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HomeMy WebLinkAboutCOLLINS 460 SEMIANN23 (2)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2023 through 12/31/2023 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ElState Candidate Election Committee ❑ Primarily Formed Ballot Measure ❑ Recall Committee (Also Complete Part 5) ❑ ❑ Controlled Sponsored ❑ General Purpose Committee (Also Complete Pad 6) ❑ Sponsored ❑ Small Contributor Committee ❑ Primarily Formed Candidate/ ❑ Political Party/Central Committee Officeholder Committee (Also Complete Part l) 3. Committee Information MMITTEE NAME I. S NAME IF NO COMMITTEE) TIM COLLINS FOR CITY COUNCIL-7-2022 CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE Date Stamp CI OF BAKERSFIEL '9 fill Date of election if applicable: Page 1 of 17 (Month, Day, Year) JAN 3 0 2024 For Official Use Only 3/5/2024 C Y CLERK'S OFFICE 2. Type of Statement: ❑ Preelection Statement m Semi-annual Statement ❑ Quarterly Statement ❑ Termination Statement ❑ Special Odd -Year Report (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER LADONNA DODGE MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE I have used all reasonable diligence in preparing and reviewing this statement and to the best of my kno the inform ' cont ' d h rein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing i c Executed on (Date By Executed on / " r � , Signature o a r or Assistant asu r Date By Signature of Controlling Officeh er, Candidate, State Measure Proponent or Responsible Oficer of Sponsor Executed on Date By Executed on Signature of Controlling Officeholder, Candidate, State Measure Proponent Date By Signature of Controlling ORceholder, Candidate, State Measure Proponent ..... FPPC Form 460 (Jan/2016)) .i y FPPC Advice: advice@fppc.ca.gov (866/275-3772) 'O�Ivt C '— 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. NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER [CONTROLLED COMMITTEE? YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER COVER PAGE - PART 2 Page 2 of 17 ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Urrit,t:5000MI UR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names 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 to whole dollars. SEE INSTRUCTIONS ON REVERSE TIM COLLINS FOR CITY COUNCIL-7-2022 Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions................................................... 2. Loans Received................................................................ Schedule A, Line 3 Schedule a, Line 3 $ 0 0 3. SUBTOTAL CASH CONTRIBUTIONS. ............................. 4. Nonmonetary Contributions ............................................ Add Lines 1 +2 ScheduleC, Linea $ 0 0 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3+4 $ 0 Expenditures Made 6. Payments Made................................................................ Schedule e, Line 4 $ 200.00 7. Loans Made....................................................................... 0 Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS 200.00 ....................................... Add Lines6+7 $ 9. Accrued Expenses (Unpaid Bills) 0 .......................................... Schedule F Line 3 10. Nonmonetary Adjustment 0 ......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE 200.00 ....................................Add Lines 8+9+10 $ current cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 5686.62 13. Cash Receipts........................................................... Column A, Line 3 above 0 14. Miscellaneous Increases to Cash 0 .................................. Schedule I. Line 4 15. Cash Payments......................................................... Column A, Line 8 above 200.00 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 5486.62 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule 8, 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 8 above $ 0 SUMMARY PAGE Statement covers period from 07/01/2023 through 12/31/2023 Page 3 of 17 Column B CALENDAR YEAR TOTAL TO DATE $ 0 0 $ 0 0 $ 0 $ 200.00 0 $ 200.00 0 0 $ 200.00 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). I.D. NUMBER Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions 0 Received $ $ 0.00 21. Expenditures 0 Made $ $ 200.00 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made - (If SubJect to Voluntary Expenditure Limit) 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: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A RA Amounts may be rounded to whole dollars. SCHEDULE A onetary Contributions Receivea Statement covers period from 07/01/2023 CALIFORNIA • FORM SEE INSTRUCTIONS ON REVERSE through 12/31/2023 Page 4 of 17 NAME OF FILER I.D. TIM COLLINS FOR CITY COUNCIL-7-2022 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ❑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 $ 0.00 Shd I AS - c e u e urnfnary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) .............................................. 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.). 0.00 $ $ 0.00 TOTAL $ 0.00 '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 A (Continuation Sheet) Monetary Contributions Received TIM COLLINS FOR CITY COUNCIL-7-2022 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) r "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 Amounts may be rounded to whole dollars. CONTRIBUTOR IF AN INDIVIDUAL, ENTER „ OCCUPATION AND EMPLOYER CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY statement covers period from 07/01/2023 through 12/31/2023 SCHEDULE A (CONT.) Page 5 of 17 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) SUBTOTAL $ 0.00 Schedule B — Part 1 Loans Received Amounts may be rounded to whole dollars. Statement covers period from 07/01/2023 SCHEDULE B - PART 1 SEE INSTRUCTIONS ON REVERSE through 12/31/2023 Page 6 of 17 NAME OF FILER NU NUMBER I.D. I.D. NU TIM COLLINS FOR CITY COUNCIL-7-2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE. ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) a OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT RECEIVED THIS PERIOD c AMOUNT PAID OR FORGIVEN THISPERIOD- OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD e INTEREST PAID THIS PERIOD ORIGINAL AMOUNT OF LOAN g CUMULATIVE CONTRIBUTIONS TO DATE ❑ PAID CALENDAR YEAR PER ELECTION' ElFORGIVEN RATE t❑ IND ❑ COM [:1OTH ❑ PTY ❑ SCC E E E $ DATE DUE DATE INCURRED E L.J PAID CALENDAR YEAR a ❑ FORGIVEN RATE PER ELECTION" t❑ IND ❑ COM ElOTH (IPTY ❑E ESCC E E E DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S ❑ FORGIVEN RATE PER ELECTION" t❑ E E $E E IND El El [:1PTY ❑SCC DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 0 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. 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. $ 0 $ 0 NET $ 0 (May be a negative number) $ 0 (Enter (e) on 3) 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 Schindi la R _ Pnr+ 2 Omnunfa may hn r nd-41 SCHEDULE B - PART 2 to whole dollars. Loan GuarantorsCALIFORNIA Statement covers period from 07/01/2023 • _ � 60 SEE INSTRUCTIONS ON REVERSE through 12/31/2023 page 7 of 17 NAME OF FILER TIM COLLINS FOR CITY COUNCIL-7-2022 I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR * CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE ❑IND LENDER CALENDAR YEAR ❑ COM ❑ OTH $ ❑ PTY ❑ SCC DATE PER ELECTION (IF REQUIRED) $ ❑IND LENDER CALENDAR YEAR ❑ COM ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC $ ❑IND LENDER CALENDAR YEAR ❑ COM $ ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC s ❑ IND LENDER CALENDAR YEAR ❑ COM $ ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC n er on SUBTOTAL $ 0 Summary Page. Line 17 only. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded .. _ to whole dollars_ __ SCHEDULE C IVOnmonetary Contributions Keceived statement covers period --- 07/01/2023 CALIFORNIA 4 • 0 from OR SEE INSTRUCTIONS ON REVERSE through 12/31/2023 Page 8 of 17 NAME OF FILER TIM COLLINS FOR CITY COUNCIL-7-2022 I.D. NUMBER DATE FULL NAME, STREETADDRESSAND ZIP CODE CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED AL (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME OF GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) BUSINESS) (JAN 1 - DEC 31) ❑ 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.) . .......................... $ $0 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 Expenditures Amounts may be rounded Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE iv 1- v1 11Lnm TIM COLLINS FOR CITY COUNCIL-7-2022 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Support ❑ Oppose Statement covers period from 07/01/2023 through 12/31/2023 DESCRIPTION (IF REQUIRED) SUBTOTAL $ 0 AMOUNT THIS PERIOD 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.) . Page 9 I.D. NUMBER UMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) SCHEDULE D of 17 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Summary of Expenditures Supporting/Opposing Other Candidates, Measures and Committees TIM COLLINS FOR CITY COUNCIL-7-2022 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DATE MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE ❑ Support ❑ Support ❑ Support ❑ Support ❑ Oppose ❑ Oppose ❑ Oppose ❑ Oppose Amounts may be rounded to whole dollars. TYPE OF PAYMENT ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure DESCRIPTION (IF REQUIRED) SUBTOTAL $ 0 Statement covers period iSCHEDULED CONT from 07/01/2023 FORM CALIFORNIA through 12/31/2023 7NU 17 of AMOUNT THIS CUMULATIVE TO DATE PER ELECTION PERIOD CALENDAR YEAR TO DATE 11W 1 - DEC. 31) (IF REQUIRED) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. ULE E Statement covers period from 07/01/2023 12/31/2023 SEE INSTRUCTIONS ON REVERSE through Page 11 Of 17 NAME OF FILER I.D. NUMBER TIM COLLINS FOR CITY COUNCIL-7-2022 1452877 CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)' OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Otherwise, describe the payment RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration 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 UNITED STATES POST OFFICE 5501 Stockdale Hwy, Bakersfield, CA POS ANNUAL PO BOX FEE 200.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 200.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 200.00 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 0 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 200.