HomeMy WebLinkAboutForm 460 Newsom 063019Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
COVER PAGE
Date Stamp CALIFORNIA I
ECEIVED FORM
Statement covers period Date of election if applicable: Page 1 of 12
from
01!0112019 (Month, Day, Year) t I� ���� For OffiaalUse Only
through
06/30/2019
1. Type of Recipient Committee: All Committees — complete Parts 1, i, 3, and 4.
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Pad 5) 0 Sponsored
(Afro Campfefe Part 6)
❑ General Purpose Committee
0 Sponsored ❑ Primarily Formed Candidate/
0 Small Contributor Committee Officeholder Committee
(Also Com➢fete Pad
0 Political Party/Central Committee 7)
3. Committee Information I I.D. NUMBER
1403414
R CANDIDATE'S NAME IF NO COMMITTEE)
Committee for Heather Newsom for Atascadero City Council 2018
CITY
STATE
ZIP CODE AREA CODEIPHONE
Atascadero
CA
93422
MAILiNGADURESS (IF DIFFERENT) NO.AND STREET OR P.O. BOX
PO Box 1349
CITY
STATE
W, CODE AREA CODEIPHONE
Atascadero
CA
93423
OPTIONAL: FAX I E-MAIL ADDRESS
4. Verification
11/06/2018 0 1 OF_ATASCADERO
(,{'�' Ur-tRK'S OFFICE
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Heather Newsom
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
Atascadero CA 93422
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREACODEIPHONE
OPTIONAL FAX/E-MAILADDRESS
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 7 /� / / BY
pro I of ffeasu r rAsaisI pilliTreasurer
7
Executed on ( 1) C By
patp Signature of Controlling Ofillceri Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on
Executed on
Vete
By Signature of Controlling Officeholder Candidate. Slate Measure Proponent
Sy Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fp pc.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
Heather Newsom
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DiSTR{CT NUMBER IF APPLICABLE)
Atascadero City Council
RESIDENTIADBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
Atascadero CA 93422
Related Committees Not Included in this Statement: Listany 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
LD. NUMBER
❑ YES ❑ NO
COMMITTEE ADDRESS STREE: I ADDRESS (NO P.U. BUX)
CITY STATE ZIP CODE AREACODElPHONE
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
❑ YES ❑ NO
COVER PAGE - PART 2
Page 2 of 12
6. Primarilrf 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
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.
COMMIT IELADDRESS SIHEEIADDKt55 (NU N.U.BUX)
CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary
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
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2019
through 06/30/2019
SUMMARY PAGE
Pegs 3 of 12
NAME OF FILER W. NUM=K
Committee for Heather Newsom for Atascadero City Council 2018 1403414
Contributions Received
1. Monetary Contributions...................................................
Schedule A, Line 3
2. Loans Received................................................................
Schedule e, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines +2
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED __.......... ....................Add
tines 3+4
Column A
TOTALTHIS PERIOD
(FROM ATTACHED SCHEDULES)
$ 0
$
Column B
O NOAR YEAR
TOTAL TO DATE
$ 0
0
0 $
0
0 $
Expenditures Made
6. Payments Made................................................................ Schedule E, Lim4 $ 285.79
7. Loans Made....................................................................... Schedule H, Line 3 0
8. SUBTOTAL CASH PAYMENTS .......................................... AddLtnee6+7 $ 285.79
9. Accrued Expenses (Unpaid Bills) .......................................... Sched*FLine 3 (285.79)
10. Nonmonetary Adjustment ................................................ _....... Schs" C, tine 3 0
11. TOTAL EXPENDITURES MADE........................................AddLkMM,8+e+fo $ (285.79)
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, tine 16
13. Cash Receipts........................................................... Column A, Line 3above
14. Miscellaneous Increases to Cash .................................. Schedule 1, Lina 4
15. Cash Payments......................................................... Column A, Line a above
16. ENDING CASH BALANCE ..................Add Lines 12+ 13+ 14, then subtract tine 15
If this is a termination statement, tine 16 must be zem.
$ 285.79
0
0
285.79
$ 0
17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ I
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 +Line a In Co1.n a above $
1245.14
I
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
0 20. Contributions
Received $ $
0 21. Expenditures
0 Made $ $
$ 285.79
0
$ 285.79
(285.79)
$ (285.79)
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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(e Subject to voluntary Expenditure Lime)
Date of Election Total to Date
(mm/dd/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
— - - - - -- -- to whole dollars.
Monetary Contributions Received
Statement covers period
460
01/01/2019FORM
from
06/30/2019
4 12
through
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Committee for Heather Newsom for Atascadero City Council 2018
1403414
DATE
FULL NAME, STREETADDRESS AND LPCODE OF CONTRIBUTOR
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
OF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
NAME
(IF SEIF-EOF
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
OF BUSINESS)
BUSINESS)
❑ IND
none
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)..............................................................................
2. Amount received this period — unitemized monetary contributions of less than $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)........
TOTAL $
'Contributor Godes
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
A--'. m .. tie . ..nen
SCHEDULE B - PART 1
Schedule — Part I to whole dollars.
Statement covers period
RNIA
4
Loans Received
01/01/2019 .O •
from
06/30/2019 5 12
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER
I.D. NUMBER
Committee for Heather Newsom for Atascadero City Council 2018
1403414
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
'
OUTSTANDING
AMOUNT
AMOUNT PAID
OUTSTANDING
INTEREST
ORIGINAL
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
(a SELF"EMPLOYED' ENTER
BALANCE
RECEIVED THISBALANCEAT
OR FORGIVEN
PAID THIS
AMOUNTOF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAptE OF BUSINESS)
BEGINNING THIS
PERIOD
PERIOD
THIS PERIOD
CLOSE OF THIS
PERIOD
PERIOD
LOAN
TO DATE
❑ PAID
CALENDAR YEAR
$
f
%
f
f
[I FORGIVEN
PER ELECTION"
RATE
f
f
t
f
t
DATE DUE
DATE INCURRED
t ❑ IND ❑COM ❑ OTH ❑PTY ❑SCC
❑ PAID
CALENDAR YEAR
S
$
El FORGIVEN
PER ELECTION"
RATE
f
t
f
f
t
DATE DUE
DATE INCURRED
t❑ IND [I COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDARYEAR
S
f
_%
t
f
E] FORGIVEN
PER ELECTION"
RATE
S
t
f
f
DATE WE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTV ❑ SCC
SUBTOTALS $ $ $ S
Schedule B Summary
1. Loans received this period....................................................................................................................$ n
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period.........................................................................................................$ n
(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 parry also must be reported on Schedule A.
If required.
..... NET $ n
(MW W•nepN numb"
tContdbutor 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.ce.gov (866/275-3772)
www.fppc.ca.gov,
Schedule C Amounts may be rounded SCHEDULE C
---- ---- to wnole sonars.
Nonmoneta Contributions Received
rY
Stafentent covers period7I.DNUMBER
• ,
'fromthrough
01/01/2019
'
06/30/2019
6 of 12SEE
INSTRUCTIONS ON REVERSENAME
OF FILER
Committee for Heather Newsom for Atascadero City Council 2018
14
DATE
FULL
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
COD OF CONTRIBUTOR
CODE *
OCCUPATION AND EMPLOYER
OF EMPLOYED,
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
IF REQUIRED
( )
OF CDMMnTEE. ALSO ENTER M. NUMBER)
NAM BUSINESS)
NAME OF BUSINESS)
(JAN 7 -DEC 31)
❑ IND
none
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule C Summary
Amount received this period — itemized nonmonetary contributions.
(Include all Schedule C subtotals.)................................................................
2. Amount received this period — unitemized nonmonetary contributions of less than $100 ...
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)...
TOTAL $
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH —Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
W
FPPC Form 460 (Jan/2016)
FPPC Advice: advlce@fppc.m.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
SCHEDULE D
Summary of Expenditures Amounts may be rounded
Statement covers period
Supporting/Opposing Other to whole dollars.
•0 0 1
from o1/01/2o1s
Candidates, Measures and Committees
through 06/30/2019
Page 7 of 12
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Committee for Heather Newsom for Atascadero City Council 2018
1403414
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
CRIPTIO
AMOUNT THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF
PERIOD
(JAW 1 - DEC. 31)
(IF REQUIRED)
OR COMMITTEE
❑ Monetary
none
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.)....................................................... $ 0
2. Unitemized contributions and independent expenditures made this period of under $100.................................................................................... $ 0
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.ra.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
1E OF FILER
Committee for Heather Newsom for Atascadero City Council 2018
Statement covers period
from 01/01/2019
through 06/30/2019
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment
Page 8 of 122
[Dr NUMBER
1403414
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 I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
Heather Newsom
CMP
Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
SUBTOTAL$
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).)............................................................................. $
285.79
285.79
0
Q
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6) ........................... TOTAL $ 285.79
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
Committee for Heather Newsom for Atascadero City Council 2018
Statement covers period
from 01/01/2019
through
06/30/2019
SCHEDULE IF
O� •
Ili
Page 9 of 12
I.D. NUMBER
1403414
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphernalia/mist.
MBR
member communications
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)
NAMEAND ADDRESS OF CREDITOR
CODE OR
(
OUTSTAA NDING
[
AMOUNT INGURREp
(cJ
AMOUNT PATO
(d)
OUTSTANDING
(iF COMMITTEE. ALSO ENTER LID NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLC SE
OF THIS PERIOD
(ALSO REPORT ON EI
OF THIS PERIOD
Heather Newsom
CMP
1530.93
0
285.79
1245.14
" Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $
summarized on schedule D. 1530.93 $ 0 285.79 1245.14
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 on accrued expenses under $101 .................
.....INCURRED TOTALS $
I
........... PAID TOTALS $ 285'79
3. Net change this period. (Subtract tine 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ 285.79
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SEE
Amounts may be rounded
to whole dollars.
01/01/2019
through 06/30/2019
SCHEDULEG
Page 10 of 12
NAME OF FILER I.D. NUMBER
Committee for Heather Newsom for Atascadero City Council 2018 1403414
NAME OF AGENT OR INDEPENDENT
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphemalia/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
OF OOMMMM. NSO ENTER I.D. NUMSM
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
none
Attach additional information on appropriately labeled continuation sheets. TOTAL* $
Do not transfer to any otherschedule orto the Summary Page. This total may not equal the amountpaid to the agent or FPPC Form 460 (Jan/2016)
independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE
Schedule H Amounts may be rounded
Statement coven period _
to whole dollars.
Loans Made to Others
01/01/2019 •
from
06/30/2019 11 12
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER
I.D. NUMBER
Committee for Heather Newsom for Atascadero City Council 2018
1403414
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
a
OUTSTANDING
(b)
AMOUNT
(a)
REPAYMENT OR
(4)
OUTSTANDING
tat
INTEREST
10
ORIGINAL
III)
CUMULATIVE
OF
OCCUPATIONEMPLOYER
(IF LOYINESS)ER
BALANCE
LOANED THIS
FORGIVENESS
BALANCE AT
RECEIVED
AMOUNT OF
LOANS
OF COMMITTEE, ALSO ENTERI.D.I.D. NUMBER)
OF
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
THIS PERIOD`
CLOSE OF THIS
LOAN
70 DATE
❑ PND
CALENDAR YEAR
none
f
f
_x
11
11
❑ FORGIVEN
PER ELECTION`
EEN
f
S
f
S
f
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION"
RATE
f
f
f
f
f
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
$
$
$
$
(EMM (a) on
SduRlula I, Line 3)
Schedule H Summary
1. Loans made this period....................................................................................................................................................$ n
(Total Column (b) plus unitemized loans of less than $100.) "Required
2. Payments received on loans............................................................................................................................................$ D
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.)............................................................................................ NET $ D
(Enter the net here and on the Summary Page, Column A, Line 7.) OA"bee"ere'Ne.b0
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppC.Ca.gov
Schedule I Amn,mte may he rnnnded SCHEDULE I
to whole dollars.
Increases to Cash460
SEE INSTRUCTIONS ON REVERSE
Statement covers periodCALIFORNIAMiscellaneous
from 01/01/2019
through 06/30/2019
FORM 0
Page 12 of 12
NAME OF FILER
Committee for Heather Newsom for Atascadero City Council 2018
I.D. NUMBER
1403414
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCEAMOUNTOF
(F COMMITTEE, ALBO ENTER D. NUMBER)
DESCRIPTION OF RECEIPT
INCREASE TO CASH
none
Attach additional information on appropriately labeled continuation sheets.
Schedule 1 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
...................$
0
e 0
TOTAL $
FPPC Form 460(lan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov