HomeMy WebLinkAboutHANSON PREELECT16(1) 09/25/16Recipient Committee
Campaign Statement
Cover Page
Statem1ehit covert period
from �n
SEE INSTRUCTIONS ON REVERSE through �l<t�• �I °�O t�
1. Type of Recipient Committee: AN Committaes- Complete Part 1, 2, a, and 4.
ORCeholdac Candidate Controlled Committee El primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
Wmcm¢wwwnN 0 Sponsored
lab cuiw.Pen el
❑ General Purpose Committee
0 Sponsored Primarly Formed Candidate/
0 Small Contributor Committee Officeholder Committee
0 POlifioal Party /Central Committee (a pxM Poln
3. Committee information
E�AfIQ�� 1- �A1aa.,
101
STREET ADDRESS LNO PO. 1011
�
CITY STATE ZIP CODE AREACOOPPHONE
OPTIONAL; FAXIEWAILADDRESS
COVER
Date of election if applicable:
(Month, Day. Year) Far ORdel Uae Only
(��+ 16 SEP 29 Pip, 4: 0
- _ Lij "•I
2. Type of Statement:
Preelection Statement ❑ Quarterly Statement
❑ Semi - annual Statement ❑ Special Otld -Year Report
❑ Temlinatlon Statement
(Also file a Forth 410 Termination)
❑ Amendment (Explain below)
Treasurers)
NAME OF TREASURER
�liaA W11goa
MAILING ADD�jEa5
NAME OFASSIST6NT TREASURER. IF ANY
MAILINGADDRESS
CITY STATE ZIPCODE AREACODE/PHONE
OPTIONAL: FAXIE- MAILAOORESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the beat of my knowletl the information contained herein and in the attached schedules is true and complete, I
Cari fy under penalty oofl�pegurr, under the laws of the State of California that the foregoing is tm nd corter /
ExecNetl On "�'iQel ['� 4J �o�b gy 1 /��/
T
o Dek eNre of Tleefum ageSebnlmeurer
Executeaon biLrlltl'�i32, $ 2plb By w9 n,xxerlwlieaponelde plACera se n.,
�I ogre RConlmll DP uG - SMe MeefunP
Executed an BY
Hale Sgnelun ncamrtai^s OIR ®Igper, Centlgeh. eW Meeeure Pmpolrenl
Executed on D.I. By
Sie ^eWre olCmlmlwp Olfi^MdEx, CenEldale. Stale MwuR Pamela
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppcw.gov (8(16/275 -3772)
Recipient Committee
Campaigii Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
N'A{1JMnE OF OF\FICEH\O'L /D�ER1OpR CAN1 DIDATE
'I`InO N`9 1011N jCN
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND 'DISTRICT NUMBER IF APPLICABLE)
�KRVIA�ta'
Related Committees Not Included in this Statement: List any committees
net Included in Nis statement Nat ere ronbollad by you or are primerify formed to maimm
romnbotlons or make espendltures on baheffof your candldecy.
COMMITTEENAME I.D.NUMBER
NAME OF TREASU R CONTROLLED COMMITTEE?
❑ YES XNO
COMMITTEE ADDRESS STREETADDRESS(NO PO. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEADDRESS STREETADDRESS(NO P.O. BOX)
CITY STATE ZIP CODE AREACODIYPHONE
PART 2
Page all i
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 List names of
oeloaholder(s/ or candidah(s/ for e,WFh Nis rommih m is 'manly /wmM.
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
Ahach continuation sheets Hne ,menery
FPPC Form 460 Van /2016(
FPPC Advice: advice@fppc.ca.gov (866/275 -3772)
W Ww.fPpc.U.IIIW
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to Whale dollars.
Statement coven period
from 41 `'L, • Its
through ��I'IV 1P 11p
N M'1EI^I�JOFFn FILE
kI\ . )i l•i`1J a.� f I� `ail��c�111fi
�S �1� Co.�La4 AR% `l
rll
6
Contributions Received
ColumnA
Column B
10 1T.'. VEre.