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) A Amounts may be rounded Statement covers period p - (Continuation Sheet) to whole dollars. Payments Made from 07/01/2023 FORM• SEE INSTRUCTIONS ON REVERSE through 12/31/2023 Page 12 of 17 NAME OF FILER I.D. NUMBER TIM COLLINS FOR CITY COUNCIL-7-2022 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 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 CALIFORNIA • ' from 07/01/2023 FORM through 12/31/2023 Page 13 17 SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER TIM COLLINS FOR CITY COUNCIL-7-2022 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 FIND 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 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 (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 summarized on Schedule D. $ 0 $ 0 $ 0 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 $ Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (8661275-3772) www.fppc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) NAME TIM COLLINS FOR CITY COUNCIL-7-2022 CODES CMP CNS CTB CVC FIL FND IND LEG LIT Amounts may be rounded to whole dollars. Statement covers period from 07/01/2023 through 12/31/2023 If one of the following codes accurately describes the payment, you may enter the code. Otherwisedescribe the payment. campai n ara hern I' / 9 P a la mi, P sc. MBR member communications RAD campaign consultants MTG meetings and appearances RFD contribution (explain nonmonetary)' OFC office expenses SAL civic donations PET petition circulating TEL candidate filing/ballot fees PHO phone banks fundraising events TRCPOL polling and survey research TRS independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF legal defense PRO professional services (legal, accounting) VOT campaign literature and mailings PRT print ads WEB Payments that are contributions or independent expenditures must also be summarized on Schedule D. SCHEDULE F (CONT.) Page 14 of 17 I.D. NUMBER 1452877 airtime and production costs returned contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration 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 Ic) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS $ 0 $ 0 $ 0 $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Amounts may be rounded Contractor (on Behalf of This Committee) to whole dollars. statement covers from 07/01/2023 SCHEDULE G 12/31/2023 15 17 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER TIM COLLINS FOR CITY COUNCIL-7-2022 I.D. NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR 1452877 CODES: If one of the following codes accurately describes the payment, may you enter the code CMP CNS campaign paraphernalia/mist. MBR member communications CTB campaign consultants contribution (explain nonmonetary)" MTG meetings and appearances CVC civic donations OFC office expenses FIL candidate filing/ballot fees PET PHO petition circulating phone banks FND IND fundraising events independent expenditure supporting/opposing others (explain)" POL POS polling and survey research LEG legal defense postage, delivery and messenger services LIT campaign literature and mailings PRO professional services (legal, accounting) PRT print ads ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. Otherwise, describe the payment. RAID radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) - -- - �• ••••�••.. ...�.. ,,, -t v, utirtat city lauuivu uunllnuauon sneets. - TOTAL" $ 0.00 " Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule H Loans Made to Others* SEE INSTRUCTIONS ON REVERSE TIM COLLINS FOR CITY COUNCIL-7-2022 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Amounts may be rounded to whole dollars. Statement covers period from 07/01/2023 through 12/31/2023 SCHEDULE H Page 16 of 17 I.D. NUMBER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) ('I OUTSTANDING BALANCE BEGINNING THIS (bl AMOUNT LOANED THIS PERIOD REPAYMENT OR FORGIVENESS THIS PERIOD' OUTSTANDING BALANCE AT CLOSE OF THIS PF Rion a INTEREST RECEIVED (r) ORIGINAL AMOUNT OF LOAN g CUMULATIVE LOANS TO DATE ❑ PAID CALENDAR YEAR PER ELECTION ❑ FORGIVEN RATE s a $ $ a DATE DUE DATE INCURRED a, U-M Iuuuurls to anotner candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. ❑ PAID CALENDAR YEAR E ❑ FORGIVEN RATE PER ELECTION $ S = $ $ DATE DUE DATE INCURRED SUBTOTALS I$0 I$ 0 Is 0 Is 0 (Enter (e) on I Schedule H Summary Schedule, Line 3) 1. Loans made this period....................................................................................................................................................$ 0 (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans............................................................................................................................................$ 0 *'If Required (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) .............. . . ............................................................................ NET $ 0 (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER TIM COLLINS FOR CITY COUNCIL-7-2022 DATE FULL NAME AND ADDRESS OF SOURCE RECEIVED (IF COMMITTEE, ALSO ENTER I . NUMBER) Attach additional information on appropriately labeled continuation sheets. Amounts may be rounded to whole dollars. Statement covers period from 07/01/2023 through 12/31/2023 DESCRIPTION OF RECEIPT 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 Summary Page, Line 14.)........................................................................................................................... TOTAL $ 0 SCHEDULEI Page 17 of 17 I D. NUMBER AMOUNT OF INCREASE TO CASH SUBTOTAL$ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov