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Home My WebLink AboutForm 460 Citizens in Support of Measure D20 123120ARecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/18/20 through 12/31/20 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ❑ fficeholder, Candidate Controlled Committee Primarily Formed Ballot Measure g State Candidate Election Committee committee Q Recall liJ Controlled i'A>so Co"Iete Part 5j Sponsored (Also compwe Part 6) ❑ grieral Purpose Committee Sponsored ❑ Primarily Formed Candidate! Small Contributor Committee Officeholder Committee Political Party/Central Committee (A+= CWWWe Parr 7) 3. Committee Information I.D. NUMBER 1430938 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE! Committee in Support of Measure D-20 STREET ADDRESS (NO P.O. BOX) Executed on NAME OF TREASURER Joseph Modica Jr. Date CITY STATE ZIP CODE AREACODEfPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENT} NO.AND STREET OR P.O. BOX 8380 Morro Rd Executed on MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification Date of election if applicable: (Month, Day, Year) 11/03/2020 2. Type of Statement: COVER PAGE Reception )AS 13 W Page of For Official Use Only City of Atascadero ❑ Preelection statement ❑ Semi-annual Statement m Termination Statement (Also file a Form 410 Termination) Z Amendment (Explain below) Update totals Schedule C ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) Executed on NAME OF TREASURER Joseph Modica Jr. Date MAILING ADDRESS CITY Atascadero STATE CA ZIP CODE AREACODEPHONE 93422 NAME OF ASSISTANT TREASURER, IF ANY Ron Overacker Date Executed on MAILING ADDRESS Date CITY Atascadero STATE CA ZIP CODE AREA CODEIPHONE 93422 OPTIONAL: FAX IE -MAIL ADDRESS have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowiedge 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. _ i I `y 12/31/20 Executed on Date Executed on Dale Executed on Date Executed on Date By By Signature of Controlling Ofriceholcier, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate. State Measure Proponent By Signature of Controlling Officeholder. Candidate. 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 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) 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 or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME NUMBER ❑ YES ❑ NO CITY STATE ZIP CODE AREACODE/PHONE COVER PAGE - PART 2 Page of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE D-20 BALLOT NO. OR LETTER (JURISDICTION I ® SUPPORT D-20 Citv of Atascadero ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT NONE 7. Primarily Formed Candidate/Officeholder Committee Llstnames 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 I ❑ 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 Summary Page NAME OF FILER Committee In Support of Measure D-20 Amounts may be rounded to whole dollars. Expenditures Made Column column A n A Contributions Received 6. Payments Made................................................................ TOTAL PERIOD $ 4436.13 (FROM ATTACHED SCHEDULES) 1. Monetary Contributions................................................... schedule A, Line 3 $ 3000 2. Loans Received................................................................ schedule B. Line 3 $ 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 «2 $ 3000 4. Nonmonetary Contributions ............................................ schedule C, Line 3 206.02 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines 3t4 $ 3206.02 11. TOTAL EXPENDITURES MADE .................................... Expenditures Made 6. Payments Made................................................................ Schedule E. Line 4 $ 4436.13 7. Loans Made....................................................................... schedule H. Line 3 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6t7 $ 4436.13 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 -94.31 10. Nonmonetary Adjustment......................................................... Schedule C. Line 3 206.02 11. TOTAL EXPENDITURES MADE .................................... Add Lima 8+gt10 $ 4547.84 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 1436.13 13. Cash Receipts........................................................... Column A. Line 3 above 3000.00 14. Miscellaneous Increases to Cash .................................. schedule 1. Line 4 0 15. Cash Payments......................................................... Column A, Line 8above 4436.13 16. ENDING CASH BALANCE .................. Add Lines 12 4 13 a 14, then subtract Line 15 $ 0 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B. Parte $ I Cash Equivalents and Outstanding Debts 18. Cash Equivalents. ............ - ...... ....... - ................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 t Line 9 in Column B above $ SUMMARY PAGE Statement covers period from 10/18/20 through 12/31/20 I Page of Column B CALENDAR YEAR TOTAL TO DATE $ 15,058.00 $ 15,058.00 521.27 $ 15,579.27 $ 15058.00 $ 15058.00 0 521.27 $ 15,579.27 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). 1430938 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 7l1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' to Subject to voluntary Expenditure Llmbl Date of Election Total to Date (mm/ddtyy) 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 Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period . _ , from 10/18/20 • " SEE INSTRUCTIONS ON REVERSE through 12/31/20 Page of {DAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) El IND 10/26/2020 SEIU Local 620 ❑COM 1000 1000 Candidate Fund Account m OTH Santa Barbara, CA ❑ PTY [ ❑ SCC El INDEl 10/28/2020 Waste Management & Affiliated Entities COM 2000 2000 m OTH Sun Valley, CA 91352 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 3000 Schedule A Summary 1. Amount received this period — itemized monetary contributions. 3,000 (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.). 0 .................TOTAL $ 31000 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCG) 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 1 Schedule B - Part 1 [o who le dollars. Loans Received Statement covers period7NUMBER fromSEE INSTRUCTIONS ON REVERSE through NAME OF FILER FULL NAME, STREETADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED. ENTER OF BUSINESS) OUTSTANDING BALANCE BEGINNINGTHISNAME PERIOD AMOUNT RECEIVED THIS PERIOD AMOUNT PAID OR FORGIVEN THIS PERIOD. OUTSTANDING BALANCEAT CLOPERIOD HIS • INTEREST PAID THIS PERIOD ORIGINAL AMOUNTOF LOAN 9 CUMULATIVE CONTRIBUTIONS TO DATE ❑ PAID ALENDAR V EAW $ ❑ FORGIVEN PER ELECTION" BATE T❑ IND I] COM ❑ OTH ❑ PTV ❑ SCC s s s s $ DATE DUE DATE INCURRED Lj PAID CALENDAR YEAR S S _% E E FORGIVEN PER ELECTION" RATE t ❑ IND [I COM [I OTH [I PTY [I SCC S E S S S DATE DUE DATE INCURRED PAID CALENDAR YEAR $ $ _% S S ❑ FORGIVEN PER ELECTION" RATE S E S E S DATE DUE DATE INCURRED 1❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period....................................................................................................................$ (Total Column (b) plus uniternized 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. (May be a oegaave number) `Amounts forgiven or paid by another party also must be reported on Schedule A. If required. (Enter (e) on smeaue 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 scneaule is — cart z Amounts may De rounoeu Statement covers periodO- Loan Guarantors to whole dollars. 460 from O_ SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT BALANCE CONTRIBUTOROCCUPATIONAND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR ❑ IND ❑ COM f ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC S LENDER CALENDAR YEAR ❑ IND ❑ COM s ❑ OTH DATE PER ELECTION ❑ PTY (IF REQUIRED) ❑ SCC S CALENDAR YEAR LENDER ❑ IND ❑ COM t ❑ OTH PER ELECTION ❑ PTY DATE (IF REQUIRED) ❑ SCC s LENDER CALENDAR YEAR ❑ IND ❑ COM s ❑ OTH CI PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC s a on SUBTOTAL $ Summary] Page. Line 1only. FPPC Form 460 (Jan/2016() FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SC HFnuI F C Nonmonetary Contributions Received Statement covers period from 10/18/20 - SEE INSTRUCTIONS ON REVERSE through 12/31/20 page of NAME OF FILER I.D. NUMBER Committee In Support of Measure D-20 1430938 DATE FULL NAME, STREETADDRE5S AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT! CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR IIF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) IND 10-31-20 Ron Overacker ❑ COM Police Officer, City of Social Media $34.21 85.43 ❑ OTH Atascadero Advertising Atascadero, CA 93422 ❑ PTY ❑ SCC m IND 11-1-20 Ron Overacker ❑COM Police Officer, City of Social Media $71.81 $157.24 ❑ OTH Atascadero Advertising Atascadero, CA 93422 ❑ PTY ❑ SCC 17J IND❑ 11-2-20 Ron Overacker COM Police Officer, City of Social Media $100.00 $257.24 ❑ OTH Atascadero Advertising Atascadero, CA 93422 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled Continuation sheets. SUBTOTAL $ 206.02 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 $ 206.02 0 206.02 '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 Schedule D SCHEDULE D summary or txpenaitures Amounts may be rounded Statement covers period Supporting/Opposing Other to whole dollars. Iea- • , Candidates, Measures and Committees from through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee in Support of Measure D-20 1430938 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTERAND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNT THIS CALENDAR YEAR TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN.1-DEC. 31) (IFREQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Support O se Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent Su ort 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.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 10/18/20 SCHEDULE E through 12/31/20 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER P.D. NUMBER Committee 1n Support of Measure D-20 1430938 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 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 TFL 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 supportinglopposing 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 UVEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER P.D. NUMBERS A -Town Daily News (Access Publishing) -Paso Robles, CA 93446 0 KJUG & KVEC (American General Media) San Luis Obispo, CA 93401 Facebook Menlo Park, CA 94025 WEB I Online Advertising RAD I Radio Advertising WFI, I Social Media Advertising Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 313.50 1733.00 755.97 SUBTOTAL $ 2802.47 1. Itemized payments made this period. (Include 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.) ........................... TOTAL $ 4317.47 118.66 4436.13 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 Campaign Partner SCHEDULE E (CONT.) Website Hosting Amounts may be rounded Statement covers period _ (Continuation Sheet) to whole dollars. � ' Payments Made Print Ad AND Digital Ads 10/18/20 from San Luis Obispo, CA 93401 SEE INSTRUCTIONS ON REVERSE KPRL through 12/31/20 Page of NAME OF FILER Paso Robles, CA 93446 I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 supportinglopposing 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 COMMiTTEE,ALSO ENTER Ln,NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Campaign Partner WEB Website Hosting 104.00 -Still River, Massachusetts, 01467 SLO New Times Inc. Print Ad AND Digital Ads 419.00 San Luis Obispo, CA 93401 KPRL RAD Radia Advertising 192.00 Paso Robles, CA 93446 Scripps Media Inc (KSBY) WEB Digital Advertising 800.00 Cincinnati, OH 45202 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1515.00 FPPC Form 460 Jan 2016)) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Citizens 1n Support of Measure D-20 Statement covers period from 10/ 18/20 through 12/31/20 SCHEDULEF Page of I.D. NUMBER 1430938 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 CVG 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 staffispouse 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 SUBTOTALS $ 94.31 $ 0 $ 94.3 L $ 0 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.) .................................. PAID TOTALS $ 0 94.31 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and -94.31 onthe Summary Pave. Column A. Line 9.)................................................................................................................................................................................... NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov {aj (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNTINCURRE❑ AMOUNT PAID OUTSTANDING (IF COMMITTEE.ALSOENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD Facebook Social Media 94.31 $0 94.31 0 Menlo Park, CA 94025 p Advertising p $0 " Payments that are contributions or independent expenditures must also be SUBTOTALS $ 94.31 $ 0 $ 94.3 L $ 0 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.) .................................. PAID TOTALS $ 0 94.31 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and -94.31 onthe Summary Pave. Column A. Line 9.)................................................................................................................................................................................... NET $ May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from SCHEDULE F (CONT.) NAMEANDADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER 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) through Page of NAME OF FILER I.D. NUMBER 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 Lv. 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) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAMEANDADDRESS OF CREDITOR (IF COMMITTEE. ALSO ENTER 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 SUBTOTALS$ $ $ $ FPPC Form 460 (Jan/2016)) FPPC Advice: adviceLalfppc.w.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) NAME OF FILER NAME OF AGENT OR 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 FIL 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 Amounts may be rounded to whole dollars. from through payment, you may enter the code. Otherwise, member communications RAD meetings and appearances RFD office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, delivery and messenger services TSF professional services (legal, accounting) VOT print ads WEB ` Payments that are contributions or independent expenditures must also be summarized on Schedule D. covers Page of I.D. NUMBER describe the payment. radio airtime and production costs returned contributions campaign workers' Salaries Lv. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE OR CREDITOR I CODE OR DESCRIPTION OF PAYMENT I AMOUNT PAID IIF COMMITTEE, ALSO ENTER Le 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 FPPC Form 460 (Jan/2016)) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.m.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule Amounts may be rounded Statement covers period to whole dollars. ' Loans Made to Others from • - SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER Ial OUTSTANDING ) AMOUNT REPAYMENTOR OUTSTANDING ° ORIGINAL e CUMULATIVE OF RECIPIENT OF COMMITTEE, ALSO ENTER I.D.NUMBER) OF SELF-EMPLOYED, ENTER BALANCE BEG THIS LOANED THIS FORGIVENESS BALANCEAT CLOSE OF THIS INTEREST RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PFRIO PERIOD THIS PERIOD' PFginn LOAN TO DATE PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTIONr s s s s s GATE DUE DATE INCURRED PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION" E E § § § DATE DUE DATE INCURRED 'Loans that are contributions to another candidate or committee mustIN, ; also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS I$ 1 $ 1 $ $ an OEM.. Schedule 1, Lina 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 $ "If Required (May be a negaMe number) FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov ir7hprll llp I A...,,.....� —,, s......— Aa A SCHEDULE 1 Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSENAME from through Statement Covers Wod7!1 OF FILER DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMRTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNTOF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 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 Summary Page, Line 14.) TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) w W.fppc.ca.gov