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Home My WebLink About460 10_27_2022 Recipient Committee Campaign Statement 2nd PreelectionRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statementovers peril Se�t�m�r a tp , from through I . TTffiof Recipient Committee: All Committees - complete Parts t, 2, 3, and a. LV Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure C State Candidate Election Committee Committee C Recall O Controlled MaCorviiiPart 51 J Sponsored (Also Complete Part 6; ❑ General Purpose Committee C Sponsored Primarily Formed Candidate/ C Small Contributor Committee Officeholder Committee C Political Party/Central Committee (AlscCorrrplelePal 7d 3. Committee Information COMMITTEE NAME {OR CANDIDATE'S NAME IF 3 P, tZ'c o Iv 1-0 S e-aJ COVER PAGE OCT 2 7 2022 -- Date of election if applicable: Page .____%- _ of a (Month, Day, Year) CITU CLERIC For Official Use Only ITY OF BEAD BEACH 2. Type of Statement: � Preelection Statement _ quarterly Statement n Semi-annual Statement Special Odd -Year Report n Termination Statement (Also file a Form 410 Termination) Ll Amendment (Explain below) I.D. " M75 AD Treasurer(s) J Ii Cc u NL` 23,0a,� NAME OF TREASURER i__ R% e_ kv kS +_J o L L -Q -C -i Com- h E-21 r d 0 `1 C/o - - MAILINGADDRESS pF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE Z;P CODE AREACODEIPHONE OPTIONAL: FAXIE-MAILADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA COD -;:/PHONE OPTIONAL FAX (E-MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on a q — d a` Date By Executed on Date By Signature of Controlling Officeholder. Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Data By Signature of Controlling Officeholder Candidate, State Measure Proponent Executed on Dale By Signature o Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice. adviceL@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 G, -re- acn, C?) C,).rtoN OFFICE SOUGHT OR S2Q-FI C'- t' v DE LOCATION AND DISTRICT NUM R IF APPLICABLE) LT I RESIDENTIAUBUSINESS ADDRESS (NO.ANOSTREET) CITY STATE ZIP S-eeI,-L`�9 a , k c qo Related Committees Not Included in this Statement: List anycommittees 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? YES ❑ NO ADDRESS STREET ADDRESS (NO PO. CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER VAME OF TREASURER f CONTROLLED COMMITTEE'? !II ] YES ❑ NO I I I Lt AUURk6S STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page I;)- 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 E 50UGHT OR HELD 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 _I SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD U SUPPORT ❑ OPPOSE Attach continuation sheets nnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE FILER He u Amounts may be rounded to whole dollars. Statement covers period from`-"'tr1Q-h71-d10, 30 through PAGE Page l Of� I.D. NUMBER Expenditures Made 6. Payments Made ........................................ 7. Loans Made ............................................... 8. SUBTOTAL CASH PAYMENTS.......... 9. Accrued Expenses (Unpaid Bills)........... 10. Nonmonetary Adjustment........................... 11. TOTAL EXPENDITURES MADE......... Schedule E, Line 4 $ v $ Schedule H, Line 3 -� ... Add Lmes6+7 $ ... Schedule F, Line 3 y .. Schedule C, Line 3 Add tines 8+9+10 $ Current Cash Statement Q 12. Beginning Cash Balance ....... .................... Previous Summary Page, Line 16 $ .% I- 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule /, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ............. .... Add Lines 12 + 13+ 14, then subtract Line 15 $ �) 7 this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule s, Part z $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See mstruc6ons on reverse $ 19. Outstanding Debts. ............................. Add Line 2 + Line 9 in Column 8 above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" $ (If Sub1ea to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ _ 1 $ To calculate Column 8, 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). "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 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD iFROMATTACHEDSCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions ................................................... Schedule A, Line 3 $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule 8, Line 3 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines r+z �— $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ................................ Add Lines 3+4 $ $ Made $ $ Expenditures Made 6. Payments Made ........................................ 7. Loans Made ............................................... 8. SUBTOTAL CASH PAYMENTS.......... 9. Accrued Expenses (Unpaid Bills)........... 10. Nonmonetary Adjustment........................... 11. TOTAL EXPENDITURES MADE......... Schedule E, Line 4 $ v $ Schedule H, Line 3 -� ... Add Lmes6+7 $ ... Schedule F, Line 3 y .. Schedule C, Line 3 Add tines 8+9+10 $ Current Cash Statement Q 12. Beginning Cash Balance ....... .................... Previous Summary Page, Line 16 $ .% I- 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule /, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ............. .... Add Lines 12 + 13+ 14, then subtract Line 15 $ �) 7 this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule s, Part z $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See mstruc6ons on reverse $ 19. Outstanding Debts. ............................. Add Line 2 + Line 9 in Column 8 above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" $ (If Sub1ea to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ _ 1 $ To calculate Column 8, 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). "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 Scharlida A Amounts may be rounded SCHEDULE A m whole aooars. Monetary Contributions Received O�mpemnktd 0,DC) N:), Ethmugh— / / Paw Of SEE INSTRUCTIONS ON REVERSE NAME OF FILER ire0a-ro I.D. NUMBER ysia FULL NAM , S REETADDRESSAND ZIP CODEOF WAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF GDNMITTEE,NSO ENTFAtD. NUMBER) CODE"` PFSEIr{MrtorEo. ENTER NPME OF SttSINESS) PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ❑ [NO ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 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 - IndlNdual COM- Recipient Committee (other than PTY Or SCC) OTH- Otter (e.g.. business arbty) PTY- Poldicm Party SCC - Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fpp�w.gov ("6/2753772) www.tppcm-gov SCHEDULE B -PARTI Schedule B — Part 1 to whole dollars. Statemen Lcovers pd CALIFORNIA 460 Loans Received ao •0 froIA a6 FORM 0xfobe>, a17, through D-0 a a" Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER /�'S/� R FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTEROCCUPATIONAND EMPLOYER OUTSTANDING AMOUNT AMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVEDTHIS OR FORGIVEN BALANCEAT PAIDTHIS AMOUNTOF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER LD. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THISE PERIOD THIS PERIOD • CLOPEROD HIS OF PERIOD LOAN TO DATE NAMEOFBUSINESS) PERIOD ❑ PAID CALENDAR YU R $ S —% s $ ❑ FORGIVEN PER ELECTION" RATE S 8 $ $ S DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTV ❑ SCC PAID ALEN AR A $ S _% S $ ❑ FORGIVEN PER ELECTION` RATE tEl IND ❑ COM [I OTH [3 PTY ❑ SCC $ $ s $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE $ S $ $ S DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period.......................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period............................................................... (Total Column (c) plus loans under $100 paid or forgiven.) (include loans paid by a third party that are also itemized on Schedule A.) .....-- ............................$ . .......................................$ --&- 3. Net change this period. Subtract Line 2 from Line 1. .......................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (Me, be a negative number) 'Amounts forgiven or paid by another party also must be reported on Schedule A. - If required. (inter (e) en =w a t, Lme a) 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 Schedule 6 — Part 2 Amounts may oe rounaeo to whole dollars. Statement c eperind,7,!ge!of Loan Guarantors �roc-4 rjb'e.f a`o a 2- SEE INSTRUCTIONS ON REVERSE through NAME OF FILER G a� FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT CUMULATIVE BALANCE CONTRIBUTOR CODE (IF SELF-EMPLOYED, ENTER LOAN GUARANTEED THIS PERIOD TO DATE OUTSTANDING 7Q DATE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) NAME OF BUSINESS) LENDER CALENDAR YEAR [:]IND ❑ COM $ [10TH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC 8 LENDER CALENDAR YEAR ❑ IND ❑ COM 8 ❑ OTH DATE PER ELECTION ❑ PTY (IF REQUIRED) ❑ SCC $ LENDER CALENDARYEAR ❑ IND ❑ COM $ ❑ OTH PER ELECTION ❑ PTY DATE (IF REQUIRED) ❑ SCC $ LENDER CALENDAR YEAR ❑ IND ❑ COM $ ❑ OTH ❑ PTY DATE PER ELECTION (If REQUIRED) ❑ SCC $ er an e SUBTOTAL a Summary Page, Lim tT o,7 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received �"��""' �e�ate m%e` � to • • , ' from a03FORM Gr l oi�eJ a 7 ^ ':k0a C Page of SEE INSTRUCTIONS ON REVERSE through ---1— _Z— NAME OF FILER I.D. NUMBER C9 P- C3 C ar ry ) Z/5a 3 DATE FULL NAME, STREETADDRESS AND CONTRIBUTOR [FAN INDIVIDUAL, ENTER OC ONAND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE AL CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) . CODE (IF SELF-EMPLOYED, ENTER (IF SEL GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) ❑ 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. SUBTOTALS 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 Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275.3772) www.fppr-ca.gov Schedule D Summary of Expenditures Supporting/Opposing Other Amounts may be rounded pv SCHEDULE D to whole dogars. Q S��tT} int �,h, �� o • ' • ��1Y 4�� 2 trom • VY..Y.YY�VJr .�.VYJY.VV N..N VV1......IiV VV Off" C'iC..t �J�e'Y through 0 Q a Q Page of SEE INSTRUCTIONS ON REVERSE NAME OF FI1LER� 1^ /v - I.D. /N�5 �a I �� NAME OF CANDIDATE, O(FFFICCE,AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTERAND JURISDICTION, TYPE OF PAYMENT (If REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAW 1 -DEC. 37) (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 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 (Jan/2016)) FPPC Advice: advice@fppc.m.gov (866/275-3772) www.fppc.ca.gov Schedule E Ar"Ot1°ts may be rounded __ J�.rtCUVLCrC _ —Stakm Payments Made w canoe dollars. nt co s i 0c;obk I-- a % a Oa— ' SEE INSTRUCTIONS OV REVERSE through Pagel of NAME OF FILER LD. VUMB2R ^� J 3 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production roses CNS campaign consultants MTG meetings and appearances RFD returned coMrbutions CTB contribution (explain nonmonetaryy OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL tv. or cable artime and production casts -�- FIL candidate tlirgrballot fees PHO phone barks TRC candidate travel, lodging, and meas FIND fundraising events POL poling and survey research TRS stafflspouse tavel. Wd_*Q. and meals IND independent expenditure supportinglopposing others (explain), POS postage, delivery and messenger services TSF_ transfer between conlmiaees of the same tandidatefsponsor LEG legal defense " PRO professional services (legal, accounting) .•ti- VOT; voter regSVation AUT campaign literature and mailings PRT print ads WEB information technology costs (Internet e-mail) NAME ANDADDRESS OF PAYEE OF coavaurs£ AtsoEntER o hvsmFH CODE OR DESCRIPTION OF PAYMENT j AMOUNT PAID i ' Payments that are contributions or independent expenditures must also be summarized an Schedule D. --�— —^— —SUBTOTAL $ -0— Schedule Schedule E Summary 1, Itemized payments made this period. (Inducle all Schedule E subtotals.) ......................... 2. Unitemized payments made this period of under $100.... .................. 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)........................................ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6-)... .......................1$ ...._...----- ....-... $ — ... .._..... . $ �. _.......... TOTALS -� FPPC Form 460(Jan/2026)) FPPC Advice: advice@fppc.ca.gov (866/2753772) www-fppc-ca.gov NAMEAND ADDRESS OF CREDITOR (IFCOMMnTEE,ASO ENTER I.D. NUMBER) CODEOR DESCRIPTION OF PAYMENT (a)(c) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD @) AMOUNTINCURRED THIS PERIOD AMOUNTPAID THIS PERIOD (ALSO REPORT ON E) SCHEDULE F Schedule F Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. state ant pov rsperiod -CALIFORNIA frS7; a • ' FORM SEE INSTRUCTIONS ON REVERSE througha -a / Pageof [ NAME OF FILER I.D. NUMBER CODES: If one f the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAMEAND ADDRESS OF CREDITOR (IFCOMMnTEE,ASO ENTER I.D. NUMBER) CODEOR DESCRIPTION OF PAYMENT (a)(c) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD @) AMOUNTINCURRED THIS PERIOD AMOUNTPAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCEAT CLOSE OF THIS PERIOD ` Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................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.)... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................................ ...... PAID TOTALS $ ........................... NET May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppcca.gov (866/2753772) wwwippc.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 – - 'MA -W, through SCHEDULE G Page —1— of J_ NAME OF FILF,R� CODES: If one of the following codes accurately describes the CMP campaign paraphernalialmisc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)' OFC CVC civic donations PET FJL candidate filing/ballot fees PHO FND fundraising events POL IND independent expenditure supporting/opposing others (explain)` POS LEG legal defense PRO LIT campaign literature and mailings PRT payment, you may enter the code. member communications, meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS stag/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (intemet, e-mail) NAMEANDADDRESS OF PAYEE OR CREDITOR I CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded SS��mf nt�clo ers ped / TT 1- JO 4 - , A to whole dollars. 8 Loans Made to Others" from a olllivil through Page SEE INSTRUCTIONS ON REVERSE - of� NAME OF FILER �e ah�o� I.D. NUMBER Y Siad �Y FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT e REPAYMENT OR e OUTSTANDING ORIGINAL g CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANEDTHIS FORGIVENESS BALANCEAT INTEREST CLOSE OF THIS RECEIVED AMOUNTOF LOANS NAME OF BUSINESS) PERIOD THIS PERIOD` PFRIQQ LOAN TO DATE ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION' RATE $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ _% $ g RATE ❑ FORGIVEN PER ELECTION $ $ s $ $ 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 $ $ $ $ (Enter (e)on 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 $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ...................... (Enter the net here and on the Summary Page, Column A, Line 7.) ............$ ............ $— ... NET $ (May tie a ml;a a number) *'If Required FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I SCHEDULEI Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement coers perio CALIFORNIA S eo�w�� rb froa�a"'�-- O.460 m a -O7- through -Page —I— of NAME OF FILER 6-�g `S a � I.D. NUMBER I LIS DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER t.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 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 $ FPPC Form 460()an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772)