HomeMy WebLinkAbout460 01/31/2017 Recipient Committee Campaign Statement 07/01/2016 - 12/31/2016 Ellery DeatonRecipient Committee
Campaign Statement
Cover Page
Statement covers period I Date of election if
from 17-1 —1(e (Month, Day,
In IEC [EE WE
JAN :31 ".'.;?
Cl-"'( CIERK
SEE INSTRUCTIONS ON REVERSE through ✓ S I CITY OF
JI
1. T,,ype of Recipient Committee: All Committees - complete Parts t, 2, a, and 4. 2. Type of Statement:
/
L7k Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement
/ ,0 State Candidate Election Committee Committee .Semi- annual Statement ❑ Special Odd -Year Report
O Recall O Controlled ❑ Termination Statement
(A,"r,,pata Parcel O Sponsored (Also file a Form 410 Termination)
(Also Con rete Part 6f
❑ General Purpose Committee ❑ Amendment (Explain below)
• Sponsored ❑ Primarily Formed Candidate/
• Small Contnbutor Committee Officeholder Committee
• Political Party/Central Committee larto Complete pan 7)
3. Committee Information , LD
r..a.vivni . ^o rv_n ^ia, i�rv'v i.vrvnvn
Treasurer(s)
NAME OF TREASURER
COVER PAGE
of 3
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL FAxIE- MAILADDRESS
4. Verification
MAILINGADDRESS
CITY STATE ZIP CODE AREACODE /PHONE
OPTIONAL: FAX/ -MAIL ADDRESS
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.
certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on Be
I - - k7 " --
Executed on /' 0, / _
Date
Executed on
Date
Executed
By
Sign alure of Controlling Otficeltolder, Candidate, Stale Measure Proponent
By Signature of Controlling Officeholder, Cantlitlate, State Measure Proponent
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
//c- r v /) -J-,o x)
RESIDENTIAL /BUSINESS ADDRESS (NO.ANDST ET) 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.
I.U. NUM.Ptt
❑ YES ❑ NO
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE /PHONE
COMMITTEE NAME
NUMBER
❑ YES ❑ NO
CITY STATE ZIPCODE AREA CODE /PHONE
COVER PAGE - PART 2
Page -;�— _ of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JUKISUIGIION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
DISTRICT NO. IF ANY
7. Primarily Formed Candidate /Officeholder Committee Listnames 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 Ilan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.ippc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period "Peg Summary Pagefrom 7-1SEE INSTRUCTIONS ON REVERSE through /2— r3/ .— f (o f _3
NAME OF FILER I I.D. NUMBER
Contributions Received
1. Monetary Contributions ....... .... ...................... ..... ___
....... Schedule A, Linea
2. Loans Received ................................. ...............................
Schedule e, Line 3
1 SUBTOTAL CASH CONTRIBUTIONS .._.._ ........................
Add Lines l +2
4. Nonmonetary Contributions..................... ........ ..._
.... ..... Schedule C, Linea
5. TOTAL CONTRIBUTIONS RECEIVED ....... ............................add
Lines 3 +4
Expenditures Made
6. Payments Made ...................... .........................................
Schedule E, Linea
7. Loans Made ..... ._ ...................................... ........................
Schedule H, Linea
8. SUBTOTAL CASH PAYMENTS..... ........... __
..................... Add Lines 6 t 7
9. Accrued Expenses (Unpaid Bills) ........... ...............................
Schedule E Line 3
10. Nonmonetary Adjustment .......................... ...............................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE .............
___ Add Lines a +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 1, Line 4
15. Cash Payments .............. ............................... _... _..._ Column A, Line 6 above
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 t 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$
$
i
$
S
$
$
Column B
CALENDAR YEAR
TOTAL TO DATE
S - S LSD.00
$
$
$ 35 ,i 00
17. LOAN GUARANTEES RECEIVED ................ .._............ Schedule e, Pan 2 S
Cash Equivalents and Outstanding Debts
18. Cash Equivalents. ........... ........................ _......... See instructions on reverse $
19. Outstanding Debt s ................. ............ Add Line2 +Line gin Column Babove $
i
M
$ • 6 O
E�
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
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
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
1 /3&?3a7
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made`
(If Subject to Voluntary EApen tlitu le Limit)
Date of Election Total to Date
(mmfddtyy)
S
'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