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Home My WebLink AboutForm 460 Newsom 102518Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Stateme t covers period from �3 v2a s, through A0r r3 1. Type of Recipient COmmittee: All Committees -Complete Parts 1, 2, 3, and 4, if Off eholder, Candidate Controlled Committee El Primarily Formed BaAot Measure State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Comftle Parr 5) 0 Sponsored (Also Complete Pad 6) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee 3. Committee Information 4 ❑ Primarily Formed Candidate/ Officeholder Committee (Afso Complete Fail 7) I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) S 00 -d -a ( 'Ib a C ADDRESS U MAILING ADDRESS (IF D FERENT NO. AND STREET OR P.O. BOX CITY / STATE ZIP CODE AREACODEPHONE s�fif +WrrN (�YA 93 Date Stamp Central Reception Date of election if applicable: I I OCT 2 r 11 (Month, Day, Year) COVER PAGE Page of t _ For Official Use Only City of I ! 10 a-CJ1 Atascadero 2. Type of Statement: lff�Preelectlon Statement ❑ Quartedy Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurers} NAME OF TREASURER CITY STATE ZIP CODE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODElPHONE OPTIONAL: FAX ii ADDRESS Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowlec certify under penalty of periu unde theIa s of the State of California that the foregoing is true and correct. r Executed on� By Executed on �O 3 aU I � By Date Sig lure of Controlling Offs[ Executed on By Date 1— herein and in the attached schedules is true and complete. I or Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice C@fpoc.ca.eov ($661275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME O OFFICEHOLDER rOR CANDIDATE COVER PAGE - PART 2 Page —Q— of i3 6. Primarily Formed Ballot Measure Committee OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER Ir AHHLICAULL) o c4w LL eatkual' RESIDENTIAUBUSINESS ADDRESS (NO.(AND STREET) CITY STATE ZIP 41oks 0a � 93 �� 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODLIPHONE 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 OFFICE SOUGHT 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 ❑ 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 @fp pc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON NAME OF FILER Contributions Received Na om pon� 1. Monetary Contributions................................................... Schedule A, Line 3 2. Loans Received................................................................ schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ............................- Add Lines 1+2 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED...................................Add Lines 3+4 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills)..........................................Schedule F Line 3 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........ __.... _...................... Add Lines 6+9+10 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 13. Cash Receipts........................................................... Column A, line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 15. Cash Payments......................................................... Column A, Line 8above 16. ENDING CASH BALANCE ..................Add Lines 12+ f3+ 14, then subtract Line 15 ff this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Cash Equivalents and Outt 18. Cash Equivalents ............................ 19. Outstanding Debts .......................... Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ /3tco D $ /3t�b•6o $ $ 1606.00 0 $ l600. oa ISvO .00 0 $ 160.00 $ l5A5,7gi /300.0-0 O 1to00.00 $ 1995.7 1 Schedule B, Part 2 $ ............. See instructions on reverse $ 0 Add Line 2+ Line 9 in Column B above $ a�30g3 SUMMARY PAGE Statement covers period . ��S • from • - through a Page 3 !of I.D. NUMBER C B CALENDAR YEAR TOTAL TO DATE $ 7yyy.ov 0 $ 7 1fq y. dV j133.52 $ $ (0150.2 I $ G158� 1 a73b,g3 0 $ gg8q.i� To calculate Column B, add amounts in Column Ato 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 (mmldd/yy) '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 1 lk23 Page � of ' through %Q � SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR pF COMMITTEE,ALSC ENTER LD, NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE IIF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 -DEC. 31) (!F REQUIRED) + f p j� Y1�1'1 �p i o y' CTI N D ❑COM tl�3Q,ILi�� t � 6Y� ,� a� ('GjJ��jI4 1! 