HomeMy WebLinkAboutGRAY SEMIANN21 AMENDRecipient Committee Date Stamp
Campaign Statement CALIFORNIA COVER PAGE
• 1
Cover Page FORM
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 7-1-2021
through 12-31-2021
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall 0 Controlled
,,Also Complete Pad 51 0 Sponsored
(Also Complete Part 6;
General Purpose Committee
O Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
O Political Party/Central Committee jAlso Complete Part,,'
3. Committee Information I.D. NUMBER
1427167
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
PATTY GRAY FOR CITY COUNCIL 2020
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
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
certify under penalty of perjury under the laws of the State of California that the foregpit
Executed on 1/31/2022
Date
Executed on V
Date
Executed on
Date
Executed on
Date
By
By
Date of election if applicable:
Page I of 11
(Month, Day, Year) For Official Use Only
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑{ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
Amendment (Explain below)
update payments made as well as summary page
Treasurer(s)
NAME OF TREASURER
MATTHEW MARTIN
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
contained herein and ir�hhe attached schedules is true and complete. I
signature or cantrotung ytti noioer, Gantlic5a Spate Measure Proponent or Responsible officer of Sponsor
By Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
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)
RESIDENTIAL/BUSINESS ADDRESS (NO, AND STREET) 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.
GUMMII I -LE NAME I I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I I.D. NUMBER
NAME OF TREASURER I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
COVER PAGE - PART 2
Page 2 of 11
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 HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Listnames 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
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 Amounts may be rounded SUMMARY PAGE
. Statement covers period . .
Summary Page to whole dollars� • �I?
from 7-1-2021 e -
SEE INSTRUCTIONS ON REVE
through 12-31-2021 Page 3 of 11
NAME OF FILER
I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions...................................................
Schedule A, Line 3
$ 0.00
$ 0.00
2. Loans Received................................................................
Schedule B, Line 3
0.00
0.00
1/1 through 6130 711 to Date
3. SUBTOTAL CASH CONTRIBUTIONS- ........ ............ .....
Add tines 1 + 2
$ 0.00
$ 0.00
20. Contributions Received $ 0 $ 0
4. Nonmonetary Contributions ............................................
schedule C, Line 3
0.00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED..............................:Add
Lines 3+4
$ 0.00
$ 0.00
Made $ 0 $ 0
Expenditures Made
6. Payments Made................................................................
schedule E, Line 4
$ 1615.00
7. Loans Made .............................
....... Schedule H, Line 3
0.00
8. SUBTOTAL CASH PAYMENTS ...............
.. Add Lines 6+7
$ 1615.00
9. Accrued Expenses (Unpaid Bills
...Schedule F, Line 3
0.00
10. Nonmonetary Adjustment ........................................
....... Schedule c, Line 3
0.00
11. TOTAL EXPENDITURES MADE ...................
............. .... Add Lines 8+9+10
$ 1615.00
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 4329.64
13. Cash Receipts........................................................... Column A, Line 3 above 0
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 1250.00
15. Cash Payments......................................................... column A, Line 8 above 1615.00
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 3964.64
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 9 in Column B above $ 0
$ 2915.00
0.00
$ 2915.00
157.00
0.00
$ 3072.00
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).
IExpenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
1 1 $
*Amounts In this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from 7-1-2021
SCHEDULE A
SEE INSTRUCTIONS ON REVERSE
through 12-31-2021
Page 4
of 11
NAME OF FILER
I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF
IFAN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OF BUSINESS)
PERIOD
(JAW 1 - DEC. 31)
(IF REQUIRED)
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) ..............................................
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑SCC
SUBTOTAL $
0
................. ......................................... $ —
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.).
0
...............TOTAL $ 0
'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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE B PART 1
Jcneauie ts — fart i to whole dollars.
Statement covers period
Loans Received
CALIFORNIA I
60-
from 7-1-2021
-
SEE INSTRUCTIONS ON REVERSE
through 12-31-2021
page 5 of it
NAME OF FILER
I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
FULL NAME, STREETADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
(b)
AMOUNT
c
AMOUNT PAID
OUTSTANDING
e
INTEREST
ORIGINAL
g
CUMULATIVE
OF LENDER
(IF SELF-EMPLOYED. ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCE AT
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER}
BUSINESS)
PERIOD
THIS PERIOD•.
CLOSE OF THIS
PERIOD
LOAN
TO DATE
NAME OF
PERIOD
PERIOD
❑ PAID
CALENDAR YEAR
$
$
%
$
$
RATE
❑ FORGIVEN
PER ELECTION**
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
$
$
%
$
$
❑ FORGIVEN
PER ELECTION"
RATE
t ❑ IND El COM El OTH ❑ .PTY ❑SCC
$
$
$
S
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
$
$
$
$
ElFORGIVEN
PER. ELECTION**
RATE
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
S
S
$
$
DATE, DUE
DATE INCURRED
SUBTOTALS $ 0 $ 0 $ 0 $ 0
Schedule B Summary
1. Loans received this period ................................................. ........... ..............
(Total Column (b) plus unitemized loans of less than $100.)
..........................................$ o
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.)..................................................
Enter the net here and on the Summary Page, Column A, Line 2.
"Amounts forgiven or paid by another party also must be reported on Schedule A.
" If required.
.... NET $
(May be a negative number)
(Enter (e) on Schedule E, Line 3)
r 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
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule C Amounts may be rounded SCHEDULE C
to whole dollars
Nonmonetary Contributions Received
statement covers Period
7-1-2021
memo
from
12-31-2021
6 11
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
DATE
FULL NAME, STREETADDRESS AND
ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
IF COMMITTEE, ALSO ENTER LID, NUMBER
( )
CODE*
(IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
(IF REQUIRED)
NAME OF BUSINESS)
(JAN 1 - DEC31)
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0
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 PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
Summary of en Ex ditures Amounts may be roundedo
p
SCHEDULE D
wdollars.
to dollCALIFORNIA
Supporting/Opposing Other
Statement covers
period
1
7-1-2021FORM
Candidates, Measures and Committees
from
12-31-2021
7
11
SEE INSTRUCTIONS ON REVERSE
through
p
Page
g
of
NAME OF FILER
I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
1427167
OF CANDIDATE, OFFICE, AND DISTRICT; OR
CUMULATIVE TO DATE
PER ELECTION
DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CALENDARYEAR
TO DATE
OR COMMITTEE
(IF REQUIRED)
PERIOD
(JAN. 1- DEC, 31)
(IF REQUIRED)
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ 0
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 .. $ 0
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
Amounts maybe rounded
to whole dollars.
Statement covers period
from 7-1-2021
SCHEDULE
SEE INSTRUCTIONS ON REVERSE through 12-31-2021 Page 8 of 11
NAME OF FILER I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
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
RAID
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
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)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE; ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Bakersfield Republican Women Federated
CTB
200.00
KERN COUNTY REPUBLICAN PARTY
FND
1250.00
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
SUBTOTAL $ 0
1. Itemized payments made this period. (Include all Schedule E subtotals.)., ....................................... .................... ........... ........................ $ 1450.00
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).)..............................................................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.).........................
165.00
$ 0
..TOTAL $ 1615.00
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULEF
Schedule F Amounts may be rounded
Accrued Expenses (Unpaid Bills) to whole dollars.
Statement covers period
from 7-1-2021
through 12-31-2021 g 11
SEE INSTRUCTIONS ON REVERSE
Page of
NAME OF FILER I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
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 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
IND
independent expenditure supporting/op posing 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 CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INCURRED
THIS PERIOD
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
" Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 0 $ 0 $ 0
summarized on Schedule D.
Schedule F Summary
1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0
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 $
0
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0
onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ —
May be a negative number
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule H
Loans Made to Others*
Amounts may be rounded
to whole dollars.
Statement covers period
from 7-1-2021
SCHEDULE H
SEE INSTRUCTIONS ON REVERSE through 12-31-2021 Page 10 of 11
NAME OF FILER I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
FULL NAME STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUT(a) (b) (c) a (f g
STANDING
OF RECIPIENT
OCCUPATION AND EMPLOYER
BALANCE
AMOUNT
REPAYMENT OR
OUTSTANDING
BALANCE AT
INTEREST
ORIGINAL
CUMULATIVE
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
(IF sELF-EMPLoveD, ENTER
BEGINNING THIS
LOANED THIS
FORGIVENESS
CLOSE OFTHIS
RECEIVED
AMOUNT OF
LOANS
NAME OF BUSINESS)
PERIODPERIOD
THIS PERIOD*
PrRinn
LOAN
TO DATE
❑ PAID
CALENDAR YEAR
S
$
°%
$
S
RATE
❑ FORGIVEN
PER ELECTION**
S
S
S
S
S
DATE INCURRED
DATE DUE
❑ PAID
S S
❑ FORGIVEN
8 S S
DATE DUE
*Loans that are contributions to another candidate or committee must
also be summarized on Schedule D. Loans forgiven must also be
reported on Schedule E. SUBTOTALS $0
$0 Is 0
Schedule H Summary 0
1. Loans made this period....................................................................................................................................................$ —
(Total Column (b) plus unitemized loans of less than $100.) 0
2. Payments received on loans .............................. ................ ..................................... ............................ ...........................
..$ _
(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.)
CALENDAR YEAR
k 5 g
RATE
PER. ELECTION**
S S
DATE INCURRED
0
(Enter (e) on
Schedule 1, Line 3)
(May be a negative number)
"*If Required
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule 1
Amnnntc may ho rmindari
SCHEDULEI
Miscellaneous Increases to Cash to whole dollars.
Statement covers period
7-1-2021FORM
II ®1
CALIFORNIA 460,from
SEE INSTRUCTIONS ON REVERSE
through 12-31-2021
Page 11 of 11
NAME OF FILER
I.D. NUMBER
PATTY GRAY FOR CITY COUNCIL 2020
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
08/03/2021
KERN COUNTY REPUBLICAN PARTY
REFUND OF OVERPAYMENT
1250.00
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1250.00
c e u e um ary
1. Itemized increases to cash this period............................................................................ ........................... .....................
$ 1250.00
2. Unitemized increases to cash of under $100 this period . ......................... ................................................ ................... I ... $ 0
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).......................................$ 0
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 1250.00
SummaryPage, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov