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Home My WebLink AboutForm 460 Dariz 092718 AmendmentRecipient Committee Campaign Statement Cover Page from Statement covers period Date of election if applicable: June 26, 21 1 (Month, Day, Year) COVER PAGE Date Stamp RECEIVED page 1 of 11 For Official Use Only SEE INSTRUCTIONS ON REVERSE through September 22, 2018 Nov. 6, 201$ f ITY OF ATASCADERO 1. Type of Recipient Committee: All committees - Complete Parts 1, x, 3, and 4. 2. Type of Statement: W Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd -Year Report O Recall 0 Controlled (AlsocompklePart s) ❑ Termination Statement Sponsored (Also file a Form 410 Termination) (Also Cgmplote Part 6) ❑ General Purpose Committee Amendment (Explain below) 0 Sponsored ❑ Primarily f=ormed Candidate/ fixing errors in contribution tabulation 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee fAlso Complete Part 7) 3. Committee Information I.D. NUMBER 1407272 Mark Dariz Committee to Elect for Atascadero City Council 2018 BOX) CITY STATE ZIP CODE AREA CODEIPHONE Atascadero CA 93422 MAILING ADDRESS (IF DIFFERENTi NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREACODEIPHONE OPTIONAL, FAX/ E-MAIL ADDRESS Treasurer(s) NAME OF TREASURER Sue Dariz Atascadero CA 93422 NAME OF ASSISTANT TREASURER, IF ANY MAILINGADDRESS OPTIONAL_ FAX I E-MAILADDRESS ZIP CODE AREACODE)PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the ' ormatiined herein and in the attached schedules is true and complete. certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. '711,07 Executed on 7127/20 Date Executed on 7/27/20 late Executed on Date Executed on Date By or By Signature of Controlling Officeholder, Candidata, Stale Measure Proponent By Signature of Controlling Officeholder, Candidate State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www fnne rn pnv Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Mark Dariz OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, City of Atascadero CA RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Atascadero. CA 93422 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 W. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. 80X) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE) ❑ YFS ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHO COVER PAGE - PART 2 Page 2 of 11 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ❑ OPPOSE 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@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. from Statement covers period m June 26, 2018 through September 22, 2018 I Page 3 of 11 NAME OF FILER I.U. NUMBER Sue Dariz 1407272 Contributions Received 1. Monetary Contributions................................................... schedule A, urge 3 2. Loans Received................................................................ schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines r+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 11. Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Linea 10. Nonmonetary Adjustment......................................................... schedule C, Lima 11. TOTAL EXPENDITURES MADE ........................................ Add Lines E+9+10 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Pape, Line 16 13. Cash Receipts........................................................... Column A. Line 3 above 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 15. Cash Payments......................................................... Columna. Lim 8above 16. ENDING CASH BALANCE .................. Add Lines 12+73+14.than subbed Lim 15 d this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ 7,229 $ 5,333.16 $ 12,562.16 $ 500 $ 13,062.16 $ Column B CALENDAR YEAR TOTAL TO DATE 7,229 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 throuch 6/30 7i1 to Date 20. Contributions Received 5 $ 21. Expenditures Made $ $ Expenditure Limit Summary for State $ 1.553.14 $ 1,553.14 Candidates $ 1,553.14 $ 1,553.14 500 500 $ 2,053.14 $ 2,053.14 $ 0 12,562.16 1,553.14 $ 11,009.02 Schedule B. Part 2 $ Cash Equivalents and Outstanding Debts 18, Cash Equivalents .................... ---- .... __...... ... See instruclions on reverse $ 19. Outstanding Debts .............................. Add Line 2+Line gin ColumnB above $ 5,333.16 22. Cumulative Expenditures Made" Id Subject to Voluntary Expenditure Uni Date of Election Total to Date (mm/dd/yy) $ To calculate Column B, add amounts in Column A to the corresponding 'Amounts in this section may be different from amounts amounts from Column B reported in 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). FPPC Form 460 Ilan/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 Eo whole sonars. Statement covers period CALIFORNIA June 26, 2018 from FORM • September 22, 2018 4 11 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Sue Dariz 1407272 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR WAN INDIVIDUAL. ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF coMMIrrEE.nLso ENTER I.D. NUMOEe) CODE * OCCUPATION AND EMPLOYER RECEIVED THES CALENDAR YEAR TO GATE (IF SELF-EMPLOYED ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS} VIND 6126/18 Mad al n McDaniel ❑COM Retired 200 200 200 ❑ OTH arca ero, ❑ PTY ❑ SCC m IND 6/28118 Robert Jones R ❑ Com Retired 500 500 500 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC ® IND 6128118 Albert Almodova Elcom Store Manager � 200 200 200 El OTH NAPA Auto Parts asca ero, 93422 ❑ PTY ❑ SCC IND 7/28/18 David Main ❑ COM Retired Architect 100 100 100 ❑ OTH Atascadero, CA 93422 ❑ PTY ❑ SCC Jimm Quinonez eJ IND ❑ Com Retired 8/1118 ❑ OTH 100 100 100 Atascadero, CA 93422 ❑ PTY ❑ SCC SUBTOTAL $ 1,100 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 $ 5,740 1,489 7,229 'Contributor Codes IND — Individual CONI — 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 A (CONT.) Monetary Contributions Received to whole dollars. --ym Statement covers period CALIFORNIA 460 from .lune 26, 2018 FORM through September 22, 2018 Page 5 of 11 NAME OF FILER I.D. NUMBER Sue Dariz 1407272 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OP CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITrEE,ALSO ENTER I.D. NUMBER CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD [JAN. 1 -DEC. 31) (IF REQUIRED) OF EUSINESS) Brian Atwell COM Psych Tech 817118 El PTH County at San Luis 100 100 100 Atascadero, CA 93422 ❑ PTY Obispo ❑ SCC Mike Zappas ® IND ❑ COM Property Manager 7126118 250 250 250 ❑ OTH asca ero, [] PTY ❑ SCC Roberta Fonzi ® IND El COM Realestate 8119118 250 250 250 ❑ OTH Atascadero, CA 93422 p PTY ❑ SCC ❑ IND 8123118 uls Obispo ❑ CoM 990 990 990 ❑ OTH Atascadero, CA 93422 ❑ PTY ® SCC David Marchell IND ❑ COM Civil Engineer 6125118 E] OTH OMNI Design GRoup 100 100 100 Atascadero, CA 93422 ❑ PTY ❑ SCC SUBTOTAL$ 1,690 *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 (!an/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 _ from June 26, 2018 • - through September 22, 2018 Page 6of 11 NAME OF FILER 1_0_ NUMBER Sue Dariz 1407272 DATE FULL NAME, STREET AND ZIP CODE Of CONTRIBUTOR COMMITTEE. ALSO ENTER NUMBER; CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF I.O. CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 -DEC. 31) (If REQUIRED) OF BUSINESS) L n Fowler ® IND 8125118 0 CDM ❑ OTH 100 100 100 Atascadero, CA 93422 ❑ PTY ❑ SCC Ra Johnson ® IND Retired 8124/18 Com 100 100 100 Atascadero, CA 93422 F-1 OTH ❑ PTY ❑ SCC Brent Win ett 0IND Businessman 916118 ❑ CoM 100 100 100 Twisp, WA 98856 ❑ OTH ❑ PTY ❑ SCC Debbie Arnold IND p Self Employed Rancher 918/18 COM 100 100 100 Santa Margarita, CA 93453 El OTH ❑ PTY ❑ SGC William Hatch 0 IND Army, Retired 9/8118 El comEl 100 100 100 Atascadero, CA 93422 OTH ❑ PTv ❑ SCC SUBTOTAL$ 500 "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/2036) 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 Collars. - Statement covers periodCALIFONI . . from June 26, 2018 FORM • 1 through September 22, 2018 Page 7 of 11 NAME OF FILER I_D. NUMBER Sue Dariz 1407272 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR " IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF COMMITTEE. ALSO ENTER 10, NUMBER) CODE 11F sELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Maintenance Specialist 9/8/18 El COM ❑ OTH PG&E 100 100 100 Atascadero, CA 93422 ❑ PTY ❑ SCC Vick Morse IND P Retired 9/8/18 COM 100 100 100 Atascadero, CA 93423 ElCO El PTY ❑ scc Tom O'Malle ® IND Retired 9/8/18 El OTCIM 250 250 250 Atascadero, CA 93422 ❑ PTY ❑ SCC Harold baiter IND Retired 9/8/18 ❑❑ com 100 100 100 Atascadero, CA 93422 ❑ PTY ❑ SCC Lee Moura ® IND Retired 9/13/18 ❑❑ Co 100 100 100 Atascadero, CA 93422 ❑ PTY ❑ SCC SUBTOTALS 650 *Contributor Codes IND - Individual COM - Recipient Committee (other than PTY or SGC) OTH - Other (e.g., business entity) PTY - Political Parry SCC - Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (666/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period —. CALIFORNIA from June 26, 2018 FORM through September 22, 2018 Page 8 of 11 NAME OF FILER I.D. NUMBER Sue Dariz 1407272 DATE RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF COMMITTEE. ALSO ENTER I.D. NUMBER} CODE (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Dennis Schmi ® IND Surveyor 8/27/18 ❑ COM Granite Ridge 100 100 100 Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ sce HBACC ® IND 9119/18 0 COM 100 100 100 San Luis Obispo, CA 93406 ❑ OTH ❑ PTY ❑ SCC Lincoln Club of San Luis Obispo ® IND 9116/18 ❑ COM 1500 1500 1500 Atascadero, CA 93422 ❑ OTH ❑ PTY ❑ SCC Al Price 0 Retired 9/22/18 COM 100 100 100 ❑ oTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ 1800 '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 ()an/20161 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.Ca.gov SCHEDULE B - PART 1 5cneaulle is - cart i to whole dollars. Statement covers period Loans Received • from June 26, 2018 . SEE INSTRUCTIONS ON REVERSE through September 22, 201 page 9 of 11 NAME OF FILER I.D. NUMBER Sue Dariz 1407272 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUALENTER , OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT (N AMOUNT PAID OUTSTANDING INTEREST ORIGINAL $ CUMULATIVE OF LENDER pE COMMITTEE. ALSO ENTER ro_ NUMBER) (IF SEEP-EMRLoveD, eNr1=R BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME of BUSINESS) PERIOD THIS PERIOD' PERIOD PERIOD LOAN TO DATE Mark Dariz Architect ❑ PAID CALENDAR YEAR OMNI Design Group s s 5,333.16 , g 5.333.1 s 5,333.16 ❑ FORGIVEN PER ELECTION" Atascadero, CA 93422 RATE $ 5,333.16 s 5,333.16 $$ S tO IND El COM El OTH C] PTY [3 SOC DATE DUE DATE SNCURRED ❑ PAID CALENDAR YEAR S S ❑ FORGIVEN PER ELECTION" {LATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S $ 5 DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ S % $ g ❑ FORGIVEN PER ELECTION" RATE 1E:1IND ❑COM [_1OTH ❑ PTY ❑ SCC 8 $ g $ S DATE DUE DATE INGURREn SUBTOTALS $ 5,333.16 $ $ 5,333.16 $ Schedule B Summary 1. Loans received this period ................................................... (Total Column (b) plus unitemized loans of less than $100.) .............................................$ 5;2 A3 16 2. Loans paid or forgiven this period.........................................................................................................$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.).............................................................. NET $ 5 RIR 16 Enter the net here and on the Summary Page, Column A, Line 2. (May i a nagatwe numt�r) *Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. (Enter (e) on Schedule E. Line 3) tContnbutor 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 C Amounts may be rounded ,,_,,, — SCHEDULE C Nonmonetary Contributions Received " Statement covers period CA , _ NIA • 1 from June 26, 2018 FORM through September 22, 20' Page 10 of 11 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Sue Dariz 1407272 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IFAN INDIVIDUAL. ENTER DESCRIPTION 01= AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE {IF COMMITTEE, ALSO ENTER LO. NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) (IF REQUIRED) ® IND Tom O'Malle El COM Retired f=ood and 918/18 Beverage $ 500 $ 500 $ 500 ❑ OTH Atascadero, CA 93422 ❑ pn ❑ 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 $ 500 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (include all Schedule C subtotals.)......................................................................................................................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ......... .........................$ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.).....................TOTAL $ 500 500 *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 E Payments Made Amounts may be rounded to whole dollars. Statement covers period from June 26, 2018 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through September 22, 201 page 11 of 11 NAME OF FILER 1.D. NUMBER Sue Dariz 1407272 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 nonmonelary)" 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 FIND fundraising events POL polling and survey research TRS stafflspouse travel, lodging. and meals IND independent expenditure supportinglopposing others (explain)' POS postage. delivery and messenger services TSF transfer between committees of the same candidaWsponsor 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 AN[) ADDRESS OF PAYEE (W COMME7TEE. ALSO ENTER LD NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wilkins Action Gra hies Check # 1201 LIT Atascadero, CA 93422 S.W. Martin & AssociatesCheck # 1202 WEB Paso Robles, CA 93446 " 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).)............................................................................. $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ $ 503.14 $ 1,050 $ 1,553.14 $ 1,553.14 1,553.14 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov