Loading...
HomeMy Public PortalAboutForm 460 (July 1 - Dec 30, 2016) • 9 F� COVER PAGE Recipient Committee Date Stempel CA�iFORNIA 460 Campaign Statement FORM Cover Page � � , �' 20G �•Stt/aaate-ment covers perio/d Date of election If applicable: �� fromWL, // 2.0/�+' (Month,Day,Year) CLTy CLERK For Official Use ONy SEE INSTRUCTIONS ON REVERSE through7eG 3/; 20 66 ev 20/ t- Y OF CL REmoNT 1. Type of Recipient Committee: All committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee (l!!Primarily Formed Ballot Measure 0/Preelection Statement 0 Quarterly Statement 0 State Candidate Election Committee Committee LJr7Semi-annual Statement ❑.Special Odd-Year Report (Also Complete Sponsored Recall Fat 0 Spoo0 Termination Statement (Also file a Form 410 Termination) (Aur Capxs ore ❑ General Purpose Committee 0 Amendment(Explain below) 0 Sponsored 0 Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee Comperge 0 Political Party/Central Committee ow. P~� 3. Committee Information I.D.NUMBER/3 k,q Z 3 o Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE)/ 7 NAME OF R URER .S MAILING ADDRESS f 307 . ///iW14AR AIF STREET ADDRESS(NO P.O BOX) CITY STATE ZIP CODE AREA /2o58 A/. ft/r4.4.> /90( 4-637 u4/',eEmort;r /`( g/7// 9Z(p2- 7Z7 CITY/�'+����4�y // C','r/`y�STATE 9/71/ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER.AF ANY MAILI�DRESS DIFFERENT))NO.AND STREET OR P.O. MAILING ADDRESS CRY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIPCOOE AREACODEIPHONE • OPTIONAL:FAX/E-MAIL ADDRESS OPTIONAL:FAX I 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 perjuryunderthe laws of the State of California that the foregoing Is true and correct. Exerted on ,J/"'/� 2or/7 By ./X a�� .. Signature of -","7 orAabmenITreasurer Executed on Data BY Sgwhxe of Controlling Officeholder.Cardilate.State Mees re Proponent or Responsible Oskar of Sponsor Executed on Data By SOW*of Crawling otM.atwuer,Candidate,State Measure Proponent Executed on BY Data Signature of Conholap Officeholder.Candidate.Sero Measure Proponent FPPC Form 460(1an/2016) FPPC Advice:advice.fppc.ca.gov(866/275.3772) www.fppc.ca.8ov COVER PAGE-PART2 Recipient Committee CALIFORNIA ya �' Campaign Statement FORnn 460'y Cover Page—Part 2 e '* -..;---,%,A. Page of 1 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE /A/c7y mil//9 TER. "606),./.,OFFICE SOUGHT OR HELD(IN• UDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JUR JUDICTION M m SUPPORT �/1/ . 9/ E."I d N r 169 ❑OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP !4_ 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 • 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(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 /1V/ �, / 4 0 SUPPORT ❑OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑SUPPORT 0 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 0 NO ❑SUPPORT 0 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.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. r- Summary Page Statement//' coversperiod 'CALIFORNIA" from, /(/L y I; 20/(2 • 1 FORM 419 J *...rt$.,c. ,ro ry'.I SEE INSTRUCTIONS ON REVERSE throug �T, ✓1'. 2.O4 of 13 Page b NAME OF FILER I.D.NUMBER eL A,..emoA; C In/ /36 7Z 3 o TOTAL Coolum E oD ColumnEB Calendar Year Summary for Candidates Contributions Received (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions Schedule A,Line 3 $ i.2 $ 1/1 through 6/30 fn to Date 2. Loans Received Schedule 8,Line 3 .�1 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ O $ v Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ C./ $ 19 Made $ $ Expenditures Made ( • / Expenditure Limit Summary for State 39/ ✓ 6. Payments Made Schedule E,Line 4 $ $ %7 Candidates 7. Loans Made Schedule H,Line 3 / �[// 9/' 5L/ 14719 � 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS AddLness+7 $ % $ (If Subject toVoluntary Expenditw.LimW 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 Lines 8+9+10 $ "39/Sl/ $ 6/ .7 ___I______I $ Current Cash Statement _jam $ `/ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ / / ill''' 2 3✓ To calculate Column B, 13.Cash Receipts Column A,Line 3 above add amounts In Column Y 0O 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 S_,/ reported in Column B. �/15.Cash Payments Column A Linea above Y �f of your last report. Some /L/�/� r amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line/5 $ / '7 9 be negative figures that . should be subtracted from If this is a temmination statement,Use 16 must be zero. previous period amounts. If this Is the first report being 17.LOAN GUARANTEES RECEIVED Schedule e,Part 2 $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if Y)• 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460 pan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period ,,..q Monetary Contributions Received ( cALoRNlA460; from LIvey I, 2-0 /-j FORMS . B ON' "Tea '..-rid°.•8`"� °«''4"f SEE INSTRUCTIONS ON REVERSE throug��L 0`/; 4v/' Page of /`��-77 NAME OF FILER I.D.NUMBER eL/82n/c 1noFL ©W /36q430 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODER OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) 0 IND ❑COM ❑OTH ❑PTY 0 SCC ❑IND / ❑COM /10/AV OTH ❑PTY ❑SCC 0 IND ❑COM ❑OTH ❑PTY ❑SCC 0 IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTALS ': , - Schedule A Summary '`Contributor Codes 1.Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ C2 COM-Recipient Committee (other than PTY or SCC) 2.Amount received this period-unitemized monetary contributions of less than$100 $ 0 OTH-Other(e.g.,business entity) PTY-Political Party 3.Total monetary contributions received this period. scc-small Contributor Committee (Add Lines 1 and 2.Enter here and on the Summary Page,Column A,Line 1.) TOTAL$ FPPC Form 460 pan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www-tppc.ca.gov yi I Amounts may be rounded SCHEDULE B-PART 1 Schedule B—Part 1 to whole dollars. Statrent covers period Loans Receivedca.roam;IA 46go fro ����I, 4! � nJ, �O�S/ FORM SEE INSTRUCTIONS ON REVERSE throw c.34-20g Page of NAME OF FILER �`-2I.D.NUMBER 640 pa' MOAFT t O IA/ /367 o IF AN INDIVIDUALENTER la) (b) (o) (d) (e) (q 1 (q) , FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL I CUMULATIVE OF LENDER OCCUPATION FSELF-EMPLOYED,ENTER YER BALBEGINNING RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF ,CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD CLOSE OF THIS PERIOD LOAN TO DATE PERIOD THIS PERIOD' PERIOD ii PAID CALENDAR YEAR r / /,\Y//Q /�� . $ 5 % $ $ W . 0 FORGIVEN RATE PER ELECTION' f 5 S S DATE DUE S DATE INCURRED 5 ❑IND ❑COM 0 OTH 0 PTY ❑SCC ❑PAID CALENDAR YEAR 5 S % 5 5 RATE ❑FORGIVEN PER ELECTION" $ S S - S S t❑IND ❑COM 0 OTH 0 PTY iiSCC DATE DUE DATE INCURRED El PAID CALENDAR YEAR S 5 _% S S RATE ❑FORGIVEN PER ELECTION" t El IND ❑COM 0 OTH 0 PTY 0 SCC S 5 5 DATE DUE 5 DATE INCURRED SUBTOTALS $ $ $ $ ' 1 (Enter(e)on Schedule B Summary n Schedule E,Line 3) 1. Loans received this period $ c (Total Column(b)plus unitemized loans of less than$100.) n 'tContrbutor Codes 2. Loans paid or forgiven this period $ V IND-Individual (Total Column(c)plus loans under$100 paid or forgiven.) COM-Rehipient Committee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH–Other(e.g.,business entity) O PTY-Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ SCC-Smell Contributor Committee N. Enter the net here and on the Summary Page,Column A.Line 2. (May DeanaOawe nrr ry l '*Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016) ••If required. FPPC Advice:advice@fppuca.gov(866/275-3772) www.fppuca.gov it SCHEDULE B-PART 2 Schedule B—Part 2 Amounts may be rounded Statement covers period aR Loan Guarantors to whole dollars. (�` �} CALIFORNIAPa. froth9" l 2 /!O , -'FORM 4,6Y. '� �f .�'n•,v"$aK a•,$�> '-. SEE INSTRUCTIONS ON REVERSE througZ C �� rO�� Page of /3 NAME OF FILERM0 y 'r /Z-©/A/ /3 2"3‘9 FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTER CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDINGZIP CODE GUARANTOR CODE (IF SELF-EMPLOYED,ENTER TO DATE (IF COMMITTEE.ALSO ENTER I.O.NUMBER) NAME OF BUSINESS) THIS PERIOD TO DATE LENDER CALENDAR YEAR ❑IND /� ❑CTM /�(�// G✓ ❑OTH DATE PER ELECTION (IF REQUIRED) ❑PTY ❑SCC CALENDAR YEAR ❑IND LENDER ❑COM $ - PER ELECTION ❑0TH DATE (IF REQUIRED) ❑PTY ❑SCC CALENDAR YEAR ❑IND LENDER ❑COM ❑OTH DATE PER ELECTION (IF REQUIRED) ❑PTY ❑SCC $ LENDER CALENDAR YEAR ❑ND ❑COM ❑OTH DATE PER ELECTION (IF REQUIRED) ❑PTY ❑SCC $ SUBTOTAL $ Summary Page. Lao lT only. FPPC Form 460(Jan/2016) FPPC Advice:advlce@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C to whole dollars. Stat ment covers period a °4° "°° ^ Nonmonetary Contributions Received f CALIFORNIA: ' �+n. fro ULA 1, W/� kF�ORM� 4 ovj SEE INSTRUCTIONS ON REVERSE through Page of 4.3 NAME OF FILERI.D.NUMBER C//9i m, IV-re FZ0 IV /5672-3 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE♦ OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE CALENDAR YEAR (IF REQUIRED) NAME OF BUSINESS) (JAN 1-DEC 31) ❑IND //0 0 COM ❑OTH ❑PTY ❑SCC 0 IND ❑COM ❑OTH 0 PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC 0 IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ rr Schedule C Summary -Contributor Codes 1.Amount received this period-itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.) $ O COM-Recipient Committee (other than PTY or SCC) 2.Amount received this period—unitemized nonmonetary contributions of less than$100 $ I7 OTH-Other(e.g.,business entity) PTY-Political Party 3.Total nonmonetarycontributions received this period. 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(lan/2016) FPPC Advice:advice@fppc.ca,gov(866/275-3772) www.ippc.ca.gov LJ Schedule D Summary of Expenditures Amounts may be rounded Statement covers period SCHEDULE D to whole dollars. f. `, CALIFORNIA 4960' Supporting/Opposing Other frond/Z-7 /, 20(6 .a FfRMax *,: Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE throug +e' 3/ o/� Page of 13 _L. NAME OF FILER I.D.NUMBER 6.--.142/24.0/011/1— o r t� /%?13 o NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE ❑ Monetary A/Z— Contribution ❑ Nonmonetary Contribution o Independent 0 Support 0 Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent 0 Support 0 Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent 0 Support 0 Oppose Expenditure �5 x 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 $ 0 3.Total contributions and independent expenditures made this period.(Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL..$ 0 FPPC Form 460 flan/2016) FPPC Advice:advlce@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers period to whole dollars. CACIFI3RNIA Payments Made frond/(�Gy/i /V/ :., FORM ` 6�., -� SEE INSTRUCTIONS ON REVERSE througK/6'� 3 + 2C/�G' Page q of /( NAME OF FILER I.D.NUMBER t �R� mo&'r /Zola/ /6 923 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(internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER IA.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Alci 77 0 / //c-tE7• 14-5 Wee C7-/ 9iV7-64ice-)E' /73. 03 VxDd 14-6 lI/G E � psi Y ,Fc) vox x / oo *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3 9'/5 9' 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$ 37 l JET FPPC Form 460(tan/2016) FPPC Advice:advlce@fppc.ca.gov(866/275-3772) www.fppc.ca.8ov Ili SCHEDULE F Schedule F Amounts may be rounded o to whole dollars. Statement covers period CALIFORNIA 46n Accrued Expenses (Unpaid Bills) from(JJt V/,, 20/ _t FORMED, throw eG dpi 210'6 Page /0 of /3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER �,9Re moni7- FL0 ) / /39Z-Y0 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 () ( (N) ( OUTSAMOUNT INNCURRED 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 A/0A✓Ei '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 n accrued expenses of$100 or more,plus total unitemized accrued expenses under$100.) INCURRED TOTALS$ V 2. Total accrued expenses paid this period. (Include all Schedule F,Column(c)subtotals for payments on o 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 be a nagana number FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule G SCHEDULED covers period Made by an Agent or Independent Amounts may be rounded Statement s CALIFORNIA to whole dollars. from q FORllll ,'�'46.0 Contractor(on Behalf of This Committee) through Page IL of /3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR 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) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS 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 Amounts maybe rounded Statement coversperiod ...-'4' + f n 460a. Schedule H to wholdollars. ` / --CALIIFORNIA Loans Made to Others* fro l• 2Ol( FORM1, hpq �, �' '�'=//TJX nk;2 SEE INSTRUCTIONS ON REVERSE throu -C 3t 20/6 Page / of / I NAME OF FILERI.D.NUMBER 4,,,9gI o -c----20W /369230 IF AN INDIVIDUAL,ENTER (•) (b) (c) (d) (e) (r) (y) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE (IFCOMMITTEGE,ALSOENrERT.D.NUMBER) OCCUPATIONALANCE AT (IF SELF-EMPLOYED.ENTER FORGIVENESS. BEGINNING NG THIS NCE LOANED THIS FORGIVENESS CBO EOF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD' PERIOD LOAN TO DATE ❑PAID CALENDAR YEAR "E'- III$ $ - x $ $ A70/ / RATE NPER ELECTION** 5 $ $ S $ DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR I $ % $ $ 0 FORGIVEN RATE PER ELECTION" I I $ $ S DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must " 0 V also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ 0F (Enter(e)on Schedule I,Une 3) Schedule H Summary /� 1. Loans made this period $ v (Total Column(b)plus unitemized loans of less than$100.) **If Required 2. Payments received on loans $ O (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•negetive 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 Miscellaneous Increases to Cash to whole dollars. State ent covers period CA IFORNIA %�(� from G / 2ot� OR FM ",!TV O. thron SEE INSTRUCTIONS ON REVERSE g/rl 3/ 40(g Page/3 of/3 NAME OF FILER I.D.NUMBER 426'Ti 0 IV 7. OCA/ /37g-50 DATE FULL NAME AND ADDRESS OF SOURCEAMOUNT OF DESCRIPTION OF RECEIPT RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH FR2o,a_. /rel 6/e'G, , o O O Ii Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ q,,OcO Schedule I Summary 1. Itemized increases to cash this period. $ 9 0 0 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 �O� Summary Page,Line 14.) TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov