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Home My WebLink AboutFREEMAN SEMIANN19(1)Rei ipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period fromJ1112-4> through 1. Type of Recipient Committee: al commineea-CMPIOW Pen:1,2, 3, and e. �r/ Ip ORceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidata Election Committee Committee 0 Recall 0 Controlled rXFDwxwx PM3l O Sponsored ❑ Genral Purpose Committee STATE ZIP CODE OS p.neored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee ive a"Pea Aral 3. Committee Information OMBER I.D. NUMBER m COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Free,w.aln For G I.x Co"Ac '/) 2c -P20 STREET ADDRESS (NO P0.90X) . CITT STATE ZIP CODE AREACODFJPHONE � MAILINGADDRESS (IF DIFFERENT) NO. AND ST7ET OR BOX COVER PAGE Pae o Date of election H applicablO YC'SP.KEPF:7!_r!_D g (Month, Day, Year) For Otfiaal Uea nI 11 71:11r, r- 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semiannual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) t.r L) Cc ��vv ave MAILI Aad VORES5 � CITY STATE ZIP CO E AREAL IJLMHONE NAME OF ASSISTANTTREASURER. IF ANY MAILINGADDRESS CITY STATE ZIPCOOE AREACODE/PHONE CITY STATE 21PCODE AREACODEIPHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAILADDRESS 4. Verification I have used all reasonable diligence In preparing and reviewing this statement and to the beat of my knowledge the Information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing Is true d Or Executedan By / edaerdnt ru x L. Executed on t By Add-Aiina . De—�ipneturybrC r.W.g W.,xiM .. CeMl a a-,.rRypomlde omar p Execute0 on Mie By slgnelure of Convene Ofillilfalair carxicul Stes kiwu Proponent r. Executed on oea By spnMure m Ceoednng Off.., can m, ft. Mwi.ro Pmparml - FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppool.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE C� � c F e -wlnyt OFFICE SOUGHsT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) y j � McMnlner .� IEC 11 lelr� RESIDENTIA DSINESS ADDRESS (NO.lWD STREET) CITU STATE ZIP Related Committees Not Included In this Statement: Listanycomml43311 "I Included In MIS statement that am controlled by you or are primarily formed to receive '. contdbudons or make espendlturea on behalf of your candidacy. COMMITTEE NAME 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES C NO COMMITTEEADDRESS STREETADDRESS(NOP.O, BOX) CITY STATE ZIPCODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMRTEEADORESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 0SUPPORT ❑ OPPOSE Identify the comuching Officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listram" of oefceholderfs) or candit afe(e) for which MIs committee Is pdmadly 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 El SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT ❑ OPPOSE Aaech continuation sheets Nnecessary FPPC Form 460 (Jan/2016( FPPC Advice! advice@fppc.ca.eov (866/275-3772) www.fppc.ca.6ov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period a . Summary Page a ROM from Page of NAME OF FILER Expenditures Made ColumnColumn Column Calendar Year Summary for Candidates Contributions Received 6. ♦c,x, XsPEMW cu MAR YEAR $ Running in Both the State Primary and Loans Made...................................................................... sctmdme N. une3 (Fx0 ATTACHED acaeDUues) MALTO DATE SUBTOTAL CASH PAYMENTS ............................. ........ .... Ade upas s+7 $ z -5•Q% $ 9. Accrued Expenses (Unpaid Bills).. �S General Elections 1. Monetary Contributions ......... ................................. SahedweA, One 3 $ 5�� • �� $ • �� v1 mmugh Eno nl to Dale 24i $ 2-r�75•� 2. Loans Received. .......... .... .................... .. ......... ....... schedule e. une3 ........ Add Unee s+e+lg $ /-5•�' 20. Contributions 500.D0$ 3. SUBTOTAL CASH CONTRIBUTIONS ........................_.... Add unesr«z $ .Cai g 51r�O.C'1^i Received $ 4. Nonmonetary Contributions- .......................................... schedule o Lme 3 21. Expenditures Made $'�D-J_� 8 - 5. TOTAL CONTRIBUTIONS RECEIVED...................................Ade Ones 3+4 $ SOS • $ `•1 ix� • Expenditures Made Q - - o rM CID $ -.Q' 7 55 . 00 6. Payments Made. ...................._.................--.................... smadme e. Una 4 $ 7. Loans Made...................................................................... sctmdme N. une3 8. SUBTOTAL CASH PAYMENTS ............................. ........ .... Ade upas s+7 $ z -5•Q% $ 9. Accrued Expenses (Unpaid Bills).. Schedule F Line 10. Nonmonetary Adjustment .._ ............. schedule c, Una3 24i $ 2-r�75•� 11. TOTAL EXPENDITURES MADE..... ........ Add Unee s+e+lg $ /-5•�' Current Cash Statement 12. Beginning Cash Balance .......................... . Fmvmaa Summery Fags, One 16 $ �.5 • ��rr 13. Cash Receipts........................................................... CaumnA lire 3 ebore 5�•r i" 14. Miscellaneous Increases to Cash .................................. Sohedom ), Lhre 4 15, Cash Payments......................................................... Cdumn A Line s above s2 $h.J •iJ� 16. ENDING CASH BALANCE ..................Add uvea 12+ 13+ 14 then subtract Lula is $ It this is a terser etlon statement, Lina 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedules Padz $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column 8 of your last report. Some amounts In Column A may be negative figures that should be subtracted from previous pedod amounts. If this is the fret report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (If any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made (x sunikrm vowmny ExP-dnun umh) Date of Election Total to Date (mrrVddlyy) ��— $ 'Amounts in this section may be different from amounts reported in Column e. 18. Cash Equivalents ......... ,.-................................... Seamarrvcdonsonravoae $ 19. Outstanding Debts .... .................. ...._. Ade Linel+LM.90Column Bebove $ FPPC Form 4601Jan/2p16) FPPC Advice: advicetsfppc.ca.gov(866/275-3772) www.fppc.cegov Schedule A Monetary Contributions Received Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period a• � � 1 from 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 $100 ..... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............. ....................$ .................... $ TOTALS _ SOO.t'Y� 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (lan/2036) FPPC Advice: advicegdfppc.ca.gov (866/275-3772) www.fppc.cEi through Page of NEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER DATE FULL NAME, BTREETADOREea AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDARYEAR PER ELECTION TO DATE RECEIVED UFOOMMITTEE.ALSOENTERIO. NUMBEm CODE (IF SELFEMFLOYED EWER NMIE PERIOD (JAN. I. DEC. 31) (IF REQUIRED) Cl SWINEa3) nj N- e.. TNP P_L'Vvv taV�. 2e}'Irm-&\I Soo 5co. 1-2- ❑SCC ❑IND ❑ COM ❑ OTH I] PTV ❑SCC ❑IND ❑ COM El OTH ❑ PTY ❑SCC ❑INO ❑ COM ❑ OTH ❑ PTV ❑SCC ❑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 $100 ..... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ............. ....................$ .................... $ TOTALS _ SOO.t'Y� 'Contributor Codes IND -Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (lan/2036) FPPC Advice: advicegdfppc.ca.gov (866/275-3772) www.fppc.cEi Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA(CONT) Monetary Contributions Received to whole dollars. Statement covers period e. I from 4 • , 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other D,g., business entity) PTV - Political Party SCC - Small Contributor Commidee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fPPc.cag. (866/275-3772) www.fppc.ca.eov through Page of NAME OF FILER I.D. NUMBER CONTRIBUTOR IF AN INDIVIDUAL, AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DEMPL Y OCCUPATION AND EMPLOYER RECEIVED THIS (JAN TO DATE RECEIVED (IF COMMITTEE ALSO ENTER m. NUMBER) CODE pr seLF-oFa ss�sR rvnuB PERIOD (JAN.1-DC. 31) 1-DEC31) REQUIRED) (IF REQUIRED) sEn ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM ❑ OTH 0 PTY ❑ SCC SUBTOTALS 'Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other D,g., business entity) PTV - Political Party SCC - Small Contributor Commidee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fPPc.cag. (866/275-3772) www.fppc.ca.eov SCHEDULE B - PART 1 Schedule — Part 1 to whole dollars. swtemem �eYersperiod Enter :LPn•al 1. Loans received this period ........... - .......................................... .......... -....... ....................................... ...$ Loans ReceivedSEE TContributor Codes 2. Loans paid or forgiven this period ........................................... ........... ................................................. INSTRUCTIONS ON REVERSE through 7ALCUMU�TIVE NAME OF FILER COM -Recipient Committee FULLNAME STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT I`) AMOUNT PAID OUTSTANDING INTERESTOFLENDER eOCCUPATION PTV - Political Party 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. AND EMPLOYER (IF SELFEMPLOYED ENTER BALANCE RECEIVEDTHIS OR FORGIVEN BALANCEAT PAID THIS S (IF COMMITTEE, ALSO ENTER m. NUMBER) NAME OF eusmEssl BEGINNING THIS PERIOD THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE PERIOD PERIOD ❑ PAIR CALENDAR YEAR E S FORGIVEN PER ELECTION" PWR 8 E S 3 E RATE DUE DATE INCURRED 1 tEl IND ❑ COM ❑ OTH ❑PTT ❑BCC ❑ PAID CALENDAR YEAR S % $ ❑ FORGIVEN PERELECTION" PATE $ E $ E $ DATE DUE FATE INCURRED } tEl IND ❑COM ❑ OTH ❑PTV ❑SCC ❑ PAID CALENDAR YEAR S $ % 3 Ll FORGIVEN PER ELECTION^ RNUF 3 E 3 E GATE OUE pgTE INCURRED ❑ IND ❑COM ❑ OTH ❑PTY ❑SCC 'Cl SUBTOTALS $ $ $ E Schedule B Summary Enter :LPn•al 1. Loans received this period ........... - .......................................... .......... -....... ....................................... ...$ (Total Column (b) plus unitemized loans of less than $100.) TContributor Codes 2. Loans paid or forgiven this period ........................................... ........... ................................................. $ IND -Individual (Total Column (c) plus loans under $100 paid or forgiven.) COM -Recipient Committee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH - Other (e. g., business entity) PTV - Political Party 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ SCC - Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (Mm ra. 'Amounts forgiven or paid by another party also must be reportetl on Schedule A. FPPC Form 460 pan/2016) " It requiretl. FPPC Advice: advire@fppaca.gov (866/275-3772) www.fpVaca.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 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 460 (tan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 bcnedule tS — Fart 1 nmounu may ee roan... to whole dollars. Loan Guarantors Statement covers period . - • , .. from SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF CONMITTEE ALSO ENTER Lo. NUMBER) CONTRIBUTOR CODE IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER SF SEALFEOPLOYEDE ENTER NETBIN LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE ❑IIND LENDER CALENDAR YEAR ❑ COM DATE [I 0TH PER ELECTION (IF REQUIRED) ❑ PTV ❑ SCC CALENDAR YEAR ❑IND LENDER ❑ COM E] OTH PER ELECTION )IF REQUIRED) GATE ❑ PTY ❑ SCC CALENDAR YEAR ❑IND LENDER ❑ COM DATE ❑ 0TH PER ELECTION )IF REQUIRED) ❑ PTY ❑ SCC ❑ IND LENDER CALENDAR YEAR ❑ COM 5 ❑OTHDArE PER ELECTION (IF REQUIRED) ❑ PTV ❑ SCC SUBTOTAL E s�mma.y vaye. Doa Homy. FPPC Form 460(tan/2016) FPPC Advice: advice@fppc.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 Form 460 (Jan/2036) FPPC Advice: advic.@fppc.ca.8ev (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULEC to whole dollars. Statement covers period Nonmonetary Contributions Received p from MOM SEE INSTRUCTIONS ON REVERSE through Pageof NAME OF FILER I.D. NUMBER GATE FULL NgME, STREETA00RES5 AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNTI CUMULATIVE TO pgTE PER ELECTION RECEIVED ZIP CODE OF CODE' OCCUPATION AND ER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE Its camMiTrseusosnrsa m. nurnasal ENTER (IF ss�r�smvmvsO. sures D ENTER Iv.ME Or BUSINESS) VALUE (JAN 1 -DEC 31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ I ,. Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)......................................................................................................................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ..................................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ -Contributor Codes IND - Individual COM - Recipient Committee (other than PTV or SCC) OTH - Other (e.g.. business entity) PTY - Political Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppCca.gov 1866/275-3772) 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, 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 nonmonelary 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 nonmonelary 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. (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 (tan/2016) FPPC Advice:advice@fppa.w.gov (866/275-3772) www.fppaca.gov Schedule D SCHEDULE D oufnfinary Of rApernanurbI5 Abounor may oe mumem Statement covers period Supporting/Opposing Other to whole dollars. •,Candidates, Measures and Committees from SEE INSTRUCTIONS ON REVERSE through 7DATEPER NAME OF FILER DATE NAME OF CANDIDATE, OFFICE. AND DISTRICT, OR TYPE OF PAYMENT ESCRI TIO DESCRIPTION AMOUNTTHIS CUMULATICTION MEASURE NUMBER OR LETTER AND JURISDICTION, PERIOD CALENDAR YEAR TO DATE OR COMMITTEE FAN .1 -DEC at) (IF REQUIRED) Monetary Contribution E] Nonmonetary Contribution Independent ❑ Support ❑ Oppose Expentliture ❑ Monetary Contribution Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure Monetary Contribution Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose 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 460 (fan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov zl. 2J� '5l Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULED CONT. Summary of Expenditures to whole dollars. Supporting/Opposing Other Candidates, Measures and Committees Statement coven