HomeMy WebLinkAboutFREEMAN SEMIANN17(2)Recipient Committee
Campaign Statement
Cover Page
(MOmh,
SEE INSTRUCTIONS ON REVERSE
2b AM 10: 2I x
I f L -_ .,
1, Type of Fteclplent Committee: AlleNmmle.e.- comgwnml,z,a,ena<./
2, Type of Statement:
plrmetrdMr, Gre,irie[e Gnbolleri Gmmelee
❑ Prlmarly Formal Ballot Meeewe
w❑r Prwbc4on Stammem ❑ Owderly Statement
seem-amwl Statement ❑ Specbl OdGYeer Raped
O Sbte GWe,ete Election Gmmlttee
Cwnmbw
ter,
O Resell
O Grardleri
❑ Termketlonelatemem
( o.mye Pele
OSponwred
(Also as a Form HO Temrinatn)
ne Commpee
pe.uµNMn
❑ AmendmBm(EXPlet below)
O Spcmcrent
Pmwdy Formed Cenrikletel
O Small ConVlbNOr Gmm,tee
ORmholder Cnmmdbe
O Poliecal PartylGrttnel Commktee
tnen'b Ara
3. Committee Information
]MMRTEE NAME tOX GNUIUwi e 5 nnme i� rv„ummi
r.f -,-O .v.h Srov Gity eun.cl 1, ;1-040)
R AW E ( O. BOX)
01Y VATE
ZIP COO
M: 9XIS-MAILADDRESS
Treasurers)
T
/
CITr SrATE mp CME ANEA..EN.E
or,N NL WIEWrLAOM.E
I now used all reawretle d1li,enw N prepare, are, reulewin, his statement and to two teM of my krgMeri,e Cre WfOrmelbn owdineri here h
catily uMer pmmty of perjury wrier the lean of to We of Caeomb Net the f rasping la tae and corned. L
Executed By _I^ O�iJYI 1 4ib V� ;le one g n
E..Wd.n �
By tun vn tle, ee ran .
E.tsd.n e------------ BY pneW,e Ne assns me
FPPC Form CEB (lan/2o16)
Print Form FPPC Adroke: adNw@fPPCSaioMW q
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS 04 REVERSE
A
armament
from
Mrouah
Type of Reclplent Comm Mae: All Gummebex- Ooorpbb AIM 1, t x, am 4.1
�f OIr Wft,. CandidSte Comrolletl Commaee
❑ Primarly Form rd Belot Meamxe
O Slate CeMbela Ebctbn CammmVea
Commodore
Cp
b Q
M � .
O brone
slwnaoratl
ya.wpenlel
❑ OSre��mod Commodore
❑ Primanty Formed Centlitletel
O Sm IH CordrUnkor COmmlm*
OMwhoftler Cammdlae
O Poft.i AmoA o1ml Commob
I'Me O"aiM1 -p
)MMRTEE AM. (.A LANgOPI G S 1' NM[ r- PV GVMmn )
rfL�BYyN O•v\ 96r C;nty OU'vLCI I,202,Oi
CItt O S( J�
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ATE ZP DWE OD NE
i
Woman.
Type of Statement:
to ❑f Preebduon Slalamem
yo. sem"nmal Sonemem
❑ Temminion Slabmem
(Abo fib a Form 410 Terminelion)
❑ AmelMmem (Explain boom)
Treasurer(s)
COVER PAGE
•el
Peee--�— of
ForolncLl u.e only
❑ GueneMsWummm
❑ Special Odl-Yeer Rnm,t
AL
ILily 2 &V-0'A _ e F =
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NAME Ci ASS18lANliFFASURER, IFANY �
ILIPIG A(X4ZESS
Or, SIATE E :IFCOO —ARIEAC35 E —
C IOML FM I EMAIL ADDRESS
4. Verification
haw mde ell reerorobenmv unce b e Imm, oB entl unsoIn8 Mb alabmemantl b Me beat and Me Informalbn wnlalrotl herein entl b the adecMa achetluba is true entl wmpbla.
ceNN untla oemM d rodw unLbr lho lawn dMe Sole of Cel3anle Met Me lom8oinp ie We entl cared
E.00don Dori
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EmoAod on De)e
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Clear CovBr Py7
By
BY
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FPFC Fmm e6D (len/ =016)
FPPC AdNOe:a Mow@fmoo..Wu(866/i]S -373)
Mlww.lppcoB.Bov
Print Farm
Recipient Committee
Campaign Statement
The Form 460 Is for use by all recipient
committees, including:
Candidates, Officeholders and Their Controlled
Committees
• A candidate or officeholder who has a controlled
committee, or who has raised or spent or volt
raise or spend $2,000 or more during a calendar
year in connection with election to office or
holding office. The Form 460 is also required if
$2,000 or more will be raised or spent during the
calendar year at the behest of the officeholder or
candidate.
Primarily Formed Ballot Measure Committees
• A person, entity, or organization that receives
contributions totaling $2,000 or more during
a calendar year for the primary purpose of
supporting or opposing the qualification,
passage, or defeat of a single ballot measure
or two or more measures being voted on in the
same city, county, multi -county or state election.
Primarily Formed Candidate/Officeholder
Committees
• A person, entity, or organization that receives
contributions totaling $2,000 or more during
a calendar year to support or oppose a single
candidate or officeholder, or two or more
candidates or officeholders who are being voted
upon in the same city, county, or multi - county
election. This type of committee is not controlled
by the candidete(s) or officeholder(s).
General Purpose Committees
• A person, entity, or organization that receives
contributions totaling $2,000 or more during
a calendar year to support or oppose various
candidates and measures (e.g., political parties,
political action committees).
Non - controlled committees that do not receive
contributions, loans, or miscellaneous receipts
totaling $100 or more from a single source during
a calendar year may use Form 460— Recipient
Committee Campaign Statement — Short Form.
Note: Refer to the Statement of Organization,
Form 410, for guidance to determine the type of
committee.
Use the Form 460 to file any of the
following:
• Preelection Statement
• Semi - annual Statement
• quarterly Statement
• Special Odd -Year Report
• Termination Statement
• Amendment to a previously filed statement
Note: Mark the preelection statement box if a
committee files a monthly report in connection with
a LAFCO proposal.
See reverse for general guidance on where to file
this form.
Contribution Limits: Candidates for elective
state office are subject to state contribution limits.
Contributions received by committees for the
purpose of making contributions to candidates
for elective state office are also subject to limits.
A chart identifying the limits is located at www.
fppc.ce.gov. In addition, local candidates may
be subject to contribution limits imposed by local
ordinance. questions conceming local limits
should be addressed to election officials in the local
jurisdiction.
This form was prepared by the Fair Political
Practices Commission (FPPC), For detailed
information on campaign reporting requirements
and the Information Practices Act of 1977, see the
FPPC Campaign Disdosure Manual for your type
of committee (available from your filing officer or
the FPPC). Campaign filing deadlines, forms, and
other informational materials are available on the
FPPC websile (wwwfppc.ca.gov).
FP Farm 460(lan/3a36)
FPK A4NCe: ed~hiw..ao,(866/115 -3M)
www.fppc.oaov
Instructions for
Recipient Committee
Campaign Statement
Where to File:
In general, state committees file with the Secretary
of State and local committees file with the filing
officer of the local jurisdiction.
State Committees:
State committees include state candidates
and officeholders, all judicial candidates and
judges, committees that support or oppose state
candidates and ballot measures (e.g. PACs,
political parties), committees that support or
oppose candidates and ballot measure in more
than one county and candidates and committees
formed for CaIPERS or CaISTRS elections.
Secretary of State
Political Reform Division
1500 11th Street, Room 495
Sacramento, CA 95814
Phone(916)653 -6224
Fax(916)653 -5045
www.sos.ca.gov
Additional Copies:
A copy of this form must also be filed with a state
candidate's county of domicile's filing officer, if
the state candidate committee does not file Form
460 electronically with the Secretary of State.
A copy of this form must also be filed with a
local filing officer if the committee is controlled
by a candidate for state elective office and the
committee is formed for a local election.
A copy of this form must also be filed with
the relevant CaIPERS or CaISTRS office if
the committee is a candidate controlled or a
primarily formed committee for a CaIPERS
or CaISTRS election. Acandicate seeking a
CaIPERS or CalSTRS election is not required to
file a copy of the statement with the candidate's
county of domicile.
Local Committees:
Elected officers and candidates for local
agencies that have jurisdiction in two or more
counties and committees that support or oppose
candidates or local measures being voted on
in one of these jurisdictions, file an original and
one copy with the election offidal for the county
with the largest number of registered voters in
the district and one copy with their county of
domicile.
Elected county officeholders and candidates
for county offices, and committees that support
or oppose candidates or ballot measures being
voted on within a single county, file an original
and one copy with the election official for that
county.
Elected city officeholders and candidates for city
offices, and committees that support or oppose
candidates and ballot measures in a single city,
file an original and one copy with the city clerk.
Fast Facts:
Paper Copies: Most committees must file the
original and one copy in paper format with the
designated filing officer. Most state committees
must also file an electronic version. Some local
jurisdictions also require electronic submissions.
Electronic Filing: State committees must file
electronic reports with the Secretary of State if
the committee receives contributions or makes
expenditures totaling $25,000 or more.
General Purpose Committees: FPPC regulation
18227.5 sets out the procedures for determining
whether a committee should file with the state,
county or city elections office. In general, such
committees file with the Secretary of State unless
the committee makes more than 70% of its
contributions and expenditures in connection with a
city election or county election. The regulation sets
out reviewtimelines and exceptions. Acommittee
cannot knowingly file in an incorrecijurisdiction
with the intention of avoiding the appropriate legal
disclosure to the public. Committees that change
jurisdictions file in both jurisdictions unfil the end of
the calendar year.
LAFCO Proposals: Committees primarily formed
to support or oppose a LAFCO proposal file this
form with the county elections office in the county
that the proposal may be voted upon. Once a
proposal is listed on a ballot, a committee will file
as a multi- county, county or city committee.
Statement of Organization: A committee must
make certain that its Statement of Organization,
Form 410, is current and correct. This form
induces information such as a candidate's year of
election and the name of the committee's principal
officers as well as other important information
regarding the committee's formation. Information
listed on a Form 460 must be the same as that
disclosed on the Form 410.
rrrc corm a60 (Jan/2016)
FPPC A4vke: advice ®fp .m.ro,(9sa/R7a -am)
www.fW.ca.M
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. OMceholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR LAND WTE
art C—C- 1— ^'r ee— m C).'^,
OFFICE SOUDHT OR HELD(INCLUPE OCATIONANDrtSTRICT NUMBER IFAPPICABL >
RESDENNIUBUSNESSADORESS (NO, ANDSTREET) CITY STATE �IP
212.E -J `JJed�am�ti\.} Plr.ca� t3ox�.�s
Related Committees Not Included In this Statement: uateHy POnamnaaa
net 1. In Wa tlafemant Nar am coeW W by ten orsm pdnMHly bmrad to nx, ro
PW~— P.nWO, a Hffb,rea on IMtlfaya taMlGey.
COMMITTEE NAME II.D. NUMBER
NAME OF TREASURER CONIROLLEO COMMITTEE1
❑ YES ❑ NO
COMMITTEEACORESS STREET ADDRESS NO P O. BO%)
CITY STATE ZIP CODE AREACODENHONE
COMMITTEE NAME LO. NUMBER
NAME OF TREASURER CONTROLLEDCOMMITTEEi
❑ YES ❑ NO
COMMITTEEACORESS STREET ADDRESS NO PC. BO%)
CITY STATE ZIPCODE AREACODENHONE
Clear Cover Pg2 Print Form
PART 2
Page_ of_
Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO OR LETTER JURISDICTION
I ❑ OPPOSED
❑ OPPOSE
Ode * the u bvlffln, omosholder, unditlale, or stain measure proponent, If any.
NAME OF OFFICEHOLDER, CANIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO FAMY
7. Primarily Formed CandidatelO fBosholder Committee Lhtn . or
oOAxf! oWw(s) a cenardaya) br ~ WatarvMawlsprtfv brmad.
NAME OF OFFICEHOLDER OR CANDOATE
OFFICES WOR HELD
SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
XFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ QoPoBE
NAME OFOFFICEHOLCER OR CANDIDATE
CRRCE SOUGHT OR HELD
❑ SUPPORT
❑OPPOSE
Attee1H con W o Won shsetr M mceaary
FPPC Form W (an 12mS)
FPPC Advire: adWre@fsp aNaov(M/27SaM)
-- fppuwgov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period I EM N, Summary Page Me,
Page of
NAME OF FILER
Expenditures Made
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
rota me eeswo
c+LENbvt ra
Running in Both the State Primary and
6. Payments Made ....... ........... ...._ .... ...............................
scneduroE,unea
Iraoe . .D. SCHEDULES)
mTUto o.te
7. Loans Made........ ... .... .... .......... .......... ..... ..........
............... Smedure H. Lines
General Elections
! r'=7� O^'3
ssaa�»nn�' 7
1. Monetary Contributions .............._.. ._...........,........_........
scnedure a. Libre 3
$ •
$
u+ thmogh 6W30 tat to Date
9. Accrued Expenses (Unpaid Bills)._..._....___.
2. Loans Received ................................. ...............................
Seledure e, Linea
2D.
� 1.5oO.00
$�.�b�
q q�,�7
$ 1 3. 7
r a ,4d
l�
3. SUBTOTAL CASH CONTRIBUTIONS _...._._...........
....... add Linea l +2
$
Receivatl
Received
4. Nonmonetary Contributions................... .................
... ..... schedule c, Line 3
11. TOTAL EXPENDITURES MADE, ..._...___.__
21. Expenditures
CONTRIBUTIONS RECEIVED
Lwea 3.G
$ - "-�• �7�
$ /
Made
5. TOTAL ...... ..... .......
..._....._....See
Expenditures Made
$ *,/—Y
-7.S/ $
IRY,98S,5/
6. Payments Made ....... ........... ...._ .... ...............................
scneduroE,unea
7. Loans Made........ ... .... .... .......... .......... ..... ..........
............... Smedure H. Lines
$
/ ` %,7 S / $
8. SUBTOTAL CASH PAYMENTS........ .... ............................
add Lines 6 +7
9. Accrued Expenses (Unpaid Bills)._..._....___.
_._............_... snhedure F L.3
10. Nonmonetary Adjustment_...._....____ .. ......................_.._.....
SC+redme C. Line 3
11. TOTAL EXPENDITURES MADE, ..._...___.__
.................. Add Lines 6 +g +10
8 rL,/YZ51
$
/89�dg"Sf
Current Cash Statement
12, Beginning Cash Balance ........ ,.... .., _.......... Previous summary Pegs, Line 16 $ t1
13. Cash Receipts ...... ..... ... ......... ....... .......... ... .... .......... .. coiumn A, Line 3eco.e �?� •��
14. Miscellaneous Increases to Cash---- .............. ...... smaduie 1, Lines ^ y 3i �y3�' /b
15. Cash Payments .. ................... ........ _.............._.......... cowmn A. Line eaoove �/ "/J l
16. ENDING CASH BALANCE __ ..............Add Linea 12. 13. fe. then subbed Line 15 $
If this le a febmination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED . ............................... Scnedufe S, Pad 2 $
To calculate Column B.
add amounts In Column
A M the corresponding
amounts from Column B
of your last report. Some
amounts in Column A may
bet negative figures that
should be subtracted from
previous pedotl amounts. If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (H
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
is SUbj b Wan" Ex,dituro Llmle
Date of Election Total to Dale
(mMddlyy)
Jam_ $
$
'Amounts in this section may be different from amounts
reported in Column B.
18. Cash Equivalents ................. ............................... se.embuceansonreverae $
19. Outstanding Debts ..... add UM2 +LinegaGdumn Ssbcee $ FPPC Form 460 (lan /2016)
FPPC Advice: advice @fppc.a.gov (866/275 -3772)
www.h pc.o.8ov
fichadida A Amounb may be rounded SCHEDULE A
Monetary Contributions Received
smmantCpVQfBPeri"
•- ,
from
• g
Mnugh
PNe_of_
__ _
BEE INSTRUCTIONS ON REVERSE �-
NME OF FILER
L0. NUMBER
DATE
FULLP ME, STREET ADDRESS AND ZIP CODE OF WNTRI&JTOR
CONTRIBUTOR
WAN ININVIWA, ENTER
CCCUPATIONANDEMPLOVEfl
AMOUNT
ftECEIVEDTHIS
CUMULATIVE TO MTE
CALENWRVEAR
PER ELECTION
TO DATE
RECEIVED
OFCttenm[[.4ro 011EP ID.11VMeEm
CODES
pFae ..YE.ENT...E
PERIOD
(JAN1 DEC. 31)
(IF REQUIRED)
E891
❑ IND
° COM
° on+
El PTY
❑ SCC
._CC��`/`1. f�,x.✓,1C \n
°qIND
COM
O PTY
t?uC_. G R 7- 4
BCC
z�il
Pb� C_a� Q AyttoV
° ON
50o
PTY
$o. 4�7s w c- 4 C o GAA
❑scc
°IND
❑CON
I]OTH
°Pry
❑scc
❑ IND
° CAM
❑ OTH
❑PTY
° SIX
SUBTOTAL$
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
(Include all Schedule Asubtotals.) .................. ...............................
2. Amount received this period - unitemized monetary contributions of less than $ 100 ...........................$
3. Total monetary contributions received this period, — i r
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ J��_ O 6
Clear Sch. A Print Form
'COmdbulor(D, e
IND- 1WiVWuel
CAM- Recipem Cammidee
(ether Nen PTY or SCC)
0TH- 0ther(e.g., We mssemdy)
PTV — Palkical Pam
SCC —Sm lJGvmribWOr CommYtee
FPPC Form W (Jan /2016)
FPPCAEvice: adWce @fpm.w.gov(866/2y5.3M)
www.ippc.a.gov
Schedule E
Payments Made
Amounts may be mundetl
towholedolhus.
Pees_ of
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
WP
campaign parephemellalme,
MBR
member wmmumbabors
RAID
md'o aiNme end"duabn costs
CNS
campaign consultants
MTG
meaeigsardappeenncee
RFD
nonmed conbibutons
CTB
wntribWion(expbin nonmowlary)'
OFC
office ex Peru.
SAL
wmpoign workma' salaries
CVC
civic donations
PET
petiton circulating
TEL
L. or cattle almost and production wets
FIL
candidate filiiglballot teen
PHO
phone banks
TRC
candidate bevel, lodging, and meals
FND
fundreieing events
POL
polling and survey research
TRS
steglspouse bevel, lodging, and meals
IM
independent expenditure suppotineropposing ousts(explaM)'
PCS
postage, delivery and messenger seniws
TER
bemfer between communes of the same wrdidetelaponwr
LEG
legal defenses
PIiO
professional servbes(Iegel, aawnting)
VOT
cater regamatbn
LIT
cemPign litammm, and mailings
PRT
pint ads
VVEB
Information technology were nntemeh e-maie
NAMEANDAODRESS OF MYEE
Ile W... unoa,rm I., NuuaaI
CCOE OR DESCRIPTION OF PAYMEM
AMOUNTPAID
m o tilt o- P do LP1
SAL
Ga ,gwt�n -PPor e
GaPPb�! e4gGCi
"1
S•gL
Cuw+Ptal �N
z 35,0
Sav ier Reyes G A
S/�L
Gpv �ai�v 5�,p�b'1 a }eSfr�
350.0-
1C>VI, GA
StgL
Gc�m�a1 >n S+npPorl'Si'a`r�*ri »al
5flO.C�C
G¢wc v0- d.lc
A, L
�avn 0-1 S�+ crj'S�a44�y1
H,B� P`0-
Crn.$d -(�
'f'RS
5ai'uFr�r
`) 7 , `16
T= o.5t 5-F riP G °.rj, �. 'g
T25
�'.ra,Ve.l'c>r»eoY\3
3 Z I Z 1
�1a P p Y '- o v^r &-n' \ +1 "
"CRS
'i 14C
' Payments Met em wntribufions or indapeMentexpenditures must also be wmmarlxed on Schedule D. SUBTOTAL $.,/ 2 V I'l 1 37
Schedule E Summary
L
1. Itemized payments made this Period. (Include all Schedule E subt otals.) ......... ............ .................................... ,..... .................... ,...... _... _............ $
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 (a).). ... . ... .... ............. .......
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line S.).
_2 0I E Print Form
.................. TOTAL $ —
FPPC Form 960 tan/2016)
FPPC Adl &MACe @fppc.Cagov (666/37S.3M)
www.fppcca.eov
Schedule A Wntsm be rounded Wl- EDULEE
(Continuation Sheet)
b vfioh tlolbre. Sbbmant covers perloE
Payments Made are m
Mrough Page— of_
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
ampaipn peraphemelielmec.
