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