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2016.09.28_Davis_Robert_Form 460
Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from q/ i /I b through C� /214 tI �c 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. RrOfFiceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee • Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party /Central Committee (Also Complete Part 7) 3. Committee Information 4. IlM Kv lS tii`t Coy Ca ?_0 i ('0 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Date Stamp RECEIVED Date of election if applicable: City of Morro Bay (Month, Day, Year) N04 8 ; Z o) (o COVER PAGE Page 1 of I For Official Use On Administration 2. Type of Statement: ❑ Preelection Statement 01-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 0211 ?. A AV AS:. MAILING ADDRESS - CITY STATE ZIP CODE AREA CODE /PHONE SP W \S 6P,-;, 1 S PD C�) C!�340 \ NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE & Verification 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. certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on ko Date j By Date Signature of Controlling Officeholder. Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fuac.ca.l±ov (866/275 -37721 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE ID � � �l V�� 1_ NS OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) �AOLO-o Ey C.. —N 03J►,�,C,1 !_ RESIDENTIALIBUSINESSADDRESS (N0. AND STREET) CITY STATE ZIP IUD . CA Q�69A2. 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 I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? [:]YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 I Page 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponem 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 @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov t Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 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 8 + 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 I, Line 4 15. Cash Payments .......................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .................. Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Statement covers period from � / I %I b throughC f Z4 /1 t4 Column A Column B TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE $ 42 Z(, $ 6 U $ 4'Z 21w $ If Z.`?1„ C) G $ 4Z-zW_ $ AVA. $ 2 ey5q a $ ZS a $ $ $ izx;c) 17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part 2 $ C) Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ $ '2 C-0, $ A O $ 3� i 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). SUMMARY PAGE CALIFORNIA FORM !' Page 21 of ,, Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd/yy) I _1 1 $ I I $ *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.fppcxa.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnoie sonars. Statement covers period CALIFORNIA I , from VIA b FORM • through /Z4 /I Page,4 of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR OF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. (JAN, 1 -DEC. 31) (IF REQUIRED) �P�EtLT" �l�lVt- O A 1 6 ® IND � (G�11Z I"fll 2 s 2 El OTH MOLI.O qpy ' CA y Z ❑ PTY ❑ SCC %, /Jjpi I (io EFZT N � ® IND ❑ COM ❑ OTH �y 47K)2" / S(d.0 -' FAP" O© CA °)3442- ❑ El PTY SCC l�W C1L�s dF K - j AL'S tot- R 104 9i t <- ` ® IND E3 COM ZED, Nc-P1E 2-Go ❑ OTH ❑ PTY ❑ SCC ND I[j COM ZCSO El OTH ❑ PTY - ❑ SCC %i�i (� �>eU LL �1 bSol� TC72 50QW V 1501' � IND D[5TCICT ?- m�4dj202- [I OTH Coot4N , cRy �cc�, CEO cb;'A3o o PTY SUBTOTAL $ i oco 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 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) w urfnnr rn once • Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT) Monetary Contributions Received to whole dollars. Statement covers period . from through J Page p' of—) NAME OF FILER ^ n y, n -tC�Hv � T U�.� I.D. NUMBER � 13sd$ Z -44 DATE RECEIVED FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER C NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) �k SyLViA ULAP ❑COD ��-C1 Q EIS, ry 4y C oCs ❑ OTH oSos , C A °>3y oZ p PTY [54 IND E] COM ��ff ❑ OTH ❑ PTY 1-1 SCC v�`.V\i `mil T FE El IND [I OTH P QOM o ' 1.u5 �"oo o PTY �L� H x`.0.1 L�iN ❑ PTY (tLjLo 3 _ C �3 Z ❑ SCC pp tM IND Iu El COM ❑OTH Mo0, Lu rt{ c 0s C SUBTOTAL $ cj�co *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 V - i• L Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT Monetary Contributions Received to whole dollars. Statement covers period , from :? A /i b .1 through 5/2 4 /( (° Page f of ) NAME OF FILER I.D. NUMBER ?—f.* DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) �Z�IICo �r� tr�l ` ❑ OTH AA ,zi Q. (IA 6AAy , C9 c��-,A42— 0 PTY ❑ SCC UN P4-0 '031'sN ol;: JA IND ❑ COM 'f %4 C'q o 'I sr, I cy ElOT - /�bl�{L ❑ scc >/12gi(c. El COM 1C Lm � ❑ OTH RuLto �� C 442. °❑ PTY �fZ�jj%I(o CK`C��S`(1tS�G^ -J�Nty OCOM �AMV11lUN1 ❑ OTH El o PTY 1 �gl) (D —IMA a S � �Ilt � 1 e.�s IND �❑ COM \Z` �� {�'N�1E o OTH I A ww . MA o-t %- 44L - ❑ SCC r L L L '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 SUBTOTAL $ G c' FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov • F Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT Monetary Contributions Received to whole dollars. S Statement covers period , , from all A b ' '�1 through /24' A � P Page + o of i NAME OF FILER � ^ ,� , 1 r� n , f /�+ ' rv, ,, ��r � I I.D. NUMBER DATE F FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR C CONTRIBUTOR I IF AN INDIVIDUAL, ENTER A AMOUNT C CUMULATIVE TO DATE P PER ELECTION OF BUSINESS) PERIOD ( (JAN.1 -DEC. 31) ( (IF REQUIRED) L ,- ` O X IND ' 'F\ I- �- A QrVAT- ) ) �� ❑ OTH C Cl �� op- N6VAbAr Cry , Cp S 5 ° PTY 1 l do *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) wwwippc.ca.gov SCHEDULE B - PART 1 Schedule — Part I to whole dollars. Statement covers period Loans Received :ZA /I �, - • - from through Z ( Page SEE INSTRUCTIONS ON REVERSE Of NAME OF FILER I.D. NUMBERp i_�) FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING 1 AMOUNT (c) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL 9 CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF- EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE NAME OF BUSINESS) PERIOD THIS PERIOD' PERIOD ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION *` RATE $ $ $ $ $ DATE DUE DATE INCURRED t ❑ IND [I COM [I OTH ❑PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION't" RATE DATE DUE to IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN RATE PER ELECTION" $ $ $ $ $ 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 $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) .................. ............................... Enter the net here and on the Summary Page, Column A, Line 2. "Amounts forgiven or paid by another party also must be reported on Schedule A. '" If required. ...........$ ...........$ NET $ (May be a negative number) trnter tet 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 SCHEDULE B - PART 2 5cneaule 13 — Mari 1 Amounrs may oe rounaeo Statement covers period to whole dollars. , . , Loan Guarantors !q /I j�,� .. ki from through Z� Page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER C At-y Q I.D. NUMBER 1 2-f.:,4f FULL NAME, STREET ADDRESS AND IF AN INDIVIDUAL, ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IFSEIF EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR ❑ IND ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC CALENDAR YEAR ❑ IND LENDER ❑ COM $ ❑ OTH PER ELECTION DATE (IF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ LENDER CALENDAR YEAR ❑ IND ❑ COM $ DATE ❑ OTH PER ELECTION (IF REQUIRED) ❑ PTY ❑ SCC $ Enter on SUBTOTAL $ Summary Page, Line 17 oMy. FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHFr)I11_F C w wiwi� uuuam. Nonmonetary Contributions Received Statement covers period • - from , through ✓�� ( (, Page ! ) t� SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I. D. NUMBER A�.y 7 . A AS S , I12_ Svt r3ObZ( DATE FULL NAME, STREETADDRESSAND CONTRIBUTOR IF AN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF NAME OF BUSINESS) (JAN 1 - DEC 31) ❑ IND ❑ 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 $ CD Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. 0 (Include all Schedule C subtotals.) ........................................................................................ ..............................$ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .... ..............................$ a 3. Total nonmonetary contributions received this period. 0 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .....................TOTAL $ "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 D SCHEDULE D Summary of Expenclutures Amounts may be rounded Statement covers period " to whole dollars. Supporting /Opposing Other • Candidates, Measures and Committees from 1 ) SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OR COMMITTEE 0 Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ � Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals .) ..................... 2. Unitemized contributions and independent expenditures made this period of under $100 ................... $ $ C7 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL.. $ u FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from through CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 12- of 18 (3 CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (J�, 5 , QID`�5 lL 1%ZX_ ►�y of C v'A cj ' Mt(ZQb " CODE OR DESCRIPTION OF PAYMENT TI L f IL I CP�N�j�t�A -gym AMOUNT PAID 112 2� * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3 b Z Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) ...................................... ............................... 2. Unitemized payments made this period of under $ 100 ................................................................... ............................... 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ...... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........... $ 28 r02 ........ ............................... $ C� ........ ............................... $ �7© ............. I............ TOTAL $ FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 4 A b through (3�12 4ZI (a SCHEDULE E (CONT) Page I a of S 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 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 PAYEE (IFCOMMrrTEE,ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID EltWla�P slFL r=P- ZZ1 3-%t 9z �, �, , Mod �� 6p_) Cqay2. Lr q�UIACAL P-0. eox �5�o o �L l k 2 `� y (rte ^ r� 1 C�w1 1Q l C �s J� �F 1 v C-0. I, ) IV CO 15�j 21p OS Div E STV£C.T CANoGA �1,tNv� C ASAP Z�P2� C�'�� P ICS L lT A3 Mol��o c Z `4651 sA r (Z OgP LA p11VK ,- " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1 J FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID SCHEDULE E (CONT) (Continuation Sheet) Amounts may be rounded to whole dollars. � � ►1Tj',`�1�1 ��T 11VIv� Stat Statement covers period � • - � , 6 0 Payments Made ��\ /l� FORM WEB from Z ?J KK A Y, A 1 Qu_r Cb l , through A, } g SEE INSTRUCTIONS ON REVERSE Page _L4_ of 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 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID cm? � � ►1Tj',`�1�1 ��T 11VIv� ` �� WEB Z ?J KK A Y, A 1 Qu_r Cb l , * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 6i Z FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Ce1AfN P- A Av P�s , SCHEDULEI Amounts may be rounded to whole dollars. Statement covers period • ' 4A /Ib .- from through / G /21411 (,, Page 5 of l �' CODES: If one of the following codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)" OFC office expenses CVC civic donations PET petition circulating FII_ candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting /opposing others (explain)" POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads I.D. NUMBER O: Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff /spouse travel, lodging, and meals TSF transfer between committees of the same candidate /sponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD ( IN AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD lkAy Tlt �� 31 r g AA W m02j0 C4)1 g2,A4 2. " Payments that are contributions or independent expenditures must also be SUBTOTALS $ 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 on accrued expenses under $100.). 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ....................................................................................... ............................... ................INCURRED TOTALS $ .......... PAID TOTALS $ .................................................... NET $ q 6 May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) Schedule G SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period MEN= Contractor (on Behalf of This Committee) to whole dollars. from t �� Attach additional information on appropriately labeled continuation sheets. TOTAL* $ C) * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan /2016) independent contractor as reported on Schedule E. FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov through /Z 4' 1 to 1° SEE INSTRUCTIONS ON REVERSE Page J of NAME OF FILER I.D. NUMBER Ga,A`e-`'1 Q 3 2 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 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 (intemet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME ANDADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* $ C) * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan /2016) independent contractor as reported on Schedule E. FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period . to whole dollars. ..eft /i b . _ • Loans Made to Others* from / C)/74/1 b I SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER ? "�5 ZC(4 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER , a OUTSTANDING (b) AMOUNT (c) REPAYMENT OR (d) OUTSTANDING (e) INTEREST M ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF - EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCEAT CLOSE OF THIS RECEIVED AMOUNT OF LOANS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) PERIOD PERIOD * THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR $ $ °6 $ $ El FORGIVEN FORGIVEN PER ELECTION*" DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR PER ELECTION" ❑ FORGIVEN RATE $ $ $ $ $ DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ $ Schedule H Summary 1. Loans made this period ....................................................................... ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ............................................................... ............................... (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.) ........................ ............................... (Enter the net here and on the Summary Page, Column A, Line 7.) tcncerte/ an Schedule I, Line 3) $ G .............................. NET $ * *If Required C) (May be a negative number) FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov _qncmarI11110 1 SCHEDULE I --- - - - - -- - Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from ),6 through � � � �' /I � CALIFORNIA • .1 Pa � of �. ge NAME OF FILER C 4AV6 I.D. NUMBER 13f > Z�4 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period .............................................................................................. ..............................$ d \ 2. Unitemized increases to cash of under $100 this period ................................................................... ..............................$ d 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 C) SummaryPage, Line 14.) .............................................................................................. ............................... TOTAL $ FPPC Form 460 (Jan /2016) FPPC Advice: advice @ €ppc.ca.gov (866/275 -3772)