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Home My WebLink AboutGRAY SEMIANN21 AMEND (2)Recipient Committee Date Stamp COVER PAGE Campaign Statement CALIFORNIA ' • 1 Cover Page FORM SEE INSTRUCTIONS ON REVERSE Statement covers period from 1-1-2021 through 6-30-2021 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. © Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored Small Contributor Committee Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO CC PATTY GRAY FOR CITY COUNCIL 2020 ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) I.D. NUMBER 1427167 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE 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 foregoi Executed on 1/31/2022 ey Date Jd Executed on By Date Sii Date of election if applicable: Page 1 of 12 (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 CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX 1 E-MAIL ADDRESS of my knowledge the information contained h�rein and in the attached schedules is true and complete. I or or Executed on By `° Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fonc.ca.eov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR L 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. 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 CODEIPHONE 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 Page 2 of 12 ❑ 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 Cam al n Disclosure Statement Amounts may rounded p g to whole dollars. lars. Summary Page Statement covers period from 1-1-2021 SUMMARY PAGE 6-30-2021 Page 3 of 12 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER PATTY GRAY FOR CITY COUNCIL 2020 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 0.00 $ 0.00 1/1 through 6/30 7/1 to Date 0.00 0.00 2. Loans Received.... .................. schedule s, Line 3 0 00 0 00 20. Contributions 0 0 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions... .... ........... ....... ........... Schedule C, Line 3 0.00 0.00 21. Expenditures $ 0 $ 0 0.00 0.00 Made 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 1723.67 $ 1723.67 0.00 0.00 7. Loans Made....................................................................... schedule h, Line 3 8. SUBTOTAL CASH PAYMENTS... .... ............... ...... ........ Add Lines 6+7 $ 1723.67 $ 1723.67 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 157.00 157.00 0.00 0.00 10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE.. .................. ..... Add Lines 8+9+10 $ 1867.22 $ 1867.22 Current Cash Statement 12. Beginning Cash Balance.. ..... - ............. Previous summary Page, Line 16 $ 5769.13 To calculate Column B, . 13. Cash Receipts ......................................... ................. Column A, Line 3 above 0 add amounts in Column 284.18 Ato the corresponding 14, Miscellaneous Increases to Cash .................................. schedule /, Line 4 amounts from Column B 1723.67 of your last report. Some 15. Cash Payments .................. ...... Column A, Line 8 above amounts in Column may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 4329 64 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any). 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 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 (1an/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 1-1-2021 SCHEDULE A SEE INSTRUCTIONS ON REVERSE through 6-30-2021 Page 4 of 12 NAME OF FILER I.D. NUMBER PATTY GRAY FOR CITY COUNCIL 2020 FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER CONTRIBUTOR RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME (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 n SCC SUBTOTAL $ 0 Schedule A Summary 1. Amount received this period itemized monetary contributions. 0 (Include all Schedule A subtotals.).........................................................................................................$ — 0 2. Amount received this period — unitemlzed 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.)......................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.fonc.ca.eov SCHEDULE B-PART 1 Hinvunib flitly UtF 1UU11UCU Schedule B — Part 1 to whole dollars. Statement covers period CALIFORNIAA601 Loans Received from 1-1-2021 FORM through 6-30-2021 page 5 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER PATTY GRAY FOR CITY COUNCIL 2020 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS COMMITTEE, eNTeRtD. NUMBER} (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD. CLOSE OF THIS PERIOD. LOAN TO DATE (IF NAME OF BUSINESS) PERIOD. PERIOD ❑ PAID CALENDARYEAR $ RATE ❑ FORGIVEN PER ELECTION* S $ S $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION* S $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S ❑ PAID CALENDAR YEAR $ $ % S S ❑ FORGIVEN PER ELECTION** RATE $ S $ $ S DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0 $ 0 $ 0 $ 0 Schedule B Summary 1. Loans received this period (Total Column (b) plus unitemized loans of less than $100.) 0 2. Loans paid or forgiven this period.........................................................................................................$ — (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.).............................................................. NET $ 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 (May be a negative number) 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 Crharii lIn r Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received Statement covers period CALIFORNIA � from 1-1-2021 • - •1 through 6-30-2021 Page 6 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER PATTY GRAY FOR CITY COUNCIL 2020 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED. ZIP CODE OF CONTRIBUTOR CODE* (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED). (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) 1 DEC 31 tJAN - ) ❑ 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 $ C Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. 0 (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 $ 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 D Summary of Expenditures Amounts may be rounded Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE NAME OF FILER PATTY GRAY FOR CITY COUNCIL 2020 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) OR COMMITTEE ❑ Support ❑ Oppose ® Support ❑ ❑ Support ❑ Oppose ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Expenditure Statement covers period 1-1-2021 from through 6-30-2021 AMOUNT THIS PERIOD SUBTOTAL $ 0 7 Page I.D. NUMBER IMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 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 SCHEDULED 12 of — PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEE Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE PATTY GRAY FOR CITY COUNCIL 2020 Amounts may be rounded to whole dollars. Statement covers period from 1-1-2021 through 6-30-2021 Page 8 of 12 I.D. NUMBER 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) KEVIN MCCARTHY FOR CONGRESS CTB 150.00 KERN COUNTY REPUBLICAN PARTY FND 1250.00 COSTCO WHOLESALE CMP 135.74 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1535.74 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).......................................................................................... 2. Unitemized payments made this period of underM00....................................................................................................................... 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.).. 1710.22 63.45 ............. I.................... $ 0 I ............. I...... TOTAL $ 1773.67 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E (CONT.) Schedule E Amounts may be rounded to whole dollars. Statement covers period � - , (Continuation Sheet) 1-1-20201FORM • Payments Made from SEE INSTRUCTIONS ON REVERSE through 6-30-2021 Page 9 of 12 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/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 1 1 r .., ,,n li+orn+,— 7 1 m ilinnc. PRT Drint 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 IMBIBE WINE & SPIRITS MERCHANT CMP 174.48 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 174.48 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F Amounts may be rounded to whole dollars. Statement covers periodCALIFORNIA A ® t Accrued Expenses (Unpaid Bills) from 1-1-2021 • through 6-30-2021 Page 10 of 12 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER 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/mist. 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/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 WESTERN PACIFIC RESEARCH OFC 0 157.00 0.00 157.00 * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 157.00 $ 0 $ 157.00 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for INCURRED TOTALS $ 157.00 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.)............................................ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.).................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 157.00 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 Schedule H Amounts may be rounded Statement covers period (1110 CALIFORNIAA to whole dollars. 1-1-2021 FORM * Loans Made to Others from 6-30-2021 Page11 of 12 SEE INSTRUCTIONS ON REVERSE through I.D. NUMBER NAME OF FILER PATTY GRAY FOR CITY COUNCIL 2020 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER 0 CCUPATION AND EMPLOYER a) OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF RECIPIENT (IF SELF-EMPLOYED.. ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT O F LOAN LOANS TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER). NAME OF BUSINESS) FRIOD PERIOD THIS PERIOD* PFRjnp PAID CALENDARYEAR 5 $ $ $ RATE ❑ FORGIVEN PER ELECTION** $ $ 5 $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ °r $ $ RATE FORGIVEN PER ELECTION** $ $ $ S $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be SUBTOTALS $0 $ 0 $ 0 $ 0 reported on Schedule E. (Enter (e) on Schedule I, Line 3) 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.) (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 ^ -I- - -I - -I- SCHEDULEI J {r1IGM ui�r I r.......,.-...uy-........._.. Miscellaneous Increases to Cash to whole dollars. - Statement covers periodCALIFORNIA 1-1-2021 .1 • from through 6-30-2021 Page 12 of 12 SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER PATTY GRAY FOR CITY COUNCIL 2020 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) INCREASE TO CASH 01/21/2021 TEGNA MEDIA ADVERTISING REFUND OF OVERPAYMENT 284.18 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 284.18 Schedulle I Summary 1 ItPmi7Pd increases to cash this period. $ 284.18 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).) ........................... $0 0 $- 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 284.18 Summary Page, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www-fnnc.ra.anv