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Home My WebLink AboutFREEMAN SEMIANN18(2)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period I Date of section If 7 / ZC(Month, Day, from through 12Z9/Z1olB 1. Type of Recipient Committee: An eommlewe- complex Parts 1, 2,3, .ad 4. I$Officeholder, Candidate Controlled Committee ❑ Primarily Farmed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled p CmSMePNYI O Sponsored ❑ General Purpcae Commtflee O Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information (au CmplNe PMfq ❑ Primarily Formed Candidate/ OlAceholde-Commdtee P CNAYOB 7) I.D.MBER 1u2 0H G n,v. 5:, G i�� Cor if•�.c. � 2.02.0 STREETADDRESS (NO P.O. BOX) ? /Zy W AG --O ri� PIACG Cltt � a STATE ZIP CODE AREA COOFiPHONE OFBAKERSFIELDI Page_ of— JAN 3 0 2019 CLERK'S OFFICE ❑ Preelection Statement ❑ puanedy Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ TemImflion Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurers) NAME OF TREASURER —1�loyna5 MC>YL-i pVAery MAILINGAOORE33 Cltt STATE ZIPC E AAEICODEIPH NE NAME OFASSISTANTTREASURER IFANY OFTONAL: FAXIENAILADDRESS 5PT0NAL:FM1E-MAJLADORESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the beet of my Xn ,Madge the Int eco f n n and in the attached schedules is true and complete. I certify under penalty of per) u ands th Jews of the Stale of California that the foregoing is true a B Executed on Y-eus � and TesYMxor AYdWM m Executed on /�/'/) 7 D 1 Br n wwYv�A'1/w- / oalg agnednd MNINe OTxlnlew. Mw W. mpamnlw Mv�ndY oae dSponwr Executed on DaN BY re.IC dw. M W, Sion* Measure Imn BY Selv.in dCwNOIYnY OWceM Ce'IeEW,S�ele Mvnure mpananl FPPC Form 460 (Jan/2016) FPPC Advice: a dvicedInfPPcu".9— (866/275-3772) H "19311 66f-. y5y MU�NGaACIXe3r%ame- 0GEOPO.BOX MAILINGADDRESS AREA CODOPHONE CITY STATE ZIPCODE AREA CODE/PHONE CITY STATE ZIPCODE OFTONAL: FAXIENAILADDRESS 5PT0NAL:FM1E-MAJLADORESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the beet of my Xn ,Madge the Int eco f n n and in the attached schedules is true and complete. I certify under penalty of per) u ands th Jews of the Stale of California that the foregoing is true a B Executed on Y-eus � and TesYMxor AYdWM m Executed on /�/'/) 7 D 1 Br n wwYv�A'1/w- / oalg agnednd MNINe OTxlnlew. Mw W. mpamnlw Mv�ndY oae dSponwr Executed on DaN BY re.IC dw. M W, Sion* Measure Imn BY Selv.in dCwNOIYnY OWceM Ce'IeEW,S�ele Mvnure mpananl FPPC Form 460 (Jan/2016) FPPC Advice: a dvicedInfPPcu".9— (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 Page COVER PAGE - 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER SUPPORT ❑ OPPOSE C �'cv COH�/1C.1 J1ev�5ev' �okers�;elal RESIDENTIA USIIN ADDRESS (NO. AND STREET) CITY STATE ZIP NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT Related Committees Not Included in this Statement: List any commihees not included In this statement Met am controlled by you Cram primarily turned to receive conedbudons ormake expenditures on behalf of your Candidacy. COMMITTEE NAME ID. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS(NO P O. BOX) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE' ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO PO. BOX) OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Lmtnamesof officeholder(s) or candidates) for which this commatea /s prlmadly formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE CITY STATE DECODE AREACODEIPHONE Attach conanuatloo shoats lfll6COSSary FPPC Form 060 (Jan/2016( FPPC Advice: adviceLWfPpc.ca.00v (666/275-3772) vrww.fPPC.ca.aov Instructions for Recipient Committee Campaign Statement — Cover Page Officeholder or Candidate Controlled Committee: Candidates must have a separate bank account and committee to run for different elective offices. A candidate who is required to file campaign statements in connection with more than one elective office but is only receiving contributions and making expenditures for one of the offices, may include both offices on one Form 460. In Part 5 of the cover page, enter the candidate's name and under "Office Sought or Held," identify each office, and state whether the candidate is seeking or holding the office. The Form 460 must be fled with the appropriate fling officer(s) for each office. For example, a city councilmember is raising funds to run for the county board of supervisors. She has no committee and is not raising or spending funds in connection with the city office, and has formed a controlled committee for the county office. To comply with the requirements to file campaign statements for both her city office and her county candidacy, she may complete one Form 460 each campaign reporting period, which she will file with the city clerk and the county elections department. In Part 5 of the Form 460 Cover Page, under "Office Sought or Held," she will state that she is holding the office of city councilmember (including the name of the city) and that she is seeking a seat on the board of supervisors (including the name of the county). Ballot Measure Committee: Part 6 of the Form 460 Cover Page must be completed by committees that are primarily formed to support or oppose the qualification or passage of a single ballot measure or two or more measures being voted on in the same city, county, multicounty, or stale election. A "general purpose" ballot measure committee (one that supports or opposes a variety of state and/or local ballot measures) is not required to complete Part 6. FPPC Form 460 (Jan/2016) FPPC Advice: advicepfppc.w.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period a . Summary Page P. • 1 from through NAME OF FILER Page of Expenditures Made 6. Payments Made_ ....... ....................._.__......_............._.... sonnets E, Linea Column A p $ 1 f •5.00 - Column B Calendar Year Summary for Candidates Contributions Received M� SCHEDUras ,1. 1. Running in Both /he State Primary and ..................... Add Lines 6,2 $ CQU.C� its. c'HEo 9. Accrued Expenses (Unpaid Bills).........._....__...__ ............. schedule P, Linea amounts in Column A may 16. ENDING CASH BALANCE Add Loren 12. 13. fa, than subtrect Line 15 $ 5�-!]A General Elections 1. Monetary Contributions_._ ............. _............... schedule A.Line3 $ d $ 50o •00 Ill through 6130 7l1 to Date 2. Loans Received __.......... -................... ............................. schedule e, Line 3 filed for this calendar year, 20. Contributions $ only carry over the amounts from Lines 2, 7, and 9 (if 3. SUBTOTAL CASH CONTRIBUTIONS ....... .............. ....... Add Lines l.2 $ $ • �0 Received $ SLIO•�'•b $ � U 4. Nonmonetary Contributions .............. ........................ schedwe C, Line 21. Expenditures 5e0_O� Made $ f y -0.00 $nas3.a 5. TOTAL CONTRIBUTIONS RECEIVED._..____.._ .................Add u $ 0 8 S L CL Expenditures Made 6. Payments Made_ ....... ....................._.__......_............._.... sonnets E, Linea $ $� • p $ 1 f •5.00 - / I $ Oa 7. Loans Made..... ..... ........... .... .. . ..................... ... Scnadme H. Line add mountain Column 8. SUBTOTAL CASH PAYMENTS..__._ ........... ..................... Add Lines 6,2 $ CQU.C� �Gs� $ L L.xi•0� 9. Accrued Expenses (Unpaid Bills).........._....__...__ ............. schedule P, Linea amounts in Column A may 16. ENDING CASH BALANCE Add Loren 12. 13. fa, than subtrect Line 15 $ 5�-!]A 10. Non monetary Adjustment __ 11. TOTAL EXPENDITURES MADE.._ ..____ schedule C. Linea ...._ Add Lines s. s. fa should be subtracted from $ �a�.ri•d� $ 5fb•0b previous period amounts. If Current Cash Statement 12. Beginning Cash Balance ............ .__.......... Previoussummary Nita Une16 / I $ Oa To calculate Column B, 13. Cash Receipts .... .... ................... .... ..... ................. ..... column A, Une 3 above - � ' add mountain Column A to the corresponding 14. Miscellaneous Increases to Cash ._._._.....- .................. schedule 1, Line a amounts from Column B of your last report. Some 15. Cash Payments .............. .... .......... __....... ................. column A. Line aabom amounts in Column A may 16. ENDING CASH BALANCE Add Loren 12. 13. fa, than subtrect Line 15 $ 5�-!]A be negative figures that should be subtracted from if this is a termination statement, Line 16 most be zero previous period amounts. If this is the first report being filed for this calendar year, 17. LOAN GUARANTEES RECEIVED.----, ................. . schedules, Pada $ only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents_ ..........................._.............._. see instreclans on reverse $ 19. Outstanding Debts ....... ........... ............ Add Line 2. Line 9 in Column a above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* le Station w voluntary E.pandllun Limp Date of Election Total to Date (mMddlyy) Jam- $ 'Amounts m this section may be different from amounts reported in Column B. FPPC Form 460 Pan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.o.gov �t o-64 055OWUn5N a NN mo.„omon nmcm5@ n morommNa,NS �mVNOJv3 orm°a P,O s 3m J S '' 3-cuo gZa.aB - 3 0 a m m m z o 6 c z 3 m n n J D =`o J m 3 m m m D m m c 3 J v m c <° 3 m a m n m m m -o D m m 3 J C m m N J W N O a^ O J O” N L� � �� m N m a m m o J m� m m n n c- m m 3 >M a °-`. D3>•N E Zm35`o d m J'Oc So .m .per �•2 M a_c. W mZ x m s a s vm aam -c'�_3 , o m m "m -a m m° m m 0 0' N m On c m U 3 i J Uj m C m N •2 m C O C m O y m 'm w 3 ms vm O c 3 3 2m3. -<a o. mF3dcmm '2J NJ mo m6ay ya J ori N ? J a m QuaO c= m - 2 0 .2 0 a H N m'mm ma'm3°�-x mNo•C'm m a333m� �°o m9m o mO= cam ayJn `v< Fm°- �y �mmm 3m V'N mmm' Jm26 mn60 mGw DJyN . omiO . m5 w m 0z 9mJ 0 J V �.0 GnsmS D J O Gm•0 m m <aun; omO N j a �oayn m3 Jm ,•nmS '< am < > > 3 m m o I° 33 <a '0 2 3p a u6 m n 3C`dG OI •N<- mm N O T mn mCJ N 53 0 F5 5am mJJ 1d CN n(p 5 °3m KCN Nm W m 51J n c< Sn m v a Nm n mJ3 m J ,m 3c on N • 0 0 c Oo try y ms w a n `o S''a = N .�. o o x O d NCJN ppppNSC��y)3C0^1 Om y dIC3'rIOd 3 m mmmJl°n1 0N 0y `mG 1 0 7 A C m O a0 O N0, a �! N a N - a IC 5 7 cJJA_ ' m .m J m o On 0 J O n N n o O Q c c d 0 m 0-a3N3Qocmm�3 o mrm'a@ iS m T c -n `"mmm �tD .m. mm mmo•m a°-''°8�a3 EF <_ J N ( m'� (� f0 m m !� ». 6 O Cu (JI •2 3 n 0 a » me0 C O 3 3 a°d°0"n n m o cm3 aL. oaO eaJo mm� M ommN 000 M a. 0 y nm mmoroa md , py •G JJ m O J m f%i rmj� m m N N° m O^ r y S q m M) m m,,,. -m X mmy 0 m m mo 3 MCA d m axm O o m a�J°oa 7a m x3-33 �.0T °o'o 0 0 3 my °1 -Om}mm aceta _. c`J�m 3a3 3moR m = 3 n ' M M 6 m m ^- a m W a M 0 3 0 7 d m v O o 001 m m f�D L p m 5F ? r m° E a° N `� c DmSOCJN3�<°i d� IaNN aQO°��HQy 0 m 6 N M N d -0,0 m p y m y `< O_. C N m =:omxm 3'y ^'.i 7 W m c 3 3 m'oa m mm > > r. < A S. did 3naoc am m Nm o'��'2 mmm �a3,a m �d N W3m0.�.. m oSoa �o3mo,2my myo m �ad' m VNmo '6Sc am0m0M m M mmSO00 u m m0O50 m, Nnmo 9 O NvO?a i�noN y tEr 0 d Q mS_NJm m cami 0TMSo0m �0a0 d01 3 m0''0c a N moa 3 p V n y J N m N O m a 0 J n 0) 33 d• y a Q O p T W m O O d � O h C d y w A 3 CD Schedule A Monetary Contributions Received Amounts may be Founded SCHEDULE A to whole dollars. Statement coven period e from e Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period - unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e.g., business entity) PTV - Political Party SCG - Email Conhibutor Committee FPPC Form 460 (tan/2016) FPPC Advice: advice@fppc.ca.gov (866/215-3772) w aw.fppc.w.gov through Pape of SEE INSTRUCTIONS ON REVERSE NAME OF FILER LD. NUMBER DATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVEDTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IFCONNmEEKSOENTERID. NVMMEIl CODE* (IF SELFENPLOYED. ENTEaenvE PERIOD (JAN .1 -DEC . 31) (IF REQUIRED) OFOUSIDESS) ni»w/NL`L I�/�NF1SvYc♦SGv Vit -c ❑IND P;"KAL1G 1 /+ ❑scc ❑IIND ❑ COM ❑ OTH ] PTV I] SCC El IND ❑ COM ❑ OTH ❑ PTV ] SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC I] IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS Schedule A Summary 1. Amount received this period - itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period - unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e.g., business entity) PTV - Political Party SCG - Email Conhibutor Committee FPPC Form 460 (tan/2016) FPPC Advice: advice@fppc.ca.gov (866/215-3772) w aw.fppc.w.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, state 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 miss 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 Slate. 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: Acontribution 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 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.) 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@fppc.ca.gov (866/215-3772) www.fPPc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received toeidollars. Statementcovarsperiod a. 4 ' a. . 1 from 'Cantdbutor Codes IND - Individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e q., business entity) PTV - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@lfppc.ca.gov (866/Z)5-37]2) wwiM.fppC.w.gov through Page of NAME OF FILER I ➢. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE PER ELECTION RECEIVED IIF CoaMRTEB.PEu ENTER ro. NUMBER) CODE (IF SELF{ MME PERIOD (AN.1-DEC 31) (JAN.1-DEC. 31) REQUIRED) (FREQUIRED) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM Lj OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC SUBTOTALS 'Cantdbutor Codes IND - Individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e q., business entity) PTV - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@lfppc.ca.gov (866/Z)5-37]2) wwiM.fppC.w.gov SCHEDULE B - PART 1 Schedule 5 — Part 1 to whole dollars. Statement covers period 5=.ukE.LIn5) Loans Received (Total Column (b) plus unitemized loans of less than $100.) from e SEE INSTRUCTIONS ON REVERSE through page— of_ NAME OF FILER ID NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING MA BM lel AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OFLENDER OCCUPATION AND EMPLOYER (IF SELF -EMP YEp ENTER BALANCE RECEIVEDTHIS OR FORGIVEN BAIANCEAT pgIDTH1S AMOUNT OF CONTRIBUTIONS nFCOMNDTEEAL50EMTERm. NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD THIS PERIOD* CLOSE OF THIS PERIOD LOAN TO DATE PERIOD PERIOD ❑ PAID CPLENDAR YEpR $ % $ ❑ FORGIVEN PER ELECTION" VPC i ❑ IND ❑ COM ❑ OTH ❑PTY ❑BCC 5 5 5 5 5 DATE DILE DATE INCURRED ❑ PAID CALENDAR YEAR $ % $ [I FORGIVEN PER ELECTION" MTE F $ 5 $ 5 DATE DUE DATE INCURRED t ❑ IND ❑COM ❑ OTH ❑ PTY El ❑ PAID CALENDARYEAR $ 5 % f $ ❑ FORGIVEN PER ELECTION" m E S i 5 S $ pgTE DUE DATE INCURRED t❑ IND [ICOM ❑ OTH CIPITY [I SCC SUBTOTALS $ $ $ E Schedule B Summary 5=.ukE.LIn5) 1. Loans received this period....................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) tContribumr Codes 2. Loans paid or forgiven this period...................................................................................................$ IND - individual or f (Total Column (c) plus loans under $100 paid or forgiven.) COM -Recipient Committee (Include loans paid by a third party that are also itemized on Schedule A.) (other than PTV or SCC) OTH -Other NFg., business entity) PTY - Political Party 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ SCC - Small Contnbutor Committee Enter the net here and on the Summary Page, Column A, Line 2. uma M, a neednM �ama.r 'Amounts krgiven or paid by another party also must be reported on Schedule A. FPPC Farm 460 (Jan/2016) " If required. FPPC Advice: advice @frlP0.ta.80v (866/275-3772) www.fppc.w.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 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.) 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 "-$100" 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 460 (Jan/2016( FPPC Advice: advice@fppc.ca.gm (666/215-3772) www.fpPc.a.gov SCHEDULE B -PART 2 Schedule ti — Fart Z IRmoume may me rounaen to whole dollars. Loan Guarantors Statemetd covers pend from e - • 1 e. SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER FULL NAME, STREETADDRESS AND ZIP CODE OF GUARANTOR BFCOMMITTEEALSOENTERI.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IFELREMttOYED. ENTER NAME OFBUSINEBa) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE ❑IND LENDER CALENDANYEAR ❑ COM DATE PER ELECTION (IF REQUIRED) ❑ OTH ❑ PTV ❑ SCC t CALENDAR YEAR El IND LENDER ❑ COM ElOTH PER ELECTION QF REQUIRED) GATE ❑ PTY ❑ SCC E] IND LENDER CALENDAR YEAR ❑ COM PER ELECTION (IF REQUIRED) ❑ OTHDATE ❑ PTY ❑ 5CC ❑ IND LENDER CALENDAR YEAR ❑ COM DATE Ej DTH PER FLECLON (IF REQUIRED) ❑ PTY ❑ 5CC SUBTOTAL $ s�mm•n vD• Llre T only FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov )866/2]5-3)72) www.fppC.o.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 $100 or more, enter the name and address of the guarantor and, if the guarantor is an individual, his/her occupation and employer or, if self employed, the name of his/her business. Enter the name of the lender or the entity at which a line of credit was established and the date of the loan or the date the line of credit was established. Enter the amount guaranteed this period, if applicable. For lines of credit, enter the full amount established or secured by the guarantor during the period. (Report amounts drawn on a line of credit on Schedule B — Part 1.) Enter the cumulative amount guaranteed during the calendar year covered by the statement. Candidates subject to state contribution limits (or if required by local ordinance) must disclose the cumulative amount received from each contributor during the limitation cycle in addition to the calendar year cumulative amount. (Candidates for elective state office should refer to FPPC Campaign Disclosure Manual 1.) Report the outstanding balance for which the guarantor is liable at the close of this reporting period. Loan guarantees are not included in the Schedule B Summary, but are carried forward in a lump sum to Line 17 of the Summary Page. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gav (866/275-3772) www.fPPc.o.gov Schedule C Amounts may be Founded SCHEDULE C Nonmonetary Contributions Received to—.1.dollars. bodement covers period 'Contributor Codes 1. Amount received this period - itemized nonmonetary contributions. . 1from IND - Individual (Include all Schedule C subtotals.)......................................................................................................................$ SEE INSTRUCTIONS ON REVERSEthrough PageofNAME TER OF FILER I D. NU DATE FULLNAME. STREETADDRESS ANO CONTRIBUTOR FAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTI CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE• OCCUPATION AND EMPLOYER (If RELF-EMPLOYED. ENTER GOODS OR SERVICES FAIR MPRKET VALUE CALENDAR YEAR TODAT To DATE DE GCMMDTEE. ALso ENTER I. o. NOMeERI Nurse G NJEINF sl (JAN 1- DEC 31 i gF ED) ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC C IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM C 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.)......................................................................................................................$ COM - Recipient Committee (other than PTY or SCC) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ..................................$ OTH -Other (e.g., business entity) PTV - Political Party 3. Total nonmonetary contributions received this period. SCC - Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A. Lines 4 and 10.).....................TOTAL $ FIRK Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.p v 1866/275-3772) ..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, state 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 more, 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. (Slate 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@fppc.w.8ov )866/275-3772) www.fPPC.ca.gov Schedule D SCHEDULE D bummary OT tx enanures Amounts may no rounded alinement covers pertotl R.I. dollars. In Supporting/Opposing Other Candidates, Measures and Committees fromBEE TBE INSTRUCTIONS ON REVERSE through 7DITEPER NAME OF FILER DATE NAME OF CANDIDATE, OFFICE. AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVTION CALENDAR YEAR TO DATE MEASURE NUMBER OR LETTERAND JURISDICTION, (IF REQUIRED) PERIOD pAN.t-QEc. 31) (IF REQUIRED) OR COMMITTEE Monetary Contribution 0 Nonmonetary Contribution 0 Independent 0 Support 0 Oppose Expenditure Monetary Contribution 0 Nonmonetary Contribution ❑ Independent 0 Support 0 Oppose Expenditure 0 Monetary Contribution 0 Nonmonetary Contribution ❑ Independent Support 0 Opp.. 0 os Expenditure 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 060 (lan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D /Cnn}inuaTinn RhooH Aman..-h.-unn.d Summary - of Expenditures to whole dollars. - -.... Statement covers period a. Supporting/Opposing Other a •' Candidates, Measures and Committees from Through Paga of LD. NUMBER DATE NAME OF CANDIDATE. OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD CALENDARYEAR TO DATE OR COMMITTEE (AN .1 -DEC. 31) (IF REQUIRED) Monetary 2.5CJ.op ZSb.Gl"7 Contribution Nonmonetary Contribution ❑ Independent ❑ Support ❑ OOpppose Expenditure aMonetary 'Contribution 0 .Z eo'jv7 A -OO. ill] Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure 5�7/2m/g Z; tA^ v." r %-r /3. A C& Monetary p 5 AD.(:" $Gt) - Oa Contribution Nonmonetary Contribution 0 Independent 0 Support ❑ Oppose Expenditure JiILDIg �D�� <br A33e-, Jo / - Monetary (9 -5c r17v J`GLO. Do /`y 1 vVei r F -w+ Ce.ny„e i - .. C Contribution "Me»cry}%t ontrlbution / S �• '54P-t>0 5� Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ FPPC Form 460 Uan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3172) www.fppC.w.gov 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 amount(s) 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 stale 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 Election to Date" Column Limitation Cycle Year of Election Primary P 2016 16 General G 2017 17 Special S 2018 18 Runoff 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 earlier 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 flan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.w.gov Schedule E Amounts may be rounded Statement covers period Payments Made to whole dollars' y from zdv Page— of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants Mi meetings and appearances RFD returned oUntributions CTB contribution (explain nonmonetary)' DEC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL L, or cable airtime and production costs FIL candidate filing/ballot tees PHO phone banks TRC candidate travel, loi and meals END fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs Internet, e-mail) NAME AND ADDRESS OF PAYEE Ec... i. uEO ENTER m. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Y;�e_H WaAP lay Grier et Ac. I C_ -v $A�,flligt>r dor C %Avy)L�VL 5:nDX:io ` Payments that are contnbutlons or independent expenditures must also be summanzed on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 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(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 $ SGYi. FPPC Form 060 pan/20161 FPPC Advice: advicenfppc.ca.gov (866/275-3772( www.fppc.w.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: -- A candidate 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: advicei@fppc.w.gov (866/275-3772) wwwJpPc.a.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may ba rounded to whole dollars. covers SCHEDULE E (CONT Page— of LD. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernahalmisc. MBR member communicebons RAD radio airtime and production costs CNS campaign consultants Mi meetings and appearances RFD returned contributions CTS contribution (explain nonmonetaryr DEC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL l.v. or cable airtime and production costs FIL candidate filing/ballot tees PHO phone banks TRC candidate travel, lodging, and meals END fundraising events POL polling and survey research TRS staff/spouse travel. lodging, and meals IND independent expenditure supportinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (interni, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF CIXAMITIEEALSO ENTER 10. NUMBER) `Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS FPPC Form 460 (/an/2016) FPPC Advice: advice@fppc.ra.gov (866/2]5-37]2) Instructions for Schedule E (Continued) Payments Made Codes CMP: Campaign paraphernalialmisc. 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 firms. 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. FIND: 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 supporttoppose 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 stale 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, e-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. FPK Form 960 pan/20161 FPP[ Advice: advicepfppc.w.gov (866/275-3772) www.fPPc.ce.gov Schedule F Amounts may be rounded to whole dollars. Accrued Expenses (Unpaid Bills) Statement covers Period through SCHEDULEF Page of ID. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryy OFC office expenses SAL campaign workere salaries CVC civic donations PET petition circulating TEL Lv or cable airtime and production costs FIL Emulsible filing/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 meals IND independent expenditure supporting/opposing others (explain)" POS Postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO prolessional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB infcoretsn technology costs Internet. e-mail) NAME AND ADDRESS OF CREDITOR IIF COMMITTEE . use ENTER I D. NuMBEIR CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD lo) AMOUNT PAID THIS PERIOD Men REFOm ON E) (d) OUTSTANDING BALANCEATCLOSE OF THIS PERIOD • Payments that are contrbutions or independent expemdlwres must also be SUBTOTALS $ $ $ $ summarized on schedule D. 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 unilemized 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.).......... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A. Line 9.)................................................................................................................................. PAID TOTALS $ NET$ may be a seveare number FPPC Form 460 (lam/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) rrrrr, ionic ra m.v 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 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 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov 1866/2]5-3]]2) www.fppaca.gov Schedule F Amounts may be rounded to whole dollars. (Continuation Sheet) Accrued Expenses (Unpaid Bills) Statement coven Period from SCHEDULE F(CONT.) Page of— to NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernaliatmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MIG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries 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 fundensing events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) `Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR 'IF CONNIiTEEALsoervTex m. xuNeeRl CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE OFTHISBEGINNING OF THIS PERIOD IINts) ED AMOUNT PERIOD THIS PERIOD (N) AMOUNT PAID THISPERIOD Iwso xwomox el IA OUTSTANDING BALANCER PERIOD OF THIS PERIOD SUBTOTALS$ S $ S FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Amounts may be mantled s Contractor (on Behalf of This Committee) to whole dollars. from SCHEDULE Page of- I.E. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/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 position circulating TEL t., or cable airtime and Production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporlinglopposing others (explain)* POS Postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID IIF COMMITTEE, N.SO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL' $ Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 060 flan/2026) independent contractor as reported on Schedule E FPPC Advice: adviceaippc.w.gov (866/2753772) www.fppc.ca.gov 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 nonmonetary contribution on Schedule C. Refer to the FPPC Campaign Disclosure Manual for your type of committee for additional instructions. FPPC Form 460 (Jan/2026) FPPC Advice: advice@fppc.ca.gov (966/275-3772) www.fppc.ca.gov SCHEDULE Schedule H Amounts may be rounded Statement coven pence - bwhole dollars. • Loans Made to Others* from • - SEE INSTRUCTIONS ON REVERSE f through Pige_ Of- NAME NAME OF FILER D. NUMBER FULLNAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER Pu OUTSTANDING tel AMOUNT kl REPAYMENT OR lel OUTSTANDING P) INTEREST ORIGINAL te) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER BF SELF-EMPLOYED, ENDER BALANCE LOANEDTHIS FORGIVENESS BALANCE AT RECEIVED AMOUNT OF LOANS 'IF .... IIEuso EmERLD. NUMBER) NAME OF auswsssl BEGINNING THIS PERIOD THIS PERIOD' CLOSE OF THIS LOAN TO DATE ❑ PAID GPLENDPAYEPA r f % b r ❑ FORGIVEN PERELEGTIOM- Rue $ $ WE DUE DATE INcuaRED ❑ PAID CALENDAR YEAR $ % $ ❑ FORGIVEN PER ELECTION" Rnm ogrE DUE DATE INCURRED 'Loans that are contributions to another Candidate or Committee must also be summa ,ERd on Schedule D. Loans forgiven must also be mooned on Schedule E. SUBTOTALS $ $ $ $ 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.) tenrer le)on Scivi L L,w 3) ................................ $ "If Required ................................ $ ...........................NET E IM.v a.�.g.ere.umewl. FPPC Form 060 (tan/2016( FPPC Advice: advice@fppc.ca.6mv(866/275-3772(, www.fppc.ca.gev 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 lax -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 state 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 cash contributions, loan restrictions, and more. 'Loans that are contributions to candidates or other committees must also be reported on Schedule D. FPPC Form 460 (lan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.w.gov Schedule I Amounts may be rounded SCHEDULE I Miscellaneous Increases to Cash to a holedollera. SEE INSTRUCTIONS ON REVERSE bmtamentcovers parma from through �. .- �.1 Page of NAME OF FILER I.D. NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMIFFEE. use EWER Lo. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. 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 $ SUBTOTAL$ FPPC Form 060 (lan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) m O y N N a d N m O C CLL - J.L.. m C O o m o E w E o E L U o c o E w m m m N._ E L o a d o U = H L (Cp N y N m c' y L d E 2 u d O m m In i. — 7 d `'u "' m Ncm d y d O—N b O V 00 0 m `o N Cl r E m e E m d c O2 d cm o '- �md mg �05� y E n Bl d._ d g 'm c E m d o Jo E m E o m Ec y .. `' r u MA Q o 0 EE J 7g K m N o m O N U o d O O yam' d y L U C b � d 0 d S N C O - Y y L y Ep n N aci o�0 rn rn m y 10 d LV a WE 3 d E oo U m d n m2 E 'g E o '- m c ='O 6L`ry > d`dK0C 6y v dj O 6 L O O C d EN Nm' O ° o E d YpNLo O O. O ON W d J'd O U d U E m5 uc ti i� E cd E x� `O — d o jd N U C p V O rmyum N U ry O H O L r O My d d r t OI d C Cp > d Ol d y O OI J r d UL 0LEm Em`m Eyw Eo nyEoE .c m anrn�¢ y m ay `O — 7g K