IFaoM ATUCHED SCHEDULES)
G ENOM VFPA
Tent -TOME
,
A V-
1, Monetary Contribution ..... .................... ...... . _........_.......
schedule A. Line a
$
_
g
$
2. Loans Received .. ... ....... ..... ..._...._.. . ................ .................
seheons e. Linea
�0
3. SUBTOTAL CASH CONTRIBUTIONS ..._...._... .....
..... . - . Add une,1.2
$
t 3, 95 0 -
$ 3 o
4. Nonmonetary, Contributions ................
_... smed 1 C. Line 3
�u
/
5. TOTAL CONTRIBUTIONS RECEIVED
_... __. Add Lines 3..
$
)� 1-
$ qai 0,�jo•
Expenditures Made
6. Payments Made._
I j ZY�
rr [pp
..................._._._. ....................._......_..
schedule E. Linea
$
$
7. Loans Made ... ...................... ..--....._ ..._...........................
seheem. e, Linea
/
/
8. SUBTOTAL CASH PAYMENTS ........ --- .. ........ .........
........ AddLines61 7
$
1 Iyi.-
$ 15 Ta '
9. Accrued Expenses (Unpaid Bills)__ . ...... ..... ......... ...._.__...
sehedme 8 Line 3
10. Nonmonetary Adjustment ..._......
_..._. Seheeule C. Line 3
11. TOTAL EXPENDITURES
)S
MADE. _..__ ... ....
Lin.se.9. fo
$
$ T—
Current Cash Statement
12. Beginning Cash Balance _._.........._..._...._ P.enne. summary Page, Line 16
$
To calculate Column B.
13. Cash Receipts . .... ....... ............. .........___................ .
column A. LUre a above
�3;95�
atltl amounts in Column
14. Miscellaneous Increases to Cash ....... .............
scneeu le 1, Linea
At. the corresponding
amounts from Column
15. Cash Payments ..................._.... ..................._...........
Corumn A.Lin.B.bone
q
p 77 L-
of your last report. Some
16. ENDING CASH BALANCE .._.__......AdeLines 12.13.
fa, men sebren Line 16
$
w -
3
amounts in Column A may
be negative figures that
If this is a termination slateme nl, Line 16 must be zero.
should be subtracted from
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED ..... ...........
Scheduled Pent
$
fled for this Calendar year,
only carry over the amounts
from Lines 2. 7. and 9 (if
Cash Equivalents and Outstanding Debts
18. Cash Equivalents. .... ................ ...__...... ... ... see insimctiws on rev erse
$
any).
19. Outstanding Debts ......... ...._. ..... ......... Add Line 2.
Line 9 in Cdumo.above
$
q
^ I, , 0_
Page " of _.1
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
111 through 6130 711 No Dale
20. Contributions /
Received $ / $
21. Expenditures
Matle $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
is Se l.to vauine, Ew inage.Omni
Date of Election Total to Data
(min/ddryy)
—J� $
J/ $
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan /2016)
FPPC Advice: advice@ippc.ca.$ov (866/275 -3772)
warmfppc.caL ov
Schedule A
Amounts may the rounded
SCHEDULE A
Monetary Contributions Received o nYleawras.
shdmn*MCovaraparlad
CALIFORNIA I
from
•`'1
MroYgb VaT°'11 �� \•
Page? M le
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
N,\ 1 rye p
ko �Aa �on Q,t loaaLl �Q���
I.D. NUMBER
ja�STQc
�t1�H4 It1
DATE
RECEIVED
FULL NAME. STREETAODRESS AND ZIP CODE OF CONTRIBUTOR
pc cammmse.uso smsa m. nvmesal
CONTRIBUTOR
CODE•
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
(IF SELF EWP EOOTER NWE
OF RuNa Sl
PERIOD
WAN.1 -DEC . 31)
(IF REQUIRED)
n
XND [i COM
[�
DtLR
05GG
T 19 1o,L
�AJs 1. aLL
CUM
❑ OTH
et
r)llu
�.
