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HomeMy WebLinkAboutFREEMAN 460 SEMIANN20Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from through 1. Type of Recipient Committee: All committees — complete Parts 1, 2,31 acid 4. �Qffceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure V State Candidate Election Committee Committee 0 Recall Controlled (At" f *uWlet@ PW5) 8 Sponsored V- Lb 0- Pert B) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (Nm c-pleto Part r) 3. Committee Information I;D.NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) njq-kcnG Flo ed1 j." S-'Ov' C. � / C.C�tJ►��s STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE MAILING ADDRESS (IF DIFFERENT) NO.ANO STREET OR P.O. BOX CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL' FAX I E-MAIL ADDRESS Date Stamp Date of election if applicable: JUL 28 AF1 11: ,., (Month, Day, Year) E3� t FtSf-1LLD CL i 2. Type of Statement: ❑^ �E,reelection Statement i1"Sem.i-annual Statement ❑ Termination Statement (Also file a Form 41.0 Termination) ❑ Amendment (Explain below) PAGE Page of For Official Use Only I ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF -TREASURER, MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF'ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX I E•MAILADDRESS 4. verification I have used all reasonable diligence in preparing and reviewing this statement -and to the' best of my knowledge the information contained herein and in.lhe attached schedules is true and complete. I certify under penalty of perjury underer th laws of the Slate of California that the foregoin true and correc o Executed on � I By Paloi o Treasurer�or ssfsTeniTreasurer • Executed on pLZ By ZJr� ale —Signataria at controlling Officomider. candidate, stale Measure Proponent or Responsible Officer of ponsor Executed on By Data pneturo of Controlling Officeholder. Candidate. State Measure Proponent Executed on Data BY. Signature of ontro ing. picaho der, Candidate, State Measure Proponent FPPC Form 460 ()an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-37721) www.fppc.ca.gov Recipient Committee .Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAI^USINESSADDRESS (NO.ANDSTREET) CITY , STATE ZIP ) .Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER COMMITTEE ADDRESS TADDRESS CONTROLLED COMMITTEE ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMIT -TEE? ❑ YES ❑ NO ADDRESS STREET ADDRESS (NO P.O. EWA) CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames of olWcehoider(s) or candidate(s) for which this committee is primarily formed. NAME OF'OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE -SOUGHT 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 Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca,gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS. ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. column a; Contributions Received TOTAL THIS pERl00 (FROMATTACHED SCHEDULES) 1, Monetary Contributions................................................... Schedule A. Linea $ 2. Loans Received................................................................. Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ A, Nonmonetary Contributions ............. ....... I....................... Schedule C. Line 3 5, TOTAL CONTRIBUTIONS RECEIVED. ........................ Add Lines 3+4 $ Statornent.covors period from �•— through Column B CALENDAR YEAR TOTAL TO DATE $ $ $ \.J Expenditures Made 6. Payments Made ..................... . Schedule E. Line 4 $ �J $ 7. Loans Made.. ..................................................................... Schedule H, Line, 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ LC�Ol� $ bd� 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 13, Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ............................. ..... I schedule 1, Line 4 15, Cash Payments .... ...... ................... ....... ......... I .... ,.... ,. Column A, Line a above 16. ENDING CASH BALANCE .................Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part z $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See mstrucions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ I'V $ To calculate Column B, add amounts in Column Ato the corresponding amounts from Column B of,your last report. Some amounts in Column A may be negative figures that should be subtracted from previous. period amounts. If 'this is the first report being fled for this calendar year, only carry over the ,amounts from Lines 2, 7, and 9 (if any). SUMMARY PAGE. FORM 4650 Page of Calendar Year Summary for Candidates Running in Both the State Primary and General Elections f11 through 6/36 711 to Date 20. Contributions Received $ 21, Expenditures Made $ Expenditure Limit Summary for State Candidates 22. Cumulative Expend.itures.Made• (if Subject to Voluntary Eaponditure Limit) Date of Election Total to Date (mmldd/yy) 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppe.ca:gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may bo roundod to wholo dollars. covors from SC through I Pago of SEE INSTRUCTIONS ON REVERSE 1 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 RAID RFD radio airtime and production costs returned contributions CNS campaign consultants MTG OFC meetings and appearances office expenses SAL. 'campaign workers' salaries C78 CVC contribution (explain nonmonetary}' civic donations PET petition circulating TEL. t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC TRS candidate travel, lodging, and meals staff/spouse travel,, lodging, and meals FND IND fundraising events independent expenditure supporting/opposing others (explain)' POL POS polling and survey research postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB Information technology costs (internal, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I D NUMBER) �gkCar3.fpjr—k.A M:a��i c✓'� T'�lg�'orfe..► G.'S17 t +S"Gt,yS Iz57 G«rs' r•�M►-ibL, ,oC� ca c�7j V J' n G e F-t�x� Sro,r A=sew.�j1Y Z vZ.Z G 'Z vJ k c, LS 1 ZSiL7 G or1 s. a a 11 �Or-� ,CSC � ► " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ % Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals).._.................................................................................................. 2. Uhitemized payments made'this period of under$100........................................................................................, 3. Total interest paid this period on loans. (Enter amount from ScheduleB, 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 $ �1 0 F.PPC Form 46.0 (Jan/2016)) FPPC Advice-- advice@fppc.ca.gov (866/275-3772) www.fppc.ca:gov