period from ss , • , through Page of NAME OF FILER I D. NUMBER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR ETTERAND JURISDICTION, L OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REOVIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN I DEC. 31) PER ELECTION TO DATE (IF REQUIRED) /✓ colTvc��✓u�Ijxsa'j'A A�G/ i%%% Monetary Contribution 0 Nonmonetary Contribution 1 Independent Expenditure Oppose ❑-1 Support n y❑ Contribution ❑ Nonmonetary Contribution 0 Independent Expenditure ❑ Support ❑ Oppose Iy �! EC e`rv1 CoH�� RC nutiJ�l4Y1 n T'ol V, 1y // [Monetary Contribution ❑ Nonmonetary Contribution Independent Expenditure ❑ Support ❑ Oppose 20� / t 2CrC-Tory Monetary Contr nDUDn ❑ Nonmonetary Conhibution z�� ZGyj pp ZoD, w ❑ Independent Expenditure ❑ Support ❑ Oppose SUBTOTAL $ z 5CDL-2 V ! FPPC Form 460 (Jan/2016) FPPC Advice: edvkeaIpfppc.ca.gov (9661 www.fPPc.ca.gov Schedule E Amounts may be rounded g Payments Made to whole delta.. from through Page— of. CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernallatmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)• OFC office expenses SAL campaign workers'selaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filinglballot fees PRO phone banks • TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staPoapouse travel, lodging, and meals IND Independent expenditure supporting/opposing others(explaln)' POS postage, delivery and messenger services TSF transfer between committees of the same canduatelsponsor 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 Or coMMImEE,µ80V ERI.p. Fueled CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ,oM Md>1 taWerynP./F10 cd\1fG;>w=, nS Soxca 5Z4;v.a c e..9 -c+ r�riJG/# G4Y'aRLN PD}v1W✓N'J/- FNO Kern coN,n-�y /yeJ��..b ,cw. Ps✓"}�i 1CNtQ 25 106 . O Ci C ¢ eek 7 Payments that are contributloes or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 267 , a'-' Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................ I................ $ R i5 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).)............................................................................. $ C n 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ FPPC Form 060 (Jan/2016) FPPC Advice: advim@fppc.ca.gov (866/275-3772) www.fppc.ca.gav Schedule EAmounts may be rounded SCHEDULE E CONT) (Continuation Sheet) to whole dollars. Salemenicovesperiotl s. • 1 Payments Made from SEE INSTRUCTIONS ON REVERSE through Ipage_ of 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 paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonstary)' OFC once 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 END fundraising events POL polling and survey research TRS staRlspouse 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) NAMEAND ADDRESS or PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID ,IF COMMITTEE, ALSO ENTER I D. NUMBER) ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL E FPPC Form 460 (gan/2o16) FPPC Advice: advice@fppaca.gov (866/2]5-3]72) 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 fling fees and fees charged for publication of a ballot statement. END: 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 support/oppose 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. DEC: 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. PRO: 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, 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. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.w.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) FILER Amounts may be rounded to whole dollars. Statement covers period through SCHEDULE F Page of IO. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code, Otherwise, describe the payment. CMP campaign paraphernalia/mist. MBR member communications RAD red,. airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workerssalaries CVC civic donations PET petition circulating TEL Lv, or cable airtime and production costs FAIL candidate 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 professional services (legal, accounting) MOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet e-mail) NAME AND ADDRESS OF CREDITOR pr COMMITTEE ALSO Emee m. NUMBER) CODE OR DESCRIPTION OF PAYMENT (A BALANCE BEGINNING BALANCE OF THIS PERIOD (IN ED AMOUNT PERIOD THIS PERIOD (c) AMOUNT PAID THIS PERIOD (Also neaaai ON e) (e) OUTSTANDING BA AT CLOSE OFF THIS PERIOD Payments that are contributions or Independent expenetures must also be SUBTOTALS $ $ $ $ sernmenevid 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 unitemized accrued expenses under $100.)..............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .............. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)..................................................................................................................................... PAID TOTALS $ NET $ Mar Me a negaova oomber FPPC Form 960 (lam/2016) FPPC Advice: advice@fppu.ca.gov (866/275-3772) wwW free, m a— 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. FPP[ Form 060 pan/20161 FPP[Advice: advice@fppc.ca.gov (866/2]5-3]72) www.fpPc.w.gov Schedule F Amounts may be rounded (Continuation Sheet) to whole dollars. Accrued Expenses (Unpaid Bills) SCHEDULE Statement covers period from throughpage— 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 paraphernalialmisc. MBR member communications RAD radio airtime and production costs ONS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetery)' OFC office expenses SAL campaign workerssalaries CVC civic donations PET petition circulating TEL t.v, or cable airtime and production costs FILL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staHlspoese travel, lodging, and meals IND independent expenditure suppoNiinglopposing others (explainJ' 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 TF COMMITTEE. ALSO ervreR ro. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD I AMOUNTININCURREO THIS PERIOD IN AMOUNT PAID THIS PERIOD ALSO REPORT ON E) Id) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS$ $ E $ 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 rounded a Contractor (on Behalf of This Committee) to whole dollars. from 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 MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workerssalaries CVC civic donations PET petition circulating TEL Lvor 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 sta&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 ad. 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 16COMMnTEEA-EDENTERroNUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PATO . Attach additional information on appropriately labeled continuation sheets. TOTAL' E 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 40 (lan/2016) independent contrector as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (666/275-3772) 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 nonmonelary contribution on Schedule C. Refer to the FPPC Campaign Disclosure Manual for your type of committee for additional instructions. FPPC Form 460 pan/2016) FPPC Advice: advice@fppc.w.gov (666/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period7OFLOANS to whole dollars. Loans Made to Others* rrom SEE INSTRUCTIONS ON REVERSE through NAME OF FILER IF AN INDIVIDUAL. ENTER INS Id Ial INFULLNAME, STREETAOORESS ANO ZIP CODE OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTERESTOF RECIPIENT OCCUPATION AND EMPLOYER BALANCE LOANEOTHIS FORGIVENESS BAIANCEAT RECEIVED AMOUNT (IF COMMITTEE ALSO ENTER m. NUMBER) OF SELF-ENPmreDENTea NAME or euswassl BEGINNING THIS PERIOD PERIOD THIS PERIOD' CLOSE OF THIS ELBIQU LOAN TO DATE ❑ PAID CALENDAR YEAR FORGIVEN PER ELECTION' RATE $ OATEOl1E DATE INCURRED ❑ PAIU CALENDAR YEAR $ $ ❑FORGIVEN PER ELECTION' MTF $ DATE DUE ITTEINCURRED eLoaes that are ConVlbutions to another candidate or Committee must ' 1 also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ 5 $ $ Schedule H Summary 1. Loans made this period......................................................... (Total Column (b) plus unitemized loans of less than $100.) (EnmrFu on Stumme L Doe a) .........$ "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=r.•neu. S..N•n FPPC Form 460 (Jan/2016) FPPC Advice: advice@rppc.ca.gov (566/275-3272) www.fppu.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 loans) 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 loans) 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 slate 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 060 (]an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppaca.gov Schedule I Amoun,. m.M h. rnu.HI SCHEOULE I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE from through Statement covers period7AMOUNT NAME OF FILER DATEFULL RECEIVED NAME ANO ADDRESS OF SOURCE (IF CuMMITTEE. usa ENTER To. NUMBER) 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. Un itemized increases to cash of under $100 this period. ... I ... I ........... $ ................... $ 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 (Jan/2016) FPPC Advice: advice@fppc.w.gov (866/275-3772) 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 lump sum of interest payments received on loans made to others. Do not itemize. This amount is transferred from Schedule H, Column (g). FPPC Form 460 (Jan/2016) FPPC Advice: adviceiafppaca.gov (866/2]5-3]72) www.fPPc.w.guv