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Home My Public Portal AboutForm 460 (October 20 - December 31)COVER PAGE "Recipient Committee Date Stamp . Campaign Statement • Cover Page M E C M 0 Statement covers period Date of election if applicable: Page of from October 20, 2019 (Month, Day, Year) JAN - 6 2020 For Official Use Only December 31, 2019 =Y CLERK SEE INSTRUCTIONS ON REVERSE through CITY OF CLAREMIC NT 1. Type of Recipient Committee: All Committees;- complete Parts 1, 2, 3, and 4. 24 W 2. Type of Statement: ❑ Officeholder, Candidate Controlled Committee ® Primarily Formed Ballot Measure to ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee By ❑ Semi-annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) EDGeneral Purpose Committee (Also Complete Pert 6) ❑ Amendment (Explain below) • Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER 1421389 No on Measure Cr STREETADDRESS (NO P.O. BOX) 1495 Via Zurita St. CITY STATE ZIP CODE AREACODE/PHONE Claremont CA 91711 310-849-0168 MAILINGADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Aundre Johnson MAILING ADDRESS 1686 Sumner Ave. CITY STATE ZIP CODE AREA CODE/PHONE Claremont CA 91711 310-849-0168 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS 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 best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and CY rect. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 24 W BY CAW Executed on to Signature of Treasurer or Assistant Treasurer Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, Slate Measure Proponent Executed on Date 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 Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page from Statement covers period October 20, 2019 SUMMARY PAGE Expenditures Made through December 31, 2019 page of SEE INSTRUCTIONS ON REVERSE 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+ 7 $ NAME OF FILER $ 4195 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 I.D. NUMBER No on Measure CR 0 70 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 1421389 2577 $ 4265 Column A Column B Calendar Year Summary for Candidates Contributions Received 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 13. Cash Receipts........................................................... Column A, Line 3above 1128 add amounts in Column General Elections 0 1128 4195 1. Monetary Contributions................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 7l1 to Date of your last report. Some 15. Cash Payments......................................................... Column A, Line 8 above 0 0 amounts in Column A may 2. Loans Received................................................................ Schedule B, Line 3 1128 4195 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 + 2 $ $ If this is a termination statement, Line 16 must be zero. Received $ $ previous period amounts. If 70 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 21. Expenditures filed for this calendar year, only carry over the amounts am j Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 1928 4265 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ $ 0 Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 2577 $ 4195 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+ 7 $ 2577 $ 4195 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment........................................................ Schedule C, Line 3 0 70 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 $ 2577 $ 4265 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 1449 To calculate Column B, 13. Cash Receipts........................................................... Column A, Line 3above 1128 add amounts in Column 0 A to the corresponding 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 amounts from Column B 2577 of your last report. Some 15. Cash Payments......................................................... Column A, Line 8 above amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 0 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 am j Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts y 18. Cash Equivalents ................................................ See instructions on reverse $ 0 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) —J—� $ $ *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 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (N0. 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 AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO ESS (NO P.O. CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Measure CR OFFICE SOUGHT OR HELD BALLOT NO. OR LETTER CR JURISDICTION Claremont ❑ SUPPORT OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ❑ OPPOSE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Lisrnames 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 SchprlulP A Amounts may be rounded SCHEDULE A to whole dollars. Monetary Contributions Received Statement covers period ' CALIFORNIA 4 October 20, 2019 • . from December 31, 2019 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER No on Measure CR 1421389 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR S CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Matthew Magilke ❑ COM Teacher 200 320 10/25/2019 616 Wellesley Dr ❑OTH Claremont McKenna Claremont CA 91711 ❑ PTY College ❑ SCC m IND David Epperson El COM President 100 100 10/25/2019 6511 Columbus Ave ❑ OTH Gateway Concrete Riverside CA 92504 ❑ PTY ❑ SCC 0 IND Teresa Burgdorf ElcoM Retired School 100 100 10/28/2019 1095 Loop Branch ❑ OTH Psychologist Claremont CA 91711 ❑ PTY ❑ SCC ❑ IND The Folk Music Center ❑ COM 200 200 11/1/2019 220 Yale Ave R] OTH Claremont CA 91711 ❑ PTY ❑ SCC ® IND Donna Lowe ❑COM Dir. Channel Sales, West 300 500 11/3/2019 1495 Via Zurita St, ❑ OTH Hewlett Packard Claremont CA 91711 ❑ PTY Enterprise ❑ SCC SUBTOTAL$ 900 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) ....................... :..................................................... 2. Amount received this period — unitemized 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.)....... $ 1075 $ 53 ....TOTAL $ 1128 *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 SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers perlocIIIIIIIIIIIIIIIIIIIIIIII CALIFORNIA 460 from October 20, 2019 FORM Page of through December 31, 2019 NAME OF FILER I.D. NUMBER No on Measure CR 1421389 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) IND Jennifer Wiesnerp Business Manager 11/1/2019 2322 Bradley Ave El OTH BLD Consulting 175 Claremont CA 91711 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC [:1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 175 *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) SCHEDULE B - PART 1 „rrry11.0y Wo Schedule B — Part 1 to w whole dollars. rvurrucu to Statement covers period Loans Received from October 20, 2019 through December 31, 201 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER No on Measure CR 1421389 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALENTER , a OUTSTANDING AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD BEGINNING THIS PERIOD THIS PERIOD' PERIOD CLOSE OF THIS PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR $ $ PER ELECTION"t ❑ FORGIVEN RATE DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR PER ELECTION" ❑ FORGIVEN ATE DATE DUE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR $ $ °h $ $ ❑ FORGIVEN ATE PER ELECTION" DATE DUE DATE INCURRED f ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ...................: Enter the net here and on the Summary Page, Column A, Line 2. ......$ n .................$ n ..................... NET $ (May be a negative number) tr=ncar lei 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 Parry SCC — Small Contributor Committee *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) www.fppc.ca.gov SCHEDULE B - PART 2 Schedule B — Part 2 Amounts may De rounoeo Statement covers periodFPage to whole dollars. Loan Guarantors October 20, 2019through from December 31, 201• of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER No on Measure CR 1421389 FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER LOAN AMOUNT GUARANTEED CUMULATIVE BALANCE OUTSTANDING ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR ❑ IND ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ OTH PER ELECTION (IF REQUIRED) DATE ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ LENDER CALENDAR YEAR ❑ IND ❑ COM $ F-1OTHDATE PER ELECTION (IF REQUIRED) ❑PTY ❑ SCC $ Enter on >..,._ . SUBTOTAL $ 0 Summar Page, FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Cehprili lip IC Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to wnole sonars. statement covers period I CALIFORNIA from October 20, 2019 FORM through December 31, 201 Page of SEE INSTRUCTIONS ON REVERSE VAME OF FILER I.D. NUMBER No on Measure CR 1421389 DATE FULL NAME, STREET ADDRESS 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (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 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.)........................................................................... ........................I.....$ 0 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ............... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ............... .......I.....$ 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 SCHEDULE D Summary of Expenditures Amounts may be rounded statement covers period - Supporting/Opposing Other to whole dollars. • 460 from October 20, 2019FORM Candidates, Measures and Committees through December 31, 201: Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER No on Measure CR 1421389 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OR COMMITTEE ❑ 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.) ................. $ 0 ..................... $ 0 TOTAL.. $ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE No on Measure CR Amounts may be rounded to whole dollars. Statement covers period from October 20, 2019 through December 31, 201! I page of 1421389 EDULE E 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 FIND 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 The Claremont Courier display ads, flyer inserts 114 Olive St 1548 Claremont CA 91711 Printing Works Inc door hangers 679 E Foothill Blvd 744 Pomona CA 91767 Rubios campaign 2204 Foothill Blvd 216 La Verne CA 91750 * 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.)............................................................................................................. $ 2. Unitemized payments made this period of under $100........................................................................:........................................I........................ $ 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 $ 2508 69 0 2577 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE UCTIONS ON REVERSE VIE OF FILER No on Measure CR Amounts may be rounded to whole dollars. SCHEDULE Statement covers period CALIFORNIA, from October 20, 2019FORM through December 31, 201' Page of I.D. NUMBER 1421389 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 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 "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.)............ INCURRED TOTALS $ U ...... PAID TOTALS $ 0 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.).......................................................................... .................. .......................... NET $ 0 May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers periodCALIFORNIA I I Contractor (on Behalf of This Committee) to whole dollars. from October 20, 2019FORM • Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0 * 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 December 31, 201 through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER No on Measure CR 1421389 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 (internet, 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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0 * 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 CALIFORNIA to whole dollars. October 20, 2019 • , * Loans Made to Others from e Page of through December 31, 201 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER No on Measure CR 1421389 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) REPAYMENT OR (d) OUTSTANDING (e) INTEREST M ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE THIS CLOSE OF THIS RECEIVED AMOUNT OF LOANS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PE IOD PERIOD THIS PERIOD' PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" $ 8 $ $ 8 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 $ $ $ $ Schedule H Summary 1. Loans made this period........................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ................................................. I........ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ......................... (Enter the net here and on the Summary Page, Column A, Line 7.) kcmer ked un Schedule I, Line 3) ............................................$ ..If Required .......................................................................$ 0 ..............................................................NET $ 0 (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov • t+_L._.J..li. I ----- SCHFni11 F I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from October 20, 2019 through December 31, 201 CALIFORNIA .1 ' Page of NAME OF FILER No on Measure CR I.D. NUMBER 1421389 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period........................................................................... ...................$ 0 2. Unitemized increases to cash of under $100 this period .............. a ...............I..............$ 0 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 SummaryPae Line 14.) ............................................................................................................................. TOTAL $ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov