HomeMy Public PortalAboutForm 460 (July 1 - Dec 31, 2016) Ee
"' i.AV/, (^-- COVER PAGE
Recipient Committee Date Stamp ,°CALIFORN)AT°' 9 f''
Campaign Statement JAN a eiikri. 4.6..4.
Cover Page FORM '
Statement covers period Date of election if applicable:e P ��/� Page / of /3
t /, 20// (Month,Day, a �`g,.(��` �qL E For Official Use Only
d.from C/CJ y /4� d � �
SEE INSTRUCTIONS ON REVERSE through 7)e�J 31, 2.06 41, i� ^ 48,
.,chvc),7
1. Type of Recipient Committee: All committees-Complete Parts 1,2,3,and 4. 2. Type of Statement:
❑ Officeholder,Candidate Controlled Committee ltl Primarily Formed Ballot Measure D_ Preelection Statement ❑ Quarterly Statement
0 State Candidate Election Committee Committee IS�J Semi-annual Statement ❑ Special Odd-Year Report
0 Recall 0 Controlled ❑ Termination Statement
fa:oCampfire Part tl 0 Sponsored (Also file a Form 410 Termination)
(Aso complete Pal e)
❑ General Purpose Committee ❑ Amendment(Explain below)
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
lso
0 Political Party/Central Committee l compkte pen
3. Committee Information D.NUMBER Treasurer(s)
/ 7�oJ�v
COMMITTEE NAME(OR CANDIDATES NAME IF NO COMMITTEE) NAME OFT E SURER
N I/9 in
Wcia We
ES Obt.- 11194 J C � 0 ce- / MAILING ADDRESS
STREET ADDRESS(NO P.O.BOX) CI S TE ZIP COD AREA CODE/PHONE
2058 /Z/. /14c-i_ .9i/E". 64/S � 2�m�f✓% , '.� s2// 92 2-9'?z-2-
CITY/� STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL:FAX/E-MAIL ADDRESS OPTIONAL:FAX/E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjuryQunder the laws of the State of California that the foregoing is true and
>correct.
/ /' ///� J//�
Executed on (18 / G, 2/7 By ,./Jl//%' �.•..�' f r. /'�
Date Signature of Treasurer or Ass- ntTreasurer
Executed on Date By Signature of Controlling Officeholder.Candidate,Stale Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling Officeholder,Candidate.Stale Measure Proponent
Executed on By
Date Signature of Controlling Officeholder.Candidate.Stale Measure Proponent
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
COVER PAGE-PART 2
a� saw
Recipient Committee CALIFORNIA::.
Campaign StatementFORM i 460
Cover Page—Part 2 �''P'"�
Page of 13
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE/f� NAME � QOT�[MEASURE `�F� `� �o�
A
OFFICE SOUGHT OR HBALLOT NO.OR LETTER JURISDICTIONELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) �S /� .,�..{ [SUPPORT
4g6-m o iv 1£ ❑OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,if any.
NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT
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 OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D.NUMBER
V//4 7. Primarily Formed Candidate/Officeholder Committee Ust names of
NAME OF TREASUFEER CONTROLLED COMMITTEE? ofticeholder(s)or candidate(s)for which this committee is primarily formed.
❑YES 0 NO
COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
/1///9 ❑SUPPORT
0 OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑SUPPORT
❑OPPOSE
COMMITTEE NAME I.D.NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT
❑OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
0 YES ❑NO 0 SUPPORT
❑OPPOSE
COMMITTEE ADDRESS STREET ADDRESS(NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advIce@fppc.ca.gov(866/275-3772)
www.fppcca.gov
•
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period r a
Summary Page / // CALIFORNIA A(�`.0
from 1/UL� 20/& 1:1'140.-60101:4,�T Tr.o
thrOUghe G
SEE INSTRUCTIONS ON REVERSE �?1,249/4 Page of /3
NAME OF FILER ,` I.D.NUMBER
YC—•S o Al P081.i c A 6-•T7 (&78055
Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTAL THIS PERIOD CALENDAR YEAR
' (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
General Elections
1. Monetary Contributions Schedule A,Line 3 $ 0 $ 1/1 through 6/30 7/I to Date
2. Loans Received schedule B,Line 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 0 $ 0 Received $ $
4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ C/ $ 0 Made $ $
Expenditures MadeExpenditure Limit Summary for State
6. Payments Made Schedule E,Line 4 $ a $ 55-6 9400 Candidates
7. Loans Made Schedule H,Line 3
C(!,q0
8. SUBTOTAL CASH PAYMENTS Add Lines 8+7 $ $ / ,Y 22. Cumulative Expenditures Made*
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,tine 3 h (mm/dd/yy)
11.TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 0 $ `(/� !l�.0 O _/_/ $
Current Cash Statement _/______/ $
12.Beginning Cash Balance Previous Summary Page,Line 16 $ 226 67• d To calculate Column B,
13.Cash Receipts Column A,Line 3 above
add amounts in Column
A to the corresponding *Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash Schedule I,Line 4 amounts from Column B reported in Column B.
15.Cash Payments Column A,Line 8 above 0 of your last report. Some
� � amounts in Column A may
16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ .'7€<t • (1 / 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 8,Part 2 $ filed for this Calender year,
only carry over the amounts
Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if
any).
18. Cash Equivalents See instructions on reverse $
19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460(Jan/2016)
FPPC Advice:advIcetDfppc.ca.gov(866/275-3772)
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Schedule A Amounts may be rounded SCHEDULE A
to whole dollars. Statement covers period '*"°`" r
Monetary Contributions Received 'CALIFORNIA
from Jk ,v Zo/la 1 ORM VO..
SEE INSTRUCTIONS ON REVERSE through ' .. ?(! INA Page V of /3
NAME OF FILER I.D.NUMBER
yc=s 0 i a_ r /v780L:5".
FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED 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
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑0TH
❑PTY
❑SCC
SUBTOTALS .h„
Schedule A Summary 'Contributor Codes
1.Amount received this period-itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 0 COM-Recipient Committee
(other than PTY or SCC)
2.Amount received this period—unitemized monetary contributions of less than$100 $ 0 PTH_ (e.g.,therbusiness entity)
Political
3.Total monetary contributions received this period. p SCC-Smell Contributor Committee
(Add Lines 1 and 2.Enter here and on the Summary Page,Column A,Line 1.) TOTAL$
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Amounts may be rounded SCHEDULE B-PART 1
Schedule B—Part 1 to whole dollars. Statement covers period , °
Loans Received ` CALIFORNIA460=
trom dein 1� 124//6 �.. FORM Imo, ®„,.
SEE INSTRUCTIONS ON REVERSE througt�7Cc/3/,2- /Cp' Page of / 4
NAME OF FILER I.D.NUMBER
yes- OA/ f c1& crF 7 9
IF AN INDIVIDUALENTER la) / (b) (o) Id) (e) (n (q)
,
FULL NAME.STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF LENDER OCCUPATION AND EMPLENTER ER BEGINNING THIS NCE RECEIVED THIS OR FORGIVEN CLBALANCE AT OSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IF COMMITTEE.ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERIOD PERIOD LOAN TO DATE
$
p AV y //��^' RATE 96❑PAID CALENDAR YEAR
1 v” !✓ $
$ $
0 FORGIVEN PER ELECTION"
S $ $ $
$
I❑IND 0 COM ❑OTH DPTY ❑SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
$ $ % $ $
RATE
❑FORGIVEN PER ELECTION"
$ S $ $ $
I❑IND ❑COM ❑OTH ❑PTY ❑SCC DATE DUE DATE INCURRED
0 PAID CALENDAR YEAR
$ $ S S S
❑FORGIVEN RATE PER ELECTION"
S $ $ $ $
I I)IND ❑COM ❑OTH ❑PTY ❑SCC DATE DUE DATE INCURRED
SUBTOTALS $ $ $ $ V',,,,7411,;&,>413 .7.,
(Enter(e)on
Schedule B Summary Schedule E,une 3)
1. Loans received this period $ d
(Total Column(b)plus unitemized loans of less than$100.) tContributor Codes
2. Loans paid or forgiven this period $ Q IND-Individual
t
(Total Column(c)plus loans under$100 paid or forgiven.) COM-(oa Committee
(ottherher than PTY or SCC)
(Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g.,business entity)
0 PTY-Political Party
3. Net change this period. (Subtract Line 2 from Line 1.) NET $ SCC-Small Contributor Committee
Enter the net here and on the Summary Page,Column A,Line 2. (May be a negative number)
'Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016)
• If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772)
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SCHEDULE B-PART 2
Schedule B-Part 2 Amounts may be rounded Statem nt covers period R" ��
to whole dollars. f CALIFOR
Loan Guarantors from ( e.), 6 a1(a FOR:4'14146 0:
// sty. 4 .
SEE INSTRUCTIONS ON REVERSE throug ZC 1/j 2lh Page l� of /3
NAME OF FILER I .NUMBER
Ye i- 0 w eL/c Rf67-1NTER A780 5�
IF AN INDIVIDUAL
FULL NAME,STREET ADDRESS AND AMOUNT BALANCE
CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING
ZIP CODE OF GUARANTOR IF SELF-EMPLOYED.ENTER TO DATE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE ( NAME OF BUSINESS) THIS PERIOD TO DATE
LENDER CALENDAR YEAR
A/0
� /
0 IND
ON/ ❑COM
IV s
❑OTH DATE PER ELECTION
(IF REQUIRED)
❑PTY
❑scc $
CALENDAR YEAR
❑IND LENDER
❑COM $
PER ELECTION
❑OTH DATE (IF REQUIRED)
❑PTY
❑SCC $
CALENDAR YEAR
❑IND LENDER
❑COM
❑OTH DATE PER ELECTION
(IF REQUIRED)
❑PTY
❑scc $
LENDER CALENDAR YEAR
❑IND
❑COM $
❑OTH DATE PER ELECTION
(IF REQUIRED)
0 PTY
❑SCC $
Enteron .-- z
SUBTOTAL $ Summery Page. t
LJne 17 oMy. �
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
•
•
Schedule C Amounts may be rounded SCHEDULE C
to whole dollars. Statement covers period "�R"""' 4,e"'r
Nonmonetary Contributions Received j �°CALI-kWh- . �+
from(/(JL)/, �O( FORM ` .
SEE INSTRUCTIONS ON REVERSE through I)F'C 3/j ��G page 7 of /3
NAME OF FILER I.D NUMBER
/37805�'ES 0 I,/ �c)eL 1+c, ��Ty
IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO
PER ELECTION
DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE
RECEIVEDOCCUPATION AND EMPLOYER FAIR MARKET TO DATE
ZIP CODE OF CONTRIBUTOR CODE; (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) (IF REQUIRED)
0 IND
/OAf ❑COM
//IV/ .� ❑OTH
PTY
SCC❑SCC
❑IND
❑COM
❑OTH
PTY
SCC❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
0 COM
❑OTH
❑PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
Schedule C Summary -Contributor Codes
1.Amount received this period-itemized nonmonetary contributions. IND-Individual
(Include all Schedule C subtotals.) $ Com-Recipient Committee(other than PTY or SCC)
2.Amount received this period-unitemized nonmonetary contributions of less than$100 $ 0 0TH-Other(e.g.,business entity)
PTY-Political Party
3.Total nonmonetary contributions received this period. D SCC-Small Contributor Committee
(Add Lines 1 and 2.Enter here and on the Summary Page,Column A,Lines 4 and 10.) TOTAL$
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
•
Schedule D
SCHEDULE D
Summary of Expenditures Amounts may be rounded Statement covers period r
to whole dollars 'CALIFQRNIA=460
Supporting/Opposing Other from(Jj!/y ( 2.01FOR
Candidates, Measures and Committees
Sj through�FG 3/ 2°16 Page �% of /:3
SEE INSTRUCTIONS ON REVERSE �'` / ! //� '
NAME OF FILER �G C JV P /CJ 4-1 F7C r /578055 E
�cJ
NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION
DATE TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OR COMMITTEE
❑ Monetary
9 ,y /e f,�//G- Contribution
/� ❑ Nonmonetary
Contribution
❑ Independent
❑'Support ❑ Oppose Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support 0 Oppose Expenditure
o Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose Expenditure
SUBTOTAL $ 4CA � � �� •
e;
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 $ 0
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)
wwwippc.ca.gov
•
SCHEDULE E
Schedule E Amounts may be rounded Statement covers period
Payments Made to whole dollars. � p CALIFORNIA ,
fromv[l9" / 70/li mroFORMb ` O';
SEE INSTRUCTIONS ON REVERSE throug. �C 3f O( Page (, of /3
NAME OF FILER /� I.D.NUMBER
/65- e> PU €C Ar6.7. / /378055
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
LIT campaign literature and mailings PRT print ads WEB information technology costs(intemel,e-mail)
'NAME AND ADDRESS OF PAYEE
(IF COMMITTEE.ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
4/22
*Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$
Schedule E Summary
1. Itemized payments made this period.(Include all Schedule E subtotals.) $ D
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$ /9
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
SCHEDULE F
Schedule F Amounts may be rounded t t
Staemencoversperiod 'CALIF
to whole dollars. ORNIA''
Accrued Expenses (Unpaid Bills) from()_/4.(/ /• 70iG f0FORM& :=. 6Q
through 4fCI 09/4Page/9 of /8
SEE INSTRUCTIONS ON REVERSE
NAME OF FILERI.D.NUMBER
YES— Olt) / i) (c (5.-- FE742 /378055
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
LIT campaign literature and mailings PRT print ads WEB information technology costs(intemet,e-mail)
NAME AND ADDRESS OF CREDITOR CODE OR ( (INb) (N) (d)A
(IF COMMITTEE.ALSO ENTER IA.NUMBER) DESCRIPTION OF PAYMENT OUTSTANDINGCE AMOUNTISPERIODRAHTS PERIODOBALOUTANCE
LG
BALANCE BEGINNING THIS THIS BALANCE AT CLOSE
OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD
A40AlC
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 O
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 D
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
on the Summary Page,Column A,Line 9.) NET$
May wene
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
•
•
Schedule G SCHEDULE
Amounts maybe rounded Statement coversperiod 8
Payments Made by an Agent or Independent CALIFORNIA4;
Contractor(on Behalf of This Committee) to whole dollars. froml�UG �, Z4�t7 oRM `'t60
SEE INSTRUCTIONS ON REVERSE through ge �6.1 Page /2' of/�
NAME OF FILER I.D.NUMBER
5' Ugc-/C ft—7-/1 /378055
NAME OF AGENT OR INDEPENDENT CONTRACTOR l
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(intemet,e-mail)
*Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
IIF COMMITTEE/,ALSO ENTER I.D.NUMBER)
/l/ o iU
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 covers period $CAUPORNIA
* to whole dollars. '-"" 460
Loans Made to Others rroml�/�Y� ZO(� e 14171 � �zq
(
SEE INSTRUCTIONS ON REVERSE through"Lc. 3(:2t (6 Page(� of /CS
NAME OF FILER I.D.NUMBER
/E5 00 Pr_Jec4 Gf�Tv /376(965
IF AN INDIVIDUAL,ENTER (A) (o) /CO (d) (e) (r) WI
FULL NAME,STREET ADDRESS AND ZIP CODE OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF RECIPIENT (IF SELF-EMPLOYED,ENTER BALANCE LOANED THIS FORGIVENESS BALANCE AT RECEIVED AMOUNT OF LOANS
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAMEOFBUSID,EN BEGINNING THIS PERIOD THIS PERIOD' CLOSEOFTHIS LOAN TO DATE
PERIOD PERIOD
❑PAID CALENDAR YEAR
/O v/� $IDs x $ :PER
1/ FORGFORGIVENRATEEN ELECTON
DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
I $ % $ $
RATE
❑FORGIVEN PER ELECTION"
S I f S $
DATE DUE DATE INCURRED
`Loans that are contributions to another candidate or committee must ' ,;4•,.,,,
also be summarized on Schedule D. Loans forgiven must also be '-` '� n.
reported on Schedule E. SUBTOTALS $ $ $ $ I ' �t 4a
(Enter(e)on
Schedule I,Une 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.) (May boo negative number)
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule I Amounts may be rounded SCHEDULE I
to whole dollars. Statement covers period
Miscellaneous Increases to Cash CAALIFORNIAp
/ Be,A
460:.
from LA)er f
`�— � 2�_/ Os6 Page �cof /3
SEE INSTRUCTIONS ON REVERSE thrOUgIJ G C �
NAME OF FILER I.D.NUMBER
y 0-- PUBG_/c �� �T� /3 76053.
DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF
RECEIVED (IF COMMITTEE,ALSO ENTER LD.NUMBER) INCREASE TO CASH
Ale je.
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$
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).) $ 0'
4.Total miscellaneous increases to cash this period.(Add Lines 1,2,and 3.Enter here and on the
Summary Page,Line 14.) TOTAL $
FPPC Form 450(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov