HomeMy WebLinkAboutFREEMAN 460 SEMIANN (2)Recipient Committee
(Ampaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
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through 1 7 7 Lj
All Committees -Complete Pads 1, 2, a, and C.
Itl (!Twholder, Candidate Controlled Committee
El Primarily Formed Ballot Measure
U State Candidate Eledion Committee
0 Recall
ammittee
Controlled
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Sponsored
❑ ne al Purpose Committee
Sponsored ❑ Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
Political Party/Central Committee xal Cmeae Pena
3. Committee Information LO. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
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STREET ADDRESS (NO PO. BOX) y
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CITY / STATE ZIPCODE AREAOODERHONE
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MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P O, BOX
CITY STATE ZIPCODE AREACODEMHONE
OPTIONAL'. FAXIE-MAILADDRESS
(Marsh, Day. Y21 JAN I2 111 8: nQ
❑� jPPae lection Statement
LAYS Znnual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurers)
COVER PAGE
Swivel 1201.4 ' . 4 1
Page of
For Official Use Onty
❑ Quarterly Statement
❑ Special Odd -Year Report
CITY STATE ZIP CODE AREACODEIPHONE
NAME OF ASSISTANT TREASURER, IF ANY
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAXIE-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 the abo chetl schedules is true and Complete. I
certify under penalty of perjury under Me laws of the State of California that the foregoing is tru d_ca-rted
{ Executes on
on /t,3 BY zz;�—
F Executed on �i1 2oZ By
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Execuletl on BY
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Executed on w BY enaure ntroWna mhmer,(Xin ad, esme opWent
O O FPPC Form 460 (lan/2016))
rPPC Advice: advlce,111fppc.o.gov (8661
www.fppuoNgoV
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
6. Primarily Formed Ballot Measure Committee
Page
COVER PAGE - PART
of
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
a JYSy.G6 �Y'LG'WLp N.
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION SUPPORT
❑ OPPOSE
G 1 }� of Q ker5 �; fir- . GA MJa STATE
RESIDENT UBUSINESS ADDRESS (NO.ANO STREE CITY STATE ZIP
Z12� itCTyg le �c% GA
Y3ltk/
Related Committees Not Included in this Statement: ustany commhrses
not included in this swernent that are controlled by you oram prfmadly formed to receive
contributions ormake expenditures on behaff of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COMMITTEE NAME I D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NOPO. BOX)
CITY STATE ZIPCODE AREACODEIPHONE
Identify the controlling officeholder, candidate, or state measure proponent, If any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRIOT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee Lietnamesaf
o8rceholde4s) or ci ndidaw(s) for which this committee fa pranedly turned.
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
El SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach candrumbon shears ff rrecessary
FPPC Form 460 ilan/2016)
FPPC Advice: advicethfPPGG.gDw (866/275-3772)
w .fppc.o.8ov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period71-IM.
Summary Page fen SEE INSTRUCTIONS ON REVERSE through 2 02.2..NAME OF FILER E0.
Contributions Received
ImD.AlMHEc.GEDOXS)
TOTAL TO DATE
1, Monetary Contributions .... .............. ........... ......... ...........
SohedrkA,U.3
$
$
-i-
2. Loans Received ................. ........ _--- .......... ....... ...........
scheduk B. Los
3. SUBTOTAL CASH CONTRIBUTIONS..._ ................._._...
Addlirksl+a
$
$
4. Nonmonetary Contributions .............. ....... ........... ...........
scesook D. Lme3
5, TOTAL CONTRIBUTIONS RECEIVED. .
.4rW0m a3+a
$ d
$ ep
Expenditures Made
6. Payments Made .... ............. ......................._......................
Sc 10E,Lieea
$ Hf 9_50
$ S.2fj�
7. Loans Made .. ............................
schedue H. uee3
8. SUBTOTAL CASH PAYMENTS ................ ......_.........._._
Addtkes6*7
$ hy240
$ K,7- SO
9. Accrued Expenses (Unpaid Bills).____.______.__.__...ScnearkEUee3
10. Nonmonetary Adjustment __.__
_____._Sc 16 C. Lee3
11. TOTAL EXPEN DITURES MADE_..____.____._.......
AWLiees6.9*10
$
$
t:urrent uasn Statement
12, Beginning Cash Balance ......_.................... PTevkussumwgrV e. Lke l6 $ 2. a
Iir tiff
13. Cash Receipts ............. Cokmo A.Lke3abow
14. Miscellaneous Increases to Cash _.._.._._........_.....__.. scheduleILme4
15. Cash Payments .............. _.....__............._. Cokmn A. Line a allow
16. ENDING CASH BALANCE _.___..__Arbunes u a 13. 1a. xren subimcfllna is $ t 8 t
If t4ls is a tamrinatlon statement, Line 16 must be zem.
17. LOAN GUARANTEES RECEIVED ._._...... ................... scnewke, Pad2 $
Cash Equivalents and Outstanding Debts
1B. Cash Equivalents...._ ............................_........_. saeksrxxrm omsovmwme $
19. Outstanding Debts, _--- ....... .... ... Add Lke2:Ueeak CobemBabew $
To calculate Column B,
add amounts in Column
Ato the corresponding
amounts from Column B
of your last report. Some
amouns 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 tarty 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
VI through 630 711 to Dale
20. Contnbutions
Received $ $
21, Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made•
Ix eul j.nm volunmry exyanelwn Limp
Date of Election Total to Date
(mm/dd/yy)
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advke@fppcw.gov (Sri6/2753772)
www.fppc.ca.gov
Schedule E Amounts may be rounded Statement covers period
Payments Made to whole dollars. / 2 oLZ
hom
Page of
CODES: If one of the following codes accurately describes the payment, you may enter the Code. Otherwise, describe the payment
CMP
campaign parephemaliamisc.
MBR
member communications
RAD
red* airtime and production costs
CNS
campaign Consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
Contribution (explain nonmoneiary)'
DEC
office expenses
SAL
campaign workerssalaries
CVC
civicdonabons
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
END
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure wWortingloppoing others(explain)'
POS
postage, delivery and messenger services
TSF
transfer between Committees fthe 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 cols (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE,PL50 EMEfl 10. NUMBER)
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Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS
Schedule E Summary
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).)............................................................................. $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $vxvv�
FPPC Form 460 (Jan/2016))
FPPD Advice: adviceefppc.ca.80v (866/275-3772)
www.fppc.meov,
-or
SSheduie E Amounts may be rounded SCHEDULE E (CONT )
(Continuation Sheet) to wholedollas. Statement covers Period •,
Payments Made from [//yzz_
SEE INSTRUCTIONS ON REVERSE
Page_ of
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphernalia/mist.
MBR
membercemmumcations
RAD
radio airtime and Production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
mMribulion (explain nonmonetary)'
OFC
office expenses
SAL
campaign wodceris salaries
CVC
dvic donations
PET
petition circulating
TEL
Iv. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging,
g rg, and meals
FND
fundmleing events
POL
polling and survey research
TRS
stagsspouse travel, lodging, soft meals
IND
expeMiture Supporting/opposing others (explain)'
legal
PRO
postage, messenger
TSF
transfer between committees of the same candidate/sponsor
LEG
oaten
PRO
naliveryantl
professional al services(legal, accounting)
amounting)
VOT
voter registration
LIT
campaign
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intema4 e-mail)
NCMEANDADORESS OF PAYEE
(IFCOMMITTEEESE ro. PAYEEal
/1�of'
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
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P.yme ennat are wntnbunons ormdependent expenditures must also Be summarized on Schedule D. SUBTOTALS \
FPPC Advice: advice@lppcw.gov