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Form 460 Newsom 092718
Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from V 7 ' C, y through Al 7,:z Luly 1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4. ❑ Off eholder, Candidate Controlled Committee Ll Primarily Formed Ballot Measure State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Pad 5] 0 Sponsored (Also Complete Part 6} ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee ❑ Primarily Formed Candidate/ Officeholder Committee (Also Compfere Part 7) 3. Committee Information I I.D. NUMBER ! rlq COMMITTEE NAME ((>R CANDIDATE'S NAME IF YO COMMITTEE) r r y CITY AM, M,l WNWI-Na STATE LIP CODE Date Stamp RECUVED1 Date of election if applicable: I SEP 2 7 2098 (Month, Day, Year) COVER PAGE Page of —� For Official Use Only CITY OF ATASCia+ " CITY CLERKS GFF IC 2.. ype of Statement: preelection Statement ❑ Quarterly Statement Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OFTRFASURER NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS ZIP CODE AREACODE/PHONF CJY q,?5l'33 4. Verification I have used al( reasonable diligence in preparing and reviewing this statement and to the be certify under penalty of perjury under the laws of the State of California that the foregoing is Executed on q` I i'K _ By Da Executed on qZ; ( By Datb Signati Executed on By OPTIONAL: FAX l E-MAIL ADDRESS STATE ZIP CODE AREA CODEIPHONE contained herein and in the attached schedules is true and complete. I ,, j Sign Lure of Treasure 5 slstant Treasurer �c r1'1 colder, Candidate, State Measure Proponent or Executed on By Rate Signature at Contrdling Officeholder. Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice_ advice(Pfpnc.ca.aov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OFF OFFI(CHOLDER OR CANDIDATE P, el 7►y IG, � &"u "� OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) COVER PAGE - PART 2 Page '�P— of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT (❑ OPPOSE t RESIDENTIAUBUSINESS ADDRESS (NO. AND STR ET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT IV 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s) or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 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 CITY STATE ZIP CODE AREA CODE/PHONE 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 SGI: wCTRI ICTInNS ON REVERSE NAME OF FILER 47t k x4t,A' Amounts may be rounded to whole dollars. 'rmq 1px- fi-4a sGde�u Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 Column A Contributions ReceivedTOTAL 7. 8. 9. THIS PERIOD Schedule H, Line 3 Add Lines 6 + 7 F Line 3 (FROM ATTACHED SCHEDULES) 10. Nonmonetary Adjustment......................................................... 503 q. 0Z 1. Monetary Contributions................................................... Schedule A, Line 3 $ 2. Loans Received................................................................ Schedule e, Line 3 0 1 + 2 $ So 3y' 00 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 00.(90 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 J53 I ' OD 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 5- $ T �J O8 1 7. 8. 9. Loans Made....................................................................... SUBTOTAL CASH PAYMENTS .......................................... Accrued Expenses (Unpaid Bills) ..........................................Schedule Schedule H, Line 3 Add Lines 6 + 7 F Line 3 $ �3o q.3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 g 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 8 + 9 + 10 . $ —� Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ /0-S-6 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ................................ .. Schedule I, Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 5 5,31 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule e, Part 2 $ d Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ a SUMMARY PAGE Statement covers period CALIFORNIA / �Q� , , from r1 �— � through 00/ �`� 0 Page of 7 I.D. NUMBER Column B CALENDAR YEAR TOTAL TO DATE $ 5oU . oo $ (0 59Y. Oy $ X559 .-�- I 8 $ ys�g �1 �a 30.3 $ 87M 1� 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) IJ $ 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 to whole dollars. Statement covers period Monetary Contributions Received p CALIFORNIA , 60 from G 1%% • - �`� �SEE INSTRUCTIONS ON REVERSE through Pageof NAME OF FILER I.D. NUMBER % f /D 3 4i/`�. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ENTER I.D. NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) n (( FIND { ❑ COM ❑ OTH _ El PTY GI ❑ SCC f hr, s e' o LSI D ❑COM 1 5 ❑ OTH [I PTY j ICE T L%L_� G.'� �C��, • G�Z' /G'G' 7 LElSCC If i (G /15 Gi fix rC�Cu PITND ❑ COM GJ��{El t OTH ❑ PTY�l1 G� • C�Z� ❑ SCC Lu I &411 �C� ✓ � D ❑COM _ (j I 3 tt ❑ OTH El PTY ! (./L�G lee), 06 %Lt 61 00 ❑ SCC i l�I A.i� 1 �' fiE vczr' ❑CM Elco — �j ❑ OTH 1 11 El PTY ❑SCC SUBTOTAL $ �j SQ , oz, Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)$�1290 -'7V ........ .... . . . 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ • 6w 3. Total monetary contributions received this period. g D 3 Ll Ov (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) uiww fnnr ra onv Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA , 460' COM from � ze • (other than PTY or SCC) through Page J of / PTY — Political Party SCC NAME OF FILER^ • I n p ' %l a (��M �j Q� /� �/n , , I.D. NUMBER \ DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR E COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE ' IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) n /OF CM ❑ l COD b a /I El OTH E] PTY ❑ SCC ❑CCOMM q� f 0 0 OTH ❑ PTY . d e% /D D . ❑ SCC ❑ D ❑ COM l �II 6 ❑ OTH ❑ PTY f�� . U ��i%. Qv L1 SCC FIND ❑COM El OTH ❑ PTY cv ❑ SCC El COM y� El OTH ❑ PTY ❑ SCC SUBTOTAL $ °7S --D , Ov "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 A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period /S7l�Zel� from Lo ROY -11 14 1 4 . 101 :4 • � through Q Page - of NAMRn6 ���Xi�/ I.D. / DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER C NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SEF -EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) mamma" F-1 IND ❑COM ❑ OTH ❑ PTY ❑SCC /,ov ❑ COM ❑OTH ❑PTY ❑ Scc C �.��,�,��� � � - , 0 0 Ll�61�4❑ �O a�`� LM M �TY ❑,, SCC 16o. o' / /�v / �o • V � G IND ❑ I - COM o OT PTY �o Clio ov ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ `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 B - PART 1 to wlars. Schedule B — Part 1 �o whoolele dollars. Statement cove s period CALIF• . NIAA Loans Received4? b i ?fir r FORM MT601 from a © a 2 a Page of SEE INSTRUCTIONS ON REVERSE through NAME OF FILER 11 kSit 47VSGA �� 2Ul P"� I.D. NUMBER 3�/ FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (�) AMOUNT PAID OUTSTANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN* THIS PERIOD CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE PERIOD PERIOD ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............... Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. .......$ 0 $ ............... NET $ I (May be a negative number) tonal tc) un Schedule 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 (1an/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 to wnoie dollars. Statement covers period pCALIFORNIA • - I 6 ZU �FORM• from Schedule C Summary ©vr `�`[ 6 through Page ' � SEE INSTRUCTIONS ON REVERSE `Contributor Codes of NAME OF FILER 4�dU4(- �1e won Aw- , 5� I.D. NUMBER f yo 3 IND - Individual COM Recipient Committee (Include all Schedule C subtotals.)......................................................................................................................$ DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) IND Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10. Veiq ve-, ea; -,T ❑ CQ M abTH L Sp0 t u ❑ PTY f� jO.6U .OU ElSCC (,fULC C- ❑ 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 `Contributor Codes 1. Amount received this period - itemized nonmonetary contributions. 00 IND - Individual COM Recipient Committee (Include all Schedule C subtotals.)......................................................................................................................$ -560. - (other than PTY or SCC) 2. Amount received this period - unitemized nonmonetary contributions of less than $100 ..................................$ OTH - Other (e.g., business entity) PTY - Political Party 3. Total nonmonetary contributions received this period. SCC - Small Contributor Committee Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10. TOTAL $' FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D SCHEDULE D Summary of Expenditures Amounts may be rounded Statement covers periodp Supporting/Opposing Other to whole dollars. DI ilQ CALIFORNIA 460 Candidates, Measures and Committees from through (5q page SEE INSTRUCTIONS ON REVERSE —1— NAME OF FILER I.D. NUMBER c� 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 LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 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 $ 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 Amounts may be rounded Statement covers periodCALIFORNIA Schedule E to whole dollars. _ � • 1 Payments Made from 7 through Page Z 1) of —� SEE INSTRUCTIONS ON REVERSE I.D. NUMBER NAME OF FILER �I � `��6, NewS�tni �rn r ��,v 0`01eX63 �i 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 PET office expenses petition circulating SAL TEL campaign workers' salaries t.v. or cable airtime and production costs CVC FIL civic donations candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS TSF staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services 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 I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pv q -7f, 0� " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 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.). SUBTOTAL $ gs5v. _! ......... $ 0 .................. TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Amounts may be rounded Statement covers period to whole dollars. Accrued Expenses (Unpaid Bills)o/ � e from _ through SEE INSTRUCTIONS ON REVERSE SCHEDULEF Page // of NAME OF FILER j p I.D. NUMBER V/ / �fff i�f�cf t-� A� ff�2Bt�ttQ lvtwsO� fan- I SL/� G -�/Lv 47�L�'� �l0 /qo, Z `1'/V 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 fling/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, a -mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. 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 1 �P,LvSo m L�.;��! �;� �-, �l 3 Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ q,) , � 3 $ Q $ Y,:)-36.93 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 $ 1 Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and c� onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period I to whole dollars. from 42 G �l � ' Contractor (on Behalf of This Committee) through ( �lu,a Page of �L SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR i 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID 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.ca.gov (866/275-3772) www.fppc.ca.gov ��iICI��1��C1 Schedule H Amounts may be rounded Statement covers period - to whole dollars. Loans Made to Others* from through ZQl/d Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER )Verus 07M -kk, PC:S mde 7 t/ 3 �l � FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING (b) AMOUNT (c) REPAYMENT OR (d) OUTSTANDING (e) INTEREST (� ORIGINAL (g) CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BALANCE BEGINNING THIS LOANED THIS PERIOD FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOAN LOANS TO DATE PERIOD THIS PERIOD` PERIOD ❑ PAID CALENDAR YEAR �y--�.�p ❑FORGIVEN PER ELECTION** V �� RATE DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ El FORGIVEN FORGIVEN PER ELECTION"` $ $ $ $ $ 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 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.) (Enter (e) on Schedule I, Line 3) $ .................................................$ ........................................ NET $ "If Required (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCHEDULE I Miscellaneous Increases to Cash to whole dollars. Statement covers periodFPage .I �r�. 1from through of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBE����� DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE. ALSO ENTER I.D NUMBER) 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.)...................................................................................................................... SUBTOTAL $ ..............$ U ..............$ ..............$ A TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)