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Home My WebLink About460 01/09/2019 Recipient Committee Campaign Statement 10/21/2018 - 12/31/2018Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/21/18 through 12/31/18 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 ® Controlled Im. complete Pan 5) 0 Sponsored ❑ General Purpose Committee Ikso Complete Pad 5) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Al. Camplete Pen r) 3. Committee Information I.D. NUMBER Safety First Seal Beach - -Yes on BB STREETADDRESS (NO P.O. BOX) STATE ZIP CODE AREACODE /PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX /E -MAIL ADDRESS Date of election if applicable: JAN U 9 2019 page (Month, Day, Year) CITY CLERK November 6, 2018 ITY OF SEAL BE NCH 2. Type of Statement: ❑ Preelection Statement ® Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) of 13 Only Treasurer(s) 01/09/2019 NAME OF TREASURER By Barbara E. Barton Date Signaturi onsitele Off car of Sponsor Executed on By Date Signature of Gontrdling Officeholder, candidate, state Me95ure Proponent Executed on g y Data Signature of Controlling Officeholder, Candidate, Stale 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 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you orare primarily formed to receive contributions or make expenditures on behalf of your candidacy. CITY STATE ZIPCODE AREACODE /PHONE COMMITTEE NAME I.D. NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page 2 of 13 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Measure BB BALLOT NO. OR LETTER JURISDICTION 0 SUPPORT BB I Seal Beach, Orange County I ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OR DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names 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 Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period 10/21/18 ME= from through 12/31/18 Page 3 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 Contributions Received Column A TOTAL Column B Calendar Year Summary for Candidates THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ................_ ................................. Schedule A, Line 3 $ 0 $ 32,400 0 0 n through srso n m Date 2. Loans Received ................................. ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ 0 $ 32,400 Contributions 20. Received $ $ 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED .............................. - ... Add Lines 3 +4 $ 0 $ 32,400 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ................................. ............................... Schedule E, Line 4 $ 6,274.09 $ 34,124.38 Candidates 7. Loans Made ........................................ ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines e +7 $ 6,274.09 $ 34,124.38 22. Cumulative Expenditures Made' (If Sublect to Voluntary E"milture 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 0 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE ........................ .,_........... Add Lines 8 +9 +10 $ 6,274.09 $ 34,124.38 $ —J� $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line iB $ 10,538.71 To calculate Column B, 13. Cash Receipts ............................ ............................... Column A, Line 3 above 0 add amounts in Column 14. Miscellaneous Increases to Cash ... ............................... schedule 1, Line 4 2,093.00 A to the corresponding amounts from Column B *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments., ....................................................... column a, Line Aaaove 6,274.09 of your last report. Some 6,357.62 amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13+ 74, then subtract Line 15 $ 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 s, Part 2 $ 0 fled for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any). 18. Cash Equivalents ................ ........... I ........ ._......... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2+ Line 9 in Column a above $ 0 FPPC Form 460()an /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov, Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnome aouars. Statement covers period 10/21/18 • from � 12/31/18 4 13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVEDTHIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED NAME PERIOD (JAN. 'I - DEC. 31) (IF REQUIRED) BUSINESS) OF BUBINE557 ❑ 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$ 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 $ *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 /rmn,�nlc _n In . nd A SCHEDULE B - PART 1 Schedule — Part 1 to whole dollars. Statement covers period Loans Received 10/21/18 - ' • from a 12/31/18 5 13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING b AMOUNT (e) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OFLENDER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER ID. NUMBER) NAME OF BUSINESS) BEGINNINGTHIS PERIOD THIS PERIOD ` CLOSE OF THIS PERIOD LOAN TO DATE PERIOD PERIOD ❑ PAID CALENDAR YEAR El FORGIVEN FORGIVEN PER ELECTION" t El IND ❑ DOM El OTH ❑ PTV El SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ S E $ $ ❑ FORGNEN PER ELECTION R T e $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH El ❑SCC ❑ PAID CALENDAR YEAR $ E _% $ $ El FORGIVEN FORGIVEN PER ELECTION" 1 OTH PTV SCC ❑ IND ❑ COM ❑ ❑ ❑ $ $ $ $ $ DATE DUE DATE INCURRED 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.) ............................... ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (Mar be a ne,aMa number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. If required. \I F.) an Schedule E, Line 3) tContnbutor 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 C Amounts may be rounded R(`HFDI II Fr. Nonmonetary Contributions Received Statement covers period I- from 10/21/18 e - SEE INSTRUCTIONS ON REVERSE through 12/31/18 Page 6 of 13 NAME OF FILER I. D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 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 * OCCUPATION AND EMPLOYER (IFSELF- EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE (IF COMMIT EE, ALSO ENTER LO. NUMBER) NAME OF BUSINESS) VALUE (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.) ........................................................................................ ..............................$ 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 $ 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 SCHFDIII F D oummar or CX enunures Amounts may oe rounaea Statement covers period t o whole dollars. Supporting /Opposing Other • e Y 9 Candidates, Measures and Committees from 10/21/18 e SEE INSTRUCTIONS ON REVERSE through 12/31/18 Page 7 of 13 NAME OF FILER I.D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 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 AND JURISDICTION, pF REQUIRED) PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) COMMITTEE 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 $ 0.00 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.. $ 0.00 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 Safety First Seal Beach - -Yes on BB Amounts may be rounded to whole dollars. Statement covers per from 10/21/18 through 12/31/18 Page 8 1407843 of 13 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE BF COMMITTEE, ALSO ENTER I.D. NUMBER) Deb Machen Market Snag DMH Meyer, Inc. Bogart's Coffee CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Establishing and maintaining web site WEB $1,000.00 Printed Literature, Handouts, Mailers LIT $4,916.96 Refreshments for Leisure World Town Hall $150.00 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6,066.96 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 6,274.09 2. Unitemized payments made this period of under $ 100 ........................................................................................................... ............................... $ 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 Summary Page, Column A, Line 6.) ........................... TOTAL $ 61274.09 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID James Brady Reimbursement for ink cartridge and paper, miscellaneous office supplies. $207.13 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 207.13 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppaca.gov SCHEDULE Schedule F CODE OR DESCRIPTION OF PAYMENT Amounts may be rounded (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD EM s ' to whole dollars. Statement covers period Accrued Expenses (Unpaid Bills) 10/21118 6 from through 12/31/18 Page 10 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /mist. MBR member communications BAD 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 staffJspouse travel, lodging, and meals (NO 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 gP COMMITTEE, ALSO ErrreR i.o. 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 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.) ....................... .......................INCURRED TOTALS $ 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.) .... ............................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................. ............................... NET $ 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 Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. from 10/21/18 through 12/31/18 I Pa a 11 9 ,a . yr n1on LD. NUMBER Safety First Seal Beach - -Yes on BB 1407843 of 13 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 filinglbailot 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 (IF COmrnirrEE , ALSO ENTER I.D. NUMBER) I CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID 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 Schedule H Amounts may be rounded Statement covers period to whole dollars. Loans Made to Others* 10/21/18 Ism from 12/31/18 12 13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER e OUTSTANDING (b) AMOUNT Icl REPAYMENT OR (d) OUTSTANDING le) INTEREST 10 ORIGINAL (g) CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER LO. rvuMaERI (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNTOF LOANS rvnIUE OF euslrvess) PER D PERIOD THIS PERIOD' PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR E-1 FORGIVEN FORGIVEN PER ELECTION" 3 $ 3 E $ DATE DUE OATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE E E $ $ E 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 I, Line 3) 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 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 he a negallve number) If Required FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppc.ca.gov Schedule I K. -A-A SCHEDULE I Miscellaneous Increases to Cash to whole dollars. Statement covers period ,. � o from 10/21/18 •' through 12/31/18 Page 13 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Safety First Seal Beach - -Yes on BB 1407843 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF pr COMMITTEE, ALSO ENTER LO. NUMBER) INCREASE TO CASH DeSnoo & DeSnoo Refund of previous retainer deposit for 12/20/18 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2,093.00 Schedule I Summary 1. Itemized increases to cash this period .............................................................................................. ..............................$ 2,093.00 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 SummaryPage, Line 14.) .............................................................................................. ............................... TOTAL $ 2,093.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov