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460 Maietta 2016 from 09/25 - 10/22Recipient Committee Campaign Statement Cover Page Statement coverr. period Date of election if applicabl (Month, Day, Year) from SEE INSTRUCTIONS ON REVERSE through �� f Rg&k" OCT 3120160_ CITY OF LA OUINTA Y CLERK DEPARTMENT 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 1X Preelection Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement O Recall O Controlled (AlsoComplete Pans) El Statement Sponsored (Also file a Form 410 Termination) Also ComOlele Part 61 ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Parry/Central Committee 3. Committee Information rr ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Parl 7) COMMITTEE. NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) �,fd4 ��1� � / </✓L �17r�9c� STREET C'ILY STATE ZIP Edr ARF tIonFFPFOWIP 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best certify under penalty of perjury under the laws of the State of California that the foregoing is In Executed on Date Executed on% /=e__ Executed on Date Executed on Date By ❑ Amendment (Explain below) Treasurer(s) ,,,f, a c, MAILINUADDRESS COVER PAGE Page / of r For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE FAX / E-MAIL ADDRESS in the attached schedules is true and complete. I By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov vy, Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee D (INOLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) RESIDENTIALIBUSINESSADDR S (NO.ANDS EET) ITY f STATE ZIP Related Committees IVat Includod "W71sa nt: 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 rl 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 OF TREASURERrEj TROLLED COMMITTEE?COMMITTEE? YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT ME R BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 Page �2— of ❑ 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 officeholderfs) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD /� / �j{ El SUPPORT ❑ Jl OPPOSE NAME OF OFFICtHOLDER 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 Summary g Pa a to whole dollars. stateme t covers erlodCALIFORNIA J from O RM D Page SEE INSTRUCTIONS ON REVERSE through of NAME OF5JL-E '! I.D. NUMBER Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ t $ 2. Loans Received................................................................ Schedule B, Line 3 �_.. 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ I $ 20. Contributions Received $ $ 4. Nonmonetary Contributions............................................ Schedule C, Line 3 _ - - 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................... ...........Add Lines 3 + 4 . $ � ,L_ � . $ Made $ $ . _._.._. _. _ _. Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 /% C704 $ , $ Expenditure Limit Summary for State Candidates 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS.......................................... Add Lines 6 + 7 t1 $ �l T r $ 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 -- Date of Election Total to Date 10. Nonmonetary.Adjustment......................................................... Schedule C, Line 3 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE........................... Add [j $� ZV $ Current Cash Statement 12. Beginning Cash Balance Previous Summary Paye, Line 16 $ 4 0.Sr' 0G 13. Cash Receipts........................................................... Column A, Line 3 above �r 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 (/ 15. Cash Payments......................................................... Column A, Line 8above % ■ r 16. ENDING CASH BALANCE ................. Add Lines 12 + 13 + 14, then subtract Line 15 $ 7 26, .2 lP If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED .............. .......... ........ Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 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). *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 rl' Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received LO w1101e uouara. stateLgen covers Hod L CALIFORNIA i 460 from S �`�' # ■ through LZ�11� Page SEE INSTRUCTIONS ON REVERSE of NAME OF FIL•EiY � , r^ I.D. NUMBER DATE RECEIVED 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 AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OND ❑ COM El OTH ❑ SCC &N D j� ❑ COM ElPOTHTY �a J El SCC .sem t/ IND El COM ❑ S �r:er, . h� ❑ OTH L/1 I`t's ;Z11)`(� ijb ❑PTY ❑ SCC s�� /1 f I • J% I✓-�. f lCI`�l , ?J sZ� r• r°C �Z ❑ COM ❑ OTH f ^ t�e T7 P -1-V t r El PTY L ❑ SCC pv Q IND COM ❑ OTH e / J r' El PTY J� e T G � , � i o / v El SCC j�P SUBTOTAL $ ! 0 Schedule A Summary Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)......................................................................................................... $ foo' 00 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ _3a2, f 0 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.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) monetary contributions Received to whole dollars. Stateme t coveWeeriod i 2S .1 from - through-,Lt.)Page of L NAM `fLER l.D. NUMBER !L - r M1 y/ DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTO (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC El IND --� ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ *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 B - PART 1 auneuule 6 — rari 'I to whole dollars. Statement covers period Loans Received c -- (, NIA 460 from �`� SEE INSTRUCTIONS j + // ON REVERSE through Page of• NAME OF FIL-R I.D. NUMBER NAME, STREETADDRESSAND ZIP CODE IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER` OUTSTAtelNDING jb)FULL AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL 3. CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER 1. D. NUMBER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THISBALANCE OR FORGIVEN AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD ,, THIS PERIOD PERIOD PERIOD LOAN TO DATE ❑ PAID _ CALENDAR YEAR $ $ % $ $ ❑FORGIVEN PER ELECTION- LECTION`t❑ II RATE 'ElIND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE INCURRED $ DATE DUE ❑ PAID CALENDAR YEAR E]FORGIVEN PER ELECTION" V RATE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE t❑ INDEl COM ❑ OTH ❑ PTY ❑ SCC $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ 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.).............................................................. 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. r t $ (May negative number) (Ent®r (e) on Schedule E. Line 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 SCHEDULE B - PART 2 JGfmume ID — ran d Mnwunw may ue rvunaea to whole dollars. Loan Guarantors Statement cove period from -L(-- i SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER `%�/ r, I.D. NUMBER FULL NAME, STREETADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIV UAL, ENTER OCCUPATIO AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE ❑ IND LENDER CALENDARYEAR ❑ COM $ DATE Iv~ i' �; f ❑ OTH ❑ PTY ❑ SCC e' PER ELECTION (IF REQUIRED) ❑ IND LENDER CALENDARYEAR ❑ COM ❑ OTH 3 PER ELECTION (IF REQUIRED) DATE ❑ PTY ( ❑ SCC $ f ❑ IND LENDER CALENDAR YEAR ❑ COM $ j 1"1 I ❑ OTH El PTY 491' PER ELECTION (IF REQUIRED) DATE {Vl ❑ SCC $ El IND LENDER j, CALENDARYEAR ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC -rater $ on SUBTOTAL $ summary Page,T_ Line 17 w 11y. FPPC Form 460 (1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C t h 1 d II Nonmonetary Contributions Received o w o e o ars. Statement covers period _ • from • 7 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER s DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR IFINDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TODATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER LD NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 - DEC 31) ❑ IND ❑ COM i ❑ OTH El PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH Lf ❑ PTY ❑ SCC ❑ IND El COM / ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 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.).....................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 SCHFDULF D ♦7u111111Q1 UI GJC t!IIU1LUfFdb Amounts may oe rounaea Stateme t covers clodEL Supporting/Opposing Other to whole dollars. 0 _ . Candidates, Measures and Committees from through (�2� / 7Pgerof SEE INSTRUCTIONS ON REVERSE NAMEOF iLER I.D. NUMBER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 - DEC 31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary ! ! Contribution --- ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent _. _.. ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 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.. $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded CVrI' <[ TI &I I I u nw -TTiTiMW Summary of Expenditures to whole dollars. Statement covers period Supporting/Opposing Other C 0. � . - r Candidates, Measures and Committees from through- / v /) Page of/v NAME OF FILER I.D. NUMBER ' jl ld DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAY NT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN 1 -DEC. 31) (IF REQUIRED) ❑ Monetary Contribution / ❑ Nonmonetary /�' '✓ Contribution ❑ Independent - ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution � 11LI Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution J,J I ❑ Nonmonetary Contribution - ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution j ❑ Nonmonetary ,1 V Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOT FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT) (Continuation Sheet) to whole dollars. Statement covers Veriod . Payments Made from SEE INSTRUCTIONS ON REVERSE through Page of AL NAME OF FI �,✓Z, I.D. NUMBER CODES: If one of the following codes accurately describes the pant, 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID �jc 0 LOOS 6,4, /6 tt P 4-J V I .� tjvl°b� * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1 r FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 7 J Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE CODES: If one of the following codes accurately des! CMP campaign paraphernalia/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings Amounts may be rounded to whole dollars. Statement covers period from. through Z0 the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page /.2 of /: MBR member communications RAD radio airtime and production costs MTG meetings and appearances RFD returned contributions OFC office expenses SAL campaign workers' salaries PET petition circulating TEL t.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 registration PRT print 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 �B Q I A 1 -3 / Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ /0 r 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 $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. 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.) ....................................... 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.) .................. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)........................................................................................................................................... .......INCURRED TOTALS $ ' r PAID TOTALS $ ........................................ NET $ Maybe a. negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ( ( (c) SCHEDULEF Schedule F CODE OR Amounts may be rounded AMOUNT IN NCURRED AMOUNT PAID - (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT Accrued Expenses (Unpaid Bills) THIS PERIOD to whole dollars. BALANCE AT CLOSE covert', period sta7Z_07/01 • R 460 •' (ALSO REPORT ON E) OF THIS PERIOD 1 froFORM Yv through Page SEE INSTRUCTIONS ON REVERSE NAME OF R -- I.D. NUMBER CODES: If one of the following codes accurately describes the pay6gnt, 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 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 SUBTOTALS $ $ $ $ summarized on Schedule D. 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.) ....................................... 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.) .................. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)........................................................................................................................................... .......INCURRED TOTALS $ ' r PAID TOTALS $ ........................................ NET $ Maybe a. negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ( ( (c) ( NAME AND ADDRESS OF CREDITOR CODE OR OUTSTAA NDING AMOUNT IN NCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD 1 Yv * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. 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.) ....................................... 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.) .................. 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)........................................................................................................................................... .......INCURRED TOTALS $ ' r PAID TOTALS $ ........................................ NET $ Maybe a. negative number 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 Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. from SCHEDULE G SEE INSTRUCTIONS ON REVERSE through I Page --7— oft tri NAMEOF'FI ER " r � CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID !!! e I.D. NUMBER NAME OF AGENT OR fNDEPEND5NT CONTRACTOR Attach additional information on appropriately labeled continuation sheets. TOTAL* $ CODES: If one o 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 surrey 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. NAME ANDADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID !!! Attach additional information on appropriately labeled continuation sheets. TOTAL* $ " Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement cover Hod to whole dollars. Loans Made to Others* CALIFORNIA _ i from . ) � Page /� 6j' �`— SEE INSTRUCTIONS ON REVERSE through - of NAME OFF FILER I.D. NUMBER 2y �✓ %� 172 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTE OCCFSELF-ONANDEMPLEOR R a OUTSTANDING (b) AMOUNT (c) (d) OUTSTANDING (e) INTEREST (r) ORIGINAL Wl CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I -D.. NUMBER) BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNTOF LOANS NAME OF BUSINESS) PERIQQ PERIOD THIS PERIOD* PERIODLOAN TO DATE ❑ PAID CALENDAR YEAR % ❑ PER ELECTION"`" RATE RATEFORGIVEN DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR r $ % $ 1-1 FORGIVEN PER ELECTION"" V114- ATE $ $ $ $ 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 reported on Schedule E. SUBTOTALS $ $ $ $ (E.�er (n) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) * if Required 2. Payments received on loans..........................................................................................................._................................$ (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.) (Maybo allw number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Amnunfc mw hn rn —i—i SCHEDULE 1 Miscellaneous Increases to Cash to whole dollars. SCE INSTRUCTIONS ON REVERSE State nt covers perl dCALIFORNIA from a� /0 through L , • O - Page SSL of �!L NAME OF FILER I.D. NUMBER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE/AMOUNT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ V) Schedule I Summary 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 SummaryPage, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov