Column B of the committee's last campaign statement (if any) to the corresponding amounts in Column A. If this is the first report being filed for a calendar year, only carry forward the amounts reported on Lines 2, 7, and 9 of Column B (if any) from the committee's last statement. (Note: The amounts reported on Lines 2, 7, and 9 of Column B should be the same as the total outstanding amounts disclosed in column (d) of Schedules B, F, and H, respectively, of the current report.) When loans (Schedules B and H) and accrued expenses (Schedule F) are paid, the figures to be carried from the schedules to Lines 2, 7, and 9 of Column A may be negative numbers. In this case, be sure to show them as negative figures on the Summary Page (e.g., with a minus sign (-) or in parentheses), and subtract them when totaling Columns A and B. `There are exceptions to the calendar year "cumulation period" for candidate elections and ballot measure elections held in January and early February, and for ballot measure qualification activities. Consult the FPPC Campaign Disclosure Manual for your type of committee for additional information. Current Cash Statement: Lines 12-16 of the Summary Page should accurately reflect your current cash position. Beginning and ending cash balances should include the total amount of funds in your campaign checking and savings accounts, plus any investments that can be readily converted to cash, such as certificates of deposit, money market accounts, stocks and bonds, etc. (Officeholders and candidates are subject to bank account restrictions, and all committees should read the FPPC Campaign Disclosure Manual regarding appropriate uses of campaign funds.) Line 12 (Beginning Cash Balance) must be the same as the ending cash balance reported on Line 16 of your previous statement's Summary Page. If this is your first campaign statement, enter zero on Line 12. Line 16 (Ending Cash Balance) is the total of Lines 12, 13, and 14, minus Line 15. If you are filing a termination statement, Line 16 must be zero. Cash Equivalents "Cash equivalents" include investments that cannot be readily converted to cash, as well as the balance due on all outstanding loans the committee has made to others (from Line 7 of Column B of the Summary Page). Investments that can be readily converted to cash, such as certificates of deposit or money market funds, should be included in the cash on hand figures on Lines 12 and 16 of the Summary Page. Summary for Primary and General Elections (Lines 20 and 21): This section is only for committees that are: • Controlled by a candidate who is being voted on in both the state primary and general elections (does not appy to controlled ballot measure committees); or • Primarily formed to support or oppose candidates being voted on in both the state primary and general elections. Complete this summary on the preelection and semi-annual statements for the general election, covering periods during the last six months of the year (July 1 — December 31). Expenditure Ceiling Summary for State Candidates (Line 22): Candidates for elective state office who have accepted the voluntary expenditure ceiling for a particular election must disclose the total amount of expenditures made through the end of the reporting period that are subject to the expenditure ceiling for the election. Report the date of the election and total amount expended for that election. Report totals for the primary and general elections separately. This information is no longer required if the expenditure ceiling has been lifted. (See FPPC Campaign Disclosure Manual 1.) FPPC Form 460 (Jan/2016) FPPC Advice: advke@fppc.ca.gov (966/275-3772) w .fppcxa.gov Schedule A Amounts may be rounded SCHEDULE A Monetary GontrinutlonS Received-""�'---"-'-' Statement covers period _ KlallaawA from •' SEE INSTRUCTIONS ON REVERSE through Page _ et NAME OF FILER I.D. NUMBER DATE FULL NAME. STREETADDRESS AND ZIP CODE OF CONTRIBUTORCOMR BUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED Prcoevu TEE,AUIOEXIFBLe. XUMemI CODE + OCCUPATION AND EMPLOYER RECEIVEDTHIS CALENDAR YEAR TO DATE Ir aeyr.EMpLoyEp EXTERNXME OF WSIXE33) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) Ar II'' aV 1-7 n 1 L 4-J �E1J'2 ryo'�K V ND El IZ El COM DOTH D PTV D SCC LI " EIOTH D PTY ❑ SCC J4 I t I �� ❑COM D oTH D PTY D act; �'rL 'Q J ar le-,OvX \ / NDEl Z4 cm D OOH D PTY D SCC SUBTOTAL $ ZJ0 0 Schedule A Summary *Contributor Codes 1. Amount received this period - itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.).....................................�jpV .....................................................................$ COM- Recipient Committee 2. Amount received this period - unitemized monetary contributions of less than $100 ...........................$ (other than PTV or SCC) OTH - Other (e.g., business entity) 3. Total monetary contributions received this period. ^ PTV - Political Party SCC- Small Contributor Committee ur (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ FPPC Form 960 (lar/2016) FPPC Advice: advice@tppc.m.gov (866/275-3772) www.tPPcca.gov Instructions for Schedule A Monetary Contributions Received Report monetary contributions (except loans) received during the reporting period on Schedule A. Also report on Schedule A if a contributor forgives a loan for your committee or a third party pays a loan for your committee. Loans received during the period are reported on Schedule B. Certain transfers between a state candidate's controlled committees are also disclosed on Schedule A. (See FPPC Campaign Disclosure Manual 1.) If a total of $100 or more is received from a single contributor during a calendar year, report the name, street address, city, stale and zip code of the contributor, the amount contributed this period, and the cumulative amount received from the contributor since January 1 of the current calendar year.' Include monetary and nonmonetary contributions and loans when reporting the cumulative amount. Contributions totaling less than $100 received from a single contributor during a calendar year are reported as a lump sum on Line 2 of the Schedule A Summary. 