11 wiiloo.00 E] OTH ❑PTYM �U� �hlSpD fr`7d,i�� ❑ SCC A b d O s10v 0 IND to ❑COM ❑OTH Ce�.n l &��oo.00 160.66 ❑ PTY (J(UrS ❑ SCC 1 E -IND Wa. vt Wel ❑ COM L�Ir�i �� l V�� [IOTH 'r 'rL'ZnLtj2So .DO �S�•b� rq3 El PTY ❑ SCIC i y15 Ga "C_ / Ll.t.� rTyLb L lig C] I N D to 13 [Is ❑ COM oPn �° is -6 .Do 50 .6z) ❑ SCC j2o i`�� Ie[sm Ej COM /f8 0 1 0/3 ❑ scc SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. Svy (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 116 X00 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. .........TOTAL $ 13 U L? .00 "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) ujww fnnr rw anu Schedule A (Continuation Sheet) Amounts maV be rounded SCHEDULE (CONT) Monetary Contributions Received to whole dollars. Statement covers period I CALIFORNIA 460 1 from 1113 FORM through �6 �� Page of� NAME OF FILER Nmatd�et '4W A4dz_ l wsoyn 4i, ��Lp.�� C - �a c> r I.D. NUMBER 1 �c _3 � DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR CODE * Ii INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER Le. NUMBER (If SELF-EMPLOYED, ENTER NAME OF Buswess7 PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) !� i t5 �1 r7 fL G I F[1ND you !1 !O SIS' ❑ COM El �2v 4L !Od.av 1,60.6-0 I— 71 PTY 141 d,4 fbt4-i j ❑ SCC FTIND El COM ID LlOTH ,D p�> e n/fjc' c�c ft AD0 1 LI PTY /"` ❑ SCC 1 �4YlEs RIND ❑ COM pp f�YLrt�•n- � ❑ OTH ❑ PTY �So . o r� aSL ,67� ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS C fs "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 (1an/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) SCHEDULE B - PART 1 Schedule B — Part 1 vto whole dollars. Statement covers period Loans Received from q a -3a -D! • through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER C{�ntirvt v � 4n, 40'� ffuosam ;vx_ daAe" / Z103 FULL NAME, STREET ADDRESS AND ZIP CODE [FAN INDIVIDUAL, ENTER OUTSTANDING AMOUNT ( AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER BALANCEBALANCE BEGINNING THIS RECENED THIS OR FORGIVEN AT CLOSE THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMTTEE ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD O PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR $ S —% $ $ ❑ FORGIVEN PER ELECTKI RATE S S $ $ S DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR g $ —% S $ ❑ FORGIVEN PER ELECTION" RATE $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM [I OTH ❑ PTV [I SCC ❑ PAID CALENDAR YEAR $ $ —X f S ❑ FORGIVEN PER ELECTION RATE S S S 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.) ............................. 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 $ t/ (Mq M.mI- 11 mobin (corer (e7 on 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Scherfi le C Amounts may be rounded SCHEDULE C to wrlole U0Lla15. Nonrnonetary Contributions Received Statement covers period _ , from G1 3 �Dlg • FORM page through l6 SEE INSTRUCTIONS ON REVERSE of VAME OF FILER I.D. NUMBER _�Q Axk'0_' —fey" DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER QESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATfVE 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 CCLff1R lno i o ❑ IYD [❑g'D�H man, ��l2 g l �r 2 Gr SGf�W rL > � u32 Z O d Gtti �-raz 5 2 ❑ 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 $ & 33 . S2 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 $100 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...$ 033.52 ..................I......I....$ G .................TOTAL $ 3�3 52 '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 Farm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D Summary of Expenditures Supporting/Opposing Other SCHEDULE D Amounts may be rounded Statement covers period to whole dollars. ry from �/d e t,.dnaluates, Ivleaaurca arlu I,vIINIDLLUWS l00�4 �/cf 13 through P.,, --6L of SEE INSTRUCTIONS ON REVERSE NAME OF FILER lea News�rn471— 6e�� I.D. NUMBER t �a 3 VW 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, QF REQUIRED) PERIOD (JAN.1-DEC. 31) OF REQUIRED) OR COMMITTEE ❑ Monetary Contribution — ' w' " ❑ 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.) .................. U 2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ O 3. Total contributions and independent expenditures made this period. (Add Lines land 2. Do not enteron the Summary Page.).......... TOTAL.. $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Amounts may be rounded Statement covers periodiMM CALIFORNIA 46(r to whole dollars. Payments Made GLA3,L,;Lo1e' •-fromn� SEE INSTRUCTIONS ON REVERSE through /0 Page (Tof 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 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 candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and malings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LD. NUMBER) CODE OR 4ea'HU_1_ IJ�w'Sam Owe * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary DESCRIPTION OF PAYMENT SUBTOTAL $ AMOUNT PAID / 0 O CFO 5'00. Do 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under $100 .......................................... ......... $ d 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ....................... . $ b 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ FPPC Form 460 flan/2016) FPPC Advice: advice@fp pc.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 Statement covers pgriod from a 1.;-16k through iv� 42 6 /e SCHEDULE F Page of i3 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 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 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 OF COMMITTEE, ALSO ENTER rD. 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 F7) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD tPA4 /0 " Payments that are contributions or independent expenditures must also be SUBTOTALS $ 11930 3 $ ! $ l sQQ. �� $ :2--736 .92 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.) ........................ 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 an accrued expenses under $100.)... ...........INCURRED TOTALS $ 0 PAID TOTALS $ / 5 00, M 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.).......................................................................................... ....................... $ 1 S0 6 .06) ........ ......................................................... NET Way be a negative number FPPC Form 460 (1an/2016) FPPC Advice: advice@fppc.ca.gov (856/275-3772) Schedule G SCHEDULE Payments Made by an Agent or Independent Amounts may be rounded Statement vers en,IDiN47UBER • _ I Contractor (on Behalf of This Committee) to whole dollars. from a Z°tgp�• through o�-fit a � of SEE INSTRUCTIONS ON REVERSE NAME OF FILER 0,lw,n, y03Lit NAME OF AGENT OR INDEPENDENT CONTRACTOR 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 staR/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 (intemet, e-mail) Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE ALSO ENTER I.O. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL` $ p 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: advicet_IDfppc.w.gov (866/275-3772) www.fppc.ca.gov SCHEDULE Schedule H Amounts may be rounded Statement overs eriod • . , 1 to whole dollars. a�, %6 • •'/y Loans Made to Others* ';t-7 from a through b I��/6 ' Page —I W SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER 1 UW),Sem lvv seadp" 1 / * 3 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALEENTER' , OUTSTANDING (b) AMOUNT W REPAYMENT OR (d) OUTSTANDING I-) INTEREST M ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENrER BALANCE BE THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNT OF LOANS (F COMMITTEE, ALSO INTER I.D. NUMBER) NAME OF 9USINE.EN PERIODTHIS PERIOD PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR f S % f f ❑ FORGIVEN PER ELECTION" T� RATE { w E f $ f $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR f f X f f ❑ FORGNEN PER ELECTION'S MITE E S S S S 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 $ $ $ $ (Enter(e)on Schedule I, Line 3) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) f Required 2. Payments received on loans............................................................................................................................................$ 0 (Total Column (c) plus unitemized payments of less than $100.) d 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................................................NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) MAY b•• n.Ytllm wmbx) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Crhn`IIIIn I SCHEDULEI Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from b a 3 t8 �. • Page ofd NAME OF FILER Cance ffP r u Sin �o>Z ztSLa-c%.eo it ee 0 e� !d' I.D. NUMBER / 6 3 ` 4 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCEDESCRIPTION (IF COMMITTEE. ALSO ENTER I.D. NUIMIER) OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ U Schedule I Summary 1. Itemized increases to cash this period .............................. 2. Unitemized increases to cash of under $100 this period... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ...... 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................. 0 ........................$ b ........................$ t7 TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772)