HomeMy WebLinkAbout460 10/25/2016 Recipient Committee Campaign Statement 09/25/2016 - 10/22/2016 Gina PhillipsRecipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200- 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in Ink.
Statement covers period
from SEPT. 25, 2016
through
OCT. 22, 2016
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
®
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
IAmCompiete Parts) O Sponsored
(Also Compete Part67
❑ General Purpose Committee
O Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Political Party /Central Committee (Also complete Felt 7)
3. Committee Information
NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
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
FAX / E -MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this stale me nt and to the best of my
under penalty of perjury under the laws of the State of California that the forego in is truear -cocr¢c
�l.
Data of election If apprcanl : OCT 2 5 2016
(Month, Day, Year)
COVER PAGE
of 17
For Official Use Only
CITY CLERK
Nov. 8, 2016 L CITY OF SEAL BEACH
2. Type of Statement:
0 Preelection Statement ❑ Quarterly Statement
❑ Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
THOMAS W.STRETZ
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
herein and in the attached schedules Is true and complete. I certify
OCTOBER 26, 2016
.
Responsible Officarof Sponsor
Executed on
By
new
eignature of Contmlling Crficehodar, Candidate, State Measure Proponent
Executed on
By
Data
SignatureofCOntrolling Otfimfioper, Candidate, State Measure Proponent
FPPC Form 460 (JanuarylOS)
FPPC Toll -Free Helpline: 866 /ASK.FPPC (866/276.3772)
State of California
Type or print in ink.
Recipient Committee
Campaign Statement
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
RESIDENTIAL/BUSINESS 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.
NAME OF TREASURER
Itl
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODE /PHONE
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
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
COVERPAGE
Page 2 of 17
❑ SUPPORT
❑ OPPOSE
9
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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/06)
FPPC Toll -Free Helpllne: 886 /ASK.FPPC (866/275 -3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
.4FPT 95 901R
from
SUMMARY
Expenditures Made
6. Payments Made ...... ...... ........ ,............... ......
........... schedule E, Line $
through
OCT. 22, 2016
Page 3 of 17
SEE INSTRUCTIONS ON REVERSE
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line
10. Nonmonetary Adjustment ........... ...................1.111.......
Schedule C, Line
11. TOTAL EXPENDITURES MADE ... ..... ... ......
............... Add Lines 8 +9 +10 $
NAME OF FILER
I.D. NUMBER
TOM W. STRETZ, TREASURER
1384081
Contributions Received
EAcD
Column BR
Calendar Year Summary for Candidates
TDColum
(FROMATTACHED SCHEDULES)
TOTAITODATE
Running In Both the State Prima and
g Primary
General Elections
1. Monetary Contributions .., ........ . ...............................
schedule A, une 3
$ 292.00 $
6200.00
2 Loans Received ...... ._ ........................... ..................
Schedule 6, Line
2500.00
3499.00
1/1 through 6/30 7/1 to Date
3. SUBTOTALCASH CONTRIBUTIONS ................
,. Add
2800.00
$ $
9661
20. Contributions
_ .....
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
0
500.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...... ...............
.....Add Lines 3 +4
$ 3400.00 $
10,768.00
Made $ $
Expenditures Made
6. Payments Made ...... ...... ........ ,............... ......
........... schedule E, Line $
7. Loans Made ....... ,.......... ........... ..............._...............
Schedule H, Line
8. SUBTOTAL CASH PAYMENTS ....... ... .... ....................
.. Add Lines 6+7 $
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line
10. Nonmonetary Adjustment ........... ...................1.111.......
Schedule C, Line
11. TOTAL EXPENDITURES MADE ... ..... ... ......
............... Add Lines 8 +9 +10 $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous summary Page, Line 16 $
13. Cash Receipts .................... ............................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... schedule L Line 4
15. Cash Payments...-... . ........... ..... ....... .............. Column A, Line 8 above
16. ENDING CASH BALANCE...,....,. Add Lines 12 +13+ 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... AddLme2+ Line 9m CDlumn Babove $
1434.00 $
0
1434.00 $
0
0
1434.00 $
2800.00
0
1434.00
1635.00
0
0
0
8033.00
0
8033.00
0
500.00
8533.00
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column 8 of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being fled
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(if Subject to Voluntery 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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK.FPPC (866/275 -3772)
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received mmounts may oe rounneu
ons to dollars.
-- 0
Statement covers period e�
whole
from SEPT. 25, 2016 e . x'
OCT. 22, 2016 4 17
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER I.D. NUMBER
TOM W. STRETZ, TREASURER 1384081
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IF COMMITTEE, ALSO EWER ID. NUMBER)
CODE*
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OFBUSINESS)
®ND
10/10/2016
Andrew Littlefair
❑coM
Businessman
250.00
250.00
❑ PTY
❑ ScC
❑IND
❑COM
❑OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑OTH
❑ PTY
❑SCC
SUBTOTAL$ 250.00
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 $
250.00
42.00
292.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275 -3772)
'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
Schedule A (Continuation Sheet) Type or print In ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers periotl
o. '
to whole dollars.
SEPT. 25, 2016
0 0
from
through OCT. 22, 2016
Page 5 of 17
NAME OF FILER
I.D. NUMBER
TOM W. STRETZ, TREASURER
1384081
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(IFCOMMITTEE. ALSO ENTER LD.NUmeER)
COD E•
(IF SELF EMPLOYED. ENTER NAME
PERIOD
(JAN.1 - DEC . 31)
(IF REQUIRED)
OFBUSINESS)
❑ IND
❑ COM
[]OTH
❑ PTY
❑ SCC
❑IND
❑COM
[-]OTH
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑OTH
❑ PTY
❑ SCC
SUBTOTAL$ 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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
SCHEDULER -PART1
Schedule B — Part 1 Amounts may be rounded
Statement covers period
Loans Received to whole tlollars.
SEPT. 25, 2016
sm
from
SON
OCT. 22, 2016
6 17
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
TOM W. STRETZ, TREASURER
1384081
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
AMOUNT
O
Iq
AMOUNTPAID
A
OUTSTANDING
1R
INTEREST
I
ORIGINAL
IuI
CUMULATIVE
OF LENDER
(IFSELF- EMPLOYED. ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCEAT
CLOSE OF THI$
PAID THIS
AMOUNTOF
CONTRIBUTIONS
(IF COMMITTEE. ALSO ENTER LD. NUMBER)
NAME OF BUSINESS)
PERIOD
THIS PERIOD'
PERIOD
LOAN
TO DATE
Gina Phillips
Homemaker
❑PAID
CALENDARYEAR
RATE
E 999.00
2500.00
E 999,00
n1a
n/a
3/16/16
$
tm IND ❑ COM ❑ OTH ❑ PTV ❑ SCC
E
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
E
$
_%
E
E
❑ FORGIVEN
PER ELECTION°
RATE
t❑ IND ❑ COM ❑ OTH E:) PTY ❑SCC
$
E
E
E
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
E
g
-%
$
8
❑ FORGIVEN
PER ELECTION"
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
$
E
E
E
DATE DUE
DATE INCURRED
SUBTOTALS $ 2500.00$ 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.)
3499.00
•°° 11
3. Net change this period. (Subtract Line 2 from Line 1.) ............................... ............................... NET $ 2500.00
Enter the net here and on the Summary Page, Column A, Line 2 M0y ° °° epa1NeoumOa"
(Enter (e)on
Schedule E, Wei)
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
'Amounts forgiven or paid by another party also must be reported on Schedule A.
If required. 11 FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
SCHEDULEB -PART2
5cneauie tS — cart z type or print In ma.
Statement covers period
.
Amounts may be rounded
Loan Guarantors
o
to whole dollars.
SEPT. 25, 2016
from
F17
OCT. 22, 2016
7
SEE INSTRUCTIONS ON REVERSE
through
pa e
9
NAME OF FILER
I.D. NUMBER
TOM W. STRETZ, TREASURER
1384081
FULL NAME, STREET ADDRESS AND
IF AN INDIVIDUAL, ENTER
AMOUNT
BALANCE
ZIP CODE OF GUARANTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
LOAN
GUARANTEED
CUMULATIVE
OUTSTANDING
(IF COMMITTEE, ALSO ENTER IO. NUMBER)
CODE
(IF SELF EMPLOYED, ENTER
THIS PERIOD
TO DATE
TO DATE
NAMEOFBUSINESS
❑ IND
LENDER
CALENDAR YEAR
❑ COM
s
DATE
❑ OTH
PER ELECTION
OF REQUIRED)
FIFTY
❑ SCC
s
CALENDARYEAR
❑IND
LENDER
❑COM
$
❑ 0TH
PER ELECTION
DATE
(IF REQUIRED)
❑ PTY
❑ SCC
s
CALENDAR YEAR
[]IND
LENDER
❑COM
s
❑0TH
PER ELECTION
DATE
❑ PTY
(IF REQUIRED)
❑ SCC
$
F-1 IND
LENDER
CALENDAR YEAR
❑COM
s
DATE
❑ 0TH
PER ELECTION
(IF REQUIRED)
❑ PTY
❑ SCC
s
nW
SUBTOTAL $ summary Page,
Line 1I only.
FPPC Form 460 (January/06)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661276 -3TT2)
Schedule C
Type or print in Ink.
Sr:HFnl II F r
Nonmoneta Contributions Received V{ Vtow whole V Mars. VCV
rY to whole dollars.
Statement covers eriotl
p
of
,
0
SEPT. 25, 2016
a •
from
OCT. 22, 2016
8 17
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
TOM W. STRETZ, TREASURER
1384081
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNTI
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
CODE*
OCCUPATION AND EMPLOYER
(IF SELF ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER LO. NUMBER)
BUSINESS)
NAME OF BUSINESS)
(JAN 7 -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.) ...................................................................................... ............................... $
2. Amount received this period - unitemized nonmonetary contributions of less than $100 ..... ............................... $
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
'Contributor Codes
IND — Individual
COM —Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Cormmittee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
Schedule D
.ccuPni II ❑ n
summa OT CX enanures type or print in mK.
Amounts may be rounded
Supporting /Opposing Other to Whole dollars.
Candidates, Measures and Committees
Statement covers period
SEPT. 25, 2016
from
a -
SEE INSTRUCTIONS ON REVERSE
through OCT. 22, 2016
Page g of 17
NAME OF FILER
I.D. NUMBER
TOM 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 REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVETO DATE
CALENDAR YEAR
(JAN. t-DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
❑ Monetary
Contribution
❑ Nonmcnetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmcnetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmcnetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $
-
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .......................... ............................... $
2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................... ............................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275.3772)
Schedule D
(Continuation Sheet)
Type or print in ink.
SCHEDULED(CONT)
Summary of Expenditures Amounts may be rounded
Supporting /Opposing Other to whole dollars.
Candidates, Measures and Committees
Statement covers period
SEPT. 25, 2016
from
0.
�
a
through OCT. 22, 2016
Page 10 of 17
NAME OF FILER
I.D. NUMBER
TOM W. STRETZ, TREASURER
1384081
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
ORCOMMITTEE
TYPE OF PAYMENT
DESCRIPTION
DESCRIPTION
OI
AMOUNTTHIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC.31)
PER ELECTION
TO DATE
(IF REQUIRED)
❑ Monetary
Contribution
❑ Nonmcnetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmcnetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
Schedule D
SCHFrXJI F D
Summary or Expenditures Type or print in ink.
Statement covers period
Supporting/Opposing Other Amounts may be rounded
No MW
to whole dollars.
SEPT. 25, 2016
Candidates, Measures and Committees
from
OCT. 22, 2016 9 17
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER ID. NUMBER
TOM W. STRETZ, TREASURER 1384081
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNTTHIS
CUMULATIVE YEAR
CALENDAR YEAR
Y
PER ELECTION
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN DEC.3t)
(IF REQUIRED)
ORCOMMITTEE
.t-
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $
-
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .......................... ............................... $
2. Unitemized contributions and independent expenditures made this period of under $100 ...................................................... ............................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
FPPC Form 660 (January/OS)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772)
Schedule E Type or print in ink. Statement covers period •,Ejic
Payments Made Amounts may be rounded tti 67g
y to whole dollars, from SEPT. 25, 2016 • ,,EIhI)ul },,
OCT. 22, 2016 h 17
SEE INSTRUCTIONS ON REVERSE through Page 11 of
NAME OF FILER I.D. NUMBER
TOM 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
RAE)
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
PEr
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing /ballot fees
RHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
ROL
polling and survey research
TIPS
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
FRT
print ads
VvES
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE. ALSO ENTER I. D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
The Sun Newspaper
ADVERTISING
1. Itemized payments made this period. Include all Schedule E subtotals.
216 Main St.
PRT
2. Unitemized payments made this period of under $100 ........................................................................................................... ...............................
1034.10
Seal Beach, Ca 90740
3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).)
0
STAPLES
TOTAL $
FLYERS
12337 SEAL BEACH BLVD
LIT
400.00
SEAL BEACH, CA 90740
" Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL$
1434.10
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals.
1434.10
2. Unitemized payments made this period of under $100 ........................................................................................................... ...............................
s
0
3. Total interest paid this period on loans. Enter amount from Schedule B, Part 1, Column (e).)
0
4. Total payments made this period, Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6.
P Y p � Summary 9 ) .............................
TOTAL $
1434.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule E
SCHEDULE E (CONT.)
(Continuation Sheet)
Type or print in ink.
Amounts may be rounded
Statement covers period o
,
Payments Made
to whole dollars.
SEPT. 5 2016
. , •
through
OCT. 22, 2016 12
b 17
SEE INSTRUCTIONS ON REVERSE
Page of
NAME OF FILER
LD.NUMBER
TOM W. STRETZ, TREASURER
1384081
CODES: If one of the following codes accurately describes the
payment, you may enter the code.
Otherwise, describe the payment.
CUP campaign paraphernalia /misc.
MBR
member communications
RAID
radio airtime and production costs
CNS campaign consultants
MITG
meetings and appearances
RFD
returned contributions
CTB contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC civic donations
Pi
petition circulating
TEL
t.v. or cable airtime and production costs
FIL candidate filing /ballot fees
RHO
phone banks
TRC
candidate travel, lodging, and meals
FND fundraising events
ROL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
ND 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
Lff campaign literature and mailings
PRT
print ads
WES
information technology costs (Internet, e-mail)
"Payments that are contributions or independent expenditures mustalso besummarized on Schedule D. SUBTOTAL$ 0
FPPC Forni (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
Schedule F
Accrued Expenses (Unpaid Bills)
Type or print In Ink,
Amounts may be rounded
to whole dollars.
Statement covers period
from SEPT. 25, 2016
through OCT. 22, 2016
SCHEDULEF
Page 13 of 17
NAME OF FILER
I.D. NUMBER
TOM 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 parapheme(stansc.
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
ROL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
NA
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
VvEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF CREDITOR
pv comminee, AUSO ENTER 10 NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OFTHISPERIOD
(IN
AMOUNT INCURRED
THIS PERIOD
IN
AMOPERIO D
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OFTHISPERIOD
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 0
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 0
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 0
onthe Summary Page, Column A, Line 9.) ................................................................................................................ ............................... NET $
aY be nelT x,aWa num er
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule F
CODE OR
DESCRIPTION OF PAYMENT
Type or print In Ink.
( IN
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
SCHEDULE F (CONT
Statement covers period )� e
Amounts may be rounded
(Continuation Sheet) to dollars.
Accrued Expenses (Unpaid Bills)
whole
SEPT. 25, zols f •
from
through OCT. 22, 2016 14 17
Page of
NAME OF FILER
LO. NUMBER
TOM W. STRETZ, TREASURER
1384081
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CW campaign paraphernalia /mist.
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
RHO
phone banks
TRC
candidate travel, lodging, and meals
FND 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)
" Payments that are contributions or Independent expenditures must also
be summarized on Schedule D.
NAME AND ADDRESS OF CREDITOR
(IF COmmiTTee. ALSO ENTER LO. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OFTHISPERIOD
( IN
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(dl
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
SUBTOTALS$ $ $ $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -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) towholedollars.
ON
TOM W. STRETZ, TREASURER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
from SEPT. 25, 2016
through OCT. 22, 2016
Page 15 of 17
1384081
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CfvP
campaign paraphernalialmisc.
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
RHO
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.
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 (8661275 -3772)
SCHEDUI F H
Schedule H Type or print in ink.
Statement covers period
Amounts may be rounded
Loans Made to Others*
SEPT. 25, 2016
•
to whole dollars.
from
OCT. 22, 2016
16 17
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
ID. NUMBER
TOM W. STRETZ, TREASURER
1384081
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OUTSTANDING
(b)
AMOUNT
(�)
REPAYMENT OR
OUTSTANDING
(el
INTEREST
in
ORIGINAL
191
CUMULATIVE
OF RECIPIENT
OCCUPATION AND EMPLOYER
BALANCE
LOANED THI$
FORGIVENESS
BALANCE AT
RECEIVED
AMOUNTOF
LOANS
(IF COMMITTEE. ALSO ENTER LD. NUMBER)
(IF SELF - EMPLOYED. ENTER
NAME of BUSINESS)
BEGINNING THIS
PERIOD
PERIOD
THIS PERIOD`
CLOSE OF THIS
PERIOD
LOAN
TO DATE
PAID
CALENDAR YEAR
E] FORGIVEN
PERELECTION"
RATE
E
s
E
E
E
DATE DUE
GATE INCURRED
PAID
CALENDAR YEAR
E
s
FORGIVEN
PERELECTION°
RATE
E
E
E
$
E
DATE DUE
DATEINCURRED
'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 ......................................... ...............................
(Total Column (c) plus unitemized payments of less than $100.)
3. Net changethis period. (Subtract Line 2 from Line 1.) . ...............................
(Enter the net here and on the Summary Page, Column A, Line 7.)
{Lnler lei
Scbatlule I, Line 3)
................... ............................... $
.................... . ..................... ..... ....... I ... I..... $
........................ ............................... NET $ 0
(Me, be a ne92tive number)
"If Required
FPPC Form 460 (January/05)
FPPC Toll -Fme Helpllne: 866/ASK -FPPC (8661275 -3772)
LT.1TTmAI
erurn, u
^' IYIIC VI plllll 111 IIIR.
Miscellaneous Increases to Cash Amounts may be rounded
to whole dollars.
Statement covers period
SEPT. 25, 2016
from
.. I
"I "- • • { 0 O
SEE INSTRUCTIONS ON REVERSE
through OCT. 22' 2016
Page 17 of 17
NAME OF FILER
I.D. NUMBER
TOM W. STRETZ, TREASURER
1384081
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
pE COMMITTEE, ALSO ENTER 10 NUMBER/
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
1. Itemized increases to cash this period ......................................................................................... ............................... $
2. Unitemized increases to cash of under $100 this period .............................................................. ............................... $
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .. ............................... $
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.) ............................................................................................ ............................... TOTAL $
SUBTOTAL$
0
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
/