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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