HomeMy WebLinkAbout460 09/27/2016 Recipient Committee Campaign Statement Gina Phillips (page # correction)Recipient Committee ORIGINAL Type or print in ink.
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
Statement covers period Date of election if appl.
SEE INSTRUCTIONS ON REVERSE
from July 1, 2016 I (Month, Day, Year)
through September 24, 2016
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
® Officeholder, Candidate Controlled Committee
❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee
Committee
0 Recall
0 Controlled
(Also Compete Part 5)
0 Sponsored
❑ General Purpose Committee
(Also Complete Part6)
0 Sponsored
❑ Primarily Formed Candidate/
0 Small Contributor Committee
Officeholder Committee
0 Political Party /Central Committee
(Also Complete Part 7)
3. Committee Information
;OMMITTEE NAME (OR
GINA PHILLIPS
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL', FAX I E -MAIL ADDRESS
Nov. 8, 2016
[ECOMDDD
SEP 272016
CITY CLERK
CITY OF SEA_ BEACH
Treasurer(s)
COVERPAGE
.-
Page 1 of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
MAILING ADDRESS
STATE ZIP CODE AREA CODE /PHONE
herein and in the attached schedules is true and complete. I certify
By
Signature of Controlling Offlceholder, Cerdidete, Slate Measure Proporern
By
Signature of Controlling Officeholder, Carpidate, State Measure Proporent FPPC Form 460(January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Type or print in ink. COVER PAGE - PART 2
Recipient Committee
Campaign Statement s 1
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
GINA PHILLIPS
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
SEAL BEACH CITY COUNCIL MEMBER DISTRICT 4
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COMMITTEENAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO PO. BOX)
STATE ZIP CODE AREA CODE /PHONE
Page 2 of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION ❑ 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
officeholder(s) or candidates) 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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK.FPPC (8661275 -3772)
State of California
Campaign Disclosure Statement
Type or print in ink.
SUMMARYPAGE
Summary Page
Amounts may be rounded
to Whole dollars.
Statement covers period
-
/ '
�
July 1, 2016
� -
from
September 24, 2016
�Q� �
page 3
SEE INSTRUCTIONS ON REVERSE
through
of
NAME OF FILER
D' NUMBER
THOMAS W. STRETZ, TREASURER
1384081
Contributions Received
ColumnA
Column B
Calendar Year Summary for Candidates
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTALTODATE
Running In Both the State Prima and
9 Primary
General Elections
1. Monetary Contributions ............ ............................... schedule A, Line 3
$
2022.00
$ 5869.00
2. Loans Received ....................... ............................... Schedule e, Line 3
0
999.00
111 through 6/30 7/1 to Date
3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines l +2
$
2022.00
S 6868.00
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ............................... Schedule C, Line
0
500.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ....... ........... ... ...... Add Lines 3 +4
$
2022.00
$ 7368.00
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made ........................ ............................... Schedule E, Line
$
3848.00
$ 6599.00
Candidates
7. Loans Made .............................. ............................... Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7
$
3848.00
$ 6599.00
22. Cumulative Expenditures Made*
(If Sublectto Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ........ ....................... Schedule F Line 3
0
0
Date of Election Total to Date
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3
0
500.00
(mm /dd /yy)
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10
$
3848.00
$ 7099.00
$
$
Current Cash Statement
12. Beginning Cash Balance... .................... Previous summary Page, Line 16
$
2095.00
To calculate Column B, add
13. Cash Receipts Column A, Line 3 above
2022.00
amounts in Column A to the
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4
0
corresponding amounts
from Column B of your last
*Amounts in this section may be different from amounts
reported in Column B.
15. Cash Payments ................... ............................... Column A, Line 6 above
3848.00
report. Some amounts in
Column A may be negative
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15
$
269.00
figures that should be
subtracted from previous
If this is a termination statement, Line 16 must be zero.
period amounts. If this is
the first report being fled
17. LOAN GUARANTEES RECEIVED ........................... Schedule e, Part 2
$
0
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
any).
18. Cash Equivalents ......... ............................... See instructions on reverse
$
0
19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column 8 above
$
0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounaea
ry to dollars.
Statement covers period
• •
whole
• ,
from July 1, 2016
� .
September 24, 2016
4
SEE INSTRUCTIONS ON REVERSE
through
page of
NAME OF FILER
I.D. NUMBER
THOMAS W. STRETZ, TREASURER
1384081
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
ADDRESSANDZI O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
pFCO LO.ODE
CODE*
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC, 31)
(IF REQUIRED)
OFSUSINESS)
❑IND
Phillips Steel Co.
®oOM
8/15/16
❑ PTY
❑ SCC
m IND
8/22/16
Barry Durham
❑COM
Retired
100.00
200.00
❑PTY
❑ SCC
®IND
8/28/16
Cliff Shigaki
❑COM
Businessman
300.00
300.00
❑ PTY
❑ SCC
®IND
8/31/16
Jack Berro
❑ PTY
❑Soo
®IND
Greg Phillips
Phillips Steel Co.
8/25/16
[]PTY
❑ Soo
SUBTOTAL$ 1454.00
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.) ......
TOTAL $
1654.00
368.00
2022.00
'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 (January/05)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
to whole d ollars.
from July 1, 2016
September 24, 2014
through
pagof
NAME OF FILER
I.D. N
THOMAS W. STRETZ, TREASURER
1384081
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVETO DATE
PER ELECTION
RECEIVED
(IF COMM mEE ALSO ENTER I. D. NUMBER)
CODE*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
IND
®❑COM
Patricia Biggerstaff
Retired
8/28/16
❑ PTY
❑ Scc
Verena Harlee
®❑CODM
Retired
9/19/16
❑ PTY
❑ Scc
❑IND
❑COM
❑ 0TH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ 200.00
*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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
SCHEDULEB -PART1
r —. r
Schedule — a Amounts 11 may be rounded
Statement covers period
Loans Received to Whole dollars.
July 1, 2016
from
September 24, 2(j
T
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. N
THOMAS W. STRETZ, TREASURER
1384081
FULL NAME, STREETAD DRESS AND ZIP CODE
IF AN INDIVIDUAL ENTER
,
a
OUTSTANDING
(b)
AMOUNT
(cl
AMOUNT PAID
(d)
OUTSTANDING
(e)
INTEREST
O
ORIGINAL
(g)
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
(I F SELF-EMPLOYED, ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCEAT
CLOSE 4C THIS
PAID THIS
AMOUNTOF
CONTRIBUTIONS
(IF COMMITTEE. ALSO ENTER i.D. NUMBER)
NAMEOF BUSINESS)
PERIOD
THIS PERIOD
PPRIOD
PERIOD
LOAN
TO DATE
Gina Phillips
Homemaker
❑ PAID
CALENDARYEAR
RATE
$ 999.00
$
$
$ n/a
3/16/16
$ 999.00
t[Z IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION"
RATE
$
$
$
$
$
DATEDUE
DATE INCURRED
❑ IND ❑ COM ❑ OTH ❑PTY El
tEl
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION"
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC
$
$
5
$
$
DATEDUE
DATE INCURRED
SUBTOTALS $ $ 999.00 $ $
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.
`Amounts forgiven or paid by another party also must be reported on Schedule A.
If required.
..... $
W]
L
re,,
NET $ 0
(May be a negative number)
(emer(e)on
Seh ule 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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
SCHEDULEB -PART2
Schedule E5 — Part 2 Type or print In Ink.
Amounts may be rounded
Loan Guarantors to whole dollars,
Statement covers period
from July 1, 2016
•
SEE INSTRUCTIONS ON REVERSE
September 24, 2
through Y
7 53g!�
Page Of
NAME OF FILER
LD. NUMBER
THOMAS W. STRETZ, TREASURER
1384081
FULL NAME, STREET ADDRESS AND
ZIP CODE ALSO GUARANTOR
(IF COMMITTEE, ALSO ENTER LD. NUMBER)
CONTRIBUTOR
CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF EELF-EOF BUSINESS)
NAME OF BUSINESS
LOAN
AMOUNT
GUARANTEED
THIS PERIOD
CUMULATIVE
TO DATE
BALANCE
OUTSTANDING
TO DATE
MIND
LENDER
CALENDAR YEAR
❑COM
5
DATE
❑ OTH
❑ PTY
PER ELECTION
(IF REQUIRED)
❑SCC
s
CALENDARYEAR
❑IND
LENDER
❑ COM
s
❑ OTH
PER ELECTION
(IF REQUIRED)
DATE
❑ PTY
❑ SCC
5
CALENDAR YEAR
❑ IND
LENDER
❑ COM
$
❑ OTH
❑ PTY
PER ELECTION
(IF REQUIRED)
DATE
❑ SCC
$
❑IND
LENDER
CALENDARYEAR
❑ COM
$
❑ OTH
PER ELECTION
(IF REQUIRED)
OATS
❑ PTY
❑ SCC
5
Erne, -
SUBTOTAL $ 0 Summary Paga,
e 1 ] only
FPPC Form 460 (January/OS)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275.3772)
Schedule C
Type or print in ink.
SCHEDULEC
.vnvMU`o n "Y ulF IUUlluau
Nonmonetary Contributions Received to whole dollars.
Statement covers period
p e'
•'
from July 1, 2016 -
through September 24, 2jj 8
SEE INSTRUCTIONS ON REVERSE
Page of
NAME OF FILER I.D. NUMBER
THOMAS W. STRETZ, TREASURER 1384081
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
CODE ,
OCCUPATIONAND EMPLOYER
(IF SELF - EMPLOYED, ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER LD. NUMBER)
NAMEOF BUSINESS)
(JAN 1 -DEC 31)
(F 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.) ...................... ...............................
............ ............................... $
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.)
Mj
TOTAL $
0
L
V
'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 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
Schedule D
SCHEDULED
ziummary OT Expenditures Type or print in ink.
Statement covers period
Amounts may be rounded
Supporting /Opposing Other
-
to whole dollars.
July 1, 2016 .
Candidates, Measures and Committees
from
September 24, 2134 9 38
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER I.D. NUMBER
THOMAS W. STRETZ, TREASURER 1384081
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
rypE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CUMULATIVETO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN .1 -DEG 31)
(IF REQUIRED)
ORCOMMITTEE
.
❑ 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 .. ... I........
..... $
...................... ............................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
L
C
Z
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866IASK -FPPC (866/275-3772)
Schedule D
(Continuation Sheet) Type or print in ink. SCHEDULED (CONT)
Summary of Expenditures Amounts may be rounded
to whole dollars.
Supporting /Opposing Other
Candidates, Measures and Committees
Statement covers period
from July 1, 2016
through September 24, 2b
••
• •
Page 10 of 3g' /�
NAME OF FILER
I.D. NUMBER
THOMAS W. STRETZ, TREASURER
1384081
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REDUIRED)
AMOUNTTHIS
PERIOD
CUMULATIVETO DATE
CALENDAR YEAR
(JAN. 1 -DEC, 31)
PER ELECTION
TO DATE
(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
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $ 0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule E Type or print in ink. Statement covers period
Payments ts Made Amounts may be rounded , 0 '
y to whole dollars. from July 1, 2016
2(d
SEE INSTRUCTIONS ON REVERSE through September 24, Page 11 of
THOMAS W. STRETZ, TREASURER 1 1384081
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
OVID
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
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 COMM ITTEE, ALSO ENTER io. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
AMOUNTPAIO
The Addressers Postcard Mailer
12730 Raymer St. #1 LIT 847.00
North Hollywood, Ca. 91605
City of Seal Beach Candidate statement ballot fee
211 8th St. FIL 582.00
Seal Beach, Ca 90740
The Sun Newspaper Advertising
216 Main St. PRT 780.00
Seal Beach, CA. 90740
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2209.00
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. 3702.00
2. Unitemized payments made this period of under $100 ........................................................................................................... ............................... $ 146.00
3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).). .. .... . ........ . ....... I ...... I ....... I ...... .... $ 0
4. Total payments made this period, Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 3848.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule E
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
My Campaign Store
Yard Signs and Car Magnets
SCHEDULEE(CONT)
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
Statement covers period
�_
Payments Made
to whole dollars.
Staples
from
July 1, 2016
•'
12337 Seal Beach Blvd.
OFC
133.00
through
September 24, 2(jj
12
SEE INSTRUCTIONS ON REVERSE
Christy Smith Graphic Design
Graphic design fee
2217th St
Page of
NAME OF FILER
190.00
Seal Beach, Ca. 90740
I.D. NUMBER
THOMAS W. STRETZ, TREASURER
1384081
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CNP 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 fling /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
UT campaign literature and mailings
PRT
print ads
VVEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
My Campaign Store
Yard Signs and Car Magnets
304 Whittington Pkwy #201
CMP
1170.00
Louisville, KY. 40222
Staples
Office Supplies
12337 Seal Beach Blvd.
OFC
133.00
Seal Beach, Ca 90740
Christy Smith Graphic Design
Graphic design fee
2217th St
PRT
190.00
Seal Beach, Ca. 90740
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1 1493.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from July 1, 2016
through September 24, 2�
SCHEDULEF
Page 13 of
NAME OF FILER 1.D. NUMBER
THOMAS W. STRETZ, TREASURER 1384081
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CIVP
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 fling /ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIND
fundraising events
ROL
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. NUMaER
CODE OR
DESCRIPTION OF PAYMENT
(A
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(IN
AMOUNTINCIOD
THIS PERIOD
(c)
AMO PERIOD
THIS PERIOD
(ALSO REPORT ON E)
(A
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
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 $
........I PAID TOTALS $
.............................. NET $ U
May e a negative number
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
Schedule F
CODE OR
DESCRIPTION OF PAYMENT
Type or print in ink.
(b)
AMOUNTINCURRED
THIS PERIOD
(c)
AMOUNTPAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
SCHEDULE F (CONT.
Statement covers period
(Continuation Sheet) Amounts may be rounded
to whole dollars.
July 1, 2016
Accrued Expenses (Unpaid Bills)
from
throw h September 24, 2�^ g
7NUMBER
ofNAME
OF FILER
THOMAS W. STRETZ, TREASURER
1384081
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CNP campaign paraphernalia /misc.
MBR
member communications
RAID
radio airtime and production costs
GINS 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 fling /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)
Payments that are contributions or independent expenditures must also
be summarized
on Schedule D.
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNTINCURRED
THIS PERIOD
(c)
AMOUNTPAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
SUBTOTALS $ 0 $ 0 $ 0 $ 0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule G Type or print in Ink.
Payments Made by an Agent or Independent Amounts may be rounded
Contractor (on Behalf of This Committee) to wholedollars.
from
tatement covers period
July 1, 2016
through September 24, 2 15
Page of
NAME OF FILER I.D. NUMBER
THOMAS W. STRETZ, TREASURER 1384081
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.
CtvP
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
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
Lrr
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
independent contractor as reported on Schedule E. FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (866/275 -3772)
SCHFntll F H
Schedule Type or print in ink.
Statement covers period
-
* Amounts may be rounded
Loans Made to Others
July 1, 2016
e • •
to whole dollars,
from
September 24, 24j
16
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
!O, NUMBER
THOMAS W. STRETZ, TREASURER
1384081
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
(a)
OUTSTANDING
(b)
AMOUNT
(c)
REPAYMENT OR
ttl1
OUTSTANDING
(e)
INTEREST
M
ORIGINAL
W)
CUMULATIVE
OF RECIPIENT
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
BALANCE
BEGINNING THIS
LOANED THIS
FORGIVENESS
BALANCEAT
CLOSE OF THIS
RECEIVED
AMOUNT OF
LOANS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME OF BUS'eSS)
PERIOD
PERIOD
THIS PERIOD"
PERIOD
LOAN
TO DATE
L) PAID
CALENDAR YEAR
$
$
%
$
5
FORGIVEN
PERELECTION°
RATE
S
$
$
$
S
DATE DUE
DATE INCURRED
PAID
CALENDAR YEAR
$
$
_%
$
5
Ej FORGIVEN
PERELECTION'O
RATE
$
$
$
S
8
DATE DUE
DATE INCURRED
*Loans that are contributions to another candidate or committee
must also be summarized on Schedule D. Loans forgiven must
7
also be reported on Schedule E. SUBTOTALS
$
$
$
$
(tnter (e) on
Schi I, Line 3)
Schedule H Summary
1. Loans made this period ............ ............................................................. ............................... $ 0
"If Required
(Total Column (b) plus unitemized loans of less than $100.)
2. Payments received on loans ............................................................................................................ ............................... $ 0
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. Subtract Line 2 from Line 1. .................... .............................. ........................................ NET $ 0
(Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule I
Sr.NFni u F I
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from July 1, 2016
through September 24, 2Qy
0.
0 0
e' _J
Page 17 of 'mac
NAME OF FILER
THOMAS W. STRETZ, TREASURER
I , NUMBER
1384081
DATE
RECEIVED
FULL NAMEANDADDRESS OF SOURCE
(IF COMMfTTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNTOF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
1. Itemized increases to cash this eriod. $ 0
p
2. Unitemized increases to cash of under $100 this period. ... ...... ....................................................... ..................... $ 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 0
SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)