HomeMy WebLinkAboutSCHWARTZ PREELECT14(1) 10/5/14+. Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
from
Type or print in ink.
Date Stamp
Statement covers period I Date of election if applicable: _ f Page
July 1, 2014 (Month, Day, Ye 2014 Q —b F
through
September 30, 2014 11/4/14
1. Type of Recipient Committee: All committees — complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also CompletePart5) 0 Sponsored
❑ General Purpose Committee (Also Complete Part 6)
Q Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Atso Complete Part 7)
3. Committee Information I.D. NUMBER
1370793
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Richard Schwartz for Bakersfield City Council 2014
STREET ADDRESS (NO P.O. BOX)
'
® Preelection Statement
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Supplemental Preelection
Statement - Attach Form 495
CITY
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
CITY
STATE
ZIP CODE
OPTIONAL: FAX / E -MAIL ADDRESS
COVER PAGE
of
For Official Use Only
2. Type of Stattrent:
'
® Preelection Statement
❑ Quarterly Statement
❑ Semi - annual Statement
❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Supplemental Preelection
Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Sandra Schwartz
MAILING ADDRESS
CITY
STATE ZIP CODE AREA CODE /PHONE
NAME OF ASSISTANT TREASURER, IF ANY
N/A
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the b 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 ect. n
Executed on 1 / ( ( gy
Date ignatureofT as er Assistant a
Executed on`� By ,
Datef V Signature of Controlling Officeholder. C ida e. Stalff Mgasure Prononm0ei,990onsible Officer of Soonsrx
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By
Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772)
State of California
Recipient Committee Type or print in ink. COVER PAGE - PART 2 Campaign Statement CALIFORNIA
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Richard Schwartz for Bakersfield City Council 2014
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Bakersfield City Council, Ward 4
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Ust 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 CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
Page Z_ of l
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION I ❑ SUPPORT
❑ OPPOSE
Identify the controlling 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 list names of
officeholder(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
- - - �•• ••� .-•• vv+� rl.�„ VVUC.l r1l VIYC Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866IASK -FPPC (866/275 -3772)
State of California
Campaign Disclosure Statement Type or print in Ink.
SummaPage Amounts may be rounded
Summary 9 to whole dollars.
Statement covers period
from July 1, 2014
SUMMARYPAGE
2014
SEE INSTRUCTIONS ON REVERSE through September 30, Page of
NAME OF FILER
Richard Schwartz for Bakersfield City Council 2014 I.D. NUMBER
1370793
Contributions Received
ColumnA
12. Beginning Cash Balance ....................... Previous summary Page, Line 16
$
TOTALTHIS PERIOD
13. Cash Receipts .................... ............................... Column A, Line 3above
(FROM ATTACHED SCHEDULES)
1. Monetary Contributions ............ ...............................
schedule A, Line 3
$ 350
2. Loans Received ....................... ...............................
schedule B, Line 3
22,556
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$ 22,906
4. Nonmonetary Contributions ..... ...............................
schedule C, Line 3
0
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 +4
$ 22,906
Expenditures Made
6. Payments Made ........................ ............................... schedule E, Line 4 $ 22,556
7. Loans Made .............................. ............................... schedule H, Line 3 0
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 22,556
9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 0
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0
11. TOTAL EXPENDITURES MADE ................ ................ Add Lines 8 +9 +10 $ 22,556
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16
$
0
13. Cash Receipts .................... ............................... Column A, Line 3above
22,906
14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4
0
15. Cash Payments ................... ............................... Column A, Line 8 above
22,556
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
350
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2
$
0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... see instructions on reverse
$
0
19. Outstanding Debts ......................... Add Line 2 +Line s in Column B above
$
22,556
Column B Calendar Year Summary for Candidates
CALENDARYEAR
TOTALTODATE Running in Both the State Primary and
350 General Elections
22556 1/1 through 6/30 7/1 to Date
,
$ 22,906
0
$ 22,906
$ 22,556
0
$ 22,556
0
0
$ 22,556
To calculate Column B, add
amounts in Column A to 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 filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
20. Contributions 0 $ 350
Received $
21. Made Expenditures $ 0 $ 21,708
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(H Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd /yy)
1 1 $
I $
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772)
Schedule A Type or print in ink. S( HFnlll F A
"�� "' "� "' Islay `" "fPE3°
Monetary Contributions Received to whole dollars.
Statement covers period
July 1, 2014
CALIFORNIA
•
from
SEE INSTRUCTIONS ON REVERSE
through September 30, 2014
Lf-
Page of
NAME OF FILER
I.D. NUMBER
Richard Schwartz for Bakersfield City Council 2014
1370793
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
( IFCOMMITTEE ,ALSOENTERI.D.NUMBER)
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
9/27/14
Larry Underwood
IND
® ❑coM
Retired
❑ PTY
❑ SCC
MIND
9/22/14
Lloyd Plank
❑COM
❑OTH
Philanthropist, The Lloyd
100
100
100
Plank Foundation
❑ PTY
❑ SCC
®IND
9/24/14
Jon Lifquist
❑ PTY
Assessor - Recorder
❑ SCC
Sherin Bates
® IND
9/15/14
❑coM
E] OTH
Retired
25
25
25
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$
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 $
350
350
*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 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772)
T•.n n ._# 1-. 1_.
Sr.Hr=IIn FR_PART1
va.r IWUUIC o — rar L I Amounts may be rounded
Statement covers period
Loans Received to whole dollars.
July 1, 2014
_
• 1
from
SEE INSTRUCTIONS ON REVERSE
through September 30, 201
Page of
NAME OF FILER
I.D. NUMBER
Richard Schwartz for Bakersfield City Council 2014
1370793
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
(a) OUTSTANDING
(b)
AMOUNT
(c)
(d)
OUTSTANDING
(e)
(f)
(g)
OF LENDER
OCCUPATION AND EMPLOYER
BALANCE
RECEIVED THIS
AMOUNTPAID
BALANCEAT
INTEREST
ORIGINAL
CUMULATIVE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED, ENTER
BEGINNING THIS
PERIOD
OR FORGIVEN
CLOSE OF THIS
PAID THIS
AMOUNT OF
CONTRIBUTIONS
NAMEOFBUSINESS)
PERI D
THIS PERIOD"
PERIOD
PERIOD
LOAN
TO DATE
Richard and Sandra Schwartz
Retired Claims
❑ PAID
CALENDARYEAR
Manager /Registered
a 0
E 22,556
0
22,556
a 22,556
Nurse
q
RATE
a
❑ FORGIVEN
PER ELECTION""
E 0
E 22,556
E 0
6/1/15
a 0
9/30/14
E
t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
a
a
q
a
a
❑ FORGIVEN
PER ELECTION*'
RATE
t❑ IND El COM ❑ OTH El PTY
PTY ❑ SCC
E
E
E
E
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
a
a
q
a
a
❑ FORGIVEN
PER ELECTION*'
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
E
E
8
E
a
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $ 7-
5chedule B Summary
1. Loans received this period ..................................................................................... ............................... $
(Total Column (b) plus unitemized loans of less than $100.)
22,556
2. Loans paid or forgiven this period .......................................................................... ............................... $ 0
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) ................ NET $ 22,556
........... ...............................
Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number)
kcnrer key on
Schedule E, Line 3)
tContributor Codes
IND – Individual
COM – Recipient Committee
(other than PTY or SCC)
OTH – Other (e.g., business entity)
PTY – Political Party
SCC – Small Contributor Committee
"Amounts forgiven or paid by another party also must be reported on Schedule A. 1
If required. J
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)
Schedule E Type or print in ink. Statement covers period
Payments Made Amounts may be rounded
y to whole dollars. from July 1, 2014
201
SEE INSTRUCTIONS ON REVERSE through September 30, Page of
NAME OF FILER
I.D. NUMBER
Richard Schwartz for Bakersfield City Council 2014 1370793
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP
campaign paraphemalia/misc.
NBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
NITG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
Tit
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
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 candidatelsponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
City of Bakersfield, City Clerk's Office
Filing Fee
FIL
25
City of Bakersfield, City Clerk's Office
Ballot Candidate Statement
FIL
966
City of Bakersfield, City Clerk's Office
Ward Four Maps
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,011
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................... ............................... $ 22,556
2. Unitemized payments made this period of under $100 ................. ............_......._.. $ 0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ........................ ............................... $ 0
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, e, Column A, Line 6. 22,556
) ............................. TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
United States Postal Service
SCHEDULE E (CONT.)
(Continuation Sheet)
Type or print in ink.
Ty
Amounts may be rounded
y
Statement covers period
CALIFORNIA A '
Payments Made
31
to whole dollars.
from
July 1, 2014
• - •
Voter Guide
Slate Mailer
Spencer's Restaurant
Breakfast Meeting
TRC
36
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 5,227
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Election Digest
SCHEDULE E (CONT.)
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
Statement covers period
• . '
Payments Made
CNS
1,000
Brian Todd
Campaign Manager
CNS
1,500
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,906
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink
Amounts may be rounded
to whole dollars.
Statement covers period
from
July 1, 2014
SCHEDULE E (CONT.)
Page through September 30, 201 Pa —3-- of 2
SEE INSTRUCTIONS ON REVERSE g
NAME OF FILER
Richard Schwartz for Bakersfield City Council 2014
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Brian Todd
I.D. NUMBER
13. NUMB
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CNP campaign paraphemalia/misc.
CNS
IJPR
member communications
RAID
radio airtime and production costs
campaign consultants
CTB
MfG
meetings and appearances
RFD
returned contributions
contribution (explain nonmonetary)"
OFC
office expenses
SAL
campaign workers' salaries
CVC civic donations
FIL candidate filing/ballot fees
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FND fundraising events
PHO
POL
phone banks
polling and survey research
TRC
TRS
candidate travel, lodging, and meals
staff /spouse travel, lodging, and meals
U0 independent expenditure supporting/opposing others (explain)'
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
LEG legal defense
LIT
PRO
professional services (legal, accounting)
VOT
voter registration
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Brian Todd
Campaign Manager
CNS
2,500
Secretary of State, Political Reform Division
Filing Fee
FedEx/Kinko's
Copies
DB & Company
Printing
CVS
Office Supplies
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,695
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772)
Schedule E
(Continuation Sheet)
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from July 1, 2014
SCHEDULE E (CONT.)
201
SEE INSTRUCTIONS ON REVERSE through September 30, Page I C of 1
NAME OF FILER
I.D. NUMBER
Richard Schwartz for Bakersfield City Council 2014 1370793
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW
campaign paraphernalia /misc.
WIBR
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' 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
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
ND
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
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
FedEx Kinko's
Copies
OFC
6
The UPS Store
Copies
OFC
10
DB & Company
Mailing List Management
DB & Company
Mailing List Management
The UPS Store
Copies
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 474
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772)
Schedule E Type or print in ink.
(Continuation Sheet) Amounts may be rounded
Payments Made to whole dollars.
Statement covers period
from July 1, 2014
SCHEDULE E (CONT.)
SEE INSTRUCTIONS ON REVERSE through September 30, 201 Page Il ( of Z -
NAME OF FILER
I.D. NUMBER
Richard Schwartz for Bakersfield City Council 2014 1370793
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphemalia/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 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
fundraising events
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
14D
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
Lrr
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
City Signs
Signs
Brian Todd
Reimbursement -- Office Supplies
DB & Company
Handout Copies
DB & Company
Handout Copies
City Signs
Signs
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,358
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (866/275 -3772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Kern County Young Republican Voter Guide
SCHEDULE E (CONT.)
(Continuation Sheet)
Type or print in ink
Amounts may
y be rounded
Statement covers period
e _ ,
Payments Made
�}
to whole dollars.
from
July 1, 2014
• '
through
September 30, 201
page Z '°
SEE INSTRUCTIONS ON REVERSE
Facebook, Inc.
Online Advertising
Facebook, Inc.
Online Advertising
" Payments that are contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL $ 3,885
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)