'There are exceptions to the calendar year "cumulation period" for candidate elections and ballot measure elections held in January and early February, and for ballot measure qualification activities. (See the FPPC Campaign Disclosure Manuals for candidates and ballot measure committees.) Date Received: A monetary contribution has been received when the candidate or committee, or an agent of the candidate or committee, receives or obtains control of the check or other negotiable instrument. There are special rules for reporting the date contributions are received by a committee that collects contributions through employee payroll deductions or membership dues and contributions received electronically (e.g., credit card, text). Contributor Codes: For each itemized contributor, check the applicable contributor code: IND — contributions from any individual's personal funds. COM — contributions from other committees that receive contributions. These committees will have an Identification number assigned by the Secretary of State. Examples: political action committees, other candidates' committees. (State committees should use PTY or SCC when appropriate.) OTH — business entities and other contributors PTY— contributions from political parties (including state and county central committees). SCC — contributions from small contributor committees (applicable only to state candidates and committees). Contributions from Individuals: When itemizing a contribution from an individual, also disclose the contributor's occupation and the name of his or her employer. If the contributor is self-employed, provide the name of his or her business. If the contributor is not employed, enter 'none." It is not necessary to enter occupation and employer information for other types of contributors (such as business entities). Missing Contributor Information: A contribution of $100 or more must be returned to the contributor within 60 days if the recipient does not obtain the contributor's address, occupation and employer. Contributions from Committees: When itemizing a contribution from another recipient committee, disclose the identification number assigned to that committee by the Secretary of State in addition to its name and address. If no ID number has been assigned, provide the name and address of that committee's treasurer. Intermediaries: If you receive a contribution through an intermediary (i.e., you have received a contribution check from a person other than the true source of the funds), disclose all of the required information for both the intermediary and the actual contributor. Per Election to Date: Candidates subject to state contribution limits (or it required by local ordinance) must disclose the cumulative amount received from each contributor during the limitation cycle in addition to the calendar year cumulative amount. (Candidates for elective state office should refer to FPPC Campaign Disclosure Manual 1.) Additional Important Information: Refer to the FPPC Campaign Disclosure Manual for your type of committee for important information about aggregating monetary and nonmonetary contributions, recordkeeping, prohibitions on cash contributions, returning contributions, and more. FPPC Form 460 (Jan/2016) FPPC Advice: advice@1ppc.ca•9a" (966/2]5-3]72) www.fPPc.o.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars, statement coves period 0from throughPage of NAME OF FILER - 1.0. NUMBER DATE FULL NAME, STREETADIXtESSANO ZIP CODE OF CONTRIBUTOR CONTRIBUTOR )FAN INDIVIDUAL, ENTER OCCUPATION ANO EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IIF coMVlrreE.uso Exn;ai D.NUNBEm CODE' BFMI.F£MRavm.EmERNAME PERIOD (JAN.1-DEC. 31) (IF REOUIRED) OF BUSINESS) �iLw \l3 S Icom ❑ OTH 2V 1-7 ❑PTY ❑ scc i] IND ❑ COM ❑ OTH ❑ PTY ❑ $CC ❑ IND ❑ COM ❑ oTH ❑ PTY ❑ scc ❑ IND ❑ COM ❑ oTH ❑ PTY ❑ scc ❑ IND ❑ COM ❑ oTH ❑ PTY ❑ scc SUBTOTALS BDv IUSESSIN 'Contnbulor Codes IND—Individual COM — Recipient Committee (other than PTV or $CC) OTH — Other (e.g., business entity) PTY— Political Party SCC — Small Contributor Committee FPPC Form 660 (Jan/2016) FPPC Advice: advice@fppc.u.gov (866/275-3772) www.fppc,ca.gov SCHEDULE B - PART 1 Amounts may be rounded Schedule B—Part 1 towboledollars, Statement covers period a. , • 1 Loans Received l from • " SUBTOTALS $ $ $ $ lENer l•)•• Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) tConldbotor codes 2. Loans aid or forgiven this period .........................................................................................................E IND-lnai CIP11r p rg p COM—ReciPlent Committee itotal Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH— Other (e.g., business enety) PTY — Political Party 3. Net change this period. Subtract Line 2 from Line 1. ................................................... NET $ SCC — Small Contdbulor Committee Enter the net here and on the Summary Page, Column A. Line 2. °"ry°°•"'°"ini°°^ 'gmounls forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) "If requirad FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.ca.gov through Page of SEE INSTRUCTIONS ON REVERSE D. NUMBER NAME OF FILER (N W1 k-1 In a FULLNAME. STREETADDRESSANDZIPCODE IF AN INDIVIDUAL. ENTER OUTSTANDING AMOUNT AMOUNT PAIDOGGUPATION OUTSTANDING INTERESTEORIGIMLCUMULATIVE OF LENDER AND EMPLOYER BALANCE RECEIVED ]HIB OR FORGIVEN PAIDTHIS CONTRIBUTIONS DF MI-F.EMn.meD. ENTER µNNE OF wswEssl SEGINNINGTHIS PERIOp PERIODTHIS PERIOD' LOSEO THI CLOSE OF THISpFCdAMIDEEA.50ENTERI.D.xMaeEm PERIODPAID PERIOD10 DATE YEAR EORGNFN PER EIEcUION•'f f f f DATEDUE tOIND ❑COM ❑OTH ❑PTY ❑SCC ❑ PPLO CALENDARYEAR f % i f f ❑ FORGIVEN PERELECTION— PALE S S f f { DATE DUE DATE INCURRED tQ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ BAD CNENDNt YFAR ❑ FORGIVEN PER EI£CTON" eos r f 3 f f DATE DUE DATE WCURRED tEl IND ❑COM ❑ OTH ❑PTY ❑SCC SUBTOTALS $ $ $ $ lENer l•)•• Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) tConldbotor codes 2. Loans aid or forgiven this period .........................................................................................................E IND-lnai CIP11r p rg p COM—ReciPlent Committee itotal Column (c) plus loans under $100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH— Other (e.g., business enety) PTY — Political Party 3. Net change this period. Subtract Line 2 from Line 1. ................................................... NET $ SCC — Small Contdbulor Committee Enter the net here and on the Summary Page, Column A. Line 2. °"ry°°•"'°"ini°°^ 'gmounls forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460 (Jan/2016) "If requirad FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.ca.gov Instructions for Schedule B — Part 1 Loans Received All loans received or outstanding are reported on Schedule B. Loans include monetary loans and amounts drawn on lines of credit. Report loan guarantors on Schedule B — Part 2. A "guarantor" is a third party that co-signs, endorses, or provides security for a loan, or establishes or provides security for a line of credit. A guarantor is also making a contribution. When a state candidate guarantees a loan from a commercial lending institution in connection with his or her election, both the lending institution and the candidate are required to be disclosed as the lender. For each loan of $100 or more that was received or was outstanding during the reporting period, disclose the lender's name and address. Report the original source of all loans received. E.g., for a loan from a commercial lending institution for which a candidate is personally liable, report the lending institution as the lender. Column (a) — Enter the outstanding loan balance at the beginning of this period (Column (d) of last report). If the loan was received this period, this column will be blank. Column (b) — Enter the amount received from the lender during this reporting period. If this loan was received in a previous reporting period, leave blank. Column (c) — Enter the amount of any reduction of the loan during this reporting period. Check whether the loan was paid or forgiven. When the lender forgives a loan or a third party makes a payment on a loan, also report the lender or third party on Schedule A. Column (d) — Enter the outstanding balance of the loan at the close of this reporting period. Enter the due date, if any. Column (e)— Enter the interest rate and the amount of interest paid on the loan(s) during this reporting period. Interest paid is reported separately from payments made on the loan principal. Interest payments are also transferred to the Schedule E Summary. Column (f) — Enter the original amount of the loan and date received. If this is the first time you are reporting the loan, this will be the same amount reported in Column (b). Column (g)— Enter the cumulative amount of contributions (loans, monetary and nonmonetary contributions) received from the lender during the calendar year covered by this statement. Candidates subject to slate contribution limits (or 4 required by local ordinance) must disclose the cumulative amount received from each contributor during the limitation cycle in addition to the calendar year cumulative amount. (Candidates for elective state office should refer to FPPC Campaign Disclosure Manual 1.) Schedule B Summary: The Schedule B Summary reflects the "net change" in your loan activity. That is, loan payments made during the period are subtracted from new loans received. When the loan payments number is larger than the amount of new loans received, Line 3 will be a negative figure. For example, if $200 is paid during the period and only $100 is received in new loans, report the net change on Line 3 as 14100" or "($100)." Be sure to carry this figure to the Summary Page as a negative figure to be subtracted from Summary Page totals. Additional Important Information: Refer to the Instructions for Schedule A for important information about: Contributor codes • Contributions from individuals • Contributions from committees • Intermediaries A loan received from a commercial lending institution in the normal course of business is reportable on Schedule B but is not considered a contribution. Contributor codes and cumulative amounts (Column (g)) are required only for loans that are contributions. Refer to the FPPC Campaign Disclosure Manual for your type of committee for important information about recordkeeping, prohibitions on cash contributions, returning contributions, and more. FPPC Form 4150 pan/20161 FPPC Advice: advice@fppc.ca.gov (866/275-3772) . .fpPa...gov SCHEDULE B - PART 2 Schedule B — Part 2 Amounts may Oe rOUMem to whole dollars. Loan Guarantors n ^ statement covers period . ' .- from SEE INSTRUCTIONS ON REVERSE through P!,a— o/ NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR IIF CCMMIUlM.KW ENTERID. WMBER) CONTRIBUTOR CGDE IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER (IF SEIFEL4LOYEO. ENTER NMIE OF ausNERI) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TODATE ❑ IND LENDER CMENppq YEAR ❑ COM t DATE PER ELECTION (IF REQUIRED) ❑ OTH ❑ PTV ❑ SCC t W ENDAR YEAR ❑ IND LENDER ❑ COM r OTH PER ELECTION (IF REQUIRED) DATE ❑ PTY ❑ ScC CALENDAR YEAR ❑ IND LENDER ❑ COM r ❑ OTHMTE PER EU. (IF REQUIRED) ❑ PTY ❑ SCC t ❑IND LENDER CMEN6W YEM ❑ COM t DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTV ❑ SCC SUBTOTAL $ su^mMT P.p' UWT ly FPPC Form 460 (lan/2016) FPPC Advice: advice�Dfppc.ca.gov (866/275-3772) www.fppc.ca.gov Instructions for Schedule B — Part 2 Loan Guarantors Guarantors of loans received or outstanding during the reporting period are reported on Schedule B — Part 2. A "guarantor" is a third party that co- signs, endorses, or provides security for a loan, or establishes or provides security for a line of credit. A guarantor is also making a contribution. For each guarantor of $100 or more, enter the name and address of the guarantor and, if the guarantor is an individual, his/her occupation and employer or, if self employed, the name of his/her business. Enter the name of the lender or the entity at which a line of credit was established and the date of the loan or the date the line of credit was established. Enter the amount guaranteed this period, if applicable. For lines of credit, enter the full amount established or secured by the guarantor during the period. (Report amounts drawn on a line of credit on Schedule B — Part 1.) Enter the cumulative amount guaranteed during the calendar year covered by the statement. Candidates subject to state contribution limits (or if required by local ordinance) must disclose the cumulative amount received from each contributor during the limitation cycle in addition to the calendar year cumulative amount. (Candidates for elective state office should refer to FPPC Campaign Disclosure Manual 1.) Report the outstanding balance for which the guarantor is liable at the close of this reporting period. Loan guarantees are not included in the Schedule B Summary, but are carried forward in a lump sum to Line 17 of the Summary Page. FPPC Farm 460 (Jan/2016) FPPC Advice: advIo.@fppc.ca.gav )566/275-3772) Schedule C Amounts may be Founded SCHEDULEC Nonmonetary Contributions Received """"'""""""' stat.m.nt 4ov.ra • Codes from SEE INSTRUCTIONS ON REVERSE through Pate_ o NAM LER I.D. NUMBER DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE + IFAN INDIVIDUAL, ENTER ER OCCUPATIONEM1ODE. DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TODATE PER ELECTION TO DATE -C'7 57 IIF OOEVJITTEE.xso ENTEaEo. NL'MeEm (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL EPNIER .EOFOUSINESSI GOODS OR SERVICES VALUE CALENDAR VFJIR (JAN 1 -DEC 31) (IF REQUIRED) �-�.T IT IND COM Qac i S R<�At 01%,� PTY C 'tr IND \\ w, r 0o COM "ft-e i] OTH El PTY ❑ SCC I1 IND COTOMH ❑ Fry ❑ SCC IND COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule C Summary *Contributor Codes 1. Amount received this period - itemized nonmonetary contributions. IND- Individual (Include all Schedule C subtotals.) ................................................. $ r COM- Redpien(Commitlee (other than PTY or SCC) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ..................................$ OTH — Other (e.g., business entity) 3. Total nonmonetary contributions received this period. -C'7 57 PTY — Political Party SCC — Small Conidbutor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advicn@rppcca.gov(866/275-3772) www.fppc.ca.gov Instructions for Schedule C Nonmonetary Contributions Received Report the receipt of nonmonetary contributions on Schedule C. Nonmonetary contributions include: • Goods and services for which you have not paid the fair market value, including items donated for auctions or garage sales, such as artwork or furniture. A discount that is not available to the public generally. • Salary payments made by an employer for an employee who spends 10% or more of his or her compensated time in a calendar month working for your committee. Volunteer personal services and payments voluntarily made by a person for his or her own campaign -related travel expenses are not reportable. The occupant of a home or office can host a fundraiser without making a nonmonetary contribution as long as the total cost of the fundraiser is $500 or less. If a total of $100 or more is received from a single contributor during a calendar year, report the name, street address, city, stale and zip code of the contributor, the amount contributed this period, and the cumulative amount received from the contributor since January 1 of the current calendar year. Include monetary and nonmonetary contributions and loans when reporting the cumulative amount. Contributions totaling less than $100 received from a single contributor during a calendar year are reported as a lump sum on Line 2 of the Schedule C Summary. Date Received: A nonmonetary contribution has been received on the earlier of the following: 1) the date the contributor made an expenditure for goods or services at your behest (in consultation or coordination with you, or at your request or suggestion); or 2) the date you or your agent obtained possession or control of the goods or services. Per Election to Date: Candidates subject to state contribution limits (or if required by local ordinance) must disclose the cumulative amount received from each contributor during the limitation cycle in addition to the calendar year cumulative amount. (Candidates for elective state office should refer to FPPC Campaign Disclosure Manual 1.) Fair Market Value: The fair market value of a nonmonetary contribution is the amount it would cost to purchase the goods or services on the open market. The fair market value can be more than the amount it cost the contributor to provide the goods or services to you. If you do not know the value of a nonmonetary contribution, you may request the contributor to provide you with a written statement of the value. If you make a request in writing and the value of the contribution is $100 or morn, the contributor is required by law to provide the information. Administrative Services: Administrative overhead and start-up expenses paid by a sponsoring organization for its sponsored committee are not contributions to the committee but must be reported on Schedule C. Report the value of the services in the "Description of Goods or Services" column and a zero in the "Amount" and "Cumulative to Date" columns. Nonmonetary Contributions as Expenditures: The total of nonmonetary contributions is reported on the Summary Page as both contributions received and expenditures made. Enter the total on Line 3 of the Schedule C Summary on both Lines 4 and 10 of the Summary Page. (State Candidates: Most nonmonetary contributions also count for purposes of the voluntary expenditure limits.) Additional Important Information: Refer to the Instructions for Schedule A for important information about: Contributor codes Contributions from individuals Contributions from committees Intermediaries Refer to the FPPC Campaign Disclosure Manual for your type of committee for important information about aggregating monetary and nonmonetary contributions, recordkeeping, and more. FPPC Form 460(Jan/2016) FPPC Advice: advice@FpK.w.gov (866/275-3772) www.fppc.w.gov Schedule D ___ _ __ - SCHEDULED JUINNIary UI cnvurluituiluJ wmE m•iw MUmWQ Supporting/Opposing Other to whole dollars. statement coven pe"oo � Candidates, Measures and Committees _ From SEE INSTRUCTIONS ON REVERSE through Pella of NAME OF FILER I.D. NUMBER DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT OR MEASURE NUMBER OR LETTER AND JURISDICNON, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION pr REDUIRED) MIOUNL THIS PERIOD CUMULATIVE TO DATE CALENMWAYEAR (Jut I - DEG 31) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Normonebery Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure Monetary Contribution ❑ NOnmanetery Contribution ❑ Independent ❑ support ❑ oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent - ❑ Support ❑ Oppose Ex"oditum SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 2. Unitemized Contributions and independent expenditures made this period of under $100.................................................................................... $ 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.).......... TOTAL.. $ FPPC Form 460 (Jan/2016) FPPC Advice: advicei@,fppc.ca.gov (866/275-3772) www.fppc.ca.guv Instructions for Schedule D Summary of Expenditures Supporting/Opposing Other Candidates, Measures, and Committees Schedule D is a summary of payments reported on Schedules E, F, and H that are contributions or independent expenditures to support or oppose candidates and committees. These include: • A direct monetary contribution or loan made to another candidate or committee. • A payment made to a vendor for goods or services for a candidate or committee (a nonmonetary contribution). • A donation to a candidate or committee of goods on hand, or the payment of salary or expenses for a campaign employee who spends 10% or more of his or her compensated time working for another candidate or committee. • A payment made for a communication (e.g., a mailing, billboard, radio ad) that expressly advocates the election, passage or defeat of a clearly identified candidate or ballot measure, but the payment is not made to -or at the behest of -the candidate or a ballot measure committee. These payments are "independent expenditures" and may trigger additional reports for your committee. If a total of $100 or more is contributed or expended during a calendar year to support or oppose a single candidate, ballot measure, or a general purpose committee (e.g., a political party), disclose the name of the candidate and the office sought or held and the candidate's district, If any, the number or letter and jurisdiction of the ballot measure, or the name of the general purpose committee. For each candidate or measure listed, indicate whether the payment was made to support or oppose the candidate or measure. For example, if you made a contribution to the Committee Against Measure A. check the "Oppose' box. Disclose the date(s) and amounts) of contributions or independent expenditures made this period relative to each candidate, measure, or committee, and the cumulative amount contributed or paid to date relative to the candidate, measure, or committee since January 1 of the current calendar year. Cumulate contributions and independent expenditures separately. Contributions and expenditures of less than $100 to support or oppose a single candidate or measure during a calendar year are totaled and reported as a lump sum on Line 2 of the Schedule D Summary. Per Election to Date: If a contribution is made to a candidate that is subject to slate contribution limits (or if required by local ordinance), disclose the total amount contributed to the committee in connection with each limitation cycle and identify the election year. The primary and general elections are separate elections. For example, a $4,200 contribution to a candidate for the primary election in 2016 would be disclosed as "$4,200 P-16.- "Per -16" "Per Election to Date" Column Limitation Cycle Year of Election Primary P 2016 16 General G 2017 17 Special S 2018 18 Runolf R 2019 19 Description If you contributed goods on hand to another candidate or committee (e.g., office supplies), describe the goods or services in the "Description" column and disclose the fair market value of the contribution. The fair market value is the amount it would cost the recipient to purchase the goods or services. Because payments must be described when they are reported on Schedules E and F. you need not provide a description on Schedule D for payments reported on Schedules E or F that are nonmonetary contributions or independent expenditures. Date of Contribution or Expenditure A monetary contribution is made on the date it is mailed, delivered, or otherwise transmitted it to the candidate or committee. A nonmonetary contribution is made on the eadier of the following: 1) the date you made an expenditure for goods or services at the behest of the candidate or committee; or 2) the date the candidate or committee obtained possession or control of the goods or services. Additional Important Information: Refer to the FPPC Campaign Disclosure Manual for your type of committee for important information about recordkeeping, prohibitions on cash payments, restrictions on the use of campaign funds, and more. FPPC Form 460 (Jan/2016( FPPC Advice: adviceofppc.w.gov (866/275-3772( wwwJppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded BnHE., n F n lCnuT t Summary of Expenditures towh.I.d.Ihm,. Sta[emndcovers P.dod �'" Supporting/Opposing Other ti @ Q from Candidates, Measures and Committees through Pape Of NAME OFFL I.O. NUMBER DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT. OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATNETODATE PER ELECTION MEASURE NUMBER OR LErtERAND JURISDICTION, (IF REOURED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (yN t - OEC.]I pF REWnD) Monntery Contribution ❑ Nanm metary Conbibution ❑ Independent ❑ Support ❑ Oppose Expenditure Monetary Contrbution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure Monetary Contnbution Nan.Btary Contribution Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contnbution Independent ❑ Support 0 oppose Expenditure SUBTOTAL $ FPPC Form 460 (Jan/2016( FPPC Advice: advice@fppc.w.gov (666/275-3112( eiww.fypc.ra.gov Amounts may be rounded [th..Ogh� tatement covers period e Schedule E W whole dollars. e _ Payments Made /7 'ZZ- ri 3 --- Page_. — of_ CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pamphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned mnlribu rms; CTB contribution (explain nonmonetary)' OFC office expenses SAL TEL campaign workers' salaries tv. or cable airtime and production costs CVC civic donations PET petition armlafing TRC mndkate travel, lodging, and meals FIL candidate filing/ballot fees PHO POL phone banks polling and survey research TRS stafgspousa travel, lodging, and meals FND IND fundraising events independent expenditure supportinglopposing others (explain)- POS postage, delivery and messenger services TSF transfer between committees of the same mndidatud.ponsor PRO professional services (legal, accounting) VOT voter registration LEG legal defense PRT print ads WEB Information technology mite (internet, eanaip LIT campaign literature and mailings NAME AND ADDRESS OF PAYEE OF WMMITIEEP WFNTMID NUMBER) CODE OR DESCRIPTION OF PAYMENT Payments that are contributions or independent expenditures must also be summarized m Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E SUBTOTAL$ 2. Uniternized payments made this period of under $100.......................................................................................................................................... e 3. Total interest paid this period on loans. (Enter amount from Schedule 3, 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 $ MOUNT PAID FPPC Form 460 (Jan/2016) FPPC Advice: advice@Ifppc.ca.eov, (866/275-3772) www.fpPc.ca.gov Instructions for Schedule E Payments Made Report payments on Schedule E (other than loans) For each payment of $100 or more made during the period, report the name and street address, city, state, and zip code of the payee or creditor, and the amount paid during the period. Payments of less than $100 during the period are reported as a lump sum on Line 2 of the Schedule E Summary. However, if two or more payments under $100 were made for a single product or service and the total paid during the period was $100 or more, itemize the total amount paid during the period. Report payments made on accrued expenses. Also report the required information on Schedule F. Code or Description of Payment: If one of the codes listed on Schedule E 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 payment, leave the "Code" column blank and enter a brief description of the goods or services purchased in the "Description of Payment" column. Credit Card Payments: Disclose the name, address, and amount 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 E 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 payments to the agent or independent contractor on Schedule E. You may disclose the subvendor payments on Schedule E or Schedule G. Loans Report interest paid on loans received on Line 3 of the Schedule E Summary (from Schedule B, Part 1, Column (e)). Report payments made on loans received on Schedule B and loans made to others on Schedule H. Do not report on Schedule E. Savings Accounts/Certificates of Deposit/Money Market Accounts: Do not report transfers of campaign funds into savings accounts, certificates of deposit, money market accounts, or the purchase of any other asset that can readily be converted to cash on Schedule E. Continue reporting these amounts as part of your cash on hand on the Summary Page. Candidates: • Candidates must briefly describe the political, legislative, or governmental purpose of an itemized expenditure for gifts, meals, and travel payments. FPPC Regulation 18421.7 sets out the requirements. Candidate controlled ballot measure committee funds may only be used to make payments related to a state or local measure or potential measure (including qualification activities) anticipated by the committee. See FPPC regulation 18521.5. Ballot Measure Committees A ballot measure committee that makes a payment to any business entity (1) which is owned 50 percent or more by any of the individuals listed below, or (2) in which any of the individuals listed below is an officer, partner, consultant or employee, must report that individual's name, relationship to the committee, and a description of the ownership Interest or position with the business entity. Individuals covered by (1) and (2) above include: -- Acandidate or person controlling the committee; or — An officer or employee of the committee; or — The spouse of any of the above. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov )866/275-3772) www./PPcca.gov SCHEDULE E(CON Schedule E Amounts may be rounded Statemerd coven period e. (Continuation Sheet) to whole dollars. I 6' Payments Made lip n A y/, rrom through Page_ ._ of SEE INSTRUCTIONS ON REVERSE ....._ ...... -.. I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign pamphemalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC once expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v. or Cable airtime and production costs FIL candidate fling/ballot fees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and Teale IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT pant ads WEB information technology costs (Internet, —ail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Payments that are contributions or independent expenditures must 41190 be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 Ilan/20161 FPPC Advice: advice@fppc.o.LOy (666/275-3772) Instructions for Schedule E (Continued) Payments Made Codes: CMP: Campaign paraphernalia/misc. Lawn signs, buttons, bumper stickers, T-shirts, potholders, etc. Includes costs of election night event. CNS: Campaign consultants. Fees and commissions paid to professional campaign management or consulting frons. CTB: Contributions. Contributions made to other candidates and committees. Use "CTB" for direct monetary contributions. For nonmonetary (in-kind) contributions, use "CTB" and, if one of the other codes accurately describes the expenditure, you may enter that code also. Otherwise, describe the payment. Also provide the name of the candidate or committee that received the nonmonetary contribution in the "Description of Payment" column.` CVC: Civic donations. Donations to civic, nonprofit or education organizations; payments for community events. FIL: Candidate Filing/Ballot Fees. Payments to election officials for candidate filing fees and fees charged for publication of a ballot statement. FND: Fundraising events. Expenditures associated with holding a fundraising event, including payments for event space to hotels or halls, payments for food and beverages to restaurants, caterers and other vendors, and payments for speakers, entertainment, and decorations. Includes costs of house parties. (Use "LIT for costs of invitations, brochures, and solicitations associated with fundraising events.) IND: Independent expenditures. Payments for communications that supportloppose other candidates or measures that are not made in consultation or coordination with the candidates or a ballot measure committee. Use "IND" and, if one of the other codes accurately describes the independent expenditure, you may enter that code also. Otherwise, describe the payment. Also provide the name of the candidate or ballot measure supported or opposed by the expenditure.` LEG: Legal Defense. Attorney or other fees paid for legal defense. LIT. Campaign literature and mailings. Preparation, production, and distribution of campaign literature, direct mail pieces, fundraising solicitations, and door hangers. Includes costs of mailing lists, design/graphics, copy and layout, printing and photocopying. Includes payments to be on a slate mailer, and for absentee ballot mailers. MBR: Member Communications. Payments for communications to members, employees, or shareholders of an organization, or their family members, for the purpose of supporting or opposing a candidate or ballot measure. MTG: Meetings and appearances. Costs associated with meetings, press conferences, town halls, constituent meetings, etc. OFC: Office expenses. Expenditures for office rent; utilities (including cellular phone service); purchase or rental of office equipment (computer, fax, photocopier, etc.) and furniture; office supplies, etc. PET: Petition circulating. Includes payments for printing petitions and payments to signature gathering firms for ballot measure qualification drives. PHO: Phone banks. Costs of phone banks. POL: Polling and survey research. Costs of designing and conducting polls, reports on election trends, voter surveys, etc. POS: Postage, delivery and messenger services. Includes U.S. Postal Service, Federal Express, United Parcel Service, and other delivery and courier services. PRO: Professional services. Includes legal, accounting, and bookkeeping services. PRT: Print space and production costs. Includes advertising space in newspapers, magazines and other publications, and billboard ads. RAD: Radio airtime and production costs. RFD: Returned contributions. SAL: Campaign workers salaries. Includes state and federal payroll taxes. TEL: Television or cable airtime and video production costs. TRC: Candidate travel. Payments or reimbursements for travel, lodging, and meals of a candidate. TRS: Staff/spouse travel. Payments or reimbursements for travel, lodging, and meals of a candidate's representative (staff), or member of the candidate's household. TSF: Transfers. Only use this code to report the transfer of funds to another authorized committee of the same candidate or sponsoring organization. Report funds this committee gives to other committees on Schedule E, as contributions ("CTB") to those committees, not as transfers. VOT Voter registration costs. WEB: Information technology costs. Includes payments for website design, a -mail, internet access, production of website and e-mail advertising. `Payments that are contributions or independent expenditures to support or oppose other candidates, measures, and committees must also be summarized on Schedule D. FPPC Form 060 Ilan/2016) FPPC Advice: advice@fppc.ca.gov (866/2]5-31]2) W W W.rPPGCa.K0V SCHEDULEF Amounts may be rounded St rbement coven period • ' Schedule F to whole dollars. e _ Accrued Expenses (Unpaid Bills) from _— �" () �'j moi, through Page_ of— I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Utnemise, UescrlD0 me paynlern. CMP campaign paraphemalialmisc. MBR membercommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD retumetl contributions CTB contribution (explain nonmanetary)' OFC once expenses SAL TEL campaign workers' salaries t.v. or cable ainime and production costs CVC civic donations PET PHO petition circulating phone banks TRC candidate travel, lodging. and meals FIL candidate filing/ballot tees POL polling and survey research TRS stabspouse travel, lodging, and meals FND IND fundraising events independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees W the same cantlitlatelsponsor trans PRO professional services (legal, accounting) VOT voter registration LEG legal defense PRT otlnl etls WEB information technology casts(intemet, a -mail) .. ..._...a_ �..,.....,....a.. ._. _._.__.._.. NAME AND ADDRESS ALEGENOFa, euvee IIF COrramEEALaneniER Lo. nvveeal CODE OR DESCRIPTION OF PAYMENT (al OUTSTANDING grdgnOE BEGINNING OF THIS PERIOD @1 AMOUNTEO HIS PERIOD THIS PERI00 (c) AMOUNT PAID THIPPERIOD luso�vomax el (d) OUTSTANDING BP OF PERIOD OF THIS PERIOD F,ave s met are coneibudune or independent ex Mon. mart deo be SUBTOTALS { $ $ $ sammemed on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for INCURRED TOTALS $ accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) .............................................. 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 $mar eeenesa,w. FPPC Form 460 (Ian/3016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) w.v,v r,nr ra on.. 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 subvendom 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 a 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 parry 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 (tan/2016) FPPC Advice: advice@fppc.ca.gov (966/215-3772) www.fppaca.gov SCHEDULE F(CONT.) Schedule F Amourdemay berounded to whole dollars. Statement covens period71WU11E1 . '(Continuation Sheet) fromAccrued Expenses (Unpaid Bills) N � lifthrough ofNAME OF FILER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemaliatmoc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonelary)- OFC office expenses SAL campaign workerssalaries CVC civic donations PET petition circulating TEL tv. or cable airtime and production is FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS stab/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidalelsponsur LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet. a -mail) Payments that are contributions or Independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (1e00041leE.KaOmreRLo. NUMBER) CODE OR DESCRIPTION OF PAYMENT OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) MOUNT INCURRED THIS PERIOD IA AMOUNT PWD THIS PERIOD WBB Rpomce el tl OUTSTANDING SALANCEATCLOSE OF THIS PERIOD SUBTOTALS$ $ s s FPPC Form 460 (tan/2016) FPPC Advice: advice@fppc.ca.8ov (866/275-3772) www.fppc.ca.pov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. IV QU Page of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR membercommunications RAD radio airtime and production coats CNS campaign consultants MTG meetings and appearances RFD retumed contributions CTB contribution (explain nonmonetaryy OFC office expenses SAL campaign workers'sllaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staffispouse travel, lodging, and meals IND independent expenditure supporting/opposing others(explainy POS postage, delivery and messenger services TSF transfer between committees of the same randidatelsponsor LEG legal defense PRO professional services (legal, accounting( VOT voter registration LIT campaign literature and mailings PRT print ads WEa inkarnation technology costs (Internet, a -mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAMEAND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENTI AMOUNTPAID nFCOMnTmE MEE.A-WERIO.wwWR) Attach additional information on appropriately labeled continuation sheets. TOTAL' $ Do not transfer to any other schedule or faft SummeryPage. This (ote/ maynof equal Me amount paid to the agent or FPPC Form 460 ()an/2016) Independent contractor as repotted on Schedule E. FPPC Advice: advice@tppc.ca.gov (666/275-3772) www.fppc.ce.6ov 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 (3, 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 nonmonetary contribution on Schedule C. Refer to the FPPC Campaign Disclosure Manual for your type of committee for additional instructions. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/Z75-3772) www.fppc.ca.gov Kjaw SCHEDULE Schedule H Amounts may be rounded SfabIrmml govern period to whole dollars. 4 0 1 Loans Made to Others` from SEE INSTRUCTIONS ON REVERSE through Pape of NAME OF FILER I.D. NUMBER FULL NAME, STREETADpRES3AND ZIP CODE )FAN INDIVIDUAL.EMER OUTSTANDING AMOUNT Id 1 OUTSTANDING to INTEREST ORIGINAL CUMULATIVE OF RECIPIENT OCCUMTIONAND EMPLOYER sElFFINLGYED.FNI£R BALANCE LOANEDTHIS REPAYMENTOR FORGIVENESS BAIANCEAT RECEIVED AMOUNTOF LOANS pF coNMRTFF.N50 EmER ro. nuMaFRI (s µwpaaUSlxEssl BEGINNING THIS PERIOD TNIS PERIOD CLOSE PERIO THIS LOAN TOPERIOD GATE ❑ PND CNENMRYFOA ❑ FORGIVEN PER ELECTNJN^ mrt t { { f GATE DUE WTE INCURRED ❑ MD CN.ENDRR YENR ❑ FORGIVEN PFR EIECTIIXi" PNE { 3 { { WTE DUE WTE INCURRED `Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ EMR Ie)m SdedM I. LM 3) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) "If Required 2. Payments received on loans............................................................................................................................................$ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................................................NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) IN.ra•Mrb-^w^'an FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Instructions for Schedule H Loans Made to Others All loans made or outstanding are reported on Schedule H. Generally, campaign funds may be used to make loans to other candidates, officeholders, or committees (unless otherwise prohibited) and to bona fide charitable, educational, civic, religious, or similar tax-exempt nonprofit organizations. There are restrictions on loans to any other person, including a candidate who controls the committee, or to a nonprofit organization that is affiliated with a candidate, the treasurer, or other committee Officials. For each loan of $100 or more that was made or was outstanding during the reporting period, disclose the recipient's name and address and, if an individual, his/her occupation and employer or, if self employed, the name of the business. Column (a) - Enter the outstanding loan balance at the beginning of this period (column (d) of last report.) If the loan was made this period, this column will be blank. Column (b) - Enter the amount loaned to the recipient during this reporting period. If this loan was made in a previous reporting period, leave blank. Column (c) - Enter the amount of any reduction of the loan during this reporting period. Check whether the loan was paid or forgiven. If the committee forgives a loan, also report the transaction on Schedule E. Column (d) - Enter the outstanding balance of the loan(s) at the close of this reporting period. Enter the due date, if any. Column (e) - Enter the interest rate and amount of interest received on the loan(s) during this reporting period. Interest received is reported separately from payments received on the loan principal. Interest payments are also transferred to the Schedule I Summary. Column (f) - Enter the original amount of the loan and date made. If this is the first time you are reporting the loan, this will be the same amount reported in Column (b). Column (g) - For each loan made during this reporting period that is a contribution,' enter the cumulative amount of contributions (loans, monetary and nonmonetary contributions) made to the recipient during the calendar year covered by the statement. If the recipient is a candidate subject to stale contribution limits, or the information is required by local ordinance, also enter the total amount contributed to the candidate in connection with each limitation cycle and identify the election year. (For contributions to state candidates, see the Schedule D instructions.) Schedule H Summary: The Schedule H Summary reflects the "net change" in the committee's loan activity. That is, repayments received are subtracted from new loans made. When the repayment number is larger than the amount of the new loans made, Line 3 will be a negative figure. For example, if $200 is received by the committee during the period and only $100 is made in new loans, report the net change on Line 3 as "$100" or "($100)." Be sure to carry this figure to the Summary Page as a negative figure to be subtracted from Summary Page totals. Refer to the FPPC Campaign Disclosure Manual for your type of committee for important information about recordkeeping, prohibitions on rash contributions, loan restrictions, and more. *Loans that are contributions to candidates or other committees must also be reported on Schedule D. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.80v )866/225-3272) www,fppc.ca.8ov Schedule I Amnunla may hw rnundnd SCHEDULEI Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement coven period From of- through 7111LIT NAME OF FILER BER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE PF LYMMRiEE,N80 ENn?R Lo. M1MEEm DESCRIPTION OF RECEIPT INCREASE TO CASH Attach additional information on appropriately labeled Continuation sheets. SUBTOTAL $ Schedule I 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 $ FPPC Form 460(fan/2016) FPPC Advice: advice@fppc.ca.gov )866/27S-3772) 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 market value" 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 Jump sum of interest payments received on loans made to others. Do not itemize. This amount is transferred from Schedule H, Column (g). FPPC Form 960 (Jan/2016( FPPC Advice: advice@fppc.ca.{ov (866/275-3772( www.fPPLra.gov