MBR
member communications
RAD
radio airtime and production mats
CNS
campei0n mnauhanb
MTG
meebgearldappearemee
RFD
returned canlrWUdca
OTIS
opnII Mplaln nonmorebry)'
OFC
office evaaes
SAL
amagn vrorkels sledes
CVC
cW donations
PET
petldon diculating
TEL
Lv or able san. and production coats
FIL
candidate flirgiballet fees
PI-10
phone bars
TRIO
candidate travel, lodging. and meals
FND
funciralein, everts
POL
pomp and wnay raeemch
TRS
aeffMMuea travel, lodging. and meets
IND
Independent expenditure suppodinglopposingm era (explain)'
POS
postage, delYery and messager services
TSF
hamfer between mmmiheas of the mme Famidab/sponedr
LEG
legal defense
PRO
pmfesslonal ser mss (legal, amoureft
VOT
voter reglelatlon
LIT
campaign literature and melinga
PRT
pro ads
WEB
Ineomlatlon techmlogy costs(intenreL aanaip
NAME AND ADDRESS OF PAYEE
IIPCp.Mn1EE. /.L&IBJreR ➢..10
CODE OR DESCRIPTION OF PAYMENT
MOUNT PAID
W 13
MP
O�LL >wn} rr-Ce.
9.00
1Ne.l15 �O'�j'� Iq ly
CN^D
o-LLbu+�� �C+.a
a�r6o
W.e.tl lj (^HMlt.b 11 t)
GNP
O.t -C_d Kati �' F'L'T
3r07%
(�'- pC'>ac �C�
WG{2i
V. c z 5
T'LVE SO3,9
-
zvza5
0
(>c\�)�ico'�\ �/i51DVl�j
Vo-
Hd.l,p wi4k ilin�
R.$n
I Y)2 GM°. va ra Ava) 9a r\ I.ttP.craa\ GA
�^le�i'e -rvt. Pn.c14 -ic !�GSc°.a.vr�k r
GNS
COk r � 0, GO%
SCHEDULE F
Schedule F Amounts may be rounded gtstement coven Io0
Accrued Expenses (Unpaid Bills) toeM1pledollara. pat
MmugM1 Page_ of_ 10 NUMBER
UUUeb: IT one of the following codes accurately describes the payment, you may enter the code.
Othermse,
describe the payment.
CMP
campaign perapiemalie/miac.
MBR
member commu petbna
RAD
raft airline and production wets
CNS
Renewal consultants
MTG
meetings and appearances
RFD
retuned contributions
CM
wnabufion(explain nonmoreary)'
DEC
maw expenses
SAL
campxign.rlare seI.Ras
CVC
civic dommona
PET
pegbon circutatiig
TEL
t.v or cable aifine and pro lumon wste
FIL
candidate fifng2alke tees
PI-10
phone banks
TRC
candidate trawl, Iodgre, eM meek
FIND
paMraters events
POL
polling and survey reawren
TRS
sae/ spousebawl,
IND
kldepandea expenditure suppodlrglepwaing others explain)'
POS
prokmaxdelivery Messenger .,I.
TSF
mmifte,eofmask
transferistAeen wmmieaea of the same canfdatelawnwr
LEG
tsgaldeknae
PRO
ces
el eervcea (lapel, accounting)
prim
VOT
voter registration
LIT
campaign Igeraare eM mesinga
PRT
prim ads
mis
WEB
information technology rasa (intemat a -mail)
NAME ANDADORESS OF CREDITOR
Ira OWmnLB ALSO elm 10 NUmaEm
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
lal
MOUNT INCURRED
THISPERIOD
dial
AMOUNT PAID
THIS PERIOD
ALSO eErom ON E)
OUTSTPNOING
BAIANCE AT CLOSE
OF THIS PERIOD
o
e ..... x..NN. ors NeP'Nm'm oe'F.sNr'e mNM mso Re SUBTOTALS S $ f f
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.) .... .... ........ .... .......... .... PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) .................................................................................................................................................... ............................... NET$
CIW Shc. F Prltlt Fpm vy� FPPP Form Cgs (Ja/5016)
FPPC Ad vice: advloeensoc...row(116ed
..fp,.ugov
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 creditor forgives or reduces an outstanding
debt, or a third party pays a debt for you, report the
transaction as follows:
• In the "Description of Payment" column, state
that the debt was forgiven, reduced, or paid by a
third party.
• Report the amount forgiven, reduced, or paid by
a third party as a negative figure in the 'Amount
Incurred This Period" column (Column (b)).
• Report a nonmonetary contribution from the
creditor or third party on Schedule C.
Do not report the forgiveness, reduction, or third
party payment on Schedule E.
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for important information
about recordkeeping, cash expenditures,
permissible uses of campaign funds, and more.
FPPC Form 460 (lan /2036)
FPPC MWm: adNre@fPPC.ca.rov (666/2753]]3)
www.fPPCca.aov
Schedule F Amounts may M roundetl
(Continuation Sheet) toximMdollars. rSuW*-onl mverspe riod
Accrued Expenses (Unpaid Bills) h
SCHEDULE F(CONT)
Page— of
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Othervnse,
describe the payment.
CMP campaign pamptpmalialmbc.
MBR
member communicators;
RAD
man airtime and production costs
GINS campign conaullen
MTG
meefinpsendappemnces
RFD
returnedconbutidm
OTIS oontntion(exptan nonmonetary)'
OFC
office expenses
SAL
campaign wmles. selarna
CVC dvn domaxons
PET
Prob. Blrculefirg
TEL
t.v. or Bade akme and pmduodon costs
FIL candiderofilitglbelldfeea
PHO
phone banks
TRC
carsidits MIMI lodging, a ul meals
END fundraising even
POL
polling end survey research
TRS
&a6/spouse travel, Wg6g, aid meets
IND independent expeMbure su ,mminglopppdng others(explas)'
POS
posbge, delivery std messenger services
TSF
transfer between commies of me Same ran6mlelaporaor
LEG legal dabnee
PRO
profulsnnal servicee("I,aaountiig)
VOT
Moran regiabedon
LIT campaign Immature BW meilirge
PRT
MM ads
WEB
information technology cosh(inrnet, a -maig
Paymen that are contributions or Independent expenditures must
also be summarized on Schedule D.
NAME AND ADDRESS OF CREDITOR
ar EDENC7FE Um EWER re. NUMBER)
DOOR OR
DESCRIPTION OF PAYMENT
let
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
la)
AMOUNTINCURRED
THIS PERIOD
W
AMOUNTPAIO
THIS PERIOD
Woo RErom ENE
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
SUBTOTALSS $ $ $
CNV $M. Fion. !MM ftypnk FPrK Form 460 (un /2016)
FPPCA II aduire @FppE.Gi4oM (1166/275am)
..fppuca.6uv
Schedule G
Payments Made by an Agent or Independent Amounts may ne rounded
Contractor (on Behalf of This Committee) to sMOle dollars.
Page— of
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
cempeign paraphemalsiimal
MBR member commuscamons
RAD
retfo airtime am producd. Male
CNS
campaign consulleNa
MTG meefiigs ant appearances
RFD
reWmdd conlnWAions
CM
contribution (explain nommonetara'
DEC .fim expenses
SAL
campaignworsersseleres
CVC
civic donalona
PET pets.. cimulab%
TEL
t. v. or code ailtlme and production code
FIL
mntlgete filingNalomlees
P110 phone harms
TRC
candidate morel, lodging. and! mesh
END
furdreisingevene
PDL polling and wrvey research
TRS
staff /spouse tavel, lodgng. and mess
IND
irdependaM expemblure supportirlglopposng ahere(explam)Y
PO.S postage, Wrarymd messenger services
TSF
transfer belvaen committees of the dame candidste /spomor
LEG
legal defeme
PRO professional services (legal accounting)
VOT
voter regetredon
LIT
campaign limemWre and! m WiN.
PRT print ads
WEB
infonnaten technology coema(intemel, a -mail
' Peymene them ere wrentudom or independent expertness must also
be aummenced on Schedule D.
Attach additional information on appropnafely labeled continuation sheets. TOTAL" $
'DO coda mmmkrbenY omersNadAe ate fhe Scmnrery Paps. TMs FUaI maYequel fheamonaf paid to Me eBeM m FPPC Form 060 (1./3016)
vxkperdeM wMrsmres m/Med on ScAedso E FPPC Advice: advice @fpP:.u.`dv (666/375.3M)
Clear Seh.O WIM FOrfn
axonsfw -o.res
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 of 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 agents 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 tf 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 expendtture as a
nonmonetary contribution on Schedule C,
Refer to the FPPC Campaign Disclosure
Manual for your type of committee for additional
instructions.
FPK F . 160 (Jan /x016)
FPK MWI.: edvae &W.ca.6ov (666/275 -3M)
www.fpP .n.BOv
FYH:IdHHry1
Schedule Amounts may W mundW
Statement covers aedw
,
to whole dollar.
a 6
Loans Made to Others`
6vm
•'�
SEE INSTRUCTIONS ON REVERSE
MmNugll
Pepe— Of
NAME OF FILER
I.D. NUMBER
FULL NAME STREETADDRESSANp ZIP COUP
IFANINLYVICUAL ENTER
OUTSTANDING
PI
AMOUNT
IH
REPAYMENTOR
Idl
OUTSTANDING
1.1
INTEREST
"I
ORIGINAL
lel
CUMULATIVE
RUE»CervreR
OCCUPATION AND EMPLOYER
Rg1ANCE
LOANED THIS
FORGIVENESS
BALANCE AT
RECEIVED
AMOUNT OF
LOPNB
YFCOAU.mFOEF
w. M1VMBERI
er SEEEOFL�w�TER
BEGINNING THIS
PERIOD
CLOSE OFTHIa
LOAN
TO MTE
1
THIS PERIOD'
❑ END
ULLENDARYEAR
1
1
❑FORGIVEN
RELERIOX
MlE
1
DATE WE
BATE INCVRREO
❑ GAIO
CALENDAR YEAR
1
❑FORGIVEN
PER ELECTION"
M
DATE WE
WTE INNRREO
'Loans Nat are conalbutions m arolher candsh s or committee must
elm be summanomd on Schedule D. Loans kngiven must also be
reported on Schedule E. SUBTOTAL$
$
S
{
S
Schedule H Summary
1. Loans made this period ............... .......................... ...............................
(Total Column (b) plus unitemized loans of less than $100.)
2. Payments received on loans ...... ........... .............. ...... ...................... .....
(Total Column (c) plus unitemized payments of less than $100,)
3. Net change this period. (Subtract Line 2 from line 1.) .........................
(Enter the net here and on the Summary Page, Column A, Line 7.)
CWr Sph. N PrIM Form
(En.1.1.
..1. I, Uh. ]t
$
^If Required
........NET I
m.r B.•ma�Ir..,.�em
FPPC Form e60 (ran /3016)
FPPC Aduke: sdvke@fDpc.FaI (866 /875 -37T!)
..fp,.ca.Bov
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
nonmonetery contribution on Schedule C.
Refer to the FPPC Campaign Disclosure
Manual for your type of committee for additional
instructions.
FPK Form 460 (lan/2016)
FPK MV.:adivkii&par..i (966%115 -3M)
..fpN.ra.Vv
Schedule 1
Amounts may be rounth!
SCHEDULEI
Miscellaneous Increases to Cash to vtole dollars.
Stamment covers peHw
�gl
Gam
•'
SEE INSTRUCTIONS ON REVERSE
trough
gaga n(_
NWE OF FILER
ID NUMBER
MTE
RECEIVED
FULL NAMEANDADDRESS OF SOURCE
miel to.MNeEm
DESCRIPTIM OF RECEIPT
AMOUNTOF
INCREASETOOASH
,}..IlrcpµTlEEUm
VA`/%ok�
4o�'VO.v�id H
�`[::, i� l;
r � If
'�
E. it 4. iF'5
j'bJ31i11
I�COk- YSAe`4gaYY'.^.GYPPIFI2rl' i�tGYN0.�
ll• JJ
r�,,,)O le�,a
j+ &&I CV.+'raw Pecs °+i.
Attach additional information on appropriately labeled conNnushon sheets. SUBTOTALS
Schedule 1 Summary
1. Itemized increases to cash this Period ... ............. ..... .......... ............. ...,.,....., .......... ................ ,,.... ...................... ..... ......... $
2. Unitemized increases to cash of under $100 this Period . ... ...... ................ ........ .., ...... ,.............. .., ............... . _. ..... ,..... ..... $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................... ...... ..., ... ,.. .... $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3, Enter here and on the
SummaryPage, Line 14.) ..... ............... ......................... ................... ..... ............................ ................. .... ...... TOTAL $
FPPCFOrm u60 (hs/Iel6)
Clesr Bch.l P(Int Form FPPC AdWon el1vko hgfpp:.aUgov(11661
vnvw.fPpc <a.gov
J
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 marketvalue" 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 46(1 (lee/1036)
FPPC My :a dv.@fpK...8av(866/116 -311!)
www.fPP�.aBOv