L] PTY
V, N Le
�
5 °P-
�00
❑SCC
�e o
�9,t�teCL
'>•I�1.� F7� \111hi1.ROM
❑IND
OOH
�OO
['
4)
❑SCC
\ p p
OIN M
it
,Op
fo
TV
00
®13'Jpoy
❑scC
ry1 f1
o'�I�41b
M
t I� 9a n'11E t.0 }
�
❑ PTY
❑SCC
SUBTOTALS
Schedule A Summary
•Conldbmor Codes
1. Amount received this period - itemized monetary contributions. 1
�3 �0-
IND - Individual
COM- Recipient committee
(Include all Schedule A subtotals.) ........................................................................... ..............................$
(other than PTV or SCC)
2. Amount received this period - unitem ized monetary contributions of less than $ 100 ...........................$ _ /
OTH -Other (e.g., business emly)
PTV - Political Party
3. Total monetary contributions received this period.t
9 I o
SCC -Small Contributor committee
(Add Lines 1 and 2. Enter here and on the Summary Pace. Column A. Line 1.) ......................TOTALS d '
FPPC Form 460 (lan /2036)
FPPC Advice :advice @fppc.a.gov 1866 /275 -3772)
wvrw.fPPC.a.,I
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.)
Monetary pontributions Received to whole doliam.
Statement covers period
from 0141. 2ali.
ll1
through rR 7•'i a 1 L
a•
Page of el
In.A�
NAME OF FILER
Ilgtto�" F`A13aJ �A�FnS 5
O. NUMBER
I ?S7�o
a Ids \. �;LR+l�
DATE
RECEIVED
FULL NAME, STREETADDRESSANO ZIP CODE OF CONTRIBUTOR
ps COMmiIIEEALSO ENTER ro. NUMBER)
CONTRIBUTOR
CODE •
IFAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
pr s[rr -eM
E %Menxnrn[
eFT.
PERIOD
(JAN.1 -DEC. 31)
(IF REQUIRED)
ILN Rd
Iyy�
LJ'COM
pBOre
E.
T
I
b�� 1P i4
'
OSCC
[I SCC
❑IND
ooDH
u /
❑ PTY
°IND
El com
p
500-
�Oo
❑ scc
IyyIND
OOM
QJdt2 q. �J�a6.11.11h
�
❑ SCC
SUBTOTALS 30Q-
'ConMbutor Codes
IND - Individual
COM - Recipient Committee
(oMer Man PTY or SCC(
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - S.11 CoMributor Committee
FPPC Fone 460 (Jan /2016)
FPPC Advice: advice @ /ppc.ca.gov (866/275 -3772)
www.fppc.ca.gml
Schedule A (Continuation Shoot) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
�\
from
•
through Le 11P
Paga
-^'��
of
NJOF FILER
Rot, e1, �D4a211L �A4� 5
I.D. NUMBER
Iaa5Z8o
L�T�a� D WIF�t� LlL
DATE
RECEIVED
FULLNAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
'IF GOMWrtES RLBO ENTER D. NUMBER)
CONTRIBUTOR
CODE
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDARYEAR
PER ELECTION
TO DATE
(IE SELF-EMPLOYED. ENTER NMIE
.F
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
o1L
A1�1 �
151{i$ Mn� ii9
'ND
F
�eue \mEBBI
Q
k)
aL
05cc
DI �al�
I
J1A1,11y 0119 lT and L. j.�
I-] IND
El COM
iR
aLsx
OPTTV
El SCC
0
O TH
iDaD-
a!
Co.-
�.
TY
I
0 SCC
t111a1L
1
%l•�J Rn�1L
IND
❑OTH
1 ¢,
r 100
rOo _
❑ScC
QI(eI �a1L
(l)L41�i. S J�(�P �`��1LR
❑ IND
1j
5 r7
Soo.
(
❑ PTY
❑ SCC
SUBTOTALS a.LQ) eo -
'Contributor Codes
IND -Individual
COM - Recipient Committee
(other than PTV or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contrbutor Committee
FPPC Form 460 (Jan /2016)
FPPC Advice: adAceiDfppc.ca.gov(g66 /275 -3772)
www.fpPc.ca.g•v
Schedule A (Continuation Shoot) Amounts may ISO rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
from a a 1e1L
!!ER
NAME F ILER
oti, JLOA 0 ivo ,t�j tvr 4oA'ACl\ � 0.4
DATE
FULL NAME STREEIADDRE55 AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
CODE
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE T
CALENDAR YRECEIVED
(IF COMMRIEE, PIoc ENTER I O. xL.ERJ
(IIF S ELF EMPLOYED, ENTER NAME
OFausmESSI
PERIOD
(JAN. 1 -DEC. 3)
(IF REQUIRED)
Ahl \I�elti
n 1 p nn
LN-4 `OaUt Qn,l ) L,
❑IND
ll
1
❑ SCC
111'1a1b
JRd\,b
IND
❑CON
o-
�
❑ SCC
II� `alL
^
IA
°CO
ON
"II
,TH
5o _
X000_
111
❑ SCC
till IdE
❑IND
�Ily'1oll
00TH
�So
PTY
E] SCC
otfn M�1JTosR,
�COM
QJ�¢n�f'��lares➢ -,
````111, v�
ll I`�'AOI�
SUBTOTALS
'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
FISK Form 460 (Jan /2026)
FPPC Advice: advice @Fppc.ca.gov (866/275 -3772)
www. /Ppc.ca.go,
Schedule A Amounts may be rounded SCHEDULE A
to whole dollars.
Monetary Contributions Received
St ant covers period
�14t, tot
� � �
from l
te.
lhmugh i �'� �DI'M
,a
!.MSER b of %$
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER p
���5 WADS
I Q
�����
pt . ���o� D Ve 0k�biL Y
V
GATE
FULL NAME, STREETADDRESS AND ZIP COD OF CONTRIBUTOR
Or COMMIaEE ALSO m. NOmeER)
CONTRIBUTOR
IF AN INDIVIDUAL. ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
CODE •
pF SPE- EMPLOYED. ENTER NAME
PERIOD
(JAN .1 -DEC. 31)
(IF REQUIRED)
OE aV51NE5s1
}j 11
gll•'1ol
�(aA„/ a. '<a
NO
FIoOH
f Q
y
-
`p
❑ scc
IND
com
Il
❑ scc
d t9 1DIL
1
�IA s)at y1�YF
EINO
❑COM
❑OTH
QJadh.
2, boo•
a SDU-
,
❑ scc
Is J.)
MIND
,
`�`11AI ID
1\
(F�
❑ OTH
1t'
`
❑ PTV
0 8c
�'J�Ct�gd� Qll Y%a:J4e[n.
El cam
91�IL o1L
%[
SUBTOTAL$ Y00-
Schedule A Summary
*ContrbutorCodes
1. Amount received this period - itemized monetary contributions.
IND- Individual
COM - Rther Committee
( Include all Schedule Asubtotals . ............ .,., ......., ,,,,,,,..,,.,,,...$
) ......................... ............................... .... ..
PTY
(other than PTY or
than
2. Amount received this period - unitemized monetary contributions of less than $ 100 ...........................$
P ry
OTH -Other (e.g., business entity)
PTY - Political Party
3. Total monetary contributions received this period.
SCC - small Contributor Comminee
(Add Lines T and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $
FPP[ Form 960 (tan /2016)
FPPC Advice: adviceWppcca.8ov (866/275 -3772)
wvne.fppc.ca.eov
Schedule E Amounts may be rounded Statement covers period
Payments Made to whole dollars. 2 t
from 0
CODES: If one of the following codes accurately des,
CMP campaign paraphemaliatmisc.
CNS campaign consultants
CTB contribution (explain nonmonetary)'
CVC civic donations
FIL candidate filing/balbt fees
END fundraising events
IND independent expenditure supporting /opposing others (explain)*
LEG legal defense
LIT campaign literature and mailings
through 1- * • 1" N I Page —J_ of to
CO'A JC 1'L �NK"J s y`1S l V'Q
the payment, you may enter the code. Otherwise, describe the payment
MBR
member communications
RAD
radio airtime and production costs
MTG
meetings and appearances
RFD
ndumed contributions
OFC
office expenses
SAL
campaign workers' salaries
PET
petition circulating
TEL
l.v. or cable airtime and production costs
PHO
phone banks
TRC
candidate travel lodging, and meals
POL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate /sponsor
PRO
professional services (legal, accounting)
VOT
voter registralmn
PRT
print ads
WEB
information technology costs (internal. e-mail)
NAME AND ADDRESS OF PAYEE
Ilv coaMlrrEEUSOEmaa ro. nuMaaar
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
�edRa o p,c e
�
�
a,a50-
�
�
` Payments that am contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS L b `I 0 _
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.) ....
.......................... $ �1
..........I .................. $ �3r -
........ . .... .................. $ t'®
.................. TOTAL $ 13 t
FPPC Form 460 than /2016)
FPPC Advice: advice"Itc.m.gov (866/275 -3712)
www.fppc.ca.Fw
Schedule E
(Continuation Sheet)
Payments'Made
SEE INSTRUCTIONS ON REVERSE
Uw
If one of th following codes accurately
CMP campaign paraphernalia/misc.
CNS campaign consultants
CTB contribution (explain nonmonetary)'
CVC civic donations
FIL candidate fling/ballot fees
END fundraising events
IND independent expanddem supporting /opposing others(explainp
sl Rufnnse
Amounts may be rounded
to whole dollars.
from l 1
through
SCHEDULE
Page L of ( t
the payment, you may enter the code.
Otherwise,
describe the payment.
AMOUNT PAID
NAME AND ADDRESS OF PAYEE
II FCOMMI1IF.1.e.TEa IO... -a)
BAD
radio airtime and production costs
MEN
member communications
RFD
returned contributions
MTO
meetings and appearances
SAL
campaign workers salaries
DEC
once expenses
TEL
I., or cable airtime and production costs
PET
petition circulating
TRC
candidate travel, lodging, and meals
RHO
phone banks
THE
staff /spouse travel, lodging, and meals
POL
polling and survey research
TEE
transfer between committees of the same candidate /sponsor
POS
postage, delivery and messenger services
services (legal, accounting)
VOT
voter registration
PRO
professional
WEB information technology costs(intemet e-mail)
d mailings YRI p6 1i
campaign literature anm em
AMOUNT PAID
NAME AND ADDRESS OF PAYEE
II FCOMMI1IF.1.e.TEa IO... -a)
LODE OR
DESCRIPTION OF PAYMENT
y a
� �
4 ((
N
`IU
tij -_�
Payments lhl b
lt independent expenditures t l be s. d Shed 1 D SUBTOTAL 8
FPPC Far. 460 (J /2036)
FPPC Advice: advicelafPpc.w.eov(866 /2]5 -39]2)
Schedule F Amounts may be rounded SCHEDULE F (CONT)
(Continuation Sheet) to whole dollars. Statement coven period •' • • ,
Accrued Expenses (Unpaid Bills) fram_Z -)-20 t6 •'
through l *•0110 Paga J't_ or
NAM OF FILER j�nl r\�y�f� ID.NUMBER
Oh;) Flt' sal 'ro A. Wllu &(1A1L1) 21<N lO4 v�2 \1„ �,yQ,` d 1"A'l SJZSb
CODES: If one of the following codes accurately
describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign panphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonatary)•
OFC
once expenses
SAL
campaign workers'salades
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
END
fundraising events
POL
polling and surrey research
TRS
staf6spuuse 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
prolessional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internal, e-mail)
`Payments that are contributions or Independent expendituna must also ba summarized on Schedule D.
NAME AND ADDRESS OF CREDITOR
'IF CONIMMEE aSO ENTERr0. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
(b)
AMOUNT INCURRED
THIS PERIOD
Ic)
AMOUNT PAID
THIS PERIOD
Id)
OUTSTANDING
BALANCEAT CLOSE
OF THIS PERIOD
MUSO REPORT ON E)
OF THIS PERIOD
�
SUBTOTALS S / s b 0 0 9 $* 3a L7 $
1
1_ -
FPPC Form 460 (Jan /2016)
FPPC Advice: advicetli fmm.o.6ov (666/273-3772)
wwvr fppcca.6av