HomeMy WebLinkAboutDICKERSON SEMIANN16(2) 01/28/17Recipient Committee
Campaign Statement
C ?verPage
SEE INSTRUCTIONS ON REVERSE I through ` �2— J &'
1. Typ f Recipient Committee: An COmmM,m- ComPMte Pedal,2.a,aMa.
Officeholder, Candidate Controlled! Committee ❑ Primarily Formed Ballot Measure
O State candidate Election Committee Committee
O Recall O Controlled
fq""cPTMt"'P°"sl O Sponsored
❑ General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party /Central Committee
3. Committee Information
/alarm NeeAi,,Q
❑ Primarily Formed Candidate/
Officeholder Committee
(Nn LmWePa!)/
Date of election if applicable: t
(Month, Day, year)
17 Fpb) IN 2: � ca
2. Type of Statement: IC
Preelection Statement ❑ Ouartedy Statement
Semi - annual Statement ❑ Special Odd -year Report
Terninatlon Statement
(Also file a Form 910 Termination)
❑ Amendment fi aplain below)
Treasurers)
NAME OF TREASURER
COVER PAGE
�'vimSTREETgDDppRE99 ( L t LlQ�
NO PO. aO}` CITT STATE ZIP CODE gREq COpEIPHONE
CITY
MAILINGADDRESS
CITY STATE ZIP CODE ARFACODEPHONE CITY STATE ZIP CODE AAEACODEIPHONE
OPTIONAL: FAX I ENAILADDRESS OPTIONAL FAX /E- MAILADDRESS '
I have Used all reasonable diligence in preparing and reviewing this statement and to the bast of my knowlad I fo 1 Wn centcmed Frei and m Me attached schedules is We and Complete. I
candy under penally of perjury nder th laws of the Stale of California that the foregoing is Wa and Crolred.
EMoured on �� sy _ ,
/7 1 sP s
Executed on LP) t By Me�n� a is ar
OM enxMa N eannepep —hi , MM,91eh Meewn Plopmenlw xapmudeOacwg9 -
Executed on Oele By 9gneare -Ca Irg Off-- x.cupmte•smM un Propwrenl
Executed! on
DeM By agneM1.n INGnVWire OemMMer. CeAMSeM, 9leleMwure Pmpwrenl
FPPC Form 460 (Jan/2016)
FPPC Advice: advice)@fppcm.gov (966/275 -3772)
Recipient Committee
Campaign Statement
Cover Page — Part 2
S. Officeholder or Candidate Controlled Committee
NAME OF OW EHOLOER OR IDAT ^ Z
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
STATE ZIP
Related Committees Not Included in this Statement: ust,nycommireas
not Included In Mis stafanent Mafan onwienbyyouoranapff adry Io to raca/Ya
conwhunons or make eapendltums on behafforyour wMfdary.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS(NO PO, BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COMMITTEE NAME ID. NUMBER
NAME OF TREASURER CORTROLLEDCOMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS INC P.O. BOX)
CITY - STATE ZIP CODE PREACODEIFHONE
COVER
Page
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify Me controlling officeholder, candidate, or rude meaaum proponent N any.
NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. FANY
7. Primarily Formed Candidate/Officeholder Committee Liennarn. or
onlcahcldar(s) or candidata(s) M ehlah Mt. conannaa Is pdmadly boned.
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
Q OPPOSE
Attach conthivadon sheens N necessary
FPPC Fom1460 i1a1,120 }e)
FPPC Advice: advice@fppc.o.gov (666/2753772)
yr ftepc.ra.gav
Campaign Disclosure Statement
Suglmary Page
SEE It
N ME
Contributions Received
1. Monetary Contributions.......__ ............ ...... ..... ._....... 6c1sedoo A.Lne3
2. Loans Received ..._._ ..... _..__ ........ .. .......... .... _...... ........ Soheevie e. Linea
3, SUBTOTAL CASH CONTRIBUTIONS .. Add Ldresl.2
4. Nonmonelary Contributions .......... .._... sheeoie C. Une3
5. TOTAL CONTRIBUTIONS RECEIVED .... __add Loss 3.d
Amounts may bas rounded
to whole dollars.
Column A
tatutHis Maron
(HRGM PRALMEO SCHEDULES)
$ ZS~—
$
Expenditures Made
6,
Payments Made _.__..__...... ....... ..... ..._..._ .......
...... scbedum E, Linea
$ -
7.
Loans Made ...... ........ ... ... __...__. ........_........._..__........
smsdws R.j,ne3
8.
SUBTOTAL CASH PAYMENTS:_ ....... ........................J..._..
Aed Loss 6 +1
$ 6�
9.
Accrued Expenses (Unpaid Bills) _...__ _.... .........
.____.... - scheeoie E UDe3
I'-
10.Nonmonetary
Adjustment _....
_... ......scneaue C.Voe3
d._
�Iz-
11.
TOTAL EXPENDITURES MADE_.. ..... .... .. ._____...........
Ado Lines e. s +10
$
Current Cash Statement r, �-
12. Beginning Cash Balance ... ._............. ........ rreNOUS Summary rags. Line 16 $ _ ���l� __
13. Cash Receipts._ ........................ ..................._........... CowmnA.Lne3aboss Z5
14. Miscellaneous Increases to Cash .. .......... — .................... schenore r, Line e
15. Cash Payments .... ........................ ......... ..... ............ .. CDfumoALineaebo.e Ste'
16. ENDING CASH BALANCE ..................Add lines 12.13. u, men subbaa Lure 16 $
ff this is a termination statement, Line J6 must be zem.
17. LOAN GUARANTEES RECEIVED . ............................... s+redslea. ree 2 $
Cash Equivalents and Outstanding Debts _
18. Cash Equivalents ................. ............................... sse insmrclisns oo mrerse $ 4 G
19. Outstanding Debts....... .............. -- Add Lbre2.Linegincommnaebore $
SUMMARY
stall7m Period
I 7o I
from
through `'di 7pg..M,6 � q �1 \ l DZI
rot�jToo eoore
$
a—s�
a �
fJ-
-b-
8
To calculate Column B,
add amounts in Column
A to the conesponding
amounts from Column 6
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).
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6130 711 to Date
20. Comnbutions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
Iaauq.em vol.nls, S.r.ndame umxl
Date of Election Total to Date
(mnVddtyy)
Jam— $
$
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan /2016)
FPPC Advice: edNce@fppaw.gov (666/275 -3772)
vvww- fppcea.gov
Q.-k -A „re A Ammme may be rounded SCHEDULE A
to whole dolma. St ltment Petted ,
Mogetary Contributions Received l • 1
Lth�ugh ' Page ofSEE I
INSTRUC('')NAME OF FILER � �, _ `
` "
DATE C
FULL NAME. STREETADDREBBAND ZIP CODE OF CONTRIBUTOR r
CONTRIBUTOR M
AN INDIVIDUAL, INDDIVVIDDUUAL, ENTER A
AMOUNT C
CUMULATIVE TO DATE P
PER ELECTION
RECEIVED (
(IF WE MKOVeD. E
R �`�
�
OTH
o Pry
'
'
C6 I
ILC(,��SG /O�tI�Y II O
OCOM� —
—'
✓
❑ SCC
com
E Pr
El
p SCC
��;�L ❑
WD
❑OTH
0
05 c
►9 t I
I �NC4 C,�e ❑
❑COM
Sl7v`t�c Gr /1 `jt= E
El Pr
❑ scc
SUBTOTAL $' Z
Z5 ,
Schedule A Summary '
'Contributor Codes
1. Amount received this period – itemized monetary contributions. I
IND - Individual
(Include,all Schedule A subtotals.) ................................................. ............ ....... ........ ...... ....... ................ $
(other dean PTY Or SCC)
2. Amount received this period – unitemized monetary contributions of less than $100 ........................... - O
OTH -Othec l Pa du5ineas entity)
t trib f e
3. Total mone ary con u Ions re cely Is pen _
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL E zj FPPC Form 460(hm /20161
FPPC Advice: advice@fPPCCa.gov (066/275-3772)
www.PoPCa.gov
SCHEDULE B - PART 1
....._.....e.....s __ • —m—
Schedule B —Part 7 towNOla dollars.
Bhlamenl padD77
Loans Received
from
w
NroMg�^
SEE INSTRUCTIONS ON REVERSE
-
NAME OF FILER
FULL NAME. STREETADDRESSANO ZIP CODE
IFAN INDNIDUAL. ENTER
OUTSTANDING
.AMOUNT
Iel
AMOUNT PAID
OUTSTANOING
INTE
OF LENDER
OCCUPATION AND EMPLOYER
(IF SELF£MKOYED. ENMF
BEGINNING NG THIS
�CENEO THIS
OR FORGIVEN
CLOSE BEAT
PAID
,IF COMMIrIEe ALSO EmER LO.xVMeERI
NMIE OF EUVW sl
PERIOD
PERIOD
THISP RIOD*
PERIOD
PER
lM/12��tck�rQSo��
/?Ti'c(tn1�,75�-
11N11 YEAR
PERELEGTION°
FORGIVEN
��QQQQff
INO ❑ COM ❑ OTH ❑PTY ❑ SCC
s
s
s
DATE INGUR0.E0
DATE DUE
❑ PAID
CALENDAR YE
,I
LJ FORGIVEN
PER ELECTION"
PATE
1
DATE DUE
DATE INCURRED
t❑ IND ❑ COM [I OTH L1 PTY, [I SEC
❑ PAID
E LLENDAR YEAR
s
s
x
f
s
❑ FORGIVEN
PERELECTION-
mTE
5
5
1
f
f
DATE DUE
DATEINCURRED
t0 IND Cl COM ❑ OTH Cl PTY ❑ SCC
SUBTOTALS $ -4�;)- $ p • $ / $ 6
IMEW
Schedule B Summary
1. Loans received this period ............................................ ...............................
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ................................. ...............................
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1. ) ..............................
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounorgiven or paid by another party also must ba reported on Schatlule A.
if requits fred.
merW-
Sd»iMa E LIm ]l
..... ..............................$ —�
tConbibulor Codes
7
..... ..............................$ ✓� - IND — Individual
—� COM— Recipient Committee
(other than PTY or SCC)
` OTH— ONer(e.g., business entity)
PTY — Political Party
..........................NET $ SCC — Small ConMbutor Committee
IMb M.x.s.n.. moroxl
FPPC Form 460 pan /2016)
FPPC Advice: advice @fpp,se.gov (866/2]5 -3)72)
wwacFppera.gov
Schedule E
Payments Made
Amounts may be rounded
to whole dollars.
ham
through
Page O of-(1:2—
NAME OF FILER �
2� YrsI+�S � M f� b U LI .,
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphemalWmisc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
SAL
returned contributions
campaign woricaw' salaries
CTB
contribution (explain nnnnromltery)'
OFC
office expenses
TEL
Ly or cable airtime and production costs
CVC
civic donations
PET
petition circulating
TRC
and moss
candidate travel, lodgingg,and
FIL
candidate fllinglballot fees
PHO
phone banks
TRS
me .
stall /spouse travel, lodging, and meals
END
fundmising events
POL
polling and survey research
TSF
transfer between committees of the same candidatefsponsor
IND
independent expendgure supporgngiopposing others (explain)`
POS
postage, delivery and messenger services
PRO
professional services (legal, accounting)
VOT
voter registration
LEG
legal defense
WEB
information technology costs (intemet, a -mail)
LIT
campaign IitereNre and mailings
PRT
print ads
NAME ANDADURESS OF PAYEE
By cONNn1EF. ALSO ENTER m. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
k o� Tra CLM(?- i I
�s�1s
ed
Nr i ca C`ta
�i
` Payments that are contributions or independent expendituins must also be summanzed on Schedule D. ' SUBTOTAL $
Schedule E Summary 4(02- -
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).) ........................................... .............................AL $ �—°—� ° =
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 460'(lan /2016)
FPPC Advice: advice @fppc.ca.bov (666/275 -3M)
www.fPpC.ca.9ov